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SAGE Open Medicine

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https://www.readbyqxmd.com/read/28932398/mid-calf-level-as-a-puncture-site-is-not-safe-enough-for-thermal-ablation-of-the-small-saphenous-vein
#1
Soner Sanioglu, Halit Yerebakan, Ali Ozgen, Huseyin O Ozdemir, Nurcan K Sancar, Mustafa B Farsak
BACKGROUND: Endovenous thermal ablation of the small saphenous vein carries a risk for sural nerve injury. Ablation above mid-calf level is recommended to avoid it. However, this strategy could not eradicate this complication. We present our results of consecutive 30 small saphenous vein thermal ablations which are performed after ultrasonographic identification of the sural nerve. METHODS: We studied 26 consecutive subjects with a total of 30 limbs. Ablation was performed proximal to the risk point by a 1470-nm diode laser...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28932397/undiagnosed-and-diagnosed-diabetes-mellitus-among-hospitalised-acute-heart-failure-patients-in-botswana
#2
Julius Chacha Mwita, Mgaywa Gilbert Mjungu Damas Magafu, Bernard Omech, Billy Tsima, Matthew J Dewhurst, Monkgogi Goepamang, Yohana Mashalla
OBJECTIVE: The objective of this study was to determine the burden of diagnosed and undiagnosed type 2 diabetes mellitus among patients hospitalised with acute heart failure in Botswana. METHODS: The study enrolled 193 consecutive patients admitted with acute heart failure to the medical wards at Princess Marina Hospital in Gaborone. Patients were classified as previously known diabetics, undiagnosed diabetics (glycated haemoglobin ≥ 6.5%) or as non-diabetics (glycated haemoglobin < 6...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28932396/research-associates-program-expanding-clinical-research-productivity-with-undergraduate-students
#3
Wirachin Hoonpongsimanont, Preet K Sahota, Nathan N Ng, Maryam J Farooqui, Bharath Chakravarthy, Bhakti Patel, Shahram Lotfipour
OBJECTIVES: Clinical research is often time-consuming and difficult to conduct in busy academic institutions. Previous studies have proposed methods to integrate undergraduate students as a means to increase research productivity. The authors aimed to describe the possibility to enhance emergency department research productivity at an academic emergency department in the United States, using undergraduate students in an Emergency Medicine Research Associates Program. METHODS: The authors described the Emergency Medicine Research Associates Program curriculum and its implementation...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28912950/quality-improvement-regarding-handoff
#4
Scott Studeny, Lauren Burley, Kelsey Cowen, Melanie Akers, Kelly O'Neill, Susan L Flesher
BACKGROUND AND OBJECTIVES: Previous studies have emphasized the importance of effectual communication during patient handoffs. The objectives of this study were to (1) implement a resident-driven quality improvement project to improve handoffs by including key elements that are necessary for a safe and effective handoff. We chose to use the IPASS (illness severity, patient summary, action items, situation awareness and contingency planning, synthesis by receiver) mnemonic as our standardized handoff model; (2) Consider balancing measures in an effort to be aware of any negative effects of our interventions on resident satisfaction with the system...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28904794/dexmedetomidine-provides-less-body-motion-and-respiratory-depression-during-sedation-in-double-balloon-enteroscopy-than-midazolam
#5
Hiroshi Oshima, Masanao Nakamura, Osamu Watanabe, Takeshi Yamamura, Kohei Funasaka, Eizaburo Ohno, Hiroki Kawashima, Ryoji Miyahara, Hidemi Goto, Yoshiki Hirooka
OBJECTIVES: Patients undergoing double-balloon enteroscopy require sedatives such as midazolam; however, patient's body motion often hampers the outcome of double-balloon enteroscopy. Recently, dexmedetomidine has been used for endoscopic sedation and was reported to effectively reduce body motion. This study aimed to evaluate the efficacy and safety of sedation with dexmedetomidine in double-balloon enteroscopy (UMIN ID000015785). METHODS: A prospective, observational study was conducted in 81 patients who underwent 111 double-balloon enteroscopy from July to December 2015 (dexmedetomidine group)...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28904793/relationship-between-engagement-and-level-of-functional-status-in-older-adults
