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https://www.readbyqxmd.com/read/27920581/hiv-stigma-and-associated-factors-among-antiretroviral-treatment-clients-in-jimma-town-southwest-ethiopia
#1
Neno Nikus Fido, Mamusha Aman, Zewdie Brihnu
BACKGROUND: HIV stigma has an important role in the spread of the AIDS epidemic. It profoundly affects the lives of individuals living with HIV/AIDS. Fear of being identified as having HIV may discourage a person from getting tested, accessing medical services, and obtaining medications. Thus, this study was aimed at assessing HIV-related stigma and associated factors among antiretroviral treatment (ART) clients in Jimma town, Oromia region, Southwest Ethiopia. METHODS: A facility-based cross-sectional study was conducted from March 11 to April 26, 2015, in ART clinics in Jimma town...
2016: HIV/AIDS: Research and Palliative Care
https://www.readbyqxmd.com/read/27918404/entrepreneurship-assessing-the-readiness-of-the-new-jersey-apn-workforce
#2
Edna Cadmus, Mary L Johansen, Phyllis Arn Zimmer, David L Knowlton
There is an unprecedented opportunity to move advanced practice nurses (APNs) into primary care settings at a steady rate over the next 5 to 8 years. In addition, the opportunity for nurse-owned or nurse-led practices has never been greater. However, many APNs currently work in a structured environment where the employer focuses on the business aspects of the practice and the APN focuses primarily on clinical care. Often APNs are unaware of the entrepreneurial contribution they make to the practice. A Needs Assessment Survey was developed to better understand business and practice management knowledge and skills of APNs in New Jersey...
January 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/27906942/lower-learning-difficulty-and-fluoroscopy-reduction-of-transforaminal-percutaneous-endoscopic-lumbar-discectomy-with-an-accurate-preoperative-location-method
#3
Guoxin Fan, Xin Gu, Yifan Liu, Xinbo Wu, Hailong Zhang, Guangfei Gu, Xiaofei Guan, Shisheng He
BACKGROUND: Transforaminal percutaneous endoscopic lumbar discectomy (tPELD) poses great challenges for junior surgeons. Beginners often require repeated attempts using fluoroscopy causing more punctures, which may significantly undermine their confidence and increase the radiation exposure to medical staff and patients. Moreover, the impact of an accurate location on the learning curve of tPELD has not been defined. OBJECTIVE: The study aimed to investigate the impact of an accurate preoperative location method on learning difficulty and fluoroscopy time of tPELD...
November 2016: Pain Physician
https://www.readbyqxmd.com/read/27896853/melanomas-versus-nevi-in-high-risk-patients-under-long-term-monitoring-with-digital-dermatoscopy-do-melanomas-and-nevi-already-differ-at-baseline
#4
P Tschandl, L Hofmann, C Fink, H Kittler, H A Haenssle
BACKGROUND: What lesions to select for a most efficient dermatoscopic monitoring of patients with multiple nevi remains an unresolved issue. OBJECTIVE: To compare the grade of atypia of melanomas and nevi of the same patient at baseline. METHODS: Prospective observational study using 236 dermatoscopic baseline images (59 quartets from 59 patients, each including 1 melanoma detected during follow-up and 3 nevi). Dermatologists (n=26) were asked to assess the "grade of dermatoscopic atypia" on a numerical scale and to identify the melanomas...
November 29, 2016: Journal of the European Academy of Dermatology and Venereology: JEADV
https://www.readbyqxmd.com/read/27884614/robotic-major-hepatectomy-is%C3%A2-there-a-learning-curve
#5
Po-Da Chen, Chao-Yin Wu, Rey-Heng Hu, Chiung-Nien Chen, Ray-Hwang Yuan, Jin-Tung Liang, Hong-Shiee Lai, Yao-Ming Wu
BACKGROUND: Robotic hepatectomy has been suggested as a safe and effective management of liver disease. However, no large case series have documented the learning curve for robotic major hepatectomy. METHOD: We conducted a retrospective study for robotic major hepatectomy performed by the same operative team between January 2012 and October 2015 and evaluated the learning curve for operation time using the cumulative sum method, presented as cumulative sumoperation time...
