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https://www.readbyqxmd.com/read/28230673/va-grants-most-aprns-full-practice-authority
#1
Dalia Sofer
But certified registered nurse anesthetists are excluded.
March 2017: American Journal of Nursing
https://www.readbyqxmd.com/read/28211045/walk-in-clinics-versus-physician-offices-and-emergency-rooms-for-urgent-care-and-chronic-disease-management
#2
REVIEW
Connie E Chen, Christopher T Chen, Jia Hu, Ateev Mehrotra
BACKGROUND: Walk-in clinics are growing in popularity around the world as a substitute for traditional medical care delivered in physician offices and emergency rooms, but their clinical efficacy is unclear. OBJECTIVES: To assess the quality of care and patient satisfaction of walk-in clinics compared to that of traditional physician offices and emergency rooms for people who present with basic medical complaints for either acute or chronic issues. SEARCH METHODS: We searched CENTRAL, MEDLINE, Embase, six other databases, and two trials registers on 22 March 2016 together with reference checking, citation searching, and contact with study authors to identify additional studies...
February 17, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28204938/total-nasal-reconstruction-for-extruded-pending-extrusion-and-severely-displaced-silicone-nasal-implants-in-asian-patients
#3
Darryl J Hodgkinson
The Australian population is 10% of Asian origin, and many of our Asian patients have had nasal augmentation using prosthetic material prior to immigration or as medical tourists back in their country of origin. Insertion of nasal prostheses is the most common way to augment the nasal dorsum in the Asian patient and although there is a trend towards autogenous primary augmentation still, the vast majority of patients seen in clinical practice have had augmentation by the insertion of foreign material generally silicone...
February 15, 2017: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/28204928/advocating-the-use-of-absorbable-sutures-for-columellar-incisions-following-open-rhinoplasty
#4
I Beegun, H A Saleh
Rapidly absorbable skin sutures have been found to be of use in numerous settings including for the closure of the columellar incision following open rhinoplasty. Its removal does not routinely require trimming, and the sutures tend to fall off with minimal intervention 10-14 days postoperatively. This practice has a good acceptance by patients and utilises less resources in the follow-up period. Level of evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www...
February 15, 2017: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/28175965/effects-of-platelet-rich-plasma-on-tissue-expansion-in-rabbits
#5
Wang Jinming, Liu Caiyue, Wu Baojin, Liu Antang, Zhang Yingfan, Wang Hui, Zhu Lie, Jiang Hua
BACKGROUND: Tissue expansion has been widely applied in clinic practice. However, the expanded skin is always insufficient for clinical use and how to promote tissue expansion is still a challenge. Platelet-rich plasma (PRP) contains multiple tissue growth factors and has been widely utilized in hard- and soft-tissue augmentation. However, its feasibility to promote tissue expansion has not been explored. The purpose of this study was to evaluate the possible effect of PRP in tissue expansion...
February 7, 2017: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/28163667/current-practice-and-perspectives-in-cro-oversight-based-on-a-survey-performed-among-members-of-the-german-association-of-research-based-pharmaceutical-companies-vfa
#6
Michael Hennig, Ferdinand Hundt, Susanne Busta, Stefan Mikus, Per-Holger Sanden, Andrea Sörgel, Thorsten Ruppert
In recent years, the number and scope of outsourced activities in the pharmaceutical industry have increased heavily. In addition, also the type of outsourcing has changed significantly in that time. This raises the question of whether and how sponsors retain the capability to select and to control the contract research organizations (CROs) involved and what expertise still has to be present in the development department as well as other relevant departments to ensure adequate oversight, also in line with the expectations of regulators and health authorities...
2017: German Medical Science: GMS E-journal
https://www.readbyqxmd.com/read/28158165/ketamine-an-update-on-cellular-and-subcellular-mechanisms-with-implications-for-clinical-practice
#7
Gary J Iacobucci, Ognjen Visnjevac, Leili Pourafkari, Nader Djalal Nader
BACKGROUND: Ketamine is one of the oldest hypnotic agents used to provide an anesthetic agent with analgesic properties and minimal suppressive effects on respiration. The ability of ketamine in modulating glutamatergic (N-methyl D-aspartate) pain receptors has made this anesthetic drug a new option for the management of patients with chronic pain syndromes. Further preclinical and clinical findings suggest ketamine may have wide ranging effects on both cognition and development. Recent advances have revealed an unprecedented role for ketamine in the acute management of depression...
February 2017: Pain Physician
https://www.readbyqxmd.com/read/28155990/dance-movement-therapy-for-dementia
#8
REVIEW
Vicky Karkou, Bonnie Meekums
BACKGROUND: Dementia is a collective name for different degenerative brain syndromes which, according to Alzheimer's Disease International, affects approximately 35.6 million people worldwide. The latest NICE guideline for dementia highlights the value of diverse treatment options for the different stages and symptoms of dementia including non-pharmacological treatments. Relevant literature also argues for the value of interventions that acknowledge the complexity of the condition and address the person as a whole, including their physical, emotional, social and cognitive processes...
