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https://www.readbyqxmd.com/read/29351821/reliability-of-the-american-academy-of-sleep-medicine-rules-for-assessing-sleep-depth-in-clinical-practice
#1
Magdy Younes, Samuel T Kuna, Allan I Pack, James K Walsh, Clete A Kushida, Bethany Staley, Grace W Pien
STUDY OBJECTIVES: The American Academy of Sleep Medicine has published manuals for scoring polysomnograms that recommend time spent in non-rapid eye movement sleep stages (stage N1, N2, and N3 sleep) be reported. Given the well-established large interrater variability in scoring stage N1 and N3 sleep, we determined the range of time in stage N1 and N3 sleep scored by a large number of technologists when compared to reasonably estimated true values. METHODS: Polysomnograms of 70 females were scored by 10 highly trained sleep technologists, two each from five different academic sleep laboratories...
January 16, 2018: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
https://www.readbyqxmd.com/read/29351193/restricted-social-engagement-among-adults-living-with-chronic-conditions
#2
Kayla P Meek, Caroline D Bergeron, Samuel D Towne, SangNam Ahn, Marcia G Ory, Matthew Lee Smith
Background: Social engagement is key to health and quality of life. Little is known about social engagement patterns of middle-aged and older adults who live with one or more chronic illnesses. This study investigated social engagement restrictions among middle-aged and older adults with chronic conditions and factors associated with these restrictions. Methods: Cross-sectional representative data from the National Council on Aging Chronic Care Survey were examined for relationships between social engagement restrictions and chronic conditions, health status, support, quality of life implications, self-care barriers, caregiving, and demographics...
January 19, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29346167/new-reference-values-for-cardiopulmonary-exercise-testing-in-children
#3
Joel Blanchard, Samuel Blais, Philippe Chetaille, Michele Bisson, François P Counil, Thelma H Girard, Jade Berbari, Pierre Boulay, Frederic Dallaire
INTRODUCTION: Cardiopulmonary exercise testing (CPET) is an essential tool to assess cardiorespiratory fitness (CRF) in children. There is a paucity of adequate pediatric reference values that are independent of body size and pubertal stage. The purpose of this study is to provide Z score equations for several maximal and sub-maximal CRF parameters derived from a prospectively recruited sample of healthy children. METHODS: In this cross-sectional multicenter study, we prospectively recruited 228 healthy children aged 12 to 17 years old in local schools...
January 17, 2018: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/29342035/systematic-review-of-hearing-preservation-after-radiotherapy-for-vestibular-schwannoma
#4
Adam R Coughlin, Tyler J Willman, Samuel P Gubbels
OBJECTIVE: To determine the long-term hearing preservation rate for spontaneous vestibular schwannoma treated by primary radiotherapy. DATA SOURCES: The MEDLINE/PubMed, Web of Science, Cochrane Reviews, and EMBASE databases were searched using a comprehensive Boolean keyword search developed in conjunction with a scientific librarian. English language papers published from 2000 to 2016 were evaluated. STUDY SELECTION: Inclusion criteria: full articles, pretreatment and posttreatment audiograms or audiogram based scoring system, vestibular schwannoma only tumor type, reported time to follow-up, published after 1999, use of either Gamma Knife or linear accelerator radiotherapy...
January 16, 2018: Otology & Neurotology
https://www.readbyqxmd.com/read/29338292/temporalis-fascia-transplantation-for-sulcus-vocalis-and-vocal-fold-scar-long-term-outcomes
#5
William E Karle, Samuel N Helman, Amy Cooper, Yuan Zhang, Michael J Pitman
OBJECTIVE: Sulcus vocalis and vocal fold scar involve derangement of the superficial lamina propria of the vocal fold, which results in significant dysphonia. Many options exist for treatment, most of which have unsatisfactory and unpredictable outcomes. Autologous transplantation of temporalis fascia into the vocal fold (ATFV) has the potential to be a better treatment option, but long-term outcomes have not been well studied. METHODS: Retrospective chart review and patient survey...
