Skafteramsey5851
Whole-body cryostimulation (WBC) refers to the therapeutic application of extremely cold dry air for a short period of time. The method has beneficial results in various diseases as well as the recovery of athletes. The effects of WBC in healthy individuals have not been extensively investigated.
We aim to explore differences in the effects of WBC on blood pressure (BP), oxygen saturation (SpO
), and heart rate (HR) in healthy adults (not athletes) as well as differences according to gender and smoking status.
Fifty adults (male/female 32/18) smokers/nonsmokers 26/24) were included in the study. WBC was performed in a cryochamber at -85°C for 3 min. Systolic BP (SBP) and diastolic BP (DBP), HR, and SpO
were measured before and immediately after WBC.
Males and females differed significantly in SBP after WBC (138.1±13.0 vs 128.5±17.0mmHg, respectively, p=0.029), SpO
after WBC (96.6±1.8 vs 98.3±1.5%, respectively, p=0.001) and HR after WBC (60.1±9.6 vs 70.2±7.7bpm, respectively, p<0.001). In maleopulation groups in order to design individualized treatment protocols.Vitamin D deficiency is common even in sunny countries like Greece, especially during winter and is associated with skeletal disorders and additionally with increased risk for chronic diseases and adipose metabolic diseases such as obesity and diabetes. The purpose of this pilot study was the determination of vitamin D status in Greek adults and the investigation of possible correlation with lifestyles and somatometric characteristics. The study was conducted during winter and included 36 members (20 women and 16 men) of a university community in central Greece (latitude 39.6° North). Their age was 36.2 ± 16.3 years, body mass index (BMI) 26.4 ± 4.8 (women 26.6 ± 5.6, men 26.3 ± 3.8), and waist circumference 85.7 ± 13.3 cm (women 81.5 ± 13.0, men 90.7 ± 12.4) (mean ± SD). Mean serum 25(OH)D concentration was 20.1 ± 7.3 ng/mL (women 19.7 ± 7.6, men 20.7 ± 7.1). More than half of the participants had 25(OH)D levels below the 20 ng/mL (50 nmol/L) threshold of deficiency. There was a significant negative association between the use of sunscreen during summer and serum 25(OH)D concentrations during winter and a significant positive association between physical exercise and serum 25(OH)D. Levels of 25(OH)D tended to decrease with increasing BMI in persons with a BMI over 25.0. There is a high prevalence of vitamin D insufficiency in Greek adults during winter. JNK-IN-8 research buy Serum 25(OH)D levels in winter are positively associated with exercise and negatively associated with high BMI and the use of sunscreen during summer.Chronic obstructive pulmonary disease (COPD) represents a major health burden worldwide. COPD-specific education may positively affect the emotional distress associated with the disease and may contribute to the patients' poor health-related quality of life. Studies have shown that education regarding COPD is lacking among disease sufferers. The aim of our study was to evaluate the knowledge of COPD among patients and caregivers. We used the Bristol COPD Knowledge Questionnaire in hospitalized and nonhospitalized patients with COPD and other pulmonary diseases, their caregivers, and healthy volunteers. Mean total knowledge score of patients with COPD was 24.27 ± 8.44, of patients with other respiratory diseases 25.53 ± 7.93, of caregivers of patients with COPD 21.80 ± 5.32, of caregivers of patients with other pulmonary diseases 23.50 ± 8.79, and of healthy subjects 25.85 ± 9.27 (p = 0.071). Our data further indicate the lack of knowledge of COPD among patients and their carers and emphasize the need of education programs.Continued development in the field of cardiovascular modeling over the past few years has contributed to the production of precise three-dimensional models of main coronary arteries. Computational fluid dynamic-derived parameters such as smartFFR, a CT-FFR surrogate, and endothelial shear stress (ESS) can be assessed from non-invasive imaging techniques like computed tomography coronary angiography using novel 3D reconstruction methods and can be used to investigate the functional significance of an artery. The investigation of the different flow conditions for the calculation (steady state vs. transient) of the ESS presents that while there is a difference in the final values, it is not statistically significant. ESS in the whole vessel is higher compared to the lesion-specific segments and smartFFR calculated in lesion segment does not reflect accurately the flow capability of the vessel. Higher ESS is present in vessels with less then 0.85 smartFFR and both parameters are present higher values in vessels with abnormal PET myocardial perfusion imaging.The aim of this study was to assess the effects of different types of exercise interventions for treating sarcopenia compared to no specific treatment, a minimal intervention (e.g., education), or another active treatment (nutritional supplements). A review was conducted of the recent English literature searching PubMed and ScienceDirect databases. Ten randomized controlled trials (RCTs) were included in this review, presenting the results of 671 sarcopenic patients. The exercise interventions were resistance training (four studies), a multimodal program (five studies, encompassing resistance training and additional exercises such as aerobic exercises, flexibility, balance and strength training), and a whole body vibration program (one study). Results show that exercise interventions could have beneficial effects in improving muscle mass, muscle strength, and physical performance in 3 months of intervention. Resistance training, added to an adequate nutrition and aerobic exercise, appeared to deliver the most positive outcome after 3 months of intervention. Types of exercise and dose-response parameters of exercise eliciting improvement warrant further investigation. Due to the significant heterogeneity in clinical trials, the current evidence provides limited guidance. Well-designed studies evaluating exercise interventions are needed before treatment guidelines can be developed.
