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Contraction Stress Test

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101. Test your medicine knowledge: 48-year-old woman with type 2 diabetes mellitus

cholesterol level of 37 mg/dL (0.96 mmol/L). Urinalysis is negative for albuminuria. Her estimated 10-year cardiovascular risk by the Pooled Cohort Equations is 2.7%. Which of the following is the most appropriate cardiovascular disease risk management? A. Aspirin B. Coronary artery calcium scoring C. Exercise stress testing D. Folic acid supplementation E. No further testing or therapy MKSAP Answer and Critique The correct answer is E. No further testing or therapy. No further testing or therapy would (...) Test your medicine knowledge: 48-year-old woman with type 2 diabetes mellitus Should aspirin be routinely be given to patients with diabetes mellitus? Test your medicine knowledge: 48-year-old woman with type 2 diabetes mellitus | | October 31, 2015 10 Shares Test your medicine knowledge with the , in partnership with the . A 48-year-old woman is evaluated during a follow-up visit. She has a 5-year history of type 2 diabetes mellitus. She has no other significant medical history. Medications

2015 KevinMD blog

102. Test your medicine knowledge: 62-year-old man is evaluated during a routine visit

cholesterol level of 150 mg/dL (3.89 mmol/L). Electrocardiogram is within normal limits. Echocardiogram from 1 year ago shows a peak velocity of 2.0 m/s, mean transaortic gradient of 13 mm Hg, aortic valve area of 1.5 cm 2 , and preserved ejection fraction. Which of the following is the most appropriate management? A: Echocardiogram B: Exercise perfusion study C: Exercise stress test D: No additional testing MKSAP Answer and Critique The correct answer is D: No additional testing. This patient should (...) echocardiogram 1 year ago. He should undergo an annual clinical evaluation and echocardiography every 3 to 5 years. Echocardiography at this time in the absence of a clinical change is unnecessary. If a screening test were to be performed prior to exercise, an exercise stress test would be the most appropriate test; exercise perfusion imaging provides no additional information. In routine screening of patients with diabetes in the DIAD study, despite 22% of patients having evidence of perfusion defects

2015 KevinMD blog

103. Test your medicine knowledge: Reducing the personal risk of developing rheumatoid arthritis

Test your medicine knowledge: Reducing the personal risk of developing rheumatoid arthritis Smoking is increased risk of developing rheumatoid arthritis Test your medicine knowledge: Reducing the personal risk of developing rheumatoid arthritis | | July 11, 2015 7 Shares Test your medicine knowledge with the , in partnership with the . A 29-year-old woman is evaluated during a routine examination. She seeks advice in reducing her personal risk of developing rheumatoid arthritis, because her (...) , joint stability, and physical performance, and weight reduction reduces joint stress on weight-bearing joints. Key Point Smoking is associated with an increased risk of developing rheumatoid arthritis, and cessation is recommended for this and other health reasons. This content is excerpted from with permission from the (ACP). Use is restricted in the same manner as that defined in the MKSAP 16 Digital license agreement. This material should never be used as a substitute for clinical judgment

2015 KevinMD blog

104. Ventricular premature contractions: a randomized non-drug intervention trial in normal men. (PubMed)

Ventricular premature contractions: a randomized non-drug intervention trial in normal men. The influence of a 6-week intervention on factors thought to be related to ectopic cardiac rhythms was tested in normal men with frequent ventricular premature contractions (VPCs), using a randomized, controlled and partial crossover design. The VPC intervention trial experimental regimen included total abstinence from caffeine and smoking, reduction of alcohol intake, and a physical conditioning program (...) . Effects were studied in detail among 81 healthy men with persistent VPCs. VPCs were measured during standard states of rest, dynamic and isometric exercise and other stresses, and 24-hour ambulatory monitoring. Adherence to the treatment was excellent. The experimental group achieved more than 80% of activities asked of them, and little "contamination" occurred in the control group. VPCs were analyzed according to VPC/min, VPC/man and VPC/total number of heart beats. Moderate changes in VPC rates

1979 Circulation Controlled trial quality: uncertain

105. To Test the Potential Efficacy of Repeated Intranasal Administration of Ketamine as a Treatment for PTSD

To Test the Potential Efficacy of Repeated Intranasal Administration of Ketamine as a Treatment for PTSD To Test the Potential Efficacy of Repeated Intranasal Administration of Ketamine as a Treatment for PTSD - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100 (...) ). Please remove one or more studies before adding more. To Test the Potential Efficacy of Repeated Intranasal Administration of Ketamine as a Treatment for PTSD The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02398136 Recruitment Status : Withdrawn (FDA and IRB recommended different mode of medication

