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Ismail Altintop, Mehmet Tatli
AIM: Elderly physical abuse (EPA) is defined as injury or assault to or the restriction of an elderly person. Although EPA is an important social problem, its diagnosis is difficult because of tendency to cover up the event. In this study, patients aged 65 years and over who presented at the emergency department (ED) for forensic reasons and in whom physical abuse was suspected were examined. The aim of this study was to raise ED awareness of EPA and thereby to contribute to treatment plans for these patients in the ED...
August 13, 2018: Psychogeriatrics: the Official Journal of the Japanese Psychogeriatric Society
Renee Lovi, John Hurley, Marie Hutchinson
Health care professionals are frequently one of the first points of contact in episodes of intimate partner violence (IPV). This paper presents qualitative data from a larger research project on IPV-related content in undergraduate curriculum for Australian health care professionals. IPV is a serious public health issue with findings from this paper supporting the proposition that key health care workers such as nurses, midwives and paramedics are ill prepared to respond to the challenges it poses. OBJECTIVE: This study sought to better understand the barriers and facilitators to the inclusion of IPV-related content into undergraduate curricula for nurses, midwives and paramedics...
August 1, 2018: Nurse Education Today
Jing Xu, Juan Liu, Xianghong Sun, Kan Zhang, Weina Qu, Yan Ge
Most road accidents are caused by human factors alone or in combination with other factors. Deficits in driving skill are a human factor that contributes to accidents. It is important to focus on driving skills to reduce traffic accidents and enhance safe driving. In this study, we adopted a Chinese version of the Driver Skill Inventory (DSI) and explored its correlation with driving behaviors, sociodemographic factors and personality. A total of 295 licensed drivers voluntarily completed a survey that covered the DSI, the Driver Behavior Questionnaire, the Positive Driver Behavior Scale, self-reported traffic accidents, penalty points and fines, the Big Five Inventory, and sociodemographic parameters...
August 10, 2018: Accident; Analysis and Prevention
Avery L Buchholz, Fraser Henderson, Stephen Lowe, Mohammed Alshareef, Laura Wolgamott, Sunil Patel, Alejandro M Spiotta
BACKGROUND AND OBJECTIVES: Programs that address overall wellbeing early in residency are necessary to prevent physician burnout and promote physician mental health to improve patient outcomes and ensure long and productive careers. A wellness initiative was implemented at our institution three years ago. We present feedback from participating residents across all levels of training. METHODS: A 17-question survey was administered to resident physicians in the department of neurosurgery at our institution...
August 10, 2018: World Neurosurgery
Lindsay Johnston, Taylor Sawyer, Akira Nishisaki, Travis Whtifill, Anne Ades, Heather French, Kristen Glass, Rita Dadiz, Christie Bruno, Orly Levit, Sandeep Gangadharan, Daniel Scherzer, Ahmed Moussa, Marc Auerbach
BACKGROUND: Neonatal tracheal intubation (NTI) is an important clinical skill. Suboptimal performance is associated with patient harm. Simulation training can improve NTI performance. Improving performance requires an objective assessment of competency. Competency assessment tools need strong evidence of validity. We hypothesized that a NTI competency assessment tool with multi-source validity evidence could be developed, and could be used for formative and summative assessment during simulation-based training...
August 10, 2018: Academic Pediatrics
Dai Simazaki, Masaaki Hirose, Hisashi Hashimoto, Shunji Yamanaka, Mitsuki Takamura, Junya Watanabe, Michihiro Akiba
Occurrence of residual endotoxin activity (ET) in dialysis water and also tap water as its source is a matter of great concern to medical professionals conducting dialysis therapy at healthcare facilities (HCFs). The present study was performed to determine the occurrence and fate of the ET at selected Japanese drinking water purification plants and HCFs between 2014 and 2016. Chemical coagulation and sedimentation, rapid sand filtration, and membrane filtration were highly effective to decrease both ET dissolved in water (free-ET) and ET bound to cells/particles (bound-ET)...