January 1, 2018: Annals of Otology, Rhinology, and Laryngology
https://www.readbyqxmd.com/read/29335048/antiplaque-antifungal-effectiveness-of-aloevera-among-intellectually-disabled-adolescents-pilot-study
#6
Sachin G Khatri, Srinivasan Raj Samuel, Shashidhar Acharya, Snehal T Patil
PURPOSE: Various candida species have been associated with poor oral hygiene and active carious lesions. The purpose of this study was to evaluate the effectiveness of aloe vera compared to triclosan toothpaste against total candida, C. albicans, C. tropicalis, Candida krusei, and plaque/gingivitis among intellectually disabled adolescents over 30 days. METHODS: A double-blind prospective randomized trial was conducted among 40 intellectually disabled adolescents randomly allocated into aloe vera/triclosan groups...
November 1, 2017: Pediatric Dentistry
https://www.readbyqxmd.com/read/29330600/the-impact-of-acoustic-neuroma-on-long-term-quality-of-life-outcomes-in-the-united-kingdom
#7
Wouter L Lodder, Bernard F A M van der Laan, Tristram H Lesser, Samuel C Leong
OBJECTIVE: To quantify the impact of acoustic neuroma on the quality-of-life (QOL) patients in the United Kingdom. STUDY DESIGN: Online questionnaire survey. PATIENTS: Members of the British Acoustic Neuroma Association received PANQOL questionnaires. RESULTS: Of the 880 BANA members contacted, 397 (45.1%) responded, although only 359 had complete datasets for analysis. Composite QOL scores were as follows: for microsurgery 58 (SD 35), for radiotherapy 56 (SD18), for combination of surgery and radiotherapy 49 (SD 14), and for the observation group 54 (SD 20)...
January 12, 2018: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29330243/task-delegation-and-burnout-trade-offs-among-primary-care-providers-and-nurses-in-veterans-affairs-patient-aligned-care-teams-va-pacts
#8
Samuel T Edwards, Christian D Helfrich, David Grembowski, Elizabeth Hulen, Walter L Clinton, Gordon B Wood, Linda Kim, Danielle E Rose, Greg Stewart
PURPOSE: Appropriate delegation of clinical tasks from primary care providers (PCPs) to other team members may reduce employee burnout in primary care. However, (1) the extent to which delegation occurs within multidisciplinary teams, (2) factors associated with greater delegation, and (3) whether delegation is associated with burnout are all unknown. METHODS: We performed a national cross-sectional survey of Veterans Affairs (VA) PCP-nurse dyads in Department of VA primary care clinics, 4 years into the VA's patient-centered medical home initiative...
January 2018: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/29319357/assessing-the-evaluative-content-of-personality-questionnaires-using-bifactor-models
#9
Michael D Biderman, Samuel T McAbee, Zhuo Job Chen, Nhung T Hendy
Exploratory bifactor models with keying factors were applied to item response data for the NEO-FFI-3 and HEXACO-PI-R questionnaires. Loadings on a general factor and positive and negative keying factors correlated with independent estimates of item valence, suggesting that item valence influences responses to these questionnaires. Correlations between personality domain scores and measures of self-esteem, depression, and positive and negative affect were all reduced significantly when the influence of evaluative content represented by the general and keying factors was removed...
January 10, 2018: Journal of Personality Assessment
https://www.readbyqxmd.com/read/29316571/validation-of-three-postoperative-risk-prediction-models-for-intensive-care-unit-mortality-after-cardiac-surgery
#10
Samuel Henry Howitt, Camila Caiado, Charles McCollum, Michael Goldstein, Ignacio Malagon, Rajamiyer Venkateswaran, Stuart William Grant
BACKGROUND:  Several cardiac surgery risk prediction models based on postoperative data have been developed. However, unlike preoperative cardiac surgery risk prediction models, postoperative models are rarely externally validated or utilized by clinicians. The objective of this study was to externally validate three postoperative risk prediction models for intensive care unit (ICU) mortality after cardiac surgery. METHODS:  The logistic Cardiac Surgery Scores (logCASUS), Rapid Clinical Evaluation (RACE), and Sequential Organ Failure Assessment (SOFA) scores were calculated over the first 7 postoperative days for consecutive adult cardiac surgery patients between January 2013 and May 2015...
