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At least 19 recordsLinked to original sources

PubMed1999

Inverse relation of body-surface activation-recovery interval and recovery time to activation time in normal subjects: stronger correlation and more heterogeneous distribution in activation-recovery interval than in recovery time.

The activation-recovery interval (ARI), measured directly from the myocardium, has shown a good correlation with the action potential duration (APD) in experiments. APD has been reported to be inversely related to the activation time (AT). However, no studies have examined the correlation between the body-surface ARI and AT in normal subjects. Fifty normal subjects (25 men and 25 women) were studied to elucidate the relationship between the body-surface ARI and AT. The body-surface AT was defined as the duration between the QRS onset and the minimum dV/dt of the QRS wave, and ARI as the interval between the minimum dV/dt of the QRS wave and the maximum dV/dt of the T wave in each lead of an 87 unipolar lead system. We also measured the recovery time (RT) defined as the duration between the QRS onset and the maximum dV/dt of the T wave. ARI was inversely correlated with AT (r = -0.73). RT was also inversely correlated with AT (r = -0.61), however, RT had a less heterogeneous distribution than ARI (148 ms vs 159 ms). There were no differences between male and female subjects in the relation between ARI and RT or in the body-surface distribution of ARI and RT. These findings suggest that the body-surface ARI may reflect recovery properties over the cardiac surface and that APD may distribute inhomogeneously over the human cardiac surface with a longer RT over an area with a shorter AT. ARI calculated from body-surface ECG may be a useful noninvasive and repeatedly measurable estimate of APD.

Adolescent↗

PubMedDate not supplied

[Modeling the processes of cell recovery from radiation injury and the effective dose reduction principle. Model of postradiation recovery with a finite number of recovery channels].

Using the effective dose reduction principle for the description of the postirradiation recovery a mathematical model has been developed with the definite number of recovery channels in a cell. It was established that the number of recovery channels in Megri 139-B yeast cells was of the order of 10. The model may be applied for co-ordination of studies in the repair of radiation-induced lesions in a DNA molecule and in the postirradiation survival of exposed cells.

Cells↗

PubMed1995

[Concept of activation recovery interval and clinical usefulness of body surface recovery time and recovery time isochrone map].

Several experimental studies have suggested that activation recovery interval (ARI), i.e., the interval between the minimum dV/dt of the QRS and the maximum dV/dt in the ST-T segment on unipolar electrograms, is correlated closely with the transmembrane action potential duration. The ARI can be measured from numerous electrograms recorded simultaneously to provide spatial distribution data on local ventricular recovery. On the other hand, recovery time (RT), i.e., the interval between QRS onset and the time of maximum dV/dt in the ST-T segment, is used to estimate dispersion of ventricular repolarization. In this review article, clinical usefulness of RT and RT ischrone map measured by body surface mapping is outlined in normal subjects and some clinical settings.

Body Surface Potential Mapping↗

PubMed2026

Psychological Capital and Perceived Stress in Nurses: The Mediating Role of Need for Recovery and Recovery Experiences.

AIM: To examine whether recovery experiences and need for recovery mediate the association between psychological capital and perceived stress in nurses. DESIGN: Cross-sectional online survey. METHODS: A total of 184 nurses currently practicing in France completed an anonymous online questionnaire administered in January 2023. Participants completed the French versions of the Psychological Capital Questionnaire, the Recovery Experience Scale, the Need for Recovery Scale, and the Perceived Stress Scale. Two mediation models were estimated using ordinary least squares regression with percentile bootstrap inference for the indirect effects. RESULTS: Psychological capital was positively associated with recovery experiences and negatively associated with need for recovery. Need for recovery was strongly and positively associated with perceived stress, while psychological capital showed no direct association with perceived stress. The indirect effect of psychological capital on perceived stress through need for recovery was statistically detectable, whereas a complementary indirect effect through recovery experiences was in the expected direction but did not meet the bootstrap criterion for statistical significance. CONCLUSION: In this cross-sectional sample, psychological capital was associated with lower perceived stress primarily through its association with reduced need for recovery rather than through a direct association with stress. Interventions intended to protect nurse well-being should therefore be conceived as combining individual resource-building with organizational architectures that enable effective recovery. IMPLICATION FOR NURSING PRACTICE: Psychological capital should be seen as one element in integrated interventions rather than a stand-alone solution to nursing stress. Brief recovery-focused interventions for nurses need to be combined with scheduling practices and organizational policies that protect rest and make recovery feasible, a configuration that appears more promising than psychological capital training alone. REPORTING METHOD: The study followed the STROBE Statement for the reporting of cross-sectional studies. NO PATIENT OR PUBLIC CONTRIBUTION: This study focused on nurses as study participants. No patient or public stakeholder was involved in the design, conduct, or interpretation of the research, since the research question concerns occupational psychological resources rather than clinical practice or care delivery.

