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https://www.readbyqxmd.com/read/29055149/the-implementation-of-knowledge-dissemination-in-the-prevention-of-occupational-skin-diseases
#1
A Wilke, U Bollmann, S Cazzaniga, A Hübner, S M John, J Karadzinska-Bislimovska, D Mijakoski, D Šimić, D Simon, F Sonsmann, S Stoleski, P Weinert, B Wulfhorst
BACKGROUND: Occupational skin diseases (OSD) have a high medical, social, economic and political impact. Knowledge dissemination from research activities to key stakeholders involved in health care is a prerequisite to make prevention effective. OBJECTIVES: To study and prioritize different activity fields and stakeholders that are involved in the prevention of OSD, to reflect on their inter-relationships, to develop a strategic approach for knowledge dissemination and to develop a hands-on tool for OSD prevention projects METHODS: Seven different activity fields that are relevant in the prevention of OSD have been stepwise identified...
October 21, 2017: Journal of the European Academy of Dermatology and Venereology: JEADV
https://www.readbyqxmd.com/read/29054262/evaluation-of-robotic-surgery-skills-using-dynamic-time-warping
#2
Jingyu Jiang, Yuan Xing, Shuxin Wang, Ke Liang
BACKGROUND AND OBJECTIVE: accompanied with the wide acceptance of robot assisted minimally invasive surgery (RMIS), the demand for efficient and objective surgical skills evaluation method is increased. Recently, with the development of medical engineering technology, several evaluation methods have been proposed. Among them, kinematic analysis, an unsupervised and data-based method, has been accepted by many researchers. However, this method is still limited by the number of metrics and unconvinced scoring system...
December 2017: Computer Methods and Programs in Biomedicine
https://www.readbyqxmd.com/read/29053938/development-of-a-nanogel-based-nasal-vaccine-as-a-novel-antigen-delivery-system
#3
Rika Nakahashi-Ouchida, Yoshikazu Yuki, Hiroshi Kiyono
Nasal vaccination is one of the most effective immunization methods because it can induce effective antigen-specific immune responses not only at the mucosal site of administration but also at distant mucosal surfaces, as well as in the systemic compartment. Based on this advantage, many nasal vaccines are being developed and some have been licensed and marketed for clinical use. However, some have been withdrawn because of unacceptable adverse events such as inactivated influenza vaccine administrated with a heat-labile enterotoxin of Escherichia coli as an adjuvant...
October 20, 2017: Expert Review of Vaccines
https://www.readbyqxmd.com/read/29052071/validation-of-the-vblast-pattern-cutting-task-a-learning-curve-study
#4
Ali M Linsk, Kimberley R Monden, Ganesh Sankaranarayanan, Woojin Ahn, Daniel B Jones, Suvranu De, Steven D Schwaitzberg, Caroline G L Cao
BACKGROUND: Mastery of laparoscopic skills is essential in surgical practice and requires considerable time and effort to achieve. The Virtual Basic Laparoscopic Skill Trainer (VBLaST-PC(©)) is a virtual simulator that was developed as a computerized version of the pattern cutting (PC) task in the Fundamentals of Laparoscopic Surgery (FLS) system. To establish convergent validity for the VBLaST-PC(©), we assessed trainees' learning curves using the cumulative summation (CUSUM) method and compared them with those on the FLS...
October 19, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/29051984/harnessing-advances-in-computer-simulation-to-inform-policy-and-planning-to-reduce-alcohol-related-harms
#5
Jo-An Atkinson, Dylan Knowles, John Wiggers, Michael Livingston, Robin Room, Ante Prodan, Geoff McDonnell, Eloise O'Donnell, Sandra Jones, Paul S Haber, David Muscatello, Nadine Ezard, Nghi Phung, Louise Freebairn, Devon Indig, Lucie Rychetnik, Jaithri Ananthapavan, Sonia Wutzke
OBJECTIVES: Alcohol misuse is a complex systemic problem. The aim of this study was to explore the feasibility of using a transparent and participatory agent-based modelling approach to develop a robust decision support tool to test alcohol policy scenarios before they are implemented in the real world. METHODS: A consortium of Australia's leading alcohol experts was engaged to collaboratively develop an agent-based model of alcohol consumption behaviour and related harms...
