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https://www.readbyqxmd.com/read/28935527/axis-free-correction-of-astigmatism-using-bifocal-soft-contact-lenses
#1
Alexander Leube, Imre Kovats, Siegfried Wahl, Wolfgang Sickenberger
PURPOSE: Pilot study to investigate the feasibility of an axis-free correction approach of regular astigmatism using soft, bifocal contact lenses (CL). METHODS: The investigation covers an optical simulation and a pilot study for the assessment of visual performance (over refraction OR, monocular visual acuity VA). The power of the two zones was adjusted according to the power of the astigmatic meridians, individually. Subjective performance was assessed in 30 participants with a mean horizontal cylindrical component of J0=- 0...
September 18, 2017: Contact Lens & Anterior Eye: the Journal of the British Contact Lens Association
https://www.readbyqxmd.com/read/28929914/the-conundrum-of-opioid-tapering-in-long-term-opioid-therapy-for-chronic-pain-a-commentary
#2
Ajay Manhapra, Albert A Arias, Jane C Ballantyne
BACKGROUND: In response to the opioid epidemic and new guidelines, many patients on high-dose long term opioid therapy (LTOT) for chronic pain are getting tapered off opioids. As a result, a unique clinical challenge is emerging: while many on LTOT have poor pain control, functional decline, psychiatric instability, aberrancies and misuse, these issues may often worsen with opioid tapering. Currently, a clear explanation and practical guidance on how to manage this perplexing clinical scenario is lacking...
September 20, 2017: Substance Abuse
https://www.readbyqxmd.com/read/28929489/association-between-long-term-low-intensity-cigarette-smoking-and-incidence-of-smoking-related-cancer-in-the-national-institutes-of-health-aarp-cohort
#3
Maki Inoue-Choi, Patricia Hartge, Linda M Liao, Neil Caporaso, Neal D Freedman
An increasing proportion of US smokers smoke ≤10 cigarettes per day (CPD) or do not smoke every day, yet the health effects of low-intensity smoking are poorly understood. We identified lifelong smokers of <1 or 1-10 CPD and evaluated risk of incident cancer among 238,525 cancer-free adults, aged 59-82, in the NIH-AARP Diet and Health Study. A questionnaire administered in 2004-2005 assessed CPD during nine age-periods (<15 to ≥70). We estimated hazard ratios (HR) and 95% confidence intervals (CI) using multivariable-adjusted Cox proportional hazards regression with age as the underlying time metric...
September 20, 2017: International Journal of Cancer. Journal International du Cancer
https://www.readbyqxmd.com/read/28926754/training-needs-analysis-the-essential-first-step-for-continuing-professional-development-design
#4
Kathryn Holloway, Kerri Arcus, Georgina Orsborn
Nursing services are expected to be dynamic in response to changing health care needs. This expectation requires the purposeful and effective development of nursing workforce capability through continuing professional development (CPD). An evidence based approach to training needs analysis (TNA) is a highly recommended yet often missing first step in designing a CPD strategy for service improvement. This study used the Hicks-Hennessey questionnaire, a validated TNA tool to inform regional educational commissioning to meet the aims of a community social sector trial (SST) project...
September 5, 2017: Nurse Education in Practice
https://www.readbyqxmd.com/read/28900544/effect-of-spherical-aberration-on-the-optical-quality-after-implantation-of-two-different-aspherical-intraocular-lenses
#5
Michael Lasta, Kata Miháltz, Illés Kovács, Pia Veronika Vécsei-Marlovits
PURPOSE: To compare the effect of spherical aberration on optical quality in eyes with two different aspherical intraocular lenses. METHODS: 120 eyes of 60 patients underwent phacoemulsification. In patients' eyes, an aberration-free IOL (Aspira-aA; Human Optics) or an aberration-correcting aspherical IOL (Tecnis ZCB00; Abott Medical Optics) was randomly implanted. After surgery, contrast sensitivity and wavefront measurements as well as tilt and decentration measurements were performed...
2017: Journal of Ophthalmology
https://www.readbyqxmd.com/read/28894819/computational-modelling-of-cough-function-and-airway-penetrant-behavior-in-patients-with-disorders-of-laryngeal-function
#6
Bari Hoffman Ruddy, Don Nadun Kuruppumullage, Giselle Carnaby, Michael Crary, Jeffery Lehman, Olusegun J Ilegbusi
OBJECTIVE/HYPOTHESIS: Patients with laryngeal disorders often exhibit changes to cough function contributing to aspiration episodes. Two primary cough variables (peak cough flow: PCF and compression phase duration: CPD) were examined within a biomechanical model to determine their impact on characteristics that impact airway compromise. STUDY DESIGN: Computational study. METHODS: A Computational Fluid Dynamics (CFD) technique was used to simulate fluid flow within an upper airway model reconstructed from patient CT images...
