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https://www.readbyqxmd.com/read/27909568/implementation-of-minimal-invasive-gynaecological-surgery-certification-will-challenge-gynaecologists-with-new-legal-and-ethical-issues
#1
V Tanos, R Socolov, P Demetriou, M Kyprianou, A Watrelot, Y Van Belle, R Campo
The introduction of a certification / diploma program in Minimal Invasive Surgery (MIS) is expected to improve surgical performance, patient's safety and outcome. The Gynaecological Endoscopic Surgical Education and Assessment programme (GESEA) and the ESHRE Certification for Reproductive Endoscopic Surgery (ECRES) provides a structured learning path, recognising different pillars of competence. In order to achieve a high level of competence a two steps validation is necessary: (a) the individual should be certified of having the appropriate theoretical knowledge and (b) the endoscopic psychomotor skills before entering in the diploma programme reflecting the surgical competence...
June 27, 2016: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/27903252/shifting-tides-in-the-emigration-patterns-of-canadian-physicians-to-the-united-states-a-cross-sectional-secondary-data-analysis
#2
Thomas R Freeman, Stephen Petterson, Sean Finnegan, Andrew Bazemore
BACKGROUND: The relative ease of movement of physicians across the Canada/US border has led to what is sometimes referred to as a 'brain drain' and previous analysis estimated that the equivalent of two graduating classes from Canadian medical schools were leaving to practice in the US each year. Both countries fill gaps in physician supply with international medical graduates (IMGs) so the movement of Canadian trained physicians to the US has international ramifications. Medical school enrolments have been increased on both sides of the border, yet there continues to be concerns about adequacy of physician human resources...
December 1, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27891465/practice-perspectives-of-left-handed-clinical-dental-students-in-india
#3
Shivam Kapoor, Manjunath P Puranik, S R Uma
INTRODUCTION: Handedness becomes important for students during their training period. Limited literature is available regarding the same. AIM: The purpose of this study was to assess the dental practice perspectives and determine the hand preference and discomfort level among the Left-Handed (LH) clinical dental students. MATERIALS AND METHODS: A 30-item survey tool was used to conduct a cross-sectional survey among four successive LH cohorts (third and final year undergraduates, dental interns and postgraduates) in all the dental colleges of Bengaluru, Karnataka, India, during the year 2014...
October 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27891020/preventing-medico-legal-issues-in-clinical-practice
#4
REVIEW
Bevinahalli N Raveesh, Ragavendra B Nayak, Shivakumar F Kumbar
The medical profession is considered to be one of the noblest professions in the world. The practice of medicine is capable of rendering noble service to humanity provided due care, sincerity, efficiency, and professional skill is observed by the doctors. However, today, the patient-doctor relationship has almost diminished its fiduciary character and has become more formal and structured. Doctors are no longer regarded as infallible and beyond questioning. Corporatization of health care has made it like any other business, and the medical profession is increasingly being guided by the profit motive rather than that of service...
October 2016: Annals of Indian Academy of Neurology
https://www.readbyqxmd.com/read/27882026/reflection-of-medical-error-highlighted-on-media-in-turkey-a-retrospective-study
#5
Oguz Isik, Gamze Bayin, Ozgur Ugurluoglu
OBJECTIVE: This study was performed with the aim of identifying how news on medical errors have be transmitted, and how the types, reasons, and conclusions of medical errors have been reflected to by the media in Turkey. METHODS: A content analysis method was used in the study, and in this context, the data for the study was acquired by scanning five newspapers with the top editions on the national basis between the years 2012 and 2015 for the news about medical errors...
September 2016: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/27854362/a-bayesian-cluster-analysis-method-for-single-molecule-localization-microscopy-data
#6
Juliette Griffié, Michael Shannon, Claire L Bromley, Lies Boelen, Garth L Burn, David J Williamson, Nicholas A Heard, Andrew P Cope, Dylan M Owen, Patrick Rubin-Delanchy
Cell function is regulated by the spatiotemporal organization of the signaling machinery, and a key facet of this is molecular clustering. Here, we present a protocol for the analysis of clustering in data generated by 2D single-molecule localization microscopy (SMLM)-for example, photoactivated localization microscopy (PALM) or stochastic optical reconstruction microscopy (STORM). Three features of such data can cause standard cluster analysis approaches to be ineffective: (i) the data take the form of a list of points rather than a pixel array; (ii) there is a non-negligible unclustered background density of points that must be accounted for; and (iii) each localization has an associated uncertainty in regard to its position...
