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https://www.readbyqxmd.com/read/28743109/robot-assisted-vesico-vaginal-fistula-repair-our-technique-and-review-of-the-literature
#1
Deliu Victor Matei, Vanna Zanagnolo, Mihai Dorin Vartolomei, Nicolae Crisan, Matteo Ferro, Luca Bocciolone, Angelo Maggioni, Ioan Coman, Ottavio de Cobelli
OBJECTIVE: Our first objective was to report our experience on robot-assisted vesico-vaginal fistula (VVF) repair after radical surgery for gynecologic malignancies without omental flap interposition using a da Vinci robotic system. The second objective was to critically review the literature in order to analyze surgical solutions used to avoid repair failure. MATERIALS AND METHODS: Five patients with VVF diagnosed after previous open surgery for gynecologic malignancies referred to our tertiary institutions were selected...
July 26, 2017: Urologia Internationalis
https://www.readbyqxmd.com/read/28743052/giving-birth-on-our-own-terms-women-s-experience-of-childbirth-at-home
#2
Maija-Riitta Jouhki, Tarja Suominen, Päivi Åstedt-Kurki
BACKGROUND: home births are quite rare and are not supported as part of mainstream health care services in most European countries. Women who choose home as the place of birth often do so because maternity services in hospitals do not offer the options that they want. The aim of the present study is to describe women's experiences of giving birth at home and to produce a comprehensive structure of meaning regarding giving birth at home. DESIGN: a phenomenological study based on analysis of open-interview transcripts using Colaizzi's approach...
July 16, 2017: Midwifery
https://www.readbyqxmd.com/read/28742410/content-analysis-of-advantages-and-disadvantages-of-drinking-among-individuals-with-the-lived-experience-of-homelessness-and-alcohol-use-disorders
#3
Susan E Collins, Emily Taylor, Connor Jones, Laura Haelsig, Véronique S Grazioli, Jessica L Mackelprang, Jessica Holttum, Molly Koker, Alyssa Hatsukami, Madeline Baker, Seema L Clifasefi
BACKGROUND: Alcohol use disorders (AUDs) are more prevalent among people who are homeless than in the general population. Thus, homeless individuals experience disproportionately high levels of alcohol-related problems and associated publicly funded criminal justice and healthcare system utilization. Available treatment services, however, are not effective at engaging and treating this population. To better tailor treatment services to their needs, it is imperative we understand this population's perceptions of their alcohol use...
July 25, 2017: Substance Use & Misuse
https://www.readbyqxmd.com/read/28742262/bladder-neck-needle-suspension-for-urinary-incontinence-in-women
#4
REVIEW
Cathryn Ma Glazener, Kevin Cooper, Atefeh Mashayekhi
BACKGROUND: Bladder neck needle suspension is an operation traditionally used for moderate or severe stress urinary incontinence in women. About a third of adult women experience some urinary incontinence, and about a third of these have moderate or severe symptoms. Stress urinary incontinence (SUI) imposes significant health and economic burdens on society and the women affected. OBJECTIVES: To determine the effects of needle suspension on stress or mixed urinary incontinence in comparison with other management options...
July 25, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28741939/the-influence-of-electric-fields-on-biofouling-of-carbonaceous-electrodes
#5
Soumya Pandit, Sneha Shanbhag, Meagan S Mauter, Yoram Oren, Moshe Herzberg
Biofouling commonly occurs on carbonaceous capacitive deionization electrodes in the process of treating natural waters. Although previous work reported the effect of electric fields on bacterial mortality for variety of medical and engineered applications, the effect of electrode surface properties and the magnitude and polarity of applied electric fields on biofilm development has not been comprehensively investigated. This paper studies the formation of Pseudomonas aeruginosa biofilm on Papyex graphite (PA) and carbon aerogel (CA) in presence and absence of an electric field...
