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https://www.readbyqxmd.com/read/28221297/optimal-epinephrine-concentration-and-time-delay-to-minimize-perfusion-in-eyelid-surgery-measured-by-laser-based-methods-and-a-novel-form-of-extended-wavelength-diffuse-reflectance-spectroscopy
#1
Rafi Sheikh, Ulf Dahlstrand, Khashayar Memarzadeh, Jonas Blohmé, Nina Reistad, Malin Malmsjö
OBJECTIVE: This study investigates the hypoperfusion effects of epinephrine in local anesthesia in eyelid surgery. A novel form of extended-wavelength diffuse reflectance spectroscopy was evaluated. METHODS: Blood perfusion in porcine eyelid flaps was measured using laser Doppler velocimetry and laser speckle contrast imaging, whereas the tissue response was measured using diffuse reflectance spectroscopy with a broad spectrum (450-1550 nm). Epinephrine was either injected cumulatively, 0...
February 17, 2017: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28221072/reflections-on-quagmires-for-clinicians-and-coaches-comment-on-gebhardt-2016
#2
Anthony M Grant
Professional coaching can be considered an example of a postprofessional discipline-a discipline that transcends the traditional boundaries between professional clinical psychology and business consulting and coaching. Not surprisingly, a number of potential quagmires in relation to ethical, educational, and credentialing issues have arisen. However, such tensions present an opportunity to build more solid foundations for the delivery of professional coaching services. A way forward is to more broadly engage with university-level theoretically grounded, coaching-specific educational programs...
February 2017: American Psychologist
https://www.readbyqxmd.com/read/28220979/more-significance-of-tb-igra-except-for-the-diagnose-of-tuberculosis
#3
Jun-Chi Xu, Ze-Yi Li, Xin-Nian Chen, Cui-Lin Shi, Mei-Ying Wu, Hui Chen, Xiao-Yan Zhu, Hua-Feng Song, Min-Juan Wu, Ping Xu
OBJECTIVE: Tuberculosis (TB)-interferon gamma release assay (IGRA) test has the characteristics of short time, high specificity, and high sensitivity, but it lacks the correlation research between TB-IGRA test results and body's immune cells, disease progression and prognosis, which is explored in this study. DESIGN: A retrospective study was carried out on positive TB-IGRA patients who were infected with TB and diagnosed at our hospital from January 2014 to June 2015...
February 21, 2017: Journal of Clinical Laboratory Analysis
https://www.readbyqxmd.com/read/28220660/sarcoma-survivors-perspectives-on-their-body-image-and-functional-quality-of-life-post-resection-limb-salvage-surgery
#4
Myra F Taylor, Julie A Pooley
Sarcomas often occur in patients' extremities and treatment typically involves bone resection/limb salvage surgery. Such treatments leave survivors with physical disfigurements, functional disabilities, and/or emotional traumas. Our post-surgery psychological intervention investigated how these experiences impinge on sarcoma survivors' lives. Twenty-three survivors aged 19-60 years (M = 36 years) participated in a tri-disciplinary (rehabilitative exercise, plastic surgery and psychological) intervention...
February 21, 2017: European Journal of Cancer Care
https://www.readbyqxmd.com/read/28220448/multidimensional-treatment-of-cancer-pain
#5
REVIEW
Weiyang Christopher Liu, Zhong Xi Zheng, Kian Hian Tan, Gregory J Meredith
PURPOSE OF REVIEW: Though numerous treatment options are available to address cancer pain, inadequate management continues to be an ongoing problem worldwide. RECENT FINDINGS: A systematic review of the recent scientific literature was conducted with attention to new therapies along with reports of general consensus that were analyzed. Pain research continues to be difficult and though numerous guidelines have been developed, adequate powered studies are not common...
February 2017: Current Oncology Reports
https://www.readbyqxmd.com/read/28220361/for-and-against-methodologies-some-perspectives-on-recent-causal-and-statistical-inference-debates
#6
Sander Greenland
I present an overview of two methods controversies that are central to analysis and inference: That surrounding causal modeling as reflected in the "causal inference" movement, and that surrounding null bias in statistical methods as applied to causal questions. Human factors have expanded what might otherwise have been narrow technical discussions into broad philosophical debates. There seem to be misconceptions about the requirements and capabilities of formal methods, especially in notions that certain assumptions or models (such as potential-outcome models) are necessary or sufficient for valid inference...
February 20, 2017: European Journal of Epidemiology
https://www.readbyqxmd.com/read/28220333/developing-skilled-doctor-patient-communication-in-the-workplace-a-qualitative-study-of-the-experiences-of-trainees-and-clinical-supervisors
#7
Esther Giroldi, Wemke Veldhuijzen, Kristel Geelen, Jean Muris, Frits Bareman, Herman Bueving, Trudy van der Weijden, Cees van der Vleuten
To inform the development of recommendations to facilitate learning of skilled doctor-patient communication in the workplace, this qualitative study explores experiences of trainees and supervisors regarding how trainees learn communication and how supervisors support trainees' learning in the workplace. We conducted a qualitative study in a general practice training setting, triangulating various sources of data to obtain a rich understanding of trainees and supervisors' experiences: three focus group discussions, five discussions during training sessions and five individual interviews...