2014 Clinical Trials

106. Preoperative Testing

, urinalysis, or cardiac stress testing. [ , ] Advancing age, especially older than 70 years, is associated with increased hospital stay and perioperative morbidity and mortality. However, most people in this age group have comorbid conditions, and it remains unclear if perioperative complications are secondary to comorbid conditions or age itself (see also the article ). Contrary to a common belief, obesity does not increase postoperative complications. In a prospective cohort of 6336 patients undergoing (...) Preoperative Testing Preoperative Testing: Overview, Selective Workup, Summary Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjg1MTkxLW92ZXJ2aWV3 processing > Preoperative Testing Updated: Sep 16, 2015 Author

2014 eMedicine.com

107. Suppression of Oxidative Stress by Resveratrol After Isometric Contractions in Gastrocnemius Muscles of Aged Mice. (PubMed)

Suppression of Oxidative Stress by Resveratrol After Isometric Contractions in Gastrocnemius Muscles of Aged Mice. This study tested the hypothesis that resveratrol supplementation would lower oxidative stress in exercised muscles of aged mice. Young (3 months) and aged (27 months) C57BL/6 mice received a control or a 0.05% trans-resveratrol-supplemented diet for 10 days. After 7 days of dietary intervention, 20 maximal electrically evoked isometric contractions were obtained from the plantar (...) in exercised muscles from young (38%) and aged (135%) mice. Resveratrol prevented the increase in lipid oxidation, increased catalase activity, and increased MnSOD activity in exercised muscles from aged mice. These data show that dietary resveratrol suppresses muscle indicators of oxidative stress in response to isometric contractions in aged mice.

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2010 Biological Sciences and Medical Sciences

108. The relevance of socio-demographic and occupational variables for the assessment of work-related stress risk. (PubMed)

Executive Management Standards Indicator Tool was used in a large survey to examine the relationship between work-related stress risks and workers' demographic and occupational characteristics. Out of 8,527 questionnaires distributed among workers (from 75 organizations) 6,378 were returned compiled (74.8%); a set of mixed effects models were adopted to test single and combined effects of the variables on work-related stress risk.Female workers reported lower scores on control and peer support and more (...) factors for work-related stress (except for role), the latter having more negative effects, increasing with age.The findings suggest that the assessment and management of work-related stress risk should consider specific socio-demographic and occupational risk factors such as gender, age, educational level, job status, shift work, commuting time, job contracts.

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2013 BMC Public Health

109. Neurotech Vital Device For The Treatment Of Stress Urinary Incontinence

and at 6 months for main and cohort part of the study ] pelvic floor muscle function measured using sonographic/real time ultrasound imaging/recording with displacement measurement using on screen callipers on the sonogram unit to assess volitional contractions participants taking part in a 1 minute stress test [ Time Frame: We will compare the urine loss against the urine loss after 4weeks treatment with the device and also after 8weeks treatment with the device and 12 weeks treatment ] We will look (...) electrodes (large sticky black pads) which causes the pelvic floor to contract and relax, without you having to do anything. This treatment is not painful and is very similar to the workout you would get from relaxing and contracting your pelvic floor muscles yourself, however the device produces a much stronger contraction. The study is open to females who have failed a 6 week exercise programme and have been diagnosed with Stress Urinary Incontinence. It will take place at hospital uro-gynaecology

2013 Clinical Trials

110. Cerebral Blood Flow and PETCO2 on Neuromuscular Function During Environmental Stress

-wave) will be calculated. The amplitude of the H-reflex will be quantified in milllivolts. Maximal Voluntary Contraction [ Time Frame: Change from baseline 90-minutes ] During maximal voluntary contraction (MVC) testing, the participants' right arm will be secured in a custom made device used to isolate forearm flexion and to measure force production by the flexor carpi radialis muscle. Participants will be asked to produce a 5-second MVC and will be verbally encouraged to maintain maximal force (...) Cerebral Blood Flow and PETCO2 on Neuromuscular Function During Environmental Stress Cerebral Blood Flow and PETCO2 on Neuromuscular Function During Environmental Stress - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before

2013 Clinical Trials

111. The Influence of Cerebral Blood Flow and PETCO2 on Neuromuscular Function During Passive Heat Stress

: Change from baseline 90-minutes ] During maximal voluntary contraction (MVC) testing, the participants' right arm will be secured in a custom made device used to isolate forearm flexion and to measure force production by the flexor carpi radialis muscle. Participants will be asked to produce a 5-second MVC and will be verbally encouraged to maintain maximal force production throughout the duration of the contraction. MVC will be quantified as the maximum force production in newton meters. H-Reflex (...) The Influence of Cerebral Blood Flow and PETCO2 on Neuromuscular Function During Passive Heat Stress The Influence of Cerebral Blood Flow and PETCO2 on Neuromuscular Function During Passive Heat Stress - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please

