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https://www.readbyqxmd.com/read/29933508/recent-advances-on-the-development-of-phantoms-using-3d-printing-for-imaging-with-ct-mri-pet-spect-and-ultrasound
#1
REVIEW
Valeria Filippou, Charalampos Tsoumpas
PURPOSE: Printing technology, capable of producing three-dimensional (3D) objects, has evolved in recent years and provides potential for developing reproducible and sophisticated physical phantoms. 3D printing technology can help rapidly develop relatively low cost phantoms with appropriate complexities, which are useful in imaging or dosimetry measurements. The need for more realistic phantoms is emerging since imaging systems are now capable of acquiring multimodal and multiparametric data...
June 22, 2018: Medical Physics
https://www.readbyqxmd.com/read/29933481/-outpatient-drain-management-in-patients-with-clinically-relevant-postoperative-pancreatic-fistula-cr-popf-current-status-in-germany
#2
Sebastian Hempel, Pamela Püttmann, Christoph Kahlert, Lena Seifert, Sören Torge Mees, Thilo Welsch, Jürgen Weitz, Marius Distler
INTRODUCTION: Postoperative pancreatic fistula (POPF) is a common complication after pancreatic surgery and is associated with extended hospitalisation, increased medical costs, and reduced quality of life. The aim of the present study was to assess the treatment of POPF in Germany, with a special focus on outpatient drain management in patients with clinically relevant POPF (CR-POPF). METHODS: A questionnaire evaluating postoperative management once a CR-POPF is diagnosed - especially focusing on ambulatory drain management - was developed and sent to 211 German hospitals performing > 12 pancreatic operations per year...
June 2018: Zentralblatt Für Chirurgie
https://www.readbyqxmd.com/read/29933419/scale-for-supported-care-in-primary-care-a-methodological-study
#3
Elis Martins Ulbrich, Maria de Fátima Mantovani, Ângela Taís Mattei, Felismina Rosa Parreira Mendes
OBJECTIVE: To develop a predictive scale for determining complications in adults with hypertension and actions for care supported in primary care. METHOD: Methodological research developed in the municipality of Curitiba-PR in 2013 and 2014, carried out in two stages, the first through the collection of data from 387 adults with hypertension through a structured interview and anxiety scales, depression, quality of life, medication adherence and social support. The second step was the construction of the scale from the statistically significant variables in the multivariate analysis...
June 7, 2018: Revista Gaúcha de Enfermagem
https://www.readbyqxmd.com/read/29933376/inner-ear-exosomes-and-their-potential-use-as-biomarkers
#4
Eugene H C Wong, You Yi Dong, Mali Coray, Maurizio Cortada, Soledad Levano, Alexander Schmidt, Yves Brand, Daniel Bodmer, Laurent Muller
Exosomes are nanovesicles involved in intercellular communications. They are released by a variety of cell types; however, their presence in the inner ear has not been described in the literature. The aims of this study were to determine if exosomes are present in the inner ear and, if present, characterize the changes in their protein content in response to ototoxic stress. In this laboratory investigation, inner ear explants of 5-day-old Wistar rats were cultured and treated with either cisplatin or gentamicin...
2018: PloS One
https://www.readbyqxmd.com/read/29933354/selenium-in-graves-hyperthyroidism-and-orbitopathy
#5
Michele Marinò, Francesca Menconi, Giovanna Rotondo Dottore, Marenza Leo, Claudio Marcocci
PURPOSE: To review the in vitro and in vivo studies supporting a role of selenium for the treatment of mild Graves orbitopathy. METHODS: Review of the current literature on the role of selenium in the management of Graves orbitopathy. RESULTS: Graves orbitopathy (GO) is a disfiguring and disabling disorder usually observed in patients with Graves hyperthyroidism, and more rarely in patients with hypothyroid autoimmune thyroiditis or in the absence of overt thyroid dysfunction...
