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https://www.readbyqxmd.com/read/29772916/home-oxygen-therapy-for-bronchiolitis-an-evaluation-of-the-primary-care-providers-experience-at-sea-level
#1
Erin E Dunbar, Michelle L Macy, James A Cranford, Nicole Sroufe, Marie Lozon, Marisa C Louie
Despite 90% of primary care providers at altitude reporting experience with home oxygen therapy for hypoxemic, otherwise well infants, its use at sea level is not well described. Our objective was to understand experience with home oxygen at sea level and determine potential barriers and benefits of its use. We surveyed all pediatricians and family medicine providers within a 30-mile radius of our pediatric hospital from May 2016 to December 2016. Forty-three percent of providers responded. Few (8%) had any experience with home oxygen therapy for bronchiolitis...
May 1, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/29768698/financial-viability-of-emergency-department-observation-unit-billing-models
#2
Christopher W Baugh, Pawan Suri, Christopher G Caspers, Michael A Granovsky, Keith Neal, Michael A Ross
BACKGROUND: Outpatients receive observation services to determine the need for inpatient admission. These services are usually provided without the use of condition-specific protocols and in an unstructured manner, scattered throughout a hospital in areas typically designated for inpatient care. Emergency department observation units (EDOUs) use protocolized care to offer an efficient alternative with shorter lengths of stay, lower costs and higher patient satisfaction. EDOU growth is limited by existing policy barriers that prevent a "two-service" model of separate professional billing for both emergency and observation services...
May 16, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29766129/is-thromboelastography-teg-based-resuscitation-better-than-empirical-1-1-transfusion
#3
Isaac W Howley, Elliott R Haut, Lenwoth Jacobs, Jonathan J Morrison, Thomas M Scalea
Thomboelastography (TEG) is a whole blood measure of coagulation which was originally described in the 1950s. However, it has only been in the last few decades that assays have become accessible and viable as a point-of-care test. Following the observation that hemorrhagic shock is associated with an intrinsic coagulopathy, TEG has been used as a method of diagnosing specific coagulation defects in order to direct individualized blood products resuscitation. An alternative transfusion strategy is the administration of fixed ratio products, a paradigm borne out of military experience...
2018: Trauma surgery & acute care open
https://www.readbyqxmd.com/read/29763458/immunity-levels-to-poliovirus-in-lao-children-and-adults-before-the-vaccine-derived-poliovirus-outbreak-a-retrospective-study
#4
Maude Pauly, Antony P Black, Phonepaseuth Khampanisong, Phonethipsavanh Nouanthong, Judith M Hübschen, Naphavanh Nanthavong, Kong Sayasinh, Prapan Jutavijittum, Bounthome Samountry, Anonh Xeuatvongsa, Sabine Diedrich, Claude P Muller
In 2015, several provinces in Lao People's Democratic Republic (Lao PDR) experienced a vaccine-derived poliovirus outbreak. This survey was conducted (i) to evaluate the vaccination coverage in different settings and cohorts using the seroprevalence of anti-poliovirus (PV) antibodies as a surrogate measure, and (ii) to explore the usefulness of an ELISA in a country with limited resources and a specific epidemiological setting. IgG antibodies were assessed by ELISA in Lao children (n = 1216) and adults (n = 1228), including blood donors and health care workers...
2018: PloS One
https://www.readbyqxmd.com/read/29762213/feasibility-of-a-cognitive-behavioral-and-environmental-intervention-for-sleep-wake-difficulties-in-community-dwelling-cancer-patients-receiving-palliative-care
#5
Marie Solange Bernatchez, Josée Savard, Marie-Hélène Savard, Michèle Aubin
BACKGROUND: High rates of sleep-wake difficulties have been found in patients with cancer receiving palliative care. Pharmacotherapy is the most frequently used treatment option to manage these difficulties despite numerous adverse effects and the absence of empirical evidence of its efficacy and innocuity in palliative care. OBJECTIVE: This pilot study aimed to assess the feasibility and acceptability of a cognitive-behavioral and environmental intervention (CBT-E) to improve insomnia and hypersomnolence in patients with a poor functioning level and to collect preliminary data on its effects...
