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https://www.readbyqxmd.com/read/28474699/-what-can-doctors-do-to-moderate-healthcare-costs
#1
Alberto Lifshitz, Miguel Ángel Celis, Mucio Moreno, Héctor Aguirre Gas, José Halabe, Luis Jasso, Óscar Arrieta, Rubén Burgos, Carlos Campillo, Manuel de la Llata, Judith Domínguez, Sergio Islas, Ricardo Plancarte, Alejandro Reyes, Antonio Soda, Emma Verásteguio, Julio Sotelo
Los costos de la atención médica pueden alcanzar niveles tales que marginen a algunos pacientes de los beneficios del avance científico y tecnológico. Las razones de estos elevados costos son diversas y en la mayoría de los casos no está en manos de los médicos moderarlos. En este escrito se proponen algunas acciones que los médicos podemos realizar para disminuir los costos de la atención médica. La magnitud del ahorro que se puede alcanzar con estas medidas es modesta, puesto que la mayor parte de los costos no dependen de los médicos, pero se trata de ofrecer nuestra contribución...
March 2017: Gaceta Médica de México
https://www.readbyqxmd.com/read/28473854/medical-and-periodontal-clinical-parameters-in-patients-at-different-levels-of-chronic-renal-failure
#2
Caroline Perozini, Gilson Fernandes Ruivo, Lucilene Hernandes Ricardo, Larissa Avance Pavesi, Yeon Jung Kim, Debora Pallos
Aim. To assess the clinical periodontal and medical parameters in patients with chronic renal failure (CRF) at different levels of renal disease. Background. CRF is a progressive and irreversible loss of renal function associated with a decline in the glomerular filtration rate. Periodontal disease is a destructive inflammatory disease affecting periodontal tissues that shows high prevalence in patients with CRF. Materials and Methods. 102 CRF patients were included and divided into an early stage group (EG), predialysis group (PDG), and hemodialysis group (HDG)...
2017: International Journal of Dentistry
https://www.readbyqxmd.com/read/28444055/prospects-of-studies-on-violence-adolescence-and-cortisol-a-systematic-literature-review
#3
Leonardo Planel Lugarinho, Joviana Quintes Avanci, Liana Wernersbach Pinto
Violence has a negative impact on adolescents and affects their quality of life. It causes stress and requires the victim's adaptive capacity, which can cause psychological and biological changes. Hormone cortisol levels have been used as stress biomarker in several studies. This paper aims to perform a systematic literature review of publications on cortisol and violence involving teenagers from 2000 to 2013. Descriptors "cortisol", "violence" and "adolescent" were used in both English and Portuguese in this review, which included bibliographic databases PubMed/Medline, Lilacs, BVS and SciELO...
April 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28421774/los-estudios-de-costes-herramienta-imprescindible-en-la-nutrici%C3%A3-n-cl%C3%A3-nica-del-siglo-xxi
#4
Julia Álvarez Hernández
Seguro que todos compartimos que el gasto sanitario ha crecido progresivamente año tras año en las últimas décadas. Los expertos apuntan, de una forma muy simplista, que el aumento de la demanda sanitaria (aumento de crónicas y degenerativas; envejecimiento de la población) y el incremento de costes de los elementos que comportan la oferta (avances tecnológicos) son las causas que lo provocan. También entendemos que este tipo de presión, lejos de disminuir, en un futuro próximo se prevé que seguirá en crecimiento...
March 30, 2017: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/28412936/-1-h-nmr-analysis-of-feces-new-possibilities-in-the-helminthes-infections-research
#5
Sarantos Kostidis, Daria Kokova, Natalia Dementeva, Irina V Saltykova, Hye Kyong Kim, Young Hae Choi, Oleg A Mayboroda
BACKGROUND: Analysis of the stool samples is an essential part of routine diagnostics of the helminthes infections. However, the standard methods such Kato and Kato-Katz utilize only a fraction of the information available. Here we present a method based on the nuclear magnetic resonance spectroscopy (NMR) which could be auxiliary to the standard procedures by evaluating the complex metabolic profiles (or phenotypes) of the samples. METHOD: The samples were collected over the period of June-July 2015, frozen at -20 °C at the site of collection and transferred within four hours for the permanent storage at -80 °C...
