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“How i manage“

Dilip R Bhatt, Alexandria I Kristensen-Cabrera, Henry C Lee, Sunjeeve Weerasinghe, David K Stevenson, Vinod K Bhutani, M Jeffrey Maisels, Rangasamy Ramanathan
OBJECTIVES: Transcutaneous bilirubin measurements (TcBs) provide a noninvasive method for screening infants for hyperbilirubinemia and have been used extensively in term and late preterm newborns in well baby nurseries, offices, and outpatient clinics. Several studies have also demonstrated the utility of TcBs as a screening tool for infants > 28 weeks' gestation and their ability to reduce the need for blood sampling. The objectives of this study are to identify how often TcBs are used among California Newborn Intensive Care Units (NICUs) in preterm, late preterm and term infants, and other aspects of jaundice management...
August 17, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
Eva Lindqvist, Annika PerssonVasiliou, Amy S Hwang, Alex Mihailidis, Arlene Astelle, Andrew Sixsmith, Louise Nygård
BACKGROUND: It is well known that people with mild cognitive deficits face challenges when performing complex everyday activities, and that the use of technology has become increasingly interwoven with everyday activities. However, less is known of how technology might be involved, either as a support or hindrance, in different areas of everyday life and of the environments where challenges appear. The aim of this study was to investigate the areas of concern where persons with cognitive deficits meet challenges in everyday life, in what environments these challenges appear and how technology might be involved as part of the challenge and/or the solution to the challenge...
August 17, 2018: BMC Geriatrics
Wei-Ting Hsu, Yi-Hsiang Pan
This study examined how mechanisms of moral disengagement (MD) were related to students' self-reported misbehaviors. Participants were 282 and 336 high school students enrolled in physical education classes. In Stage 1, results of regression analysis showed that advantageous comparison and non-responsibility positively predicted four misbehaviors (i.e., low engagement, failure to follow directions, poor self-management, and distracting behavior). In Stage 2, results of the structural equation modeling confirmed that advantageous comparison and non-responsibility were the significant predictors of student misbehavior in physical education...
September 2018: Journal of Sports Science & Medicine
Michael Muhammad, E Hill De Loney, Cassandra L Brooks, Shervin Assari, DeWaun Robinson, Cleopatra H Caldwell
Background: In April 2014, the emergency manager of Flint, Michigan switched the city's water supplier from Detroit's water department to the Flint River. The change in water source resulted in the Flint Water Crisis (FWC) in which lead (Pb) from the city's network of old pipes leached into residents' tap water. Residents of Flint reported concerns about the water to officials; however, the concerns were ignored for more than a year. Objective: This study sought to understand how Black youth in Flint conceptualize, interpret, and respond to racism they perceive as part of the normal bureaucracy contributing to the FWC...
2018: Ethnicity & Disease
Jessalyn M Hadfield, Elizabeth C Bowdridge, Ida Holásková, Ted H Elsasser, Robert A Dailey
Innate immune response to a lipopolysaccharide (LPS) challenge varies among sheep breeds. How different breeds respond to bacterial infections impacts management practices of sheep producers. Hence, clinical response, acute-phase response, and gene expression of pro- and anti-inflammatory markers in peripheral white blood cells (WBCs) were examined after an LPS challenge in Dorset and Suffolk ewes. Ewes received either PBS or 2.5 µg/kg LPS (i.v.) 4 to 5 d after onset of synchronized estrus. Blood was collected via jugular venipuncture intermittently for 24 h to determine WBC counts...
August 9, 2018: Journal of Animal Science
Alireza Karimi, Reza Razaghi
The mechanical functions of the lungs are concerned with ventilating the alveoli and aiding venous return to the heart. The mechanical properties of the lung allow this to be fulfilled with a very small expenditure of energy. Smoking via chronic obstructive pulmonary disease (COPD) can affect this mechanical function through the alteration of the mechanical properties of the lung tissue. So far, no study has been conducted to experimentally compare the in vitro mechanical properties of the human lung tissue among the healthy nonsmokers and unhealthy smokers...
