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https://www.readbyqxmd.com/read/27936414/-am-i-too-emotional-for-this-job-an-exploration-of-student-midwives-experiences-of-coping-with-traumatic-events-in-the-labour-ward
#1
Liz Coldridge, Sarah Davies
BACKGROUND: midwifery is emotionally challenging work, and learning to be a midwife brings its own particular challenges. For the student midwife, clinical placement in a hospital labour ward is especially demanding. In the context of organisational tensions and pressures the experience of supporting women through the unpredictable intensity of the labour process can be a significant source of stress for student midwives. Although increasing attention is now being paid to midwives' traumatic experiences and wellbeing few researchers have examined the traumatic experiences of student midwives...
November 28, 2016: Midwifery
https://www.readbyqxmd.com/read/27935933/comprehensive-diabetes-and-non-communicable-disease-educator-in-the-low-resource-settings
#2
M D Bhattarai
The role of self-management education in diabetes and other major non-communicable diseases is clearly evident. To take care of and educate people with diabetes and other major NCD under the supervision of medical professionals and for education of other health care professionals, Comprehensive Diabetes and NCD Educators are needed in the routine service in peripheral health clinics and hospitals. The areas of training of CDNCD educator should match with the cost-effective interventions for diabetes and other major NCD that are feasible and planned for implementation in primary care in the low resource settings...
April 2016: JNMA; Journal of the Nepal Medical Association
https://www.readbyqxmd.com/read/27935878/-five-year-results-of-treating-patients-with-chronic-lower-limb-ischaemia-by-means-of-gene-engineering
#3
Yu V Chervyakov, I N Staroverov, O N Vlasenko, I Ya Bozo, A A Isaev, R V Deev
The authors share their experience in comprehensive conservative treatment of patients presenting with chronic lower limb ischaemia (CLLI) associated with atherosclerosis of peripheral arteries by means of the first Russian registered gene therapeutic agent "Neovasculgen" (plasmid with the vegf165 gene), analysing the long-term outcomes of treating a total of 45 patients with stage II and III CLLI according to the classification of Pokrovsky-Fontain. The patients were followed up for 5 years. Efficacy of treatment was assessed by registering the dynamics of the pain-free walking distance (PFWD), linear blood velocity (LBV), ankle-brachial index (ABI), as well as the limb salvage rate and survival of patients...
2016: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/27935856/environmental-pah-exposure-and-male-idiopathic-infertility-a-review-on-early-life-exposures-and-adult-diagnosis
#4
Erin P Madeen, David E Williams
The male reproductive system is acutely and uniquely sensitive to a variety of toxicities, including those induced by environmental pollutants throughout the lifespan. Early life hormonal and morphological development results in several especially sensitive critical windows of toxicity risk associated with lifelong decreased reproductive health and fitness. Male factor infertility can account for over 40% of infertility in couples seeking treatment, and 44% of infertile men are diagnosed with idiopathic male infertility...
December 9, 2016: Reviews on Environmental Health
https://www.readbyqxmd.com/read/27935808/evidence-on-methylphenidate-in-children-and-adolescents-with-adhd-is-in-fact-of-very-low-quality
#5
O J Storebø, M Zwi, H B Krogh, C R Moreira-Maia, M Holmskov, D Gillies, C Groth, E Simonsen, C Gluud
Banaschewski and colleagues from the European Attention Deficit Hyperactivity Disorder (ADHD) guideline group make a number of critical comments regarding our systematic review on methylphenidate for children and adolescents with ADHD. In this article, we present our views, showing that our trial selection was not flawed and was undertaken with scientific justification. Similarly, our data collection and interpretation was systematic and correct. We have followed a sound methodology for assessing risk of bias and our conclusions are not misleading...
November 2016: Evidence-based Mental Health
https://www.readbyqxmd.com/read/27935785/romantic-attachment-and-physical-intimate-partner-violence-perpetration-in-a-chilean-sample-the-mediating-role-of-emotion-regulation-difficulties
#6
Mnica Guzmn-Gonzlez, Marie-France Lafontaine, Christine Levesque
Despite evidence that adult attachment insecurity has been linked to the perpetration of physical intimate violence, the mechanisms underlying this link need further exploration. The goal of this study was to evaluate the mediating role of emotion regulation difficulties in the association between romantic attachment and the use of physical intimate partner violence. To this end, 611 students recruited from Chilean universities completed the Experiences in Close Relationships questionnaire, the Difficulties in Emotion Regulation Scale, and the Revised Conflict Tactics Scales...
