Acupuncture for post anaesthetic recovery and postoperative pain: study protocol for a randomised controlled trial.

BACKGROUND We report on the design and implementation of a study protocol entitled Acupuncture randomised trial for post anaesthetic recovery and postoperative pain - a pilot study (ACUARP) designed to investigate the effectiveness of acupuncture therapy performed in the perioperative period on post anaesthetic recovery and postoperative pain. METHODS/DESIGN The study is designed as a randomised controlled pilot trial with three arms and partial double blinding. We will compare (a) press needle acupuncture, (b) no treatment and (c) press plaster acupressure in a standardised anaesthetic setting. Seventy-five patients scheduled for laparoscopic surgery to the uterus or ovaries will be allocated randomly to one of the three trial arms. The total observation period will begin one day before surgery and end on the second postoperative day. Twelve press needles and press plasters are to be administered preoperatively at seven acupuncture points. The primary outcome measure will be time from extubation to 'ready for discharge' from the post anaesthesia care unit (in minutes). The 'ready for discharge' end point will be assessed using three different scores: the Aldrete score, the Post Anaesthetic Discharge Scoring System and an In-House score. Secondary outcome measures will comprise pre-, intra- and postoperative variables (which are anxiety, pain, nausea and vomiting, concomitant medication). DISCUSSION The results of this study will provide information on whether acupuncture may improve patient post anaesthetic recovery. Comparing acupuncture with acupressure will provide insight into potential therapeutic differences between invasive and non-invasive acupuncture techniques. TRIAL REGISTRATION NCT01816386 (First received: 28 October 2012).

A randomised controlled trial: can acupuncture reduce drug requirement during analgosedation with propofol and alfentanil for colonoscopy? A study protocol.

BACKGROUND The number of colonoscopies tremendously increased in recent years and will further rise in the near future. Because of patients' growing expectation on comfort during medical procedures, it is not surprising that the demand for sedation also expands. Propofol in combination with alfentanil is known to provide excellent analgosedation, however, its use is associated with respiratory and cardiovascular depression. Acupuncture could be a technique to reduce drug requirement while providing the same level of sedation and analgesia. METHODS/DESIGN The study will be performed as a single centre, randomised, placebo controlled trial. 153 patients scheduled for propofol/alfentanil sedation during colonoscopy will be randomly assigned to receive electroacupuncture (P6, ST36, LI4), sham acupuncture, or placebo acupuncture. Following endoscopy patients and gastroenterologists have to fill in questionnaires about their sedation experiences. Additionally, patients have to accomplish the Trieger test before and after the procedure. Patient monitoring includes time adapted HR, SpO2, ECG, NIBP, exCO2, OAA/S, and the Aldrete score. The primary outcome parameter is the dosage of propofol necessary for an adequate level of sedation to tolerate the procedure (OAA/S < 4). Effectiveness of sedation, classified by satisfaction levels measured by questionnaires is the secondary outcome parameter. DISCUSSION Moderate to deep sedation using propofol is increasingly applied during colonoscopies with a high satisfaction level among patients despite well-known hemodynamic and respiratory side effects of this hypnotic agent. Acupuncture is known to attenuate gastrointestinal discomfort and pain. We hypothesize that the combination of conventional sedation techniques with acupuncture may result in equally satisfied patients with a lower risk of respiratory and hemodynamic events during colonoscopies. TRIAL REGISTRATION This trial is registered in the Nederland's Trial Register NTR 4325 . The first patient was randomized on 13 February 2014.

La recomendación médica y el tipo de demanda de actividad física en las personas mayores de la provincia de Guadalajara

En referencia a la población de personas mayores de la provincia de Guadalajara, los objetivos del estudio persiguen aportar evidencias sobre la relación entre la recomendación médica a las personas mayores de realizar actividad física, el tipo de demanda y las variables socio demográficas. Ha sido efectuado un estudio transversal en una muestra de 989 personas de esa población. El muestreo ha sido polietápico y se ha aplicado un cuestionario estructurado. Los resultados muestran que existe una relación significativa de la recomendación médica de actividad física con las siguientes variables: tipo de demanda [χ2 (2) = 31.649; p < .001; Φ = .18], género [χ2 (1) = 5.397; p = .020; Φ = -.08] y clase social [χ2 (2)= 6.435; p = .040; Φ = .08]. No se ha encontrado relación con la edad. Los resultados parecen sugerir que, en este segmento de población, una de las estrategias para incrementar los practicantes de actividad físico-deportiva, son las acciones específicas del personal médico de recomendación de actividad física.

