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https://www.readbyqxmd.com/read/29667301/the-feasibility-of-using-the-brighthearts-biofeedback-assisted-relaxation-application-for-the-management-of-pediatric-procedural-pain-a-pilot-study
#1
Karen L O Burton, Angela M Morrow, Brooke V Beswick, George P Khut
OBJECTIVE: The objective of this pilot study was to assess the acceptability and feasibility of using BrightHearts, a biofeedback-assisted relaxation application (app), in children undergoing painful procedures. METHODS: Thirty children 7 to 18 years of age undergoing a medical procedure (peripheral blood collection, botulinum toxin injection, or intravenous cannula insertion) participated. Participants used BrightHearts, a heart rate-controlled biofeedback-assisted relaxation training app delivered via an iPad with heart rate measured through a pulse oximeter worn on the ear or thumb...
April 17, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/29666778/psychiatric-morbidity-perceived-stress-and-ways-of-coping-among-parents-of-children-with-intellectual-disability-in-lahore-pakistan
#2
Muhammad H Sheikh, Sania Ashraf, Nazish Imran, Sadia Hussain, Muhammad W Azeem
Background This study assessed anxiety and depression levels among parents of children with intellectual disability (ID) and analyzed their coping strategies. Methods One hundred parents of children with ID were recruited through child psychiatry outpatient services in a tertiary care setting in Lahore, Pakistan. A structured questionnaire including sociodemographic details, the Agha Khan University Anxiety Depression Scale, the Family Stress and Coping Questionnaire, Brief COPE questionnaire, and Support questionnaire were used for data collection...
February 16, 2018: Curēus
https://www.readbyqxmd.com/read/29666684/item-analysis-of-multiple-choice-questions-at-the-department-of-paediatrics-arabian-gulf-university-manama-bahrain
#3
Deena Kheyami, Ahmed Jaradat, Tareq Al-Shibani, Fuad A Ali
Objectives: The current study aimed to carry out a post-validation item analysis of multiple choice questions (MCQs) in medical examinations in order to evaluate correlations between item difficulty, item discrimination and distraction effectiveness so as to determine whether questions should be included, modified or discarded. In addition, the optimal number of options per MCQ was analysed. Methods: This cross-sectional study was performed in the Department of Paediatrics, Arabian Gulf University, Manama, Bahrain...
February 2018: Sultan Qaboos University Medical Journal
https://www.readbyqxmd.com/read/29666388/the-cognitive-complexity-of-concurrent-cognitive-motor-tasks-reveals-age-related-deficits-in-motor-performance
#4
Anderson Souza Oliveira, Mikkel Staall Reiche, Cristina Ioana Vinescu, Sif Amalie Halkjær Thisted, Carina Hedberg, Miguel Nobre Castro, Martin Gronbech Jørgensen
Aging reduces cognitive functions, and such impairments have implications in mental and motor performance. Cognitive function has been recently linked to the risk of falls in older adults. Physical activities have been used to attenuate the declines in cognitive functions and reduce fall incidence, but little is known whether a physically active lifestyle can maintain physical performance under cognitively demanding conditions. The aim of this study was to verify whether physically active older adults present similar performance deficits during upper limb response time and precision stepping walking tasks when compared to younger adults...
April 17, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29663146/thoraco-lumbar-fractures-with-blunt-traumatic-aortic-injury-in-adult-patients-correlations-and-management
#5
Giorgio Santoro, Alessandro Ramieri, Vito Chiarella, Massimo Vigliotta, Maurizio Domenicucci
PURPOSE: Traumatic thoraco-lumbar spine fracture spine with a concomitant blunt aortic injury is uncommon but potentially a fatal association. Our aim was to clarify: morphology of spinal fractures related to vascular damages and vice versa, diagnostic procedures and decision-making process for the best treatment options for spine and vessels. METHODS: We enrolled 42 cases culled from the literature and five personal ones, reviewing in detail by AO Spine Classification, Society of Vascular Surgery classification and Abbreviated Injury Scale for neurological evaluation...
