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https://www.readbyqxmd.com/read/29218667/the-novel-trial-natural-orifice-versus-laparoscopic-cholecystectomy-a-prospective-randomized-evaluation
#1
Steven D Schwaitzberg, Kurt Roberts, John R Romanelli, David J Desilets, David Earle, Santiago Horgan, Lee Swanstrom, Eric Hungness, Nathaniel Soper, Michael L Kochman
INTRODUCTION: The evolution of Natural Orifice Translumenal Endoscopic Surgery® (NOTES®) represents a case study in surgical procedural evolution. Beginning in 2004 with preclinical feasibility studies, and followed by the creation of the NOSCAR® collaboration between The Society of American Gastrointestinal and Endoscopic Surgeons and the American Society for Gastrointestinal Endoscopy, procedural development followed a stepwise incremental pathway. The work of this consortium has included white paper analyses, obtaining outside independent funding for basic science and procedural development, and, ultimately, the initiation of a prospective randomized clinical trial comparing NOTES® cholecystectomy as an alternative procedure to laparoscopic cholecystectomy...
December 7, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/29217338/-occupational-risks-during-pregnancy-feedback-from-occupational-medical-services
#2
J-B Henrotin, M Vaissière, M Etaix, M Dziurla, S Malard, D Lafon
OBJECTIVES: To describe the follow-up of pregnancies at work and exposures to pregnancy occupational hazards. METHODS: A cross-sectional study was performed between January and December 2014 in occupational health services of Languedoc-Roussillon region. Eligible workers were interviewed by occupational health physicians (OHPs) after delivery and at the time of returning to work (exposure, anticipation, prevention, communication, sick leave). Occupational skill levels were classified according to the French standard classification of occupations (version 2003) from the French National Institute of Statistics...
December 4, 2017: Gynecologie, Obstetrique, Fertilite & Senologie
https://www.readbyqxmd.com/read/29216666/-cardiac-rehabilitation
#3
Bernhard Schwaab
Physical training, psychosocial intervention, nutrition counselling and optimisation of secondary preventive medication to reduce morbidity and mortality of the disease as well as the reintegration into social life and return to work are equivalent goals of cardiac rehabilitation. This requires multifactorial intervention by a multidisciplinary team. In Germany, cardiac rehabilitation starting early after an index event could demonstrate a significant reduction of total mortality, myocardial infarction and hospitalisation during a follow-up of 1-2 years in 5 controlled cohort studies including 12 556 patients after myocardial infarction and CABG surgery...
December 7, 2017: Die Rehabilitation
https://www.readbyqxmd.com/read/29216192/tracking-the-career-development-of-scientists-in-low-and-middle-income-countries-trained-through-tdr-s-research-capacity-strengthening-programmes-learning-from-monitoring-and-impact-evaluation
#4
Béatrice Halpaap, Mahnaz Vahedi, Edith Certain, Tini Alvarado, Caroline Saint Martin, Corinne Merle, Michael Mihut, Pascal Launois
The Special Programme for Research and Training in Tropical Diseases (TDR) co-sponsored by UNICEF, UNDP, World Bank and WHO has been supporting research capacity strengthening in low- and middle-income countries for over 40 years. In order to assess and continuously optimize its capacity strengthening approaches, an evaluation of the influence of TDR training grants on research career development was undertaken. The assessment was part of a larger evaluation conducted by the European Science Foundation. A comprehensive survey questionnaire was developed and sent to a group of 117 trainees supported by TDR who had completed their degree (masters or PhD) between 2000 and 2012; of these, seventy seven (77) responded...
