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https://www.readbyqxmd.com/read/29023294/cleft-lip-and-palate-demographic-patterns-and-the-associated-communication-disorders
#1
Firas S D Alfwaress, Fadwa A Khwaileh, Ma'amon A Rawashdeh, Mahmoud A Alomari, Mohammad S Nazzal
PURPOSE: This study investigated demographical characteristics, health status, and associated communication disorders in patients with orofacial clefts (OFCs) in Northern Jordan. METHODS: A retrospective study of 226 cleft patients and their families was carried out between March 2012 and September 2016 at the Speech and Hearing Clinic and the Maxillofacial Center at King Abdullah University Hospital. Data were collected by interviewing patients and caregivers, having patients or caregiver to complete a questionnaire and reviewing the patient's medical records...
October 11, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29019757/pediatric-ovarian-torsion-spectrum-of-imaging-findings
#2
Akosua Sintim-Damoa, Anand Shyamcharan Majmudar, Harris L Cohen, Louis Swig Parvey
The accurate diagnosis of ovarian torsion is imperative, as loss of the ovary can have long-term consequences in terms of fertility. However, a nonspecific clinical presentation in conjunction with a highly variable imaging appearance makes the diagnosis of ovarian torsion challenging. This is complicated even further in the pediatric population, as these patients cannot always articulate their symptoms or provide an adequate medical history. Therefore, imaging has a critical role in the diagnosis of ovarian torsion in pediatric patients...
October 2017: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/29018654/double-crush-of-l5-spinal-nerve-root-due-to-l4-5-lateral-recess-stenosis-and-bony-spur-formation-of-lumbosacral-transitional-vertebra-pseudoarticulation-a-case-report-and-review
#3
Motoyuki Iwasaki, Masahiko Akiyama, Izumi Koyanagi, Yoshimasa Niiya, Tatsuo Ihara, Kiyohiro Houkin
We present a case of double-crushed L5 nerve root symptoms caused by inside and outside of the spinal canal with spur formation of the lumbosacral transitional vertebra (LSTV). A 78-year-old man presented with 7-year history of moderate paresis of his toe and left leg pain when walking. Magnetic resonance imaging (MRI) revealed spinal stenosis at the L3/4 and 4/5 spinal levels and he underwent wide fenestration of both levels. Leg pain disappeared and 6-min walk distance (6MWD) improved after surgery, however, the numbness in his toes increased and 6MWD decreased 9 months after surgery...
October 2017: NMC Case Rep J
https://www.readbyqxmd.com/read/29016171/the-psychology-of-neurofeedback-clinical-intervention-even-if-applied-placebo
#4
Robert T Thibault, Amir Raz
Advocates of neurofeedback make bold claims concerning brain regulation, treatment of disorders, and mental health. Decades of research and thousands of peer-reviewed publications support neurofeedback using electroencephalography (EEG-nf); yet, few experiments isolate the act of receiving feedback from a specific brain signal as a necessary precursor to obtain the purported benefits. Moreover, while psychosocial parameters including participant motivation and expectation, rather than neurobiological substrates, seem to fuel clinical improvement across a wide range of disorders, for-profit clinics continue to sprout across North America and Europe...
October 2017: American Psychologist
https://www.readbyqxmd.com/read/28977634/using-local-authority-entrance-charges-to-tackle-inequalities-in-physical-activity-a-qualitative-study-of-leisure-and-public-health-perspectives
#5
E Halliday, B Barr, J Higgerson, V Holt, A Ortiz-Nunez, F Ward
Background: Reducing or eliminating entrance charges for the public use of leisure facilities is one potential tool that local authorities (LA) have to reduce inequalities in physical activity (PA). Facility charges are likely to be a greater barrier to access for those who have lower incomes. Methods: Semi-structured 1-to-1 and group interviews were conducted with 33 leisure and public health professionals in seven LAs in north-west England. We investigated how approaches to pricing varied in these settings and rationales influencing decision making...