April 16, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29661509/distraction-osteogenesis-in-the-surgical-management-of-syndromic-craniosynostosis-a-comprehensive-review-of-published-papers
#6
REVIEW
N M N Al-Namnam, F Hariri, Z A A Rahman
Our aim was to summarise current published evidence about the prognosis of various techniques of craniofacial distraction osteogenesis, particularly its indications, protocols, and complications. Published papers were acquired from online sources using the keywords "distraction osteogenesis", "Le Fort III", "monobloc", and "syndromic craniosynostosis" in combination with other keywords, such as "craniofacial deformity" and "midface". The search was confined to publications in English, and we followed the guidelines of the PRISMA statement...
April 13, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29658751/age-differences-in-emotion-regulation-effort-pupil-response-distinguishes-reappraisal-and-distraction-for-older-but-not-younger-adults
#7
Bruna Martins, Jan Florjanczyk, Nicholas J Jackson, Margaret Gatz, Mara Mather
In previous research, older adults show greater emotional benefits from distracting themselves than from reappraising an event when strategically regulating emotion. Older adults also demonstrate an attentional preference to avoid, while younger adults show a bias toward approaching negative stimuli. This suggests a possible age-related differentiation of cognitive effort across approach and avoidance of negative stimuli during emotion regulation. In this study, we tracked cognitive effort via pupil dilation during the use of distraction (avoidance) and reappraisal (approach) strategies across age...
March 2018: Psychology and Aging
https://www.readbyqxmd.com/read/29658321/the-neurobiology-of-focus-and-distraction-the-case-for-incorporating-mindfulness-into-leadership
#8
Paul Mohapel
Increasingly health leaders are experiencing greater demands and pressures, which require the need for better focus while limiting unwarranted distractions. This article offers a neurobiological explanation of how the brain focuses and becomes distracted, in order to help health leaders gain insight into their own effectiveness. Two main neural circuits are contrasted: the mind-wandering default mode circuit and the attentional central executive system. These two systems act in an antagonistic pairing, where the degree of toggling between systems is associated with the degree a person can sustain focus and filter out unwarranted distractions...
January 1, 2018: Healthcare Management Forum
https://www.readbyqxmd.com/read/29657464/gait-analysis-methodology-for-the-measurement-of-biomechanical-parameters-in-total-knee-arthroplasties-a-literature-review
#9
REVIEW
Georgios I Papagiannis, Athanasios I Triantafyllou, Ilias M Roumpelakis, Panayiotis J Papagelopoulos, George C Babis
Gait analysis using external skin markers provides scope for the study of kinematic and kinetic parameters shown on different total knee arthroplasties (TKA). Thus an appropriate methodology is of great importance for the collection and correlation of valid data. Calibration of equipment is of great importance before measurements, to assure accuracy. Force plates should be calibrated to 1080 Hz and optoelectronic cameras should use 120 Hz frequency, because of the nature of gait activity. Davis model which accurately defines the position of the markers is widely accepted and cited, for the gait analysis of TKA's...
March 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29657440/magnetic-growth-modulation-in-orthopaedic-and-spine-surgery
#10
REVIEW
Adam E M Eltorai, Carolina Fuentes
Purpose: To examine distraction-based methods for treatment of early onset scoliosis (EOS), focusing on the magnetically controlled growing rod system (MCGR) relative to traditional growing rod system (TGR). To briefly discuss internal magnetically controlled nails for bone lengthening as another application of magnetic growth modulation. Results: Relative to TGR, MCGR involves fewer complications related to infection and general anesthesia because of fewer successive surgeries required...
March 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29656076/is-improved-lane-keeping-during-cognitive-load-caused-by-increased-physical-arousal-or-gaze-concentration-toward-the-road-center
#11
Penghui Li, Gustav Markkula, Yibing Li, Natasha Merat
Driver distraction is one of the main causes of motor-vehicle accidents. However, the impact on traffic safety of tasks that impose cognitive (non-visual) distraction remains debated. One particularly intriguing finding is that cognitive load seems to improve lane keeping performance, most often quantified as reduced standard deviation of lateral position (SDLP). The main competing hypotheses, supported by current empirical evidence, suggest that cognitive load improves lane keeping via either increased physical arousal, or higher gaze concentration toward the road center, but views are mixed regarding if, and how, these possible mediators influence lane keeping performance...