August 6, 2018: Water Research
Megha Garg, Naaima Mufti, Tara Palmore, Sarfaraz Hasni
Patients with Systemic Lupus Erythematosus (SLE) pose a unique dilemma pertaining to immunization against common pathogens. SLE patients are usually not immunized with vaccines based on the fear of either precipitating infection in this immunosuppressed patient population (with live vaccines) or aggravating autoimmunity and hence lupus flares (with any vaccines). However, elevated vulnerability to infection makes patients with SLE precisely the population that needs protection from vaccine-preventable diseases...
August 10, 2018: Autoimmunity Reviews
Timothy W Churchill, Supriya Krishnan, Marc Weisskopf, Brandon Yates, Frank E Speizer, Jonathan H Kim, Lee E Nadler, Alvaro Pascual-Leone, Ross Zafonte, Aaron L Baggish
BACKGROUND: Professional American-style football players are among the largest athletes across contemporary sporting disciplines, and weight gain during the years of football participation is common. At present, the health implications of this early-life weight gain remain incompletely understood. We sought to define weight trajectories of former professional American-style football athletes and to establish their relationship with 5 health afflictions common in this population (cardiovascular disease, cardiometabolic disease, neurocognitive impairment, sleep apnea, and chronic pain)...
August 10, 2018: American Journal of Medicine
Susan M Peterson, Cathi A Harbertson, James J Scheulen, Gabor D Kelen
OBJECTIVES: To meet the unique comparative data needs of academic emergency departments, we describe the recent five-year national and regional trends for adult emergency patients' characteristics and operational parameters at academic emergency medical centers. METHODS: Data collected from the recent five-year period academic year (AY) 2012 through AY 2016 of the Academy of Administrators in Academic Emergency Medicine (AAAEM) and the Association of Academic Chairs of Emergency Medicine (AACEM) Academic Emergency Medicine Benchmarking Survey were analyzed for trends in 1) ED volumes and modes of arrival 2) triage acuity level 3) trends in ED professional fee billing and 4) disposition patterns of ED patients including admission rates and walkouts...
August 13, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Tommy R Lundberg, Glyn Howatson
Over-the-counter analgesics, such as anti-inflammatory drugs (NSAIDs) and paracetamol, are widely consumed by athletes worldwide to increase pain tolerance, or dampen pain and reduce inflammation from injuries. Given that these drugs also can modulate tissue protein turnover, it is important to scrutinize the implications of acute and chronic use of these drugs in relation to exercise performance and the development of long-term training adaptations. In this review we aim to provide an overview of the studies investigating the effects of analgesic drugs on exercise performance and training adaptations relevant for athletic development...
August 13, 2018: Scandinavian Journal of Medicine & Science in Sports
Guy S Handelman, Hong Kuan Kok, Ronil V Chandra, Amir H Razavi, Michael J Lee, Hamed Asadi
Machine learning (ML) is a burgeoning field of medicine with huge resources being applied to fuse computer science and statistics to medical problems. Proponents of ML extol its ability to deal with large, complex and disparate data, often found within medicine and feel that ML is the future for biomedical research, personalised medicine, computer-aided diagnosis to significantly advance global healthcare. However, the concepts of ML are unfamiliar to many medical professionals and there is untapped potential in the use of ML as a research tool...
August 13, 2018: Journal of Internal Medicine
Emily Popple, Keith George, John Somauroo, Sanjay Sharma, Victor Utomi, Rachel Lord, Robert Cooper, Aneil Malhotra, Jan Forster, David Oxborough
AIMS: Right ventricular (RV) adaptation is a common finding in the athlete's heart. The aim of this study was to establish the extent of RV structural and functional adaptation in elite and academy professional footballers compared to age-matched controls. METHODS AND RESULTS: 100 senior and 100 academy elite footballers, 20 senior and 19 academy age-matched controls were recruited. All participants underwent 2D, Doppler, tissue Doppler and strain (ε) echocardiography of the right heart...
August 13, 2018: Scandinavian Journal of Medicine & Science in Sports
Yi-Sheng Chao, Marco Scutari, Tai-Shen Chen, Chao-Jung Wu, Madeleine Durand, Antoine Boivin, Hsing-Chien Wu, Wei-Chih Chen
BACKGROUND: Patient engagement helps to improve health outcomes and health care quality. However, the overall relationships among patient engagement measures and health outcomes remain unclear. This study aims to integrate expert knowledge and survey data for the identification of measures that have extensive associations with other variables and can be prioritized to engage patients. METHODS: We used the 2014 International Health Policy Survey (IHPS), which provided information on elder adults in 11 countries with details in patient characteristics, healthcare experiences, and patient-physician communication...
