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https://www.readbyqxmd.com/read/28542072/effect-of-exercise-training-on-the-frequency-of-contracture-release-surgeries-in-burned-children
#1
Jong O Lee, David N Herndon, Clark Andersen, Oscar E Suman, Ted T Huang
BACKGROUND: Intensive physical exercise (IPE) increases strength, lean body mass, aerobic capacity, and range of motion in children with extensive burns. However, whether IPE decreases the frequency of burn scar contracture-releasing procedures in children with extensive burns is unknown. MATERIALS AND METHODS: Prospectively collected surgical records of 184 children who had undergone axilla, elbow, and/or wrist contracture-releasing procedures were reviewed. All children were 7 years or older and had sustained burns of at least 40% of the total body surface area...
May 25, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28539868/burned-out-metastatic-testicular-tumor-choriocarcinoma
#2
Mohammed S El-Sharkawy, Abdulaziz S Al-Jibali
Burned-out testicular tumor is a very rare clinical entity. There is no clinical finding in the testicle because it regresses spontaneously without any treatment and generally presents with metastases. Clinical examination of the testis and scrotal sonography are pivotal in the initial diagnosis of such neoplasms. We present a case of a 22-year-old male with hemoptysis, weight loss, and abdominal pain for the past 2 weeks and no palpable lesion on testicular examination. No relevant past medical history.
April 2017: International Journal of Health Sciences
https://www.readbyqxmd.com/read/28539239/assessment-of-burn-specific-health-related-quality-of-life-and-patient-scar-status-following-burn
#3
Hyunjin Oh, Sunjoo Boo
INTRODUCTION: This study assessed patient-perceived levels of scar assessment and burn-specific quality of life (QOL) in Korean burn patients admitted to burn care centers and identified differences in scar assessment and QOL based on various patient characteristics. METHODS: A cross-sectional descriptive study using anonymous paper-based survey methods was conducted with 100 burn patients from three burn centers specializing in burn care in South Korea. RESULTS: Mean subject age was 44...
May 21, 2017: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/28538636/the-role-of-nigms-p50-sponsored-team-science-in-our-understanding-of-multiple-organ-failure
#4
Frederick A Moore, Ernest E Moore, Timothy R Billiar, Yoram Vodovotz, Anirban Banerjee, Lyle L Moldawer
The history of the National Institute of General Medical Sciences (NIGMS) Research Centers in Peri-operative Sciences (RCIPS) is the history of clinical, translational and basic science research into the etiology and treatment of posttraumatic multiple organ failure (MOF). Born out of the activism of trauma and burn surgeons after the Viet Nam war, the P50 trauma research centers have been a nidus of research advances in the field, and the training of future academic physician-scientists in the fields of trauma, burns, sepsis and critical illness...
May 22, 2017: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/28537144/bottlenecks-in-shift-patterns-forcing-staff-to-leave-the-profession-or-run-risk-of-mistakes
#5
(no author information available yet)
Nurses have raised concerns over the way night and day shifts run into each other, leading to staff feeling burned-out or even wanting to leave the profession.
May 24, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28537035/characteristics-of-columnar-aerosol-optical-and-microphysical-properties-retrieved-from-the-sun-photometer-and-its-impact-on-radiative-forcing-over-skukuza-south-africa-during-1999-2010
#6
Ayodele Joseph Adesina, Stuart Piketh, Raghavendra Kumar Kanike, Sivakumar Venkataraman
The detailed analysis of columnar optical and microphysical properties of aerosols obtained from the AErosol RObotic NETwork (AERONET) Cimel sun photometer operated at Skukuza (24.98° S, 31.60° E, 150 m above sea level), South Africa was carried out using the level 2.0 direct sun and inversion products measured during 1999-2010. The observed aerosol optical depth (AOD) was generally low over the region, with high values noted in late winter (August) and mid-spring (September and October) seasons. The major aerosol types found during the study period were made of 3...
