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https://www.readbyqxmd.com/read/29684930/-prevention-and-detection-of-multidrug-resistant-bacteria
#1
Simone Scheithauer, Martin Kaase
Patients colonized or infected by multidrug-resistant bacteria (MDR) are entitled to the same medical treatment as other patients and infection control measures based on the current evidence are not in conflict with this aim. Recent studies indicate that the correct sampling technique is of utmost importance when screening for MRSA and usage of certain swabs might reduce the sensitivity considerably. Despite improvements in diagnostic strategies for direct MRSA detection by PCR, false positive results cannot be totally excluded...
May 2018: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/29684925/minimally-invasive-resection-of-deep-seated-high-grade-gliomas-using-tubular-retractors-and-exoscopic-visualization
#2
Rajiv Iyer, Kaisorn L Chaichana
BACKGROUND AND STUDY AIMS/OBJECTIVE:  Deep-seated high-grade gliomas (HGGs) represent a unique surgical challenge because they reside deep to critical cortical and subcortical structures and infiltrate functional areas of the brain. Therefore, accessing and resecting these tumors can often be challenging and associated with significant morbidity. We describe the use of minimally invasive approaches to access deep-seated HGGs to achieve extensive resections while minimizing surgical morbidity...
April 23, 2018: Journal of Neurological Surgery. Part A, Central European Neurosurgery
https://www.readbyqxmd.com/read/29684904/excess-hospitalization-expenses-attributable-to-type-2-diabetes-mellitus-in-singapore
#3
May Ee Png, Joanne Yoong, Chuen Seng Tan, Kee Seng Chia
OBJECTIVES: To estimate the excess hospitalization expenses attributable to type 2 diabetes mellitus (T2DM) in a high-income Asian country from the health system perspective and the patient perspective. METHODS: Electronic medical records from a tertiary academic hospital in Singapore from 2012 to 2013 were used to create propensity score-matched cohorts with and without T2DM on the basis of their entry characteristics. A two-part model was then used to control for remaining differences between the cohorts...
April 20, 2018: Value in Health Regional Issues
https://www.readbyqxmd.com/read/29684832/effect-of-non-nutritive-sucking-and-sucrose-alone-and-in-combination-for-repeated-procedural-pain-in-preterm-infants-a-randomized-controlled-trial
#4
Haixia Gao, Mei Li, Honglian Gao, Guihua Xu, Fang Li, Jing Zhou, Yunsu Zou, Honghua Jiang
BACKGROUND: Sucrose combined with non-nutritive sucking provided better pain relief than sucrose or non-nutritive sucking alone in a single painful procedure. However, whether the combination of non-nutritive sucking with sucrose could obtain a significant difference in analgesic effect of the repeated procedural pain than any single intervention has not been established. OBJECTIVE: To compare the effect of non-nutritive sucking and sucrose alone and in combination of repeated procedural pain in preterm infants...
April 7, 2018: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/29684830/perineal-injury-associated-with-hands-on-hands-poised-and-directed-undirected-pushing-a-retrospective-cross-sectional-study-of-non-operative-vaginal-births-2011-2016
#5
Nigel Lee, Meaghan Firmin, Yu Gao, Sue Kildea
BACKGROUND: Clinicians hand position and advised pushing techniques may impact on rates of perineal injury. OBJECTIVE: To assess the association of four techniques used in management of second stage with risk of moderate and severe perineal injury. DESIGN: Retrospective cross-sectional study. SETTING: A metropolitan maternity hospital and a private maternity hospital in Brisbane, Australia. PARTICIPANTS: Term women with singleton, cephalic presentation experiencing a non-operative vaginal birth from January 2011 to December 2016...
April 5, 2018: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/29684822/sexual-dysfunction-among-nigerian-women-with-epilepsy
#6
Luqman Ogunjimi, Joseph Yaria, Akintomiwa Makanjuola, Adesola Ogunniyi
OBJECTIVES: Sexual dysfunction (SD) has been shown to be more prevalent among females with epilepsy (FWE) when compared with controls. Identified risk factors for SD among FWE include depression, antiepileptic drug (AED) type, epileptic lateralization, and temporal lobe involvement. Despite a huge population of FWE in sub-Saharan Africa and by extension Nigeria, there are limited studies on the effect of AEDs and epilepsy on sexual function among FWE in the region. We therefore studied predictors and patterns of SD among Nigerian FWE...