Humans↗

PubMed1993

Recovery from pancuronium and vecuronium administered simultaneously in the isolated forearm and the effect on recovery following administration after cross-over of drugs.

If recovery of neuromuscular block in the isolated arm is determined by biophase binding, then a significant amount of drug will still be present in the biophase at 50% recovery of twitch response. To test this hypothesis we administered pancuronium at 50% recovery from vecuronium block and vecuronium at 50% recovery from pancuronium block in the isolated forearms of volunteers. To ensure that any effect of drug released into the plasma did not affect the results, both experiments were performed simultaneously, one in each forearm of each volunteer. Control experiments were performed to determine the effect of subsequent injections of the same drug at 50% recovery and of subsequent injections of the alternative drug (i.e., vecuronium following pancuronium and pancuronium following vecuronium) at 100% recovery of the twitch response. Prior administration of vecuronium significantly shortened the recovery from subsequent pancuronium when administered at 50% recovery, but not 100% recovery, and pancuronium significantly increased the recovery rate of vecuronium when given at 50% recovery but not 100% recovery. These findings support the concept of biophase binding of nondepolarizing neuromuscular blocking drugs.

Anesthesia Recovery Period↗

PubMed2005

Establishment of signal-recovery functions for calculation of recovery factor. Application to monitoring of contaminant residues in vegetables by chemiluminescence detection.

A new strategy is proposed for verifying if recovery factor is constant and independent of the real analyte content of samples. A signal-recovery function has been developed on the basis of measurement of spiked test samples before and after a pre-treatment step and considering, as starting point, a recent IUPAC recommendation which distinguishes between two terms--recovery factor, R, and apparent recovery, R*. Apparent recovery includes recovery factor and a new recovery term proposed in a previous paper by the authors, named calibration recovery, R(C). The signal-recovery function is obtained directly from the measured analytical signals instead of from the concentrations, simplifying the calculations. A linear signal-recovery curve indicates that the recovery factor is constant in the analyte concentration range studied experimentally and, in this way, a single recovery factor can be calculated. The usefulness of the proposed method has been shown by quantification of the pesticide carbaryl by two different flow-injection analysis methods with chemiluminescent detection based on the luminol and TCPO systems. Good results were obtained from both methods.

Food Contamination↗

PubMed1996

Comparative study of lactate removal in short term massage of extremities, active recovery and a passive recovery period after supramaximal exercise sessions.

This investigation highlights the comparison of blood lactate removal during the period of recovery in which the subjects were required to sit down as a passive rest period, followed by active recovery at 30% VO(2)max and short term body massage, as the three modes of recovery used. Ten male athletes participated in the study. Exercise was performed on a bicycle ergometer with loads at 150% VO(2)max, each session lasting 1 min, interspaced with 15 sec rest periods, until exhaustion. Blood lactate concentration was recorded at recovery periods of 0,3, 5, 10, 20, 30, and 40 min, while VO(2), VCO(2) and heart rate were recorded every 30 sec for 30 min. The highest mean lactate value was found after 3 min of recovery irrespective of the type of modality applied. Significantly lower half life of lactate was observed during active recovery (15.7 +/- 2.5 min) period, while short term massage as a means of recovery required 21.8 +/- 3.5 min and did not show any significant difference from a passive type of sitting recovery period of 21.5 +/- 2.8 min. Analysis of lactate values indicated no remarkable difference between massage and a passive type of sitting recovery period. It was observed that in short term massage recovery, more oxygen was consumed as compared to a passive type of sitting recovery. It is concluded from the study that the short term body massage is ineffective in enhancing the lactate removal and that an active type of recovery is the best modality for enhancing lactate removal after exercise.

