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https://www.readbyqxmd.com/read/28214504/frequency-of-troponin-testing-in-inpatient-versus-outpatient-settings
#1
Adam J Farber, Keith Suarez, Kipp Slicker, Chhaya D Patel, Brandon Pope, Robert Kowal, Jeffrey B Michel
Troponin elevation is required to diagnose acute myocardial infarction (AMI), yet elevated values are often encountered in noncardiac disease states. We evaluated inpatient (IP) and outpatient (OP) encounters at 14 hospitals in calendar year 2014 and found that troponin assays were performed during 12% of all OP visits and 29% of all IP visits: 82,853 encounters in all. We employed an expert panel to estimate the likelihood of AMI based on primary International Statistical Classification of Diseases and Related Health Problems, 9th edition diagnoses...
January 25, 2017: American Journal of Cardiology
https://www.readbyqxmd.com/read/28210525/ransomware-minimizing-the-risks
#2
Justin Pope
This ongoing column is dedicated to providing information to our readers on managing legal risks associated with medical practice. We invite questions from our readers. The answers are provided by PRMS, Inc. (www.prms.com), a manager of medical professional liability insurance programs with services that include risk management consultation, education and onsite risk management audits, and other resources to healthcare providers to help improve patient outcomes and reduce professional liability risk. The answers published in this column represent those of only one risk management consulting company...
November 2016: Innovations in Clinical Neuroscience
https://www.readbyqxmd.com/read/28210340/the-relationship-between-stress-and-coping-in-table-tennis
#3
Dora Kurimay, Alison Pope-Rhodius, Miran Kondric
The aim of this study was to examine the relationship between cognitive competitive anxiety intensity and coping strategies in table tennis players. One hundred and two (102) US competitive table tennis players of age range from 10 to 60 filled out a Revised Competitive State Anxiety Inventory-2 (CSAI-2R, Cox et al., 2003) at least 30 minutes before the start of their tournament match and a Modified Cope questionnaire (MCOPE; Crocker and Graham, 1995) 15 minutes after they finished their match. Our study found significant differences between low and high cognitive competitive anxiety groups with regard to the use of coping strategies...
January 1, 2017: Journal of Human Kinetics
https://www.readbyqxmd.com/read/28205036/video-assessment-of-laparoscopic-skills-by-novices-and-experts-implications-for-surgical-education
#4
Celine Yeung, Brian Carrillo, Victor Pope, Shahob Hosseinpour, J Ted Gerstle, Georges Azzie
BACKGROUND: Previous investigators have shown that novices are able to assess surgical skills as reliably as expert surgeons. The purpose of this study was to determine how novices and experts arrive at these graded scores when assessing laparoscopic skills and the potential implications this may have for surgical education. METHODS: Four novices and four general laparoscopic surgeons evaluated 59 videos of a suturing task using a 5-point scale. Average novice and expert evaluator scores for each video and the average number of times that scores were changed were compared...
February 15, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28203537/robotic-cardiac-surgery-in-brazil
#5
Robinson Poffo, Alisson P Toschi, Renato B Pope, Paola K Montanhesi, Ricardo S Santos, Alexandre Teruya, Dina M Hatanaka, Gabriel F Rusca, Claudio H Fischer, Marcelo C Vieira, Marcia R Makdisse
BACKGROUND: Brazil, the largest country and economy in South America, is a major driving force behind the development of new medical technologies in the region. Robotic cardiac surgery (RCS) has been evolving rapidly since 2010, when the first surgery using the DaVinci(®) robotic system was performed in Latin America. The aim of this article is to evaluate short and mid-term results in patients undergoing robotic cardiac surgery in Brazil. METHODS: From March 2010 to December 2015, 39 consecutive patients underwent robotic cardiac surgery...
