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Medical interpreter

Catherine A Grodensky, David L Rosen, Colleen M Blue, Anna R Miller, Steve Bradley-Bull, Wizdom A Powell, Marisa E Domino, Carol E Golin, David A Wohl
Prison inmates suffer from a heavy burden of physical and mental health problems and have considerable need for healthcare and coverage after prison release. The Affordable Care Act may have increased Medicaid access for some of those who need coverage in Medicaid expansion states, but inmates in non-expansion states still have high need for Medicaid coverage and face unique barriers to enrollment. We sought to explore barriers and facilitators to Medicaid enrollment among prison inmates in a non-expansion state...
June 22, 2018: Journal of Urban Health: Bulletin of the New York Academy of Medicine
Garima Hore, Goutam Kumar Saha, Dhriti Banerjee
Dipterans, especially the sarcosaprophagous communities are of substantial importance from medical, veterinary and forensic entomological perspectives. Muscids are generally seen to colonize carcasses at advanced stages of decomposition when the initial dominance of calliphorids and sarcophagids subsides. Ophyra capensis (Wiedemann, 1818), a muscid fly with a relatively wide distribution range is considered of decent forensic relevance as it has been reported not only from cadavers placed outdoors but also from graves and exhumed corpses...
June 19, 2018: Acta Tropica
Suzanne G Pitama, Suetonia C Palmer, Tania Huria, Cameron Lacey, Tim Wilkinson
CONTEXT: The effectiveness of cultural competency education in improving health practitioner proficiency and addressing health inequities for minoritised patient groups is uncertain. Identification of institutional factors that shape or constrain development of indigenous health curricula may provide insights into the impact of these factors on the broader cultural competency curricula. METHODS: We undertook a systematic review using actor-network theory to inform our interpretive synthesis of studies that reported indigenous health curricula evaluated within medical, nursing and allied health education...
June 22, 2018: Medical Education
Grzegorz Zajac, Ewa Machalska, Agnieszka Kaczor, Jiří Kessler, Petr Bouř, Malgorzata Baranska
Biomolecular aggregation is omnipresent in nature and important for metabolic processes or in medical treatment; however, the phenomenon is rather difficult to predict or understand on the basis of computational models. Recently, we found that electronic circular dichroism (ECD) spectroscopy and closely related resonance Raman optical activity (RROA) are extremely sensitive to the aggregation mechanism and structure of the astaxanthin dye. In the present study, molecular dynamics (MD) and quantum chemical (QC) computations (ZIndo/S, TDDFT) are used to link the aggregate structure with ECD spectral shapes...
June 22, 2018: Physical Chemistry Chemical Physics: PCCP
J Thomas Brenna, Mélanie Plourde, Ken D Stark, Peter J Jones, Yu-Hong Lin
Fatty acids are among the most studied nutrients in human metabolism and health. Endogenous fatty acid status influences health and disease via multiple mechanisms at all stages of the life cycle. Despite widespread interest, attempts to summarize the results of multiple studies addressing similar fatty acid-related outcomes via meta-analyses and systematic reviews have been disappointing, largely because of heterogeneity in study design, sampling, and laboratory and data analyses. Our purpose is to recommend best practices for fatty acid clinical nutrition and medical studies...
June 21, 2018: American Journal of Clinical Nutrition
Michael M Segal, Alanna K Rahm, Nathan C Hulse, Grant Wood, Janet L Williams, Lynn Feldman, Gregory J Moore, David Gehrum, Michelle Yefko, Steven Mayernick, Roger Gildersleeve, Margie C Sunderland, Steven B Bleyl, Peter Haug, Marc S Williams
Introduction: Reducing misdiagnosis has long been a goal of medical informatics. Current thinking has focused on achieving this goal by integrating diagnostic decision support into electronic health records. Methods: A diagnostic decision support system already in clinical use was integrated into electronic health record systems at two large health systems, after clinician input on desired capabilities. The decision support provided three outputs: editable text for use in a clinical note, a summary including the suggested differential diagnosis with a graphical representation of probability, and a list of pertinent positive and pertinent negative findings (with onsets)...
December 6, 2017: EGEMS
James I Ausman, David S Liebeskind, Nestor Gonzalez, Jeffrey Saver, Neil Martin, J Pablo Villablanca, Paul Vespa, Gary Duckwiler, Reza Jahan, Tianyi Niu, Noriko Salamon, Bryan Yoo, Satoshi Tateshima, Manuel M Buitrago Blanco, Sidney Starkman
We have reviewed the English literature published in the last 70 years on Diseases of the Vertebral Basilar Circulation, or Posterior Circulation Disease (PCD). We have found that errors have been made in the conduct and interpretation of these studies that have led to incorrect approaches to the management of PCD. Because of the difficulty in evaluating the PC, the management of PCD has been incorrectly applied from anterior circulation disease (ACD) experience to PCD. PCD is a common form of stroke affecting 20-40% patients with stroke...