June 20, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29933333/-as-black-as-ink-a-case-of-alkaptonuria-associated-myelopathy-and-a-review-of-the-literature
#6
Callum J Donaldson, Stuart L Mitchell, Lee H Riley, Khaled Kebaish
STUDY DESIGN: Case report and literature review. OBJECTIVE: To characterize the rare presentati on of myelopathy occurring secondary to alkaptonuria and to evaluate the available evidence regarding its treatment. SUMMARY OF BACKGROUND DATA: Alkaptonuria is an autosomal recessive genetic condition with an estimated incidence of 1 in 250,000 to 1 in 1,000,000 people. Mutation of the enzyme homogentisate 1,2-dioxygenase leads to the production of high levels of homogentisic acid (HGA), with subsequent deposition in ligaments, cartilage, and menisci...
June 21, 2018: Spine
https://www.readbyqxmd.com/read/29933288/diagnostic-criteria-and-treatment-algorithm-for-susac-syndrome
#7
Robert A Egan
BACKGROUND: Susac syndrome (SS) classically presents with the clinical triad of retinal artery occlusion, sensorineural hearing loss, and encephalopathy and the neuroimaging triad of white matter lesions, deep gray matter lesions, and leptomeningeal disease. However, patients can present with an incomplete clinical or neuroimaging triads making diagnosis difficult in certain situations. A standard treatment paradigm also is lacking in this illness. It is important for neuro-ophthalmologists to recognize clinical and radiographic findings that are pathognomonic for this syndrome and have a basic understanding of the available treatment options...
June 21, 2018: Journal of Neuro-ophthalmology: the Official Journal of the North American Neuro-Ophthalmology Society
https://www.readbyqxmd.com/read/29933284/reasons-for-prescription-opioid-use-while-playing-in-the-national-football-league-as-risk-factors-for-current-use-and-misuse-among-former-players
#8
Eugene M Dunne, Catherine W Striley, Zachary L Mannes, Breton M Asken, Nicole E Whitehead, Linda B Cottler
OBJECTIVE: Prescription opioid misuse has become a significant public health issue. Previous research has examined predictors of prescription opioid use and misuse among former National Football League (NFL) players. The present study aimed to describe how reasons for prescription opioid use while in the NFL corresponds to use and misuse in retirement. DESIGN: Former NFL players reporting prescription opioid use during their playing careers (N = 336) were included in this secondary data analysis...
June 21, 2018: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/29932934/mapping-the-transmission-risk-of-zika-virus-using-machine-learning-models
#9
Dong Jiang, Mengmeng Hao, Fangyu Ding, Jingying Fu, Meng Li
Zika virus, which has been linked to severe congenital abnormalities, is exacerbating global public health problems with its rapid transnational expansion fueled by increased global travel and trade. Suitability mapping of the transmission risk of Zika virus is essential for drafting public health plans and disease control strategies, which are especially important in areas where medical resources are relatively scarce. Predicting the risk of Zika virus outbreak has been studied in recent years, but the published literature rarely includes multiple model comparisons or predictive uncertainty analysis...
June 19, 2018: Acta Tropica
https://www.readbyqxmd.com/read/29932862/subchondral-bone-and-the-osteochondral-unit-basic-science-and-clinical-implications-in-sports-medicine
#10
Bryan M Saltzman, Jonathan C Riboh
CONTEXT: Articular cartilage injuries and early osteoarthritis are among the most common conditions seen by sports medicine physicians. Nonetheless, treatment options for articular degeneration are limited once the osteoarthritic cascade has started. Intense research is focused on the use of biologics, cartilage regeneration, and transplantation to help maintain and improve cartilage health. An underappreciated component of joint health is the subchondral bone. EVIDENCE ACQUISITION: A comprehensive, nonsystematic review of the published literature was completed via a PubMed/MEDLINE search of the keywords "subchondral" AND "bone" from database inception through December 1, 2016...
