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https://www.readbyqxmd.com/read/29464690/bis-monitoring-versus-clinical-assessment-for-sedation-in-mechanically-ventilated-adults-in-the-intensive-care-unit-and-its-impact-on-clinical-outcomes-and-resource-utilization
#1
REVIEW
Rajesh M Shetty, Antonio Bellini, Dhuleep S Wijayatilake, Mark A Hamilton, Rajesh Jain, Sunil Karanth, ArunKumar Namachivayam
BACKGROUND: Patients admitted to intensive care and on mechanical ventilation, are administered sedative and analgesic drugs to improve both their comfort and interaction with the ventilator. Optimizing sedation practice may reduce mortality, improve patient comfort and reduce cost. Current practice is to use scales or scores to assess depth of sedation based on clinical criteria such as consciousness, understanding and response to commands. However these are perceived as subjective assessment tools...
February 21, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29463964/culturally-sensitive-chiropractic-care-of-the-transgender-community-a-narrative-review-of-the-literature
#2
REVIEW
Michele J Maiers, William K Foshee, Heidi Henson Dunlap
Objectives: Transgender individuals commonly experience barriers to quality health care and may suffer from unique musculoskeletal complaints. Although these needs are often inadequately addressed within the health care system, they could be attended to by the chiropractic community. This narrative review describes best practices for delivering culturally sensitive care to transgender patients within the context of chiropractic offices. Methods: A literature search generated peer-reviewed material on culturally competent care of the transgender community...
December 2017: Journal of Chiropractic Humanities
https://www.readbyqxmd.com/read/29458661/chicken-astrovirus-as-an-aetiological-agent-of-runting-stunting-syndrome-in-broiler-chickens
#3
Kyung-Il Kang, Erich Linnemann, Alan H Icard, Vijay Durairaj, Egbert Mundt, Holly S Sellers
Despite descriptions of runting-stunting syndrome (RSS) in broiler chickens dating back over 40 years, the aetiology has not yet been described. A novel chicken astrovirus (CkAstV) was isolated in an LMH liver cell line from the intestines of chickens affected with RSS. Clinical RSS is characterized by retarded growth and cystic crypt lesions in the small intestine. In 1-day-old broiler chickens infected with the CkAstV isolate, virus was only detected in the intestinal epithelial cells during the first few days after infection...
February 14, 2018: Journal of General Virology
https://www.readbyqxmd.com/read/29454557/development-of-a-risk-scoring-system-to-evaluate-the-serosal-invasion-for-macroscopic-serosal-invasion-positive-gastric-cancer-patients
#4
Peng-Liang Wang, Jin-Yu Huang, Zhi Zhu, Bao-Cheng Gong, Han-Wei Huang, Shi-Jie Duan, Hui-Mian Xu, Fu-Nan Liu
BACKGROUND: The status of serosal invasion is often discordance between pathological and intraoperative evaluation. Our study sought to develop a risk-scoring system (RSS) to predict the probability of pT4a for macroscopic serosal invasion (MSI) positive patients and reevaluate the serosal invasion status. PATIENTS AND METHODS: A total of 1301 pT3/pT4a gastric cancer patients with curative surgery were reviewed. We constructed the RSS to predict the probability of pT4a and assigned MSI-positive patients into different risk groups based on the risk scores...
February 3, 2018: European Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29443906/a-single-rf-emitter-based-indoor-navigation-method-for-autonomous-service-robots
#5
Tyrone Sherwin, Mikala Easte, Andrew Tzer-Yeu Chen, Kevin I-Kai Wang, Wenbin Dai
Location-aware services are one of the key elements of modern intelligent applications. Numerous real-world applications such as factory automation, indoor delivery, and even search and rescue scenarios require autonomous robots to have the ability to navigate in an unknown environment and reach mobile targets with minimal or no prior infrastructure deployment. This research investigates and proposes a novel approach of dynamic target localisation using a single RF emitter, which will be used as the basis of allowing autonomous robots to navigate towards and reach a target...
