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https://www.readbyqxmd.com/read/29323557/neuropsychological-assessment-of-412-hiv-infected-individuals-in-s%C3%A3-o-paulo-brazil
#1
Maria Rita Polo Gascón, José Ernesto Vidal, Yolanda Marques Mazzaro, Jerusa Smid, Rosa Maria Nascimento Marcusso, Claudio Garcia Capitão, Elizeu Macedo Coutinho, Glaucia Rosana Guerra Benute, Mara Cristina Souza De Lucia, Augusto César Penalva de Oliveira
HIV-associated neurocognitive disorders (HAND) remain frequent even among individuals receiving combined antiretroviral therapy (cART). In addition, HAND may adversely affect the quality of life and adherence to cART. There is scarce epidemiological information about HAND in Latin America. This cross-sectional study recruited HIV-infected patients from a tertiary teaching institution in São Paulo, Brazil, between May 2013 and February 2015. The patients were adults with at least 4 years of education and patients with current neurological or psychiatric diseases were excluded...
January 2018: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/29319242/clinical-diversity-of-cns-cryptococcosis
#2
J M Koshy, S Mohan, D Deodhar, M John, A Oberoi, A Pannu
Background: Though cryptococcal meningitis (CM) is recognized as a disease of the immunocompromised, studies have implicated that it also affect immunocompetent patients. Methodology: This was a cross sectional study conducted in the Department of Medicine of a tertiary teaching institution in North India. All the patients diagnosed with CM on the basis of detection of cryptococcal antigen or the presence of capsulated budding yeast cells on India ink preparation, from April 2009 to March2015 were included in the study...
October 2017: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/29316900/epidemiology-and-factors-associated-with-amoebic-liver-abscess-in-northern-sri-lanka
#3
Selvam Kannathasan, Arumugam Murugananthan, Thirunavukarasu Kumanan, Nilanthi Renuka de Silva, Nadarajah Rajeshkannan, Rashidul Haque, Devika Iddawela
BACKGROUND: Clinically diagnosed amoebic liver abscess (ALA) caused by Entamoeba histolytica has been an important public health problem in Jaffna district, northern Sri Lanka for last three decades. In order to draw up a control strategy for elimination of this condition, knowledge of its epidemiology and factors associated with this condition in the local context is vital. METHODS: All clinically diagnosed ALA patients admitted to the Teaching Hospital, Jaffna during the study period were included in the study and the data were collected using an interviewer administered questionnaire...
January 10, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29310740/predicting-cardiometabolic-disturbances-from-waist-to-height-ratio-findings-from-the-brazilian-longitudinal-study-of-adult-health-elsa-brasil-baseline
#4
Marcelo Castanheira, Dóra Chor, José Uéleres Braga, Letícia de Oliveira Cardoso, Rosane Härter Griep, Maria Del Carmen Bisi Molina, Maria de Jesus Mendes da Fonseca
OBJECTIVE: To evaluate the performance of waist-to-height ratio (WHtR) in predicting cardiometabolic outcomes and compare cut-off points for Brazilian adults. DESIGN: Cross-sectional study. WHtR areas under the curve (AUC) were compared with those for BMI, waist circumference (WC) and waist-to-hip ratio (WHR). The outcomes of interest were hypertension, diabetes, hypertriacylglycerolaemia and presence of at least two components of metabolic syndrome (≥2 MetS)...
January 9, 2018: Public Health Nutrition
https://www.readbyqxmd.com/read/29310735/what-do-clinical-supervisors-require-to-teach-residents-in-family-medicine-how-to-care-for-seniors
#5
Anik M C Giguere, Paule Lebel, Michèle Morin, Françoise Proust, Charo Rodríguez, Valerie Carnovale, Louise Champagne, France Légaré, Pierre-Hugues Carmichael, Bernard Martineau, Philippe Karazivan, Pierre J Durand
We assessed clinicians' continuing professional development (CPD) needs at family practice teaching clinics in the province of Quebec. Our mixed methodology design comprised an environmental scan of training programs at four family medicine departments, an expert panel to determine priority clinical situations for senior care, a supervisors survey to assess their perceived CPD needs, and interviews to help understand the rationale behind their needs. From the environmental scan, the expert panel selected 13 priority situations...