April 20, 2018: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/29684798/clinging-to-closeness-the-parental-view-on-developing-a-close-bond-with-their-infants-in-a-nicu
#7
Heli Mäkelä, Anna Axelin, Nancy Feeley, Hannakaisa Niela-Vilén
OBJECTIVE: To identify and understand how parents develop a close bond to their infants in the neonatal intensive care unit (NICU). DESIGN: A qualitative descriptive study; closeness and separation stories recorded in a smartphone application by the parents were analyzed using thematic analysis. SETTING AND PARTICIPANTS: Twenty-three parents of nineteen infants who were taken care of in a level III NICU in Finland. FINDINGS: Bonding moments and a disrupted dyadic parent-infant relationship continuously alternated as in a rollercoaster ride during the hospital stay...
April 11, 2018: Midwifery
https://www.readbyqxmd.com/read/29684794/changes-in-maternal-self-efficacy-postnatal-depression-symptoms-and-social-support-among-chinese-primiparous-women-during-the-initial-postpartum-period-a-longitudinal-study
#8
Xujuan Zheng, Jane Morrell, Kim Watts
BACKGROUND: There are many parenting problems during infancy for Chinese primiparous women. As an important determinant of good parenting, maternal self-efficacy (MSE) should be paid more attention by researchers. At present, the limitations of previous research examining MSE during infancy are that most studies were conducted with a homogeneous sample and there were few studies with Chinese women. Secondly, the trajectory of change in MSE, postnatal depression symptoms and social support for Chinese primiparous women was not clear during the initial postpartum period in earlier studies...
April 11, 2018: Midwifery
https://www.readbyqxmd.com/read/29684773/late-organ-failures-in-patients-with-prolonged-intensive-care-unit-stays
#9
Elizabeth M Viglianti, Rachel Kramer, Andrew J Admon, Michael W Sjoding, Carol L Hodgson, Rinaldo Bellomo, Theodore J Iwashyna
PURPOSE: The purpose of this study was to characterize the organ failures that develop among patients with prolonged ICU stays, defined as those who spent a minimum of 14 days in an ICU. METHODS: We retrospectively studied a cohort of consecutive patients from a university hospital who were in an ICU for a minimum of 14 days during 2014-2016. We calculated daily Sequential Organ Failure Assessment (SOFA) scores from admission to ICU day 14. The primary outcome was the number of new late organ failures, defined as occurring on ICU day 4 through 14...
April 4, 2018: Journal of Critical Care
https://www.readbyqxmd.com/read/29684740/continuously-declining-incidence-of-hip-fracture-in-finland-analysis-of-nationwide-database-in-1970-2016
#10
Pekka Kannus, Seppo Niemi, Jari Parkkari, Harri Sievänen
BACKGROUND: Hip fractures of older adults are a major public health issue. METHODS: We determined the current trend in the number and incidence (per 100,000 persons) of hip fracture among older adults in Finland by taking into account all persons 50 years of age or older who were admitted to hospitals for primary treatment of such fracture between 1970 and 2016. RESULTS: The number of hip fractures rose sharply till the end of 1990s (from 1857 in 1970 to 7122 in 1997), but since then, the rise has slowed down (7716 fractures in 2016)...
April 17, 2018: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29684713/effects-of-depression-and-anxiety-on-quality-of-life-in-five-common-neurological-disorders
#11
Joey C Prisnie, Tolulope T Sajobi, Meng Wang, Scott B Patten, Kirsten M Fiest, Andrew G M Bulloch, Tamara Pringsheim, Samuel Wiebe, Nathalie Jette
BACKGROUND: It is unclear whether anxiety and depression impact health-related quality of life (HRQoL) equally across neurological diseases. This study examines the association between anxiety or depression and HRQoL in select neurological disorders. METHODS: HRQoL was measured using the Short Form Health Survey (SF-12) in neurological patients: epilepsy (n = 279), migraine (n = 268), multiple sclerosis (MS) (n = 222), stroke (n = 204), and Parkinson's disease (PD) (n = 224)...
