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https://www.readbyqxmd.com/read/28545474/a-retrospective-study-to-assess-the-evaluation-of-living-related-kidney-donors-and-their-outcomes-following-nephrectomy-at-kenyatta-national-hospital
#1
A Muturi, V Kotecha, S Kanyi
BACKGROUND: Kidney transplantation is the renal replacement therapy of choice for end stage renal disease. To ensure safety regular audit of the donation process is necessary. The aim of this study was to assess the evaluation of potential living related kidney donors and document their outcomes following nephrectomy. METHODS: This was a retrospective descriptive study involving all living related kidney donors seen at Kenyatta National Hospital (KNH) renal unit from 2010 to 2014...
May 25, 2017: BMC Nephrology
https://www.readbyqxmd.com/read/28514523/the-views-of-older-people-and-health-professionals-about-dignity-in-acute-hospital-care
#2
Marcelle Tauber-Gilmore, Gulen Addis, Zainab Zahran, Sally Black, Lesley Baillie, Sue Procter, Christine Norton
AIMS AND OBJECTIVES: This paper reports the findings from interviews conducted as part of a wider study on interventions to support dignified care in older people in acute hospital care. The data in this paper present the interview data. BACKGROUND: Dignity is a complex concept. Despite a plethora of recommendations on how to achieve dignified care it remains unclear how to attain this in practice and what the priorities of patients and staff are in relation to dignity...
May 17, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28511164/changes-of-lipidic-and-the-immunological-state-at-patients-with-a-metabolic-syndrome-in-ukraine
#3
Olena O Karlova, Sergei T Omelchuk, Olena V Kuzminska, Valentyna V Melnyk
INTRODUCTION: The metabolic syndrome has become pandemic nature and tends to rejuvenation in the world. Elucidation of the pathogenic mechanisms on membrane-cell level will optimize the treatment of patients with metabolic syndrome and prevention of metabolic syndrome on the level of pre-clinical manifestations. AIM: to study the immunological status and lipid metabolism in the patients with metabolic syndrome and the pathogenetic mechanisms of metabolic syndrome were established...
2017: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/28487856/computing-spatiotemporal-heat-maps-of-lipid-electropore-formation-a-statistical-approach
#4
Willy Wriggers, Federica Castellani, Julio A Kovacs, P Thomas Vernier
We extend the multiscale spatiotemporal heat map strategies originally developed for interpreting molecular dynamics simulations of well-structured proteins to liquids such as lipid bilayers and solvents. Our analysis informs the experimental and theoretical investigation of electroporation, that is, the externally imposed breaching of the cell membrane under the influence of an electric field of sufficient magnitude. To understand the nanoscale architecture of electroporation, we transform time domain data of the coarse-grained interaction networks of lipids and solvents into spatial heat maps of the most relevant constituent molecules...
2017: Frontiers in Molecular Biosciences
https://www.readbyqxmd.com/read/28483143/spatial-and-temporal-analysis-of-the-risks-posed-by-total-petroleum-hydrocarbon-and-trace-element-contaminants-in-coastal-waters-of-kuwait
#5
E E M Nicolaus, S R Wright, J Barry, T P C Bolam, K Ghareeb, M Ghaloom, N Al-Kanderi, B F M Harley, W J F Le Quesne, M J Devlin, B P Lyons
Nine trace elements including As, Cd, Cu, Fe, Hg, Ni, Pb, V and Zn, and total petroleum hydrocarbons were analysed from water samples collected from 23 stations since 1984 from Kuwaiti coastal waters. Here it was investigated whether concentrations of these determinants are at levels above Kuwaiti and internationally established assessment criteria (AC). The results indicate that Cu and Cd had the most Kuwaiti AC breaches over time. Comparing the data of the last sampled year to the least stringent international AC, then Cu and Cd showed breaches at all stations...
