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https://www.readbyqxmd.com/read/29227856/gastroduodenal-artery-aneurysm-post-traumatic-pancreatic-pseudocyst-drainage-an-interesting-case
#1
Mohammad Zarin, Sajid Ali, Abdul Majid, ZakaUllah Jan
BACKGROUND AND AIM: Pseudoaneurysms of the gastroduodenal artery (GDA) are rare and mostly associated with pancreatitis. However, they can occur as a possible complication following gastric or pancreatic surgery and thus prior recognition and prompt treatment is mandatory (Lee et al., 2009 [1]). We report a case of a ruptured GDA aneurysm in a patient who underwent roux-en-y-cystojejunostomy for traumatic pancreatic pseudocyst and this has rarely been reported in the literature. Our patient presented with melena one month post operatively...
December 6, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29223487/implementing-a-province-wide-mandatory-vaccinate-or-mask-policy-at-healthcare-facilities-in-british-columbia-canada
#2
Alexandra Nunn, Audrey C Campbell, Monika Naus, Jeffrey C Kwong, David Puddicombe, Susan Quach, Bonnie Henry
OBJECTIVES: In 2012, British Columbia (BC) became the first Canadian province to implement an influenza prevention policy requiring healthcare workers (HCW) to either be vaccinated annually against influenza or wear a mask in patient care areas during the influenza season. This study describes an evaluation of influenza policy implementation processes and identifies supports and challenges related to successful policy implementation at the level of healthcare facilities, during the second policy year (2013/14)...
December 6, 2017: Vaccine
https://www.readbyqxmd.com/read/29218688/is-dual-mobility-associated-with-an-increased-risk-of-revision-for-infection-matched-cohort-of-231-cases-of-dual-mobility-cups-and-231-fixed-cups
#3
Jean Louis Prudhon, Romain Desmarchelier, Moussa Hamadouche, Christian Delaunay, Regis Verdier
INTRODUCTION: We used a matched cohort of 231 cases of revision of primary dual-mobility cups (DMC) total hip arthroplasty (THA) and 231 cases of fixed cups (FC) THA, to determine whether (i) revision for infection was more frequent when using DMC-THA than FC-THA; (ii) Causes for revision were significantly different. METHODS: The French Society of Orthopaedics and Traumatology carried out a prospective multicentre study from 2010 to 2011. The inclusion criterion was an exhaustive collection of 1st revision THA (at least 1 component revised, re-revision excluded)...
December 4, 2017: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/29217802/child-sexual-abuse-management-and-prevention-and-protection-of-children-from-sexual-offences-pocso-act
#4
Rajeev Seth, R N Srivastava
Child Sexual Abuse is an alarming reality and is being increasingly reportedin India as well as globally. Pediatricians and allied medical professionals are often the first point of contact with abused children and their families. They have a key role in detecting Child Sexual Abuse, providing immediate and long-term care and support to the victims and their families. India has adopted the Protection of Children from Sexual Offences Act (POCSO) in 2012. It is a comprehensive law on sexual abuse, which expands the scope and range of forms of sexual offences, makes reporting of abuse mandatory and defines guidelines for the examination of victims...
November 15, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/29210626/short-term-cost-and-efficiency-analysis-of-raltegravir-versus-atazanavir-ritonavir-or-darunavir-ritonavir-for-treatment-naive-adults-with-hiv-1-infection-in-spain
#5
Ashley E Davis, Anita J Brogan, Bridgett Goodwin, Gonzalo Nocea, Virginia Lozano
INTRODUCTION: The AIDS Clinical Trial Group (ACTG) 5257 clinical trial showed that raltegravir (RAL) was superior to atazanavir/ritonavir (ATV/r) and darunavir/ritonavir (DRV/r), when used in combination with emtricitabine/tenofovir DF (FTC/TDF), in a 96-week composite endpoint combining virologic efficacy and tolerability for treatment-naive adults with HIV-1 infection. This study aimed to estimate the efficiency associated with these three regimens in Spain. METHODS: An economic model was developed to estimate costs for antiretroviral drugs, adverse event management, and HIV care for individuals initiating first-line therapy...
