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https://www.readbyqxmd.com/read/29330581/-liposuction
#1
D Schlarb
Liposuction began in the 1920s when the Parisian surgeon Charles Dujarier became interested in body shaping and fat removal. Today, it is estimated that 1,453,000 liposuctions are annually performed worldwide. In Germany, 45,000 liposuctions are performed annually. The majority of liposuctions are performed as self-pay services. The aim of this article is to outline the development of liposuction, to explain the various liposuction procedures and methods, to clarify the indications for treatment, and point out the complications and pitfalls described in the literature...
January 12, 2018: Der Hautarzt; Zeitschrift Für Dermatologie, Venerologie, und Verwandte Gebiete
https://www.readbyqxmd.com/read/29325397/unequal-gain-of-equal-resources-across-racial-groups
#2
Shervin Assari
The health effects of economic resources (eg, education, employment, and living place) and psychological assets (eg, self-efficacy, perceived control over life, anger control, and emotions) are well-known. This article summarizes the results of a growing body of evidence documenting Blacks' diminished return, defined as a systematically smaller health gain from economic resources and psychological assets for Blacks in comparison to Whites. Due to structural barriers that Blacks face in their daily lives, the very same resources and assets generate smaller health gain for Blacks compared to Whites...
August 5, 2017: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/29322572/burnout-among-direct-care-workers-in-nursing-homes-influences-of-organizational-work-place-interpersonal-and-personal-characteristics
#3
Dale E Yeatts, Gul Seckin, Yuying Shen, Michael Thompson, Dana Auden, Cynthia M Cready
AIMS AND OBJECTIVES: The many negative effects of burnout have prompted researchers to better understand the factors contributing to it. The purpose of this paper is to add to this body of knowledge through the study of burnout among direct care workers (DCWs) in nursing homes (NH). BACKGROUND: Perhaps the factor most often associated with employee burnout is the level of staffing-insufficient staffing results in work overload and eventually employee burnout. A closer look at research findings suggest that there are many other factors also contributing to burnout...
January 10, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29310914/what-can-be-learned-from-an-analysis-of-215-glenoid-component-failures
#4
Jason E Hsu, Daniel J Hackett, Kiet V Vo, Frederick A Matsen
BACKGROUND: Glenoid component failure is a prevalent mechanical complication of anatomic total shoulder arthroplasty. The objective of this study was to identify surgeon-controlled factors that may be addressed to reduce the rate of glenoid component failure that is sufficiently symptomatic to merit surgical revision. METHODS: We reviewed the clinical and radiographic features of 215 total shoulder arthroplasties that we revised for symptomatic glenoid component failure...
January 5, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29304943/using-a-discrete-choice-experiment-involving-cost-to-value-a-classification-system-measuring-the-quality-of-life-impact-of-self-management-for-diabetes
#5
Donna Rowen, Katherine Stevens, Alexander Labeit, Jackie Elliott, Brendan Mulhern, Jill Carlton, Hasan Basarir, Julie Ratcliffe, John Brazier
OBJECTIVES: To describe the use of a novel approach in health valuation of a discrete-choice experiment (DCE) including a cost attribute to value a recently developed classification system for measuring the quality-of-life impact (both health and treatment experience) of self-management for diabetes. METHODS: A large online survey was conducted using DCE with cost on UK respondents from the general population (n = 1497) and individuals with diabetes (n = 405). The data were modeled using a conditional logit model with robust standard errors...
January 2018: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/29301822/unstable-housing-and-diabetes-related-emergency-department-visits-and-hospitalization-a-nationally-representative-study-of-safety-net-clinic-patients
#6
Seth A Berkowitz, Sara Kalkhoran, Samuel T Edwards, Utibe R Essien, Travis P Baggett
OBJECTIVE: Homelessness is associated with worse diabetes outcomes, but the relationship between other forms of unstable housing and diabetes is not well studied. We assessed whether unstable housing was associated with increased risk for diabetes-related emergency department use or hospitalization. RESEARCH DESIGN AND METHODS: We used data from the 2014 Health Center Patient Survey, a cross-sectional, nationally representative survey of patients who receive care at federally funded safety-net health centers...
