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https://www.readbyqxmd.com/read/28531451/new-laparoscopic-assisted-percutaneous-gastrostomy-description-and-comparison-with-others-gastrostomy-types
#1
Pilar Serrano Aguayo, Noelia Gros Herguido, Juana Parejo Campos, Antonio Barranco Moreno, María Del Castillo Tous Romero, José Luis Pereira Cunill, Isaías Alarcón Del Agua, María Socas Macias, Pedro Pablo García Luna, Salvador Morales Conde
INTRODUCTION: Gastrostomy feeding tube insertion has become a common procedure as it enables patients who require long term enteral feeding. Conventional surgical gastrostomies were the only way of gaining enteral access in patients in which it is not possible to pass an endoscope or a nasogastric tube required for endoscopic or radiological gastrostomies, and in patients in which certain anatomical abnormalities contraindicate performing these techniques. As conventional surgical gastrostomies are associated with high morbidity, especially gastric leakage around the tube, percutaneous laparoscopic assisted gastrostomy (PLAG) may be a better way to gain enteral access...
December 2016: Clinical Nutrition ESPEN
https://www.readbyqxmd.com/read/28511306/-relationship-of-job-stress-with-job-burnout-and-quality-of-work-life-in-workers-for-offshore-oil-platforms
#2
Y Zhang, X L Liu, T D Wei, Y J Lan
Objective: To evaluate the current status of job burnout and qual ity of work life (QWL) in workers for offshore oil platforms, and to analyze the relationship of job stress with job burnout and QWL and the direct and indirect effects of job stress on QWL. Methods: Cluster random sampling was used to select 382 work-ers for 8 oil platforms of China National Offshore Oil Corporation in October 2015. A self-designed questionnaire was used to collect the individual characteristics of subjects. The Quality of Work Life Scale (QWL7-32) , Occupa-tional Stress Inventory-Revised Edition (OSI-R) , and Maslach Burnout Inventory-General Survey (MBI-GS) were used to investigate the QWL, job stress, and job burnout of subjects...
March 20, 2017: Chinese Journal of Industrial Hygiene and Occupational Diseases
https://www.readbyqxmd.com/read/28504634/-a-burned-out-seminoma-lymph-node-metastasis-to-the-neck-of-a-patient-treated-for-colon-cancer
#3
Marie Louise Juul, Eva Rye Rasmussen
The incidence of metastases to the neck in testicular cancer is 4-15%, and in 5% of these cases the metastasis is the only symptom. We present a 57-year-old asymptomatic male, who had previously been treated for colon cancer. A routine PET-CT showed enlarged lymph nodes in the retroperitoneum and at the neck. A core needle biopsy from the lymph node at the neck contained malignant cells, but not from colon cancer. The lymph node was extirpated, and pathological analysis proved it to be a metastasis from a testicular seminoma...
May 15, 2017: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/28500553/characterization-of-rainwater-chemical-composition-after-a-southeast-asia-haze-event-insight-of-transboundary-pollutant-transport-during-the-northeast-monsoon
#4
Mohd Shahrul Mohd Nadzir, Chin Yik Lin, Md Firoz Khan, Mohd Talib Latif, Doreena Dominick, Haris Hafizal Abdul Hamid, Noorlin Mohamad, Khairul Nizam Abdul Maulud, Muhammad Ikram Abdul Wahab, Nurul Farahana Kamaludin, Mohamad Azwani Shah Mat Lazim
Open biomass burning in Peninsula Malaysia, Sumatra, and parts of the Indochinese region is a major source of transboundary haze pollution in the Southeast Asia. To study the influence of haze on rainwater chemistry, a short-term investigation was carried out during the occurrence of a severe haze episode from March to April 2014. Rainwater samples were collected after a prolonged drought and analyzed for heavy metals and major ion concentrations using inductively coupled plasma mass spectroscopy (ICP-MS) and ion chromatography (IC), respectively...
May 13, 2017: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/28481850/physician-burnout-and-well-being-a-systematic-review-and-framework-for-action
#5
David A Rothenberger
BACKGROUND: Physician burnout in the United States has reached epidemic proportions and is rising rapidly, although burnout in other occupations is stable. Its negative impact is far reaching and includes harm to the burned-out physician, as well as patients, coworkers, family members, close friends, and healthcare organizations. OBJECTIVE: The purpose of this review is to provide an accurate, current summary of what is known about physician burnout and to develop a framework to reverse its current negative impact, decrease its prevalence, and implement effective organizational and personal interventions...
