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https://www.readbyqxmd.com/read/29433583/mid-term-survivorship-of-cruciate-retaining-versus-posterior-stabilized-total-knee-arthroplasty-using-modular-mini-keel-tibial-implants
#1
Cheng-Pang Yang, Kuo-Yao Hsu, Yu-Han Chang, Yi-Sheng Chan, Hsin-Nung Shih, Alvin Chao-Yu Chen
BACKGROUND: Reports of diverse outcomes in modular mini-keel tibial componentry for total knee arthroplasty (TKA) have raised concerns about early aseptic loosening. Cruciate-retaining (CR) prostheses, using mini-keel implants, have yet to be reported and compared to posterior-stabilizing (PS) designs. METHODS: A retrospective, case-matched study of 91 consecutive TKAs (n = 46 CR; n = 45 PS prostheses), using modular mini-keel tibial componentry with a 45-mm drop down stem extension, was conducted...
February 13, 2018: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29432525/factors-influencing-the-use-of-subcutaneous-or-transvenous-implantable-cardioverter-defibrillators-results-of-the-european-heart-rhythm-association-prospective-survey
#2
Serge Boveda, Radoslaw Lenarczyk, Stefano Fumagalli, Roland Tilz, Kinga Goscinska-Bis, Maciej Kempa, Pascal Defaye, Christelle Marquié, Alessandro Capucci, Laura Ueberham, Nikolaos Dagres
The purpose of this European Heart Rhythm Association (EHRA) prospective snapshot survey is to provide an overview of the factors influencing patient selection for the implantation of a particular type of device: subcutaneous implantable cardioverter-defibrillator (S-ICD) or transvenous implantable cardioverter-defibrillator (TV-ICD), across a broad range of tertiary European centres. A specially designed electronic questionnaire was sent via the internet to tertiary reference centres routinely implanting both TV-ICDs and S-ICDs...
February 8, 2018: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/29428850/exposure-to-routine-availability-of-immediate-postpartum-larc-effect-on-attitudes-and-practices-of-labor-and-delivery-and-postpartum-nurses
#3
Nerys Benfield, Felicia Hawkins, Laurie Ray, Andrea McGowan, Ketty Floyd, Dawn Africa, Myrta Barreto, Erika Levi
OBJECTIVES: Nurses play an integral role in intrapartum and postpartum patient education. This exploratory study aims to assess the attitudes, knowledge, and practices of labor and delivery and postpartum nurses regarding contraception, and evaluate for changes in these measures one year after an institutional initiative allowing routine availability of immediate postpartum long-acting reversible contraception (LARC). STUDY DESIGN: In 2014 Montefiore Medical Center began to routinely offer comprehensive immediate postpartum contraception...
February 8, 2018: Contraception
https://www.readbyqxmd.com/read/29423974/usefulness-of-rapiplug-in-nipple-reconstruction-to-improve-nipple-projection
#4
Joon Seok Lee, Joon Hyun Kwon, Jeong Woo Lee, Kang Young Choi, Ho Yun Chung, Byung Chae Cho, Jung Dug Yang
BACKGROUND: The final stage of breast reconstruction after mastectomy for breast cancer is nipple reconstruction. However, a consistent and reliable method resulting in the most ideal aesthetic results has yet to be clarified. This study analysed the long-term outcomes of nipple reconstruction using Rapiplug. METHODS: Forty-one patients who underwent immediate breast reconstruction after mastectomy between January 2014 and February 2017 were enrolled. Nipple reconstruction was performed with C-V flap and Hammond flap, and hat-shaped Rapiplug was implanted at the flap core...
February 8, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29420403/use-of-long-acting-reversible-contraception-by-obstetrics-and-gynecology-residents-an-examination-of-access-for-all-women
#5
Megan L Evans, Eve Espey, Tony Ogburn, Nikki B Zite
Although long-acting reversible contraception (LARC) use is increasing in the general female population, only 12% of all women who use contraception and 4.8% of nulliparous women in the United States use either the intrauterine device (IUD) or contraceptive implant. In several studies, however, female physicians prefer LARC for contraception. In 2016, an anonymous electronic survey was administered to all U.S. obstetrics and gynecology residents before the start of the annual in-training examination administered by the Council on Resident Education in Obstetrics and Gynecology...
