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https://www.readbyqxmd.com/read/27870669/operating-room-efficiency-benefits-of-an-orthopaedic-traumatologist-at-a-level-ii-trauma-center
#1
Peter L Althausen, Justin R Kauk, Steven Shannon, Minggen Lu, Timothy J O'Mara, Timothy J Bray
OBJECTIVES: Fellowship-trained orthopaedic traumatologists are presumably taught skill sets leading to "best practice" outcomes and more efficient use of hospital resources. This should result in more favorable economic opportunities when compared with general orthopaedic surgeons (GOSs) providing similar clinical services. The purpose of our study was to compare the operating room utilization and financial data of traumatologists versus GOSs at a level II trauma center. DESIGN: Retrospective review...
December 2016: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/27790436/surgical-site-infection-by-methicillin-resistant-staphylococcus-aureus-on-decline
#2
Susmita Bhattacharya, Kuhu Pal, Sonia Jain, Shiv Sekhar Chatterjee, Jayashree Konar
INTRODUCTION: Surgical Site Infection (SSI) is the most common healthcare associated infection that could be averted by antibiotics prophylaxis against the probable offending organisms. As Staphylococcus aureus has been playing a substantial role in the aetiology of SSIs, Methicillin Resistant Staphylococcus aureus (MRSA) happens to be a problem while dealing with the postoperative wound infection. AIM: To determine the prevalence of SSI caused by MRSA and the antibiotic sensitivity pattern of MRSA...
September 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27423465/feeling-angry-about-current-health-status-using-a-population-survey-to-determine-the-association-with-demographic-health-and-social-factors
#3
Tiffany K Gill, K Price, E Dal Grande, A Daly, A W Taylor
BACKGROUND: Feeling angry about their health status may influence disease progression in individuals, creating a greater burden on the health care system. Identifying associations between different variables and feeling angry about health status may assist health professionals to improve health outcomes. This study used path analysis to explore findings from a population-based survey, informed by qualitative descriptions obtained from focus groups, to determine the prevalence of health-related anger within the community and variables associated with reporting health-related anger...
2016: BMC Public Health
https://www.readbyqxmd.com/read/27361572/an-evaluation-of-agonist-antagonist-strength-ratios-and-posture-in-an-elite-powerlifter-3003-board-68-june-3-3-30-pm-5-00-pm
#4
Paul T Cutrufello, Stephen J Gadomski, Nicholas A Ratamess
No abstract text is available yet for this article.
May 2016: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/27334799/long-term-safety-and-tolerability-of-bapineuzumab-in-patients-with-alzheimer-s-disease-in-two-phase-3-extension-studies
#5
Adrian Ivanoiu, Jérémie Pariente, Kevin Booth, Kasia Lobello, Gerald Luscan, Lisa Hua, Prisca Lucas, Scot Styren, Lingfeng Yang, David Li, Ronald S Black, H Robert Brashear, Thomas McRae
BACKGROUND: Immunotherapy with monoclonal antibodies that target amyloid beta has been under investigation as a treatment for patients with Alzheimer's disease (AD). The 3000 and 3001 phase 3 clinical studies of intravenous bapineuzumab assessed safety and efficacy in patients with mild to moderate AD recruited in over 26 countries. This article describes the long-term safety and tolerability of bapineuzumab in the extension studies for these two protocols. METHODS: The long-term safety and tolerability of intravenous-administered bapineuzumab in patients with AD was evaluated in apolipoprotein E ε4 allele noncarriers (Study 3002, extension of Study 3000) and apolipoprotein E ε4 allele carriers (Study 3003, extension of Study 3001)...
2016: Alzheimer's Research & Therapy
https://www.readbyqxmd.com/read/27166767/the-audiological-profile-of-adults-with-and-without-hypertension
#6
Mariana Aparecida Soares, Seisse Gabriela Gandolfi Sanches, Carla Gentile Matas, Alessandra Giannella Samelli
OBJECTIVE: To determine whether there is any influence of systemic arterial hypertension on the peripheral auditory system. METHODS: This was a cross-sectional study that investigated 40 individuals between 30 and 50 years old, who were divided into groups with and without systemic arterial hypertension, using data from high-frequency audiometry, transient-evoked otoacoustic emissions and distortion-product otoacoustic emissions. The results were compared with those from groups of normal-hearing individuals, with and without systemic arterial hypertension, who underwent the pure-tone audiometry test...