June 2017: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/28481760/analysis-of-operating-room-efficiency-in-a-burn-center
#6
Tarik D Madni, Jonathan B Imran, Audra Clark, Brett A Arnoldo, Herb A Phelan, Steven E Wolf
Many operating room (OR) processes can limit productivity. Surprisingly, little has been done to identify which OR processes limit downstream activities. Here, the authors aimed to review their burn OR procedures to determine if and where inefficiencies exist. Data for all operations performed in a dedicated burn OR from January 1, 2015, to July 31, 2016 were reviewed in the electronic medical records of our public, teaching hospital. The total time spent was allocated into the following components: induction (patient in room to end of induction), preparation (end of induction to procedure start), procedure (procedure start to procedure end), exit (procedure end to patient out of room), and turnover (patient out of room to next patient in room)...
May 4, 2017: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/28476149/associations-of-fatigue-to-work-related-stress-mental-and-physical-health-in-an-employed-community-sample
#7
D M Rose, A Seidler, M Nübling, U Latza, E Brähler, E M Klein, J Wiltink, M Michal, S Nickels, P S Wild, J König, M Claus, S Letzel, M E Beutel
BACKGROUND: While work-related fatigue has become an issue of concern among European employees, the relationship between fatigue, depression and work-related stressors is far from clear. The purposes of this study were (1) to determine the associations of fatigue with work-related stressors, severe medical disease, health behavior and depression in the working population and (2) to determine the unique impact of work-related stressors on fatigue. METHODS: We used cross-sectional data of N = 7,930 working participants enrolled in the Gutenberg Health Study (GHS) from 2007 to 2012 filled out the Personal Burnout Scale (PBS) of the Copenhagen Psychosocial Questionnaire (COPSOQ), the PHQ-9, and a list of work-related stressors...
May 5, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28470059/enhancement-of-pool-boiling-heat-transfer-using-aligned-silicon-nanowire-arrays
#8
Dong Il Shim, Geehong Choi, Namkyu Lee, Taehwan Kim, Beom Seok Kim, Hyung Hee Cho
Enhancing the critical heat flux (CHF), which is the capacity of heat dissipation, is important to secure high stability in two-phase cooling systems. Coolant supply to a dry hot spot is a major mechanism to prevent surface burn-out for enhancing the CHF. Here, we demonstrate a more ready supply of coolant using aligned silicon nanowires (A-SiNWs), with a high aspect ratio (>10) compared to that of conventional random silicon nanowires (R-SiNWs), which have a disordered arrangement, for additional CHF improvement...
May 12, 2017: ACS Applied Materials & Interfaces
https://www.readbyqxmd.com/read/28468663/evaluating-malaria-case-management-at-public-health-facilities-in-two-provinces-in-angola
#9
Mateusz M Plucinski, Manzambi Ferreira, Carolina Miguel Ferreira, Jordan Burns, Patrick Gaparayi, Lubaki João, Olinda da Costa, Parambir Gill, Claudete Samutondo, Joltim Quivinja, Eliane Mbounga, Gabriel Ponce de León, Eric S Halsey, Pedro Rafael Dimbu, Filomeno Fortes
BACKGROUND: Malaria accounts for the largest portion of healthcare demand in Angola. A pillar of malaria control in Angola is the appropriate management of malaria illness, including testing of suspect cases with rapid diagnostic tests (RDTs) and treatment of confirmed cases with artemisinin-based combination therapy (ACT). Periodic systematic evaluations of malaria case management are recommended to measure health facility readiness and adherence to national case management guidelines...
May 3, 2017: Malaria Journal
https://www.readbyqxmd.com/read/28460858/analysis-of-out-of-hospital-pediatric-intubation-by%C3%A2-an-australian-helicopter-emergency-medical%C3%A2-service
#10
Brian J Burns, Joanna B Watterson, Sandra Ware, Luke Regan, Cliff Reid
STUDY OBJECTIVE: We examine first-look success in emergency pediatric intubation by a physician-staffed helicopter emergency medical service (EMS). METHODS: A database analysis of all pediatric (<16 years) intubations during a 64-month period was undertaken, using data from a prospectively enrolled electronic airway registry form. Recorded findings included patient demographics, operator background, airway intervention including intubation attempts, complications, and critical timings...
