bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effects of Hatha Yoga on Cardiac Hemodynamic Parameters and Physical Capacity in Cardiac Rehabilitation Patients
Authors: Grabara Małgorzata , Nowak Zbigniew , Nowak Agata 
Published: June 2020

Purpose:The purpose of the present study was to assess the effect of hatha yoga training that was added to the standard cardiac rehabilitation (CR) program on the cardiac hemodynamic parameters and physical capacity of patients with ST-elevation myocardial infarction (STEMI).Methods:The study included 70 male patients aged 45-65 yr with STEMI who were treated by angioplasty. Patients were randomized to standard CR (control group) versus standard CR plus hatha yoga (experimental group). The training program lasted for a total of 24 d for each patient, with day 1 and day 24 used for medical examinations (electrocardiogram, spiroergometric submaximal treadmill test, and echocardiography). The remaining 22 d consisted of the actual training.Results:After the CR program the spiroergometric stress test parameters and left ventricular ejection fraction (LVEF) improved in both the experimental and control groups. The most notable changes in echocardiography parameters and physical capacity were in the experimental group. The results showed significant main effect over time, a time-versus-group interaction in LVEF, the duration of the test, and peak oxygen uptake, and a time-versus-group interaction in metabolic equivalents (METs). We also noted the improvement of left ventricular end-diastolic diameter, left ventricular end-systolic diameter, and heart rate over time.Conclusion:The results revealed better effectiveness in the CR program with a modified hatha yoga training program. Hatha yoga training could be recommended as an adjunct to standard CR.
Validity and Reliability of a Brief Dietary Assessment Questionnaire in a Cardiac Rehabilitation Program
Authors: Aberegg Ellen Schaaf , Collins Karen K. , Hinderliter Judith M. , Smalling Sharon L. , Fung Teresa T. , Gizlice Ziya , Johnston Larry F. , Ammerman Alice S. , Keyserling Thomas C. 
Published: June 2020

Purpose:
Dietary assessment is vital to inform individualized nutrition care and to evaluate the success of interventions aimed at improving diet for participants in cardiac rehabilitation (CR) programs. The purpose of this study was to assess the validity and reliability of an instrument developed to reflect current evidence-informed dietary recommendations advocated to reduce cardiovascular risk.

Methods:
This study was conducted at a single CR program at the University of North Carolina, Chapel Hill. Two dietary assessments were administered: Picture Your Plate (PYP) and a reference instrument, the Harvard/Willett Food Frequency Questionnaire (HWFFQ). The PYP is a modification of a previously validated instrument, the Dietary Risk Assessment-New Leaf (DRA-New Leaf). Concurrent validity was assessed by comparing the PYP total score with 3 diet quality indexes (Alternative Health Eating Index [AHEI], Dietary Approaches to Stop Hypertension [DASH], and Alternative Mediterranean Diet [aMED]) calculated from the HWFFQ and by assessment of agreement in tertile cross-classification. An intraclass correlation (ICC) was calculated to assess test-retest reliability.

Results:
Among the 108 participants, crude and adjusted Spearmen correlation coefficients between the PYP and 3 indexes of dietary quality were AHEI-2010 (0.71-0.72), DASH (0.70-0.71), and aMED (0.52-0.58) (P < .0001, all comparisons). Agreement of tertiles comparing PYP and AHEI-2010 was 67% and the score in opposite tertiles was 6%. The weighted kappa value (κw) = 0.71. The test-retest ICC was 0.91 (95% CI, 0.85-0.93; n = 91).

Conclusions:
Results support the PYP as a valid and reliable dietary assessment tool for use in CR programs. Continued research in additional CR program populations is recommended.
Interval Versus Continuous Aerobic Exercise Training in Overweight and Obese Patients With Chronic Obstructive Pulmonary Disease
Authors: Ercin Dilek Ozge Zincir , Alkan Hakan , Findikoglu Gulin , Dursunoglu Nese , Evyapan Fatma , Ardic Fusun 
Published: June 2020

Purpose:
The aim of this study was to compare the efficacy of the supervised pulmonary rehabilitation programs consisting of either an interval or continuous aerobic exercise program, with a home-based exercise program in patients with chronic obstructive pulmonary disease (COPD) who were overweight or obese.