November 2017: HIV Clinical Trials
https://www.readbyqxmd.com/read/29209989/pancreaticoduodenal-artery-aneurysms-due-to-median-arcuate-ligament-syndrome-what-we-need-to-know
#6
A Peyrottes, D Mariage, P Baqué, D Massalou
Median arcuate ligament (MAL) syndrome is a rare and poorly known cause of abdominal pain. MAL narrows the celiac artery (CA), resulting in true distal aneurysms, including pancreaticoduodenal artery (PDA) aneurysms. These aneurysms often have an aggressive course, as rupture can result in hemorrhagic shock. CT scan appears to be the most effective investigation for the diagnosis of PDA aneurysms and may reveal possible celiac artery compression. In this series, we describe four cases of PDA aneurysm: two ruptured aneurysms treated by an endovascular procedure and two non-ruptured aneurysms treated by surgery...
December 5, 2017: Surgical and Radiologic Anatomy: SRA
https://www.readbyqxmd.com/read/29209749/-quality-indicators-for-metabolic-and-bariatric-surgery-in-germany-evidence-based-development-of-an-indicator-panel-for-the-quality-of-results-indications-and-structure
#7
REVIEW
F Seyfried, H-J Buhr, C Klinger, T P Huettel, B Herbig, S Weiner, C Jurowich, A Dietrich
An expert committee was appointed by the German Society for General and Visceral Surgery to develop a panel of appropriate quality indicators to collate the quality of results, indications and structure in metabolic and bariatric surgery. This entailed assimilating the available evidence (systematic literature search), results from the national registry of the society (StuDoQ|MBE) and specific socioeconomic aspects (e. g. severely limited access to metabolic and bariatric surgery in Germany). These quality parameters were to be incorporated into the national guidelines and the rules of procedure for certification in the future...
December 5, 2017: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/29206349/mood-body-image-fear-of-kidney-failure-life-satisfaction-and-decisional-stability-following-living-kidney-donation-findings-from-the-kdoc-study
#8
J R Rodrigue, J D Schold, P Morrissey, J Whiting, J Vella, L K Kayler, D Katz, J Jones, B Kaplan, A Fleishman, M Pavlakis, D A Mandelbrot
Prior studies demonstrate that most living kidney donors (LKDs) report no adverse psychosocial outcomes; however, changes in psychosocial functioning at the individual donor level have not been routinely captured. We studied psychosocial outcomes pre-donation and at 1, 6, 12, and 24 months post-donation in 193 LKDs and 20 healthy controls (HCs). There was minimal to no mood disturbance, body image concerns, fear of kidney failure, or life dissatisfaction, indicating no incremental changes in these outcomes over time and no significant differences between LKDs and HCs...
December 5, 2017: American Journal of Transplantation
https://www.readbyqxmd.com/read/29204101/lymphoepithelial-carcinoma-a-case-report-of-a-rare-tumor-of-the-larynx
#9
Nawal Hammas, Najib Benmansour, Mohamed Nour-Dine El Alami El Amine, Laila Chbani, Hind El Fatemi
Background: Lymphoepithelial carcinoma is a tumor mostly diagnosed in the nasopharynx, but it has also been described in a variety of nonnasopharyngeal sites. It is extremely rare in the larynx and should be distinguished from squamous cell carcinoma. Therefore, it must be known by clinicians, pathologists and oncologists. In this case report, we discuss its etiopathogeny, its epidemiological, clinical, pathological and therapeutic aspects, and its outcome. Case presentation: An 81-year-old Morrocan man, smoker for 40 years, presented with a 1 year history of dysphonia, dyspnea and dysphagia...
2017: BMC Clinical Pathology
https://www.readbyqxmd.com/read/29203982/patterns-and-the-occurrence-of-kras-mutations-in-metastatic-colorectal-cancers-a-study-from-indian-regional-cancer-centre
#10
C S Smitha, Babu M C Suresh, J A Linu, K C Lakshmaiah, Babu K Govind, D Lokanatha, R K Pretesh
Mutation analysis of the KRAS oncogene is established as a predictive biomarker in Colorectal cancer (CRC). Many prospective clinical trials have shown that only CRCs with wild-type KRAS respond to anti-epidermal growth factor receptor (EGFR) treatment. Hence, mutation analysis is mandatory before treatment of metastatic CRCs. There are very few studies on the KRAS mutation status in the Indian setting. Hence, this study was done to document the patterns of KRAS mutations in CRCs reporting to a regional cancer centre in South India...
