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https://www.readbyqxmd.com/read/28533531/antimicrobial-resistance-and-antimicrobial-use-animal-monitoring-policies-in-europe-where-are-we
#1
Jorge Pinto Ferreira, Katharina Staerk
The World Health Organization has recognized antimicrobial resistance as one of the top three threats to human health. Any use of antibiotics in animals will ultimately affect humans and vice versa. Appropriate monitoring of antimicrobial use and resistance has been repeatedly emphasized along with the need for global policies. Under the auspices of the European Union research project, EFFORT, we mapped antimicrobial use and resistance monitoring programs in ten European countries. We then compared international and European guidelines and policies...
May 2017: Journal of Public Health Policy
https://www.readbyqxmd.com/read/28527474/fifteen-years-of-experience-from-a-medical-school-clinical-skills-laboratory
#2
José Miguel Pêgo, João José Cerqueira, João Bessa, Vitor Hugo Pereira, Sara Gomes, José Mariz, Rita Sousa, Pedro Morgado, Nuno Sousa
INTRODUCTION: Medical Education has evolved being defined as a continuum of the medical training from the pre- to the post-graduate period and through a lifetime of medical practice that is mirrored in the competencies framework that several international institutions have established. This creates a challenge to educational institutions (pre- and post-graduate) that traditionally take separate pathways. MATERIAL AND METHODS: The present report is a description of the efforts carried by the School of Medicine of the University of Minho to implement a strategy of teaching/learning methods that follows modern standards towards constructive alignment of the medical curriculum, from the pre- to the post-graduate...
February 27, 2017: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/28526661/the-parasol-protocol-an-implementation-science-study-of-hiv-continuum-of-care-interventions-for-gay-men-and-transgender-women-in-burma-myanmar
#3
Andrea L Wirtz, Soe Naing, Emily Clouse, Kaung Htet Thu, Sandra Hsu Hnin Mon, Zin Min Tun, Stefan Baral, Aung Zayar Paing, Chris Beyrer
BACKGROUND: Efforts to improve HIV diagnosis and antiretroviral therapy (ART) initiation among people living with HIV and reduce onward transmission of HIV rely on innovative interventions along multiple steps of the HIV care continuum. These innovative methods are particularly important for key populations, including men who have sex with men (MSM) and transgender women (TW). The HIV epidemic in Myanmar is concentrated among key populations, and national efforts now focus on reducing stigma and improving engagement of MSM and TW in HIV prevention and care...
May 17, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/28522961/energy-homeostasis-and-abnormal-rna-metabolism-in-amyotrophic-lateral-sclerosis
#4
REVIEW
Yu-Ju Liu, Po-Yi Tsai, Yijuang Chern
Amyotrophic lateral sclerosis (ALS) is a fatal motor neuron disease that is clinically characterized by progressive muscle weakness and impaired voluntary movement due to the loss of motor neurons in the brain, brain stem and spinal cord. To date, no effective treatment is available. Ample evidence suggests that impaired RNA homeostasis and abnormal energy status are two major pathogenesis pathways in ALS. In the present review article, we focus on recent studies that report molecular insights of both pathways, and discuss the possibility that energy dysfunction might negatively regulate RNA homeostasis via the impairment of cytoplasmic-nuclear shuttling in motor neurons and subsequently contribute to the development of ALS...
2017: Frontiers in Cellular Neuroscience
https://www.readbyqxmd.com/read/28522667/baseline-survey-of-the-neuroradiology-work-environment-in-the-united-states-with-reported-trends-in-clinical-work-nonclinical-work-perceptions-of-trainees-and-burnout-metrics
#5
J Y Chen, F J Lexa
BACKGROUND AND PURPOSE: Neuroradiologists have faced continuously increasing clinical workloads. Our aim was to establish and report a baseline survey of the current neuroradiology work environment in the United States and of experiential changes in recent years. MATERIALS AND METHODS: A voluntary survey was sent to practicing and out-of-training members of the American Society of Neuroradiology in the United States. Selected measures included workday volume and length, burnout symptoms, participation in academic and practice-building duties; effects on perceived interpretation quality, communication of abnormal results, and consideration of early retirement or career changes, among others...
