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https://www.readbyqxmd.com/read/27896160/neonatal-intestinal-obstruction-when-to-suspect-duplication-cyst-of-bowel-as-the-cause
#1
Rizwan Ahmad Khan, Shagufta Wahab, Imran Ghani
BACKGROUND: Duplication cyst is a rare cause of neonatal intestinal obstruction. Their most common location is the small intestine. The clinical presentation is extremely variable depending upon its size, location and type and the age of the patient and are mainly encountered during infancy or early childhood. The diagnosis is very difficult in neonates. This study was undertaken to study their presentation, diagnostic modality of choice and further management in neonatal age group. MATERIALS AND METHODS: This was a retrospective study performed at the Department of Paediatric Surgery, J ...
October 2016: Journal of Neonatal Surgery
https://www.readbyqxmd.com/read/27891354/emerging-trends-of-intentional-firearm-injuries-in-northern-india-a-study
#2
Iram Khan, Mohammad Shakeel, Jawed Ahmad Usmani, Syed Abrar Hasan
INTRODUCTION: Many developing countries are facing rise in firearm injury cases owing to communal and ethnic clashes, political violence, armed robberies and suicide causing huge economic loss to society. On the basis of intention, injuries can be categorized as intentional and unintentional or accidental injuries. Intentional injuries will include suicidal, homicidal and assault related injuries. AIM: This study was undertaken to document the trends and patterns associated with intentional firearm injuries in order to suggest ways to curb the emerging trends...
October 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27876887/high-energy-particle-radiation-associated-oncogenic-transformation-in-normal-mice-insight-into-the-connection-between-activation-of-oncotargets-and-oncogene-addiction
#3
Natarajan Aravindan, Sheeja Aravindan, Krishnan Manickam, Mohan Natarajan
Concerns on high-energy particle radiation-induced tumorigenic transformation of normal tissue in astronauts, and in cancer patients undergoing radiotherapy, emphasizes the significance of elucidating the mechanisms involved in radiogenic transformation processes. Mostly used genetically modified or tumor-prone models are less reliable in determining human health risk in space or protracted post-treatment normal tissue toxicity. Here, in wild type C57BL/6 mice, we related the deregulation of distinctive set of tissue-specific oncotargets in major organs upon (56)Fe (600 MeV/amu; 0...
November 23, 2016: Scientific Reports
https://www.readbyqxmd.com/read/27865491/prevalence-and-risk-factors-for-extended-spectrum-beta-lactamase-or-ampc-producing-escherichia-coli-in-organic-dairy-herds-in-the-netherlands
#4
I M G A Santman-Berends, M A Gonggrijp, J J Hage, A E Heuvelink, A Velthuis, T J G M Lam, G van Schaik
Extended-spectrum β-lactamase and AmpC-producing Escherichia coli (ESBL/AmpC) are an emerging problem and are hypothesized to be associated with antimicrobial use (AMU), and more specifically with the use of third- and fourth-generation cephalosporins. Whether ESBL/AmpC also occur in organic dairy herds, which have restricted AMU, is not known. Additionally, it is unknown whether, in addition to restricted AMU, other factors in organic herd management are associated with ESBL/AmpC herd status. The aim of this study was to estimate the prevalence of ESBL/AmpC in organic dairy herds in the Netherlands...
November 16, 2016: Journal of Dairy Science
https://www.readbyqxmd.com/read/27853338/primary-enterolith-in-a-patient-with-intestinal-tuberculosis-a-case-report
#5
Mohd Habib Raza, RafiulImad Finan, Sadik Akhtar, Manzoor Ahmad
Primary enterolithiasis is a rare surgical ailment. The underlying cause is intestinal stasis. Numerous anatomical and micro environmental factors such as enteritis, incarcerated hernia, malignancy, diverticula, blind loops, and enteroenterostomy predispose to clinically significant concretions. Enterolithiasis in tuberculosis can be due to the presence of strictures, intestinal bands, or interbowel/parietal adhesions, leading to intestinal stasis. Secondary enterolithiasis is generally caused by gallstones or renal stones migrating to the gastrointestinal tract due to fistula formation...
