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https://www.readbyqxmd.com/read/28800802/special-considerations-in-the-pediatric-psychiatric-population
#1
REVIEW
Genevieve Santillanes, Ruth S Gerson
Youth with psychiatric and behavioral complaints commonly present to emergency departments (EDs), which often lack dedicated mental health staff. This article addresses techniques EDs can use to better care for children in need of psychiatric assessment and medical clearance, specifically addressing the evaluation of youth with suicidal ideation and coexisting medical and psychiatric needs. The evaluation and management of youth with agitation and aggression are also discussed. The article concludes with a discussion of systems changes needed to truly improve emergency care for psychiatrically ill youth...
September 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28793125/clinical-simulation-with-dramatization-gains-perceived-by-students-and-health-professionals
#2
Elaine Cristina Negri, Alessandra Mazzo, José Carlos Amado Martins, Gerson Alves Pereira, Rodrigo Guimarães Dos Santos Almeida, César Eduardo Pedersoli
Objective: to identify in the literature the gains health students and professionals perceive when using clinical simulation with dramatization resources. Method: integrative literature review, using the method proposed by the Joanna Briggs Institute (JBI). A search was undertaken in the following databases: Latin American and Caribbean Health Sciences Literature, Web of Science, National Library of Medicine, Cumulative Index to Nursing and Allied Health Literature, The Cochrane Library, Scopus, Scientific Electronic Library Online...
August 3, 2017: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/28793084/-use-of-medicinal-plants-as-home-remedies-in-primary-health-care-in-blumenau-state-of-santa-catarina-brazil
#3
Ana Lúcia Bertarello Zeni, Amanda Varnier Parisotto, Gerson Mattos, Ernani Tiaraju de Santa Helena
An increase in the use of alternative therapeutic practices has been observed in the past decade, especially in medicinal plants, herbal and home remedies, which has been supported by policies within the scope of the Unified Health System (SUS). This study investigated the use of home remedies by users of Primary Health Care in Blumenau, State of Santa Catarina. It is a cross-sectional, observational and epidemiological study, the data for which were obtained via a questionnaire applied to 701 individuals. An unconditional logistic regression model was used to estimate the association between the use of home remedies and socio-demographic and medical care variables...
August 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28793008/geo-environmental-zoning-using-physiographic-compartmentalization-a-proposal-for-supporting-sustainable-decision-making
#4
Claudia V S Corrêa, Fábio A G V Reis, Lucilia C Giordano, Adriano Bressane, Camila J Chaves, Ana Maria C DO Amaral, Hermes D Brito, Gerson A DE Medeiros
The geo-environmental zoning represents an important strategy in the territorial management. However, it requires a logical and structured procedure. Therefore, an approach using physiographic compartmentalization is proposed and applied as case study in a region covered by the topographic maps of São José dos Campos and Jacareí, Brazil. This region has great geological and geomorphological peculiarities, beyond being a place with large human interventions because of its quickly economic growth. The methodology is based on photointerpretation techniques and remote sensing in GIS environment...
August 7, 2017: Anais da Academia Brasileira de Ciências
https://www.readbyqxmd.com/read/28793007/ostracoda-and-foraminifera-from-paleocene-olinda-well-para%C3%A3-ba-basin-brazilian-northeast
#5
Enelise K Piovesan, Robbyson M Melo, Fernando M Lopes, Gerson Fauth, Denize S Costa
Paleocene ostracods and planktonic foraminifera from the Maria Farinha Formation, Paraíba Basin, are herein presented. Eleven ostracod species were identified in the genera Cytherella Jones, Cytherelloidea Alexander, Eocytheropteron Alexander, Semicytherura Wagner, Paracosta Siddiqui, Buntonia Howe, Soudanella Apostolescu, Leguminocythereis Howe and, probably, Pataviella Liebau. The planktonic foraminifera are represented by the genera Guembelitria Cushman, Parvularugoglobigerina Hofker, Woodringina Loeblich and Tappan, Heterohelix Ehrenberg, Zeauvigerina Finlay, Muricohedbergella Huber and Leckie, and Praemurica Olsson, Hemleben, Berggren and Liu...