November 21, 2016: Surgery
https://www.readbyqxmd.com/read/27882915/characteristic-of-shoulder-and-hip-rotation-range-of-motion-in-adolescent-tennis-players
#6
Bi F Chang, Chia C Liu, Hsiao Y Chang
BACKGROUND: Adolescent tennis players require sufficient hip and shoulder flexibility to achieve the kinetic chain of a tennis stroke or serve. Hence, the objective of this study is to measure the glenohumeral joint internal and external rotation (IR and ER, respectively) and hip ER range of motion and to compare these parameters between experienced and beginner-level adolescent tennis players. METHODS: Twenty-three adolescent tennis players were divided into experienced (N = 12) and beginner groups (N = 11) on the basis of the adolescent national ranking of the Taiwan Tennis Association...
November 24, 2016: Journal of Sports Medicine and Physical Fitness
https://www.readbyqxmd.com/read/27875984/plastid-nucleotide-resolution-analysis-of-next-generation-sequencing-and-genomics-data
#7
Joshua G Dunn, Jonathan S Weissman
BACKGROUND: Next-generation sequencing (NGS) informs many biological questions with unprecedented depth and nucleotide resolution. These assays have created a need for analytical tools that enable users to manipulate data nucleotide-by-nucleotide robustly and easily. Furthermore, because many NGS assays encode information jointly within multiple properties of read alignments - for example, in ribosome profiling, the locations of ribosomes are jointly encoded in alignment coordinates and length - analytical tools are often required to extract the biological meaning from the alignments before analysis...
November 22, 2016: BMC Genomics
https://www.readbyqxmd.com/read/27873063/-a%C3%A2-new-technique-to-facilitate-donor-preparation-for-dmek-surgery
#8
P W Rieck, T Engels
BACKGROUND: Descemet membrane endothelial keratoplasty (DMEK) is becoming more and more the method of choice to treat corneal endothelial diseases in specialized centers. The reasons that prevent this technique from becoming widespread are the delicate donor tissue preparation. By inverting the curvature of the cornea from convex to concave after mounting onto an artificial anterior chamber, we developed a combined manual delamination and hydrodissection technique, which allows a rapid and endothelium-preserving method of separating donor Descemet membranes from the underlying stroma...
November 21, 2016: Der Ophthalmologe: Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
https://www.readbyqxmd.com/read/27858672/guide-wire-breakage-during-posterolateral-endoscopic-lumbar-discectomy-procedure-a-case-report
#9
Xiaofei Guan, Shan Zhao, Xin Gu, Hailong Zhang, Shisheng He
OBJECTIVE: To present a unique case of guide wire breakage as a rare complication during posterolateral endoscopic lumbar discectomy. BACKGROUND: Posterolateral endoscopic lumbar discectomy (PELD) has become a routinely performed minimally invasive spinal procedure. However, several complications of PELD have attracted our concerns, including the intraoperative injury to neural and vascular structures and failure of the surgery. We have countered a rare intraoperative complication of guidewire breakage during a PELD procedure, as far as we know, this has not been reported previously, and we wish to draw attention to this hazard...
November 4, 2016: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/27853012/outcomes-of-endoscopic-dacryocystorhinostomy-experience-of-a-fellowship-trainee-at-a-tertiary-care-center
#10
Saurabh Kamal, Mohammad Javed Ali, Akshay Gopinathan Nair
AIM: The study aims to report a single trainee's experience of learning and performing endoscopic endonasal dacryocystorhinostomy (En-DCR). SETTINGS AND DESIGN: This study was a retrospective, interventional case series. SUBJECTS AND METHODS: Fifty-four eyes of fifty patients presenting at a tertiary eye care center over 1 year were included in the study. All cases underwent endoscopic DCR with mitomycin-C and silicone intubation. The parameters studied included demographics, clinical features, intraoperative details, and postoperative ostium evaluation...
