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Annemiek Visser, Judith B Prins, Lisette Jansen, Sandra A Radema, Margrethe S Schlooz, Thijs van Dalen, Hanneke W M van Laarhoven
OBJECTIVE: Group medical consultations (GMCs) provide individual medical visits in the presence of ≤7 peer-patients. In the follow-up of breast cancer, we evaluated the efficacy of a new type of blended care My-GMC, a GMC combined with a tablet-based online app, consisting of three online support group sessions (SGS) and additional information. METHODS: This randomized controlled trial compared the effect of My-GMC (n = 59) with one individual medical visit (n = 50) (care as usual)...
June 12, 2018: Breast: Official Journal of the European Society of Mastology
Ting Zhang, Siyue Xu, Haopeng Li, Xijing He, Feng Zhang
The aim of the present study was to compare the clinical effects of arthroscopic surgery with open surgery for grade II gluteal muscle contracture (GMC) in adults and to discuss the indication and technique for arthroscopic GMC release. The clinical data of 113 adult patients with grade II GMC between 2011 and 2016 was retrospectively collected. Among these patients, 72 patients received open surgery and 41 received arthroscopic surgeryy. The 2 groups were compared in terms of surgical duration, incision size, blood loss, hospital stay, analgesic dose and ranking of postoperative functions and effects...
July 2018: Experimental and Therapeutic Medicine
Clare Dyer
No abstract text is available yet for this article.
June 11, 2018: BMJ: British Medical Journal
Zhu Dai, Zhiwei Chen, Ying Liao, Zhengwu Tang, Juncheng Cui
PURPOSE: To compare the outcomes of contracture release by arthroscopic versus open surgical approach in patients with external snapping hip (ESH) caused by gluteal muscle contracture (GMC). METHODS: Medical records of patients with ESH due to GMC who underwent open surgery (n = 44) or arthroscopic surgery (n = 48) between October 2008 and October 2014 were reviewed. Patients were followed up at 1, 3, 12, and 24 months postoperatively. Operation time, incision length, postoperative pain, postoperative complication rate, and recurrence rate were compared between the 2 groups...
March 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
Georgios Koutrotsios, Nick Kalogeropoulos, Andriana C Kaliora, Georgios Zervakis
Pleurotus ostreatus, P. eryngii and P. nebrodensis were cultivated on non-conventional substrates containing grape marc (GMC) or olive mill by-products (OMB); wheat straw (WHS) served as control. GMC-based media demonstrated equal/better mushroom productivity than WHS for P. eryngii and P. nebrodensis, while the cultivation performance of P. eryngii was improved in OMB-based media. Both GMC and OMB substrates led to large increase of fruit-bodies content in phenolic acids, resveratrol, triterpenic compounds and ergosterol; in particular, P...
June 5, 2018: Journal of Agricultural and Food Chemistry
Simon Garinet, Vincent Fihman, Hervé Jacquier, Stéphane Corvec, Le Monnier Alban, Thomas Guillard, Vincent Cattoir, Jean-Ralph Zahar, Paul-Louis Woerther, Etienne Carbonnelle, Alain Wargnier, Solen Kernéis, Philippe C Morand
OBJECTIVES: The Enterobacter cloacae complex (Ecc), routinely referred to as "E. cloacae" in clinical microbiology, encompasses several species with 12 genetic clusters and one sequence crowd that can be identified based on hsp60 sequencing. Little is known about the pathogenicity and distribution of resistance to antibiotics among the Ecc. METHODS AND RESULTS: In this prospective multicentre study, a total of 193 Ecc clinical isolates were collected from 10 academic hospitals distributed nationally across France and identified at the genetic cluster level on the basis of hsp60 sequencing...
May 26, 2018: Journal of Infection
Rupert Parker, Laurence Hodierne, Elizabeth S Anderson, Robert Sm Davies, Marianne Elloy
BACKGROUND: Teamworking is an essential skill for a doctor to develop in order to work effectively, and is required in the UK as part of the General Medical Council (GMC) Good Medical Practice guidance. Assessment of teamwork may be difficult, however, with medical school assessments being more commonly focused on knowledge and individual skills. We aim to explore the link between academic ability as measured at final medical examinations and teamworking. METHODS: All final-year medical students were asked to attend a simulation session in an immersive 22-bed simulated ward, which used a combination of patient simulators and high-fidelity manikin simulators, with nursing and telephone support...
May 28, 2018: Clinical Teacher
Niall Cameron
Appraisal offers an opportunity for both the clinician and the employer to demonstrate commitment to their professional responsibilities in a tangible manner that can benefit patients, the individual clinician and the service. One unintentional consequence of revalidation may have been to foster a belief that it has undermined the educational and developmental aspects of appraisal. The objective of promoting transparency and accountability through revalidation may have led some clinicians to feel they work in a culture of greater scrutiny and assessment, leading to an erosion of their engagement with the process...
May 28, 2018: Education for Primary Care
Xuyang Zheng, Shiping Xu, Yao Wang, Xiang Sun, Yuan Gao, Baoyu Gao
In order to achieve remarkable synergy between adsorption and photocatalysis for antibiotics elimination from water, in this study, a graphitized mesoporous carbon (GMC)-TiO2 nanocomposite was successfully synthesized by an extended resorcinol-formaldehyde (R-F) method. In the composite, the lamellar GMC nanosheets possessed large specific surface area and mesoporous structure, and could adsorb and enrich antibiotics effectively. This could not only reduce the antibiotic concentration in water shortly, but also greatly increase the chances for antibiotics to contact with and be degraded by photocatalysts and active species...
