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https://www.readbyqxmd.com/read/29684318/does-size-matter-when-calculating-the-correct-tidal-volume-for-pediatric-mechanical-ventilation-a-hypothesis-based-on-forced-vital-capacity
#1
Gina J Kim, Christopher J L Newth, Robinder G Khemani, Suzy L Wong, Allan L Coates, Patrick A Ross
BACKGROUND: Tidal volumes standardized to predicted body weight are recommended for adult mechanical ventilation, but children are frequently ventilated using measured body weight. Our goal is to examine the difference in forced vital capacity (FVC ml/kg) using measured compared to predicted body weight in children. METHODS: Retrospective analysis of outpatient pulmonary function tests (PFTs) from two datasets. Dataset one: 6 to 19 year old children undergoing PFTs from the nationally-representative Canadian Health Measures Survey...
April 20, 2018: Chest
https://www.readbyqxmd.com/read/29680084/no-197b-fetal-health-surveillance-intrapartum-consensus-guideline
#2
Robert Liston, Diane Sawchuck, David Young
OBJECTIVE: This guideline provides new recommendations pertaining to the application and documentation of fetal surveillance in the intrapartum period that will decrease the incidence of birth asphyxia while maintaining the lowest possible rate of obstetrical intervention. Pregnancies with and without risk factors for adverse perinatal outcomes are considered. This guideline presents an alternative classification system for antenatal fetal non-stress testing and intrapartum electronic fetal surveillance to what has been used previously...
April 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/29680082/no-197a-fetal-health-surveillance-antepartum-consensus-guideline
#3
Robert Liston, Diane Sawchuck, David Young
OBJECTIVE: This guideline provides new recommendations pertaining to the application and documentation of fetal surveillance in the antepartum period that will decrease the incidence of birth asphyxia while maintaining the lowest possible rate of obstetrical intervention. Pregnancies with and without risk factors for adverse perinatal outcomes are considered. This guideline presents an alternative classification system for antenatal fetal non-stress testing to what has been used previously...
April 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/29678756/new-crosslinked-hyaluronan-gel-for-the-prevention-of-intrauterine-adhesions-after-dilation-and-curettage-in-patients-with-delayed-miscarriage-a-prospective-multicenter-randomized-controlled-trial
#4
Xueying Li, Ling Wu, Yanfei Zhou, Xing Fan, Jufang Huang, Juhua Wu, Renxiu Yu, Jianying Lou, Mengjie Yang, Zhihong Yao, Min Xue
STUDY OBJECTIVES: To evaluate the efficacy of a new crosslinked hyaluronan (NCH) gel in reducing formation of intrauterine adhesions (IUAs) after dilation and curettage (D&C). DESIGN: Randomized controlled trial (Canadian Task Force classification I). SETTINGS: Six hospitals for maternal and child healthcare in China. PATIENTS: 300 patients were randomized to undergo D&C for delayed miscarriage without previous history of D&Cs and 26 (9%) were lost to follow-up and excluded from the analysis...
April 17, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29678755/colorectal-anastomotic-stenosis-lesson-learned-after-1643-colorectal-resections-for-deep-infiltrating-endometriosis
#5
Elisa Bertocchi, Giuliano Barugola, Marco Benini, Paolo Bocus, Roberto Rossini, Marcello Ceccaroni, Giacomo Ruffo
STUDY OBJECTIVE: To evaluate incidence, risk factors, and treatment of colorectal anastomotic stenosis in patients who underwent rectosigmoid resection for deep infiltrating endometriosis (DIE). DESIGN: A retrospective analysis of prospective database (Canadian Task Force classification III). SETTING: Public Medical Center PATIENTS: All women who underwent laparoscopic rectosigmoid resections for DIE between January 2002 and December 2016...
April 17, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29656149/total-laparoscopic-ureteroneocystostomy-for-ureteral-endometriosis-a-single-center-experience-of-160-consecutive-patients
#6
Marcello Ceccaroni, Matteo Ceccarello, Giuseppe Caleffi, Roberto Clarizia, Stefano Scarperi, Mauro Pastorello, Alberto Molinari, Giacomo Ruffo, Stefano Cavalleri
STUDY OBJECTIVE: To investigate the efficacy of laparoscopic ureteroneocystostomy in patients with deep infiltrating endometriosis (DIE) with ureteral, parametrial, and bowel involvement. DESIGN: Prospective study (Canadian Task Force classification II-2). SETTING: Tertiary referral center for endometriosis care. PATIENTS: One hundred and sixty patients with DIE underwent laparoscopic radical eradication and ureteroneocystostomy between January 2009 and December 2016...
April 12, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29653261/assessment-of-obstetric-and-gynecologic-fda-device-approvals-and-recalls
#7
Sheena Galhotra, Joseph Maurice
STUDY OBJECTIVE: To evaluate and compare the recall rates of Obstetric and Gynecologic devices approved via the Food and Drug Administration's (FDA) 510(k) and Premarket Approval (PMA) processes DESIGN: Retrospective Observational Study (Canadian Task Force Classification II-2) SETTING: Clinical settings in the United States of America that use Obstetric and Gynecologic devices SUBJECTS: 2,249 FDA approved Obstetric and Gynecologic Devices that were recalled between November 1, 2002 and December 31, 2017...