July 25, 2017: Environmental Science & Technology
https://www.readbyqxmd.com/read/28741858/a-computational-approach-for-inferring-the-cell-wall-properties-that-govern-guard-cell-dynamics
#6
Hugh C Woolfenden, Gildas Bourdais, Michaela Kopischke, Eva Miedes, Antonio Molina, Silke Robatzek, Richard J Morris
Guard cells dynamically adjust their shape to regulate photosynthetic gas exchange, respiration rates and defend against pathogen entry. Cell shape changes are determined by the interplay of cell wall material properties and turgor pressure. To investigate this relationship between turgor pressure, cell wall properties and cell shape, we focused on kidney-shaped stomata and developed a biomechanical model of a guard cell pair. Treating the cell wall as a composite of the pectin-rich cell wall matrix embedded with cellulose microfibrils, we show that strong, circumferentially-oriented fibres are critical for opening...
July 25, 2017: Plant Journal: for Cell and Molecular Biology
https://www.readbyqxmd.com/read/28741334/endovascular-treatment-of-chronic-occluded-popliteal-artery-aneurysm-early-and-mid-term-outcomes
#7
Vincenzo Ardita, Alessia Giaquinta, Matteo Orrico, Sonia Ronchey, Massimiliano Veroux, Nicola Mangialardi, Pierfrancesco Veroux
BACKGROUND: Critical limb ischemia (CLI) may be the consequence of chronic occluded popliteal artery aneurysm (PAA). Open repair (OR) offers better 5-year results than endovascular treatment, but in patients with severe comorbidities or unfit to OR, endovascular repair (ER) could represent a valid treatment option. The purpose of this retrospective study was to review our experience of endovascular popliteal aneurism repair (EVPAR) in patients with chronic occluded PAA. METHODS: The endpoints assessed were: 1- and 3-year primary and secondary patency rates, technical success, 30-day major adverse events, major amputation free-survival, re-intervention and survival rates...
July 24, 2017: Journal of Cardiovascular Surgery
https://www.readbyqxmd.com/read/28741071/a-multicenter-observational-study-of-lanreotide-depot-autogel-lan-in-patients-with-acromegaly-in-the-united-states-2-year-experience-from-the-soda-registry
#8
Roberto Salvatori, Murray B Gordon, Whitney W Woodmansee, Adriana G Ioachimescu, Don W Carver, Beloo Mirakhur, David Cox, Mark E Molitch
PURPOSE: This analysis evaluates the 2-year effectiveness and safety of lanreotide depot/autogel (LAN), as well as treatment convenience and acromegaly symptom relief, from the Somatuline(®) Depot for Acromegaly (SODA) registry, a post-marketing, open-label, observational, multicenter, United States registry study. METHODS: Patients with acromegaly treated with LAN were eligible for enrollment. Demographics, LAN dose, extended dosing interval (EDI) (interval of injections ≥42 days), insulin-like growth factor 1 (IGF-1), growth hormone (GH), glycated hemoglobin, adverse events (AEs), injection convenience, and symptom data were collected...
July 24, 2017: Pituitary
https://www.readbyqxmd.com/read/28740752/long-term-resource-addition-to-a-detrital-food-web-yields-a-pattern-of-responses-more-complex-than-pervasive-bottom-up-control
#9
Kendra L Lawrence, David H Wise
BACKGROUND: Theory predicts strong bottom-up control in detritus-based food webs, yet field experiments with detritus-based terrestrial systems have uncovered contradictory evidence regarding the strength and pervasiveness of bottom-up control processes. Two factors likely leading to contradictory results are experiment duration, which influences exposure to temporal variation in abiotic factors such as rainfall and affects the likelihood of detecting approach to a new equilibrium; and openness of the experimental units to immigration and emigration...
2017: PeerJ
https://www.readbyqxmd.com/read/28740367/-open-mesh-or-strictly-selected-population-recruitment-the-experience-of-the-randomized-controlled-mememe-trial
#10
Mauro Cortellini, Franco Berrino, Patrizia Pasanisi
Among randomized controlled trials (RCTs), trials for primary prevention require large samples and long follow-up to obtain a high-quality outcome; therefore the recruitment process and the drop-out rates largely dictate the adequacy of the results. We are conducting a Phase III trial on persons with metabolic syndrome to test the hypothesis that comprehensive lifestyle changes and/or metformin treatment prevents age-related chronic diseases (the MeMeMe trial, EudraCT number: 2012-005427-32, also registered on ClinicalTrials...
