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https://www.readbyqxmd.com/read/28813859/an-assistive-lower-limb-exoskeleton-for-people-with-neurological-gait-disorders
#1
A Ortlieb, M Bouri, R Baud, H Bleuler
Lower limb exoskeletons have already proven the capability to give back mobility to people suffering from spinal cord injury (SCI). Other important populations such as people with multiple sclerosis or muscular dystrophy, frail elderly and stroke victims, suffer from severe gait impairments and could benefit from similar technology. The work presented in the current paper describes a novel design of a 6-actuated degrees of freedom (DOFs) assistive lower limb exoskeleton for people with moderate mobility impairments...
July 2017: IEEE ... International Conference on Rehabilitation Robotics: [proceedings]
https://www.readbyqxmd.com/read/28812979/truth-in-research-labelling
#2
John H Noble
This report describes the background and context of a currently circulating petition to the US Congress that seeks amendment of Section 801 of the Public Health Services Act (42 U.S.C. 282) to close a loophole in existing law which makes possible post hoc adjustment of randomised controlled trial (RCT) results reported to the Food and Drug Administration that differ from those reported to ClinicalTrials.gov and to medical journals. The report describes the petition's rationale, underlying assumptions, and support for its proposed remedy in deontological, consequentialist, and casuist philosophical ethics theories...
July 2017: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/28812428/microvascular-perfusion-in-cardiac-arrest-a-review-of-microcirculatory-imaging-studies
#3
Petra Krupičková, Zuzana Mormanová, Tomáš Bouček, Tomáš Belza, Jana Šmalcová, Jan Bělohlávek
Cardiac arrest represents a leading cause of mortality and morbidity in developed countries. Extracorporeal cardiopulmonary resuscitation (ECPR) increases the chances for a beneficial outcome in victims of refractory cardiac arrest. However, ECPR and post-cardiac arrest care are affected by high mortality rates due to multi-organ failure syndrome, which is closely related to microcirculatory disorders. Therefore, microcirculation represents a key target for therapeutic interventions in post-cardiac arrest patients...
August 1, 2017: Perfusion
https://www.readbyqxmd.com/read/28812382/can-elevated-lactate-and-ldh-produce-a-false-positive-enzymatic-ethanol-result-in-live-patients-presenting-to-the-emergency-department
#4
Nicholas Nacca, Michael J Hodgman, Kirselle Lao, Matthew Elkins, Michael G Holland
BACKGROUND: There have been allegations in the courtroom that elevated serum lactic acid in trauma victims can yield a falsely elevated serum ethanol assay. Most hospitals utilize an indirect method of ethanol measurement where a serum sample is added to a mix of alcohol dehydrogenase and oxidized nicotinamide adenine dinucleotide (NAD+). This allows any ethanol in the patient's serum to be metabolized to acetaldehyde, and in the process results in the reduction of NAD + to NADH. NADH is then measured using spectrophotometry...
August 16, 2017: Clinical Toxicology
https://www.readbyqxmd.com/read/28812222/ethics-and-phishing-experiments
#5
David B Resnik, Peter R Finn
Phishing is a fraudulent form of email that solicits personal or financial information from the recipient, such as a password, username, or social security or bank account number. The scammer may use the illicitly obtained information to steal the victim's money or identity or sell the information to another party. The direct costs of phishing on consumers are exceptionally high and have risen substantially over the past 12 years. Phishing experiments that simulate real world conditions can provide cybersecurity experts with valuable knowledge they can use to develop effective countermeasures and prevent people from being duped by phishing emails...
August 15, 2017: Science and Engineering Ethics
https://www.readbyqxmd.com/read/28811229/necrotizing-fasciitis-following-venomous-snakebites-in-a-tertiary-hospital-of-southwest-taiwan
#6
Yao-Hung Tsai, Wei-Hsiu Hsu, Kuo-Chin Huang, Pei-An Yu, Chi-Lung Chen, Liang Tseng Kuo
BACKGROUND: Necrotizing fasciitis following venomous snakebites is uncommon. The purpose of this study was to describe the initial clinical features of necrotizing fasciitis after snakebites, and to identify the risk factors for patients with cellulitis who later developed necrotizing fasciitis. METHODS: Sixteen patients with surgically-confirmed necrotizing fasciitis and 25 patients diagnosed with cellulitis following snakebites were retrospectively reviewed over a 6-year period...
August 12, 2017: International Journal of Infectious Diseases: IJID
https://www.readbyqxmd.com/read/28811177/prospective-associations-between-peer-teasing-in-childhood-and-young-men-s-obesity
#7
David C R Kerr, Gianluca Gini
OBJECTIVE: Being teased and otherwise victimised by peers during childhood increases risk for obesity. However, few prospective studies have considered whether risk extends to adulthood. We tested whether being teased in childhood predicted higher body mass index (BMI) and increased odds of obesity in early adulthood in a community sample of American males. METHOD: Boys (n=206) were classified as victims of peer teasing or non-victims (n=55 and 151, respectively) based on mother, father, and teacher reports at ages 10-12 years...