August 7, 2017: Anais da Academia Brasileira de Ciências
https://www.readbyqxmd.com/read/28792987/-infant-mortality-according-to-color-or-race-based-on-the-2010-population-census-and-national-health-information-systems-in-brazil
#6
Aline Diniz Rodrigues Caldas, Ricardo Ventura Santos, Gabriel Mendes Borges, Joaquim Gonçalves Valente, Margareth Crisóstomo Portela, Gerson Luiz Marinho
The aim of this study was to investigate infant mortality data according to color or race in Brazil with a focus on indigenous individuals, based on data from the 2010 Population Census and the Brazilian Mortality Information System (SIM) and Brazilian Information System on Live Births (SINASC). In both sources, the infant mortality rate (IMR) for indigenous individuals was the highest of all the various population segments. Although the census data indicate inequalities by color or race, the infant mortality rates for indigenous and black individuals were lower than those based on data from SIM/SINASC...
August 7, 2017: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/28781207/testing-of-an-oral-dosing-technique-for-double-crested-cormorants-phalacocorax-auritus-laughing-gulls-leucophaeus-atricilla-homing-pigeons-columba-livia-and-western-sandpipers-calidris-mauri-with-artificially-weather-mc252-oil
#7
K M Dean, D Cacela, M W Carney, F L Cunningham, C Ellis, A R Gerson, C G Guglielmo, K C Hanson-Dorr, K E Harr, K A Healy, K E Horak, J P Isanhart, L V Kennedy, J E Link, I Lipton, A K McFadden, J K Moye, C R Perez, C A Pritsos, K L Pritsos, T Muthumalage, S A Shriner, S J Bursian
Scoping studies were designed to determine if double-crested cormorants (Phalacocorax auritus), laughing gulls (Leucophaues atricilla), homing pigeons (Columba livia) and western sandpipers (Calidris mauri) that were gavaged with a mixture of artificially weathered MC252 oil and food for either a single day or 4-5 consecutive days showed signs of oil toxicity. Where volume allowed, samples were collected for hematology, plasma protein electrophoresis, clinical chemistry and electrolytes, oxidative stress and organ weigh changes...
August 3, 2017: Ecotoxicology and Environmental Safety
https://www.readbyqxmd.com/read/28767666/mismatch-repair-deficient-hematopoietic-stem-cells-are-preleukemic-stem-cells
#8
Yulan Qing, Stanton L Gerson
Whereas transformation events in hematopoietic malignancies may occur at different developmental stages, the initial mutation originates in hematopoietic stem cells (HSCs), creating a preleukemic stem cell (PLSC). Subsequent mutations at either stem cell or progenitor cell levels transform the PLSC into lymphoma/leukemia initiating cells (LIC). Thymic lymphomas have been thought to develop from developing thymocytes. T cell progenitors are generated from HSCs in the bone marrow (BM), but maturation and proliferation of T cells as well as T-lymphomagenesis depends on both regulatory mechanisms and microenvironment within the thymus...
2017: PloS One
https://www.readbyqxmd.com/read/28760832/avian-thermoregulation-in-the-heat-evaporative-cooling-capacity-of-arid-zone-caprimulgiforms-from-two-continents
#9
William A Talbot, Todd J McWhorter, Alexander R Gerson, Andrew E McKechnie, Blair O Wolf
Birds in the order Caprimulgiformes (nightjars and allies) have a remarkable capacity for thermoregulation over a wide range of environmental temperatures, exhibiting pronounced heterothermy in cool conditions and extreme heat tolerance at high environmental temperatures. We measured thermoregulatory responses to acute heat stress in three species of caprimulgiforms that nest in areas of extreme heat and aridity, the common poorwill (Phalaenoptilus nuttallii: Caprimulgidae) and lesser nighthawk (Chordeiles acutipennis: Caprimulgidae) in the Sonoran Desert of Arizona, and the Australian owlet-nightjar (Aegotheles cristatus: Aegothelidae) in the mallee woodlands of South Australia...
July 31, 2017: Journal of Experimental Biology
https://www.readbyqxmd.com/read/28760566/3-d-virtual-reconstruction-of-a-large-amniocele-with-protrusion-of-legs-and-umbilical-cord-following-asymptomatic-uterine-rupture
#10
Renato Augusto Moreira de Sá, Valeria Pereira de Moraes, Marianne Cecília da Costa Soares, Heron Werner, Gerson Ribeiro, Jorge Lopes, Edward Araujo Júnior
BACKGROUND: Complete uterine rupture is a rare and severe intrapartum complication with high rates of maternal and fetal mortality. Asymptomatic uterine rupture is a very rare condition with one unique previous case described in the literature. Three-dimensional virtual models allow an immersive virtual reality of maternal-fetal structures with better understanding by the parents and the medical team. CASE: We demonstrate a case of asymptomatic rupture uterine with a large amniocele and protruded legs and umbilical cord at 28 weeks of gestation by using a 3-D virtual model from ultrasound scan data...
