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https://www.readbyqxmd.com/read/29672075/the-telephone-effect-overcoming-initiation-deficits-in-two-settings
#1
Kayci L Vickers, Michael E Keesler, Kelli S Williams, Jeremy Y Charles, Roy H Hamilton
PURPOSE: Disorders of motivation substantially impair an individual's ability to communicate with their families, therapists, and doctors. One method of overcoming initiation deficits is by utilizing the telephone effect, which is the ability for individuals with severe motivation deficits to communicate more readily when speaking on a telephone. However, little is available in the extant literature on how this effect works or how best to integrate this into patient care. This article aims to provide the first report of a proposed mechanism underlying the telephone effect and the first published procedures for eliciting this effect...
April 19, 2018: Rehabilitation Psychology
https://www.readbyqxmd.com/read/29671296/minimally-invasive-tubular-retractor-assisted-biopsy-and-resection-of-subcortical-intra-axial-gliomas-and-other-neoplasms
#2
Kelly Gassie, Olindi Wijesekera, Kaisorn L Chaichana
Deep-seated, subcortical tumors represent a surgical challenge. The traditional approach to these lesions involve large craniotomies, fixed retractor systems, and extensive white matter dissection, each with their own associated morbidity. We describe our experience with the use of tubular retractors for accessing these deep-seated lesions. Fifty consecutive patients operated on for an intra-axial brain tumor (both biopsies and resection) from January 2016 to December 2017 by a single surgeon using tubular retractors with exoscopic visualization were prospectively identified and included in this consecutive case series...
April 18, 2018: Journal of Neurosurgical Sciences
https://www.readbyqxmd.com/read/29669341/management-and-neonatal-outcomes-of-pregnancies-with-fetal-neonatal-alloimmune-thrombocytopenia-a-single-center-retrospective-cohort-study
#3
Stefania Ronzoni, Johannes Keunen, Prakeshkumar S Shah, Edmond N Kelly, Rory Windrim, P Gareth Seaward, Greg Ryan
BACKGROUND: There is no consensus regarding the optimal antenatal treatment of fetal/neonatal alloimmune thrombocytopenia (F/NAIT). We aimed to review the fetal blood sampling (FBS)-related risk, fetal response to maternal intravenous immunoglobulin (IVIG), and cesarean section (CS) rate in pregnancies with a history of F/NAIT. METHODS: Maternal demographics, alloantibodies, pregnancy management, fetal and neonatal outcomes, and index case characteristics were collected...
April 18, 2018: Fetal Diagnosis and Therapy
https://www.readbyqxmd.com/read/29664723/the-value-of-electrically-evoked-stapedius-reflex-in-determining-the-maximum-comfort-level-of-a-cochlear-implant
#4
Kelly Cristina Lira de Andrade, Lilian Ferreira Muniz, Pedro de Lemos Menezes, Silvio da Silva Caldas Neto, Aline Tenório Lins Carnaúba, Mariana de Carvalho Leal
BACKGROUND: One of the most important steps for good user performance with a cochlear implant (CI) is activation and programming, aimed at determining the dynamic range. In adults, current levels are determined by psychophysical measures. In babies, small children, or individuals with multiple disorders, this procedure requires techniques that may provide inconsistent responses because of auditory inexperience or the age of the child, making it a very difficult process that demands the collaboration of both the patient and the family...
April 2018: Journal of the American Academy of Audiology
https://www.readbyqxmd.com/read/29660036/effectiveness-of-exercise-therapy-in-the-management-of-wruld-in-sedentary-workers-a-systematic-review
#5
D Kelly, F Shorthouse, V Roffi, C Tack
Background: Work-related upper limb disorders (WRULDs) are a syndrome of symptoms affecting the upper quadrant of the body and are a significant cause of pain, disability and sickness absence among workers. Exercise therapy is considered to be a clinical and cost-effective strategy in WRULD management. Aims: To evaluate the effectiveness of exercise therapy for WRULDs in sedentary workers. Methods: This review follows an a priori protocol to maintain internal validity describing essential procedures to be followed (e...
