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https://www.readbyqxmd.com/read/29655580/canadian-association-of-radiologists-white-paper-on-artificial-intelligence-in-radiology
#1
REVIEW
An Tang, Roger Tam, Alexandre Cadrin-Chênevert, Will Guest, Jaron Chong, Joseph Barfett, Leonid Chepelev, Robyn Cairns, J Ross Mitchell, Mark D Cicero, Manuel Gaudreau Poudrette, Jacob L Jaremko, Caroline Reinhold, Benoit Gallix, Bruce Gray, Raym Geis
Artificial intelligence (AI) is rapidly moving from an experimental phase to an implementation phase in many fields, including medicine. The combination of improved availability of large datasets, increasing computing power, and advances in learning algorithms has created major performance breakthroughs in the development of AI applications. In the last 5 years, AI techniques known as deep learning have delivered rapidly improving performance in image recognition, caption generation, and speech recognition...
April 11, 2018: Canadian Association of Radiologists Journal, Journal L'Association Canadienne des Radiologistes
https://www.readbyqxmd.com/read/29651311/the-importance-of-the-occupational-vocal-load-for-the-occurence-and-treatment-of-organic-voice-disorders
#2
Miha Zabret, Irena Hočevar Boltežar, Maja Šereg Bahar
Introduction: The voice represents a basic working tool for carrying out certain occupations. Hoarseness, as a consequence of vocal fold lesions, presents an important cause of work-related absences for voice professionals. Methods: Our study was designed as a retrospective cohort one. Data on gender, workplace, vocal load and exposure to risk factors for voice disorders of the patients who had surgery in the 2014-2015 period at the tertiary centre due to benign vocal fold lesions were collected from their clinical records...
March 2018: Zdravstveno Varstvo
https://www.readbyqxmd.com/read/29650487/speaking-up-about-hand-hygiene-failures-a-vignette-survey-study-among-healthcare-professionals
#3
David L B Schwappach
BACKGROUND: Speaking up by healthcare professionals (HCPs) is an important resource to reduce risks to patient safety. Due to complex tradeoffs, HCPs are often reluctant to voice their concerns. A survey investigated HCPs' likelihood to speak up. METHODS: A cross-sectional survey study among HCPs in 5 Swiss hospitals addressed speaking-up behaviors, safety climate, and likelihood to speak up about poor hand hygiene practice described in a vignette. Likelihood to speak up was analyzed using a multilevel regression model...
April 9, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29643170/treatment-options-in-idiopathic-subglottic-stenosis-protocol-for-a-prospective-international-multicentre-pragmatic-trial
#4
Alexander Gelbard, Yu Shyr, Lynne Berry, Alexander T Hillel, Dale C Ekbom, Eric S Edell, Jan L Kasperbauer, David G Lott, Donald T Donovan, C Gaelyn Garrett, Guri Sandhu, James J Daniero, James L Netterville, Josh S Schindler, Marshall E Smith, Paul C Bryson, Robert R Lorenz, David O Francis
INTRODUCTION: Idiopathic subglottic stenosis (iSGS) is an unexplained progressive obstruction of the upper airway that occurs almost exclusively in adult, Caucasian women. The disease is characterised by mucosal inflammation and localised fibrosis resulting in life-threatening blockage of the upper airway. Because of high recurrence rates, patients with iSGS will frequently require multiple procedures following their initial diagnosis. Both the disease and its therapies profoundly affect patients' ability to breathe, communicate and swallow...
April 10, 2018: BMJ Open
https://www.readbyqxmd.com/read/29628155/-vocal-cord-paralysis-after-endotracheal-intubation-an-uncommon-complication-of-general-anesthesia
#5
Claudia Hurtado Nazal, Andrea Araneda Vilches, Carolina Vergara Marín, Karen García Contreras, Carla Napolitano Valenzuela, Pedro Badía Ventí
BACKGROUND: General anesthesia is a safe, frequent procedure in clinical practice. Although it is very unusual in procedures not related to head and or neck surgery, vocal cord paralysis is a serious and important complication. Incidence has been associated with patient age and comorbidities, as well as the position of the endotracheal tube and cuff. It can become a dangerous scenario because it predisposes aspiration. OBJECTIVES: To present a case and analyze the risk factors associated with increased risk of vocal cord paralysis described in the literature...