December 2016: Nature Protocols
https://www.readbyqxmd.com/read/27835820/polyplex-micelle-installing-intracellular-self-processing-functionalities-without-free-catiomers-for-safe-and-efficient-systemic-gene-therapy-through-tumor-vasculature-targeting
#7
Qixian Chen, Kensuke Osada, Zhishen Ge, Satoshi Uchida, Theofilus A Tockary, Anjaneyulu Dirisala, Akitsugu Matsui, Kazuko Toh, Kaori M Takeda, Xueying Liu, Takahiro Nomoto, Tekihiko Ishii, Makoto Oba, Yu Matsumoto, Kazunori Kataoka
Both efficiency and safety profiles are crucial for promotion of gene delivery systems towards practical applications. A promising template system was previously developed based on block catiomer of poly(ethylene glycol) (PEG)-b-poly{N'-[N-(2-aminoethyl)-2-aminoehtyl]aspartamide}-cholesteryl [PEG-PAsp(DET)-cholesteryl] with strategies of ligand conjugation at the α-terminus for specific affinity to the targeted cells and cholesteryl conjugation at the ω-terminus for structural stabilization to obtain systemic retention...
January 2017: Biomaterials
https://www.readbyqxmd.com/read/27808003/effects-of-a-fifty-six-month-electrical-stimulation-cycling-program-after-tetraplegia-case-report
#8
David R Dolbow, Ashraf S Gorgey, Refka K Khalil, David R Gater
BACKGROUND: Functional electrical stimulation cycling is a common clinical treatment for individuals with spinal cord injury and other paralytic conditions, however, the long term effects of home-based functional electrical stimulation cycling remains unreported. OBJECTIVE: To determine the effectiveness of a long-term home-based functional electrical stimulation lower extremities cycling (FES-LEC) program on body composition. PARTICIPANT: An adult male 52...
November 3, 2016: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/27800461/epidemiological-patterns-of-road-traffic-crashes-during-the-last-two-decades-in-iran-a-review-of-the-literature-from-1996-to-2014
#9
REVIEW
Homayoun Sadeghi-Bazargani, Erfan Ayubi, Saber Azami-Aghdash, Leila Abedi, Alireza Zemestani, Louiz Amanati, Mahmood Moosazadeh, Naeema Syedi, Saeid Safiri
CONTEXT: Despite considerable attention given to health statistics of road traffic crashes (RTCs), the epidemiological aspects of injuries resulting from RTCs are not fully understood in Iran and other developing countries. The aim of this review was to study the epidemiological pattern and issues arising due to RTCs in Iran. EVIDENCE ACQUISITION: The scope of this study involves data from a broad range of published literature on RTCs in Iran. Data collection for this study was conducted by searching for keywords such as traffic accidents, traffic crashes, motorcycle accidents, motorcycle crashes, motorcycle injury, motor vehicle injury, motor vehicle crashes and motor vehicle accidents, Iran and Iranian in various databases such as Embase, PubMed, Google Scholar, Scopus, Magiran, Iranian scientific information database (SID) and IranMedex...
September 2016: Archives of Trauma Research
https://www.readbyqxmd.com/read/27798010/why-do-general-practitioners-prescribe-antibiotics-for-upper-respiratory-tract-infections-to-meet-patient-expectations-a-mixed-methods-study
#10
Stephanie Fletcher-Lartey, Melissa Yee, Christina Gaarslev, Rabia Khan
OBJECTIVES: To describe the role patient expectations play in general practitioners (GPs) antibiotic prescribing for upper respiratory tract infections (URTI). METHODS: Concurrent explanatory mixed methods approach using a cross-sectional survey and semistructured interviews. SETTINGS: Primary care GPs in Australia. PARTICIPANTS: 584 GPs (response rate of 23.6%) completed the cross-sectional survey. 32 GPs were interviewed individually...
