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https://www.readbyqxmd.com/read/28809638/-four-corner-arthrodesis-of-the-wrist-with-dorsal-circular-plate-a-retrospective-monocentric-study
#1
T Zatrapa, D Veigl, J Pech, I Landor, M Šimková
PURPOSE OF THE STUDY Our study aimed to evaluate a group of patients who in the period from 2005 to 2014 underwent a four-corner arthrodesis of the wrist in our department. We also wanted to verify the hypothesis as to whether the use of conventional dorsal plate without the application of bone grafts leads to comparable results as the use of dorsal locking plates and routine application of bone grafts. MATERIAL AND METHODS Throughout the years 2005 to 2014 the four-corner arthrodesis of the wrist was performed in our department in a total of 62 patients, in two cases bilaterally...
2017: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
https://www.readbyqxmd.com/read/28807189/effect-of-non-monetary-incentives-on-uptake-of-couples-counselling-and-testing-among-clients-attending-mobile-hiv-services-in-rural-zimbabwe-a-cluster-randomised-trial
#2
Euphemia L Sibanda, Mary Tumushime, Juliet Mufuka, Sue Napierala Mavedzenge, Stephano Gudukeya, Sergio Bautista-Arredondo, Karin Hatzold, Harsha Thirumurthy, Sandra I McCoy, Nancy Padian, Andrew Copas, Frances M Cowan
BACKGROUND: Couples' HIV testing and counselling (CHTC) is associated with greater engagement with HIV prevention and care than individual testing and is cost-effective, but uptake remains suboptimal. Initiating discussion of CHTC might result in distrust between partners. Offering incentives for CHTC could change the focus of the pre-test discussion. We aimed to determine the impact of incentives for CHTC on uptake of couples testing and HIV case diagnosis in rural Zimbabwe. METHODS: In this cluster-randomised trial, 68 rural communities (the clusters) in four districts receiving mobile HIV testing services were randomly assigned (1:1) to incentives for CHTC or not...
September 2017: Lancet Global Health
https://www.readbyqxmd.com/read/28803262/topic-anaesthesia-with-a-eutectic-mixture-of-lidocaine-prilocaine-cream-after-elective-caesarean-section-a-randomised-placebo-controlled-trial
#3
Thomas Grosse-Steffen, Malin Krämer, Benjamin Tuschy, Christel Weiss, Marc Sütterlin, Sebastian Berlit
PURPOSE: Aim of the study was to investigate the topical application of a eutectic mixture of lidocaine/prilocaine (EMLA(®)) cream after caesarean section (CS) and its effect on postoperative pain, time to mobilisation, and time to discharge. MATERIALS AND METHODS: A total of 189 pregnant women were enrolled; full data sets were available for 139 of them, who were prospectively randomised to receive either placebo (control group) or EMLA(®) cream (study group) on the CS lesion directly as well as 24 h after surgery...
August 12, 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/28801514/bilateral-painful-tic-convulsif
#4
Valentina Fenech, Julian Cassar, Ludvic Zrinzo, Malcolm Vella
'Painful tic convulsif' (PTC) describes the coexistence of hemifacial spasm and trigeminal neuralgia. In this report, we describe a unique presentation of bilateral PTC in a man with bilateral hemifacial spasm and trigeminal neuralgia secondary to neurovascular conflict of all four cranial nerves. Following failed medical and radiofrequency therapy, microvascular decompression of three of the four involved nerves was performed, where the offending vessels were mobilised and Teflon used to prevent conflict recurrence...
August 11, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28801130/prospective-implementation-of-enhanced-recovery-after-surgery-protocols-to-radical-cystectomy
#5
Karl H Pang, Ruth Groves, Suresh Venugopal, Aidan P Noon, James W F Catto
BACKGROUND: Multimodal enhanced recovery after surgery (ERAS) regimens have improved outcomes from colorectal surgery. OBJECTIVE: We report the application of ERAS to patients undergoing radical cystectomy (RC). DESIGN, SETTING, AND PARTICIPANTS: Prospective collection of outcomes from consecutive patients undergoing RC at a single institution. INTERVENTION: Twenty-six components including prehabilitation exercise, same day admission, carbohydrate fluid loading, targeted intraoperative fluid resuscitation, regional local anaesthesia, cessation of nasogastric tubes, omitting oral bowel preparation, avoiding drain use, early mobilisation, chewing gum use, and audit...
