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https://www.readbyqxmd.com/read/29917286/quality-assessment-of-uterine-artery-doppler-measurement-in-first-trimester-combined-screening-for-pre-eclampsia
#1
Daniel L Rolnik, Fabricio da Silva Costa, Daljit Sahota, Jon Hyett, Andrew McLennan
AIM: To assess the quality of mean uterine artery pulsatility index (UtAPI) measurement in a first trimester pre-eclampsia screening program. METHODS: Consecutive patients attending first trimester screening for fetal chromosomal abnormalities also had combined screening for pre-eclampsia based on the Fetal Medicine Foundation (FMF) algorithm, in a large practice in Sydney, Australia, from May 2014 to February 2017. Distributions of mean UtAPI multiples of the median (MoM) on the logarithmic scale were plotted in relation to the normal median with 95% confidence interval (CI) for each operator and for each month...
June 19, 2018: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/29916750/manual-wheelchair-tilt-rest-skill-a-cross-sectional-survey-of-awareness-and-capacity-among-wheelchair-users
#2
R Lee Kirby, Amira Aggour, Audrey Chen, Cher Smith, Chris Theriault, Kara Matheson
PURPOSE: The tilt-rest skill consists of tipping the wheelchair back and allowing it to rest against a solid object with the wheel locks applied (e.g., for pressure redistribution, neck comfort or hands-free activities). The objective of this study was to determine the proportion of experienced manual wheelchair users who are aware of this skill and who can perform it. MATERIALS AND METHODS: We conducted a cross-sectional survey of 49 manual wheelchair users using a questionnaire developed for the purpose...
June 19, 2018: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/29915937/diagnostic-accuracy-of-an-abbreviated-mri-protocol-for-detecting-radiographically-occult-hip-and-pelvis-fractures-in-the-elderly
#3
Andrew B Ross, Brian Y Chan, Paul H Yi, Michael D Repplinger, David J Vanness, Kenneth S Lee
OBJECTIVE: To determine the diagnostic accuracy of an abbreviated, two-sequence MRI protocol using limited pulse sequences for the detection of radiographically occult hip and pelvis fractures in the elderly compared to the complete MRI examination. MATERIALS AND METHODS: One hundred and eleven consecutive emergency department patients age 65 or older who had undergone MRI to evaluate for clinically suspected hip fracture after negative radiographs were included in the study...
June 18, 2018: Skeletal Radiology
https://www.readbyqxmd.com/read/29914892/radiomics-signature-on-magnetic-resonance-imaging-association-with-disease-free-survival-in-patients-with-invasive-breast-cancer
#4
Hyunjin Park, Yaeji Lim, Eun Sook Ko, Hwan-Ho Cho, Jeong Eon Lee, Boo-Kyung Han, Eun Young Ko, Ji Soo Choi, Ko Woon Park
PURPOSE: To develop a radiomics signature based on preoperative magnetic resonance imaging (MRI) to estimate disease-free survival (DFS) in patients with invasive breast cancer and to establish a radiomics nomogram that incorporates the radiomics signature and MRI and clinicopathological findings. EXPERIMENTAL DESIGN: We identified 294 patients with invasive breast cancer who underwent preoperative MRI. Patients were randomly divided into training (n = 194) and validation (n = 100) sets...
June 18, 2018: Clinical Cancer Research: An Official Journal of the American Association for Cancer Research
https://www.readbyqxmd.com/read/29914730/foot-loading-and-gait-analysis-evaluation-of-nonarticular-tibial-pilon-fracture-a-comparison-of-three-surgical-techniques
#5
Gabriele Falzarano, Giuseppe Pica, Antonio Medici, Giuseppe Rollo, Michele Bisaccia, Raffaele Cioffi, Mario Pavone, Luigi Meccariello
The aim of our study was to investigate which technique among hybrid external fixation, plate and screws, and intramedullary nailing produces better outcomes in foot loading when treating type 43.A1, 43.A2, and 43.A3 fractures, according to the AO classification. From November 2011 to December 2014, 34 patients, including 25 (73.5%) males and 9 (26.5%) females with an average age of 32.3 (range 16 to 67) years, with a type A tibia fracture were treated with intramedullary nailing, plate and screws, or hybrid external fixation...
