Changes in work affect in response to lunchtime walking in previously physically inactive employees: A randomized trial

Physical activity may regulate affective experiences at work, but controlled studies are needed and there has been a reliance on retrospective accounts of experience. The purpose of the present study was to examine the effect of lunchtime walks on momentary work affect at the individual and group levels. Physically inactive employees (N = 56; M age = 47.68; 92.86% female) from a large university in the UK were randomized to immediate treatment or delayed treatment (DT). The DT participants completed both a control and intervention period. During the intervention period, participants partook in three weekly 30‐min lunchtime group‐led walks for 10 weeks. They completed twice daily affective reports at work (morning and afternoon) using mobile phones on two randomly chosen days per week. Multilevel modeling was used to analyze the data. Lunchtime walks improved enthusiasm, relaxation, and nervousness at work, although the pattern of results differed depending on whether between‐group or within‐person analyses were conducted. The intervention was effective in changing some affective states and may have broader implications for public health and workplace performance.     

The impact of autonomic dysfunction on peri‐operative cardiovascular complications

Cardiovascular autonomic neuropathy is frequently observed in patients with diabetes mellitus. As anaesthesia has a marked effect on peri‐operative autonomic function, the interplay between diabetic neuropathy and anaesthesia may result in unexpected haemodynamic instability during surgery. The objective of this literature review was to examine the association of cardiovascular autonomic neuropathy with peri‐operative cardiovascular complications. We searched PubMed for articles with search elements of autonomic dysfunction [MeSH] AND anaesthesia [MeSH] AND complications [MeSH]. Depending on the type of anaesthesia, the presence of cardiovascular autonomic neuropathy in surgical patients can markedly affect peri‐operative haemodynamics and postoperative recovery. Pre‐operative testing of the extent of autonomic dysfunction in particular populations, like diabetics, may contribute to a reduction in haemodynamic instability and cardiovascular complications. Non‐invasive diagnostic methods assessing autonomic function may be an important tool during pre‐operative risk assessment.     

Technik der antegraden Femurmarknagelung in Seitenlage

Die Unfallchirurgie - Die Therapie der Wahl bei Femurschaftfrakturen ist die intramedulläre Marknagelung. Lagerungen auf dem Extensionstisch sind zeitaufwendig, freie Lagerungen setzen sich...