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https://www.readbyqxmd.com/read/29474400/acute-liver-failure-in-children-is-living-donor-liver-transplantation-justified
#1
Marek Szymczak, Piotr Kaliciński, Grzegorz Kowalewski, Dorota Broniszczak, Małgorzata Markiewicz-Kijewska, Hor Ismail, Marek Stefanowicz, Adam Kowalski, Joanna Teisseyre, Irena Jankowska, Waldemar Patkowski
OBJECTIVES: Living donor liver transplantation (LDLT) in patients with acute liver failure (ALF) has become an acceptable alternative to transplantation from deceased donors (DDLT). The aim of this study was to analyze outcomes of LDLT in pediatric patients with ALF based on our center's experience. MATERIAL AND METHODS: We enrolled 63 children (at our institution) with ALF who underwent liver transplantation between 1997 and 2016. Among them 24 (38%) underwent a LDLT and 39 (62%) received a DDLT...
2018: PloS One
https://www.readbyqxmd.com/read/29473900/qualification-of-food-intake-by-the-roma-population-in-the-region-of-south-bohemia
#2
Lenka Sedova, Valerie Tothova, Dita Novakova, Vera Olisarova, Sylva Bartlova, Frantisek Dolak, Alena Kajanova, Radka Prokesova, Vera Adamkova
The article presents the results of a correlation study, aimed at quantifying the food intake of the Roma population in the South Bohemian Region. To achieve the goal, we applied the method of one-day dietary recall and frequency food analysis (non-standardized). The quantification was carried out by analysis in the Nutridan program. The study involved 302 Roma persons and 298 persons in the control group. Both groups had the same representation of males and females (50:50). The age categories of both sets differed; the average age of the Roma was lower (39...
February 23, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29470227/hospitalized-patients-with-and-without-hemodialysis-have-markedly-different-vancomycin-pharmacokinetics-a-population-pharmacokinetic-model-based-analysis
#3
V Goti, A Chaturvedula, M J Fossler, S Mok, J T Jacob
BACKGROUND: Despite being in clinical use for about six decades, vancomycin dosing remains perplexing and complex. METHODS: A population pharmacokinetic modeling and simulation approach was used to evaluate the efficiency of the current nomogram-based dosing of vancomycin. Serum vancomycin concentrations were obtained as a part of routine therapeutic drug monitoring (TDM) from two 500-bed academic medical centers. A population pharmacokinetic model was first built using these TDM data...
February 20, 2018: Therapeutic Drug Monitoring
https://www.readbyqxmd.com/read/29470153/structured-reporting-of-multiphasic-ct-for-hepatocellular-carcinoma-effect-on-staging-and-suitability-for-transplant
#4
Peter D Poullos, Joseph J Tseng, Marc L Melcher, Waldo Concepcion, Andreas M Loening, Jarrett Rosenberg, Jüergen K Willmann
OBJECTIVE: The purpose of this study is to evaluate whether use of a standardized radiology report template would improve the ability of liver transplant surgeons to diagnose stage T2 hepatocellular carcinoma (HCC) and determine patient suitability to undergo orthotopic liver transplant (OLT). MATERIALS AND METHODS: In this retrospective study, a standardized template was devised, and its use was mandated for reporting of liver CT findings for patients with cirrhosis and HCC...
February 22, 2018: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/29466921/the-confabulation-battery-instructions-and-international-data-from-normal-participants
#5
Gianfranco Dalla Barba, Barbara Guerin, Marta Brazzarola, Sara Marangoni, Claudia Barbera, Valentina La Corte
Confabulation is an unusual sign in neurological and in neuropsychological pathologies. In this article we present an objective neuropsychological instrument, the Confabulation Battery (CB), which allows the quantifying and qualifying of different types of confabulations. The CB was administered to French and Italian normal participants. Data from the present study will allow clinicians and researchers, using the CB, to know how much and in which memory domains their confabulating patients confabulate compared to normal participants...