October 2016: Violence and Victims
https://www.readbyqxmd.com/read/27935766/dual-source-single-energy-multidetector-ct-used-to-obtain-multiple-radiation-exposure-levels-within-the-same-patient-phantom-development-and-clinical-validation
#7
Davide Bellini, Juan Carlos Ramirez-Giraldo, Alex Bibbey, Justin Solomon, Lynne M Hurwitz, Alfredo Farjat, Achille Mileto, Ehsan Samei, Daniele Marin
Purpose To develop, in a phantom environment, a method to obtain multidetector computed tomographic (CT) data sets at multiple radiation exposure levels within the same patient and to validate its use for potential dose reduction by using different image reconstruction algorithms for the detection of liver metastases. Materials and Methods The American College of Radiology CT accreditation phantom was scanned by using a dual-source multidetector CT platform. By adjusting the radiation output of each tube, data sets at six radiation exposure levels (100%, 75%, 50%, 37...
December 5, 2016: Radiology
https://www.readbyqxmd.com/read/27935727/how-to-write-a-health-policy-brief
#8
Shale L Wong, Larry A Green, Andrew W Bazemore, Benjamin F Miller
Although many health care professionals are interested in health policy, relatively few have training in how to utilize their clinical experience and scientific knowledge to impact policy. Developing a policy brief is one approach that health professionals may use to draw attention to important evidence that relates to policy. This article offers guidance on how to write a policy brief by outlining 4 steps: (a) define the problem, (b) state the policy, (c) make your case, and (d) discuss the impact. The steps and tips offer a starting point for health care professionals interested in health policy and translating research or clinical experience to impact policy...
December 1, 2016: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/27935657/profile-and-reintegration-experience-of-ebola-survivors-in-guinea-a-cross-sectional-study
#9
Alexandre Delamou, Bienvenu Salim Camara, Jean Pe Kolie, Achille Diona Guemou, Nyankoye Yves Haba, Shannon Marquez, Beavogui Abdoul Habib, Therese Delvaux, Johan van Griensven
OBJECTIVE: To describe the experience of Guinean Ebola Virus Disease (EVD) survivors in Guinea, up to ten months after discharge from the Ebola treatment unit. METHODS: Cross-sectional study using a standardized semi-structured questionnaire among survivors from Conakry and Coyah districts in 2015 in Guinea. We used proportions, mean (Standard Deviation) and median (Interquartile range) to summarize the variables. The McNemar Chi square test was used to compare proportions...
December 9, 2016: Tropical Medicine & International Health: TM & IH
https://www.readbyqxmd.com/read/27935642/long-term-health-related-quality-of-life-hrqol-in-living-liver-donors-a-south-asian-experience
#10
P Thomas Cherian, Ashish Kumar Mishra, Sm Faisal Mahmood, Mohan Sathyanarayanan, Ravichandra Raya, Venugopal Kota, Mohamed S Rela
: The aim of this study was to evaluate long-term health related quality of life(HRQOL), changes in lifestyle and complications in living liver donors at a single transplant center from southern India. METHODS: 64 consecutive living liver donors from 2008-2011 were evaluated.46 out of 64 donors completed the short form 36(SF-36) via telephonic interviews or clinic consultations. Mean follow up was 48 months (range 37-84 months). RESULTS: There was no mortality in the donors evaluated...
December 9, 2016: Clinical Transplantation
https://www.readbyqxmd.com/read/27935623/reducing-blood-volume-requirements-for-clinical-pathology-testing-in-toxicologic-studies-points-to-consider
#11
Florence Poitout-Belissent, Adam Aulbach, Niraj Tripathi, Lila Ramaiah
In preclinical safety assessment, blood volume requirements for various endpoints pose a major challenge. The goal of this working group was to review current practices for clinical pathology (CP) testing in preclinical toxicologic studies, and to discuss advantages and disadvantages of methods for reducing blood volume requirements. An industry-wide survey was conducted to gather information on CP instrumentation and blood collection practices for hematology, clinical biochemistry, and coagulation evaluation in laboratory animals involved in preclinical studies...
