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https://www.readbyqxmd.com/read/29028564/assessing-police-officers-attitudes-and-legal-knowledge-on-behaviors-that-impact-hiv-transmission-among-people-who-inject-drugs
#1
Javier A Cepeda, Steffanie A Strathdee, Jaime Arredondo, Maria L Mittal, Teresita Rocha, Mario Morales, Erika Clairgue, Eliane Bustamante, Daniela Abramovitz, Irina Artamonova, Arnulfo Bañuelos, Thomas Kerr, Carlos L Magis-Rodriguez, Leo Beletsky
BACKGROUND: Policing practices such as syringe confiscation and arrest can act as important social-structural drivers of HIV risk among people who inject drugs (PWID). However, police referral to treatment and other services may improve the health of PWID. Little is known about the role of modifiable attitudinal and knowledge factors in shaping officer behavior. Using baseline findings from a police education program (PEP), we assessed relationships between drug policy knowledge and attitudes towards public health interventions with self-reported syringe confiscation, drug arrest, and service referral among street-level police in Tijuana, Mexico...
October 10, 2017: International Journal on Drug Policy
https://www.readbyqxmd.com/read/29028413/initial-assessment-treatment-and-follow-up-of-minor-pediatric-burn-wounds-in-four-patients-remotely-a-preliminary-communication
#2
Marek A Paul, Parisa Kamali, Ahmed M S Ibrahim, Caroline Medin, Bernard T Lee, Samuel J Lin
BACKGROUND: Close, multidisciplinary collaboration with burn experts is the essential strategy to achieve the best functional and esthetic outcomes in burn wound treatment. Management of minor burn injuries, where no specialized care is available, might be challenging. One concept to achieve a fast and timely result is the application of telemedicine. The objective of this study was to assess and develop a simple telemedicine protocol, which can be applied globally. MATERIAL AND METHODS: We present a pilot study based on a pediatric population of four patients with minor burns...
October 13, 2017: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29026884/review-of-the-potential-use-of-blood-neuro-biomarkers-in-the-diagnosis-of-mild-traumatic-brain-injury
#3
REVIEW
Alastair Jones, Paul Jarvis
Head injury is a common presenting complaint amongst emergency department patients. To date, there has been no widespread utilization of neuro-biomarkers to aid the diagnosis of traumatic brain injury. This review article explores which neuro-biomarkers could be used in the emergency department in aiding the clinical diagnosis of mild traumatic brain injury. Based on the available evidence, the most promising neuro-biomarkers appear to be Glial fibrillary acidic protein (GFAP) and Ubiquitin C-Terminal Hydrolase Isozyme L1 (UCH-L1) as these show significant rises in peripheral blood levels shortly after injury and these have been demonstrated to correlate with long-term clinical outcomes...
September 2017: Clinical and Experimental Emergency Medicine
https://www.readbyqxmd.com/read/29025295/ultrasonography-guided-percutaneous-microwave-ablation-for-large-hepatic-cavernous-hemangiomas
#4
Fangyi Liu, Xiaoling Yu, Ping Liang, Zhigang Cheng, Zhiyu Han, Jie Yu
PURPOSE: To evaluate the efficacy and safety of ultrasound-guided percutaneous microwave ablation (MWA) for large hepatic cavernous hemangiomas (HCHs) with ablation of the feeding artery and aspiration of blood from hemangioma simultaneously. MATERIALS AND METHODS: From January 2011 to December 2016, 40 patients (29 females, 11male; average age 43.25±7.65 years) with 42 giant hepatic hemangiomas (mean diameter7.02±1.55cm, range4.1-10.8 cm) were treated with image-guided percutaneous MWA with ablation of the feeding artery and aspiration of blood from hemangioma simultaneously...
