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Instrument assisted

Derrick Ssewanyana, Anneloes van Baar, Charles R Newton, Amina Abubakar
BACKGROUND: Health risk behavior (HRB) is of concern during adolescence. In sub-Saharan Africa, reliable, valid and culturally appropriate measures of HRB are urgently needed. This study aims at assembling and psychometrically evaluating a comprehensive questionnaire on HRB of adolescents in Kilifi County at the coast of Kenya. METHODS: The Kilifi Health Risk Behavior Questionnaire (KRIBE-Q) was assembled using items on HRB identified from a systematic review and by consulting 85 young people through 11 focus group discussions and in-depth interviews with 10 key informants like teachers and employees of organizations providing various services to young people in Kilifi County...
June 20, 2018: BMC Public Health
Evan K Paleologos, Mohamed Elhakeem, Mohamed El Amrousi
Waste incineration and coincineration plants in most European countries have frequently updated their flue gas cleaning systems, surpassing in most cases E.U. air emission standards. At the same time, in most developing countries, cement and other coincineration facilities follow less stringent emission regulations and have a mixed record of protecting air quality. The European Union, the United States, and Canada have established penalties for air emission violations that account for the harm done to the environment and to human health and aiming to remove the economic benefit reaped as a result of noncompliance...
June 20, 2018: Risk Analysis: An Official Publication of the Society for Risk Analysis
Karilena Karlla de Amorim Pedrosa, Suelen Alves de Oliveira, Regimar Carla Machado
OBJECTIVE: to elaborate and validate a protocol for the care of the nurse to the septic patient in Intensive Care Units (ICUs). METHOD: instrument validation study. Two steps were followed: instrument development and content validation according to the Delphi technique. RESULTS: the validation of contents related to the nurse's assistance to the septic patient in intensive care was initially composed of eighteen items analyzed by the evaluators/judges...
May 2018: Revista Brasileira de Enfermagem
Jocelyn M Moulton, Crystal Cole, Nicola D Ridgers, Genevieve Pepin, Lisa M Barnett
BACKGROUND/AIM: The aim of this study was to determine the face validity and the reliability of a pictorial scale to assess preschool children's perceived movement skills. METHODS: The pictorial scale examines the perceptions of the 12 fundamental movement skills presented in the Test of Gross Motor Development-2 (six locomotor and six object control skills) and six active play skills (e.g. cycling). A total of 91 Australian children aged four to five years from 14 preschools completed the scale on two occasions to determine test-retest reliability...
June 19, 2018: Australian Occupational Therapy Journal
Riccardo Bertolo, Juan Garisto, Matthew Gettman, Jihad Kaouk
Robotic urology has evolved in parallel with the development of new robotic systems. A recently conceived robotic platform, specifically designed for single-port (SP) surgery, has reignited the interest for the approach. In this review, the evolution of robotic SP surgery was analyzed. Since the first published experience with a robot-assisted SP urological procedure in 2010, despite technical adjustments, robotic SP has remained with limited diffusion. However, the limitations of the available instrumentation are going to be softened with an upcoming next-generation robotic platform...
June 15, 2018: European Urology Focus
Emidio Olivieri, Giacinto Barresi, Darwin G Caldwell, Leonardo S Mattos
Haptics has proven to be highly beneficial in surgical robotics, bringing enhanced safety and precision by complementing the surgeon's visual channel. However, most of the research body in this context is dedicated to applications involving traditional "cold steel" surgical instruments. This paper proposes to bring the benefits of haptics to contactless surgeries, and presents a novel method to achieve this. The specific case of robot-assisted laser microsurgery is investigated. Here, a fictitious force feedback is created through stereoscopic visualization and 3D reconstruction, allowing the surgeon to sense the surgical area haptically while controlling a non-contact surgical laser...
April 2018: IEEE Transactions on Haptics
A Mishra
BACKGROUND: Juvenile nasopharyngeal angiofibroma often attaches firmly to the adjoining bony region around the sphenopalatine foramina-sphenopalatine fossa-pterygomaxillary fissure. This can result in hourglass-shaped constriction and predispose to incomplete resection (residual disease) with a transpalatal approach. This paper describes attempts to address this 'inaccessible' area with a novel instrument, used since 2012. METHODS: Measurements of the sphenopalatine foramen, nasal septum, posterior nasopharyngeal wall and hard palate were undertaken in 20 skulls and 10 computed tomography scans (lateral extension)...