January 9, 2018: Canadian Journal on Aging, la Revue Canadienne du Vieillissement
https://www.readbyqxmd.com/read/29310456/online-physical-therapy-protocol-quality-variability-and-availability-in-achilles-tendon-repair
#6
Harry M Lightsey, Peter C Noback, Jon-Michael E Caldwell, David P Trofa, Justin K Greisberg, J Turner Vosseller
BACKGROUND: Substantial progress has been made in characterizing the benefit of early functional rehabilitation following Achilles tendon repair (ATR). However, standardized ATR rehabilitation guidelines have yet to be produced. Furthermore, as patients increasingly use the Internet to independently retrieve health care content, access to standardized, clinically effective rehabilitation protocols is necessary. METHODS: Online ATR physical therapy protocols from US academic orthopaedic programs were reviewed...
January 1, 2018: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29306882/similarity-of-chest-x-ray-and-thermal-imaging-of-focal-pneumonia-a-randomised-proof-of-concept-study-at-a-large-urban-teaching-hospital
#7
Linda T Wang, Robert H Cleveland, William Binder, Robert G Zwerdling, Caterina Stamoulis, Thomas Ptak, Mindy Sherman, Kenan Haver, Pallavi Sagar, Patricia Hibberd
OBJECTIVE: To assess the diagnostic accuracy of thermal imaging (TI) in the setting of focal consolidative pneumonia with chest X-ray (CXR) as the gold standard. SETTING: A large, 973-bed teaching hospital in Boston, Massachusetts. PARTICIPANTS: 47 patients enrolled, 15 in a training set, 32 in a test set. Age range 10 months to 82 years (median=50 years). MATERIALS AND METHODS: Subjects received CXR with subsequent TI within 4 hours of each other...
January 5, 2018: BMJ Open
https://www.readbyqxmd.com/read/29303821/sustained-hospital-performance-on-hospital-consumer-assessment-of-healthcare-providers-and-systems-survey-measures-what-are-the-determinants
#8
Mona Al-Amin, Melody K Schiaffino, Sinyoung Park, Jeffrey Harman
This study examines hospital characteristics associated with sustained superior performance on Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) measures. We classified hospitals as sustainers if they remained in the top 25th percentile of overall patient ratings of inpatient experience from 2009 through 2013. We classified hospital characteristics as modifiable or unmodifiable. Modifiable characteristics are operational measures that hospitals can change to improve performance; these characteristics include registered nurse (RN) staffing levels, presence of hospitalists, and level of physician integration...
January 2018: Journal of Healthcare Management / American College of Healthcare Executives
https://www.readbyqxmd.com/read/29301559/hospital-pharmacy-workforce-in-brazil
#9
Thiago R Santos, Jonathan Penm, André O Baldoni, Lorena Rocha Ayres, Rebekah Moles, Cristina Sanches
BACKGROUND: This study aims to describe the distribution of the hospital pharmacy workforce in Brazil. METHODS: Data were acquired, during 2016, through the Brazilian National Database of Healthcare Facilities (CNES). The following variables were extracted: hospital name, registry number, telephone, e-mail, state, type of institution, subtype, management nature, ownership, presence of research/teaching activities, complexity level, number of hospital beds, presence of pharmacists, number of pharmacists, pharmacist specialization...
January 4, 2018: Human Resources for Health
https://www.readbyqxmd.com/read/29301418/hypoglycemia-and-lactic-acidosis-outperform-king-s-college-criteria-for-predicting-death-or-transplant-in-acetaminophen-toxic-patients
#10
Michael Levine, Samuel J Stellpflug, Anthony F Pizon, David A Peak, Janna Villano, Timothy Wiegand, Christian Dib, Stephen H Thomas
IMPORTANCE: Acetaminophen toxicity is common and is characterized by hepatic failure. In cases that are not improving with standard medical therapy with N-acetylcysteine, some patients may require hepatic transplant. While there are various criteria to predict patients who might benefit from transplant, the King's College criteria remain one of the most widely used. However, the King's College criteria have several limitations and do not incorporate glucose, an important marker of hepatic function...
January 5, 2018: Clinical Toxicology
https://www.readbyqxmd.com/read/29297801/low-prevalence-of-west-nile-virus-antibodies-in-select-northern-california-owl-species-2007-2014
#11
Nicole Captanian, Michelle G Hawkins, Christine Fiorello, Mary Thurber, William K Reisen
The objective of this study was to determine evidence of previous West Nile virus (WNV) infection in northern California owls. Owl serum samples were collected from birds presenting to a veterinary medical teaching hospital between 2007 and 2014 and were screened for the presence of WNV antibodies by an indirect enzyme immunoassay (EIA). Only one of 71 samples (1.41%) tested was positive by EIA and confirmed by a plaque reduction neutralization test; it was the most recent sample collected. The reason for the low prevalence of WNV in these California owls despite a high prevalence in sympatric avian species in the same region is unknown and should be a topic for further research...
