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Safe patient handling

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https://www.readbyqxmd.com/read/29449086/progress-in-the-use-of-dental-pulp-stem-cells-in-regenerative-medicine
#1
REVIEW
Eduardo Anitua, María Troya, Mar Zalduendo
The field of tissue engineering is emerging as a multidisciplinary area with promising potential for regenerating new tissues and organs. This approach requires the involvement of three essential components: stem cells, scaffolds and growth factors. To date, dental pulp stem cells have received special attention because they represent a readily accessible source of stem cells. Their high plasticity and multipotential capacity to differentiate into a large array of tissues can be explained by its neural crest origin, which supports applications beyond the scope of oral tissues...
February 12, 2018: Cytotherapy
https://www.readbyqxmd.com/read/29439891/resuscitative-endovascular-balloon-occlusion-of-the-aorta-using-a-low-profile-device-is-easy-and-safe-for-emergency-physicians-in-cases-of-life-threatening-hemorrhage
#2
Takahiro Shoji, Takehiko Tarui, Takashi Igarashi, Yuki Mochida, Hiroyuki Morinaga, Yasuhiko Miyakuni, Yoshitaka Inoue, Yasuhiko Kaita, Hiroshi Miyauchi, Yoshihiro Yamaguchi
BACKGROUND: Bleeding from hemorrhagic shock can be immediately controlled by blocking the proximal part of the hemorrhagic point using either resuscitative thoracotomy for aortic cross-clamping or insertion of a large-caliber (10-14Fr) resuscitative endovascular balloon occlusion of the aorta (REBOA) device via the femoral artery. However, such methods are very invasive and have various complications. With recent progress in endovascular treatment, a low-profile REBOA device (7Fr) has been developed...
February 10, 2018: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29439374/important-exposure-controls-for-protection-against-antineoplastic-agents-highlights-for-oncology-health-care-workers
#3
Maryam Alehashem, Shadi Baniasadi
BACKGROUND: A great number of antineoplastic drugs (ANPDs) are used globally in cancer treatment. Due to their adverse health effects, occupational exposure to ANPDs is considered a potential health risk to health care workers. OBJECTIVE: The current study aimed to evaluate safe-handling practices of ANPDs, exposure controls, and adverse health implications for health care providers exposed to ANDPs. METHODS: Prevention measures, including engineering, administrative, and work practice controls, as well as personal protective equipment (PPE), were recorded daily through a questionnaire for six weeks...
2018: Work: a Journal of Prevention, Assessment, and Rehabilitation
https://www.readbyqxmd.com/read/29422149/nurses-and-nursing-assistants-decision-making-regarding-use-of-safe-patient-handling-and-mobility-technology-a-qualitative-study
#4
Mary Louise Kanaskie, Cynthia Snyder
AIM: This study explored decision-making regarding use of safe patient handling and mobility (SPHM) technology among registered nurses (RN) and nursing assistants (NA). BACKGROUND: Lifting injuries are common among healthcare workers. Despite development of standards for SPHM, the introduction of regulation for monitoring access to SPHM technology, and implementation of education programs and process improvements, threat of injury remains a concern. Although access to SPHM equipment is associated with decreased workplace injuries, access alone does not guarantee use...
February 2018: Applied Nursing Research: ANR
https://www.readbyqxmd.com/read/29409627/social-network-analysis-of-peer-specific-safety-support-and-ergonomic-behaviors-an-application-to-safe-patient-handling
#5
David A Hurtado, Lisset M Dumet, Samuel A Greenspan, Yaritza I Rodriguez
This study applied Social Network Analysis (SNA) to test whether advice-seeking interactions among peers about safe patient handling correlate with a higher frequency of equipment use. Patient-care workers (n=38) at a community hospital in Oregon nominated peers they would consult for advice regarding safe patient handling. Results show a positive correlation between identifying more peers for safe patient handling advice and using equipment more frequently. Moreover, nurses with more reciprocal advice seeking nominations used safe patient handling equipment more frequently...
