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https://www.readbyqxmd.com/read/29169201/emergency-off-pump-cabg-in-a-patient-with-takotsubo-cardiomyopathy-and-coronary-artery-disease
#1
Josepha Koehne, Stephan Dix, Thomas Walther, Tomas Holubec
No abstract text is available yet for this article.
November 23, 2017: Journal of Cardiac Surgery
https://www.readbyqxmd.com/read/29169196/peroral-endoscopic-myotomy-in-treatment-na%C3%A3-ve-achalasia-patients-versus-prior-treatment-failure-cases
#2
Zaheer Nabi, Mohan Ramchandani, Radhika Chavan, Manu Tandan, Rakesh Kalapala, Santosh Darisetty, Sundeep Lakhtakia, G Venkat Rao, D Nageshwar Reddy
Background and study aim Peroral endoscopic myotomy (POEM) has emerged as an effective treatment modality for achalasia. Prior treatment may affect the outcomes of subsequent management. In this study, we aimed to compare the safety and efficacy of POEM in treatment-naïve patients vs. those with prior treatment failure (PTF). Patients and methods The data of consecutive patients with achalasia who underwent POEM at a single tertiary care center from January 2013 to November 2016 were analyzed retrospectively...
November 23, 2017: Endoscopy
https://www.readbyqxmd.com/read/29169181/inflammatory-cytokine-il-8-cxcl8-promotes-tumour-escape-from-hepatocyte-induced-dormancy
#3
Ahmad S Khazali, Amanda M Clark, Alan Wells
BACKGROUND: Breast cancers can recur after a long latency period following 'successful' primary treatments. Chronic inflammation significantly correlates with reduced diseased-free survival in breast cancer patients and could be a point of intervention to prevent recurrence. Liver is among the main sites of breast cancer recurrence. Thus, we hypothesise that inflammatory signals from hepatic stellate cells, the major inflammatory regulators in the sinusoid, could stimulate dormant cancer cells to emerge...
November 23, 2017: British Journal of Cancer
https://www.readbyqxmd.com/read/29169177/acute-kidney-injury-in-elderly-population-a-prospective-observational-study
#4
Cássia Gomes da Silveira Santos, Rafael Fernandes Romani, Ricardo Benvenutti, João Otávio Ribas Zahdi, Miguel Carlos Riella, Marcelo Mazza do Nascimento
BACKGROUND/AIMS: Acute kidney injury (AKI) has been reported as a recognized condition among the elderly population; however, its clinical epidemiology is still poorly evaluated. We propose to evaluate the epidemiological profile of AKI in hospitalized elderly patients and the variables associated with renal replacement therapy (RRT) dependency at discharge after an episode of AKI. METHODS: This prospective observational study enrolled 286 elderly patients (aged ≥60 years), who had a diagnosis of AKI and were admitted to a tertiary care hospital...
November 23, 2017: Nephron
https://www.readbyqxmd.com/read/29169167/structural-pulmonary-abnormalities-still-evident-in-schoolchildren-with-new-bronchopulmonary-dysplasia
#5
Eveliina Ronkainen, Marja Perhomaa, Lauri Mattila, Mikko Hallman, Teija Dunder
BACKGROUND: A new pattern of bronchopulmonary dysplasia (BPD) has emerged with the improved survival of preterm children. OBJECTIVES: Our aim was to characterize structural abnormalities associated with new BPD and to evaluate whether the severity of high-resolution computed tomography (HRCT) changes is associated with lung function. METHODS: HRCT scans were performed on 21 schoolchildren with a history of new BPD (mild, n = 9; moderate, n = 4; and severe, n = 8) with a mean age of 12...
November 24, 2017: Neonatology
https://www.readbyqxmd.com/read/29169128/sample-handling-and-data-processing-for-fluorescent-excitation-emission-matrix-eem-of-dissolved-organic-matter-dom
#6
Minkyu Park, Shane A Snyder
In environmental engineering and science, fluorescent excitation-emission matrix (EEM) has increasingly been utilized to characterize chromophoric dissolved organic matter (CDOM). This study aims to delineate EEM data processing, including calculation of total fluorescence (TF) which is an emerging water quality parameter often used as a surrogate for micropollutant removal by advanced water treatment processes. In addition, sample handling procedures such as storage, use of preservatives, and oxidant quenching agents were evaluated...
November 16, 2017: Chemosphere
https://www.readbyqxmd.com/read/29169127/a-decision-support-tool-for-selecting-the-optimal-sewage-sludge-treatment
#7
Ville Turunen, Jaana Sorvari, Anna Mikola
Sewage sludge contains significant amounts of resources, such as nutrients and organic matter. At the same time, the organic contaminants (OC) found in sewage sludge are of growing concern. Consequently, in many European countries incineration is currently favored over recycling in agriculture. This study presents a Multi-Attribute Value Theory (MAVT)-based decision support tool (DST) for facilitating sludge treatment decisions. Essential decision criteria were recognized and prioritized, i.e., weighted, by experts from water utilities...