April 11, 2018: Occupational Medicine
https://www.readbyqxmd.com/read/29657908/a-rare-case-of-coronary-artery-embolism-in-a-patient-with-d-transposition-of-the-great-arteries-with-prior-mustard-repair
#6
Prince Sethi, Udit Bhatnagar, Kelly Steffen, Edgard Bendaly, Adam Stys
The dextro-transposition of great arteries (d-TGA) is a rare, congenital, cyanotic heart disease and there is a paucity of data regarding long-term cardiovascular outcomes. We present a rare case of non-ST-elevation myocardial infarction (NSTEMI) in a patient with surgically repaired d-TGA. A 43-year-old male who had previously undergone a Mustard atrial switch palliative procedure presented with chest pain and diaphoresis and was diagnosed with NSTEMI. A coronary angiogram revealed a small, underdeveloped, left anterior descending and a large, left circumflex coronary artery with an acute embolic lesion...
February 12, 2018: Curēus
https://www.readbyqxmd.com/read/29627175/multivariate-analysis-of-risk-factors-for-nuss-bar-infections-a-single-center-study
#7
Robert J Obermeyer, Nina S Cohen, Sheema Gaffar, Robert E Kelly, M Ann Kuhn, Frazier W Frantz, Margaret M McGuire, James F Paulson
BACKGROUND/PURPOSE: Our previously published data suggested several risk factors for infection after the Nuss procedure. We aimed to further elucidate these findings. METHODS: An IRB-approved (14-03-WC-0034), single institution, retrospective review was performed to evaluate the incidence of postoperative Nuss bar infections associated with seven variables. These were subjected to bivariate and multivariable analyses. A broad definition of infection was used including cellulitis, superficial infection with drainage, or deep infection occurring at any time postoperatively...
March 8, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29620703/a-multicenter-collaboration-for-simulation-based-assessment-of-acgme-milestones-in-emergency-medicine
#8
David H Salzman, Hannah Watts, Kelly Williamson, Michelle Sergel, Valerie Dobiesz, Noah DeGarmo, Samreen Vora, Louis J Sharp, Ernest E Wang, Michael A Gisondi
In 2014, the six allopathic emergency medicine (EM) residency programs in Chicago established an annual, citywide, simulation-based assessment of all postgraduate year 2 EM residents. The cases and corresponding assessment tools were designed by the simulation directors from each of the participating sites. All assessment tools include critical actions that map directly to numerous EM milestones in 11 different subcompetencies. The 2-hour assessments provide opportunities for residents to lead resuscitations of critically ill patients and demonstrate procedural skills, using mannequins and task trainers respectively...
April 3, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29608450/does-day-of-surgery-affect-hospital-length-of-stay-and-charges-following-minimally-invasive-transforaminal-lumbar-interbody-fusion
#9
Fady Y Hijji, Ankur S Narain, Brittany E Haws, Benjamin Khechen, Krishna T Kudaravalli, Kelly H Yom, Kern Singh
STUDY DESIGN: Retrospective Cohort. OBJECTIVE: To determine if an association exists between surgery day and length of stay or hospital costs after minimally invasive transforaminal lumbar interbody fusion (MIS TLIF). SUMMARYOF BACKGROUND DATA: Length of inpatient stay after orthopedic procedures has been identified as a primary cost driver, and previous research has focused on determining risk factors for prolonged length of stay. In the arthroplasty literature, surgery performed later in the week has been identified as a predictor of increased length of stay...
March 31, 2018: Clinical Spine Surgery
https://www.readbyqxmd.com/read/29606893/first-in-man-intravenous-implantation-of-stromal-vascular-fraction-in-psoriasis-a-case-study
#10
Kristin Comella, Michelle Parlo, Rosemary Daly, Kellie Dominessy
Background: Stromal vascular fraction (SVF) is a mixture of adipose-derived stem cells/mesenchymal stem cells, endothelial/progenitors, pericytes, fibroblasts, and other cells obtained from fat tissue. A small sample of fat or adipose tissue can be obtained under local anesthesia using a cannula. After an enzymatic digestion and centrifugation, the adipocytes (fat cells) are removed to obtain an SVF. Here, we describe the rationale and, to our knowledge, the first clinical implementation of SVF intravenously in a patient with severe psoriasis...
2018: International Medical Case Reports Journal
https://www.readbyqxmd.com/read/29605899/reoperation-and-complications-after-anterior-cervical-discectomy-and-fusion-and-cervical-disc-arthroplasty-a-study-of-52-395-cases
#11
Michael P Kelly, Claire D Eliasberg, Max S Riley, Remi M Ajiboye, Nelson F SooHoo
PURPOSE: The aim of this study was to analyze rates of perioperative complications and subsequent cervical surgeries in patients treated for cervical degenerative disc disease with anterior cervical discectomy and fusion (ACDF) and those treated with artificial cervical disc arthroplasty (ACDA) for up to 5-year follow-up. METHODS: California's Office of Statewide Health Planning and Development discharge database was analyzed for patients aged 18-65 years undergoing single-level ACDF or ACDA between 2003 and 2010...
