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https://www.readbyqxmd.com/read/28336429/insight-into-stereochemistry-of-a-new-imp-allelic-variant-imp-55-metallo-%C3%AE-lactamase-identified-in-a-clinical-strain-of-acinetobacter-baumannii
#1
Mohammad Reza Shakibaie, Omid Azizi, Fereshteh Shahcheraghi
Metallo-β-lactamases (MBLs) such as IMPs are broad-spectrum β-lactamases that inactivate virtually all β-lactam antibiotics including carbapenems. In this study, we investigated the hydrolytic activity, phylogenetic relationship, three dimensional (3D) structure including zinc binding motif of a new IMP variant (IMP-55) identified in a clinical strain of Acinetobacter baumannii (AB). AB strain 56 was isolated from an adult ICU of a teaching hospital in Kerman, Iran. It exhibited MIC 32μg/ml to imipenem and showed MBL activity...
March 20, 2017: Infection, Genetics and Evolution
https://www.readbyqxmd.com/read/28336363/does-surgical-teaching-take-time-resident-participation-in-minimally-invasive-hysterectomy-for-endometrial-cancer
#2
Alexandra H Freeman, Allison Barrie, Liisa Lyon, Carol Conell, Christine Garcia, Ramey D Littell, C Bethan Powell
STUDY OBJECTIVE: To determine the association between resident involvement and operative time for minimally invasive surgery (MIS) for endometrial cancer. DESIGN: Retrospective cohort study DESIGN: Classification: II-2 SETTING: Integrated health care system in Northern California PATIENTS: A total of 1,433 women who underwent MIS for endometrial cancer and endometrial intraepithelial neoplasia from January 2009 to January 2014. INTERVENTIONS: Resident participation in 430/688 laparoscopic cases (62%) and 341/745 robotic cases (46%)...
March 21, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28321316/pre-operative-urinary-tract-infection-is-it-a-risk-factor-for-early-surgical-site-infection-with-hip-fracture-surgery-a-retrospective-analysis
#3
Rafik Rd Yassa, Mahdi Y Khalfaoui, Karunakar Veravalli, D Alun Evans
OBJECTIVE: The aims of the current study were to determine whether pre-operative urinary tract infections in patients presenting acutely with neck of femur fractures resulted in a delay to surgery and whether such patients were at increased risk of developing post-operative surgical site infections. DESIGN: A retrospective review of all patients presenting with a neck of femur fracture, at a single centre over a one-year period. The hospital hip fracture database was used as the main source of data...
March 2017: JRSM Open
https://www.readbyqxmd.com/read/28316407/theileria-annulata-induced-brisket-oedema-in-a-bull-and-its-successful-treatment
#4
B Sudhakara Reddy, S Sivajothi
In the present case, jugular vein engorgement and oedema of the brisket region which mimic the signs of pseudopericarditis due to theileriosis in a bull was reported. An adult Ongole crossbred bull with history of weakness, anorexia and oedema at brisket region was referred to Teaching Veterinary Clinical Complex, College of Veterinary Science, Proddatur. Physical examination revealed the presence of ticks over the body, right and left prescapular lymphadenopathy and oedema at brisket region. Blood examination revealed the presence of piroplasms in erythrocytes, schizont in lymphocytes, anaemia and lymphopenia...
March 2017: Journal of Parasitic Diseases: Official Organ of the Indian Society for Parasitology
https://www.readbyqxmd.com/read/28301036/factors-associated-with-poor-sleep-quality-in-women-with-cancer
#5
Thalyta Cristina Mansano-Schlosser, Maria Filomena Ceolim
Objectives: to analyze the factors associated with poor sleep quality, its characteristics and components in women with breast cancer prior to surgery for removing the tumor and throughout the follow-up. Method: longitudinal study in a teaching hospital, with a sample of 102 women. The following were used: a questionnaire for sociodemographic and clinical characterization, the Pittsburgh Sleep Quality Index; the Beck Depression Inventory; and the Herth Hope Scale...
March 2, 2017: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/28298948/penetrating-palpebral-grass-awn-in-a-dog-unusual-case-of-a-penetrating-grass-awn-in-an-eyelid
#6
Andrea Marchegiani, Alessandro Fruganti, Matteo Cerquetella, Maria Paola Cassarani, Fulvio Laus, Andrea Spaterna
An unusual case of a penetrating grass awn in an eyelid of a dog is reported. A 6-month-old mixed breed dog was referred to the Ophthalmology Unit of the Veterinary Teaching Hospital of Camerino University for anorexia, lethargy, left monolateral ocular swelling and pain to the left eye, present from 1 month. Ophthalmic examination of the left eye showed copious and purulent discharge, and ultrasonography revealed the presence of an abscess containing a grass foreign body. The grass awn was surgically removed...