January 4, 2018: Diabetes Care
https://www.readbyqxmd.com/read/29301351/hare-supporting-efficient-uplink-multi-hop-communications-in-self-organizing-lpwans
#7
Toni Adame Vázquez, Sergio Barrachina-Muñoz, Boris Bellalta, Albert Bel
The emergence of low-power wide area networks (LPWANs) as a new agent in the Internet of Things (IoT) will result in the incorporation into the digital world of low-automated processes from a wide variety of sectors. The single-hop conception of typical LPWAN deployments, though simple and robust, overlooks the self-organization capabilities of network devices, suffers from lack of scalability in crowded scenarios, and pays little attention to energy consumption. Aimed to take the most out of devices' capabilities, the HARE protocol stack is proposed in this paper as a new LPWAN technology flexible enough to adopt uplink multi-hop communications when proving energetically more efficient...
January 3, 2018: Sensors
https://www.readbyqxmd.com/read/29300318/self-medication-practice-and-associated-factors-among-residents-in-wuhan-china
#8
Xiaosheng Lei, Heng Jiang, Chaojie Liu, Adamm Ferrier, Janette Mugavin
BACKGROUND: This study aims to examine the prevalence and predictors associated with self-medication, and related consequences in Wuhan, China. METHODS: Two-hundred-sixty residents were interviewed from randomly selected four districts of Wuhan, China. A modified version of Anderson's health behavioral model was used in the survey to collect information of self-medication behavior. Multivariable logistic regression analyses were used to measure correlates of the prevalence of self-medication...
January 4, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29298854/racial-disparities-in-refusal-of-stroke-thrombolysis-in-chicago
#9
Scott J Mendelson, Neelum T Aggarwal, Christopher Richards, Kathleen O'Neill, Jane L Holl, Shyam Prabhakaran
OBJECTIVE: To evaluate race differences in tissue plasminogen activator (tPA) refusal among eligible patients with acute ischemic stroke (AIS) in Chicago. METHODS: Using the Get With The Guidelines-Stroke registry data from 15 primary stroke centers between January 2013 and June 2015, we performed a retrospective analysis of patients with AIS presenting to the emergency department within 4.5 hours from symptom onset. Patient or proxy refusal was captured as a reason for nonadministration of tPA to eligible patients in the registry...
January 3, 2018: Neurology
https://www.readbyqxmd.com/read/29284448/economic-evaluation-of-an-experience-sampling-method-intervention-in-depression-compared-with-treatment-as-usual-using-data-from-a-randomized-controlled-trial
#10
Claudia J P Simons, Marjan Drukker, Silvia Evers, Ghislaine A P G van Mastrigt, Petra Höhn, Ingrid Kramer, Frenk Peeters, Philippe Delespaul, Claudia Menne-Lothmann, Jessica A Hartmann, Jim van Os, Marieke Wichers
BACKGROUND: Experience sampling, a method for real-time self-monitoring of affective experiences, holds opportunities for person-tailored treatment. By focussing on dynamic patterns of positive affect, experience sampling method interventions (ESM-I) accommodate strategies to enhance personalized treatment of depression-at potentially low-costs. This study aimed to investigate the cost-effectiveness of an experience sampling method intervention in patients with depression, from a societal perspective...
December 29, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/29283613/family-members-experiences-supporting-adults-with-chronic-illness-a-national-survey
#11
Aaron A Lee, John D Piette, Michele Heisler, Mary R Janevic, Kenneth M Langa, Ann-Marie Rosland
INTRODUCTION: Family and friends often help chronically ill adults manage their conditions. Information about specific ways supporters help with disease management, and their experiences with and concerns about helping are lacking. This study describes key roles and concerns of family members who support the health management of adults with chronic illness, and compares experiences of health supporters living in and outside of support recipients' homes. METHODS: Data were obtained from a national internet survey of 1,722 adults selected to represent the U...