September 11, 2017: Journal of Public Health
https://www.readbyqxmd.com/read/28969669/assessment-of-fidelity-in-individual-level-behaviour-change-interventions-promoting-physical-activity-among-adults-a-systematic-review
#6
Jeffrey D Lambert, Colin J Greaves, Paul Farrand, Rosina Cross, Anne M Haase, Adrian H Taylor
BACKGROUND: Behaviour change interventions that promote physical activity have major implications for health and well-being. Measuring intervention fidelity is crucial in determining the extent to which an intervention is delivered as intended, therefore increasing scientific confidence about effectiveness. However, we lack a clear overview of how well intervention fidelity is typically assessed in physical activity trials. METHODS: A systematic literature search was conducted to identify peer - reviewed physical activity promotion trials that explicitly measured intervention fidelity...
October 2, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28968170/broadening-eligibility-criteria-to-make-clinical-trials-more-representative-american-society-of-clinical-oncology-and-friends-of-cancer-research-joint-research-statement
#7
Edward S Kim, Suanna S Bruinooge, Samantha Roberts, Gwynn Ison, Nancy U Lin, Lia Gore, Thomas S Uldrick, Stuart M Lichtman, Nancy Roach, Julia A Beaver, Rajeshwari Sridhara, Paul J Hesketh, Andrea M Denicoff, Elizabeth Garrett-Mayer, Eric Rubin, Pratik Multani, Tatiana M Prowell, Caroline Schenkel, Marina Kozak, Jeff Allen, Ellen Sigal, Richard L Schilsky
Purpose The primary purposes of eligibility criteria are to protect the safety of trial participants and define the trial population. Excessive or overly restrictive eligibility criteria can slow trial accrual, jeopardize the generalizability of results, and limit understanding of the intervention's benefit-risk profile. Methods ASCO, Friends of Cancer Research, and the US Food and Drug Administration examined specific eligibility criteria (ie, brain metastases, minimum age, HIV infection, and organ dysfunction and prior and concurrent malignancies) to determine whether to modify definitions to extend trials to a broader population...
October 2, 2017: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28966381/meniscal-preservation-is-important-for-the-knee-joint
#8
Shantanu Sudhakar Patil, Anshu Shekhar, Sachin Ramchandra Tapasvi
Native joint preservation has gained importance in recent years. This is mostly to find solutions for limitations of arthroplasty. In the knee joint, the menisci perform critical functions, adding stability during range of motion and efficiently transferring load across the tibiofemoral articulation while protecting the cartilage. The menisci are the most common injury seen by orthopedicians, especially in the younger active patients. Advances in technology and our knowledge on functioning of the knee joint have made meniscus repair an important mode of treatment...
September 2017: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/28966372/current-concepts-in-the-management-of-patellar-instability
#9
Michael S Laidlaw, David R Diduch
Patellar instability is a common presenting clinical entity in the field of orthopedics. This not only can occur from baseline morphologic variability within the patellofemoral articulation and alignment, but also from traumatic injury. While conservative management is many times employed early in the treatment course, symptomatic patellar instability can persist. This article reviews the available indexed published literature regarding patellar instability. Given the debilitating nature of this condition and the long term sequelae that can evolve from its lack of adequate recognition and treatment, this article details the most current methods in the evaluation of this entity as well as reviews the most up-to-date surgical treatment regimens that are available to address this condition...
September 2017: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/28966028/environmental-transformations-and-ecological-effects-of-iron-based-nanoparticles
#10
REVIEW
Cheng Lei, Yuqing Sun, Daniel C W Tsang, Daohui Lin
The increasing application of iron-based nanoparticles (NPs), especially high concentrations of zero-valent iron nanoparticles (nZVI), has raised concerns regarding their environmental behavior and potential ecological effects. In the environment, iron-based NPs undergo physical, chemical, and/or biological transformations as influenced by environmental factors such as pH, ions, dissolved oxygen, natural organic matter (NOM), and biotas. This review presents recent research advances on environmental transformations of iron-based NPs, and articulates their relationships with the observed toxicities...
