Twenty Minutes with Emphysema

"Time matters in caring for patients: Twenty minutes isn't enough."

The Pharos/Spring 2016 The good physician knows his patients through and through, and his knowledge is bought dearly. Time, sympathy, and understanding must be lavishly dispensed, but the reward is to be found in that personal bond which forms the greatest satisfaction of the practice of medicine. One of the essential qualities of the clinician is interest in humanity, for the secret of the car...

Twenty minutes of passive stretching lowers glucose levels in an at-risk population: an experimental study.

QUESTION Can passive static stretching lower blood glucose in an at-risk population? DESIGN Randomised, within-participant experimental study. PARTICIPANTS 22 adults (17 males) either at increased risk of Type 2 diabetes or with Type 2 diabetes. INTERVENTION The participants reported to the laboratory 2hr after eating a meal, and drank 355ml of fruit juice (∼43g carbohydrate). Thirty minu...

Forty versus twenty minutes trials maintenance of wakefulness test regimen for driving licensing

Study Objectives: Objective assessment of the ability to maintain wakefulness, although very important, is still equivocal. A recent study from our lab has shown that the Maintenance of Wakefulness Test, when performed with the 20 minute protocol (MWT20), is unreliable in assessing patients who are highly motivated to maintain wakefulness. In this study we sought to examine whether the 40 minut...

Large eddy simulations of contrail development: Sensitivity to initial and ambient conditions over first twenty minutes

[1] A three‐dimensional large‐eddy simulation with size‐resolved ice microphysics was used to model persistent contrails and compute their optical depth and area coverage. Eleven cases were run with various levels of vertical wind shear, aircraft type, relative humidity, ice nuclei effective emission index, and atmospheric stability and were analyzed with respect to their fluid dynamics and ice...

Acute Mediastinal Emphysema with Generalized Emphysema