August 8, 2017: European Urology
https://www.readbyqxmd.com/read/28798409/using-blubber-explants-to-investigate-adipose-function-in-grey-seals-glycolytic-lipolytic-and-gene-expression-responses-to-glucose-and-hydrocortisone
#6
Kimberley A Bennett, Kelly J Robinson, Simon E W Moss, Sebastian Millward, Ailsa J Hall
Adipose tissue is fundamental to energy balance, which underpins fitness and survival. Knowledge of adipose regulation in animals that undergo rapid fat deposition and mobilisation aids understanding of their energetic responses to rapid environmental change. Tissue explants can be used to investigate adipose regulation in wildlife species with large fat reserves, when opportunities for organismal experimental work are limited. We investigated glucose removal, lactate, glycerol and NEFA accumulation in media, and metabolic gene expression in blubber explants from wild grey seals...
August 10, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28797328/co-occurrence-of-colistin-resistance-genes-mcr-1-and-mcr-3-among-multidrug-resistant-escherichia-coli-isolated-from-cattle-spain-september-2015
#7
Marta Hernández, M Rocío Iglesias, David Rodríguez-Lázaro, Alejandro Gallardo, Narciso Quijada, Pedro Miguela-Villoldo, Maria Jorge Campos, Segundo Píriz, Gema López-Orozco, Cristina de Frutos, José Luis Sáez, María Ugarte-Ruiz, Lucas Domínguez, Alberto Quesada
Colistin resistance genes mcr-3 and mcr-1 have been detected in an Escherichia coli isolate from cattle faeces in a Spanish slaughterhouse in 2015. The sequences of both genes hybridised to same plasmid band of ca 250 kb, although colistin resistance was non-mobilisable. The isolate was producing extended-spectrum beta-lactamases and belonged to serotype O9:H10 and sequence type ST533. Here we report an mcr-3 gene detected in Europe following earlier reports from Asia and the United States.
August 3, 2017: Euro Surveillance: Bulletin Européen sur les Maladies Transmissibles, European Communicable Disease Bulletin
https://www.readbyqxmd.com/read/28780371/modelling-of-the-dissolution-and-reprecipitation-of-uranium-under-oxidising-conditions-in-the-zone-of-shallow-groundwater-circulation
#8
Ekaterina M Dutova, Aleksei N Nikitenkov, Vitaly D Pokrovskiy, David Banks, Bjørn S Frengstad, Valerii P Parnachev
Generic hydrochemical modelling of a grantoid-groundwater system, using the Russian software "HydroGeo", has been carried out with an emphasis on simulating the accumulation of uranium in the aqueous phase. The baseline model run simulates shallow granitoid aquifers (U content 5 ppm) under conditions broadly representative of southern Norway and southwestern Siberia: i.e. temperature 10 °C, equilibrated with a soil gas partial CO2 pressure (PCO2, open system) of 10(-2.5) atm. and a mildly oxidising redox environment (Eh = +50 mV)...
August 3, 2017: Journal of Environmental Radioactivity
https://www.readbyqxmd.com/read/28777886/lower-levels-of-il-1%C3%AE-gene-expression-are-associated-with-impaired-langerhans-cell-migration-in-aged-human-skin
#9
Suzanne M Pilkington, Stephanie Ogden, Laura Eaton, Rebecca J Dearman, Ian Kimber, Christopher Em Griffiths
Langerhans' cells (LC) play pivotal roles in skin immune responses, linking innate and adaptive immunity. In aged skin there are fewer LC and migration is impaired compared with young skin. These changes may contribute to declining skin immunity in the elderly, including increased skin infections and skin cancer. Interleukin (IL)-1β and tumour necrosis factor (TNF)-α are mandatory signals for LC migration and previous studies suggest IL-1β signalling may be dysregulated in aged skin. Therefore, we sought to explore the mechanisms underlying these phenomena...