March 31, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29602086/implementation-options-for-dna-based-identification-into-ecological-status-assessment-under-the-european-water-framework-directive
#12
REVIEW
Daniel Hering, Angel Borja, J Iwan Jones, Didier Pont, Pieter Boets, Agnes Bouchez, Kat Bruce, Stina Drakare, Bernd Hänfling, Maria Kahlert, Florian Leese, Kristian Meissner, Patricia Mergen, Yorick Reyjol, Pedro Segurado, Alfried Vogler, Martyn Kelly
Assessment of ecological status for the European Water Framework Directive (WFD) is based on "Biological Quality Elements" (BQEs), namely phytoplankton, benthic flora, benthic invertebrates and fish. Morphological identification of these organisms is a time-consuming and expensive procedure. Here, we assess the options for complementing and, perhaps, replacing morphological identification with procedures using eDNA, metabarcoding or similar approaches. We rate the applicability of DNA-based identification for the individual BQEs and water categories (rivers, lakes, transitional and coastal waters) against eleven criteria, summarised under the headlines representativeness (for example suitability of current sampling methods for DNA-based identification, errors from DNA-based species detection), sensitivity (for example capability to detect sensitive taxa, unassigned reads), precision of DNA-based identification (knowledge about uncertainty), comparability with conventional approaches (for example sensitivity of metrics to differences in DNA-based identification), cost effectiveness and environmental impact...
March 20, 2018: Water Research
https://www.readbyqxmd.com/read/29600405/comparing-postoperative-voiding-dysfunction-after-mid-urethral-sling-using-either-a-babcock-or-kelly-clamp-tensioning-technique
#13
Olivia H Chang, Michele R Hacker, Peter L Rosenblatt, Dayna Neo, Emily Von Bargen, Iman Berrahou, Amy Le, Roger Lefevre, Lekha S Hota
INTRODUCTION AND HYPOTHESIS: The objective was to compare postoperative urinary retention using the Babcock and Kelly clamps for retropubic midurethral sling (RPS) tensioning. METHODS: This was a retrospective cohort of isolated RPS procedures from December 2010 through April 2016 by five fellowship-trained surgeons at two institutions. Slings were tensioned with a Babcock clamp by grasping a 3-mm midline fold of mesh (RPS-B) or a Kelly clamp as a spacer between the sling and suburethral tissue (RPS-K)...
March 29, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29594872/calcium-calmodulin-stimulated-adenylyl-cyclases-1-and-8-regulate-reward-related-brain-activity-and-ethanol-consumption
#14
Kelly E Bosse, Farhad Ghoddoussi, Ajay T Eapen, Jennifer L Charlton, Laura L Susick, Kirt Desai, Bruce A Berkowitz, Shane A Perrine, Alana C Conti
Evidence suggests a predictive link between elevated basal activity within reward-related networks (e.g., cortico-basal ganglia-thalamic networks) and vulnerability for alcoholism. Both calcium channel function and cyclic adenosine monophosphate (cAMP)/protein kinase A-mediated signaling are critical modulators of reward neurocircuitry and reward-related behaviors. Calcium/calmodulin-stimulated adenylyl cyclases (AC) 1 and 8 are sensitive to activity-dependent increases in intracellular calcium and catalyze cAMP production...
March 28, 2018: Brain Imaging and Behavior
https://www.readbyqxmd.com/read/29580916/influences-on-intentions-to-place-long-acting-reversible-contraceptives-a-pilot-study-comparing-by-provider-specialty-in-ohio
#15
Charee Thompson, Jane Broecker, Maggie Dade, Kelly Nottingham
STUDY OBJECTIVE: According to the American Academy of Pediatrics (AAP), pediatricians are to counsel and provide LARCs as first-line-of-defense contraceptives because they are the most effective. We wanted to explore positive influences on LARC placement for pediatricians, particularly when compared to providers in other specialties who care for women. DESIGN: Survey methods with data analyzed using analyses of variance and general linear models in statistical software SPSS 24...
