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https://www.readbyqxmd.com/read/29457585/training-nurses-in-a-competency-framework-to-support-adults-with-epilepsy-and-intellectual-disability-the-epaid-cluster-rct
#1
Howard Ring, James Howlett, Mark Pennington, Christopher Smith, Marcus Redley, Caroline Murphy, Roxanne Hook, Adam Platt, Nakita Gilbert, Elizabeth Jones, Joanna Kelly, Angela Pullen, Adrian Mander, Cam Donaldson, Simon Rowe, James Wason, Fiona Irvine
BACKGROUND: People with an intellectual (learning) disability (ID) and epilepsy have an increased seizure frequency, higher frequencies of multiple antiepileptic drug (AED) use and side effects, higher treatment costs, higher mortality rates and more behavioural problems than the rest of the population with epilepsy. The introduction of nurse-led care may lead to improvements in outcome for those with an ID and epilepsy; however, this has not been tested in a definitive clinical trial...
February 2018: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/29455676/evaluation-of-an-ophthalmoscopy-simulator-to-teach-funduscopy-skills-to-pediatric-residents
#2
Elizabeth Kouzmitcheva, Stephanie A Grover, Tara Berenbaum, Asim Ali, Adelle Atkinson, E Ann Yeh
BACKGROUND: Medical school and residency training in ophthalmoscopic evaluation is limited, reducing diagnostic accuracy. We sought to evaluate the efficacy of self-study using an ophthalmoscopy simulator to improve the technical motor skills involved in direct funduscopy in postgraduate pediatric residents. METHODS: In this randomized-controlled study, 17 pediatric residents (postgraduate years 1-3) were randomized to control (n=8) or intervention (n=9) groups...
February 19, 2018: Canadian Journal of Neurological Sciences. le Journal Canadien des Sciences Neurologiques
https://www.readbyqxmd.com/read/29455632/arthroscopic-undersurface-rotator-cuff-repair-versus-conventional-arthroscopic-double-row-rotator-cuff-repair-comparable-results-at-2-year-follow-up
#3
Benjamin Fu Hong Ang, Jerry Yongqiang Chen, William Yeo, Denny Tijauw Tjoen Lie, Paul Chee Cheng Chang
AIM: The aim of our study is to compare the improvement in clinical outcomes after conventional arthroscopic double-row rotator cuff repair and arthroscopic undersurface rotator cuff repair. METHOD: A consecutive series of 120 patients who underwent arthroscopic rotator cuff repair was analysed. Sixty-one patients underwent conventional double-row rotator cuff repair and 59 patients underwent undersurface rotator cuff repair. Several clinical outcomes, including numerical pain rating scale (NPRS), constant shoulder score (CSS), Oxford shoulder score (OSS) and University of California Los Angeles shoulder score (UCLASS), were prospectively recorded by a trained healthcare professional preoperatively and at 3, 6, 12 and 24 months after surgery...
January 2018: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/29455310/germans-learn-how-to-save-lives-a-nationwide-cpr-education-initiative
#4
Manuela Malsy, Richard Leberle, Bernhard Graf
BACKGROUND: Sudden cardiac death is one of the most frequent causes of death in Germany and the third leading cause of death in the industrialized world. Yet, the percentage of people providing first aid in the case of sudden cardiac arrest in Germany is alarmingly low by international comparison. Training Germans or reminding them of the simple but effective steps of resuscitation, so that everybody can save a live in an emergency. METHODS: For the campaign 'Resuscitation Week', physicians and paramedics trained passers-by in cardiovascular resuscitation free of charge...
February 17, 2018: International Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29455117/road-traffic-accidents-in-scottish-military-veterans
#5
Beverly P Bergman, Daniel F Mackay, Jill P Pell
Road traffic accidents (RTA) are recognised to be an important cause of death and injury in serving military personnel but little is known about the risk in veterans. We used data from the Scottish Veterans Health Study to examine the risk of RTA in a large national cohort of veterans, in comparison with people who had never served. We conducted a retrospective cohort study of 57,000 veterans and 173,000 non-veterans, followed up for up to 30 years, using survival analysis to compare risk of RTA injury. Subgroup analysis was used to explore trends by birth cohort and length of service...
