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https://www.readbyqxmd.com/read/28716404/partial-jejunal-diversion-using-an-incisionless-magnetic-anastomosis-system-1-year-interim-results-in-subjects-with-obesity-and-diabetes
#1
Evžen Machytka, Marek Bužga, Pavel Zonca, David B Lautz, Marvin Ryou, Donald C Simonson, Christopher C Thompson
BACKGROUND AND AIMS: The majority of patients with type 2 diabetes mellitus (T2DM) have obesity. Studies show that bariatric surgery is superior to medical treatment for remission of T2DM. Nevertheless, very few patients undergo surgery, and a less-invasive endoscopic alternative is desirable. METHODS: This was a single-arm first-in-human pilot study, designed to evaluate the technical feasibility, safety, and clinical performance of the incisionless magnetic anastomosis system (IMAS) in creation of a partial jejunal diversion (PJD)...
July 14, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28716108/esoteric-connective-tissue-therapy-for-chronic-low-back-pain-to-reduce-pain-and-improve-functionality-and-general-well-being-compared-with-physiotherapy-study-protocol-for-a-randomised-controlled-trial
#2
Christoph Schnelle, Steffen Messerschmidt, Eunice J Minford, Kate Greenaway-Twist, Maxine Szramka, Marianna Masiorski, Michelle Sheldrake, Mark Jones
BACKGROUND: Low back pain causes more global disability than any other condition. Once the acute pain becomes chronic, about two-thirds of sufferers will not fully recover after 1-2 years. There is a paucity of effective treatments for non-specific, chronic low back pain. It has been noted that low back pain is associated with changes in the connective tissue in the affected area, and a very low-impact treatment, Esoteric Connective Tissue Therapy (ECTT), has been developed to restore flexibility in connective tissue...
July 17, 2017: Trials
https://www.readbyqxmd.com/read/28713715/hand-injuries-by-the-killer-kite-manja-and-their-management
#3
Mohd Altaf Mir, Adil Mahmud Ali, Mohd Yaseen, Arshad Hafeez Khan
Although hand injuries due to kite strings seem to be trivial, these injuries could be serious enough to lose the function of hand. This case series in the division of Plastic and Reconstructive Surgery of our institution from August 2014 to January 2016 evaluated the clinic-etiological profile, severity and management of hand injuries due to kite strings assessed clinically and radiologically. Eleven patients reported kite related injuries during two years, and 5 presented during 17 months. Of 11 patients, 8 were male and 3 were female with a M:F ratio of 2...
May 2017: World Journal of Plastic Surgery
https://www.readbyqxmd.com/read/28713293/predicting-future-high-cost-schizophrenia-patients-using-high-dimensional-administrative-data
#4
Yajuan Wang, Vijay Iyengar, Jianying Hu, David Kho, Erin Falconer, John P Docherty, Gigi Y Yuen
BACKGROUND: The burden of serious and persistent mental illness such as schizophrenia is substantial and requires health-care organizations to have adequate risk adjustment models to effectively allocate their resources to managing patients who are at the greatest risk. Currently available models underestimate health-care costs for those with mental or behavioral health conditions. OBJECTIVES: The study aimed to develop and evaluate predictive models for identification of future high-cost schizophrenia patients using advanced supervised machine learning methods...
2017: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/28712353/cost-effectiveness-of-a-ptsd-intervention-tailored-for-individuals-with-severe-mental-illness
#5
Eric P Slade, Jennifer D Gottlieb, Weili Lu, Philip T Yanos, Stanley Rosenberg, Steven M Silverstein, Shula K Minsky, Kim T Mueser
OBJECTIVE: This study examined the cost-effectiveness of a cognitive-behavioral therapy (CBT) intervention for posttraumatic stress disorder (PTSD) that is tailored for adults with a co-occurring severe mental illness. METHODS: Data were from a randomized trial involving 183 adult clients of two outpatient clinics and three partial hospitalization programs. All had a severe mental illness diagnosis (major mood disorder, schizophrenia, or schizoaffective disorder) and severe PTSD...
