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Abdullah Boztosun, Remzi Atılgan, Şehmus Pala, Şafak Olgan
The aim of this study is to define a new method of manipulating the uterus during laparoscopic hysterectomy. A total laparoscopic hysterectomy (TLH) with the newly defined technique was performed in 29 patients between July 2016 and July 2017. In this new technique, the uterus was bound from uterine corpus and fundus like a bridle with polyester tape, to allow abdominal manipulation. The technique was successfully performed at the first attempt in 93.1% of cases. It was repeated in two cases (6.9%) since the polyester tape departed away from the uterus at the first attempt...
March 22, 2018: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
Rebecca L Emery, Maria Tina Benno, Rachel H Salk, Rachel P Kolko, Michele D Levine
Limited research has examined the factors related to knowledge of gestational weight gain (GWG) recommendations and the receipt of advice from healthcare providers regarding GWG recommendations among women with pre-pregnancy overweight/obesity. Women with pre-pregnancy overweight/obesity (N = 191) reported the amount of gestational weight they believed they should gain and that healthcare providers advised them to gain. Only 24% (n = 46) of women had a correct knowledge of GWG recommendations. Women were less likely to have a correct knowledge of GWG recommendations if they had pre-pregnancy obesity, were of a minority race, or were socioeconomically disadvantaged...
March 22, 2018: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
Lesli Hokanson, Michael Gerhardt Quinn, Natalie Schüz, Kristy de Salas, Jenn Scott
PURPOSE: There is a global increase in chronic, degenerative illnesses that require long-term intervention and support as a result of the aging population. The majority of support needs are met by informal family caregivers. While there have been three decades of research focusing on caregivers in general, the extent to which research has focused on Indigenous caregivers is unclear. Worldwide, Indigenous peoples face severe economic and health disadvantages that may make them even more vulnerable to the negative aspects of informal caregiving...
March 21, 2018: Quality of Life Research
Claudio Chillemi, Matteo Mantovani, Antonio Gigante
Superior capsular reconstruction (SCR) demonstrated its efficacy as a treatment option available in patients affected with irreparable posterosuperior rotator cuff tears without any signs of arthritis. Originally, the fascia lata autograft was fixed medially to the glenoid (with two or more anchors) and laterally to the greater tuberosity (with a compression double-row technique using four anchors or three transosseous tunnels). Additionally, side-to-side sutures were used to anteriorly and posteriorly connect the graft to the native residual rotator cuff tissue...
March 21, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
Geum Seon Sohn, SiHyun Cho, Yong Man Kim, Chi-Heum Cho, Mee-Ran Kim, Sa Ra Lee
Uterine fibroids (leiomyomas or myomas), benign monoclonal tumors, are the most common benign tumors in women. Heavy or prolonged menstrual bleeding, abnormal uterine bleeding, resultant anemia, pelvic pain, infertility, and/or recurrent pregnancy loss are generally associated with uterine fibroids. Although curative treatment of this tumor relies on surgical therapies, medical treatments are considered the first-line treatment to preserve fertility and avoid or delay surgery. The aim of this review is to provide available and emerging medical treatment options for symptomatic uterine fibroids...
March 2018: Obstetrics & Gynecology Science
Young-Dan Cho, Hyun-Mo Ryoo
In regenerative medicine, growing cells or tissues in the laboratory is necessary when damaged cells can not heal by themselves. Acquisition of the required cells from the patient's own cells or tissues is an ideal option without additive side effects. In this context, cell reprogramming methods, including the use of induced pluripotent stem cells (iPSCs) and trans-differentiation, have been widely studied in regenerative research. Both approaches have advantages and disadvantages, and the possibility of de-differentiation because of the epigenetic memory of iPSCs has strengthened the need for controlling the epigenetic background for successful cell reprogramming...
February 2018: Journal of Bone Metabolism
Hyo Seok Jang, Young Ho Lee, Min Bom Kim, Joo Young Chung, Hyun Sik Seok, Goo Hyun Baek
Background: A skin defect of the hand and wrist is a common manifestation in industrial crushing injuries, traffic accidents or after excision of tumors. We reconstructed a skin defect in the ulnar aspect of the hand and wrist with a perforator-based propeller flap from the ulnar artery. The aims of our study are to evaluate the utility and effectiveness of this flap and to discuss the advantages and disadvantages of the flap in hand and wrist reconstruction with a review of the literature...