September 28, 2017: Environmental Pollution
https://www.readbyqxmd.com/read/28963148/a-28-year-clinical-and-radiological-follow-up-of-alumina-ceramic-on-crosslinked-polyethylene-total-hip-arthroplasty-a-follow-up-report-and-analysis-of-the-oxidation-of-a-shelf-aged-acetabular-component
#11
A Rajpura, T N Board, P D Siney, H Wynn Jones, S Williams, L Dabbs, B M Wroblewski
AIMS: Our aim in this study was to describe a continuing review of 11 total hip arthroplasties using 22.225 mm Alumina ceramic femoral heads on a Charnley flanged femoral component, articulating against a silane crosslinked polyethylene. PATIENTS AND METHODS: Nine patients (11 THAs) were reviewed at a mean of 27.5 years (26 to 28) post-operatively. Outcome was assessed using the d'Aubigne and Postel, and Charnley scores and penetration was recorded on radiographs...
October 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28947436/what-makes-a-sustainability-tool-valuable-practical-and-useful-in-real-world-healthcare-practice-a-mixed-methods-study-on-the-development-of-the-long-term-success-tool-in-northwest-london
#12
Laura Lennox, Cathal Doyle, Julie E Reed, Derek Bell
OBJECTIVES: Although improvement initiatives show benefits to patient care, they often fail to sustain. Models and frameworks exist to address this challenge, but issues with design, clarity and usability have been barriers to use in healthcare settings. This work aimed to collaborate with stakeholders to develop a sustainability tool relevant to people in healthcare settings and practical for use in improvement initiatives. DESIGN: Tool development was conducted in six stages...
September 24, 2017: BMJ Open
https://www.readbyqxmd.com/read/28947120/cognitive-assessment-in-huntington-disease-clinical-drug-trials
#13
Julie C Stout, Sophie C Andrews, Yifat Glikmann-Johnston
Several Huntington disease (HD) clinical trials are in progress and on the horizon. Potential treatments are increasingly being targeted at ameliorating the cognitive decline in HD. This necessitates a careful consideration of trial designs, including endpoint strategies suitable for testing cognitive function. The aim of this chapter is to evaluate and consider the use of cognitive measures in HD clinical trials. We first consider the role of cognition in clinical trial endpoint models, including a review of previous HD clinical trials that have included cognitive measures...
2017: Handbook of Clinical Neurology
https://www.readbyqxmd.com/read/28940823/future-dietitian-2025-informing-the-development-of-a-workforce-strategy-for-dietetics
#14
M Hickson, J Child, A Collinson
BACKGROUND: Healthcare is changing and the professions that deliver it need to adapt and change too. The aim of this research was to inform the development of a workforce strategy for Dietetics for 2020-2030. This included an understanding of the drivers for change, the views of stakeholders and recommendations to prepare the profession for the future. METHODS: The research included three phases: (i) establishing the context which included a literature and document review (environmental scan); (ii) discovering the profession and professional issues using crowd-sourcing technology; and (iii) articulating the vision for the future using appreciative inquiry...
September 21, 2017: Journal of Human Nutrition and Dietetics: the Official Journal of the British Dietetic Association
https://www.readbyqxmd.com/read/28936235/health-literacy-and-atrial-fibrillation-relevance-and-future-directions-for-patient-centred-care
#15
Konstantinos N Aronis, Brittany Edgar, Wendy Lin, Maria Auxiliadora Parreiras Martins, Michael K Paasche-Orlow, Jared W Magnani
Atrial fibrillation (AF) is a common cardiac arrhythmia with significant clinical outcomes, and is associated with high medical and social costs. AF is complicated for patients because of its specialised terminology, long-term adherence, symptom monitoring, referral to specialty care, array of potential interventions and potential for adversity. Health literacy is a frequently under-recognised, yet fundamental, component towards successful care in AF. Health literacy is defined as the capacity to obtain, process and understand health information, and has had markedly limited study in AF...