February 15, 2018: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/29452814/deep-or-awake-removal-of-laryngeal-mask-airway-in-children-at-risk-of-respiratory-adverse-events-undergoing-tonsillectomy-a-randomised-controlled-trial
#6
A Ramgolam, G L Hall, G Zhang, M Hegarty, B S von Ungern-Sternberg
BACKGROUND: Laryngeal mask airways (LMA) are widely used during tonsillectomies. Contrasting evidence exists regarding the timing of the removal and the risk of perioperative respiratory adverse events. We assessed whether the likelihood of perioperative respiratory adverse events is influenced by the timing of LMA removal in children with at least one risk factor for these events. METHODS: Participants (n=290, 0-16 yr) were randomised to have their LMA removed either deep (in theatre by anaesthetist at end-tidal sevoflurane >1 minimum alveolar concentration) or awake (in theatre by anaesthetist or in postanaesthesia care unit by anaesthetist or trained nurse)...
March 2018: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/29452804/inter-observer-reliability-of-preoperative-cardiopulmonary-exercise-test-interpretation-a-cross-sectional-study
#7
T E F Abbott, M Gooneratne, J McNeill, A Lee, D Z H Levett, M P W Grocott, M Swart, N MacDonald
BACKGROUND: Despite the increasing importance of cardiopulmonary exercise testing (CPET) for preoperative risk assessment, the reliability of CPET interpretation is unclear. We aimed to assess inter-observer reliability of preoperative CPET. METHODS: We conducted a prospective, multi-centre, observational study of preoperative CPET interpretation. Participants were professionals with previous experience or training in CPET, assessed by a standardized questionnaire...
March 2018: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/29452134/effect-of-high-intensity-interval-training-on-cardiac-function-in-children-with-obesity-a-randomised-controlled-trial
#8
REVIEW
Charlotte B Ingul, Katrin A Dias, Arnt E Tjonna, Turid Follestad, Mansoureh S Hosseini, Anita S Timilsina, Siri M Hollekim-Strand, Torstein B Ro, Peter S W Davies, Peter A Cain, Gary M Leong, Jeff S Coombes
BACKGROUND: High intensity interval training (HIIT) confers superior cardiovascular health benefits to moderate intensity continuous training (MICT) in adults and may be efficacious for improving diminished cardiac function in obese children. The aim of this study was to compare the effects of HIIT, MICT and nutrition advice interventions on resting left ventricular (LV) peak systolic tissue velocity (S') in obese children. METHODS: Ninety-nine obese children were randomised into one of three 12-week interventions, 1) HIIT [n = 33, 4 × 4 min bouts at 85-95% maximum heart rate (HR max ), 3 times/week] and nutrition advice, 2) MICT [n = 32, 44 mins at 60-70% HR max , 3 times/week] and nutrition advice, and 3) nutrition advice only (nutrition) [n = 34]...
February 13, 2018: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/29451998/predicting-the-integrated-visual-field-with-wide-scan-optical-coherence-tomography-in-glaucoma-patients
#9
Masaaki Yoshida, Shiho Kunimatsu-Sanuki, Kazuko Omodaka, Toru Nakazawa
PURPOSE: This study aimed to calculate a predicted integrated visual field (IVF) based on predicted monocular visual fields (MVFs) derived, with a new method, from wide-scan optical coherence tomography (OCT) data. MATERIALS AND METHODS: Visual field testing used the central (6 × 4) 24 points of the Humphrey Field Analyzer 24-2 program. OCT scans of a corresponding retinal area, centered on the fovea, were divided into a 6 × 4 grid. The thickness of the macular retinal nerve fiber layer (mRNFL), ganglion cell layer + inner plexiform layer (GCIPL), and mRNFL + GCIPL (GCC) was measured in each grid area...
February 16, 2018: Current Eye Research
https://www.readbyqxmd.com/read/29451881/population-based-coverage-survey-results-following-the-mass-drug-administration-of-azithromycin-for-the-treatment-of-trachoma-in-amhara-ethiopia
#10
Tigist Astale, Eshetu Sata, Mulat Zerihun, Andrew W Nute, Aisha E P Stewart, Demelash Gessesse, Gedefaw Ayenew, Berhanu Melak, Melsew Chanyalew, Zerihun Tadesse, E Kelly Callahan, Scott D Nash
BACKGROUND: Trachoma is the leading infectious cause of blindness worldwide. In communities where the district level prevalence of trachomatous inflammation-follicular among children ages 1-9 years is ≥5%, WHO recommends annual mass drug administration (MDA) of antibiotics with the aim of at least 80% coverage. Population-based post-MDA coverage surveys are essential to understand the effectiveness of MDA programs, yet published reports from trachoma programs are rare. METHODS: In the Amhara region of Ethiopia, a population-based MDA coverage survey was conducted 3 weeks following the 2016 MDA to estimate the zonal prevalence of self-reported drug coverage in all 10 administrative zones...
