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https://www.readbyqxmd.com/read/29443720/retained-guidewires-in-the-veterans-health-administration-getting-to-the-root-of-the-problem
#1
Leila Cherara, Gary L Sculli, Douglas E Paull, Lisa Mazzia, Julia Neily, Peter D Mills
OBJECTIVES: The aims of this study were to investigate the demographics, causes, and contributing factors of retained guidewires (GWs) and to make specific recommendations for their prevention. METHODS: The Veterans Administration patient safety reporting system database for 2000-2016 was queried for cases of retained GWs (RGWs). Data extracted for each case included procedure location, provider experience, insertion site, urgency, time to discovery, root causes, and corrective actions taken...
February 13, 2018: Journal of Patient Safety
https://www.readbyqxmd.com/read/29443703/the-thrower-s-shoulder
#2
Jonathan D Gelber, Lonnie Soloff, Mark S Schickendantz
Overhead athletes subject their shoulders to extreme repetitive torque, compression, distraction, and translation stresses, resulting in adaptive changes of the soft tissues and osseous structures within and around the glenohumeral joint. These anatomic adaptations result in biomechanical enhancements, which improve performance. Understanding the difference between necessary and adaptive changes and pathologic findings is critical when making treatment decisions. Injuries to the shoulder of the overhead athlete can be generally classified into three groups: internal impingement, internal impingement with acquired secondary anterior instability, and primary anterior or multidirectional instability...
February 13, 2018: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/29437511/computer-simulation-and-optimization-of-cranial-vault-distraction
#3
Michael J Foley, Patrick S Cottler, Silvia S Blemker, Arlen D Denny, Jonathan S Black
OBJECTIVE: The objective of this study was to validate the proof of concept of a computer-simulated cranial distraction, demonstrating accurate shape and end volume. DESIGN: Detailed modeling was performed on pre- and postoperative computed tomographic (CT) scans to generate accurate measurements of intracranial volume. Additionally, digital distraction simulations were performed on the preoperative scan and the resultant intracranial volume and shape were evaluated...
March 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29436942/short-vs-longer-implants-in-mandibular-alveolar-ridge-augmentated-using-osteogenic-distraction-one-year-follow-up-of-a-randomized-split-mouth-trial
#4
Sara Bernardi, Roberto Gatto, Marco Severino, Gianluca Botticelli, Silvia Caruso, Claudio Rastelli, Ettore Lupi, Adolfo Quiroz Rojas, Enzo Iacomino, Giovanni Falisi
Aim of the study was to evaluate the reliability of 6 mm long implants compared to normal length implants placed in vertical augmented atrophic posterior mandible, supporting cemented single crowns. Thirty-six patients with bilateral posterior edentulous mandible and presented a bone availability height less than 9 mm from the mandibular canal were enrolled for the participation to this study. Patient hemi-arches were randomized to receive both 6 mm-long and normal length implants (10 mm). The technique used for the vertical bone augmentation was the "sandwich" technique, using a bone substitute block as graft...
February 13, 2018: Journal of Oral Implantology
https://www.readbyqxmd.com/read/29436608/microrna-expression-profiles-of-scar-and-normal-tissue-from-patients-with-posterior-urethral-stricture-caused-by-pelvic-fracture-urethral-distraction-defects
#5
Kaile Zhang, Jun Chen, Dongliang Zhang, Lin Wang, Weixin Zhao, David Yun-Te Lin, Rong Chen, Hong Xie, Xiaoyong Hu, Xiaolan Fang, Qiang Fu
Pelvic fracture urethral distraction defect (PFUDD) seriously affects the quality of life of patients. At present, there are few effective drug treatments available for PFUDD‑induced urethral stricture, which is associated with fibrosis and scar formation in urethra lumen. Emerging evidence suggests that microRNAs (miRNAs/miRs) may be involved in the regulation of fibrosis, and analysis of miRNA expression profiles in urethral scar and normal urethra tissues may therefore benefit the discovery of novel treatments for urethral stricture with micro invasive procedures...
