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https://www.readbyqxmd.com/read/28215187/experiences-of-ebola-survivors-causes-of-distress-and-sources-of-resilience
#1
Patricia M Schwerdtle, Veronique De Clerck, Virginia Plummer
: Introduction An appreciation of the experience of Ebola survivors is critical for community engagement and an effective outbreak response. Few qualitative, descriptive studies have been conducted to date that concentrate on the voices of Ebola survivors. Problem This study aimed to explore the experiences of Ebola survivors following the West African epidemic of 2014. METHOD: An interpretive, qualitative design was selected using semi-structured interviews as the method of data collection...
February 20, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28212117/validation-of-the-incept-a-multisource-feedback-tool-for-capturing-different-perspectives-on-physicians-professional-performance
#2
Mirja W van der Meulen, Benjamin C M Boerebach, Alina Smirnova, Sylvia Heeneman, Mirjam G A Oude Egbrink, Cees P M van der Vleuten, Onyebuchi A Arah, Kiki M J M H Lombarts
INTRODUCTION: Multisource feedback (MSF) instruments are used to and must feasibly provide reliable and valid data on physicians' performance from multiple perspectives. The "INviting Co-workers to Evaluate Physicians Tool" (INCEPT) is a multisource feedback instrument used to evaluate physicians' professional performance as perceived by peers, residents, and coworkers. In this study, we report on the validity, reliability, and feasibility of the INCEPT. METHODS: The performance of 218 physicians was assessed by 597 peers, 344 residents, and 822 coworkers...
February 15, 2017: Journal of Continuing Education in the Health Professions
https://www.readbyqxmd.com/read/28191378/mediterranean-spotted-fever-a-rare-non-endemic-disease-in-the-usa
#3
Joshua Brad Oaks, Glenmore Lasam, Gina LaCapra
We report a case of a 43-year-old Israeli male who presented with an intermittent fever associated with a gradual appearance of diffusely scattered erythematous non-pruritic maculopapular lesions, generalized body malaise, muscle aches, and distal extremity weakness. He works in the Israeli military and has been exposed to dogs that are used to search for people in tunnels and claimed that he had removed ticks from the dogs. In the hospital, he presented with fever, a diffuse maculopapular rash, and an isolated round black eschar...
January 12, 2017: Curēus
https://www.readbyqxmd.com/read/28190495/phenobarbital-or-potassium-bromide-as-an-add-on-antiepileptic-drug-for-the-management-of-canine-idiopathic-epilepsy-refractory-to-imepitoin
#4
E Royaux, L Van Ham, B J G Broeckx, I Van Soens, I Gielen, D Deforce, S F M Bhatti
Imepitoin has recently been approved in Europe for the management of dogs with idiopathic epilepsy. Currently, there is no evidence-based information available on the efficacy of antiepileptic drugs used as additions to the therapeutic regimen in dogs with idiopathic epilepsy that are not well controlled with imepitoin. The goal of this study was to evaluate the efficacy of phenobarbital or potassium bromide (KBr) as add-on antiepileptic drugs for controlling dogs refractory to a maximum dose of imepitoin (30 mg/kg twice daily)...
February 2017: Veterinary Journal
https://www.readbyqxmd.com/read/28147595/evaluation-of-a-multiple-scattering-filter-to-enhance-defect-detection-in-heterogeneous-media
#5
Sharfine Shahjahan, Fabienne Rupin, Alexandre Aubry, Arnaud Derode
Ultrasonic evaluation of coarse-grain materials generates multiple scattering at high frequency and large depth. Recent academic experiments with array probes showed the ability of a random matrix method [multiple scattering filter (MSF)] to reduce multiple scattering, hence improving detection. Here, MSF is applied to an industrial nickel-based alloy with coarse-grain structure. Two samples with average grain sizes 90 ± 60 μm and 750 ± 400 μm are inspected with wide-band 64-element arrays at central frequencies 2, 3, and 5 MHz...