Associations among Physician Advice, Physical Activity, and Sociodemographic Groups in Older Spanish Adults

This study examined the relationship between medical advice to engage in physical activity with type of demand required by physical activity and demographic variables. A cross-sectional study was developed, featuring a questionnaire on physicians? advice, and type of demand. The questionnaire was completed by a probability and nationwide sample of older adults in Spain ( n = 933, M = 74.1, range 65?93), randomly selected using multistage sampling. More physically active older adults have, more often than the less active, received physicians? advice to engage in physical activity. There is a signifi cant relationship between medical advice and type of demand ( p menor que .01) and age ( p menor que .05). However, no relationship was found between physician medical advice and gender, social class, or income. Physicians can effectively promote physical activity among sedentary older adults through appropriate advice. Consequently, health authorities should promote physicians' advising older patients to pursue physical activity.

Tendencias internacionales en la investigación en la Organización del Deporte

Son presentados los resultados de una investigación original sobre las tendencias internacionales de investigación en todo el mundo en el campo de la Organización del Deporte. La investigación presentada en esta ponencia, ha sido efectuada con la dirección de Jesús Martínez del Castillo y con la colaboración de los siguientes profesores e investigadores del Master Interuniversitario Oficial en Dirección de Organizaciones e Instalaciones Deportivas de las Universidades de Alcalá, Politécnica de Madrid y León: Victor Jiménez Díaz-Benito; José Emilio Jiménez-Beatty; Cristina López de Subijana; Antonio Rivero Herráiz y José Antonio Santacruz

Diferencias de género en los hábitos de actividad física de la población adulta en la Comunidad de Madrid

La investigación persigue contrastar la hipótesis de la existencia de dos diferentes culturas deportivas en las personas adultas, la femenina y la masculina, a través del análisis de los niveles de práctica (tipo de demanda), tipo de actividad practicada y sus características (frecuencia semanal, gasto mensual, espacio de práctica y modo de organización). La metodología cuantitativa empleada ha consistido en la aplicación de un cuestionario estructurado a una muestra aleatoria de las mujeres y varones mayores adultos entre 30 y 64 años (n=340; 50.3% mujeres, 49.7% hombres) en la Comunidad de Madrid. Las conclusiones obtenidas revelan que un 45.3% de hombres y un 34.5% de mujeres practica deporte; además otro 15.5% de mujeres y 11.7% de hombres camina para hacer ejercicio. Aparecen diferencias de género en las actividades practicadas (c2(10)=46.83; p<.001; CC=.442), en el número de horas de práctica (t191=2.29; p<.05; d=.33), en el gasto mensual (t148=3.16; p<.001; d=.69) y en el modo de desplazamiento a la actividad (c2(7)=27.44; p<0.001; CC=0.359) aunque la práctica de actividades auto-organizadas es mayoritaria en ambos sexos (80.3% hombres, 63.7% mujeres), principalmente en solitario (62.7% hombres, 50.5% mujeres) y en espacios al aire libre (60.4% hombres, 46.6% mujeres).

Gender differences and inequalities in the habits of physical activity of the adult population in Spain

Proyecto I+D+i DEP19801: Gender differences and inequalities in the habits of physical activity of the adult population in Spain

The effects of economic situation in sporting habits of spanish adult population:Gender differences

Proyecto I+D+i DEP19801: The effects of economic situation in sporting habits of spanish adult population: Gender differences

Gender differences of the spanish adult population in cultural barriers to active living

Proyecto I+D+i DEP19801: Gender differences of the spanish adult population in cultural barriers to active living

GESTÃO DO CONHECIMENTO: UM ESTUDO SOBRE A RELAÇÃO ENTRE A LIDERANÇA TRANSFORMACIONAL, A CONVERSÃO DO CONHECIMENTO E A EFICÁCIA ORGANIZACIONAL