May 24, 2017: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/28531451/new-laparoscopic-assisted-percutaneous-gastrostomy-description-and-comparison-with-others-gastrostomy-types
#7
Pilar Serrano Aguayo, Noelia Gros Herguido, Juana Parejo Campos, Antonio Barranco Moreno, María Del Castillo Tous Romero, José Luis Pereira Cunill, Isaías Alarcón Del Agua, María Socas Macias, Pedro Pablo García Luna, Salvador Morales Conde
INTRODUCTION: Gastrostomy feeding tube insertion has become a common procedure as it enables patients who require long term enteral feeding. Conventional surgical gastrostomies were the only way of gaining enteral access in patients in which it is not possible to pass an endoscope or a nasogastric tube required for endoscopic or radiological gastrostomies, and in patients in which certain anatomical abnormalities contraindicate performing these techniques. As conventional surgical gastrostomies are associated with high morbidity, especially gastric leakage around the tube, percutaneous laparoscopic assisted gastrostomy (PLAG) may be a better way to gain enteral access...
December 2016: Clinical Nutrition ESPEN
https://www.readbyqxmd.com/read/28511306/-relationship-of-job-stress-with-job-burnout-and-quality-of-work-life-in-workers-for-offshore-oil-platforms
#8
Y Zhang, X L Liu, T D Wei, Y J Lan
Objective: To evaluate the current status of job burnout and qual ity of work life (QWL) in workers for offshore oil platforms, and to analyze the relationship of job stress with job burnout and QWL and the direct and indirect effects of job stress on QWL. Methods: Cluster random sampling was used to select 382 work-ers for 8 oil platforms of China National Offshore Oil Corporation in October 2015. A self-designed questionnaire was used to collect the individual characteristics of subjects. The Quality of Work Life Scale (QWL7-32) , Occupa-tional Stress Inventory-Revised Edition (OSI-R) , and Maslach Burnout Inventory-General Survey (MBI-GS) were used to investigate the QWL, job stress, and job burnout of subjects...
March 20, 2017: Chinese Journal of Industrial Hygiene and Occupational Diseases
https://www.readbyqxmd.com/read/28504634/-a-burned-out-seminoma-lymph-node-metastasis-to-the-neck-of-a-patient-treated-for-colon-cancer
#9
Marie Louise Juul, Eva Rye Rasmussen
The incidence of metastases to the neck in testicular cancer is 4-15%, and in 5% of these cases the metastasis is the only symptom. We present a 57-year-old asymptomatic male, who had previously been treated for colon cancer. A routine PET-CT showed enlarged lymph nodes in the retroperitoneum and at the neck. A core needle biopsy from the lymph node at the neck contained malignant cells, but not from colon cancer. The lymph node was extirpated, and pathological analysis proved it to be a metastasis from a testicular seminoma...
May 15, 2017: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/28500553/characterization-of-rainwater-chemical-composition-after-a-southeast-asia-haze-event-insight-of-transboundary-pollutant-transport-during-the-northeast-monsoon
#10
Mohd Shahrul Mohd Nadzir, Chin Yik Lin, Md Firoz Khan, Mohd Talib Latif, Doreena Dominick, Haris Hafizal Abdul Hamid, Noorlin Mohamad, Khairul Nizam Abdul Maulud, Muhammad Ikram Abdul Wahab, Nurul Farahana Kamaludin, Mohamad Azwani Shah Mat Lazim
Open biomass burning in Peninsula Malaysia, Sumatra, and parts of the Indochinese region is a major source of transboundary haze pollution in the Southeast Asia. To study the influence of haze on rainwater chemistry, a short-term investigation was carried out during the occurrence of a severe haze episode from March to April 2014. Rainwater samples were collected after a prolonged drought and analyzed for heavy metals and major ion concentrations using inductively coupled plasma mass spectroscopy (ICP-MS) and ion chromatography (IC), respectively...
May 13, 2017: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/28481850/physician-burnout-and-well-being-a-systematic-review-and-framework-for-action
#11
David A Rothenberger
BACKGROUND: Physician burnout in the United States has reached epidemic proportions and is rising rapidly, although burnout in other occupations is stable. Its negative impact is far reaching and includes harm to the burned-out physician, as well as patients, coworkers, family members, close friends, and healthcare organizations. OBJECTIVE: The purpose of this review is to provide an accurate, current summary of what is known about physician burnout and to develop a framework to reverse its current negative impact, decrease its prevalence, and implement effective organizational and personal interventions...
