keyword
https://read.qxmd.com/read/38556219/spine-surgeons-facing-second-opinions-a-qualitative-study
#21
JOURNAL ARTICLE
Bertrand Debono, Guillaume Lonjon, Antoine Guillain, Anne-Hélène Moncany, Olivier Hamel, Vincent Challier, Bassel Diebo
BACKGROUND CONTEXT: The social and technological mutation of our contemporary period disrupts the traditional dyad that prevails in the relationship between physicians and patients. PURPOSE: The solicitation of a second opinion by the patient may potentially alter this dyad and degrade the mutual trust between the stakeholders concerned. The doctor-patient relationship has often been studied from the patient's perspective, but data are scarce from the spine surgeon's point of view...
March 29, 2024: Spine Journal: Official Journal of the North American Spine Society
https://read.qxmd.com/read/38551475/current-opinion-on-large-scale-prospective-myomectomy-databases-toward-evidence-based-preconception-and-antenatal-counselling-utilising-a-standardised-myomectomy-operation-note
#22
JOURNAL ARTICLE
S M Strong, A A McDougall, A M Abdelmohsen, A Maku, A Dehnel, R Mallick, F Odejinmi
BACKGROUND: No large-scale databases exist of pregnancy outcomes and rate of uterine rupture for women after myomectomy, resulting in inconsistent antenatal counselling and decision-making regarding mode and timing of delivery. Standardising information collected at myomectomy may facilitate data collection, informing prenatal/ antenatal counselling. OBJECTIVES: To determine clinician opinions regarding standardisation of myomectomy operation notes to allow comprehensive data input into a prospective database of pregnancy outcomes, toward an evidence-based approach to decision making regarding timing and mode of delivery in subsequent pregnancies...
March 2024: Facts, Views & Vision in ObGyn
https://read.qxmd.com/read/38543979/insight-into-anomaly-detection-and-prediction-and-mobile-network-security-enhancement-leveraging-k-means-clustering-on-call-detail-records
#23
JOURNAL ARTICLE
Zagroz Aziz, Robert Bestak
The dynamic and evolving nature of mobile networks necessitates a proactive approach to security, one that goes beyond traditional methods and embraces innovative strategies such as anomaly detection and prediction. This study delves into the realm of mobile network security and reliability enhancement through the lens of anomaly detection and prediction, leveraging K-means clustering on call detail records (CDRs). By analyzing CDRs, which encapsulate comprehensive information about call activities, messaging, and data usage, this research aimed to unveil hidden patterns indicative of anomalous behavior within mobile networks and security breaches...
March 7, 2024: Sensors
https://read.qxmd.com/read/38542541/gold-nanoparticle-modified-carbon-fiber-microelectrodes-for-the-electrochemical-detection-of-cd-2-via-fast-scan-cyclic-voltammetry
#24
JOURNAL ARTICLE
Noel Manring, Miriam Strini, Gene Koifman, Jessica L Smeltz, Pavithra Pathirathna
Neurotoxic heavy metals, such as Cd2+ , pose a significant global health concern due to their increased environmental contamination and subsequent detrimental health hazards they pose to human beings. These metal ions can breach the blood-brain barrierblood-brain barrier, leading to severe and often irreversible damage to the central nervous system and other vital organs. Therefore, developing a highly sensitive, robust, and rapid in vivo detection method for these hazardous heavy metal ions is of the utmost importance for early detection, thus initiating timely therapeutics...
February 21, 2024: Micromachines
https://read.qxmd.com/read/38542520/association-of-blast-exposure-in-military-breaching-with-intestinal-permeability-blood-biomarkers-associated-with-leaky-gut
#25
JOURNAL ARTICLE
Qingkun Liu, Zhaoyu Wang, Shengnan Sun, Jeffrey Nemes, Lisa A Brenner, Andrew Hoisington, Maciej Skotak, Christina R LaValle, Yongchao Ge, Walter Carr, Fatemeh Haghighi
Injuries and subclinical effects from exposure to blasts are of significant concern in military operational settings, including tactical training, and are associated with self-reported concussion-like symptomology and physiological changes such as increased intestinal permeability (IP), which was investigated in this study. Time-series gene expression and IP biomarker data were generated from "breachers" exposed to controlled, low-level explosive blast during training. Samples from 30 male participants at pre-, post-, and follow-up blast exposure the next day were assayed via RNA-seq and ELISA...
