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25498992
background
Heart failure ( HF ) patients suffer from frequent and repeated hospitalizations , causing a substantial economic burden on society .
0
25498992
background
Hospitalizations can be reduced considerably by better compliance with self-care .
1
25498992
background
Home telemonitoring has the potential to boost patients ' compliance with self-care , although the results are still contradictory .
2
25498992
objective
A randomized controlled trial was conducted in order to study whether the multidisciplinary care of heart failure patients promoted with telemonitoring leads to decreased HF-related hospitalization .
3
25498992
methods
HF patients were eligible whose left ventricular ejection fraction was lower than @ % , NYHA functional class @ , and who needed regular follow-up .
4
25498992
methods
Patients in the telemonitoring group ( n = @ ) measured their body weight , blood pressure , and pulse and answered symptom-related questions on a weekly basis , reporting their values to the heart failure nurse using a mobile phone app .
5
25498992
methods
The heart failure nurse followed the status of patients weekly and if necessary contacted the patient .
6
25498992
methods
The primary outcome was the number of HF-related hospital days .
7
25498992
methods
Control patients ( n = @ ) received multidisciplinary treatment according to standard practices .
8
25498992
methods
Patients ' clinical status , use of health care resources , adherence , and user experience from the patients ' and the health care professionals ' perspective were studied .
9
25498992
results
Adherence , calculated as a proportion of weekly submitted self-measurements , was close to @ % .
10
25498992
results
No difference was found in the number of HF-related hospital days ( incidence rate ratio -LSB- IRR -RSB- = @ , P = @ ) , which was the primary outcome .
11
25498992
results
The intervention group used more health care resources : they paid an increased number of visits to the nurse ( IRR = @ , P < @ ) , spent more time at the nurse reception ( mean difference of @ minutes , P < @ ) , and there was a greater number of telephone contacts between the nurse and intervention patients ( IRR = @ , P < @ for nurse-induced contacts and IRR = @ , P = @ for patient-induced contacts ) .
12
25498992
results
There were no statistically significant differences in patients ' clinical health status or in their self-care behavior .
13
25498992
results
The technology received excellent feedback from the patient and professional side with a high adherence rate throughout the study .
14
25498992
conclusions
Home telemonitoring did not reduce the number of patients ' HF-related hospital days and did not improve the patients ' clinical condition .
15
25498992
conclusions
Patients in the telemonitoring group contacted the Cardiology Outpatient Clinic more frequently , and on this way increased the use of health care resources .
16
24411490
objective
Probiotics help maintain balance in composition of the gut microbiota , and have been considered as a potential treatment for obesity .
0
24411490
objective
This study was conducted in order to assess the effects of probiotics when combined with herbal medicine in treatment of obesity .
1
24411490
objective
Probiotics were tested for the ability to modulate gut microbiota , gut permeability , and endotoxin level , which may have correlation with factors involved in obesity .
2
24411490
methods
A randomized , double-blind , placebo controlled study was conducted , in which patients with higher BMI ( > @kg/m ( @ ) ) and waist circumference ( > @cm ) were enrolled and randomly assigned to receive Bofutsushosan with either probiotics or placebo capsules for a period of eight weeks .
3
24411490
methods
Assessment of body composition parameters , metabolic biomarkers , endotoxin level , gut permeability , and fecal bacteria in stool was performed at baseline and at week @ .
4
24411490
methods
The study was registered at the Clinical Research Information Service , approved by the Korea National Institute of Health ( KCT@ ) .
5
24411490
results
Although both groups showed a significant reduction in weight and waist circumference ( p = @ ) , no significant differences in body composition and metabolic markers were observed .
6
24411490
results
In correlation analysis , change in body composition showed positive correlation with endotoxin level ( r = @ , p < @ for BW ; and r = @ , p < @ for fat mass ) and the population of gut Lactobacillus plantarum ( r = @ , p < @ for BW ; and r = @ , p < @ for BMI ) .
7
24411490
results
The Gram negative bacterial population in gut also exhibited positive correlation with changes in body composition ( WC ) and total cholesterol level ( r = @ , and @ , for the former and later parameters , respectively , p < @ for both ) .
8
24411490
results
While , the profile of gut Bifidobacterium breve population showed negative correlation with endotoxin level ( r = -@ , p < @ ) .
9
24411490
conclusions
Correlations between gut microbiota and change in body composition indicate that probiotics may influence energy metabolism in obesity .