December 2017: Indian Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29203030/attitudes-toward-mandatory-ignition-interlocks-for-all-offenders-convicted-of-driving-while-intoxicated
#11
Jonathan Downs, Ruth Shults, Bethany West
INTRODUCTION: Ignition interlocks are effective in reducing alcohol-impaired driving recidivism for all offenders, including first-time offenders. Despite their effectiveness, interlock use among persons convicted of driving while intoxicated from alcohol (DWI) remains low. This cross-sectional survey of U.S. adults assessed public support for requiring ignition interlocks for all convicted DWI offenders including first-time offenders. The goal was to update results from a similar 2010 survey in light of new state requirements and increased interlock installations...
December 2017: Journal of Safety Research
https://www.readbyqxmd.com/read/29202814/occurrence-of-spontaneous-bilateral-tubal-pregnancy-in-a-low-income-setting-in-rural-cameroon-a-case-report
#12
Conrad S Tankou, Carlson-Babila Sama, Jinette Lorraine Guedem Nekame
BACKGROUND: Ectopic pregnancy is a life-threatening emergency warranting immediate recognition and prompt intervention. Bilateral tubal pregnancy is the rarest form of ectopic pregnancy with very limited data on its occurrence reported in sub-Saharan Africa. CASE PRESENTATION: We report the case of a 40-year-old multigravida with chief complains of lower abdominal pain evolving for 5 days in whom an intraoperative diagnosis of spontaneous bilateral tubal pregnancy (plus ruptured right tube) was made...
December 4, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/29197117/addition-of-allopurinol-for-altering-thiopurine-metabolism-to-optimize-therapy-in-patients-with-inflammatory-bowel-disease
#13
Geoffrey C Wall, Hamid Muktar, Cassandra Effken, Pramod B Mahajan
Thiopurine drugs, including azathioprine and 6-mercaptopurine, are used commonly in patients with inflammatory bowel disease for maintenance of remission. Although generally well tolerated, adverse effects lead to discontinuation in a significant minority of patients. Pharmacogenomic studies have suggested that metabolic breakdown of azathioprine in an individual is genetically determined. Coupled with the fact that certain thiopurine metabolites, notably 6-thioguanine nucleotide and 6-methylmercaptopurine, are associated with antiinflammatory effects and adverse effects, respectively, some investigators have examined intentionally shunting the metabolism of azathioprine toward increasing 6-thioguanine nucleotide levels by using low doses of the xanthine oxidoreductase inhibitor allopurinol to improve efficacy and decrease toxicity of azathioprine in patients with inflammatory bowel disease...
December 1, 2017: Pharmacotherapy
https://www.readbyqxmd.com/read/29194173/unit-level-changes-in-central-line-associated-bloodstream-infection-before-and-after-implementation-of-the-affordable-care-act-and-mandatory-reporting-legislation
#14
Benjamin C Woodward, Reba A Umberger
BACKGROUND: Central line-associated bloodstream infection (CLABSI) prevention efforts have increased over the past decade because of implications of the Affordable Care Act and mandatory reporting laws. These legislative measures allow for reduced reimbursement to hospitals with high level of CLABSIs and other health care-associated infections. OBJECTIVE: The aim of this study was to explore the impact of legislation and mandatory reporting on CLABSI rates and reporting...
January 2018: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/29190654/prenatal-folic-acid-use-associated-with-decreased-risk-of-myelomeningocele-a-case-control-study-offers-further-support-for-folic-acid-fortification-in-bangladesh
#15
Vijaya Kancherla, Md Omar Sharif Ibne Hasan, Rezina Hamid, Ligi Paul, Jacob Selhub, Godfrey Oakley, Quazi Quamruzzaman, Maitreyi Mazumdar
Neural tube defects contribute to severe morbidity and mortality in children and adults; however, they are largely preventable through maternal intake of folic acid before and during early pregnancy. We examined the association between maternal prenatal folic acid supplement intake and risk of myelomeningocele (a severe and common type of neural tube defect) in the offspring. We performed secondary analysis using data from a case-control study conducted at Dhaka Community Hospital, Bangladesh between April and November of 2013...