July 17, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28711766/a-tool-for-automated-diabetic-retinopathy-pre-screening-based-on-retinal-image-computer-analysis
#6
Manuel E Gegundez-Arias, Diego Marin, Beatriz Ponte, Fatima Alvarez, Javier Garrido, Carlos Ortega, Manuel J Vasallo, Jose M Bravo
AIM: This paper presents a methodology and first results of an automatic detection system of first signs of Diabetic Retinopathy (DR) in fundus images, developed for the Health Ministry of the Andalusian Regional Government (Spain). MATERIAL AND METHODS: The system detects the presence of microaneurysms and haemorrhages in retinography by means of techniques of digital image processing and supervised classification. Evaluation was conducted on 1058 images of 529 diabetic patients at risk of presenting evidence of DR (an image of each eye is provided)...
July 8, 2017: Computers in Biology and Medicine
https://www.readbyqxmd.com/read/28709739/structured-lifestyle-intervention-in-patients-with-the-metabolic-syndrome-mitigates-oxidative-stress-but-fails-to-improve-measures-of-cardiovascular-autonomic-neuropathy
#7
Subramaniam Pennathur, Mamta Jaiswal, Elizabeth A White, Lynn Ang, David M Raffel, Melvyn Rubenfire, Rodica Pop-Busui
AIMS: To assess the role of oxidative stress in mediating adverse outcomes in metabolic syndrome (MetS) and resultant cardiovascular autonomic neuropathy (CAN), and to evaluate the effects of lifestyle interventions on measures of oxidative stress and CAN in subjects with MetS. METHODS: Pilot study in 25 non-diabetic subjects with MetS (age 49±10years, 76% females) participating in a 24-week lifestyle intervention (supervised aerobic exercise/Mediterranean diet), and 25 age-matched healthy controls...
May 2, 2017: Journal of Diabetes and its Complications
https://www.readbyqxmd.com/read/28708547/multimodal-fusion-with-reference-searching-for-joint-neuromarkers-of-working-memory-deficits-in-schizophrenia
#8
Shile Qi, Vince D Calhoun, Theo G M van Erp, Juan Bustillo, Eswar Damaraju, Jessica A Turner, Yuhui Du, Jian Yang, Jiayu Chen, Qingbao Yu, Daniel H Mathalon, Judith M Ford, James Voyvodic, Bryon A Mueller, Aysenil Belger, Sarah McEwen, Steven G Potkin, Adrian Preda, Tianzi Jiang, Jing Sui
By exploiting cross-information among multiple imaging data, multimodal fusion has often been used to better understand brain diseases. However, most current fusion approaches are blind, without adopting any prior information. There is increasing interest to uncover the neurocognitive mapping of specific clinical measurements on enriched brain imaging data; hence, a supervised, goal-directed model that employs prior information as a reference to guide multimodal data fusion is much needed and becomes a natural option...
July 11, 2017: IEEE Transactions on Medical Imaging
https://www.readbyqxmd.com/read/28708546/sononet-real-time-detection-and-localisation-of-fetal-standard-scan-planes-in-freehand-ultrasound
#9
Christian F Baumgartner, Konstantinos Kamnitsas, Jacqueline Matthew, Tara P Fletcher, Sandra Smith, Lisa M Koch, Bernhard Kainz, Daniel Rueckert
Identifying and interpreting fetal standard scan planes during 2D ultrasound mid-pregnancy examinations are highly complex tasks which require years of training. Apart from guiding the probe to the correct location, it can be equally difficult for a non-expert to identify relevant structures within the image. Automatic image processing can provide tools to help experienced as well as inexperienced operators with these tasks. In this paper, we propose a novel method based on convolutional neural networks which can automatically detect 13 fetal standard views in freehand 2D ultrasound data as well as provide a localisation of the fetal structures via a bounding box...
July 11, 2017: IEEE Transactions on Medical Imaging
https://www.readbyqxmd.com/read/28708355/-undergraduate-training-in-physician-patient-communication
#10
Alexandre Berney, Pascale Pécoud, Céline Bourquin, Friedrich Stiefel
In addition to providing psychiatric care to patients with somatic diseases, liaison psychiatry plays an important role in the teaching of the relational aspects of the clinical encounter between patients and clinicians. This series of three articles proposes a critical reflection on this topic, and presents examples of undergraduate and postgraduate teaching programs developed by the psychiatric liaison service at Lausanne University Hospital. This article describes the general context of undergraduate teaching, and focuses on our training with simulated patient of a breaking bad news situation, taking place during the fourth year of medical studies...
