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https://www.readbyqxmd.com/read/29040231/continuous-infraclavicular-brachial-block-versus-single-shot-nerve-block-for-distal-radius-surgery-a-prospective-randomized-control-trial
#1
Abhishek Ganta, David Ding, Nina Fisher, Jessica Lavery, Sudheer Jain, Nirmal Tejwani
OBJECTIVES: To compare the efficacy of an infraclaviclar single shot nerve block to a continuous infusion through an On Q infusion pump for rebound pain (between 12 to 24 hours post-operatively) and post operative narcotic analgesia requirements in distal radius fractures. DESIGN: Prospective Randomized Control Trial SETTINGS:: Performed at two hospitals affiliated with a large urban academic medical center PATIENTS:: Fifty patients undergoing operative fixation of distal radius fractures (OTA/AO type 23B/C) INTERVENTION:: Patients were randomized to receive either an infraclavicular block as a single shot (SSB group) or a continuous infusion through an On Q pump (On Q group) MAIN OUTCOME MEASURES:: Visual analog scale (0-10) pain levels and amount of pain medication taken RESULTS:: At all time points after discharge, mean post-operative pain scores were lower in the On Q group vs the SSB group but did not reach statistical significance...
September 1, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29034254/attitudes-of-surgeons-toward-elderly-cancer-patients-a-survey-from-the-siog-surgical-task-force
#2
REVIEW
Nicole M Saur, Isacco Montroni, Federico Ghignone, Giampaolo Ugolini, Riccardo A Audisio
Cancer care in elderly patients is complex. A recent survey showed that among mostly academic surgeons, practice patterns varied in the care of elderly patients. The authors suggested three areas of intervention in improving care of this population: frailty assessment, nutritional assessment, and assessment of quality of life.
August 2017: Visceral Medicine
https://www.readbyqxmd.com/read/29033450/a-retrospective-chart-analysis-with-follow-up-of-cogmed-working-memory-training-in-children-and-adolescents-with-autism-spectrum-disorder
#3
Sander M Weckstein, Ethan J Weckstein, Christopher D Parker, Matthew W Westerman
BACKGROUND This case study was undertaken in an effort to assess whether children/adolescents with Autism Spectrum Disorder (ASD) experience improvement in comorbid ADHD following Cogmed Working Memory Training (CWMT). This treatment intervention has been shown to improve ADHD symptoms in children and adolescents; however, there have been no studies on its use with individuals with ASD. MATERIAL AND METHODS CWMT is a computer-based program that consists of 13 auditory, visual, visual spatial, and combined exercises that are practiced for 45 minutes a day, 5 days a week, for 5 weeks...
October 16, 2017: Medical Science Monitor Basic Research
https://www.readbyqxmd.com/read/29033138/do-you-believe-it-verbal-suggestions-influence-the-clinical-and-neural-effects-of-escitalopram-in-social-anxiety-disorder-a-randomized-trial
#4
Vanda Faria, Malin Gingnell, Johanna M Hoppe, Olof Hjorth, Iman Alaie, Andreas Frick, Sara Hultberg, Kurt Wahlstedt, Jonas Engman, Kristoffer N T Månsson, Per Carlbring, Gerhard Andersson, Margareta Reis, Elna-Marie Larsson, Mats Fredrikson, Tomas Furmark
BACKGROUND: Selective serotonin reuptake inhibitors (SSRIs) are commonly prescribed for depression and anxiety, but their efficacy relative to placebo has been questioned. We aimed to test how manipulation of verbally induced expectancies, central for placebo, influences SSRI treatment outcome and brain activity in patients with social anxiety disorder (SAD). METHODS: We did a randomized clinical trial, within an academic medical center (Uppsala, Sweden), of individuals fulfilling the DSM-IV criteria for SAD, recruited through media advertising...