December 7, 2017: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/29212586/hypercortisolemia-and-depressive-like-behaviors-in-a-rhesus-macaque-macaca-mulatta-involved-in-visual-research
#5
Sean C Adams, Christine M Guyot, Kristina M Berry, Seth T Wallack, Andrew S Loar, Mathias Leblanc
A 10-y-old cranially implanted rhesus macaque (Macaca mulatta) involved in visual research was presented for dull mentation and weight loss. Physical examination revealed alopecia and poor body conditioning, and bloodwork revealed marked hypercortisolemia (23 μg/dL). Differential diagnoses for hypercortisolemia, weight loss, and alopecia included Cushing and pseudo-Cushing syndromes. To further evaluate hypercortisolemia, we compared the urine cortisol:creatinine ratio (UCCR) at baseline and after low-dose dexamethasone suppression (LDDS) testing in the presenting animal and healthy naïve and implanted working monkeys...
December 1, 2017: Comparative Medicine
https://www.readbyqxmd.com/read/29210462/vocational-rehabilitation-for-enhancing-return-to-work-in-workers-with-traumatic-upper-limb-injuries
#6
REVIEW
Wen-Hsuan Hou, Ching-Chi Chi, Heng-Lien Lo, Yun-Yun Chou, Ken N Kuo, Hung-Yi Chuang
BACKGROUND: Traumatic upper limb injury is a leading cause of work-related disability. After return-to-work (RTW), many survivors of injuries are able to regain a quality of life (QoL) comparable with the normal population. Since RTW plays an important role in economic productivity and regaining health-related QoL, enhancing RTW in workers with traumatic limb injuries is the primary goal of rehabilitation. Vocational rehabilitation has been commonly employed in the field of occupational safety and health to increase the number of injured people returning to the labour market, prevent illness, increase well-being, and reduce disability...
December 6, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29209780/quality-of-work-experience-after-angioplasty-or-heart-surgery-a-monocentric-cohort-study
#7
Massimo Miglioretti, Andrea Gragnano, Giacomo Baiardo, Gaia Savioli, Luca Corsiglia, Raffaele Griffo
PURPOSE: The study evaluated work experience changes and its determinants after return to work (RTW) in angioplasty or heart surgery patients. METHODS: During a 1-year period (2014) in a Rehabilitation Hospital in northwestern Italy, we approached 253 patients (19.3% of inpatients). 199 patients consented to complete a survey on job characteristics, job satisfaction, job involvement, illness perception, depression, anxiety, adherence to therapy, and sociodemographic characteristics...
December 5, 2017: International Archives of Occupational and Environmental Health
https://www.readbyqxmd.com/read/29202633/arthroscopic-management-of-posterior-instability-of-the-shoulder-a-systematic-review-of-predictive-factors-associated-with-poorer-surgical-outcomes
#8
Sachin Ramesh Jain, Andrew Arjun Sayampanathan, Andrew Hwee Chye Tan
INTRODUCTION: We aimed to perform a systematic review to identify factors that may lead to poorer outcomes in arthroscopic surgery for posterior shoulder instability. METHODS: We searched MEDLINE, Embase and the Cochrane Database of Systematic Reviews for 757 unique articles. We eventually included 22 articles. Data were analysed using Review Manager 5.3. RESULTS: The presence of chondral damage was associated with poorer outcomes as reflected in a higher post-operative Quick Disabilities of theArm, Shoulder and Hand score (mean difference (MD) = 17...
September 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/29199916/independent-medical-evaluation-for-sick-listed-workers-in-norway-a-focus-group-study-of-the-experience-of-ime-doctors
#9
Aase Aamland, Irene Øyeflaten, Silje Maeland
BACKGROUND: Norwegian politicians have proposed the use of an independent medical evaluation (IME) as a possible solution for reducing long-term sick leave. The use of an IME implies that a new doctor interferes in the relationship between sick-listed workers and their general practitioner (GP). The aim of the current study was to explore experiences of IME doctors from an ongoing randomized controlled trial (the NIME trial evaluating the effect of IME in Norway). METHODS: Two focus group interviews were conducted with eight of the nine IME doctors employed in the NIME trial...