January 2017: Journal of the Acoustical Society of America
https://www.readbyqxmd.com/read/28122533/offering-general-pediatric-care-during-the-hard-times-of-the-2014-ebola-outbreak-looking-back-at-how-many-came-and-how-well-they-fared-at-a-m%C3%A3-decins-sans-fronti%C3%A3-res-referral-hospital-in-rural-sierra-leone
#6
Veerle Hermans, Rony Zachariah, Desalegn Woldeyohannes, Gbessay Saffa, Dauda Kamara, Nimer Ortuno-Gutierrez, Walter Kizito, Marcel Manzi, Petra Alders, Jacob Maikere
BACKGROUND: In Bo district, rural Sierra Leone, we assessed the burden of the 2014 Ebola outbreak on under-five consultations at a primary health center and the quality of care for under-15 children at a Médecins Sans Frontières (MSF) referral hospital. METHODS: Retrospective cohort study, comparing a period before (May-October 2013) and during the same period of the Ebola outbreak (2014). Health worker infections occurred at the outbreak peak (October 2014), resulting in hospital closure due to fear of occupational-risk of contracting Ebola...
January 25, 2017: BMC Pediatrics
https://www.readbyqxmd.com/read/28118828/clinical-evaluation-of-a-combination-therapy-of-imepitoin-with-phenobarbital-in-dogs-with-refractory-idiopathic-epilepsy
#7
Jasmin Neßler, Chris Rundfeldt, Wolfgang Löscher, Draginja Kostic, Thomas Keefe, Andrea Tipold
BACKGROUND: Imepitoin was tested as a combination treatment with phenobarbital in an open-label mono-centre cohort study in dogs with drug-resistant epilepsy. Diagnosis of idiopathic epilepsy was based on clinical findings, magnetic resonance imaging and cerebrospinal fluid analysis. Three cohorts were treated. In cohort A, dogs not responding to phenobarbital with or without established add-on treatment of potassium bromide or levetiracetam were treated add-on with imepitoin, starting at 10 mg/kg BID, with titration allowed to 30 mg/kg BID...
January 25, 2017: BMC Veterinary Research
https://www.readbyqxmd.com/read/28113766/single-scale-fusion-an-effective-approach-to-merging-images
#8
Codruta O Ancuti, Cosmin Ancuti, Christophe De Vleeschouwer, Alan C Bovik
Due to its robustness and effectiveness, multi-scale fusion based on the Laplacian pyramid decomposition has emerged as a popular technique that has shown utility in many applications. Guided by several intuitive measures (weight maps) the multi-scale fusion process is versatile and straightforward to be implemented. However, the number of pyramid levels increases with the image size, which implies sophisticated data management and memory accesses, as well as additional computations.. Here we introduce a simplified formulation that reduces multiscale fusion (MSF) to only a single level process...
October 26, 2016: IEEE Transactions on Image Processing: a Publication of the IEEE Signal Processing Society
https://www.readbyqxmd.com/read/28103565/a-scan-line-forest-growing-based-hand-segmentation-framework-with-multipriority-vertex-stereo-matching-for-wearable-devices
#9
Yiyi Ren, Xiang Xie, Guolin Li, Zhihua Wang
A hand segmentation framework is proposed for 3-D hand gesture interaction for wearable devices. In this framework, all the objects in a scene are regarded as directed trees in a forest, and the problem of the hand segmentation can be converted into finding the target tree (called hand tree) in the forest with proper hand properties including color consistency, space consistency, disparity, and hand shape constraints. The forest grows scan-line by scan-line from high reliable regions to low reliable regions...
January 16, 2017: IEEE Transactions on Cybernetics
https://www.readbyqxmd.com/read/28101127/mental-health-and-trauma-in-asylum-seekers-landing-in-sicily-in-2015-a-descriptive-study-of-neglected-invisible-wounds
#10
Anna Crepet, Francesco Rita, Anthony Reid, Wilma Van den Boogaard, Pina Deiana, Gaia Quaranta, Aurelia Barbieri, Francesco Bongiorno, Stefano Di Carlo
BACKGROUND: In 2015, Italy was the second most common point of entry for asylum seekers into Europe after Greece. The vast majority embarked from war-torn Libya; 80,000 people claimed asylum that year. Their medical conditions were assessed on arrival but their mental health needs were not addressed in any way, despite the likelihood of serious trauma before and during migration. Médecins sans Frontières (MSF), in agreement with the Italian Ministry of Health, provided mental health (MH) assessment and care for recently-landed asylum seekers in Sicily...