November 13, 2017: Chemosphere
https://www.readbyqxmd.com/read/29169098/assessing-the-effects-of-seawater-temperature-and-ph-on-the-bioaccumulation-of-emerging-chemical-contaminants-in-marine-bivalves
#8
Ana Luísa Maulvault, Carolina Camacho, Vera Barbosa, Ricardo Alves, Patrícia Anacleto, Fabiola Fogaça, Christiaan Kwadijk, Michiel Kotterman, Sara C Cunha, José O Fernandes, Rie R Rasmussen, Jens J Sloth, Òscar Aznar-Alemany, Ethel Eljarrat, Damià Barceló, António Marques
Emerging chemical contaminants [e.g. toxic metals speciation, flame retardants (FRs) and perfluorinated compounds (PFCs), among others], that have not been historically recognized as pollutants nor their toxicological hazards, are increasingly more present in the marine environment. Furthermore, the effects of environmental conditions (e.g. temperature and pH) on bioaccumulation and elimination mechanisms of these emerging contaminants in marine biota have been poorly studied until now. In this context, the aim of this study was to assess, for the first time, the effect of warmer seawater temperatures (Δ = + 4°C) and lower pH levels (Δ = - 0...
November 20, 2017: Environmental Research
https://www.readbyqxmd.com/read/29169086/linking-dynamic-patterns-of-neural-activity-in-orbitofrontal-cortex-with-decision-making
#9
REVIEW
Erin L Rich, Frederic M Stoll, Peter H Rudebeck
Humans and animals demonstrate extraordinary flexibility in choice behavior, particularly when deciding based on subjective preferences. We evaluate options on different scales, deliberate, and often change our minds. Little is known about the neural mechanisms that underlie these dynamic aspects of decision-making, although neural activity in orbitofrontal cortex (OFC) likely plays a central role. Recent evidence from studies in macaques shows that attention modulates value responses in OFC, and that ensembles of OFC neurons dynamically signal different options during choices...
November 20, 2017: Current Opinion in Neurobiology
https://www.readbyqxmd.com/read/29169068/effects-of-a-service-earning-experience-on-confidence-and-clinical-skills-in-baccalaureate-nursing-students
#10
Jennifer Saylor, Lindsey Hertsenberg, Malissa McQuillan, Ashley O'Connell, Kimberly Shoe, Christina J Calamaro
BACKGROUND: Camp programs yield positive and lasting benefits for children. Integrating a summer camp into a nurse course with a service learning design fosters learning beyond the classroom and enhances community engagement. OBJECTIVE: The purpose of this study is to describe the nursing students' experience and perceived confidence after completing a service learning nursing course. DESIGN: This is a descriptive, qualitative research study that used reflection and a perceived confidence questionnaire...
November 20, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/29169036/frequency-of-lethal-means-assessment-among-emergency-department-patients-with-a-positive-suicide-risk-screen
#11
Marian E Betz, Mack Kautzman, Daniel L Segal, Ivan Miller, Carlos A Camargo, Edwin D Boudreaux, Sarah A Arias
Prior work from surveys and limited populations suggests many emergency department (ED) patients with suicide risk do not have documented lethal means assessments (e.g., being asked about home firearms). The specific objectives of this study were to, in an ED with universal screening for suicide risk: (1) estimate how often ED providers documented lethal means assessment for suicidal patients, and (2) compare patients with and without documented lethal means assessments. We reviewed 800 total charts from a random sample of adults in three a priori age groups (18-34 years; 35-59 years; ≥ 60 years) with a positive suicide risk screen from 8/2014 to 12/2015...
November 14, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/29169012/methicillin-resistant-staphylococcus-aureus-isolated-from-an-intensive-care-unit-in-minas-gerais-brazil-over-a-six-year-period
#12
Thiago C Nascimento, Cláudio G Diniz, Vânia L Silva, Alessandra B Ferreira-Machado, Marina O Fajardo, Tamara Lopes R de Oliveira, Dennis de C Ferreira, Fernanda S Cavalcante, Kátia R Netto Dos Santos
To characterize methicillin-resistant Staphylococcus aureus (MRSA) isolates from an intensive care unit of a tertiary-care teaching hospital, between 2005 and 2010. A total of 45 MRSA isolates were recovered from patients admitted to the ICU in the study period. Resistance rates higher than 80% were found for clindamycin (100%), erythromycin (100%), levofloxacin (100%), azithromycin (97.7%), rifampin (88.8%), and gentamycin (86.6%). The SCCmec typing revealed that the isolates harbored the types III (66.7%), II (17...
November 20, 2017: Brazilian Journal of Infectious Diseases
https://www.readbyqxmd.com/read/29169005/atresia-hymenalis-with-haematometrocolpos-a-benefit-of-teaching-a-case-series-and-review-of-the-literature
#13
L Whitla, J Jones, M J Barrett, S M O'Donnell, S Walsh, C Blackburn
We present four cases of atresia hymenalis with resultant haematometrocolpos diagnosed in quick succession in the emergency department with a literature review.