2013 Clinical Trials

112. A Comparison of Electrical Pudendal Nerve Stimulation and Pelvic Floor Muscle Training for Female Stress Incontinence

) is used for TES Outcome Measures Go to Primary Outcome Measures : Stress test [ Time Frame: 12 weeks ] Secondary Outcome Measures : A questionnaire to measure the severity of symptoms and the quality of life in SUI women [ Time Frame: 12 weeks ] Other Outcome Measures: Pad test [ Time Frame: 12 weeks ] Eligibility Criteria Go to Information from the National Library of Medicine Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends (...) about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Layout table for eligibility information Ages Eligible for Study: 25 Years to 85 Years (Adult, Older Adult) Sexes Eligible for Study: Female Accepts Healthy Volunteers: No Criteria Inclusion Criteria: SUI history Positive stress test result Urodynamically confirmed SUI Postvoid residual urine volume <50ml Exclusion

2013 Clinical Trials

113. The Efficacy of Electroacupuncture for Treatment of Simple Female Stress Urinary Incontinence: Comparison With Pelvic Floor Muscle Training-a Multicenter Randomized Controlled Trial

for Simple female stress urinary incontinence [ Time Frame: the 8, 20, 32 week ] Compare the difference of uase of specialty therapy for Simple female stress urinary incontinence between the 2 groups during the 1-8 weeks, 9-20 weeks and 21-32 weeks. Subgroup analysis: amount of leakage with 1h pad test as a measure of curative effect of electroacupuncture for different extent of simple female stress urinary incontinence. [ Time Frame: the 8, 20, 32 week ] The 8th week: difference of 1 h pad test (...) for simple female stress urinary incontinence, compared with the baseline; the 20th and 32th weeks: difference of 1h pad test for simple female stress urinary incontinence, compared with the baseline. Eligibility Criteria Go to Information from the National Library of Medicine Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study

2013 Clinical Trials

114. Suppression of endoplasmic reticulum stress improves endothelium-dependent contractile responses in aorta of the spontaneously hypertensive rat (PubMed)

)) mediated by extracellular signal-regulated kinase (ERK1/2) and cyclooxygenase (COX) activations. Although endoplasmic reticulum (ER) stress has been shown to contribute to pathophysiological alterations in cardiovascular diseases, the relationship between ER stress and EDCF-mediated responses remains unclear. We tested the hypothesis that ER stress plays a role in EDCF-mediated responses via activation of the cPLA2/COX pathway in the aorta of the spontaneously hypertensive rat (SHR). Male SHR (...) and Wistar-Kyoto rats (WKY) were treated with ER stress inhibitor, tauroursodeoxycholic acid or 4-phenlybutyric acid (TUDCA or PBA, respectively, 100 mg·kg(-1)·day(-1) ip) or PBS (control, 300 μl/day ip) for 1 wk. There was a decrease in systolic blood pressure in SHR treated with TUDCA or PBA compared with control SHR (176 ± 3 or 181 ± 5, respectively vs. 200 ± 2 mmHg). In the SHR, treatment with TUDCA or PBA normalized aortic (vs. control SHR) 1) contractions to acetylcholine (ACh), AA, and tert-butyl

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2013 American Journal of Physiology - Heart and Circulatory Physiology

115. Epigallocatechin-3-Gallate Reduces Myometrial Infiltration, Uterine Hyperactivity, and Stress Levels and Alleviates Generalized Hyperalgesia in Mice Induced With Adenomyosis (PubMed)

Epigallocatechin-3-Gallate Reduces Myometrial Infiltration, Uterine Hyperactivity, and Stress Levels and Alleviates Generalized Hyperalgesia in Mice Induced With Adenomyosis In an effort to search for novel therapeutics for adenomyosis, we sought to determine whether treatment with epigallocatechin-3-gallate (EGCG) would suppress the myometrial infiltration, improve pain behavior, lower stress level, and reduce uterine contractility in a mice model of adenomyosis. Adenomyosis was induced in 28 (...) female ICR mice neonatally dosed with tamoxifen, while another 12 (group C) were dosed with solvent only, which served as a blank control. Starting from 4 weeks after birth, hot plate test was administrated to all mice every 4 weeks. At the 16th week, all mice induced with adenomyosis were randomly divided into 3 groups: low-dose EGCG (5 mg/kg), high-dose EGCG (50 mg/kg), and untreated. Group C received no treatment. After 3 weeks of treatment, the hot plate test was administered again, a blood