July 28, 2017: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/28757316/increased-detection-of-barrett-s-esophagus-associated-neoplasia-using-wide-area-trans-epithelial-sampling-a-multicenter-prospective-randomized-trial
#11
Prashanth R Vennalaganti, Vivek Kaul, Kenneth K Wang, Gary W Falk, Nicholas J Shaheen, Anthony Infantolino, David A Johnson, Glenn Eisen, Lauren B Gerson, Michael S Smith, Prasad G Iyer, Charles J Lightdale, Felice Schnoll-Sussman, Neil Gupta, Seth A Gross, Julian Abrams, Gregory B Haber, Ram Chuttani, Douglas K Pleskow, Shivangi Kothari, John R Goldblum, Yaxia Zhang, Prateek Sharma
BACKGROUND AND AIMS: Wide-area transepithelial sampling (WATS) with computer-assisted 3-dimensional analysis is a sampling technique that combines abrasive brushing of the Barrett's esophagus (BE) mucosa followed by neural network analysis to highlight abnormal-appearing cells. METHODS: We performed a randomized trial of referral BE patients undergoing surveillance at 16 medical centers. Subjects received either biopsy followed by WATS, or vice versa. The primary outcome was rate of detection of HGD/EAC using WATS in conjunction with biopsy compared with biopsy alone using standard histopathologic criteria...
July 27, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28756916/effect-of-dietary-supplementation-with-olive-and-sunflower-oils-on-lipid-profile-and-liver-histology-in-rats-fed-high-cholesterol-diet
#12
Sandra Mara Pimentel Duavy, Gerson Javier Torres Salazar, Gerlânia de Oliveira Leite, Assis Ecker, Nilda Vargas Barbosa
OBJECTIVE: To compare the effects of high-monounsaturated (MUFA) and polyunsaturated fatty acids (PUFA) against the metabolic disorders elicited by a high-cholesterol diet (HC) in rats. METHODS: Using in vivo dietary manipulation, rats were fed with different diets containing 4% soybean oil (cholesterol free diet) and 1% HC containing 12% olive oil (HC + OO) enriched with MUFA and 12% sunflower oil (HC + SO) enriched with PUFA for 60 d. Serum lipid levels and hepatic steatosis were evaluated after the treatment period...
June 2017: Asian Pacific Journal of Tropical Medicine
https://www.readbyqxmd.com/read/28755493/osteoinductive-porous-biphasic-calcium-phosphate-ceramic-as-an-alternative-to-autogenous-bone-grafting-in-the-treatment-of-mandibular-bone-critical-size-defects
#13
Paula Sanches Santos, Tania Mary Cestari, Jéssica Botto Paulin, Renato Martins, Caroline Andrade Rocha, Ricardo Vinícius Nunes Arantes, Bruna Carolina Costa, Cássio Morilla Dos Santos, Gerson Francisco Assis, Rumio Taga
The bone-induction capacity of a porous biphasic calcium phosphate (pBCP) using heterotopic implantation in mouse (mHI-model) and its efficacy as substitute for autograft in mandibular critical-size defect in rabbit (rabMCSD-model) was investigated. In mHI-model, pBCP was implanted into the thigh muscles and bone formation was histomorphometrically and immunohistochemically evaluated. In rabMCSD-model, 13 mm bone defects were treated with pBCP or autograft and bone repair comparatively evaluated by radiographic and histomorphometric methods...
July 29, 2017: Journal of Biomedical Materials Research. Part B, Applied Biomaterials
https://www.readbyqxmd.com/read/28750180/association-between-inspiratory-muscle-weakness-and-slowed-oxygen-uptake-kinetics-in-patients-with-chronic-obstructive-pulmonary-disease
#14
Andiara Wolpat, Francisco V Lima, Fabiola M Silva, Micheli Tochetto, Andressa Freitas, Tatiane Grandi, Leonardo Rodrigues, Verônica Paiva, Gerson Cipriano, Adriana M Chiappa, Julio Zago, Gaspar R Chiappa
INTRODUCTION: Patients with chronic obstructive pulmonary disease (COPD) may have poor inspiratory muscle function, which reduces minute and alveolar ventilation, leading to increased hypoxemia and slow pulmonary oxygen uptake ( O2) kinetics. However, little is known about the effect of inspiratory muscle weakness (IMW) on oxygen uptake kinetics in patients with COPD. Thus, we tested the hypothesis that COPD patients with IMW have slowed O2 kinetics. METHODS: An observational study was conducted including COPD patients with moderate to severe airflow limitation and a history of intolerance to exercise...