February 21, 2018: Neuropsychological Rehabilitation
https://www.readbyqxmd.com/read/29465068/-human-resources-provision-for-maxillofacial-surgery-facilities
#6
A A Kulakov, V G Butova, Z A Snurnitzina, A N Kulikova
The aim of the study was to analyze the key trends of medical staff provision for maxillofacial surgery facilities. It is established that the provision of the population with maxillofacial surgeons staff has slightly decreased from 0.08 (year 2011) to 0.06 (year 2015). The amount of staff positions at this period has increased by 17.22%, the intensity of growth of employed positions has grown by 15.74%, which makes the understaffing rate equal to approximately 8-10%. The coefficient of part-time workers has also varied slightly from 1...
2018: Stomatologii︠a︡
https://www.readbyqxmd.com/read/29463228/preliminary-qualification-of-a-novel-hypoxic-based-radiologic-signature-for-trans-arterial-chemoembolization-in-hepatocellular-carcinoma
#7
David J Pinato, Madhava Pai, Isabella Reccia, Markand Patel, Alexandros Giakoustidis, Georgios Karamanakos, Azelea Rushd, Shiraz Jamshaid, Alberto Oldani, Glenda Grossi, Mario Pirisi, Paul Tait, Rohini Sharma
BACKGROUND: Survival advantage following trans-arterial chemoembolization (TACE) is variable in patients with hepatocellular carcinoma (HCC). We combined pre-TACE radiologic features to derive a novel prognostic signature in HCC. METHODS: A multi-institutional dataset of 98 patients was generated from two retrospective cohorts from United Kingdom (65%) and Italy (36%). The prognostic impact of a number baseline imaging parameters was assessed and factors significant on univariate analysis were combined to create a novel radiologic signature on multivariable analyses predictive of overall survival (OS) following TACE...
February 20, 2018: BMC Cancer
https://www.readbyqxmd.com/read/29461681/united-states-model-midwifery-legislation-and-regulation-development-of-a-consensus-document
#8
Holly Powell Kennedy, Jo Anne Myers-Ciecko, Katherine Camacho Carr, Ginger Breedlove, Tanya Bailey, Marinah V Farrell, Mary Lawlor, Ida Darragh
INTRODUCTION: Midwifery is defined and regulated across all 50 United States. However, states' regulations vary markedly, creating confusion for policy makers and consumers, and can limit services to women. In 2011, the International Confederation of Midwives released Global Standards for Midwifery Education, Regulation, and Association, providing guidance for international midwifery for the first time. US organizations representing midwifery education, regulation, and professional associations (US MERA) agreed to work together on common goals...
February 20, 2018: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/29458224/-l%C3%A3-beck-university-model-for-physiotherapy
#9
Annette Bretin, Kirsten Großmann, ArndtPeter Schulz
The aim of this paper is to describe the development of an innovative bachelor's degree program for physiotherapy directly affiliated with the medical department, which is a unique approach to making physiotherapy an academic course in Germany. The previous system for qualifying as a physiotherapist was amended by the adaption of qualification objectives resulting in a model that links scientific and vocational knowledge from the beginning of the study. Several lectures support interprofessionality. The vocational training is fully integrated into the curriculum...
February 19, 2018: Das Gesundheitswesen
https://www.readbyqxmd.com/read/29456149/impact-of-a-universal-medication-schedule-on-rationalising-and-understanding-of-medication-a-randomised-controlled-trial
#10
Eimear McManus, Suzanne McCarthy, Raymond Carson, Laura J Sahm
BACKGROUND: Patients frequently encounter difficulty understanding their prescription drug labels. This problem is more common in patients with limited health literacy (HL). Patients are not always counselled on their medicines by their doctor or pharmacist, therefore this label can be an important source of information. OBJECTIVE: To assess the impact of a Universal Medication Schedule (UMS) on the knowledge and consolidation of a prescription drug regimen compared to standard pharmacy labelling...