July 29, 2018: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
Eugenia I Gorlin, Reinier Schuur
As we account for the genetic and environmental influences on morally-relevant character traits like intellectual honesty, industriousness, and self-control, do we risk becoming ever less accountable to ourselves? Behavioral genetic research suggests that about half the variance in such character traits is likely attributable to heredity, and a small fraction to the shared family environment. The remaining 40-60% is explained by neither genes nor family upbringing. This raises the question: how active a role can individuals play in shaping their own character? What, if anything, can and should one do to take responsibility for the kind of person one becomes? This paper sketches a novel theoretical proposal for addressing these questions, by drawing on several previously disparate lines of research within behavior genetics, philosophy, and experimental psychology...
August 12, 2018: Behavior Genetics
A Pinto, S Adams, K Ahring, H Allen, M F Almeida, D Garcia-Arenas, N Arslan, M Assoun, Y Atik Altınok, D Barrio-Carreras, A Belanger Quintana, S M Bernabei, C Bontemps, F Boyle, G Bruni, M Bueno-Delgado, G Caine, R Carvalho, A Chrobot, K Chyż, B Cochrane, C Correia, K Corthouts, A Daly, S De Leo, A Desloovere, A De Meyer, A De Theux, B Didycz, M E Dijsselhof, K Dokoupil, J Drabik, C Dunlop, W Eberle-Pelloth, K Eftring, J Ekengren, I Errekalde, S Evans, A Foucart, L Fokkema, L François, M French, E Forssell, C Gingell, C Gonçalves, H Gökmen Özel, A Grimsley, G Gugelmo, E Gyüre, C Heller, R Hensler, I Jardim, C Joost, M Jörg-Streller, C Jouault, A Jung, M Kanthe, N Koç, I L Kok, T Kozanoğlu, B Kumru, F Lang, K Lang, I Liegeois, A Liguori, R Lilje, O Ļubina, P Manta-Vogli, D Mayr, C Meneses, C Newby, U Meyer, S Mexia, C Nicol, U Och, S M Olivas, C Pedrón-Giner, R Pereira, K Plutowska-Hoffmann, J Purves, A Re Dionigi, K Reinson, M Robert, L Robertson, J C Rocha, C Rohde, S Rosenbaum-Fabian, A Rossi, M Ruiz, J Saligova, A Gutiérrez-Sánchez, A Schlune, K Schulpis, J Serrano-Nieto, A Skarpalezou, R Skeath, A Slabbert, K Straczek, M Giżewska, A Terry, R Thom, A Tooke, J Tuokkola, E van Dam, T A M van den Hurk, E M C van der Ploeg, K Vande Kerckhove, M Van Driessche, A M J van Wegberg, K van Wyk, C Vasconcelos, V Velez García, J Wildgoose, T Winkler, J Żółkowska, J Zuvadelli, A MacDonald
Background: In infants with phenylketonuria (PKU), dietary management is based on lowering and titrating phenylalanine (Phe) intake from breast milk or standard infant formula in combination with a Phe-free infant formula in order to maintain blood Phe levels within target range. Professionals use different methods to feed infants with PKU and our survey aimed to document practices across Europe. Methods: We sent a cross sectional, survey monkey® questionnaire to European health professionals working in IMD...
September 2018: Molecular Genetics and Metabolism Reports
Simon Read, Heather Waterman, James E Morgan, Robert A Harper, Anne Fiona Spencer, Penelope Stanford
Purpose: "She wouldn't remember. Even when I go through, and she's decided to go to bed, I'll say I'll come and do her drops. If I didn't say that, they wouldn't be done." Dementia is widely considered as a key factor in whether patients take their medication as prescribed. However, few studies have examined the effect of dementia on medication management strategies for glaucoma including how patient and carer needs impact adherence and long-term prognosis. We report findings from a qualitative grounded theory study incorporating the views of patients, carers, and healthcare professionals...