August 12, 2017: Obesity Research & Clinical Practice
https://www.readbyqxmd.com/read/28810945/teen-dating-violence-predicting-physical-and-sexual-violence-and-mental-health-symptoms-among-heterosexual-adolescent-males
#8
Peter Fawson, Timothy Jones, Bobby Younce
This study investigated the prevalence of female-to-male intimate partner violence (IPV) and mental health symptoms among 589 male high school students. Participants completed questionnaires asking if they had experienced dating violence victimization, mental health symptoms, and violent attitudes. Correlations revealed strong positive associations between sexual, physical, and psychological IPV among male victims. Multiple regression found significant predictors of negative mental health consequences were experiencing psychological violence, experiencing physical violence, and having attitudes that accept violence...
August 15, 2017: Violence and Victims
https://www.readbyqxmd.com/read/28810942/psychosocial-maladjustment-at-student-and-classroom-level-as-indicators-of-peer-victimization
#9
Patrik Söderberg, Johan Korhonen, Kaj Björkqvist
The purpose of this study was to examine the role of aggressive behavior, anxiety, and peer rejection as multilevel indicators of peer victimization. A cross-sectional sample of 1,115 Finnish 9th grade students nested in 76 classrooms (mean age 15 years) were used to conduct multilevel models. All forms of psychosocial maladjustment, as well as student family economy, were found to predict peer victimization within classrooms. In addition, classrooms with more aggressive behavior and a higher proportion of rejected students suffered more peer victimization, beyond compositional effects of aggressive and rejected students being victimized...
August 15, 2017: Violence and Victims
https://www.readbyqxmd.com/read/28810934/does-cyberbullying-prevalence-among-adolescents-relate-with-country-socioeconomic-and-development-indicators-an-ecological-study-of-31-countries
#10
Sara Soares, Sandra Brochado, Henrique Barros, Sílvia Fraga
BACKGROUND: In addition to individual characteristics, it is also important to evaluate how the environment may influence the dynamics of cyberbullying. We aim to study the correlation between cyberbullying prevalence among adolescents and selected country-level indicators. METHODS: We used two different data sources: data from a previously published literature review, to identify information on cyberbullying prevalence across countries, and data from the World Bank databases, to extract information on country-level indicators...
August 15, 2017: Violence and Victims
https://www.readbyqxmd.com/read/28810448/traumatic-exposure-and-posttraumatic-stress-disorder-among-flood-victims-testing-a-multiple-mediating-model
#11
Lijuan Quan, Rui Zhen, Benxian Yao, Xiao Zhou
A total of 187 flood victims from Wuhu, a Chinese city affected most severely by a flood during July 2016, were selected to complete self-report measures of traumatic exposure, feelings of safety, fear, posttraumatic negative cognition, and posttraumatic stress disorder. The results found that traumatic exposure could directly predict posttraumatic stress disorder. Besides, traumatic exposure had indirect prediction on posttraumatic stress disorder through three ways, including a one-step path of negative self-cognition, a two-step path from feelings of safety to fear, and a three-step path from feelings of safety to negative self-cognition via fear...
May 1, 2017: Journal of Health Psychology
https://www.readbyqxmd.com/read/28810212/evaluation-of-bikers-against-child-abuse-baca-program-a-community-intervention-for-child-abuse-victims
#12
Dee C Ray, J P Lilly, Nancy Gallina, Paula MacIan, Brittany Wilson
Children who have experienced physical abuse benefit from a multitude of community interventions including support programs to address emotional and behavioral stability. This pilot study evaluated the services of Bikers Against Child Abuse (BACA), a community of bikers lending intervention to abused children, using a pre/post exploratory design. Participants (N=154) were children who had been referred by parents/guardians for current or past physical and/or sexual abuse. Parents/guardians of children were interviewed four times over a course of one year...
August 5, 2017: Evaluation and Program Planning
https://www.readbyqxmd.com/read/28810167/intimate-partner-violence-as-a-subject-of-study-during-the-training-of-nurses-and-midwives-in-catalonia-spain-a-qualitative-study
#13
María Analía Gómez-Fernández, Josefina Goberna-Tricas, Montserrat Payà-Sánchez
While nurses and midwives are in a unique position to identify and help victims of IPV, since they are often their first point of contact in the healthcare system, they need appropriate training. This study sought to examine the presence of IPV-related contents and the depth to which they are addressed in the bachelor's degree in Nursing and in the Midwifery specialisation programme. The study also explored lecturers' motivations for including IPV in their subjects. The methodology employed was qualitative...
August 7, 2017: Nurse Education in Practice
https://www.readbyqxmd.com/read/28810161/ethical-considerations-for-forensic-scientists-participating-in-humanitarian-action-a-personal-reflection
#14
Jørgen L Thomsen
Humanitarian Forensic Action is aimed at relieving suffering by comforting and informing the relatives of disaster victims. It is not a priority to report human rights abuses to the authorities. It is thereby different from forensic human rights work with an inquisitive way of demonstrating culpability. The following tasks are relevant. The forensic scientist as an interviewer of the next of kin and witnesses. Emphasizing independency in armed conflicts. Assisting in man-made and natural disasters Assisting in the prevention and of the spread of epidemics...