February 10, 2018: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/29455709/what-do-they-know-guidelines-and-knowledge-translation-for-foreign-health-sector-workers-following-natural-disasters
#11
Ola Dunin-Bell
Introduction The incidence of natural disasters is increasing worldwide, with countries the least well-equipped to mitigate or manage them suffering the greatest losses. Following natural disasters, ill-prepared foreign responders may become a burden to the affected population, or cause harm to those needing help. Problem The study was performed to determine if international guidelines for foreign workers in the health sector exist, and evidence of their implementation. METHODS: A structured literature search was used to identify guidelines for foreign health workers (FHWs) responding to natural disasters...
February 19, 2018: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/29454343/systematic-development-and-adjustment-of-the-german-version-of-the-supportive-and-palliative-care-indicators-tool-spict-de
#12
Kambiz Afshar, Angelika Feichtner, Kirsty Boyd, Scott Murray, Saskia Jünger, Birgitt Wiese, Nils Schneider, Gabriele Müller-Mundt
BACKGROUND: The Supportive and Palliative Care Indicators tool (SPICT) supports the identification of patients with potential palliative care (PC) needs. An Austrian-German expert group translated SPICT into German (SPICT-DE) in 2014. The aim of this study was the systematic development, refinement, and testing of SPICT-DE for its application in primary care (general practice). METHODS: SPICT-DE was developed by a multiprofessional research team according to the TRAPD model: translation, review, adjudication, pretesting and documentation...
February 17, 2018: BMC Palliative Care
https://www.readbyqxmd.com/read/29453732/the-influence-of-postgraduate-qualifications-on-educational-identity-formation-of-healthcare-professionals
#13
Ahsan Sethi, Susie Schofield, Sean McAleer, Rola Ajjawi
Demand for postgraduate qualifications in medical education can be judged by the increase in providers worldwide over the last two decades. However, research into the impact of such courses on identity formation of healthcare professionals is limited. This study investigates the influence of such programmes on graduates' educational identities, practices and career progression. Informed by constructivist grounded theory (CGT), semi-structured interviews were conducted with 27 graduates (2008-2012) from one postgraduate programme, who were at different stages in their careers worldwide...
February 16, 2018: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/29451104/a-multi-criteria-decision-making-approach-to-rank-supplier-selection-criteria-for-hospital-waste-management-a-case-from-pakistan
#14
Palvisha Ishtiaq, Sharfuddin Ahmed Khan, Moiz-Ul Haq
To address environmental issues and cost effectiveness, waste management is necessary for healthcare facilities. Most importantly, segregation of hazardous and non-hazardous waste must be done as in many developing countries; disposal of both types of healthcare waste is done together, which is an unsafe practice. Waste generated in hospitals needs proper management to minimise hazards for patient and healthcare workers. At the same time, it is quite difficult for hospitals to find a systematic way to select appropriate suppliers for hospital waste management...
February 1, 2018: Waste Management & Research
https://www.readbyqxmd.com/read/29445630/effects-of-first-diagnosed-diabetes-mellitus-on-medical-visits-and-medication-adherence-in-korea
#15
Kim Hyeongsu, Shin Soon-Ae, Lee Kunsei, Park Jong-Heon, Han Tae Hwa, Park Minsu, Minsu Eunyoung, Jeong Hyoseon, Lee Jung-Hyun, Ahn Hyemi, Kim Vitna
Background: The National Health Insurance Service (NHIS) conducted a screening test to detect chronic diseases such as hypertension and diabetes in Korea. This study evaluated the effects of health screening for DM on pharmacological treatment. Methods: The data from qualification and the General Health Screening in 2012, the insurance claims of medical institutions from Jan 2009 to Dec 2014, and the diabetic case management program extracted from the NHIS administrative system were used...
