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https://www.readbyqxmd.com/read/29346750/from-healthcare-to-warfare-and-reverse-how-should-we-regulate-dual-use-neurotechnology
#1
Marcello Ienca, Fabrice Jotterand, Bernice S Elger
Recent advances in military-funded neurotechnology and novel opportunities for misusing neurodevices show that the problem of dual use is inherent to neuroscience. This paper discusses how the neuroscience community should respond to these dilemmas and delineates a neuroscience-specific biosecurity framework. This neurosecurity framework involves calibrated regulation, (neuro)ethical guidelines, and awareness-raising activities within the scientific community.
January 17, 2018: Neuron
https://www.readbyqxmd.com/read/29346666/gypsy-roma-and-traveller-access-to-and-engagement-with-health-services-a-systematic-review
#2
Alison McFadden, Lindsay Siebelt, Anna Gavine, Karl Atkin, Kerry Bell, Nicola Innes, Helen Jones, Cath Jackson, Haggi Haggi, Steve MacGillivray
Background: Gypsy, Roma and Traveller people represent the most disadvantaged minority groups in Europe, having the poorest health outcomes. This systematic review addressed the question of how Gypsy, Roma and Traveller people access healthcare and what are the best ways to enhance their engagement with health services. Methods: Searches were conducted in 21 electronic databases complemented by a focussed Google search. Studies were included if they had sufficient focus on Gypsy, Roma or Traveller populations; reported data pertinent to healthcare service use or engagement and were published in English from 2000 to 2015...
February 1, 2018: European Journal of Public Health
https://www.readbyqxmd.com/read/29346659/case-report-facial-nerve-bifurcation-noted-during-resection-of-vestibular-schwannoma
#3
Jennifer D Sokolowski, Douglas S Ruhl, Bradley W Kesser, Ashok R Asthagiri
BACKGROUND AND IMPORTANCE: Resection of cerebellopontine angle tumors is challenging because the proximity of the facial nerve puts it at risk of inadvertent injury and subsequent dysfunction. It is critical to consider variations in anatomy and be aware of the potential deviations in the course of the nerve in order to avoid damage. CLINICAL PRESENTATION: We present a case of a facial nerve bifurcation identified during resection of a vestibular schwannoma. CONCLUSION: This is the only reported case of proximal facial nerve bifurcation...
January 13, 2018: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/29346542/hepatitis-b-in-moroccan-dutch-a-qualitative-study-into-determinants-of-screening-participation
#4
Nora Hamdiui, Mart L Stein, Ytje J J van der Veen, Maria E T C van den Muijsenbergh, Jim E van Steenbergen
Background: Chronic hepatitis B (HBV) leads to an increased risk for liver cirrhosis and liver cancer. In the Netherlands, chronic HBV prevalence in the general population is 0.20%, but 3.77% in first generation immigrants. Our aim was to identify determinants associated with the intention to participate in HBV testing among first generation Moroccan immigrants, one of the two largest immigrant groups targeted for screening. Methods: Semi-structured interviews were held with first (n = 9) and second generation (n = 10) Moroccan-Dutch immigrants, since second generation immigrants frequently act as their parents' brokers in healthcare...
January 15, 2018: European Journal of Public Health
https://www.readbyqxmd.com/read/29346221/a-validation-argument-for-a-simulation-based-training-course-centered-on-assessment-recognition-and-early-management-of-pediatric-sepsis
#5
Gary L Geis, Derek S Wheeler, Amy Bunger, Laura G Militello, Regina G Taylor, Jerome P Bauer, Terri L Byczkowski, Benjamin T Kerrey, Mary D Patterson
INTRODUCTION: Early recognition of sepsis remains one of the greatest challenges in medicine. Novice clinicians are often responsible for the recognition of sepsis and the initiation of urgent management. The aim of this study was to create a validity argument for the use of a simulation-based training course centered on assessment, recognition, and early management of sepsis in a laboratory-based setting. METHODS: Five unique simulation scenarios were developed integrating critical sepsis cues identified through qualitative interviewing...
