scholarly journals PRE-OPERATIVE FASTING: WHY ABBREVIATE?

2018 ◽  
Vol 31 (2) ◽  
Author(s):  
Samara Bomfim Gomes CAMPOS ◽  
João Araújo BARROS-NETO ◽  
Glaucevane da Silva GUEDES ◽  
Fabiana Andréa MOURA
Keyword(s):  
Gastric Emptying ◽  
Elective Surgery ◽  
Scientific Evidence ◽  
Point Of View ◽  
Surgical Patient ◽  
Preoperative Fasting ◽  
Fasting Period ◽  
Clinical Benefits ◽  
The Universe ◽  
Carbohydrate Solution

ABSTRACT Introduction : Considering the practice of preoperative fasting based on observations on the gastric emptying delay after induction and the time of this fast is closely linked to organic response to trauma, arise the question about preoperative fasting period necessary to minimize such response and support the professional with clinical and scientific evidence. Aim : To review the aspects related to the abbreviation of preoperative fasting from the metabolic point of view, physiology of gastric emptying, its clinical benefits and the currently recommendations. Method : Literature review was based on articles and guidelines published in English and Portuguese, without restriction of time until January 2017, in PubMed, SciELO and Cochrane with the descriptors: surgery, preoperative fasting, carbohydrate. From the universe consulted, 31 articles were selected. Results : The literature suggests that the abbreviation of fasting with beverage added carbohydrates until 2 h before surgery, can bring benefits on glycemic and functional parameters, reduces hospitalization, and does not present aspiration risk of healthy patients undergoing elective surgery. Another nutrient that has been added to the carbohydrate solution and has shown promising results is glutamine. Conclusion : The abbreviation of preoperative fasting with enriched beverage with carbohydrates or carbohydrate and glutamine seems to be effective in the care of the surgical patient, optimizing the recovery from of postoperative period.

scholarly journals FASTING IN ELECTIVE SURGICAL PATIENTS: COMPARISON AMONG THE TIME PRESCRIBED, PERFORMED AND RECOMMENDED ON PERIOPERATIVE CARE PROTOCOLS

2015 ◽  
Vol 28 (4) ◽  
pp. 250-254 ◽  
Author(s):  
Saionara Cristina FRANCISCO ◽  
Sandra Teixeira BATISTA ◽  
Geórgia das Graças PENA
Keyword(s):  
Elective Surgery ◽  
Length Of Hospital Stay ◽  
Perioperative Period ◽  
Well Being ◽  
Cross Sectional Study ◽  
Diabetes Diagnosis ◽  
Preoperative Fasting ◽  
Fasting Period ◽  
Cross Sectional ◽  
Fasting Time

Background: Prolonged preoperative fasting may impair nutritional status of the patient and their recovery. In contrast, some studies show that fasting abbreviation can improve the response to trauma and decrease the length of hospital stay. Aim: Investigate whether the prescribed perioperative fasting time and practiced by patients is in compliance with current multimodal protocols and identify the main factors associated. Methods: Cross-sectional study with 65 patients undergoing elective surgery of the digestive tract or abdominal wall. We investigated the fasting time in the perioperative period, hunger and thirst reports, physical status, diabetes diagnosis, type of surgery and anesthesia. Results: The patients were between 19 and 87 years, mostly female (73.8%). The most performed procedure was cholecystectomy (47.69%) and general anesthesia the most used (89.23%). The most common approach was to start fasting from midnight for liquids and solids, and most of the patients received grade II (64.6%) to the physical state. The real fasting average time was 16 h (9.5-41.58) was higher than prescribed (11 h, 6.58 -26.75). The patients submitted to surgery in the afternoon were in more fasting time than those who did in the morning (p<0.001). The intensity of hunger and thirst increased in postoperative fasting period (p=0.010 and 0.027). The average period of postoperative fasting was 18.25 h (3.33-91.83) and only 23.07% restarted feeding on the same day. Conclusion: Patients were fasted for prolonged time, higher even than the prescribed time and intensity of the signs of discomfort such as hunger and thirst increased over time. To better recovery and the patient's well-being, it is necessary to establish a preoperative fasting abbreviation protocol.

scholarly journals Promoting Interpersonal Relationships through Elbow Tag, a Traditional Sporting Game. A Multidimensional Approach

2021 ◽  
Vol 13 (14) ◽  
pp. 7887
Author(s):  
Verónica Muñoz-Arroyave ◽  
Miguel Pic ◽  
Rafael Luchoro-Parrilla ◽  
Jorge Serna ◽  
Cristòfol Salas-Santandreu ◽  
...  
Keyword(s):  
Decision Making ◽  
Social Interactions ◽  
Interpersonal Relationships ◽  
Predictive Power ◽  
Ad Hoc ◽  
Scientific Evidence ◽  
Point Of View ◽  
Registration System ◽  
Motor Behaviors ◽  
Quasi Experimental

