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https://www.readbyqxmd.com/read/29928117/pharmacists-training-to-improve-inhaler-technique-of-patients-with-copd-in-vietnam
#1
Tu-Son Nguyen, Thi Lien Huong Nguyen, Thi Thuy Van Pham, Susan Hua, Quy Chau Ngo, Shu Chuen Li
Background: Incorrect use of inhalers is very common and subsequently leads to poor control of COPD. Among health care providers, pharmacists are in the best position to educate patients about the correct use of inhaler devices. Objective: The objective of this study was to evaluate the impact of pharmacist-led training on the improvement of inhaler technique for COPD patients in Vietnam. Patients and methods: For this pre- and post-intervention study, standardized checklists of correct use of metered-dose inhalers (MDIs) and dry powder inhalers (DPIs) were used to evaluate the inhaler technique...
2018: International Journal of Chronic Obstructive Pulmonary Disease
https://www.readbyqxmd.com/read/29927938/mice-learn-to-avoid-regret
#2
Brian M Sweis, Mark J Thomas, A David Redish
Regret can be defined as the subjective experience of recognizing that one has made a mistake and that a better alternative could have been selected. The experience of regret is thought to carry negative utility. This typically takes two distinct forms: augmenting immediate postregret valuations to make up for losses, and augmenting long-term changes in decision-making strategies to avoid future instances of regret altogether. While the short-term changes in valuation have been studied in human psychology, economics, neuroscience, and even recently in nonhuman-primate and rodent neurophysiology, the latter long-term process has received far less attention, with no reports of regret avoidance in nonhuman decision-making paradigms...
June 2018: PLoS Biology
https://www.readbyqxmd.com/read/29924684/whatsapp-a-real-time-tool-to-reduce-the-knowledge-gap-and-share-the-best-clinical-practices-in-psoriasis
#3
Luis D Mazzuoccolo, Maria Noel Esposito, Paula C Luna, Sharon Seiref, Mirtha Dominguez, Cristina M Echeverria
BACKGROUND: Psoriasis is a chronic inflammatory disease that affects around 100 million people worldwide. The burden of disease is high, but more recent therapies show promising results. Clinicians need, however, more training in the use of such therapies. INTRODUCTION: Project ECHO® (Extension for Community Healthcare Outcomes) is structured around the promise of delivering medical education at a distance, empowering clinicians who operate in remote areas. The use of instant messaging services, such as WhatsApp® Messenger, has the potential to improve on the existing framework and bridge the existing gap of knowledge...
June 20, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29924046/generalization-of-the-right-acute-stroke-promotive-strategies-in-reducing-delays-of-intravenous-thrombolysis-for-acute-ischemic-stroke-a-meta-analysis
#4
Qiang Huang, Jing-Ze Zhang, Wen-Deng Xu, Jian Wu
The generalization of successful efforts for reducing time delays in intravenous thrombolysis (IVT) could help facilitate its utility and benefits in acute ischemic stroke (AIS) patients.We searched the PubMed and Embase databases for articles reporting interventions to reduce time delays in IVT, published between January 1995 and September 2017. The IVT rate was chosen as the primary outcome, while the compliance rates of onset-to-door time (prehospital delay) and door-to-needle time (in-hospital delay) within the targeted time frame were the secondary outcomes...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29921633/blended-learning-on-family-planning-policy-requirements-key-findings-and-implications-for-health-professionals
#5
Rupali J Limaye, Naheed Ahmed, Saori Ohkubo, Anne Ballard
BACKGROUND: To address unmet needs for family planning and advance women's rights, US federal foreign aid recipients must ensure compliance with the family planning legislative and policy requirements. Because many health providers work in rural and remote settings, blended learning, which combines in-person and online experiences, is a promising approach for strengthening their compliance knowledge. METHODS: This cross-sectional study examined the effect of blended learning that included three components (online course, in-person training and conference call) on retention of family planning compliance knowledge...