April 17, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28336306/efficacy-of-acellular-nerve-allografts-in-trigeminal-nerve-reconstruction
#6
Andrew Yampolsky, Vincent Ziccardi, Sung-Kiang Chuang
PURPOSE: During trigeminal nerve repair, a gap is sometimes encountered that prevents the tension-free apposition of nerve endings. The use of a processed acellular nerve allograft is a novel technique that shows promise in overcoming this problem. The goal of the present study was to support the slowly evolving body of evidence that acellular processed nerve allografts (Avance; Axogen, Alachua, FL) are a viable alternative to autogenous nerve grafting and the use of conduits for reconstructing defects of the trigeminal nerve...
February 27, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28333703/higher-fresh-gas-flow-rates-decrease-tidal-volume-during-pressure-control-ventilation
#7
Shazia Mohammad, Nikolaus Gravenstein, Drew Gonsalves, Terrie Vasilopoulos, Samsun Lampotang
BACKGROUND: We observed that increasing fresh gas flow (FGF) decreased exhaled tidal volume (VT) during pressure control ventilation (PCV). A literature search produced no such description whereby unintended VT changes occur with FGF changes during PCV. METHODS: To model an infant's lungs, 1 lung of a mechanical lung model (Dual Adult TTL 1600; Michigan Instruments, Inc, Grand Rapids, MI) was set at a compliance of 0.0068 L/cm H2O. An Rp50 resistor (27.2 cm H2O/L/s at 15 L/min) simulated normal bronchial resistance...
May 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/28328632/use-of-processed-nerve-allografts-to-repair-nerve-injuries-greater-than-25-mm-in-the-hand
#8
Brian Rinker, Jozef Zoldos, Renata V Weber, Jason Ko, Wesley Thayer, Jeffrey Greenberg, Fraser J Leversedge, Bauback Safa, Gregory Buncke
Processed nerve allografts (PNAs) have been demonstrated to have improved clinical results compared with hollow conduits for reconstruction of digital nerve gaps less than 25 mm; however, the use of PNAs for longer gaps warrants further clinical investigation. Long nerve gaps have been traditionally hard to study because of low incidence. The advent of the RANGER registry, a large, institutional review board-approved, active database for PNA (Avance Nerve Graft; AxoGen, Inc, Alachua, FL) has allowed evaluation of lower incidence subsets...
June 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28250495/increased-pipeline-pressure-leading-to-concurrent-activation-of-a-medium-priority-alarm-in-all-anaesthesia-machines-ge%C3%A2-avance%C3%A2-in-an-operation-theatre-complex
#9
Amar Nandhakumar
No abstract text is available yet for this article.
February 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28244786/prevalencia-de-las-declaraciones-nutricionales-en-la-prevenci%C3%A3-n-de-la-obesidad-en-el-mercado-espa%C3%A3-ol
#10
Belinda Lopéz-Galán, Tiziana De Magistris
Introducción: a pesar de que estudios anteriores han proporcionado información relevante respecto al avance en la aplicación del Reglamento (CE) n.o 1924/2006 de la Unión Europea, hasta ahora no se ha determinado la prevalencia de las declaraciones nutricionales relevantes en la prevención de la obesidad en el mercado español.Objetivo: determinar la presencia de las declaraciones nutricionales relevantes en la prevención de la obesidad en el mercado español.Materiales y métodos: se realizó un registro de productos alimenticios comercializados en 3 cadenas de distribución alimentaria que concentran el 40% del mercado...
February 1, 2017: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/28177056/social-representations-of-the-health-care-of-the-mby%C3%A3-guarani-indigenous-population-by-health-workers
#11
Mirian Benites Falkenberg, Helena Eri Shimizu, Ximena Pamela Díaz Bermudez
Objective: to analyze the social representations of health care of the Mbyá-Guarani ethnic group by multidisciplinary teams from the Special Indigenous Health District in the south coast of Rio Grande do Sul state (Distrito Sanitário Especial Indígena Litoral Sul do Rio Grande do Sul), Brazil. Method: a qualitative method based on the theory of social representations was used. Data were collected via semi-structured interviews with 20 health workers and by participant observation...