March 2018: Clinics in Orthopedic Surgery
Julie A Pasco, Kara L Holloway, Amanda L Stuart, Lana J Williams, Sharon L Brennan-Olsen, Michael Berk
OBJECTIVES: Pretirees are a demographic interposed between the latter stages of working life and old age. We aimed to characterise subjective wellbeing and lifestyle behaviours for individuals aged in their late-fifties and sixties. STUDY DESIGN: Cross-sectional study of 233 men and 229 women aged 55-69 yr from the Geelong Osteoporosis Study. MAIN OUTCOME MEASURES: Subjective wellbeing assessed using the World Health Organization Quality of Life questionnaire (WHOQOL-BREF, Australia)...
April 2018: Maturitas
Caroline Carney, Michaela Benzeval
BACKGROUND: Grip strength in early adulthood and midlife is an important predictor of disability, morbidity and mortality in later life. Understanding social patterning in grip strength at different life stages could improve insight into inequalities in age-related decline and when in the life course interventions could prevent the emergence of inequalities. METHODS: Using United Kingdom Household Longitudinal Study (UKHLS) data on 19,292 people aged 16 to 99, fractional polynomial models were fitted to identify which function of age best described its association with grip strength...
March 21, 2018: BMC Public Health
Sarah M Churchill, Grant Trewartha, Aki I T Salo
Athletes in inner lanes may be disadvantaged during athletic sprint races containing a bend portion because of the tightness of the bend. We empirically investigated the veracity of modelled estimates of this disadvantage and the effect of running lane on selected kinematic variables. Three-dimensional video analysis was conducted on nine male athletes in lanes 8, 5 and 2 of the bend of an outdoor track (radii: 45.10, 41.41 and 37.72 m, respectively). There was over 2% (p < 0.05) reduction in mean race velocity from lane 8 (left step 9...
March 21, 2018: Sports Biomechanics
Simon O Ichumar, Emma E Dahlberg, Ellen B Paynter, Fiona M C Lucey, Miranda R Chester, Lennelle Papertalk, Sandra C Thompson
OBJECTIVE: To assess the school breakfast program (SBP) in two schools with high Aboriginal student populations in rural Western Australia, their contribution to holistic support, nutritional health education and possibilities for improvement. METHODS: The operations and functioning of one regional and one remote SBP were assessed by stakeholder inquiry related to process and challenges, observations and documentary review. An intervention to increase health education, social interaction and learning about nutrition and food origins implemented in one school was assessed...
March 17, 2018: Nutrients
John T Doyle, Larry Kindness, James Realbird, Margaret J Eggers, Anne K Camper
Disparities in access to safe public drinking water are increasingly being recognized as contributing to health disparities and environmental injustice for vulnerable communities in the United States. As the Co-Directors of the Apsaálooke Water and Wastewater Authority (AWWWA) for the Crow Tribe, with our academic partners, we present here the multiple and complex challenges we have addressed in improving and maintaining tribal water and wastewater infrastructure, including the identification of diverse funding sources for infrastructure construction, the need for many kinds of specialized expertise and long-term stability of project personnel, ratepayer difficulty in paying for services, an ongoing legacy of inadequate infrastructure planning, and lack of water quality research capacity...
March 21, 2018: International Journal of Environmental Research and Public Health
Chiara Clementi, François Littmann, Lorenzo Capineri
Several countries are planning to store nuclear spent fuel in long term geological repositories, preserved by copper canisters with an iron insert. This new approach involves many challenging problems and one is to satisfy safeguards requirements: the Continuity of Knowledge (CoK) of the fuel must be kept from the encapsulation plant up to the final repository. To date, no measurement system has been suggested for a unique identification and authentication. Following the list of the most important safeguards, safety and security requirements for copper canisters identification and authentication, a review of conventional tagging technologies and measurement systems for nuclear items is reported in this paper...
March 21, 2018: Sensors
David Sturgeon
Over the past four decades, UK governments have moved towards an increasingly pro-market model of healthcare provision. Under this system, patients are not only encouraged, but expected, to take increasing responsibility for healthcare decision-making and the risks that it might entail. This article investigate how and why patients make choices about their health care and how service providers help facilitate this. Between October 2014 and May 2015, the researcher was embedded as an emergency nurse practitioner at two minor injury units in order to undertake direct and participant observation...