May 14, 2018: Cancer Nursing
https://www.readbyqxmd.com/read/29757006/continuity-between-dsm-5-section-ii-and-iii-personality-disorders-in-a-dutch-clinical-sample
#6
Irene M J Orbons, Gina Rossi, Roel Verheul, Mirjam J A Schoutrop, Jan L L Derksen, Daniel L Segal, Sebastiaan P J van Alphen
The goal of this study was to evaluate the continuity across the Section II personality disorders (PDs) and the proposed Section III model of PDs in the Diagnostic and Statistical Manual of Mental Disorders (5th ed. [DSM-5]; American Psychiatric Association, 2013a ). More specifically, we analyzed association between the DSM-5 Section III pathological trait facets and Section II PDs among 110 Dutch adults (M age = 35.8 years, range = 19-60 years) receiving mental health care. We administered the Structured Clinical Interview for DSM-IV Axis II Disorders to all participants...
May 14, 2018: Journal of Personality Assessment
https://www.readbyqxmd.com/read/29756637/withdrawal-of-immunosuppressant-or-biologic-therapy-for-patients-with-quiescent-crohn-s-disease
#7
REVIEW
Ray K Boyapati, Joana Torres, Carolina Palmela, Claire E Parker, Orli M Silverberg, Sonam D Upadhyaya, Tran M Nguyen, Jean-Frédéric Colombel
BACKGROUND: Crohn's disease (CD) is a chronic, relapsing and remitting disease of the gastrointestinal tract that can cause significant morbidity and disability. Current treatment guidelines recommend early intervention with immunosuppressant or biological therapy in high-risk patients with a severe disease phenotype at presentation. The feasibility of therapeutic de-escalation once remission is achieved is a commonly encountered question in clinical practice, driven by patient and clinician concerns regarding safety, adverse events, cost and national regulations...
May 12, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29746179/collaborative-task-sharing-to-enhance-the-point-of-care-ultrasound-pocus-access-among-expectant-women-in-kenya-the-role-of-midwife-sonographers
#8
Sudhir Vinayak, Sharon Brownie
Unrealized maternal and child health goals continue to challenge Kenya where adverse outcomes remain high and diagnostic services are limited. The acute shortage of doctors and radiographers requires alternate human resources for health (HRH) with the ability to identify risk factors in pregnancy through Point-Of-Care Ultrasound (POCUS). A specialist radiologist and ultrasonography team partnered with midwives to adopt interprofessional task sharing and capacity building. Faculty from the Radiology Department of our hospital designed and implemented the project which was carried out at three outreach health service centres...
May 10, 2018: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29743657/synchronisation-of-parental-behaviours-reduces-the-risk-of-nest-predation-in-a-socially-monogamous-passerine-bird
#9
K Leniowski, E Węgrzyn
Social monogamy with bi-parental care is the most common breeding pattern in birds, yet cooperation between mates has not been intensively studied to date. In this study we investigate synchronisation of parental behaviours in the blackcap Sylvia atricapilla, a species characterized by bi-parental care and high nest predation. We test the hypothesis that mates synchronize their behaviours to decrease total activity at the nest, which is known to affect predation rate in birds. We examine if blackcap parents synchronise their feeding trips more when nestlings are at the poikilothermic stage, and they may be more vulnerable to nest predation due to their inability to escape and survive outside the nest without parental brooding...
May 9, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29737499/vaccines-targeting-pcsk9-a-promising-alternative-to-passive-immunization-with-monoclonal-antibodies-in-the-management-of-hyperlipidaemia
#10
Stefan Weisshaar, Markus Zeitlinger
Hypercholesterolaemia is frequently observed in patients with cardiovascular diseases (CVD) and is associated with increased mortality. Statin treatment has been the standard of care for reducing low-density lipoprotein cholesterol (LDL-C) to improve cardiovascular outcomes. However, statins have limited effects in some patients and may be discontinued due to adverse effects resulting in LDL-C above target levels. The proprotein convertase subtilisin kexin type 9 (PCSK9) is a pivotal regulator in the LDL-C metabolism by degrading the LDL-C receptor on hepatocytes...
