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Diaphragmatic Dysfunction Associates with Dyspnoea, Fatigue
www.nature.com/scientificreports OPEN Diaphragmatic dysfunction associates with dyspnoea, fatigue, and hiccup in haemodialysis patients: a cross-sectional study Bin Wang1,5, Qing Yin1,5, Ying-yan Wang2,5, Yan Tu1, Yuchen Han1, Min Gao1, Mingming Pan1, Yan Yang1, Yufang Xue1, Li Zhang1, Liuping Zhang1, Hong Liu1, Rining Tang1, Xiaoliang Zhang1, Jingjie xiao3, Xiaonan H. Wang4 & Bi-Cheng Liu1* Muscle wasting is associated with increased mortality and morbidity in chronic kidney disease (CKD) patients, especially in the haemodialysis (HD) population. Nevertheless, little is known regarding diaphragm dysfunction in HD patients. We conducted a cross-sectional study at the Institute of Nephrology, Southeast University, involving 103 HD patients and 103 healthy volunteers as normal control. Ultrasonography was used to evaluate diaphragmatic function, including diaphragm thickness and excursion during quiet and deep breathing. HD patients showed lower end-inspiration thickness of the diaphragm at total lung capacity (0.386 ± 0.144 cm vs. 0.439 ± 0.134 cm, p < 0.01) and thickening fraction (TF) (0.838 ± 0.618 vs. 1.127 ± 0.757; p < 0.01) compared to controls. The velocity and excursion of the diaphragm were signifcantly lower in the HD patients during deep breathing (3.686 ± 1.567 cm/s vs. 4.410 ± 1.720 cm/s, p < 0.01; 5.290 ± 2.048 cm vs. 7.232 ± 2.365 cm; p < 0.05). Changes in diaphragm displacement from quiet breathing to deep breathing (△m) were lower in HD patients than in controls (2.608 ± 1.630 vs. 4.628 ± 2.110 cm; p < 0.01). After multivariate adjustment, diaphragmatic excursion during deep breathing was associated with haemoglobin level (regression coefcient = 0.022; p < 0.01). -
Scientific Committee on Vaccine Preventable Diseases and Scientific Committee on Emerging and Zoonotic Diseases
Scientific Committee on Emerging and Zoonotic Disease and Scientific Committee on Vaccine Preventable Diseases Consensus Interim Recommendations on the Use of COVID-19 Vaccines in Hong Kong (As of Jan 7, 2021) Introduction The ongoing COVID-19 pandemic causes a significant disease burden worldwide. In Hong Kong, cases and outbreaks continue to be reported. To reduce the impacts of COVID-19 on health and society, vaccines against COVID-19 is considered an important public health tool for containing the pandemic in the medium and long term. On 7 January 2021, the Scientific Committee on Emerging and Zoonotic Diseases (SCEZD), the Scientific Committee on Vaccine Preventable Diseases (SCVPD), and the Expert Advisory Panel to Chief Executive (EAP) reviewed the latest scientific evidence on the epidemiology and clinical features of COVID-19, published data on the COVID- 19 vaccines be procured by the Hong Kong SAR Government, local data as well as overseas recommendations/practices, and provides recommendations on the population groups and circumstances for the use of COVID-19 vaccines in Hong Kong. COVID-19 Vaccines 2. At the meeting held on 13 August 2020, the joint SCEZD and SCVPD together with the EAP reviewed the then scientific development of COVID 19 vaccines and prioritization of target groups for COVID 19 vaccines in Hong Kong. The meeting recommended that vaccine procurement would be aimed at the whole Hong Kong population in the long run. In anticipation of a limited supply at the early stage when vaccines are available, a phased approach has to be taken with certain priority groups of the local population identified to be vaccinated first, in order to reduce morbidity and mortality and maintain essential services. -
Intractable Hiccups Post Stroke: Case Report and Review of the Literature
logy & N ro eu u r e o N p h f y o s l i a o l n o Ferdinand and Oke, J Neurol Neurophysiol 2012, 3:5 r g u y o J Journal of Neurology & Neurophysiology ISSN: 2155-9562 DOI: 10.4172/2155-9562.1000140 CaseResearch Report Article OpenOpen Access Access Intractable Hiccups Post Stroke: Case Report and Review of the Literature Phillip Ferdinand* and Anthony Oke Department of Geriatrics and Stroke Medicine, Mid- Staffordshire NHS Trust, Stafford, UK Introduction several admissions for dehydration secondary to this. He was notably depressed and tearful at this meeting and felt his quality of life was very Intractable hiccups are uncommon but important sequelae in poor during hiccup bouts. Baclofen 5 mg tds was commenced and later the aftermath of ischaemic stroke. We present the case of a 50 year titrated up to 10 mg tds. Over the following 12 months he was trialled old gentleman, who developed what we believe to be the first case of on pregabalin (max dose 150 mg twice daily), Nifedipine (5 mg tds) intractable hiccups secondary to cerebellar infarction. The hiccups whilst levomepromazine, dexamethasone and ondansetron were used were refractory to wide range of single pharmaceutical and surgical for their anti-emetic properties. interventions and we eventually found some success with dual pharmaceutical therapy. Intractable hiccups can have a significant 18 months post discharged he was referred to a neurosurgeon. It impact on post stroke rehabilitation and have a considerable was agreed that on account of the fact he had failed multiple medical detrimental impact on an individual’s quality of life. -