May 18, 2017: AJNR. American Journal of Neuroradiology
https://www.readbyqxmd.com/read/28521718/voluntary-medical-male-circumcision-among-rwanda-defense-force-members
#6
Michael P Grillo, Djeneba Audrey Djibo, Caroline A Macera, Charles Murego, Eugene Zimulinda, Marcellin Sebagabo, Valentin Gatsinzi
INTRODUCTION: Strong scientific evidence supports voluntary medical male circumcision as part of an overall HIV prevention strategy, but self-report information on circumcision status may be inaccurate. The study objectives were to obtain estimates of male circumcision within the Rwanda Defense Force (RDF), to assess the ability of soldiers to correctly report their own circumcision status, and to document the uptake of voluntary medical male circumcision (VMMC) in the RDF. METHODS: Data were collected from members of the Rwandan military during their annual physical examination...
May 16, 2017: Current HIV Research
https://www.readbyqxmd.com/read/28521714/development-and-implementation-of-the-dhapp-military-ehealth-information-network-system
#7
Mary Kratz, Anne Thomas, Ricardo Hora, Delphis Vera, Mickey Lutz, Mark D Johnson
As the Joint United Nations Programme on HIV/AIDS, the Global Fund, and the US President's Emergency Plan for AIDS Relief focus on reaching 90-90-90 goals, military health systems are scaling up to meet the data demands of these ambitious objectives. Since 2008, the US Department of Defense HIV/AIDS Prevention Program (DHAPP) has been working with military partners in 14 countries on implementation and adoption of a Military eHealth Information Network (MeHIN). Each country implementation plan followed a structured process using international eHealth standards...
May 16, 2017: Current HIV Research
https://www.readbyqxmd.com/read/28516468/association-between-the-frequency-and-autonomy-of-social-participation-and-self-rated-health
#8
Kimiko Tomioka, Norio Kurumatani, Hiroshi Hosoi
AIM: Although numerous studies have reported that social participation (SP) has favorable effects on older people's health, no studies have focused on the autonomy of SP. We investigated the cross-sectional relationship between the type, frequency, and autonomy of SP and self-rated health (SRH). METHODS: A postal survey was mailed to 19 354 citizens born between 1945 and 1949 in a city in Nara prefecture (response rate: 65.9%). A total of 12 157 respondents (5114 men and 7043 women) with independent basic activities of daily living made up the analytical participants...
May 18, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/28515976/the-acute-effects-of-concentric-versus-eccentric-muscle-fatigue-on-shoulder-active-repositioning-sense
#9
Guido Spargoli
PURPOSE/BACKGROUND: Shoulder proprioception is essential in the activities of daily living as well as in sports. Acute muscle fatigue is believed to cause a deterioration of proprioception, increasing the risk of injury. The purpose of this study was to evaluate if fatigue of the shoulder external rotators during eccentric versus concentric activity affects shoulder joint proprioception as determined by active reproduction of position. STUDY DESIGN: Quasi-experimental trial...
April 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/28512444/longitudinal-quantification-of-eye-movement-impairments-after-pontine-hemorrhage
#10
Melis Suner, Glen T Prusky, Jason B Carmel, N Jeremy Hill
INTRODUCTION: We report a case of hypertrophic olivary degeneration due to pontine hemorrhage. A 59-year-old male with untreated hypertension suffered a primary pontine hemorrhage, which caused horizontal eye-movement limitation. Progressive neurological deterioration with involuntary eye and palatal movements began months after hemorrhage. This was accompanied by magnetic resonance imaging evidence of hypertrophic olivary degeneration at 4.5 months. BACKGROUND: Primary pontine hemorrhage often leads to impairment of eye movements and diplopia...