December 2017: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/29282047/the-effects-of-patients-initiated-aggression-on-chinese-medical-students-career-planning
#12
Zhonghui Xie, Jing Li, Yuhua Chen, Kaijun Cui
BACKGROUND: Patient initiated aggression is common among Chinese health-care workers, reaching over 10,000 incidents annually (Jinyang web. http://6d.dxy.cn/article/55497 . 2013), and the tense doctor-patient relationship generates stress among medical students. Because of the paucity of data (few surveys pay attention to the effects of violence perpetrated by patients on medical students), this study aimed to characterize patient initiated aggression against medical students. METHODS: In this cross-sectional survey conducted at a medical school in West China in 2015, 157 medical students completed a self-administered questionnaire and the Short Form-36, which assesses quality of life...
December 28, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29277970/personality-and-breast-cancer-screening-in-women-of-the-gazel-cohort-study
#13
Cédric Lemogne, Monica Turinici, Henri Panjo, Charlotte Ngo, Florence Canoui-Poitrine, Jean-Christophe Chauvet-Gelinier, Frédéric Limosin, Silla M Consoli, Marcel Goldberg, Marie Zins, Virginie Ringa
The potential benefit of breast cancer screening is mitigated by the risk of false positives and overdiagnosis, thus advocating for a more personalized approach, based on the individual benefit-harm balance. Since personality might influence the women's appraisal of this balance, this prospective observational cohort study examined whether it could influence mammography use. A total of 2691 postmenopausal women of the GAZEL Cohort Study completed the Bortner Type A Rating Scale and the Buss and Durkee Hostility Inventory in 1993...
December 26, 2017: Cancer Medicine
https://www.readbyqxmd.com/read/29274839/investigation-of-financial-conflict-of-interest-among-published-ventral-hernia-researchers
#14
Deepa V Cherla, Oscar A Olavarria, Karla Bernardi, Cristina P Viso, Maya L Moses, Julie L Holihan, Tien C Ko, Lillian S Kao, Mike K Liang
BACKGROUND: Discordance exists between author self-disclosure and the Open Payments Database in various surgical fields but the effects of this discordance on study design and presentation are unknown. We hypothesized that among ventral hernia publications, 1) discordance exists between industry and physician self-reported conflicts of interest (COI), 2) authors disclose relevant COI, and 3) disclosure and relevant COI affect study favorability. STUDY DESIGN: Double-blinded, prospective, observational study of published manuscripts...
December 21, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/29248996/careless-responding-in-internet-based-quality-of-life-assessments
#15
Stefan Schneider, Marcella May, Arthur A Stone
PURPOSE: Quality of life (QoL) measurement relies upon participants providing meaningful responses, but not all respondents may pay sufficient attention when completing self-reported QoL measures. This study examined the impact of careless responding on the reliability and validity of Internet-based QoL assessments. METHODS: Internet panelists (n = 2000) completed Patient-Reported Outcomes Measurement Information System (PROMIS®) short-forms (depression, fatigue, pain impact, applied cognitive abilities) and single-item QoL measures (global health, pain intensity) as part of a larger survey that included multiple checks of whether participants paid attention to the items...
December 16, 2017: Quality of Life Research
https://www.readbyqxmd.com/read/29239999/care-management-to-reduce-disparities-and-control-hypertension-in-primary-care-a-cost-effectiveness-analysis
#16
Jonathan C Hong, William V Padula, Ilene L Hollin, Tanvir Hussain, Katherine B Dietz, Jennifer P Halbert, Jill A Marsteller, Lisa A Cooper
BACKGROUND: Project ReD CHiP (reducing disparities and controlling hypertension in primary care) care management was a clinic-based intervention that aimed to improve blood pressure control through improved care coordination and provide self-management support to patients from racially and socioeconomically. OBJECTIVE: To evaluate the cost-effectiveness of ReD CHiP care management versus standard care to treat hypertension in diverse communities. RESEARCH DESIGN: Microsimulation model from a health care sector perspective over 15 years...