February 12, 2018: International Journal of Molecular Medicine
https://www.readbyqxmd.com/read/29434560/gaze-behavior-in-a-natural-environment-with-a-task-relevant-distractor-how-the-presence-of-a-goalkeeper-distracts-the-penalty-taker
#6
Johannes Kurz, Mathias Hegele, Jörn Munzert
Gaze behavior in natural scenes has been shown to be influenced not only by top-down factors such as task demands and action goals but also by bottom-up factors such as stimulus salience and scene context. Whereas gaze behavior in the context of static pictures emphasizes spatial accuracy, gazing in natural scenes seems to rely more on where to direct the gaze involving both anticipative components and an evaluation of ongoing actions. Not much is known about gaze behavior in far-aiming tasks in which multiple task-relevant targets and distractors compete for the allocation of visual attention via gaze...
2018: Frontiers in Psychology
https://www.readbyqxmd.com/read/29433340/worry-and-rumination-do-they-prolong-physiological-and-affective-recovery-from-stress
#7
Lora Capobianco, Julie A Morris, Adrian Wells
BACKGROUND: Anxiety and depression have been linked to repetitive negative self-regulation styles in the form of worry and rumination respectively. Following predictions of the metacognitive model [Wells, A., & Matthews, G. (1994). Attention and emotion: A clinical perspective. Hove: Erlbaum], the current study compared the effect on recovery from stress of three strategies: worry, rumination, and distraction using a stress exposure paradigm. It was predicted that worry and/or rumination would be associated with delayed recovery on physiological and/or self-report indices when compared to distraction...
February 12, 2018: Anxiety, Stress, and Coping
https://www.readbyqxmd.com/read/29431985/tremor-sorting-through-the-differential-diagnosis
#8
Paul Crawford, Ethan E Zimmerman
Tremor is an involuntary, rhythmic, oscillatory movement of a body part. It is the most common movement disorder encountered in primary care. The diagnosis of tremor is based on clinical information obtained from the history and physical examination. The most common tremors in patients presenting to primary care physicians are enhanced physiologic tremor, essential tremor, and parkinsonian tremor. All persons have low-amplitude, high-frequency physiologic tremors at rest and during action that are not reported as symptomatic, but can be enhanced by anxiety, medication use, caffeine intake, or fatigue...
February 1, 2018: American Family Physician
https://www.readbyqxmd.com/read/29431452/smoking-by-young-women-with-restrained-eating-following-a-food-prime-in-the-context-of-an-alternative-distractor
#9
Michelle A Kovacs, Amanda M Palmer, John B Correa, Thomas H Brandon
Female smokers with elevated dietary restraint (high restrainers) may smoke more than nonrestrained eaters after a disinhibiting food event. The current study aimed to determine whether high restrainers smoke merely to distract themselves from unplanned eating or whether the weight-control aspects of smoking play a role. Primary aims were to test the effect of restraint status and a food prime on smoking and eating behavior in the presence of an alternative distractor (a computer tablet) and to examine the role of expectancies...
February 12, 2018: Experimental and Clinical Psychopharmacology
https://www.readbyqxmd.com/read/29431348/new-technique-for-large-mandibular-and-surrounding-soft-tissue-reconstruction-that-uses-an-intraoral-three-dimensional-distractor-for-one-step-transport-disc-distraction-osteogenesis
#10
Antonio Cortese, Mario Caggiano, Giuseppe Pantaleo, Massimo Amato, Pier P Claudio
BACKGROUND: Mandibular reconstruction after ablative surgery is challenging not only for the amount of bone tissue needed following bone loss after benign or malignant tumor surgical removal, but mainly to reconstruct bone shape and structure necessary for subsequent implant insertion to preserve the function (speech, swallowing and chewing) and aesthetic of the lower face. Several different techniques for maxillary bone defects reconstruction have been described. The aim of our work is to describe a new technique for mandibular reconstruction that uses an intramural distractor, which is placed in one surgical step and without the need for a skin incision...