2017: Patient Preference and Adherence
https://www.readbyqxmd.com/read/28739467/epidemiology-and-outcomes-of-abdominal-aortic-aneurysms-in-new-zealand-a-15-year-experience-at-a-regional-hospital
#11
Nathaniel Chiang, Jitendra K Jain, Katherine R Hulme, Thodur Vasudevan
INTRODUCTION: Abdominal aortic aneurysms (AAA) account for approximately 400 deaths per year in New Zealand (NZ). Waikato Hospital caters to a diverse population comprising a high proportion of the indigenous Māori ethnic group considered to be at higher risk of mortality and morbidity. Despite these population factors, there is no screening program for AAA. The aim of this study was to further define the epidemiology and outcomes of AAA repairs in NZ to investigate the utility of implementing a population-specific screening program...
July 21, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28739415/human-factors-evaluation-of-surgeons-working-positions-for-gynaecological-minimal-access-surgery
#12
Sue Hignett, Diane Gyi, Lisa Calkins, Laura Jones, Esther Moss
STUDY OBJECTIVE: To investigate work-related musculoskeletal disorders (WRMSD) in gynaecological minimal access surgery (MAS), including bariatric (plus size) patients DESIGN: Mixed methods DESIGN CLASSIFICATION: Level III (descriptive and qualitative) SETTING: UK Teaching Hospital PATIENTS: Not applicable INTERVENTIONS: Not applicable MEASUREMENTS: Survey, observations (anthropometry, postural analysis) and interviews. RESULTS: WRMSD were present in 63% of survey respondents (n=67)...
July 21, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28739404/laparoscopic-partial-nephrectomy-with-sequential-precise-tumor-specific-segmental-renal-artery-clamping-for-multiple-ipsilateral-renal-tumors-a-new-treatment-approach-and-initial-experience
#13
Mingyue Tan, Yongzhi Xu, Dongliang Xu, Juntao Jiang, Wei Zhao, Di Cui, Yuan Ruan, Shujie Xia
OBJECTIVE: To present our surgical approach and initial experience of laparoscopic partial nephrectomy (LPN) with sequential precise tumor-specific segmental renal artery clamping in patients with multiple ipsilateral renal tumors. MATERIALS AND METHODS: Six patients with multiple ipsilateral renal tumors having imperative indications for nephron-sparing surgery underwent LPN with sequential precise tumor-specific segmental renal artery clamping from May 2012 to September 2015...
July 21, 2017: Urology
https://www.readbyqxmd.com/read/28739380/erk-activation-in-the-prefrontal-cortex-by-acute-apomorphine-and-apomorphine-conditioned-contextual-stimuli
#14
Frederico Velasco Sanguedo, Amanda Machado Figueiredo, Robert J Carey, Richard Ian Samuels, Marinete Pinheiro Carrera
The activation of extracellular signal-regulated kinase protein (ERK) has been linked to the adaptive responses to environmental changes and memory. The aim of this study was to measure ERK activation in primary dopamine projection areas namely, the prefrontal cortex and the nucleus accumbens following a conditioned dopaminergic drug response. Initially, the effect of unconditioned apomorphine (2.0mg/kg) administration on ERK activation was measured and the results showed an increase in ERK for both brain regions...
July 21, 2017: Pharmacology, Biochemistry, and Behavior
https://www.readbyqxmd.com/read/28738510/degradation-kinetics-and-mechanism-of-sulfadiazine-and-sulfamethoxazole-in-an-agricultural-soil-system-with-manure-application
#15
Yu Zhang, Shuangqing Hu, Hongchang Zhang, Genxiang Shen, Zhejun Yuan, Wei Zhang
Recently, under the application of waste-water, manure and biosolids, antibiotics have been used massively in agriculture resulted in antibiotic resistance and potential environmental risks. In the present study, the removal of sulfadiazine (SDZ) and sulfamethoxazole (SMX) in an agricultural soil system was explored. All the experiments were conducted under different incubation conditions for 49days. The experimental results indicated that all the degradation processes could effectively follow a first-order kinetic model...