April 5, 2018: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/29625600/implementing-paediatric-early-warning-scores-systems-in-the-netherlands-future-implications
#6
J F de Groot, N Damen, E de Loos, L van de Steeg, L Koopmans, P Rosias, M Bruijn, J Goorhuis, C Wagner
BACKGROUND: Paediatric Early Warning Scores (PEWS) are increasingly being used for early identification and management of clinical deterioration in paediatric patients. A PEWS system includes scores, cut-off points and appropriate early intervention. In 2011, The Dutch Ministry of Health advised hospitals to implement a PEWS system in order to improve patient safety in paediatric wards. The objective of this study was to examine the results of implementation of PEWS systems and to gain insight into the attitudes of professionals towards using a PEWS system in Dutch non-university hospitals...
April 6, 2018: BMC Pediatrics
https://www.readbyqxmd.com/read/29623340/consonant-and-vowel-identification-in-cochlear-implant-users-measured-by-nonsense-words-a-systematic-review-and-meta-analysis
#7
Arne Kirkhorn Rødvik, Janne von Koss Torkildsen, Ona Bø Wie, Marit Aarvaag Storaker, Juha Tapio Silvola
Purpose: The purpose of this systematic review and meta-analysis was to establish a baseline of the vowel and consonant identification scores in prelingually and postlingually deaf users of multichannel cochlear implants (CIs) tested with consonant-vowel-consonant and vowel-consonant-vowel nonsense syllables. Method: Six electronic databases were searched for peer-reviewed articles reporting consonant and vowel identification scores in CI users measured by nonsense words...
April 4, 2018: Journal of Speech, Language, and Hearing Research: JSLHR
https://www.readbyqxmd.com/read/29614887/vocal-function-exercises-for-normal-voice-with-and-without-semi-occlusion
#8
Maria Bane, Megan Brown, Vrushali Angadi, Daniel J Croake, Richard D Andreatta, Joseph C Stemple
PURPOSE: This study examined the effect of varying degrees of vocal tract (VT) occlusion used during Vocal Function Exercises (VFEs) on attainment of maximum phonation time (MPT) goals in normal voice. Greater VT occlusion was expected to result in increased MPT. The overarching goal was to determine whether the semi-occluded vocal tract (SOVT) posture used during VFEs could be modified while preserving efficacy. METHOD: Twenty-six females ages 18-30 participated in this pre-post longitudinal group study...
April 3, 2018: International Journal of Speech-language Pathology
https://www.readbyqxmd.com/read/29614253/understanding-the-mechanisms-of-familiar-voice-identity-recognition-in-the-human-brain
#9
Corrina Maguinness, Claudia Roswandowitz, Katharina Von Kriegstein
Humans have a remarkable skill for voice-identity recognition: most of us can remember many voices that surround us as 'unique'. In this review, we explore the computational and neural mechanisms which may support our ability to represent and recognise a unique voice-identity. We examine the functional architecture of voice-sensitive regions in the superior temporal gyrus/sulcus, and bring together findings on how these regions may interact with each other, and additional face-sensitive regions, to support voice-identity processing...
March 31, 2018: Neuropsychologia
https://www.readbyqxmd.com/read/29609904/translation-adaptation-and-preliminary-validation-of-dacakis-and-davies-transsexual-voice-questionnaire-male-to-female-in-french
#10
Dominique Morsomme, Joana Revis, Elisabeth Thomas
Transgender MtF people (trans women) consult otorhinolaryngologists and vocologists with the aim of feminizing their voice and being consistently perceived as women. Treatment of these trans women always begins with a vocal assessment that is relatively unspecific as it was originally constructed for individuals with dysphonia. OBJECTIVES: This study examines the subjective portion of the assessment and specifically the self-assessment questionnaire. There is no French-language questionnaire designed to identify the issues facing people who want voice feminization and quantify the impact of their voice disorder on their daily lives...