March 22, 2018: British Journal of Nursing: BJN
Jeong In Kim, Cheol Sang Kim
The cells respond to their microenvironment which is comparable size to the cells. The macroscale features of three dimensional (3D) printing struts (PS) typically result in whole cell contact guidance (CCG). In contrast, at the nanoscale, where features are similar size to receptors of the cells, the response of cells is more complex. In detail, integrin that is one of the cellular receptors involved with cell adhesion is recognized as communication channels through that the cells interact with adjacent surface features...
March 21, 2018: ACS Applied Materials & Interfaces
Jing Sun, Wenhui Zhou, Haibo Yang, Xue Zhen, Longfei Ma, Dirk Williams, Xudong Sun, Ming-Fei Lang
The development of flexible and transparent devices requires completely transparent and flexible circuits (TFCs). To overcome the disadvantages of the previously reported TFCs that are partially transparent, lacking pattern control, or labor consuming, we achieve true TFCs via a facile process with precise pattern control, exhibiting concurrent high transparency, conductivity, flexibility, stretchability, and robustness. A highly transparent and flexible conductive film is first made through spin coating silver nanowires (AgNWs) onto polydimethylsiloxane (PDMS), and demonstrates simultaneous high transparency (90...
March 21, 2018: Chemical Communications: Chem Comm
A V Sazhin, A E Tyagunov, S E Larichev, I S Lebedev, G B Makhuova, I P Marchenko, V G Polushkin, A A Tyagunov, I V Sazhin, T V Nechay, G B Ivakhov, S M Titkova, M V Anurov, M M Gasanov, A V Kolygin, A T Mirzoyan, N S Glagolev, L S Kurashinova
AIM: To define optimal terms of surgery for acute adhesive non-strangulatory small bowel obstruction. MATERIAL AND METHODS: The analysis included 703 publications from e-LIBRARI.RU (342 works) and NCBI (361 works) databases for acute adhesive intestinal obstruction. The vast majority of articles presented retrospective analysis of single-center experience. RESULTS: It has been established that short course of medication is predominantly used for acute adhesive intestinal obstruction in the Russian Federation...
2018: Khirurgiia
Greg Rulifson, Angela R Bielefeldt
Engineers should learn how to act on their responsibility to society during their education. At present, however, it is unknown what students think about the meaning of socially responsible engineering. This paper synthesizes 4 years of longitudinal interviews with engineering students as they progressed through college. The interviews revolved broadly around how students saw the connections between engineering and social responsibility, and what influenced these ideas. Using the Weidman Input-Environment-Output model as a framework, this research found that influences included required classes such as engineering ethics, capstone design, and some technical courses, pre-college volunteering and familial values, co-curricular groups such as Engineers Without Borders and the Society of Women Engineers, as well as professional experiences through internships...
March 20, 2018: Science and Engineering Ethics
Robert Bagchi, Leone M Brown, Chris S Elphick, David L Wagner, Michael S Singer
Reduced ecological specialization is an emerging, general pattern of ecological networks in fragmented landscapes. In plant-herbivore interactions, reductions in dietary specialization of herbivore communities are consistently associated with fragmented landscapes, but the causes remain poorly understood. We propose several hypothetical bottom-up and top-down mechanisms that may reduce the specificity of plant-herbivore interactions. These include empirically plausible applications and extensions of theory based on reduced habitat patch size and isolation (considered jointly), and habitat edge effects...
March 21, 2018: Oecologia
Alexander E St John, Andrew M McCoy, Allison G Moyes, Francis X Guyette, Eileen M Bulger, Michael R Sayre
Introduction: The prehospital decision of whether to triage a patient to a trauma center can be difficult. Traditional decision rules are based heavily on vital sign abnormalities, which are insensitive in predicting severe injury. Prehospital lactate (PLac) measurement could better inform the triage decision. PLac's predictive value has previously been demonstrated in hypotensive trauma patients but not in a broader population of normotensive trauma patients transported by an advanced life support (ALS) unit...
March 2018: Western Journal of Emergency Medicine
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