Methods:
In this randomized controlled study, 72 overweight and obese patients diagnosed as having COPD were randomly assigned to 3 groups. Group 1 received an interval-type (IT) aerobic exercise program, group 2 received a continuous-type (CT) aerobic exercise program (both groups performed home exercises as well) and group 3 was only given a home-based exercise (HE) program. For the evaluation of patients, anthropometric measures, cardiopulmonary exercise testing (CPX), 6-min walk test (6MWT), modified-Borg dyspnea and leg fatigue scores, St George's Respiratory Questionnaire, and Hospital Anxiety and Depression Scale were used.

Results:
Both IT and CT groups showed significant improvement on CPX parameters, 6MWT distances, mental health, and health-related quality of life (HRQoL) compared with the HE group in overweight and obese patients with COPD (P < .001). Moreover, the IT group demonstrated a significant decrease in the modified-Borg dyspnea and leg fatigue during the CPX compared with both CT and HE groups (P < .001). Furthermore, the Borg dyspnea and leg fatigue during training were lower in the IT group than in the CT group (P < .05).

Conclusions:
An interval or continuous aerobic exercise program added onto a home-based exercise program improved exercise capacity and HRQoL, and reduced anxiety and depression levels in overweight and obese patients with COPD.
Feasibility and Efficacy of the Pulmonary Rehabilitation Program in a Rehabilitation Center
Authors: Pancera Simone , Galeri Silvia , Porta Roberto , Pietta Irene , Bianchi Luca Nicola Cesare , Carrozza Maria Chiara , Villafañe Jorge Hugo 
Published: June 2020

Details of the Clinical Case:
A 51-yr-old man underwent a respiratory rehabilitation program (RRP), after being tracheostomized and ventilated due to acute respiratory distress syndrome (ARDS) from coronavirus disease-2019 (COVID-19) infection. Respiratory care, early mobilization, and neuromuscular electrical stimulation were started in the ad hoc isolation ward of our rehabilitation center. At baseline, muscle function was consistent with intensive care unit-acquired weakness and the patient still needed mechanical ventilation (MV) and oxygen support. During the first week of RRP in isolation, the patient was successfully weaned from MV, the tracheal cannula was removed, and the walking capacity was recovered. At the end of the RRP, continued in a standard department, respiratory muscles strength increased by 7% and muscle function improved as indicated by the quadriceps size enlargement of 13% and the change of the Medical Research Council sum score from 48/60 to 58/60.

Discussion:
Providing RRP in patients with severe COVID-19 ARDS involves risks for operators and organizational difficulties, especially in rehabilitation centers; nevertheless, its continuity is important to prevent the development of permanent disabilities in previously healthy subjects. Limited to the experience of only one patient, we were able to carry out a safe RRP during the COVID-19 pandemic, promoting the complete functional recovery of a COVID-19 young patient.

Summary:
Most patients who develop serious consequences of COVID-19 infection risk a reduction in their quality of life. However, by organizing and directing specialized resources, subacute rehabilitation facilities could ensure the continuity of the RRPs even during the COVID-19 pandemic.
Lumbar Discectomy and Reoperation Among Workers’ Compensation Cases in Florida and New York
Authors: Ammerman Joshua M. , Wind Joshua J. , Goldsmith Michael E. , Inzana Jason A. 
Published: June 2020

Objective:
The aim of this study was to better understand current treatment trends and revision rates for lumbar disc herniation (LDH) in the workers’ compensation (WC) population compared with other payer types.

Methods:
This was a retrospective analysis of outpatient claims data from Florida and New York during 2014 to 2016.

Results:
WC patients were less likely to undergo discectomy in Florida (15% vs 19%; P < 0.001) and New York (10% vs 15%; P < 0.001). The odds of WC patients undergoing revision discectomy were 1.5 times greater than patients covered by private payers or all other non-WC payers (P = 0.002).

