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https://www.readbyqxmd.com/read/29139278/improving-pain-control-in-diabetic-neuropathy
#1
Peter Paisley, Mick Serpell
Diabetic neuropathy is thought to affect 1.9% of the world’s population and 50% of patients with a diagnosis of diabetes mellitus which would equate to 2.25 million people in the UK. The term diabetic neuropathy includes multiple distinct clinical entities that have been classified under the broad headings of focal and multifocal neuropathies and symmetrical neuropathies. Peripheral diabetic neuropathy, a chronic distal symmetrical predominantly sensory neuropathy, is the most common form of diabetic neuropathy...
March 2017: Practitioner
https://www.readbyqxmd.com/read/29137118/modeling-skin-injury-from-hot-spills-on-clothing
#2
Torgrim Log
The present work analyzes scald burns from hot beverages, such as coffee and tea, spilled on the lap, i.e., an incident that may occur in daily life. The Pennes bioheat equation is solved numerically for small spills wetting the clothing, i.e., the fabric prevents the spilled liquid from draining away. Temperatures are analyzed in the wetted fabric and the skin layers and the resulting skin injury is calculated based on the basal layer temperature. Parameters influencing burn severity, such as clothing thickness, liquid temperature, removal of fabric and thermal effects of post scald water cooling are analyzed...
November 11, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29134422/hiv-prevention-among-young-women-in-south-africa-understanding-multiple-layers-of-risk
#3
Christina Psaros, Cecilia Milford, Jennifer A Smit, Letitia Greener, Nzwakie Mosery, Lynn T Matthews, Abigail Harrison, Janna R Gordon, Matthew Mimiaga, David R Bangsberg, Steven A Safren
Despite concerted prevention efforts, young South African women remain at the epicenter of the HIV epidemic. Although these women have grown up in a community powerfully affected by HIV, systematic investigation into how this "second generation" of HIV-affected youth navigates HIV risk is lacking. This study qualitatively explored a complex interplay of factors influencing HIV risk among young pregnant women in KwaZulu-Natal, South Africa. We conducted in-depth interviews with 35 pregnant women (22 HIV-uninfected and 13 HIV-infected) aged 18-21, 18 healthcare providers, and focus groups with 19 community stakeholders...
November 13, 2017: Archives of Sexual Behavior
https://www.readbyqxmd.com/read/29125581/occurrence-of-polychlorinated-dibenzo-p-dioxins-and-dibenzofurans-and-polychlorinated-biphenyls-in-fruit-and-vegetables-from-the-land-of-fires-area-of-southern-italy
#4
Mauro Esposito, Antonella De Roma, Stefania Cavallo, Gianfranco Diletti, Loredana Baldi, Giampiero Scortichini
The concentrations of polychlorinated dibenzo-p-concentrations dioxins (PCDDs), polychlorinated dibenzofurans (PCDFs) (PCDD/Fs), and polychlorinated biphenyls (PCBs) were determined in fruit and vegetables collected in farms located in the well-known "Land of Fires" area of Southern Italy, in an effort to learn more about the environmental pollution of this high-risk area due to illegal waste dumping and uncontrolled burning near cultivated fields. Concentrations were in the range 0.011-2.26 ng g(-1) for the six "indicator" non-dioxin-like PCBs (NDL-PCBs), and 0...
November 10, 2017: Toxics
https://www.readbyqxmd.com/read/29122341/effects-of-prescribed-fire-for-pasture-management-on-soil-organic-matter-and-biological-properties-a-1-year-study-case-in-the-central-pyrenees
#5
Antonio Girona-García, David Badía-Villas, Clara Martí-Dalmau, Oriol Ortiz-Perpiñá, Juan Luis Mora, Cecilia M Armas-Herrera
Prescribed burning has been readopted in the last decade in the Central Pyrenees to stop the regression of subalpine grasslands in favour of shrublands, dominated among others by Echinospartum horridum (Vahl) Rothm. Nevertheless, the effect of this practice on soil properties is uncertain. The aim of this work was to analyse the effects of these burnings on topsoil organic matter and biological properties. Soil sampling was carried out in an autumnal prescribed fire in Buisán (NE-Spain, November 2015). Topsoil was sampled at 0-1cm, 1-2cm and 2-3cm depth in triplicate just before (U), ~1h (B0), 6months (B6) and 12months (B12) after burning...
