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https://www.readbyqxmd.com/read/28318741/neonatal-magnetic-resonance-imaging-without-sedation-correlates-with-injury-severity-in-brachial-plexus-birth-palsy
#1
Andrea S Bauer, Peter Y Shen, Anna E Nidecker, Paul S Lee, Michelle A James
PURPOSE: Which infants with brachial plexus birth palsy (BPBP) should undergo microsurgical plexus reconstruction remains controversial. The current gold standard for the decision for plexus reconstruction is serial clinical examinations, but this approach obviates the possibility of early surgical treatment. We hypothesize that a new technique using 3-dimensional volumetric proton density magnetic resonance imaging (MRI) without sedation can evaluate the severity of BPBP injury earlier than serial clinical examinations...
March 16, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28318695/monitoring-water-quality-in-toronto-s-urban-stormwater-ponds-assessing-participation-rates-and-data-quality-of-water-sampling-by-citizen-scientists-in-the-freshwater-watch
#2
Andrew B Scott, Paul C Frost
From 2013 to 2015, citizen scientist volunteers in Toronto, Canada were trained to collect and analyze water quality in urban stormwater ponds. This volunteer sampling was part of the research program, FreshWater Watch (FWW), which aimed to standardize urban water sampling efforts from around the globe. We held training sessions for new volunteers twice yearly and trained a total of 111 volunteers. Over the course of project, ~30% of volunteers participated by collecting water quality data after the training session with 124 individual sampling events at 29 unique locations in Toronto, Canada...
March 16, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28318638/optical-coherence-tomography-guided-decisions-in-retinoblastoma-management
#3
Sameh E Soliman, Cynthia VandenHoven, Leslie D MacKeen, Elise Héon, Brenda L Gallie
PURPOSE: Assess the role of handheld optical coherence tomography (OCT) in guiding management decisions during diagnosis, treatment, and follow-up of eyes affected by retinoblastoma. DESIGN: Retrospective, noncomparative, single-institution case series. PARTICIPANTS: All children newly diagnosed with retinoblastoma from January 2011 to December 2015 who had an OCT session during their active treatment at The Hospital for Sick Children (SickKids) in Toronto, Canada...
March 15, 2017: Ophthalmology
https://www.readbyqxmd.com/read/28314554/an-evaluation-of-the-absolute-and-relative-stability-of-alexithymia-over-11years-in-a-finnish-general-population
#4
A Hiirola, S Pirkola, M Karukivi, N Markkula, R M Bagby, M Joukamaa, A Jula, E Kronholm, S Saarijärvi, J K Salminen, J Suvisaari, G Taylor, A K Mattila
OBJECTIVE: We investigated if alexithymia, a personality construct with difficulties in emotional processing, is stable in the general population. METHODS: Altogether 3083 unselected subjects aged 30 and older in Finland completed the 20-item Toronto Alexithymia Scale (TAS-20) in the longitudinal Health 2000 and Health 2011 general population surveys (BRIF8901). The stability of alexithymia at the 11-year follow-up was assessed with t-tests, correlations, and separate linear regression models with base-line and follow-up age, gender, marital status, education, and 12-month depressive and anxiety disorders as confounders...
April 2017: Journal of Psychosomatic Research
https://www.readbyqxmd.com/read/28300442/an-atypical-case-of-mucocutaneous-blastomycosis-in-the-greater-toronto-area
#5
Annie Liu, Neil Shear, John Wong, Hagen B E Klieb
Blastomycosis is an uncommon infection caused by Blastomyces dermatitidis. While management is fairly straightforward, diagnosis can be quite challenging. We describe a case of a healthy 37-year-old man who presented with progressive mucocutaneous lesions, without lung or other systemic involvement. Treatment with itraconazole resulted in complete resolution of signs and symptoms. This case showcases the variety of blastomycosis clinical presentation and the importance of blastomycosis in the differential diagnosis of verrucous and papillomatous mucocutaneous lesions...