January 2017: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/28201999/effect-of-myeloid-differentiation-primary-response-gene-88-on-expression-profiles-of-genes-during-the-development-and-progression-of-helicobacter-induced-gastric-cancer
#6
Ivonne Lozano-Pope, Arnika Sharma, Michael Matthias, Kelly S Doran, Marygorret Obonyo
BACKGROUND: Gastric cancer is one of the most common and lethal type of cancer worldwide. Infection with Helicobacter pylori (H. pylori) is recognized as the major cause of gastric cancer. However, it remains unclear the mechanism by which Helicobacter infection leads to gastric cancer. Furthermore, the underlying molecular events involved during the progression of Helicobacter infection to gastric malignancy are not well understood. In previous studies, we demonstrated that that H. felis-infected Myd88 (-/-) mice exhibited dramatic pathology and an accelerated progression to gastric dysplasia; however, the MyD88 downstream gene targets responsible for this pathology have not been described...
February 15, 2017: BMC Cancer
https://www.readbyqxmd.com/read/28194655/practical-time-considerations-for-optically-stimulated-luminescent-dosimetry-osld-in-total-body-irradiation
#7
Martin Butson, Mamoon Haque, Leon Smith, Ethan Butson, David Odgers, Dane Pope, Tina Gorjiana, May Whitaker, Johnny Morales, Angela Hong, Robin Hill
Total body irradiation (TBI) treatments are used to treat the whole body in preparation for hematopoietic stem cell (or bone marrow) transplantation. Our standard clinical regimen is a 12 Gy in 6 fraction, bi-daily technique using 6 MV X-rays at an extended Source-to-Surface distance (SSD) of 300 cm. Utilizing these characteristics, the beam dose rate is reduced below 7 cGy/min as is standard for TBI treatment. Dose received by the patient is monitored using optically stimulated luminescent dosimetry (OSLD)...
February 13, 2017: Australasian Physical & Engineering Sciences in Medicine
https://www.readbyqxmd.com/read/28191983/mental-health-of-extremely-low-birth-weight-survivors-a-systematic-review-and-meta-analysis
#8
Karen J Mathewson, Cheryl H T Chow, Kathleen G Dobson, Eliza I Pope, Louis A Schmidt, Ryan J Van Lieshout
Although individuals born at extremely low birth weight (ELBW; < 1,000 g) are the most vulnerable of all preterm survivors, their risk for mental health problems across the life span has not been systematically reviewed. The primary objective of this systematic review and meta-analysis was to ascertain whether the risk for mental health problems is greater for ELBW survivors than their normal birth weight (NBW) peers in childhood, adolescence, and adulthood. Forty-one studies assessing 2,712 ELBW children, adolescents, and adults and 11,127 NBW controls were reviewed...
February 13, 2017: Psychological Bulletin
https://www.readbyqxmd.com/read/28182590/lens-opacity-and-hydrogen-sulfide-in-a-new-zealand-geothermal-area
#9
Michael N Bates, Ian L Bailey, Robert B DiMartino, Karl Pope, Julian Crane, Nick Garrett
PURPOSE: Hydrogen sulfide (H2S) is a highly toxic gas with well-established, acute irritation effects on the eye. The population of Rotorua, New Zealand, sited on an active geothermal field, has some of the highest ambient H2S exposures in the world. Evidence from ecological studies in Rotorua has suggested that H2S is associated with cataract. The purpose of the present study was, using more detailed exposure characterization, clinical examinations, and anterior eye photography, to more directly investigate this previously reported association...
January 11, 2017: Optometry and Vision Science: Official Publication of the American Academy of Optometry
https://www.readbyqxmd.com/read/28168832/a-novel-ampd2-mutation-outside-the-amp-deaminase-domain-causes-pontocerebellar-hypoplasia-type-9
#10
Ashley P L Marsh, Patrick Yap, Tiong Tan, Kate Pope, Susan M White, Belinda Chong, George Mcgillivray, Amber Boys, Sarah E M Stephenson, Richard J Leventer, Zornitza Stark, Paul J Lockhart
No abstract text is available yet for this article.