2018: Surgical Neurology International
Katherine Grove, Andrew J Lewis, Megan Galbally
CONTEXT: There is increasing use of antidepressants in pregnancy and hence children exposed in utero. Contradictory studies exist in the literature in which researchers report on the potential impact of antenatal antidepressant exposure on subsequent child motor development. OBJECTIVE: Our objective in this systematic review and meta-analysis was to determine whether antenatal antidepressant exposure increases the risk of impaired motor development in children. DATA SOURCES: We searched PsychINFO, Embase, Medline, PubMed, and Scopus up to July 24, 2017...
June 21, 2018: Pediatrics
Susan L Brady, Noel Rao, Patricia J Gibbons, Letha Williams, Mark Hakel, Theresa Pape
Objective: The aim of this study was to evaluate the comparative effectiveness of an online, interdisciplinary, interactive course designed to increase the ability to accurately interpret the fiberoptic endoscopic exam of the swallow (FEES) procedure to traditional, face-to-face (F2F) lectures for both graduate medical education (GME) and graduate speech language pathology (GSLP) programs. Design: This was a prospective, quantitative, nonrandomized study. Participants were medical residents in physical medicine and rehabilitation from two affiliated programs and graduate students in speech language pathology from two instructional cohorts at a single institution...
2018: Advances in Medical Education and Practice
Xavier Pivot, Igor Bondarenko, Thiery Petit, Elsa Curtit
The development of a biosimilar requires large extensive preclinical and clinical comparability exercises to demonstrate equivalence to the reference medical product. The holistic results from this large assessment should be taken into account to appreciate the validity of the development and the interpretations. SB3 is the first trastuzumab biosimilar approved for routine use in Europe. The present manuscript reviews the development and the results of SB3, including clinical assessment and the clinical Phase I, as well as the large randomized Phase III comparing efficacy between SB3 versus Herceptin® containing regimen in neoadjuvant setting...
June 21, 2018: Future Oncology
Jeffrey I Campbell, Nir Eyal, Angella Musiimenta, Bridget Burns, Sylvia Natukunda, Nicholas Musinguzi, Jessica E Haberer
Many new technologies monitor patients' and study participants' medical adherence. Some have cautioned that these devices transgress personal autonomy and ethics. But do they? This qualitative study explored how Ugandan study participants perceive the effect of electronic monitoring of their adherence to antiretroviral therapy (ART) on their freedoms to be non-adherent and pursue other activities that monitoring may inadvertently expose. Between August 2014 and June 2015, we interviewed 60 Ugandans living with HIV and enrolled in the Uganda AIDS Rural Treatment Outcomes (UARTO) study, a longitudinal, observational study involving electronic adherence monitors (EAMs) to assess ART adherence...
June 20, 2018: AIDS and Behavior
Kensuke Kobayashi, Tadashi Kitamura, Satoshi Kohira, Shinzo Torii, Toshiaki Mishima, Hirotoki Ohkubo, Yuki Tanaka, Akihiro Sasahara, Takuma Fukunishi, Yuki Ohtomo, Rihito Horikoshi, Yuta Murai, Kagami Miyaji
Regional cerebral oximetry using near-infrared spectroscopy devices is commonly used for detecting cerebral ischemia during cardiopulmonary bypass, and aim to avoid poor cerebral perfusion which may result in perioperative neurological impairment. Today, several devices that can detect cerebral ischemia are commercially available. Although these devices operate on the same measurement principles, their algorithms for detecting and calculating cerebral ischemia are different and no criteria for directly comparing values measured by such different devices exist...
June 20, 2018: Journal of Artificial Organs: the Official Journal of the Japanese Society for Artificial Organs
Susan J Back, J Christopher Edgar, Dana A Weiss, Edward R Oliver, Richard D Bellah, Kassa Darge
BACKGROUND: A multidisciplinary urinary tract dilation (UTD) classification system was published in 2014 to standardize definitions and renal/bladder ultrasound image interpretation. OBJECTIVE: To evaluate intra- and inter-rater reliability of this system on postnatal RBUS. MATERIALS AND METHODS: Renal/bladder US of 60 infants (<12 months) with urinary tract dilation were anonymized, retrospectively reviewed and scored twice using the UTD classification system by a pediatric urologist and four pediatric radiologists...