May 8, 2018: Drugs
https://www.readbyqxmd.com/read/29735241/use-of-a-gabapentin-protocol-for-the-management-of-alcohol-withdrawal-a-preliminary-experience-expanding-from-the-consultation-liaison-psychiatry-service
#11
Jonathan G Leung, Daniela B Rakocevic, Nicholas D Allen, Elliot M Handler, Bruno A Perossa, Kristin L Borreggine, Amy L Stark, Hannah K Betcher, Daniel K Hosker, Blaine A Minton, Benjamin R Braus, Ross A Dierkhising, Kemuel L Philbrick
BACKGROUND: Benzodiazepines are the conventional mainstay to manage alcohol withdrawal; however, patients are subsequently at increased risk for poor sleep, cravings, and return to drinking. Research on alternative pharmacologic agents to facilitate safe alcohol withdrawal is scant. Gabapentin is one medication shown in small studies to reduce the need for benzodiazepines in the setting of alcohol withdrawal. The continuation of gabapentin after alcohol withdrawal appears to be safe during early sobriety and may aid in reducing alcohol-related cravings or returning to alcohol consumption...
March 21, 2018: Psychosomatics
https://www.readbyqxmd.com/read/29733064/apoyo-social-y-marginaci%C3%A3-n-como-determinantes-de-la-atenci%C3%A3-n-prenatal-en-mujeres-con-seguridad-social-en-m%C3%A3-xico
#12
Maritza Maldonado-Cisneros, Oswaldo Sinoe Medina-Gómez
Introducción: La atención prenatal garantiza resultados favorables para la salud materno-fetal, para ello es necesario que se realice de forma precoz, periódica, completa y con alta cobertura. Objetivo: Conocer los determinantes sociales para la atención prenatal en mujeres derechohabientes del Instituto Mexicano del Seguro Social durante 2014. Método: Estudio transversal en el que se analizó la asociación de condiciones sociales, apoyo social y funcionalidad familiar con atención prenatal inadecuada...
2018: Gaceta Médica de México
https://www.readbyqxmd.com/read/29730039/the-neoteny-helper-hypothesis-when-to-expect-and-when-not-to-expect-endocrine-mechanisms-to-regulate-allo-parental-care
#13
Carsten Schradin, Pauline Vuarin, Rebecca Rimbach
Family groups with helpers occur in several species of fish, birds and mammals. In such cooperatively breeding species all group members help with raising the offspring, i.e. parents and offspring from previous litters. While the ecological reasons and ultimate consequences of allo-parental care have been studied in detail, we know little about its physiological regulation. We propose three alternative hypotheses for the endocrine regulation of allo-parental care. 1. The neoteny-helper hypothesis predicts that helpers that did not undergo adolescence yet show helping behavior without any endocrine mechanisms activating it, as helping is the default response towards infant stimuli...
May 2, 2018: Physiology & Behavior
https://www.readbyqxmd.com/read/29725561/endoscopic-lavage-of-extensive-chronic-subdural-hematoma-in-an-infant-after-abusive-head-trauma-adaptation-of-a-technique-from-ventricular-neuroendoscopy
#14
Thomas Beez, Ann Kristin Schmitz, Hans-Jakob Steiger, Christopher Munoz-Bendix
Subdural fluid collections are frequently encountered in young children after non-accidental injury. In a subset of patients, these collections progress in size and ultimately require permanent drainage, which is commonly achieved with subdural-peritoneal shunts. However, excessive protein and cellular contents in the fluid are potential risk factors for shunt failure. Here, we describe the adaptation of an endoscopic lavage technique established for ventricular endoscopy with the aim of improving fluid condition prior to shunting...
March 2, 2018: Curēus
https://www.readbyqxmd.com/read/29724800/the-importance-of-quality-in-pulmonary-v-q-imaging
#15
April Mann, Mario DiDea, France Fournier, Daniel Tempesta, Jessica Williams, Norman LaFrance
As the healthcare environment continues to change and morph into a system focusing on increased quality and evidence-based outcomes, nuclear medicine technologists must be reminded they play a critical role in achieving high quality interpretable images used to drive patient care, treatments and best possible outcomes. A survey performed by the Quality Committee, Society of Nuclear Medicine and Molecular Imaging-Technologist Section demonstrated a clear knowledge gap exists amongst technologists regarding their understanding of quality, how it is measured, and how it should be achieved throughout all practicing technologists despite role and education level...