December 1, 2017: Scandinavian Journal of Public Health
https://www.readbyqxmd.com/read/29195773/cognitive-deficits-in-bipolar-disorders-implications-for-emotion
#10
REVIEW
Isabela M M Lima, Andrew D Peckham, Sheri L Johnson
Prominent cognitive deficits have been documented in bipolar disorder, and multiple studies suggest that these deficits can be observed among non-affected first-degree relatives of those with bipolar disorder. Although there is variability in the degree of cognitive deficits, these deficits are robustly relevant for functional outcomes. A separate literature documents clear difficulties in emotionality, emotion regulation, and emotion-relevant impulsivity within bipolar disorder, and demonstrates that these emotion-relevant variables are also central to outcome...
November 21, 2017: Clinical Psychology Review
https://www.readbyqxmd.com/read/29194058/gait-deviations-associated-with-concussion-a-systematic-review
#11
Thaer S Manaseer, Douglas P Gross, Liz Dennett, Kathryn Schneider, Jackie L Whittaker
BACKGROUND: Gait deviations resulting from concussion are important to consider in the diagnosis, treatment progression, and return to activity after a concussion. OBJECTIVE: To identify quantifiable gait deviations associated with concussion across populations and time since injury. METHODS AND MATERIALS: Six electronic databases were systematically searched from January 1974 to September 2016. Studies selected included original data, had an analytic design, and reported a quantifiable gait parameter in individuals who had sustained a concussion as defined by the American Congress of Rehabilitation Medicine or related definitions...
November 21, 2017: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/29193250/design-of-universal-parallel-transmit-refocusing-kt-point-pulses-and-application-to-3d-t2-weighted-imaging-at-7t
#12
Vincent Gras, Franck Mauconduit, Alexandre Vignaud, Alexis Amadon, Denis Le Bihan, Tony Stöcker, Nicolas Boulant
PURPOSE: T2 -weighted sequences are particularly sensitive to the radiofrequency (RF) field inhomogeneity problem at ultra-high-field because of the errors accumulated by the imperfections of the train of refocusing pulses. As parallel transmission (pTx) has proved particularly useful to counteract RF heterogeneities, universal pulses were recently demonstrated to save precious time and computational efforts by skipping B1 calibration and online RF pulse tailoring. Here, we report a universal RF pulse design for non-selective refocusing pulses to mitigate the RF inhomogeneity problem at 7T in turbo spin-echo sequences with variable flip angles...
November 29, 2017: Magnetic Resonance in Medicine: Official Journal of the Society of Magnetic Resonance in Medicine
https://www.readbyqxmd.com/read/29191407/occupational-outcomes-following-combat-related-gunshot-injury-cohort-study
#13
Matthew D Laughlin, Philip J Belmont, Paul J Lanier, Julia O Bader, Brian R Waterman, Andrew J Schoenfeld
BACKGROUND: The long-term impact of gun violence on physical function and occupational disability remains poorly explored. We sought to examine the effect of combat-related gunshot injury on work capacity within a cohort of military servicemembers and identify clinical characteristics that influence the capacity to return to work. METHODS: A query was performed to identify all servicemembers injured by gunshot in the years 2005-2009. These soldiers were then followed for a period up to the end of 2014 in order to identify those separated from service due to an inability to perform military duties as a result of their injury...
November 27, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/29189522/combined-amplification-and-sound-generation-for-tinnitus-a-scoping-review
#14
Lindsey Tutaj, Derek J Hoare, Magdalena Sereda
OBJECTIVES: In most cases, tinnitus is accompanied by some degree of hearing loss. Current tinnitus management guidelines recognize the importance of addressing hearing difficulties, with hearing aids being a common option. Sound therapy is the preferred mode of audiological tinnitus management in many countries, including in the United Kingdom. Combination instruments provide a further option for those with an aidable hearing loss, as they combine amplification with a sound generation option...
November 17, 2017: Ear and Hearing
https://www.readbyqxmd.com/read/29189108/return-to-work-after-young-stroke-a-systematic-review
#15
Jodi D Edwards, Arunima Kapoor, Elizabeth Linkewich, Richard H Swartz
Background The incidence of stroke in young adults is increasing. While many young survivors are able to achieve a good physical recovery, subtle dysfunction in other domains, such as cognition, often persists, and could affect return to work. However, reported estimates of return to work and factors affecting vocational outcome post-stroke vary greatly. Aims The aims of this systematic review were to determine the frequency of return to work at different time points after stroke and identify predictors of return to work...