10
24411490
conclusions
Correlation between endotoxin level and weight reduction indicates that probiotics may play an important role in prevention of endotoxin production , which can lead to gut microbiota dysbiosis associated with obesity .
11
24471516
objective
The objective of this study is to analyze the effects of a @-week indoor intermittent training program on lung function , physical capacity , body composition and quality of life in children with asthma .
0
24471516
methods
Participants were randomized in an experimental group ( EG , @ children , age = @ years ) and in a control group ( CG , @ children , age = @ years ) .
1
24471516
methods
The training program was conducted indoors and consisted of alternating high - and low-intensity stimuli , for three sessions of @min/week , for @ weeks .
2
24471516
methods
Physical exercise and sports activities were organized to follow the criteria of the American College of Sports Medicine ( @ ) and previous interventions ' studies .
3
24471516
results
In EG , there was a significant improvement ( p < @ ) in FEV@ , FEV@ , @MWT , handgrip strength , CMJ and flexibility .
4
24471516
results
Reductions in BMI and fat mass as well as an increase in quality of life were all shown .
5
24471516
results
The dyspnea index decreased significantly and there were no episodes of EIA .
6
24471516
results
There is a significant positive correlation ( p < @ ) between the FEV@ with handgrip strength and @MWT and a negative correlation with fat mass .
7
24471516
conclusions
An indoor intermittent training program with these characteristics has improved lung function , physical capacity , body composition and quality of life in children with asthma .
8
24471516
conclusions
These training adaptations are particularly relevant for those patients suffering from asthma as a regular physical exercise routine will greatly improve their quality of life .
9
26255514
objective
To observe the efficacy of catgut implantation at back-shu points in treatment of mild perimenopausal depression of kidney , deficiency and liver stagnation syndrome and analyze its essential function on target symptoms .
0
26255514
methods
Forty-five cases were randomized into a catgut implantation group ( @ cases ) and atid acupuncture group ( @ cases ) .
1
26255514
methods
In the catgut implantation group , catguts were implanted at Shenshu ( BL @ ) , Ganshu ( BL @ ) , Xinshu ( BL @ ) , Pishu ( BL @ ) , etc. , once every week .
2
26255514
methods
In the acupuncture group , the conventional acupuncture was applied to the same acupoints as the catgut implantation group , once every two days .
3
26255514
methods
The : treatment of @ weeks made one session , and continuous @ sessions were required .
4
26255514
methods
The efficacy was evaluated in , @ sessions .
5
26255514
methods
The follow-up started in the @th week .
6
26255514
methods
Before treatment , after treatment and in the follow-up period , Kupperman score and the total score in Hamilton depression scale ( HAMD ) , as well as the factor score were observed in the patients separately .
7
26255514
results
Kupperman score , the total HAMD score and the scores in the items of anxiety/somatization , retardation , sleep disorder and cognitive disorder after treatment were all reduced significantly as compared with those before treatment in the two groups ( P < @ , P < @ ) .
8
26255514
results
In the follow-up period , the difference in Kupperman was not significant in comparison with that after treatment in the catgut implantation : group ( P > @ ) .
9
26255514
results
The total HAMD score and sleep disorder were reduced significantly as compared with those after treatment in the catgut implantation group ( both P < @ ) ; in the acupuncture group , Kupperman score , the total HAMD score and sleep disorder were all increased as compared with those after treatment ( all P < @ ) .
10
26255514
results
In ; the catgut implantation group , the total HAMD score was lower than that in the acupuncture group ( P < @ ) , and the scores in the items of retardation and sleep disorder were reduced significantly as compared with those in the acupuncture group ( both P < @ ) .
11
26255514
conclusions
The catgut implantation at back-shu points alleviates perimenopasual sympton is in patients of mild perimenopausal depression of kidney deficiency and liver stagnation syndrome .
12
26255514
conclusions
This therapy effectively relieves depressive disorders by regulating the target symptoms such as anxiety / somatization , retardation , sleep disorder and cognitive ' disorder .
13
26255514
conclusions
The long-term efficacy of this therapy is better than the conventional acupuncture .
14
24952391
objective
Up to @ % of patients who undergo a percutaneous coronary intervention show some limitation in the use of drug-eluting stents .
0
24952391
objective
The aim of this study was to evaluate if titanium-nitride-oxide-coated stents could be a good alternative to everolimus-eluting stents in diabetic patients .
1
24952391
methods
A total of @ diabetic patients with lesions at moderate risk of restenosis ( exclusion criteria : diameter < @ mm or length > @ mm in vessels < @mm , chronic occlusion ) were randomized to a titanium group ( @ patients ) or an everolimus group ( @ patients ) .
