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https://www.readbyqxmd.com/read/28093300/surgeon-as-the-second-victim-results-of-the-boston-intraoperative-adverse-events-surgeons-attitude-bisa-study
#1
Kelsey Han, Jordan Bohnen, Thomas Peponis, Myriam Martinez, Anirudh Nandan, Daniel D Yeh, Jarone Lee, Marc Demoya, George Velmahos, Haytham Ma Kaafarani
BACKGROUND: An intraoperative adverse event (iAE) is often directly attributable to the surgeon's technical error and/or suboptimal intraoperative judgment. We aimed to examine the psychological impact of iAEs on surgeons as well as the surgeons' attitude regarding iAE reporting. STUDY DESIGN: We conducted a web-based cross-sectional survey of all surgeons at three major teaching hospitals of the same university. The 29-item questionnaire was developed using a systematic closed and open approach focused on assessing the surgeons' 1) personal account of iAE incidence, 2) emotional response to iAEs, 3) available support systems and 4) perspective regarding the barriers to iAE reporting...
January 13, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28079564/an-anesthesiologist-s-perspective-on-the-history-of-basic-airway-management-the-artisanal-anesthetic-era-1846-to-1904
#2
Adrian A Matioc
This second installment of the history of basic airway management covers the early-artisanal-years of anesthesia from 1846 to 1904. Anesthesia was invented and practiced as a supporting specialty in the context of great surgical and medical advances. The current-day anesthesia provider tends to equate the history of airway management with the history of intubation, but for the first 58 yr after the introduction of ether anesthesia, airway management was provided by basic airway techniques with or without the use of a face mask...
January 12, 2017: Anesthesiology
https://www.readbyqxmd.com/read/28074704/the-toxicology-of-zinc-chloride-smoke-producing-bombs-and-screens
#3
Ayman El Idrissi, Lisanne van Berkel, Nadia E Bonekamp, Diana J Z Dalemans, Marcel A G van der Heyden
CONTEXT: Zinc chloride (ZnCl2)-based smoke bombs and screens are in use since the Second World War (1939-1945). Many case descriptions on ZnCl2 smoke inhalation incidents appeared since 1945. OBJECTIVE: We provide a comprehensive overview of the clinical symptoms and underlying pathophysiology due to exposure to fumes from ZnCl2 smoke producing bombs. In addition, we give a historical overview of treatment regimens and their outcomes. METHODOLOGY: We performed a literature search on Medline, Scopus and Google Scholar databases using combinations of the following search terms "smoke bomb", "smoke screen", "ZnCl2", "intoxication", "poisoning", "case report", "HE smoke", "hexachloroethane smoke", "smoke inhalation" and "white smoke"...
January 11, 2017: Clinical Toxicology
https://www.readbyqxmd.com/read/28042901/students-reports-of-severe-violence-in-school-as-a-tool-for-early-detection-and-prevention
#4
Yaacov B Yablon
Early detection of severe violence is a significant challenge for many schools. Three studies were conducted on samples of 6th, 8th, and 10th graders (12-16 years old). The first study, based on paired reports of teachers and students (n = 130), showed that a high percentage of both victims and perpetrators of severe violence are not identified by teachers but are known to students. The second and third studies were based on qualitative (n = 30) and quantitative methods (n = 524) and revealed the factors that explain students' willingness to report or seek help from their teachers...
January 2017: Child Development
https://www.readbyqxmd.com/read/28040370/benefit-of-extracorporeal-membrane-oxygenation-in-major-burns-after-stun-grenade-explosion-experience-from-a-single-military-medical-center
#5
Po-Shun Hsu, Yi-Ting Tsai, Chih-Yuan Lin, Shyi-Gen Chen, Niann-Tzyy Dai, Cheng-Jung Chen, Jia-Lin Chen, Chien-Sung Tsai
INTRODUCTION: Explosion injury is very common on the battlefield and is associated with major burn and inhalation injuries and subsequent high mortality and morbidity rates. Here we report six victims who suffered from explosion injuries caused by stun grenade; all were treated with extracorporeal membrane oxygenation (ECMO) as salvage therapy. This study was aimed to evaluate the indications and efficacy of ECMO in acute and critically ill major burn patients. METHODS: This was a retrospective analysis of six patients from Tri-Service General Hospital, National Defense Medical Center in Taiwan...
December 28, 2016: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/28039683/injury-epidemiology-in-iran-a-systematic-review
#6
Saber Azami-Aghdash, Homayoun Sadeghi-Bazargani, Hosein Shabaninejad, Hassan Abolghasem Gorji
BACKGROUND: Injuries are the second greatest cause of mortality in Iran. Information about the epidemiological pattern of injuries is effective in decision-making. In this regard, the aim of the current study is to elaborate on the epidemiology of injuries in Iran through a systematic review. METHODS: Required data were collected searching the following key words and their Persian equivalents; trauma, injury, accident, epidemiology, prevalence, pattern, etiology, risk factors and Iran...