September 2016: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/27849374/impact-of-motorized-articulating-laparoscopic-devices-with-three-dimension-visualizing-system-a-pilot-study
#11
Serdar Aykan, Yigit Akin, Sabri Pelit, Hakan Gulmez, Murat Tuken, Aykut Colakerol, Atilla Semercioz, Ahmet Yaser Muslumanoglu
OBJECTIVE: To compare the efficacy between motorized articulating (AI) and rigid conventional laparoscopic instruments (CI) in chancing visualizing systems, respectively 2-dimension (2D) and 3-dimension (3D). METHODS: Sixty physicians were divided into 3 groups according to their previous experience as medical students (Group 1), residents (Group 2), and expert surgeons (Group 3). Four experimental sets were created, respectively CI-2D visualizing system (CI-2D), CI-3D visualizing system (CI-3D), AI-2D visualizing system (AI-2D), and AI-3D visualizing system (AI-3D) platforms...
November 16, 2016: Journal of Endourology
https://www.readbyqxmd.com/read/27834031/surgeon-s-experience-overrides-the-effect-of-hospital-volume-for-postoperative-outcomes-of-laparoscopic-surgery-in-gastric-cancer-multi-institutional-study
#12
Han Hong Lee, Sang-Yong Son, Ju Hee Lee, Min Gyu Kim, Hoon Hur, Do Joong Park
BACKGROUND: Hospital volume is known to be a crucial factor in reducing postoperative morbidity and mortality in laparoscopic gastrectomy for gastric cancer. However, it is unclear whether surgeon's individual experience can overcome the effect of hospital volume. METHODS: Clinicopathologic data of initial 50 laparoscopic gastrectomy cases were collected from six gastric cancer surgeons. Half of the six surgeons worked in high-volume centers, and the other half worked in low-volume hospitals...
November 10, 2016: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/27833354/simple-technique-overcoming-a-persistent-problem-in-cleft-palate-repair
#13
S M Kotrashetti, Gunjan Dube, Bhushan Thakkar, Manav Ahuja
PURPOSE: Cleft palate repair mandates use of a mouth gag and Dingmans moth gag is the most commonly used for the same; but the use of Dingmans mouth gag may have the demerit of the suture getting tethered at various places of the instrument during cleft palate closure particularly in the hands of the beginner surgeon. METHOD: This article discusses about a simple technique of using a rubber dam sheet to cover the frame of the mouth gag. CONCLUSION: The technique discussed in this article is simple, cost effective method to overcome the potential disadvantage of suture adherence during repair of palatal tissue...
December 2016: Journal of Maxillofacial and Oral Surgery
https://www.readbyqxmd.com/read/27824022/endoscopic-ultrasound-of-the-hepatoduodenal-ligament-and-liver-hilum
#14
Malay Sharma, Chittapuram Srinivasan Rameshbabu, Christoph F Dietrich, Praveer Rai, Raghav Bansal
The porta hepatis and hepatoduodenal ligament (HDL) are important anatomical pathways of extension of disease to and from the liver. The imaging of this area is difficult. The role of endoscopic ultrasound (EUS) as an imaging modality for hepatoduodenal ligament has not been established so far. All images in the present study have been generated from a detailed review of real time recordings using the curved linear scanning echoendoscope EG -3830 UT (Pentax Corporation, Tokyo, Japan), coupled with a Hitachi avius and Hitach 7500 processor (Hitachi Aloka Medical, Tokyo Japan)...
November 8, 2016: Endoscopic Ultrasound
https://www.readbyqxmd.com/read/27816106/recent-advances-toward-robust-n-protecting-groups-for-glucosamine-as-required-for-glycosylation-strategies
#15
Mohamed Ramadan El Sayed Aly, El Sayed H El Ashry
2-Amino-2-deoxy-d-glucose (d-glucosamine) is among the most abundant monosaccharides found in natural products. This constituent, recognized for its ubiquity, is presented in most instances as its N-acetyl derivative 2-acetamido-2-deoxy-d-glucopyranose (N-acetylglucosamine, GlcNAc, NAG). It occurs as the β-linked pyranosyl group in polysaccharides and oligosaccharides, and sometimes as the monosaccharide itself, either in its native state or as a glycoconjugate. The compound's acylation profile and other aspects of its structure are important elements in determining the variety of reactivities and functions of the molecule as a whole...