May 5, 2017: Marine Pollution Bulletin
https://www.readbyqxmd.com/read/28480484/online-ethics-where-will-the-interface-of-mental-health-and-the-internet-lead-us
#6
REVIEW
Victoria Cosgrove, Emma Gliddon, Lesley Berk, David Grimm, Sue Lauder, Seetal Dodd, Michael Berk, Trisha Suppes
While e-health initiatives are poised to revolutionize delivery and access to mental health care, conducting clinical research online involves specific contextual and ethical considerations. Face-to-face psychosocial interventions can at times entail risk and have adverse psychoactive effects, something true for online mental health programs too. Risks associated with and specific to internet psychosocial interventions include potential breaches of confidentiality related to online communications (such as unencrypted email), data privacy and security, risks of self-selection and self-diagnosis as well as the shortcomings of receiving psychoeducation and treatment at distance from an impersonal website...
December 2017: International Journal of Bipolar Disorders
https://www.readbyqxmd.com/read/28476153/-when-they-know-that-you-are-a-sex-worker-you-will-be-the-last-person-to-be-treated-perceptions-and-experiences-of-female-sex-workers-in-accessing-hiv-services-in-uganda
#7
Rhoda K Wanyenze, Geofrey Musinguzi, Juliet Kiguli, Fred Nuwaha, Geoffrey Mujisha, Joshua Musinguzi, Jim Arinaitwe, Joseph K B Matovu
BACKGROUND: HIV prevalence among female sex workers (FSWs) in high burden countries in sub-Saharan Africa varies between 24 and 72%, however their access to HIV services remains limited. This study explored FSWs' perspectives of the barriers and opportunities to HIV service access in Uganda. METHODS: The cross-sectional qualitative study was conducted between October and December 2013. Twenty-four focus group discussions were conducted with 190 FSWs in 12 districts...
May 5, 2017: BMC International Health and Human Rights
https://www.readbyqxmd.com/read/28470845/squid-predation-by-slender-sunfish-ranzania-laevis-molidae
#8
M Nyegaard, N Loneragan, M B Santos
In addition to crustaceans, remains from 17 individual squid were found in the stomach of a 58 cm slender sunfish Ranzania laevis from Australia, adding a new prey item to their little studied diet. Taken together with existing data from the literature, crustaceans appear to be a common prey item, with larger R. laevis (26-65 cm) also taking small fish and squid. Along with new documentation on breaching, the unexpected finding of squid in the stomach confirms that these fish are fast and agile predators...
May 3, 2017: Journal of Fish Biology
https://www.readbyqxmd.com/read/28470667/autoreactive-monoclonal-antibodies-from-patients-with-primary-biliary-cholangitis-recognize-environmental-xenobiotics
#9
Toshihiro Tanaka, Weici Zhang, Ying Sun, Zongwen Shuai, Asiya Chida, Thomas P Kenny, Guo-Xiang Yang, Ignacio Sanz, Aftab Ansai, Christopher L Bowlus, Gregory C Ippolito, Ross L Coppel, Kazuichi Okazaki, Xiao-Song He, Patrick S C Leung, M Eric Gershwin
A major problem in autoimmunity has been identification of the earliest events that lead to breach of tolerance. Although there have been major advances in dissecting effector pathways and the multi-lineage immune responses to mitochondrial self-antigens in primary biliary cholangitis (PBC), the critical links between environmental factors and tolerance remain elusive. We hypothesized that environmental xenobiotic modification of the E2 subunit of the pyruvate dehydrogenase (PDC-E2) inner lipoyl domain can lead to loss of tolerance to genetically susceptible hosts...
May 3, 2017: Hepatology: Official Journal of the American Association for the Study of Liver Diseases
https://www.readbyqxmd.com/read/28469898/the-value-of-a-surgical-assessment-unit-ultrasound-facility
#10
Wesley Lai, Catherine Gutteridge, Alicia Regan, Anthony Lambert
Ultrasound scan (USS) is a common and important mode of investigation for emergency surgical admissions. Delay in investigation often leads to delayed diagnosis and treatment, and possible extended length of stay (LOS), which has clinical, cost and service provision implications. We aim to investigate the clinical impact on patient care and the cost-effectiveness of a pilot Surgical Assessment Unit (SAU) USS facility. We performed a retrospective data collection on 100 consecutive SAU inpatients who had an USS investigation on the ward since the introduction of the facility, matched by 100 consecutive SAU inpatients who had an USS in the radiology department before the pilot study...