March 2017: Journal of Ultrasound
https://www.readbyqxmd.com/read/28294667/-initial-experiences-with-vats-lobectomy
#7
Pál Gehér, Árpád Füredi, László István Kecskés, Béla Kiss
OBJECTIVE: The authors analyse the experience of videothoracoscopic (VATS) lung lobectomies performed since December 2010 at the Thoracic Surgery Department of Markusovszky University Teaching Hospital. PATIENTS AND METHOD: 78 patients (44 men and 34 women) underwent VATS lobectomy. The average age was 61.2 years ranging from 30 to 80. The indications were peripheral malignancy (35 cases) or the suspicion of that (43 cases), presence of curable distant metastasis was not considered as contraindication...
March 2017: Magyar Sebészet
https://www.readbyqxmd.com/read/28285564/an-exploration-of-teaching-presence-in-online-interprofessional-education-facilitation
#8
Sherryn Maree Evans, Catherine Ward, Scott Reeves
BACKGROUND: Although the prevalence of online asynchronous interprofessional education (IPE) has increased in the last decade, little is known about the processes of facilitation in this environment. The teaching presence element of the Community of Inquiry Framework offers an approach to analyze the contributions of online facilitators, however, to date it has only been used on a limited basis in health professions education literature. AIM: Using an exploratory case study design, we explored the types of contributions made by IPE facilitators to asynchronous interprofessional team discussions by applying the notion of teaching presence...
March 11, 2017: Medical Teacher
https://www.readbyqxmd.com/read/28285499/clinico-epidemiological-patterns-of-cutaneous-leishmaniasis-patients-attending-the-anuradhapura-teaching-hospital-sri-lanka
#9
Lahiru Sandaruwan Galgamuwa, Buthsiri Sumanasena, Lalani Yatawara, Susiji Wickramasinghe, Devika Iddawela
Cutaneous leishmaniasis (CL) caused by Leishmania donovani is an endemic vector-borne disease in Sri Lanka. Over 2,500 cases have been reported since 2000 and the number of CL cases has dramatically increased annually. Total 57 clinically suspected CL patients attending the dermatology clinic in Anuradhapura Teaching Hospital were recruited from January to June 2015. Slit skin smears and skin biopsies were taken from each of the subjects. Clinical and epidemiological data were obtained using interviewer administered questionnaire...
February 2017: Korean Journal of Parasitology
https://www.readbyqxmd.com/read/28285032/the-association-between-physician-turnover-the-july-effect-and-survival-after-in-hospital-cardiac-arrest
#10
Laura Myers, Bassem Mikhael, Paul Currier, Katherine Berg, Anupam Jena, Michael Donnino, Lars W Andersen
IMPORTANCE: The July Effect refers to adverse outcomes that occur as a result of turnover of the physician workforce in teaching hospitals during the month of June. OBJECTIVE: As a surrogate for physician turnover, we used a multivariable difference-in-difference approach to determine if there was a difference in outcomes between May and July in teaching versus non-teaching hospitals. DESIGN: We used prospectively collected observational data from United States hospitals participating in the Get With The Guidelines(®)-Resuscitation registry...
March 8, 2017: Resuscitation
https://www.readbyqxmd.com/read/28278490/outcomes-after-oesophageal-perforation-a-retrospective-cohort-study-of-patients-with-different-aetiologies
#11
T T Law, J Yl Chan, D Kk Chan, D Tong, I Yh Wong, F Sy Chan, S Law
INTRODUCTION: The mortality rate after oesophageal perforation is high despite advances in operative and non-operative techniques. In this study, we sought to identify risk factors for hospital mortality. METHODS: We retrospectively examined patients treated for oesophageal perforation in a university teaching hospital in Hong Kong between January 1997 and December 2013. Their demographic and clinical characteristics, aetiology, management strategies, and outcomes were recorded and analysed...