Este estudo teve como objetivo principal analisar a relação entre a Liderança Transformacional, a Conversão do Conhecimento e a Eficácia Organizacional. Foram considerados como pressupostos teóricos conceitos consolidados sobre os temas desta relação, além de recentes pesquisas já realizadas em outros países e contextos organizacionais. Com base nisto identificou-se potencial estudo de um modelo que relacionasse estes três conceitos. Para tal considera-se que as organizações que buscam atingir Vantagem Competitiva e incorporam a Knowledge-Based View possam conquistar diferenciação frente a seus concorrentes. Nesse contexto o conhecimento ganha maior destaque e papel protagonista nestas organizações. Dessa forma criar conhecimento através de seus colaboradores, passa a ser um dos desafios dessas organizações ao passo que sugere melhoria de seus indicadores Econômicos, Sociais, Sistêmicos e Políticos, o que se define por Eficácia Organizacional. Portanto os modos de conversão do conhecimento nas organizações, demonstram relevância, uma vez que se cria e se converte conhecimentos através da interação entre o conhecimento existente de seus colaboradores. Essa conversão do conhecimento ou modelo SECI possui quatro modos que são a Socialização, Externalização, Combinação e Internalização. Nessa perspectiva a liderança nas organizações apresenta-se como um elemento capaz de influenciar seus colaboradores, propiciando maior dinâmica ao modelo SECI de conversão do conhecimento. Se identifica então na liderança do tipo Transformacional, características que possam influenciar colaboradores e entende-se que esta relação entre a Liderança Transformacional e a Conversão do Conhecimento possa ter influência positiva nos indicadores da Eficácia Organizacional. Dessa forma esta pesquisa buscou analisar um modelo que explorasse essa relação entre a liderança do tipo Transformacional, a Conversão do Conhecimento (SECI) e a Eficácia Organizacional. Esta pesquisa teve o caráter quantitativo com coleta de dados através do método survey, obtendo um total de 230 respondentes válidos de diferentes organizações. O instrumento de coleta de dados foi composto por afirmativas relativas ao modelo de relação pesquisado com um total de 44 itens. O perfil de respondentes concentrou-se entre 30 e 39 anos de idade, com a predominância de organizações privadas e de departamentos de TI/Telecom, Docência e Recursos Humanos respectivamente. O tratamento dos dados foi através da Análise Fatorial Exploratória e Modelagem de Equações Estruturais via Partial Least Square Path Modeling (PLS-PM). Como resultado da análise desta pesquisa, as hipóteses puderam ser confirmadas, concluindo que a Liderança Transformacional apresenta influência positiva nos modos de Conversão do Conhecimento e que; a Conversão do Conhecimento influencia positivamente na Eficácia Organizacional. Ainda, concluiu-se que a percepção entre os respondentes não apresenta resultado diferente sobre o modelo desta pesquisa entre quem possui ou não função de liderança.

Purification and Molecular Genetic Characterization of ZPU1, a Pullulanase-Type Starch-Debranching Enzyme from Maize1

This study identified and purified specific isoamylase- and pullulanase-type starch-debranching enzymes (DBEs) present in developing maize (Zea mays L.) endosperm. The cDNA clone Zpu1 was isolated based on its homology with a rice (Oryza sativa L.) cDNA coding for a pullulanase-type DBE. Comparison of the protein product, ZPU1, with 18 other DBEs identified motifs common to both isoamylase- and pullulanase-type enzymes, as well as class-specific sequence blocks. Hybridization of Zpu1 to genomic DNA defined a single-copy gene, zpu1, located on chromosome 2. Zpu1 mRNA was abundant in endosperm throughout starch biosynthesis, but was not detected in the leaf or the root. Anti-ZPU1 antiserum specifically recognized the approximately 100-kD ZPU1 protein in developing endosperm, but not in leaves. Pullulanase- and isoamylase-type DBEs were purified from extracts of developing maize kernels. The pullulanase-type activity was identified as ZPU1 and the isoamylase-type activity as SU1. Mutations of the sugary1 (su1) gene are known to cause deficiencies of SU1 isoamylase and a pullulanase-type DBE. ZPU1 activity, protein level, and electrophoretic mobility were altered in su1-mutant kernels, indicating that it is the affected pullulanase-type DBE. The Zpu1 transcript levels were equivalent in nonmutant and su1-mutant kernels, suggesting that coordinated regulation of ZPU1 and SU1 occurs posttranscriptionally.

Assessment of selected lighter-than-air vehicles for mission tasks of the U.S. Coast Guard /

"May 1978."

The pine ridge porcupine /

Mode of access: Internet.

Reports of cases argued and determined in the High Court of Chancery in Ireland : during the time of Lord Chancellor Hart, with a few in the time of Lord Chancellor Manners /

Includes index.

The measurement of thermal properties of nonmetallic materials at elevated temperatures : final report /

"North Carolina State College, Raleigh, North Carolina."