April 12, 2018: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/29655967/visual-search-for-verbal-material-in-patients-with-obsessive-compulsive-disorder
#12
Fabiano Botta, Nicolas Vibert, Ghina Harika-Germaneau, Mickaël Frasca, François Rigalleau, Eric Fakra, Christine Ros, Jean-François Rouet, Florian Ferreri, Nematollah Jaafari
This study aimed at investigating attentional mechanisms in obsessive-compulsive disorder (OCD) by analysing how visual search processes are modulated by normal and obsession-related distracting information in OCD patients and whether these modulations differ from those observed in healthy people. OCD patients were asked to search for a target word within distractor words that could be orthographically similar to the target, semantically related to the target, semantically related to the most typical obsessions/compulsions observed in OCD patients, or unrelated to the target...
March 23, 2018: Psychiatry Research
https://www.readbyqxmd.com/read/29655657/the-mindful-eating-behavior-scale-development-and-psychometric-properties-in-a-sample-of-dutch-adults-aged-55-years-and-older
#13
Laura H H Winkens, Tatjana van Strien, Juan Ramón Barrada, Ingeborg A Brouwer, Brenda W J H Penninx, Marjolein Visser
BACKGROUND: Earlier scales on mindful eating do not measure mindful eating independent from emotional or external eating, or mindful eating in common situations. OBJECTIVE: The objective was to develop a new instrument to measure the attention element of mindful eating, the Mindful Eating Behavior Scale (MEBS), and to compute the internal structure, reliabilities, and convergent validity of this scale. DESIGN: A cross-sectional ancillary study within the Longitudinal Aging Study Amsterdam was conducted between fall 2014 and spring 2015...
April 11, 2018: Journal of the Academy of Nutrition and Dietetics
https://www.readbyqxmd.com/read/29655654/factorial-structure-and-familial-aggregation-of-the-hypomania-checklist-32-hcl-32-results-of-the-nimh-family-study-of-affective-spectrum-disorders
#14
Jennifer Glaus, Anna Van Meter, Lihong Cui, Ciro Marangoni, Kathleen R Merikangas
BACKGROUND: There is substantial evidence that bipolar disorder (BD) manifests on a spectrum rather than as a categorical condition. Detection of people with subthreshold manifestations of BD is therefore important. The Hypomania Checklist-32 (HCL-32) was developed as a tool to identify such people. PURPOSE: The aims of this paper were to: (1) investigate the factor structure of HCL-32; (2) determine whether the HCL-32 can discriminate between mood disorder subtypes; and (3) assess the familial aggregation and cross-aggregation of hypomanic symptoms assessed on the HCL with BD...
April 3, 2018: Comprehensive Psychiatry
https://www.readbyqxmd.com/read/29653382/acute-exposure-of-white-tailed-deer-cortical-bone-to-staphylococcus-aureus-did-not-result-in-reduced-bone-stiffness
#15
Ariel Nicole Kunde, Victoria Jane Frost, Meir Max Barak
Staphylococcus aureus (S. aureus) is the main source of osteomyelitis in adults. The end-result of untreated osteomyelitis is bone necrosis and distraction of bone structure. While bone tissue can heal and remodel its structure to ameliorate its mechanical properties, so far no study has tested the mechanical properties of cortical bone tissue exposed to S. aureus. With the increase usage of bone banks as a source of bone graft supply, it is important to screen for any possible pathology that may affect the bone graft success to function normally in the receiving patient...