September 27, 2017: EBioMedicine
https://www.readbyqxmd.com/read/29033062/ethical-issues-in-global-health-engagement
#5
REVIEW
Melani Kekulawala, Timothy R B Johnson
With an increasing number of clinicians participating in global health work, such engagement is now more than ever in need of critical ethical scrutiny. Exemplary initiatives in research, academics and publication, and other special considerations, provide potential approaches for overcoming ethical challenges in global health work. These methods demonstrate that successful global health work includes a commitment to foundational ethical principles such as trust, honesty, open communication and transparency, sustainability, capacity building, and appreciation for multiple perspectives - principles that surpass the traditional considerations of clinical practice...
October 9, 2017: Seminars in Fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29032365/how-does-academic-achievement-relate-to-cardiorespiratory-fitness-self-reported-physical-activity-and-objectively-reported-physical-activity-a-systematic-review-in-children-and-adolescents-aged-6-18-years
#6
REVIEW
Adilson Marques, Diana A Santos, Charles H Hillman, Luís B Sardinha
OBJECTIVE: This report aimed to systematically review the evidence for a differential association between objective and self-reported physical activity and cardiorespiratory fitness on academic achievement. DESIGN: Systematic review. DATA SOURCES: Studies were identified from searches in Embase, Education Resources Information Center, PubMed, PsycINFO, SPORTdiscus and Web of Science databases from January 2000 to December 2016. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Eligibility criteria included cross-sectional, longitudinal and interventional study designs...
October 14, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/29030792/a-universal-intervention-program-increases-ethnic-racial-identity-exploration-and-resolution-to-predict-adolescent-psychosocial-functioning-one-year-later
#7
Adriana J Umaña-Taylor, Olga Kornienko, Sara Douglass Bayless, Kimberly A Updegraff
Ethnic-racial identity formation represents a key developmental task that is especially salient during adolescence and has been associated with many indices of positive adjustment. The Identity Project intervention, which targeted ethnic-racial identity exploration and resolution, was designed based on the theory that program-induced changes in ethnic-racial identity would lead to better psychosocial adjustment (e.g., global identity cohesion, self-esteem, mental health, academic achievement). Adolescents (N =215; Mage =15...
October 14, 2017: Journal of Youth and Adolescence
https://www.readbyqxmd.com/read/29029947/a-neurological-emergency-trolley-reduces-turnaround-time-for-high-risk-medications-in-a-general-intensive-care-unit
#8
Henry Ajzenberg, Paula Newman, Gail-Anne Harris, Marnie Cranston, J Gordon Boyd
OBJECTIVES: To reduce medication turnaround times during neurological emergencies, a multidisciplinary team developed a neurological emergency crash trolley in our intensive care unit. This trolley includes phenytoin, hypertonic saline and mannitol, as well as other equipment. The aim of this study was to assess whether the cart reduced turnaround times for these medications. RESEARCH METHODOLOGY/DESIGN: In this retrospective cohort study, medication delivery times for two year epochs before and after its implementation were compared...
October 10, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29026439/priority-setting-for-mental-health-research-in-chile
#9
Pedro Zitko, Francesca Borghero, Cynthia Zavala, Niina Markkula, Emilio Santelices, Nicolás Libuy, Alfredo Pemjean
BACKGROUND: Scientific knowledge is a fundamental tool for making informed health policy decisions, but the link between health research and public policy decision-making is often missing. This study aims to identify and prioritize a national set of research gaps in mental health. METHODS: A multi-approach method to identify gaps in knowledge was developed, including (1) document analysis and identification of possible research questions, (2) interviews to Ministry of Health key informants, (3) focus groups with different stakeholders, and (4) a web consultation addressed to academics...
2017: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/29026391/prevalence-of-khat-chewing-and-its-effect-on-academic-performance-in-sidama-zone-southern-ethiopia
#10
Andargachew Kassa, Eskindir Loha, Atkilt Esaiyas
BACKGROUND: Khat use is a well-established public health problem in Yemen, Arabian Peninsula, and Ethiopia. Along with its large scale production, the magnitude of khat use is increasing among students. OBJECTIVE: This study was intended to assess the prevalence, determinants, and effect of khat use on academic performance of high school students in Sidama Ethiopia. METHODOLOGY: A cross-sectional study was conducted from April to June 2015...