2
24952391
results
Baseline characteristics were well balanced ; @ % of patients were insulin dependent .
3
24952391
results
At @ year , the incidence of major adverse cardiac events ( death , nonfatal myocardial infarction , stroke , or repeat target vessel revascularization ) was significantly higher in the titanium group than in the everolimus group ( total , @ % vs @ % ; P = @ ; noninsulin-dependent subgroup , @ % vs @ % ; P = @ ; insulin-dependent subgroup , @ % vs @ % ; P = @ ) .
4
24952391
results
The incidence of death , nonfatal myocardial infarction , stroke , or any revascularization was @ % in the titanium group and @ % in the everolimus group ( P = @ ) .
5
24952391
results
Target lesion and vessel revascularizations occurred in @ % compared with @ % ( P = @ ) and in @ % compared with @ % ( P = @ ) in the titanium and everolimus groups , respectively .
6
24952391
results
Angiographic follow-up at @ months showed significantly less late lumen loss in the everolimus group ( in-segment , @ -LSB- standard deviation , @ ) mm vs -@ -LSB- @ -RSB- mm ; in-stent , @ -LSB- @ -RSB- mm vs @ -LSB- @ -RSB- mm ; P < @ ) .
7
24952391
conclusions
The everolimus-eluting stent is superior to the titanium stent for clinical and angiographic end points in diabetic patients with lesions at moderate risk of restenosis .
8
25516006
objective
To evaluate the safety of the fixed combination of ibuprofen and famotidine compared with ibuprofen alone from two @-week , multicenter , double-blind trials designed to evaluate the comparative incidence of endoscopically documented upper gastrointestinal ulcers and a @-week double-blind extension study .
0
25516006
methods
Safety was analyzed by pooling data from the two double-blind trials and the follow-on study .
1
25516006
methods
Safety was assessed by monitoring the incidence , causality , and severity of adverse events ( AEs ) .
2
25516006
results
In the pivotal efficacy and safety trials , discontinuation rates due to any cause and dyspepsia were significantly lower for the ibuprofen/famotidine combination versus ibuprofen alone .
3
25516006
results
Other than dyspepsia , gastrointestinal and cardiovascular AEs of special interest were similar .
4
25516006
results
Events judged to be treatment related were significantly lower with the ibuprofen/famotidine combination ( @ % vs. @ % ) .
5
25516006
results
In the safety extension population , there were no differences in the discontinuation rates and the reporting of AEs or serious AEs ( SAEs ) between the two groups .
6
25516006
results
Gastrointestinal-related events were similar between the groups .
7
25516006
results
Incidence of cardiovascular-related AEs of special interest were @ % ( ibuprofen/famotidine ) and @ % ( ibuprofen ) ( p = @ ) , possibly due to a higher number of rheumatoid arthritis patients in the combination group .
8
25516006
results
Of these , @ % were reports of hypertension ( @ % ibuprofen/famotidine vs. @ % ibuprofen ) .
9
25516006
results
Three cases of hypertension in the ibuprofen/famotidine group were considered treatment related .
10
25516006
results
The probability of a cardiovascular event decreased during days @-@ of treatment and remained low with continued treatment .
11
25516006
conclusions
One-year safety data from two pivotal trials and a long-term extension study indicate that the ibuprofen/famotidine combination demonstrates a favorable gastrointestinal safety profile and more patients continued on therapy compared to ibuprofen alone .
12
25516006
conclusions
No new safety signals have been identified .
13
25516006
conclusions
These data offer additional evidence supporting a new therapeutic option to improve gastrointestinal safety and adherence for patients who require long-term ibuprofen .
14
24851689
objective
To compare the effects of volume-controlled ventilation ( VCV ) and pressure-controlled volume-guaranteed ( PCV-VG ) mode during one-lung ventilation ( OLV ) on circulation , pulmonary function and lung injury .
0
24851689
methods
@ February to @ March in Ningbo No@ .
1
24851689
methods
Hospital cardiothoracic surgery , @ patients aged @ to @ years ( ASA grade II-III ) undergoing elective thoracoscopic lobectomy were randomly divided into VCV group and PCV-VG group , with @ cases in each group .
2
24851689
methods
After anesthesia induction and endotracheal intubation , endobronchial blocker was inserted to start OLV .