October 24, 2016: BMJ Open
https://www.readbyqxmd.com/read/27780248/thesnppit-a-high-performance-database-system-for-managing-large-scale-snp-data
#11
Eildert Groeneveld, Helmut Lichtenberg
The fast development of high throughput genotyping has opened up new possibilities in genetics while at the same time producing considerable data handling issues. TheSNPpit is a database system for managing large amounts of multi panel SNP genotype data from any genotyping platform. With an increasing rate of genotyping in areas like animal and plant breeding as well as human genetics, already now hundreds of thousand of individuals need to be managed. While the common database design with one row per SNP can manage hundreds of samples this approach becomes progressively slower as the size of the data sets increase until it finally fails completely once tens or even hundreds of thousands of individuals need to be managed...
2016: PloS One
https://www.readbyqxmd.com/read/27774758/a-prospective-evaluation-of-a-standardized-strategy-for-the-use-of-a-polymeric-everolimus-eluting-bioresorbable-scaffold-in-st-segment-elevation-myocardial-infarction-rationale-and-design-of-the-bvs-stemi-strategy-it-study
#12
Alfonso Ielasi, Attilio Varricchio, Gianluca Campo, Massimo Leoncini, Bernardo Cortese, Paolo Vicinelli, Salvatore Brugaletta, Fortunato Scotto di Uccio, Azeem Latib, Maurizio Tespili
OBJECTIVES: To assess the feasibility and the clinical results following a prespecified bioresorbable vascular scaffold (Absorb BVS) implantation strategy in ST-elevation myocardial infarction (STEMI) patients. BACKGROUNDS: Concerns raised about the BVS safety in STEMI setting because a not negligible thrombosis rate was reported within 30 days and 12 months after implantation. Technical procedural issues related to the structural BVS features were advocated as probable causes for the thrombotic events...
October 24, 2016: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/27768970/polymeric-nanoparticles-promote-macrophage-reversal-from-m2-to-m1-phenotypes-in-the-tumor-microenvironment
#13
Yi Wang, Yao-Xin Lin, Sheng-Lin Qiao, Hong-Wei An, Yang Ma, Zeng-Ying Qiao, R P Yeshan J Rajapaksha, Hao Wang
Immunotherapy has shown promising treatment effects for a variety of cancers. However, the immune treatment efficiency for solid tumors is limited owing to insufficient infiltration of immune cells into solid tumors. The conversion of tumor-supportive macrophages to tumor-suppressive macrophages, inducing the functional reversal of macrophages, is an effective method and contributes to a subsequent antitumor response. The current challenge in the field is the poor distribution and systemic side effects associated with the use of cytokines...
October 4, 2016: Biomaterials
https://www.readbyqxmd.com/read/27764744/effective-removal-of-contaminants-in-landfill-leachate-membrane-concentrates-by-coagulation
#14
Yuyang Long, Jing Xu, Dongsheng Shen, Yao Du, Huajun Feng
Leachate membrane concentrates containing high concentrations of organics and trace toxic compounds pose a major threat to the environment, and their treatment is an urgent issue. In this work, various coagulants were used to treat leachate membrane concentrates. Appropriate pH values for treatments with FeCl2, FeSO4, polyaluminum chloride, and FeCl3 were 3, 5, 5, and 4, respectively. FeCl3 achieved the highest total organic carbon (TOC) removal efficiency. The effect of the various anions in ferric coagulants [FeCl3, Fe2(SO4)3, and Fe(NO3)3] on the TOC removal efficiency was negligible...
October 17, 2016: Chemosphere
https://www.readbyqxmd.com/read/27734331/medical-malpractice-in-dermatology-part-i-reducing-the-risks-of-a-lawsuit
#15
Vidhi V Shah, Marshall B Kapp, Stephen E Wolverton
Malpractice risk is a common source of concern for the practicing physician. Dermatologists experience fewer lawsuits than most other specialists in medicine, but the risk is not negligible. All physicians should familiarize themselves with areas of potential risk and avoid medico-legal pitfalls. We present Part I of a two-part series addressing medico-legal questions common to most practitioners that cause a great deal of anxiety. Part I will focus upon risk management and prevention of future malpractice lawsuits, and Part II deals with suggestions and guidance once a lawsuit occurs...