December 12, 2017: Medical Care
https://www.readbyqxmd.com/read/29220327/self-paced-operation-of-a-wheelchair-based-on-a-hybrid-brain-computer-interface-combining-motor-imagery-and-p300-potential
#17
Yang Yu, Zongtan Zhou, Yadong Liu, Jun Jiang, Erwei Yin, Nannan Zhang, Zhihua Wang, Yaru Liu, Xingjie Wu, Dewen Hu
This paper presents a hybrid brain-computer interface (BCI) that combines motor imagery (MI) and P300 potential for the asynchronous operation of a brain-controlled wheelchair whose design is based on a Mecanum wheel. This paradigm is completely user-centric. By sequentially performing MI tasks or paying attention to P300 flashing, the user can use eleven functions to control the wheelchair: move forward/backward, move left/right, move left45/right45, accelerate/decelerate, turn left/right, and stop. The practicality and effectiveness of the proposed approach were validated in eight subjects, all of whom achieved good performance...
December 2017: IEEE Transactions on Neural Systems and Rehabilitation Engineering
https://www.readbyqxmd.com/read/29219940/factors-influencing-postpartum-fatigue-in-vaginal-birth-women-testing-a-path-model
#18
Ching-Hsing Hsieh, Chien-Lan Chen, Tan-Ju Han, Pei-Ju Lin, Hui-Chun Chiu
BACKGROUND: Postpartum fatigue is a very common complaint among postpartum women. Although current evidence indicates that several factors (e.g., parity, epidural analgesia, perineal trauma, perineal pain, and longer second stage of labor) are associated with postpartum, not enough is known about the relationships among these physical factors simultaneously and how they contribute to the development of postpartum fatigue. Increased awareness of the complex relationships among these factors will help nurses assess, prevent, and alleviate postpartum fatigue...
December 6, 2017: Journal of Nursing Research: JNR
https://www.readbyqxmd.com/read/29214123/pay-for-performance-motivation-to-succeed-in-advanced-trauma-life-support-courses-a-question-of-background-or-funding
#19
Roman Klein, Wolfgang Armbruster, Martin Grotz, Bernd Höner, Matthias Münzberg, Paul Alfred Grützner, Christoph Georg Wölfl
Objective: To correlate students' performance with their professional background and motivation to take part in Advanced Trauma Life Support (ATLS) courses. We base our analysis on the self-determination theory that differentiates intrinsic (ambition to perform by individual itself) from extrinsic motivation (incentive by external stimuli). Design: We present a non-blinded, monocentric, non-randomized descriptive study of 376 students taking part in an ATLS course at one course site in Germany. Part of a two-day ATLS course are two written tests; we correlate test scores with background information provided by the students in a questionnaire of 13 items (age, sex, adress, board certification, specialty, subspecialty, position, hospital level of care, hospital operator and hospital participation in trauma network, motivation, funding source, condition of funding)...
2017: GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW
https://www.readbyqxmd.com/read/29212996/-a-comparison-of-the-associations-of-dynapenia-and-sarcopenia-with-fear-of-falling-in-elderly-diabetic-patients
#20
Satoshi Ida, Kazuya Murata, Yuki Ishihara, Kanako Imataka, Ryutaro Kaneko, Ryoko Fujiwara, Hiroka Takahashi
AIM: To comparatively investigate whether dynapenia and sarcopenia, as defined by the Asian Working Group for Sarcopenia (AWGS), are associated with fear of falling in elderly patients with diabetes. METHODS: The subjects were outpatients with diabetes who were at least 65 years of age when they visited our hospital. Sarcopenia was evaluated based on the AWGS definition. The cutoff values for the appendicular skeletal mass index (multi-frequency bioelectrical impedance method), grip strength, and walking speed were, respectively, 7...
2017: Nihon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics
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