December 9, 2016: Veterinary Clinical Pathology
https://www.readbyqxmd.com/read/27935487/copenhagen-five-second-squeeze-a-valid-indicator-of-sports-related-hip-and-groin-function
#12
K Thorborg, S Branci, M P Nielsen, M T Langelund, P Hölmich
BACKGROUND: No simple clinical measure exits to evaluate groin pain and its severity in athletes. The aim was to investigate the validity, reliability and responsiveness of a five-second hip-adduction squeeze test for football players designed to assess sports-related hip and groin function, pain and severity. METHODS: Construct validity was assessed in 667 subelite male football players with a mean age (±SD) of 24±4 in the beginning of the season. Responsiveness and reliability were evaluated during the season in 52 and 10 players, respectively...
December 1, 2016: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/27935168/effectiveness-and-safety-of-sofosbuvir-based-regimens-plus-an-ns5a-inhibitor-for-patients-with-hcv-genotype-3-infection-and-cirrhosis-results-of-a-multicenter-real-life-cohort
#13
S Alonso, M Riveiro-Barciela, I Fernandez, D Rincón, Y Real, S Llerena, F Gea, A Olveira, C Fernandez-Carrillo, B Polo, J A Carrión, A Gómez, M J Devesa, C Baliellas, Á Castro, J Ampuero, R Granados, J M Pascasio, A Rubín, J Salmeron, E Badia, J M M Planas, S Lens, J Turnes, J L Montero, M Buti, R Esteban, C M Fernández-Rodríguez
Patients with HCV genotype 3 (GT3) infection and cirrhosis are currently the most difficult to cure. We report our experience with sofosbuvir+daclatasvir (SOF+DCV) or sofosbuvir/ledipasvir (SOF/LDV), with or without ribavirin (RBV) in clinical practice in this population. This was a multicenter observational study including cirrhotic patients infected by HCV GT3, treated with sofosbuvir plus an NS5A inhibitor (May 2014-October 2015). In total, 208 patients were included: 98 (47%) treatment-experienced, 42 (20%) decompensated and 55 (27%) MELD score >10...
December 9, 2016: Journal of Viral Hepatitis
https://www.readbyqxmd.com/read/27935046/test-anxiety-in-the-nursing-skills-laboratory-a-concept-analysis
#14
Deborah L Miller, Jo-Ann V Sawatzky
BACKGROUND: The concept of test anxiety has been well documented within the health education literature, with much of the literature addressing the clinical environment and simulation laboratories. Minimal exploration of test anxiety has been conducted within the context of a nursing skills laboratory. AIM: This concept analysis of test anxiety will provide clarity to the meaning and use of this concept within the nursing educational setting of a controlled skills laboratory...
December 9, 2016: Nursing Forum
https://www.readbyqxmd.com/read/27935024/risk-factors-for-dental-caries-among-children-with-cerebral-palsy-in-a-low-resource-setting
#15
Rahena Akhter, Nur Mohammad Monsur Hassan, Elizabeth F Martin, Mohammad Muhit, Raziur Rahman, Hayley Smithers-Sheedy, Cheryl Jones, Nadia Badawi, Gulam Khandaker
AIM: To describe the oral health status and investigate factors affecting dental caries experience among children with cerebral palsy (CP) in rural Bangladesh. METHOD: A cross-sectional study was conducted among children with CP who are part of the Bangladesh Cerebral Palsy Register (BCPR) study. Caries experience was measured by identifying decayed, missing, and filled teeth for deciduous and permanent teeth (dmft/DMFT). Clinical periodontal index, body mass index, oral hygiene behaviour, masticatory ability, and dietary habits were recorded...
