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https://www.readbyqxmd.com/read/28938085/understanding-humerus-fractures-in-young-children-abuse-or-not-abuse
#1
Norell Rosado, Elizabeth Ryzna, Emalee G Flaherty
Fractures are the second most common abusive injury occurring in young children, particularly those under 2 years of age. The humerus is often affected. To better identify factors discriminating between abusive and non-abusive humerus fractures, this retrospective study examined the characteristics and mechanisms of injuries causing humerus fractures in children less than 18 months of age. Electronic medical records were reviewed for eligible patients evaluated between September 1, 2007 and January 1, 2012 at two children's hospitals in Chicago, IL...
September 18, 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/28938027/effect-of-repeated-screw-joint-closing-and-opening-cycles-and-cyclic-loading-on-abutment-screw-removal-torque-and-screw-thread-morphology-scanning-electron-microscopy-evaluation
#2
Mahnaz Arshad, Hosseinali Mahgoli, Leila Payaminia
PURPOSE: To evaluate the effect of repeated screw joint closing and opening cycles and cyclic loading on abutment screw removal torque and screw thread morphology using scanning electron microscopy (SEM). MATERIALS AND METHODS: Three groups (n = 10 in each group) of implant-abutment-abutment screw assemblies were created. There were also 10 extra abutment screws as new screws in group 3. The abutment screws were tightened to 12 Ncm with an electronic torque meter; then they were removed and removal torque values were recorded...
September 22, 2017: International Journal of Oral & Maxillofacial Implants
https://www.readbyqxmd.com/read/28937887/characteristics-and-associated-comorbidities-of-pediatric-dental-patients-treated-under-general-anesthesia
#3
Alexandra Delfiner, Aaron Myers, Christie Lumsden, Steve Chussid, Richard Yoon
OBJECTIVE: To describe characteristics and identify common comorbidities of children receiving dental treatment under general anesthesia at Children's Hospital of New York-Presbyterian. STUDY DESIGN: Electronic medical records of all children that received dental treatment under general anesthesia through the Division of Pediatric Dentistry from 2012-2014 were reviewed. Data describing patient characteristics (age, sex, race/ethnicity, insurance carrier, and American Society of Anesthesiologists physical status classification system), medical history, and justification for treatment were collected...
September 22, 2017: Journal of Clinical Pediatric Dentistry
https://www.readbyqxmd.com/read/28937488/the-significance-of-arachnoid-granulation-in-patients-with-idiopathic-intracranial-hypertension
#4
Gaurav Vishwasrao Watane, Bhumi Patel, Derek Brown, M Reza Taheri
PURPOSE: The aim of this article was to study the significance of arachnoid granulations (AGs) in patients with idiopathic intracranial hypertension (IIH). METHODS: In an institutional review board-approved retrospective chart review study, 79 patients with clinical diagnosis of idiopathic increased intracranial pressure were compared with 63 patients with a diagnosis of multiple sclerosis. Inclusion criteria also included available magnetic resonance imaging (MRI) of the brain, older than 18 years, and female sex...
September 20, 2017: Journal of Computer Assisted Tomography
https://www.readbyqxmd.com/read/28937456/is-1-stage-posterior-corpectomy-more-favorable-compared-with-decompression-with-fusion-to-control-thoracic-cord-compression-by-metastasis
#5
Dae Geun Kim, Jung-Ki Ha, Chang Ju Hwang, Dong-Ho Lee, Choon Sung Lee, Jae Hwan Cho
STUDY DESIGN: A retrospective comparative study OBJECTIVE:: To compare 1-stage posterior corpectomy to decompression with fusion for the control of thoracic cord compression due to a metastatic tumor. SUMMARY OF BACKGROUND DATA: Thoracic cord compression by a metastatic tumor can cause back pain, paralysis, and urinary/bowel dysfunction and is generally treated by palliative decompressive surgery. However, no studies have assessed the advantages of 1-stage posterior corpectomy compared with decompression with fusion...