2017: Conflict and Health
https://www.readbyqxmd.com/read/28066878/safety-and-effectiveness-of-sodium-stibogluconate-and-paromomycin-combination-for-the-treatment-of-visceral-leishmaniasis-in-eastern-africa-results-from-a-pharmacovigilance-programme
#11
Robert Kimutai, Ahmed M Musa, Simon Njoroge, Raymond Omollo, Fabiana Alves, Asrat Hailu, Eltahir A G Khalil, Ermias Diro, Peninah Soipei, Brima Musa, Khalid Salman, Koert Ritmeijer, Francois Chappuis, Juma Rashid, Rezika Mohammed, Asfaw Jameneh, Eyasu Makonnen, Joseph Olobo, Lawrence Okello, Patrick Sagaki, Nathalie Strub, Sally Ellis, Jorge Alvar, Manica Balasegaram, Emilie Alirol, Monique Wasunna
INTRODUCTION: In 2010, WHO recommended a new first-line treatment for visceral leishmaniasis (VL) in Eastern Africa. The new treatment, a combination of intravenous (IV) or intramuscular (IM) sodium stibogluconate (SSG) and IM paromomycin (PM) was an improvement over SSG monotherapy, the previous first-line VL treatment in the region. To monitor the new treatment's safety and effectiveness in routine clinical practice a pharmacovigilance (PV) programme was developed. METHODS: A prospective PV cohort was developed...
January 9, 2017: Clinical Drug Investigation
https://www.readbyqxmd.com/read/28060846/prediction-of-under-detection-of-paediatric-tuberculosis-in-the-democratic-republic-of-congo-experience-of-six-years-in-the-south-kivu-province
#12
Emmanuel André, Yvette Lufungulo Bahati, Eric Mulume Musafiri, Olivier Bahati Rusumba, Dimitri Van der Linden, Francis Zech
INTRODUCTION: In the field of tuberculosis (TB), and particularly in regard to paediatric TB (PedTB), clinical skills of health professionals play an important role in determining quality of care. In an era where novel diagnostic technologies and efficient treatment regimens are being made available for the poorest, we must not divert our attention from the importance of clinical skills, as this deliverable remains the cornerstone of individualized patient care and ultimately the best assurance for optimal use of resources...
2017: PloS One
https://www.readbyqxmd.com/read/28048497/su-f-t-345-quasi-dead-beams-clinical-relevance-and-implications-for-automatic-planning
#13
R Price, I Veltchev, T Lin, R Gleason, C Ma
PURPOSE: Beam direction selection for fixed-beam IMRT planning is typically a manual process. Severe dose-volume limits on critical structures in the thorax often result in atypical selection of beam directions as compared to other body sites. This work demonstrates the potential consequences as well as clinical relevance. METHODS: 21 thoracic cases treated with 5-7 beam directions, 6 cases including non-coplanar arrangements, with fractional doses of 150-411cGy were analyzed...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28043610/thoracic-surgical-interventions-for-dr-tb-and-their-results
#14
Ravindra Kumar Dewan
BACKGROUND: Surgery in DR-TB is a highly contested intervention. However, in suitable selected cases, it has a great role in improving outcomes of treatment as well as symptomatic improvement in the quality of life of the patient. Indications of surgery in this setting will be localized disease with high likelihood of persistent progression or sputum positivity despite adequate therapy. Recurrent hemoptysis, intolerance to drugs or absence of radiological and bacteriological improvement during initial 3-4months of therapy becomes additional indications for surgical intervention...
December 2016: International Journal of Mycobacteriology
https://www.readbyqxmd.com/read/28032385/multisource-feedback-to-graduate-nurses-a-multi-method-study
#15
Samantha McPhee, Nicole M Phillips, Cherene Ockerby, Alison M Hutchinson
AIMS AND OBJECTIVES: 1) to explore graduate nurses' perceptions of the influence of multisource feedback on their performance and 2) to explore perceptions of Clinical Nurse Educators involved in providing feedback regarding feasibility and benefit of the approach. BACKGROUND: Graduate Registered Nurses are expected to provide high quality care for patients in demanding and unpredictable clinical environments. Receiving feedback is essential to their development...