February 7, 2017: American Journal of Medical Genetics. Part A
https://www.readbyqxmd.com/read/28165694/to-reverse-the-cycle-of-violence-try-humility
#11
Thomas Nairn
The social tradition of the church constantly has decried violence. Pope Paul VI was clear when he stated: "The Church cannot accept violence ... because she knows that violence always provokes violence and irresistibly engenders new forms of oppression and enslavement."'.
July 2016: Health Progress
https://www.readbyqxmd.com/read/28165373/a-profile-of-injuries-sustained-by-law-enforcement-officers-a-critical-review
#12
REVIEW
Kate Lyons, Cameron Radburn, Robin Orr, Rodney Pope
Due to the unpredictable, varied and often physical nature of law enforcement duties, police officers are at a high risk of work-related physical injury. The aim of this critical narrative review was to identify and synthesize key findings of studies that have investigated musculoskeletal injuries sustained by law enforcement officers during occupational tasks. A systematic search of four databases using key search terms was conducted to identify potentially relevant studies, which were assessed against key inclusion and exclusion criteria to determine studies to be included in the review...
February 3, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28159683/measurement-of-the-raman-spectra-and-hygroscopicity-of-four-pharmaceutical-aerosols-as-they-travel-from-pressurised-metered-dose-inhalers-pmdi-to-a-model-lung
#13
N Davidson, H-J Tong, M Kalberer, P C Seville, A D Ward, M K Kuimova, F D Pope
Particle inhalation is an effective and rapid delivery method for a variety of pharmaceuticals, particularly bronchodilation drugs used for treating asthma and COPD. Conditions of relative humidity and temperature inside the lungs are generally very different from the outside ambient air, with the lung typically being warmer and more humid. Changes in humidity, from inhaler to lung, can cause hygroscopic phase transitions and particle growth. Increasing particle size and mass can negatively affect particle deposition within the lung leading to inefficient treatment, while deliquescence prior to impaction is liable to accelerate drug uptake...
January 31, 2017: International Journal of Pharmaceutics
https://www.readbyqxmd.com/read/28158852/the-need-to-implement-effective-new-entrant-tuberculosis-screening-in-children-evidence-from-school-outbreak
#14
Bhanu Williams, Lucy Pickard, Louis Grandjean, Sue Pope, Sarah R Anderson, Gail Morgan, Amanda Williams
No abstract text is available yet for this article.
December 2, 2016: Journal of Public Health
https://www.readbyqxmd.com/read/28156120/retrospective-study-to-determine-patient-satisfaction-of-immediately-placed-and-provisionalized-implants-in-the-esthetic-zone-from-a-us-private-practice-research-network
#15
E Todd Scheyer, Christopher Richardson, George Mandelaris, Stephen Pickering, Marc Nevins, Bryan Pope, Jim Janakievski, Gregory Toback, Rick H Heard
BACKGROUND: Immediately placed/immediately restored dental implants in the esthetic zone are judged by not only their functional success but also the appearance and acceptance of the restorative outcome. The purpose of this study was to retrospectively evaluate in a private-practice setting the satisfaction of both patients and doctors regarding immediately placed/immediately restored implants in the esthetic zone. METHODS: The author group consists of nine board-certified periodontists...
February 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/28142053/interactions-between-cigarette-smoking-and-ambient-pm2-5-for-cardiovascular-mortality
#16
Michelle C Turner, Aaron Cohen, Richard T Burnett, Michael Jerrett, W Ryan Diver, Susan M Gapstur, Daniel Krewski, Jonathan M Samet, C Arden Pope
Associations between long-term exposure to ambient fine particulate matter (PM2.5) and all-cause and cardiovascular mortality are well documented however less is known regarding possible interactions with cigarette smoking. We previously reported a supra-additive synergistic relationship between PM2.5 and cigarette smoking for lung cancer mortality. Here we examine interactions for all-cause and cardiovascular mortality among 429,406 current or never smoking participants in the prospective American Cancer Society Cancer Prevention Study-II with modeled PM2...