June 1, 2018: Sports Health
https://www.readbyqxmd.com/read/29932570/the-patient-centered-medical-home-model-and-diabetes-outcomes-an-integrative-literature-review
#11
Glenmore Hendricks, Andrew P Corr, Annie P Odell, Joy R Goebel
The purpose of this integrative review was to synthesize the existing evidence on diabetes care within a Patient-Centered Medical Home (PCMH) model to evaluate its effectiveness on quality outcomes. Literature published in English between 2005 and 2015 was searched using thefollowing keywords: PCMH and diabetes, comprehensive care, care coordination, patient-centered care, quality and safety, and accessible care. The following databases were searched: Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, Cochrane Review, Academic Premier (EBSCO), and Psych INFO...
July 2017: Journal of National Black Nurses' Association: JNBNA
https://www.readbyqxmd.com/read/29932569/health-coaching-strategy-to-improve-glycemic-control-in-african-american-adults-with-type-2-diabetes-an-integrative-review
#12
Larider Ruffin
Diabetes is a complex, chronic illness requiring continuous medical care with multifactorial risk-reduction strategies for appropriate glycemic control. Type 2 diabetes remains a global epidemic secondary to increases in physical inactivity and obesity. While many populations are at risk, African-Americans bear a disproportionate burden from diabetes and its complications. Diabetes self-management education (DSME) is essential to successful diabetes treatment and complication prevention. However, diabetes management requires daily patient involvement and skills...
July 2017: Journal of National Black Nurses' Association: JNBNA
https://www.readbyqxmd.com/read/29932379/safety-and-efficacy-of-a-novel-neurosurgical-enhanced-recovery-after-surgery-protocol-for-elective-craniotomy-a-prospective-randomized-controlled-trial
#13
Yuan Wang, Bolin Liu, Tianzhi Zhao, Binfang Zhao, Daihua Yu, Xue Jiang, Lin Ye, Lanfu Zhao, Wenhai Lv, Yufu Zhang, Tao Zheng, Yafei Xue, Lei Chen, Eric Sankey, Long Chen, Yingxi Wu, Mingjuan Li, Lin Ma, Zhengmin Li, Ruigang Li, Juan Li, Jing Yan, Shasha Wang, Hui Zhao, Xude Sun, Guodong Gao, Yan Qu, Shiming He
OBJECTIVE Although enhanced recovery after surgery (ERAS) programs have gained acceptance in various surgical specialties, no established neurosurgical ERAS protocol for patients undergoing elective craniotomy has been reported in the literature. Here, the authors describe the design, implementation, safety, and efficacy of a novel neurosurgical ERAS protocol for elective craniotomy in a tertiary care medical center located in China. METHODS A multidisciplinary neurosurgical ERAS protocol for elective craniotomy was developed based on the best available evidence...
June 22, 2018: Journal of Neurosurgery
https://www.readbyqxmd.com/read/29932213/rationales-for-expanding-minority-physician-representation-in-the-workforce-a-scoping-review
#14
Karen Kelly-Blake, Nanibaa' A Garrison, Faith E Fletcher, Brittany Ajegba, Nichole Smith, Morgann Brafford, Elizabeth Bogdan-Lovis
OBJECTIVES: The purpose of this study was to conduct a scoping review of the literature and to categorically map a 15-year trajectory of US undergraduate medical education rationales for and approaches to expanding under-represented minority (URM) physician representation in the medical workforce. Further aims were to comparatively examine related justifications and to consider international implications. METHODS: From 1 June to 31 July 2015, the authors searched the Cochrane Library, ERIC, PsycINFO, PubMed, Scopus, Web of Science and Google Scholar for articles published between 2000 and 2015 reporting rationales for and approaches to increasing the numbers of members of URMs in undergraduate medical school...
June 22, 2018: Medical Education
https://www.readbyqxmd.com/read/29932096/ancient-treatment-for-lice-a-source-of-suggestions-for-carriers-of-other-infectious-diseases
#15
Stefano Manfredini, Carlo Contini
Louse infestation is one of the oldest contagious pestilential diseases of humankind, which has recently re-emerged in several developing countries as well as in homeless individuals and migrants. The present work provides the first phase of an historical excursus of louse remedies based on the classics of pharmaceutical literature, codes, pharmacopoeia and treatises. The second phase involves a literature search, based on the principal medical databases (SciFinder, Pubmed, Google Scholar, ISI-Web of Science and Scopus), to match ancient raw materials and active principles for the treatment of pediculosis and their possible applications, with other current infectious pathologies transmitted by different carriers...