#6
Thomas A Dombrowsky
Functional status is an important component of quality of life for older adults and for their caregivers. Factors associated with level of functional status include age, comorbidity, cognitive status, depression, social support, and activity. Of the types of activity linked with functional status, the strongest evidence is for physical exercise, with weaker evidence for social and productive activity. Engagement is a construct including motivation, commitment, and participation. OBJECTIVE: The objective of this study was to determine whether or not engagement is associated with level of functional status after controlling for age, comorbidity, and depression among older adults...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28894587/comparison-of-claims-data-on-hospitalization-rates-and-repeat-procedures-in-patients-receiving-a-bowel-preparation-prior-to-colonoscopy
#7
Lisa E Young, Naomi C Sacks, Philip L Cyr, Abhishek Sharma, David N Dahdal
OBJECTIVES: To evaluate outcomes of colorectal screening using sodium picosulfate and magnesium citrate compared with other prescription bowel-preparation agents. Primary endpoints were rates of procedure-associated hospitalizations, diagnosis at hospitalization, and rates of early repeat screenings. METHODS: This retrospective cohort study identified patients using the Truven Health Analytics MarketScan databases, which contain fully adjudicated, de-identified, medical- and prescription-drug claims, as well as demographic and enrollment information for individuals with commercial, Medicaid, and Medicare supplemental insurance coverage...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28894586/a-pilot-study-on-the-impact-of-dopamine-serotonin-and-brain-derived-neurotrophic-factor-genotype-on-long-term-functional-outcomes-after-subarachnoid-hemorrhage
#8
Ansley Stanfill, Claire Simpson, Paula Sherwood, Samuel Poloyac, Elizabeth Crago, Hyungsuk Kim, Yvette Conley
OBJECTIVES: Many that survive an aneurysmal subarachnoid hemorrhage experience lasting physical disability, which might be improved by medications with effects on the dopaminergic, serotonergic, and brain-derived neurotrophic factor neurotransmitter systems. But it is not clear which patients are most likely to benefit from these therapies. The purpose of this pilot study was to explore the relationship of genetic polymorphisms in these pathways with 12-month functional outcomes after aneurysmal subarachnoid hemorrhage...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28890783/twitter-and-traumatic-brain-injury-a-content-and-sentiment-analysis-of-tweets-pertaining-to-sport-related-brain-injury
#9
Adriana M Workewych, Madeline Ciuffetelli Muzzi, Rowan Jing, Stanley Zhang, Jane Topolovec-Vranic, Michael D Cusimano
OBJECTIVES: Sport-related traumatic brain injuries are a significant public health burden, with hundreds of thousands sustained annually in North America. While sports offer numerous physical and social health benefits, traumatic brain injuries such as concussion can seriously impact a player's life, athletic career, and sport enjoyment. The culture in many sports encourages winning at all costs, placing athletes at risk for traumatic brain injuries. As social media has become a central part of everyday life, the content of users' messages often reflects the prevailing culture related to a particular event or health issue...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28856007/a-pilot-study-of-lymph-node-mapping-with-indocyanine-green-in-robotic-gastrectomy-for-gastric-cancer
#10
Yuan-Tzu Lan, Kuo-Hung Huang, Ping-Hsien Chen, Chien-An Liu, Su-Shun Lo, Chew-Wun Wu, Yi-Ming Shyr, Wen-Liang Fang
OBJECTIVES: Robotic gastrectomy has become increasingly popular in the treatment of gastric cancer, especially in Asian countries. The use of indocyanine green fluorescence has been reported in lymphatic mapping for gastric cancer in laparoscopic gastrectomy; however, there have been few reports regarding the use of indocyanine green in robotic gastrectomy. METHODS: From January 2011 to March 2016, a total of 79 patients underwent robotic gastrectomy for gastric cancer...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28856006/effect-of-wearing-fingers-rings-on-the-behavioral-and-psychological-symptoms-of-dementia-an-exploratory-study
