RESUMO
AIM: To determine whether an eight-week strength training programme as part of a multidisciplinary approach would minimise symptoms and improve quality of life in patients with dysautonomia. METHODS: Adolescents referred to a tertiary-level cardiology service from May 2014-December 2015 with symptoms of dysautonomia were eligible. Participants completed an exercise test and a quality of life (QoL) questionnaire (PedsQL) prior to the intervention. Participants were asked to complete exercises five times per week. After eight weeks, participants returned for follow-up testing. Parents completed a proxy report of their child's QoL at both time points. RESULTS: A total of 17 participants completed the study protocol with an adherence rate of up to 50%. Post-intervention, QoL scores improved across all levels in the participants [total 65.2 (50.4-74.7) vs 48.9 (37.5-63.0); p = 0.006; psychosocial 65.8 (56.1-74.6) vs 50.0 (41.7-65.8); p = 0.010; physical 62.5 (37.5-76.6) vs 43.8 (25-68.5); p = 0.007] and their parent proxy reports [total 63.5 (48.7-81.3) vs 50.0 (39.3-63.0); p = 0.004; psychosocial 62.1 (52.1-81.3) vs 50.0 (39.6-59.2); p = 0.001; physical 62.5 (51.6-80.0) vs 50.0 (27.5-70.3); p = 0.003]. Treadmill time also improved (9.1 vs 8.0 minutes; p = 0.005). CONCLUSION: Following an eight-week strength training programme, dysautonomia patients report a significant improvement in both their quality of life and endurance time.
Assuntos
Disautonomias Primárias/terapia , Treinamento Resistido , Adolescente , Feminino , Humanos , Masculino , Estudos Prospectivos , Qualidade de Vida , Resultado do TratamentoAssuntos
Dispneia/veterinária , Comunicação Interventricular/veterinária , Doenças dos Suínos/diagnóstico , Animais , Diagnóstico Diferencial , Dispneia/etiologia , Feminino , Sopros Cardíacos/etiologia , Sopros Cardíacos/veterinária , Comunicação Interventricular/complicações , Comunicação Interventricular/diagnóstico , Suínos , Doenças dos Suínos/patologia , Aumento de PesoRESUMO
Workers who are mobilized to help with disaster relief are exposed to a multitude of stressors. Debriefing may prevent or minimize the negative consequences of stress reactions in relief personnel. The multiple stressor debriefing (MSD) intervention promotes the discussion of troubling aspects of the disaster work in a group format. This article discusses two models of debriefing and describes how the MSD model was used with American Red Cross personnel during the East Bay Hills firestorm in California. Specific recommendations are made for debriefing in large-scale, long-term disaster relief efforts.
Assuntos
Incêndios , Pessoal de Saúde/psicologia , Acontecimentos que Mudam a Vida , Cruz Vermelha , Socorro em Desastres , Transtornos de Estresse Pós-Traumáticos/psicologia , California , Humanos , Modelos Psicológicos , Transtornos de Estresse Pós-Traumáticos/prevenção & controleRESUMO
A clinical case of peracute bovine mastitis is described in which the most severely affected quarter yielded a heavy growth of Haemophilus somnus on culture.
RESUMO
A three year old Holstein dairy cow fed a ration containing a copper supplement died of chronic copper poisoning. The concentration of copper in the liver was 331 ppm (wet weight). The typical lesions of chronic copper toxicity including icterus, hepatic fibrosis and hemoglobinemic nephrosis were found at necropsy. The chronic copper toxicity was not considered to be a herd problem since the liver copper concentration in a slaughtered cull animal and blood samples taken from five animals in the same herd were within normal limits.
RESUMO
High transmission, low pass scatter filters for blocking at wavelengths from 3.5 microm to 50 microm and singlelayer antireflection coatings for optical materials used in the 25-microm-300microm region of the spectrum are described. The application of both techniques to liquid-He-cooled filters permits the construction of efficient low pass and medium-width band pass filters for use throughout the far infrared.
