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https://www.readbyqxmd.com/read/29029370/elder-neglect-oral-diseases-and-injuries
#1
Stefano Petti
Elder Neglect (EN) is the failure of a designated caregiver to meet the needs of a dependent older person. World EN prevalence, meta-analyzed in this study, is 1.0% or 1.8% according to different statistical methods. Referring alleged EN cases to Adult Protective Services (APSs) by healthcare workers (HCWs) is mandatory in many countries. However, only few claims are substantiated, as EN could be confused with Self-Neglect, neglect could be unintentional or due to caregiver unawareness. Screening tools are inaccurate and their use is discouraged by public health organizations, because they lead to too many false positives, which engulf the already overwhelmed APSs...
October 13, 2017: Oral Diseases
https://www.readbyqxmd.com/read/29024420/skin-flap-vaginal-augmentation-helps-prevent-and-cure-post-obstetric-fistula-repair-urine-leakage-a-critical-anatomical-analysis
#2
Andrew Browning, Gordon Williams, Peter Petros
Our aim was to describe a new surgical method for prophylaxis/cure of post -obstetric fistula repair leakage based on restoring vaginal elasticity with Singapore skin flap. The rationale for this operation was based on the Integral Theory: scarring removes elasticity required for independent function of oppositely-acting urethral closure forces so they become 'tethered, forcibly opening the urethra when give the signal to close. Skin graft restores elasticity and closure. Used prophylactically with Goh type 4 fistula (n=45) 46% were dry against expected 19%...
October 11, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29020777/screen-printed-pedot-pss-electrodes-on-commercial-finished-textiles-for-electrocardiography
#3
Sneh Sinha, Yeonsik Noh, Natasa Reljin, Gregory Martin Treich, Shirin Hajeb-Mohammadalipour, Yang Guo, Ki H Chon, Gregory Sotzing
Electrocardiography (ECG) is an essential technique for analyzing and monitoring cardiovascular physiological conditions such as arrhythmia. This article demonstrates the integration of screen printed ECG circuitry from a commercially available conducting polymer, PEDOT:PSS, onto commercially available finished textiles. ECG signals were recorded in dry skin conditions due to the ability of PEDOT:PSS to function as both ionic and electronic conductors. The signal amplifies when the skin transpires water vapor, or by applying a common lotion on the skin...
October 12, 2017: ACS Applied Materials & Interfaces
https://www.readbyqxmd.com/read/29020717/ulnar-nerve-injury-on-removal-of-a-contraceptive-implant
#4
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/29019891/study-protocol-for-a-randomized-controlled-pilot-trial-on-the-semiocclusive-treatment-of-fingertip-amputation-injuries-using-a-novel-finger-cap
#5
Jurek Schultz, Susann Leupold, Xina Grählert, Roland Pfeiffer, Uta Schwanebeck, Percy Schröttner, Barbara Djawid, Wladislav Artsimovich, Karol Kozak, Guido Fitze
INTRODUCTION: Fingertip amputation injuries are common in all ages. Conservatively treated fingertips can regenerate skin and soft tissues to form a functionally and cosmetically excellent new fingertip. Little is known about this ability that, in humans, is confined to the fingertips. Even less is known about the role of the bacteria that regularly colonize these wounds without negative impact on regeneration and healing.As an alternative to surgery, self-adhesive film dressings are commonly used to establish a wet chamber around the injury...
October 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29018496/surgical-treatment-of-acquired-atresia-of-the-external-auditory-ear-canal
#6
Valerie Droessaert, Robby Vanspauwen, Erwin Offeciers, Andrzej Zarowski, Joost van Dinther, Thomas Somers
Introduction  Acquired atresia of the external auditory canal is characterized by the formation of fibrous tissue in the medial part. The causes include chronic otitis externa, perforated chronic otitis media, postoperative or idiopathic healing problems. Acquired atresia presents with hearing loss and can be associated with otorrhea. Objective  We analyzed the results of surgery after six months and two years by checking (1) pre- and postoperative hearing thresholds; (2) presence of otorrhea; and (3) whether a dry and patent ear canal is achieved...