October 19, 2017: International Journal of Public Health
https://www.readbyqxmd.com/read/29051528/induced-seismicity-closed-form-traffic-light-system-for-actuarial-decision-making-during-deep-fluid-injections
#6
A Mignan, M Broccardo, S Wiemer, D Giardini
The rise in the frequency of anthropogenic earthquakes due to deep fluid injections is posing serious economic, societal, and legal challenges to many geo-energy and waste-disposal projects. Existing tools to assess such problems are still inherently heuristic and mostly based on expert elicitation (so-called clinical judgment). We propose, as a complementary approach, an adaptive traffic light system (ATLS) that is function of a statistical model of induced seismicity. It offers an actuarial judgement of the risk, which is based on a mapping between earthquake magnitude and risk...
October 19, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29050521/glutamate-receptor-antagonists-with-the-potential-for-migraine-treatment
#7
Anna Ferrari, Cecilia Rustichelli, Carlo Baraldi
Preclinical, clinical, and other (e.g., genetic) evidence support the concept that migraine susceptibility may at least partially result from a glutamatergic system disorder. Therefore, the receptors of the glutamatergic system are considered relatively new targets for investigational drugs to treat migraine. Investigational and established glutamate receptor antagonists (GluRAs) have been shown to possess antinociceptive properties in preclinical models of trigeminovascular nociception and have been evaluated in clinical trials...
October 19, 2017: Expert Opinion on Investigational Drugs
https://www.readbyqxmd.com/read/29049621/autonomic-nervous-system-responses-to-hearing-related-demand-and-evaluative-threat
#8
Carol L Mackersie, Lucia Kearney
Purpose: This paper consists of 2 parts. The purpose of Part 1 was to review the potential influence of internal (person-related) factors on listening effort. The purpose of Part 2 was to present, in support of Part 1, preliminary data illustrating the interactive effects of an external factor (task demand) and an internal factor (evaluative threat) on autonomic nervous system measures. Method: For Part 1, we provided a brief narrative review of motivation and stress as modulators of listening effort...
October 12, 2017: American Journal of Audiology
https://www.readbyqxmd.com/read/29049120/a-contemporary-medicolegal-analysis-of-outpatient-medication-management-in-chronic-pain
#9
Christopher R Abrecht, Ethan Y Brovman, Penny Greenberg, Ellen Song, James P Rathmell, Richard D Urman
BACKGROUND: Opioids are frequently used in chronic pain management but are associated with significant morbidity and mortality in some patient populations. An important avenue for identifying complications-including serious or rare complications-is the study of closed malpractice claims. The present study is intended to complement the existing closed claims literature by drawing on claims from a more recent timeframe through a partnership with a large malpractice carrier, the Controlled Risk Insurance Company (CRICO)...
November 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29049055/oxidized-regenerated-cellulose-collagen-dressings-review-of-evidence-and-recommendations
#10
Stephanie Wu, Andrew J Applewhite, Jeffrey Niezgoda, Robert Snyder, Jayesh Shah, Breda Cullen, Gregory Schultz, Janis Harrison, Rosemary Hill, Melania Howell, Marcus Speyrer, Howard Utra, Jean de Leon, Wayne Lee, Terry Treadwell
OBJECTIVE: Healthcare systems are being challenged to manage increasing numbers of nonhealing wounds. Wound dressings are one of the first lines of defense in wound management, and numerous options exist. The oxidized regenerated cellulose (ORC)/collagen dressing may offer healthcare providers a robust and cost-effective tool for use in a variety of wounds. DESIGN: A multidisciplinary panel meeting was convened to discuss the use of ORC/collagen dressings in wound care and provide practice recommendations...
November 2017: Advances in Skin & Wound Care
https://www.readbyqxmd.com/read/29048921/infrastructures-required-for-the-expansion-of-family-physician-program-to-urban-settings-in-iran
#11
Leila Doshmangir, Mohammad Bazyar, Parinaz Doshmangir, Hakimeh Mostafavi, Amirhossein Takian
INTRODUCTION: Following the implementation of Family Physician (FP) Program in rural areas and cities with populations under 20000 in 2005, the Iranian Ministry of Health and Medical Education in 2012 decided to implement urban FP in large cities with populations more than 20000. Along with the development and implementation of urban FP in Iran, local websites and newspapers reflected the viewpoints of experts in various levels of health system regarding the various stages of Family Medicine (FM) development (from agenda setting to initial stages of implementation)...