March 2017: African Health Sciences
https://www.readbyqxmd.com/read/29024382/comparison-of-outcomes-with-surgical-cut-down-versus-percutaneous-transfemoral-transcatheter-aortic-valve-replacement-tavr-transfemoral-access-comparisons-between-surgical-cut-down-and-percutaneous-approach
#11
Brandon C Drafts, Charles H Choi, Kunal Sangal, Michael W Cammarata, Robert J Applegate, Sanjay K Gandhi, Edward H Kincaid, Neal Kon, David X Zhao
OBJECTIVES: The objective is to compare the short-term (30 days) and late (12 months) vascular adverse events in patients undergoing transfemoral (TF)-transcatheter aortic valve replacement (TAVR) by surgical cut-down (SC) vs. percutaneous (PC) approaches. BACKGROUND: Programs continue to utilize both approaches in TF-TAVR. There are limited data comparing outcomes by SC vs. PC approaches and long-term effects of endovascular intervention facilitated hemostasis on late vascular adverse events...
October 10, 2017: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/29023874/multidisciplinary-studies-of-wildlife-trade-in-primates-challenges-and-priorities
#12
Mary E Blair, Minh D Le, Eleanor J Sterling
Wildlife trade is increasingly recognized as an unsustainable threat to primate populations and informing its management is a growing focus and application of primatological research. However, management policies based on ecological research alone cannot address complex socioeconomic or cultural contexts as drivers of wildlife trade. Multidisciplinary research is required to understand trade complexity and identify sustainable management strategies. Here, we define multidisciplinary research as research that combines more than one academic discipline, and highlight how the articles in this issue combine methods and approaches to fill key gaps and offer a more comprehensive understanding of underlying drivers of wildlife trade including consumer demand, enforcement patterns, source population status, and accessibility of targeted species...
October 11, 2017: American Journal of Primatology
https://www.readbyqxmd.com/read/29023260/dysphagia-in-mechanically-ventilated-icu-patients-dynamics-a-prospective-observational-trial
#13
Joerg C Schefold, David Berger, Patrick Zürcher, Michael Lensch, Andrea Perren, Stephan M Jakob, Ilkka Parviainen, Jukka Takala
OBJECTIVES: Swallowing disorders may be associated with adverse clinical outcomes in patients following invasive mechanical ventilation. We investigated the incidence of dysphagia, its time course, and association with clinically relevant outcomes in extubated critically ill patients. DESIGN: Prospective observational trial with systematic dysphagia screening and follow-up until 90 days or death. SETTINGS: ICU of a tertiary care academic center...
October 11, 2017: Critical Care Medicine
https://www.readbyqxmd.com/read/29023212/pre-entry-characteristics-perceived-social-support-adjustment-and-academic-achievement-in-first-year-spanish-university-students-a-path-model
#14
María Soledad Rodríguez, Carolina Tinajero, María Fernanda Páramo
Transition to university is a multifactorial process to which scarce consideration has been given in Spain, despite this being one of the countries with the highest rates of academic failure and attrition within the European Union. The present study proposes an empirical model for predicting Spanish students' academic achievement at university by considering pre-entry characteristics, perceived social support and adaptation to university, in a sample of 300 traditional first-year university students. The findings of the path analysis showed that pre-university achievement and academic and personal-emotional adjustment were direct predictors of academic achievement...
October 12, 2017: Journal of Psychology
https://www.readbyqxmd.com/read/29021822/a-review-of-web-based-support-systems-for-students-in-higher-education
#15
REVIEW
Marietta Papadatou-Pastou, Rhianna Goozee, Erika Payne, Alexia Barrable, Patapia Tzotzoli
BACKGROUND: Recent evidence suggests that there is an increasing need for accessible and anonymous services to support higher education (HE) students suffering from psychological and/or academic difficulties. Such difficulties can lead to several negative outcomes, including poor academic performance, sub-optimal mental health, reduced study satisfaction, and dropout from study. Currently, universities in the UK lack financial resources and the on-campus mental health services traditionally offered to students are increasingly economically unsustainable...