Healthy Preterm Infant Responses to Taped Maternal Voice
J Perinat Neonat Nurs CONTINUING EDUCATION Vol. 22, No. 4, pp. 307–316 Copyright c 2008 Wolters Kluwer Health | Lippincott Williams & Wilkins Healthy Preterm Infant Responses to Taped Maternal Voice Maryann Bozzette, PhD, RN This study was a repeated measures design, examining behavioral and physiologic responses of premature infants to taped maternal voice. Fourteen stable, premature infants, 31 to 34 weeks’ gestation and serving as their own controls, were monitored and videotaped 4 times each day for 3 consecutive days during the first week of their life. There were no significant differences found in heart rate or oxygen saturation between study conditions. Behavioral data revealed less motor activity and more wakefulness, while hearing the maternal tape, suggesting some influence on infant state regulation. Attending behaviors were significantly greater, with more eye brightening and facial tone. Minimal distress was seen throughout the study, as indicated by stable heart rate and oxygen saturation and by the absence of behaviors such as jitteriness, loss of tone, or loss of color. The results of this preliminary study suggest that premature infants are capable of attending to tape recordings of their mother’s voice. Key words: infant stimulation, parent-infant relations, premature infants ost newborn infants are in close physical con- ture infants in the neonatal intensive care unit (NICU). Mtact with their mothers, and the rhythmic stim- Nevertheless, the potential for a mother’s voice to off- ulation of movement and intermittent speech experi- set overstimulating sensory input in the NICU and to enced during fetal development continues after birth. soothe a premature infant remains a relatively unex- The mother’s regulatory role for system organization plored area of research. -
Immunogenicity and Safety of a Third Dose, and Immune Persistence Of
medRxiv preprint doi: https://doi.org/10.1101/2021.07.23.21261026; this version posted July 25, 2021. The copyright holder for this preprint (which was not certified by peer review) is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. All rights reserved. No reuse allowed without permission. 1 Immunogenicity and safety of a third dose, and immune persistence of 2 CoronaVac vaccine in healthy adults aged 18-59 years: interim results 3 from a double-blind, randomized, placebo-controlled phase 2 clinical 4 trial 5 6 Hongxing Pan MSc1*, Qianhui Wu MPH2*, Gang Zeng Ph.D.3*, Juan Yang Ph.D.1, Deyu 7 Jiang MSc4, Xiaowei Deng MSc2, Kai Chu MSc1, Wen Zheng BSc2, Fengcai Zhu M.D.5†, 8 Hongjie Yu M.D. Ph.D.2,6,7†, Weidong Yin MBA8† 9 10 Affiliations 11 1. Vaccine Evaluation Institute, Jiangsu Provincial Center for Disease Control and 12 Prevention, Nanjing, China 13 2. School of Public Health, Fudan University, Key Laboratory of Public Health Safety, 14 Ministry of Education, Shanghai, China 15 3. Clinical Research Department, Sinovac Biotech Co., Ltd., Beijing, China 16 4. Covid-19 Vaccine Department, Sinovac Life Sciences Co., Ltd., Beijing, China 17 5. Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, China 18 6. Shanghai Institute of Infectious Disease and Biosecurity, Fudan University, 19 Shanghai, China 20 7. Department of Infectious Diseases, Huashan Hospital, Fudan University, 21 Shanghai, China 22 8. Sinovac Biotech Co., Ltd., Beijing, China NOTE: This preprint reports new research that has not been certified by peer review and should not be used to guide clinical practice. -
COVID-19: China Medical Supply Chains and Broader Trade Issues
COVID-19: China Medical Supply Chains and Broader Trade Issues Updated December 23, 2020 Congressional Research Service https://crsreports.congress.gov R46304 SUMMARY R46304 COVID-19: China Medical Supply Chains and December 23, 2020 Broader Trade Issues Karen M. Sutter, The outbreak of Coronavirus Disease 2019 (COVID-19), first in China, and then Coordinator globally, including in the United States, has drawn attention to the ways in which the Specialist in Asian Trade U.S. economy depends on manufacturing and supply chains based in China. This report and Finance aims to assess current developments and identify immediate and longer range China trade issues for Congress. Andres B. Schwarzenberg Analyst in International An area of particular concern to Congress has been U.S. shortages in medical supplies— Trade and Finance including personal protective equipment (PPE) and pharmaceuticals—as the United States stepped up efforts to contain the COVID-19 pandemic with limited domestic Michael D. Sutherland stockpiles and insufficient U.S. industrial capacity. Because of China’s role as a global Analyst in International supplier of PPE, medical devices, antibiotics, and active pharmaceutical ingredients, Trade and Finance reduced exports from China led to shortages of critical medical supplies in the United States. Exacerbating the situation, in early February 2020, the Chinese government nationalized control of the production and distribution of medical supplies in China— directing all production for domestic use—and directed the bureaucracy and Chinese industry to secure supplies from the global market. Once past the initial peak of its COVID-19 outbreak, the Chinese government appears to have prioritized certain countries and selectively released some medical supplies for overseas delivery. -