February 9, 2018: Minerva Stomatologica
https://www.readbyqxmd.com/read/29428467/impaction-force-influences-taper-trunnion-stability-in-total-hip-arthroplasty
#11
Jonathan R Danoff, Jason Longaray, Raga Rajaravivarma, Ananthkrishnan Gopalakrishnan, Antonia F Chen, William J Hozack
BACKGROUND: This study investigated the influence of femoral head impaction force, number of head strikes, the energy sequence of head strikes, and head offset on the strength of the taper-trunnion junction. METHODS: Thirty titanium-alloy trunnions were mated with 36-mm zero-offset cobalt-chromium femoral heads of corresponding taper angle. A drop tower impacted the head with 2.5J or 8.25J, resulting in 6 kN or 14 kN impaction force, respectively, in a single strike or combinations of 6 kN + 14 kN or 14 kN + 14 kN...
January 31, 2018: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29427571/feature-based-information-filtering-in-visual-working-memory-is-impaired-in-parkinson-s-disease
#12
Guohua Zhao, Feiyan Chen, Qiong Zhang, Mowei Shen, Zaifeng Gao
Increasing attention has been given to working memory (WM) impairment in Parkinson's disease (PD) patients. Previous studies revealed that the space-orientated feature-based filtering (target and distractors in distinct locations) was impaired in PD patients. However, the object-orientated feature-based filtering (target and distractor information pertaining to one object) ability in PD patients remains unclear. In this study, we examined the object-orientated feature-based filtering ability of 14 PD patients and 14 healthy controls in a change detection task under EEG monitoring...
February 7, 2018: Neuropsychologia
https://www.readbyqxmd.com/read/29425758/long-term-effects-of-distraction-osteogenesis-of-the-mandible
#13
Zachary S Peacock, Alfonso Salcines, Maria J Troulis, Leonard B Kaban
PURPOSE: 1) To assess the fate of the permanent teeth in and adjacent to the regenerate in pediatric patients who underwent mandibular distraction osteogenesis (DO) and 2) to compare the postoperative growth of the distracted mandible with age- and gender-matched controls. PATIENTS AND METHODS: This was a retrospective cohort study of children who underwent mandibular DO during the primary or mixed dentition period and before completion of somatic growth (boys aged ≤14 years and girls aged ≤12 years) at Massachusetts General Hospital from 1996 to 2014...
January 31, 2018: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29425753/effects-of-rhbmp-2-7-heterodimer-and-rada16-hydrogel-scaffold-on-bone-formation-during-rabbit-mandibular-distraction
#14
Ling-Fei Ren, Geng-Sheng Shi, Yong-Qing Tong, Song-Yao Jiang, Feng Zhang
PURPOSE: The effects of a recombinant human bone morphogenetic protein-2/7 (rhBMP-2/7) heterodimer and a RADA16 (Ac-RADARADARADARADA-CONH2) hydrogel scaffold on bone formation during distraction osteogenesis were evaluated. MATERIALS AND METHODS: Forty New Zealand white rabbits, which underwent mandibular lengthening, were randomly divided into 5 groups. One group served as the control group. The others received 2 μg of rhBMP-2 homodimer, 2 μg of rhBMP-2/7 heterodimer, 100 μL of RADA16, or 100 μL of RADA16 plus 2 μg of rhBMP-2/7 heterodimer in the mandibular distraction gap at the beginning of distraction...
January 31, 2018: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29425140/an-experimental-exploration-of-the-effects-of-exposure-to-images-of-nature-on-rumination
#15
Sarah Elizabeth Golding, Birgitta Gatersleben, Mark Cropley
Exposure to natural environments has been shown to have beneficial effects on mood. Rumination is a thinking style associated with negative mood, and sometimes depression, and is characterized by repetitive, intrusive thoughts, often with a negative emotional element. This study investigated whether exposure to nature, operationalized using photographs presented as a slideshow, could aid reduction in levels of state rumination. An experimental, within-between (Time x Condition) participant design was used; participants (n = 58) undertook a presentation task designed to induce rumination and influence mood...