February 2017: Laryngoscope Investigative Otolaryngology
https://www.readbyqxmd.com/read/28892604/clinical-challenge
#7
(no author information available yet)
Questions for this month's clinical challenge are based on articles in this issue. The clinical challenge is endorsed by the RACGP Quality Improvement and Continuing Professional Development (QI&CPD) program and has been allocated four Category 2 points (Activity ID: 109894). Answers to this clinical challenge are available immediately following successful completion online at http://gplearning.racgp.org.au. Clinical challenge quizzes may be completed at any time throughout the 2017-19 triennium; therefore, the previous months' answers are not published...
September 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28883584/social-media-and-professionalism-a-retrospective-content-analysis-of-fitness-to-practise-cases-heard-by-the-gdc-concerning-social-media-complaints
#8
P Neville
Introduction Since 2013, all General Dental Council (GDC) registrants' online activities have been regulated by the GDC's social media guidelines. Failure to comply with these guidelines results in a Fitness to Practise (FtP) complaint being investigated.Aims This study explores the prevalence of social media related FtP cases investigated by the GDC from 1 September 2013 to 21 June 2016.Method Documentary analysis of social media related FtP cases published on the GDC's website was undertaken. All cases that met the study's inclusion criteria were analysed using a quantitative content analysis framework...
September 8, 2017: British Dental Journal
https://www.readbyqxmd.com/read/28883552/preparing-a-personal-development-plan-for-all-members-of-the-dental-team
#9
W Maguire, P Blaylock
Personal development plans (PDPs) have been a requirement for NHS hospital staff, Foundation Training and Dental Core Training for some years; however, the General Dental Council (GDC) are changing continuing professional development (CPD) requirements in 2018 (enhanced CPD) making a PDP a requirement for all members of the dental team. A PDP consists of objectives for targeting CPD most relevant to your practice or intended practice to undertake over a defined period to maximise the improvement of your professional development...
September 8, 2017: British Dental Journal
https://www.readbyqxmd.com/read/28878616/interim-results-of-a-multicenter-trial-with-the-new-electronic-subretinal-implant-alpha-ams-in-15-patients-blind-from-inherited-retinal-degenerations
#10
Katarina Stingl, Ruth Schippert, Karl U Bartz-Schmidt, Dorothea Besch, Charles L Cottriall, Thomas L Edwards, Florian Gekeler, Udo Greppmaier, Katja Kiel, Assen Koitschev, Laura Kühlewein, Robert E MacLaren, James D Ramsden, Johann Roider, Albrecht Rothermel, Helmut Sachs, Greta S Schröder, Jan Tode, Nicole Troelenberg, Eberhart Zrenner
Purpose: We assessed the safety and efficacy of a technically advanced subretinal electronic implant, RETINA IMPLANT Alpha AMS, in end stage retinal degeneration in an interim analysis of two ongoing prospective clinical trials. The purpose of this article is to describe the interim functional results (efficacy). Methods: The subretinal visual prosthesis RETINA IMPLANT Alpha AMS (Retina Implant AG, Reutlingen, Germany) was implanted in 15 blind patients with hereditary retinal degenerations at four study sites with a follow-up period of 12 months (www...
2017: Frontiers in Neuroscience
https://www.readbyqxmd.com/read/28875796/resuscitation-equipment
#11
Rose Gallacher
What was the nature of the CPD activity, practice-related feedback and/or event and/or experience in your practice? The article detailed the cardiopulmonary resuscitation (CPR) equipment required in a standard resuscitation trolley, and outlined the optimal method for arranging this equipment to assist nurses in assessing and managing a patient's airway, breathing and circulation.
September 6, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28871330/forensic-features-and-phylogenetic-analyses-of-sichuan-han-population-via-23-autosomal-str-loci-included-in-the-huaxia-platinum-system
#12
Guanglin He, Mengge Wang, Jing Liu, Yiping Hou, Zheng Wang
Short tandem repeats (STRs) are DNA regions with a variable number of repeated units (2-6 bp) and attractive to genetic application like forensic, population genetics, and anthropological studies. The Huaxia Platinum System allows the multiplex amplification of 23 autosomal STR loci and two gender determination loci. In the present study, genetic polymorphisms of these 23 autosomal STR loci were first obtained from 309 Sichuan Han individuals, southwest China. No evidence of deviation from the Hardy-Weinberg equilibrium (HWE) was identified...
September 5, 2017: International Journal of Legal Medicine
https://www.readbyqxmd.com/read/28858273/-microbiocenosis-of-subgingival-biofilm-and-intestinal-content-in-chronic-periodontal-disease-in-patients-with-metabolic-syndrome
#13
N B Petrukhina, O A Zorina, E V Shikh, E V Kartysheva
The aim of the study was to assess correlations of subgingival biofilm and intestinal microbiota in patients with chronic periodontal disease (CPD) and metabolic syndrome (MS). The study included 80 patients divided in 2 groups: 40 healthy individuals with no signs of periodontal disease and 40 patients with CPD and MS. Oral and intestinal microbial consortia compositions were revealed using deep sequencing libraries of 16S rDNA. The study showed than the qualitative composition of the intestinal microbiome in patients with CPD differ significantly from the microbiome of controls...
