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https://www.readbyqxmd.com/read/28922625/living-and-dying-with-advanced-dementia-a-prospective-cohort-study-of-symptoms-service-use-and-care-at-the-end-of-life
#1
Elizabeth L Sampson, Bridget Candy, Sarah Davis, Anna Buylova Gola, Jane Harrington, Michael King, Nuriye Kupeli, Gerry Leavey, Kirsten Moore, Irwin Nazareth, Rumana Z Omar, Victoria Vickerstaff, Louise Jones
BACKGROUND: Increasing number of people are dying with advanced dementia. Comfort and quality of life are key goals of care. AIMS: To describe (1) physical and psychological symptoms, (2) health and social care service utilisation and (3) care at end of life in people with advanced dementia. DESIGN: 9-month prospective cohort study. SETTING AND PARTICIPANTS: Greater London, England, people with advanced dementia (Functional Assessment Staging Scale 6e and above) from 14 nursing homes or their own homes...
August 1, 2017: Palliative Medicine
https://www.readbyqxmd.com/read/28922613/the-etiology-of-community-acquired-pneumonia-among-children-under-5%C3%A2-years-of-age-in-mainland-china-2001-2015-a-systematic-review
#2
Guijun Ning, Xuxia Wang, Dan Wu, Zundong Yin, Yixing Li, Huaqing Wang, Weizhong Yang
BACKGROUND: The aim of this systematic review was to examine the etiology of community-acquired pneumonia (CAP) among Chinese children younger than 5 years and provide evidence for further cost-effectiveness analyses for vaccine development, diagnostic strategies and empirical treatments. METHODS: The literature review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Data were obtained by searching PubMed, Embase, Web-of Science, and the Chinese databases Wanfang Data and China National Knowledge Infrastructure...
September 18, 2017: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/28922499/antioxidants-wonder-drugs-or-quackery
#3
REVIEW
Angelo Azzi
An answer to the question posed by the title must be simple not to disturb in his tomb Albert Einstein, who wrote "Man muß die Dinge so einfach wie möglich machen. Aber nicht einfacher". A simple answer (not simpler) can be: Antioxidants are not antioxidants, they are not wonder drugs and they are not all quackery; but they are not nothing. The arguments in support of this conundrumic statement will be developed below. © 2017 BioFactors, 2017.
September 18, 2017: BioFactors
https://www.readbyqxmd.com/read/28922321/-patient-reported-outcomes-following-breast-conservation-therapy-and-barriers-to-referral-for-partial-breast-reconstruction
#4
Sebastian Q Vrouwe, Ron B Somogyi, Laura Snell, Catherine McMillan, Danny Vesprini, Joan E Lipa
BACKGROUND: The purpose of this study was to evaluate the self-reported aesthetic outcome of breast conservation therapy (BCT) in a generalized sample of patients, and to describe potential barriers to referral for partial breast reconstruction. METHODS: Consecutive BCT patients completing radiotherapy over a one-year period at a regional cancer centre were identified. Eligible patients were contacted via mail/email and invited to participate. Participants completed the BREAST-Q BCT module along with a questionnaire examining feelings about breast reconstruction...
September 14, 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28922234/consensus-statement-by-the-congenital-cardiac-anesthesia-society-milestones-for-the-pediatric-cardiac-anesthesia-fellowship
#5
Viviane G Nasr, Nina A Guzzetta, Wanda C Miller-Hance, Mark Twite, Gregory J Latham, Luis Zabala, Susan C Nicolson, Emad B Mossad, James A DiNardo
Pediatric cardiac anesthesiology has evolved as a subspecialty of both pediatric and cardiac anesthesiology and is devoted to caring for individuals with congenital heart disease ranging in age from neonates to adults. Training in pediatric cardiac anesthesia is a second-year fellowship with variability in both training duration and content and is not accredited by the Accreditation Council on Graduate Medical Education. Consequently, in this article and based on the Accreditation Council on Graduate Medical Education Milestones Model, an expert panel of the Congenital Cardiac Anesthesia Society, a section of the Society of Pediatric Anesthesiology, defines 18 milestones as competency-based developmental outcomes for training in the pediatric cardiac anesthesia fellowship...
September 14, 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/28922230/optimal-dose-of-perineural-dexamethasone-to-prolong-analgesia-after-brachial-plexus-blockade-a-systematic-review-and-meta-analysis
#6
Kyle Robert Kirkham, Alain Jacot-Guillarmod, Eric Albrecht
BACKGROUND: Perineural dexamethasone has gained popularity in regional anesthesia to prolong analgesia duration. However, uncertainty remains regarding the optimal perineural dose. Clarification of this characteristic is of significant importance as the administration of dexamethasone may lead to dose-dependent complications. The objective of this meta-analysis was to define the optimal perineural dexamethasone dose to prolong analgesia after brachial plexus blockade for adult patients undergoing upper limb surgery...