2017: Frontiers in Neurology
https://www.readbyqxmd.com/read/28503316/recovery-of-supraspinal-control-of-leg-movement-in-a-chronic-complete-flaccid-paraplegic-man-after-continuous-low-frequency-pelvic-nerve-stimulation-and-fes-assisted-training
#11
Marc Possover, Axel Forman
INTRODUCTION: More than 30 years ago, functional electrical stimulation (FES) was developed as an orthotic system to be used for rehabilitation for SCI patients. In the present case report, FES-assisted training was combined with continuous low-frequency stimulation of the pelvic somatic nerves in a SCI patient. CASE PRESENTATION: We report on unexpected findings in a 41-year-old man with chronic complete flaccid paraplegia, since he was 18 years old, who underwent spinal stem cell therapy and a laparoscopic implantation of neuroprosthesis (LION procedure) in the pelvic lumbosacral nerves...
2017: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/28502207/symptoms-in-the-masticatory-system-and-related-quality-of-life-in-prospective-orthognathic-patients
#12
Riikka Pietilä, Mimmi Tolvanen, Timo Peltomäki, Anna-Liisa Svedström-Oristo
OBJECTIVE: The aim of this study was to investigate the relation between orthognathic patients' self-reported symptoms in the head and neck region and their quality of life (QoL). MATERIAL AND METHODS: Participants included were consecutive patients (n = 50) referred to the assessment of orthognathic treatment need and voluntary first-year university students (n = 29). All participants filled in the Orthognathic Quality of Life Questionnaire (OQLQ) and a structured diary created by the authors...
May 13, 2017: Acta Odontologica Scandinavica
https://www.readbyqxmd.com/read/28494715/the-click-test-a-novel-tool-to-quantify-the-age-related-decline-of-fast-motor-sequencing-of-the-thumb
#13
Florian Bodranghien, Helene Mahé, Benjamin Baude, Mario U Manto, Yves Busegnies, Stéphane Camut, Christophe Habas, Peter Marien, Giovanni de Marco, Kim van Dun
BACKGROUND: The thumb plays a critical role for manual tasks during the activities of daily life and the incidence of neurological or musculoskeletal disorders affecting the voluntary movements of the thumb is high in the elderly. There is currently no tool to assess repetitive motor sequencing of the thumb during ageing. OBJECTIVES: To report a novel procedure (the Click Test) assessing the effects of ageing on fast motor sequencing of the thumb. METHODS: Healthy subjects (n = 252; mean age +/- SD: 49...
May 10, 2017: Current Aging Science
https://www.readbyqxmd.com/read/28492448/drivers-and-barriers-for-adopting-accreditation-at-local-health-departments-for-their-performance-improvement-effort
#14
Sandra S Liu, Beth Meyerson, Jerry King, Yuehwern Yih, Mina Ostovari
CONTEXT: A national system of voluntary public health accreditation for state, local, and tribal health departments (local health departments [LHDs]) is part of a movement that aims to improve public health performance with ultimate impact on population health outcomes. Indiana is a good setting for the study of LHD accreditation adoption because several LHDs reported de-adopting accreditation in a recent statewide survey and because 71% of Indiana counties serve populations of 50 000 or less...
May 10, 2017: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/28486643/a-randomized-controlled-trial-to-evaluate-outcomes-of-a-workplace-self-management-intervention-and-an-intensive-monitoring-intervention
#15
Laura H Schopp, Mary J Clark, William R Lamberson, David J Uhr, Marian A Minor
The purpose of this study was to determine and compare outcomes of two voluntary workplace health management methods: an adapted worksite self-management (WSM) approach and an intensive health monitoring (IM) approach. Research participants were randomly assigned to either the WSM group or the IM group by a computer-generated list (n = 180; 92 WSM and 88 IM). Participants completed baseline, 3 and 12-month follow-up surveys. Individuals receiving workplace WSM and IM improved in self-efficacy and nearly all health behaviors and health status variables after the intervention, compared to before the intervention...