November 2016: Iranian Journal of Medical Sciences
https://www.readbyqxmd.com/read/27843036/acute-medical-units-the-way-to-go-a-literature-review
#6
L S van Galen, E M J Lammers, L J Schoonmade, N Alam, M H H Kramer, P W B Nanayakkara
BACKGROUND: Acute healthcare chains in the Netherlands are increasingly under pressure because of rising emergency department (ED) admissions, relative bed shortages and government policy changes. In order to improve acute patient flow and quality of care through hospitals, an acute medical unit (AMU) might be a solution, as demonstrated in the UK. However, limited information is available concerning AMUs in the Netherlands. Therefore, the aims of this study were to METHODS: A systematic literature search was performed searching 3 electronic databases: PubMed, Cochrane and EMBASE...
November 11, 2016: European Journal of Internal Medicine
https://www.readbyqxmd.com/read/27827853/antimicrobial-usage-and-antimicrobial-resistance-in-animal-production-in-southeast-asia-a-review
#7
REVIEW
Nguyen T Nhung, Nguyen V Cuong, Guy Thwaites, Juan Carrique-Mas
Southeast Asia is an area of great economic dynamism. In recent years, it has experienced a rapid rise in the levels of animal product production and consumption. The region is considered to be a hotspot for infectious diseases and antimicrobial resistance (AMR). We reviewed English-language peer-reviewed publications related to antimicrobial usage (AMU) and AMR in animal production, as well as antimicrobial residues in meat and fish from 2000 to 2016, in the region. There is a paucity of data from most countries and for most bacterial pathogens...
November 2, 2016: Antibiotics
https://www.readbyqxmd.com/read/27795294/impact-of-consultant-specialty-on-discharge-decisions-in-patients-admitted-as-medical-emergencies-to-hospitals-in-the-united-kingdom
#8
C P Subbe, Ivan Le Jeune, D Ward, S Pradhan, C Masterton-Smith
BACKGROUND: The Society for Acute Medicine's Benchmarking Audit (SAMBA) annually examines Clinical Quality Indicators (CQIs) of the care of patients admitted to UK hospitals as medical emergencies. AIM: The aim of this study is to review the impact of consultant specialty on discharge decisions in the SAMBA data-set. DESIGN AND METHODS: Prospective audit of patients admitted to acute medical units (AMUs) on 25 June 2015 to participating hospitals throughout the UK with subgroup analysis...
October 18, 2016: QJM: Monthly Journal of the Association of Physicians
https://www.readbyqxmd.com/read/27759744/variation-in-acute-medicine-units-measuring-it-understanding-it-and-reducing-it
#9
Daniel J Beckett, Elaine Thomson, Lindsay Em Reid, Robert C Lloyd
Although there are national recommendations on the function of Acute Medicine Units (AMUs), there is no single agreed best model of care. Additionally, robust data is not always available to determine whether system changes have resulted in improvement. We designed an Excel file to interface with the hospital patient management system to provide real-time data on a number of metrics including AMU length of stay (AMULOS), mortality and readmissions. This demonstrated that improving consultant continuity of care was associated with a reduction in AMULOS and reduced variation in AMULOS...
2016: Acute Medicine
https://www.readbyqxmd.com/read/27753475/multivariate-curve-resolution-alternating-least-squares-analysis-of-high-resolution-liquid-chromatography-mass-spectrometry-data
#10
Melanie M Sinanian, Daniel Wesley Cook, Sarah C Rutan, Dayanjan S Wijesinghe
Methods such as liquid chromatography coupled with high resolution mass spectrometry (LC-HRMS) are crucial for differentiating compounds with highly similar masses. This is a necessity when analyzing highly complex samples; however, the size of high resolution LC-HRMS datasets can cause difficulties when applying advanced data analysis techniques. In this work, LC-HRMS analyses of known amphetamine samples and unknown bacterial lipid samples were carried out and multivariate curve resolution-alternating least squares (MCR-ALS) was applied to the data to obtain mathematical separation of overlapped analyte signals...