2017: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/29021716/continuous-curvilinear-capsulorhexis-training-and-non-rhexis-related-vitreous-loss-the-specificity-of-virtual-reality-simulator-surgical-training-an-american-ophthalmological-society-thesis
#16
Colin A McCannel
PURPOSE: To assess the specificity of simulation-based virtual reality ophthalmic cataract surgery training on the Eyesi ophthalmic virtual reality surgical simulator, and test the hypothesis that microsurgical motor learning is highly specific. METHODS: Retrospective educational interventional case series. The rates of vitreous loss and retained lens material, and vitreous loss and retained lens material associated with an errant continuous curvilinear capsulorhexis (CCC) were assessed among 1037 consecutive cataract surgeries performed during four consecutive academic years at a teaching hospital...
August 2017: Transactions of the American Ophthalmological Society
https://www.readbyqxmd.com/read/29019629/health-disparities-and-child-development-after-prematurity
#17
Frances A Carter, Michael E Msall
There is increased recognition that preterm neonates require sequential surveillance to capture the spectrum of coordination, communication, learning, and behavior regulation disorders that may occur in the first 5 years of life and beyond. In particular, the framework of follow-up needs to go beyond the detection of cerebral palsy, blindness, and deafness in the first 2 years of life for only those at highest preterm risk (ie, <28 weeks gestation, with combinations of severe cranial sonographic abnormalities, bronchopulmonary dysplasia, and retinopathy of prematurity)...
October 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/29018540/efficacy-of-individualised-diets-in-patients-with-irritable-bowel-syndrome-a-randomised-controlled-trial
#18
Ather Ali, Theresa R Weiss, Douglas McKee, Alisa Scherban, Sumiya Khan, Maxine R Fields, Damian Apollo, Wajahat Z Mehal
BACKGROUND: Patients with irritable bowel syndrome (IBS) are often placed on diets guided by food intolerance assays, although these have not been validated. We assessed the effects of individualised diets in patients with IBS guided by a leucocyte activation test. METHODS: This is a parallel-group, double-blind, randomised controlled trial of 58 adults with IBS seen at an academic health centre in Northeast USA. Peripheral venous blood was analysed using a leucocyte activation test; individual foods were reported to produce positive or negative results...
2017: BMJ Open Gastroenterology
https://www.readbyqxmd.com/read/29018072/association-between-home-visiting-interventions-and-first-nations-families-health-and-social-outcomes-in-manitoba-canada-protocol-for-a-study-of-linked-population-based-administrative-data
#19
Marni D Brownell, Nathan C Nickel, Jennifer E Enns, Mariette Chartier, Rhonda Campbell, Wanda Phillips-Beck, Dan Chateau, Elaine Burland, Rob Santos, Alan Katz
INTRODUCTION: First Nations people are descendants of Canada's original inhabitants. In consequence of historical and ongoing structural injustices, many First Nations families struggle with challenging living conditions, including high rates of poverty, poor housing conditions, mental illness and social isolation. These risk factors impede caregivers' abilities to meet their children's basic physical and psychosocial needs. Home visiting programmes were developed to support child developmental health in families facing parenting challenges...
October 10, 2017: BMJ Open
https://www.readbyqxmd.com/read/29017994/utilizing-consumer-health-informatics-to-support-management-of-hypertension-by-clinical-pharmacists-in-primary-care-study-protocol
#20
Lorraine R Buis, Dana N Roberson, Reema Kadri, Nicole G Rockey, Melissa A Plegue, Hae Mi Choe, Caroline R Richardson
BACKGROUND: Hypertension (HTN) is a major public health concern in the United States given its wide prevalence, high cost, and poor rates of control. Multiple strategies to counter this growing epidemic have been studied, and home blood pressure (BP) monitoring, mobile health (mHealth) interventions, and referrals to clinical pharmacists for BP management have all shown potential to be effective intervention strategies. OBJECTIVE: The purpose of this study is to establish feasibility and acceptability of BPTrack, a clinical pharmacist-led mHealth intervention that aims to improve BP control by supporting home BP monitoring and medication adherence among patients with uncontrolled HTN...
October 10, 2017: JMIR Research Protocols
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