September 14, 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/28921833/guideline-of-guidelines-asymptomatic-microscopic-haematuria
#7
REVIEW
Brian J Linder, Edward J Bass, Hugh Mostafid, Stephen A Boorjian
OBJECTIVE: To review major organizational guidelines on the evaluation and management of asymptomatic microscopic haematuria (AMH). METHODS: This is a review of the haematuria guidelines from 1.) American Urological Association (AUA), 2.) consensus statement from the Canadian Urological Association, Canadian Urologic Oncology Group, and Bladder Cancer Canada, 3.) American College of Physicians (ACP), 4.) Joint Consensus Statement of the Renal Association (RA) and British Association of Urological Surgeons (BAUS), and 5...
September 16, 2017: BJU International
https://www.readbyqxmd.com/read/28921173/maximizing-safe-resections-the-roles-of-5-aminolevulinic-acid-and-intraoperative-mr-imaging-in-glioma-surgery-review-of-the-literature
#8
REVIEW
Eric Suero Molina, S Schipmann, W Stummer
Malignant glioma surgery involves the challenge of preserving the neurological status of patients harboring these lesions while pursuing a maximal tumor resection, which is correlated with overall and progression-free survival. Presently, several tools exist for assisting neurosurgeons in visualizing malignant tissue. Fluorescence-guided surgery (FGS) with 5-aminolevulinic acid (5-ALA) has increasingly been used during the last decade for identifying malignant glioma. Intraoperative magnetic resonance imaging (iMRI), first introduced in the mid-1990s, is being evaluated as a further tool to maximize the extent of resection...
September 18, 2017: Neurosurgical Review
https://www.readbyqxmd.com/read/28921057/dvt-prevention-in-stroke
#9
REVIEW
Christopher Goshgarian, Philip B Gorelick
PURPOSE OF REVIEW: The purpose of this review is to discuss the prevention of venous thromboembolism (VTE) in stroke patients. We discuss use of oral anticoagulation and other interventions for the prevention of VTE. A new class of medications, non-vitamin K antagonist oral anticoagulants (NOACs), have been successfully trialed for the prevention of VTE. We review the data and guidance statements for VTE prevention. RECENT FINDINGS: Warfarin and vitamin K antagonist drugs have been the mainstay of VTE prevention for decades...
September 18, 2017: Current Neurology and Neuroscience Reports
https://www.readbyqxmd.com/read/28920646/statement-on-the-use-of-general-anesthetics-and-sedation-drugs-in-children-and-pregnant-women
#10
(no author information available yet)
No abstract text is available yet for this article.
April 2017: Bulletin of the American College of Surgeons
https://www.readbyqxmd.com/read/28920516/high-glucose-mediated-overexpression-of-icam-1-in-human-vaginal-epithelial-cells-increases-adhesion-of-candida-albicans
#11
Hiroshige Mikamo, Yuka Yamagishi, Hiroyuki Sugiyama, Hisato Sadakata, Shun Miyazaki, Takako Sano, Tsutomu Tomita
To investigate the involvement of ICAM-1 in the adhesion of Candida to the genitourinary epithelial cells in high glucose, we examined the adhesion of Candida albicans or Candida glabrata to human vaginal epithelial cells (VK2/E6E7) or human vulvovaginal epidermal cells (A431). These cells were cultured in 100, 500 or 3000 mg/dL glucose for three days and inoculated with Candida for 60 minutes. Followed by, adhering of Candida to the cells, which were counted. While the adhesion of Candida albicans to VK2/E6E7 significantly increased in the high glucose, A431 did not...
September 18, 2017: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28920515/quality-of-life-in-women-of-reproductive-age-a-comparative-study-of-infertile-and-fertile-women-in-a-nigerian-tertiary-centre
#12
Olusola Peter Aduloju, Oluwole Dominic Olaogun, Tolulope Aduloju
The study examined the quality of life in women of reproductive age and the aim was to evaluate and compare the quality of life (QoL) scores among fertile and infertile women. A cross-sectional study was carried out among women attending the Gynaecology and Postnatal Clinics of Ekiti State University Teaching Hospital comparing their QoL using the World Health Organisation Quality of Life-BREF (WHOQOL-BREF) questionnaire. The age of fertile women was significantly higher than the age of infertile women (p < ...
September 18, 2017: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28920504/outpatient-cervical-ripening-in-a-district-general-hospital-a-five-year-retrospective-cohort-study
#13
Lauren Barnfield, Edmund Neale, Sarah Reynolds
The number of women undergoing induction of labour has risen steadily in recent years. Outpatient induction is becoming more common in the UK in response to the required increase in resources, although evidence supporting its safety is lacking. We reviewed the notes of low-risk women presenting for outpatient cervical ripening using prostaglandins over a five-year period, and compared our neonatal and maternal outcomes to local and national data. Of the 502 eligible women, 400 underwent outpatient treatment...