February 14, 2018: Sensors
https://www.readbyqxmd.com/read/29422821/twenty-years-observation-of-subcutaneous-pollen-allergoid-immunotherapy-efficacy-in-adults
#6
Andrzej Bożek, Izabella Krupa-Borek, Jerzy Jarzab
Introduction: It is valuable to determine the long-term efficacy of allergen-specific immunotherapy (SIT) and whether it can cure allergy. Aim: For this study, patients were prospectively observed for 20 years after completion of SIT to determine its effectiveness. Material and methods: A total of 1006 patients who underwent SIT for pollen allergy were observed for 20 years to assess the efficacy of SIT. The rhinitis symptom score (RSS) and asthma symptom score (ASS) were measured after SIT completion...
December 2017: Postȩpy Dermatologii i Alergologii
https://www.readbyqxmd.com/read/29410762/relationship-between-the-psychosocial-impact-of-dental-aesthetics-and-perfectionism-and-self-esteem
#7
Alina Venete, Eva Trillo-Lumbreras, Vicente-Javier Prado-Gascó, Carlos Bellot-Arcís, José-Manuel Almerich-Silla, José-María Montiel-Company
Background: Awareness of the influence of personality traits such as self-esteem and perfectionism on the aesthetic self-image can help clinicians to improve their patients' satisfaction and quality of life. The main objective of this study was to examine the relationship between self-esteem, perfectionism and the psychosocial impact of dental aesthetics, and their association with gender. Material and Methods: A descriptive-analytical cross-sectional study was conducted in a sample of 301 students of the Faculty of Medicine and Dentistry of the University of Valencia, aged between 18 and 30 years...
December 2017: Journal of Clinical and Experimental Dentistry
https://www.readbyqxmd.com/read/29410226/genetic-diversity-of-giardia-duodenalis-circulating-in-three-brazilian-biomes
#8
Beatriz Coronato Nunes, Deiviane Aparecida Calegar, Márcio Galvão Pavan, Lauren Hubert Jaeger, Kerla Joeline Lima Monteiro, Elis Regina Chaves Dos Reis, Marli Maria Lima, Márcio Neves Bóia, Filipe Anibal Carvalho-Costa
Giardia duodenalis has a wide genetic variety, and its characterization helps in the understanding of its transmission dynamics and in the development control strategies. This study aimed to assess the genetic diversity of G. duodenalis obtained in different Brazilian biomes and estimate their phylogenetic relationships. Three surveys including 944 participants were carried out in the municipalities of Russas (RSS, Caatinga semiarid biome), Santa Isabel do Rio Negro (SIRN, Amazon rainforest biome) and Nossa Senhora de Nazaré (NSN, Cerrado-Caatinga transition biome)...
February 2, 2018: Infection, Genetics and Evolution
https://www.readbyqxmd.com/read/29409652/modelling-interactions-between-procedures-and-resilience-skills
#9
Priscila Wachs, Tarcisio Abreu Saurin
Although work in complex socio-technical systems needs support from several "resources for action", the interactions between these are not usually managed systematically. This study introduces a six-step framework for analyzing the interactions between two key resources for action, namely the use of standardized operating procedures and resilience skills (RSs). The main steps for applying the framework involve: (i) a content analysis of the procedure, which allows for the identification of underspecified rules and situations that could be emphasized in scenario-based training focused on developing RSs; and (ii) the identification of factors that set the stage for the emergence of RSs, which could be accounted for by procedures and the broader work system design...
April 2018: Applied Ergonomics
https://www.readbyqxmd.com/read/29408911/effect-of-repeated-sprints-on-the-reliability-of-short-term-parasympathetic-reactivation
#10
Matteo Bonato, Andrea Meloni, Giampiero Merati, Antonio La Torre, Luca Agnello, Gianluca Vernillo
This study determined the reliability of post-exercise heart rate recovery (HRR) and vagal-related HR variability (HRV) after repeated-sprints (RSs), and contrasted it with the smallest worthwhile change (SWC) of these indices. Fourteen healthy male participants performed on four occasions, separated by 7 days, five 30-m sprints interspersed by 25-s of recovery. Post-exercise HR during 10 min of seated rest was measured. HRR during the first 60-s of recovery was computed (HRR60s). HRV indices were calculated in time and frequency domains during the last 5-min of the recovery...