February 6, 2017: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/28157886/photometric-calibration-of-an-in-situ-broadband-optical-thickness-monitoring-of-thin-films-in-a-large-vacuum-chamber
#12
David Hofman, Benoit Sassolas, Christophe Michel, Laurent Balzarini, Laurent Pinard, Julien Teillon, Bertrand David, Bernard Lagrange, Eleonore Barthelemy-Mazot, Gianpietro Cagnoli
To improve the in situ monitoring of thin films at the Laboratoire des Matériaux Avancés, a broadband optical monitoring of the coated thin films was developed and installed in the biggest ion-beam sputtering machine in the world. Due to the configuration of the coating machine and the chamber strain under vacuum, a standard calibration procedure is impossible and a double-beam optical system is not suitable. A novel theoretical and practical solution to calibrate the measurements was found and is described in this paper...
January 20, 2017: Applied Optics
https://www.readbyqxmd.com/read/28087883/defining-genetic-and-chemical-diversity-in-wheat-grain-by-1h-nmr-spectroscopy-of-polar-metabolites
#13
Peter R Shewry, Delia I Corol, Huw D Jones, Michael H Beale, Jane L Ward
SCOPE: The application of high-throughput 1H nuclear magnetic resonance (1H-NMR) of unpurified extracts to determine genetic diversity and the contents of polar components in grain of wheat. METHODS AND RESULTS: Milled whole wheat grain was extracted with 80:20 D2 O:CD3 OD containing 0.05% d4 -trimethylsilylpropionate. 1H-NMR spectra were acquired under automation at 300°K using an Avance Spectrometer operating at 600.0528 MHz. Regions for individual metabolites were identified by comparison to a library of known standards run under identical conditions...
January 13, 2017: Molecular Nutrition & Food Research
https://www.readbyqxmd.com/read/27982362/role-of-paho-who-in-ehealth-capacity-building-in-the-americas-analysis-of-the-2011-2015-period
#14
David Novillo-Ortiz, Marcelo D'Agostino, Francisco Becerra-Posada
Political will and adoption of measures toward the use of eHealth have been steadily increasing, facilitating mobilization of resources necessary to adopt and implement digital services that will make it possible to improve access, expand coverage, and increase financial efficiency of health care systems. Adoption of the Strategy and Plan of Action on eHealth of the Pan American Health Organization (PAHO) in 2011 by all Member States in the Region of the Americas has led the Region to major progress in this regard, including the following: creation of knowledge networks and development of information sources, establishment of eHealth sustainability models, support for development of electronic health records, promotion of standards on health data and related technologies that ensure exchange of information, use of mobile devices to improve health, and improvement in quality of care through telemedicine...
August 2016: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/27925114/the-occurrence-of-external-causes-in-childhood-in-emergency-care-epidemiological-aspects-brazil-2014
#15
Deborah Carvalho Malta, Márcio Dênis Medeiros Mascarenhas, Marta Maria Alves da Silva, Mércia Gomes Oliveira de Carvalho, Laura Augusta Barufaldi, Jovina Quintes Avanci, Regina Tomie Ivata Bernal
Objective: To describe emergency care for external causes in childhood, age group 0-9 years, in Brazilian capitals, collected from the Violence and Accident Surveillance System (VIVA) Survey in 2014. Methods: To review data from the VIVA survey conducted in public emergency services in 24 Brazilian capitals. Variables analyzed were gender, age group (0-1 years, 2-5 years and 6-9 years), race/skin color, type of events and injuries, aggressors and other. Results: Eight thousand five hundred eighty-eight children received care, of which 8,164 (95%) were victims of accidents and 424 (5%) of violence...