October 2017: International Archives of Otorhinolaryngology
https://www.readbyqxmd.com/read/28985477/air-velocity-influences-thermoregulation-and-endurance-exercise-capacity-in-the-heat
#7
Hidenori Otani, Mitsuharu Kaya, Akira Tamaki, Phillip Watson, Ronald J Maughan
This study examined the effects of variations in air velocity on time to exhaustion and thermoregulatory and perceptual responses to exercise in a hot environment. Eight male volunteers completed stationary cycle exercise trials at 70% peak oxygen uptake until exhaustion in an environmental chamber maintained at 30°C and 50% relative humidity. Four air velocity conditions, 30, 20, 10 and 0 km/h, were tested, and the headwind was directed at the frontal aspect of the subject by two industrial fans, with blade diameters of 1-m and 0...
October 6, 2017: Applied Physiology, Nutrition, and Metabolism, Physiologie Appliquée, Nutrition et Métabolisme
https://www.readbyqxmd.com/read/28974777/high-density-microprojection-array-delivery-to-rat-skin-of-low-doses-of-trivalent-inactivated-poliovirus-vaccine-elicits-potent-neutralising-antibody-responses
#8
David A Muller, Germain J P Fernando, Nick S Owens, Christiana Agyei-Yeboah, Jonathan C J Wei, Alexandra C I Depelsenaire, Angus Forster, Paul Fahey, William C Weldon, M Steven Oberste, Paul R Young, Mark A F Kendall
To secure a polio-free world, the live attenuated oral poliovirus vaccine (OPV) will eventually need to be replaced with inactivated poliovirus vaccines (IPV). However, current IPV delivery is less suitable for campaign use than OPV, and more expensive. We are progressing a microarray patch delivery platform, the Nanopatch, as an easy-to-use device to administer vaccines, including IPV. The Nanopatch contains an ultra-high density array (10,000/cm(2)) of short (~230 μm) microprojections that delivers dry coated vaccine into the skin...
October 3, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28973874/why-pens-have-rubbery-grips
#9
Brygida Dzidek, Séréna Bochereau, Simon A Johnson, Vincent Hayward, Michael J Adams
The process by which human fingers gives rise to stable contacts with smooth, hard objects is surprisingly slow. Using high-resolution imaging, we found that, when pressed against glass, the actual contact made by finger pad ridges evolved over time following a first-order kinetics relationship. This evolution was the result of a two-stage coalescence process of microscopic junctions made between the keratin of the stratum corneum of the skin and the glass surface. This process was driven by the secretion of moisture from the sweat glands, since increased hydration in stratum corneum causes it to become softer...
September 25, 2017: Proceedings of the National Academy of Sciences of the United States of America
https://www.readbyqxmd.com/read/28966515/baumann-skin-type-in-the-korean-female-population
#10
Sung Ku Ahn, Myungsoo Jun, Hana Bak, Byung Duk Park, Seung Phil Hong, Sang-Hoon Lee, Seong-Jin Kim, Hyung Joo Kim, Dong Hoon Song, Pok Kee Min, Ja Woong Goo, Tae-Hyun Kim, Chang-Keun Oh, Seung Hyun Chun, Sewon Lee, Yeol Oh Sung, In-Bum Sohn, Hyung Jin Ahn, Kun Park
BACKGROUND: To meet the need for a subspecialized skin type system, the Baumann skin type (BST) system was proposed. OBJECTIVE: To evaluate the distribution of BST types and influencing factors among Korean women. METHODS: BST questionnaires were administered to 1,000 Korean women. The possible responses were as follows: oily (O) or dry (D), sensitive (S) or resistant (R), pigmented (P) or non-pigmented (N), and wrinkled (W) or tight (T). The correlations of the BST with the subjects' age, location, ultraviolet (UV) ray exposure, drinking and smoking habits, and blood type were assessed...