February 5, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29417348/perioperative-management-of-external-fixation-in-staged-protocols-an-international-survey
#6
Sandro Hodel, Björn-Christian Link, Reto Babst, W H Mallee, Philippe Posso, Frank J P Beeres
INTRODUCTION: Despite the frequent use of external fixation, various regimes of antibiotic prophylaxis, surgical technique and postoperative pin care exist and underline the lack of current evidence. The aim of the study was to assess the variability or consensus in perioperative protocols to prevent implant-associated infections for temporary external fixation in closed fractures of the extremities. MATERIALS AND METHODS: A 26-question survey was sent to 170 members of the Traumaplatform...
February 7, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29409943/pediatricians-knowledge-and-practices-related-to-long-acting-reversible-contraceptives-for-adolescent-girls
#7
Risa L Fridy, Sofya Maslyanskaya, Sylvia Lim, Susan M Coupey
OBJECTIVE: A 2014 American Academy of Pediatrics (AAP) Policy Statement identified long-acting reversible contraceptives (LARC) as first-line choices for adolescents, but pediatricians' current knowledge and practices about intrauterine devices (IUDs) and subdermal contraceptive implants (Implants) is unknown. We aimed to characterize pediatricians' knowledge and practices about LARCs for adolescents. DESIGN, SETTING, PARTICIPANTS: Cross-sectional online survey emailed to a convenience sample of AAP member pediatricians in New York, Utah, Illinois, and Kansas in 2015 & 2016...
January 31, 2018: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/29403328/4d-printing-of-polymeric-materials-for-tissue-and-organ-regeneration
#8
Shida Miao, Nathan Castro, Margaret Nowicki, Lang Xia, Haitao Cui, Xuan Zhou, Wei Zhu, Se-Jun Lee, Kausik Sarkar, Giovanni Vozzi, Yasuhiko Tabata, John Fisher, Lijie Grace Zhang
Four dimensional (4D) printing is an emerging technology with great capacity for fabricating complex, stimuli-responsive 3D structures, providing great potential for tissue and organ engineering applications. Although the 4D concept was first highlighted in 2013, extensive research has rapidly developed, along with more-in-depth understanding and assertions regarding the definition of 4D. In this review, we begin by establishing the criteria of 4D printing, followed by an extensive summary of state-of-the-art technological advances in the field...
December 2017: Materials Today
https://www.readbyqxmd.com/read/29402320/women-s-contraceptive-discontinuation-and-switching-behavior-in-urban-senegal-2010-2015
#9
Janine Barden-O'Fallon, Ilene S Speizer, Lisa M Calhoun, Meghan Corroon
BACKGROUND: With the focus of global and national family planning initiatives on reaching "additional user" targets, it is increasingly important for programs to assess contraceptive method discontinuation and switching. This analysis calculated the discontinuation rate and method-specific discontinuation rates, examined reasons given for contraceptive discontinuation, and assessed characteristics associated with subsequent contraceptive switching and abandonment among women living in urban areas of Senegal...
February 5, 2018: BMC Women's Health
https://www.readbyqxmd.com/read/29397680/user-perspectives-on-implanon-nxt-in-south-africa-a-survey-of-12-public-sector-facilities
#10
D Pillay, Matthew Chersich, C Morroni, M Pleaner, O Adeagbo, N Naidoo, S Mullick, H Rees
Background. Implanon NXT, a long-acting reversible contraceptive, was introduced in South Africa (SA) in early 2014, aiming to expand the method mix and increase its effectiveness. Initial uptake was high, but has since declined considerably. In these early years after the implant’s introduction, it is important to identify reasons for the decline, and remedy gaps in services. Objectives. To determine periods of use, reasons for the use and early removal of the implant Implanon NXT. Methods. In 2016, we recruited 152 women from six clinics in the City of Johannesburg, and six in North West Province, SA...