October 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28937058/epidemiology-of-human-leukocyte-antigens-among-omani-population
#6
Issa Al Salmi, Abdul Massiah Metry, Faisal Al Ismaili, Alan Hola, Faissal Shaheen, Hana Fakhoury, Suad Hannawi
Oman is located on the Southeastern coast of the Arabian Peninsula, and its population has high levels of consanguinity. Human leukocytic antigen (HLA) typing analysis in human population holds unexploited potential for elucidating the genetic causes of human disease and possibly leads to personalized medicine. This is a retrospective, descriptive study evaluating HLA frequencies of Omani individuals who underwent workup for kidney transplantation at the Royal Hospital (RH) from 2005 to 2016. Data on 870 subjects were collected from the Oman kidney transplant registry at RH as well from electronic medical record system...
September 2017: Saudi Journal of Kidney Diseases and Transplantation
https://www.readbyqxmd.com/read/28936891/keeping-up-appearances-the-radiographic-evolution-of-cardiovascular-implantable-electronic-devices
#7
Benedict M Wiles, Caroline A Illingworth, John R Paisey, Paul R Roberts, Stephen P Harden
In recent years there has been a significant evolution in the field of cardiovascular implantable electronic devices (CIED). Pacemakers can now be leadless, implantable cardioverter defibrillators can be entirely subcutaneous and implantable loop recorders have become miniaturised. Driven by technological advances and an ageing population implant numbers have also steadily increased. These highly prevalent systems are all radio opaque and are frequently observed on chest radiographs, yet the devices are neither well recognised nor understood...
September 22, 2017: British Journal of Radiology
https://www.readbyqxmd.com/read/28936690/correlation-and-agreement-between-language-environment-analysis-lena%C3%A2-and-manual-transcription-for-dutch-natural-language-recordings
#8
Tobias Busch, Anouk Sangen, Filiep Vanpoucke, Astrid van Wieringen
The Language ENvironment Analysis system (LENA™) automatically analyzes the natural sound environments of children. Among other things, it estimates the amounts of adult words (AWC), child vocalizations (CV), conversational turns (CT), and electronic media (TV) that a child is exposed to. To assess LENA's reliability, we compared it to manual transcription. Specifically, we calculated the correlation and agreement between the LENA estimates and manual counts for 48 five-min audio samples. These samples were selected from eight day-long recordings of six Dutch-speaking children (ages 2-5)...
September 21, 2017: Behavior Research Methods
https://www.readbyqxmd.com/read/28936296/oral-lymphoepithelial-cyst-a-clinicopathological-study-of-26-cases-and-review-of-the-literature
#9
REVIEW
Maria Sykara, Panagiotis Ntovas, Eleni-Marina Kalogirou, Konstantinos I Tosios, Alexandra Sklavounou
INTRODUCTION: Τo describe the clinicopathological features of 26 oral lymphoepithelial cysts (LECs) and review the literature. MATERIAL AND METHODS: Twenty-six cases of oral LECs diagnosed during a 37-year period were retrospectively collected. The patients' gender and age, as well as the main clinical features of the cysts were retrieved from the requisition forms. The main microscopic features were recorded after reevaluation of all cases. Pubmed and Google Scholar electronic databases were searched with the key word "oral LEC"...
August 2017: Journal of Clinical and Experimental Dentistry
https://www.readbyqxmd.com/read/28935832/an-electronic-trigger-based-on-care-escalation-to-identify-preventable-adverse-events-in-hospitalised-patients
#10
Viraj Bhise, Dean F Sittig, Viralkumar Vaghani, Li Wei, Jessica Baldwin, Hardeep Singh
BACKGROUND: Methods to identify preventable adverse events typically have low yield and efficiency. We refined the methods of Institute of Healthcare Improvement's Global Trigger Tool (GTT) application and leveraged electronic health record (EHR) data to improve detection of preventable adverse events, including diagnostic errors. METHODS: We queried the EHR data repository of a large health system to identify an 'index hospitalization' associated with care escalation (defined as transfer to the intensive care unit (ICU) or initiation of rapid response team (RRT) within 15 days of admission) between March 2010 and August 2015...
