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https://www.readbyqxmd.com/read/29775088/an-assessment-of-the-uk-inpatient-care-for-heart-failure-patients-with-diabetes
#1
Lihua Wu, Jackie Cleator, Mamas Mamas, Christi Deaton
BACKGROUND: Diabetes is a common co-morbidity for patients with heart failure. Diabetes as a co-morbidity means that inpatient care should focus on both conditions to maximize the treatment regimen. However, this pressing issue is not widely researched and so it is unclear whether the acute care management needs of these patients are being met. AIMS: (1) To assess the differences in the number of hospital readmissions between patients with heart failure and patients with heart failure-diabetes; (2) to assess the use of integrated care approach for patients with heart failure-diabetes during the index heart failure-related admission; (3) to explore patient experiences of admissions...
May 1, 2018: European Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/29774222/asymmetrical-traumatic-bilateral-hip-dislocations-with-hemodynamic-instability-and-an-unstable-pelvic-ring-case-report-and-review-of-literature
#2
Kai Huang, Grey Giddins, Jian-Fang Zhang, Jian-Wei Lu, Jun-Ming Wan, Peng-Li Zhang, Shao-Yu Zhu
Simultaneous anterior and posterior traumatic dislocations of both hips are very rare. Only 33 cases have been previously reported in the English language literature. Although they were all due to high-energy injuries, they were hemodynamically stable and had a stable pelvic ring. We report a unique case of asymmetrical hip dislocations with an unstable pelvic ring and hemodynamic instability. A 40-year-old man was injured in a high-energy motor vehicle accident. He was hemodynamically unstable when he presented in the emergency department...
May 16, 2018: World Journal of Clinical Cases
https://www.readbyqxmd.com/read/29770851/synovitis-of-the-knee-following-a-high-pressure-injection-injury-with-hydraulic-oil
#3
Paulo A Noronha, Ronaldo O Lomelino, Vanessa Dinoá, Edson Marchiori
High-pressure injection injuries occur when equipment capable of achieving high pressure injects its contents into the human body. These injuries are largely occupational and may present as small entrance wounds with very few symptoms. However, they represent a surgical emergency, often requiring amputation. They characteristically involve the upper extremities, but other regions of the body may be injured. We present the case of a 26-year-old man who sustained a high-pressure injection injury with hydraulic oil to the knee and a literature review of this type of accident...
May 17, 2018: Skeletal Radiology
https://www.readbyqxmd.com/read/29768453/spatiotemporal-characteristics-of-elderly-population-s-traffic-accidents-in-seoul-using-space-time-cube-and-space-time-kernel-density-estimation
#4
Youngok Kang, Nahye Cho, Serin Son
The purpose of this study is to analyze how the spatiotemporal characteristics of traffic accidents involving the elderly population in Seoul are changing by time period. We applied kernel density estimation and hotspot analyses to analyze the spatial characteristics of elderly people's traffic accidents, and the space-time cube, emerging hotspot, and space-time kernel density estimation analyses to analyze the spatiotemporal characteristics. In addition, we analyzed elderly people's traffic accidents by dividing cases into those in which the drivers were elderly people and those in which elderly people were victims of traffic accidents, and used the traffic accidents data in Seoul for 2013 for analysis...
2018: PloS One
https://www.readbyqxmd.com/read/29766565/a-retrospective-observational-study-of-people-with-type-1-diabetes-with-self-reported-severe-hypoglycaemia-reveals-high-level-of-ambulance-attendance-but-low-levels-of-therapy-change-and-specialist-intervention
#5
B C T Field, R Nayar, A Kilvert, M Baxter, J Hickey, M Cummings, S C Bain
AIM: To evaluate the impact of severe hypoglycaemia on NHS resources and overall glycaemic control in adults with Type 1 diabetes. METHODS: An observational, retrospective study of adults (aged ≥ 18 years) with Type 1 diabetes reporting one or more episodes of severe hypoglycaemia during the preceding 24 months in 10 NHS hospital diabetes centres in England and Wales. The primary outcome was healthcare resource utilization associated with severe hypoglycaemia...
May 15, 2018: Diabetic Medicine: a Journal of the British Diabetic Association
https://www.readbyqxmd.com/read/29764820/unexplained-bruising-a-developing-story
#6
Lucy Backhouse, Danielle Furnell, Isabelle Li Kam Wa
We present the case of a 10-month-old male infant who presented to accident and emergency with unexplained bruising of the ear. Initial blood tests showed no clotting or platelet abnormalities and non-accidental injury investigation commenced. He was subsequently reviewed by the dermatology team who suggested the diagnosis of acute haemorrhagic oedema of infancy presumably triggered by a viral or bacterial infection, and the clinical findings fit this diagnosis.