November 6, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/29122221/qualitative-and-quantitative-contrast-enhanced-ultrasonography-for-the-characterisation-of-non-palpable-testicular-tumours
#6
A Luzurier, F Maxwell, J M Correas, G Benoit, V Izard, S Ferlicot, J P Teglas, M F Bellin, L Rocher
AIM: To assess the diagnostic performance of conventional ultrasound (US) and contrast-enhanced ultrasonography (CEUS) in the differential diagnosis of non-palpable intratesticular tumours. MATERIALS AND METHODS: The local ethics review board approved the protocol, and all of the patients provided written informed consent. Between December 2011 and February 2014, men with non-palpable testicular tumours and normal tumour markers who were referred for surgery were included...
November 6, 2017: Clinical Radiology
https://www.readbyqxmd.com/read/29122154/feeling-burned-out-half-of-us-are-the-urgent-need-to-address-provider-health-and-wellness-in-allergy-and-immunology
#7
EDITORIAL
Theresa Bingemann, David A Khan, Sharon Markovics, Andrew G Weinstein, Hemant P Sharma
No abstract text is available yet for this article.
November 2017: Journal of Allergy and Clinical Immunology in Practice
https://www.readbyqxmd.com/read/29111322/phytochemical-analysis-and-antibacterial-activity-of-gentiana-macrophylla-extract-against-bacteria-isolated-from-burn-wound-infections
#8
Chaohong Yin, Longwei Xie, Yun Guo
The management of burn wound victims is often considered a difficult task due to frequent infections. Moreover, the treatment with conventional antibiotics is associated with the upsurge of drug resistant bacterial strains. Therefore there is pressing need to explore antimicrobials that could overcome these problems. Plant extracts have been used as antimicrobials in different systems of medicine. Gentiana species have been widely used in Chinese system of traditional medicine for the treatment of various ailments including microbial infections...
October 27, 2017: Microbial Pathogenesis
https://www.readbyqxmd.com/read/29111249/fire-severity-is-more-sensitive-to-low-fuel-moisture-content-on-calluna-heathlands-than-on-peat-bogs
#9
Roger Grau-Andrés, G Matt Davies, Alan Gray, E Marian Scott, Susan Waldron
Moorland habitats dominated by the dwarf shrub Calluna vulgaris provide important ecosystem services. Drought is projected to intensify throughout their range, potentially leading to increased fire severity as moisture is a key control on severity. We studied the effect of low fuel moisture content (FMC) on fire severity by using 2×2m rain-out shelters prior to completing 19 experimental fires in two sites in Scotland (UK): a dry heath with thin organic soils and a raised bog with deep, saturated peat, both dominated by Calluna vulgaris...
October 27, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/29097859/quantifying-burnout-among-emergency-medicine-professionals
#10
William Wilson, Jeffrey Pradeep Raj, Girish Narayan, Murtuza Ghiya, Shakuntala Murty, Bobby Joseph
Background: Burnout is a syndrome explained as serious emotional depletion with poor adaptation at work due to prolonged occupational stress. It has three principal components namely emotional exhaustion(EE), depersonalization(DP) and diminished feelings of personal accomplishment(PA). Thus, we aimed at measuring the degree of burnout in doctors and nurses working in emergency medicine department (EMD) of 4 select tertiary care teaching hospitals in South India. Methods: A cross sectional survey was conducted among EMD professionals using a 30-item standardized pilot tested questionnaire as well as the Maslach burnout inventory...
