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https://www.readbyqxmd.com/read/27919308/outbreak-of-pantoea-agglomerans-bloodstream-infections-at-an-oncology-clinic-illinois-2012-2013
#1
Brian R Yablon, Raymund Dantes, Victoria Tsai, Rachel Lim, Heather Moulton-Meissner, Matthew Arduino, Bette Jensen, Megan Toth Patel, Michael O Vernon, Yoran Grant-Greene, Demian Christiansen, Craig Conover, Alexander Kallen, Alice Y Guh
OBJECTIVE To determine the source of a healthcare-associated outbreak of Pantoea agglomerans bloodstream infections. DESIGN Epidemiologic investigation of the outbreak. SETTING Oncology clinic (clinic A). METHODS Cases were defined as Pantoea isolation from blood or catheter tip cultures of clinic A patients during July 2012-May 2013. Clinic A medical charts and laboratory records were reviewed; infection prevention practices and the facility's water system were evaluated. Environmental samples were collected for culture...
December 6, 2016: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/27887876/an-accuracy-study-of-computer-planned-implant-placement-in-the-augmented-maxilla-using-osteosynthesis-screws
#2
L M Verhamme, G J Meijer, A Soehardi, S J Bergé, T Xi, T J J Maal
Previous research on the accuracy of flapless implant placement of virtually planned implants in the augmented maxilla revealed unfavourable discrepancies between implant planning and placement. By using the osteosynthesis screws placed during the augmentation procedure, the surgical template could be optimally stabilized. The purpose of this study was to validate this method by evaluating its clinically relevant accuracy. Twelve consecutive fully edentulous patients with extreme resorption of the maxilla were treated with a bone augmentation procedure...
November 22, 2016: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27868188/patency-of-paediatric-endotracheal-tubes-for-airway-instrumentation
#3
J Elfgen, P K Buehler, J Thomas, M Kemper, S Imach, M Weiss
BACKGROUND: Airway exchange catheters (AEC) and fiberoptic bronchoscopes (FOB) for tracheal intubation are selected so that there is only a minimal gap between their outer and inner diameter of endotracheal tube (ETT) to minimize the risk of impingement during airway instrumentation. This study aimed to test the ease of passage of FOBs and AECs through paediatric ETT of different sizes and from different manufacturers when using current recommendations for dimensional equipment compatibility taken from text books and manufacturers information...
January 2017: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/27855774/total-ankle-replacement-through-a-lateral-approach-surgical-tips
#4
Federico Giuseppe Usuelli, Cristian Indino, Camilla Maccario, Luigi Manzi, Vincenzo Salini
PURPOSE: Recently, the Zimmer Trabecular Metal Total Ankle Replacement (Zimmer TM TAR) was developed to be used through a lateral transfibular approach. The purpose of this paper is to describe the surgical technique and early outcomes of the TAR via the lateral approach using the Zimmer TM TARs. METHODS: Sixty-seven patients underwent primary TAR using the Zimmer TM TAR between May 2013 and May 2015. Patients were clinically evaluated preoperatively and postoperatively at six and twelve months and annually using the American Orthopaedic Foot & Ankle Society (AOFAS) ankle and hindfoot scores, visual analogue scale (VAS) pain score, and the Short Form Health Survey (SF-12) questionnaire...
2016: SICOT-J
https://www.readbyqxmd.com/read/27832725/twelve-tips-for-turning-quality-assurance-data-into-undergraduate-teaching-awards-a-quality-improvement-and-student-engagement-initiative
#5
Kate Newton, Helen Lewis, Mark Pugh, Madhavi Paladugu, Alexander Woywodt
Data on teaching awards in undergraduate medical education are sparse. The benefits of an awards system may seem obvious at first glance. However, there are also potential problems relating to fairness, avoidance of bias, and alignment of the awards system with a wider strategy for quality improvement and curriculum development. Here, we report five- year single center experience with establishing undergraduate teaching awards in a large academic teaching hospital. Due to lack of additional funding we based our awards not on peer review but mainly on existing and very comprehensive quality assurance (QA) data...