May 14, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29760924/extensive-subcutaneous-emphysema-following-lobectomy
#7
Fiqry Fadhlillah, Wei Jia
We present a case report of extensive subcutaneous emphysema secondary to an elective left upper lobectomy. A 65-year-old gentleman was brought into a London teaching hospital's Accident and Emergency department following report of severe swelling. He was mistakenly treated by the paramedics as an allergic reaction and given hydrocortisone and salbutamol nebulisers with no effect. Upon arrival, the patient had widespread crepitus extending from his peri-orbital muscles down to mid-torso. A computer tomography scan revealed a pleuro-cutaneous fistula at the site of a recently sited chest drain, with extensive emphysema and a pneumothorax...
2018: SAGE Open Medical Case Reports
https://www.readbyqxmd.com/read/29757710/what-went-right-an-analysis-of-the-protective-factors-in-aviation-near-misses
#8
Brian Thoroman, Natassia Goode, Paul Salmon, Matthew Wooley
Learning from successful safety outcomes, or what went right, is an important emerging component of maintaining safe systems. Accordingly, there are increasing calls to study normal performance in near misses as part of safety management activities. Despite this, there is limited guidance on how to accomplish this in practice. This article presents a study in which using Rasmussen's risk management framework to analyse sixteen serious incidents from the aviation domain. The findings show that a network of protective factors prevents accidents with factors identified across the sociotechnical system...
May 14, 2018: Ergonomics
https://www.readbyqxmd.com/read/29755709/perioperative-management-of-sickle-cell-disease
#9
REVIEW
Kwame Ofori Adjepong, Folashade Otegbeye, Yaw Amoateng Adjepong
Over 30 million people worldwide have sickle cell disease (SCD). Emergent and non-emergent surgical procedures in SCD have been associated with relatively increased risks of peri-operative mortality, vaso-occlusive (painful) crisis, acute chest syndrome, post-operative infections, congestive heart failure, cerebrovascular accident and acute kidney injury. Pre-operative assessment must include a careful review of the patient's known crisis triggers, baseline hematologic profile, usual transfusion requirements, pre-existing organ dysfunction and opioid use...
2018: Mediterranean Journal of Hematology and Infectious Diseases
https://www.readbyqxmd.com/read/29752530/bracy-procedure-with-ductal-mucosal-pancreaticogastrostomy-and-an-internal-stent-for-pancreatic-complex-deep-injury-how-to-do-it
#10
Tetsunosuke Shimizu, Hirotada Kittaka, Kohei Taniguchi, Kazuhisa Uchiyama, Hiroshi Akimoto
Pancreatic complex deep injury extending to the main pancreatic duct (MPD), caused by strong external forces such as traffic accidents, is lethal without emergency surgery. However, the best surgical procedure for this serious injury has not been established. The Bracey procedure is a relatively simple reconstructive technique involving pancreaticogastrostomy, but it is often followed by postoperative complications, such as dilatation of the MPD caused by anastomotic stenosis, as well as subsequent serious sequela such as repetitive pancreatitis and new-onset pancreatic diabetes...
May 11, 2018: Surgery Today
https://www.readbyqxmd.com/read/29751868/our-tobago-our-accident-and-emergency-department
#11
Philmore James
No abstract text is available yet for this article.
May 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/29748341/general-practitioners-providing-non-urgent-care-in-emergency-department-a-natural-experiment
#12
Olalekan A Uthman, Clare Walker, Sudakshina Lahiri, David Jenkinson, Victor Adekanmbi, Wendy Robertson, Aileen Clarke
OBJECTIVE: To examine whether care provided by general practitioners (GPs) to non-urgent patients in the emergency department differs significantly from care provided by usual accident and emergency (A&E) staff in terms of process outcomes and A&E clinical quality indicators. DESIGN: Propensity score matched cohort study. SETTING: GPs in A&E colocated within the University Hospitals Coventry and Warwickshire NHS Trust between May 2015 and March 2016...
May 10, 2018: BMJ Open
https://www.readbyqxmd.com/read/29747037/investigating-the-effect-of-alcohol-brief-interventions-within-accident-and-emergency-departments-using-a-data-informatics-methodology
#13
Alex Baldacchino, Louise O'Rourke, Gerry Humphris
BACKGROUND: Alcohol Brief Interventions (ABI) have been implemented throughout Scotland since 2008 and aim to reduce hazardous drinking through a Scottish Government funded initiative delivered in a range of settings, including Accident and Emergency (A and E) departments. PURPOSE: To study the extent to which Alcohol Brief Interventions (ABI) are associated with later health service use. METHOD: An opportunistic informatics approach was applied...
April 30, 2018: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/29745055/where-do-we-diagnose-hiv-infection-monitoring-new-diagnoses-made-in-nontraditional-settings-in-england-wales-and-northern-ireland
#14
S Croxford, Z Yin, M Kall, F Burns, R Simmons, A Copas, G Ireland, P Kirwan, C Chau, V Delpech
OBJECTIVES: The objectives of the study were to describe 10-year trends in HIV diagnosis setting and to explore predictors of being diagnosed outside a sexual health clinic (SHC). METHODS: Analyses of national HIV surveillance data were restricted to adults (aged ≥ 15 years) diagnosed in 2005-2014 in England, Wales and Northern Ireland. Logistic regression identified factors associated with diagnosis outside an SHC (2011-2014). RESULTS: Between 2005 and 2014, 63 599 adults were newly diagnosed with HIV infection; 83% had a diagnosis setting reported...