2018: Patient Preference and Adherence
J Alberto Neder, Alcides Rocha, Maria Clara N Alencar, Flavio Arbex, Danilo C Berton, Mayron Faria, Priscila A Sperandio, Luiz E Nery, Denis E O'Donnell
Heart failure with reduced ejection fraction (HF) and chronic obstructive pulmonary disease (COPD) frequently coexist, particularly in the elderly. Given their rising prevalence and the contemporary trend to longer life expectancy, overlapping HF-COPD will become a major cause of morbidity and mortality in the next decade. Areas covered: Drawing on current clinical and physiological constructs, the consequences of negative cardiopulmonary interactions on the interpretation of pulmonary function and cardiopulmonary exercise tests in HF-COPD are discussed...
August 13, 2018: Expert Review of Cardiovascular Therapy
Amin Yazdani, Richard Wells
This scoping review identified common barriers and facilitators encountered during the implementation of changes to prevent musculoskeletal disorders (MSD) and examined their relationship with those encountered in general Occupational Health and Safety (OHS) efforts. Thematic analysis of the literature identified 11 barriers: (i) Lack of time; (ii) Lack of resources; (iii) Lack of communication; (iv) Lack of management support, commitment, and participation; (v) Lack of knowledge and training; (vi) Resistance to change; (vii) Changing work environment; (viii) Scope of activities; (ix) Lack of trust, fear of job loss, or loss of authority; (x) Process deficiencies; and (xi) Difficulty of implementing controls...
November 2018: Applied Ergonomics
D Vázquez-Justes, J Sanahuja, J Diez, E Rubinat, R Begué, C Salas, C Vicandi, M I Gil, F Purroy, D Mauricio
OBJECTIVE: To study the frequency and management of incidental findings in nonenhanced brain MRI of a middle-aged population of type 2 diabetic patients. METHODS: We retrospectively analyzed the results of 289 brain MRI obtained from subjects between 40-75 years recruited from a previous study. Incidental findings were classified into three categories: 1) Vascular findings; 2) neoplastic findings; and 3) others. On the other side, we made a classification of referral findings...
August 8, 2018: Journal of Neuroradiology. Journal de Neuroradiologie
Trevor Roiger, Rebecca Cover, Mary Beth Zwart
CONTEXT:   Concussions remain misunderstood, underreported, and undiagnosed. Although most concussion symptoms resolve within 2 weeks, some patients experience persistent symptoms that adversely affect physical, emotional, social, or cognitive functioning or a combination of these. Minimal evidence delineating the effect of concussions on recently retired collegiate athletes currently exists. OBJECTIVE:   To examine the lived experiences of retired collegiate athletes with a history of 1 or more concussions to discern individual concussion histories, knowledge and perceptions of concussions, and postconcussion quality of life...
August 10, 2018: Journal of Athletic Training
Bernat-Carles Serdà I Ferrer, Eline van Roekel, Brigid M Lynch
PURPOSE OF REVIEW: This review provides an up-to-date overview of the evidence relating to how physical inactivity ameliorates cancer-related fatigue. A summary of the postulated biological mechanisms underpinning the relationship is presented. RECENT FINDINGS: Systematic reviews and meta-analyses synthesising the results of randomised controlled trials of physical activity interventions to reduce fatigue broadly conclude that aerobic and combination exercise may be the most helpful, while resistance training alone is less efficacious...
August 9, 2018: Current Nutrition Reports
Eleni Iacovidou, Anne P M Velenturf, Phil Purnell
The growing British waste management sector has consistently voiced the need to improve the quality of waste streams and thus the value of secondary resources produced, in order to achieve higher reprocessing rates. Mismanagement of wastes that may lead to contamination and degradation of the recyclate feedstock constitutes one of the main barriers in the pathway to a circular economy. The sector has also repeatedly called upon manufacturers to collaborate in designing materials, components and products (MCPs) with properties that aid recovery, refurbishing, repair and recycling (e...