April 4, 2018: Journal of the Mechanical Behavior of Biomedical Materials
https://www.readbyqxmd.com/read/29652523/attitudes-on-technological-social-and-behavioral-economic-strategies-to-reduce-cellphone-use-while-driving-in-teens
#16
M Kit Delgado, Catherine C McDonald, Flaura K Winston, Scott D Halpern, Alison M Buttenheim, Claudia Setubal, Yanlan Huang, Kathryn A Saulsgiver, Yi-Ching Lee
OBJECTIVE: The majority of U.S. teens admit to handheld cellphone use while driving, an increasingly common cause of crashes. Attitudes towards novel cellphone applications and settings that block use while driving are poorly understood, potentially limiting uptake. We examined teens' willingness to reduce cellphone use while driving and perceptions of potential strategies to limit this behavior. METHODS: Teen drivers (n = 153) aged 16-17 who owned smartphones and admitted to texting while driving completed an online survey...
April 13, 2018: Traffic Injury Prevention
https://www.readbyqxmd.com/read/29650066/the-role-of-technology-in-the-bedside-encounter
#17
REVIEW
Andre Kumar, Gigi Liu, Jeff Chi, John Kugler
Technology has the potential to both distract and reconnect providers with their patients. The widespread adoption of electronic medical records in recent years pulls physicians away from time at the bedside. However, when used in conjunction with patients, technology has the potential to bring patients and physicians together. The increasing use of point-of-care ultrasound by physicians is changing the bedside encounter by allowing for real-time diagnosis with the treating physician. It is a powerful example of the way technology can be a force for refocusing on the bedside encounter...
May 2018: Medical Clinics of North America
https://www.readbyqxmd.com/read/29649371/subsegmental-osteotomy-technique-with-distraction-osteogenesis-for-natural-frontal-contouring-in-metopic-synostosis
#18
Kihwan Han, Woonhyeok Jeong, Jinhan Kim, Sangho Oh
Vectoring issues occur due to the dynamics of unidirectional procedure that is selected. To circumvent such difficulties, we have devised subsegmental osteotomy with distraction. In our technique, frontal bone flap was divided into 4 segments that were linked to each other by suturing wires in an 8-year-old patient with trigonocephaly. Subsegmental osteotomy and wiring of bone flap enabled us to slide bone in a more curvilinear manner and achieve natural contour. Distraction was initiated on postoperative day 7 at the rate of 1 mm/d for 20-mm gain...
January 1, 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29649090/reliability-of-rod-lengthening-thoracic-and-spino-pelvic-measurements-on-biplanar-stereoradiography-in-patients-treated-with-magnetically-controlled-growing-rods
#19
Peter Obid, Karen Kar Lum Yiu, Kenneth Mc Cheung, Kenny Kwan, Michael Ruf, Jason Pui Yin Cheung
STUDY DESIGN: Cross-sectional study. OBJECTIVE: To assess the inter- and intraobserver reliability of thoracic, spino-pelvic and rod lengthening measurements made on biplanar spinal stereoradiography (EOS imaging) in children treated with magnetically controlled growing rod (MCGR). SUMMARY OF BACKGROUND DATA: MCGR treatment aims to gain spine length while gradually correcting the spinal deformity. Monitoring thoracic and spino-pelvic parameters are crucial for successful management...
April 11, 2018: Spine
https://www.readbyqxmd.com/read/29649083/targeted-distraction-spinal-growth-in-children-with-early-onset-scoliosis-treated-with-a-tail-gating-technique-for-magnetically-controlled-growing-rods
#20
Mihai Mardare, David Christopher Kieser, Adil Ahmad, Thejasvi Subramanian, Shahnawaz Haleem, Chrishan Thakar, James Wilson-MacDonald, Colin Nnadi
STUDY DESIGN: Prospective cohort study OBJECTIVE.: To understand the efficacy of a tail-gating technique (TGT) to mirror the normal spinal growth of children with early-onset scoliosis (EOS) treated with magnetically controlled growing rods (MCGR). SUMMARY OF BACKGROUND DATA: MCGR allow outpatient distraction and guided spinal growth without the need for repeat surgery. Two techniques (maximal and targeted) are currently employed to determine the distraction amount, however the efficacy of each is unknown...
April 11, 2018: Spine
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