January 17, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29346065/accuracy-of-principal-and-teacher-knowledge-of-school-district-policies-on-sun-protection-in-california-elementary-schools
#6
David B Buller, Kim D Reynolds, Julia Berteletti, Kim Massie, Jeff Ashley, Mary Klein Buller, Richard T Meenan
INTRODUCTION: Policy is a key aspect of school-based efforts to prevent skin cancer. We explored the extent and accuracy of knowledge among principals and teachers in California public school districts about the elements specified in their district's written sun safety policy. METHODS: The sample consisted of California public school districts that subscribed to the California School Boards Association, had an elementary school, adopted Board Policy 5141.7 for sun safety, and posted it online...
January 18, 2018: Preventing Chronic Disease
https://www.readbyqxmd.com/read/29346023/fertility-preservation-in-pediatric-oncology-patients-new-perspectives
#7
Chiara Gertosio, Mariasole Magistrali, Paola Musso, Cristina Meazza, Mauro Bozzola
Over the past 30 years, advances in antineoplastic treatment led to a significant increase in the survival of patients with childhood cancer. In Europe and the United States, 82% of children, adolescents, and young adults survive 5 years from the cancer diagnosis and the majority achieves long-term survival into adulthood. The impact of cancer therapy on fertility is related to the age of the patient and to the duration, dose/intensity, and type of treatment. Exposure to chemotherapy or to radiation to gonads or pituitary brings long-term complications of cancer-directed therapies that include effects on reproductive capacity...
January 18, 2018: Journal of Adolescent and Young Adult Oncology
https://www.readbyqxmd.com/read/29345866/cognitive-impairment-in-patients-with-depression-awareness-assessment-and-management
#8
REVIEW
Larry Culpepper, Raymond W Lam, Roger S McIntyre
​​ Cognitive impairment is a common, often persistent, symptom of major depressive disorder (MDD) that is disproportionately represented in patients who have not returned to full psychosocial functioning. The ultimate goal of treatment in depression is full functional recovery, and assessing patients for cognitive impairment and selecting treatments that address cognitive dysfunction should lead to improved functional outcomes. Unfortunately, many clinicians use screening and assessment tools that are not suited for measuring cognitive impairment in patients with depression...
November 2017: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/29345702/assessing-the-consumption-of-berries-and-associated-factors-in-the-united-states-using-the-national-health-and-nutrition-examination-survey-nhanes-2007-2012
#9
Britt M Burton-Freeman, Patricia M Guenther, Miyoung Oh, David Stuart, Helen H Jensen
Intake of berries was assessed relative to other fruit and fruit juices and total fruit intake in the U.S. population age 2 years and older using the National Health and Nutrition Examination Survey, 2007-2012. Average daily intake of total fruit was about 1 cup, and berries comprised approximately 10% of total fruit consumption. Only 18% of the population met the recommendation of at least 2 cups of fruit per day. Children ages 2 to 5 years consumed the most total fruit of which about half was juice and 4% of which was berries...
January 18, 2018: Food & Function
https://www.readbyqxmd.com/read/29345690/clozapine-induced-myocarditis
#10
COMMENT
Tanuka Datta, Allen J Solomon
Approved in 1989 for the management of treatment-resistant schizophrenia, Clozapine is a last-line atypical antipsychotic drug used with increasing frequency. In addition to its well-known side effect of agranulocytosis, this drug also carries with it rare but serious adverse cardiovascular risk of myocarditis. We present a patient on Clozapine who was admitted to the cardiology service with chest pain, ST segment elevations and elevated troponin concerning for acute myocardial infarction. Evaluation with imaging revealed decreased left ventricular function, however, no coronary artery disease was present on catheterization; findings consistent with a diagnosis of myocarditis...