April 2018: Applied Ergonomics
https://www.readbyqxmd.com/read/29404256/modified-one-piece-extended-transbasal-approach-for-endoscopic-assisted-microsurgical-resection-of-tuberculum-sellae-meningioma-operative-video-and-technical-nuances
#6
James K Liu, Kentaro Watanabe
The optimal approach for surgical resection of tuberculum sellae meningiomas remains controversial. Approach selection is largely based on a variety of factors, such as tumor size, extent and location relative to the optic canal and internal carotid artery, the presence of vascular encasement, and surgeon's preference. In this operative video manuscript, the authors demonstrate the importance of an open transcranial approach when the tumor extends lateral to the optic nerve over the internal carotid artery into the opticocarotid triangle, which is a difficult region to safely access with a purely endoscopic endonasal approach...
February 2018: Journal of Neurological Surgery. Part B, Skull Base
https://www.readbyqxmd.com/read/29397871/outbreak-of-bacterial-endocarditis-associated-with-an-oral-surgery-practice-new-jersey-public-health-surveillance-2013-to-2014
#7
Kathleen M Ross, Jason S Mehr, Rebecca D Greeley, Lindsay A Montoya, Prathit A Kulkarni, Sonya Frontin, Trevor J Weigle, Helen Giles, Barbara E Montana
BACKGROUND: In October 2014, the New Jersey Department of Health received reports of 3 patients who developed Enterococcus faecalis endocarditis after undergoing surgical procedures at the same oral surgery practice in New Jersey. Bacterial endocarditis is an uncommon but life-threatening condition; 3 patients with enterococcal endocarditis associated with a single oral surgery practice is unusual. An investigation was initiated because of the potential ongoing public health risk. METHODS: Public health officials conducted retrospective surveillance to identify additional patients with endocarditis associated with the practice...
February 2, 2018: Journal of the American Dental Association
https://www.readbyqxmd.com/read/29393924/outbreak-of-seoul-virus-among-rats-and-rat-owners-united-states-and-canada-2017
#8
Janna L Kerins, Sarah E Koske, James Kazmierczak, Connie Austin, Karen Gowdy, Antonia Dibernardo
In December 2016, the Wisconsin Department of Health Services (WDHS) notified CDC of a patient hospitalized with fever, leukopenia, elevated transaminases, and proteinuria. The patient owned and operated an in-home rattery, or rat-breeding facility, with approximately 100 Norway rats, primarily bred as pets. A family member developed similar symptoms 4 weeks later, but was not hospitalized. Because both patients were known to have rodent contact, they were tested for hantavirus infections. In January 2017, CDC confirmed recent, acute Seoul virus infection in both patients...
February 2, 2018: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/29386431/-safe-use-of-recent-new-drugs-current-status-and-challenges
#9
Yoshiaki Ohashi
 In Japan and overseas, Chugai Pharmaceutical Company handles numerous biopharmaceuticals, molecular targeted therapies and other pharmaceuticals with innovative modes of action. Expert safety evaluation is essential for promoting the appropriate use of these pharmaceuticals around the world and in gaining acceptance from patients and healthcare professionals (HCPs), while speedy decision-making is crucial for the timely collection and provision of safety information and thus ensuring safety. In 2015, we collected safety information on more than 180000 cases and evaluated it from a medical standpoint...
2018: Yakugaku Zasshi: Journal of the Pharmaceutical Society of Japan
https://www.readbyqxmd.com/read/29386072/activity-of-pembrolizumab-in-relapsed-refractory-nk-t-cell-lymphoma
#10
Xin Li, Yasong Cheng, Mingzhi Zhang, Jiaqin Yan, Ling Li, Xiaorui Fu, Xudong Zhang, Yu Chang, Zhenchang Sun, Hui Yu, Lei Zhang, Xinhua Wang, Jingjing Wu, Zhaoming Li, Feifei Nan, Li Tian, Wencai Li, Ken H Young
Natural killer/T-cell lymphoma (NKTCL) is a rare subtype of non-Hodgkin lymphoma that is associated with a poor outcome. Currently, the treatment needs of NKTCL remain unmet, and efforts to further improve treatment are urgently needed. Herein, seven patients with NKTCL who failed to respond to various types of chemotherapies were treated with the anti-programmed death 1 (anti-PD-1) antibody pembrolizumab at 100 mg every 3 weeks. After a median of four cycles of treatment (range 2-18), four out of seven patients responded (two complete response, two partial response, overall response rate 57%)...