July 29, 2017: Forensic Science International
https://www.readbyqxmd.com/read/28810070/the-appearance-taste-and-concentrations-of-zolpidem-dissolved-in-still-water-and-carbonated-beverages
#15
Gunhild Heide, Knut Hjelmeland, Gerd-Wenche Brochmann, Ritva Karinen, Gudrun Høiseth
Zolpidem is a sedative that could be used to drug victims, but its suitability to dissolve in drinks is unknown. In this small study, we added either crushed or whole tablets of zolpidem hemitartrate to carbonated beverages or still water to observe how this affected the taste and appearance. Also, concentrations were measured by ultra-high performance liquid chromatography tandem mass spectrometry at different time intervals. Two crushed tablets (20 mg) in cider (250 mL) lead to a maximum concentration of 84 mg/L zolpidem base after 30 min, while the corresponding concentration after adding fifteen tablets (150 mg) was 467 mg/L...
August 15, 2017: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/28810069/homicide-rates-in-lithuania
#16
Sigitas Chmieliauskas, Sigitas Laima, Gerda Andriuskeviciute, Eleonora Jurolaic, Algimantas Jasulaitis
Homicide rate in Lithuania between 2004 and 2013 decreased and reached an average of 6.7 per 100,000 people in 2013. The data regarding forensic autopsies of intentional homicide victims were obtained from the State Forensic Medicine Service. Spearman's correlation test was used to assess trends in the homicide rates. A significant correlation was observed between homicide distribution and the following variables: Lithuania's gross domestic product (r = -0.85, p = 0.003), the number of alcohol intoxication cases of victims (r = 0...
August 15, 2017: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/28809622/suicide-in-pretoria-a-retrospective-review-2007-2010
#17
Cornelia Engelbrecht, Ryan Blumenthal, Neil K Morris, Gert Saayman
BACKGROUND: The World Health Organization has declared suicide a global ealth crisis, predicting that ~1.53 million people will commit suicide annually by 2020. OBJECTIVE: A study from South Africa reviewed 1 018 suicide cases in Pretoria over 4 years (1997 - 2000). Our study was undertaken to establish whether there have been substantial changes in the profile of suicide victims who died in Pretoria a decade later. METHODS: Case records at the Pretoria Medico-Legal Laboratory were reviewed retrospectively from 2007 to 2010...
July 28, 2017: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/28808073/unintentional-cannabis-intoxication-in-toddlers
#18
Isabelle Claudet, Sébastien Mouvier, Magali Labadie, Cécile Manin, Anne-Pascale Michard-Lenoir, Didier Eyer, Damien Dufour
BACKGROUND AND OBJECTIVES: In France, cannabis consumption is illegal. The health impact of its increasing use and higher tetrahydrocannabinol (THC) concentrations is still poorly documented, particularly that of unintentional pediatric intoxications. We sought to evaluate the French national trend of admissions for unintentional cannabis intoxication in children over an 11-year period (2004-2014). METHODS: A retrospective, national, multicenter, observational study of a pediatric cohort...
August 14, 2017: Pediatrics
https://www.readbyqxmd.com/read/28807480/opportunities-and-challenges-in-screening-for-childhood-sexual-abuse
#19
Deepa L Sekhar, Jennifer L Kraschnewski, Heather L Stuckey, Pamela D Witt, Erica B Francis, Ginger A Moore, Paul L Morgan, Jennie G Noll
Retrospective studies suggest 1 in 4 girls and 1 in 6 boys will experience sexual abuse before 18 years of age, resulting in future morbidity. Successful interventions exist, however, victims are reluctant to disclose. Screening for childhood sexual abuse (CSA) may provide an opportunity to overcome this barrier, yet no current model for universal CSA screening exists. We sought to understand the perspective of key stakeholders on CSA screening through qualitative research. Eight focus groups of 7-10 participants each (n=62) were conducted from April-September 2016...
August 11, 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/28807080/a-descriptive-analysis-of-traction-splint-utilization-and-iv-analgesia-by-emergency-medical-services
#20
Joshua Nackenson, Amado A Baez, Jonathan P Meizoso
Study Objectives Traction splinting has been the prehospital treatment of midshaft femur fracture as early as the battlefield of the First World War (1914-1918). This study is the assessment of these injuries and the utilization of a traction splint (TS) in blunt and penetrating trauma, as well as intravenous (IV) analgesia utilization by Emergency Medical Services (EMS) in Miami, Florida (USA). METHODS: This is a retrospective study of patients who sustained a midshaft femur fracture in the absence of multiple other severe injuries or severe physiologic derangement, as defined by an injury severity score (ISS) <20 and a triage revised trauma score (T-RTS)≥10, who presented to an urban, Level 1 trauma center between September 2008 and September 2013...
August 15, 2017: Prehospital and Disaster Medicine
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