April 2016: Clinics
https://www.readbyqxmd.com/read/27143676/quality-of-life-outcomes-with-anatomic-versus-functional-diagnostic-testing-strategies-in-symptomatic-patients-with-suspected-coronary-artery-disease-results-from-the-promise-randomized-trial
#7
Daniel B Mark, Kevin J Anstrom, Shubin Sheng, Khaula N Baloch, Melanie R Daniels, Udo Hoffmann, Manesh R Patel, Lawton S Cooper, Kerry L Lee, Pamela S Douglas
BACKGROUND: The Prospective Multicenter Imaging Study for Evaluation of Chest Pain (PROMISE) trial found that initial use of ≥64 detector-row computed tomography angiography versus standard functional testing strategies (exercise ECG, stress nuclear methods, or stress echocardiography) did not improve clinical outcomes in 10 003 stable symptomatic patients with suspected coronary artery disease requiring noninvasive testing. Symptom burden and quality of life (QOL) were major secondary outcomes...
May 24, 2016: Circulation
https://www.readbyqxmd.com/read/27039404/anticoagulants-and-antiplatelet-agents-for-preventing-central-venous-haemodialysis-catheter-malfunction-in-patients-with-end-stage-kidney-disease
#8
REVIEW
Ying Wang, Jessica N Ivany, Vlado Perkovic, Martin P Gallagher, Mark Woodward, Meg J Jardine
BACKGROUND: Catheter malfunction, including thrombosis, is associated with reduced dialysis adequacy, as well as an increased risk of catheter-related bacteraemia and mortality. The role of anticoagulants in the prevention of catheter malfunction remains uncertain. OBJECTIVES: This review aimed to compare the prophylactic effect of different anticoagulant agents, preparations, doses and administration on the incidence of central venous haemodialysis catheter-related malfunction and sepsis in patients with end-stage kidney disease (ESKD)...
April 4, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27021469/slow-pathway-modification-in-patients-presenting-with-only-two-consecutive-av-nodal-echo-beats
#9
Felix K Wegner, Maria Silvano, Nils Bögeholz, Patrick R Leitz, Gerrit Frommeyer, Dirk G Dechering, Stephan Zellerhoff, Simon Kochhäuser, Philipp S Lange, Julia Köbe, Kristina Wasmer, Gerold Mönnig, Lars Eckardt, Christian Pott
BACKGROUND: Slow pathway modification (SPM) is the therapy of choice for AV-nodal reentry tachycardia (AVNRT). When AVNRT is not inducible, empirical ablation can be considered, however, the outcome in patients with two AV nodal echo beats (AVNEBs) is unknown. METHODS: Out of a population of 3003 patients who underwent slow pathway modification at our institution between 1993 and 2013, we retrospectively included 32 patients with a history of symptomatic tachycardia, lack of paroxysmal supraventricular tachycardia (pSVT) inducibility but occurrence of two AVNEBs...
March 25, 2016: Journal of Cardiology
https://www.readbyqxmd.com/read/26889902/immunogenetics-of-prostate-cancer-and-benign-hyperplasia-the-potential-use-of-an-hla-g-variant-as-a-tag-snp-for-prostate-cancer-risk
#10
F M B Zambra, V Biolchi, C C S de Cerqueira, I S Brum, E C Castelli, J A B Chies
Human leukocyte antigen G (HLA-G) is an immunomodulatory molecule with important roles both physiologically as well as an escape mechanism of cancer cells. In this study, we evaluated the impact of eight polymorphisms at the 3' untranslated region (3'UTR) of the HLA-G gene in the development of prostate cancer (PCa) and benign prostatic hyperplasia (BPH). A total of 468 DNA samples of Brazilian men predominantly Euro-descendant with PCa (N = 187), BPH (N = 152) and healthy control individuals (N = 129) were evaluated...
February 2016: HLA
https://www.readbyqxmd.com/read/26874853/first-molecular-diagnosis-of-donohue-syndrome-in-africa-novel-unusual-insertion-deletion-mutation-in-the-insr-gene
#11
Olfa Siala-Sahnoun, Dhoha Dhieb, Afef Ben Thabet, Nedia Hmida, Neila Belguith, Faiza Fakhfakh
Donohue syndrome (DS) is a very rare autosomal recessive disease affecting less than one in a million life births. It represents the most severe form of insulin resistance due to mutations involving the insulin receptor (IR) gene "INSR". DS is characterized by pre- and postnatal growth retardation with failure-to-thrive, lipoatrophy, acanthosis nigricans, hypertrichosis, and dysmorphic features. An exhaustive INSR gene sequencing was performed after PCR amplification of coding exons and introns boundaries. Bioinformatic tools, including ESEfinder, MFOLD and Proter software were also used to predict the impact of INSR mutation on INSR on gene expression as well as on the protein structure and function...