FDA CVM Comprehensive ADE Report Listing for Afoxolaner
CVM ADE Comprehensive Clinical Detail Report Listing Cumulative Date Range : 04-Sep-2013 -thru- 31-Jul-2018 Included 1932a cases = : True Included Medicated Feed cases = : False DRUG: AFOXOLANER Species: Cat Route of Administration: oral Sign: VOMITING, Number of times reported: 4 Sign: HYPERACTIVITY, Number of times reported: 3 Sign: ITCHING, Number of times reported: 3 Sign: LETHARGY, Number of times reported: 3 Sign: PRURITUS, Number of times reported: 3 Sign: ACCIDENTAL EXPOSURE, Number of times reported: 2 Sign: ANOREXIA, Number of times reported: 2 Sign: LABOURED BREATHING, Number of times reported: 2 Sign: NOT EATING, Number of times reported: 2 Sign: PANTING, Number of times reported: 2 Sign: SEIZURE NOS, Number of times reported: 2 Sign: ABNORMAL TEST RESULT, Number of times reported: 1 Sign: AGITATION, Number of times reported: 1 Sign: ALOPECIA, Number of times reported: 1 Sign: ANAEMIA NOS, Number of times reported: 1 Sign: ATAXIA, Number of times reported: 1 Sign: CERVICAL VENTROFLEXION, Number of times reported: 1 Sign: CONSTIPATION, Number of times reported: 1 Sign: DECREASED CHOLESTEROL (TOTAL), Number of times reported: 1 Sign: ELEVATED ALT, Number of times reported: 1 Sign: ELEVATED AST, Number of times reported: 1 Sign: ELEVATED BUN, Number of times reported: 1 Sign: ELEVATED CREATINE-KINASE (CK), Number of times reported: 1 Sign: ELEVATED CREATININE, Number of times reported: 1 Sign: ELEVATED TOTAL BILIRUBIN, Number of times reported: 1 Sign: EXCESSIVE LICKING AND/OR GROOMING, Number of times reported: 1 Sign: FEVER, -
The Leakey Foundation |
Origin Stories Episode 2 Why Do We Get Hiccups? June 8, 2016 Origin Stories Episode 2: Why Do We Get Hiccups? June 8, 2016 Meredith Johnson 0:00:04 This is Origin Stories, the Leakey Foundation podcast. I’m Meredith Johnson. Today’s story is from producer, Ben Nimkin and it’s about something we’ve all experienced, but don’t usually think much about. Hi, Ben. Ben Nimkin Hey, Meredith. Meredith Johnson So, why hiccups? Ben Nimkin Yeah. So, my girlfriend, Anna, pretty much always gets the hiccups when she goes outside on a winter day. Page 1 Origin Stories Episode 2 Why Do We Get Hiccups? June 8, 2016 Meredith Johnson That’s pretty weird. Ben Nimkin I know, right? And they totally drive her crazy, because hiccups are annoying and they’re also super wacky and they don’t seem to serve any purpose. And it got me thinking—you know—there’s something else going on here. You know, there needs to be some reason for humans to have hiccups. Meredith Johnson And it turns out there is a reason—an ancient reason. There’s a lot more to the hiccup than you think. For most of us, it’s a temporary annoyance, gone in a few minutes. But some people aren’t so lucky. Ben Nimkin Charles Osborne was a farmer living in Iowa, 28 years old, 5’4” tall, and pretty muscular. And one day in 1922, he was feeling pretty sure of himself and he lifted up a 350-pound pig for slaughter, but the pig got the best of him and he fell to the ground. -
WHO Survey on the Sharing of Genetic Sequence Data Of
WHO Survey on the Sharing of Genetic Sequence Data of Influenza Viruses with Human Pandemic Potential Results and Analysis of data received 27 April 2016 Table of Contents Acknowledgement .................................................................................................................................. 3 Acronyms ................................................................................................................................................ 4 Executive Summary ................................................................................................................................. 5 Background ............................................................................................................................................. 8 Methodology Summary .......................................................................................................................... 9 IVPP GSD Sharing in Numbers (as of October 2014)............................................................................. 10 Survey Results ....................................................................................................................................... 11 1. Mechanisms for sharing of IVPP GSD........................................................................................ 11 2. Ease of sharing .......................................................................................................................... 13 3. Systematic sharing ................................................................................................................... -