#11
Teruo Yokoi, Hitoshi Okamura, Tomoka Yamamoto, Katsuya Watanabe, Shigeko Yokoi, Hitoshi Atae, Masayuki Ueda, Takahiro Kuwayama, Shigekazu Sakamoto, Saaya Tomino, Hideo Fujii, Takefumi Honda, Takayosi Morita, Takafumi Yukawa, Nobuko Harada
OBJECTIVE: This study was conducted to examine the effects of an approach that wears finger rings on elderly females with behavioral and psychological symptoms of dementia. METHOD: The subjects were seven Japanese dementia patients living in elderly nursing homes. A single-case experimental design was adopted for the study. Each study subject was asked to put rings on her finger (from 9:00 to 19:00) for 7 days. The Neuropsychiatric Inventory, scenes of behavioral and psychological symptoms of dementia, interest in wearing rings, self-awareness, and overall profile were determined to assess the effect on the patients of wearing rings...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28839943/involvement-of-family-members-in-life-with-type-2-diabetes-six-interconnected-problem-domains-of-significance-for-family-health-identity-and-healthcare-authenticity
#12
Dan Grabowski, Tue Helms Andersen, Annemarie Varming, Christine Ommundsen, Ingrid Willaing
OBJECTIVES: Family involvement plays a key role in diabetes management. Problems and challenges related to type 2-diabetes often affect the whole family, and relatives are at increased risk of developing diabetes themselves. We highlight these issues in our objectives: (1) to uncover specific family problems associated with mutual involvement in life with type 2-diabetes and (2) to analytically look at ways of approaching these problems in healthcare settings. METHODS: Qualitative data were gathered in participatory problem assessment workshops...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28839942/early-palliative-home-care-evaluation-of-an-interprofessional-educational-intervention-for-district-nurses-and-general-practitioners-about-nutritional-care
#13
Erika Berggren, Ann Ödlund Olin, Ylva Orrevall, Peter Strang, Sven-Erik Johansson, Lena Törnkvist
BACKGROUND: Teamwork is important in early palliative home care, and interprofessional education is required to achieve teamwork. It is thus crucial to ensure that interprofessional education works well for the members of all participating professions because levels of knowledge and educational needs may vary. AIM: To evaluate, by profession, the effectiveness of an interprofessional educational intervention for district nurses and general practitioners on three areas of nutritional care for patients in a palliative phase...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28839941/factors-associated-with-high-cardiovascular-risk-in-a-primarily-african-american-urban-hiv-infected-population
#14
Shashwatee Bagchi, Shana Ab Burrowes, Lori E Fantry, Mian B Hossain, Gemechis H Tollera, Shyamasundaran Kottilil, C David Pauza, Michael Miller, Mona Baumgarten, Robert R Redfield
OBJECTIVE: To determine factors associated with increased risk of developing cardiovascular disease in a high-risk patient population. DESIGN: Cross-sectional analysis of a retrospective cohort study. METHODS: One-hundred patients at an inner city HIV clinic in 2008 were reviewed. The atherosclerotic vascular disease risk score was calculated using the Pooled Cohort Equation. Chi-square test was performed to identify associations of potential risk factors with elevated atherosclerotic vascular disease risk...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28839940/effects-of-combined-treatment-with-fermented-soybean-natto-intake-and-exercise-on-bone-metabolism-in-ovariectomized-rats
#15
Michihiro Kawano, Ichiro Itomine, Masahiko Monma, Kazumi Asakawa, Atsushi Toyoda, Yuji Miyaguchi
OBJECTIVES: Using ovariectomized rats, we examined the influence of combined exercise tolerance and natto intake on the bone loss inhibitory effect. METHODS: We divided female Wistar rats into the following groups: Ovariectomy, Ovariectomy + Exercise, Ovariectomy + Natto Intake, Ovariectomy + Exercise + Natto Intake, and Pseudo-operative (Sham group). After conducting experiments on each group, we collected the tissues and performed morphological and molecular biological analyses...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28839939/how-mental-health-service-systems-are-organized-may-affect-the-rate-of-acute-admissions-to-specialized-care-report-from-a-natural-experiment-involving-5338-admissions