March 21, 2024: International Journal of Molecular Sciences
https://read.qxmd.com/read/38541975/a-matter-of-trust-confidentiality-in-therapeutic-relationships-during-psychological-and-medical-treatment-in-children-and-adolescents-with-mental-disorders
#26
JOURNAL ARTICLE
Johanna Xenia Kafka, Oswald David Kothgassner, Anna Felnhofer
Background: Confidentiality is a crucial ethical principle in therapy, particularly for children and adolescents, yet their perception of it remains understudied. We aimed to explore minors' perspectives and attributions on confidentiality in psychological and medical treatment. Methods: We interviewed 11 pediatric patients aged 7 to 15 and used reflexive thematic analysis to analyze their responses. Results: Four main themes were extracted from the data: (1) confidentiality and uncertainty regarding what information will be shared with clinicians and parents; (2) consequences of breaching confidentiality, encompassing breaches of confidentiality in the past and their negative effects on interactions with parents and health professionals; (3) exceptions to confidentiality, including understanding the limits of confidentiality; and (4) autonomy and self-determination, reflecting the desire for involvement in medical decisions...
March 18, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38528181/salmonella-manipulates-macrophage-migration-via-stec-mediated-myosin-light-chain-activation-to-penetrate-the-gut-vascular-barrier
#27
JOURNAL ARTICLE
Yuanji Dai, Min Zhang, Xiaoyu Liu, Ting Sun, Wenqi Qi, Wei Ding, Zhe Chen, Ping Zhang, Ruirui Liu, Huimin Chen, Siyan Chen, Yuzhen Wang, Yingying Yue, Nannan Song, Weiwei Wang, Haihong Jia, Zhongrui Ma, Cuiling Li, Qixin Chen, Bingqing Li
The intestinal pathogen Salmonella enterica rapidly enters the bloodstream after the invasion of intestinal epithelial cells, but how Salmonella breaks through the gut-vascular barrier is largely unknown. Here, we report that Salmonella enters the bloodstream through intestinal CX3CR1+ macrophages during early infection. Mechanistically, Salmonella induces the migration/invasion properties of macrophages in a manner dependent on host cell actin and on the pathogen effector SteC. SteC recruits host myosin light chain protein Myl12a and phosphorylates its Ser19 and Thr20 residues...
March 25, 2024: EMBO Journal
https://read.qxmd.com/read/38528073/quantitative-assessment-of-the-erosion-and-deposition-effects-of-landslide-dam-outburst-flood-eastern-himalaya
#28
JOURNAL ARTICLE
Xiaolu Dong, Xianyan Wang, Long Yang, Zhijun Zhao, Ronald Van Balen, Xiaodong Miao, Tao Liu, Jef Vandenberghe, Baotian Pan, Martin Gibling, Huayu Lu
Both regular flow and infrequent outburst floods shape the mountain landscape, but their relative contributions have been widely debated, in part due to the paucity of quantitative data on historical outburst floods. In June 2000, an outburst flood was triggered by a landslide-dam failure in a rapidly exhumed region of the Eastern Himalaya. To investigate the role of this kind outburst flood on landscape evolution, we employ topographic differencing, satellite imagery, and 2D hydraulic simulations to quantify the equivalent erosion and deposition within ~ 80 km flood route downstream of the breach...
March 25, 2024: Scientific Reports
https://read.qxmd.com/read/38523412/a-novel-pathological-mutant-reveals-the-role-of-torsional-flexibility-in-the-serpin-breach-in-adoption-of-an-aggregation-prone-intermediate
#29
JOURNAL ARTICLE
Kamila Kamuda, Riccardo Ronzoni, Avik Majumdar, Fiona H X Guan, James A Irving, David A Lomas
Mutants of alpha-1-antitrypsin cause the protein to self-associate and form ordered aggregates ('polymers') that are retained within hepatocytes, resulting in a predisposition to the development of liver disease. The associated reduction in secretion, and for some mutants, impairment of function, leads to a failure to protect lung tissue against proteases released during the inflammatory response and an increased risk of emphysema. We report here a novel deficiency mutation (Gly192Cys), that we name the Sydney variant, identified in a patient in heterozygosity with the Z allele (Glu342Lys)...
March 24, 2024: FEBS Journal
https://read.qxmd.com/read/38522281/sediment-source-fingerprints-of-natural-processes-and-anthropogenic-pressures-a-contribution-to-manage-the-paraopeba-river-basin-impacted-by-the-b1-tailings-dam-collapse
#30
JOURNAL ARTICLE
Carolina Acuna-Alonso, Renato Farias do Valle Junior, Mayte Maria Abreu Pires de Melo Silva, Teresa Cristina Tarlé Pissarra, Marília Carvalho de Melo, Carlos Alberto Valera, Luis Filipe Sanches Fernandes, Fernando António Leal Pacheco, Xana Álvarez
Understanding the origins of sediment transport in river systems is crucial for effective watershed management, especially after catastrophic events. This information is essential for the development of integrated strategies that guarantee water security in river basins. The present study aimed to investigate the rupture of the B1 tailings dam of the Córrego do Feijão mine, which drastically affected the Brumadinho region (Minas Gerais, Brazil). To address this issue, a confluence-based sediment fingerprinting approach was developed through the SedSAT model...
