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https://www.readbyqxmd.com/read/29908875/managing-aesthetic-referrals-in-nhs-scotland-outcomes-from-1122-patients-in-the-east-of-scotland
#1
Abdulla Ibrahim, Mahmoud K Nassar, Daniel J Jordan, Manish Sinha, Fiona J Hogg
The Adult Exceptional Aesthetic Referral Protocol (AEARP) encompasses a series of aesthetic procedures which, as they do not treat an underlying disease process, are not routinely available within the National Health Service. Provision of these services can only be provided on an exceptional basis. In this prospective study, we evaluated the referral process and outcomes of 1122 patients referred under the AEARP over a 3.5-year period. Referrals were screened by a vetting panel comprising of a plastic surgeon, clinical nurse specialist, and clinical psychologist...
May 22, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29908718/effects-of-cognitive-and-motor-rehabilitation-in-non-convulsive-status-epilepticus-a-case-report
#2
Francesco Corallo, Viviana Lo Buono, Marcella Di Cara, Simona De Salvo, Giuliana Vermiglio, Patrizia Pollicino, Placido Bramanti, Silvia Marino, Carmela Rifici
Epilepsy is a neurological disorder characterized by recurrent and unpredictable interruptions of normal brain function, that implies neurobiologic, psychological, and social consequences. Non-convulsive status epilepticus (NCSE) is an electro-clinical state associated to altered level of consciousness. In NCSE could occur the behavioural and emotional disorder, cognitive impairment and psychiatric disorder with a negative impact on quality of life and adaptive social behaviours. Cognitive rehabilitation for epileptic patients may include internal compensation strategies, external memory aids, psychoeducation, verbal and visual memory training, attention exercise and executive functions...
June 13, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/29907853/monitoring-cerebral-oxygenation-of-the-immature-brain-a-neuroprotective-strategy
#3
REVIEW
Frank van Bel, Jonathan P Mintzer
Monitoring of cerebral oxygenation (rScO2 ) with near-infrared spectroscopy (NIRS) is a feasible noninvasive bedside technique in the NICU. This review discusses the possible neuroprotective role of "pattern recognition" of NIRS-derived rScO2 in preterm neonates with regard to the prevention of severe intraventricular hemorrhage and hypoxia/hyperoxia-related white matter injury. This neuroprotective role of rScO2 monitoring is discussed as a modality to aid in the early detection of cerebral oxygenation conditions predisposing to these complications...
June 15, 2018: Pediatric Research
https://www.readbyqxmd.com/read/29905089/thyroid-cancer-treatment-choice-a-pilot-study-of-a-tool-to-facilitate-conversations-with-patients-with-papillary-microcarcinomas-considering-treatment-options
#4
Juan P Brito, Jae Hoon Moon, Rebecca Zeuren, Sung Hye Kong, Yeo Koon Kim, Nicole M Iñiguez-Ariza, June Young Choi, Kyu Eun Lee, Ji-Hoon Kim, Ian Hargraves, Victor Bernet, Victor Montori, Young Joo Park, R Michael Tuttle
BACKGROUND: The 2015 American Thyroid Association guidelines recognize active surveillance as an alternative to immediate surgery in patients with papillary microcarcinomas (PMCs). As a way to incorporate active surveillance as one of the management options for patients with PMCs, we describe the development and initial testing of a tool to support conversations between clinicians and patients with PMCs considering treatment options. METHODS: Thyroid Cancer Treatment Choice was developed using an iterative process based on the principles of interaction, design and participatory action research...
June 15, 2018: Thyroid: Official Journal of the American Thyroid Association
https://www.readbyqxmd.com/read/29902380/application-of-the-target-lipid-model-and-passive-samplers-to-characterize-the-toxicity-of-bioavailable-organics-in-oil-sands-process-affected-water
#5
Aaron D Redman, Thomas F Parkerton, Josh David Butler, Daniel J Letinski, Richard A Frank, L Mark Hewitt, Adrienne J Bartlett, Patricia Leigh Gillis, Julie R Marentette, Joanne L Parrott, Sarah A Hughes, Rodney Guest, Asfaw Bekele, Kun Zhang, Garrett Morandi, Steve B Wiseman, John P Giesy
Oil sand operations in Alberta, Canada will eventually include returning treated process-affected waters to the environment. Organic constituents in oil sand process-affected water (OSPW) represent complex mixtures of nonionic and ionic (e.g. naphthenic acids) compounds, and compositions can vary spatially and temporally, which has impeded development of water quality benchmarks. To address this challenge, it was hypothesized that solid phase microextraction fibers coated with polydimethylsiloxane (PDMS) could be used as a biomimetic extraction (BE) to measure bioavailable organics in OSPW...
