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https://www.readbyqxmd.com/read/28087543/leisure-time-sport-and-overuse-injuries-of-extremities-in-children-age-6-13-a-2-5%C3%A2-years-prospective-cohort-study-the-champs-study-dk
#1
Charlène Chéron, Charlotte Leboeuf-Yde, Christine Le Scanff, Eva Jespersen, Christina Trifonov Rexen, Claudia Franz, Niels Wedderkopp
OBJECTIVES: It is not known which sports are most likely to cause overuse injuries of the extremities in children. In this study, we report on the incidence of overuse injuries of the upper and lower extremities in children who participate in various leisure-time sports and relate this to the frequency of sport sessions. DESIGN: Natural experiment including a prospective cohort study. SETTING: 10 state schools in 1 Danish municipality: Svendborg...
January 13, 2017: BMJ Open
https://www.readbyqxmd.com/read/28079203/complexation-of-short-ds-rna-dna-oligonucleotides-with-gemini-micelles-a-time-resolved-saxs-and-computational-study
#2
Sara Falsini, Emanuela Di Cola, Martin In, Maria Giordani, Stefano Borocci, Sandra Ristori
Gene therapy is based on nucleic acid delivery to pathogenic cells in order to modulate their gene expression. The most used non viral vectors are lipid-based nanoaggregates, which are safer than viral carriers and have been shown to assemble easily with both DNA and RNA. However, the transfection efficiency of non viral carriers still needs to be improved before intensive practise in clinical trials can be implemented. For this purpose, the in depth characterization of the complexes formed by nucleic acids and their transporters is of great relevance...
January 12, 2017: Physical Chemistry Chemical Physics: PCCP
https://www.readbyqxmd.com/read/28066947/training-in-eus-an-asian-perspective
#3
REVIEW
J Y Y Wong, P Kongkam, K Y Ho
Training of endoscopic ultrasound (EUS) in Asia faces two major challenges: (i) the ever-increasing demand for skills to handle a growing range of interventional EUS procedures; and (ii) a continual shortage of EUS training programs. As the therapeutic application of EUS continues to expand,(1, 2) the need to train more new endosonographers and upgrade skills of existing ones has become more critical than ever before. A formal fellowship to acquire EUS knowledge and skills in an advanced endoscopy centre has always been perceived as the best way of training novices, but such opportunities remain limited in most Asian countries...
January 9, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/28039294/process-mapping-evaluation-of-medication-reconciliation-in-academic-teaching-hospitals-a-critical-step-in-quality-improvement
#4
Anne Holbrook, James M Bowen, Harsit Patel, Chris O'Brien, John J You, Roshan Tahavori, Jeff Doleweerd, Tim Berezny, Dan Perri, Carmine Nieuwstraten, Sue Troyan, Ameen Patel
BACKGROUND: Medication reconciliation (MedRec) has been a mandated or recommended activity in Canada, the USA and the UK for nearly 10 years. Accreditation bodies in North America will soon require MedRec for every admission, transfer and discharge of every patient. Studies of MedRec have revealed unintentional discrepancies in prescriptions but no clear evidence that clinically important outcomes are improved, leading to widely variable practices. Our objective was to apply process mapping methodology to MedRec to clarify current processes and resource usage, identify potential efficiencies and gaps in care, and make recommendations for improvement in the light of current literature evidence of effectiveness...
December 30, 2016: BMJ Open
https://www.readbyqxmd.com/read/28003798/a-patient-preference-cohort-study-of-office-versus-inpatient-uterine-polyp-treatment-for-abnormal-uterine-bleeding
#5
Natalie A M Cooper, Lee Middleton, Paul Smith, Elaine Denny, Lynda Stobert, Jane Daniels, T Justin Clark
Uterine polyps can cause abnormal bleeding in women. Conventional practise is to remove them under general anaesthesia but advances in technology have made it possible to perform polypectomy in the office setting. We conducted a patient-preference study to explore women's preferences for treatment setting and to evaluate the effectiveness and treatment experience of women undergoing uterine polypectomy. Three hundred ninety-nine women with abnormal uterine bleeding who were found to have uterine polyps at diagnostic hysteroscopy were recruited...
