Search results for: Patti Kastanias

Authors: Patti Kastanias, Wei Wang, Karyn Mackenzie, Sandra Robinson, Susan Wnuk

Abstract:

Obesity is a worldwide epidemic and is recognized as a chronic disease. Pain in the obese individual is a multidimensional issue. An increase in BMI is positively correlated with pain incidence and severity, especially in central obesity where individuals are twice as likely to have chronic pain. Both obesity and chronic pain are also associated with mood disorders. Pain is worse among obese individuals with depression and anxiety. Bariatric surgery provides patients with an effective solution for long-term weight loss and associated health problems. However, not much is known about acute and chronic pain after bariatric surgery and its contributing factors, including mood disorders. Nurse practitioners (NPs) at one large multidisciplinary bariatric surgery centre led two studies to examine acute and chronic pain and pain management over time after bariatric surgery. The purpose of the initial study was to examine the incidence and severity of acute and chronic pain after bariatric surgery. The aim of the secondary study was to further examine chronic pain, specifically looking at psychological factors that influence severity or incidence of both neuropathic and somatic pain as well as changes in opioid use. The initial study was a prospective, longitudinal study where patients having bariatric surgery at one surgical center were followed up to 6 months postop. Data was collected at 7 time points using validated instruments for pain severity, pain interference, and patient satisfaction. In the second study, subjects were followed longitudinally starting preoperatively and then at 6 months and 1 year postoperatively to capture changes in chronic pain and influencing variables over time. Valid and reliable instruments were utilized for all major study outcomes. In the first study, there was a trend towards decreased acute post-operative pain over time. The incidence and severity of chronic pain was found to be significantly reduced at 6 months post bariatric surgery. Interestingly, interference of chronic pain in daily life such as normal work, mood, and walking ability was significantly improved at 6 months postop however; this was not the case with sleep. Preliminary results of the secondary study indicate that pain severity, pain interference, anxiety and depression are significantly improved at 6 months postoperatively. In addition, preoperative anxiety, depression and emotional regulation were predictive of pain interference, but not pain severity. The results of our regression analyses provide evidence for the impact of pre-existing psychological factors on pain, particularly anxiety in obese populations.

Keywords: bariatric surgery, mood disorders, obesity, pain

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Authors: Jeevan Jyoti Mohindroo, Umesh Kumar Garg

Abstract:

The district of Tarntaran is located25 km south of Amritsar city in Punjab State of Northwestern India. It is 5059 Sq. Km in area. It is surrounded by Amritsar in the North, Kapurthala in the East, and Ferozepur in the South and Pakistan in the West. Patti Town is a municipal council of the Tarntaran district of the Indian state of Punjab, located 45 km from Amritsar its geographical coordinates are 310 16' 51" north to 740 51' 25" East Longitude. The town spreads over an area of 50sq. Km. Moisture content is very less in the air, falling within the semiarid region and frequently facing water scarcity as well as water quality problems. The major sources of employment are agriculture, horticulture and animal husbandry engaging almost 80% of the workforce. Water samples are collected from 400 locations in 20 villages on the Patti –Khem Karan highway with 20 samples from each village, and were subjected to analysis of chemical characteristics. The type of water that predominates in the study area is Ca-Mg-HCO3 type, based on hydro-chemical analysis. Besides, suitability of water for irrigation is evaluated based on the sodium adsorption ratio (SAR), residual sodium carbonate, sodium percent and salinity hazard. Other Physico-chemical parameters such as pH, TDS, conductance, etc. were also determined using a water analysis kit. Analysis of water samples for heavy metal analysis was also carried out in the present study.

Keywords: groundwater, chemical classification, SAR, RSC, USSL diagram

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Authors: Justin M. Swanson, Anna Nelson, Daniel Handysides, Patti Herring, Christopher Hill

Abstract:

Not only may social media use have a psychological impact, but increased use may be tied to decreases in physical activity and influencing sedentary behaviors. Social media can be used to share physically active lifestyles and possibly influence others to participate. In contrast, social media use may have adverse effects by decreasing participation in exercise. This study used a qualitative design to examine the relationship between social media use and exercise patterns. Participants were asked questions about their social media habits and how it might impact their physical activity behaviors. Self-reported exercise seemed to increase after viewing others engage in relatable activities or viewing someone that has overcame challenges. To increase the likelihood of engaging in exercise, exercise related posts should be low in difficulty, require few materials, or displayed progress from the individual posting.

Keywords: social media, exercise, physical activity, adults

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Authors: N. G. Obaje, S. I. Ibrahim, N. Dadi-Mamud, M. K. Musa, I. Yusuf

Abstract:

An integrated study combining geological prospectivity mapping and geophysical aeromagnetic interpretation was carried out to determine hydrocarbon new business opportunities that may exist in the Bida Basin of Central Nigeria. Geological mapping was used to delineate the geological boundaries between the formations which is a significant initial criterion in evaluating hydrocarbon prospectivity. Processed and interpreted geophysical aeromagnetic data over the basin juxtaposed against the geological map has led to ranking of the prospectivity as less prospective, prospective and more prospective. The prospective and more prospective areas constitute new hydrocarbon business opportunities in the basin. The more prospective areas are at Pattishabakolo near Bida and at Kandi near Gulu. Prospective areas cover Badegi, Lemu, Duba, Kutigi, Auna, Mashegu and Mokwa. Geochemical data show that hydrocarbon source rocks exist within the Enagi and Patti formations in the northern and southern sections respectively. The geophysical aeromagnetic data indicates depths of more than 2,000m (> 2 Km) within the identified prospective areas. New business opportunities as used here refer to open acreages in Nigeria’s sedimentary basins that have not been licensed out by the government (Department of Petroleum Resources) to any operator but with significant potentials for commercial hydrocarbon accumulation.