March 30, 2018: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/29607494/inhaled-anti-pseudomonal-antibiotics-for-long-term-therapy-in-cystic-fibrosis
#11
REVIEW
Sherie Smith, Nicola J Rowbotham, Kate H Regan
BACKGROUND: Inhaled antibiotics are commonly used to treat persistent airway infection with Pseudomonas aeruginosa that contributes to lung damage in people with cystic fibrosis. Current guidelines recommend inhaled tobramycin for individuals with cystic fibrosis and persistent Pseudomonas aeruginosa infection who are aged six years or older. The aim is to reduce bacterial load in the lungs so as to reduce inflammation and deterioration of lung function. This is an update of a previously published review...
March 30, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29605589/patients-perceptions-of-sleep-in-a-critical-care-unit
#12
L Carrera-Hernández, E Aizpitarte-Pejenaute, N Zugazagoitia-Ciarrusta, R Goñi-Viguria
INTRODUCTION AND OBJECTIVES: Patients' sleep can be disturbed during their stay in an Intensive Care Unit. Many factors can explain this disturbance, both within the ICU environment and caused by patients' illnesses. There is evidence that patients' sleep can be improved within ICUs. The aim of this study is to describe patientś perceptions of a night's sleep and develop a care plan that promotes a night's sleep. METHODOLOGY: A prospective descriptive study was performed in the ICU of a training hospital...
March 28, 2018: Enfermería Intensiva
https://www.readbyqxmd.com/read/29605205/caregiver-and-pediatric-provider-perspectives-on-symptom-based-inhaled-corticosteroid-therapy-in-asthma
#13
Tiffany Dy, Ericka M Lewis, Vithya Murugan, Sarah Gehlert, Juanita Taylor, Jane Garbutt, Leonard B Bacharier, Mario Castro, Kaharu Sumino
OBJECTIVES: Guidelines recommend that healthcare providers adjust the dose of inhaled corticosteroids (ICS) in asthma patients based on the degree of symptom severity and control. Symptom-based, intermittent ICS therapy (use of ICS together with short acting bronchodilators- symptom-based adjustment: SBA) has been demonstrated to be comparable to guideline-based management by providers in controlled clinical trials. We sought input from African American caregivers and pediatricians on the acceptability and barriers for this alternative management strategy...
April 2018: Respiratory Medicine
https://www.readbyqxmd.com/read/29605114/digital-training-platform-for-interpreting-radiographic-images-of-the-chest
#14
L McLaughlin, N Woznitza, A Cairns, S L McFadden, R Bond, C M Hughes, A Elsayed, D Finlay, J McConnell
INTRODUCTION: Time delays and errors exist which lead to delays in patient care and misdiagnosis. Reporting clinicians follow guidance to form their own search strategy. However, little research has tested these training guides. With the use of eye tracking technology and expert input we developed a digital training platform to be used in chest image interpretation learning. METHODS: Two sections of a digital training platform were planned and developed; A) a search strategy training tool to assist reporters during their interpretation of images, and B) an educational tool to communicate the search strategies of expert viewers to trainees by using eye tracking technology...
May 2018: Radiography
https://www.readbyqxmd.com/read/29600953/multi-day-patterns-around-taking-action-in-intimate-partner-violence
#15
David Katerndahl, Sandra Burge, Robert Ferrer, Johanna Becho, Robert Wood
This study was to determine the multi-day relationships among stressors, need and taking action (seeking counseling, taking legal action, leaving) by women in violent relationships. Women with recent husband-to-wife abuse but not at high-risk for life-threatening violence were recruited from six primary care clinics and asked to complete a daily description of the previous day's violence, need-for-action, and stressors using Interactive Voice Response via telephone for 8 weeks. Taking action (seeking counseling, taking legal action, leaving) was determined via weekly telephone contacts...