February 16, 2018: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/29450892/rat-choice-in-rapidly-changing-concurrent-schedules
#11
Anthony P McLean, Randolph C Grace, Olesya T Shevchouk, Jacinta R Cording
In two experiments, experimentally naïve rats were trained in concurrent variable-interval schedules in which the reinforcer ratios changed daily according to a pseudorandom binary sequence. In Experiment 1, relative response rates showed clear sensitivity to current-session reinforcer ratios, but not to previous sessions' reinforcer ratios. Within sessions, sensitivity to the current session's reinforcement rates increased steadily, and by session end, response ratios approached matching to the current-session reinforcer ratios...
February 16, 2018: Journal of the Experimental Analysis of Behavior
https://www.readbyqxmd.com/read/29450737/correlation-between-plaque-control-and-gingival-health-using-short-and-extended-oral-hygiene-intervals
#12
S C De David, T G Mário, G C De Freitas, K Z Kantorski, U M E Wikesjö, Carlos Heitor Cunha Moreira
OBJECTIVES: To evaluate the correlation between dental plaque formation and gingival health in subjects performing high oral hygiene standards over short or extended intervals. MATERIALS AND METHODS: Fifty-two non-dental students volunteered for this study. The subjects, trained to perform high oral hygiene standards, were randomized to perform oral hygiene at 12-, 24-, 48-, or 72-h interval over 30 days. The plaque index (PlI) and the gingival index (GI) were evaluated at baseline, 15, and 30 days...
February 15, 2018: Clinical Oral Investigations
https://www.readbyqxmd.com/read/29450713/radiomic-signature-as-a-diagnostic-factor-for-histologic-subtype-classification-of-non-small-cell-lung-cancer
#13
Xinzhong Zhu, Di Dong, Zhendong Chen, Mengjie Fang, Liwen Zhang, Jiangdian Song, Dongdong Yu, Yali Zang, Zhenyu Liu, Jingyun Shi, Jie Tian
OBJECTIVES: To distinguish squamous cell carcinoma (SCC) from lung adenocarcinoma (ADC) based on a radiomic signature METHODS: This study involved 129 patients with non-small cell lung cancer (NSCLC) (81 in the training cohort and 48 in the independent validation cohort). Approximately 485 features were extracted from a manually outlined tumor region. The LASSO logistic regression model selected the key features of a radiomic signature. Receiver operating characteristic curve and area under the curve (AUC) were used to evaluate the performance of the radiomic signature in the training and validation cohorts...
February 15, 2018: European Radiology
https://www.readbyqxmd.com/read/29449063/comparison-of-post-therapy-dysphonic-voices-and-normal-voices
#14
Natalie Schaeffer, Akiko Fuse
PURPOSE: The purpose of the present investigation was to compare the voices of post-therapy dysphonic participants with participants who have normal voices to determine how close the corrected voices approached normal vocal levels. The present investigation is a follow-up to the authors' previous research in which dysphonic participants, with voices ranging from moderate-to-severe dysphonia, were evaluated pre- and post therapy using the Dysphonic Severity Percentage scale and the interval scale...
February 12, 2018: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/29448292/a-trunk-stabilization-exercise-warm-up-may-reduce-ankle-injuries-in-junior-soccer-players
#15
Atsushi Imai, Takeshi Imai, Satoshi Iizuka, Koji Kaneoka
The aim of this study was to investigate the efficacy of a trunk stabilization exercise warm-up program in reducing the incidence of lower extremity injuries among male junior soccer players. Two junior soccer teams participated in this study. The intervention (INT) team performed three trunk stabilization exercises before practice sessions and games, while a control (CON) team performed their usual warm-up without trunk exercises. Both teams engaged in regular soccer training and games, and were followed for the incidence of injury...