#16
Lars Henrik Myklebust, Knut Sørgaard, Rolf Wynn
OBJECTIVES: Studies on the dynamics between service organization and acute admissions to psychiatric specialized care have given ambiguous results. We studied the effect of several variables, including service organization, coercion, and patient characteristics on the rate of acute admissions to psychiatric specialist services. In a natural experiment-like study in Norway, we compared a "deinstitutionalized" and a "locally institutionalized" model of mental health services. One had only community outpatient care and used beds at a large Central Mental Hospital; the other also had small bed-units at the local District Psychiatric Centre...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28839938/related-factors-of-outcomes-of-pharyngeal-foreign-bodies-in-children
#17
Zhenghua Huang, Peng Li, Lisheng Xie, Jing Li, Honggen Zhou, Qi Li
OBJECTIVE: This study aimed to identify factors related to outcomes of the pharyngeal foreign bodies in children and to improve the management protocol of this disease. METHODS: The medical records of 131 children with pharyngeal foreign bodies hospitalized in the hospital were retrospectively reviewed. RESULTS: Significant differences were observed between the two groups (dislodgement and removal group) with respect to location of pharyngeal foreign bodies and age, while sex, time of pharyngeal foreign bodies, and nature of pharyngeal foreign bodies had no significant differences...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28839937/proteomic-and-transcriptomic-analyses-to-explain-the-pleiotropic-effects-of-ankaferd-blood-stopper
#18
REVIEW
Cem Simsek, Sebnem Selek, Meltem Koca, Ibrahim Celal Haznedaroglu
Ankaferd blood stopper is a standardized mixture of the plants Thymus vulgaris, Glycyrrhiza glabra, Vitis vinifera, Alpinia officinarum, and Urtica dioica and has been used as a topical hemostatic agent and with its clinical application established in randomized controlled trials and case reports. Ankaferd has been successfully used in gastrointestinal endobronchial mucosal and cutaneous bleedings and also in abdominal, thoracic, dental and oropharyngeal, and pelvic surgeries. Ankaferd's hemostatic action is thought to form a protein complex with coagulation factors that facilitate adhesion of blood components...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28839936/pre-surgery-evaluations-by-telephone-decrease-travel-and-cost-for-families-of-children-with-cerebral-palsy
#19
John D Robinson, John D Prochaska, David A Yngve
INTRODUCTION: Children with cerebral palsy need highly specialized care. This can be very burdensome for families, particularly in large rural states, due to the need for long-distance travel to appointments. In this study, children undergoing the selective percutaneous myofascial lengthening surgery utilized a telephone-based telemedicine evaluation to assess for surgical eligibility. The goal was to avoid a separate preoperative clinic visit weeks before the surgery. If possible, eligibility was determined by telephone, and then, the patient could be scheduled for a clinic visit and possible surgery the next day, saving the family a trip...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28839935/variables-associated-with-work-performance-in-multidisciplinary-mental-health-teams
#20
Marie-Josée Fleury, Guy Grenier, Jean-Marie Bamvita, François Chiocchio
OBJECTIVES: This study investigates work performance among 79 mental health teams in Quebec (Canada). We hypothesized that work performance was positively associated with the use of standardized clinical tools and clinical approaches, integration strategies, "clan culture," and mental health funding per capita. METHODS: Work performance was measured using an adapted version of the Work Role Questionnaire. Variables were organized into four key areas: (1) team attributes, (2) organizational culture, (3) inter-organizational interactions, and (4) external environment...
2017: SAGE Open Medicine
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