Intensive Sleep Retraining is a behavioral treatment for sleep onset insomnia that produces substantial benefits in symptoms after a single treatment session. This technique involves falling asleep and waking up shortly afterward repeatedly: a process that is thought to retrain people to fall asleep quickly when attempting sleep. Although originally confined to the sleep laboratory, recent technological developments mean that this technique is feasible to self-administer at home. With multiple randomised controlled trials required to confirm its efficacy, Intensive Sleep Retraining may serve as an adjunctive treatment to cognitive-behavioral therapy for insomnia, improving short-term efficacy by kick-starting treatment gains.
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Risk stratification for violent behavior in critically ill patients: Current assessment tools.
Intensive Crit Care Nurs
January 2025
Clinic for Intensive Care, Department of Acute Medicine, University Hospital Basel, Basel, Switzerland; Medical Faculty, University of Basel, Basel, Switzerland; Department of Clinical Research, University of Basel, Basel, Switzerland.
Background: Workplace violence (WPV) presents challenges in intensive care units (ICUs) calling for reliable prediction of violence. This narrative review aimed to identify and evaluate risk assessment tools from acute care settings which are or might be used to predict violent behavior in adult ICU patients focusing on their performance and clinical utility.
Methods: A screening of PubMed, Scopus and Google Scholar was conducted to identify risk scores used in the acute care setting such as emergency departments, hospitals and ICUs.
The Effect of an Improved Environment According to Watson's Theory of Human Care on Sleep, Anxiety, and Depression in Patients Undergoing Open Heart Surgery: A Randomized Controlled Trial.
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January 2025
Faculty of Health Sciences, Nursing, Van Yüzüncü Yıl University, 65090 Van, Türkiye.
According to Watson's Human Care Theory, an improved environment influences patients' care processes. The purpose of this study was to examine the effect of an improved environment, according to Watson's Human Care Theory, on sleep quality, anxiety, and depression in patients undergoing open heart surgery. Upon admission to the ward from the postoperative intensive care unit, the experimental group underwent environmental remediation for three days.
View Article and Find Full Text PDFThe Impact of Ageing on Diaphragm Function and Maximal Inspiratory Pressure: A Cross-Sectional Ultrasound Study.
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Department of General Medicine, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Bunkyo-ku, Tokyo 113-8510, Japan.
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View Article and Find Full Text PDFCritical care considerations of chimeric antigen receptor (CAR) T-cell therapy.
Respir Med
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Division of Pulmonary, Critical Care and Sleep Medicinea, Wayne State University School of Medicine, Detroit, MI, USA. Electronic address:
Chimeric Antigen Receptor (CAR) T-cell therapies represents a major advancement in the treatment of refractory hematologic malignancies, with high remission rates for relapsed B-cell lymphomas and leukemias. However, it is associated with a broad spectrum of potentially life-threatening toxicities, many of which require intensive care unit (ICU) management. Key complications include Cytokine Release Syndrome (CRS) and Immune Effector Cell-associated Neurotoxicity Syndrome (ICANS), as well as severe infections, Immune Effector Cell-associated Hematotoxicity (ICAHT), coagulopathies, and organ dysfunctions resulting from the intense inflammatory response induced by CAR T-cells.
View Article and Find Full Text PDFAssessment of delirium in Indonesian pediatric intensive care unit: a psychometric evaluation of the Cornell Assessment of Pediatric Delirium.
Eur J Pediatr
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School of Nursing, College of Nursing, Taipei Medical University, Xinyi Dist, No. 250, Wuxing St, Taipei, 110, Taiwan.
Unlabelled: This study has the objective to translate the Cornell Assessment of Pediatric Delirium (CAPD) into Indonesian and evaluate the psychometric properties and diagnostic accuracy of the Indonesian version of the CAPD (I-CAPD) in identifying delirium in critically ill children. This prospective methodological study was conducted between January and April 2024 in a 6-bed pediatric intensive care unit (PICU). In total, 90 children aged 0-18 years hospitalized in the PICU were included.
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