Lung Ultrasound for the Cardiologist.

For a cardiologist, lung ultrasound is an add-on to transthoracic echocardiography, just as lung auscultation is part of a cardiac physical examination. A cardiac 3.5- to 5.

Lung Ultrasound for Critically Ill Patients.

Point-of-care ultrasound is increasingly used at the bedside to integrate the clinical assessment of the critically ill; in particular, lung ultrasound has greatly developed in the last decade. This review describes basic lung ultrasound signs and focuses on their applications in critical care. Lung semiotics are composed of artifacts (derived by air/tissue interface) and real images (i.

Medical and Economic Evaluation of FOREseal Bioabsorbable Reinforcement Sleeves Compared With Current Standard of Care for Reducing Air Leakage Duration After Lung Resection for Malignancy: A Randomized Trial.

Objective: The objective of this study was to determine the efficacy of alginate staple-line reinforcement of fissure openings as compared with stapling alone, with or without tissue sealant or glue, in reducing the incidence and duration of air leakage after pulmonary lobectomy for malignancy.

Summary Background Data: No randomized trial evaluating alginate staple-line reinforcement has been performed to date.

Methods: The Staple-line Reinforcement for Prevention of Pulmonary Air Leakage study was a multicenter randomized trial, with blinded evaluation of endpoints.

Imaging in acute respiratory distress syndrome.

Purpose: Imaging has become increasingly important across medical specialties for diagnostic, monitoring, and investigative purposes in acute respiratory distress syndrome (ARDS).

Methods: This review addresses the use of imaging techniques for the diagnosis and management of ARDS as well as gaining knowledge about its pathogenesis and pathophysiology. The techniques described in this article are computed tomography, positron emission tomography, and two easily accessible imaging techniques available at the bedside-ultrasound and electrical impedance tomography (EIT).

Relaxation therapy and anxiety, self-esteem, and emotional regulation among adults with intellectual disabilities: A randomized controlled trial.

This pilot study is a randomized controlled trial on the effects of relaxation on anxiety, self-esteem, and emotional regulation in adults with intellectual disabilities (ID) working in a center of supported employment in France. We studied 30 adults with mild or moderate ID who were split at random into a relaxation group (RG, 15 subjects), who completed 10 sessions of relaxation therapy, and a control group (CG, 15 subjects), who were on a waiting list. The method used is the pretest and posttest.

A Comparative Study Between the Wingate and Force-Velocity Anaerobic Cycling Tests: Effect of Physical Fitness.

Purpose: To verify the hypothesis that the peak power (PP) of a Wingate test (WT) is an underestimation of maximal power (P(max)) computed from the force-velocity test (FVT), to examine possible fatigue effect on P(max), and to investigate the effect of load on mean power (MP) and fatigue index (FI) during a WT in trained and recreational men.

Methods: Ten recreational (22.9 ± 1.

How can the use of lung ultrasound in cardiac arrest make ultrasound a holistic discipline. The example of the SESAME-protocol.

The most critical application of critical ultrasound - cardiac arrest - is the opportunity for technical considerations. The necessity to immediately detect reversible causes is integrated in the concept of holistic ultrasound. Holistic ultrasound is defined as a discipline where each element interacts with the others, and where the understanding of each of them allows understanding the whole.

Can stereotype threat affect motor performance in the absence of explicit monitoring processes? Evidence using a strength task.

Previous evidence shows that stereotype threat impairs complex motor skills through increased conscious monitoring of task performance. Given that one-step motor skills may not be susceptible to these processes, we examined whether performance on a simple strength task may be reduced under stereotype threat. Forty females and males performed maximum voluntary contractions under stereotypical or nullified-stereotype conditions.

Development and validation of the aging stereotypes and exercise scale.

This article presents the development and validation of the aging stereotypes and exercise scale (ASES), which measures different dimensions of aging stereotypes in the exercise domain. Drawing on past research on older adults' perceived barriers to exercise, these dimensions include stereotypes about positive and negative exercise outcomes for older adults and about older adults' psychological barriers to exercise (i.e.

Resection and reconstruction for primary sternal tumors.

Radical resection can offer a definitive cure of primary malignant sternal tumors, but the surgical management may be difficult because of the local aggressiveness of these tumors and a high recurrence rate. This article describes improvements in reconstruction techniques with musculocutaneous flaps that have made coverage of wide sternal defects reliable. A rigid reinforcement of the sternum can now be achieved with titanium bars and clips after a total sternectomy.

Utility of actigraphy in the diagnosis of obstructive sleep apnea.

Study Objectives: To determine whether adding actimetry to simplified polygraphy (respiratory-parameter monitoring without neurophysiologic variable recording) improves apnea-hypopnea index (AHI) evaluation as compared to simplified polygraphy alone.

Design: Comparison of AHI values obtained by all-night polysomnography and by simplified polygraphy with and without actimetry.

Setting: A teaching-hospital sleep laboratory in Garches, France.

Obstructive calcification of the thoracic aorta revealed by dilated cardiomyopathy.

Obstructive calcification of the thoracic aorta appears as acquired coarctation of the aorta. The case we present is of note because it presented as a dilated cardiomyopathy. The diagnosis, suspected on chest X-ray, was confirmed by catheterization, aortic angiography and thoracic computer tomography.