The aim of this research was to study from a multidimensional point of view (decisional, relational and energetic) the interpersonal relationships established by girls and boys in the traditional sport game of Elbow Tag. Scientific evidence has shown that Traditional Sport Games (TSG) trigger different effects on male and female genders in relation to emotional experiences, decision-making, conflicts and motor relationships. Despite the fact that these dimensions are intertwined, there are hardly any studies that interpret motor behaviors holistically, i.e., taking a multidimensional (360°) view of these dimensions. For this study, a quasi-experimental design was used and a type III design was applied, inspired by the observational methodology N/P/M. A total of 147 university students participated (M = 19.6, SD = 2.3): 47 girls (31.97%) and 100 boys (68.02%). A mixed ‘ad hoc’ registration system was designed with acceptable margins of data quality. Cross-tabulations, classification trees and T-patterns analysis were applied. The results indicated that social interactions between girls and boys in a mixed group were unequal. This difference was mainly due to decision-making (sub-role variable), which has much greater predictive power than the energetic variables (MV and steps).

Changes in the Prognosis of Functional Psychoses Since the Days of Kraepelin

1967 ◽  
Vol 113 (501) ◽  
pp. 813-822 ◽  
Author(s):  
Örnulv Ödegård
Keyword(s):  
Special Problem ◽  
Point Of View ◽  
General Point ◽  
Course Of Illness ◽  
Dynamic Reasoning ◽  
Starting Point ◽  
Functional Psychoses ◽  
External Conditions ◽  
Point Of Departure ◽  
The Universe

My choice of Kraepelin as a point of departure for this lecture has definite reasons. If one wants to stay within the field of clinical psychiatry (as opposed to psychiatric history), that is as far back as one can reasonably go. By this no slight is intended upon the pre-Kraepelinian psychiatrists. For our topic Henry Maudsley would indeed have been a most appropriate starting point, and by no means for reasons of courtesy. His general point of view is admirably sound as a basis for the scientific study of prognosis in psychiatry. I quote: “There is no accident in madness. Causality, not casualty, governs its appearance in the universe, and it is very far from being a good and sufficient practice simply to mark its phenomena and straightway to pass on as if they belonged not to an order but to a disorder of events that called for no explanation.” On the special problem of prognosis he shows his clinical acumen by stating that the outlook is poor when the course of illness is insidious, but this only means that these cases develop their psychoses on the basis of mental deviations which go very far back in the patient's life, so that in fact they are generally in a chronic stage at the time of their first admission to hospital. Here he actually corrects a mistake which is still quite often made. He shows his dynamic attitude when he says that prognosis is to a large extent modified by external conditions, in particular by the attitude of friends and relatives. Maudsley's dynamic reasoning was limited by the narrow framework of the degeneration hypothesis of those days. He had a sceptical attitude towards classification, which he regarded as artificial and dangerously pseudo-exact. His own classification was deliberately provisional, with very wide groups. He held that a description of various sub-forms of chronic insanity was useless, as it would mean nothing but a tiresome enumeration of unconnected details.

PHILOSOPHY AND THE MEANING OF LIFE

Think ◽  
2021 ◽  
Vol 21 (60) ◽  
pp. 33-49
Author(s):  
William Lyons
Keyword(s):  
Human Life ◽  
Meaning Of Life ◽  
Point Of View ◽  
Eternal Life ◽  
Evolution Of The Universe ◽  
Life On Earth ◽  
The Universe

The author sets out to respond to the student complaint that ‘Philosophy did not answer “the big questions”’, in particular the question ‘What is the meaning of life?’ The response first outlines and evaluates the most common religious answer, that human life is given a meaning by God who created us and informs us that this life is just the pilgrim way to the next eternal life in heaven. He then discusses the response that, from the point of view of post-Darwinian science and the evolution of the universe and all that is in it, human life on Earth must be afforded no more meaning than the meaning we would give to a microscopic planaria or to some creature on another planet in a distant universe. All things including human creatures on Planet Earth just exist for a time and that is that. There is no plan or purpose. In the last sections the author outlines the view that it is we humans ourselves who give meaning to our lives by our choices of values or things that are worth pursuing and through our resulting sense of achievement or the opposite. Nevertheless the question ‘What is the meaning of life?’ can mean quite different things in different contexts, and so merit different if related answers. From one point of view one answer may lie in terms of the love of one human for another.