April 10, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29648898/use-of-standard-guidelines-for-department-of-medicine-summary-letters
#8
Matthew Fitz, Jeffrey La Rochelle, Valerie Lang, Deborah DeWaay, William Adams, Farah Nasraty
Phenomenon: Fourth-year medical students obtain Department of Medicine (DOM) letters ("Chair" letters) to support their residency applications. Writing and interpreting DOM letters are challenging. There is heterogeneity in the letters that makes it difficult to both write and read these letters. APPROACH: The purpose of this study is to determine the value of new guidelines developed by a task force of clerkship directors and program directors in internal medicine and assess the implementation of these guidelines...
April 12, 2018: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/29643152/refugee-maternal-and-perinatal-health-in-ontario-canada-a-retrospective-population-based-study
#9
Susitha Wanigaratne, Yogendra Shakya, Anita J Gagnon, Donald C Cole, Meb Rashid, Jennifer Blake, Parisa Dastoori, Rahim Moineddin, Joel G Ray, Marcelo L Urquia
OBJECTIVES: Immigrants are thought to be healthier than their native-born counterparts, but less is known about the health of refugees or forced migrants. Previous studies often equate refugee status with immigration status or country of birth (COB) and none have compared refugee to non-refugee immigrants from the same COB. Herein, we examined whether: (1) a refugee mother experiences greater odds of adverse maternal and perinatal health outcomes compared with a similar non-refugee mother from the same COB and (2) refugee and non-refugee immigrants differ from Canadian-born mothers for maternal and perinatal outcomes...
April 10, 2018: BMJ Open
https://www.readbyqxmd.com/read/29626678/ulipristal-acetate-improves-clinical-symptoms-in-women-with-adenomyosis-and-uterine-fibroids
#10
Meritxell Gracia, Marta Alcalà, Janisse Ferreri, Mariona Rius, Cristina Ros, María Adela Saco, María Ángeles Martínez-Zamora, Francisco Carmona
STUDY OBJECTIVE: To study the effects of ulipristal acetate (UPA) on adenomyosis-associated clinical symptoms. DESIGN: A retrospective, single-center observational study. (Canadian Task Force Classification II-2). SETTING: A university tertiary referral center. PATIENTS: Premenopausal women (163) with adenomyosis and symptomatic uterine fibroids (41 patients, A+F group) versus a control group with only fibroids (122 patients, F group) treated with the first course of UPA...
April 4, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29621612/laparoscopic-anterior-pelvic-exenteration-with-super-radical-parametrectomy-for-a-recurrent-low-grade-endometrial-sarcoma-that-is-resistant-to-hormone-therapy-and-chemotherapy
#11
Hiroyuki Kanao, Tsuyoshi Hisa, Makiko Omi, Minoru Nagashima, Shuhei Okamoto, Yoichi Aoki, Terumi Tanigawa, Maki Matoda, Sanshiro Okamoto, Hidetaka Nomura, Kohei Omatsu, Kazuyoshi Kato, Kuniko Utsugi, Nobuhiro Takeshima
STUDY OBJECTIVE: To show total laparoscopic complete resection of a recurrent low grade endometrial sarcoma. DESIGN: Step-by-step demonstration of the technique of laparoscopic anterior pelvic exenteration with super radical parametrectomy, including the explanation of a detail pelvic anatomy. (Canadian Task Force Classification III) SETTING: Low grade endometrial stromal sarcoma (LGESS) is a rare malignancy that makes around 0.2% of all uterine malignancies [1]...
April 2, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29609035/effect-of-pregnancy-on-the-management-and-outcomes-of-ovarian-torsion-a-population-based-matched-cohort-study
#12
Ali Bassi, Nicholas Czuzoj-Shulman, Haim Arie Abenhaim
STUDY OBJECTIVE: To compare the treatment and surgical outcomes of ovarian torsion in pregnant and non-pregnant women. DESIGN: Population-based matched cohort study (Canadian Task Force Classification II.1). SETTING: The United States' Health Care Cost and Utilization Project, Nationwide Inpatient Sample from 2003 to 2011. PATIENTS: All cases of ovarian torsion among pregnant women and non-pregnant women with ovarian torsion (matched by age in a ratio of 1:1)...
March 30, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29609033/transvaginal-natural-orifice-transluminal-endoscopic-surgery-sacrocolpopexy-tips-and-tricks
#13
Juan Liu, Jaden Kohn, Bin Sun, Zhenkun Guan, Binhua Liang, Xiaoming Guan
STUDY OBJECTIVE: To demonstrate helpful tips and tricks for the successful use of transvaginal NOTES for performing sacrocolpopexy and salpingo-oophorectomy surgery. DESIGN: Stepwise demonstration with narrated video footage (Canadian Task Force classification III). SETTING: Academic tertiary care hospital in Guangdong, China. BACKGROUND: Minimally invasive approaches for treating pelvic organ prolapse via sacrocolpopexy have traditionally included laparoscopy either with and without robotic assistance...