January 1, 2017: Journal of Injury & Violence Research
https://www.readbyqxmd.com/read/28035730/chronic-kidney-disease-in-neurogenic-bladder
#7
Bong Mo Sung, Dong-Jin Oh, Moon Hee Choi, Hye Min Choi
AIM: It was believed that neurogenic bladder (NB) might be a risk factor of chronic kidney disease (CKD). However, data are limited regarding the real incidence or risk of CKD in NB. In addition, serum creatinine (sCr), a classical marker of renal function, is not reliable in NB patients because they present muscle wasting due to disuse or denervation. The aim of the study was to estimate the prevalence of CKD in NB patients using serum Cystatin-C. Secondly, we aimed to identify the risk factors for CKD development in NB...
December 30, 2016: Nephrology
https://www.readbyqxmd.com/read/28032349/obesity-body-mass-index-and-homicide
#8
Kimberley J Omond, Neil E I Langlois, Roger W Byard
The body mass indexes (BMIs) of 100 randomly selected homicide cases from the files of Forensic Science SA were compared to the Australian and South Australian populations. There were 70 males and 30 females (M:F = 2.3:1; age range 18-84 years; mean 42.3 years). There was a substantially lower proportion of obese individuals in the homicide population compared to the general Australian and South Australian populations (19% [vs.] 27.9% and 30%, respectively). A second group of 144 randomly selected autopsy cases where the BMI was ≥40 kg/m(2) was analyzed...
December 29, 2016: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/28028079/paradigms-in-eastern-spruce-budworm-lepidoptera-tortricidae-population-ecology-a-century-of-debate
#9
REVIEW
Deepa S Pureswaran, Rob Johns, Stephen B Heard, Dan Quiring
Three main hypotheses have been postulated over the past century to explain the outbreaking population dynamics of eastern spruce budworm, Choristoneura fumiferana (Clemens). The Silviculture Hypothesis first arose in the 1920s, with the idea that outbreaks were driven by forestry practices favoring susceptible softwood species. In the 1960s, it was proposed that populations were governed by Multiple Equilibria, with warm weather conditions releasing low-density populations from the regulatory control of natural enemies...
December 2016: Environmental Entomology
https://www.readbyqxmd.com/read/27925133/health-characteristics-of-female-victims-of-domestic-violence-housed-in-a-state-care-shelter
#10
Rebeca Monteiro Ferreira, Thiago Brasileiro de Vasconcelos, Renato Evando Moreira, Raimunda Hermelinda Maia Macena
The promotion of care for female victims of violence implies action that is not limited to combatting the problem, but also to the dimension of care provided to the victims. This study seeks to understand the sociodemographic and health characteristics of female victims of violence who are/have been under the protective custody of the state, before and after the Maria da Penha Law (MPL), and the healthcare offered to them. It is a cross-sectional, exploratory-descriptive documentary study, with a qualitative/quantitative approach, conducted in the second semester of 2013 in a special unit for the protection of female victims of violence in the State of Ceará...
December 2016: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/27921020/epidemiology-of-cervical-spine-fractures
#11
Mahnaz Yadollahi, Shahram Paydar, Haleh Ghaem, Mohammad Ghorbani, Seyed Mohsen Mousavi, Ali Taheri Akerdi, Eimen Jalili, Mohammad Hadi Niakan, Hossein Ali Khalili, Ali Haghnegahdar, Shahram Bolandparvaz
BACKGROUND: Epidemiology of cervical spine fractures (CSfx) in trauma patients of general population is not yet exclusively known. OBJECTIVES: The purpose of this study was to evaluate the epidemiology of CSfx in trauma patients. PATIENTS AND METHODS: Data from trauma patients admitted in the emergency room (ER) of Shiraz Shahid Rajaei hospital during the 3.5 years period from September 22, 2009 to March 21, 2013, were gathered. All trauma patients with CSfx and/or spinal cord injuries were included in the study...
July 2016: Trauma Monthly
https://www.readbyqxmd.com/read/27917246/moral-bioenhancement-freedom-and-reason
#12
Ingmar Persson, Julian Savulescu
In this paper we reply to the most important objections to our advocacy of moral enhancement by biomedical means - moral bioenhancement - that John Harris advances in his new book How to be Good. These objections are to effect that such moral enhancement undercuts both moral reasoning and freedom. The latter objection is directed more specifically at what we have called the God Machine, a super-duper computer which predicts our decisions and prevents decisions to perpertrate morally atrocious acts. In reply, we argue first that effective moral bioenhancement presupposes moral reasoning rather than undermines it...
2016: Neuroethics
https://www.readbyqxmd.com/read/27907810/prediction-of-autosomal-str-typing-success-in-ancient-and-second-world-war-bone-samples
#13
Irena Zupanič Pajnič, Tomaž Zupanc, Jože Balažic, Živa Miriam Geršak, Oliver Stojković, Ivan Skadrić, Matija Črešnar
Human-specific quantitative PCR (qPCR) has been developed for forensic use in the last 10 years and is the preferred DNA quantification technique since it is very accurate, sensitive, objective, time-effective and automatable. The amount of information that can be gleaned from a single quantification reaction using commercially available quantification kits has increased from the quantity of nuclear DNA to the amount of male DNA, presence of inhibitors and, most recently, to the degree of DNA degradation. In skeletal remains samples from disaster victims, missing persons and war conflict victims, the DNA is usually degraded...