June 14, 2018: Environmental Science & Technology
https://www.readbyqxmd.com/read/29901529/transbronchial-lung-cryobiopsy-in-the-diagnosis-of-interstitial-lung-disease-a-retrospective-single-center-experience
#6
Roy Cho, Felix Zamora, Heidi Gibson, H Erhan Dincer
BACKGROUND: Surgical lung biopsy (SLB) is the gold standard to aid diagnosis of interstitial lung disease (ILD). Complication rates are restrictive as routine approach for all patients with ILD. Transbronchial lung cryobiopsy (TBLC) is presumed to be a safe, less invasive alternative to assist multidisciplinary discussions regarding the diagnosis of ILD. Varying practice patterns and lack of consistent guidelines prohibit wide support of this technique. The purpose of this study was to evaluate safety and diagnostic yield of TBLC, with highlight of distinct technical features, in ILD...
June 12, 2018: Journal of Bronchology & Interventional Pulmonology
https://www.readbyqxmd.com/read/29899881/human-immunodeficiency-virus-and-hepatitis-b-virus-infection-prevention-following-occupational-exposure-among-staff-at-a-regional-referral-hospital-in-western-kenya
#7
Barbara Kabai Burmen, Joseph Mogunde, Pamela Olilo
Background: Postexposure prophylaxis (PEP) with antiretroviral therapy (ART) and vaccination against hepatitis B virus (HBV) aides in preventing human immunodeficiency virus (HIV) infection and HBV, respectively, from accidental or occupational exposure. We assessed compliance to guidelines for HIV and HBV prevention after occupational exposure among hospital staff at a referral Kenyan hospital. Methods: We reviewed PEP registers for hospital staff reporting an occupational injury at a referral hospital in Western Kenya between January 2011 and December 2012...
2018: International Journal of Preventive Medicine
https://www.readbyqxmd.com/read/29899017/statin-eligibility-coronary-artery-calcium-and-subsequent-cardiovascular-events-according-to-the-2016-united-states-preventive-services-task-force-uspstf-statin-guidelines-mesa-multi-ethnic-study-of-atherosclerosis
#8
Michael D Miedema, Zeina A Dardari, Sina Kianoush, Salim S Virani, Joseph Yeboah, Thomas Knickelbine, Veit Sandfort, Carlos J Rodriguez, Khurram Nasir, Michael J Blaha
BACKGROUND: The potential impact of the 2016 United States Preventive Services Task Force (USPSTF) guidelines on statins for primary prevention of atherosclerotic cardiovascular disease (ASCVD) warrants further analysis. METHODS AND RESULTS: We studied participants from MESA (Multi-Ethnic Study of Atherosclerosis) aged 40 to 75 years and not on statins. We compared statin eligibility at baseline (2000-2002) and over follow-up between USPSTF and the 2013 American College of Cardiology/American Heart Association (ACC/AHA) guidelines...
June 13, 2018: Journal of the American Heart Association
https://www.readbyqxmd.com/read/29894902/a-conceptual-framework-for-evaluating-health-equity-promotion-within-community-based-participatory-research-partnerships
#9
Melanie Ward, Amy J Schulz, Barbara A Israel, Kristina Rice, Sheena E Martenies, Evan Markarian
Community-based participatory research (CBPR) approaches present strong opportunities to promote health equity by improving health within low-income communities and communities of color. CBPR principles and evaluation frameworks highlight an emphasis on equitable group dynamics (e.g., shared leadership and power, participatory decision-making, two-way open communication) that promote both equitable processes within partnerships and health equity in the communities with whom they engage. The development of an evaluation framework that describes the manner in which equitable group dynamics promote intermediate and long-term equity outcomes can aid partners in assessing their ability to work together effectively and improve health equity in the broader community...