June 2017: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/28481760/analysis-of-operating-room-efficiency-in-a-burn-center
#12
Tarik D Madni, Jonathan B Imran, Audra Clark, Brett A Arnoldo, Herb A Phelan, Steven E Wolf
Many operating room (OR) processes can limit productivity. Surprisingly, little has been done to identify which OR processes limit downstream activities. Here, the authors aimed to review their burn OR procedures to determine if and where inefficiencies exist. Data for all operations performed in a dedicated burn OR from January 1, 2015, to July 31, 2016 were reviewed in the electronic medical records of our public, teaching hospital. The total time spent was allocated into the following components: induction (patient in room to end of induction), preparation (end of induction to procedure start), procedure (procedure start to procedure end), exit (procedure end to patient out of room), and turnover (patient out of room to next patient in room)...
May 4, 2017: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/28476149/associations-of-fatigue-to-work-related-stress-mental-and-physical-health-in-an-employed-community-sample
#13
D M Rose, A Seidler, M Nübling, U Latza, E Brähler, E M Klein, J Wiltink, M Michal, S Nickels, P S Wild, J König, M Claus, S Letzel, M E Beutel
BACKGROUND: While work-related fatigue has become an issue of concern among European employees, the relationship between fatigue, depression and work-related stressors is far from clear. The purposes of this study were (1) to determine the associations of fatigue with work-related stressors, severe medical disease, health behavior and depression in the working population and (2) to determine the unique impact of work-related stressors on fatigue. METHODS: We used cross-sectional data of N = 7,930 working participants enrolled in the Gutenberg Health Study (GHS) from 2007 to 2012 filled out the Personal Burnout Scale (PBS) of the Copenhagen Psychosocial Questionnaire (COPSOQ), the PHQ-9, and a list of work-related stressors...
May 5, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28470059/enhancement-of-pool-boiling-heat-transfer-using-aligned-silicon-nanowire-arrays
#14
Dong Il Shim, Geehong Choi, Namkyu Lee, Taehwan Kim, Beom Seok Kim, Hyung Hee Cho
Enhancing the critical heat flux (CHF), which is the capacity of heat dissipation, is important to secure high stability in two-phase cooling systems. Coolant supply to a dry hot spot is a major mechanism to prevent surface burn-out for enhancing the CHF. Here, we demonstrate a more ready supply of coolant using aligned silicon nanowires (A-SiNWs), with a high aspect ratio (>10) compared to that of conventional random silicon nanowires (R-SiNWs), which have a disordered arrangement, for additional CHF improvement...
May 12, 2017: ACS Applied Materials & Interfaces
https://www.readbyqxmd.com/read/28468663/evaluating-malaria-case-management-at-public-health-facilities-in-two-provinces-in-angola
#15
Mateusz M Plucinski, Manzambi Ferreira, Carolina Miguel Ferreira, Jordan Burns, Patrick Gaparayi, Lubaki João, Olinda da Costa, Parambir Gill, Claudete Samutondo, Joltim Quivinja, Eliane Mbounga, Gabriel Ponce de León, Eric S Halsey, Pedro Rafael Dimbu, Filomeno Fortes
BACKGROUND: Malaria accounts for the largest portion of healthcare demand in Angola. A pillar of malaria control in Angola is the appropriate management of malaria illness, including testing of suspect cases with rapid diagnostic tests (RDTs) and treatment of confirmed cases with artemisinin-based combination therapy (ACT). Periodic systematic evaluations of malaria case management are recommended to measure health facility readiness and adherence to national case management guidelines...
May 3, 2017: Malaria Journal
https://www.readbyqxmd.com/read/28460858/analysis-of-out-of-hospital-pediatric-intubation-by%C3%A2-an-australian-helicopter-emergency-medical%C3%A2-service
#16
Brian J Burns, Joanna B Watterson, Sandra Ware, Luke Regan, Cliff Reid
STUDY OBJECTIVE: We examine first-look success in emergency pediatric intubation by a physician-staffed helicopter emergency medical service (EMS). METHODS: A database analysis of all pediatric (<16 years) intubations during a 64-month period was undertaken, using data from a prospectively enrolled electronic airway registry form. Recorded findings included patient demographics, operator background, airway intervention including intubation attempts, complications, and critical timings...