September 18, 2017: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28920502/clinical-and-metabolic-characteristics-of-turkish-adolescents-with-polycystic-ovary-syndrome
#14
Seda Ates, Serdar Aydın, Pinar Ozcan, Zeynep Soyman, Ayse Filiz Gokmen Karasu, Osman Sevket
The aim of this study was to investigate the clinical, endocrine, metabolic features and prevalence of metabolic syndrome (MBS) in Turkish adolescents with polycystic ovary syndrome (PCOS) and the differences in metabolic parameters between adolescent PCOS with or without the presence of polycystic ovaries (PCO) on ultrasound. Subjects (n = 77) were classified into two groups: oligomenorrhea (O) and clinical and/or biochemical hyperandrogenism (HA) (n = 38), without PCO and O + HA with PCO (n = 39)...
September 18, 2017: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28920469/the-canonical-way-to-make-a-heart-%C3%AE-catenin-and-plakoglobin-in-heart-development-and-remodeling
#15
Oksana O Piven, Cecilia L Winata
The main mediator of the canonical Wnt pathway, β-catenin, is a major effector of embryonic development, postnatal tissue homeostasis, and adult tissue regeneration. The requirement for β-catenin in cardiogenesis and embryogenesis has been well established. However, many questions regarding the molecular mechanisms by which β-catenin and canonical Wnt signaling regulate these developmental processes remain unanswered. An interesting question that emerged from our studies concerns how β-catenin signaling is modulated through interaction with other factors...
January 1, 2017: Experimental Biology and Medicine
https://www.readbyqxmd.com/read/28919511/viscoelastic-properties-of-%C3%AE-keratin-fibers-in-hair
#16
Yang Yu, Wen Yang, Marc André Meyers
Considerable viscoelasticity and strain-rate sensitivity are a characteristic in α-keratin fibers, which can be considered a biopolymer. The understanding of viscoelasticity is an important part to the knowledge of the overall mechanical properties of these biological materials. Here, horse and human hairs are examined to analyze the sources of this response. The dynamic mechanical response of α-keratin fibers over a range of frequencies and temperatures is analyzed using a dynamic mechanical analyzer. The α-keratin fibers behave more elastically at higher frequencies while they become more viscous at higher temperatures...
September 14, 2017: Acta Biomaterialia
https://www.readbyqxmd.com/read/28919379/2017-hrs-expert-consensus-statement-on-cardiovascular-implantable-electronic-device-lead-management-and-extraction
#17
Fred M Kusumoto, Mark H Schoenfeld, Bruce L Wilkoff, Charles I Berul, Ulrika M Birgersdotter-Green, Roger Carrillo, Yong-Mei Cha, Jude Clancy, Jean-Claude Deharo, Kenneth A Ellenbogen, Derek Exner, Ayman A Hussein, Charles Kennergren, Andrew Krahn, Richard Lee, Charles J Love, Ruth A Madden, Hector Alfredo Mazzetti, JoEllyn Carol Moore, Jeffrey Parsonnet, Kristen K Patton, Marc A Rozner, Kimberly A Selzman, Morio Shoda, Komandoor Srivathsan, Neil F Strathmore, Charles D Swerdlow, Christine Tompkins, Oussama Wazni
No abstract text is available yet for this article.
September 11, 2017: Heart Rhythm: the Official Journal of the Heart Rhythm Society
https://www.readbyqxmd.com/read/28919172/comments-on-the-uspstf-draft-recommendation-statement-on-menopausal-hormone-therapy-primary-prevention-of-chronic-conditions
#18
EDITORIAL
Antonio Cano, Margaret Rees, Tommaso Simoncini
No abstract text is available yet for this article.
September 8, 2017: Maturitas
https://www.readbyqxmd.com/read/28918698/integrating-a-hip-belt-with-body-armour-reduces-the-magnitude-and-changes-the-location-of-shoulder-pressure-and-perceived-discomfort-in-soldiers
#19
Gavin K Lenton, Tim L A Doyle, Dan Billing, David J Saxby, Jeremy Higgs, David G Lloyd
Soldiers carry heavy loads that may cause general discomfort, shoulder pain, and injury. This study assessed if new body armour designs that incorporated a hip belt reduced shoulder pressures and improved comfort. Twenty-one Australian soldiers completed treadmill walking trials wearing six different body armours with two different loads (15 kg and 30 kg). Contact pressures applied to the shoulders were measured using pressure pads, and qualitative assessment of comfort and usability were acquired from questionnaires administered after walking trials...
September 18, 2017: Ergonomics
https://www.readbyqxmd.com/read/28918630/assessing-the-reliability-of-mfa-results-the-cases-of-rhenium-gallium-and-germanium-in-the-us-economy
#20
Grégoire Meylan, Barbara K Reck, Helmut Rechberger, Thomas E Graedel, Oliver Schwab
Decision-makers traditionally expect "hard facts" from scientific inquiry, an expectation the results of Material Flow Analyses (MFAs) can hardly meet. MFA limitations are attributable to incompleteness of flowcharts, limited data quality, and model assumptions. Moreover, MFA results are mostly less based on empirical observation and rather on social knowledge construction processes. Developing, applying, and improving means for evaluating and communicating reliability of MFA results is imperative. We apply two recently proposed approaches for making quantitative statements on MFA reliability to national minor metals systems: rhenium, gallium, and germanium in the US in 2012...
September 18, 2017: Environmental Science & Technology
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