2017: PloS One
https://www.readbyqxmd.com/read/29186455/recommendations-for-toxicological-investigation-of-drug-impaired-driving-and-motor-vehicle-fatalities-2017-update
#16
Barry K Logan, Amanda L D'Orazio, Amanda L A Mohr, Jennifer F Limoges, Amy K Miles, Colleen E Scarneo, Sarah Kerrigan, Laura J Liddicoat, Karen S Scott, Marilyn A Huestis
This report describes the outcomes of a process undertaken to review and update the National Safety Council's Alcohol, Drugs and Impairment Division's recommendations for the toxicological investigation of suspected alcohol and drug-impaired driving cases and motor vehicle fatalities. The updates to the recommendations are made based on a survey of practices in laboratories in the USA and Canada performing testing in these cases, consideration of existing epidemiological crash and arrest data, current drug use patterns, and practical considerations of widely available technology platforms in laboratories performing this work...
November 23, 2017: Journal of Analytical Toxicology
https://www.readbyqxmd.com/read/29184582/challenges-of-nurses-empowerment-in-the-management-of-patient-aggression-a-qualitative-study
#17
Tahereh Ramezani, Sakineh Gholamzadeh, Camellia Torabizadeh, Farkhondeh Sharif, Laaya Ahmadzadeh
Background: Patients' aggression in the mental care setting is a global health problem with major psychological, physical, and economic consequences; nurse empowerment to manage this aggressive behavior is an important step in psychiatric nursing. The aim of this study was to explore psychiatric nurses' experiences of the challenges of empowerment in the management of patients' aggression. Materials and Methods: This qualitative study was performed among 20 nurses working in a major referral psychiatric center in Iran during 2014-2016...
November 2017: Iranian Journal of Nursing and Midwifery Research
https://www.readbyqxmd.com/read/29183925/cohort-profile-the-truenth-global-registry-an-international-registry-to-monitor-and-improve-localised-prostate-cancer-health-outcomes
#18
Sue M Evans, Jeremy L Millar, Caroline M Moore, John D Lewis, Hartwig Huland, Fanny Sampurno, Sarah E Connor, Paul Villanti, Mark S Litwin
PURPOSE: Globally, prostate cancer treatment and outcomes for men vary according to where they live, their race and the care they receive. The TrueNTH Global Registry project was established as an international registry monitoring care provided to men with localised prostate cancer (CaP). PARTICIPANTS: Sites with existing CaP databases in Movember fundraising countries were invited to participate in the international registry. In total, 25 Local Data Centres (LDCs) representing 113 participating sites across 13 countries have nominated to contribute to the project...
November 28, 2017: BMJ Open
https://www.readbyqxmd.com/read/29183300/metabolic-syndrome-and-its-components-among-university-students-in-kenya
#19
Samuel Mungai Mbugua, Samuel Thuo Kimani, Gilbert Munyoki
BACKGROUND: Metabolic syndrome refers to a cluster of interrelated disorders which occur together causing an increase in the risk of developing cardiovascular disease and diabetes. The university population is an understudied group despite the increase in the frequency of related disorders and metabolic risk factors e.g. obesity and diabetes, majorly due to the assumption that they are in their most active phase of life therefore healthy. This study looked at metabolic syndrome, the sedentary lifestyles and dietary habits present among university students attending Mount Kenya University, main campus...
November 28, 2017: BMC Public Health
https://www.readbyqxmd.com/read/29182408/rapid-weight-loss-is-not-associated-with-competitive-success-in-elite-youth-olympic-style-boxers-in-europe
#20
Damir Zubac, Hrvoje Karnincic, Damir Sekulic
PURPOSE: The aim of this study was to examine the influence of rapid weight loss (RWL) on competitive success in elite youth Olympic-style boxers. In addition, this study examined the practice and prevalence of weight reduction, weight management protocols and related symptoms in youth boxers from twelve European countries (n=83; all males; 17.1±0.9 y). METHODS: The data were collected using an extensive questionnaire on weight cutting and its associated protocols and symptoms prior to highest-level continental championships...
November 28, 2017: International Journal of Sports Physiology and Performance
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