November 19, 2016: Forensic Science International. Genetics
https://www.readbyqxmd.com/read/27903769/education-for-the-next-frontier-in-patient-safety-a-longitudinal-resident-curriculum-on-diagnostic-error
#14
Emily Ruedinger, Maren Olson, Justin Yee, Emily Borman-Shoap, Andrew P J Olson
Diagnostic error is a common, serious problem that has received increased attention recently for its impact on both patients and providers. Presently, most graduate medical education programs do not formally address this topic. The authors developed and evaluated a longitudinal, multimodule resident curriculum about diagnostic error and medical decision making. Key components of the curriculum include demystifying the medical decision-making process, building skills in critical thinking, and providing strategies for diagnostic error mitigation...
November 29, 2016: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/27885246/the-association-between-subjective-socioeconomic-status-and-health-inequity-in-victims-of-occupational-accidents-in-korea
#15
Hongdeok Seok, Jin-Ha Yoon, Jaehoon Roh, Jihyun Kim, Yeong-Kwang Kim, Wanhyung Lee, Jeongbae Rhie, Jong-Uk Won
OBJECTIVES: We aimed to investigate the health inequity of victims of occupational accidents through the association between socioeconomic status and unmet healthcare need. METHODS: Data from the first and second Panel Study of Workers' Compensation Insurance were used, which included 1,803 participants. The odds ratio and 95% confidence intervals for the unmet healthcare needs of participants with a lower socioeconomic status and other socioeconomic statuses were investigated using multivariate regression analysis...
November 22, 2016: Journal of Occupational Health
https://www.readbyqxmd.com/read/27885045/how-canada-s-asbestos-industry-was-defeated-in-quebec
#16
Kathleen Ruff
Less than a decade ago, the Quebec asbestos industry enjoyed support from all the political parties in the Canadian House of Commons and the Quebec National Assembly, as well as from business and union organizations. Two lobby organizations (Chrysotile Institute and International Chrysotile Association) had significant global impact in promoting asbestos use and defeating asbestos ban efforts in developing countries. Quebec's two asbestos mines planned to expand operations and make Quebec the second biggest global asbestos exporter...
February 2017: New Solutions: a Journal of Environmental and Occupational Health Policy: NS
https://www.readbyqxmd.com/read/27875279/biochemical-markers-of-nutrition-support-in-critically-ill-trauma-victims
#17
Brodie Parent, Max Seaton, Grant E O'Keefe
BACKGROUND: In critically ill patients, plasma serum albumin and transthyretin concentrations are thought to reflect the effects of acute illness, including resuscitation and inflammation. Their use as markers for preexisting nutrition status is, therefore, not recommended. Whether they can be used to assess subsequent effectiveness of artificial nutrition support is unclear. We sought to determine if these biomarkers are associated with enteral caloric intake in critically ill trauma patients...
October 3, 2016: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/27844461/antecedents-of-suicide-among-youth-aged-11-15-a-multistate-mixed-methods-analysis
#18
Kristin M Holland, Alana M Vivolo-Kantor, Joseph E Logan, Ruth W Leemis
Suicide is the second leading cause of death for youth aged 11 to 15, taking over 5,500 lives from 2003 to 2014. Suicide among this age group is linked to risk factors such as mental health problems, family history of suicidal behavior, biological factors, family problems, and peer victimization and bullying. However, few studies have examined the frequency with which such problems occur among youth suicide decedents or the context in which decedents experience these risk factors and the complex interplay of risk that results in a decedent's decision to take his/her own life...
November 14, 2016: Journal of Youth and Adolescence
https://www.readbyqxmd.com/read/27831829/dynamic-change-of-aggressive-behavior-and-victimization-among-adolescents-effectiveness-of-the-visc-program
#19
Takuya Yanagida, Dagmar Strohmeier, Christiane Spiel
The present study reports a high-quality evaluation of the ViSC Social Competence Program, which was implemented large scale in Austria. A rigorous test of program effectiveness has been performed to investigate the dynamic change of aggressive behavior and victimization and to ensure a high level of statistical conclusion validity. A cluster randomized control study was applied to examine program effectiveness regarding aggressive behavior and victimization. In sum, 1,377 adolescents (48.5% girls, Mage = 11...
November 10, 2016: Journal of Clinical Child and Adolescent Psychology
https://www.readbyqxmd.com/read/27814497/peer-victimization-in-adolescence-concordance-between-measures-and-associations-with-global-and-daily-internalizing-problems
#20
J Loes Pouwels, Tessa A M Lansu, Antonius H N Cillessen
This study aimed to shed further light on what is measured by self-, peer-, and daily diary-reports of victimization in adolescence. First, the concordance between self-, peer-, and daily diary-reports of victimization was assessed. Participants were 188 Dutch adolescents (43% male, Mage = 16.07 years, SD = .84) who participated in a classroom assessment and daily diary assessment (5 consecutive school days). Peer-reports (15%) and self-reports (13%) yielded higher prevalence rates than diary-reports (3%)...
October 28, 2016: Journal of Adolescence
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