June 18, 2018: Journal of Laryngology and Otology
Rui Tang, Longfei Ma, Ang Li, Lihan Yu, Zhixia Rong, Xinjing Zhang, Canhong Xiang, Hongen Liao, Jiahong Dong
BACKGROUND: We applied augmented reality (AR) techniques to flexible choledochoscopy examinations. METHODS: Enhanced computed tomography data of a patient with intrahepatic and extrahepatic biliary duct dilatation were collected to generate a hollow, 3-dimensional (3D) model of the biliary tree by 3D printing. The 3D printed model was placed in an opaque box. An electromagnetic (EM) sensor was internally installed in the choledochoscope instrument channel for tracking its movements through the passages of the 3D printed model, and an AR navigation platform was built using image overlay display...
June 1, 2018: Surgical Innovation
Jan-Hendrik Egberts, Thorben Möller, Thomas Becker
Sleeve lobectomy (SL) makes it possible to resect centrally located lung carcinoma oncological correct while protecting healthy lung tissue. However, this procedure is often limited with conventional video-assisted thoracoscopic surgery, due to the limited mobility of the rigid and long instruments and the limited visualization. Therefore, these interventions are often still performed in the open conventional technique with the well-known disadvantages. Particularly in the reconstruction of the respiratory tract, precise sewing must be performed in a small space to avoid stenosis of the different diameter of the lumina...
June 16, 2018: Thoracic and Cardiovascular Surgeon
B Fatou, P Saudemont, M Duhamel, M Ziskind, C Focsa, M Salzet, I Fournier
Remote Infrared Matrix Assisted Laser Desorption Ionization (Remote IR MALDI) system (SpiderMass) with endogenous water as matrix allows to perform real-time DMPK in vivo. In this work, SpiderMass was used to analyze the impact on metabolite production or release of invalidated pro-protein PC1/3 macrophages by Short RNA (shRNA) versus scramble shRNA with Paclitaxel. Time course in vivo experiments were then performed on the inner and outer faces of patients' forearms or comedo treated with Melascreen (Ducray) containing ascorbyl glucoside...
June 13, 2018: Journal of Biotechnology
Paul Spiegel, Rebecca Chanis, Antonio Trujillo
BACKGROUND: More than 65 million persons are currently forcibly displaced, of whom more than 22 million are refugees. Conflicts are increasing, and existing ones are becoming more protracted; a refugee remains a refugee for more than 10 years. Funding for refugee assistance comes primarily from high-income countries after an emergency has occurred. The United Nations High Commissioner for Refugees spent approximately 12% of its budget on health, nutrition, food security, water, and sanitation in 2016...
June 15, 2018: BMC Medicine
Kevin Yau, Janine F Farragher, S Joseph Kim, Olusegun Famure, Sarbjit V Jassal
Background: Functional disability is defined as the need for assistance with self-care tasks. Objective: To document changes in functional status over time among older prevalent renal transplant recipients. Design: Single center, prospective, follow-up study. Setting: Single center, tertiary care transplant center. Patients: Patients, with a functioning kidney transplant, aged 65 years or older who underwent assessment of functional status approximately 12 months previously...
2018: Canadian Journal of Kidney Health and Disease
Jean-Michel Lafleur, Elsa Mescoli
Following the financial and economic crisis, welfare policies across the EU are increasingly becoming instruments for limiting the mobility of certain EU migrants. In this article, we focus on EU citizens who see their freedom of movement in the EU being restricted after they have applied for social assistance or unemployment benefits in their country of residence. Doing so, we conceptualize undocumented EU migration by means of the concepts of 'non-deportability', 'deservingness' and 'precariousness'. Overall, this article - based on ethnographic fieldwork conducted with Italian migrants in Belgium - expands our understanding of undocumented migration by demonstrating how arbitrary and intimidating bureaucratic processes undermine the exercise of EU citizenship...
June 2018: Sociology
L V Prokopova, M Y Sitnikova
BACKGROUND: A method for predicting one-year survival of patients with heart failure and reduced ejection fraction (HFrEF) is required to choose a management tactics and determine indications for high-tech care at the outpatient stage. AIM: To develop a method for proper prediction of survival of patients with HFrEF in outpatient clinics. MATERIALS AND METHODS: This was a prospective study of 212 patients with functional class II-IV CHF of non-valvular origin and LV EF (Simpson) ≤35 % aged 18-70, including 176 (83 %) men and 36 (17 %) women who had given an informed consent to participate in the study...