Conclusions:
WC patients undergo discectomy significantly less often than non-WC counterparts, which may be related to a higher risk of reoperation. New evidence-based treatments, such as annular repair, may be critical to advancing care in this unique population.
Employee Musculoskeletal Complaints and Supervisor Support
Authors: Jimmieson Nerina L. , Thorpe Lisa 
Published: June 2020

Objective:
This research investigated the moderating role of supervisor support for employees with musculoskeletal complaints and their intentions to seek medical advice; take sick leave; transfer jobs; and resign.

Methods:
Cross-sectional questionnaire data were collected from 1024 Australian employees.

Results:
Regressions with bootstrapping revealed no support for the buffering role of supervisor support. In contrast to expectations, high supervisor support heightened, rather than lowered, musculoskeletal complaints on intentions to transfer jobs. For sick leave and resignation intentions, high supervisor support buffered the negative effects of musculoskeletal complaints for full-timers but exacerbated such intentions for part-timers. Furthermore, full-timers with high musculoskeletal complaints appeared more vulnerable to the exacerbating effects of low supervisor support compared with part-timers.

Conclusions:
Supervisor support for employees with musculoskeletal complaints both weakens and strengthens behavioral stress reactions, depending on employment status.
Procalcitonin Clearance, CD64, and HLA-DR as Predictors of Outcome in Febrile Neutropenic Children With Lymphoreticular Malignancies
Authors: Gomber Sunil , Banerjee Anindya , Dewan Pooja , Das Shukla , Ansari M. Ahmad , Rai Gargi , Singh Praveen 
Published: June 2020

Background:
Febrile neutropenia (FN) is a dreaded complication of cancer chemotherapy. There has been a lot of improvement in supportive care in FN that has drastically reduced the infection-related mortality in these patients. The focus now is on reducing infection-related morbidity, healthcare costs and optimizing the quality of life of the child as well as their family during these episodes. In this study, biomarkers were studied as predictors of outcome so that outcome can be predicted earlier, and treatment modified accordingly.

Objective:
To measure procalcitonin levels (at baseline and day 3), procalcitonin clearance, neutrophil CD64 expression levels (at baseline) and monocyte HLA-DR expression levels (at baseline), and their correlation with outcome.

Setting:
Tertiary care hospital.

Study Type:
Cross-sectional observational study.

Population/Participants:
Sixty-five episodes of FN in children below 12 years with lymphoreticular malignancies. Children receiving antibacterial and/or antifungal treatment within the last 7 days were excluded from the study.

Methods:
The subjects recruited into the study had undergone complete clinical and laboratory evaluation as per hospital protocol. Procalcitonin (day 0 and 3), neutrophil CD64 expression, and monocytic HLA-DR expression levels were measured in these patients.

Results:
Sixty-five episodes of FN were studied in children with lymphoreticular malignancy. It was found that procalcitonin and HLA-DR are very good markers of outcome, whereas CD64 although a good marker, was inferior to procalcitonin and HLA-DR in predicting outcome. Procalcitonin clearance was found to be superior to single value of procalcitonin. Furthermore, procalcitonin on day 3 was found to be a better predictor of outcome compared with its baseline value. Also, it was found that procalcitonin and HLA-DR had a significant correlation with baseline C-reactive protein levels.

Conclusions:
On the basis of the findings of the study we suggest that serial monitoring of procalcitonin levels be used in febrile neutropenic children with cancer. Procalcitonin levels on day 3 alone can be offered in resource poor setting. The role of HLA-DR and CD64 also seems promising and needs to be further explored in larger multicentric studies.
Existence of Helicobacter pylori with low virulence rate in dental plaque and gastric mucosa of patients with periodontal disease
Authors: Ghasemian Abdolmajid , Al-Essa Hussein S. , Jassem Raghed M. 
Published: June 2020

Objective:

Helicobacter pylori is associated with gastric and peptic ulcer leading to gastric cancer progress. Gingival teeth grooves among patients with chronic periodontitis can act as reservoirs for H. pylori proliferation. The purpose of our study was assessment the association of H. pylori from dental plaques of patients with periodontitis with gastric colonization.

