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https://www.readbyqxmd.com/read/29029345/evacuating-people-and-their-pets-older-floridians-need-for-and-proximity-to-pet-friendly-shelters
#1
Rachel Douglas, Ayberk Kocatepe, Anne E Barrett, Eren Erman Ozguven, Clayton Gumber
Objectives: Pets influence evacuation decisions, but little is known about pet-friendly emergency shelters' availability or older adults' need for them. Our study addresses this issue, focusing on the most densely populated area of Florida (Miami-Dade)-the state with the oldest population and greatest hurricane susceptibility. Method: We use Geographic Information Systems (GIS)-based methodology to identify the shortest paths to pet-friendly shelters, based on distance and congested and uncongested travel times-taking into account the older population's spatial distribution...
October 4, 2017: Journals of Gerontology. Series B, Psychological Sciences and Social Sciences
https://www.readbyqxmd.com/read/29029033/trial-evaluating-ambulatory-therapy-of-travelers-diarrhea-treat-td-study-a-randomized-controlled-trial-comparing-3-single-dose-antibiotic-regimens-with-loperamide
#2
Mark S Riddle, Patrick Connor, Jamie Fraser, Chad K Porter, Brett Swierczewski, Emma J Hutley, Brook Danboise, Mark P Simons, Christine Hulseberg, Tahaniyat Lalani, Ramiro L Gutierrez, David R Tribble
Background: Recommended treatment for travelers' diarrhea includes the combination of an antibiotic, usually a fluoroquinolone or azithromycin, and loperamide for rapid resolution of symptoms. However, adverse events, postdose nausea with high-dose azithromycin, effectiveness of single-dose rifaximin, and emerging resistance to front-line agents are evidence gaps underlying current recommendations. Methods: A randomized, double-blind trial was conducted in 4 countries (Afghanistan, Djibouti, Kenya, and Honduras) between September 2012 and July 2015...
September 23, 2017: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/29028800/spatial-distribution-of-extensively-drug-resistant-tuberculosis-xdr-tb-patients-in-kwazulu-natal-south-africa
#3
Thandi Kapwata, Natashia Morris, Angela Campbell, Thuli Mthiyane, Primrose Mpangase, Kristin N Nelson, Salim Allana, James C M Brust, Pravi Moodley, Koleka Mlisana, Neel R Gandhi, N Sarita Shah
BACKGROUND: KwaZulu-Natal province, South Africa, has among the highest burden of XDR TB worldwide with the majority of cases occurring due to transmission. Poor access to health facilities can be a barrier to timely diagnosis and treatment of TB, which can contribute to ongoing transmission. We sought to determine the geographic distribution of XDR TB patients and proximity to health facilities in KwaZulu-Natal. METHODS: We recruited adults and children with XDR TB diagnosed in KwaZulu-Natal...
2017: PloS One
https://www.readbyqxmd.com/read/29028759/which-domains-of-the-odi-best-predict-change-in-physical-function-in-patients-after-surgery-for-degenerative-lumbar-spondylolisthesis
#4
Hamadi A Murphy, Eugene Warnick, Richard McGintee, Kristen Nicholson, Douglas A Hollern, Christie Stawicki, Daniel Tarazona, Gregory D Schroeder, Barrett I Woods, Mark F Kurd, Jeffrey A Rihn, Greg D Anderson, Christopher K Kepler, Alan S Hilibrand, Alexander R Vaccaro, Kris E Radcliff
STUDY DESIGN: Retrospective Review OBJECTIVE.: The purpose of this study is to determine the differential improvement of the various individual items of the ODI and to determine their relationship to other measures of HRQOL. SUMMARY OF BACKGROUND DATA: The oswestry disability index (ODI) is an easily scored, common, ten-item questionnaire about symptoms relevant to lumbar spine pathology. It is not clear if all of the items can be reliably applied to spine surgery...
October 12, 2017: Spine
https://www.readbyqxmd.com/read/29028551/exploring-the-safety-in-numbers-effect-for-vulnerable-road-users-on-a-macroscopic-scale
#5
Ivana Tasic, Rune Elvik, Simon Brewer
A "Safety in Numbers" effect for a certain group of road users is present if the number of crashes increases at a lower rate than the number of road users. The existence of this effect has been invoked to justify investments in multimodal transportation improvements in order to create more sustainable urban transportation systems by encouraging walking, biking, and transit ridership. The goal of this paper is to explore safety in numbers effect for cyclists and pedestrians in areas with different levels of access to multimodal infrastructure...
