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https://www.readbyqxmd.com/read/29352825/safety-of-electro-medical-equipment-in-floods-in-austere-environment
#1
Zubair Ahmed Khan, Ahsin M Bhatti, Faisal Akhtar
Pakistan is prone to floods. In 2010, floods in North-Western Pakistan caused devastation in wide areas. Electro-medical equipment is very expensive and without proper equipment adequate surgery is not possible. We retrospectively analyzed how expensive electro-medical equipment got damaged during floods of 2010 at a district-level hospital in North-Western Pakistan and how we could have saved this equipment or reduced the damage to the minimum. The article provides the lessons learned and recommendations aimed to prevent or minimize damage to the valuable and expensive equipment in the areas prone to floods...
January 21, 2018: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29322892/could-the-orthopaedic-surgeon-deployed-in-austere-setting-perform-flaps-on-the-leg
#2
O Barbier, D Ollat, P Pasquier, S Rigal, G Versier
The orthopaedic military surgeons deployed in operations are led to perform soft tissue coverage on the lower limb. The purpose of this study was to evaluate if flaps performed by surgeons' non-specialist in reconstructive surgery are associated with good outcome. All patients operated for a flap on the leg in French Forward Surgical Team deployed in theatre of operations between 2003 and 2013 were retrospectively reviewed. Forty-nine patients were included, for a total of 54 flaps' procedures. Indications were open fractures in 25 cases and osseous infections in 29 cases...
March 2017: Acta Orthopaedica Belgica
https://www.readbyqxmd.com/read/29291140/mesenchymal-stem-cell-soluble-mediators-and-cystic-fibrosis
#3
Morgan T Sutton, David Fletcher, Nicole Episalla, Lauren Auster, Sukhmani Kaur, Mary Chandler Gwin, Michael Folz, Dante Velasquez, Varun Roy, Rolf van Heeckeren, Donald P Lennon, Arnold I Caplan, Tracey L Bonfield
Human Mesenchymal stem cells (hMSCs) secrete products (supernatants) that are anti-inflammatory and antimicrobial. We have previously shown that hMSCs decrease inflammation and Pseudomonas aeruginosa infection in the in vivo murine model of Cystic Fibrosis (CF). Cystic Fibrosis (CF) is a genetic disease in which pulmonary infection and inflammation becomes the major cause of morbidity and mortality. Our studies focus on determining how MSCs contribute to improved outcomes in the CF mouse model centering on how the MSCs impact the inflammatory response to pathogenic organisms...
August 2017: Journal of Stem Cell Research & Therapy
https://www.readbyqxmd.com/read/29290394/the-impact-of-the-financial-crisis-and-austerity-policies-on-the-service-quality-of-public-hospitals-in-greece
#4
Ioanna Keramidou, Loukas Triantafyllopoulos
The influence of the financial crisis on the efficiency of Greek public hospitals has been widely debated. Despite this increasing interest in such research, the question of to what extent the recent reforms in the Greek National health care system were effective in establishing a health care structure and process that provide better results for patients has yet to be fully investigated. As a step in this direction, the paper focuses on patient's experience with public hospital care quality before and during the economic crisis...
December 24, 2017: Health Policy
https://www.readbyqxmd.com/read/29286216/phosphorylated-akt-protein-at-ser473-enables-hela-cells-to-tolerate-nutrient-deprived-conditions
#5
Moustafa Fathy, Suresh Awale, Toshio Nikaido
Background: Despite angiogenesis, many tumours remain hypovascular and starved of nutrients while continuing to grow rapidly. The specific biochemical mechanisms associated with starvation resistance, austerity, may be new biological characters of cancer that are critical for cancer progression. Objective: This study aim was to investigate the effect of nutrient starvation on HeLa cells and the possible mechanism by which the cells are able to tolerate nutrient-deprived conditions. Methods: Nutrient starvation was achieved by culturing HeLa cells in nutrient-deprived medium (NDM) and cell survival was estimated by using cell counting kit-8...
December 29, 2017: Asian Pacific Journal of Cancer Prevention: APJCP
https://www.readbyqxmd.com/read/29286000/optimising-care-in-an-age-of-austerity-patient-reported-outcome-measures-in-paediatric-ent-journal-bias-tonsillectomy-and-endoscopic-ear-surgery
#6
Edward Fisher, Robin Youngs, Musheer Hussain, Jonathan Fishman
No abstract text is available yet for this article.