October 2017: Annals of Dermatology
https://www.readbyqxmd.com/read/28954874/fibrous-arthropathy-associated-with-morphea-a-new-cause-of-diffuse-acquired-joint-contractures
#11
Etienne Merlin, Sylvain Breton, Sylvie Fraitag, Jean-Louis Stéphan, Carine Wouters, Christine Bodemer, Brigitte Bader-Meunier
Etiologies for childhood-onset diffuse joint contractures encompass a large group of inherited disorders and acquired diseases, in particular a subtype of juvenile idiopathic arthritis called "dry polyarthritis," dermatomyositis, and systemic sclerosis. We report on 2 boys, aged 5 and 8 years, who developed acquired symmetric painless joint contractures preceding the development of superficial plaques of morphea by 7 to 13 months. There was no other clinical involvement, biological inflammation, or autoantibodies...
October 2017: Pediatrics
https://www.readbyqxmd.com/read/28946358/lipase-from-liver-of-seabass-lates-calcarifer-characteristics-and-the-use-for-defatting-of-fish-skin
#12
Thanasak Sae-Leaw, Soottawat Benjakul
Lipase from liver of seabass (Lates calcarifer), with a molecular weight of 60kDa, was purified to homogeneity using ammonium sulfate precipitation and a series of chromatographies, including diethylaminoethyl sepharose (DEAE) and Sephadex G-75 size exclusion columns. The optimal pH and temperature were 8.0 and 50°C, respectively. Purified lipase had Michaelis-Menten constant (Km) and catalytic constant (kcat) of 0.30mM and 2.16s(-1), respectively, when p-nitrophenyl palmitate (p-NPP) was used as the substrate...
February 1, 2018: Food Chemistry
https://www.readbyqxmd.com/read/28944076/association-between-itching-and-the-serum-zinc-levels-in-patients-with-varicose-veins
#13
Yasushi Takai, Keiichi Hiramoto, Yoshiyuki Nishimura, Ryota Uchida, Keigo Nishida, Kazuya Ooi
BACKGROUND: Varicose veins commonly occur in the lower extremities and can cause pain and discomfort in the affected area. Many patients with varicose veins suffer from itching, but its cause has not been sufficiently explained. In recent years, the role of zinc in maintaining the integrity of skin has been reported, and zinc supplementation has been suggested to be effective in relieving itching. The objective of this study is to elucidate the relationship between itching and serum zinc concentration in patients with varicose veins...
2017: Journal of Pharmaceutical Health Care and Sciences
https://www.readbyqxmd.com/read/28940706/applied-anatomy-for-tibial-intraosseous-access-in-adults-a-radioanatomical-study
#14
Onur Polat, Ahmet Burak Oguz, Muge Gunalp Eneyli, Ayhan Comert, Halil Ibrahim Acar, Eray Tuccar
INTRODUCTION: Intraosseous access is a method for providing vascular access in resuscitation of critically ill and injured patients when traditional intravenous access is difficult or impossible. There is a lack of detailed description for the landmark for the insertion point in the literature. The aim of this study was to determine the exact location for intraosseous access. MATERIALS AND METHODS: Radiographic computed tomography (CT) images of a total of 50 dry tibia bones were obtained...
September 22, 2017: Clinical Anatomy
https://www.readbyqxmd.com/read/28940663/a-novel-method-to-assess-the-potential-role-of-sweating-abnormalities-in-the-pathogenesis-of-ad
#15
Yurie Shimoda-Komatsu, Yohei Sato, Yoshimi Yamazaki, Ryo Takahashi, Tetsuo Shiohara
BACKGROUND: Although atopic dry skin is believed to be caused by defects in skin genes important for maintaining skin barrier function, the role of sweat in atopic dermatitis (AD) has been apparently underestimated. Given the great capacity of sweat to maintain and increase skin hydration, defective sweating responses may be a logical place to look for changes that predispose individuals to the disease. METHODS: We investigated how disease process and sweating defects progress from early asymptomatic stages to the onset of clinically apparent disease by employing the impression mold technique, which allows an accurate quantification of individual sweat gland/duct activity in relation to skin surface topography...