DARK GEOMETRY

2004 ◽  
Vol 13 (10) ◽  
pp. 2275-2279 ◽  
Author(s):  
J. A. R. CEMBRANOS ◽  
A. DOBADO ◽  
A. L. MAROTO
Keyword(s):  
Dark Matter ◽  
Extra Dimensions ◽  
Degrees Of Freedom ◽  
Planck Scale ◽  
Point Of View ◽  
Missing Mass ◽  
Brane Worlds ◽  
Mass Problem ◽  
Extra Space ◽  
The Universe

Extra-dimensional theories contain additional degrees of freedom related to the geometry of the extra space which can be interpreted as new particles. Such theories allow to reformulate most of the fundamental problems of physics from a completely different point of view. In this essay, we concentrate on the brane fluctuations which are present in brane-worlds, and how such oscillations of the own space–time geometry along curved extra dimensions can help to resolve the Universe missing mass problem. The energy scales involved in these models are low compared to the Planck scale, and this means that some of the brane fluctuations distinctive signals could be detected in future colliders and in direct or indirect dark matter searches.

scholarly journals What are the wild waves saying? Yet another meditation on the predictions, searches for, and detections of gravitational waves

2018 ◽  
Vol 27 (14) ◽  
pp. 1830009
Author(s):  
Virginia Trimble
Keyword(s):  
General Relativity ◽  
Gravitational Waves ◽  
Point Of View ◽  
Large Majority ◽  
Laboratory Apparatus ◽  
New Information ◽  
Theory Of Gravity ◽  
To Come ◽  
The Universe

A large majority of the physics and astronomy communities are now sure that gravitational waves exist, can be looked for, and can be studied via their effects on laboratory apparatus as well as on astronomical objects. So far, everything found out has agreed with the predictions of general relativity, but hopes are high for new information about the universe and its contents and perhaps for hints of a better theory of gravity than general relativity (which even Einstein expected to come eventually). This is one version of the story, from 1905 to the present, told from an unusual point of view, because the author was, for 28.5 years, married to Joseph Weber, who built the first detectors starting in the early 1960s and operated one or more until his death on 30 September 2000.

scholarly journals Preoperative Considerations in Order to Resume Elective Surgery During COVID-19 Pandemic

2020 ◽  
Vol 25 (4) ◽  
pp. 42-43
Author(s):  
Bogdan I. Vintilă ◽  
Alina Simona Bereanu ◽  
Ioana R. Codru ◽  
Mihai Sava
Keyword(s):  
Elective Surgery ◽  
Interdisciplinary Collaboration ◽  
Health Care Facilities ◽  
Surgical Patient ◽  
The Novel ◽  
High Quality Medical Care ◽  
Therapeutic Procedures ◽  
Socio Economic Impact ◽  
Novel Coronavirus ◽  
Quality Medical Care

Abstract The alarming spread of the novel Coronavirus necessitated the cessation of elective therapeutic procedures in most health-care facilities. This strategy has limited the spread of the virus, but with a huge socio-economic impact. For this reason, the resumption of elective surgery in the context of the coronavirus pandemic is a difficult, but necessary process. Addressing this delicate situation requires interdisciplinary collaboration, so as to ensure high quality medical care for all patients, with consideration to protection of the staff involved in the care of the surgical patient.

scholarly journals Is a 12-hour fasting period sufficient to complete gastric emptying in horses?

2022 ◽  
Vol 38 (1) ◽  
pp. 16–23-16–23
Author(s):  
S Heller ◽  
V Bäuerlein ◽  
C Sabban ◽  
I Vervuert ◽  
M Venner
Keyword(s):  
Gastric Emptying ◽  
Fasting Period

scholarly journals Bandersnatch: o mundo virtual e a realidade na interatividade do cinema

2020 ◽  
Author(s):  
Francisco Malta ◽  
Fernando Rodrigues ◽  
Renan Oliveira
Keyword(s):  
Point Of View ◽  
The Universe ◽  
The Way

The transformations that technology propitiates take the audiovisual narratives to seek new resources in the way of telling a story, such elements appear in the composition of this new audiovisual grammar. Bandersnatch by Charlie Brooker is an interactive film screened on Netflix, coming from the Black Mirror series known for breaking the classic rules of format in their stories. The plot brings the concept of interactivity, offering the viewer to change the course of history. Is this a market trend? From the writer’s point of view, how to put together a story with these features? These are some of the questions the article will answer. The process of creating a script is done based on the construction of the characters and the universe inhabited by them.

Sign in / Sign up

Export Citation Format

Share Document