February 8, 2017: Revue Médicale Suisse
https://www.readbyqxmd.com/read/28707231/a-medical-student-run-child-and-adolescent-psychiatry-clinic-one-institution-s-experience
#11
Cassandra A Murzl, Tyler A Durns, Lorin T Mowrey, Andrew S Tubbs, Sally A Boeve
OBJECTIVE: This report examines the experience of one institution's development of the first student-run psychiatry clinic that serves both adult and pediatric populations. METHODS: The clinic is held weekly with pre-clinical and clinical medical student volunteers under the supervision of board-certified adult and child psychiatrists. The development and evolution of the clinic over time are evaluated with particular attention to obstacles overcome. Medical student volunteers were surveyed retrospectively to evaluate their experience with patients with psychiatric illness, skill development, and interest in psychiatry...
July 13, 2017: Academic Psychiatry
https://www.readbyqxmd.com/read/28706104/use-of-a-mobile-social-networking-intervention-for-weight-management-a-mixed-methods-study-protocol
#12
Liliana Laranjo, Annie Y S Lau, Paige Martin, Huong Ly Tong, Enrico Coiera
INTRODUCTION: Obesity and physical inactivity are major societal challenges and significant contributors to the global burden of disease and healthcare costs. Information and communication technologies are increasingly being used in interventions to promote behaviour change in diet and physical activity. In particular, social networking platforms seem promising for the delivery of weight control interventions.We intend to pilot test an intervention involving the use of a social networking mobile application and tracking devices (Fitbit Flex 2 and Fitbit Aria scale) to promote the social comparison of weight and physical activity, in order to evaluate whether mechanisms of social influence lead to changes in those outcomes over the course of the study...
July 12, 2017: BMJ Open
https://www.readbyqxmd.com/read/28705406/-quality-standards-for-duplex-ultrasonographic-assessment-duplex-us-of-abdominal-aortic-stent-grafts
#13
A Diard, F Becker, O Pichot
The quality standards of the French Society of Vascular Medicine for the ultrasound assessment of lower limb arteries in vascular medicine practice are based on the principle that these examinations have to meet two requirements: technical know-how (knowledge of devices and methodologies); medical know-how (level of examination matching the indication and purpose of the examination, interpretation and critical analysis of results). OBJECTIVES OF THE QUALITY STANDARDS: To describe an optimal level of examination adjusted to the indication or clinical hypothesis; to establish harmonious practices, methodologies, terminologies, results description and report; to provide good practice reference points and to promote a high quality process...
May 2017: J Med Vasc
https://www.readbyqxmd.com/read/28705161/entrustment-of-the-on-call-senior-medical-resident-role-implications-for-patient-safety-and-collective-care
#14
Noureen Huda, Lisa Faden, Mark Goldszmidt
BACKGROUND: The on-call responsibilities of a senior medicine resident (SMR) may include the admission transition of patient care on medical teaching teams (MTT), supervision of junior trainees, and ensuring patient safety. In many institutions, there is no standardised assessment of SMR competency prior to granting these on-call responsibilities in internal medicine. In order to fulfill competency based medical education requirements, training programs need to develop assessment approaches to make and defend such entrustment decisions...
July 14, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28705148/correlates-of-facility-delivery-for-rural-hiv-positive-pregnant-women-enrolled-in-the-moment-nigeria-prospective-cohort-study
#15
Nadia A Sam-Agudu, Christopher Isah, Chinenye Fan-Osuala, Salome Erekaha, Habib O Ramadhani, Udochisom Anaba, Olusegun A Adeyemi, Grace Manji-Obadiah, Daniel Lee, Llewellyn J Cornelius, Manhattan Charurat
BACKGROUND: Low rates of maternal healthcare service utilization, including facility delivery, may impede progress in the prevention of mother-to-child transmission of HIV (PMTCT) and in reducing maternal and infant mortality. The MoMent (Mother Mentor) study investigated the impact of structured peer support on early infant diagnosis presentation and postpartum maternal retention in PMTCT care in rural Nigeria. This paper describes baseline characteristics and correlates of facility delivery among MoMent study participants...