September 21, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28935800/observation-of-a-large-scale-anisotropy-in-the-arrival-directions-of-cosmic-rays-above-8-%C3%A3-10-18-ev
#11
(no author information available yet)
Cosmic rays are atomic nuclei arriving from outer space that reach the highest energies observed in nature. Clues to their origin come from studying the distribution of their arrival directions. Using 3 × 10(4) cosmic rays with energies above 8 × 10(18) electron volts, recorded with the Pierre Auger Observatory from a total exposure of 76,800 km(2) sr year, we determined the existence of anisotropy in arrival directions. The anisotropy, detected at more than a 5.2σ level of significance, can be described by a dipole with an amplitude of [Formula: see text] percent toward right ascension αd = 100 ± 10 degrees and declination δd = [Formula: see text] degrees...
September 22, 2017: Science
https://www.readbyqxmd.com/read/28935469/risk-of-guillain-barr%C3%A3-syndrome-following-quadrivalent-human-papillomavirus-vaccine-in-the-vaccine-safety-datalink
#12
Julianne Gee, Lakshmi Sukumaran, Eric Weintraub
OBJECTIVE: Describe the Vaccine Safety Datalink's (VSD) Guillain Barré Syndrome (GBS) surveillance following quadrivalent HPV vaccine (4vHPV) from 2006 through 2015. METHODS: Among 4vHPV vaccinated persons aged 9-26, ICD-9 coded GBS was identified in VSD's electronic data. Medical records were reviewed and adjudicated to confirm GBS. We calculated incidence rates of confirmed GBS within 1-42days following 4vHPV with a one-sided 95% confidence interval. RESULTS: Following 2,773,185 4vHPV doses, we confirmed 1 case of GBS in a male and no cases among females...
September 18, 2017: Vaccine
https://www.readbyqxmd.com/read/28934512/increased-patient-satisfaction-and-a-reduction-in-pre-analytical-errors-following-implementation-of-an-electronic-specimen-collection-module-in-outpatient-phlebotomy
#13
Michalis Kantartjis, Stacy E F Melanson, Athena K Petrides, Adam B Landman, David W Bates, Bernard A Rosner, Ellen Goonan, Ida Bixho, Milenko J Tanasijevic
Background: Patient satisfaction in outpatient phlebotomy settings typically depends on wait time and venipuncture experience, and many patients equate their experiences with their overall satisfaction with the hospital. Methods: We compared patient service times and preanalytical errors pre- and postimplementation of an integrated electronic health record (EHR)-laboratory information system (LIS) and electronic specimen collection module. We also measured patient wait time and assessed patient satisfaction using a 5-question survey...
August 1, 2017: Laboratory Medicine
https://www.readbyqxmd.com/read/28934326/the-effect-of-electronic-health-record-software-design-on-resident-documentation-and-compliance-with-evidence-based-medicine
#14
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/28933946/detecting-spatial-patterns-of-disease-in-large-collections-of-electronic-medical-records-using-neighbor-based-bootstrapping
#15
Maria T Patterson, Robert L Grossman
We introduce a method called neighbor-based bootstrapping (NB2) that can be used to quantify the geospatial variation of a variable. We applied this method to an analysis of the incidence rates of disease from electronic medical record data (International Classification of Diseases, Ninth Revision codes) for ∼100 million individuals in the United States over a period of 8 years. We considered the incidence rate of disease in each county and its geospatially contiguous neighbors and rank ordered diseases in terms of their degree of geospatial variation as quantified by the NB2 method...
September 2017: Big Data
https://www.readbyqxmd.com/read/28933553/bromide-photo-oxidation-sensitized-to-visible-light-in-consecutive-ion-pairs
#16
Guocan Li, Wesley B Swords, Gerald J Meyer
The titration of bromide into a [Ru(deeb)(bpz)2]2+ (Ru2+, deeb = 4,4'-diethylester-2,2'-bipyridine; bpz = 2,2'-bipyrazine) dichloromethane solution led to the formation of two consecutive ion-paired species, [Ru2+, Br]+ and [Ru2+, 2Br], each with distinct photophysical and electron transfer properties. Formation of the first ion pair was stoichiometric, Keq1 > 106 M1, and the second ion-pair equilibrium was estimated to be Keq2 = 2.4 ± 0.4  105 M‒1. The 1H NMR spectra recorded in deuterated dichloromethane indicated the presence of contact ion-pairs and provided insights into their structures that were complimented by density functional theory calculations...