January 2018: Oxford Medical Case Reports
https://www.readbyqxmd.com/read/29345519/-i-just-roll-over-pick-myself-up-and-carry-on-exploring-the-fall-risk-experience-of-canadian-masters-athletes
#11
Dylan Brennan, Aleksandra A Zecevic, Shannon L Sibbald, Volker Nolte
OBJECTIVES: The risk of falling increases in adults over the age of 65. A common barrier to take up physical activity in sedentary older adults is the fear of falls and injury. Experiences of masters athletes can provide insights into management of the risk for falling. The purpose of this phenomenological study was to explore the fall-risk experience of masters athletes actively competing in sport. METHODS: Masters athletes over the age of 55 (n=22) described their experiences in semi-structured interviews...
January 18, 2018: Journal of Aging and Physical Activity
https://www.readbyqxmd.com/read/29345416/a-qualitative-study-experiences-of-stigma-by-people-with-mental-health-problems
#12
Charlotte Huggett, Michèle D Birtel, Yvonne F Awenat, Paul Fleming, Sophie Wilkes, Shirley Williams, Gillian Haddock
OBJECTIVES: Prior research has examined various components involved in the impact of public and internalized stigma on people with mental health problems. However, studies have not previously investigated the subjective experiences of mental health stigma by those affected in a non-statutory treatment-seeking population. DESIGN: An in-depth qualitative study was conducted using thematic analysis to investigate the experiences of stigma in people with mental health problems...
January 18, 2018: Psychology and Psychotherapy
https://www.readbyqxmd.com/read/29345178/frequency-and-factors-associated-with-honorary-authorship-in-indian-biomedical-journals-analysis-of-papers-published-from-2012-to-2013
#13
Akash Shah, Sathish Rajasekaran, Anup Bhat, John M Solomon
Honorary authorship is the inclusion of an author on an article whose contribution does not warrant authorship. We conducted an Internet-based survey among first authors publishing in Indian biomedical journals from 2012 to 2013 to study the frequency and factors associated with honorary authorship. The response rate was 27% (245/908) with the prevalence of perceived, International Committee of Medical Journal Editors (ICMJE)-defined, and unperceived honorary authorship of 20.9% (50/239), 60% (147/245), and 46...
January 1, 2018: Journal of Empirical Research on Human Research Ethics: JERHRE
https://www.readbyqxmd.com/read/29344912/capillary-leak-syndrome-as-a-complication-of-antibody-mediated-rejection-treatment-a-case-report
#14
Juan C Ramirez-Sandoval, Ricardo Varela-Jimenez, Luis E Morales-Buenrostro
We report a case of capillary leak that developed during treatment of antibody-mediated rejection in a kidney transplant recipient. A 53-year-old female transplant recipient experienced an increase in serum creatinine from 1.1 to 1.8 mg/dL. Antibody-mediated rejection was diagnosed by graft biopsy. She was treated with five plasmapheresis sessions (on alternate days with albumin replacement), five doses of immunoglobulin (5 g/dose at 100 mg/kg), a single dose of rituximab (500 mg), and four doses of bortezomib on days 1, 4, 7, and 10 (1...
January 17, 2018: CEN Case Reports
https://www.readbyqxmd.com/read/29344763/visual-awareness-negativity-is-an-early-neural-correlate-of-awareness-a-preregistered-study-with-two-gabor-sizes
#15
Rasmus Eklund, Stefan Wiens
Electrophysiological recordings are commonly used to study the neural correlates of consciousness in humans. Previous research is inconsistent as to whether awareness can be indexed with visual awareness negativity (VAN) at about 200 ms or if it occurs later. The present study was preregistered with two main aims: First, to provide independent evidence for or against the presence of VAN, and second, to study whether stimulus size may account for the inconsistent findings. Subjects were shown low-contrast Gaussian filtered gratings (Gabor patches) in the four visual quadrants...