November 10, 2016: Medical Teacher
https://www.readbyqxmd.com/read/27832380/endoscopic-approach-routes-in-the-posterior-fossa-cisterns-through-the-retrosigmoid-keyhole-craniotomy-an-anatomical-study
#6
Peter Kurucz, Gabor Baksa, Lajos Patonay, Firas Thaher, Michael Buchfelder, Oliver Ganslandt
Endoscopy in cerebellopontine angle surgery is an increasingly used technique. Despite of its advantages, the shortcomings arising from the complex anatomy of the posterior fossa are still preventing its widespread use. To overcome these drawbacks, the goal of this study was to define the anatomy of different endoscopic approaches through the retrosigmoid craniotomy and their limitations by surgical windows. Anatomical dissections were performed on 25 fresh human cadavers to describe the main approach-routes...
November 10, 2016: Neurosurgical Review
https://www.readbyqxmd.com/read/27803906/endosonographic-examination-of-thyroid-gland-among-patients-with-nonthyroid-cancers
#7
Amer A Alkhatib, Abdulah A Mahayni, Ghaleb R Chawki, Leon Yoder, Fateh A Elkhatib, Mohammad Al-Haddad
OBJECTIVES: There is limited endosonographic literature regarding thyroid gland pathology, which is frequently visualized during upper endoscopic ultrasound (EUS). Our objective was to assess the prevalence of benign and malignant thyroid lesions encountered during routine upper EUS within a cancer center setting. MATERIALS AND METHODS: The data were prospectively collected and retrospectively analyzed. All upper EUS procedures performed between October 2012 and July 2014 were reviewed at a large referral cancer center...
September 2016: Endoscopic Ultrasound
https://www.readbyqxmd.com/read/27797494/automated-affinity-capture-and-rapid-on-tip-digestion-to-accurately-quantitate-in-vivo-deamidation-of-therapeutic-antibodies
#8
John C Tran, Daniel Tran, Amy E Hilderbrand, Nisana Andersen, Tao Huang, Karin Reif, Isidro Hotzel, Eric G Stefanich, Yichin Liu, Jianyong Wang
Deamidation of therapeutic antibodies may result in decreased drug activity and undesirable changes in pharmacokinetics and immunogenicity. Therefore, it is necessary to monitor the deamidation levels [during storage] and after in vivo administration. Due to the complexity of in vivo samples, immuno-affinity capture is widely used for specific enrichment of the target antibody prior to LC-MS. However, the conventional use of bead-based methods requires large sample volumes and extensive processing steps. Furthermore, with automation difficulties and extended sample preparation time, bead-based approaches may increase artificial deamidation...
October 31, 2016: Analytical Chemistry
https://www.readbyqxmd.com/read/27734111/reliability-of-a-ct-reconstruction-for-preoperative-surgical-planning-in-the-arthroscopic-latarjet-procedure
#9
Alexandre Hardy, Philippe Loriaut, Benjamin Granger, Ahmed Neffati, Audrey Massein, Laurent Casabianca, Hugues Pascal-Moussellard, Antoine Gerometta
PURPOSE: The arthroscopic Latarjet procedure has provided reliable results in the treatment of anterior shoulder instability. However, this procedure remains technically challenging and is related to several complications. The morphology of the coracoid and the glenoid are inconsistent. Inadequate coracoid and glenoid preparing may lead to mismatching between their surfaces. Inadequate screws lengthening and orientation are a major concern. Too long screws can lead to suprascapular nerve injuries or hardware irritation, whereas too short screws can lead to nonunions, fibrous unions or migration of the bone block...
October 12, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27698642/impact-of-long-flexor-versus-intrinsic-dominance-in-the-generation-of-arc-of-finger-flexion
#10
James R Seaward, Fiona Peck, Vivien C Lees
Background: Finger flexion is a composite movement involving both long flexors and intrinsic hand muscles. Previous studies have characterized this but have not investigated differences within the normal population. Were discrete finger motion patterns identified, this could guide rehabilitation programs following flexor tendon surgery. Methods: Twelve volunteers repeatedly flexed and extended at a comfortable speed, resting their hand on a horizontal surface. Video was recorded perpendicular to the little finger flexion plane, and the little finger tip position was identified frame by frame to create a composite curve...