January 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29282076/the-consequences-of-ireland-s-culture-of-medical-migration
#7
Niamh Humphries, Sophie Crowe, Cian McDermott, Sara McAleese, Ruairi Brugha
BACKGROUND: In recent years, Ireland has experienced a large-scale, outward migration of doctors. This presents a challenge for national policy makers and workforce planners seeking to build a self-sufficient medical workforce that trains and retains enough doctors to meet demand. Although, traditionally, medical migration has been considered beneficial to the Irish health system, austerity has brought a greater level of uncertainty to the health system and, with it, a need to reappraise the professional culture of migration and its impact on the Irish health system...
December 28, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/29279321/power-supplies-and-equipment-for-military-field-research-lessons-from-the-british-service-dhaulagiri-research-expedition-2016
#8
Matt Howard, J Bakker-Dyos, L Gallagher, J P O'Hara, D Woods, A Mellor
INTRODUCTION: The British Service Dhaulagiri Research Expedition (BSDMRE) took place from 27 March to 31 May 2016. The expedition involved 129 personnel, with voluntary participation in nine different study protocols. Studies were conducted in three research camps established at 3600, 4600 and 5140 m and involved taking and storing blood samples, cardiac echocardiography and investigations involving a balance plate. Research in this remote environment requires careful planning in order to provide a robust and resilient power plan...
December 25, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29277162/a-european-late-starter-lessons-from-the-history-of-reform-in-irish-health-care
#9
Maev-Ann Wren, Sheelah Connolly
The Irish health care system is unusual within Europe in not providing universal, equitable access to either primary or acute hospital care. The majority of the population pays out-of-pocket fees to access primary health care. Due to long waits for public hospital care, many purchase private health insurance, which facilitates faster access to public and private hospital services. The system has been the subject of much criticism and repeated reform attempts. Proposals in 2011 to develop a universal health care system, funded by Universal Health Insurance, were abandoned in 2015 largely due to cost concerns...
December 26, 2017: Health Economics, Policy, and Law
https://www.readbyqxmd.com/read/29233228/disease-and-non-battle-traumatic-injuries-evaluated-by-emergency-physicians-in-a-us-tertiary-combat-hospital
#10
Col S Vikhyat S Bebarta, Alejandra G Mora, Capt Patrick C Ng, Phillip E Mason, Andrew Muck, Maj Joseph K Maddry
Introduction Analysis of injuries during military operations has focused on those related to combat. Non-combat complaints have received less attention, despite the need for many troops to be evacuated for non-battle illnesses in Iraq. This study aims to further characterize the disease and non-battle injuries (DNBIs) seen at a tertiary combat hospital and to describe the types of procedures and medications used in the management of these cases. METHODS: In this observational study, patients were enrolled from a convenience sample with non-combat-related diseases and injuries who were evaluated in the emergency department (ED) of a US military tertiary hospital in Iraq from 2007-2008...
December 13, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/29233172/the-effects-of-austerity-measures-on-quality-of-healthcare-services-a-national-survey-of-physicians-in-the-public-and-private-sectors-in-portugal
#11
Tiago Correia, Graça Carapinheiro, Helena Carvalho, José Manuel Silva, Gilles Dussault
BACKGROUND: The European Union member countries reacted differently to the 2008 economic and financial crisis. However, few countries have monitored the outcomes of their policy responses, and there is therefore little evidence as to whether or not savings undermined the performance of health systems. We discuss the situation in Portugal, where a financial adjustment program was implemented between 2011 and 2014, and explore the views of health workers on the effects of austerity measures on quality of care delivery...
December 12, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/29233140/selection-characterization-and-thermal-stabilization-of-llama-single-domain-antibodies-towards-ebola-virus-glycoprotein
#12
Jinny L Liu, Lisa C Shriver-Lake, George P Anderson, Dan Zabetakis, Ellen R Goldman
BACKGROUND: A key advantage of recombinant antibody technology is the ability to optimize and tailor reagents. Single domain antibodies (sdAbs), the recombinantly produced variable domains derived from camelid and shark heavy chain antibodies, provide advantages of stability and solubility and can be further engineered to enhance their properties. In this study, we generated sdAbs specific for Ebola virus envelope glycoprotein (GP) and increased their stability to expand their utility for use in austere locals...
December 12, 2017: Microbial Cell Factories
https://www.readbyqxmd.com/read/29214595/health-systems-sustainability-and-rare-diseases
#13
Rita Maria Ferrelli, Marta De Santis, Amalia Egle Gentile, Domenica Taruscio
The paper is addressing aspects of health system sustainability for rare diseases in relation to the current economic crisis and equity concerns. It takes into account the results of the narrative review carried out in the framework of the Joint Action for Rare Diseases (Joint RD-Action) "Promoting Implementation of Recommendations on Policy, Information and Data for Rare Diseases", that identified networks as key factors for health systems sustainability for rare diseases. The legal framework of European Reference Networks and their added value is also presented...