2016: Gynecological Surgery
https://www.readbyqxmd.com/read/27986184/the-canadian-gynaecologic-oncology-perioperative-management-survey-baseline-practice-prior-to-implementation-of-enhanced-recovery-after-surgery-eras-society-guidelines
#6
Alon D Altman, Gregg S Nelson
OBJECTIVE: To survey the current practice of Society of Gynecologic Oncology of Canada (GOC) members about preoperative, intraoperative, and postoperative phases of care. The survey was carried out prior to publication of the Enhanced Recovery After Surgery (ERAS) Society gynaecologic/oncology guidelines. METHODS: A survey was developed by the GOC and distributed to all surgical members between September and December 2015. RESULTS: The survey was completed by 77 of 92 practising gynaecologic oncologists (84%), representing 19 centres in 16 cities across Canada...
December 2016: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/27981654/knowing-how-we-know-an-epistemological-rationale-for-the-medical-humanities
#7
Neville Chiavaroli
CONTEXT: Although their inclusion in medical curricula internationally is increasing, the medical humanities still face challenges to their role and place in the curriculum. Justifications supporting the inclusion of humanities content, methods and perspectives in medical curricula have generally been proposed along instrumental, intrinsic and critical lines. However, recent literature in the field has turned to 'ways of knowing' as representing an alternative, essentially epistemological, perspective on the matter...
January 2017: Medical Education
https://www.readbyqxmd.com/read/27923638/dance-and-music-share-gray-matter-structural-correlates
#8
Falisha J Karpati, Chiara Giacosa, Nicholas E V Foster, Virginia B Penhune, Krista L Hyde
Intensive practise of sensorimotor skills, such as music and dance, is associated with brain structural plasticity. While the neural correlates of music have been well-investigated, less is known about the neural correlates of dance. Additionally, the gray matter structural correlates of dance versus music training have not yet been directly compared. The objectives of the present study were to compare gray matter structure as measured by surface- and voxel-based morphometry between expert dancers, expert musicians and untrained controls, as well as to correlate gray matter structure with performance on dance- and music-related tasks...
December 3, 2016: Brain Research
https://www.readbyqxmd.com/read/27923255/-psychotherapy-and-religion-a-representative-survey-among-psychotherapists-in-southern-germany
#9
Michael Marquardt, Joachim Heinrich Demling
Objective: Religion and spirituality play an appreciable role as a problem area or as a resource for patients with mental disorders. It is therefore of interest what attitudes psychotherapists assume towards this complex range of issues in their work, but also in their personal lives. The majority of empirical studies on this subject originate from the USA, with little data being available from Europe and Germany. Our own survey among practising psychotherapists was designed to elucidate these questions. Method and Study Population: A cross-sectional study was conducted in the form of a written survey of all accessible practising psychotherapists in the area of Northern Bavaria (Franconian administrative districts; n=1 081, return rate 65%)...
December 2016: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://www.readbyqxmd.com/read/27919479/how-to-refer-to-people-with-disease-in-research-outputs-the-disconnection-between-academic-practise-and-that-preferred-by-people-with-multiple-sclerosis
#10
David Baker, Ananthi Anandhakrishnan, Katie A Tuite-Dalton, Hazel Lockart-Jones, Rodden M Middleton, David V Ford, Christina Crowe, Gavin Giovannoni
BACKGROUND: Increasingly, Government and Charity funders require public engagement in research. Invariably these research outputs describe the condition of someone with the disease of interest. We therefore sought to identify the preferred descriptor of someone with a disease, such as multiple sclerosis (MS) and to determine what descriptors are currently used by academics. METHODS: Several surveys were undertaken: one from the Research Network of the MS Society (MSSRN), a major MS Charity within the United Kingdom, who are involved in reviewing grant applications, priority setting and research governance (n=146), and surveys from both the United Kingdom MS register (MSR; n=1713) and the North American Research Committee on Multiple Sclerosis (NARCOMS) registry (n=518)...