December 2017: Journal of Zoo and Wildlife Medicine: Official Publication of the American Association of Zoo Veterinarians
https://www.readbyqxmd.com/read/29296270/phenotypic-and-genotypic-characterization-of-macrolide-resistance-among-staphylococcus-aureus-isolates-in-isfahan-iran
#12
Hossein Sedaghat, Bahram Nasr Esfahani, Sina Mobasherizadeh, Azhar Sallari Jazi, Mehrdad Halaji, Parisa Sadeghi, Mohammad Emaneini, Seyed Asghar Havaei
Background and Objectives: Macrolide, lincosamide and streptogramin B (MLS B) are noteworthy antibiotics for the treatment of Staphylococcus aureus infections. The purpose of this study, was to determine the phenotypic and genotypic characterization of macrolide resistance, among S. aureus, isolated from clinical samples and nasal swabs. Materials and Methods: Totally, 162 non-duplicate S. aureus isolates were collected from clinical samples and nasal swabs, from patients and healthcare workers (HCWs), between March 2016 and September 2016, at four teaching hospitals in Isfahan...
October 2017: Iranian Journal of Microbiology
https://www.readbyqxmd.com/read/29286015/prevalence-of-class-1-integrons-and-plasmid-mediated-qnr-genes-among-enterobacter-isolates-obtained-from-hospitalized-patients-in-ahvaz-iran
#13
Mansour Amin, Solmaz Dibachi, Mojtaba Shahin
Quinolones are frequently used classes of antimicrobials in hospitals, crucial for the treatment of infections caused by Gram-negative bacteria. The inappropriate use of quinolones and other antimicrobial agents for the treatment of bacterial infections leads to a significant increase of resistant isolates. The acquisition of antimicrobial resistance may be related to achievement of resistance determinant genes mediated by plasmids, transposons and gene cassettes in integrons. The objective of this cross-sectional study, conducted from December 2015 to July 2016 at two teaching hospitals in Ahvaz, southern Iran, was to screen for the presence of class 1 integrons and quinolone resistance genes in clinical isolates of Enterobacter spp...
December 1, 2017: Le Infezioni in Medicina
https://www.readbyqxmd.com/read/29279256/the-popularity-of-neurology-in-spain-an-analysis-of-specialty-selection
#14
J Curbelo, J M Romeo, J M Galván-Román, J Vega-Villar, E H Martinez-Lapiscina, P Jiménez-Fonseca, T Villacampa, F Sánchez-Lasheras, A Fernández-Somoano, J Baladrón
INTRODUCTION: Neurology is one of the medical specialties offered each year to residency training candidates. This project analyses the data associated with candidates choosing neurology residency programmes in recent years. METHODS: Data related to specialty selection were obtained from official reports by the Spanish Ministry of Health, Social Services, and Equality. Information was collected on several characteristics of teaching centres: availability of stroke units, endovascular intervention, national reference clinics for neurology, specific on-call shifts for neurology residents, and links with medical schools or national research networks...
December 23, 2017: Neurología: Publicación Oficial de la Sociedad Española de Neurología
https://www.readbyqxmd.com/read/29240556/crazy-making-the-institutional-relations-of-undergraduate-nursing-in-the-reproduction-of-biomedical-psychiatry
#15
Simon Adam
Undergraduate mental health nursing education has been extensively discussed among nursing scholars, educators, and curriculum experts. While various perspectives have weighed in on mental health nursing education in Canada, little attention has been paid to understanding the relationship between biomedical psychiatry and undergraduate nursing education. Using institutional ethnography, this article examines the social and textual relations which characterize this relationship. Beginning in the everyday teaching and learning work of faculty members and nursing students in a collaborative baccalaureate nursing program, the social organization of mental health nursing education is explicated and the textual processes are outlined...