2018: Kardiologiia
Markus Stein, Vanessa Tran, Kimberly A Nichol, Philippe Lagacé-Wiens, Peter Pieroni, Heather J Adam, Christine Turenne, Andrew J Walkty, Anne-Cécile Normand, Marijke Hendrickx, Renaud Piarroux, James A Karlowsky
Matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS) is commonly used by clinical microbiology laboratories to identify bacterial pathogens and yeasts, but not for the identification of moulds. Recent progress in extraction protocols and the composition of comparative libraries support potential application of MALDI-TOF MS for mould identification in clinical microbiology laboratories. We evaluated the performance of the Bruker Microflex™ MALDI-TOF MS instrument (Billerica, MA, USA) to identify clinical isolates and reference strains of moulds using three libraries, the Bruker mould library, the National Institutes of Health (NIH) library, and the Mass Spectrometry Identification (MSI) online library, and compared those results to conventional (morphological) and molecular (18S/ITS; gold standard) identification methods...
June 12, 2018: Mycoses
Ke-Jie Fan, Ke Chen, Wen-Long Ma, Ke-Wei Tian, Ye Ye, Hong-Gan Chen, Yan-Feng Tang, Hong-Min Cai
OBJECTIVE: To investigate the effect of minimally invasive mini-incision and instrumented reduction combined with interlocking intramedullary nailing in the treatment of patients with multi-segment fracture of complex femoral shaft. METHODS: From January 2013 to January 2016, 32 patients with multiple fractures segments of femoral shaft were treated with instrumentation-assisted reduction combined with interlocking intramedullary nailing, including 22 males and 10 females with an average age of 45 years old ranging 17 to 68 years old...
May 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Somayeh Fahimnia, Hadi Mirhedayati Roudsari, John Doucette, Armin Shahrokni
Falls are common among older adults. However, not much is known about the prevalence of falls among older patients with cancer. In 2015, older patients with cancer referred to Geriatrics service for preoperative evaluation were assessed for fall history, basic and instrumental activities of daily living (ADL and IADL), KPS, and use of assistive device. Of 806 patients, 215 (26.7%) patients reported fall. Incidence of last fall inside and outside home was 54.4% and 45.5%, respectively. Among patients with no falls, 33...
2018: Current Gerontology and Geriatrics Research
Lucy Parrington, Nora F Fino, Peter C Fino, Chad F Murchison, James Chesnutt, Laurie A King
The return to play (RTP) process may occur during longitudinal studies tracking recovery after concussion. This factor, which is often omitted within statistical designs, could affect the fit and overall interpretation of the statistical model. This paper demonstrates the difference in results and interpretation between two linear mixed-model designs; 1) a between-group longitudinal (GROUP) analysis; and 2) a between-group longitudinal model that used an inflection point to account for changes around the time of RTP (RTP analysis)...
June 9, 2018: Scandinavian Journal of Medicine & Science in Sports
Carolina Barbosa, Brendan Wedehase, Laura Dunlap, Shannon Gwin Mitchell, Kristi Dusek, Robert P Schwartz, Jan Gryzcynski, Arethusa S Kirk, Marla Oros, Colleen Hosler, Kevin E O'Grady, Barry S Brown
OBJECTIVE: Understanding the costs to implement Screening, Brief Intervention, and Referral to Treatment (SBIRT) for adolescent substance use in primary care settings is important for providers in planning for services and for decision makers considering dissemination and widespread implementation of SBIRT. We estimated the start-up costs of two models of SBIRT for adolescents in a multisite U.S. Federally Qualified Health Center (FQHC). In both models, screening was performed by a medical assistant, but models differed on delivery of brief intervention, with brief intervention delivered by a primary care provider in the generalist model and a behavioral health specialist in the specialist model...
May 2018: Journal of Studies on Alcohol and Drugs
John Schneider, L Philip Schumm, Maya Fraser, Vijay Yeldandi, Chuanhong Liao
Contact tracing for venereal disease control has been widespread since 1936 and relies on reported information about contacts' attributes to determine whether two contacts may represent the same individual. We developed and implemented a gold-standard for determining overlap between contacts reported by different individuals using cell phone numbers as unique identifiers. This method was then used to evaluate the performance of using reported names and demographic characteristics to infer overlap. Cell-phone numbers, names and demographic data for a sample of high-risk men in India and their contacts were collected using a novel, hybrid instrument involving both cell-phone data extraction and Computer-Assisted Personal Interviewing (CAPI)...
June 8, 2018: Scientific Reports
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