2017: Advances in Experimental Medicine and Biology
https://www.readbyqxmd.com/read/29193130/evaluation-of-a-lateral-flow-based-technology-card-for-blood-typing-using-a-simplified-protocol-in-a-model-of-extreme-blood-sampling-conditions
#14
Benoît Clavier, Thomas Pouget, Anne Sailliol
BACKGROUND: Life-threatening situations requiring blood transfusion under extreme conditions or in remote and austere locations, such as the battlefield or in traffic accidents, would benefit from reliable blood typing practices that are easily understood by a nonscientist or nonlaboratory technician and provide quick results. STUDY DESIGN AND METHODS: A simplified protocol was developed for the lateral flow-based device MDmulticard ABO-D-Rh subgroups-K. Its performance was compared to a reference method (PK7300, Beckman Coulter) in native blood samples from donors...
November 29, 2017: Transfusion
https://www.readbyqxmd.com/read/29192100/inequality-austerity-brexit-and-health-care
#15
EDITORIAL
Edin Lakasing
No abstract text is available yet for this article.
December 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/29187041/restrictive-cardiomyopathy-or-constrictive-pericarditis-an-unresolved-conundrum
#16
Gregory Ho, Ed Peng, Antony Hermuzi, Asif Hasan
Cardiomyopathy may have a variety of causes and may lead to significant morbidity. Often, there is no "perfect" treatment. New investigative techniques may add insight but retain the possibility of uncertainty. The distinction between restrictive cardiomyopathy and pericardial constriction may be challenging, particularly when considering the incidence of these entities. This distinction may significantly impact patient management and this is becoming increasingly important in the context of donor organ austerity...
January 1, 2017: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/29173515/precarity-in-late-life-understanding-new-forms-of-risk-and-insecurity
#17
Amanda Grenier, Chris Phillipson, Debbie Laliberte Rudman, Stephanie Hatzifilalithis, Karen Kobayashi, Patrik Marier
Population aging and longevity in the context of declining social commitments, raises concerns about disadvantage and widening inequality in late life. This paper explores the concept of precarity as a means to understand new and sustained forms of risk and insecurity that affect late life. The article begins with a review of the definition and uses of precarity in a range of scholarly fields including social gerontology. It then draws on illustrations from three locations of experience including older women, aging with a disability, and the foreign-born, to outline how precarity renders visible the disadvantages carried into late life, and new insecurities that emerge at the moment of needing care in the context of austerity...
December 2017: Journal of Aging Studies
https://www.readbyqxmd.com/read/29155246/relatively-enriched-housing-conditions-delay-binge-onset-but-do-not-attenuate-binge-size
#18
Kerry E Preston, Rebecca L Corwin, Julia O Bader, Stephen L Crimmins
Housing and enrichment conditions are essential factors to consider when using animal models of behavior, as they can alter the behavior that is under investigation. The goal of this study was to determine the impact of the relatively enriched environment recommended by current animal care guidelines on development and maintenance of binge-type behavior in rats, using the limited access (LA) binge model. Non-food-deprived rats were divided into two groups, enriched and nonenriched, with all rats housed in shoebox cages...
November 15, 2017: Physiology & Behavior
https://www.readbyqxmd.com/read/29132423/effect-of-having-private-health-insurance-on-the-use-of-health-care-services-the-case-of-spain
#19
David Cantarero-Prieto, Marta Pascual-Sáez, Noelia Gonzalez-Prieto
BACKGROUND: Several stakeholders have undertaken initiatives to propose solutions towards a more sustainable health system and Spain, as an example of a European country affected by austerity measures, is looking for ways to cut healthcare budgets. METHODS: The aim of this paper is to study the effect of private health insurance on health care utilization using the latest micro-data from the European Community Household Panel (ECHP), the Spanish National Health Survey (SNHS) and the European Union Statistics on Income and Living Conditions (EU-SILC)...
November 13, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29129963/-if-i-was-a-different-ethnicity-would-she-treat-me-the-same-latino-parents-experiences-obtaining-autism-services
#20
Amber M Angell, Olga Solomon
This article reports on an ethnographic study with 12 Latino families of children on the autism spectrum related to obtaining autism services in Los Angeles County. Using critical discourse analysis of interviews, observations, and records, we consider the experiences of the Latino families in relation to: 1) A discursively constructed 'autism parent' subject position that mandates 'fighting' service systems to 'win' autism services for children, originating from White middle-class parents' socio-economic resources and social capital; 2) A neoliberal social services climate that assumes scarcity of available resources and prioritizes austerity in their authorization; and 3) A media and institutional 'cultural deficit' discourse that attributes disparities in autism services for Latino children to their parents' presumed culturally-based 'passivity...
2017: Disability & Society
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