March 10, 2017: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
https://www.readbyqxmd.com/read/28274585/factors-associated-with-canine-resource-guarding-behaviour-in-the-presence-of-dogs-a-cross-sectional-survey-of-dog-owners
#12
Jacquelyn A Jacobs, Jason B Coe, David L Pearl, Tina M Widowski, Lee Niel
Resource guarding (RG) involves the use of specific behaviour patterns to control access to an item of potential "value" (as perceived by the dog), and can be expressed in the presence of various animals, including other dogs. The current study aimed to identify factors associated with RG patterns expressed around other dogs. Dog owners (n=3068) were recruited through social media to answer questions regarding dog- and household-related factors, as well as their dog's current and past behaviour around resources in the presence of other dogs...
February 20, 2017: Preventive Veterinary Medicine
https://www.readbyqxmd.com/read/28268035/factors-associated-with-canine-resource-guarding-behaviour-in-the-presence-of-people-a-cross-sectional-survey-of-dog-owners
#13
Jacquelyn A Jacobs, Jason B Coe, David L Pearl, Tina M Widowski, Lee Niel
Resource guarding (RG) involves the use of specific behaviour patterns to control access to an item of potential "value" to the dog. Of particular concern are patterns involving aggression, due to safety concerns, but other patterns of RG behaviour are prevalent and include avoidance (i.e., positioning of the head or body to maintain item control, or location change with the item) and rapid ingestion (i.e., rapid ingestion of a consumable item). Current research has not investigated the etiology of RG aggression in depth, nor have the additional patterns of resource guarding been considered...
February 17, 2017: Preventive Veterinary Medicine
https://www.readbyqxmd.com/read/28265087/classroom-sound-can-be-used-to-classify-teaching-practices-in-college-science-courses
#14
Melinda T Owens, Shannon B Seidel, Mike Wong, Travis E Bejines, Susanne Lietz, Joseph R Perez, Shangheng Sit, Zahur-Saleh Subedar, Gigi N Acker, Susan F Akana, Brad Balukjian, Hilary P Benton, J R Blair, Segal M Boaz, Katharyn E Boyer, Jason B Bram, Laura W Burrus, Dana T Byrd, Natalia Caporale, Edward J Carpenter, Yee-Hung Mark Chan, Lily Chen, Amy Chovnick, Diana S Chu, Bryan K Clarkson, Sara E Cooper, Catherine Creech, Karen D Crow, José R de la Torre, Wilfred F Denetclaw, Kathleen E Duncan, Amy S Edwards, Karen L Erickson, Megumi Fuse, Joseph J Gorga, Brinda Govindan, L Jeanette Green, Paul Z Hankamp, Holly E Harris, Zheng-Hui He, Stephen Ingalls, Peter D Ingmire, J Rebecca Jacobs, Mark Kamakea, Rhea R Kimpo, Jonathan D Knight, Sara K Krause, Lori E Krueger, Terrye L Light, Lance Lund, Leticia M Márquez-Magaña, Briana K McCarthy, Linda J McPheron, Vanessa C Miller-Sims, Christopher A Moffatt, Pamela C Muick, Paul H Nagami, Gloria L Nusse, Kristine M Okimura, Sally G Pasion, Robert Patterson, Pleuni S Pennings, Blake Riggs, Joseph Romeo, Scott W Roy, Tatiane Russo-Tait, Lisa M Schultheis, Lakshmikanta Sengupta, Rachel Small, Greg S Spicer, Jonathon H Stillman, Andrea Swei, Jennifer M Wade, Steven B Waters, Steven L Weinstein, Julia K Willsie, Diana W Wright, Colin D Harrison, Loretta A Kelley, Gloriana Trujillo, Carmen R Domingo, Jeffrey N Schinske, Kimberly D Tanner
Active-learning pedagogies have been repeatedly demonstrated to produce superior learning gains with large effect sizes compared with lecture-based pedagogies. Shifting large numbers of college science, technology, engineering, and mathematics (STEM) faculty to include any active learning in their teaching may retain and more effectively educate far more students than having a few faculty completely transform their teaching, but the extent to which STEM faculty are changing their teaching methods is unclear...
March 6, 2017: Proceedings of the National Academy of Sciences of the United States of America
https://www.readbyqxmd.com/read/28249100/cytologic-features-of-cutaneous-follicular-tumors-and-cysts-in-dogs
#15
Adeyemi O Adedeji, Verena K Affolter, Mary M Christopher
BACKGROUND: Follicular tumors and cysts are common skin lesions in dogs. Both are distinguished based on their cellular origin (matrical, isthmus, or infundibular cells) and the type of keratin they produce. Typically, differentiation requires histopathology, as all these lesions often have similar cytologic features. OBJECTIVES: The goal of this retrospective study was to identify unique cytologic features that may assist differentiation of canine benign follicular tumors and cysts at cytology, using histopathology as gold standard...