November 2016: Multiple Sclerosis and related Disorders
https://www.readbyqxmd.com/read/27908471/-removal-and-transplant-synchronised-surgical-procedures
#11
Jacques Hubert, Luc Frimat
Since 2001, the team of the organ and tissue procurement unit of Nancy general hospital has practised the minimally invasive laparoscopic organ removal procedure through robot-assisted surgery. Here the team shares its expertise in the area of kidney removal from a living donor. Perfectly synchronised with the procedure of the team in charge of the transplant, the surgical stages are carried out in sequence ensuring optimal safety for the donor and recipient.
December 2016: Revue de L'infirmière
https://www.readbyqxmd.com/read/27903257/what-do-antenatal-care-providers-understand-and-do-about-oral-health-care-during-pregnancy-a-cross-sectional-survey-in-new-south-wales-australia
#12
Ajesh George, Hannah G Dahlen, Jennifer Reath, Shilpi Ajwani, Sameer Bhole, Andrew Korda, Harrison Ng Chok, Charmaine Miranda, Amy Villarosa, Maree Johnson
BACKGROUND: There is mounting evidence to support the lack of awareness among pregnant women about health consequences and long term risks associated with poor oral hygiene during pregnancy. A recognised and important point of influence is their interaction with health professionals, particularly when receiving Antenatal Care. However, there is limited evidence about the perceptions of ANC providers in Australia toward the provision of perinatal oral healthcare. This study was undertaken to explore the knowledge, attitudes and practices of Antenatal Care (ANC) providers in New South Wales (NSW), Australia providing perinatal oral healthcare and to identify barriers to and predictors of their practices in this area...
December 1, 2016: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/27899446/-if-you-are-empathetic-you-care-about-both-animals-and-people-i-am-a-nurse-and-i-don-t-like-to-see-suffering-anywhere-findings-from-103-healthcare-professionals-on-attitudes-to-animal-experimentation
#13
Andrée Dignon
This report presents qualitative and quantitative data from 103 UK healthcare professionals describing attitudes to the current system of animal testing (to produce medicines and health interventions). To gather qualitative testimony, these healthcare professionals were organised into six separate focus groups (of 18, 17, 17, 15, 17 and 19 participants) where they were asked 'what is your opinion about the current system of animal testing?' The study focussed on attitudes to the current system rather than attitudes to animal testing in general...
November 28, 2016: Journal of Health Psychology
https://www.readbyqxmd.com/read/27891743/ingressive-speech-errors-a-service-evaluation-of-speech-sound-therapy-in-a-child-aged-4-6
#14
Laura Hrastelj, Rachael-Anne Knight
BACKGROUND: A pattern of ingressive substitutions for word-final sibilants can be identified in a small number of cases in child speech disorder, with growing evidence suggesting it is a phonological difficulty, despite the unusual surface form. Phonological difficulty implies a problem with the cognitive process of organizing speech into sound contrasts. AIMS: To evaluate phonological therapy approaches in the remediation of non-pulmonic speech errors. Thus, adding to evidence concerning the nature of ingressive substitutions and their remediation whilst highlighting their occurrence within child speech disorder population for practising and training speech and language therapists...
November 27, 2016: International Journal of Language & Communication Disorders
https://www.readbyqxmd.com/read/27884789/surgery-for-advanced-epithelial-ovarian-cancer
#15
REVIEW
Neville F Hacker, Archana Rao
Cytoreductive surgery for patients with advanced epithelial ovarian cancer has been practised since the pioneering work of Tom Griffiths in 1975. Further research has demonstrated the prognostic significance of the extent of metastatic disease pre-operatively, and of complete cytoreduction post-operatively. Patients with advanced epithelial ovarian cancer should be referred to high volume cancer units, and managed by multidisciplinary teams. The role of thoracoscopy and resection of intrathoracic disease is presently investigational...