April 28, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28457980/reversal-of-trauma-induced-coagulopathy-using-first-line-coagulation-factor-concentrates-or-fresh-frozen-plasma-retic-a-single-centre-parallel-group-open-label-randomised-trial
#11
Petra Innerhofer, Dietmar Fries, Markus Mittermayr, Nicole Innerhofer, Daniel von Langen, Tobias Hell, Gottfried Gruber, Stefan Schmid, Barbara Friesenecker, Ingo H Lorenz, Mathias Ströhle, Verena Rastner, Susanne Trübsbach, Helmut Raab, Benedikt Treml, Dieter Wally, Benjamin Treichl, Agnes Mayer, Christof Kranewitter, Elgar Oswald
BACKGROUND: Effective treatment of trauma-induced coagulopathy is important; however, the optimal therapy is still not known. We aimed to compare the efficacy of first-line therapy using fresh frozen plasma (FFP) or coagulation factor concentrates (CFC) for the reversal of trauma-induced coagulopathy, the arising transfusion requirements, and consequently the development of multiple organ failure. METHODS: This single-centre, parallel-group, open-label, randomised trial was done at the Level 1 Trauma Center in Innsbruck Medical University Hospital (Innsbruck, Austria)...
April 27, 2017: Lancet Haematology
https://www.readbyqxmd.com/read/28457060/complications-of-post-burn-tissue-expansion-reconstruction-9-years-experience-with-42-pediatric-and-26-adult-patients
#12
Alexander Margulis, Allan Billig, Jhonatan Elia, Yair Shachar, Neta Adler
BACKGROUND: Burn scar reconstruction is extremely challenging, even for the most proficient reconstructive surgeon. Within the arsenal of tools at the plastic surgeon's disposal, tissue expansion provides an efficient modality for reconstruction despite the reported complication rates. OBJECTIVES: To critically review our experience with tissue expansion for burn scar reconstruction, comparing particularly the adult and pediatric populations. METHODS: We conducted a retrospective study of the outcomes of patients who underwent burn scar reconstruction with tissue expansion at Hadassah Medical Center between January 2003 and July 2012...
February 2017: Israel Medical Association Journal: IMAJ
https://www.readbyqxmd.com/read/28455761/women-s-decision-making-autonomy-and-their-attitude-towards-wife-beating-findings-from-the-2011-ethiopia-s-demographic-and-health-survey
#13
Nasser B Ebrahim, Madhu S Atteraya
The study examined the extent of wife-beating acceptance and factors that influence women's attitude towards wife-beating in Ethiopia from a nationally representative sample of 11,658 participants in the 2011 Ethiopian Demographic and Health Survey. Multivariate logistic regressions were fitted to investigate the relationships between women's attitude towards wife-beating and women's decision-making autonomy after controlling for socio-demographic factors. The majority (56%) of women agreed that wife-beating is justified when wife neglects children, 53% when wife burns the food, 50% when wife argues with husband, 48% when wife goes out without telling husband, and nearly 45% when wife refuses to have sex with husband...
April 28, 2017: Journal of Immigrant and Minority Health
https://www.readbyqxmd.com/read/28455568/chemical-characteristics-and-source-apportionment-of-pm2-5-using-pca-apcs-unmix-and-pmf-at-an-urban-site-of-delhi-india
#14
Srishti Jain, Sudhir Kumar Sharma, Nikki Choudhary, Renu Masiwal, Mohit Saxena, Ashima Sharma, Tuhin Kumar Mandal, Anshu Gupta, Naresh Chandra Gupta, Chhemendra Sharma
The present study investigated the comprehensive chemical composition [organic carbon (OC), elemental carbon (EC), water-soluble inorganic ionic components (WSICs), and major & trace elements] of particulate matter (PM2.5) and scrutinized their emission sources for urban region of Delhi. The 135 PM2.5 samples were collected from January 2013 to December 2014 and analyzed for chemical constituents for source apportionment study. The average concentration of PM2.5 was recorded as 121.9 ± 93.2 μg m(-3) (range 25...
April 28, 2017: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/28445518/use-of-human-fat-grafting-in-the-prevention-of-perineural-adherence-experimental-study-in-athymic-mouse
#15
Mario Cherubino, Igor Pellegatta, Alessandro Crosio, Luigi Valdatta, Stefano Geuna, Rosalba Gornati, Pierluigi Tos
Perineural adherences represent a problem after surgery involving peripheral neural system. Fat-grafting with adipose derived stem cells (ASCs) with their pro-regenerative characteristics can be important to prevent the neural damage or to facilitate the neural regeneration. Our idea was to use the fat-grafting as an anti-adherence device and test its efficacy on a postsurgical scar animal model and comparing to an antiadhesive gel. 32 athymic mice were operated under magnification, we exposed both sciatic nerves...