September 2016: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/27678279/twelve-tips-for-assessing-surgical-performance-and-use-of-technical-assessment-scales
#11
Jeanett Strandbygaard, Fedde Scheele, Jette Led Sørensen
Using validated assessment scales for technical competence can help structure and standardize assessment and feedback for both the trainee and the supervisor and thereby avoid bias and drive learning. Correct assessment of operative skills can establish learning curves and allow adequate monitoring. However, the assessment of surgical performance is not an easy task, since it includes many proxy parameters, which are hard to measure. Although numerous technical assessment scales exist, both within laparoscopic and open surgery, the validity evidence is often sparse, and this can raise doubts about reliability and educational outcome...
September 28, 2016: Medical Teacher
https://www.readbyqxmd.com/read/27665669/twelve-tips-for-applying-the-science-of-learning-to-health-professions-education
#12
H C Gooding, K Mann, E Armstrong
Findings from the science of learning have clear implications for those responsible for teaching and curricular design. However, this data has been historically siloed from educators in practice, including those in health professions education. In this article, we aim to bring practical tips from the science of learning to health professions educators. We have chosen to organize the tips into six themes, highlighting strategies for 1) improving the processing of information, 2) promoting effortful learning for greater retention of knowledge over time, 3) applying learned information to new and varied contexts, 4) promoting the development of expertise, 5) harnessing the power of emotion for learning, and 6) teaching and learning in social contexts...
September 25, 2016: Medical Teacher
https://www.readbyqxmd.com/read/27662184/concave-platinum-copper-octopod-nanoframes-bounded-with-multiple-high-index-facets-for-efficient-electrooxidation-catalysis
#13
Shuiping Luo, Pei Kang Shen
Multimetallic nanoframes with three-dimensional (3D) catalytic surfaces represent an emerging class of efficient nanocatalysts. However, it still remains a challenge in engineering nanoframes via simple and economical methods. Herein, we report a facile one-pot synthetic strategy to synthesize Pt-Cu nanoframes bounded with multiple high-index facets as highly active electrooxidation catalysts. Two distinct octopod nanoframes, namely, concave PtCu2 octopod nanoframes (PtCu2 CONFs) and ultrathin PtCu octopod nanoframes (PtCu UONFs) were successfully synthesized by simply changing the feeding Pt and Cu precursors...
October 4, 2016: ACS Nano
https://www.readbyqxmd.com/read/27590375/tension-releasing-suture-appendage-on-single-incision-sling-device-a%C3%A2-novel-approach-to-postoperative-voiding-dysfunctions
#14
Tsia-Shu Lo, Leng Boi Pue, Yiap Loong Tan, Cheng-Yu Long, Yi-Hao Lin, Pei-Ying Wu
OBJECTIVE: Voiding dysfunction following a midurethral sling procedure is still a relevant consequence that can affect patients' quality of life. Various invasive methods have been described to manage this problem. We hypothesize that we if we could diagnose the condition early using noninvasive tools, we would be able to offer appropriate effective management. We sought to study the effectiveness of attaching a tension-releasing suture on a single-incision sling (SIS) tape as a prophylactic measure for the treatment of immediate postoperative voiding dysfunctions, and secondarily, to evaluate the objective and subjective cure rates of the treatment for stress urinary incontinence...
August 2016: Taiwanese Journal of Obstetrics & Gynecology
https://www.readbyqxmd.com/read/27559842/twelve-tips-on-setting-up-and-running-a-peer-led-medical-education-society
#15
Alex Fleming-Nouri, Dominic Crocombe, Yezen Sammaraiee
Peer-led teaching is an established paradigm with benefits for student teachers, learners and the wider medical community. Students are increasingly taking ownership of such teaching, which has fuelled the creation of new peer-led medical education societies at universities around the UK. Students wishing to undertake such an endeavor must contend with concerns over the quality of peer-led teaching, logistical challenges, lack of senior support and difficulties accessing relevant resources to design and appraise their initiatives...