January 1, 2017: Journal of Cutaneous Medicine and Surgery
https://www.readbyqxmd.com/read/28295871/promoting-resource-stewardship-reducing-inappropriate-free-thyroid-hormone-testing
#6
Julie A Gilmour, Alanna Weisman, Steven Orlov, Robert J Goldberg, Alyse Goldberg, Hayley Baranek, Geetha Mukerji
RATIONALE: Free thyroxine (fT4) and free triiodothyronine (fT3) tests are often ordered when not clinically warranted. Preventing laboratory overuse by reducing inappropriate fT4 and fT3 testing is one strategy to promote resource stewardship. OBJECTIVES: (1) To characterize the frequency of inappropriate fT4 and fT3 testing and (2) to implement a quality improvement strategy aimed at reducing the number of these tests performed. METHODS: Quality improvement tools were used to create sequential change ideas: (1) education of physicians regarding appropriate indications for ordering fT4/fT3 and (2) implementation of a hospital-wide laboratory and forced-function system with a reflex fT4...
March 14, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28292815/predictors-of-job-satisfaction-among-academic-family-medicine-faculty-findings-from-a-faculty-work-life-and-leadership-survey
#7
Paul Krueger, David White, Christopher Meaney, Jeffrey Kwong, Viola Antao, Florence Kim
OBJECTIVE: To identify predictors of job satisfaction among academic family medicine faculty members. DESIGN: A comprehensive Web-based survey of all faculty members in an academic department of family medicine. Bivariate and multivariable analyses (logistic regression) were used to identify variables associated with job satisfaction. SETTING: The Department of Family and Community Medicine at the University of Toronto in Ontario and its 15 affiliated community teaching hospitals and community-based teaching practices...
March 2017: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/28291294/-alexithymia-and-pathological-gambling-the-mediating-role-of-difficulties-in-emotion-regulation
#8
Hazal Gökçe Elmas, Gizem Cesur, E Timuçin Oral
OBJECTIVE: The main objective was to determine the prediction level of alexithymia and difficulties in emotion regulation on pathological gambling. Secondly, this study aimed to examine the mediating role of difficulties in emotion regulation on the relationship between alexithymia and pathological gambling. METHOD: The sample was consisted of 246 male gamblers. The average age was 33.30 with a standard deviation of 11.62. In addition to socio-demographic form, The South Oaks Gambling Screen (SOGS), Toronto Alexithymia Scale (TAS-20) and Difficulties in Emotion Regulation Scale (DERS) were used to collect data...
2017: Türk Psikiyatri Dergisi, Turkish Journal of Psychiatry
https://www.readbyqxmd.com/read/28290711/visualising-a-rare-and-complex-case-of-advanced-hilar-cholangiocarcinoma
#9
Jia Qu, Albert Fung, Paul Kelly, Gordon Tait, Paul D Greig, Anne Agur, Ian D McGilvray, Jodie Jenkinson
The Toronto Video Atlas of Liver, Pancreas, Biliary, and Transplant Surgery (TVASurg) is a free online library of three-dimensional (3D) animation-enhanced surgical videos, designed to instruct surgical fellows in hepato-pancreato-biliary (HPB) and transplant procedures. The video 'Klatskin tumours: Extended left hepatectomy with complex portal vein reconstruction and in situ cold perfusion of the liver', which is available to watch at http://TVASurg.ca , is a unique and valuable visual resource for surgeons in training to assist them in learning this rare procedure...
March 14, 2017: Journal of Visual Communication in Medicine
https://www.readbyqxmd.com/read/28285249/the-alexithymia-emotion-regulation-emotion-regulation-difficulties-positive-and-negative-affects-and-suicidal-risk-in-alcohol-dependent-outpatients
#10
Fatemeh Ghorbani, Vahid Khosravani, Farangis Sharifi Bastan, Razieh Jamaati Ardakani
The aim of this study was to evaluate the potential contributing factors such as alexithymia, emotion regulation and difficulties in emotion regulation, positive/negative affects and clinical factors including severity of alcohol dependence and depression connected to high suicidality in alcohol-dependent outpatients. 205 alcohol-dependent outpatients and 100 normal controls completed the demographic questionnaire, the Persian version of the Toronto Alexithymia Scale (FTAS-20), the Difficulties in Emotion Regulation Scale (DERS), the Emotion Regulation Questionnaire (ERQ), the Positive/Negative Affect Scales, the Alcohol Use Disorders Identification Test (AUDIT), and the Beck Depression Inventory-II (BDI-II)...