October 10, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/29028413/initial-assessment-treatment-and-follow-up-of-minor-pediatric-burn-wounds-in-four-patients-remotely-a-preliminary-communication
#6
Marek A Paul, Parisa Kamali, Ahmed M S Ibrahim, Caroline Medin, Bernard T Lee, Samuel J Lin
BACKGROUND: Close, multidisciplinary collaboration with burn experts is the essential strategy to achieve the best functional and esthetic outcomes in burn wound treatment. Management of minor burn injuries, where no specialized care is available, might be challenging. One concept to achieve a fast and timely result is the application of telemedicine. The objective of this study was to assess and develop a simple telemedicine protocol, which can be applied globally. MATERIAL AND METHODS: We present a pilot study based on a pediatric population of four patients with minor burns...
October 13, 2017: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29027151/comparison-of-different-ion-mobility-setups-using-poly-ethylene-oxide-peo-polymers-drift-tube-tims-and-t-wave
#7
Jean R N Haler, Philippe Massonnet, Fabien Chirot, Christopher Kune, Clothilde Comby-Zerbino, Jan Jordens, Maarten Honing, Ynze Mengerink, Johann Far, Philippe Dugourd, Edwin De Pauw
Over the years, polymer analyses using ion mobility-mass spectrometry (IM-MS) measurements have been performed on different ion mobility spectrometry (IMS) setups. In order to be able to compare literature data taken on different IM(-MS) instruments, ion heating and ion temperature evaluations have already been explored. Nevertheless, extrapolations to other analytes are difficult and thus straightforward same-sample instrument comparisons seem to be the only reliable way to make sure that the different IM(-MS) setups do not greatly change the gas-phase behavior...
October 12, 2017: Journal of the American Society for Mass Spectrometry
https://www.readbyqxmd.com/read/29026632/salmonella-oranienburg-haemorrhagic-cystitis-in-an-immunocompetent-young-male
#8
Jiasian Teh, Mark Quinlan, Damien Bolton
Introduction. Non-typhoidal salmonella (NTS) bacteriuria is extremely rare. Haemorrhagic cystitis is defined by urinary symptoms including haematuria, frequency, urgency and dysuria. Reports of haemorrhagic cystitis caused by NTS are exceptionally uncommon, especially in immunocompetent, young, male patients. Case presentation. A 27-year-old male with no past medical history presented to the Emergency Department with a 24 h history of visible haematuria having returned five days earlier from a five month trip across South America...
August 2017: JMM Case Reports
https://www.readbyqxmd.com/read/29026623/a-case-of-vibrio-vulnificus-infection-complicated-with-fulminant-purpura-gene-and-biotype-analysis-of-the-pathogen
#9
Masatoshi Hori, Akifumi Nakayama, Daisuke Kitagawa, Hidetada Fukushima, Hideki Asai, Yasuyuki Kawai, Kazuo Okuchi
Introduction.Vibrio vulnificus (V. vulnificus) causes a severe infection that develops in the compromised host. Its pathophysiology is classified into three types: (1) primary septicaemia, (2) gastrointestinal illness pattern and (3) wound infection pattern. Of these, primary septicaemia is critical. V. vulnificus can be classified into three biotypes and two genotypes and its pathogenicity is type-dependent. Case presentation. A 47-year-old man presented to a local hospital with chief complaints of fever, bilateral lower limb pain and diarrhoea...
May 2017: JMM Case Reports
https://www.readbyqxmd.com/read/29026542/a-population-based-survey-on-physical-inactivity-and-leisure-time-physical-activity-among-adults-in-chiang-mai-thailand-2014
#10
Sanhapan Thanamee, Kanokporn Pinyopornpanish, Apichai Wattanapisit, Suparerk Suerungruang, Kanittha Thaikla, Wichuda Jiraporncharoen, Chaisiri Angkurawaranon
BACKGROUND: Reducing physical inactivity among the population is a challenge for many nations. Targeting leisure time physical activity (LTPA) may be useful in increasing overall physical activity as it is assumed it is associated with a higher degree of free choice and personal preference than physical activity at work and during travel. The study explored the prevalence of physical inactivity and focused on the overall level of energy expenditure and energy level spent during leisure time among those who were physically inactive and assessed the stages of change for LTPA among those who were physically inactive...