2017: BMJ Quality Improvement Reports
https://www.readbyqxmd.com/read/28464877/assessment-of-knowledge-about-biobanking-among-healthcare-students-and-their-willingness-to-donate-biospecimens
#11
Leena Merdad, Lama Aldakhil, Rawan Gadi, Mourad Assidi, Salina Y Saddick, Adel Abuzenadah, Jim Vaught, Abdelbaset Buhmeida, Mohammed H Al-Qahtani
BACKGROUND: Biobanks and biospecimen collections are becoming a primary means of delivering personalized diagnostics and tailoring individualized therapeutics. This shift towards precision medicine (PM) requires interactions among a variety of stakeholders, including the public, patients, healthcare providers, government, and donors. Very few studies have investigated the role of healthcare students in biobanking and biospecimen donations. The main aims of this study were (1) to evaluate the knowledge of senior healthcare students about biobanks and (2) to assess the students' willingness to donate biospecimens and the factors influencing their attitudes...
May 2, 2017: BMC Medical Ethics
https://www.readbyqxmd.com/read/28463609/initial-academic-experience-and-learning-curve-with-robotic-spine-instrumentation
#12
Timur M Urakov, Ken Hsuan-Kan Chang, S Shelby Burks, Michael Y Wang
OBJECTIVE Spine surgery is complex and involves various steps. Current robotic technology is mostly aimed at assisting with pedicle screw insertion. This report evaluates the feasibility of robot-assisted pedicle instrumentation in an academic environment with the involvement of residents and fellows. METHODS The Renaissance Guidance System was used to plan and execute pedicle screw placement in open and percutaneous consecutive cases performed in the period of December 2015 to December 2016. The database was reviewed to assess the usability of the robot by neurosurgical trainees...
May 2017: Neurosurgical Focus
https://www.readbyqxmd.com/read/28442530/breach-of-autoreactive-b-cell-tolerance-by-post-translationally-modified-proteins
#13
Jacqueline S Dekkers, Marije K Verheul, Jeroen N Stoop, Bisheng Liu, Andreea Ioan-Facsinay, Peter A van Veelen, Arnoud H de Ru, George M C Janssen, Martin Hegen, Steve Rapecki, Tom W J Huizinga, Leendert A Trouw, René E M Toes
OBJECTIVES: Over 50% of patients with rheumatoid arthritis (RA) harbour a variety of anti-modified protein antibodies (AMPA) against different post-translationally modified (PTM) proteins, including anti-carbamylated protein (anti-CarP) antibodies. At present, it is unknown how AMPA are generated and how autoreactive B cell responses against PTM proteins are induced. Here we studied whether PTM foreign antigens can breach B cell tolerance towards PTM self-proteins. METHODS: Serum reactivity towards five carbamylated proteins was determined for 160 patients with RA and 40 healthy individuals...
April 25, 2017: Annals of the Rheumatic Diseases
https://www.readbyqxmd.com/read/28428081/intraoperative-image-guidance-compared-with-free-hand-methods-in-adolescent-idiopathic-scoliosis-posterior-spinal-surgery-a-systematic-review-on-screw-related-complications-and-breach-rates
#14
Andrew Chan, Eric Parent, Karl Narvacan, Cindy San, Edmond Lou
BACKGROUND CONTEXT: Severe adolescent idiopathic scoliosis (AIS) is a three-dimensional spinal deformity requiring surgery to stop curve progression. Posterior spinal instrumentation and fusion with pedicle screws is the standard surgery for AIS curve correction. Vascular and neurologic complications related to screw malpositioning are concerns in surgeries for AIS. Breach rates are reported at 15.7%, implant-related complications at 1.1%, and neurologic deficit at 0.8%. Free-hand screw insertion remains the prevailing method of screw placement, whereas image guidance has been suggested to improve placement accuracy...