October 2017: Journal of Emergencies, Trauma, and Shock
https://www.readbyqxmd.com/read/29089682/ct-guided-radiofrequency-ablation-in-osteoid-osteoma-result-from-a-tertiary-cancer-centre-in-india
#11
Suyash S Kulkarni, Nitin S Shetty, Ashwin M Polnaya, Amit Janu, Suresh Kumar, Ajay Puri, Ashish Gulia, Venkatesh Rangarajan
AIMS: The aim of this study is to evaluate the clinical efficacy of computed tomography (CT)-guided radiofrequency (RF) ablation as a minimally invasive therapy for osteoid osteoma. MATERIALS AND METHODS: This is a retrospective analysis of prospectively maintained data of 43 symptomatic osteoid osteoma patients who were treated by radiofrequency ablation (RFA). Forty out of 43 patients were naive cases and underwent primary treatment for osteoid osteoma with RFA, whereas 3 patients included in the study underwent RFA for local recurrence after having undergone surgical treatment...
July 2017: Indian Journal of Radiology & Imaging
https://www.readbyqxmd.com/read/29071287/collaborative-noise-data-collected-from-smartphones
#12
Erwan Bocher, Gwendall Petit, Judicaël Picaut, Nicolas Fortin, Gwenaël Guillaume
Noise stands for an important human health and environmental issue. Indeed, noise causes annoyance and fatigue, interferes with communication and sleep, damages hearing and entails cardiovascular problems (WHO, 2011) [1]. From an environmental point of view, noise implies a lessening of both the richness and abundance of the animal species, an alteration of the communication, which can threaten the reproduction and predation, etc. (Newport et al., 2014; Shannon et al., 2014) [2], [3]. Consequently, effects related to environmental noise result in a huge cost for society, with 2...
October 2017: Data in Brief
https://www.readbyqxmd.com/read/29071000/burned-out-testicular-cancer-really-a-different-history
#13
Claudia Mosillo, Simone Scagnoli, Giulia Pomati, Salvatore Caponnetto, Maria Laura Mancini, Mario Bezzi, Enrico Cortesi, Alain Gelibter
Two or more histological types characterize more than 60% of testicular germ cell tumors (GCTs). Burned-out testicular tumor refers to partial or complete histological regression of the primary testicular lesions. The most frequent GCT type involved in this kind of histological regression is choriocarcinoma, followed by embryonal carcinoma. To our knowledge, there are no cases of the burned-out phenomenon in teratoma. We report a case of a 19-year-old man presenting to our institute with a right testicular lesion, evidence of mediastinal and abdominal lymph node metastasis, and high levels of GCT serum biomarkers...
September 2017: Case Reports in Oncology
https://www.readbyqxmd.com/read/29068759/severe-burns-in-a-patient-after-out-of-hospital-cpr
#14
Nir Biterman, Arthur Kerner, Doron Aronson, Yaron BarLavie, Yehuda Ullmann, Michael Kapeliovich
We present a case of a patient after prolonged cardio-pulmonary resuscitation on hot asphalt, who suffered from first and second degree burns which worsened during hospitalization. The patient was treated with therapeutic hypothermia. Possible effect of therapeutic hypothermia on the course of burns is discussed.
October 25, 2017: Acute Cardiac Care
https://www.readbyqxmd.com/read/29067985/point-prevalence-risk-factor-assessment-for-hospital-acquired-infections-in-a-tertiary-care-hospital-in-pune-india
#15
Velu Nair, A K Sahni, Dinesh Sharma, Naveen Grover, S Shankar, A Chakravarty, Seema Patrikar, Kailas Methe, S S Jaiswal, S S Dalal, Anupam Kapur, Rajesh Verma, Jyoti Prakash, Ashutosh Gupta, Anvita Bhansali, Deepak Batura, G Gopal Rao, D P Joshi, B K Chopra
BACKGROUND & OBJECTIVES: Hospital-acquired infections (HAIs) are a major challenge to patient safety and have serious public health implications by changing the quality of life of patients and sometimes causing disability or even death. The true burden of HAI remains unknown, particularly in developing countries. The objective of this study was to estimate point prevalence of HAI and study the associated risk factors in a tertiary care hospital in Pune, India. METHODS: A series of four cross-sectional point prevalence surveys were carried out between March and August 2014...