January 28, 2017: Environmental Research
https://www.readbyqxmd.com/read/28137573/rapid-proteomics-to-prospect-and-validate-novel-bacterial-metabolism-induced-by-environmental-burden
#17
C L Yu, S Brooks, Y Li, M Subramanian, R Summers, M Pope
Understanding the pathophysiology of genes and enzymes involved in caffeine metabolism can have extracurricular benefits, such as providing distinct methylxanthines as intermediates for pharmaceutical synthesis, and also improve environmental waste remediation. The strains Pseudomonas putida CBB5 and CES may provide insights into these applications because they may both be induced to degrade caffeine, yet the latter thrives in concentrations >8.0gL(-1); threefold higher than any other bacteria. We took a novel approach toward identifying the enzymatic pathways in both Pseudomonas sp...
2017: Methods in Enzymology
https://www.readbyqxmd.com/read/28135799/amyloid-%C3%AE-ion-channels-in-a-membrane-comprising-brain-total-lipid-extracts
#18
Joon Lee, Young Hun Kim, Fernando T Arce, Alan L Gillman, Hyunbum Jang, Bruce L Kagan, Ruth Nussinov, Jerry Yang, Ratnesh Lal
Amyloid β (Aβ) oligomers are the predominant toxic species in the pathology of Alzheimer's disease. The prevailing mechanism for toxicity by Aβ oligomers includes ionic homeostasis destabilization in neuronal cells by forming ion channels. These channel structures have been previously studied in model lipid bilayers. In order to gain further insight into the interaction of Aβ oligomers with natural membrane compositions, we have examined the structures and conductivities of Aβ oligomers in a membrane composed of brain total lipid extract (BTLE)...
February 20, 2017: ACS Chemical Neuroscience
https://www.readbyqxmd.com/read/28132019/evaluation-of-type-replacement-following-hpv16-18-vaccination-pooled-analysis-of-two-randomized-trials
#19
Joseph E Tota, Frank Struyf, Marko Merikukka, Paula Gonzalez, Aimée R Kreimer, Dan Bi, Xavier Castellsagué, Newton S de Carvalho, Suzanne M Garland, Diane M Harper, Naveen Karkada, Klaus Peters, Willy A J Pope, Carolina Porras, Wim Quint, Ana Cecilia Rodriguez, Mark Schiffman, John Schussler, S Rachel Skinner, Júlio Cesar Teixeira, Allan Hildesheim, Matti Lehtinen
BACKGROUND: Current HPV vaccines do not protect against all oncogenic HPV types. Following vaccination, type replacement may occur, especially if different HPV types competitively interact during natural infection. Because of their common route of transmission, it is difficult to assess type interactions in observational studies. Our aim was to evaluate type replacement in the setting of HPV vaccine randomized controlled trials (RCTs). METHODS: Data were pooled from the Costa Rica Vaccine Trial (CVT; NCT00128661) and PATRICIA trial (NCT001226810)-two large-scale, double-blind RCTs of the HPV-16/18 AS04-adjuvanted vaccine-to compare cumulative incidence of nonprotected HPV infections across trial arms after four years...
January 2017: Journal of the National Cancer Institute
https://www.readbyqxmd.com/read/28124827/examination-of-cultural-competence-in-service-providers-in-an-early-intervention-programme-for-psychosis-in-montreal-quebec-perspectives-of-service-users-and-treatment-providers
#20
Shruthi Venkataraman, Gerald Jordan, Megan A Pope, Srividya N Iyer
AIM: To better understand cultural competence in early intervention for psychosis, we compared service users' and service providers' perceptions of the importance of providers being culturally competent and attentive to aspects of culture. METHODS: At a Canadian early intervention programme, a validated scale was adapted to assess service user (N = 51) and provider (N = 30) perceptions of service providers' cultural competence and the importance accorded thereto...
January 26, 2017: Early Intervention in Psychiatry
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