April 4, 2018: General Hospital Psychiatry
https://www.readbyqxmd.com/read/29684670/evaluation-of-the-bisap-scoring-system-in-prognostication-of-acute-pancreatitis-a-prospective-observational-study
#12
Sumitra Hagjer, Nitesh Kumar
INTRODUCTION: Severe acute pancreatitis has a high mortality and its early identification is important for management and risk stratification. The bedside index for severity in acute pancreatitis (BISAP) is a simple scoring system done at admission which predicts the severity of pancreatitis. Procalcitonin is an inflammatory marker which is raised very early and helps in early prediction of the severity of disease. This study aims to evaluate the BISAP score and Procalcitonin in prognostication of acute pancreatitis...
April 20, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29684668/endoscopic-versus-surgical-drainage-treatment-of-calcific-chronic-pancreatitis
#13
Li Jiang, Deng Ning, Qi Cheng, Xiao-Ping Chen
BACKGROUND: Endoscopic therapy and surgery are both conventional treatments to remove pancreatic duct stones that developed during the natural course of chronic pancreatitis. However, few studies comparing the effect and safety between surgery drainage and endoscopic drainage (plus Extracorporeal Shock Wave Lithotripsy, ESWL).The aim of this study was to compare the benefits between endoscopic and surgical drainage of the pancreatic duct for patients with calcified chronic pancreatitis...
April 20, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29684660/who-cares-for-the-schizophrenia-individuals-in-rural-china-a-profile-of-primary-family-caregivers
#14
Yu Yu, Bing-Wei Tang, Zi-Wei Liu, Yu-Mei Chen, Xing-Yu Zhang, Shuiyuan Xiao
OBJECTIVE: The present study aims to provide a comprehensive profile of the primary family caregivers of schizophrenia individuals in rural China. METHOD: A cross-sectional study was conducted with a sample of 327 primary family caregivers of schizophrenia individuals recruited through a one-stage cluster sampling in Ningxiang County of Hunan province, China. The social demographic and psychological profiles of primary caregivers were measured using standard scales and self-designed scales...
April 11, 2018: Comprehensive Psychiatry
https://www.readbyqxmd.com/read/29684654/epidemiology-of-out-of-hospital-cardiac-arrest-a-french-national-incidence-and-mid-term-survival-rate-study
#15
Gérald Luc, Valentine Baert, Joséphine Escutnaire, Michael Genin, Christian Vilhelm, Christophe Di Pompéo, Carlos El Khoury, Nicolas Segal, Eric Wiel, Frédéric Adnet, Karim Tazarourte, Pierre-Yves Gueugniaud, Hervé Hubert
Out-of-hospital cardiac arrest (OHCA) is considered an important public health issue but its incidence has not been examined in France. The aim of this study is to define the incidence of OHCA in France and to compare this to other neighbouring countries. Data were extracted from the French OHCA registry. Only exhaustive centres during the period from January 1, 2013, to September 30, 2014 were included. All patients were included, regardless of their age and cause of OHCA. The participating centres covered about 10% of the French population...
April 20, 2018: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/29684649/china-s-capacity-of-hospitals-to-deal-with-infectious-diseases-in-the-context-of-climate-change
#16
Michael Xiaoliang Tong, Alana Hansen, Scott Hanson-Easey, Jianjun Xiang, Scott Cameron, Qiyong Liu, Xiaobo Liu, Yehuan Sun, Philip Weinstein, Gil-Soo Han, Peng Bi
OBJECTIVES: Infectious diseases are a major cause of morbidity and mortality in China. The capacity of hospitals to deal with the challenge from emerging and re-emerging infectious diseases due to climate change is of great importance to population health. This study aimed to explore the capacity of hospitals in China to deal with such challenges. METHODS: A cross-sectional questionnaire survey was utilized to gauge information regarding capacity of hospitals to deal with infectious diseases in the context of climate change among 611 clinical professionals whose roles pertained to infectious disease diagnosis, treatment and management in Anhui Province of China...