2017: PloS One
https://www.readbyqxmd.com/read/28443277/pediatric-hand-surgery-training-in-nicaragua-a-sustainable-model-of-surgical-education-in-a-resource-poor-environment
#16
Mary Claire B Manske, Jairo J Rios Roque, Gabriel Ramos Zelaya, Michelle A James
Recent reports have demonstrated that nearly two-thirds of the world's population do not have access to adequate surgical care, a burden that is borne disproportionately by residents of resource-poor countries. Although the reasons for limited access to surgical care are complex and multi-factorial, among the most substantial barriers is the lack of trained surgical providers. This is particularly true in surgical subspecialties that focus on life-improving, rather than life-saving, treatments, such as pediatric hand and upper extremity surgery, which manages such conditions as congenital malformations, trauma and post-traumatic deformities including burns, and neuromuscular conditions (brachial plexus birth palsy, spinal cord injury, and cerebral palsy)...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28442799/study-of-pruritus-vulvae-in-geriatric-age-group-in-tertiary-hospital
#17
Jasleen Kaur, Jyotika Kalsy
BACKGROUND: According to the World Health Organization criteria, geriatric population is people above 60 years of age. In this phase of life, a woman has already gone through menopause and its associated emotional, physical, and hormonal changes. These changes are due to gradual loss of estrogen that comes with menopause which results in dramatic changes in the appearance of vulva and vagina. With age, skin of vulva becomes thin, loses elasticity, and moisture so that the patient starts feeling burning and itchy sensation...
January 2017: Indian Journal of Sexually Transmitted Diseases
https://www.readbyqxmd.com/read/28437511/online-information-on-the-treatment-of-burning-mouth-syndrome-quality-and-readability
#18
Shatha Alnafea, Stefano Fedele, Stephen Porter, Richeal Ni Riordain
AIMS: To evaluate the quality and readability of online information about the treatment of burning mouth syndrome (BMS). METHODS: An internet search using the phrase "burning mouth syndrome treatment" was carried out on the Google search engine (www.google.co.uk) on 8 June 2015, and the first 100 websites listed were examined. Data collection included DISCERN score, the Journal of the American Medical Association (JAMA) benchmarks for website analysis score, the presence of the Health on the Net (HON) Foundation seal, and the Flesch Reading Ease Score (FRES)...
April 2017: Journal of Oral & Facial Pain and Headache
https://www.readbyqxmd.com/read/28435821/utilization-of-pfge-as-a-powerful-discriminative-tool-for-the-investigation-of-genetic-diversity-among-mrsa-strains
#19
Solmaz Ohadian Moghadam, Mohammad Reza Pourmand, Masoumeh Douraghi, Samira Sabzi, Parisa Ghaffari
BACKGROUND: Methicillin-resistant Staphylococcus aureus (MRSA) is a significant challenge to the burn patient. The implementation of proper monitoring programs and prompt identification of epidemic MRSA strains are critical to consequently control and eradicate potential outbreaks. This study aimed to define the genetic relatedness of MRSA strains isolated from burn patients by analyzing the large fragments of DNA. METHODS: In this cross-sectional study, 126 pus/wound swabs from skin and soft tissue infections (SSTIs) were collected from inpatients of Shahid Motahari Burn Center (Tehran, Iran) in 2013...
March 2017: Iranian Journal of Public Health
https://www.readbyqxmd.com/read/28435754/establishing-successful-patient-centered-medical-homes-in-rural-hawai-i-three-strategies-to-consider
#20
Melissa Nelson Scribner, Kasey Kehoe
The challenges to healthcare delivery posed by Hawai'i's unique geography, physician shortages, and dispersed population are of particular importance in light of implementing the Affordable Care Act (ACA). This study draws on central goals laid out in the ACA - to decrease costs, increase access, and improve patient outcomes. The use of the Patient-Centered Medical Homes (PCMHs) is a care model that has the potential to meet all three goals. How to identify the most effective way to develop PCMHs in the specific context of Hawai'i is the focus of this study...
March 2017: Hawai'i Journal of Medicine & Public Health: a Journal of Asia Pacific Medicine & Public Health
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