April 30, 2018: Evaluation and Program Planning
https://www.readbyqxmd.com/read/29892997/antibiotic-prophylaxis-in-veterinary-cancer-chemotherapy-a-review-and-recommendations
#10
REVIEW
J L Bisson, D J Argyle, S A Argyle
Bacterial infection following cancer chemotherapy-induced neutropenia is a serious cause of morbidity and mortality in human and veterinary patients. Antimicrobial prophylaxis is controversial in the human oncology field, as any decreased incidence in bacterial infections is countered by patient adverse effects and increased antimicrobial resistance. Comprehensive guidelines exist to aid human oncologists in prescribing antimicrobial prophylaxis but similar recommendations are not available in veterinary literature...
June 12, 2018: Veterinary and Comparative Oncology
https://www.readbyqxmd.com/read/29890561/-practice-guideline-neuroendocrine-tumors-awmf-reg-021-27
#11
(no author information available yet)
This guideline was created for the first time and is intended as a practical aid for the diagnosis and therapy of neuroendocrine tumors. The aim is to represent the current state of science, promote the recognition of the disease and improve the treatment of patients. The guideline was created under the leadership of the DGVS and with participation of neighbouring scientific societies.
June 2018: Zeitschrift Für Gastroenterologie
https://www.readbyqxmd.com/read/29888903/high-capacity-garnet-based-all-solid-state-lithium-batteries-fabrication-and-3d-microstructure-resolved-modeling
#12
Martin Finsterbusch, Timo Danner, Chih-Long Tsai, Sven Uhlenbruck, Arnulf Latz, Olivier Guillon
The development of high-capacity, high-performance all-solid-state batteries requires the specific design and optimization of its components, especially on the positive electrode side. For the first time, we were able to produce a completely inorganic mixed positive electrode consisting only of LiCoO2 and Ta-substituted Li7La3Zr2O12 (LLZ:Ta) without the use of additional sintering aids or conducting additives which has a high theoretical capacity density of 1 mAh/cm². A true all-solid-state cell composed of a Li metal negative electrode, a LLZ:Ta garnet electrolyte and a 25 µm thick LLZ:Ta + LiCoO2 mixed positive electrode was manufactured and characterized...
June 11, 2018: ACS Applied Materials & Interfaces
https://www.readbyqxmd.com/read/29882581/icu-delirium-a-diagnostic-and-therapeutic-challenge-in-the-intensive-care-unit
#13
Katarzyna Kotfis, Annachiara Marra, Eugene Wesley Ely
Many patients treated in the intensive care unit (ICU) experience pain, that is a source of suffering and leaves a long-term imprint (chronic pain, post-traumatic stress disorder). Nearly 30% of patients experience pain at rest, the percentage increases to 50% during nursing procedures. Pain in ICU patients can be divided into four categories: continuous ICU treatment-related pain/discomfort, acute illness-related pain, intermittent procedural pain and pre-existing chronic pain present before ICU admission...
June 8, 2018: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/29881184/the-impact-of-age-and-sex-on-the-diagnosis-of-intrinsic-rectus-femoris-masses-a-single-centre-experience
#14
Alessandro Vidoni, Manroy Sahni, Steven L James, Rajesh Botchu, A Mark Davies
Various pathologies may affect the rectus femoris manifesting as an enlargement of the muscle belly. These include traumatic, inflammatory and neoplastic conditions. We did a retrospective study to provide simple guidelines that will serve as an aid for the clinician in order to diagnose lesions presenting as a mass in the rectus femoris. 81 patients with rectus femoris mass referred to tertiary oncology centre were included in the study. The most common lesions were traumatic and benign tumours. In males, traumatic was commonest (90%) and in female over 40 years, 60% were benign and traumatic...
June 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29880986/mammography-screening-2-0-how-can-risk-adapted-screening-be-implemented-in-clinical-practice-results-of-a-focus-group-discussion-with-experts-in-the-risikolotse-de-project
#15
Nicole Fürst, Marion Kiechle, Brigitte Strahwald, Anne S Quante
Introduction: The mammography screening programme has been the subject of criticism for some time. Invitation to take part is currently based only on the risk factors of age and female sex, whereby women with an above-average risk are screened too seldom and women with a low risk are possibly screened too often. In future, an individualised risk assessment could make a risk-adapted procedure possible in breast cancer screening. In the RISIKOLOTSE.DE project, schemes are devised to calculate the individual breast cancer risk and evaluate the results...