3
24851689
methods
Heart rate ( HR ) , mean arterial pressure ( MAP ) , measured tidal volume ( TV ) , peak airway pressure ( Ppeak ) , airway resistance ( Raw ) , chest compliance ( Cdyn ) and the end-tidal carbon dioxide pressure ( PetCO ( @ ) ) were recorded at the time point of @ minutes after turning to the lateral position , @ minutes and @ minutes after OLV , and @ minutes after the resumption of two lung ventilation .
4
24851689
methods
In the meanwhile , arterial blood gas analysis was conducted to measure indicators of pH , oxygen tension ( PaO ( @ ) ) and carbon dioxide partial pressure ( PaCO ( @ ) ) .
5
24851689
methods
Blood was drawn before induction , @ hour after OLV and @ hour after the end of surgery , and the concentration of interleukin-@ ( IL-@ ) and tumor necrosis factor-alpha ( TNF - ) were detected by enzyme-linked immunosorbent assay ( ELISA ) .
6
24851689
results
HR , MAP , TV , PetCO ( @ ) , pH and PaCO ( @ ) in two groups at the time point of @ minutes after turning to the lateral position , @ minutes and @ minutes after OLV , and @ minutes after the resumption of two lung ventilation showed no significant difference ( P > @ ) .
7
24851689
results
At the point of @ minutes after turning to the lateral position and @ minutes after two lung ventilation , Ppeak and Cdyn of two groups were significantly different ( P < @ ) ( Ppeak :@ @ cmH ( @ ) O , @ @ cmH ( @ ) O for VCV group and @ @ cmH ( @ ) O , @ @ cmH ( @ ) O for PCV-VG group ; Cdyn : @ @ ml/cmH ( @ ) O , @ @ ml/cmH@O for VCV group and @ @ ml/cmH ( @ ) O , @ @ ml/cmH ( @ ) O for PCV-VG group ) .
8
24851689
results
Compared with VCV group , PCV-VG group showed a lower Ppeak @ minutes and @ minutes after OLV -LSB- ( @ @ cmH ( @ ) O ) vs ( @ @ cmH ( @ ) O ) and ( @ @ cmH ( @ ) O ) vs ( @ @ cmH ( @ ) O ) with a higher Cdyn at the same point ( @ @ ml/cmH ( @ ) O ) vs ( @ @ ml/cmH ( @ ) O ) and @ @ ml/cmH ( @ ) O ) vs ( @ @ ml/cmH ( @ ) O ) -RSB- ( P < @ ) .
9
24851689
results
Compared with VCV group,IL-@ and TNF - of PCV-VG group @ hour after OLV and @ hour after the end of surgery were significantly lower ( P < @ ) ( IL-@ : @ @ vs @ @ pg/ml and @ @ vs @ @ pg/ml ; TNF - : @ @ vs @ @ pg/ml and @ @ vs. @ @ pg/ml ) .
10
24851689
conclusions
During one-lung ventilation in thoracoscopic lobectomy , PCV-VG mode has a competitive advantage over VCV mode in terms of pulmonary function and lung protection .
11
24748400
objective
We compared the recovery profile of propofol and sevoflurane when used for maintenance of anesthesia in elective day care operative procedures .
0
24748400
methods
One hundred ASA physical status I and II patients , aged between @ and @ years , were randomly assigned to receive either propofol-nitrous oxide or sevoflurane-nitrous oxide maintenance of anesthesia .
1
24748400
methods
Early and intermediate recovery in terms of cognitive and ambulatory functions was recorded .
2
24748400
methods
Psychomotor testing , in the form of Trieger dot test and digit symbol substitution test , were performed before surgery and in the post-anesthesia care unit at @ min , @ min , @ h , @ h , and @ h following nitrous oxide switch-off to evaluate intermediate recovery .
3
24748400
results
There were no significant differences in recovery of early cognitive functions between the two groups , except that patients in the sevoflurane group were more responsive at around @ min following nitrous oxide switch-off and `` recalled address '' earlier than patients in the propofol group .
4
24748400
results
There was no significant difference in between the two groups with regard to `` home-readiness . ''
5
24748400
conclusions
Recovery from sevoflurane anesthesia , especially with regard to cognitive functions , may be slightly faster than from propofol , but the difference is not sufficiently significant to affect the time to `` home-readiness '' in patients undergoing day care surgery .
6
24594499
background
Vertigo imposes considerable health restrictions with significant impact on the patient 's quality of life .
0
24594499
background
The most effective antivertigo agent is undetermined thus far .
1
24594499
objective
This study was performed to assess whether promethazine has superior vertigo reduction compared with lorazepam in ED patients .
2