March 22, 2024: Journal of Environmental Management
https://read.qxmd.com/read/38511193/animal-welfare-at-german-abattoirs-insights-into-the-occurrence-of-violations-against-laws-and-regulations-from-official-veterinarians-and-judicial-decisions
#31
JOURNAL ARTICLE
Stephanie Janet Schneidewind, Susann Langforth, Diana Meemken
INTRODUCTION: This study investigated the occurrence of various animal welfare violations at German abattoirs by analyzing the results of an anonymous online survey and relevant German court decisions. METHODS: The survey targeted official veterinarians (OVs) and other individuals responsible for enforcing animal welfare laws and regulations at German abattoirs. Participants were asked to report the five most common animal welfare violations in their workplaces during the past 3 years (2019-2021), and whether 22 specific given violations had occurred or not (in the same timeframe)...
2024: Frontiers in Veterinary Science
https://read.qxmd.com/read/38507063/asymptomatic-bacteriuria-prior-to-partial-and-radical-nephrectomy-to-screen-or-not-to-screen-results-from-the-national-and-multicenter-tocus-database
#32
JOURNAL ARTICLE
Elias Ayoub, Stessy Kutchukian, Pierre Bigot, Aurélien Dinh, Bastien Gondran-Tellier, Humphrey Robin, Marc Françot, Stéphane de Vergie, Jérôme Rigaud, Mathilde Chapuis, Laurent Brureau, Camille Jousseaume, Omar Karray, Fares T Kosseifi, Shahed Borojeni, Aurélien Descazeaud, Harrison-Junior Asare, Maxime Gaullier, Baptiste Poussot, Thibault Tricard, Michael Baboudjian, Éric Lechevallier, Pierre-Olivier Delpech, Héloïse Ducousso, Simon Bernardeau, Franck Bruyère, Maxime Vallée
INTRODUCTION: In the era of increased bacterial resistance, the main strategy is to reduce the prescription of antibiotics when possible. Nowadays, it is highly recommended to screen for asymptomatic bacteriuria (ABU), prior to urological surgery with potential mucosal breach or urine exposure. Screening and treating urinary colonization is a strategy widely adopted before radical and partial nephrectomy but without any evidence. Our main end point in this study is to analyze the relationship between preoperative urine culture and the risk of postoperative febrile urinary tract infection (UTI) or surgical-site infection (SSI) in partial or radical nephrectomy patients...
March 20, 2024: World Journal of Urology
https://read.qxmd.com/read/38482330/ethics-sensitivity-among-dialysis-nurses-in-jazan-region-a-descriptive-cross-sectional-study
#33
JOURNAL ARTICLE
Fatma A Rajhi, Hussein Koura, Ghaiath Hussein
BACKGROUND: Ethical sensitivity is defined as paying attention to ethical ideals in a conflict situation and being conscious of one's own role and duty in that situation. One essential element of ethical conduct is the ability to recognize and respond to ethical dilemmas. Lack of or diminished ethical awareness is a breach of nursing's professional obligation since it can lead to morally incongruent treatment. Thus, the purpose of this study is to assess the hemodialysis nurse's ethical awareness in Jizan, Saudi Arabia...
January 2024: Journal of Family Medicine and Primary Care
https://read.qxmd.com/read/38476037/ethical-issues-in-research-with-second-victims-a-scoping-review
#34
REVIEW
Lucía Catalán, María Kappes, Gabriela Morgado, Déborah Oliveira
BACKGROUND: Second victim is the name given to the healthcare personnel-most often a nursing professional-involved with the error that led to the adverse event to a patient and who, as a result, have experienced negative psychological effects. Research with second victims has increased over the years, however concerns exist with regards to the ethical risks imposed upon these individuals. AIM: To explore the extent to which research with second victims of adverse events in healthcare settings adhere to ethical requirements...
March 13, 2024: Nursing Ethics
https://read.qxmd.com/read/38474899/an-efficient-privacy-protection-mechanism-for-blockchain-based-federated-learning-system-in-uav-mec-networks
#35
JOURNAL ARTICLE
Chaoyang Zhu, Xiao Zhu, Tuanfa Qin
The widespread use of UAVs in smart cities for tasks like traffic monitoring and environmental data collection creates significant privacy and security concerns due to the transmission of sensitive data. Traditional UAV-MEC systems with centralized data processing expose this data to risks like breaches and manipulation, potentially hindering the adoption of these valuable technologies. To address this critical challenge, we propose UBFL, a novel privacy-preserving federated learning mechanism that integrates blockchain technology for secure and efficient data sharing...