June 20, 2018: Pediatric Radiology
Alessandra Guarini, Francesca De Marinis, Cesare Hassan, Raffaele Manta, Vicenzo De Francesco, Bruno Annibale, Angelo Zullo
BACKGROUND AND AIMS: . The video capsule endoscopy (VCE) is an accurate and validated tool to investigate the entire small bowel mucosa, but VCE recordings interpretation by the gastroenterologist is time-consuming. A pre-reading of VCE recordings by an expert nurse could be accurate and cost saving. We assessed the concordance between nurses and gastroenterologists in detecting lesions on VCE examinations. METHODS: This was a prospective study enrolling consecutive patients who had undergone VCE in clinical practice...
June 2018: Journal of Gastrointestinal and Liver Diseases: JGLD
Antti Tolonen, Hanneke F M Rhodius-Meester, Marie Bruun, Juha Koikkalainen, Frederik Barkhof, Afina W Lemstra, Teddy Koene, Philip Scheltens, Charlotte E Teunissen, Tong Tong, Ricardo Guerrero, Andreas Schuh, Christian Ledig, Marta Baroni, Daniel Rueckert, Hilkka Soininen, Anne M Remes, Gunhild Waldemar, Steen G Hasselbalch, Patrizia Mecocci, Wiesje M van der Flier, Jyrki Lötjönen
Clinical decision support systems (CDSSs) hold potential for the differential diagnosis of neurodegenerative diseases. We developed a novel CDSS, the PredictND tool, designed for differential diagnosis of different types of dementia. It combines information obtained from multiple diagnostic tests such as neuropsychological tests, MRI and cerebrospinal fluid samples. Here we evaluated how the classifier used in it performs in differentiating between controls with subjective cognitive decline, dementia due to Alzheimer's disease, vascular dementia, frontotemporal lobar degeneration and dementia with Lewy bodies...
2018: Frontiers in Aging Neuroscience
Vytautas Jankauskas, Candace Necyk, James Chue, Pierre Chue
Up to 20% of depressed patients demonstrate treatment resistance to one or more adequate antidepressant trials, resulting in a disproportionately high burden of illness. Ketamine is a non-barbiturate, rapid-acting general anesthetic that has been increasingly studied in treatment resistant depression (TRD), typically at sub-anesthetic doses (0.5 mg/kg over 40 min by intravenous infusion). More recent data suggest that ketamine may improve response rates to electroconvulsive therapy (ECT) when used as an adjunct, but also as a sole agent...
2018: Neuropsychiatric Disease and Treatment
Julie E Reed, Cathy Howe, Cathal Doyle, Derek Bell
BACKGROUND: Ensuring patients benefit from the latest medical and technical advances remains a major challenge, with rational-linear and reductionist approaches to translating evidence into practice proving inefficient and ineffective. Complexity thinking, which emphasises interconnectedness and unpredictability, offers insights to inform evidence translation theories and strategies. Drawing on detailed insights into complex micro-systems, this research aimed to advance empirical and theoretical understanding of the reality of making and sustaining improvements in complex healthcare systems...
June 20, 2018: BMC Medicine
Anne Bugge, Peter Gildsig Jansen, Leonardo De Maria, Samra Joke Sanni, Trine Ryberg Clausen
The gastrointestinal hormone cholecystokinin (CCK) regulates digestive processes and satiety in addition to centrally mediated effects on nociception and anxiety. CCK signals through two seven-trans-membrane receptors named the CCK-1 receptor and the CCK-2 receptor. The expression pattern and biological effects mediated by the CCK-1 and CCK-2 receptors are highly divergent. The pig is a widely used preclinical animal model in medical research, but up until recently, the porcine CCK-2 receptor was described as a pseudogene in the publicly available genomic sequence databases...
June 16, 2018: European Journal of Pharmacology
Giuseppe Taino, Lorenzo Bordini, Marcello Imbriani
OBJECTIVES: The continuous scientific advances against neoplastic diseases affecting all areas of oncology biomedical research. Age is an extremely important factor in cancer development, since the incidence of cancer increases significantly with age. Because of aging of the Italian population, although the incidence is kept constant, the number of cancer diagnosis is inevitably going to increase over time only to increasing age. METHODS: Survival after the diagnosis of cancer is one of the main indicators that allow to evaluate the effectiveness of the health system against the cancer disease...
November 2017: Giornale Italiano di Medicina del Lavoro Ed Ergonomia
Rita Biancheri
OBJECTIVES: This paper will examine the difficulties encountered in the bio-medical approach adopted to understand the psycho-social needs present in the clinical observation of a diseased body to the treatment of the person. METHODS: Traditional interpretation tools are not sufficient to comprehend the complexity of the factors involved in prevention processes, and the risk is that the introduction of new approaches will be delayed. Knowledge is an interactive, communicative and social process, meaning our focus shifts from the things we see to the way we see them, only to see what we don't normally see...
November 2017: Giornale Italiano di Medicina del Lavoro Ed Ergonomia
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