Проблеми осцилометричного методу вимірювання артеріального тиску

AimRelaxation and guided imagery is a distraction technique known to reduce discomfort during paediatric medical procedures. We examined whether its use decreased the stress experienced by 11- to 12-year-old girls receiving the human papilloma virus vaccination, as well as the intensity and unpleasantness of any pain. MethodsA randomised crossover trial was conducted with 37 girls. During the first vaccination, each girl was randomised to receive either relaxation and guided imagery or standard care. They then received the other form of care during the second vaccination. Salivary cortisol was measured before each vaccination, and 30minutes after it was administered. The girls reported pain intensity and pain unpleasantness before and directly after each vaccination and stress after each vaccination. ResultsOn a group level, relaxation and guided imagery did not decrease cortisol levels, self-reported stress, pain intensity and pain unpleasantness. Salivary cortisol levels decreased significantly in both groups during the second vaccination. ConclusionRelaxation and guided imagery did not prove beneficial during the vaccination of 11- to 12-year-old girls and is not recommended as a regular nursing intervention. However, further research is needed into effective techniques to help children who experience pain unpleasantness in connection with needle procedures.Funding Agencies|Ebba Danelius Foundation; Swedish Association of Paediatric Nurses; Gertrud Ostlinder Foundation; Jerring Foundation</p

Fever tree revisited: From malaria to autoinflammatory diseases

Over the centuries the idea of recurrent fevers has mainly been associated with malaria, but many other fevers, such as typhoid and diphtheria were cause for concern. It is only in recent times, with the more severe forms of fever from infectious origin becoming less frequent or a cause for worry that we started noticing recurrent fevers without any clear infectious cause, being described as having a pathogenesis of autoinflammatory nature. The use of molecular examinations in many cases can allow a diagnosis where the cause is monogenic. In other cases, however the pathogenesis is likely to be multifactorial and the diagnostic-therapeutic approach is strictly clinical. The old fever tree paradigm developed to describe fevers caused by malaria has been revisited here to describe today's periodic fevers from the periodic fever adenitis pharyngitis aphthae syndrome to the more rare autoinflammatory diseases. This model may allow us to place cases that are yet to be identified which are likely to be of multifactorial origin

Acute lobar nephritis in children: Not so easy to recognize and manage

Acute lobar nephritis (ALN) is a localized non-liquefactive inflammatory renal bacterial infection, which typically involves one or more lobes. ALN is considered to be a midpoint in the spectrum of upper urinary tract infection, a spectrum ranging from uncomplicated pyelonephritis to intrarenal abscess. This condition may be difficult to recognize due to the lack of specific symptoms and laboratory findings. Therefore the disease is probably underdiagnosed. Computed tomography scanning represents the diagnostic gold standard for ALN, but magnetic resonance imagine could be considered in order to limit irradiation. The diagnosis is relevant since initial intravenous antibiotic therapy and overall length of treatment should not be shorter than 3 wk. We review the literature and analyze the ALN clinical presentation starting from four cases with the aim to give to the clinicians the elements to suspect and recognize the ALN in children

From perception to the Digital World: phenomenological observations

This article is based on Gibson’s “experimental phenomenology” and ecological perspec- tive. It aims to develop Merleau-Ponty’s concept of “incarnate” by relating it to the more general concept of “illusion” in order to apply it to digital environments and immersive virtual realities. First of all, we should clarify, from a phenomenological point of view, the notion of “world.” Although the concept of “world” is closely linked to that of “reality,” it cannot be superimposed on it. We will analyze this distinction by focusing on specific cases of optical-geometric illusions and their ontological and epistemological implications. We will then extend them from the natural to the digital world

Genetic profiling of autoinflammatory disorders in patients with periodic fever: a prospective study

Periodic fever syndromes (PFS) are an emerging group of autoinflammatory disorders. Clinical overlap exists and multiple genetic analyses may be needed to assist diagnosis. We evaluated the diagnostic value of a 5-gene sequencing panel (5GP) in patients with undiagnosed PFS

"Movement as Disclosive of Being". Merleau-Ponty: From the Psychology of Gestalt to the Analysis of Movement

In this essay we seek to clarify the meaning and theoretical implications of the statement by Merleau-Ponty contained in his 1953 course, Le Monde Sensible et le Monde de l’Expression, according to which movement is ‘revealing of being’. This analysis takes up and comments on chapter 7 of Koffka’s Principles of Gestalt Psychology (dedicated to the issue of movement) and related experiments in particular. We will show that Merleau-Ponty’s idea of ontology of movement emerges from his examination of several exemplary cases. This method of analysis brings to light an idea of similar phenomenology compatible with an experimental phenomenology