April 2018: BMJ sexual & reproductive health
https://www.readbyqxmd.com/read/29921561/multicomponent-mhealth-intervention-for-large-sustained-change-in-multiple-diet-and-activity-risk-behaviors-the-make-better-choices-2-randomized-controlled-trial
#6
Bonnie Spring, Christine Pellegrini, H G McFadden, Angela Fidler Pfammatter, Tammy K Stump, Juned Siddique, Abby C King, Donald Hedeker
BACKGROUND: Prevalent co-occurring poor diet and physical inactivity convey chronic disease risk to the population. Large magnitude behavior change can improve behaviors to recommended levels, but multiple behavior change interventions produce small, poorly maintained effects. OBJECTIVE: The Make Better Choices 2 trial tested whether a multicomponent intervention integrating mHealth, modest incentives, and remote coaching could sustainably improve diet and activity...
June 19, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29914730/foot-loading-and-gait-analysis-evaluation-of-nonarticular-tibial-pilon-fracture-a-comparison-of-three-surgical-techniques
#7
Gabriele Falzarano, Giuseppe Pica, Antonio Medici, Giuseppe Rollo, Michele Bisaccia, Raffaele Cioffi, Mario Pavone, Luigi Meccariello
The aim of our study was to investigate which technique among hybrid external fixation, plate and screws, and intramedullary nailing produces better outcomes in foot loading when treating type 43.A1, 43.A2, and 43.A3 fractures, according to the AO classification. From November 2011 to December 2014, 34 patients, including 25 (73.5%) males and 9 (26.5%) females with an average age of 32.3 (range 16 to 67) years, with a type A tibia fracture were treated with intramedullary nailing, plate and screws, or hybrid external fixation...
June 15, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29912877/low-cost-three-dimensional-printed-phantom-for-neuraxial-anesthesia-training-development-and-comparison-to-a-commercial-model
#8
Azad Mashari, Mario Montealegre-Gallegos, Jelliffe Jeganathan, Lu Yeh, Joshua Qua Hiansen, Massimiliano Meineri, Feroze Mahmood, Robina Matyal
METHODS: Anonymized CT DICOM data was segmented to create a 3D model of the lumbar spine. The 3D model was modified, placed inside a digitally designed housing unit and fabricated on a desktop 3D printer using polylactic acid (PLA) filament. The model was filled with an echogenic solution of gelatin with psyllium fiber. Twenty-two staff anesthesiologists performed a spinal and epidural on the 3D printed simulator and a commercially available Simulab phantom. Participants evaluated the tactile and ultrasound imaging fidelity of both phantoms via Likert-scale questionnaire...
2018: PloS One
https://www.readbyqxmd.com/read/29911521/integrated-perinatal-mental-health-care-a-national-model-of-perinatal-primary-care-in-vulnerable-populations
#9
Kimberly C Lomonaco-Haycraft, Jennifer Hyer, Britney Tibbits, Jennifer Grote, Kelly Stainback-Tracy, Claire Ulrickson, Alison Lieberman, Lies van Bekkum, M Camille Hoffman
IntroductionPerinatal mood and anxiety disorders (PMADs) are the most common complication of pregnancy and have been found to have long-term implications for both mother and child. In vulnerable patient populations such as those served at Denver Health, a federally qualified health center the prevalence of PMADs is nearly double the nationally reported rate of 15-20%. Nearly 17% of women will be diagnosed with major depression at some point in their lives and those numbers are twice as high in women who live in poverty...
June 18, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29910432/influence-of-dynamic-strength-index-on-countermovement-jump-force-power-velocity-and-displacement-time-curves
#10
John J McMahon, Paul A Jones, Thomas Dos'Santos, Paul Comfort
The dynamic strength index (DSI), often calculated as the ratio of countermovement jump (CMJ) propulsion peak force to isometric mid-thigh pull (IMTP) peak force, is said to inform whether ballistic or maximal strength training is warranted for a given athlete. CMJ propulsion peak force is highly influenced by jump strategy, however, which is not highlighted by the DSI alone. This study aimed to quantitatively compare CMJ force-, power-, velocity-, and displacement-time curves between athletes who achieved high versus low DSI scores...