December 29, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28018749/focused-training-for-humanitarian-responders-in-regional-anesthesia-techniques-for-a-planned-randomized-controlled-trial-in-a-disaster-setting
#16
Adam R Aluisio, Carrei Teicher, Tess Wiskel, Allysia Guy, Adam Levine
BACKGROUND: Lower extremity trauma during earthquakes accounts for the largest burden of geophysical disaster-related injuries. Insufficient pain management is common in disaster settings, and regional anesthesia (RA) has the potential to reduce pain in injured patients beyond current standards. To date, no prospective research has evaluated the use of RA in a disaster setting. This cross-sectional study assesses knowledge translation and skill acquisition outcomes for lower extremity RA performed with and without ultrasound guidance among a cohort of Médecins Sans Frontières (MSF) volunteers who will function as proceduralists in a planned randomized controlled trial evaluating the efficacy of RA for pain management in an earthquake setting...
November 16, 2016: PLoS Currents
https://www.readbyqxmd.com/read/27989625/pneumonia-prevention-cost-effectiveness-analyses-of-two-vaccines-among-refugee-children-aged-under-two-years-haemophilus-influenzae-type-b-containing-and-pneumococcal-conjugate-vaccines-during-a-humanitarian-emergency-yida-camp-south-sudan
#17
Lisa M Gargano, Rana Hajjeh, Susan T Cookson
By September 2013, war between Sudan and South Sudan resulted in >70,000 Sudanese refugees and high pneumonia incidence among the 20,000 refugees in Yida camp, South Sudan. Using Médecins Sans Frontières (MSF)-provided data and modifying our decision-tree models, we estimated if administering Haemophilus influenzae type b (Hib)-containing (pentavalent vaccine, also with diphtheria pertussis and tetanus [DPT] and hepatitis B) and pneumococcal conjugate (PCV) vaccines were cost-effective against hospitalized pneumonia...
January 11, 2017: Vaccine
https://www.readbyqxmd.com/read/27984640/changes-in-flowering-functional-group-affect-responses-of-community-phenological-sequences-to-temperature-change
#18
F D Meng, L L Jiang, Z H Zhang, S J Cui, J C Duan, S P Wang, C Y Luo, Q Wang, Y Zhou, X E Li, L R Zhang, B W Li, T Dorji, Y N Li, M Y Du
Our ability to predict how temperature modifies phenology at the community scale is limited by our lack of understanding of responses by functional groups of flowering plants. These responses differ among species with different life histories. We performed a reciprocal transplant experiment along four elevation gradients (e.g., 3,200, 3,400, 3,600 and 3,800 m) to investigate the effects of warming (transferred downward) and cooling (transferred upward) on plant flowering functional groups (FFGs) and community phenological sequences (i...
December 16, 2016: Ecology
https://www.readbyqxmd.com/read/27975014/the-nipple-areola-preserving-mastectomy-the-value-of-adding-a-delay-procedure
#19
Carlos A Martinez, Scott M Reis, Sean G Boutros
BACKGROUND: Conservative mastectomy procedures, such as the nipple-sparing mastectomy (NSM), present appealing options for patients with small invasive or noninvasive malignancies and those needing prophylactic mastectomies. Despite outstanding postoperative cosmetic results, nipple-areola complex (NAC) and mastectomy skin flap (MSF) survival remains a concern. We present our two-stage nipple-areola preserving (NAP) mastectomy, which aims to decrease the rate of NAC loss and MSF necrosis after conservative mastectomies...
November 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27934283/a-method-for-seawater-desalination-via-squeezing-ionic-hydrogels
#20
Chi Yu, Yanhong Wang, Xuemei Lang, Shuanshi Fan
In this study, mechanical force applied to squeeze poly(sodium acrylate-co-2-hydroxyethyl methacrylate) hydrogels that contained seawater in order to obtain fresh water. By incorporating ionic monomer sodium acrylate (SA) into hydrogels, the salt rejection was significantly enhanced from 27.62% to 64.57% (feed concentration 35.00g/L NaCl solution). As SA's concentration continuously increased, salt rejection declined due to the change in hydrogel's matrix structure. Therefore, water recovery raised as the current swelling degree increased...
December 6, 2016: Environmental Science & Technology
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