March 1, 2017: Veterinary Clinical Pathology
https://www.readbyqxmd.com/read/28243150/predictors-of-hypertension-in-an-urban-hiv-infected-population-at-the-university-of-calabar-teaching-hospital-calabar-nigeria
#16
Henry Ohem Okpa, Elvis Mbu Bisong, Ofem Egbe Enang, Emmanuel Monjok, Ekere James Essien
BACKGROUND: The introduction of highly active antiretroviral therapy (HAART) has remarkably improved the prognosis of human immunodeficiency virus (HIV)-infected patients, at the expense of the development of long-term complications such as cardiovascular and renal diseases. Hypertension (HTN) is a major risk factor for cardiovascular diseases and its associated mortality. In this study, we aimed to determine the prevalence of HTN and to identify possible predictors among HIV-infected patients attending the HIV Special Treatment Clinic at the University of Calabar Teaching Hospital, Calabar...
2017: HIV/AIDS: Research and Palliative Care
https://www.readbyqxmd.com/read/28240759/the-influence-of-residents-in-the-outcome-of-elective-laparoscopic-surgery-a-prospective-study-comparing-a-teaching-hospital-and-a-private-community-hospital-in-italy
#17
E Spaziani, A R Di Filippo, S Orelli, O Tintisona, V Di Girolamo, M Spaziani, P Narilli, M Ottaviani, M Picchio
OBJECTIVES: We compared the outcome of elective laparoscopic cholecystectomy (LC) in a teaching hospital and a private communityhospital to assess the impact of the involvement of residents. MATERIALS AND METHODS: The following parameters were studied prospectively in patients who underwent elective LC during the period from September 2014 to February 2016 in a teaching university hospital (group A) and in a private community hospital (group B): age, sex, body mass index (BMI), comorbidities, American Society of Anaesthesiologists (ASA) score, length of surgery from skin incision to skin closure, use of drain, 30-day perioperative morbidity and mortality, and length of postoperative hospital stay...
January 2017: La Clinica Terapeutica
https://www.readbyqxmd.com/read/28238748/can-we-predict-fall-asthma-exacerbations-validation-of-the-seasonal-asthma-exacerbation-index
#18
Heather E Hoch, Agustin Calatroni, Joseph B West, Andrew H Liu, Peter J Gergen, Rebecca S Gruchalla, Khurana G K Hershey, Carolyn M Kercsmar, Haejin Kim, Carin I Lamm, Melanie M Makhija, Herman E Mitchell, Stephen J Teach, Jeremy J Wildfire, William W Busse, Stanley J Szefler
BACKGROUND: A Seasonal Asthma Exacerbation Predictive Index (saEPI) was previously reported based on two prior NIAID Inner City Asthma Consortium trials. OBJECTIVE: We sought to validate the saEPI in a separate trial designed to prevent fall exacerbations with omalizumab therapy. METHODS: The saEPI and its components were analyzed to characterize those who had an asthma exacerbation during the PROSE (Preventative Omalizumab or Step-Up Therapy for Fall Exacerbations) study...
February 23, 2017: Journal of Allergy and Clinical Immunology
https://www.readbyqxmd.com/read/28230626/resiliency-and-quality-of-life-trajectories-after-injury
#19
Ben L Zarzaur, Teresa M Bell, Stephen A Zanskas
BACKGROUND: Injury can greatly impact patients' long-term quality of life. Resilience refers to an individual's ability to positively adapt after facing stress or trauma. The objective of this study was to examine the relationship between pre-injury resiliency scores and quality of life after injury. METHODS: 225 adults admitted with an injury severity score > 10 but without neurological injury were included. The SF-36 was administered at the time of admission and repeated at 1, 2, 4 and 12 months after injury...
February 23, 2017: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/28225466/the-use-of-social-media-in-graduate-medical-education-a-systematic-review
#20
Madeline Sterling, Peggy Leung, Drew Wright, Tara F Bishop
PURPOSE: Despite the growing presence of social media in graduate medical education (GME), few studies have attempted to characterize their effect on residents and their training. The authors conducted a systematic review of the peer-reviewed literature to understand the effect of social media on resident (1) education, (2) recruitment, and (3) professionalism. METHOD: The authors identified English-language peer-reviewed articles published through November 2015 using Medline, Embase, Cochrane, PubMed, Scopus, and ERIC...
February 21, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
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