February 9, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29423310/audio-visual-distraction-as-an-adjunct-to-standby-anaesthesia-in-persons-with-paraplegia-a-case-series-of-five-operations
#16
Khurram Ayub, Ruth A Corrigan, Jyoti Misra, Svetlana Galitzine
Introduction: Persons with paraplegia present complex challenges to anaesthetists. Complications experienced by these patients can require major orthoplastic surgery such as excision of infected bone and soft tissue due to pressure sores and soft tissue reconstruction. Anaesthetic strategies deemed both safe and acceptable to this population are essential. Case presentation: We report a case series of five procedures in four patients with complete chronic spinal cord injury (CSCI) who underwent operations in lateral position under standby anaesthesia and audio-visual distraction (AVD) with minimal sedation...
2018: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/29417830/the-benefits-of-sensory-modulation-on-levels-of-distress-for-consumers-in-a-mental-health-emergency-setting
#17
Karen Adams-Leask, Lisa Varona, Charu Dua, Michael Baldock, Adam Gerace, Eimear Muir-Cochrane
OBJECTIVES: This paper reports a pilot study exploring the benefits of offering sensory modulation within a mental health emergency setting for consumers experiencing distress during a psychiatric presentation. METHODS: Seventy-four consumers with a mental health presentation reported on their sensory modulation use experiences during their stay in a South Australian tertiary teaching hospital emergency department. An evaluation form was used to document use of items, self-reported distress pre and post sensory modulation use, and other consumer experiences...
February 1, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/29417729/stress-and-coping-mechanisms-among-adolescents-living-in-orphanages-an-experience-from-klang-valley-malaysia
#18
Marjan Mohammadzadeh, Hamidin Awang, Suriani Ismail, Hayati Kadir Shahar
INTRODUCTION: Health issues often differ from one population to another. Assessing different aspects of the health condition is a vital step toward developing and designing appropriate prevention and treatment programs to reduce health problems in any group or population. This study aimed to assess both the prevalence of stress and the coping mechanisms as well as identify the predictors of stress levels among adolescents in Malaysian orphanages. METHODS: Overall, 307 male and female adolescents (aged 13-18 y old) living in 9 private orphanages located in Klang Valley, Malaysia, participated in this cross-sectional study...
February 7, 2018: Asia-Pacific Psychiatry: Official Journal of the Pacific Rim College of Psychiatrists
https://www.readbyqxmd.com/read/29417207/gradual-fibular-transfer-by-ilizarov-external-fixator-in-post-traumatic-and-post-infection-large-tibial-bone-defects
#19
Mohammed Anter Meselhy, Mohamed Salah Singer, Abdelsamie M Halawa, Gamal Ahmed Hosny, Adel H Adawy, Osama M Essawy
INTRODUCTION: Several reconstructive procedures have been used in management of large tibial bone defects including bone graft, bone transport (distraction osteogenesis) using various external fixators, and vascularized bone graft. Each of these procedures has its limitations and complications. The study describes gradual medial fibular transfer using Ilizarov external fixators in management of patients with large tibial defect, either following infection or trauma. PATIENTS AND METHODS: Between May 2011 and June 2013, 14 patients were prospectively included in the current study...
February 7, 2018: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29416969/-in-round-labral-repair-after-acetabular-recession-using-intermittent-traction
#20
Nathan W Skelley, William K Conaway, Scott D Martin
The prevalence of hip arthroscopy has increased exponentially with the advent of arthroscopic labral repair techniques for femoroacetabular impingement. The goal of arthroscopic labral repair is to re-create the anatomic suction seal of the labrum against the femoral head. This important anatomic relationship has been demonstrated in several biomechanical studies. Performing the acetabular recession and evaluating the congruity of labral repairs during surgery is difficult with the application of traction distracting the femoral head from the chondrolabral junction...
October 2017: Arthroscopy Techniques
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