May 19, 2018: Journal of Colloid and Interface Science
Lei Zhang, Zhiguo Wang, Ying Hu, Xiuying Deng, Hongxiong Guo, Xiang Sun, Fenyang Tang, Minghao Zhou, Yuanbao Liu
A single dose of the measles-mumps-rubella (MMR) vaccine has been applied in routine immunizations for children in China; however, the Immunoglobulin G (IgG) antibody level of mumps in children from kindergarten to early school age with MMR vaccine immunization history has not been elucidated. This study aimed to describe the immunity profile of children from kindergarten to early school age to identify the susceptible population. In Jiangsu Province, a cross-sectional survey of 4- to 8-year-old children who were vaccinated with at least one dose of MMR vaccine was conducted...
May 24, 2018: Human Vaccines & Immunotherapeutics
Abi Rimmer
No abstract text is available yet for this article.
May 16, 2018: BMJ: British Medical Journal
Abi Rimmer
No abstract text is available yet for this article.
May 15, 2018: BMJ: British Medical Journal
Anna-Katariina Aatsinki, Henna-Maria Uusitupa, Eveliina Munukka, Henri Pesonen, Anniina Rintala, Sami Pietilä, Leo Lahti, Erkki Eerola, Linnea Karlsson, Hasse Karlsson
BACKGROUND: Pregnancy is a time of numerous hormonal, metabolic, and immunological changes for both the mother and the fetus. Furthermore, maternal gut microbiota composition (GMC) is altered during pregnancy. One major factor affecting GMC in pregnant and nonpregnant populations is obesity. The aim was to analyze associations between maternal overweight/obesity, as well as gestational weight gain (GWG) and GMC. Moreover, the modifying effect of depression and anxiety symptom scores on weight and GMC were investigated...
May 14, 2018: Journal of Women's Health
Guo-Min Zhang, Tian-Qing Zheng, Zhuo Chen, Yong-Li Wang, Ying Wang, Yu-Min Shi, Chun-Chao Wang, Li-Yan Zhang, Jun-Tao Ma, Ling-Wei Deng, Wan Li, Tian-Tian Xu, Cheng-Zhi Liang, Jian-Long Xu, Zhi-Kang Li
Grain minerals in rice, especially those in milled grains, are important sources of micro-nutrition elements, such as iron (Fe), zinc (Zn), manganese (Mn), copper (Cu), and selenium (Se), and of toxic heavy metal elements, especially cadmium (Cd), for populations consuming a rice diet. To date, the genetic mechanism underlying grain mineral concentrations (GMCs) in milled grain remains largely unknown. In this report, we adopted a set of 698 germplasms consisting of two subsets [ indica / Xian (X-set) and japonica / Geng (G-set)], to detect quantitative trait loci (QTL) affecting GMC traits of Fe, Zn, Cd, Mn, Cu, and Se in milled grains...
2018: Frontiers in Plant Science
Xiaoxiao Qu, Min Yan, Junjie Zou, Min Jiang, Kezhen Yang, Jie Le
In rice, and other major cereal grass crops, stomata are arranged in linear files that parallel to the long growth axis of leaves. Each stomatal unit comprises two dumbbell-shaped guard cells flanked by two subsidiary cells. These morphological and developmental characteristics enable grass stomata response to environmental changes more efficiently. Cyclin-dependent kinases (CDKs) and their cyclin partners coordinate the cell proliferation and differentiation during the development of multicellular organisms...
April 26, 2018: Journal of Experimental Botany
Roger Jones, Melanie Davis-Hall
No abstract text is available yet for this article.
May 2018: British Journal of General Practice: the Journal of the Royal College of General Practitioners
Celia Taylor, I C McManus, Ian Davison
BACKGROUND: There is currently a shortage of qualified GPs in the UK and not all of the training posts available each year are filled. Changing the way in which GP trainees are selected could help increase the training post fill rate and the number of new entrants to the GP Register. The aim of this study was to model the impact of changing the selection process for GP training on the number of trainees obtaining GP Registration, either with or without extensions. METHOD: This was a cohort study using UK applications for GP training in 2011-14...
April 27, 2018: BMC Medical Education
Abi Rimmer
No abstract text is available yet for this article.
April 23, 2018: BMJ: British Medical Journal
Abi Rimmer
No abstract text is available yet for this article.
April 17, 2018: BMJ: British Medical Journal
M Garg, J Collyer, D Dhariwal
Training in oral and maxillofacial surgery (OMFS) in the UK has undergone considerable changes during the last 10years, and "core" surgical training has replaced "basic" surgical training. In 2014 a pilot "run-through" training programme from specialist training year one (ST1)-ST7 was introduced to facilitate early entry into the speciality. Run-through training guarantees that a trainee, after a single competitive selection process and satisfactory progress, will be given training that covers the entire curriculum of the speciality, whereas uncoupled training requires a second stage of competitive recruitment after the first one (for OMFS only) or two years of "core" training to progress to higher specialty training...
May 2018: British Journal of Oral & Maxillofacial Surgery
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