Adult↗

PubMed2003

Performance for short intermittent runs: active recovery vs. passive recovery.

The purpose of this study was to compare the effects of active vs. passive recovery on the time to exhaustion for intermittent runs (15 s) at supramaximal velocity (120% of maximal aerobic speed). Twelve male subjects performed a graded test, an intermittent run to exhaustion with active recovery (50% of maximal aerobic speed) and an intermittent run to exhaustion with passive recovery. Results showed that intermittent runs to exhaustion with passive recovery [745 (171) s] allowed subjects to run for a significantly longer (p<0.001) time than intermittent runs to exhaustion with active recovery [445 (79) s]. These results could be explained by a significantly higher (p<0.001) energy requirement for intermittent runs with active recovery [59.9 (9.6) ml.kg(-1).min(-1)] than for intermittent runs with passive recovery [48.9 (6.9) ml.kg(-1).min(-1)]. It could be also hypothesized that the energy required to run during short active recovery would result in less oxygen being available to reload myoglobin and haemoglobin, to remove lactate concentrations and to resynthesize the phosphocreatine. Consequently, for intermittent runs with short recovery periods, passive recovery will induce a longer time to exhaustion than active recovery.

Adult↗

PubMed1999

Metabolic and hemodynamic changes during recovery and tracheal extubation in neurosurgical patients: immediate versus delayed recovery.

UNLABELLED: Delayed recovery has been advocated to limit the postoperative stress linked to awakening from anesthesia, but data on this subject are lacking. In this study, we measured oxygen consumption (V(O2)) and plasma catecholamine concentrations as markers of postoperative stress. We tested the hypothesis that delayed recovery and extubation would attenuate metabolic changes after intracranial surgery. Thirty patients were included in a prospective, open study and were randomized into two groups. In Group I, the patients were tracheally extubated as soon as possible after surgery. In Group II, the patients were sedated with propofol for 2 h after surgery. V(O2), catecholamine concentration, mean arterial pressure (MAP), and heart rate (HR) were measured during anesthesia, at extubation, and 30 min after extubation. V(O2) and noradrenaline on extubation and mean V(O2) during recovery were significantly higher in Group II than in Group I (V(O2) for Group I: preextubation 215 +/- 46 mL/min, recovery 198 +/- 38 mL/min; for Group II: preextubation 320 +/- 75 mL/min, recovery 268 +/- 49 mL/min; noradrenaline on extubation for Group I: 207 +/- 76 pg/mL, for Group II: 374 +/- 236 pg/ mL). Extubation induced a significant increase in MAP. MAP, HR, and adrenaline values were not statistically different between groups. In conclusion, delayed recovery after neurosurgery cannot be recommended as a mechanism of limiting the metabolic and hemodynamic consequences from emergence from general anesthesia. IMPLICATIONS: In this study, we tested the hypothesis that delayed recovery after neurosurgery would attenuate the consequences of recovery from general anesthesia. As markers of stress, oxygen consumption and noradrenaline blood levels were higher after delayed versus early recovery. Thus, delayed recovery cannot be recommended as a mechanism of limiting the metabolic and hemodynamic consequences from emergence after neurosurgery.

Aged↗

PubMed1989

Recovery-phase patterns of ST segment depression in the heart rate domain. Identification of coronary artery disease by the rate-recovery loop.

Although the time course of ST segment depression after exercise has been related to the presence and severity of coronary artery disease, recovery-phase patterns of ST segment depression with reference to changing heart rate have not been quantified. We have found distinct recovery loop patterns of ST segment depression that distinguish subjects without coronary disease from patients with coronary artery disease when ST segment depression is examined in the heart rate domain. Continuous plots of ST segment depression and heart rate were constructed throughout treadmill exercise and recovery in 100 clinically normal subjects, in 124 patients with coronary artery disease proven by catheterization, and in 17 patients with no significant coronary disease at catheterization. Among clinically normal subjects, 95% (95 of 100) had normal (clockwise) rate-recovery loops, and 5% (five of 100) had abnormal (counterclockwise) rate-recovery loops. In these normal subjects, the resulting 95% specificity of a normal rate-recovery loop was similar to the 93% (93 of 100) specificity of standard end-exercise ST segment depression criteria. Among patients with coronary disease proven by angiography, 93% (115 of 124) had abnormal (counterclockwise) rate-recovery loops, and 7% (nine of 124) had normal rate-recovery loops. In contrast was the significantly lower 74% (92 of 124) sensitivity of standard ST segment criteria (p less than 0.001 vs. the rate-recovery loop). Specificity of a normal rate-recovery loop (71%, 12 of 17) and standard ST segment depression criteria (71%, 12 of 17) were similar in the patients with normal coronary arteries at angiography.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