January 18, 2018: Cognitive, Affective & Behavioral Neuroscience
https://www.readbyqxmd.com/read/29344740/trends-in-awareness-and-use-of-hiv-prep-among-gay-bisexual-and-other-men-who-have-sex-with-men-in-vancouver-canada-2012-2016
#16
Terrance Mosley, Moliehi Khaketla, Heather L Armstrong, Zishan Cui, Paul Sereda, Nathan J Lachowsky, Mark W Hull, Gbolahan Olarewaju, Jody Jollimore, Joshua Edward, Julio S G Montaner, Robert S Hogg, Eric A Roth, David M Moore
Gay, bisexual, and other men who have sex with men (gbMSM) are at the highest risk for HIV infection in British Columbia (BC). Pre-exposure prophylaxis (PrEP) has been recently licensed but is currently not publicly funded in BC. Using respondent-driven sampling, we recruited a cohort of gbMSM to complete a computer-assisted self-interview with follow-up every 6 months. Stratified by HIV status, we examined trends in awareness of PrEP from 11/2012 to 02/2016 and factors associated with PrEP awareness. 732 participants responded to the PrEP awareness question...
January 17, 2018: AIDS and Behavior
https://www.readbyqxmd.com/read/29344690/-globalization-challenges-in-abdominal-surgery-for-migrants-and-refugees
#17
REVIEW
T J Wilhelm, S Post
The increasing number of refugees, migrants and international travelers influences the surgical spectrum of abdominal diseases. The aim of this review is to familiarize surgeons with specific diseases which are endemic in the patients' countries of origin and are likely to be diagnosed with increasing incidence in Germany. Low levels of hygiene in the countries of origin or refugee camps is associated with a high incidence of numerous infections, such as helminth infections, typhoid fever or amoebiasis, which if untreated can cause surgical emergencies...
January 17, 2018: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/29344468/levetiracetam-induced-skin-hyperpigmentation-an-extremely-rare-undesirable-side-effect
#18
Hussein Algahtani, Siham Marghalani, Mohamed Satti, Bader Shirah
Levetiracetam is one of the newer second-generation antiepileptic drugs with multiple mechanisms of action. Cutaneous side effects due to levetiracetam are rarely reported in the literature. In this article, we describe a patient with skin hyperpigmentation due to the treatment with levetiracetam with complete resolution after discontinuation of the medication. In addition, we review the topic and hypothesize the mechanism behind this rare complication. To the best of our knowledge, this is the first report of skin hyperpigmentation as a side effect of levetiracetam in the literature...
December 2017: Journal of Epilepsy Research
https://www.readbyqxmd.com/read/29344453/introduction-of-medical-humanities-in-mbbs-1st-year
#19
Shaista M Saiyad, Swapnil J Paralikar, Anita P Verma
Context: Most vital areas of patient management such as empathy, professionalism, and ethics are lacking in fresh undergraduates. These areas are considered to be part of hidden curriculum, and as these are not formally taught, we lack competent medical graduates. Introduction of medical humanities (MH) early in the medical curriculum can help to inculcate required soft skills. Aims: This study aims to develop, administer, and evaluate MH module in 1st year MBBS students...
December 2017: International Journal of Applied and Basic Medical Research
https://www.readbyqxmd.com/read/29344451/evaluation-of-brainstorming-session-as-a-teaching-learning-tool-among-postgraduate-medical-biochemistry-students
#20
Binita Goswami, Anju Jain, Bidhan Chandra Koner
Background: The thrust for postgraduate teaching should be self-directed learning with equal participation by all students in academic discussions. Group discussions involve conduction of the discourse by a leader who guides the discussion as well as points out any wrong information. This discourages quieter students from participation with the fear of rebuke. Brainstorming is devoid of all such fallacies with no judgment and reprimand. Aim: The aim of this study was to use brainstorming as a teaching-learning tool among postgraduate students of medical biochemistry...
December 2017: International Journal of Applied and Basic Medical Research
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