July 27, 2017: Applied Physiology, Nutrition, and Metabolism, Physiologie Appliquée, Nutrition et Métabolisme
https://www.readbyqxmd.com/read/28749256/echocardiographic-findings-of-bidimensional-mode-m-mode-and-doppler-of-clinically-normal-black-rumped-agouti-dasyprocta-prymnolopha-wagler-1831
#15
Anaemilia das Neves Diniz, Gerson Tavares Pessoa, Laecio da Silva Moura, André Braga de Sousa, Francisco das Chagas Araújo Sousa, Renan Paraguassu de Sá Rodrigues, Maria Angélica Parente da Silva Barbosa, Hatawa Melo de Almeida, Larisse Danielle Silva Freire, Marina Pinto Sanches, Antônio Augusto Nascimento Machado Júnior, Porfírio Candanedo Guerra, Willams Costa Neves, João Macedo de Sousa, Luiz Bolfer, Robson Fortes Giglio, Flávio Ribeiro Alves
The black-rumped agouti ( Dasyprocta prymnolopha , Wagler 1831) is currently under intense ecologic pressure, which has resulted in its disappearance from some regions of Brazil. Echocardiography is widely used in veterinary medicine but it is not yet part of the clinical routine for wild animals. The objective of the present study was to assess the applicability of the echocardiographic exam in nonanesthetized agouti and to establish normal reference values for echocardiographic measurements in bidimensional mode (2D), M-mode, and Doppler for this species, and a lead II electrocardiogram was simultaneously recorded...
June 2017: Journal of Zoo and Wildlife Medicine: Official Publication of the American Association of Zoo Veterinarians
https://www.readbyqxmd.com/read/28720173/simultaneous-determination-of-first-line-4-fdc-antituberculosis-drugs-by-uhplc-uv-and-hplc-uv-a-comparative-study
#16
Pedro H C Franco, Paula R Chellini, Marcone A L Oliveira, Gerson A Pianetti
Tuberculosis is the second most deadly infectious disease, surpassed only by HIV/AIDS, and has resulted in over 1 billion deaths in the last 200 years. The World Health Organization estimates that in 2014, 9.6 million people were infected by this disease and 1.5 million had died. First-choice treatment consists of fixed-dose combination tablets containing rifampicin, isoniazid, pyrazinamide, and ethambutol hydrochloride (4-FDC). There are pharmacopeial protocols available to test 4-FDC, but they are prolonged, two-step methods...
July 1, 2017: Journal of AOAC International
https://www.readbyqxmd.com/read/28708708/atopy-in-elite-endurance-athletes
#17
Renata N Teixeira, Gerson Dos Santos Leite, Matteo Bonini, Renata Gorjão, Rosana C Agondi, Cristina M Kokron, Celso R F Carvalho
OBJECTIVE: To assess the frequency of atopy (specific IgE levels), to evaluate the allergic symptoms using the Allergy Questionnaire for Athletes (AQUA), and to determine whether atopy is associated with allergic symptoms in elite endurance athletes. DESIGN: Cross-sectional study. SETTING: Assessments were performed at Hospital das Clinicas-São Paulo University Medical School. PARTICIPANTS: Fifty-nine elite endurance athletes (triathletes and runners)...