PubMed2001

The relation between work-induced neuroendocrine reactivity and recovery, subjective need for recovery, and health status.

OBJECTIVES: The purpose of this cross-sectional study with repeated measurements was to find out to what extent neuroendocrine reactivity during work and neuroendocrine recovery from work, and work characteristics, are related to subjective need for recovery and perceived health status. METHODS: Neuroendocrine reactivity and recovery were studied in 59 subjects by measuring urinary adrenaline and cortisol repeatedly during five consecutive days. Measures of work characteristics, subjective need for recovery, and health status were obtained by self-reports. Two hierarchical multiple linear regression analyses were performed. RESULTS: The work characteristics alone explained 39% and 28% of the variation in subjective need for recovery and health status, respectively, while these figures rose to 49% and 53% in the full models. Significant neuroendocrine contributors were found for cortisol in reactivity during work and recovery immediately after work and recovery during the day off-work, and for adrenaline in baseline level and recovery during the day off-work. Job characteristics contributed significantly as well. CONCLUSION: Both neuroendocrine measures and work characteristics were predictors for the amount of perceived need for recovery after work as well as for health status. The results are consistent with the cognitive activation theory of stress.

Adult↗

PubMed2006

The effect of direct-from-recovery room discharge of laparoscopic cholecystectomy patients on recovery room workload.

Ambulatory laparoscopic cholecystectomy pathways move patients through the hospital without encountering delays caused by congested inpatient bed units. However, redirecting patients to a direct discharge pathway might not be beneficial if recovery capacity is further taxed by additional workload. In this study, we attempt to assess the operational impact on recovery room workload of directly discharging laparoscopic cholecystectomy patients to home. We conducted a retrospective case-control review of recovery room flow sheets to determine recovery room time and effort required for laparoscopic cholecystectomy patients. The study was restricted to patients of a single surgeon to minimize confounds from surgical technique. Fifty-seven case patients (May 1, 2004, through November 30, 2004), all managed with intent to directly discharge from the recovery room, were compared with control patients (n = 81) from the corresponding 6 months in the year before the direct-discharge plan. The times (mean; 95% confidence interval) to meet objective criteria for adequate pain control (3.5 minutes [2.1 to 5.9] versus 4.0 minutes [2.6 to 6.1]) and readiness for discharge from phase 1 recovery (8.1 minutes [4.8 to 13.6] versus 6.1 minutes [4.0 to 9.5]) were not different between the groups. The number and distribution of interventions documented in the recovery process were not different between groups, nor was there a difference in recovery room length of stay (158 minutes [138 to 182] versus 149 minutes [132 to 167]). In our study, recovery room records reveal little if any increased workload associated with the direct-to-home discharge of laparoscopic cholecystectomy patients.

Cholecystectomy, Laparoscopic↗

PubMed1995

Recovery of the compound action potential following prior stimulation: evidence for a slow component that reflects recovery of low spontaneous-rate auditory neurons.

Relkin and Doucet (1991) have shown that recovery of single auditory-nerve neurons from the effects of prior stimulation by a 100 ms pure tone varies with the spontaneous activity of the neuron. Recovery of thresholds for low spontaneous-rate (SR) neurons takes up to 2.0 s, a factor of 10 times greater than the 200 ms required for recovery of high SR neurons. The purpose of this study was to see if the different recovery rates for the two classes of neurons is reflected in recovery of the amplitude of the compound and potential (CAP) recorded in response to a brief probe tone with similar prior stimulation. We present evidence for two components in the recovery of the CAP amplitude, a slow and fast component, that have time courses similar to those for the recovery of responses for single low and high SR neurons, respectively. Thus, we conclude that the recovery of the CAP amplitude does indeed reflect the underlying recovery processes of single auditory-nerve neurons.