March 2016: Molecular Biology Reports
https://www.readbyqxmd.com/read/26757919/laparoscopic-sleeve-gastrectomy-for-morbid-obesity-in-3003-patients-results-at-a-high-volume-bariatric-center
#12
Nasser Sakran, Asnat Raziel, Orly Goitein, Amir Szold, David Goitein
BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) is gaining wide acceptance as a single surgical treatment for obesity. The reported morbidity and mortality rates are low. We herein report the results of LSG performed in a high-volume center by an experienced team. METHODS: Retrospective analysis of a prospectively maintained database of all bariatric surgery (BS) was performed between May 2006 and December 2014. Data inspected included operative time, length of hospital stay (LOS), comorbidity resolution, re-operation, percent excess weight loss (%EWL), and 30-day morbidity and mortality...
September 2016: Obesity Surgery
https://www.readbyqxmd.com/read/26685872/field-evaluation-of-baited-traps-for-surveillance-of-aedes-japonicus-japonicus-in-switzerland
#13
F Balestrino, F Schaffner, D L Forgia, A I Paslaru, P R Torgerson, A Mathis, E Veronesi
The efficacy of Centers for Disease Control (CDC) miniature light traps and ovitraps was tested in the outskirts of the city of Zurich in Switzerland for their use in the surveillance of Aedes (Hulecoeteomyia) japonicus japonicus (Theobald) (Diptera: Culicidae), the invasive Asian bush mosquito. Sets of single CDC traps were run overnight (n = 18) in three different environments (forest, suburban and urban) in 3 × 3 Latin square experimental designs. Traps were baited with: (a) carbon dioxide (CO2 ); (b) CO2 plus light, or (c) CO2 plus lure blend [Combi FRC 3003 (iGu® )]...
March 2016: Medical and Veterinary Entomology
https://www.readbyqxmd.com/read/26643513/safety-of-laparoscopic-pelvic-exenteration-with-urinary-diversion-for-colorectal-malignancies
#14
Atsushi Ogura, Takashi Akiyoshi, Tsuyoshi Konishi, Yoshiya Fujimoto, Satoshi Nagayama, Yosuke Fukunaga, Masashi Ueno
BACKGROUND: Although the feasibility of laparoscopic surgery for colorectal cancer has been demonstrated, the safety of laparoscopic pelvic exenteration (PE) with urinary diversion for colorectal malignancies remains poorly studied. The present study aimed to examine the safety and feasibility of laparoscopic PE in patients with colorectal malignancies. METHODS: Thirty-one consecutive patients who underwent anterior or total PE with urinary diversion for colorectal malignancies between July 2004 and April 2015 at our institution were included in the study...
May 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/26555655/impact-of-treatment-with-biologic-agents-on-the-use-of-mechanical-devices-among-rheumatoid-arthritis-patients-in-a-large-us-patient-registry
#15
Vibeke Strand, Jeffrey D Greenberg, Jenny Griffith, Yanjun Bao, Katherine C Saunders, Vishvas Garg, Guo Li, Arijit Ganguli
OBJECTIVE: To assess trends and predictors of mechanical devices/aids use by rheumatoid arthritis (RA) patients since the introduction of biologic disease-modifying antirheumatic drugs (DMARDs). METHODS: Sociodemographic characteristics, disease characteristics, and mechanical aid use (assessed using the Health Assessment Questionnaire) were compared among RA patients ages >17 years at diagnosis, enrolled in the Consortium of Rheumatology Researchers of North America (CORRONA) registry during January 2001 to December 2003 and January 2010 to December 2012...