March 23, 2018: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/29580627/alcohol-consumption-and-risk-of-coronary-artery-disease-from-the-million-veteran-program
#16
Rebecca J Song, Xuan-Mai T Nguyen, Rachel Quaden, Yuk-Lam Ho, Amy C Justice, David R Gagnon, Kelly Cho, Christopher J O'Donnell, John Concato, J Michael Gaziano, Luc Djoussé
Moderate alcohol consumption has been associated with a lower risk of coronary artery disease (CAD) in the general population but has not been well studied in US veterans. We obtained self-reported alcohol consumption from Million Veteran Program participants. Using electronic health records, CAD events were defined as 1 inpatient or 2 outpatient diagnosis codes for CAD, or 1 code for a coronary procedure. We excluded participants with prevalent CAD (n = 69,995) or incomplete alcohol information (n = 8,449)...
February 12, 2018: American Journal of Cardiology
https://www.readbyqxmd.com/read/29544970/the-effect-of-prior-hip-arthroscopy-on-patient-reported-outcomes-after-total-hip-arthroplasty-an-institutional-registry-based-matched-cohort-study
#17
Joseph F Konopka, Robert L Buly, Bryan T Kelly, Edwin P Su, Alexander S McLawhorn
BACKGROUND: A significant number of patients who undergo hip arthroscopy will subsequently undergo total hip arthroplasty (THA) or hip resurfacing arthroplasty (HRA), although limited evidence exists regarding effects of prior hip arthroscopy on the outcomes of these procedures. METHODS: Of 5091 patients who underwent hip arthroscopy, we identified 69 patients who underwent subsequent THA (46) or HRA (23). Patients were matched to patients with no history of hip arthroscopy...
February 2, 2018: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29544405/the-effect-of-protamine-dosing-variation-on-bleeding-and-transfusion-after-heparinisation-for-cardiopulmonary-bypass
#18
Stephen A Kunz, Lachlan F Miles, Damian J Ianno, Kelly L Mirowska-Allen, George Matalanis, Rinaldo Bellomo, Siven Seevanayagam
INTRODUCTION: Accurate dosing of protamine reversal following on-pump cardiac surgical procedures is challenging, with both excessive and inadequate administration recognised to increase bleeding risk. We aimed to examine the relationship between three ratios for heparin reversal and markers of haemostasis. METHODS: A retrospective analysis of a prospectively collected database was undertaken at a single tertiary cardiac unit, reviewing all cases of on-pump coronary artery bypass grafts and single valve replacements from 01/01/2011 to 31/12/2015...
March 1, 2018: Perfusion
https://www.readbyqxmd.com/read/29543980/macrolide-antibiotics-for-bronchiectasis
#19
REVIEW
Carol Kelly, James D Chalmers, Iain Crossingham, Nicola Relph, Lambert M Felix, David J Evans, Stephen J Milan, Sally Spencer
BACKGROUND: Bronchiectasis is a chronic respiratory disease characterised by abnormal and irreversible dilatation and distortion of the smaller airways. Bacterial colonisation of the damaged airways leads to chronic cough and sputum production, often with breathlessness and further structural damage to the airways. Long-term macrolide antibiotic therapy may suppress bacterial infection and reduce inflammation, leading to fewer exacerbations, fewer symptoms, improved lung function, and improved quality of life...
March 15, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29538686/bezlotoxumab-for-prevention-of-recurrent-c-difficile-infection-in-patients-at-increased-risk-for-recurrence
#20
Dale N Gerding, Ciaran P Kelly, Galia Rahav, Christine Lee, Erik R Dubberke, Princy N Kumar, Bruce Yacyshyn, Dina Kao, Karen Eves, Misoo C Ellison, Mary E Hanson, Dalya Guris, Mary Beth Dorr
Background: Bezlotoxumab is a human monoclonal antibody against C. difficile toxin B indicated to prevent CDI recurrence (rCDI) in adults at high risk for rCDI. This post-hoc analysis of pooled MODIFY I/II data assessed bezlotoxumab efficacy in participants with characteristics associated with increased risk for rCDI. Methods: The analysis population was the modified Intent-to-Treat population who received bezlotoxumab or placebo (n=1554) by risk factors for rCDI that were prespecified in the statistical analysis plan: age ≥65 years, history of CDI, compromised immunity, severe CDI, and ribotype 027/078/244...
March 10, 2018: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
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