January 1, 2017: International Journal of Stroke: Official Journal of the International Stroke Society
https://www.readbyqxmd.com/read/29187126/simulation-based-communication-skills-training-for-experienced-clinicians-to-improve-family-conversations-about-organ-and-tissue-donation
#16
Julie Elizabeth Potter, Jonathan J Gatward, Michelle A Kelly, Leigh McKay, Ellie McCann, Rosalind M Elliott, Lin Perry
INTRODUCTION: The approach, communication skills, and confidence of clinicians responsible for raising deceased organ donation may influence families' donation decisions. The aim of this study was to increase the preparedness and confidence of intensive care clinicians allocated to work in a "designated requester" role. DESIGN: We conducted a posttest evaluation of an innovative simulation-based training program. Simulation-based training enabled clinicians to rehearse the "balanced approach" to family donation conversations (FDCs) in the designated requester role...
December 2017: Progress in Transplantation
https://www.readbyqxmd.com/read/29187097/a-department-of-motor-vehicle-based-intervention-to-promote-organ-donor-registrations-in-new-york-state
#17
Thomas Hugh Feeley, Ashley E Anker, Melanie Evans, Tobias Reynolds-Tylus
CONTEXT: Examination of efficacy of motor vehicle representative educational training and dissemination of promotional materials as a means to promote organ donation enrollments in New York State. OBJECTIVE: To increase the number of New York State residents who consent to donation through the department of motor vehicle transactions during project period. SETTING: County-run motor vehicle offices across New York State. PARTICIPANTS: Customers who present to New York Department of Motor Vehicle offices and the representative who work at designated bureaus...
September 2017: Progress in Transplantation
https://www.readbyqxmd.com/read/29183821/quality-of-life-after-total-knee-arthroplasty
#18
REVIEW
F Canovas, L Dagneaux
Total knee arthroplasty (TKA) results in a high degree of patient satisfaction, as it provides patients with considerable medium- and long-term benefits in terms of quality of life, pain relief and function. Nevertheless, the literature reports that up to 30% of patients are dissatisfied. This dissatisfaction is directly related to the patients' quality of life, which they deem insufficient. Their quality of life depends on many physical, behavioral, social and psychological factors that are not taken into account by functional outcome scores...
November 25, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29169094/evaluation-of-full-pelvic-ring-stresses-using-a-bilateral-static-gait-phase-finite-element-modeling-method
#19
Bridget Volinski, Anil Kalra, King Yang
Trauma to the pelvis is debilitating and often needs fixation intervention. In 58% of patients with this trauma, the injuries can lead to permanent disability, preventing the return to jobs. Of all unsuccessful fixation procedures, 42% are caused by failures of the method, sometimes due to mobilization during healing. Patients would benefit by havibridgetv@comcast.netng fixation hardware in place that enabled ambulation. During walking the bilateral hip joint plus leg and trunk muscle forces, including those from hip motion, can induce torsion into the pelvic ring and across the joint cartilages, and affect the internal stresses of the pelvis...
November 4, 2017: Journal of the Mechanical Behavior of Biomedical Materials
https://www.readbyqxmd.com/read/29166685/-evaluation-of-inpatient-conservative-management-of-acute-subacute-and-chronic-back-pain
#20
Ingo Haase, Kilian Haase, Bernd Kladny
Background Backache is very common in the German population. It is a common reason for people to seek medical advice and specific back pain programs have been developed. The intention of this study is to evaluate the short and long term effects of conservative management of back pain in a German general hospital. Outcomes of interest were pain intensity, interference in daily functions, physical functioning and health related quality of life. Patients and Methods We examined 1010 patients with acute, subacute and chronic back pain, admitted to inpatient nonsurgical interventional therapy in a German hospital between July 2013 and July 2015...
November 22, 2017: Zeitschrift Für Orthopädie und Unfallchirurgie
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