July 2016: Arthritis Care & Research
https://www.readbyqxmd.com/read/26450608/probiotic-attributes-antioxidant-anti-inflammatory-and-neuromodulatory-effects-of-enterococcus-faecium-cfr-3003-in-vitro-and-in-vivo-evidence
#16
G Divyashri, G Krishna, Muralidhara, S G Prapulla
Accumulating evidence suggests that probiotic bacteria play a vital role in modulating various aspects integral to the health and well-being of humans. In the present study, probiotic attributes and the antioxidant, anti-inflammatory and neuromodulatory potential of Enterococcus faecium CFR 3003 were investigated by employing suitable model systems. E. faecium exhibited robust resistance to gastrointestinal stress conditions as it could withstand acid stress at pH 1.5, 2 and 3. The bacterium also survived at a bile salt concentration of 0...
December 2015: Journal of Medical Microbiology
https://www.readbyqxmd.com/read/26445825/z-score-discordance-and-contributing-factors-in-healthy-premenopausal-women-with-low-bone-mineral-density-the-korean-national-health-and-nutrition-examination-survey-2008-9
#17
Kyeong Hye Park, Jung Soo Lim, Kyoung Min Kim, Yumie Rhee, Sung-Kil Lim
The premenopausal period is important for bone health and prevention of future fractures, but measuring bone mineral density (BMD) at only one site may not be sufficient to determine therapeutic strategies for low BMD in premenopausal women due to the presence of Z-score discordance. In this study, we investigated Z-score discordance in addition to contributing factors of idiopathic low BMD in healthy premenopausal Korean women. We studied 3003 premenopausal women aged 18-50 years, without secondary causes for low BMD and history of fragility fracture, who had participated in the Fourth Korean National Health and Nutrition Examination Surveys (2008-2009)...
October 7, 2015: Journal of Bone and Mineral Metabolism
https://www.readbyqxmd.com/read/26350238/a-novel-dynamic-model-for-health-economic-analysis-of-influenza-vaccination-in-the-elderly
#18
Mark Mullikin, Litjen Tan, Jeroen P Jansen, Marc Van Ranst, Norbert Farkas, Eckhardt Petri
INTRODUCTION: New vaccines are being developed to improve the efficacy of seasonal influenza immunization in elderly persons aged ≥65 years. These products require clinical and economic evaluation to aid policy decisions. METHODS: To address this need, a two-part model has been developed, which we have applied to examine the potential clinical and economic impact of vaccinating elderly persons with adjuvanted trivalent inactivated influenza vaccine (aTIV) relative to conventional trivalent (TIV) and quadrivalent (QIV) vaccines...
December 2015: Infectious Diseases and Therapy
https://www.readbyqxmd.com/read/26092449/an-exopolysaccharide-deficient-mutant-of-lactobacillus-rhamnosus-gg-efficiently-displays-a-protective-llama-antibody-fragment-against-rotavirus-on-its-surface
#19
Beatriz Álvarez, Kasper Krogh-Andersen, Christian Tellgren-Roth, Noelia Martínez, Gökçe Günaydın, Yin Lin, M Cruz Martín, Miguel A Álvarez, Lennart Hammarström, Harold Marcotte
Rotavirus is the leading cause of infantile diarrhea in developing countries, where it causes a high number of deaths among infants. Two vaccines are available, being highly effective in developed countries although markedly less efficient in developing countries. As a complementary treatment to the vaccines, a Lactobacillus strain producing an anti-rotavirus antibody fragment in the gastrointestinal tract could potentially be used. In order to develop such an alternative therapy, the effectiveness of Lactobacillus rhamnosus GG to produce and display a VHH antibody fragment (referred to as anti-rotavirus protein 1 [ARP1]) on the surface was investigated...
September 1, 2015: Applied and Environmental Microbiology
https://www.readbyqxmd.com/read/26073687/differential-diagnosis-and-treatment-rates-between-systolic-and-diastolic-hypertension-in-young-adults-a-multidisciplinary-observational-study
#20
Heather M Johnson, Christie M Bartels, Carolyn T Thorpe, Jessica R Schumacher, Nancy Pandhi, Maureen A Smith
Differential rates of diagnosis and treatment by hypertension (HTN) type may contribute to poor HTN control in young adults. The objective of this study was to compare rates of receiving a hypertension diagnosis and antihypertensive agent among young adults with (1) isolated systolic, (2) isolated diastolic, and (3) combined systolic/diastolic HTN. A retrospective analysis was conducted in patients aged 18 to 39 years (n=3003) with incident HTN. Kaplan-Meier survival and Cox proportional hazards analyses were performed...
November 2015: Journal of Clinical Hypertension
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