October 18, 2016: Analytical Chemistry
https://www.readbyqxmd.com/read/27740804/free-nano-object-ramsey-interferometry-for-large-quantum-superpositions
#11
C Wan, M Scala, G W Morley, Atm A Rahman, H Ulbricht, J Bateman, P F Barker, S Bose, M S Kim
We propose an interferometric scheme based on an untrapped nano-object subjected to gravity. The motion of the center of mass (c.m.) of the free object is coupled to its internal spin system magnetically, and a free flight scheme is developed based on coherent spin control. The wave packet of the test object, under a spin-dependent force, may then be delocalized to a macroscopic scale. A gravity induced dynamical phase (accrued solely on the spin state, and measured through a Ramsey scheme) is used to reveal the above spatially delocalized superposition of the spin-nano-object composite system that arises during our scheme...
September 30, 2016: Physical Review Letters
https://www.readbyqxmd.com/read/27709900/aerosol-chemistry-resolved-by-mass-spectrometry-insights-into-particle-growth-after-ambient-new-particle-formation
#12
Alexander L Vogel, Johannes Schneider, Christina Müller-Tautges, Thomas Klimach, Thorsten Hoffmann
Atmospheric oxidation of volatile organic compounds (VOCs) yields a large number of different organic molecules which comprise a wide range of volatility. Depending on their volatility, they can be involved in new particle formation and particle growth, thus affecting the number concentration of cloud condensation nuclei in the atmosphere. Here, we identified oxidation products of VOCs in the particle phase during a field study at a rural mountaintop station in central Germany. We used atmospheric pressure chemical ionization mass spectrometry ((-)APCI-MS) and aerosol mass spectrometry for time-resolved measurements of organic species and of the total organic aerosol (OA) mass in the size range of 0...
October 6, 2016: Environmental Science & Technology
https://www.readbyqxmd.com/read/27596745/impaired-b-cells-survival-upon-production-of-inflammatory-cytokines-by-hiv-1-exposed-follicular-dendritic-cells
#13
Farideh Sabri, Alejandro Prados, Raquel Muñoz-Fernández, Rebecka Lantto, Pablo Fernandez-Rubio, Aikaterini Nasi, Sylvie Amu, Jan Albert, Enrique Garcia Olivares, Francesca Chiodi
BACKGROUND: Follicular dendritic cells (FDCs) are important components in the organization of germinal centers in lymphoid tissue where, following antigen presentation, B cells differentiate into memory B cells. The possibility of establishing primary cell lines from FDCs isolated from lymphoid tissue paved the way for characterization of FDC biological properties. We exposed primary FDC cell lines to HIV-1 strains in vitro and studied changes in the chemo-attractive properties of FDCs and release of inflammatory cytokines...
2016: Retrovirology
https://www.readbyqxmd.com/read/27570762/perspectives-and-practice-of-hiv-disclosure-to-children-and-adolescents-by-health-care-providers-and-caregivers-in-sub-saharan-africa-a-systematic-review
#14
REVIEW
Oluyemisi Aderomilehin, Angella Hanciles-Amu, Oluwatobi Ohiole Ozoya
BACKGROUND: Sub-Saharan Africa (SSA) has the highest prevalence of HIV globally, and this is due to persistent new HIV infections and decline in HIV/AIDS-related mortality from improved access to antiretroviral (ART) therapy. There is a limited body of work on perspectives of health-care providers (HCPs) concerning disclosing outcomes of HIV investigations to children and adolescents in SSA. Most studies are country-specific, indicating a need for a regional scope. OBJECTIVE: To review the current literature on the perspectives of HCPs and caregivers of children and adolescents on age group-specific and culture-sensitive HIV disclosure practice...
2016: Frontiers in Public Health
https://www.readbyqxmd.com/read/27553605/higher-perceived-risk-of-antimicrobials-is-related-to-lower-antimicrobial-usage-among-pig-farmers-in-four-european-countries
#15
V H M Visschers, M Postma, M Sjölund, A Backhans, L Collineau, S Loesken, C Belloc, J Dewulf, U Emanuelson, E Grosse Beilage, M Siegrist, K D C Stärk
The prudent use of antimicrobials (AMs) should be widened in pig farming to reduce the risk of AM resistance (AMR) in human and veterinary medicine. It is therefore important to understand pig farmers' motivators and the barriers to AM usage (AMU) on their farms. The authors investigated pig farmers' self-estimated levels of AMU, their perceived benefits and risks and the need for AMs in a cross-sectional survey in Belgium, France, Germany and Sweden. The authors also compared these perceptions between the four countries and related them to pig farmers' actual AMU...