2017: European Cardiology
https://www.readbyqxmd.com/read/28926146/nurses-clinical-reasoning-practices-that-support-safe-medication-administration-an-integrative-review-of-the-literature
#16
REVIEW
Emily Rohde, Elizabeth Domm
AIM AND OBJECTIVES: To review current literature about nurses' clinical reasoning practices that support safe medication administration. BACKGROUND: The literature about medication administration frequently focuses on avoiding medication errors. Nurses' clinical reasoning used during medication administration to maintain medication safety receives less attention in the literature. As health care professionals, nurses work closely with patients, assessing and intervening to promote mediation safety prior to, during and after medication administration...
September 19, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28925568/the-fibular-meniscus-of-the-kangaroo-as-an-adaptation-against-external-tibial-rotation-during-saltatorial-locomotion
#17
Adrian C Miller, Martin A Cake, Natalie M Warburton
The kangaroo knee is, as in other species, a complex diarthrodial joint dependent on interacting osseous, cartilaginous and ligamentous components for its stability. While principal load bearing occurs through the femorotibial articulation, additional lateral articulations involving the fibula and lateral fabella also contribute to the functional arrangement. Several fibrocartilage and ligamentous structures in this joint remain unexplained or have been misunderstood in previous studies. In this study, we review the existing literature on the structure of the kangaroo 'knee' before providing a new description of the gross anatomical and histological structures...
September 19, 2017: Journal of Anatomy
https://www.readbyqxmd.com/read/28913407/early-intraprosthetic-dislocation-in-dual-mobility-implants-a%C3%A2-systematic-review
#18
Ivan De Martino, Rocco D'Apolito, Bradford S Waddell, Alexander S McLawhorn, Peter K Sculco, Thomas P Sculco
BACKGROUND: Dual mobility implants are subject to a specific implant-related complication, intraprosthetic dislocation (IPD), in which the polyethylene liner dissociates from the femoral head. For older generation designs, IPD was attributable to late polyethylene wear and subsequent failure of the head capture mechanism. However, early IPDs have been reportedly affecting contemporary designs. METHODS: A systematic review of the literature according to the preferred reporting items for systematic reviews and meta-analyses guidelines was performed...
September 2017: Arthroplasty Today
https://www.readbyqxmd.com/read/28895898/reducing-the-shared-burden-of-chronic-conditions-among-persons-aging-with-disability-and-older-adults-in-the-united-states-through-bridging-aging-and-disability
#19
REVIEW
Margaret L Campbell, Michelle Putnam
Persons aging with long-term disabilities such as spinal cord injury or multiple sclerosis and older adults share similar chronic conditions in mid and later life in the United States. The rising general interest and more prevalent federal requirements for use of evidence-based practices (EBP) in health promotion and chronic condition interventions highlight the gap between demand and the availability of EBPs for persons aging with disability in particular. Addressing this gap will require focused efforts that will benefit substantially by bridging the fields of aging and disability/rehabilitation to develop new EBPs, translate existing EBPs across populations, and borrow best practices across fields where there are few current EBPs...
September 12, 2017: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/28892436/a-conceptual-framework-for-the-evaluation-of-emergency-risk-communications
#20
REVIEW
Elena Savoia, Leesa Lin, Gaya M Gamhewage
OBJECTIVES: To articulate a conceptual framework in support of evaluation activities in emergency risk communications (ERC). METHODS: The framework proposed is based on a systematic review of the scientific literature (2001-2016) combined with data derived from a series of semistructured interviews with experts and practitioners in ERC, and it is designed to support local, national, and international public health organizations in implementing evaluation studies in ERC...
September 2017: American Journal of Public Health
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