June 2017: Indian Journal of Medical Research
https://www.readbyqxmd.com/read/29065881/the-implications-of-ritual-practices-and-ritual-plant-uses-on-nature-conservation-a-case-study-among-the-naxi-in-yunnan-province-southwest-china
#16
Yanfei Geng, Guoxiong Hu, Sailesh Ranjitkar, Yinxian Shi, Yu Zhang, Yuhua Wang
BACKGROUND: Conservation of biodiversity is primary important of today's critically vulnerable environment. Efficient conservation can be possible only with the long-term participation and understanding of the communities. Ritual beliefs of the indigenous people are one of the important tools to understand the local communities and aid the nature conservation. In this paper, we documented contemporary ritual practices and ritual plant uses among the Naxi people and discussed the importance of traditional knowledge on ritual practice in the conservation of plants in the mountains presenting a case study of the Dongba culture...
October 25, 2017: Journal of Ethnobiology and Ethnomedicine
https://www.readbyqxmd.com/read/29062590/toll-like-receptor-signaling-in-burn-wound-healing-and-scarring
#17
REVIEW
Peter D'Arpa, Kai P Leung
Significance: Damage-associated molecular patterns (DAMPs) and pathogen-associated molecular patterns (PAMPs) emanate from burn-injured tissue and enter systemic circulation. Locally and systemically, they activate pattern-recognition receptors, including toll-like receptors (TLRs), to stimulate cytokine secretion, which in the severest burns typically results in extreme systemic cytokine levels, a dysfunctioning immune system, infection, impaired healing, and excessive scarring. This system-wide disruption of homeostasis can advance to life-threatening, multiorgan dysfunction syndrome...
October 1, 2017: Advances in Wound Care
https://www.readbyqxmd.com/read/29062374/why-do-emergency-medicine-residents-experience-burn-out-a-qualitative-study
#18
Atefe Kamaloo, Ahmad Ahmadipour, Ali Labbaf, Elham Hesari, Somaye Valadkhani, Jeyran Zebardast, Mohammad Arbabi
Objective: Emergency medicine residents are a high-risk group for burnout syndrome. This was a qualitative study with content analysis on emergency medical residents with 2 aims: evaluating the incidence of occupational burnout syndrome and identifying the points of view and attitudes of emergency medical residents about factors related to occupational burnout syndrome. Method: For this study, 2 sessions of focus group discussions were set up at Imam Khomeini hospital affiliated to Tehran University of Medical Sciences...
July 2017: Iranian Journal of Psychiatry
https://www.readbyqxmd.com/read/29056125/quantification-and-further-refinements-of-dorsal-metacarpal-artery-perforator-flap-for-reconstruction-of-wounds-of-fingers-upto-distal-interphalangeal-joints
#19
Muhammad Amin Yousaf, Zain Ul Abidin, Farrukh Aslam Khalid, Kamran Khalid, Muhammad Saleem, Muhammad Jibran Rabbani, Abdul Malik Mujahid, Moazzam Nazeer Tarrar
OBJECTIVE: To assess the outcome of dorsal metacarpal artery perforator flap for coverage of finger defects extending upto distal interphalangeal joint (DIPJ). STUDY DESIGN: Case series. PLACE AND DURATION OF STUDY: Jinnah Burn and Reconstructive Surgery Centre, Lahore, from March 2015 to May 2017. METHODOLOGY: Our study was carried out in two parts. 1st part of study was to measure average flap length in our population...
October 2017: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/29056025/-analysis-on-on-site-rescue-and-traumatic-features-of-victims-involved-in-gas-explosion-accident-in-hangzhou
#20
X G Wang, R H Jin, F P Liu, C M Han
Objective: To investigate the situations of on-site rescue and traumatic features of victims involved in gas explosion accident in Hangzhou, so as to provide more data support for emergency medical rescues of the similar incidents of massive casualty. Methods: Two medical workers with a certain clinical experience were sent to Hangzhou 120 emergency medical centers to collect data of the on-site rescue on 21st July, 2017, including ambulance call-outs, on-site command and traffic conditions, and on-site triage and evacuation of the victims...
October 20, 2017: Zhonghua Shao Shang za Zhi, Zhonghua Shaoshang Zazhi, Chinese Journal of Burns
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