February 20, 2024: Sensors
https://read.qxmd.com/read/38466352/acetaminophen-overdose-causes-a-breach-of-the-blood-bile-barrier-in-mice-but-not-in-rats
#36
JOURNAL ARTICLE
Reham Hassan, Zaynab Hobloss, Maiju Myllys, Daniela González, Brigitte Begher-Tibbe, Joerg Reinders, Adrian Friebel, Stefan Hoehme, Noha Abdelmageed, Aya A Abbas, Abdel-Latief Seddek, Samy A F Morad, Jan G Hengstler, Ahmed Ghallab
Acetaminophen (APAP) is known to cause a breach of the blood-bile barrier in mice that, via a mechanism called futile bile acid (BA) cycling, increases BA concentrations in hepatocytes above cytotoxic thresholds. Here, we compared this mechanism in mice and rats, because both species differ massively in their susceptibility to APAP and compared the results to available human data. Dose and time-dependent APAP experiments were performed in male C57BL6/N mice and Wistar rats. The time course of BA concentrations in liver tissue and in blood was analyzed by MALDI-MSI and LC-MS/MS...
March 11, 2024: Archives of Toxicology
https://read.qxmd.com/read/38459877/between-public-and-private-electronic-health-record-sharing-health-privacy-principles-and-hepatitis-c
#37
JOURNAL ARTICLE
Sean Mulcahy, Emily Lenton, Kate Seear, Kylie Valentine, Dion Kagan, Adrian Farrugia, Michael Edwards, Danny Jeffcote
People with (a history of) hepatitis C have concerns about privacy and the confidentiality of their health information. This is often due to the association between hepatitis C and injecting drug use and related stigma. In Australia, recent data breaches at a major private health insurer and legislative reforms to increase access to electronic health records have heightened these concerns. Drawing from interviews with people with lived experience of hepatitis C and stakeholders working in this area, this article explores the experiences and concerns of people with (a history of) hepatitis C in relation to the sharing of their health records...
December 2023: Journal of Law and Medicine
https://read.qxmd.com/read/38453988/blockchain-based-medical-image-encryption-using-arnold-s-cat-map-in-a-cloud-environment
#38
JOURNAL ARTICLE
Saba Inam, Shamsa Kanwal, Rabia Firdous, Fahima Hajjej
Improved software for processing medical images has inspired tremendous interest in modern medicine in recent years. Modern healthcare equipment generates huge amounts of data, such as scanned medical images and computerized patient information, which must be secured for future use. Diversity in the healthcare industry, namely in the form of medical data, is one of the largest challenges for researchers. Cloud environment and the Block chain technology have both demonstrated their own use. The purpose of this study is to combine both technologies for safe and secure transaction...
March 7, 2024: Scientific Reports
https://read.qxmd.com/read/38444207/the-straw-that-broke-the-nurse-s-back-using-psychological-contract-breach-to-understand-why-nurses-leave
#39
JOURNAL ARTICLE
Daniela Pyhäjärvi, Christina B Söderberg
AIM: To deepen our understanding of why nurses decide to leave their occupation instead of changing jobs, we examined the antecedents that led to this decision through the theoretical lens of psychological contract breach. DESIGN: A qualitative design with semi-structured interviews. METHODS: We collected 28 interviewees from our social networks and a social media platform. We included professional nurses who had decided to leave or had left the occupation...
March 5, 2024: Journal of Advanced Nursing
https://read.qxmd.com/read/38443838/diverse-proinflammatory-response-in-pharyngeal-epithelial-cells-upon-interaction-with-neisseria-meningitidis-carriage-and-invasive-isolates
#40
JOURNAL ARTICLE
Alexander Persson, Therese Koivula, Susanne Jacobsson, Bianca Stenmark
BACKGROUND: Invasive meningococcal disease (IMD), including sepsis and meningitis, can develop when Neisseria meningitidis bacteria breach the barrier and gain access to the circulation. While IMD is a rare outcome of bacterial exposure, colonization of the oropharynx is present in approximately 10% of the human population. This asymptomatic carriage can be long or short term, and it is unknown which determining factors regulate bacterial colonization. Despite descriptions of many bacterial virulence factors and recent advances in detailed genetic identification and characterization of bacteria, the factors mediating invasion and disease vs...
March 6, 2024: BMC Infectious Diseases
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