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https://www.readbyqxmd.com/read/28529655/scfe-clinical-aspects-diagnosis-and-classification
#1
M B Millis
PURPOSE: This article seeks to improve treatment outcomes in slipped capital femoral epiphysis (SCFE) by outlining advances in diagnosis, understanding of pathomechanics, and mechanically-based classification. METHODS: Review of clinical experience with SCFE at our high-volume centre, interaction with other clinical experts, and literature review has allowed a current perspective to be articulated. RESULTS: SCFE remains an important clinical problem, with late diagnosis still frequent...
April 2017: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/28528483/fossil-record-of-ephedra-in-the-lower-cretaceous-aptian-argentina
#2
Gabriela G Puebla, Ari Iglesias, María A Gómez, Mercedes B Prámparo
Fossil plants from the Lower Cretaceous (upper Aptian) of the La Cantera Formation, Argentina, are described. The fossils studied represent a leafy shooting system with several orders of articulated and striated axes and attached leaves with unequivocal ephedroid affinity. We also found associated remains of ovulate cones with four whorls of sterile bracts, which contain two female reproductive units (FRU). Ovulate cone characters fit well within the genus Ephedra. Special characters in the ovulate cones including an outer seed envelope with two types of trichomes, allowed us to consider our remains as a new Ephedra species...
May 20, 2017: Journal of Plant Research
https://www.readbyqxmd.com/read/28528349/high-wear-resistance-of-femoral-components-coated-with-titanium-nitride-a-retrieval-analysis
#3
Christian Fabry, Carmen Zietz, Axel Baumann, Reinhard Ehall, Rainer Bader
PURPOSE: The objective of this study was to evaluate the in vivo wear resistance of cobalt-chromium femoral components coated with titanium nitride (TiN). Our null hypothesis was that the surface damage and the thickness of the TiN coating do not correlate with the time in vivo. METHODS: Twenty-five TiN-coated bicondylar femoral retrievals with a mean implantation period of 30.7 ± 11.7 months were subjected to an objective surface damage analysis with a semi-quantitative assessment method...
May 20, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28527540/whispering-by-individuals-using-tracheoesophageal-speech
#4
Jeff Searl
OBJECTIVES: This study compared whispering attempts by adults using tracheoesophageal (TE) speech with those by adults with a larynx. Comparisons were based on listener judgments, visual-perceptual assessment of spectrograms, and measures of the acoustic signal. STUDY DESIGN: This was a prospective, cross-sectional study. METHODS: Seventeen TE and 10 laryngeal speakers produced sentences in a whisper and in their spoken voice. Listeners judged sentences as whispered or spoken...
May 17, 2017: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/28526903/compartmental-tongue-resection-with-submental-island-flap-reconstruction-for-large-carcinoma-of-the-oral-tongue
#5
Sameh Roshdy, Mohamed Elbadrawy, Ashraf Khater, Tamer Fady, Hend A El-Hadaad, Nazem Shams, Hany M Elbarbary
BACKGROUND: Tongue resection is a surgical challenge because of its adverse effects on language articulation, swallowing, respiration, the eventual quality of life, and poor prognosis of advanced disease. To date, the currently accepted standard treatment has been based on excision of the primary lesion with a 1.5-2-cm circumferential macroscopic margin. Compartmental tongue surgery (CTS) is a surgical technique that removes an anatomo-functional compartment containing the primary tumor...
May 19, 2017: Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28525780/age-of-despair-or-age-of-hope-palestinian-women-s-perspectives-on-midlife-health
#6
Doaa Hammoudeh, Ernestina Coast, David Lewis, Yoke van der Meulen, Tiziana Leone, Rita Giacaman
There is limited evidence about women's experiences of the midlife, beyond a narrow - frequently biomedical - focus on the menopause. The broader (physical, social, cultural, political) dimensions of women's midlife health are poorly understood, particularly in low and middle-income countries. Our study seeks to understand how women in the West Bank (occupied Palestinian territories) conceptualise, experience and manage their health in the midlife. We generated qualitative evidence using in-depth life history interviews in 2015 with women (n = 35) living in the West Bank, analysed thematically...
May 11, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28525607/rna-moip-prediction-of-rna-secondary-structure-and-local-3d-motifs-from-sequence-data
#7
Jason Yao, Vladimir Reinharz, François Major, Jérôme Waldisphül
RNA structures are hierarchically organized. The secondary structure is articulated around sophisticated local three-dimensional (3D) motifs shaping the full 3D architecture of the molecule. Recent contributions have identified and organized recurrent local 3D motifs, but applications of this knowledge for predictive purposes is still in its infancy. We recently developed a computational framework, named RNA-MoIP, to reconcile RNA secondary structure and local 3D motif information available in databases. In this paper, we introduce a web service using our software for predicting RNA hybrid 2D-3D structures from sequence data only...