June 15, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29912440/predictors-of-wellness-behaviors-in-u-s-army-physicians
#6
Daniel P Hsu, Shana L Hansen, Timothy A Roberts, Clinton K Murray, Vincent Mysliwiec
Introduction: In 2013, the U.S. Army Surgeon General implemented the Performance Triad (P3), an educational initiative to improve health-related behaviors of soldiers throughout the U.S. Army. The components of P3 are Sleep, Activity, and Nutrition with tenet behaviors for each component. This study reports the results of the 2015 U.S. Army Medical Corps survey regarding physician knowledge and adherence to the tenet behaviors of P3. Methods: In 2015, an anonymous survey was sent to all active duty U...
April 18, 2018: Military Medicine
https://www.readbyqxmd.com/read/29912350/randomized-trial-of-ireadmore-word-reading-training-and-brain-stimulation-in-central-alexia
#7
Zoe V J Woodhead, Sheila J Kerry, Oscar M Aguilar, Yean-Hoon Ong, John S Hogan, Katerina Pappa, Alex P Leff, Jennifer T Crinion
Central alexia is an acquired reading disorder co-occurring with a generalized language deficit (aphasia). We tested the impact of a novel training app, 'iReadMore', and anodal transcranial direct current stimulation of the left inferior frontal gyrus, on word reading ability in central alexia. The trial was registered at www.clinicaltrials.gov (NCT02062619). Twenty-one chronic stroke patients with central alexia participated. A baseline-controlled, repeated-measures, crossover design was used. Participants completed two 4-week blocks of iReadMore training, one with anodal stimulation and one with sham stimulation (order counterbalanced between participants)...
June 15, 2018: Brain: a Journal of Neurology
https://www.readbyqxmd.com/read/29912082/match-play-running-performance-and-exercise-intensity-in-elite-international-women-s-rugby-sevens
#8
Shane Malone, Marian Earls, Aidan Shovlin, Anthony Eddy, Nick Winkelman
Malone, S, Earls, M, Shovlin, A, Eddy, A, and Winkleman, N. Match-play running performance and exercise intensity in elite international women's rugby sevens. J Strength Cond Res XX(X): 000-000, 2018-The aim of the current investigation was to describe the running and physiological performance demands of elite women's rugby sevens match-play. Twenty-seven (n = 27) rugby seven's players (24.4 ± 2.1 years; 168 ± 7.1 cm; 67.9 ± 4.3 kg) were recruited for the current investigation. Across the observational period, 36 games were analyzed; during these games, players wore global positioning system technology (10-Hz, Statsports Viper Pod; STATSports, Newry, Northern Ireland, United Kingdom) and heart rate monitors (Polar Team System, Polar Electro Oy, Kempele, Finland)...
June 14, 2018: Journal of Strength and Conditioning Research
https://www.readbyqxmd.com/read/29911477/surgical-simulation-current-practices-and-future-perspectives-for-technical-skills-training
#9
Flemming Bjerrum, Ann Sofia Skou Thomsen, Leizl Joy Nayahangan, Lars Konge
Simulation-based training (SBT) has become a standard component of modern surgical education, yet successful implementation of evidence-based training programs remains challenging. In this narrative review, we use Kern's framework for curriculum development to describe where we are now and what lies ahead for SBT within surgery with a focus on technical skills in operative procedures. Despite principles for optimal SBT (proficiency-based, distributed, and deliberate practice) having been identified, massed training with fixed time intervals or a fixed number of repetitions is still being extensively used, and simulators are generally underutilized...
June 17, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29911416/attention-control-comparisons-with-slt-for-people-with-aphasia-following-stroke-methodological-concerns-raised-following-a-systematic-review
#10
Marian C Brady, Jon Godwin, Helen Kelly, Pam Enderby, Andrew Elders, Pauline Campbell
OBJECTIVE: Attention control comparisons in trials of stroke rehabilitation require care to minimize the risk of comparison choice bias. We compared the similarities and differences in SLT and social support control interventions for people with aphasia. DATA SOURCES: Trial data from the 2016 Cochrane systematic review of SLT for aphasia after stroke Methods: Direct and indirect comparisons between SLT, social support and no therapy controls. We double-data extracted intervention details using the template for intervention description and replication...
June 1, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/29911004/measurement-of-mouse-heart-rate-variability-using-echocardiographic-system
#11
Filipe Fernandes Stoyell-Conti, Fernando Santos, Jacqueline Freire Machi, Diana Rosa Hernandez, Catarina Andrade Barboza, Maria-Cláudia Irigoyen, Kátia De Angelis, Mariana Morris
Aim: We employed an echocardiographic (ECHO) system as the backbone for the collection of electrocardiogram (ECG) and heart rate variability (HRV) data. The system was tested using an exercise model in which C57 male mice were exposed to sham or forced wheel running. Methods: Peak/peak (RR) interval was recorded over a 3 min period using the ECG platform of the ECHO system. Isoflurane-anesthetized male mice were divided into two groups ( n = 8/group): sedentary (S) and forced wheel trained (T)...