September 2017: Archives of Iranian Medicine
https://www.readbyqxmd.com/read/29048342/optical-sensing-of-weed-infestations-at-harvest
#12
Judit Barroso, John McCallum, Dan Long
Kochia (Kochia scoparia L.), Russian thistle (Salsolatragus L.), and prickly lettuce (Lactuca serriola L.) are economically important weeds infesting dryland wheat (Triticum aestivum L.) production systems in the western United States. Those weeds produce most of their seeds post-harvest. The objectives of this study were to determine the ability of an optical sensor, installed for on-the-go measurement of grain protein concentration, to detect the presence of green plant matter in flowing grain and assess the potential usefulness of this information for mapping weeds at harvest...
October 19, 2017: Sensors
https://www.readbyqxmd.com/read/29048214/validation-of-a-full-immersion-simulation-platform-for-percutaneous-nephrolithotomy-using-3d-printing-technology
#13
Ahmed Ghazi, Timothy Campbell, Rachel Melnyk, Changyong Feng, Alex Andrusco, Jonathan Stone, Erdal Erturk
INTRODUCTION AND OBJECTIVES: The restriction of resident hours with an increasing focus on patient safety and a reduced caseload has impacted surgical training. A complex and complication prone procedure such as percutaneous nephrolithotomy (PCNL) with a steep learning curve may create an unsafe environment for hands-on resident training. In this study, we validate a high fidelity, inanimate PCNL model within a full immersion simulation environment. METHODS: Anatomically correct models of the human pelvicalyceal system (PCS), kidney, and relevant adjacent structures were created using poly-vinyl alcohol (PVA) hydrogels and 3D-printed injection molds...
October 19, 2017: Journal of Endourology
https://www.readbyqxmd.com/read/29048200/automated-quantification-of-the-landing-error-scoring-system-with-a-markerless-motion-capture-system
#14
Timothy C Mauntel, Darin A Padua, Laura E Stanley, Barnett S Frank, Lindsay J DiStefano, Karen Y Peck, Kenneth L Cameron, Stephen W Marshall
CONTEXT:   The Landing Error Scoring System (LESS) can be used to identify individuals with an elevated risk of lower extremity injury. The limitation of the LESS is that raters identify movement errors from video replay, which is time-consuming and, therefore, may limit its use by clinicians. A markerless motion-capture system may be capable of automating LESS scoring, thereby removing this obstacle. OBJECTIVE:   To determine the reliability of an automated markerless motion-capture system for scoring the LESS...
October 19, 2017: Journal of Athletic Training
https://www.readbyqxmd.com/read/29047381/a-critical-appraisal-of-guidelines-used-for-management-of-severe-acute-malnutrition-in-south-africa-s-referral-system
#15
Faith Nankasa Mambulu-Chikankheni, John Eyles, Ejemai Amaize Eboreime, Prudence Ditlopo
BACKGROUND: Focusing on healthcare referral processes for children with severe acute malnutrition (SAM) in South Africa, this paper discusses the comprehensiveness of documents (global and national) that guide the country's SAM healthcare. This research is relevant because South African studies on SAM mostly examine the implementation of WHO guidelines in hospitals, making their technical relevance to the country's lower level and referral healthcare system under-explored. METHODS: To add to both literature and methods for studying SAM healthcare, we critically appraised four child healthcare guidelines (global and national) and conducted complementary expert interviews (n = 5)...