July 14, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28701449/the-change-program-exercise-intervention-in-primary-care
#16
Doug Klein, Khursheed Jeejeebhoy, Angelo Tremblay, Matthew Kallio, Caroline Rheaume, Serena Humphries, Dawna Royall, Paula Brauer, Daren Heyland, Rupinder Dhaliwal, David M Mutch
PROBLEM ADDRESSED: Primary care settings require a feasible program for integrating lifestyle interventions, which can reverse metabolic abnormalities, for patients in practice. OBJECTIVE OF PROGRAM: To integrate a lifestyle intervention program into existing primary care clinics with an interprofessional approach that includes dietitians and kinesiologists. PROGRAM DESCRIPTION: Canadian Health Advanced by Nutrition and Graded Exercise (CHANGE) provides a personalized approach to nutrition and exercise modification focusing on patients with metabolic syndrome...
July 2017: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/28700791/efficacy-of-tramadol-extended-release-for-opioid-withdrawal-a-randomized-clinical-trial
#17
Kelly E Dunn, D Andrew Tompkins, George E Bigelow, Eric C Strain
Importance: Opioid use disorder (OUD) is a significant public health problem. Supervised withdrawal (ie, detoxification) from opioids using clonidine or buprenorphine hydrochloride is a widely used treatment. Objective: To evaluate whether tramadol hydrochloride extended-release (ER), an approved analgesic with opioid and nonopioid mechanisms of action and low abuse potential, is effective for use in supervised withdrawal settings. Design, Setting, and Participants: A randomized clinical trial was conducted in a residential research setting with 103 participants with OUD...
July 12, 2017: JAMA Psychiatry
https://www.readbyqxmd.com/read/28700537/qst-response-patterns-to-capsaicin-and-uv-b-induced-local-skin-hypersensitization-in-healthy-subjects-a-machine-learned-analysis
#18
Jörn Lötsch, Gerd Geisslinger, Sarah Heinemann, Florian Lerch, Bruno G Oertel, Alfred Ultsch
The comprehensive assessment of pain-related human phenotypes requires combinations of nociceptive measures that produce complex high-dimensional data, posing challenges to bioinformatic analysis. In this study, we assessed established experimental models of heat hyperalgesia of the skin, consisting of local ultraviolet-B (UV-B) irradiation or capsaicin application, in 82 healthy subjects using a variety of noxious stimuli. We extended the original heat simulation by applying cold and mechanical stimuli and assessing the hypersensitization effects with a clinically established quantitative sensory testing (QST) battery (German Research Network on Neuropathic Pain)...
July 8, 2017: Pain
https://www.readbyqxmd.com/read/28700462/validity-of-level-of-supervision-scales-for-assessing-pediatric-fellows-on-the-common-pediatric-subspecialty-entrustable-professional-activities
#19
Richard B Mink, Alan Schwartz, Bruce E Herman, David A Turner, Megan L Curran, Angela Myers, Deborah C Hsu, Jennifer C Kesselheim, Carol L Carraccio
PURPOSE: Entrustable professional activities (EPAs) represent the routine and essential activities that physicians perform in practice. Although some level of supervision scales have been proposed, they have not been validated. In this study, the investigators created level of supervision scales for EPAs common to the pediatric subspecialties and then examined their validity in a study conducted by the Subspecialty Pediatrics Investigator Network (SPIN). METHOD: SPIN Steering Committee members used a modified Delphi process to develop unique scales for six of the seven common EPAs...
July 11, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28698965/what-impact-do-students-have-on-clinical-educators-and-the-way-they-practise
#20
REVIEW
Lisa Waters, Kristin Lo, Stephen Maloney
The clinical education setting plays an important part in teaching students about the real world of clinical practice. Traditionally the educational relationship between student and clinical educator has been considered one-way, with students being the ones that benefit. This review focuses on the areas of clinician practice and behaviour that students are reported to influence through clinical placements and as such, determine the overall impact students can have on supervising clinicians. Electronic searches were conducted across MEDLINE, EMBASE, PsychINFO and CINAHL in July 2016...
July 11, 2017: Advances in Health Sciences Education: Theory and Practice
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