August 4, 2017: Immunology
https://www.readbyqxmd.com/read/28776730/effect-of-feed-deprivation-on-selected-parameters-of-lipid-mobilisation-and-hepatic-function-in-healthy-akhal-teke-horses
#10
B Tóth, A Auth, L Rompos, Z Bakos
BACKGROUND: Gastrointestinal and other systemic diseases of Equidae are often characterised by partial or complete inappetence. The catabolic processes may lead to lipid mobilisation and other metabolic disturbances. Evidence from earlier studies has revealed that during feed deprivation/inappetence, the conjugation of bilirubin is reduced causing a substantial rise of the total bilirubin and its unconjugated fraction. OBJECTIVES: We hypothesised that during feed deprivation, the serum concentration of free fatty acids (FFA), triglycerides (TG), blood urea nitrogen (BUN), total bilirubin (tBIL) total bile acids (tBA) and activity of GGT and GLDH increase, while the concentration of insulin and direct bilirubin (dBIL) decrease...
August 4, 2017: Equine Veterinary Journal
https://www.readbyqxmd.com/read/28776461/women-s-occupational-health-resisting-when-we-can-sant%C3%A3-des-femmes-au-travail-mobiliser-quand-c-est-encore-possible
#11
Jessica Riel, Johanne Saint-Charles, Karen Messing
The continuing worldwide struggle for decent working conditions is under intense economic, social, and political pressures. Women are particularly affected by these pressures because of their still-tenuous position in the service sector, in lowprestige, low-paid occupations. In addition, their occupational health issues are often overlooked or minimized. Nevertheless, women continue to struggle, as individuals and collectively. This issue describes a number of instances where women in the Québec labor movement have attempted to reconcile equality concerns with protecting their own health...
January 1, 2017: New Solutions: a Journal of Environmental and Occupational Health Policy: NS
https://www.readbyqxmd.com/read/28768427/enhanced-recovery-programmes-for-lower-limb-arthroplasty-in-the-uk
#12
N S Nagra, T W Hamilton, L Strickland, D W Murray, H Pandit
Introduction Enhanced recovery programmes (ERPs) reduce patient morbidity and mortality, and provide significant cost savings by reducing length of stay. Currently, no uniform ERP guidelines exist for lower limb arthroplasty in the UK. The aim of this study was to identify variations in ERPs and determine adherence to local policy. Methods Hospitals offering elective total knee arthroplasty (TKA) and total hip arthroplasty (THA) (23 and 22 centres respectively) contributed details of their ERPs, and performed an audit (15 patients per centre) to assess compliance...
August 3, 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28765051/how-does-calcium-interact-with-the-cytoskeleton-to-regulate-growth-cone-motility-during-axon-pathfinding
#13
REVIEW
Robert J Gasperini, Macarena Pavez, Adrian C Thompson, Camilla B Mitchell, Holly Hardy, Kaylene M Young, John K Chilton, Lisa Foa
The precision with which neurons form connections is crucial for the normal development and function of the nervous system. The development of neuronal circuitry in the nervous system is accomplished by axon pathfinding: a process where growth cones guide axons through the embryonic environment to connect with their appropriate synaptic partners to form functional circuits. Despite intense efforts over many years to understand how this process is regulated, the complete repertoire of molecular mechanisms that govern the growth cone cytoskeleton and hence motility, remain unresolved...
July 29, 2017: Molecular and Cellular Neurosciences
https://www.readbyqxmd.com/read/28762305/promoting-community-conversations-about-research-to-end-suicide-learning-and-behavioural-outcomes-of-a-training-of-trainers-model-to-facilitate-grassroots-community-health-education-to-address-indigenous-youth-suicide-prevention
#14
Lisa Wexler, Lucas Trout, Suzanne Rataj, Tanya Kirk, Roberta Moto, Diane McEachern
Alaska Native (AN) youth suicide remains a substantial and recalcitrant health disparity, especially in rural/remote communities. Promoting Community Conversations About Research to End Suicide (PC CARES) is a community health intervention that responds to the need for culturally responsive and evidence-supported prevention practice, using a grassroots approach to spark multilevel and community-based efforts for suicide prevention. This paper describes theoretical and practical considerations of the approach, and assesses the feasibility and preliminary learning and behavioural outcomes of the training-of-trainers model...