February 20, 2017: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/28220317/role-of-narrative-based-medicine-in-proper-patient-assessment
#8
Giovanni Rosti
Improving patient-physician communication is an area of medicine that deserves greater attention. Narrative medicine can be considered as one tool that can aid in fostering better communication. Current medical practice is dominated by evidence-based medicine, and dictates what therapies the clinician will offer in a given circumstance, ideally supported by (evidence-based) guidelines. However, when taken alone it tends to decentralize the patient. There are many different approaches that can be used to understand the patient and what he or she is experiencing as a result of their illness...
February 21, 2017: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/28219642/synergy-of-raddeanin-a-and-cisplatin-induced-therapeutic-effect-enhancement-in-human-hepatocellular-carcinoma
#9
Li Jian-Nan, Yu Ye, Zhang Yan-Fei, Li Zhi-Meng, Cai Guang-Zhi, Gong Ji-Yu
Cisplatin is a main compound for human hepatocellular carcinoma (HCC) chemotherapies, but it has certain cytotoxicity during applications. To release that, combining with other drugs are being as a regular plan in clinic. In our present study, we are focusing on one of active monomers extracted from Anemone Raddeana Regel, Raddeanin A (RA), which is on behalf of the same character like cisplatin in the tumor remedies. In order to investigate whether combination usage of RA and cisplatin can be priority to the later drug's effect development and its toxicity reduction in HCC, both of two drugs were treated 24 h or 48 h in QGY-7703 cells for estimating their abilities in tumor cell proliferation inhibition...
February 17, 2017: Biochemical and Biophysical Research Communications
https://www.readbyqxmd.com/read/28219392/meaning-and-barriers-to-quality-care-service-provision-in-child-and-adolescent-mental-health-services-qualitative-study-of-stakeholder-perspectives
#10
Nadzeya Svirydzenka, Pablo Ronzoni, Nisha Dogra
BACKGROUND: Defining quality in health presents many challenges. The Institute of Medicine (IOM) defined quality clinical care as care that is equitable, timely, safe, efficient, effective and patient centred. However, it is not clear how different stakeholders within a child and adolescent mental health service (CAMHS) understand and/or apply this framework. This project aims to identify key stakeholders" understanding of the meaning of quality in the context of CAMHS. METHOD: The study sample comprised of three groups: (i) patients and carers, (ii) CAMHS clinical staff, and (iii) commissioners (Total N = 24)...
February 20, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28219336/participant-retention-practices-in-longitudinal-clinical-research-studies-with-high-retention-rates
#11
Martha Abshire, Victor D Dinglas, Maan Isabella A Cajita, Michelle N Eakin, Dale M Needham, Cheryl Dennison Himmelfarb
BACKGROUND: There is a need for improving cohort retention in longitudinal studies. Our objective was to identify cohort retention strategies and implementation approaches used in studies with high retention rates. METHODS: Longitudinal studies with ≥200 participants, ≥80% retention rates over ≥1 year of follow-up were queried from an Institutional Review Board database at a large research-intensive U.S. university; additional studies were identified through networking...
February 20, 2017: BMC Medical Research Methodology
https://www.readbyqxmd.com/read/28219292/a-manner-of-being-body-languages-of-socio-economic-development
#12
Alexandra Antohin
This article proposes to move forward analytical work on the human aspect of socio-economic development, by featuring how personal decisions about physical appearance in effect negotiate socio-ethnic positions and desired economic aims that arise from new technologies of living. By envisioning how the body can serve as a conduit of consciousness-making, tattoos work as one cultural practice that produces an interplay between traditional precedents and contemporary trends and permits reflecting on how the categorizations of rural/urban can behave as a dialectical medium for internal anxieties and debates regarding social transformation...
July 2016: New Bioethics: a Multidisciplinary Journal of Biotechnology and the Body
https://www.readbyqxmd.com/read/28218977/evaluation-of-a-co-delivered-training-package-for-community-mental-health-professionals-on-service-user-and-carer-involved-care-planning
#13
A C Grundy, Lauren Walker, Oonagh Meade, Claire Fraser, Lindsey Cree, Penny Bee, Karina Lovell
BACKGROUND: There is limited evidence for the acceptability of training for mental health professionals on service user and carer involved care planning. AIM: To investigate the acceptability of a co-delivered, two-day training intervention on service user and carer involved care planning. METHODS: Community mental health professionals were invited to complete the Training Acceptability Rating Scale post-training. Responses to the quantitative items were summarised using descriptive statistics (Miles 2013) and qualitative responses were coded using content analysis (Weber 1990)...