October 12, 2017: International Journal of Hyperthermia
https://www.readbyqxmd.com/read/29022129/the-utility-of-local-anesthesia-for-neurosurgical-interventions-in-a-low-resource-setting-a-case-series
#5
Jessica Eaton, Asma Bilal Hanif, Suzgisam Mzumara, Anthony Charles
INTRODUCTION: Trauma is a major contributor to global morbidity and mortality, and injury to the central nervous system is the most common cause of death in these patients. While the provision of surgical services is being recognized as essential to global public health efforts, specialty areas such as neurosurgery remain overlooked. METHOD: This is a retrospective case review of patients with operable lesions, such as extra-axial hematomas and unstable depressed skull fractures that underwent neurosurgical interventions under local anesthesia...
October 11, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/29021856/refractory-ventricular-tachycardia-caused-by-inflow-cannula-mechanical-injury-in-a-patient-with-left-ventricular-assist-device-catheter-ablation-and-pathological-findings
#6
Stefano Pedretti, Manlio Cipriani, Edgardo Bonacina, Sara Vargiu, Vered Gil Ad, Maria Frigerio, Maurizio Lunati
In patients with left ventricular assist device (LVAD), a minority of post-operative ventricular tachycardias (VTs) is caused by contact between the inflow cannula and the endocardium. Currently, electrophysiologic characteristics and pathologic features of this condition are lacking. We report on a case of a successfully ablated mechanical VT. After VT recurrence, heart transplantation took place. Pathologic observations were consistent with direct tissue injury and inflammation, eventually contributing to persisting arrhythmias...
October 2017: Journal of Arrhythmia
https://www.readbyqxmd.com/read/29020717/ulnar-nerve-injury-on-removal-of-a-contraceptive-implant
#7
Eva E O'Grady, Dominic M Power
The close proximity of contraceptive implant placement to the course of the ulnar nerve can result in injury. Several factors have been implicated in this complication including: low BMI, erroneous placement of the implant, implantation over the brachial groove, and migration of the implant from its original insertion. Clinicians should familiarise themselves with the vulnerable neurovascular structures in the area and refer promptly to a specialist if any neurological symptoms develop during placement or removal of these devices...
December 2016: Practitioner
https://www.readbyqxmd.com/read/29018960/influence-of-stress-factors-on-intestinal-epithelial-injury-and-regeneration
#8
Carol Lee, Adam Minich, Bo Li, Hiromu Miyake, Shogo Seo, Agostino Pierro
PURPOSE: Lgr5+ intestinal epithelial stem cells (ISCs) crucial for intestinal epithelial regeneration are impaired during necrotizing enterocolitis. This study aims to investigate the influence of different stressors on intestinal epithelial injury and regeneration in vitro. METHODS: Intestinal epithelial cells (IEC-18) were exposed to stressors such as lipopolysaccharide, hydrogen peroxide, and serum. Cell viability was assessed using MTT assay at 18 and 24 h...
October 10, 2017: Pediatric Surgery International
https://www.readbyqxmd.com/read/29018821/factors-affecting-unscheduled-return-visits-to-the-emergency-department-among-minor-head-injury-patients
#9
Kuo-Cheng Wang, Chung-Hsien Chaou, Peng-Huei Liu, Cheng-Yu Chien, Ching-Hsing Lee
STUDY OBJECTIVES: Differences between returning and non-returning minor head injury (MHI) emergency department (ED) patients, between the characteristics of the first visit and revisit, and between admitted and nonadmitted returning patients were investigated. METHODS: This was a retrospective study. All discharged ED patients with ICD-9 codes 850.0 to 850.9, 920, and 959.01 in 2013 were enrolled. Patients' demographic data, vital signs, Glasgow Coma Scale, ED diagnosis, length of stay, triage levels, ED examinations performed, and comorbidities were recorded for analysis...
2017: BioMed Research International
https://www.readbyqxmd.com/read/29018615/a-randomized-control-trial-feasibility-evaluation-of-an-mhealth-intervention-for-wheelchair-skill-training-among-middle-aged-and-older-adults
#10
Edward M Giesbrecht, William C Miller
BACKGROUND: Providing mobility skills training to manual wheelchair (MWC) users can have a positive impact on community participation, confidence and quality of life. Often such training is restricted or not provided at all because of the expense of, and limited access to, occupational and physical therapists before and after discharge. This is particularly true among middle-aged and older adults, who often have limited access to rehabilitation services and require more time to learn motor skills...