May 2018: Geburtshilfe und Frauenheilkunde
https://www.readbyqxmd.com/read/29878759/the-medicinal-chemistry-and-use-of-myosin-ii-inhibitor-s-blebbistatin-and-its-derivatives
#16
Bart I Roman, Sigrid Verhasselt, Christian Victor Stevens
( S)-Blebbistatin, a chiral tetrahydropyrroloquinolinone, is a widely used and well-characterized ATPase inhibitor selective for myosin II. The central role of myosin II in many normal and pathological biological processes has been revealed with the aid of this small molecule. The first part of this manuscript provides a summary of myosin II and ( S)-blebbistatin literature from a medicinal chemist's perspective. The second part of this perspective deals with the physicochemical deficiencies that trouble the use of ( S)-blebbistatin in advanced biological settings: low potency and solubility, fluorescence interference, (photo)toxicity, stability issues...
June 7, 2018: Journal of Medicinal Chemistry
https://www.readbyqxmd.com/read/29876914/-social-and-familial-difficulties-as-a-consequence-of-the-neurological-illness-of-a-child-the-perspective-of-health-and-social-work
#17
A Gonzalez-Pena
When we speak of children with special needs, who require the aid of a number of professionals and who have a severe disability, it is necessary to have available a comprehensive group of different professionals (paediatrician, nurse, social worker, psychologist, etc.) who work together as a team. The specialist physician or doctor responsible for the sick child alone cannot take responsibility for all the psychosocial consequences that result from the neurological disease, which is a chronic illness that, generally speaking, means the families arrange their lives to revolve around the sick child...
June 5, 2018: Revista de Neurologia
https://www.readbyqxmd.com/read/29876711/ultrasound-features-of-purulent-skin-and-soft-tissue-infection-without-abscess
#18
Courtney E Nelson, Aaron E Chen, Richard D Bellah, David M Biko, Victor M Ho-Fung, Michael L Francavilla, Rui Xiao, Summer L Kaplan
PURPOSE: Ultrasound (US) aids clinical management of skin and soft tissue infection (SSTI) by differentiating non-purulent cellulitis from abscess. However, purulent SSTI may be present without abscess. Guidelines recommend incision and drainage (I & D) for purulent SSTI, but US descriptions of purulent SSTI without abscess are lacking. METHODS: We retrospectively reviewed pediatric emergency department patients with US of the buttock read as negative for abscess...
June 6, 2018: Emergency Radiology
https://www.readbyqxmd.com/read/29875124/tailoring-the-american-college-of-medical-genetics-and-genomics-and-the-association-for-molecular-pathology-guidelines-for-the-interpretation-of-sequenced-variants-in-the-fbn1-gene-for-marfan-syndrome-proposal-for-a-disease-and-gene-specific-guideline
#19
Laura Muiño-Mosquera, Felke Steijns, Tjorven Audenaert, Ilse Meerschaut, Anne De Paepe, Wouter Steyaert, Sofie Symoens, Paul Coucke, Bert Callewaert, Marjolijn Renard, Julie De Backer
BACKGROUND: The introduction of next-generation sequencing techniques has substantially increased the identification of new genetic variants and hence the necessity of accurate variant interpretation. In 2015, the American College of Medical Genetics and Genomics and the Association for Molecular Pathology proposed new variant interpretation guidelines. Gene-specific characteristics were, however, not considered, sometimes leading to inconsistent variant interpretation. METHODS: To allow a more uniform interpretation of variants in the FBN1 (fibrillin-1) gene, causing Marfan syndrome, we tailored these guidelines to this gene and disease...
June 2018: Circulation. Genomic and precision medicine
https://www.readbyqxmd.com/read/29873247/hot-weather-impacts-on-new-york-city-restaurant-food-safety-violations-and-operations
#20
Christine Dominianni, Kathryn Lane, Munerah Ahmed, Sarah Johnson, Wendy McKELVEY, Kazuhiko Ito
Previous studies have shown that higher ambient air temperature is associated with increased incidence of gastrointestinal illnesses, possibly as a result of leaving potentially hazardous food in the temperature danger zone for too long. However, little is known about the effect of hot weather on restaurant practices to maintain safe food temperatures. We examined hot weather impacts on restaurant food safety violations and operations in New York City using quantitative and qualitative methods. We used data from 64,661 inspections conducted among 29,614 restaurants during May to September, 2011 to 2015...
June 6, 2018: Journal of Food Protection
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