March 7, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28279103/around-the-world
#11
(no author information available yet)
1. WADEM Congress on Disaster and Emergency Medicine 25-28 April, Toronto, Canada tinyurl.com/WADEM-2017.
March 10, 2017: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/28278017/mothering-children-with-developmental-disabilities-a-critical-perspective-on-health-promotion
#12
Nazilla Khanlou, Nida Mustafa, Luz Maria Vazquez, Deborah Davidson, Karen Yoshida
We present findings of a qualitative study exploring what constitutes relevant health promotion initiatives for immigrant mothers of children with developmental disabilities. We apply a social ecological approach, with a focus on gender-specific and transformative health promotion, to examine factors impacting mothers' health and wellbeing. Twenty-eight semi-structured and open-ended interviews were conducted with immigrant mothers in the greater Toronto area, Canada. Mothers identified facilitators, challenges, and strategies for their health promotion, providing relevant insights for meaningful intervention...
February 22, 2017: Health Care for Women International
https://www.readbyqxmd.com/read/28274908/assessing-the-performance-of-a-modified-lace-index-lace-rt-to-predict-unplanned-readmission-after-discharge-in-a-community-teaching-hospital
#13
Christo El Morr, Liane Ginsburg, Seungree Nam, Susan Woollard
BACKGROUND: The LACE index was designed to predict early death or unplanned readmission after discharge from hospital to the community. However, implementing the LACE tool in real time in a teaching hospital required practical unavoidable modifications. OBJECTIVE: The purpose of this study was to validate the implementation of a modified LACE index (LACE-rt) and test its ability to predict readmission risk using data in a hospital setting. METHODS: Data from the Canadian Institute for Health Information's Discharge Abstract Database (DAD), the National Ambulatory Care Reporting System (NACRS), and the hospital electronic medical record for one large community hospital in Toronto, Canada, were used in this study...
March 8, 2017: Interactive Journal of Medical Research
https://www.readbyqxmd.com/read/28274641/pathways-for-neuroimaging-of-childhood-stroke
#14
REVIEW
David M Mirsky, Lauren A Beslow, Catherine Amlie-Lefond, Pradeep Krishnan, Suzanne Laughlin, Sarah Lee, Laura Lehman, Mubeen Rafay, Dennis Shaw, Michael J Rivkin, Max Wintermark
BACKGROUND: The purpose of this article is to aid practitioners in choosing appropriate neuroimaging for children who present with symptoms that could be caused by stroke. METHODS: The Writing Group members participated in one or more pediatric stroke neuroimaging symposiums hosted by the Stroke Imaging Laboratory for Children housed at the Hospital for Sick Children in Toronto, Ontario, Canada. Through collaboration, literature review, and discussion among child neurologists with expertise diagnosing and treating childhood stroke and pediatric neuroradiologists and neuroradiologists with expertise in pediatric neurovascular disease, suggested imaging protocols are presented for children with suspected stroke syndromes including arterial ischemic stroke, cerebral sinovenous thrombosis, and hemorrhagic stroke...
January 25, 2017: Pediatric Neurology
https://www.readbyqxmd.com/read/28272334/improving-the-accuracy-of-urban-environmental-quality-assessment-using-geographically-weighted-regression-techniques
#15
Kamil Faisal, Ahmed Shaker
Urban Environmental Quality (UEQ) can be treated as a generic indicator that objectively represents the physical and socio-economic condition of the urban and built environment. The value of UEQ illustrates a sense of satisfaction to its population through assessing different environmental, urban and socio-economic parameters. This paper elucidates the use of the Geographic Information System (GIS), Principal Component Analysis (PCA) and Geographically-Weighted Regression (GWR) techniques to integrate various parameters and estimate the UEQ of two major cities in Ontario, Canada...