April 17, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28425458/anatomy-of-terminal-moraine-segments-and-implied-lake-stability-on-ngozumpa-glacier-nepal-from-electrical-resistivity-tomography-ert
#15
Sarah S Thompson, Bernd Kulessa, Douglas I Benn, Jordan R Mertes
Moraine-dammed lakes at debris-covered glaciers are becoming increasingly common and pose significant outburst flood hazards if the dam is breached. While moraine subsurface structure and internal processes are likely to influence dam stability, only few sites have so far been investigated. We conducted electrical resistivity tomography (ERT) surveys at two sites on the terminal moraine complex of the Ngozumpa Glacier, Nepal, to aid assessment of future terminus stability. The resistivity signature of glacier ice at the site (100-15 kΩ m) is more consistent with values measured from cold glacier ice and while this may be feasible, uncertainties in the data inversion introduce ambiguity to this thermal interpretation...
April 20, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28423838/computable-information-governance-contracts
#16
James Cunningham, Gary Leeming, John Ainsworth
The risks of relinquishing control of electronic healthcare data for re-use in research are mitigated by the use of data sharing agreements and information governance procedures. These exist as legal, or quasi-legal, textual documents exchanged between data owners. Their existence outside of the digital realm leads to a situation where breaches of an agreement can only be detected and acted on post-hoc. We introduce the design of a system of computable contracts, specified formally, that can enforce the rules of data sharing agreements within the bounds of electronic health care systems...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28417146/repeated-mild-traumatic-brain-injury-in-female-rats-increases-lipid-peroxidation-in-neurons
#17
Nathanael J Yates, Stephen Lydiard, Brooke Fehily, Gillian Weir, Aaron Chin, Carole A Bartlett, Jacqueline Alderson, Melinda Fitzgerald
Negative outcomes of mild traumatic brain injury (mTBI) can be exacerbated by repeated insult. Animal models of repeated closed-head mTBI provide the opportunity to define acute pathological mechanisms as the number of mTBI increases. Furthermore, little is known about the effects of mTBI impact site, and how this may affect brain function. We use a closed head, weight drop model of mTBI that allows head movement following impact, in adult female rats to determine the role of the number and location of mTBI on brain pathology and behaviour...
April 17, 2017: Experimental Brain Research. Experimentelle Hirnforschung. Expérimentation Cérébrale
https://www.readbyqxmd.com/read/28403047/risk-factors-in-children-older-than-5-years-with-pneumococcal-meningitis-data-from-a-national-network
#18
Fanny Hénaff, Corinne Levy, Robert Cohen, Capucine Picard, Emmanuelle Varon, Christèle Gras Le Guen, Elise Launay
BACKGROUND: The occurrence of meningitis in children >5 years old may be associated with specific predisposing factors that can be anatomic, such as cerebrospinal fluid fistula or breach, or related to genetic susceptibility or N inborn or acquired immunologic defect. This study aimed to assess the anatomical and immunologic risk factors in children >5 years old with pneumococcal meningitis and prospectively enrolled in the French national meningitis network. METHODS: We analyzed all data for children who were 5-15 years old with a diagnosis of pneumococcal meningitis between 2001 and 2013...
May 2017: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/28396408/size-selective-opening-of-the-blood-brain-barrier-by-targeting-endothelial-sphingosine-1-phosphate-receptor-1
#19
Keisuke Yanagida, Catherine H Liu, Giuseppe Faraco, Sylvain Galvani, Helen K Smith, Nathalie Burg, Josef Anrather, Teresa Sanchez, Costantino Iadecola, Timothy Hla
The vasculature of the central nervous system (CNS) forms a selective barrier termed the blood-brain barrier (BBB). Disruption of the BBB may contribute to various CNS diseases. Conversely, the intact BBB restricts efficient penetration of CNS-targeted drugs. Here, we report the BBB-regulatory role of endothelial sphingosine 1-phosphate (S1P) receptor-1, a G protein-coupled receptor known to promote the barrier function in peripheral vessels. Endothelial-specific S1pr1 knockout mice (S1pr1(iECKO) ) showed BBB breach for small-molecular-mass fluorescence tracers (<3 kDa), but not larger tracers (>10 kDa)...
April 25, 2017: Proceedings of the National Academy of Sciences of the United States of America
https://www.readbyqxmd.com/read/28384777/hospital-risk-of-data-breaches
#20
Ge Bai, John Xuefeng Jiang, Renee Flasher
No abstract text is available yet for this article.
April 3, 2017: JAMA Internal Medicine
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