July 18, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28737648/who-is-responsible-for-what-happens-before-during-and-after-colonoscopy-results-of-a-national-survey-of-primary-care-physicians
#16
Andrew J Read, Arlene Weissman, Philip S Schoenfeld, Seema Saini, Stacy B Menees, Sameer D Saini
BACKGROUND AND AIMS: Primary care providers (PCPs) play a critical role in colon cancer screening by initiating referrals to gastroenterologists for colonoscopy, but little is known about their role in pre-colonoscopy bowel preparation selection and pre-colonoscopy follow-up care. This study aimed to better understand coordination of care between PCPs and gastroenterologists as well as the current availability of "open-access" screening colonoscopy. METHODS: A multiple-choice survey was developed to assess PCPs' experiences with open-access colonoscopy, their involvement in the pre-colonoscopy process, and follow-up after colonoscopy...
July 21, 2017: Journal of Clinical Gastroenterology
https://www.readbyqxmd.com/read/28736946/fast-and-reproducible-in-vivo-t1-mapping-of-the-human-cervical-spinal-cord
#17
Marco Battiston, Torben Schneider, Ferran Prados, Francesco Grussu, Marios C Yiannakas, Sebastien Ourselin, Claudia A M Gandini Wheeler-Kingshott, Rebecca S Samson
PURPOSE: To develop a fast and robust method for measuring T1 in the whole cervical spinal cord in vivo, and to assess its reproducibility. METHODS: A spatially nonselective adiabatic inversion pulse is combined with zonally oblique-magnified multislice echo-planar imaging to produce a reduced field-of-view inversion-recovery echo-planar imaging protocol. Multi- inversion time data are obtained by cycling slice order throughout sequence repetitions. Measurement of T1 is performed using 12 inversion times for a total protocol duration of 7 min...
July 24, 2017: Magnetic Resonance in Medicine: Official Journal of the Society of Magnetic Resonance in Medicine
https://www.readbyqxmd.com/read/28736346/shifting-treatment-paradigms-for-ruptured-aneurysms-from-open-surgery-to-endovascular-therapy-over-25-years
#18
M T Bender, H Wendt, T Monarch, L M Lin, B Jiang, J Huang, A L Coon, R J Tamargo, G P Colby
BACKGROUND: Since the introduction of GDCs in the early 1990s, major clinical studies have supported an increasing role for coil embolization of ruptured aneurysms. We assessed aneurysm location and treatment modality in aneurysmal subarachnoid hemorrhage (aSAH) over the past 25 years. METHODS: A prospective, IRB-approved aneurysm database was screened for patients presenting with aSAH from 1991-2016. Microsurgical and endovascular capabilities were present throughout...
July 20, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28735885/surface-hydrodynamics-of-viscoelastic-fluids-and-soft-solids-surfing-bulk-rheology-on-capillary-and-rayleigh-waves
#19
REVIEW
Francisco Monroy
From the recent advent of the new soft-micro technologies, the hydrodynamic theory of surface modes propagating on viscoelastic bodies has reinvigorated this field of technology with interesting predictions and new possible applications, so recovering its scientific interest very limited at birth to the academic scope. Today, a myriad of soft small objects, deformable meso- and micro-structures, and macroscopically viscoelastic bodies fabricated from colloids and polymers are already available in the materials catalogue...
July 18, 2017: Advances in Colloid and Interface Science
https://www.readbyqxmd.com/read/28735714/internal-urethrotomy-with-intralesional-mitomycin-c-an-effective-option-for-endoscopic-management-of-recurrent-bulbar-and-bulbomembranous-urethral-strictures
#20
M Ryan Farrell, Cedric Lawrenz, Laurence A Levine
OBJECTIVE: To describe our experience with direct visual internal urethrotomy (DVIU) and mitomycin C (MMC) for recurrent bulbar/bulbomembranous urethral strictures of radiation and non-radiation induced etiologies. METHODS: We reviewed our database of consecutive patients presenting to our tertiary care institution with recurrent bulbar/bulbomembranous urethral strictures who underwent DVIU with MMC from 2011-2016. Patients were stratified by radiation-induced strictures (RIS) versus non-RIS...
July 20, 2017: Urology
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