Methods:
Among patients with periodontitis admitted to dentistry centers, 250 dental plaque and 250 gastric biopsy samples were obtained during 2016–2019. After bacterial identification, virulence genes including cagA, cagT, cagE, vacA and hrgA were screened using PCR technique.

Results:
Fifty and 75 isolates were identified in periodontitis and biopsy specimens, respectively. In periodontitis strains, the rete of cagA, cagT, cagE, vacA and hrgA were as 18 (36%), 15 (30%), 14 (28%), 6 (12%) and 6 (12%), respectively. Among 75 biopsy strains, prevalence of cagA, cagT, cagE, vacA and hrgA were as 28 (34%), 24 (32%), 19 (25.3%), 11 (14.66%) and 7 (0.14%), respectively. There was higher rate of gastric ulcer among ages more than 45 years compared with age ranges 1–15 and 20–45 years (P < 0.01 and P = 0.004, respectively). No significant difference between men and women (35/75 vs. 40/75) was observed.

Conclusion:
Although the prevalence of virulence genes was low among H. pylori strains from dental plaques, a relatively high-density of H. pylori among both sources was considerable. Accordingly, H. pylori possibly spread from dental plaque into gastric mucosa. Furthermore, the possible role of dental plaques among patients with periodontitis as sources for peptic ulcer by pathogenic H. pylori needs more in-depth verifications.
Cardiorespiratory Fitness, Physical Activity, Walking Speed, Lack of Participation in Leisure Activities, and Lung Cancer Mortality
Authors: Lee Junga 
Published: June 2020

Background
Lung cancer (LC) is the most common cause of death in cancer patients. The influence of cardiorespiratory fitness (CF) and physical activity (PA) on LC mortality has not previously been investigated.

Objective
The aim of this study was to investigate through a meta-analysis the associations among CF, PA, walking speed, or leisure activity, and LC mortality and all-cause mortality.

Methods
MEDLINE and EMBASE were used to select relevant studies from January 2000 to August 2019. A total of 6 037 058 study subjects from 11 prospective cohort studies were included in this meta-analysis. Pooled relative risks were calculated using fixed and random-effects models to estimate the associations between CF and PA, and LC mortality. In addition, a subgroup analysis was conducted to investigate associations between walking speed and leisure activity, and LC morality.

Results
Greater than 9.45 metabolic equivalents of CF was associated with reduced LC mortality, compared with low-level CF. Participating in more than 150 minutes per week of PA reduced LC mortality. Slower and same walking speed were associated with increased all-cause mortality compared with age-matched individuals. Finally, moderately inactive and inactive levels of leisure activity increased all-cause mortality.

Conclusions
Moderate to high CF and PA were each associated with reduced risks of LC mortality. In addition, slower and same walking speed, and moderately inactive and inactive levels of leisure activity were each associated with increased risks of all-cause mortality.

Implications for Practice
Greater than 9.45 metabolic equivalents of CF, more than 150 minutes per week of PA, fast walking speed, and keeping active should be recommended to increase LC patient survivorship.
Mindful Moms
Authors: Russell Sasha , Aubry Christine , Rider Amy , Mazzeo Suzanne E. , Kinser Patricia A. 
Published: June 2020

Abstract

Background:
Nearly 20% of women in the United States experience depressive symptoms during the perinatal period, with known detrimental effects for the mother, child, and family. Depressive symptoms affect motivation to engage in healthy behaviors and self-management of symptoms.

Purpose:
The purpose of this study was to explore the experiences of women with depressive symptoms who participated in a 12-week mindful physical activity intervention (Mindful Moms) throughout their pregnancy.

Study Design:
In this qualitative study, we explore the lived experience of women with depressive symptoms who participated in Mindful Moms, a self-management intervention involving nurse-led motivational sessions and group-based mindful physical activity (yoga). Methods: Semistructured interviews conducted at approximately 6 weeks postpartum provided rich qualitative data that was analyzed using a phenomenological approach.