January 9, 2018: Thoracic and Cardiovascular Surgeon
https://www.readbyqxmd.com/read/29315117/heterogeneity-of-reporting-outcomes-in-the-spine-surgery-literature
#11
Maxwell E Cooper, Luke A Torre-Healy, Vincent J Alentado, Samuel Cho, Michael P Steinmetz, Edward C Benzel, Thomas E Mroz
STUDY DESIGN: Review of spine surgery literature between 2005 and 2014 to assess the reporting of patient outcomes by determining the variability of use of patient outcomes metrics in the following categories: pain and disability, patient satisfaction, readmission, and depression. OBJECTIVE: Expose the heterogeneity of outcomes reporting and discuss current initiatives to create more homogenous outcomes databases. SUMMARY OF BACKGROUND DATA: There has been a recent focus on the reporting of quality metrics associated with spine surgery outcomes...
January 8, 2018: Clinical Spine Surgery
https://www.readbyqxmd.com/read/29313802/augmenting-cognitive-training-in-older-adults-the-act-study-design-and-methods-of-a-phase-iii-tdcs-and-cognitive-training-trial
#12
Adam J Woods, Ronald Cohen, Michael Marsiske, Gene E Alexander, Sara J Czaja, Samuel Wu
BACKGROUND: Adults over age 65 represent the fastest growing population in the US. Decline in cognitive abilities is a hallmark of advanced age and is associated with loss of independence and dementia risk. There is a pressing need to develop effective interventions for slowing or reversing the cognitive aging process. While certain forms of cognitive training have shown promise in this area, effects only sometimes transfer to neuropsychological tests within or outside the trained domain...
December 4, 2017: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/29304742/key-attributes-of-patient-centered-medical-homes-associated-with-patient-activation-of-diabetes-patients
#13
Lori A Bilello, Allyson Hall, Jeffrey Harman, Christopher Scuderi, Nipa Shah, Jon C Mills, Shenae Samuels
BACKGROUND: Approximately 24 million Americans are living with diabetes. Patient activation among individuals with diabetes is critical to successful diabetes management. The Patient Centered Medical Home (PCMH) model holds promise for increasing patient activation in managing their health. However, what is not well understood is the extent to which individual components of the PCMH model, such as the quality of physician-patient interactions and organizational features of care, contribute to patient activation...
January 5, 2018: BMC Family Practice
https://www.readbyqxmd.com/read/29303123/comparative-evaluation-of-the-efficacy-of-tricalcium-phosphate-calcium-sodium-phosphosilicate-and-casein-phosphopeptide-amorphous-calcium-phosphate-in-reducing-streptococcus-mutans-levels-in-saliva
#14
V Samuel, M Ramakrishnan, H S Halawany, N B Abraham, V Jacob, S Anil
BACKGROUND: There are only limited studies that have determined the antibacterial effects of various remineralizing agents that can be beneficial to children. AIM: The aim of this study is to compare the efficacy of tricalcium phosphate (TCP), calcium sodium phosphosilicate (CSP), and casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) enhanced with fluoride in reducing the Streptococcus mutans (SM) levels in saliva of children. MATERIALS AND METHODS: Out of 245 children, 120 of them with SM colony forming units (CFU)/ml in the range of 104-106/ml of saliva were assigned to four groups: (I) TCP; (II) CSP; (III) CPP-ACP enhanced with fluoride; and (IV) control...
November 2017: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/29299474/improvement-in-hamstring-and-quadriceps-muscle-strength-following-cruciate-retaining-single-radius-total-knee-arthroplasty
#15
Jennifer Kurowicki, Anton Khlopas, Assem A Sultan, Nipun Sodhi, Linsen T Samuel, Morad Chughtai, Martin Roche, Peter M Bonutti, Michael A Mont
Background: The ability to reach full functional capacity following total knee arthroplasty (TKA) is reliant on the strength of the quadriceps and hamstring muscles. Weakness of these muscles can persist anywhere from 1 to 3 years post-operatively. There remains considerable controversy as to what factors influence restoration of muscle strength after TKA. Implant designs have been implicated in the ability of patients to recover. Currently there is a paucity of literature available describing the influence of patient characteristics, surgical factors, and clinical outcomes on quadriceps and hamstring muscle strength following TKA with a cruciate-retaining, single radius (SR) implant...