May 19, 2017: Nucleic Acids Research
https://www.readbyqxmd.com/read/28525511/factors-affecting-acoustics-and-speech-intelligibility-in-the-operating-room-size-matters
#8
Richard R McNeer, Christopher L Bennett, Danielle Bodzin Horn, Roman Dudaryk
INTRODUCTION: Noise in health care settings has increased since 1960 and represents a significant source of dissatisfaction among staff and patients and risk to patient safety. Operating rooms (ORs) in which effective communication is crucial are particularly noisy. Speech intelligibility is impacted by noise, room architecture, and acoustics. For example, sound reverberation time (RT60) increases with room size, which can negatively impact intelligibility, while room objects are hypothesized to have the opposite effect...
June 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/28525494/optimal-entry-point-and-trajectory-for-anterior-c1-lateral-mass-screw
#9
Yong Hu, Wei-Xin Dong, William Ryan Spiker, Zhen-Shan Yuan, Xiao-Yang Sun, Jiao Zhang, Hui Xie, Todd J Albert
STUDY DESIGN: A radiographic analysis of the anatomy of the C1 lateral mass using computed tomography (CT) scans and Mimics software. OBJECTIVE: To define the anatomy of the C1 lateral mass and make recommendations for optimal entry point and trajectory for anterior C1 lateral mass screws. SUMMARY OF BACKGROUND DATA: Although various posterior insertion angles and entry points for screw insertion have been proposed for posterior C1 lateral mass screws, no large series have been performed to assess the ideal entry point and optimal trajectory for anterior C1 lateral mass screw placement...
June 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28524765/what-can-critical-suicidology-do
#10
Jennifer White
Critical suicidology is an emerging area of scholarship and praxis that brings together academics, community activists, service users, practitioners, policy makers, family members and persons with lived experience, to rethink what it means to study suicide and enact practices of suicide prevention in more diverse and creative, less psycho-centric and less depoliticized, ways. In this paper I begin to articulate what it might mean to "think like a critical suicidologist," the questions that might get asked from this position, the academic and activist allies who might get recruited to the cause, and the potential cracks we might open up in pursuit of a more hopeful, life-affirming, and just future...
May 19, 2017: Death Studies
https://www.readbyqxmd.com/read/28523939/prevalence-of-psychological-distress-how-do-australia-and-canada-compare
#11
Joanne C Enticott, Elizabeth Lin, Frances Shawyer, Grant Russell, Brett Inder, Scott Patten, Graham Meadows
OBJECTIVE: To compare equivalent population-level mental health indicators in Canada and Australia, and articulate recommendations to support equitable mental health services. These are two somewhat similar resource-rich countries characterized by extensive non-metropolitan and rural regions as well as significant areas of socioeconomic deprivation. METHODS: A cross-national epidemiology and equity study: primary outcome was Kessler Psychological Distress Scale (K10) in recent national surveys...
May 1, 2017: Australian and New Zealand Journal of Psychiatry
https://www.readbyqxmd.com/read/28521647/a-qualitative-investigation-of-lay-perspectives-of-diagnosis-and-self-management-strategies-employed-by-people-with-progressive-multiple-sclerosis
#12
Julia Frost, Jane Grose, Nicky Britten
This article explores how people with progressive multiple sclerosis give meaning to their experiences. It builds upon the self-management literature, which has captured the tension between the desire for retaining normalcy and the increasing burden of self-management associated with chronic disease progression. This repeat interview study is empirically grounded in 28 interviews with 14 people with progressive multiple sclerosis. We identified gender differences in diagnosis-seeking which impacted subsequent sense-making...
May 2017: Health (London)
https://www.readbyqxmd.com/read/28520445/telodendrimers-for-physical-encapsulation-and-covalent-linking-of-individual-or-combined-therapeutics
#13
Ashok Kakkar, Jason Choi, Alexandre Moquin, Enzo Bomal, Li Na, Dusica Maysinger
New therapeutics for glioblastoma multiforme and our ability to deliver them using efficient nanocarriers, constitute topical areas of research. We report a comparative study of temozolomide and quercetin in the treatment of glioblastoma (GBM) in 3D, and their incorporation into micelles obtained from synthetically articulated architectural copolymers, and a commercially available linear polymer poly(ethylene glycol)-poly(lactic-co-glycolic acid) (PEG-PLGA). A versatile synthetic methodology to telodendrimers which can be easily adapted to the needs of other therapeutic interventions, is presented...
May 18, 2017: Molecular Pharmaceutics
https://www.readbyqxmd.com/read/28516196/coupling-dynamics-in-speech-gestures-amplitude-and-rate-influences
#14
Pascal H H M van Lieshout
Speech is a complex oral motor function that involves multiple articulators that need to be coordinated in space and time at relatively high movement speeds. How this is accomplished remains an important and largely unresolved empirical question. From a coordination dynamics perspective, coordination involves the assembly of coordinative units that are characterized by inherently stable coupling patterns that act as attractor states for task-specific actions. In the motor control literature, one particular model formulated by Haken et al...