2017: Archives of Public Health, Archives Belges de Santé Publique
https://www.readbyqxmd.com/read/29026358/medicine-in-society-health-project-five-students-journey-to-a-resource-limited-clinic-in-the-haitian-countryside
#11
Aneesh Gupta, Marie Claire Lamb, John Sisney, Chantel Taylor, Timothy Ziethen, Yvens Laborde
BACKGROUND: Five medical students traveled with 4 doctors and a medical photographer to Mayaya, La Victoire, Haiti, as part of a Medicine in Society rotation to provide medical care to the indigenous population. METHODS: Preparation for the trip involved special study in identifying microbes and using blood analysis equipment; work in a clinic for underserved people in the New Orleans, LA, area; background reading; Haitian dialect classes; and development of ideas for streamlining clinic operations...
2017: Ochsner Journal
https://www.readbyqxmd.com/read/29026142/stochastic-resonance-at-criticality-in-a-network-model-of-the-human-cortex
#12
Bertha Vázquez-Rodríguez, Andrea Avena-Koenigsberger, Olaf Sporns, Alessandra Griffa, Patric Hagmann, Hernán Larralde
Stochastic resonance is a phenomenon in which noise enhances the response of a system to an input signal. The brain is an example of a system that has to detect and transmit signals in a noisy environment, suggesting that it is a good candidate to take advantage of stochastic resonance. In this work, we aim to identify the optimal levels of noise that promote signal transmission through a simple network model of the human brain. Specifically, using a dynamic model implemented on an anatomical brain network (connectome), we investigate the similarity between an input signal and a signal that has traveled across the network while the system is subject to different noise levels...
October 12, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29024892/life-review-therapy-enhances-mental-time-travel-in-patients-with-schizophrenia
#13
Gui-Fang Chen, Lu-Lu Liu, Ji-Fang Cui, Tao Chen, Xiao-Jing Qin, Jie-Chun Gan, Bin Bi, David L Neumann, David H K Shum, Ya Wang, Raymond C K Chan
Mental Time Travel (MTT) is the ability of individuals to project themselves to the past or to the future. Studies have shown that schizophrenia (SZ) patients are impaired in MTT. The present study aimed to examine whether MTT in patients with SZ can be improved through Life Review Therapy. Fifty patients with SZ were randomly assigned to the training (SZ-training) or control (SZ-control) group. Whereas the SZ-training group received four-week Life Review Therapy in addition to conventional treatment, the SZ-control group only received conventional treatment...
October 3, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/29024825/a-grounded-visualization-approach-to-explore-sociospatial-and-temporal-complexities-of-older-adults-mobility
#14
Thea Franke, Meghan Winters, Heather McKay, Habib Chaudhury, Joanie Sims-Gould
In the past decade, there has been an increasing interest in older adults' mobility. Most often, mobility is measured quantitatively as physical movement (e.g. physical activity) or travel behavior (e.g. trips, modes, and distances). There is a need to integrate both quantitative and qualitative data over time to visualize both context and content in a spatial and temporal dimension and discover patterns and explanations for their underlying processes. We aim to address this gap by demonstrating how a grounded visualization approach can be used to explore sociospatial and temporal complexities of older adults' mobility...
September 28, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/29024768/brucellosis-as-unusual-cause-for-ruq-pain-with-elevated-liver-chemistry-in-the-united-states
#15
Carina A Dehner, Varun Kumar
A 23-year old graduate student presented with constant right upper quadrant pain, associated with nausea, fever chills and bilateral knee pain. On physical exam, splenomegaly, scleral icterus, and a maculopapular rash on the lower extremities were present. Laboratory results indicated an elevation in liver chemistries but preserved synthetic liver function. Detailed travel history revealed a recent trip along the east coast to visit dairy farms for a new business venture. After ruling out common etiologies for RUQ pain with elevated liver chemistries, a diagnosis of Brucellosis was made based on serum antibody titers and antibiotics were initiated...