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2013 Reproductive Sciences

116. Pelvic floor muscle training in women with stress urinary incontinence causes hypertrophy of the urethral sphincters and reduces bladder neck mobility during coughing. (PubMed)

which they learned how to properly contract their pelvic floor muscles (PFMs) and a home exercise program was prescribed, reviewed, and progressed; the control group received no treatment. Before and after the 12-week study period, ultrasound imaging was used to evaluate bladder neck position and mobility during coughing and Valsalva maneuver in supine and in standing, as well as urethral morphology. Secondary outcome measures included a 3-day bladder diary, 30-min pad test, the Incontinence Impact (...) Pelvic floor muscle training in women with stress urinary incontinence causes hypertrophy of the urethral sphincters and reduces bladder neck mobility during coughing. The purpose of this study was to determine the effect of a 12-week pelvic floor muscle (PFM) training program on urethral morphology and mobility in women with stress urinary incontinence (SUI).Forty women with SUI were randomly assigned to one of two groups: the treatment group received 12 weekly physiotherapy sessions during

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2013 Neurourology and urodynamics Controlled trial quality: uncertain

117. Fetal manipulation for facilitating tests of fetal wellbeing. (PubMed)

(mean difference -2.29 minutes, 95% CI -9.61 minutes to 5.03 minutes, I² = 97%; two trials, N = 560).Comparing fetal manual manipulation with vibroacoustic stimulation, there was no significant difference in the incidence of non-reactive cardiotocography or the need for contraction-stress test.There were no data available on other outcomes such as perinatal mortality, fetal distress, maternal anxiety and gestation at delivery.There is insufficient evidence to support the use of manual fetal (...) Fetal manipulation for facilitating tests of fetal wellbeing. Manual fetal manipulation has been suggested to improve the efficiency of antepartum fetal heart rate testing.The objective of this review was to assess the merits or adverse effects of the use of manual fetal manipulation in conjunction with tests of fetal wellbeing.We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (30 September 2013).All published and unpublished randomised controlled trials assessing

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2013 Cochrane database of systematic reviews (Online)

118. Flu Tests

diagnose their current patient. He may also order a flu test along with other viral studies, such as RSV (respiratory syncytial virus - a virus that often infects young children and the elderly), or with bacterial tests, such as a streptococcus test (to check for group A streptococcus, the bacteria that cause a sore throat) if the cause of the infection is unclear. In rare instances, someone will contract influenza outside of the normal flu season. (This may happen when someone travels outside (...) Flu Tests Influenza Test Produced by In partnership with User Top Links Menu Search User Top Links Search Influenza (Flu) Tests Also Known As Flu PCR Rapid flu test Flu antigen test Flu subtyping Formal Name Influenza nucleic acid amplification test; Influenza polymerase chain reaction; Rapid influenza antigen test; Influenza point of care test; Influenza A and B culture; influenza direct immunofluorescence test; Influenza A subtype-specific PCR This article was last reviewed on 19 January 2015

2012 Lab Tests Online UK

119. Small left atrial volume is an independent predictor for fainting during head-up tilt test: the impact of intracardiac volume reserve in vasovagal syncope. (PubMed)

Small left atrial volume is an independent predictor for fainting during head-up tilt test: the impact of intracardiac volume reserve in vasovagal syncope. Vigorous left ventricular (LV) contraction with progressive ventricular emptying during orthostatic stress may induce hyper-responsiveness of cardiac mechanoreceptor and vasovagal syncope (VVS). We hypothesized that intracardiac volume reserve estimated by the left atrial (LA) volume index (LAVI) plays an important role in the mechanism (...) of VVS.A total of 234 patients (115 male, 44 ± 18 years) who underwent head-up tilt test (HTT) and transthoracic echocardiography for unexplained syncope were consecutively enrolled. Patients with a positive HTT result (HTT+; n=152) were compared with those with negative HTT response (HTT-; n=82).1. Compared to HTT- patients, HTT+ patients were younger (41 ± 17 vs. 48 ± 17 years, p=0.005), included a higher number of females (56% vs. 50%, p=0.009) and showed higher basal heart rate (67 ± 12 vs. 63 ± 11

2013 International journal of cardiology

120. Fetal Copeptin After Oxytocin Challenge Test

of uterine contractions on fetal copeptin levels in umbilical cord blood is studied. Condition or disease Pregnancy Detailed Description: Background: Vaginal delivery evokes a dramatic surge in stress hormones facilitating the transition of the infant to extra-uterine life. Infants born by elective cesarean section (C-section) are known to have a higher risk for compromised birth adaptation. Labor is vital for vaginal delivery and triggers fetal stress hormone release. Fetal plasma copeptin, a surrogate (...) marker of arginine vasopressin, has been found to be 100 to 1000-fold increased after vaginal delivery as compared to elective C-section. However, the relationship of labor intensity and fetal stress hormone release is largely unknown. Objective: The purpose of this study is to determine fetal copeptin in newborns delivered by C-section to mothers who had an oxytocin challenge test (OCT) just prior to birth as compared to those without OCT. Protocol: Pregnant women at term are eligible to participate

2013 Clinical Trials

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