2018: PloS One
https://www.readbyqxmd.com/read/29404042/identification-and-characterization-of-related-substances-in-evt-401-by-hyphenated-lc-ms-techniques
#11
Binan Zhu, Yuting Lu, Leilin Chen, Binbin Yu, Yuexin Liu, Min Song, Taijun Hang
A sensitive and selective method was developed for the separation and characterization of related substances (RSs) in EVT-401 by hyphenated LC-MS techniques. Complete separation of the RSs was achieved with an Inertsil ODS-SP column (250 mm×4.6 mm, 5 µm) by linear gradient elution using a mobile phase consisting of 0.2% formic acid solution, methanol and acetonitrile. EVT-401 was found to be susceptible to acid, alkaline and oxidative stresses, while relatively stable under photolytic and thermal dry stress conditions...
August 2017: Journal of Pharmaceutical Analysis
https://www.readbyqxmd.com/read/29386058/teaching-pain-recognition-through-art-the-ramsay-caravaggio-sedation-scale
#12
Federico Poropat, Giorgio Cozzi, Andrea Magnolato, Lorenzo Monasta, Fabio Borrometi, Baruch Krauss, Alessandro Ventura, Egidio Barbi
BACKGROUND: Clinical observation is a key component of medical ability, enabling immediate evaluation of the patient's emotional state and contributing to a clinical clue that leads to final decision making. In medical schools, the art of learning to look can be taught using medical humanities and especially visual arts. By presenting a Ramsay sedation score (RSS) integrated with Caravaggio's paintings during a procedural sedation conference for pediatric residents, we want to test the effectiveness of this approach to improve the quality of learning...
January 31, 2018: Italian Journal of Pediatrics
https://www.readbyqxmd.com/read/29383342/reactivity-of-hydropersulfides-toward-the-hydroxyl-radical-unraveled-disulfide-bond-cleavage-hydrogen-atom-transfer-and-proton-coupled-electron-transfer
#13
Josep M Anglada, Ramon Crehuet, Sarju Adhikari, Joseph S Francisco, Yu Xia
Hydropersulfides (RSSH) are highly reactive as nucleophiles and hydrogen atom transfer reagents. These chemical properties are believed to be key for them to act as antioxidants in cells. The reaction involving the radical species and the disulfide bond (S-S) in RSSH, a known redox-active group, however, has been scarcely studied, resulting in an incomplete understanding of the chemical nature of RSSH. We have performed a high-level theoretical investigation on the reactions of the hydroxyl radical (˙OH) toward a set of RSSH (R = -H, -CH3, -NH2, -C(O)OH, -CN, and -NO2)...
January 31, 2018: Physical Chemistry Chemical Physics: PCCP
https://www.readbyqxmd.com/read/29375219/timi-and-grace-risk-scores-predict-both-short-term-and-long-term-outcomes-in-chinese-patients-with-acute-myocardial-infarction
#14
Ying-Hwa Chen, Shao-Sung Huang, Shing-Jong Lin
Background: Little is known about the long-term prognostic values of both thrombolysis in myocardial infarction (TIMI) and Global Registry of Acute Cardiac Events (GRACE) risk scores (RSs) to the Asian ethnicity. The purpose of this study is to compare the usefulness of these two scores in risk stratification and prediction of long-term (up to 3 years) outcomes for Chinese patients with myocardial infarction (MI). Methods: We calculated the TIMI and GRACE RSs for 726 consecutive patients with MI [55...
January 2018: Acta Cardiologica Sinica
https://www.readbyqxmd.com/read/29361718/an-imu-aided-body-shadowing-error-compensation-method-for-indoor-bluetooth-positioning
#15
Zhongliang Deng, Xiao Fu, Hanhua Wang
Research on indoor positioning technologies has recently become a hotspot because of the huge social and economic potential of indoor location-based services (ILBS). Wireless positioning signals have a considerable attenuation in received signal strength (RSS) when transmitting through human bodies, which would cause significant ranging and positioning errors in RSS-based systems. This paper mainly focuses on the body-shadowing impairment of RSS-based ranging and positioning, and derives a mathematical expression of the relation between the body-shadowing effect and the positioning error...