July 11, 2017: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/28704363/uniform-multidrug-therapy-for-leprosy-patients-in-brazil-u-mdt-ct-br-results-of-an-open-label-randomized-and-controlled-clinical-trial-among-multibacillary-patients
#18
RANDOMIZED CONTROLLED TRIAL
Gerson Oliveira Penna, Samira Bührer-Sékula, Lígia Regina Sansigolo Kerr, Mariane Martins de Araújo Stefani, Laura Cunha Rodrigues, Marcelo Grossi de Araújo, Andrea Machado Coelho Ramos, Ana Regina Coelho de Andrade, Maurício Barcelos Costa, Patricia Sammarco Rosa, Heitor de Sá Gonçalves, Rossilene Cruz, Maurício Lima Barreto, Maria Araci de Andrade Pontes, Maria Lúcia Fernandes Penna
BACKGROUND: Leprosy control is based on early diagnosis and multidrug therapy. For treatment purposes, leprosy patients can be classified as paucibacillary (PB) or multibacillary (MB), according to the number of skin lesions. Studies regarding a uniform treatment regimen (U-MDT) for all leprosy patients have been encouraged by the WHO, rendering disease classification unnecessary. METHODOLOGY AND FINDINGS: An independent, randomized, controlled clinical trial conducted from 2007 to 2015 in Brazil, compared main outcomes (frequency of reactions, bacilloscopic index trend, disability progression and relapse rates) among MB patients treated with a uniform regimen/U-MDT (dapsone+rifampicin+clofazimine for six months) versus WHO regular-MDT/R-MDT (dapsone+rifampicin+clofazimine for 12 months)...
July 2017: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/28702076/the-management-of-intra-abdominal-infections-from-a-global-perspective-2017-wses-guidelines-for-management-of-intra-abdominal-infections
#19
REVIEW
Massimo Sartelli, Alain Chichom-Mefire, Francesco M Labricciosa, Timothy Hardcastle, Fikri M Abu-Zidan, Abdulrashid K Adesunkanmi, Luca Ansaloni, Miklosh Bala, Zsolt J Balogh, Marcelo A Beltrán, Offir Ben-Ishay, Walter L Biffl, Arianna Birindelli, Miguel A Cainzos, Gianbattista Catalini, Marco Ceresoli, Asri Che Jusoh, Osvaldo Chiara, Federico Coccolini, Raul Coimbra, Francesco Cortese, Zaza Demetrashvili, Salomone Di Saverio, Jose J Diaz, Valery N Egiev, Paula Ferrada, Gustavo P Fraga, Wagih M Ghnnam, Jae Gil Lee, Carlos A Gomes, Andreas Hecker, Torsten Herzog, Jae Il Kim, Kenji Inaba, Arda Isik, Aleksandar Karamarkovic, Jeffry Kashuk, Vladimir Khokha, Andrew W Kirkpatrick, Yoram Kluger, Kaoru Koike, Victor Y Kong, Ari Leppaniemi, Gustavo M Machain, Ronald V Maier, Sanjay Marwah, Michael E McFarlane, Giulia Montori, Ernest E Moore, Ionut Negoi, Iyiade Olaoye, Abdelkarim H Omari, Carlos A Ordonez, Bruno M Pereira, Gerson A Pereira Júnior, Guntars Pupelis, Tarcisio Reis, Boris Sakakhushev, Norio Sato, Helmut A Segovia Lohse, Vishal G Shelat, Kjetil Søreide, Waldemar Uhl, Jan Ulrych, Harry Van Goor, George C Velmahos, Kuo-Ching Yuan, Imtiaz Wani, Dieter G Weber, Sanoop K Zachariah, Fausto Catena
Intra-abdominal infections (IAIs) are common surgical emergencies and have been reported as major contributors to non-trauma deaths in the emergency departments worldwide. The cornerstones of effective treatment of IAIs are early recognition, adequate source control, and appropriate antimicrobial therapy. Prompt resuscitation of patients with ongoing sepsis is of utmost important. In hospitals worldwide, non-acceptance of, or lack of access to, accessible evidence-based practices and guidelines result in overall poorer outcome of patients suffering IAIs...
2017: World Journal of Emergency Surgery: WJES
https://www.readbyqxmd.com/read/28690621/different-mutations-endowing-resistance-to-acetyl-coa-carboxylase-inhibitors-results-in-changes-in-ecological-fitness-of-lolium-rigidum-populations
#20
Maor Matzrafi, Ofri Gerson, Baruch Rubin, Zvi Peleg
Various mutations altering the herbicide target site (TS), can lead to structural modifications that decrease binding efficiency and results in herbicide resistant weed. In most cases, such a mutation will be associated with ecological fitness penalty under herbicide free environmental conditions. Here we describe the effect of various mutations, endowing resistance to acetyl-CoA carboxylase (ACCase) inhibitors, on the ecological fitness penalty of Lolium rigidum populations. The TS resistant populations, MH (substitution of isoleucine 1781 to leucine) and NO (cysteine 2088 to arginine), were examined and compared to a sensitive population (AL)...
2017: Frontiers in Plant Science
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