December 9, 2016: Developmental Medicine and Child Neurology
https://www.readbyqxmd.com/read/27935018/tolerability-and-efficacy-of-perampanel-in-children-with-refractory-epilepsy
#16
Eli Heyman, Eli Lahat, Noa Levin, Orna Epstein, Mirit Lazinger, Matitiahu Berkovitch, Revital Gandelman-Marton
AIM: There are few reports on the tolerability and efficacy of perampanel, a new antiepileptic drug with a novel mechanism of action, in children and adolescents. We aimed to describe our experience with perampanel add-on and mono-therapy in children with refractory epilepsy. METHOD: Computerized medical records of children treated with perampanel in the paediatric neurology clinic from December 2012 to October 2015 were reviewed. RESULTS: Twenty-four children treated with perampanel (15 females, 9 males) aged 1 year 6 months to 17 years (mean 10y, standard deviation [SD] 4y 5mo) were identified...
December 9, 2016: Developmental Medicine and Child Neurology
https://www.readbyqxmd.com/read/27935017/early-esli-study-long-term-experience-with-eslicarbazepine-acetate-after-first-monotherapy-failure
#17
V Villanueva, P Bermejo, J Montoya, M Toledo, A Gómez-Ibáñez, M Garcés, L Vilella, F J López-González, X Rodriguez-Osorio, D Campos, P Martínez, P Giner, J Zurita, J Rodríguez-Uranga, J Ojeda, J A Mauri, J L Camacho, J Ruiz-Giménez, J J Poza, A Massot-Tarrús, M L Galiano, M Bonet
PURPOSE: Evaluate real-life experience with eslicarbazepine acetate (ESL) after first monotherapy failure in a large series of patients with focal epilepsy. METHOD: Multicentre, retrospective, 1-year, observational study in patients older than 18 years, with focal epilepsy, who had failed first antiepileptic drug monotherapy and who received ESL. Data from clinical records were analysed at baseline, 3, 6 and 12 months to assess effectiveness and tolerability. RESULTS: Eslicarbazepine acetate was initiated in 253 patients...
December 9, 2016: Acta Neurologica Scandinavica
https://www.readbyqxmd.com/read/27934791/comparison-of-single-incision-and-multi-incision-diagnostic-laparoscopy-on-evaluation-of-diaphragmatic-status-after-left-thoracoabdominal-penetrating-stab-wounds
#18
Mehmet Ilhan, Ali Fuat Kaan Gök, Süleyman Bademler, Ömer Cenk Cücük, Yiğit Soytaş, Hakan Teoman Yanar
AIM: Single incision diagnostic laparoscopy (SIDL) may be an alternative procedure to multi-incision diagnostic laparoscopy (MDL) for penetrating thoracoabdominal stab wounds. The purpose of this study is sharing our experience and comparing two techniques for diaphragmatic status. MATERIALS AND METHODS: Medical records of 102 patients with left thoracoabdominal penetrating stab injuries who admitted to Istanbul School of Medicine, Trauma and Emergency Surgery Clinic between February 2012 and April 2016 were examined...
January 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/27934773/are-positive-experiences-of-children-in-non-therapeutic-research-justifiable-research-benefits
#19
Mira S Staphorst, Joke A M Hunfeld, Suzanne van de Vathorst
BACKGROUND: Conducting non-therapeutic research is ethically challenging because participation conveys risks and burden and no health benefit. In this paper, we report the positive experiences of a diverse group of healthy and ill children (6-18 years) who participated in non-therapeutic research studies and discuss whether these positive experiences can justifiably be viewed as benefits. METHODS: We used semistructured interviews from an earlier study about children's experiences in clinical research and did a secondary analysis on the positive experiences of the children in the non-therapeutic studies (N=30)...
December 1, 2016: Journal of Medical Ethics
https://www.readbyqxmd.com/read/27934770/to-stop-or-not-to-stop-dissent-and-undue-burden-as-reasons-to-stop-participation-in-paediatric-research
#20
Wendy Bos, Anna Westra, Inez de Beaufort, Suzanne van de Vathorst
Children participating in clinical research may show signs of discomfort, discontent, dissent and so on, that cannot be solved by comforting the child. When, and on what ground, should such signs lead to the decision to withdraw the child from the trial? In order to adequately protect children participating in clinical research, it is important to know how to determine during the course of a trial whether participation is still justified. Yet to date, legislation, ethical guidelines and medical ethical literature do not provide sufficient guidance...
December 1, 2016: Journal of Medical Ethics
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