February 15, 2018: International Journal of Sports Medicine
https://www.readbyqxmd.com/read/29446245/differential-metabolic-effects-of-constant-moderate-versus-high-intensity-interval-training-in-high-fat-fed-mice-possible-role-of-muscle-adiponectin
#16
Sergio F Martinez-Huenchullan, Babu Raja Maharjan, Paul F Williams, Charmaine S Tam, Susan V Mclennan, Stephen M Twigg
Exercise regimens may have differing effects in the presence of obesity. In addition to being fat derived, adiponectin has recently been described as a myokine that regulates insulin sensitivity, which may link to exercise-related metabolic benefits in obesity. Whether skeletal muscle adiponectin varies in different exercise modalities is unclear. This study investigated the comparative effects of 10 weeks of endurance constant-moderate intensity exercise (END) with high intensity interval training (HIIT), on metabolic outcomes, including muscle adiponectin in a mouse model of diet-induced obesity...
February 2018: Physiological Reports
https://www.readbyqxmd.com/read/29445588/the-very-experienced-time-honoured-surgeons-vetus-project
#17
Luca Bertolaccini, Piergiorgio Solli, Roberto Crisci, Gaetano Rocco
Senior surgeons who completed their formal surgical training before the video-assisted thoracoscopic surgery (VATS) lobectomy era have had more experience with lobectomy via thoracotomy while their thoracoscopic training background contrasts from younger surgeons. However, this does not seem to have an unfavourable effect on their performance. Despite the literature recognising the critical points of influence of the learning curve for resident surgeons, limited data are focusing on the incremental performance of VATS lobectomy by senior surgeons...
2018: Journal of Visualized Surgery
https://www.readbyqxmd.com/read/29444097/the-effects-of-intensified-training-on-resting-metabolic-rate-rmr-body-composition-and-performance-in-trained-cyclists
#18
Amy L Woods, Anthony J Rice, Laura A Garvican-Lewis, Alice M Wallett, Bronwen Lundy, Margot A Rogers, Marijke Welvaert, Shona Halson, Andrew McKune, Kevin G Thompson
BACKGROUND: Recent research has demonstrated decreases in resting metabolic rate (RMR), body composition and performance following a period of intensified training in elite athletes, however the underlying mechanisms of change remain unclear. Therefore, the aim of the present study was to investigate how an intensified training period, designed to elicit overreaching, affects RMR, body composition, and performance in trained endurance athletes, and to elucidate underlying mechanisms. METHOD: Thirteen (n = 13) trained male cyclists completed a six-week training program consisting of a "Baseline" week (100% of regular training load), a "Build" week (~120% of Baseline load), two "Loading" weeks (~140, 150% of Baseline load, respectively) and two "Recovery" weeks (~80% of Baseline load)...
2018: PloS One
https://www.readbyqxmd.com/read/29443822/power-to-strength-ratio-influences-performance-enhancement-with-contrast-training
#19
Knut Thomas Schneiker, Jackson James Fyfe, Francois Billaut, David John Bishop
PURPOSE: The effectiveness of contrast training (CST) for improving explosive exercise performance is modulated by various individual characteristics; however, further work is required to define these factors. METHODS: Sub-elite male Australian Football players [n = 22; age, 19 ± 2 y; body mass, 80.4 ± 9.4 kg; one-repetition maximum (1-RM) half squat, 172 ± 18 kg; mean ± SD] completed two experimental trials involving two sets of squat jumps (6 repetitions at 30% 1-RM) performed either alone (CTL condition) or after half squats (6 repetitions at 85% 1-RM; CST condition)...
February 13, 2018: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/29442251/adaptive-learning-and-forgetting-in-an-unconventional-experimental-routine
#20
Daniel Bell-Garrison, Nathaniel C Rice, Elizabeth G E Kyonka
Forgetting is often thought of as the inability to remember, but remembering and forgetting allow behavior to adapt to a changing environment in distinct and separable ways. Learning and forgetting were assessed concurrently in two pigeon experiments that involved the same unconventional routine where the schedule of reinforcement changed every session. Sessions were run back-to-back with a 23-h mid-session break such that in a single visit to the testing chamber, a pigeon completed the second half of one session and the first half of the next...
February 13, 2018: Animal Cognition
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