A systematic review and meta-analysis were performed to evaluate the impact of resident duty hours (RDH) on clinical and educational outcomes in surgery. A total of 135 articles met inclusion criteria. In surgery, recent RDH changes are not consistently associated with improved resident well-being and may have negative impacts on patient outcomes and education.
Previous studies have reported differences in muscle function and metabolism between patients with cystic fibrosis (CF) and healthy controls (HC), but it is currently unknown whether these abnormalities are specific to CF or also seen in other airway diseases. In this study, we used magnetic resonance spectroscopy (MRS) during exercise to assess muscle metabolism in CF patients. Twenty patients with CF and 20 age, gender, and habitual activity-matched HCs and a respiratory disease comparison group with primary ciliary dyskinesia (PCD; n ϭ 10) were studied.31 Phosphorus MRS ( 31 P-MRS) was used to characterize muscle bioenergetic metabolism at rest and after high-, moderate-, and low-intensity exercise. CF patients exhibited lower resting ATP/phosphocreatine (PCr) ratio and significantly higher end-exercise pH values compared with both HC and PCD patients. Both CF and PCD patients demonstrated significantly slower PCr recovery time constants after high-intensity exercise. Our results suggest that not only there are specific abnormalities of muscle metabolism in CF patients but also there is a nonspecific impact of respiratory disease on muscle function. (Pediatr Res 69: 40-45, 2011)
Golf is now a sport where physical training is an integral component of elite players' practice and contributes to the ability to play at a high level consistently and without injury. Relationships between physical conditioning and golf performance have not been reported. Therefore, the objective of this research was to identify physiological correlates of golf performance in elite golfers under laboratory (ball speed and distance) and tournament conditions (average score, greens in regulation, short game measures, and putting accuracy).The correlation analysis revealed significant associations between mass, height, body mass index, sit height, arm length, and predicted Vo2max and golf measures. Significant correlations were noted between anterior abdominal muscle endurance and driver carry distance (r = 0.38; P = 0.04) and average putt distance after a chip shot (r = -0.44; P = 0.03), between dominant side abdominal muscle endurance and average putt distance after a chip shot (r = -0.43; P = 0.03), and between nondominant-side abdominal muscle endurance and average putt distance after a sand shot (r = -0.59; P = 0.001). Further correlations were found among sit and reach and driver carry distance (r = -0.36; P = 0.04), 5-iron ball speed (r = - 0.41; P = 0.02), 5-iron carry distance (r = -0.44; P = 0.01), and score (r = 0.43; P = 0.03). Correlation analysis revealed significant associations among peripheral muscle test results, golf driver results, 5-iron ball measures, score, and putting efficacy.These results may be important for developing training programs based on sound physiological rationale and for the development of talent identification programs. Results suggest that core strength and stability, flexibility, balance, and peripheral muscle strength are correlated with golf performance and should be included in golf training programs.
Conventional colonoscopy has a higher incidence of localization error compared to colonoscopic tattooing for localization of colorectal cancer. Colonoscopic tattooing is safe and leads to fewer tumor localization errors. Given the widespread adoption of laparoscopic resections for colorectal cancer, routine colonoscopic tattooing should be adopted. However, studies directly comparing different localization techniques are needed.
The findings of this study suggest that the HAES questionnaire is a reliable and valid instrument that can be used to assess activities of varying intensity in patients with CF.
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