May 3, 2018: Journal of Nuclear Medicine Technology
https://www.readbyqxmd.com/read/29723630/quantitative-market-survey-of-non-woody-plants-sold-at-kariakoo-market-in-dar-es-salaam-tanzania
#16
Chantal Posthouwer, Sarina Veldman, Siri Abihudi, Joseph N Otieno, Tinde R van Andel, Hugo J de Boer
ETHNOPHARMACOLOGICAL RELEVANCE: In Tanzania, traditional medicine plays a significant role in health care and local economies based on the harvesting, trade and sale of medicinal plant products. The majority of this plant material is said to originate from wild sources, and both traditional healers and vendors are concerned about the increasing scarcity of certain species. AIM OF THE STUDY: A market survey of non-powdered, non-woody medicinal plants was conducted at Kariakoo Market in Dar es Salaam, the major hub for medicinal plant trade in Tanzania, to assess sustainability of traded herbal medicine...
April 30, 2018: Journal of Ethnopharmacology
https://www.readbyqxmd.com/read/29723070/examining-the-interpersonal-nature-of-criterion-a-of-the-dsm-5-section-iii-alternative-model-for-personality-disorders-using-bootstrapped-confidence-intervals-for-the-interpersonal-circumplex
#17
Emily A Dowgwillo, Michael J Roche, Aaron L Pincus
Criterion A of the alternative model of personality disorders (AMPD) involves the assessment of impairments in self and self in relation to other functioning and can be assessed using the Level of Personality Functioning Scale (LPFS). This study uses responses to a self-report version of the LPFS (AMPD-CAS) from 248 college students to examine the interpersonal implications of AMPD personality impairments using the interpersonal circumplex (IPC) as a nomological net. Results suggest that AMPD-CAS self-impairments are related to problems of low communion and interpersonal distress and do not appear to tap expected interpersonal problems of low agency...
May 3, 2018: Journal of Personality Assessment
https://www.readbyqxmd.com/read/29721742/herbal-medicine-use-among-type-2-diabetes-mellitus-patients-in-nigeria-understanding-the-magnitude-and-predictors-of-use
#18
Ogochukwu Ukamaka Amaeze, Roseline Iberi Aderemi-Williams, Modupeola Anuoluwapo Ayo-Vaughan, Deborah Aderoju Ogundemuren, Damilola Segun Ogunmola, Emmanuel Nwanolue Anyika
Background Patients with chronic diseases exploit complementary and alternative treatment options to manage their conditions better and improve well-being. Objective To determine the prevalence and predictors of herbal medicine use among Type 2 Diabetes patients in Lagos, Nigeria. Setting Secondary healthcare facilities in Lagos state, Nigeria. Method The study design was a cross sectional survey. A two-stage sampling approach was used to select the health facilities and patients were recruited consecutively to attain the sample size...
May 2, 2018: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/29719072/utilization-of-health-care-services-in-cancer-patients-with-elevated-fear-of-cancer-recurrence
#19
Alexandra Champagne, Hans Ivers, Josée Savard
BACKGROUND: Cancer patients commonly report experiencing fear of cancer recurrence (FCR), which may lead to several negative consequences. This study aimed at examining whether clinical levels of FCR are linked to a greater use of health care services. METHOD: This is a secondary analysis of a longitudinal study of 962 cancer patients on the epidemiology of cancer-related insomnia. They completed the Fear of Cancer Recurrence Inventory - Short form (FCRI-SF) and reported information on their consultations (medical, psychosocial and complementary and alternative medicine [CAM]) and medication usage (anxiolytics/hypnotics and antidepressants) at six time points over an 18-month period...
May 2, 2018: Psycho-oncology
https://www.readbyqxmd.com/read/29717953/robot-assisted-surgical-ward-rounds-virtually-always-there
#20
Stefanie M Croghan, Paul Carroll, Sarah Reade, Amy E Gillis, Paul F Ridgway
 While an explosion in technological sophistication has revolutionized surgery within the operating theatre, delivery of surgical ward-based care has seen little innovation.  Use of telepresence allowing off-site clinicians communicate with patients has been largely restricted to outpatient settings or use of complex, expensive, static devices.  We designed a prospective study to ascertain feasibility and face validity of a remotely controlled mobile audiovisual drone (LUCY) to access inpatients.  This device is, uniquely, lightweight, freely mobile and emulates 'human' interaction by swiveling and adjusting height to patients' eye-level...
May 2, 2018: Journal of Innovation in Health Informatics
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