October 1, 2017: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/29396611/-handling-of-retrieved-implants-in-orthopedic-surgery-results-of-a%C3%A2-survey-within-the-framework-of-the-endocert-initiative
#11
K Osmanski-Zenk, H Haas, W Mittelmeier, D Kluess
BACKGROUND: Although investigations of retrieved medical implants can provide valuable information about the cause of the revision, there is a lack of information, which could be avoided by consequent failure analyses. In the framework of the EndoCert certification system it is obligatory to record and report incidents. OBJECTIVES: The present work examines how the willingness to report has developed in certified arthroplasty centers and which method of handling retrievals is preferred and actually used...
February 2, 2018: Der Orthopäde
https://www.readbyqxmd.com/read/29391836/physician-preference-items-what-factors-matter-to-surgeons-does-the-vendor-matter
#12
Lawton R Burns, Michael G Housman, Robert E Booth, Aaron M Koenig
Background: The USA devotes roughly $200 billion (6%) of annual national health expenditures to medical devices. A substantial proportion of this spending occurs during orthopedic (eg, hip and knee) arthroplasties - two high-volume hospital procedures. The implants used in these procedures are commonly known as physician preference items (PPIs), reflecting the physician's choice of implant and vendor used. The foundations for this preference are not entirely clear. This study examines what implant and vendor characteristics, as evaluated by orthopedic surgeons, are associated with their preference...
2018: Medical Devices: Evidence and Research
https://www.readbyqxmd.com/read/29390524/the-effectiveness-safety-and-economic-evaluation-of-korean-medicine-for-unexplained-infertile-women-a-multi-center-prospective-observational-study-protocol
#13
Su-Hyun Kim, Junyoung Jo, Dong-Il Kim
Infertility is a condition in which a woman has not been pregnant despite having had normal intercourse for 1 year. The number of unexplained infertile females is increasing because of late marriage customs, as well as environmental and lifestyle habits. In Korea, infertile females have been treated with Korean medicine (KM). However, these effects have not been objectively confirmed through clinical trials. Therefore, this study was conducted to demonstrate the effectiveness of herbal medicine treatment in infertile patients and to demonstrate the economic feasibility through economical evaluation with assisted reproductive technology...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29387433/optimal-antiplatelet-strategy-after-transcatheter-aortic-valve-implantation-a-meta-analysis
#14
Yousif Ahmad, Ozan Demir, Christopher Rajkumar, James P Howard, Matthew Shun-Shin, Christopher Cook, Ricardo Petraco, Richard Jabbour, Ahran Arnold, Angela Frame, Nilesh Sutaria, Ben Ariff, Gajen Kanaganayagam, Darrel Francis, Jamil Mayet, Ghada Mikhail, Iqbal Malik, Sayan Sen
Objective: International guidelines recommend the use of dual antiplatelet therapy (DAPT) after transcatheter aortic valve implantation (TAVI). The recommended duration of DAPT varies between guidelines. In this two-part study, we (1) performed a structured survey of 45 TAVI centres from around the world to determine if there is consensus among clinicians regarding antiplatelet therapy after TAVI; and then (2) performed a systematic review of all suitable studies (randomised controlled trials (RCTs) and registries) to determine if aspirin monotherapy can be used instead of DAPT...
2018: Open Heart
https://www.readbyqxmd.com/read/29386474/long-term-clinical-outcomes-survey-of-bone-marrow-derived-cell-therapy-in-critical-limb-ischemia-in-japan
#15
Kazuhisa Kondo, Kenji Yanishi, Ryo Hayashida, Satoshi Shintani, Rei Shibata, Kenta Murotani, Masahiko Ando, Masaaki Mizuno, Tadami Fujiwara, Toyoaki Murohara, Satoaki Matoba
BACKGROUND: The Therapeutic Angiogenesis by Cell Transplantation (TACT) trial demonstrated the efficacy and safety of autologous bone marrow-derived mononuclear cells (BM-MNCs) in patients with critical limb ischemia (CLI). The present study aimed to assess the long-term clinical outcomes of therapeutic angiogenesis using autologous BM-MNC implantation under advanced medical treatment in Japan.Methods and Results:The study was retrospective, observational, and non-controlled. We assessed no-option CLI patients who had BM-MNC implantation performed in 10 institutes...