April 28, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28457980/reversal-of-trauma-induced-coagulopathy-using-first-line-coagulation-factor-concentrates-or-fresh-frozen-plasma-retic-a-single-centre-parallel-group-open-label-randomised-trial
#17
Petra Innerhofer, Dietmar Fries, Markus Mittermayr, Nicole Innerhofer, Daniel von Langen, Tobias Hell, Gottfried Gruber, Stefan Schmid, Barbara Friesenecker, Ingo H Lorenz, Mathias Ströhle, Verena Rastner, Susanne Trübsbach, Helmut Raab, Benedikt Treml, Dieter Wally, Benjamin Treichl, Agnes Mayer, Christof Kranewitter, Elgar Oswald
BACKGROUND: Effective treatment of trauma-induced coagulopathy is important; however, the optimal therapy is still not known. We aimed to compare the efficacy of first-line therapy using fresh frozen plasma (FFP) or coagulation factor concentrates (CFC) for the reversal of trauma-induced coagulopathy, the arising transfusion requirements, and consequently the development of multiple organ failure. METHODS: This single-centre, parallel-group, open-label, randomised trial was done at the Level 1 Trauma Center in Innsbruck Medical University Hospital (Innsbruck, Austria)...
April 27, 2017: Lancet Haematology
https://www.readbyqxmd.com/read/28457060/complications-of-post-burn-tissue-expansion-reconstruction-9-years-experience-with-42-pediatric-and-26-adult-patients
#18
Alexander Margulis, Allan Billig, Jhonatan Elia, Yair Shachar, Neta Adler
BACKGROUND: Burn scar reconstruction is extremely challenging, even for the most proficient reconstructive surgeon. Within the arsenal of tools at the plastic surgeon's disposal, tissue expansion provides an efficient modality for reconstruction despite the reported complication rates. OBJECTIVES: To critically review our experience with tissue expansion for burn scar reconstruction, comparing particularly the adult and pediatric populations. METHODS: We conducted a retrospective study of the outcomes of patients who underwent burn scar reconstruction with tissue expansion at Hadassah Medical Center between January 2003 and July 2012...
February 2017: Israel Medical Association Journal: IMAJ
https://www.readbyqxmd.com/read/28455761/women-s-decision-making-autonomy-and-their-attitude-towards-wife-beating-findings-from-the-2011-ethiopia-s-demographic-and-health-survey
#19
Nasser B Ebrahim, Madhu S Atteraya
The study examined the extent of wife-beating acceptance and factors that influence women's attitude towards wife-beating in Ethiopia from a nationally representative sample of 11,658 participants in the 2011 Ethiopian Demographic and Health Survey. Multivariate logistic regressions were fitted to investigate the relationships between women's attitude towards wife-beating and women's decision-making autonomy after controlling for socio-demographic factors. The majority (56%) of women agreed that wife-beating is justified when wife neglects children, 53% when wife burns the food, 50% when wife argues with husband, 48% when wife goes out without telling husband, and nearly 45% when wife refuses to have sex with husband...
April 28, 2017: Journal of Immigrant and Minority Health
https://www.readbyqxmd.com/read/28455568/chemical-characteristics-and-source-apportionment-of-pm2-5-using-pca-apcs-unmix-and-pmf-at-an-urban-site-of-delhi-india
#20
Srishti Jain, Sudhir Kumar Sharma, Nikki Choudhary, Renu Masiwal, Mohit Saxena, Ashima Sharma, Tuhin Kumar Mandal, Anshu Gupta, Naresh Chandra Gupta, Chhemendra Sharma
The present study investigated the comprehensive chemical composition [organic carbon (OC), elemental carbon (EC), water-soluble inorganic ionic components (WSICs), and major & trace elements] of particulate matter (PM2.5) and scrutinized their emission sources for urban region of Delhi. The 135 PM2.5 samples were collected from January 2013 to December 2014 and analyzed for chemical constituents for source apportionment study. The average concentration of PM2.5 was recorded as 121.9 ± 93.2 μg m(-3) (range 25...
April 28, 2017: Environmental Science and Pollution Research International
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