May 17, 2017: Experimental Brain Research. Experimentelle Hirnforschung. Expérimentation Cérébrale
https://www.readbyqxmd.com/read/28514701/a-biased-opinion-demonstration-of-cognitive-bias-on-a-fingerprint-matching-task-through-knowledge-of-dna-test-results
#15
Sarah V Stevenage, Alice Bennett
One study is presented which explores the biasing effects of irrelevant contextual information on a fingerprint matching task. Bias was introduced by providing the outcomes of a DNA test relating to each fictitious case under consideration. This was engineered to suggest either a match, no match, or an inconclusive outcome, and was thus either consistent, misleading or unbiased depending on the ground truth of each fingerprint pair. The results suggested that, when the difficulty of the fingerprint matching task was measurably increased, participants became more vulnerable to the biasing information...
May 1, 2017: Forensic Science International
https://www.readbyqxmd.com/read/28511843/interpellating-recovery-the-politics-of-identity-in-recovery-focused-treatment
#16
Renae Fomiatti, David Moore, Suzanne Fraser
Much research tends to treat alcohol and other drug 'recovery' as a process of positive identity change and development. In this article, we depart from this dominant approach by examining how the social and material practices of alcohol and other drug treatment are themselves active in the constitution of 'recovery identity'. Using Judith Butler's theorisation of interpellation, we examine the accounts of treatment experiences and practices provided in interviews with people who inject drugs. In contrast to the existing literature, we argue that the 'recovering addict' is a socially produced category rather than a coherent psychological identity...
May 13, 2017: International Journal on Drug Policy
https://www.readbyqxmd.com/read/28511123/dismissing-the-goals-a-comparison-of-four-goal-dismissive-goal-free-evaluations
#17
Brandon W Youker, Ken Ford, Nicholas Bayer
This article provides a descriptive review of four goal-free evaluations (GFE). GFE is an evaluation model where the evaluator conducts the evaluation without knowledge of or reference to the evaluand's stated goals. The four non-randomly sampled evaluation approaches represent articulated evaluation models in which the evaluators ignore the goals of the intervention or project. Data collection consisted of document analyses supplemented by semi-structured interviews with the models' creators. The findings from these case studies include descriptions of the evaluation models, the models' relationship to GFE, and eight commonalities shared among the four models...
May 9, 2017: Evaluation and Program Planning
https://www.readbyqxmd.com/read/28510474/increased-magnetic-resonance-imaging-signal-of-the-lateral-patellar-facet-cartilage-a-functional-marker-for-patellar-instability
#18
Anna L Falkowski, Carlo Camathias, Jon A Jacobson, Olaf Magerkurth
BACKGROUND: In the knee joint, predisposition for patellar instability can be assessed by an abnormal Insall-Salvati index, tibial tuberosity-trochlear groove (TTTG) distance, and abnormal shape of patella and trochlea. Given the complex anatomic features of the knee joint with varying positions of the patella during motion, the presence of a single or even a combination of these factors does not inevitably result in patellar instability. After trocheoplasty in patients with trochlear dysplasia, assessment of trochlear cartilage and subchondral bone is limited due to postoperative artifacts...
May 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28509824/implant-survival-after-minimally-invasive-anterior-or-anterolateral-vs-conventional-posterior-or-direct-lateral-approach-an-analysis-of-21-860-total-hip-arthroplasties-from-the-norwegian-arthroplasty-register-2008-to-2013
#19
Knut Erik Mjaaland, Svein Svenningsen, Anne Marie Fenstad, Leif I Havelin, Ove Furnes, Lars Nordsletten
BACKGROUND: Since 2008, there has been an increase in the use of minimally invasive surgery (MIS) through an anterior or anterolateral approach for total hip arthroplasty (THA) in Norway. We compared the MIS approaches with the conventional posterior and direct lateral approaches in terms of revision rates and risk of revision. METHODS: On the basis of data in the Norwegian Arthroplasty Register, 21,860 THAs with an uncemented stem, performed between 2008 and 2013, were identified and included in the cohort...
May 17, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28509620/the-role-of-social-workers-in-addressing-nonmedical-needs-in-primary-health-care
#20
Jeannine M Rowe, Victoria M Rizzo, Matthew R Vail, Suk-Young Kang, Robyn Golden
Nonmedical needs are intricately linked to health. Unaddressed nonmedical needs often result in poorer health and increased healthcare costs. Although social workers are well positioned to address nonmedical needs, their role in healthcare environments to address nonmedical needs is limited. The limited role relates to a lack of reimbursement streams, which stems from poor articulation about their unique contributions. An analysis of a case study in which a social worker using AIMS, a protocolized care coordination model, was undertaken to highlight specific activities performed by social workers...
May 16, 2017: Social Work in Health Care
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