February 2018: Iranian Journal of Public Health
https://www.readbyqxmd.com/read/29444993/a-novel-method-for-qualification-of-a-potency-assay-through-partial-computer-simulation
#16
Steven Novick, Perceval Sondag, Tim Schofield, Kenneth Miller
For biotherapeutics and vaccines, potency is measured in a bioassay which compares the concentration-response curves of a new batch to that of a reference standard. Acceptable accuracy and precision of potency measurement is critical to the manufacturing of these products. These characteristics of a bioassay are typically assessed in a procedure which is carried out with samples spanning the acceptable range for the product. During early development, however, a full validation study such as that which is carried out in late development can be costly as it relates to the likelihood of eventual program success...
February 14, 2018: PDA Journal of Pharmaceutical Science and Technology
https://www.readbyqxmd.com/read/29444782/are-efforts-to-attract-graduate-applicants-to-uk-medical-schools-effective-in-increasing-the-participation-of-under-represented-socioeconomic-groups-a-national-cohort-study
#17
Ben Kumwenda, Jennifer Cleland, Rachel Greatrix, Rhoda Katharine MacKenzie, Gordon Prescott
INTRODUCTION: Attracting graduates was recommended as a means of diversifying the UK medical student population. Graduates now make up nearly a quarter of the total medical student population. Research to date has focused on comparing the sociodemographic characteristics of applicants to and/or students on traditional and graduate entry programmes (GEMs), yet GEMs account for only 40% of the graduate medical student population. Thus, we aimed to compare the sociodemographic characteristic and outcomes of graduates and non-graduate applicants across a range of programmes...
February 14, 2018: BMJ Open
https://www.readbyqxmd.com/read/29444455/anatomists-perceptions-of-the-skills-and-attributes-required-of-newly-recruited-medical-students
#18
Bernard J Moxham, Odile Plaisant, Baptiste Lignier, Feisal Brahim
BACKGROUND AND PURPOSE: Admission procedures for recruiting students to medical school vary considerably across the world. Notwithstanding such variability, it is important to know what skills and attributes are required of the students by their teachers on entering medical school. PROCEDURES: Anatomists are often the teachers who first meet the students as they enter medical school and this report analyses, by means of a questionnaire, the putative skills required of their medical students by anatomists from the U...
February 11, 2018: Annals of Anatomy, Anatomischer Anzeiger: Official Organ of the Anatomische Gesellschaft
https://www.readbyqxmd.com/read/29442080/dental-anxiety-and-influencing-factors-a-cross-sectional-questionnaire-based-survey
#19
Nadeem Jeddy, S Nithya, T Radhika, Nafisa Jeddy
Background: Dental treatment still remains as one of the most anxious visits despite awareness between dentists and patients in building trusting relationships. The fear of dental treatment determines the frequency of treatment availed with long-term implications in oral health maintenance. Aim: This study aims to estimate prevalence, extent, and factors influencing dental anxiety in a sample of the adult population visiting a private dental hospital in Chennai, India...
January 2018: Indian Journal of Dental Research: Official Publication of Indian Society for Dental Research
https://www.readbyqxmd.com/read/29439938/medical-council-of-india-s-amended-qualifications-for-indian-medical-teachers-well-intended-yet-half-hearted
#20
Sunita V S Bandewar, Amita Aggarwal, Rajeev Kumar, Rakesh Aggarwal, Peush Sahni, Sanjay A Pai
The Medical Council of India (MCI) must be commended for its efforts to introduce definitive criteria for appointments and promotions for teachers in medical institutions. On June 8, 2017, the MCI issued a circular to amend the Minimum Qualifications for Teachers in Medical Institutions Regulations, 1998 (henceforth Regulations, 1998). The amendment clarifies the minimum qualifications required for various postgraduate teaching positions in medical colleges. It indicates MCI's sustained engagement with qualifications of teachers in medical colleges, with the aim of enhancing the quality of teaching and thereby the quality of medical professionals passing out...
December 29, 2017: Indian Journal of Medical Ethics
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