Background: Intensive care unit-acquired weakness (ICU-AW) is common in critically ill patients and increases the duration of mechanical ventilation (MV) and weaning time. Early mobilization, range of motion (ROM) exercises, and neuromuscular electrical stimulation (NMES) can prevent ICU-AW by maintaining muscle mass. However, studies highlighting the effects of combining NMES with early physical activity in ICU patients are limited.
View Article and Find Full Text PDFBackground: Hospital-acquired infections (HAIs) are increasing due to the spread of multi-drugresistant organisms. Gut dysbiosis in an intensive care unit (ICU) patients at admission showed an altered abundance of some bacterial genera associated with the occurrence of HAIs and mortality. In the present study, we investigated the pattern of the gut microbiome in ICU patients at admission to correlate it with the development of HAIs during ICU stay.
View Article and Find Full Text PDFAim: Colistin resistance poses a serious clinical problem. This study aims to investigate the presence of plasmid-mediated resistance and heteroresistance among Escherichia coli (E. coli) and Klebsiella pneumoniae (K.
View Article and Find Full Text PDFBackground: Prone positioning is a well-known supportive approach for increasing oxygenation and reducing mortality in non-COVID-19 patients with moderate to severe acute respiratory distress syndrome. However, studies highlighting the effects of proning in patients with COVID-19 are limited.
Aim: To investigate the effects of awake-prone positioning (APP) on oxygenation and physiological outcomes in non-intubated patients with COVID-19.
Background: Fiberoptic endoscopic evaluation of swallowing (FEES) has been recommended to assess aspiration in stroke. This study aimed to determine the diagnostic and prognostic roles of FEES in the early assessment of aspiration, intensive care unit (ICU) stay and mortality in acute stroke patients.
Methods: Fifty-two patients with acute stroke admitted to the Alexandria Main University Hospital were included.
The management of femoral neck fractures remains controversial. Treatment options include a wide variety of internal fixation methods, unipolar or bipolar hemiarthroplasty or total hip replacement.We carried out a systematic review of the available literature to detect differences between cemented and cementless fixation of bipolar prostheses in treating femoral neck fractures in patients aged 60 years or older.
View Article and Find Full Text PDFIndian J Crit Care Med
February 2021
Background And Objectives: Aspiration-induced lung injury accounts for a significant proportion of acute pulmonary dysfunction. Few studies were conducted to study the use of early bronchoscopy in mechanically ventilated patients with aspiration pneumonitis. This study aimed at assessing the clinical impact of early bronchoscopy for removal of gastric fluid and solid particles in the first 24 hours of mechanical ventilation (MV) on the progression of aspiration, MV days, intensive care unit (ICU) stay, development of pneumonia, and ICU mortality.
View Article and Find Full Text PDFIntroduction: Acinetobacter baumannii (A.baumannii) is a ubiquitous pathogen responsible for serious infections in hospitalized patients with a high propensity to develop resistance to antimicrobial agents. The study aimed to determine the antimicrobial resistance patterns and the prevalence of aminoglycoside resistance genes among A.
View Article and Find Full Text PDFThe study investigated the efficacy of 12 weeks of heated and thermoneutral Bikram yoga in reducing arterial stiffness in middle-aged adults. Fifty-four sedentary adults (ages 40-60 years) completed 12 weeks of yoga at 40.5 °C (n = 21), yoga at 23 °C (n = 14) or time control (n = 19).
View Article and Find Full Text PDFNew Findings: What is the central question of this study? Does the heated practice environment enhance the effects of Bikram yoga on endothelium-dependent vasodilatation in healthy, middle-aged adults? What is the main finding and its importance? The primary finding from this investigation is that the hatha yoga postures in the Bikram yoga series produce similar enhancements in endothelium-dependent vasodilatation in healthy, middle-aged adults regardless of environmental temperature. These findings highlight the efficacy of yoga postures in producing improvements in vascular health and downplay the necessity of the heated practice environment in inducing vascular adaptations.
Abstract: We have previously documented improvements in endothelium-dependent vasodilatation with a Bikram (hot) yoga intervention in middle-aged adults.
The purpose of this investigation was to determine if Bikram yoga, a style of heated hatha yoga, would improve endothelial function in young and middle-aged and older, healthy adults. This trial was performed in 36 young (n = 17) and middle-aged and older adults (n = 19) who completed 3 weekly Bikram yoga classes for 8 weeks. Height, body weight and body composition were determined and endothelial function was measured noninvasively using brachial artery flow-mediated dilation (FMD) before and after the intervention.
View Article and Find Full Text PDFObjective: Growing prevalence of neuropathology and cognitive impairment are emerging consequences of the obesity epidemic. Adiposity indices used in examining the relationships between obesity, neuropathology, and cognition vary substantially in the literature leading to incongruent findings. Our aim was to determine the anthropometric measures most strongly associated with early white matter disease and cognitive function at midlife.
View Article and Find Full Text PDFIt was reported in 1980s that ages at which peak performance was observed had remained remarkably stable in the past century, although absolute levels of athletic performance increased dramatically for the same time span. The emergence of older (masters) athletes in the past few decades has changed the demographics and age-spectrum of Olympic athletes. The primary aim of the present study was to determine whether the ages at which peak performance was observed had increased in the recent decades.
View Article and Find Full Text PDFChloromethylated polystyrene polymer (CMSP) modified with 2-mercabtobenzothiazole (MBT) has been developed for the selective separation and/or preconcentration of silver. The modified polymer (CMS-MBT) was characterized by elemental analysis and IR spectra. Batch and column modes were applied.
View Article and Find Full Text PDFTrivalent and hexavalent chromium have been successfully separated and estimated from different solutions using 1-(3,4-dihydroxybenzaldehyde)-2-acetylpyridiniumchloride hydrazone (DAPCH) loaded on Duolite C20 in batch and column modes. The obtained modified resin [DAPCH-Duolite C20] was identified by C, H and N analyses and infrared spectra. The presence of multi-active chelating sites gives the ability for DAPCH to bind more chromium, Cr(III) by forming stable complex and chromate by forming ion pair molecule [H(2)DAPCH-Duolite C20](2+)[Cr(2)O(7)](2-) (H(2)DAPCH-Duolite C20 is the protonated form in acidic medium).
View Article and Find Full Text PDFGa(III), In(III) and Tl(III) ions in the presence of different sulfate salts have been successfully separated using 1-(3,4-dihydroxybenzaldehyde)-2-acetylpyridiniumchloride hydrazone (DAPCH) loaded on Duolite C20 in batch and column modes. The obtained modified resin as well as the metal complexes was characterized by elemental analysis and infrared spectra. The extraction isotherms were determined at different pH values.
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