May 9, 2018: HIV Medicine
https://www.readbyqxmd.com/read/29744308/population-based-epidemiology-of-non-fatal-injuries-in-tehran-iran
#15
Esmatolsadat Hashemi, Mahdi Zangi, Homayoun Sadeghi-Bazargani, Joaquim Soares, Eija Viitasara, Reza Mohammadi
Background: Our aim in this survey was to explore descriptive epidemiology of injuries in Tehran in 2012 and to report the recalled estimates of injury incidence rates. Methods: A population survey was conducted in Tehran during 2012, within which a total of 8626 participants were enrolled. The cluster sampling was used to draw samples in 100 clusters with a pre-specified cluster size of 25 households per cluster. Data were collected on demographic features, accident and injury characteristics based on the International Classification of Diseases (ICD10)...
2018: Health Promotion Perspectives
https://www.readbyqxmd.com/read/29738453/managing-emergency-situations-in-vanet-through-heterogeneous-technologies-cooperation
#16
Amilcare Francesco Santamaria, Mauro Tropea, Peppino Fazio, Floriano De Rango
Nowadays, the research on vehicular computing enhanced a very huge amount of services and protocols, aimed to vehicles security and comfort. The investigation of the IEEE802.11p, Wireless Access in Vehicular Environments (WAVE) and Dedicated Short Range Communication (DSRC) standards gave to the scientific world the chance to integrate new services, protocols, algorithms and devices inside vehicles. This opportunity attracted the attention of private/public organizations, which spent lot of resources and money to promote vehicular technologies...
May 8, 2018: Sensors
https://www.readbyqxmd.com/read/29736640/general-dependencies-and-causality-analysis-of-road-traffic-fatalities-in-oecd-countries
#17
Muhammad Rizwan Yaseen, Qamar Ali, Muhammad Tariq Iqbal Khan
The road traffic accidents were responsible for material and human loss which was equal to 2.8 to 5% of gross national product (GNP). However, literature does not explore the elasticity coefficients and nexus of road traffic fatalities with foreign direct investment, health expenditures, trade openness, mobile subscriptions, the number of researchers in R&D department, and environmental particulate matter. This study filled this research gap by exploring the nexus between road traffic fatalities, foreign direct investment, health expenditures, trade openness, mobile subscriptions, the number of researchers, and environmental particulate matter in Organization for Economic Cooperation and Development (OECD) countries by using panel data from 1995 to 2015...
May 7, 2018: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/29735941/privacy-preserving-authentication-using-a-double-pseudonym-for-internet-of-vehicles
#18
Jie Cui, Wenyu Xu, Hong Zhong, Jing Zhang, Yan Xu, Lu Liu
The Internet of Vehicles (IoV) plays an important role in smart transportation to reduce the drivers’s risk of having an accident and help them manage small emergencies. Therefore, security and privacy issues of the message in the tamper proof device (TPD) broadcasted to other vehicles and roadside units (RSUs) have become an important research subject in the field of smart transportation. Many authentication schemes are proposed to tackle the challenges above and most of them are heavy in computation and communication...
May 7, 2018: Sensors
https://www.readbyqxmd.com/read/29733669/suicidal-ideation-among-adolescents-following-natural-disaster-the-role-of-prior-interpersonal-violence
#19
Kelly L Zuromski, Heidi Resnick, Matthew Price, Sandro Galea, Dean G Kilpatrick, Kenneth Ruggiero
OBJECTIVE: The current study examined variables, including prior traumatic events, disaster exposure, and current mental health symptomatology, associated with suicidal ideation following experience of a natural disaster. METHOD: Utilizing a sample of 2,000 adolescents exposed to the spring 2011 tornadoes in the areas surrounding Tuscaloosa, Alabama, and Joplin, Missouri, we hypothesized that prior interpersonal violence (IPV), more so than other prior traumatic events or other symptoms, would be associated with suicidal ideation after the disaster...
May 7, 2018: Psychological Trauma: Theory, Research, Practice and Policy
https://www.readbyqxmd.com/read/29732681/incidental-finding-of-a-degrading-zirconia-dental-implant-29-months-after-implantation-histological-and-histomorphometrical-analysis
#20
Alireza Houshmand, Phil Donkiewicz, Ralf Smeets, Ole Jung, Mike Barbeck
With the emerging development and improvement of biomaterials, the application of ceramics in restorative medicine has experienced a renaissance. New production processes have reportedly helped to overcome unfavorable biomechanical characteristics of these materials, which lead to a wide application of zirconia as ground material for dental implants. Zirconia-based implants are biocompatible, demonstrate ability to osseointegrate and have a teeth-like color, rendering them to be an ideal replacement for titanium-based implant systems, which represent the current gold standard in implantology...
May 7, 2018: Journal of Biomedical Materials Research. Part B, Applied Biomaterials
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