April 2018: Journal of Cardiovascular Echography
https://www.readbyqxmd.com/read/29910706/less-might-be-more-conduction-failure-as-a-factor-possibly-limiting-the-efficacy-of-higher-frequencies-in-rtms-protocols
#12
Islam Halawa, Amir Goldental, Yuichiro Shirota, Ido Kanter, Walter Paulus
Introduction: rTMS has been proven effective in the treatment of neuropsychiatric conditions, with class A (definite efficacy) evidence for treatment of depression and pain (Lefaucheur et al., 2014). The efficacy in stimulation protocols is, however, quite heterogeneous. Saturation of neuronal firing by HFrTMS without allowing time for recovery may lead to neuronal response failures (NRFs) that compromise the efficacy of stimulation with higher frequencies. Objectives: To examine the efficacy of different rTMS temporal stimulation patterns focusing on a possible upper stimulation limit related to response failures...
2018: Frontiers in Neuroscience
https://www.readbyqxmd.com/read/29910449/four-weeks-of-off-season-training-improves-peak-oxygen-consumption-in-female-field-hockey-players
#13
Lindsey T Funch, Erik Lind, Larissa True, Deborah Van Langen, John T Foley, James F Hokanson
The purpose of the study was to examine the changes in peak oxygen consumption ( V ˙O2peak ) and running economy (RE) following four-weeks of high intensity training and concurrent strength and conditioning during the off-season in collegiate female field hockey players. Fourteen female student-athletes (age 19.29 ± 0.91 years) were divided into two training groups, matched from baseline V ˙O2peak : High Intensity Training (HITrun ; n = 8) and High Intensity Interval Training (HIIT; n = 6). Participants completed 12 training sessions...
November 28, 2017: Sports
https://www.readbyqxmd.com/read/29910417/effects-of-heart-rate-vs-speed-based-high-intensity-interval-training-on-aerobic-and-anaerobic-capacity-of-female-soccer-players
#14
Hamid Arazi, Abbas Keihaniyan, Amin EatemadyBoroujeni, Amir Oftade, Sheida Takhsha, Abbas Asadi, Rodrigo Ramirez-Campillo
The purpose of this study was to compare the effects of two types of high-intensity interval training (HIIT) programs on aerobic and anaerobic capacity of female soccer players. Regional-level female athletes were randomly divided into heart rate-based HIIT ( n = 8; age 23.4 ± 1.1 year) and speed-based HIIT groups ( n = 8; age 23.4 ± 1.3 year). Athletes trained three days per week for six weeks. Before and after training, each athlete's performance was assessed directly through the Hoff test, 30-15 Intermittent Fitness Test (VIFT), and repeated-sprint ability test (RAST); maximal oxygen consumption (VO₂max), power and fatigue were estimated indirectly...
August 4, 2017: Sports
https://www.readbyqxmd.com/read/29910360/next-day-subjective-and-objective-recovery-indices-following-acute-low-and-high-training-loads-in-academy-rugby-union-players
#15
Mark R Noon, Rob S James, Neil D Clarke, Richard J Taylor, C Douglas Thake
The aim of this study was to determine the sensitivity of selected subjective and objective monitoring assessments in detecting changes in group and individual responses to low and high load bouts of high intensity intermittent exercise. In a counterbalanced crossover design, Thirteen Academy Rugby Union players (mean ± SD: age: 18 ± 1 years) performed a low load (15 min) and a high load (90 min) bout of high intensity intermittent exercise (Loughborough Intermittent Shuttle Test) one week apart. Monitoring assessments were performed immediately prior to and 20 h following each trial...
June 15, 2018: Sports
https://www.readbyqxmd.com/read/29910317/the-influence-of-playing-position-and-contextual-factors-on-soccer-players-match-differential-ratings-of-perceived-exertion-a-preliminary-investigation
#16
Steve Barrett, Shaun McLaren, Iain Spears, Patrick Ward, Matthew Weston
(1) Background: Differential RPE (dRPE) separates scores for breathlessness (RPE-B), leg muscle exertion (RPE-L) and technical/cognitive exertion (RPE-T). Limited information for dRPE is available in soccer match play, yet these measurements may help inform practitioners training and recovery strategies. This preliminary study investigated the effects of playing position and contextual factors on elite soccer players' dRPE. (2) Methods: Thirty-two male English Premier League players recorded dRPE scores 15⁻30 min post-match for RPE-B, RPE-L, and RPE-T...