August 23, 2016: Veterinary Record
https://www.readbyqxmd.com/read/27553223/a-validation-of-the-national-early-warning-score-to-predict-outcome-in-patients-with-copd-exacerbation
#16
Luke E Hodgson, Borislav D Dimitrov, Jo Congleton, Richard Venn, Lui G Forni, Paul J Roderick
BACKGROUND: The National Early Warning Score (NEWS), proposed as a standardised track and trigger system, may perform less well in acute exacerbation of COPD (AECOPD). This study externally validated NEWS and modifications (Chronic Respiratory Early Warning Score (CREWS) and Salford-NEWS) in AECOPD. METHODS: An observational cohort study (2012-2014, two UK acute medical units (AMUs)), compared AECOPD (2361 admissions, 942 individuals, International Statistical Classification of Diseases and Related Health Problems-10 J40-J44 codes) with AMU patients (37 109 admissions, 20 415 individuals)...
August 23, 2016: Thorax
https://www.readbyqxmd.com/read/27548014/source-impact-determination-using-airborne-and-ground-measurements-of-industrial-plumes
#17
Cecilia Leoni, Jan Hovorka, Veronika Dočekalová, Tomáš Cajthaml, Soňa Marvanová
Industrial particulate matter (PM) air pollution exposing nearby residential areas forms several European air pollution hot-spots. One of these hot-spot is the residential district of Ostrava Radvanice-Bartovice with frequent exceedances for PM and benzo[a]pyrene B[a]P, a carcinogenic polycyclic aromatic hydrocarbon (PAH) of MW > 228 amu. Such PAHs are highly bonded to the ultrafine particles (UFPs), the smallest PM size fraction, which deposits most efficiently in the alveolar region of human lungs. Airborne measurements identified UFP point sources in the adjacent metallurgical complex and mapped limited horizontal and vertical dispersion of industrial plumes enriched with UFPs (3...
September 20, 2016: Environmental Science & Technology
https://www.readbyqxmd.com/read/27451981/decelerating-and-trapping-large-polar-molecules
#18
David Patterson
Manipulating the motion of large polyatomic molecules, such as benzonitrile (C6 H5 CN), presents significant difficulties compared to the manipulation of diatomic molecules. Although recent impressive results have demonstrated manipulation, trapping, and cooling of molecules as large as CH3 F, no general technique for trapping such molecules has been demonstrated, and cold neutral molecules larger than 5 atoms have not been trapped (M. Zeppenfeld, B. G. U. Englert, R. Glöckner, A. Prehn, M. Mielenz, C...
July 25, 2016: Chemphyschem: a European Journal of Chemical Physics and Physical Chemistry
https://www.readbyqxmd.com/read/27448856/farmers-attitude-toward-the-introduction-of-selective-dry-cow-therapy
#19
C G M Scherpenzeel, S H W Tijs, I E M den Uijl, I M G A Santman-Berends, A G J Velthuis, T J G M Lam
The attitude of Dutch dairy farmers toward selective dry cow treatment (SDCT) is unknown, although a favorable mindset toward application of SDCT seems crucial for successful implementation. Given the fact that blanket dry cow treatment has been strongly promoted until recently, the implementation of SDCT was expected to be quite a challenge. This study aimed to provide insight into the level of implementation of SDCT in 2013 in the Netherlands, the methods used by farmers for selection of cows for dry cow treatment (DCT), the relation between SDCT and udder health and antimicrobial usage (AMU) in 2013, and the mindset of farmers toward SDCT...
October 2016: Journal of Dairy Science
https://www.readbyqxmd.com/read/27441313/providing-a-navigable-route-for-acute-medicine-nurses-to-advance-their-practice-a-framework-of-ascending-levels-of-practice
#20
Liz Lees-Deutsch, Jan Christian, Ian Setchfield
This article conveys concerns raised by delegates at the International SAM Conference (Manchester, 2015) regarding how to advance nursing practice in acute medicine. It endeavors to capture the essence of 'how to advance practice' and 'how to integrate advanced practice' within the workforce structures of an acute medicine unit (AMU). It addresses the production of tacit knowledge and the recognition and integration of this to developing the nursing workforce. The current context of NHS efficiencies and recruitment issues emphasize the value of retaining tacit knowledge...
2016: Acute Medicine
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