February 3, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28144087/protection-behaviors-for-cytotoxic-drugs-in-oncology-nurses-of-chemotherapy-centers-in-shiraz-hospitals-south-of-iran
#9
Khadijeh Abbasi, Maryam Hazrati, Abolfazl Mohammadbeigi, Jasem Ansari, Mahboubeh Sajadi, Azam Hosseinnazzhad, Esmail Moshiri
CONTEXT: The use of antineoplastic agents for the treatment of cancer is an increasingly common practice in hospitals. As a result, workers involved with handling antineoplastic drugs may be accidentally exposed to these agents, placing them at potential risk for long-term adverse effects. This study aimed to determine the occupational protection status of clinical nursing staff exposed to cytotoxic drugs. SUBJECTS AND METHODS: The study was designed as an analytic descriptive survey...
October 2016: Indian Journal of Medical and Paediatric Oncology
https://www.readbyqxmd.com/read/28143588/recognition-of-out-of-hospital-cardiac-arrest-during-emergency-calls-a-systematic-review-of-observational-studies
#10
REVIEW
Søren Viereck, Thea Palsgaard Møller, Josephine Philip Rothman, Fredrik Folke, Freddy Knudsen Lippert
BACKGROUND: The medical dispatcher plays an essential role as part of the first link in the Chain of Survival, by recognising the out-of-hospital cardiac arrest (OHCA) during the emergency call, dispatching the appropriate first responder or emergency medical services response, performing dispatcher assisted cardiopulmonary resuscitation, and referring to the nearest automated external defibrillator. The objective of this systematic review was to evaluate and compare studies reporting recognition of OHCA patients during emergency calls...
February 1, 2017: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/28134551/-should-i-stop-or-should-i-go-the-role-of-associations-and-expectancies-correction-to-best-et-al-2016
#11
(no author information available yet)
Reports an error in "Should I stop or should I go? The role of associations and expectancies" by Maisy Best, Natalia S. Lawrence, Gordon D. Logan, Ian P. L. McLaren and Frederick Verbruggen (Journal of Experimental Psychology: Human Perception and Performance, 2016[Jan], Vol 42[1], 115-137). In the article, there is an error in Table 3 of the Results and third paragraph of the Results section labeled Test phase. In Experiment 4, the study performed an exploratory post-hoc test of the go reaction times in the training phase, contrasting stop-associated and go-associated items...
February 2017: Journal of Experimental Psychology. Human Perception and Performance
https://www.readbyqxmd.com/read/28130561/breast-durometer-mammometer-a-novel-device-for-measuring-soft-tissue-firmness-and-its-application-in-cosmetic-breast-surgery
#12
Tim Brown, Stephen Brown, Tracey Murphy
The measurement of soft-tissue firmness has many potential applications in medical practice. This study reports a user-friendly, novel device that is capable of measuring changes in soft-tissue firmness in a reproducible manner. The study reports the development of the equipment and how it has been applied to breast implant surgery. The device was tested for both intra- and inter-observer variability on an in vitro model, using a breast implant. Once reproducibility was confirmed, breast firmness was measured on a series of patients who underwent sub-fascial breast augmentation (n = 50) to examine how it varied post-operatively...
January 27, 2017: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/28125765/corticosteroids-as-adjuvant-therapy-for-ocular-toxoplasmosis
#13
REVIEW
Smitha Jasper, Satyanarayana S Vedula, Sheeja S John, Saban Horo, Yasir J Sepah, Quan Dong Nguyen
BACKGROUND: Ocular infection caused by Toxoplasma gondii, a parasite, may result in inflammation in the retina, choroid, and uvea, and consequently lead to complications such as glaucoma, cataract, and posterior synechiae. OBJECTIVES: The objective of this systematic review was to assess the effects of adjunctive use of corticosteroids to anti-parasitic therapy versus anti-parasitic therapy alone for ocular toxoplasmosis. SEARCH METHODS: We searched CENTRAL (which contains the Cochrane Eyes and Vision Trials Register (2016; Issue 11)), MEDLINE Ovid, Epub Ahead of Print, In-Process & Other Non-Indexed Citations, MEDLINE Ovid Daily (January 1946 to December 2016), Embase (January 1980 to December 2016), Latin American and Caribbean Literature on Health Sciences (LILACS (January 1982 to December 2016)), the ISRCTN registry (www...
January 26, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28125126/-traditional-and-complementary-medicine-in-brazil-inclusion-in-the-brazilian-unified-national-health-system-and-integration-with-primary-care
#14
Islandia Maria Carvalho de Sousa, Charles Dalcanale Tesser
This study aimed to analyze the inclusion of Traditional and Complementary Medicine in Brazilian Unified National Health System (SUS) and its integration with primary healthcare (PHC). A qualitative study drew on institutional data, indexed articles, and case studies in selected Brazilian cities: Campinas (São Paulo State), Florianópolis (Santa Catarina State), Recife (Pernambuco State), Rio de Janeiro, and São Paulo. The analysis adopted the perspective of inclusion of Traditional and Complementary Medicine in the healthcare network and its integration with primary healthcare, based on the following dimensions: presence of Traditional and Complementary Medicine on the municipal agenda; position in the services; mode of access to Traditional and Complementary Medicine; Traditional and Complementary Medicine practitioners; types of practices; demand profile; and potential for expansion in the SUS...