October 18, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/29046323/european-society-of-endocrinology-clinical-practice-guidelines-for-the-management-of-aggressive-pituitary-tumours-and-carcinomas
#16
Gerald Raverot, Pia Burman, Ann I McCormack, A P Heaney, Stephan Petersenn, Vera Popovic, Jacqueline Trouillas, Olaf Dekkers
BACKGROUND: Pituitary tumours are common and easily treated by surgery or medical treatment in most cases. However, a small subset of pituitary tumours does not respond to standard medical treatment and presents with multiple local recurrences (aggressive pituitary tumours) and in rare occasion with metastases (pituitary carcinoma). The present ESE guideline aims to provide clinical guidance on diagnosis, treatment and follow-up in aggressive pituitary tumours and carcinomas. METHODS: We decided upfront, while acknowledging literature on aggressive pituitary tumours and carcinomas is scarce, to systematically review the literature according to the GRADE (Grading of Recommendations Assessment, Development and Evaluation) system...
October 18, 2017: European Journal of Endocrinology
https://www.readbyqxmd.com/read/29045672/dynamics-of-evidence-informed-health-policy-making-in-pakistan
#17
Zaeem Haq, Assad Hafeez, Shamsa Zafar, Abdul Ghaffar
Incorporating evidence is fundamental to maintaining the general acceptance and efficiency in public policies. In Pakistan, different actors-local and global-strive to facilitate the development of evidence-informed health policies. Effective involvement however, requires knowledge of the country-context, i.e. knowing the intricacies of how policies are formulated in Pakistan. Obtaining this knowledge is one of the key steps to making interventions impactful. We carried out a qualitative study to explore the environment of evidence-informed health policy in Pakistan...
October 17, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29045589/standardization-of-adult-transthoracic-echocardiography-reporting-in-agreement-with-recent-chamber-quantification-diastolic-function-and-heart-valve-disease-recommendations-an-expert-consensus-document-of-the-european-association-of-cardiovascular-imaging
#18
Maurizio Galderisi, Bernard Cosyns, Thor Edvardsen, Nuno Cardim, Victoria Delgado, Giovanni Di Salvo, Erwan Donal, Leyla Elif Sade, Laura Ernande, Madalina Garbi, Julia Grapsa, Andreas Hagendorff, Otto Kamp, Julien Magne, Ciro Santoro, Alexandros Stefanidis, Patrizio Lancellotti, Bogdan Popescu, Gilbert Habib
Aims: This European Association Cardiovascular Imaging (EACVI) Expert Consensus document aims at defining the main quantitative information on cardiac structure and function that needs to be included in standard echocardiographic report following recent ASE/EACVI chamber quantification, diastolic function, and heart valve disease recommendations. The document focuses on general reporting and specific pathological conditions such as heart failure, coronary artery and valvular heart disease, cardiomyopathies, and systemic diseases...
October 17, 2017: European Heart Journal Cardiovascular Imaging
https://www.readbyqxmd.com/read/29042822/antipsychotic-prescription-to-identify-delirium-results-from-two-cohorts
#19
Kristin M Zimmerman, Allison M Paquin, James L Rudolph
OBJECTIVES: Detection of delirium in hospitalized patients remains challenging. The objective was to determine if the prescription of antipsychotic medications was associated with delirium. PATIENTS AND METHODS: Two patient cohorts were utilized from a tertiary Veterans Affairs hospital: a palliative care retrospective cohort and a prospective medical cohort. Patients prescribed outpatient antipsychotics were excluded. Retrospectively, delirium was identified using a validated medical record-review instrument...
2017: Clinical Pharmacology: Advances and Applications
https://www.readbyqxmd.com/read/29042787/perinatal-and-follow-up-outcome-study-of-fetal-anomalies-with-multidisciplinary-consultation
#20
Genxia Li, Na Yang, Mingkun Xie, Yajuan Xu, Ning Han, Qi Chen, Hezhou Li, Yueli Wu, Chunhua Cheng, Yuhong Wang, Man Zhou, Bo Xia, Shuhua Guo, Shihong Cui
SYNOPSIS: The establishment of a multidisciplinary consultation system is necessary for the diagnosis of complicated fetal anomalies. PURPOSE: We aimed to investigate the incidences of different types of fetal anomalies and the influence of multidisciplinary consultation on fetal prognosis. PATIENTS AND METHODS: Multidisciplinary specialists include obstetricians, pediatricians, pediatric surgeons, and experts of ultrasound department and genetic counseling...
2017: Therapeutics and Clinical Risk Management
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