February 20, 2017: Journal of Psychiatric and Mental Health Nursing
https://www.readbyqxmd.com/read/28218938/voices-from-family-medicine-on-becoming-a-family-physician
#14
William B Ventres
In this essay-part memoir, part reflection, and part oral history-I review my early professional development, a several years' long progression after residency training, during which I grew from functioning as a technically competent primary care doctor to being a capable and compassionate family physician. As part of that development, and with my colleague John Frey, MD, I interviewed several of the founders of the modern family medicine movement. Here I review some of their answers to the fundamental question of my early practice years: What does it mean to be a family physician? I cite some of their words of wisdom, those of particular import for me, and discuss how these words both helped me become a family physician and ring true even today as we approach the 50th anniversary of the founding of family medicine...
February 2017: Family Medicine
https://www.readbyqxmd.com/read/28218871/a-systematic-review-of-influences-on-development-of-athletes-with-disabilities
#15
Nima Dehghansai, Srdjan Lemez, Nick Wattie, Joseph Baker
Compared with mainstream sport athletes, relatively little is known regarding the factors affecting the development of athletes with a disability. Sport-specific training programs are essential to athletes' successful performance; to create appropriate programs and strategies, a clear understanding of the nuances of development of athletes with a disability is important. The objective of this systematic review was to synthesize existing research on development in athletes with a disability and examine the key determinants of successful development and sporting performance...
January 2017: Adapted Physical Activity Quarterly: APAQ
https://www.readbyqxmd.com/read/28217869/reasons-for-not-participating-in-scleroderma-patient-support-groups-a-cross-sectional-study
#16
Stephanie T Gumuchian, Vanessa C Delisle, Sandra Peláez, Vanessa L Malcarne, Ghassan El-Baalbaki, Linda Kwakkenbos, Lisa R Jewett, Marie-Eve Carrier, Mia Pépin, Brett D Thombs
OBJECTIVE: Peer-led support groups are an important resource for many people with scleroderma (systemic sclerosis; SSc). Little is known, however, about barriers to participation. The objective of this study was to identify reasons why some people with SSc do not participate in SSc support groups. METHODS: A 21-item survey was used to assess reasons for non-attendance among SSc patients in Canada and the United States. Exploratory factor analysis (EFA) was conducted using the software MPlus 7 to group reasons for non-attendance into themes...
February 19, 2017: Arthritis Care & Research
https://www.readbyqxmd.com/read/28217602/health-worker-posting-and-transfer-at-primary-level-in-tamil-nadu-governance-of-a-complex-health-system-function
#17
Surekha Garimella, Kabir Sheikh
BACKGROUND: Posting and transfer (PT) of health personnel - placing the right health workers in the right place at the right time - is a core function of any large-scale health service. In the context of government health services, this may be seen as a simple process of bureaucratic governance and implementation of the rule of law. However the literature from India and comparable low and middle-income country health systems suggests that in reality PT is a contested domain, driven by varied expressions of private and public interest throughout the chain of implementation...
July 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/28217600/primary-care-hypnotic-and-anxiolytic-prescription-reviewing-prescribing-practice-over-8-years
#18
Lloyd D Hughes, Neil Raitt, Muhammed Awais Riaz, Sarah-Jane Baldwin, Kay Erskine, Gail Graham
INTRODUCTION: Over the last few years, hypnotic and anxiolytic medications have had their clinical efficacy questioned in the context of concerns regarding dependence, tolerance alongside other adverse effects. It remains unclear how these concerns have impacted clinical prescribing practice. MATERIALS AND METHODS: This is a study reviewing community-dispensed prescribing data for patients on the East Practice Medical Center list in Arbroath, Scotland, in 2007, 2011 and 2015...
July 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/28217585/blood-pressure-bp-control-and-perceived-family-support-in-patients-with-essential-hypertension-seen-at-a-primary-care-clinic-in-western-nigeria
#19
Oluwaseun S Ojo, Sunday O Malomo, Peter T Sogunle
CONTEXT: Nonadherence to therapeutic plans has been reported among hypertensive patients. Researchers have also shown that adherence to therapeutic plans improves if motivation in the form of social support is provided. There is a dearth of local studies that explore the influence of family support on treatment outcomes of hypertensive patients. AIMS: The aim of the study was to determine the relationship between BP control and perceived family support in patients with essential hypertension seen at a primary care setting in Western Nigeria...
July 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/28216997/genetic-mapping-and-qtl-analysis-of-botrytis-resistance-in-gerbera-hybrida
#20
Yiqian Fu, Alex van Silfhout, Arwa Shahin, Ronny Egberts, Martin Beers, Ans van der Velde, Adrie van Houten, Jaap M van Tuyl, Richard G F Visser, Paul Arens
Gerbera hybrida is an economically important cut flower. In the production and transportation of gerbera with unavoidable periods of high relative humidity, grey mould occurs and results in losses in quality and quantity of flowers. Considering the limitations of chemical use in greenhouses and the impossibility to use these chemicals in auction or after sale, breeding for resistant gerbera cultivars is considered as the best practical approach. In this study, we developed two segregating F1 populations (called S and F)...
2017: Molecular Breeding: New Strategies in Plant Improvement
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