January 31, 2018: Journal of Hematology & Oncology
https://www.readbyqxmd.com/read/29362218/increasing-awareness-of-the-roles-knowledge-and-skills-of-respiratory-therapists-through-an-interprofessional-education-experience
#11
John B Zamjahn, Ellen O Beyer, Kelly L Alig, Donald E Mercante, Katherine L Carter, Tina P Gunaldo
BACKGROUND: The objectives of this study were: (1) to assess the use of interprofessional education (IPE) to improve the knowledge and skill levels of nursing and occupational therapy students regarding respiratory therapy (RT) medical devices and techniques, nursing and RT students regarding safe patient transfers, and RT and occupational therapy students regarding safe handling of a patient's medical lines during transfers and (2) to promote collaborative behaviors. METHODS: A prospective mixed methods approach was used for data collection of an IPE high-fidelity simulation experience involving 73 nursing, occupational therapy, and RT students at an academic medical institution...
January 23, 2018: Respiratory Care
https://www.readbyqxmd.com/read/29319925/differences-between-serious-and-nonserious-patient-safety-incidents-in-the-largest-hospital-district-in-finland
#12
Juho Olavi Jämsä, Sari Hannele Palojoki, Lasse Lehtonen, Anna-Maija Tapper
OBJECTIVES: To determine if and in what ways serious patient safety incidents differ from nonserious patient safety incidents. METHODS: Statistical analysis was performed on patient safety incident reports that were reported in 2015 in Finland's largest hospital district (Helsinki and Uusimaa, HUS). Reports were divided into two groups: nonserious incidents and serious incidents. Differences between groups were studied from several types of categorically divided information...
January 10, 2018: Journal of Healthcare Risk Management: the Journal of the American Society for Healthcare Risk Management
https://www.readbyqxmd.com/read/29316871/listeria-monocytogenes-sepsis-in-the-nursing-home-community-a-case-report-and-short-review-of-the-literature
#13
Griet Buyck, Veronique Devriendt, Anne-Marie Van den Abeele, Christian Bachmann
Objective and importance Listeria monocytogenes is a rare foodborne pathogen, causing both outbreaks and sporadic infections. Severe, systemic infections are more prevalent in at-risk populations, such as pregnant women, but occur mostly in older people and immunocompromised individuals. In this case report, we describe the presentation, diagnosis, and treatment of Listeria monocytogenes sepsis in an older patient, and we briefly review the literature about listeriosis and the importance of safe food practices...
January 9, 2018: Acta Clinica Belgica
https://www.readbyqxmd.com/read/29316056/rechargeable-internal-pulse-generators-as-initial-neurostimulators-for-deep-brain-stimulation-in-patients-with-movement-disorders
#14
Martin Jakobs, Manja Kloß, Andreas Unterberg, Karl Kiening
INTRODUCTION: Rechargeable internal pulse generators (r-IPGs) for deep brain stimulation (DBS) promise a longer battery life and cost effectiveness compared to non-rechargeable IPGs. However, patients need to learn to check the battery capacity and perform the recharging process to ensure continuous therapy. METHODS: n = 35 consecutive adult patients with movement disorders that underwent DBS electrode placement with implantation of a r-IPG were assessed with a questionnaire...
January 8, 2018: Neuromodulation: Journal of the International Neuromodulation Society
https://www.readbyqxmd.com/read/29285329/the-flap-recovery-on-the-impacted-lower-third-molar-surgery-comparing-3-different-flap-designs-a-clinical-study
#15
L Ottria, F Luciani, P Piva, A M Alagna, C Arcuri, F N Bartuli
Aim: The purpose of the study was to analyze the healing of the deep and superficial lower first and second molars periodontium, after the surgical extraction of the contiguous impacted third molar, comparing 3 mucoperiosteal flap designs. Materials and methods: 150 patients which had to undergo a impacted lower third molar surgery were enrolled in this study. They were checked from day 0 to day 90, in order to focus on the recovery quality of the soft tissues around the lower second molar, comparing 3 different flap designs...