Results:
Twenty-five women participated. Findings suggest that participants in Mindful Moms felt empowered to manage their depressive symptoms through the combination of four key factors: a newly recognized need for help, a felt sense of physical and emotional benefit from participation, the power of shared safe space with other pregnant women, support from study staff, and an overall sense of empowerment.

Clinical Implications:
Mindful Moms appears to be a feasible and acceptable approach to enhancing motivation to self-manage depressive symptoms in pregnant women. Nurses working with childbearing women should be aware of the potential benefits of self-management strategies, such as mindful physical activity and motivational interviewing, for women facing perinatal depressive symptoms.
Increased Rate of Complications following Trigger Finger Release in Diabetic Patients
Authors: Federer Andrew E. , Baumgartner Rita E. , Cunningham Daniel J. , Mithani Suhail K. 
Published: June 2020

Background:
The purpose of this study was to investigate the impact of diabetes on complications after open trigger finger release compared with a cohort matched for age, sex, race, and body mass index class.

Methods:
A retrospective chart review was performed of diabetic patients who underwent trigger finger release at an academic institution within the past 10 years. Exclusion criteria included rheumatoid arthritis, malignancy, human immunodeficiency virus/acquired immunodeficiency syndrome, connective tissue disorders, or systemic steroid use. These patients were then matched by age, sex, race, and body mass index class to nondiabetic patients who underwent trigger finger release during the same period. One hundred thirty-seven patients met inclusion criteria and were matched with controls. Complications included superficial or deep infection, delayed wound healing, limited range of motion at 6 weeks, pain requiring medication at 6 weeks, and return to the operating room.

Results:
In adjusted analyses, diabetic patients had a significantly higher rate of all-cause complication following trigger finger release compared with matched nondiabetic controls at an odds ratio of 2.1. Diabetic patients also had a significantly higher rate of limitation in postoperative range of motion compared to the controls with an odds ratio of 2.4.

Conclusion:
This retrospective case-control study identified that diabetic patients undergoing trigger finger release are at increased risk of all-cause postoperative complications and, specifically, range of motion limitation when compared with similar patients without diabetes.

CLINICAL QUESTION/LEVEL OF EVIDENCE:
Risk, II.
The Latest Evolution in Virtual Surgical Planning: Customized Reconstruction Plates in Free Fibula Flap Mandibular Reconstruction
Authors: Lee Z-Hye , Alfonso Allyson R. , Ramly Elie P. , Kantar Rami S. , Yu Jason W. , Daar David , Hirsch David L. , Jacobson Adam , Levine Jamie P. 
Published: June 2020

Background:
Virtual surgical planning has contributed to technical advancements in free fibula flap mandible reconstruction. The authors present the largest comparative study on the latest modification of this technology: the use of patient-specific, preoperatively customized reconstruction plates for fixation.

Methods:
A retrospective chart review was performed on all patients undergoing mandibular reconstruction with virtually planned free fibula flaps at a single institution between 2008 and 2018. Patient demographics, perioperative characteristics, and postoperative outcomes were reviewed. Reconstructions using traditional fixation methods were compared to those using prefabricated, patient-specific reconstruction plates.

Results:
A total of 126 patients (mean age, 48.5 ± 20.3 years; 61.1 percent male) underwent mandibular reconstruction with a free fibula flap. Mean follow-up time was 23.5 months. A customized plate was used in 43.7 percent of cases. Reconstructions with patient-specific plates had significantly shorter total operative times compared with noncustomized fixation methods (643.0 minutes versus 741.7 minutes; p = 0.001). Hardware complications occurred in 11.1 percent of patients, with a trend toward a lower rate in the customized plate group (5.5 percent versus 15.5 percent; p = 0.091). Multivariate regression showed that the use of customized plates was a significant independent predictor of fewer overall complications (p = 0.03), shorter operative time (p = 0.014), and shorter length of stay (p = 0.001).

Conclusions:
Compared to traditional fixation methods, patient-specific plates are associated with fewer complications, shorter operative times, and reduced length of stay. The use of customized reconstruction plates increases efficiency and represents the latest technological innovation in mandibular reconstruction.

CLINICAL QUESTION/LEVEL OF EVIDENCE:
Therapeutic, III.