2016: Advances in Carbohydrate Chemistry and Biochemistry
https://www.readbyqxmd.com/read/27801643/arthroscopic-skills-assessment-and-use-of-box-model-for-training-in-arthroscopic-surgery-using-sawbones-fast-workstation
#16
Saumitra Goyal, Mohamed Abdel Radi, Islam Karam-Allah Ramadan, Hatem Galal Said
PURPOSE: Arthroscopic skills training outside the operative room may decrease risks and errors by trainee surgeons. There is a need of simple objective method for evaluating proficiency and skill of arthroscopy trainees using simple bench model of arthroscopic simulator. The aim of this study is to correlate motor task performance to level of prior arthroscopic experience and establish benchmarks for training modules. METHODS: Twenty orthopaedic surgeons performed a set of tasks to assess a) arthroscopic triangulation, b) navigation, c) object handling and d) meniscus trimming using SAWBONES "FAST" arthroscopy skills workstation...
2016: SICOT-J
https://www.readbyqxmd.com/read/27785080/methods-to-construct-a-step-by-step-beginner-s-guide-to-decision-analytic-cost-effectiveness-modeling
#17
Tamlyn Rautenberg, Claire Hulme, Richard Edlin
BACKGROUND: Although guidance on good research practice in health economic modeling is widely available, there is still a need for a simpler instructive resource which could guide a beginner modeler alongside modeling for the first time. AIM: To develop a beginner's guide to be used as a handheld guide contemporaneous to the model development process. METHODS: A systematic review of best practice guidelines was used to construct a framework of steps undertaken during the model development process...
2016: ClinicoEconomics and Outcomes Research: CEOR
https://www.readbyqxmd.com/read/27780777/surgical-competency-for-robot-assisted-hysterectomy-development-and-validation-of-a-robotic-hysterectomy-assessment-score
#18
Peter J Frederick, J Brian Szender, Ahmed A Hussein, Joshua P Kesterson, James A Shelton, Ted L Anderson, Vanessa M Barnabei, Khurshid Guru
STUDY OBJECTIVE: To develop and validate a procedure-specific scoring algorithm to objectively measure robotic surgical skills during robot-assisted hysterectomy and to facilitate robotic surgery training and education. DESIGN: (Canadian Task Force classification III). SETTING: A National Comprehensive Cancer Network-designated comprehensive cancer center. PATIENTS: Deidentified videos for robot-assisted hysterectomies were evaluated...
October 22, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27773012/the-role-of-emerging-bioinformatic-methods-in-improving-diagnosis-a-primer-for-beginners
#19
Cristin Print
No abstract text is available yet for this article.
February 2016: Pathology
https://www.readbyqxmd.com/read/27769319/canadian-ophthalmic-microsurgery-course-an-innovative-spin-on-wet-lab-based-surgical-education
#20
Eddie Y Liu, Bo Li, Cindy M L Hutnik
Wet lab and surgical simulation can reduce the learning curve of difficult surgical techniques, accelerate the rate for trainees to achieve surgical competency, and improve patient safety. To provide the most up-to-date information and hands-on experiences with novel ophthalmic surgical techniques and instruments, the Department of Ophthalmology at Western University has created a wet lab-based, multilevel microsurgery skills transfer course through collaboration with various industry partners. Several elements in the course goal and design differentiate this type of surgical course from typical wet labs: the format is multileveled surgical training, with a beginner level targeting undergraduate medical students, an intermediate level for ophthalmology residents, and an advanced level for trained ophthalmologist...
October 2016: Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie
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