October 9, 2017: International Journal of Infectious Diseases: IJID
https://www.readbyqxmd.com/read/29024748/effect-of-circulating-tumor-cell-aggregate-configuration-on-hemodynamic-transport-and-wall-contact
#16
Kevin J Anderson, Adelaide de Guillebon, Andrew Hughes, Weiwei Wang, Michael R King
Selectin-mediated adhesion of circulating tumor cells (CTCs) to the endothelium is a critical step in cancer metastasis, which is a major factor contributing to the mortality of cancer. The formation of tethers between tumor cells and endothelial selectins initiates cell rolling, which leads to firm adhesion, extravasation and the formation of secondary metastases. Tumor cells can travel through the bloodstream as single cells, or as aggregates known as circulating tumor microemboli (CTM). CTM have increased survivability and metastatic potential relative to CTCs, and the presence of CTM is associated with worse patient prognosis...
October 9, 2017: Mathematical Biosciences
https://www.readbyqxmd.com/read/29024236/mesenchymal-stromal-cell-derived-extracellular-vesicles-provide-long-term-survival-after-total-body-irradiation-without-additional-hematopoietic-stem-cell-support
#17
Jill-Sandra Schoefinius, Bärbel Brunswig-Spickenheier, Thomas Speiseder, Sabrina Krebs, Ursula Just, Claudia Lange
The therapeutic effect of mesenchymal stromal cells (MSC) in tissue regeneration is based mainly on the secretion of bioactive molecules. Here, we report that the radioprotective effect of mouse bone marrow derived MSC (mMSC) can be attributed to extracellular vesicles (EV) released from mMSC. The transplantation of mMSC-derived EV into lethally irradiated mice resulted in long-term survival but no improvement in short-term reconstitution of the recipients. Importantly, the radiation rescue was efficient without additional hematopoietic support...
October 11, 2017: Stem Cells
https://www.readbyqxmd.com/read/29024154/time-required-for-a-standard-sunscreen-to-become-effective-following-application-a-uv-photography-study
#18
María Victoria de Gálvez, José Aguilera, Emilio Antonio Buendía, Cristina Sánchez-Roldán, Enrique Herrera-Ceballos
Sunscreens are recommended that it should be applied generously (2 mg cm(-2) ) half an hour before exposure and reapplied every 2 hours(1,2) . It is not, however, always easy to apply in normal life (e.g., children doing outdoor activities at school or beachgoers who have to travel some distance to get to the sea) and in addition, sunscreen can be rubbed off or displaced by friction from clothing during the wait time and lose efficacy.The aim of this study was to determine the time needed for a sunscreen to offer optimal protection from the moment of application...
October 10, 2017: Journal of the European Academy of Dermatology and Venereology: JEADV
https://www.readbyqxmd.com/read/29023923/treatment-abandonment-in-children-with-cancer-in-sub-saharan-africa-systematic-literature-review-and-meta-analysis
#19
REVIEW
Rikka Mansell
AIMS: To establish and quantify the main reasons for treatment abandonment in children with cancer in Sub-Saharan Africa through a systematic review of the literature. BACKGROUND: Great advances have been made in the treatment of childhood cancer, however this requires that families are able to complete treatment. Failure to do this is referred to as treatment abandonment, which is recognised as a reason for treatment failure. DESIGN: Systematic review and meta-analysis of data on the reasons for treatment abandonment in Sub-Saharan Africa...
October 11, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29023573/enhanced-passive-screening-and-diagnosis-for-gambiense-human-african-trypanosomiasis-in-north-western-uganda-moving-towards-elimination
#20
Charles Wamboga, Enock Matovu, Paul Richard Bessell, Albert Picado, Sylvain Biéler, Joseph Mathu Ndung'u
INTRODUCTION: The incidence of gambiense human African trypanosomiasis (gHAT) in Uganda has been declining, from 198 cases in 2008, to only 20 in 2012. Interruption of transmission of the disease by early diagnosis and treatment is core to the control and eventual elimination of gHAT. Until recently, the format of available screening tests had restricted screening and diagnosis to central health facilities (passive screening). We describe a novel strategy that is contributing to elimination of gHAT in Uganda through expansion of passive screening to the entire population at risk...
2017: PloS One
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