December 2016: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/27923670/early-and-progressive-microstructural-brain-changes-in-mice-overexpressing-human-%C3%AE-synuclein-detected-by-diffusion-kurtosis-imaging
#16
Amit Khairnar, Jana Ruda-Kucerova, Nikoletta Szabó, Eva Drazanova, Anas Arab, Birgit Hutter-Paier, Joerg Neddens, Peter Latta, Zenon Starcuk, Irena Rektorova
Diffusion kurtosis imaging (DKI) is sensitive in detecting α-Synuclein (α-Syn) accumulation-associated microstructural changes at late stages of the pathology in α-Syn overexpressing TNWT-61 mice. The aim of this study was to perform DKI in young TNWT-61 mice when α-Syn starts to accumulate and to compare the imaging results with an analysis of motor and memory impairment and α-Syn levels. Three-month-old (3mo) and six-month-old (6mo) mice underwent DKI scanning using the Bruker Avance 9.4T magnetic resonance imaging system...
December 5, 2016: Brain, Behavior, and Immunity
https://www.readbyqxmd.com/read/27891048/metabolic-signatures-of-lung-cancer-in-sputum-and-exhaled-breath-condensate-detected-by-1-h-magnetic-resonance-spectroscopy-a-feasibility-study
#17
Naseer Ahmed, Tedros Bezabeh, Omkar B Ijare, Renelle Myers, Reem Alomran, Michel Aliani, Zoann Nugent, Shantanu Banerji, Julian Kim, Gefei Qing, Zoheir Bshouty
OBJECTIVES: Lung cancer is one of the most lethal cancers. Currently, there are no biomarkers for early detection, monitoring treatment response, and detecting recurrent lung cancer. We undertook this study to determine if (1)H magnetic resonance spectroscopy (MRS) of sputum and exhaled breath condensate (EBC), as a noninvasive tool, can identify metabolic biomarkers of lung cancer. MATERIALS AND METHODS: Sputum and EBC samples were collected from 20 patients, comprising patients with pathologically confirmed non-small cell lung cancer (n = 10) and patients with benign respiratory conditions (n = 10)...
2016: Magnetic Resonance Insights
https://www.readbyqxmd.com/read/27651926/metabolomic-profiling-predicts-outcome-of-rituximab-therapy-in-rheumatoid-arthritis
#18
Shannon R Sweeney, Arthur Kavanaugh, Alessia Lodi, Bo Wang, David Boyle, Stefano Tiziani, Monica Guma
To determine whether characterisation of patients' metabolic profiles, utilising nuclear magnetic resonance (NMR) and mass spectrometry (MS), could predict response to rituximab therapy. 23 patients with active, seropositive rheumatoid arthritis (RA) on concomitant methotrexate were treated with rituximab. Patients were grouped into responders and non-responders according to the American College of Rheumatology improvement criteria, at a 20% level at 6 months. A Bruker Avance 700 MHz spectrometer and a Thermo Scientific Q Exactive Hybrid Quadrupole-Orbitrap mass spectrometer were used to acquire (1)H-NMR and ultra high pressure liquid chromatography (UPLC)-MS/MS spectra, respectively, of serum samples before and after rituximab therapy...
2016: RMD Open
https://www.readbyqxmd.com/read/27579928/nursing-practices-in-the-primary-health-care-context-a-scoping-review
#19
Rosangela Barbiani, Carlise Rigon Dalla Nora, Rafaela Schaefer
OBJECTIVE: to identify and categorize the practices performed by nurses working in Primary Health Care and Family Health Strategy Units in light of responsibilities established by the profession's legal and programmatic frameworks and by the Brazilian Unified Health System. METHOD: a scoping review was conducted in the following databases: LILACS, IBECS, BDENF, CINAHL and MEDLINE, and the Cochrane and SciELO libraries. Original research papers written by nurses addressing nursing practices in the primary health care context were included...
August 29, 2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27571678/-not-available
#20
Cristina V Torres Díaz, Gonzalo Martín Peña, Elena Ezquiaga, Marta Navas García, Rafael García de Sola
Gracias a los avances técnicos en técnicas neuroquirúrgicas, y debido a que el diagnóstico y la clasificación de las enfermedades psiquiátricas han evolucionado significativamente a lo largo de las últimas décadas, se están desarrollando tratamientos a nivel experimental para aquellos pacientes resistentes al manejo conservador.La anorexia nerviosa es una enfermedad de prevalencia creciente, con la tasa de mortalidad más elevada dentro de los trastornos psiquiátricos, y con aproximadamente un 20% de pacientes que presentan una evolución tórpida...
July 19, 2016: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
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