December 13, 2017: International Journal of Nursing Education Scholarship
https://www.readbyqxmd.com/read/29236878/analysis-of-possible-factors-of-vocal-interference-during-the-teaching-activity
#16
Bárbara Gabriela Silva, Tiago Visacre Chammas, Marcia Simões Zenari, Renata Rodrigues Moreira, Alessandra Giannella Samelli, Kátia Nemr
OBJECTIVE: To measure the risk of dysphonia in teachers, as well as investigate whether the perceptual-auditory and acoustic aspects of the voice of teachers in situations of silence and noise, the signal-to-noise ratio, and the noise levels in the classroom are associated with the presence of dysphonia. METHODS: This is an observational cross-sectional research with 23 primary and secondary school teachers from a private school in the municipality of São Paulo, Brazil, divided into the groups without dysphonia and with dysphonia...
December 11, 2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/29230637/conception-and-validation-of-a-protocol-for-reuse-of-non-irrigated-electrophysiology-catheters-in-a-brazilian-teaching-hospital
#17
Mirtes Loeschner Leichsenring, Eliane Molina Psaltikidis, Márcio Jansen de Oliveira Figueiredo, Maria Luiza Moretti, Plínio Trabasso
PURPOSE: Since the Brazilian current legislation permits the reuse of single-use devices under a validated processing protocol, the main purpose of our study was to develop and validate a method for reusing non-irrigated electrophysiology catheter (EC). METHODS: Manual and mechanical processing by ultrasonic washer was associated with the use of enzymatic solution and hydrogen peroxide with a final rinse with filtered water. Validation of the cleaning process, as well as catheter integrity, was done by observing the ECs in stereoscopic microscope at ×60 magnification, followed by HemoCheck-S® (HCS) test to monitor the presence of residual blood on their surfaces...
December 11, 2017: Journal of Interventional Cardiac Electrophysiology: An International Journal of Arrhythmias and Pacing
https://www.readbyqxmd.com/read/29229656/informing-future-research-for-carriage-of-multiresistant-gram-negative-bacteria-problems-with-recruiting-to-an-english-stool-sample-community-prevalence-study
#18
Donna M Lecky, Deborah Nakiboneka-Ssenabulya, Tom Nichols, Peter Hawkey, Kim Turner, Keun-Taik Chung, Mike Thomas, Helen Lucy Thomas, Li Xu McCrae, Sahida Shabir, Susan Manzoor, Adela Alvarez-Buylla, Steve Smith, Cliodna McNulty
OBJECTIVES: This study aims to highlight problems with recruiting to an English stool sample community prevalence study. It was part of a larger cross-sectional research to determine the risk factors for the presence of extended-spectrum beta-lactamase and carbapenemase-producing coliforms in stool samples of the asymptomatic general English population. SETTING: Four National Health Service primary care trusts (PCTs) of England representing a different section of the population of England: Newham PCT; Heart of Birmingham Teaching PCT; Shropshire County PCT; and Southampton City PCT...
December 10, 2017: BMJ Open
https://www.readbyqxmd.com/read/29226828/cancer-mortality-in-the-urological-department-of-the-sylvanus-olympio-teaching-hospital-in-lome-togo
#19
E V Sewa, K Tengue, M T Kpatcha, G Botcho, K H Sikpa, E Leloua, T Anoukoum, E D Dosseh
To determine the proportion of cancer mortality seen in the urology department of a teaching hospital in sub-Saharan Africa and to identify the contributing factors. This 10-year retrospective study took place in the urology department of the Sylvanus Olympio Teaching Hospital of Lomé (Togo) and analyzed the records of patients who died of cancer from January 2006 through December 2015. During the study period, 94 deaths were recorded in the department, 84% of them due to a urological cancer. The mean age of patients was 62 years,- and there was a significant male predominance with a sex ratio of 4...
December 11, 2017: Médecine et Santé Tropicales
https://www.readbyqxmd.com/read/29225162/can-ultrasound-be-used-to-improve-the-palpation-skills-of-physicians-in-training-a-prospective-study
#20
Ryan Woods, Steve J Wisniewski, Daniel R Lueders, Thomas P Pittelkow, Dirk R Larson, Jonathan T Finnoff
BACKGROUND: Accurate diagnosis of musculoskeletal disorders relies heavily upon the physical examination, including accurate palpation of musculoskeletal structures. The literature has suggested there has been deterioration of physical examination skills among medical students and residents in part due to increased reliance on advanced imaging. It has been shown that knowledge of musculoskeletal anatomy and physical examination skills improve with the use of ultrasound; however, the literature is limited...
December 7, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
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