April 2018: Nonlinear Dynamics, Psychology, and Life Sciences
https://www.readbyqxmd.com/read/29600254/anesthesiology-residency-curriculum-and-implementation-of-a-perioperative-surgical-home-curriculum-a-survey-study
#16
Joseph Rinehart, Jenny Seong, Navid Alem, Roberta Andreatta, Jason Derhovanesian, Christina Smith, Zeev Kain
Background: The perioperative surgical home (PSH) is a physician-led, interdisciplinary, and patient-centered model of perioperative care that focuses on patient outcomes and comprehensive care management. Many studies to date have looked at the clinical implementation of varied PSH models with promising results discussed. There are no studies directly examining concrete plans for the various Accreditation Council for Graduate Medical Education (ACGME) anesthesiology residency programs to implement augmented PSH training into curricula...
July 2017: Journal of Education in Perioperative Medicine: JEPM
https://www.readbyqxmd.com/read/29594918/squamous-cell-papillomatosis-in-the-setting-of-recurrent-respiratory-papillomatosis
#17
Pasha L Bentley, Michael J Coulter, Brenda L Nelson
A 23 year old male presented to the Otolaryngology clinic with 6 months of hoarseness and poor voice projection without improvement from speech therapy or medical anti-reflux medication. Upon examination he was found to have multiple polypoid lesions emanating from bilateral false vocal folds, left true vocal fold, and the anterior commissure. Biopsy and potassium titanyl phosphate (KTP) laser ablation with bevacizumab injection provided treatment and confirmed the clinical suspicion of squamous cell papilloma...
March 28, 2018: Head and Neck Pathology
https://www.readbyqxmd.com/read/29594646/newborn-screening-for-pompe-disease-impact-on-families
#18
B Pruniski, E Lisi, N Ali
Pompe disease (PD) is an autosomal recessive lysosomal storage disorder causing progressive glycogen accumulation in muscles, with variability in age of onset and severity. For infantile-onset PD (IOPD), initiation of early treatment can be life-saving; however, current newborn screening (NBS) technology cannot distinguish IOPD from late-onset PD (LOPD) without clinical workup. Therefore, families of LOPD infants diagnosed by NBS may now spend years or even decades aware of their illness before symptoms appear, creating a pre-symptomatic awareness phase with which the medical community has little experience...
March 28, 2018: Journal of Inherited Metabolic Disease
https://www.readbyqxmd.com/read/29592840/doravirine-versus-ritonavir-boosted-darunavir-in-antiretroviral-naive-adults-with-hiv-1-drive-forward-48-week-results-of-a-randomised-double-blind-phase-3-non-inferiority-trial
#19
Jean-Michel Molina, Kathleen Squires, Paul E Sax, Pedro Cahn, Johan Lombaard, Edwin DeJesus, Ming-Tain Lai, Xia Xu, Anthony Rodgers, Lisa Lupinacci, Sushma Kumar, Peter Sklar, Bach-Yen Nguyen, George J Hanna, Carey Hwang
BACKGROUND: Doravirine is a novel non-nucleoside reverse transcriptase inhibitor (NNRTI) with a pharmacokinetic profile supporting once-daily dosing, and potent in-vitro activity against the most common NNRTI-resistant HIV-1 variants. We compared doravirine with ritonavir-boosted darunavir, when both were given with two nucleoside reverse transcriptase inhibitors (NRTIs), in adults with previously untreated HIV-1 infection. METHODS: In this randomised, controlled, double-blind, multicentre, non-inferiority trial, adults with HIV-1 infection were screened and enrolled at 125 clinical centres in 15 countries...
March 23, 2018: Lancet HIV
https://www.readbyqxmd.com/read/29590422/veteran-experiences-seeking-non-pharmacologic-approaches-for-pain
#20
Karleen Giannitrapani, Matthew McCaa, Marie Haverfield, Robert D Kerns, Christine Timko, Steven Dobscha, Karl Lorenz
Introduction: Pain is a longstanding and growing concern among US military veterans. Although many individuals rely on medications, a growing body of literature supports the use of complementary non-pharmacologic approaches when treating pain. Our objective is to characterize veteran experiences with and barriers to accessing alternatives to medication (e.g., non-pharmacologic treatments or non-pharmacologic approaches) for pain in primary care. Materials and Methods: Data for this qualitative analysis were collected as part of the Effective Screening for Pain (ESP) study (2012-2017), a national randomized controlled trial of pain screening and assessment methods...
March 26, 2018: Military Medicine
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