February 12, 2018: Sports
https://www.readbyqxmd.com/read/29909711/prevalence-of-cognitive-impairment-among-elderly-patients-upon-hospital-admission-using-mini-cog%C3%A2-assessments-performed-by-advanced-pharmacy-practice-experience-students
#17
Nghi Andy Bui, Mobolaji Adeola, Rejena Azad, Joshua T Swan, Kathryn S Agarwal, Manvi Sharma, Michael G Liebl, George E Taffet
BACKGROUND: Older adults with cognitive impairment may have difficulty understanding and complying with medical or medication instructions provided during hospitalization which may adversely impact patient outcomes. OBJECTIVE: To evaluate the prevalence of cognitive impairment among patients aged 65 years and older within 24 hours of hospital admission using Mini-Cog™ assessments performed by advanced pharmacy practice experience (APPE) students. METHODS: Students on APPE rotations were trained to perform Mini-Cog™ assessments during routine medication education sessions from February 2017 to April 2017...
January 1, 2018: Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/29907058/chemical-potentials-of-alkaline-earth-metal-halide-aqueous-electrolytes-and-solubility-of-their-hydrates-by-molecular-simulation-application-to-cacl-2-antarcticite-and-sinjarite
#18
Filip Moučka, Jiří Kolafa, Martin Lísal, William R Smith
We present a molecular-level simulation study of CaCl2 in water and crystalline hydrates formed by CaCl2 at ambient (298.15 K, 1 bar) conditions and at a high-temperature high-pressure state (365 K, 275 bars) typical of hydraulic fracturing conditions in natural-gas extraction, at which experimental properties are poorly characterized. We focus on simulations of chemical potentials in both solution and crystalline phases and on the salt solubility, the first time to our knowledge that such properties have been investigated by molecular simulation for divalent aqueous electrolytes...
June 14, 2018: Journal of Chemical Physics
https://www.readbyqxmd.com/read/29906262/exposure-to-polycyclic-aromatic-hydrocarbons-and-accelerated-dna-methylation-aging
#19
Jun Li, Xiaoyan Zhu, Kuai Yu, Haijing Jiang, Yizhi Zhang, Biqi Wang, Xuezhen Liu, Siyun Deng, Jie Hu, Qifei Deng, Huizhen Sun, Huan Guo, Xiaomin Zhang, Weihong Chen, Jing Yuan, Meian He, Yansen Bai, Xu Han, Bing Liu, Chuanyao Liu, Yanjun Guo, Bing Zhang, Zhihong Zhang, Frank B Hu, Wenjing Gao, Liming Li, Mark Lathrop, Catherine Laprise, Liming Liang, Tangchun Wu
BACKGROUND: Aging is related to an increased risk of morbidity and mortality and is affected by environmental factors. Exposure to polycyclic aromatic hydrocarbons (PAHs) is associated with adverse health outcomes; but the association of such exposure with DNA methylation aging, a novel aging marker, is unclear. OBJECTIVES: Our aim was to investigate the association of PAH exposure with methylation aging. METHODS: We trained and validated a methylation age predictor suitable for Chinese populations using whole blood methylation data in 989 Chinese and 160 Caucasians...
June 2018: Environmental Health Perspectives
https://www.readbyqxmd.com/read/29905499/developing-nurses-skills-in-motivational-interviewing-to-promote-a-healthy-lifestyle-in-patients-with-coronary-artery-disease
#20
Jos Dobber, Corine Latour, Marjolein Snaterse, Berno van Meijel, Gerben Ter Riet, Wilma Scholte Op Reimer, Ron Peters
BACKGROUND: If nurses have the communication skills and the time, they can play an important role in increasing the intrinsic motivation of patients with coronary artery disease (CAD) to change their lifestyle. Motivational Interviewing (Mo-Int) can be used to further support this role. However, few nurses are sufficiently proficient in applying Mo-Int skills. Increasing these complex communication skills may contribute significantly to achieve lifestyle changes in CAD patients. AIMS: The aim of this study was to evaluate the coaching of nurses to skilfully use Mo-Int in a secondary prevention programme for CAD patients...
June 1, 2018: European Journal of Cardiovascular Nursing
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