July 25, 2018: Science of the Total Environment
Richard W Nicolay, Akhil A Tawari, Harish Kempegowda, Michael Suk, Brian Mullis
This study analyzes adherence to an evidence-based protocol established at two level I trauma centers to determine its effect on clinical decision making. The centers' trauma databases were retrospectively studied and 51 patients with long bone fractures were identified who required revascularization and orthopaedic intervention and survived long enough to receive an index intervention. An arterial shunt was the protocol's first step; the preprotocol rate of shunting was 9.5%, while the postprotocol rate of shunting was 3...
2018: Journal of Surgical Orthopaedic Advances
Benjamin Sturgess, Morven Brown, Faye Fraser, Simon Bailey
BACKGROUND: Optic pathway gliomas (OPGs) are low-grade tumours of the visual pathway. Although survival rates are high, there is considerable morbidity and hence treatment focuses on preservation of vison and quality of life. The multiple, complex issues faced by these patients are often confounded by a concurrent diagnosis of neurofibromatosis type-1 (NF1). As there is a paucity of literature addressing the current practices of the multi-professional team (MPT) caring for children diagnosed with an OPG, individual professional experiences often guide the MPT's approach to the care of these children and their families...
August 7, 2018: Pediatric Blood & Cancer
Miguel I Dorante, Sotirios Tasigiorgos, Bohdan Pomahac
PURPOSE OF REVIEW: Face transplantation is no longer a young field. Reported outcomes suggest that this life-enhancing transplantation is viable and ethically justified for appropriate patients. Given that pediatric hand transplantation has been performed with promising reported outcomes, it is time to consider how to properly expand the field of face transplantation into pediatric patients. RECENT FINDINGS: Appropriate collaboration between adult and pediatric colleagues can mitigate risks associated with expanding surgical innovation between respective patient demographics...
August 4, 2018: Current Opinion in Organ Transplantation
F Hassannia, S D Carr, G-M Busato, J A Rutka
OBJECTIVE: To report two cases of transmastoid clipping of a sigmoid sinus diverticulum. METHODS: Two patients with pulsatile tinnitus resulting from a sigmoid sinus diverticulum underwent clipping at the diverticulum neck using intra-operative Doppler ultrasonography. RESULTS: At six months' follow up, both patients reported complete resolution of pulsatile tinnitus with no complications. CONCLUSION: Transmastoid clipping of a sigmoid sinus diverticulum can be a safe and effective method of managing pulsatile tinnitus resulting from a sigmoid sinus diverticulum...
August 6, 2018: Journal of Laryngology and Otology
Philip Moons, Koen Luyckx, Jessie Dezutter, Adrienne H Kovacs, Corina Thomet, Werner Budts, Junko Enomoto, Maayke A Sluman, Hsiao-Ling Yang, Jamie L Jackson, Paul Khairy, Raghavan Subramanyan, Luis Alday, Katrine Eriksen, Mikael Dellborg, Malin Berghammer, Bengt Johansson, Andrew S Mackie, Samuel Menahem, Maryanne Caruana, Gruschen Veldtman, Alexandra Soufi, Susan M Fernandes, Kamila White, Edward Callus, Shelby Kutty, Silke Apers
AIMS: Religion and spirituality can be resources for internal strength and resilience, and may assist with managing life's challenges. Prior studies have been undertaken primarily in countries with high proportions of religious/spiritual people. We investigated (i) whether being religious/spiritual is an independent predictor of patient-reported outcomes (PROs) in a large international sample of adults with congenital heart disease, (ii) whether the individual level of importance of religion/spirituality is an independent predictor for PROs, and (iii) if these relationships are moderated by the degree to which the respective countries are religious or secular...
July 23, 2018: International Journal of Cardiology
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