The aim of this study was the evaluation of the degree of burden of caregivers of patients with hip fracture surgery and the assessment of its impact on their cost of living.
This is a cross-sectional study and the study sample, which was a sample of convenience, included 100 caregivers of patients after hip replacement from February to May 2019 at the General Hospital of Thessaloniki "G. Gennimatas" in Greece. The main tools of the survey were the Bakas Caregiving Outcomes Scale (BCOS) Care Outcome Scale and a Questionnaire used for measuring rehabilitation costs in trauma patients adjusted for the needs of the present study.
Of the 100 caregivers in the sample, 35% were male, 65% women and children of patients. Most caregivers worked full-time (47%), or had retired (39%). The costs incurred by the carers, which were not covered by the insurer, were, with the highest concerns, the rehabilitation center, the services of another caregiver, the services of an exclusive nurse, and physiotherapy.
Informal caregivers often fill the gaps and shortcomings of the health systems of many countries, saving large sums of money. The state should take care of consolation leave to caregivers so that they can provide the necessary assistance to their people, thereby reducing their burden. The development of ambulatory care would offer such important and necessary respite for caregivers, having a positive impact on the care and course of the patient.
Informal caregivers often fill the gaps and shortcomings of the health systems of many countries, saving large sums of money. The state should take care of consolation leave to caregivers so that they can provide the necessary assistance to their people, thereby reducing their burden. The development of ambulatory care would offer such important and necessary respite for caregivers, having a positive impact on the care and course of the patient.The aim of this study was to investigate the effect of patients' knowledge on adherence to the hemodialysis regimen and Quality of Life (QoL) of patients undergoing hemodialysis as well as the effect of adherence on QoL. Also, the effect of demographic and clinical characteristics on the above three variables was studied. In this cross-sectional study conducted between March and May 2017, 321 patients on hemodialysis from six hemodialysis units completed the Kidney Disease Questionnaire, the GR-Simplified Medication Adherence Questionnaire and the Missoula Vitas Quality of Life Index-15 to measure the patient knowledge, the adherence to hemodialysis regimen, and the QoL, respectively. The statistical analysis was performed via the Statistical Program SPSS 19.0. The statistical significance level was set up at 0.05. The knowledge was independently associated with the overall QoL and its dimension-transcendence-with total adherence and its dimension-diet/fluid adherence. The total adherence was independently associated with overall QoL and its dimensions-symptoms and interpersonal. The educational level, the type of vascular access, and the daily number of pills were independently associated with the total adherence and the overall QoL. Patient knowledge may have an important effect on adherence and QoL. Adherence may have an important effect on QoL. Demographic and clinical characteristics play, also, a crucial role in the above variables. The findings can help nephrology nurses to quantify the extent of non-adherence in hemodialysis and poor quality of life.
Approach to hemodialysis care from a gender perspective has received a great deal of attention globally since two sexes may have different experiences and manifestations of the same disease.
To explore sex differences in anxiety and depression among hemodialysis patients.
In the study were enrolled 200 patients (100 men and 100 women) who underwent hemodialysis. Data were collected by the completion of "The Hospital Anxiety and Depression Scale (HADS)" which included patients' self-reported characteristics. The statistical significance level was p<0.05.
In men and women, anxiety was statistically significantly associated with relations with nurses (p=0.033 and p=0.001, respectively), concealment of hemodialysis (p=0.013 and p=0.001, respectively), and insomnia (p=0.001 and p=0.001, respectively). Only in women, anxiety was statistically significantly associated with years under hemodialysis (p=0.002), relation with doctors (p=0.001), and their belief that life had changed (p=0.002), whereas only in men, anxiety was associated with help in daily activities (p=0.001). In men and women, depression was statistically significantly associated with relations with nurses (p=0.002 and p=0.001, respectively) and dependency on health professionals (p=0.001 and p=0.002, respectively). Only in women, depression was statistically significantly associated with years under hemodialysis (p=0.002), level of information (p=0.022), relations with doctors (p=0.001), concealment of hemodialysis (p=0.001), their belief that life had changed (p=0.001), and insomnia (p=0.001).
The development of an effective treatment that may alleviate anxiety and depression needs to capture how patients perceive and respond to hemodialysis.
The development of an effective treatment that may alleviate anxiety and depression needs to capture how patients perceive and respond to hemodialysis.