2018: PloS One
Norikazu Hirose, Masaaki Tsuruike
Hirose, N and Tsuruike, M. Differences in the electromyographic activity of the hamstring, gluteus maximus, and erector spinae muscles in a variety of kinetic changes. J Strength Cond Res XX(X): 000-000, 2018-This study aimed to clarify the differences in the electromyographic (EMG) activity of the semitendinosus (ST), semimembranosus (SM), biceps femoris long head (BFl), gluteus maximus (GM), and erector spinae (ES) muscles during leg curl and bridge exercises across different knee angles and isometric contraction outputs...
August 10, 2018: Journal of Strength and Conditioning Research
Erik G Prytz, Caroline Norén, Carl-Oscar Jonson
OBJECTIVE: We sought to investigate whether expert-novice differences in visual search behavior found in other domains also apply to accident scenes and the emergency response domain. BACKGROUND: Emergency service professionals typically arrive at accidents only after being dispatched when a civilian witness has called an emergency dispatch number. Differences in visual search behavior between the civilian witness (usually a novice in terms of emergency response) and the professional first responders (experts at emergency response) could thus result in the experts being given insufficient or erroneous information, which would lead them to arrive unprepared for the actual situation...
August 13, 2018: Human Factors
Neha Madhiwalla, Rakhi Ghoshal, Padmaja Mavani, Nobhojit Roy
This paper draws on findings from a qualitative study of two government hospitals in Mumbai, India, which aimed to provide a better understanding of the institutional drivers of disrespect and abuse (D&A) in childbirth. The paper describes the structural context, in which government hospital providers can exercise considerable power over patients, yet may be themselves vulnerable to violence and external influence. Decisions that affect care are made by a bureaucracy, which does not perceive problems with the same intensity as providers who are directly attending to patients...
August 13, 2018: Reproductive Health Matters
Wendy Cadge
Chaplains, like professionals in a range of industries, have long sought to maintain and build occupational power by articulating their professional mandate and advocating for their work. I describe how leaders of the Association of Professional Chaplains and its predecessor organizations used multiple strategies to articulate and re-articulate their professional mandate between 1940 and the present to become a companion profession, one that comes alongside another without seeking to challenge its jurisdiction...
August 13, 2018: Journal of Health Care Chaplaincy
Samreen Shafiq, Tamara Pringsheim
Antipsychotic use in children has increased over the past two decades. Randomized controlled trials have evaluated the efficacy of antipsychotics in autism spectrum disorder (ASD) and disruptive behavior disorders (DBD). Areas covered: The authors systematically analyze the results of randomized controlled trials of second and third generation antipsychotics for irritability in ASD and aggressive and disruptive behavior in DBD with or without low IQ and ADHD. The aim of the review is to assist healthcare professionals to optimize therapy in this population...
August 13, 2018: Expert Opinion on Pharmacotherapy
Siri Suh
Drawing on ethnographic fieldwork conducted in Senegal between 2010 and 2011, I demonstrate how health professionals have deployed indicators such as number of women and abortion type treated in government hospitals to demonstrate commitment to global mandates on reproductive rights. These indicators obscure discrimination against women suspected of illegal abortion as health workers negotiate obstetric treatment with the abortion law. By measuring hospitals' capacity to keep women with abortion complications alive, post-abortion care (PAC) indicators have normalized survival as a state of reproductive well-being...
August 13, 2018: Medical Anthropology
Dorice Hankemeier, Sarah A Manspeaker
CONTEXT:   The ability to engage in interprofessional and collaborative practice (IPCP) has been identified as one of the Institute of Medicine's core competencies required of all health care professionals. OBJECTIVE:   To determine the perceptions of athletic trainers (ATs) in the collegiate setting regarding IPCP and current practice patterns. DESIGN:   Cross-sectional study. PATIENTS OR OTHER PARTICIPANTS:   Of 6313 ATs in the collegiate setting, 739 (340 men, 397 women, 2 preferred not to answer; clinical experience = 10...
August 13, 2018: Journal of Athletic Training
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