Dentons Flashpoint Daily Global Situation Report
Dentons Flashpoint Daily Global Situation Report December 14, 2020 Global Situation Update: December 14, 2020 KEY TAKEAWAYS The US orders First COVID-19 emergency action The UN calls on vaccines to be after huge cyber every country administered in the security breach to declare a US and Canada involving the “climate emergency.” today. SolarWinds’ Orion platform. Note: This report is based on sources and information deemed to be true and reliable, but Dentons makes no representations to same. Global Globally, confirmed coronavirus cases surpassed 72 million infections and 1.6 million deaths. • Secretary-General Guterres called on every • German biotech firm CureVac has enrolled the country to declare a “climate emergency” as first participant for a Phase 2b/3 clinical trial world leaders marking the fifth anniversary of of its COVID-19 vaccine candidate, expected the Paris climate accord made mostly to include more than 35,000 participants in incremental pledges relative to the scale of the Europe and Latin America. crisis. • Peru suspended clinical trials of a Chinese Sinopharm Covid-19 vaccine after one of the volunteers involved in the program suffered a “serious adverse event”. Note: This report is based on sources and information deemed to be true and reliable, but Dentons makes no representations to same. Global Over the past week, the global curve for new cases continued to flatten, while topping 72 million. One week ago, the count was 67 million. The US continues to be the global leader for new infections, reporting more than 200,000 new cases for most of last week. Turkey has become the new global hotspot, with new cases doubling in eight days to over 1.8 million. -
Monitoring Des Asiatisch-Pazifischen Forschungsraums (APRA) 2
2. Bericht (2020) Monitoring des Asiatisch-Pazifischen Forschungsraums (APRA) 2 Inhaltsverzeichnis Einleitung 13 Querschnittskapitel 15 Querschnittskapitel 1: Zukunftstechnologien in Asien 15 Schwerpunkt Bioökonomie / erneuerbare Energietechnologien .................................................15 Relevanz der APRA-Länder in zentralen Schlüsseltechnologien ............................................................15 Wissenschaftliche Aktivitäten ....................................................................................................................15 Technologische Aktivitäten ........................................................................................................................16 Relevanz zentraler Schlüsseltechnologien für die APRA-Länder ...........................................................17 Wissenschaftliche Aktivitäten ....................................................................................................................17 Technologische Aktivitäten ........................................................................................................................18 Studierendenmobilität in thematischen Schlüsselbereichen .................................................................19 Schwerpunkt: Bioökonomie .............................................................................................................22 Forschungs- und innovationspolitische Schwerpunkte ausgewählter APRA-Länder im Bereich Bioökonomie ..................................................................................................................................24 -
Resmed Origins Contents
ResMed Origins Contents Foreword 2 Preface 3 OSA in antiquity to 20th Century 5 Sleep research in the 20th Century 6 Professor Colin Edward Sullivan 9 Nasal CPAP 11 Dr Peter Craig Farrell 14 Baxter Centre for Medical Research 1986 - 1989 16 ResCare 1989 -1995 21 Epilogue 31 Treatments of OSA (other than CPAP) 33 Comorbidities 34 Awards ResMed group 35 Awards Dr Peter C Farrell 37 ResMed Patents issuing prior to IPO 37 Timeline of product introductions 38 ResCare staff 2 June 1995 40 References 41 ResCare Organisation Chart 43 Lancet 18 April 1981, pp 862-5 44 Endnotes 48 Photo Galleries 55 Foreword As is detailed later in this document, in 1981 Colin Sullivan and his colleagues introduced their invention of continuous positive airway pressure (CPAP) for the treatment of obstructive sleep apnea. In my opinion, the only possible rival for a single product that would produce such an upturn in life expectation and quality of life for humanity was the introduction of penicillin. Although sleep specialists were aware that obstructive sleep apnea was a very serious illness and surprisingly commonplace, it would be more than a decade after the introduction of CPAP before the true and stunningly high prevalence would be documented by Terry Young and her colleagues. Rarely in the history of medicine has an eff ective treatment for an illness been developed before the true magnitude of the problem was scientifi cally established. The next big challenge after 1981 was to convert the Colin Sullivan vacuum cleaner device into a practical, eff ective, and dependable treatment for the literally millions of apnea victims around the world.