September 23, 2017: Sports
https://www.readbyqxmd.com/read/29910152/biomechanical-correlates-of-running-performance-in-active-children
#11
Sian Williams, Kevin Netto, Renee Kennedy, Jarrad Turner-Bryndzej, Ryan Campbell, Simon M Rosalie
OBJECTIVES: Examine the running kinematics in healthy, physically active prepubescent children and to determine if specific biomechanical factors correlate with running performance. DESIGN: Cross-sectional study. METHODS: Fifteen children (age 9years, ±11months) completed a 1km time trial before undergoing three-dimensional running motion analysis. RESULTS: A strong positive correlation was observed between the biomechanical variables of stride length (p<...
June 4, 2018: Journal of Science and Medicine in Sport
https://www.readbyqxmd.com/read/29909584/comparison-of-clinical-results-between-novel-percutaneous-pedicle-screw-and-traditional-open-pedicle-screw-fixation-for-thoracolumbar-fractures-without-neurological-deficit
#12
Ming Yang, Qinpeng Zhao, Dingjun Hao, Zhen Chang, Shichang Liu, Xinhua Yin
OBJECTIVES: To compare the efficacy and safety of novel percutaneous minimally invasive pedicle screw fixation and traditional open surgery for thoracolumbar fractures without neurological deficit. METHODS: Sixty adult patients with single thoracolumbar fracture between June 2014 and June 2016 were recruited in this study, randomly divided into open fixation group (group A) or minimally invasive percutaneous fixation group (group B). Clinical and surgical evaluation including surgery time, blood losses, radiation times, hospital stay, and complication were performed...
June 16, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29909049/high-speed-resistance-training-in-elderly-women-effects-of-cluster-training-sets-on-functional-performance-and-quality-of-life
#13
Rodrigo Ramirez-Campillo, Cristian Alvarez, Antonio Garcìa-Hermoso, Carlos Celis-Morales, Robinson Ramirez-Velez, Paulo Gentil, Mikel Izquierdo
OBJECTIVE: To compare the effects of 12 weeks of high-speed resistance training on functional performance and quality of life in elderly women when using either a traditional-set (TS) or a cluster-set (CS) configuration for inter-set rest. METHODS: Three groups of subjects were formed by block-design randomization as follows: (i) control group (CG, n = 17; age, 66.5 ± 5.4 years); (ii) 12-week high-speed resistance training group under a CS configuration (CSG, n = 15; age, 67...
June 14, 2018: Experimental Gerontology
https://www.readbyqxmd.com/read/29907780/effects-of-8-week-sensory-electrical-stimulation-combined-with-motor-training-on-eeg-emg-coherence-and-motor-function-in-individuals-with-stroke
#14
Li-Ling Hope Pan, Wen-Wen Yang, Chung-Lan Kao, Mei-Wun Tsai, Shun-Hwa Wei, Felipe Fregni, Vincent Chiun-Fan Chen, Li-Wei Chou
The peripheral sensory system is critical to regulating motor plasticity and motor recovery. Peripheral electrical stimulation (ES) can generate constant and adequate sensory input to influence the excitability of the motor cortex. The aim of this proof of concept study was to assess whether ES prior to each hand function training session for eight weeks can better improve neuromuscular control and hand function in chronic stroke individuals and change electroencephalography-electromyography (EEG-EMG) coherence, as compared to the control (sham ES)...
June 15, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29903487/improved-lung-nodule-diagnosis-accuracy-using-lung-ct-images-with-uncertain-class
#15
Zhiqiong Wang, Junchang Xin, Peishun Sun, Zhixiang Lin, Yudong Yao, Xiaosong Gao
BACKGROUND AND OBJECTIVE: Among all malignant tumors, lung cancer ranks in the top in mortality rate. Pulmonary nodule is the early manifestation of lung cancer, and plays an important role in its discovery, diagnosis and treatment. The technology of medical imaging has encountered a rapid development in recent years, thus the amount of pulmonary nodules can be discovered are on the raise, which means even tiny or minor changes in lung can be recorded by the CT images. This paper proposes a pulmonary nodule computer aided diagnosis (CAD) based on semi-supervised extreme learning machine(SS-ELM)...