December 2016: American Journal of Clinical Dermatology
https://www.readbyqxmd.com/read/27730795/do-legal-issues-deserve-space-in-specialty-medical-journals
#16
Neeraj Nagpal
Physicians and Internists in India have tended to brush under the carpet legal issues affecting their profession. Of concern to all Physicians is the judgment in a recent case where the NCDRC has stated that if MD Medicine Physicians write Physician & Cardiologist on their letterhead it is Quackery. What is MD Medicine degree holder in India qualified and trained to treat ? These are issues which need debate and that can only be initiated once we recognize that there is a problem. Either an MD Medicine is a cardiologist or he is not...
February 2016: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/27712455/independent-component-decomposition-of-human-somatosensory-evoked-potentials-recorded-by-micro-electrocorticography
#17
Irene Rembado, Elisa Castagnola, Luca Turella, Tamara Ius, Riccardo Budai, Alberto Ansaldo, Gian Nicola Angotzi, Francesco Debertoldi, Davide Ricci, Miran Skrap, Luciano Fadiga
High-density surface microelectrodes for electrocorticography (ECoG) have become more common in recent years for recording electrical signals from the cortex. With an acceptable invasiveness/signal fidelity trade-off and high spatial resolution, micro-ECoG is a promising tool to resolve fine task-related spatial-temporal dynamics. However, volume conduction - not a negligible phenomenon - is likely to frustrate efforts to obtain reliable and resolved signals from a sub-millimeter electrode array. To address this issue, we performed an independent component analysis (ICA) on micro-ECoG recordings of somatosensory-evoked potentials (SEPs) elicited by median nerve stimulation in three human patients undergoing brain surgery for tumor resection...
August 18, 2016: International Journal of Neural Systems
https://www.readbyqxmd.com/read/27694699/study-of-mechanical-behavior-of-afm-silicon-tips-under-mechanical-load
#18
M Kopycinska-Mueller, J Gluch, B Köhler
In this paper we address critical issues concerning calibration of AFM based methods used for nanoscale mechanical characterization of materials. It has been shown that calibration approaches based on macroscopic models for contact mechanics may yield excellent results in terms of the indentation modulus of the sample, but fail to provide a comprehensive and actual information concerning the tip-sample contact radius or the mechanical properties of the tip. Explanations for the severely reduced indentation modulus of the tip included the inadequacies of the models used for calculations of the tip-sample contact stiffness, discrepancies in the actual and ideal shape of the tip, presence of the amorphous silicon phase within the silicon tip, as well as negligence of the actual size of the stress field created in the tip during elastic interactions...
November 11, 2016: Nanotechnology
https://www.readbyqxmd.com/read/27678045/occurrence-of-new-psychoactive-substances-in-wastewater-of-major-chinese-cities
#19
Tingting Gao, Peng Du, Zeqiong Xu, Xiqing Li
New psychoactive substances have become increasingly popular across the globe in recent years, which may cause certain public health issues. In this work, sewage-based epidemiology was applied to examine the use of two synthetic cathinones, mephedrone and methylenedioxypyrovalerone (MDPV), and three piperazines, benzylpiperazine (BZP), trifluoromethylphenylpiperazine (TFMPP), and 1-(3-Chlorophenyl)piperazine (mCPP), across China. Influent wastewater samples were collected from 36 sewage treatment plants (STPs) in 18 major cities that cover all the geographic regions of the country...
September 24, 2016: Science of the Total Environment
https://www.readbyqxmd.com/read/27621942/altitude-stress-during-participation-of-medical-congress
#20
EDITORIAL
Soon Bae Kim, Jong Sung Kim, Sang Jun Kim, Su Hee Cho, Dae Chul Suh
Medical congresses often held in highlands. We reviewed several medical issues associated with altitude stress especially while physicians have participated medical congress held in high altitude. Altitude stress, also known as an acute mountain sickness (AMS), is caused by acute exposure to low oxygen level at high altitude which is defined as elevations at or above 1,200 m and AMS commonly occurs above 2,500 m. Altitude stress with various symptoms including insomnia can also be experienced in airplane. AMS and drunken state share many common features in symptoms, neurologic manifestations and even show multiple microbleeds in corpus callosum and white matter on MRI...
September 2016: Neurointervention
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