2017: Stomatologii︠a︡
https://www.readbyqxmd.com/read/28858271/-the-relevance-of-candida-spp-in-chronic-periodontal-disease
#14
I N Razina, M G Chesnokova, V B Nedoseko
The aim of the study was to assess the correlation of Candida spp. incidence in periodontal tissues with various clinical manifestations of chronic periodontal disease (CPD). Ninety patients with CPD were included in the study in which Candida spp. was evaluated in periodontal pockets content and gingival biopsy material. In severe CPD more Candida spp. were seen in gingival biopsy than in periodontal pockets (p=0.0006). Candida spp. incidence and quantity correlated directly with the disease grade showing incidence increase from 40 to 73...
2017: Stomatologii︠a︡
https://www.readbyqxmd.com/read/28853387/managing-resources
#15
Bing Raz
What was the nature of the CPD activity, practice-related feedback and/or event and/or experience in your practice? The article provided information about managing resources and reducing waste in healthcare settings. It has been reported that healthcare organisations in the UK are under significant financial pressure. Therefore, it is important consider ways to reduce costs and waste.
August 30, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28853373/using-bibliometrics-to-support-revalidation-requirements
#16
David Charles Benton
Bibliometrics is a method of statistically analysing written works, including books and journal articles. It can be used to measure an academic article's value, the importance of individual authors or academic research, and the productivity of authors, institutions or departments. Aim To explore how bibliometrics can assist nurse academics in providing documented evidence to meet the Nursing and Midwifery Council's (NMC's) revalidation requirements. Method The author's publication history was used to demonstrate how nurse academics can use bibliometrics to provide evidence of their continuing professional development (CPD)...
August 30, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28844161/maturation-of-binocular-monocular-grating-acuity-and-of-the-visual-interocular-difference-in-the-first-2-years-of-life
#17
Marcelo Fernandes Costa, Valtenice de Cássia Rodrigues Matos França, Mirella Teles Salgueiro Barboni, Dora Fix Ventura
The sweep visual evoked potential method (sVEP) is a powerful tool for measurement of visual acuity in infants. Despite the applicability and reliability of the technique in measuring visual functions the understanding of sVEP acuity maturation and how interocular difference of acuity develops in early infancy, as well as the availability of normality ranges, are rare in the literature. We measured binocular and monocular sVEPS acuities in 481 healthy infants aged from birth to 24 months without ophthalmological diseases...
August 1, 2017: Clinical EEG and Neuroscience: Official Journal of the EEG and Clinical Neuroscience Society (ENCS)
https://www.readbyqxmd.com/read/28844012/smoking-related-outcomes-and-associations-with-tobacco-free-policy-in-addiction-treatment-2015-2016
#18
Joseph Guydish, Deborah Yip, Thao Le, Noah R Gubner, Kevin Delucchi, Paul Roman
OBJECTIVE: This study assessed changes in smoking-related outcomes in two cross-sectional samples of clients enrolled in addiction treatment and whether tobacco-free grounds policies were associated with smoking-related outcomes. METHOD: Clients in 25 programs were surveyed in 2015 (N=1176) and 2016 (N=1055). The samples were compared on smoking prevalence, cigarettes per day (CPD), thinking of quitting, past year quit attempts, staff and clients smoking together, attitudes towards quitting, and tobacco-related services...
October 1, 2017: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/28840895/the-evaluation-of-a-continuing-professional-development-package-for-primary-care-dentists-designed-to-reduce-stress-build-resilience-and-improve-clinical-decision-making
#19
H R Chapman, S Y Chipchase, R Bretherton
Introduction Stress and burnout are widely accepted as a problem for primary care dental practitioners. Previous programmes to address this issue have met with some success. Burnout is associated with poor coping skills and emotion regulation, and increased rates of clinical errors. Anxiety is associated with poor decision-making and is thought to be associated with poor clinical decision-making. Attempts to improve decision-making use increasing meta-awareness and review of thinking processes. Bibliotherapy is an effective method of delivering cognitive behavioural therapy as self-help or guided self-help (with some therapist input) formats...
August 25, 2017: British Dental Journal
https://www.readbyqxmd.com/read/28831890/reducing-health-inequalities
#20
Christine Mason
What was the nature of the CPD activity, practice-related feedback and/or event and/or experience in your practice? The article outlined the health inequalities that people with serious mental illness (SMI) may experience. It acknowledged the barriers they often encounter in accessing healthcare services, and discussed how lifestyle behaviours, symptoms of mental illness and the side effects of medication can contribute to reduced life expectancy.
August 23, 2017: Nursing Standard
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