2017: PeerJ
https://www.readbyqxmd.com/read/28994796/the-knob-supination-task-a-semi-automated-method-for-assessing-forelimb-function-in-rats
#11
Samuel D Butensky, Thelma Bethea, Joshua Santos, Anil Sindhurakar, Eric Meyers, Andrew M Sloan, Robert L Rennaker, Jason B Carmel
Tasks that accurately measure dexterity in animal models are critical to understand hand function. Current rat behavioral tasks that measure dexterity largely use video analysis of reaching or food manipulation. While these tasks are easy to implement and are robust across disease models, they are subjective and laborious for the experimenter. Automating traditional tasks or creating new automated tasks can make the tasks more efficient, objective, and quantitative. Since rats are less dexterous than primates, central nervous system (CNS) injury produces more subtle deficits in dexterity, however, supination is highly affected in rodents and crucial to hand function in primates...
September 28, 2017: Journal of Visualized Experiments: JoVE
https://www.readbyqxmd.com/read/28994788/evaluating-primary-blast-effects-in-vitro
#12
Niall J Logan, Hari Arora, Claire A Higgins
Exposure to blast events can cause severe trauma to vital organs such as the lungs, ears, and brain. Understanding the mechanisms behind such blast-induced injuries is of great importance considering the recent trend towards the use of explosives in modern warfare and terrorist-related incidents. To fully understand blast-induced injury, we must first be able to replicate such blast events in a controlled environment using a reproducible method. In this technique using shock tube equipment, shock waves at a range of pressures can be propagated over live cells grown in 2D, and markers of cell viability can be immediately analyzed using a redox indicator assay and the fluorescent imaging of live and dead cells...
September 18, 2017: Journal of Visualized Experiments: JoVE
https://www.readbyqxmd.com/read/28994741/assessment-of-the-public-health-risks-and-impact-of-a-tornado-in-funing-china-23-june-2016-a-retrospective-analysis
#13
Kaiwen Wang, Shuang Zhong, Xiaoye Wang, Zhe Wang, Lianping Yang, Qiong Wang, Suhan Wang, Rongrong Sheng, Rui Ma, Shao Lin, Wenyu Liu, Rongqiang Zu, Cunrui Huang
(1) Background: Tornadoes are one of the deadliest disasters but their health impacts in China are poorly investigated. This study aimed to assess the public health risks and impact of an EF-4 tornado outbreak in Funing, China; (2) Methods: A retrospective analysis on the characteristics of tornado-related deaths and injuries was conducted based on the database from the Funing's Center for Disease Control and Prevention (CDC) and Funing People's Hospital. A change-point time-series analysis of weekly incidence for the period January 2010 to September 2016 was used to identify sensitive infectious diseases to the tornado; (3) Results: The 75 to 84 years old group was at the highest risk of both death (RR = 82...
October 10, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28993913/pelvic-fractures-in-the-netherlands-epidemiology-characteristics-and-risk-factors-for-in-hospital-mortality-in-the-older-and-younger-population
#14
Diederik O Verbeek, Kornelis J Ponsen, Marta Fiocco, Sonia Amodio, Luke P H Leenen, J Carel Goslings
PURPOSE: To examine nationwide epidemiology of pelvic fractures in the Netherlands and to compare characteristics and outcome of older versus younger patients as well as predictors for in-hospital mortality. METHODS: Retrospective review of pelvic fracture patients admitted to all Dutch hospitals (2008-2012) utilizing National Trauma Registry. Average annual incidence of (minor and major) pelvic fractures was calculated for the population. Older (≥ 65 years) and younger (< 65 years) patients were compared...