July 2017: Oral & Implantology
https://www.readbyqxmd.com/read/29284542/a-comparison-of-two-emergency-medical-dispatch-protocols-with-respect-to-accuracy
#16
Klara Torlén, Lisa Kurland, Maaret Castrén, Knut Olanders, Katarina Bohm
BACKGROUND: Emergency medical dispatching should be as accurate as possible in order to ensure patient safety and optimize the use of ambulance resources. This study aimed to compare the accuracy, measured as priority level, between two Swedish dispatch protocols - the three-graded priority protocol Medical Index and a newly developed prototype, the four-graded priority protocol, RETTS-A. METHODS: A simulation study was carried out at the Emergency Medical Communication Centre (EMCC) in Stockholm, Sweden, between October and March 2016...
December 29, 2017: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/29279731/acupuncture-associated-vasovagal-response-revised-terminology-and-hospital-experience
#17
Kimberly A Christensen, Barbara J Gosse, Celia Hildebrand, Lynn A Gershan
Background: Vasovagal responses associated with acupuncture therapy are relatively uncommon adverse events, occurring in ∼0.02%-7% of treatments. The complex neurocardiovascular reflexes involved in vasovagal responses can induce a range of symptoms such as dizziness, nausea, sweating, bradycardia, hypotension, and, in some cases, syncope or convulsions. Although patients typically recover quickly with proper support, these events may be of concern and anxiety-producing for both patient and provider. Providers need to be well-versed in methods for prevention and treatment of acupuncture-associated vasovagal responses to promote safe practice environments, patient satisfaction and comfort, and cost-effectiveness...
December 1, 2017: Medical Acupuncture
https://www.readbyqxmd.com/read/29262440/who-is-safe-to-extubate-in-the-neuroscience-intensive-care-unit
#18
Julian Bösel
Patients admitted to the neuroscience intensive care unit (NICU) may have respiratory compromise from either central or peripheral neurological pathology, and may hence require intubation and mechanical ventilation for very diverse reasons. Liberation from invasive ventilation, that is, extubation, at the earliest possible time is a widely accepted principle in intensive care. For this, classic extubation criteria have been established in the general critical care setting, mainly targeting pulmonary function and cooperativeness of the patient...
December 2017: Seminars in Respiratory and Critical Care Medicine
https://www.readbyqxmd.com/read/29250833/a-rigid-stand-off-hybrid-dipole-and-birdcage-coil-array-for-7-t-body-imaging
#19
Jan Paška, Martijn A Cloos, Graham C Wiggins
PURPOSE: To design a robust and patient friendly radiofrequency coil array (8-channel transmit and 16-channel receive) for cross-sectional body imaging at 7 T, and to improve our understanding of the combination of dipole and loop like elements for ultra high field strengths. METHODS: The hybrid coil array was optimized in eletromagnetic simulations. Considered array candidates were the dipole, loop and birdcage array. The winning design was constructed and the signal-to-noise (SNR) was compared to a close fitting array at 3 T...
December 17, 2017: Magnetic Resonance in Medicine: Official Journal of the Society of Magnetic Resonance in Medicine
https://www.readbyqxmd.com/read/29244044/examining-the-factor-structure-and-reliability-of-the-safe-patient-handling-perception-scale-an-initial-validation-study
#20
Regina White-Heisel, James P Canfield, Sadie Young-Hughes
PURPOSE: Perceiving imminent safe patient handling and movement (SPH&M) dangers may reduce musculoskeletal (MSK) injuries for nurses in the workplace. The purpose of this study is to develop and validate the 17-item Safe Patient Handling Perception Scale (SPHPS) as an evaluation instrument assessing perceptual risk of MSK injury based on SPH&M knowledge, practice, and resource accessibility in the workplace. METHODS: Data were collected from a convenience sample (N = 117) of nursing employees at a Veteran Affairs Medical Center...
May 2017: Rehabilitation Nursing: the Official Journal of the Association of Rehabilitation Nurses
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