2017: International Journal of Circumpolar Health
https://www.readbyqxmd.com/read/28759580/knowledge-attitudes-and-practices-towards-yaws-and-yaws-like-skin-disease-in-ghana
#15
Michael Marks, Cynthia Kwakye-Maclean, Rachel Doherty, Paul Adwere, Abdul Aziz Abdulai, Fredrick Duah, Sally-Ann Ohene, Oriol Mitja, Blanche Oguti, Anthony W Solomon, David C W Mabey, Yaw Adu-Sarkodie, Kingsley Asiedu, Mercy M Ackumey
INTRODUCTION: Yaws is endemic in Ghana. The World Health Organization (WHO) has launched a new global eradication campaign based on total community mass treatment with azithromycin. Achieving high coverage of mass treatment will be fundamental to the success of this new strategy; coverage is dependent, in part, on appropriate community mobilisation. An understanding of community knowledge, attitudes and practices related to yaws in Ghana and other endemic countries will be vital in designing effective community engagement strategies...
July 2017: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/28752871/understanding-the-mobilisation-of-metal-pollution-associated-with-historical-mining-in-a-carboniferous-upland-catchment
#16
Magaly Valencia-Avellan, Rebecca Slack, Anthony Stockdale, Robert John George Mortimer
Point and diffuse pollution from metal mining has led to severe environmental damage worldwide. Mine drainage is a significant problem for riverine ecosystems, it is commonly acidic (AMD), but neutral mine drainage (NMD) can also occur. A representative environment for studying metal pollution from NMD is provided by carboniferous catchments characterised by a circumneutral pH and high concentrations of carbonates, supporting the formation of secondary metal-minerals as potential sinks of metals. The present study focuses on understanding the mobility of metal pollution associated with historical mining in a carboniferous upland catchment...
August 16, 2017: Environmental Science. Processes & Impacts
https://www.readbyqxmd.com/read/28750286/short-term-forecasting-of-turbidity-in-trunk-main-networks
#17
Gregory Meyers, Zoran Kapelan, Edward Keedwell
Water discolouration is an increasingly important and expensive issue due to rising customer expectations, tighter regulatory demands and ageing Water Distribution Systems (WDSs) in the UK and abroad. This paper presents a new turbidity forecasting methodology capable of aiding operational staff and enabling proactive management strategies. The turbidity forecasting methodology developed here is completely data-driven and does not require hydraulic or water quality network model that is expensive to build and maintain...
July 17, 2017: Water Research
https://www.readbyqxmd.com/read/28743548/identifying-barriers-to-early-mobilisation-among-mechanically-ventilated-patients-in-a-trauma-intensive-care-unit
#18
Kari Johnson, Jamie Petti, Amy Olson, Tina Custer
Mechanically ventilated patients can be at risk for functional decline (Cameron et al., 2015). Early mobilisation of mechanically ventilated patients can improve outcomes after critical illness to prevent this decline. Although registered nurses understand the importance of early mobilisation there are nurses who are unwilling to mobilise patients. AIM: The aim of this study is to examine whether nurses' attitudes and beliefs are barriers for early mobilisation and evaluate whether an education intervention can improve early mobilisation...
July 22, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/28741202/a-user-centred-approach-to-developing-bwell-a-mobile-app-for-arm-and-shoulder-exercises-after-breast-cancer-treatment
#19
Helena Harder, Patrick Holroyd, Lynn Burkinshaw, Phil Watten, Charles Zammit, Peter R Harris, Anna Good, Val Jenkins
PURPOSE: The study aim was to develop a mobile application (app) supported by user preferences to optimise self-management of arm and shoulder exercises for upper-limb dysfunction (ULD) after breast cancer treatment. METHODS: Focus groups with breast cancer patients were held to identify user needs and requirements. Behaviour change techniques were explored by researchers and discussed during the focus groups. Concepts for content were identified by thematic analysis...
July 24, 2017: Journal of Cancer Survivorship: Research and Practice
https://www.readbyqxmd.com/read/28735181/effects-of-cellulose-degradation-products-on-the-mobility-of-eu-iii-in-repositories-for-low-and-intermediate-level-radioactive-waste
#20
Veronica Diesen, Kerstin Forsberg, Mats Jonsson
The deep repository for low and intermediate level radioactive waste SFR in Sweden will contain large amounts of cellulosic waste materials contaminated with radionuclides. Over time the repository will be filled with water and alkaline conditions will prevail. In the present study degradation of cellulosic materials and the ability of cellulosic degradation products to solubilize and thereby mobilise Eu(III) under repository conditions has been investigated. Further, the possible immobilization of Eu(III) by sorption onto cement in the presence of degradation products has been investigated...
July 6, 2017: Journal of Hazardous Materials
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