Keywords: hydrocarbon, aeromagnetic, business opportunity, Bida Basin

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Authors: Alicia Carranza, Hildemar Dos Santos, W. Lawrence Beeson, R. Patti Herring, Kimberly R. Freeman, Adam Arechiga

Abstract:

Early exposure to trauma can impact health-related behaviors later in life, which poses a considerable challenge for young adults transitioning into independence when they are lacking the necessary skills and support to live a healthy life. The study will be a non-experimental, mixed methods pre- and post-test (where subjects will serve as their own controls) to determine the impact of an eight-week trauma-informed healthy lifestyle program on self-efficacy for adopting health-promoting behaviors and health outcomes among young adults. Forty-two adults, ages 18-24 who are living in Orange County, CA will be recruited to participate in the eight-week trauma-informed healthy living program. Baseline and post-intervention assessments will be conducted to assess changes in self-efficacy for nutrition and physical exercise, sleep quality and quantity, body mass index (kg/m2), and coping skills used by comparing pre- to post-intervention. Some of the planned activities include cooking demonstrations, mindful eating activities and media literacy using Instagram. Frequencies analyses, paired t-test, and multiple regression will be used to determine if there was a change in coping skills. The results of this study can serve to assess the potential for mitigating the effects of Adverse Childhood Experiences (ACEs), or other toxic stress, experienced during adolescence across the lifespan. Young adults who learn how to cope with stress in a healthy way and engage in a healthy lifestyle can be better prepared to role model that behavior to their children.

Keywords: nutrition, healthy lifestyle, trauma-informed, stress management

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Authors: Azka Naeem, Kimberly Mae Soultan, Shree Laya Vemula, Marlon Rivera Boadla, Shaurya Sharma, Ravikaran Singh Patti

Abstract:

Context: This case report discusses a rare and serious complication of acupuncture induced pneumothorax. The patient presented with acute chest pain and shortness of breath following acupuncture treatment for chronic elbow pain. Despite the generally safe reputation of acupuncture, pneumothorax can occur as a result of the procedure. This case highlights the importance of recognizing pneumothorax in patients who have undergone acupuncture treatment without any significant pre-existing lung disorder. Research Aim: The aim of this study is to report a case of acupuncture-induced pneumothorax and emphasize the importance of early detection to prevent the development of tension pneumothorax. The study also aims to raise awareness about the potential safety concerns of acupuncture for individuals who are lean and/or have underlying lung disorders, particularly when treatment is administered in high-risk areas such as the interscapular region. Methodology: The research methodology used in this study involved a retrospective chart review. Following informed consent, the researchers obtained information from the patient's medical records to gather relevant details about the case, including the patient's symptoms, medical history, and the acupuncture procedure performed. Findings: The case report describes the symptoms and physical examination findings of the patient, which led to the diagnosis of pneumothorax. The patient experienced sudden onset chest pain and shortness of breath, which occurred one hour after receiving acupuncture treatment. Physical examination revealed a mild increase in the work of breathing, reduced right sided chest excursion, and decreased breath sounds in the right upper lobe. A chest X-ray was done, which confirmed the presence of a moderate-sized right apical pneumothorax. Prompt intervention with a right pigtail catheter prevented the development of tension pneumothorax, and the patient's lung expansion was restored. Theoretical Importance: This case report highlights the importance of considering acupuncture-induced pneumothorax as a potential complication, even in patients without identifiable risk factors. It emphasizes the significance of early detection and appropriate management to prevent potential life-threatening complications. The study also contributes to the existing literature by drawing attention to the safety concerns associated with acupuncture for thin, lean individuals, particularly those with underlying lung disorders. Data Collection and Analysis Procedures: The data for this study were collected through a retrospective chart review. Information was obtained from the patient's medical records, including symptoms, medical history, and diagnostic findings. The analysis involved examining the relationship between the acupuncture procedure and the development of pneumothorax, as well as the effectiveness of the intervention in preventing tension pneumothorax. Conclusion: In conclusion, this case report highlights a rare but serious complication of acupuncture - pneumothorax. It emphasizes the need for vigilance and clinical suspicion in patients who present with chest pain and dyspnea following acupuncture treatment. Early detection and appropriate intervention can prevent the progression of tension pneumothorax. Clinicians should exercise caution when performing acupuncture on individuals with underlying lung disorders, particularly in high-risk areas.

Keywords: acupuncture, pneumothorax, pigtail catheterization, pleuritic chest pain

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