January 23, 2017: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/28121655/engaging-learners-in-health-system-quality-improvement-efforts
#15
Karnjit Johl, R Kevin Grigsby
In 1999, an Institute of Medicine report spurred health care organizations to implement systems-based quality improvement efforts and tackle patient safety. Simultaneously, the Accreditation Council for Graduate Medical Education asked residency programs to address Practice-Based Learning and Systems-Based Practice competencies. Medical educators now advocate incorporation of these competencies in undergraduate medical education.The authors examine the success of these efforts both from the health care delivery and systems perspective as well as from the perspective of educators as they aspire to engage medical students and residents in these domains...
January 24, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28119140/a-clinical-evaluation-of-the-efficacy-of-photodynamic-therapy-in-the-treatment-of-erosive-oral-lichen-planus-a-case-series
#16
Magdalena Sulewska, Ewa Duraj, Stefan Sobaniec, Alfreda Graczyk, Robert Milewski, Marta Wróblewska, Jan Pietruski, Małgorzata Pietruska
BACKGROUND: Erosive oral lichen planus (EOLP) poses a substantial risk of malignant transformation into squamous cell cancer. The absence of established treatment gives way to alternative therapeutic strategies, including photodynamic therapy. The aim of the study was to evaluate the efficacy of PDT in the treatment of EOLP. METHODS: Twelve female patients aged 63-80 with 22 OLP lesions (16 on the buccal mucosa, 6 on gingiva and tongue), underwent authors' own PDT scheme with the use of 5% solution of 5-aminolevulinic acid (ALA) as photosensitizer...
January 21, 2017: Photodiagnosis and Photodynamic Therapy
https://www.readbyqxmd.com/read/28118743/study-protocol-for-a-scoping-review-on-rehabilitation-scoping-reviews
#17
Heather L Colquhoun, Tiago S Jesus, Kelly K O'Brien, Andrea C Tricco, Adora Chui, Wasifa Zarin, Erin Lillie, Sander L Hitzig, Sharon Straus
Scoping reviews are increasingly popular in rehabilitation. However, significant variability in scoping review conduct and reporting currently exists, limiting potential for the methodology to advance rehabilitation research, practice and policy. Our aim is to conduct a scoping review of rehabilitation scoping reviews in order to examine the current volume, yearly distribution, proportion, scope and methodological practices involved in the conduct of scoping reviews in rehabilitation. Key areas of methodological improvement will be described...
January 1, 2017: Clinical Rehabilitation
https://www.readbyqxmd.com/read/28117876/interventions-to-prevent-and-treat-corticosteroid-induced-osteoporosis-and-prevent-osteoporotic-fractures-in-duchenne-muscular-dystrophy
#18
REVIEW
Jennifer M Bell, Michael D Shields, Janet Watters, Alistair Hamilton, Timothy Beringer, Mark Elliott, Rosaline Quinlivan, Sandya Tirupathi, Bronagh Blackwood
BACKGROUND: Corticosteroid treatment is considered the 'gold standard' for Duchenne muscular dystrophy (DMD); however, it is also known to induce osteoporosis and thus increase the risk of vertebral fragility fractures. Good practice in the care of those with DMD requires prevention of these adverse effects. Treatments to increase bone mineral density include bisphosphonates and vitamin D and calcium supplements, and in adolescents with pubertal delay, testosterone. Bone health management is an important part of lifelong care for patients with DMD...
January 24, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28113625/comparison-based-image-quality-assessment-for-selecting-image-restoration-parameters
#19
Haoyi Liang, Daniel Weller
Image quality assessment (IQA) is traditionally classified into full-reference (FR) IQA, reduced-reference (RR) IQA, and no-reference (NR) IQA according to the amount of information required from the original image. Although NRIQA and RR-IQA are widely used in practical applications, room for improvement still remains because of the lack of the reference image. Inspired by the fact that in many applications, such as parameter selection for image restoration algorithms, a series of distorted images are available, the authors propose a novel comparison-based image quality assessment (C-IQA) framework...
August 19, 2016: IEEE Transactions on Image Processing: a Publication of the IEEE Signal Processing Society
https://www.readbyqxmd.com/read/28109405/challenges-and-methodology-in-the-incorporation-of-biomarkers-in-cancer-clinical-trials
#20
REVIEW
Charlotte S Wilhelm-Benartzi, Shahrul Mt-Isa, Francesca Fiorentino, Robert Brown, Deborah Ashby
Biomarkers can be used to establish more homogeneous groups using the genetic makeup of the tumour to inform the selection of treatment for each individual patient. However, proper preclinical work and stringent validation are needed before taking forward biomarkers into confirmatory studies. Despite the challenges, incorporation of biomarkers into clinical trials could better target appropriate patients, and potentially be lifesaving. The authors conducted a systematic review to describe marker-based and adaptive design methodology for their integration in clinical trials, and to further describe the associated practical challenges...
February 2017: Critical Reviews in Oncology/hematology
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