August 25, 2016: Medical Teacher
https://www.readbyqxmd.com/read/27464264/evolution-in-the-chinese-diabetes-society-standards-of-care-for-type-2-diabetes
#16
Jianping Weng
China has been experiencing the biggest shift in the world in diabetes and obesity epidemic over the past three decades. Chinese Diabetes Society developed and published four editions of stand of care for type 2 diabetes management as clinical guidance for practice in China in the last twelve years. During the development and implementation of guidelines, the keyword is 'evolution', which includes evolution of evidence, expertise, excellence and endpoints. It will be a complete quality improvement cycle starting with 'understanding the situation' and ending with 'tipping points of diabetes in primary prevention (prevalence), secondary prevention (diabetic complications) and tertiary prevention (diabetes-related death)'...
July 2016: Diabetes/metabolism Research and Reviews
https://www.readbyqxmd.com/read/27450348/results-of-epispadias-repair-using-the-modified-cantwell-ransley-technique
#17
Yuval Bar-Yosef, Mario Sofer, Margaret P Ekstein, Yosef Binyamini, Jacob Ben-Chaim
OBJECTIVES: To evaluate our results of epispadias repair with a modified Cantwell-Ransley (MCR) technique. METHODS: A retrospective IRB-approved chart review of all patients who underwent an MCR epispadias repair was conducted between 1998-2015. Procedures were performed at birth or after the age of 8 months as part of the modern staged repair (MSR) of exstrophy-epispadias complex (EEC) in patients with bladder exstrophy treated since birth, at presentation for older patients, and after the age of 6 months in isolated epispadias patients...
July 20, 2016: Urology
https://www.readbyqxmd.com/read/27403111/orbital-pseudotumor-as-a-rare-extrahepatic-manifestation-of-hepatitis-c-infection
#18
Benjamin Misselwitz, Jana Epprecht, Joachim Mertens, Luc Biedermann, Michael Scharl, Eugenia Haralambieva, Andreas Lutterotti, Konrad P Weber, Beat Müllhaupt, Karla Chaloupka
Hepatitis C is frequently accompanied by immune-related extrahepatic manifestations affecting the skin, kidneys, central and peripheral nervous system and exocrine glands. We present the case of a 40-year-old man with left-sided ptosis, exophthalmos and headache. MRI demonstrated left-sided orbital pseudotumor with lacrimal and retro-orbital contrast enhancement extending to the cavernous sinus and the vestibulocochlear nerve. Immunological tests of serum and cerebrospinal fluid identified hepatitis C virus (HCV) as a potential causative agent but did not indicate any additional infectious, malignant or immunological disorder...
January 2016: Case Reports in Gastroenterology
https://www.readbyqxmd.com/read/27351549/bony-landmarks-available-for-minimally-invasive-lateral-ankle-stabilization-surgery-a-cadaveric-anatomical-study
#19
Kentaro Matsui, Xavier Martin Oliva, Masato Takao, Bruno S Pereira, Tiago Mota Gomes, Jan Martinez Lozano, Mark Glazebrook
PURPOSE: The purpose of this study was to determine the clinical utility of three bony tubercles: fibular obscure tubercle, talar obscure tubercle and tuberculum ligamenti calcaneofibularis, to serve as anatomical landmarks for defining the precise location of the origins and insertions of the anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL). METHODS: Twelve lower extremity cadaveric specimens were procured. The detectability of the tubercles was tested using palpation and fluoroscopy with subsequent confirmation after dissection...
June 28, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27248314/twelve-tips-on-writing-abstracts-and-titles-how-to-get-people-to-use-and-cite-your-work
#20
David A Cook, Georges Bordage
The authors share 12 practical tips on creating effective titles and abstracts for a journal publication or conference presentation. When crafting a title authors should: (1) start thinking of the title from the start; (2) brainstorm many key words, create permutations, and ask others for input; (3) strive for an informative and indicative title; (4) start the title with the most important words; and (5) wait to finalize the title until the very end. When writing the abstract, authors should: (6) wait until the end to write the abstract; (7) copy and paste from main text as the starting point; (8) start with a detailed structured format; (9) describe what they did; (10) describe what they found; (11) highlight what readers can do with this information; and (12) ensure that the abstract aligns with the full text and conforms to submission guidelines...
June 1, 2016: Medical Teacher
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