April 16, 2018: Social Science & Medicine
https://www.readbyqxmd.com/read/29684617/association-of-diabetes-mellitus-with-prostate-cancer-grade-and-prostate-specific-antigen-in-chinese-biopsy-population
#17
Ming Chen, Yili Luo, Shaoling Yang, Lu Xu, Nan Li, Hong Li, Shen Qu
AIMS: To investigate the association of diabetes mellitus with prostate cancer (PCa) grade and prostate-specific antigen (PSA) in Chinese biopsy population. METHODS: We retrospectively evaluated data from 2032 patients who underwent prostate biopsies from 2010-2016 at our hospital. All diabetes cases were divided into sub-groups according to HbA1c (< 6.5%, 6.5%-7.49% and ≥ 7.5%) and diabetes duration (0-5 years, 6-10 years and > 10 years). RESULTS: Among 2032 men, 467 (23...
April 20, 2018: Diabetes Research and Clinical Practice
https://www.readbyqxmd.com/read/29684580/exploring-the-influence-of-nursing-work-environment-and-patient-safety-culture-on-missed-nursing-care-in-korea
#18
Kyoung-Ja Kim, Moon Sook Yoo, Eun Ji Seo
PURPOSE: This study aimed to explore the influence of nurse work environment and patient safety culture in hospital on instances of missed nursing care in South Korea. METHODS: A cross-sectional design was used, in which a structured questionnaire was administered to 186 nurses working at a tertiary university hospital. Data were analyzed using descriptive statistics, t-test or ANOVA, Pearson correlation and multiple regression analysis. RESULTS: Missed nursing care was found to be correlated with clinical career, nursing work environment and patient safety culture...
April 20, 2018: Asian Nursing Research
https://www.readbyqxmd.com/read/29684544/the-international-childhood-cardiovascular-cohort-i3c-consortium-outcomes-study-of-childhood-cardiovascular-risk-factors-and-adult-cardiovascular-morbidity-and-mortality-design-and-recruitment
#19
Alan R Sinaiko, David R Jacobs, Jessica G Woo, Lydia Bazzano, Trudy Burns, Tian Hu, Markus Juonala, Ronald Prineas, Olli Raitakari, Julia Steinberger, Elaine Urbina, Alison Venn, Cashell Jaquish, Terry Dwyer
Although it is widely thought that childhood levels of cardiovascular (CV) risk factors are related to adult CV disease, longitudinal data directly linking the two are lacking. This paper describes the design and organization of the International Childhood Cardiovascular Cohort Consortium Outcomes Study (i3C Outcomes), the first longitudinal cohort study designed to locate adults with detailed, repeated, childhood biological, physical, and socioeconomic measurements and a harmonized database. I3C Outcomes uses a Heart Health Survey (HHS) to obtain information on adult CV endpoints, using mail, email, telephone, and clinic visits in the United States (U...
April 20, 2018: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/29684543/molecular-characterization-of-clostridium-difficile-isolated-from-carriage-and-association-of-its-pathogenicity-to-prevalent-toxic-genes
#20
Abdulwahab Ali Abuderman, Ayesha Mateen, Rabbani Syed, Mustafa Sawsan Aloahd
BACKGROUND: There are reports of non-toxigenic C. difficile strains from asymptomatic carriers are increasing source of transmission. Asymptomatic carriage transmission in the hospital or community settings might have changed over the years. Therefore, we initiated a prospective epidemiological study to define the risk factors and pathogenicity of asymptomatic C. difficile carriage. METHODS: Stools sample from 188 subjects with diarrhoea due to C. difficile toxin and colonization without diarrhoea was subjected to routine microbial culture, molecular characterization for identification of toxin genes and mechanisms of resistance in C...
April 20, 2018: Microbial Pathogenesis
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