December 2017: Annals of Translational Medicine
https://www.readbyqxmd.com/read/29294935/intervening-in-a-sketchy-situation-exploring-the-moral-motivations-of-college-bystanders-of-sexual-assault
#16
Samuel C Gable, Sharon Lamb, Madeline Brodt, Leah Atwell
This mixed-methods research explored the moral motivations of undergraduates who identified as bystanders in a situation of potential sexual assault. In the quantitative analysis, we examined the difference between interveners and noninterveners with regard to their scores on the Moral Foundations Questionnaire-30 Item (MFQ-30), which considers five moral foundations from Moral Foundations Theory (MFT) of care/harm, fairness/cheating, loyalty/betrayal, authority/subversion, and sanctity/degradation, as well as measures of bystander attitudes (BAS-R) and rape-myth acceptance (IRMA, modified)...
September 1, 2017: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/29285817/predicting-delinquency-by-self-reported-impulsivity-in-adolescents-in-ghana
#17
Samuel Adjorlolo, Edward Asamoah, Sarah Adu-Poku
BACKGROUND: Impulsivity is one of several variables associated with delinquent and criminal acts, but its utility depends on the psychometric properties of the measure used. AIM: To investigate the latent structure of the abbreviated Barratt Impulsivity Scale (ABIS) and its convergent validity with measures of aggression and psychopathy in a Ghanaian sample. METHODS: In a cross-sectional survey, high school students were recruited from two randomly selected schools in Ghana and asked to respond to the ABIS and measures of delinquency, aggression and psychopathy...
December 28, 2017: Criminal Behaviour and Mental Health: CBMH
https://www.readbyqxmd.com/read/29283920/does-lactate-affect-the-association-of-early-hyperglycemia-and-multiple-organ-failure-in-severely-injured-blunt-trauma-patients
#18
Justin E Richards, Thomas M Scalea, Michael A Mazzeffi, Peter Rock, Samuel M Galvagno
BACKGROUND: Early hyperglycemia is associated with multiple organ failure (MOF) after traumatic injury; however, few studies have considered the contribution of depth of clinical shock. We hypothesize that when considered simultaneously, glucose and lactate are associated with MOF in severely injured blunt trauma patients. METHODS: We performed a retrospective investigation at a single tertiary care trauma center. Inclusion criteria were patient age ≥18 years, injury severity score (ISS) >15, blunt mechanism of injury, and an intensive care unit length of stay >48 hours...
December 26, 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29282576/application-of-a-simple-affordable-quality-metric-tool-to-colorectal-upper-gastrointestinal-hernia-and-hepatobiliary-surgery-patients-the-harm-score
#19
Justin T Brady, Bona Ko, Samuel F Hohmann, Benjamin P Crawshaw, Jennifer A Leinicke, Scott R Steele, Knut M Augestad, Conor P Delaney
BACKGROUND: Quality is the major driver for both clinical and financial assessment. There remains a need for simple, affordable, quality metric tools to evaluate patient outcomes, which led us to develop the HospitAl length of stay, Readmission and Mortality (HARM) score. We hypothesized that the HARM score would be a reliable tool to assess patient outcomes across various surgical specialties. METHODS: From 2011 to 2015, we identified colorectal, hepatobiliary, upper gastrointestinal, and hernia surgery admissions using the Vizient Clinical Database...
December 27, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/29277687/defibrillator-shocks-and-their-impact-on-objective-and-subjective-patient-outcomes-results-from-the-painfree-sst-clinical-trial
#20
Samuel F Sears, Lindsey Rosman, Shingo Sasaki, Yusuke Kondo, Laurence D Sterns, Edward J Schloss, Takashi Kurita, Albert Meijer, Judith Raijmakers, Bart Gerritse, Angelo Auricchio
BACKGROUND: The impact of ICD shock on device-measured activity and patient reported outcomes is unknown. OBJECTIVE: The purpose of this study was to analyze the acute and long-term effects of ICD shock on objective behavioral data (i.e., device-based physical activity) and subjective patient reported outcomes (e.g., quality of life and shock anxiety). METHODS: The PainFree SST clinical trial included 2,770 patients with a single or dual-chamber ICD, or cardiac resynchronization defibrillator (CRT-D) who were followed for 22 ± 9 months...
December 22, 2017: Heart Rhythm: the Official Journal of the Heart Rhythm Society
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