October 20, 2016: Best Practice & Research. Clinical Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/27882789/advising-patients-on-nutrition-and-healthy-eating
#16
Sara Patience
This article looks at the current UK guidelines for a healthy diet for the general population and considers the current debates and changes within that advice and how they may affect health outcomes. It is impossible to read a newspaper, magazine or social media article without being exposed to dietary advice, nutritional research or the latest diet craze. It is essential that nurses are able to advise their patients on research-based UK guidelines for a healthy diet, and be able to respond to patient questions on diet-related matters, ensuring the information they give is not based on current media opinion or celebrity views...
November 24, 2016: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/27873322/non-medical-prescribing-versus-medical-prescribing-for-acute-and-chronic-disease-management-in-primary-and-secondary-care
#17
REVIEW
Greg Weeks, Johnson George, Katie Maclure, Derek Stewart
BACKGROUND: A range of health workforce strategies are needed to address health service demands in low-, middle- and high-income countries. Non-medical prescribing involves nurses, pharmacists, allied health professionals, and physician assistants substituting for doctors in a prescribing role, and this is one approach to improve access to medicines. OBJECTIVES: To assess clinical, patient-reported, and resource use outcomes of non-medical prescribing for managing acute and chronic health conditions in primary and secondary care settings compared with medical prescribing (usual care)...
22, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27872369/the-impact-of-cerebellar-transcranial-direct-current-stimulation-tdcs-on-learning-fine-motor-sequences
#18
Renee E Shimizu, Allan D Wu, Jasmine K Samra, Barbara J Knowlton
The cerebellum has been shown to be important for skill learning, including the learning of motor sequences. We investigated whether cerebellar transcranial direct current stimulation (tDCS) would enhance learning of fine motor sequences. Because the ability to generalize or transfer to novel task variations or circumstances is a crucial goal of real world training, we also examined the effect of tDCS on performance of novel sequences after training. In Study 1, participants received either anodal, cathodal or sham stimulation while simultaneously practising three eight-element key press sequences in a non-repeating, interleaved order...
January 5, 2017: Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences
https://www.readbyqxmd.com/read/27869335/australia-s-rural-medical-workforce-supply-from-its-medical-schools-against-career-stage-gender-and-rural-origin
#19
Matthew R McGrail, Deborah J Russell
OBJECTIVE: The aim of this study was to explore the association between career stage and rural medical workforce supply among Australian-trained medical graduates. DESIGN AND SETTING: Descriptive analysis using the national Medicine in Australia: Balancing Employment and Life (MABEL) longitudinal study. PARTICIPANTS: Australian-trained GPs and other specialists who participated in the MABEL study, 2008-2013. MAIN OUTCOME MEASURE(S): Proportions of GPs and specialists working in rural locations, according to career stage (establishing, early, mid and late), gender and childhood-origin type (rural versus metropolitan)...
November 21, 2016: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/27842463/do-cognitive-training-strategies-improve-motor-and-positive-psychological-skills-development-in-soccer-players-insights-from-a-systematic-review
#20
Maamer Slimani, Nicola Luigi Bragazzi, David Tod, Alexandre Dellal, Olivier Hue, Foued Cheour, Lee Taylor, Karim Chamari
Soccer players are required to have well-developed physical, technical and cognitive abilities. The present systematic review, adhering to Preferred Reporting Items for Systematic reviews and Meta-Analysis guidelines, examined the effects of cognitive training strategies on motor and positive psychological skills development in soccer performance and identified the potential moderators of the "cognitive training-soccer performance" relationship. Thirteen databases were systematically searched using keywords related to psychological or cognitive training in soccer players...
December 2016: Journal of Sports Sciences
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