March 30, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29609032/surgical-excision-versus-ablation-for-superficial-endometriosis-associated-pain-a-randomized-controlled-trial
#14
Kristin Riley, Andrea Benton, Timothy A Deimling, Allen R Kunselman, Gerald J Harkins
STUDY OBJECTIVE: To compare surgical excision and ablation of endometriosis for treatment of chronic pelvic pain. DESIGN: Canadian task force Category I - randomized clinical trial with 12-month follow-up. SETTING: Single academic tertiary care hospital. PATIENTS: Women with minimal to mild endometriosis undergoing laparoscopy. INTERVENTIONS: Excision or ablation of superficial endometriosis at the time of robot-assisted laparoscopy...
March 30, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29604475/robotic-assisted-laparoscopic-cervicovaginal-myomectomy
#15
Pouya Javadian, Alexander Juusela, Farr Nezhat
STUDY OBJECTIVE: To illustrate a robotic assisted laparoscopic resection for the cervicovaginal myomectomy. DESIGN: Step-wise instruction using video. Case report (Canadian Task Force classification III). SETTING: A tertiary referral center in New York, NY, USA. A 39-year-old woman G0, (body mass index of 23.0 kg/m2 ) with known cervicovaginal fibroid which in the past underwent uterine artery embolization, presented with recurrence of her severe abnormal vaginal bleeding...
March 28, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29601064/screen-time-and-young-children-promoting-health-and-development-in-a-digital-world
#16
(no author information available yet)
The digital landscape is evolving more quickly than research on the effects of screen media on the development, learning and family life of young children. This statement examines the potential benefits and risks of screen media in children younger than 5 years, focusing on developmental, psychosocial and physical health. Evidence-based guidance to optimize and support children's early media experiences involves four principles: minimizing, mitigating, mindfully using and modelling healthy use of screens. Knowing how young children learn and develop informs best practice strategies for health care providers...
November 2017: Paediatrics & Child Health
https://www.readbyqxmd.com/read/29574567/two-port-robotic-hysterectomy-a-novel-approach
#17
Gaby N Moawad, Paul Tyan, Elias D Abi Khalil
The objective of the study was to demonstrate a novel technique for two-port robotic hysterectomy with a particular focus on the challenging portions of the procedure. The study is designed as a technical video, showing step-by-step a two-port robotic hysterectomy approach (Canadian Task Force classification level III). IRB approval was not required for this study. The benefits of minimally invasive surgery for gynecological pathology have been clearly documented in multiple studies. Patients had fewer medical and surgical complications postoperatively, better cosmesis and quality of life...
March 24, 2018: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/29554201/gender-sex-differences-in-the-relationship-between-psychosocial-work-exposures-and-work-and-life-stress
#18
Kathy Padkapayeva, Mahée Gilbert-Ouimet, Amber Bielecky, Selahadin Ibrahim, Cameron Mustard, Chantal Brisson, Peter Smith
Objectives: Stress is an important factor affecting the health of working population. While work exposures are determinants of levels of work and life stress, we do not know whether similar or different exposures are related to stress levels for men and women. This study aimed to formally examine male/female differences in the relationships between psychosocial work exposures and work and life stress in a representative sample of Canadian labour market participants. Methods: We used data from 2012 cycle of the Canadian Community Health Survey (CCHS), a representative population-based survey conducted by Statistics Canada...
March 15, 2018: Annals of Work Exposures and Health
https://www.readbyqxmd.com/read/29551477/near-infrared-imaging-with-indocyanine-green-for-detection-of-endometriosis-lesions-gre-endo-trial-a-pilot-study
#19
Francesco Cosentino, Giuseppe Vizzielli, Luigi Carlo Turco, Anna Fagotti, Stefano Cianci, Virginia Vargiu, Gian Franco Zannoni, Gabriella Ferrandina, Giovanni Scambia
STUDY OBJECTIVE: To evaluate near-infrared radiation imaging with intravenous indocyanine green (NIR-ICG) during laparoscopic intervention to identify endometriosis lesions. DESIGN: A single center, prospective, single-arm pilot study (Canadian Task Force classification II-2). SETTING: An academic tertiary care and research center. PATIENTS: Twenty-seven patients with symptomatic endometriosis were enrolled. INTERVENTIONS: Patients underwent laparoscopic surgery using a laparoscopic system prototype with NIR-ICG...
March 15, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29550389/predictors-of-long-term-novasure-endometrial-ablation-failure
#20
Charlotte Lybol, Sanne van der Coelen, Anouk Hamelink, Lidewij Ruth Bartelink, Theodoor Elbert Nieboer
STUDY OBJECTIVE: Endometrial ablation using the NovaSure system is one of the treatment options for heavy menstrual bleeding (HMB), which has a reported success rate of 81%-90%. We aimed to identify predictors for NovaSure endometrial ablation failure. This will contribute to a more effective and individualized pre-operative counseling. DESIGN: A retrospective multicenter cohort study (Canadian Task Force II-2) SETTING: One university hospital and one large teaching hospital...
March 14, 2018: Journal of Minimally Invasive Gynecology
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