Acoustic Stimulation↗

PubMed2004

Fatigue and recovery after high-intensity exercise. Part II: Recovery interventions.

The purpose of this study was to determine the effect of three types of recovery intervention to neuromuscular function after high-intensity uphill running exercise. The 20-min recovery interventions were (i) passive, (ii) active (running at 50 % of maximal aerobic speed), and (iii) low-frequency electromyostimulation. Evoked twitch and maximal voluntary contractions of knee extensor muscles (KE) and EMG of the vastus lateralis and vastus medialis were analysed immediately after the exercise, 10 min after the end of the recovery periods, and 65 min after the exercise (Post65). An all-out running test was also performed 80 min after the end of the fatiguing exercise. No significant differences were noted in any measured parameters but a tendency to a better performance during the all-out test was found after the electromyostimulation intervention (297.5 +/- 152.4 s vs. 253.6 +/- 117.1 s and 260.3 +/- 105.8 s after active and passive recovery, p = 0.13 and p = 0.12, respectively). At Post65, isometric maximal voluntary contraction torque did not return to the pre-exercise values (279.7 +/- 86.5 vs. 298.7 +/- 92.6 Nm, respectively; p < 0.05). During recovery, electrically evoked twitch was characterized by an increase of peak torque, maximal rate of force development and relaxation (+ 24 - 33 %; p < 0.001) but these values were still lower at Post65 than pre-exercise. Amplitude and surface of the M-wave decreased during recovery. These results show that the recovery of the voluntary force-generating capacity of KE after an intermittent high-intensity uphill running exercise do not depend on the type of recovery intervention tested here. It can also be concluded that the recovery of twitch contractile properties does not necessarily follow that of maximal muscle strength.

Adult↗

PubMed2001

Post-Traumatic amnesia: consistency-of-recovery and duration-to-recovery following traumatic brain impairment.

The aim of this research was to examine the nature and order of recovery of orientation and memory functioning during Post-Traumatic Amnesia (PTA) in relation to injury severity and PTA duration. The Westmead PTA Scale was used across consecutive testing days to assess the recovery of orientation and memory during PTA in 113 patients. Two new indices were examined: a Consistency-of-Recovery and a Duration-to-Recovery index. A predictable order of recovery was observed during PTA: orientation-to-person recovered sooner and more consistently than the following cluster; orientation-to-time, orientation-to-place, and the ability to remember a face and name. However, the type of memory functioning required for the recall face and name task recovered more consistently than that required for memorizing three pictures. An important overall finding was that the "order-of-recovery" of orientation and memory functioning was dependent upon both the elapsed days since injury, and the consistency of recovery. The newly developed indices were shown to be a valuable means of accounting for differences between groups in the elapsed days to recovery of orientation and memory. These indices also clearly increase the clinical utility of the Westmead PTA Scale and supply an objective means of charting (and potentially predicting) patients' recovery on the different components of orientation and memory throughout their period of hospitalization.

Adolescent↗

PubMed2002

Integrated analysis of myocardial blush and ST-segment elevation recovery after successful primary angioplasty: Real-time grading of microvascular reperfusion and prediction of early and late recovery of left ventricular function.

BACKGROUND: ST-segment elevation (SigmaSTe) recovery and the angiographic myocardial blush (MB) grade are useful markers of microvascular reperfusion after recanalization of the infarct-related artery. We investigated the ability of a combined analysis of MB grade and SigmaSTe changes to identify different patterns of myocardial reperfusion shortly after primary percutaneous coronary angioplasty (PTCA) and to predict 7-day and 6-month left ventricular (LV) functional recovery. METHODS AND RESULTS: MB grade and SigmaSTe recovery were evaluated shortly after successful primary PTCA (restoration of TIMI grade 3 flow) in 114 consecutive patients with SigmaSTe acute myocardial infarction. LV function was assessed by 2D echocardiograms before PTCA and at 7 days and 6 months thereafter. By combining MB and SigmaSTe changes, 3 main groups of patients were identified. Group 1 patients (n=60) had both significant MB (grade 2 to 3) and SigmaSTe recovery (>50% versus basal SigmaSTe) and a high rate of 7-day (65%) and 6-month (95%) LV functional recovery. In group 2 patients (n=21), who showed MB but persistent SigmaSTe, the prevalence of early LV functional recovery was low (24%) but increased up to 86% in the late phase. Group 3 patients (n=28), who had neither significant MB nor SigmaSTe resolution, had poor early (18%) and late (32%) LV functional recovery. CONCLUSIONS: After successful primary PTCA, integrated analysis of MB and SigmaSTe recovery allows a real-time grading of microvascular reperfusion of the infarct area and predicts the time-course and magnitude of LV functional recovery.