September 21, 2017: Journal of the American Chemical Society
https://www.readbyqxmd.com/read/28933506/the-international-classification-of-functioning-disability-and-health-icf-in-electronic-health-records-a-systematic-literature-review
#17
Roxanne Maritz, Dominik Aronsky, Birgit Prodinger
BACKGROUND: The International Classification of Functioning, Disability and Health (ICF) is the World Health Organization's standard for describing health and health-related states. Examples of how the ICF has been used in Electronic Health Records (EHRs) have not been systematically summarized and described yet. OBJECTIVES: To provide a systematic review of peer-reviewed literature about the ICF's use in EHRs, including related challenges and benefits. METHODS: Peer-reviewed literature, published between January 2001 and July 2015 was retrieved from Medline(®), CINAHL(®), Scopus(®), and ProQuest(®) Social Sciences using search terms related to ICF and EHR concepts...
September 20, 2017: Applied Clinical Informatics
https://www.readbyqxmd.com/read/28932992/the-impact-of-a-primary-care-education-program-regarding-cancer-survivorship-care-plans-results-from-an-engineering-primary-care-and-oncology-collaborative-for-survivorship-health
#18
SarahMaria Donohue, James E Haine, Zhanhai Li, Elizabeth R Trowbridge, Sandra A Kamnetz, David A Feldstein, James M Sosman, Lee G Wilke, Mary E Sesto, Amye J Tevaarwerk
Survivorship care plans (SCPs) have been recommended as tools to improve care coordination and outcomes for cancer survivors. SCPs are increasingly being provided to survivors and their primary care providers. However, most primary care providers remain unaware of SCPs, limiting their potential benefit. Best practices for educating primary care providers regarding SCP existence and content are needed. We developed an education program to inform primary care providers of the existence, content, and potential uses for SCPs...
September 20, 2017: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
https://www.readbyqxmd.com/read/28932679/osteochondroma-review-of-431-patients-from-one-medical-institution-in-south-china
#19
Kai Tong, Hongzhe Liu, Xiang Wang, Ziyi Zhong, Shenglu Cao, Chengjie Zhong, YunPing Yang, Gang Wang
BACKGROUND: The geographic distribution of osteochondroma (OC) varies greatly around the world. There has been no recent report on OC in a large Chinese population. The aim of this study was to characterize OC by an epidemiological analysis of the clinical data from one medical institution in South China. METHODS: We searched medical electronic records from January 2001 to January 2016 in one large hospital in South China to identify patients with a definite diagnosis of OC...
September 2017: Journal of Bone Oncology
https://www.readbyqxmd.com/read/28932134/using-erbium-doped-yttrium-aluminum-garnet-laser-irradiation-in-different-energy-output-levels-versus-ultrasonic-in-removal-of-root-canal-filling-materials-in-endodontic-retreatment
#20
Mehmet Omer Gorduysus, Hanin Al-Rubai, Basheer Salman, Deena Al Saady, Hiba Al-Dagistani, Sevda Muftuoglu
OBJECTIVES: The objective of this study was to evaluate the efficacy of erbium-doped yttrium aluminum garnet (Er:YAG) laser irradiation in different energy outputs versus ultrasonic in gutta-percha removal during the endodontic retreatment. MATERIALS AND METHODS: A total of 21 extracted human lower premolars were divided into three groups (n = 7). Following the standardized preparation of the root canals with Wave One Rotary system and obturation with gutta-percha: Group I was treated with ultrasonic, Group II by Er:YAG laser with 40 mJ/Pulse, and Group III by Er:YAG laser with 50 mJ/Pulse for the removal of gutta-percha from the canals...
July 2017: European Journal of Dentistry
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