October 9, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/28987308/ambulance-crash-in-a-rural-area-of-thailand
#15
Ratrawee Pattanarattanamolee, Somkid Lertsinudom, Shinji Nakahara, Tetsuya Sakamoto
BACKGROUND: Ambulance crashes delay patient transfer and endanger patients, ambulance crews, and other road users. In low- and middle-income countries, where motor vehicle crash rates are typically high, ambulances have a high risk of being involved in a crash. This case report describes an ambulance crash in Thailand to elucidate modifiable problems in current protocols and practices of emergency medical services. CASE REPORT: In November 2016, a 28-year-old male driver of an ambulance died in a crash while transferring a female patient with dizziness to a rural hospital...
October 5, 2017: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28987305/unintentional-marijuana-exposure-presenting-as-altered-mental-status-in-the-pediatric-emergency-department-a-case-series
#16
Anita A Thomas, Suzan Mazor
BACKGROUND: Unintentional tetrahydrocannabinol (THC) exposure in pediatric patients can present as altered mental status. Altered mental status in a pediatric patient often leads to invasive diagnostic testing. CASE REPORT: The following cases describe 3 pediatric patients in Washington state who presented to a tertiary care children's hospital emergency department (ED) with altered mental status, later found to have urine toxicology screening positive for inactive THC metabolite (positive THC toxicology screen)...
October 5, 2017: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28982481/the-role-of-computed-tomography-scans-in-diaphyseal-femur-fractures-following-gunshot-injuries-a-survey-of-orthopaedic-traumatologists
#17
John S Hwang, Peter D Gibson, Kenneth L Koury, Nicholas Stekas, Michael S Sirkin, Mark C Reilly, Mark R Adams
The objective of this study was to analyze if the addition of CT changed the management of femoral shaft fractures caused by gunshot wounds when compared to those managed with plain radiography alone. METHODS: A multiple-choice, single-answer electronic survey was created to compare utility of advanced imaging when treating femur fractures resulting from gunshot injury. A total of ten femoral shaft fracture cause by gunshot injuries were selected for an online survey to be administered to orthopeaedic traumatologists...
September 28, 2017: Injury
https://www.readbyqxmd.com/read/28981873/psychiatric-injury-claims-and-pregnancy-re-a-minor-and-others-v-calderdale-huddersfield-nhs-foundation-trust-2017-ewhc-824
#18
Jaime Lindsey
RE and others concerned a clinical negligence claim against the Defendant NHS Trust by a baby injured during childbirth, as well by her mother and grandmother for psychiatric injury found to have been caused by those events. This commentary focuses on the claim for psychiatric injury by the mother and grandmother, both of which succeeded on the basis that the childbirth was a sufficiently shocking and horrifying event. This commentary urges caution about this development based on how it represents law's view of childbirth and the growth of claims that might result from any expansion of liability in this area...
September 12, 2017: Medical Law Review
https://www.readbyqxmd.com/read/28981494/characteristics-of-older-adults-hospitalised-following-trauma-in-the-midland-region-of-new-zealand
#19
Katrina O'Leary, Bridget Kool, Grant Christey
AIM: To describe the epidemiology of injuries sustained by older adult trauma patients admitted to hospitals in the Midland region (population 886,000) of New Zealand. METHODS: A review of older adult (≥65 years) trauma cases from the Midland Trauma Registry for the three-year period January 2012 to December 2014 was conducted. Demographics, mechanism of injury, severity of injuries, processes of care and outcomes were analysed. RESULTS: Older adults accounted for 14% (2,278/15,700) of all injury cases captured by the registry during the study period (average annualised incidence 585/100,000 population)...
October 6, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28980825/does-the-fear-avoidance-model-explain-persistent-symptoms-after-traumatic-brain-injury
#20
Melloney L M Wijenberg, Sven Z Stapert, Jeanine A Verbunt, Jennie L Ponsford, Caroline M Van Heugten
BACKGROUND: A minority of patients with mild traumatic brain injury (mTBI) experience a persistent symptom complex also known as post-concussion syndrome. Explanations for this syndrome are still lacking. OBJECTIVE: To investigate if the fear avoidance model, including catastrophizing thoughts and fear avoidance behaviour, poses a possible biopsychosocial explanation for lingering symptoms and delay in recovery after traumatic brain injury (TBI) with special focus on mTBI...
October 5, 2017: Brain Injury: [BI]
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