March 7, 2017: Sensors
https://www.readbyqxmd.com/read/28271817/exploring-the-social-and-neighbourhood-predictors-of-diabetes-a-comparison-between-toronto-and-chicago
#16
Patrycja Kolpak, Lu Wang
OBJECTIVES: This report examined the impact and extent that spatial access to primary care physicians (PCPs) and social neighbourhood-/community-level factors have on diabetes prevalence for Toronto and Chicago. METHODS: The two-step floating catchment area method was used to compute spatial access scores. Bivariate correlation and multivariate linear regression identified the factors that were associated with, and/or predicted, diabetes prevalence. RESULTS: Potential spatial access to PCPs had no strong associations with diabetes prevalence...
March 8, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28271279/an-international-assessment-of-trainee-experience-confidence-and-comfort-in-operative-vaginal-delivery
#17
D A Crosby, A Sarangapani, A Simpson, R Windrim, A Satkunaratnam, M F Higgins
AIM: The aim of this study was to assess Irish and Canadian obstetricians in training ("trainees") experience, confidence, and comfort in performing operative vaginal delivery (OVD). STUDY DESIGN: Trainees in Obstetrics and Gynaecology in the University of Toronto and the Royal College of Physicians of Ireland (RCPI) were invited to participate in an anonymous online survey reviewing experience as primary operator of OVD. Trainee confidence and comfort was self-assessed based upon their last few OVDs...
March 7, 2017: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/28270847/on-biometric-systems-electrocardiogram-gaussianity-and-data-synthesis
#18
Wael Louis, Shahad Abdulnour, Sahar Javaher Haghighi, Dimitrios Hatzinakos
Electrocardiogram is a slow signal to acquire, and it is prone to noise. It can be inconvenient to collect large number of ECG heartbeats in order to train a reliable biometric system; hence, this issue might result in a small sample size phenomenon which occurs when the number of samples is much smaller than the number of observations to model. In this paper, we study ECG heartbeat Gaussianity and we generate synthesized data to increase the number of observations. Data synthesis, in this paper, is based on our hypothesis, which we support, that ECG heartbeats exhibit a multivariate normal distribution; therefore, one can generate ECG heartbeats from such distribution...
December 2017: EURASIP Journal on Bioinformatics & Systems Biology
https://www.readbyqxmd.com/read/28264181/public-health-campaigns-and-their-effect-on-stroke-knowledge-in-a-high-risk-urban-population-a-five-year-study
#19
Maged M Metias, Naomi Eisenberg, Michael D Clemente, Elizabeth M Wooster, Andrew D Dueck, Douglas L Wooster, Graham Roche-Nagle
Background The level of knowledge of stroke risk factors and stroke symptoms within a population may determine their ability to recognize and ultimately react to a stroke. Independent agencies have addressed this through extensive awareness campaigns. The aim of this study was to determine the change in baseline knowledge of stroke risk factors, symptoms, and source of stroke knowledge in a high-risk Toronto population between 2010 and 2015. Methods Questionnaires were distributed to adults presenting to cardiovascular clinics at the University of Toronto in Toronto, Canada...
January 1, 2017: Vascular
https://www.readbyqxmd.com/read/28263130/improving-prostate-cancer-care-collaboratively-a-multidisciplinary-formal-consensus-based-approach
#20
Andrew Loblaw, Jack Barkin, Roger Buckley, Hans Chung, John Kell, Rajiv Singal, Jeff Spodek, Danny Vesprini, Stanley Flax
INTRODUCTION: There are numerous standard treatment options for men diagnosed with localized prostate cancer. Multidisciplinary consultation before decision-making is a consensus- and quality-based objective in Ontario. With the goals of working together more collaboratively and to provide higher quality information for patients at the time of decision-making, a prostate cancer community partnership consensus (PCPC) panel was formed among six partnering centers in the Greater Toronto Area...
February 2017: Canadian Journal of Urology
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