Angioplasty, Balloon, Coronary↗

PubMed2006

Unified rate-dependent atrioventricular nodal function: consistent recovery and fatigue properties revealed with S1S2S3 protocols and different recovery indexes.

BACKGROUND: Rate-dependent nodal properties are commonly assessed with premature protocols performed at different basic rates. Because characteristics of responses differ with recovery time index, the true nature of nodal rate-dependent properties is elusive. OBJECTIVES: The purpose of this study was to reveal consistent nodal rate-dependent properties regardless of selected recovery index. METHODS: With S(1)S(2)S(3) protocols, we independently varied basic and pretest cycle lengths and thereby distinguished cumulative from noncumulative effects of rate on nodal conduction time in rabbit heart preparations. Nodal responses to 30 basic and pretest cycle length combinations (five with identical basic and pretest cycles as in standard protocols) were analyzed using both atrial (AA) and His-atrial (HA) intervals as recovery index. RESULTS: AA and HA curves had an identical shape for any of 30 steady-state conditions. When assessed with constant pretest cycle lengths, cumulative effects (fatigue) of shortened basic cycle lengths were also independent of recovery index. Shortening of pretest cycle length at fixed basic rates led to apparent inhibitory and facilitatory effects when assessed with AA and HA curves, respectively. These effects vanished when a single long cycle was inserted after the pretest cycle. In all responses including those obtained with standard protocols, combined effects of basic and pretest cycle lengths set nodal conduction time. CONCLUSION: S(1)S(2)S(3) protocols reveal consistent nodal recovery and fatigue properties regardless of recovery index used. Changes in nodal function curves arising from the use of different recovery indexes mainly depend on pretest effects. This study provides a new approach to a unified interpretation of nodal recovery and fatigue properties.

Analysis of Variance↗

PubMed1979

Neurophysiological mechanisms of recovery from visual cortex damage in cats: properties of lateral suprasylvian visual area neurons following behavioral recovery.

Damage to visual cortical areas 17, 18, and 19 in the cat produces severe and long-lasting deficits in performance of form and pattern discriminations. However, with extensive retraining the animals are able to recover their ability to discriminate form and pattern stimuli. Recent behavioral experiments from this laboratory have shown that a nearby region of cortex, the lateral suprasylvian visual area (LS area), plays an important role in this recovery (Wood et al., 1974; Baumann and Spear, 1977b). The present experiment investigated the underlying neurophysiological mechanisms of the recovery by recording from single neurons in the LS area of cats which had recovered from long-term visual cortex damage. Five adult cats received bilateral removal of areas 17, 18, and 19. They were then trained to criterion on two-choice brightness, form, and pattern discriminations. Recording from LS area neurons was carried out after the behavioral training, from 3 to 7 months after the visual cortex lesions. The properties of these neurons were compared to those of LS area neurons in normal cats (Spear and Baumann, 1975) and in cats with acute or short-term visual cortex damage and no behavioral recovery (Spear and Baumann, 1979). The results showed that all of the changes from normal which were produced by acute visual cortex damage were also present after the behavioral recovery. Moreover, all of the response properties of LS area neurons which remain after acute visual cortex damage were present in similar form after the behavioral recovery. There was no evidence for any functional reorganization in the LS area concomitant with its role in the behavioral recovery. These results suggest that functional reorganization plays little or no role in recovery from visual cortex damage in adult cats. Rather, the recovery of form and pattern discrimination ability appears to be based upon the functioning of residual neural processes in the LS area which remain after the visual cortex damage.

Animals↗