January 20, 2018: Sensors
https://www.readbyqxmd.com/read/29351297/a-fast-combination-method-in-dsmt-and-its-application-to-recommender-system
#16
Yilin Dong, Xinde Li, Yihai Liu
In many applications involving epistemic uncertainties usually modeled by belief functions, it is often necessary to approximate general (non-Bayesian) basic belief assignments (BBAs) to subjective probabilities (called Bayesian BBAs). This necessity occurs if one needs to embed the fusion result in a system based on the probabilistic framework and Bayesian inference (e.g. tracking systems), or if one needs to make a decision in the decision making problems. In this paper, we present a new fast combination method, called modified rigid coarsening (MRC), to obtain the final Bayesian BBAs based on hierarchical decomposition (coarsening) of the frame of discernment...
2018: PloS One
https://www.readbyqxmd.com/read/29346282/smartphone-based-cooperative-indoor-localization-with-rfid-technology
#17
Fernando Seco, Antonio R Jiménez
In GPS-denied indoor environments, localization and tracking of people can be achieved with a mobile device such as a smartphone by processing the received signal strength (RSS) of RF signals emitted from known location beacons (anchor nodes), combined with Pedestrian Dead Reckoning (PDR) estimates of the user motion. An enhacement of this localization technique is feasible if the users themselves carry additional RF emitters (mobile nodes), and the cooperative position estimates of a group of persons incorporate the RSS measurements exchanged between users...
January 18, 2018: Sensors
https://www.readbyqxmd.com/read/29331801/stressful-life-events-relationship-stressors-and-cortisol-reactivity-the-moderating-role-of-suppression
#18
Lydia G Roos, Sara M Levens, Jeanette M Bennett
Stressful life events (SLEs) are exceedingly common and have been associated with a range of psychological disorders, perhaps through dysregulation in the hypothalamic-pituitary-adrenal (HPA) axis. The use of certain emotion regulation strategies in response to stress, such as expressive suppression and cognitive reappraisal, has additionally been linked to heightened HPA axis reactivity to acute stress. However, it is unclear how emotion regulation may interact with SLEs to affect HPA axis reactivity, particularly concerning relationship stressors (RSs)...
January 2, 2018: Psychoneuroendocrinology
https://www.readbyqxmd.com/read/29323863/at-a-glance-a-tough-sell-findings-from-a-qualitative-analysis-on-the-provision-of-healthy-foods-in-recreation-and-sports-settings
#19
Jessie-Lee D McIsaac, Sherry L Jarvis, Rebecca Spencer, Sara Fl Kirk
Recreation and sport settings (RSS) typically promote health in the form of physical activity, but the healthfulness of their food environment is often neglected. We explored stakeholder perspectives on barriers to healthy food provision in RSS through telephone interviews with ten representatives from RSS across Nova Scotia. Three key barriers were identified: 1) cultural norms associated with food in RSS and the broader environment, 2) the persisting notion of personal choice and responsibility, and 3) financial implications of healthy food provision...
January 2018: Health Promotion and Chronic Disease Prevention in Canada
https://www.readbyqxmd.com/read/29322078/received-signal-strength-and-local-terrain-profile-data-for-radio-network-planning-and-optimization-at-gsm-frequency-bands
#20
Segun I Popoola, Aderemi A Atayero, Nasir Faruk
The behaviour of radio wave signals in a wireless channel depends on the local terrain profile of the propagation environments. In view of this, Received Signal Strength (RSS) of transmitted signals are measured at different points in space for radio network planning and optimization. However, these important data are often not publicly available for wireless channel characterization and propagation model development. In this data article, RSS data of a commercial base station operating at 900 and 1800 MHz were measured along three different routes of Lagos-Badagry Highway, Nigeria...
February 2018: Data in Brief
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