September 23, 2017: Experimental Dermatology
https://www.readbyqxmd.com/read/28940028/plasticity-of-skin-water-permeability-and-skin-thickness-in-the-amphibious-mangrove-rivulus-kryptolebias-marmoratus
#16
Quentin Heffell, Andy J Turko, Patricia A Wright
The skin of amphibious fishes is a multipurpose organ, important for gas and ion exchange and nitrogen excretion when fish are out of water (emersed). We tested the hypothesis that skin permeability is altered to maintain water balance through changes in water permeability and skin thickness during salinity acclimation and/or when fish emerse, using the euryhaline, amphibious fish Kryptolebias marmoratus as a model. We first recorded the behaviour of fish out of water to determine which part of the cutaneous surface was in contact with the substrate...
September 22, 2017: Journal of Comparative Physiology. B, Biochemical, Systemic, and Environmental Physiology
https://www.readbyqxmd.com/read/28934326/the-effect-of-electronic-health-record-software-design-on-resident-documentation-and-compliance-with-evidence-based-medicine
#17
Yasaira Rodriguez Torres, Jordan Huang, Melanie Mihlstin, Mark S Juzych, Heidi Kromrei, Frank S Hwang
This study aimed to determine the role of electronic health record software in resident education by evaluating documentation of 30 elements extracted from the American Academy of Ophthalmology Dry Eye Syndrome Preferred Practice Pattern. The Kresge Eye Institute transitioned to using electronic health record software in June 2013. We evaluated the charts of 331 patients examined in the resident ophthalmology clinic between September 1, 2011, and March 31, 2014, for an initial evaluation for dry eye syndrome...
2017: PloS One
https://www.readbyqxmd.com/read/28932126/dermopathy-associated-with-cetuximab-and-panitumumab-investigation-of-the-usefulness-of-moisturizers-in-its-management
#18
Shoichi Watanabe, Motoki Nakamura, Hiroki Takahashi, Masayasu Hara, Kei Ijichi, Daisuke Kawakita, Akimichi Morita
AIMS: Limited data regarding the objective evaluation of skin exsiccation caused by epidermal growth factor receptor (EGFR) inhibitors exist. Objective indices were applied to evaluate the usefulness of a moisturizer against skin exsiccation associated with the use of EGFR inhibitors in cancer patients. PATIENTS AND METHODS: Patients with either colorectal or head and neck cancer treated with either cetuximab or panitumumab were randomly assigned 1:2 to the prophylactic-treatment arm, where participants received prophylactical moisturizer treatment (heparinoid preparation, Hirudoid(®)), or to the symptomatic-treatment arm, where moisturizer was applied after the onset of cutaneous symptoms...
2017: Clinical, Cosmetic and Investigational Dermatology
https://www.readbyqxmd.com/read/28931203/scalpel-versus-electrosurgery-for-major-abdominal-incisions
#19
REVIEW
Kittipat Charoenkwan, Zipporah Iheozor-Ejiofor, Kittipan Rerkasem, Elizabeth Matovinovic
BACKGROUND: Scalpels or electrosurgery can be used to make abdominal incisions. The potential benefits of electrosurgery may include reduced blood loss, dry and rapid separation of tissue, and reduced risk of cutting injury to surgeons. Postsurgery risks possibly associated with electrosurgery may include poor wound healing and complications such as surgical site infection. OBJECTIVES: To assess the effects of electrosurgery compared with scalpel for major abdominal incisions...
June 14, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28929531/oral-administration-of-milk-derived-phospholipids-inhibits-penetration-of-cutaneous-nerve-fibres-into-epidermis-in-a-mouse-model-of-acute-dry-skin
#20
A Sakaguchi, Y Kamata, N Takahashi, H Matsuda, R Kosaka, Y Umehara, H Ogawa, M Tominaga, K Takamori
The density of intraepidermal nerve fibres has been shown to be higher in itchy dry skin than in healthy skin, suggesting that epidermal hyperinnervation is at least partly involved in peripheral itch sensitization. We investigated whether oral administration of milk-derived phospholipids (MPLs) would inhibit epidermal hyperinnervation in a mouse model of dry skin. We found that the number of intraepidermal nerve fibres was significantly lower in the MPL group than in the control group. Expression of nerve growth factor (NGF) levels in the epidermis was significantly decreased by oral administration of MPLs, whereas expression of semaphorin (Sema)3A, a nerve repulsion factor, was increased in the MPL group...
September 20, 2017: Clinical and Experimental Dermatology
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