August 12, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/29169003/growing-old-in-the-emergency-department
#14
P Liston, G Conyngham, M Brady, P J Byrne, P Gilligan
The research team were concerned that older patients requiring emergency admission seemed to wait longer for a hospital bed, and as such were disproportionately affected by Emergency Department overcrowding. To investigate this theory and explore any changes over time, a ten year dataset (2005-2014 inclusive) was extracted from the information systems at Beaumont Hospital, Dublin. This research examines the changing age profile of ED patients, identifies the relationship between age and the total time spent in the Emergency Department (Patient Experience Time (PET)), and examines the public belief that EDs are busiest in winter when reports of overcrowding and elderly patients waiting on trolleys get most media attention...
August 12, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/29168995/hospital-resource-utilisation-by-patients-with-community-acquired-pneumonia
#15
H McCarthy, S O'Donnell, R W Costello, H Humphreys
Little data is available on the resource utilisation of patients admitted with Community-Acquired Pneumonia (CAP) in Ireland. A retrospective review of 50 randomly-selected patients admitted to Beaumont Hospital with CAP was undertaken. The mean length of stay of patients with CAP was 12 days (+/- 16 days). All patients were emergency admissions, all had a chest x-ray, a C-reactive protein blood test, and occupied a public bed at some point during admission. Common antimicrobial therapies were intravenous (IV) amoxicillin/clavulanic acid and oral clarithromycin; 60% received physiotherapy...
August 12, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/29168974/heeadsss-up-pediatric-residents-confidence-and-practice-in-adolescent-health-care-before-and-after-mandatory-adolescent-medicine-rotations-in-thailand
#16
Rosawan S Areemit, Boonying Manaboriboon, Supinya In-Iw, Jiraporn Arunakul, Wirote Areekul
Background The field of adolescent medicine is an emerging area of specialization in Thailand. Adolescent medicine was made a mandatory rotation in general pediatric residency training programs for the class of 2013. Objective This study aims to explore the difference in pediatric residents' confidence and the frequency in providing aspects of care to adolescents. Subjects Participants included two groups of pediatric residents; the former curriculum group (FCG) in 2012 and the mandatory curriculum group (MCG) in 2015...
November 23, 2017: International Journal of Adolescent Medicine and Health
https://www.readbyqxmd.com/read/29168954/social-mobilization-for-safe-transition-from-adolescence-a-qualitative-research-in-iran
#17
Nezal Azh, Fatemeh Nahidi, Giti Ozgoli, Gelayol Ardalan
Introduction Until now, the services provided to Iranian youth have been prepared based on authorities' perspectives and according to the resources and reports from other countries and international agencies. Using youth perspectives to provide health, however, helps in continuing the process of providing health services, and most young people will receive these services. Objective To explain perception of youth and key individuals to improve health programs for safe transition in Iran. Methodology This study is a qualitative research with a grounded theory approach...
November 23, 2017: International Journal of Adolescent Medicine and Health
https://www.readbyqxmd.com/read/29168945/analysis-of-the-experiences-of-nurses-who-return-to-nursing-after-cancer
#18
Karen-Leigh Edward, Jo-Ann Giandinoto, Judelle McFarland
BACKGROUND: understanding the impact of role ambiguity (both professional and patient) can be a factor in deepening the understanding of the ongoing personal, professional and organisational requirements of nurses who are cancer survivors. PURPOSE: the aim of this qualitative study was to elucidate an in-depth description of nurses' experiences of surviving cancer. METHOD: an exploratory qualitative research design was used (n=8), with participants recruited between September 2014 and December 2016...
November 23, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/29168938/high-dependency-care-experiences-of-the-psychosocial-work-environment
#19
Hanif Abdul Rahman, Lin Naing, Khadizah Abdul-Mumin
AIM: to explore high-dependency care nurses' experiences of their psychosocial work environment. METHODS: four focus groups were conducted with 23 emergency and critical care hospital nurses in Brunei. All sessions were recorded, transcribed verbatim and analysed using inductive-approach thematic analysis. FINDINGS: three major themes were identified. 'Specialisation/specific skills' explained a fundamental requirement for the high-dependency care nurses to work effectively and efficiently in their workplace...
November 23, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/29168917/in-vivo-mr-imaging-of-glioma-recruitment-of-adoptive-t-cells-labeled-with-nagdf4-tat-nanoprobes
#20
Hua Zhang, Yue Wu, Jing Wang, Zhongmin Tang, Yan Ren, Dalong Ni, Hongbo Gao, Ruixue Song, Teng Jin, Qiao Li, Wenbo Bu, Zhenwei Yao
Adoptive T lymphocyte immunotherapy is one of the most promising methods to treat residual lesions after glioma surgery. However, the fate of the adoptively transferred T-cells in vivo is unclear, hampering the understanding of this emerging therapy. Thus, it is highly desirable to develop noninvasive and quantitative in vivo tracking of these T-cells to glioma for better identification of the migratory fate and to provide objective evaluation of outcomes of adoptive T-cell immunotherapy targeting glioma. In this work, ultrasmall T1 MR-based nanoprobes, NaGdF4 -TAT, as molecular probes with high longitudinal relaxivity (8...
November 23, 2017: Small
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