January 30, 2018: Circulation Journal: Official Journal of the Japanese Circulation Society
https://www.readbyqxmd.com/read/29382979/adoption-barriers-for-continuous-glucose-monitoring-and-their-potential-reduction-with-a-fully-implanted-system-results-from-patient-preference-surveys
#16
Robert Engler, Timothy L Routh, Joseph Y Lucisano
IN BRIEF A patient-centered approach to device design can provide important advantages in optimizing diabetes care technology for broadened adoption and improved adherence. Results from two surveys of people with diabetes and the parents of children with diabetes (n = 1,348) regarding continuous glucose monitoring (CGM) devices reveal the importance of the concept of "user burden" in patients' and caregivers' evaluations of the acceptability of available devices. Survey respondents' strongly favorable reactions to a proposed 1-year, fully implanted CGM device with no skin-attached components further confirm that minimizing system obtrusiveness will likely be of significant value in reducing hurdles to CGM device use and adherence...
January 2018: Clinical Diabetes: a Publication of the American Diabetes Association
https://www.readbyqxmd.com/read/29380531/does-cochlear-implant-brand-influence-patient-satisfaction-a-survey-of-102-cochlear-implant-users
#17
Aaron Trinidade, Matthew D Cox, Amro Hassaan, Connor Rayburn, John L Dornhoffer
Patients and parents in particular can find the decision regarding which device to have implanted difficult due to the amount of often complicated information that is available. The desire to choose the 'right' implant for themselves or their child takes on great importance due to the finality of the procedure. There is some evidence that certain patient expectations may be linked to brand choice and marketing strategies. This study showed that importance of language development was strongly linked with a MED-EL device, and speech improvement with Advanced Bionics...
January 30, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29378546/identifying-factors-influencing-contraceptive-use-in-bangladesh-evidence-from-bdhs-2014-data
#18
M B Hossain, Mhr Khan, F Ababneh, Jeh Shaw
BACKGROUND: Birth control is the conscious control of the birth rate by methods which temporarily prevent conception by interfering with the normal process of ovulation, fertilization, and implantation. High contraceptive prevalence rate is always expected for controlling births for those countries that are experiencing high population growth rate. The factors that influence contraceptive prevalence are also important to know for policy implication purposes in Bangladesh. This study aims to explore the socio-economic, demographic and others key factors that influence the use of contraception in Bangladesh...
January 30, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29378239/biomems-for-biosensors-and-closed-loop-drug-delivery
#19
Joel Coffel, Eric Nuxoll
The efficacy of pharmaceutical treatments can be greatly enhanced by physiological feedback from the patient using biosensors, though this is often invasive or infeasible. By adapting microelectromechanical systems (MEMS) technology to miniaturize such biosensors, previously inaccessible signals can be obtained, often from inside the patient. This is enabled by the device's extremely small footprint which minimizes both power consumption and implantation trauma, as well as the transport time for chemical analytes, in turn decreasing the sensor's response time...
January 26, 2018: International Journal of Pharmaceutics
https://www.readbyqxmd.com/read/29376229/investigation-of-the-changes-in-refractive-surgery-trends-in-korea
#20
Jong Ho Ahn, Dong Hyun Kim, Kyung Hwan Shyn
PURPOSE: To evaluate changes in clinical practice in the field of refractive surgery in Korea over the past 10 years. METHODS: A survey consisting of 59 multiple-choice questions regarding the preferred types of refractive surgery, excimer laser machine, and presbyopia surgery was mailed to 742 members of the Korean Society of Cataract and Refractive Surgery in January 2016, and 50 members responded to the survey. These data were compared with the 2005 or 2007 survey results...
January 25, 2018: Korean Journal of Ophthalmology: KJO
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