June 1, 2018: Le Infezioni in Medicina
https://www.readbyqxmd.com/read/29932049/the-quality-of-informed-consent-forms-a-systematic-review-and-critical-analysis
#16
Julia Lühnen, Ingrid Mühlhauser, Anke Steckelberg
BACKGROUND: The patient's consent to a medical procedure must be preceded by a pre-procedure discussion with the physician that is documented on a standardized form. Evidence suggests that these forms lack information that would be relevant for an informed decision. METHODS: We carried out a systematic literature search up to February 2017 for evidence on the quality and efficacy of informed consent forms. The definition of criteria for the evaluation of meta-information, content, and presentation were derived from current guidelines for evidence-based health information...
June 1, 2018: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/29932047/strategies-for-treating-scoliosis-in-early-childhood
#17
Karsten Ridderbusch, Alexander S Spiro, Philip Kunkel, Benjamin Grolle, Ralf Stücker, Martin Rupprecht
BACKGROUND: Scoliosis in early childhood is defined as abnormal curvature of the spine of any etiology that arises before age 10. The affected children are at high risk of developing restrictive pulmonary dysfunction. The treatment presents major challenges because of the complexity and high morbidity of the disease. METHODS: This article is based on pertinent articles retrieved by a selective literature search, and on the results of a retrospective study by the authors...
June 1, 2018: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/29931547/strategies-to-prevent-readmission-in-high-risk-patients-with-diabetes-the-importance-of-an-interdisciplinary-approach
#18
REVIEW
Naina Sinha Gregory, Jane J Seley, Savira Kochhar Dargar, Naveen Galla, Linda M Gerber, Jennifer I Lee
PURPOSE OF REVIEW: Patients with diabetes are known to have higher 30-day readmission rates compared to the general inpatient population. A number of strategies have been shown to be effective in lowering readmission rates. RECENT FINDINGS: A review of the current literature revealed several strategies that have been associated with a decreased risk of readmission in high-risk patients with diabetes. These strategies include inpatient diabetes survival skills education and medication reconciliation prior to discharge to send the patient home with the "right" medications...
June 21, 2018: Current Diabetes Reports
https://www.readbyqxmd.com/read/29931416/sunct-and-suna-an-update-and-review
#19
REVIEW
Karissa N Arca, Rashmi B Halker Singh
PURPOSE OF REVIEW: The purpose of this review is to provide an update on the clinical features, diagnosis, pathogenesis, epidemiology, and treatment of the rare primary headache disorders short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) and short-lasting unilateral neuralgiform headache attacks with autonomic symptoms (SUNA). Together these entities are known as short-lasting unilateral neuralgiform headache attacks (SUNHA). RECENT FINDINGS: Recent case reports of secondary SUNCT and SUNA due to medullary infarcts support the theory that the trigeminohypothalamic pathway is involved in the pathophysiology of SUNHA...
June 21, 2018: Current Pain and Headache Reports
https://www.readbyqxmd.com/read/29931382/-legal-relevance-of-guidelines-contextualization-exemplified-by-international-recommendations-for-treatment-of-inguinal-hernia-in-adults
#20
REVIEW
D Weyhe, V N Uslar, C Mählmeyer, H Oehlers
BACKGROUND: Guidelines aim to standardize treatment concepts based on evidence from the literature and may thus be viewed as collegial support; however, there is a lack of clarity about the legal relevance and legal validity of international guidelines compared to the Association of the Scientific Medical Societies in Germany (AWMF) recommendations. MATERIAL AND METHODS: A literature search was conducted on German AWMF guidelines and on international guidelines for inguinal hernia in adults...
June 21, 2018: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
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