August 2018: Computer Methods and Programs in Biomedicine
https://www.readbyqxmd.com/read/29901434/second-order-modeling-for-the-pulmonary-oxygen-uptake-on-kinetics-a-comprehensive-solution-for-overshooting-and-non-overshooting-responses-to-exercise
#16
Luis Antonio Pereira de Lima, Maxime Raison, Sofiane Achiche, Ricardo Dantas de Lucas
The human oxygen uptake (VO2 ) response to step-like increases in work rate is currently modeled by a First Order System Multi-Exponential (FOME) arrangement. Due to their first order nature, none of FOME model's exponentials is able to model an overshoot in the oxygen uptake kinetics (OVO2 K). Nevertheless, OVO2 K phenomena are observed in the fundamental component of trained individuals' step responses. We hypothesized that a Mixed Multi-Exponential (MiME) model, where the fundamental component is modeled with a second instead of a first order system, would present a better overall performance than that of the traditional FOME model in fitting VO2 on-kinetics at all work rates, either presenting or not OVO2 K...
June 14, 2018: Journal of Applied Physiology
https://www.readbyqxmd.com/read/29901223/generating-synthetic-cts-from-magnetic-resonance-images-using-generative-adversarial-networks
#17
Hajar Emami, Ming Dong, Siamak P Nejad-Davarani, Carri Glide-Hurst
PURPOSE: While MR-only treatment planning using synthetic CTs (synCTs) offers potential for streamlining clinical workflow, a need exists for an efficient and automated synCT generation in the brain to facilitate near real-time MR-only planning. This work describes a novel method for generating brain synCTs based on generative adversarial networks (GANs), a deep learning model that trains two competing networks simultaneously, and compares it to a deep convolutional neural network (CNN)...
June 14, 2018: Medical Physics
https://www.readbyqxmd.com/read/29899610/use-of-computer-assisted-personal-interviewing-and-information-management-system-in-a-survey-among-hiv-high-risk-groups-in-india-strengths-weaknesses-opportunities-and-threats-analysis
#18
Radhika Brahme, Sheela Godbole, Raman Gangakhedkar, Kuldeep Singh Sachdeva, Vinita Verma, Arun Risbud
Objectives: In India, integrated biological and behavioral surveillance was carried out in 2014-2015 among high-risk key population as a part of second-generation HIV surveillance system. Computer-assisted personal interviewing and integrated information management system were used for the first time in this large national field based survey. We evaluated the strengths and weaknesses of technology use in this survey. Methods: Mixed methods comprising of the key informant's interviews and structured data collected from field interviewers were used to do the strengths, weaknesses, opportunities, and threats analysis with defined attributes...
April 2018: Indian Journal of Community Medicine
https://www.readbyqxmd.com/read/29898607/does-enrichment-improve-well-being-in-animals-under-human-care-a-case-study-of-two-harbor-seals-phoca-vitulina
#19
Ruta Vaicekauskaite, Jennifer N Schneide, Fabienne Delfour
Harbor seals in the wild live in a stimulating environment; therefore, nonhuman-animal caretakers have increasingly been using environmental enrichment to improve the well being of seals under human care. The purpose of this study was to evaluate an object-based environmental enrichment program during a four-month period on stimulating exploration and play and improving conspecific social interactions and human-animal relationships (HAR). Zoo staff conducted the environmental enrichment program as part of the animal care program...
June 14, 2018: Journal of Applied Animal Welfare Science: JAAWS
https://www.readbyqxmd.com/read/29896096/assisting-movement-training-and-execution-with-visual-and-haptic-feedback
#20
Marco Ewerton, David Rother, Jakob Weimar, Gerrit Kollegger, Josef Wiemeyer, Jan Peters, Guilherme Maeda
In the practice of motor skills in general, errors in the execution of movements may go unnoticed when a human instructor is not available. In this case, a computer system or robotic device able to detect movement errors and propose corrections would be of great help. This paper addresses the problem of how to detect such execution errors and how to provide feedback to the human to correct his/her motor skill using a general, principled methodology based on imitation learning. The core idea is to compare the observed skill with a probabilistic model learned from expert demonstrations...
2018: Frontiers in Neurorobotics
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