June 1, 2017: Health Education Research
https://www.readbyqxmd.com/read/28485704/the-power-of-suggestion-posthypnotically-induced-changes-in-the-temporal-binding-of-intentional-action-outcomes
#16
Peter Lush, Emilie A Caspar, Axel Cleeremans, Patrick Haggard, Pedro Alexandre Magalhães De Saldanha da Gama, Zoltan Dienes
The sense of agency is the experience of initiating and controlling one's voluntary actions and their outcomes. Intentional binding (i.e., when voluntary actions and their outcomes are perceived to occur closer together in time than involuntary actions and their outcomes) is increased in intentional action but requires no explicit reflection on agency. The reported experience of involuntariness is central to hypnotic responding, during which strategic action is experienced as involuntary. We report reduced intentional binding in a hypnotically induced experience of involuntariness, providing an objective correlate of reports of involuntariness...
May 2017: Psychological Science
https://www.readbyqxmd.com/read/28484511/reducing-risks-of-transfusion-transmitted-infections-in-a-resource-limited-hospital-based-blood-bank-the-case-of-the-yaound%C3%A3-university-teaching-hospital-cameroon
#17
C T Tagny, A Ndoumba, S Laperche, E Murphy, D Mbanya
BACKGROUND AND OBJECTIVES: Although interest in assessing risk of TTIs, very few trends in blood safety epidemiological data from resource-limited blood services are reported in the literature. This analysis aims at reporting trends in seroprevalences of TTIs in blood donations in the Yaoundé University Teaching Hospital (UTH) from 2011 to 2015 and to describe reasons for these changes. MATERIALS AND METHODS: All donations of 2015 were tested for HIV 1&2 antibodies and the P24 antigen, HBsAg, HCV antibody and the Treponema pallidum antibody...
August 2016: ISBT Science Series
https://www.readbyqxmd.com/read/28483498/design-of-a-randomized-trial-to-determine-the-optimum-protein-intake-to-preserve-lean-body-mass-and-to-optimize-response-to-a-promyogenic-anabolic-agent-in-older-men-with-physical-functional-limitation
#18
Shalender Bhasin, Caroline M Apovian, Thomas G Travison, Karol Pencina, Grace Huang, Lynn L Moore, Wayne W Campbell, Andrew Howland, Ruo Chen, Martha R Singer, Mitali Shah, Richard Eder, Haley Schram, Richelle Bearup, Yusnie M Beleva, Ashley C McCarthy, Zhouying Li, Erin Woodbury, Jennifer McKinnon, Thomas W Storer, Shehzad Basaria
The dietary protein allowance for older men to maintain lean body mass and muscle strength and to accrue optimal anabolic responses to promyogenic stimuli is poorly characterized. The OPTIMEN trial was designed to assess in older men with moderate physical dysfunction and insufficient habitual protein intake (<recommended dietary allowance, RDA, 0.8g·kg(-1)·d(-1)) the efficacy of consuming diets containing 163% RDA (1.3g·kg(-1)·d(-1)) for protein, compared to RDA, to increase lean mass, muscle performance, and physical function...
May 5, 2017: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/28480174/economic-benefits-and-treatment-progress-as-determinants-of-the-sustainability-of-vietnamese-voluntary-co-located-patients-clusters
#19
Quan-Hoang Vuong
BACKGROUND: Over the past 15 years or so, in Vietnam, a phenomenon has steadily grown more and more widespread: the forming of co-located patients communities. Poor patients choose to live together, seeking/lending supports from/to one another. Despite the undeniable existence of these communities, little is researched or known about how co-located patients perceive the value of what they receive as cluster members, or how they assess their future connection to the communities they are living in...
April 13, 2017: Journal of Public Health Research
https://www.readbyqxmd.com/read/28480089/atraumatic-acromioclavicular-dislocation-a-case-report-and-review-of-the-literature
#20
Nasrat Sadeghi, Pieter Stijn Haen, Ron Onstenk
Acromioclavicular dislocation (AC dislocation) is a common injury of the shoulder. In contrast to a traumatic cause, nontraumatic dislocation is very rare. We report on a 17-year-old female that presented with voluntary recurrent dislocation of the right AC joint followed by recurrent pain without instability of the ipsilateral shoulder. Clinical examination showed crepitation as well as palpitation pain and dislocation of the AC joint. There were no symptoms of Marfan or Ehlers-Danlos syndrome as other joint examinations were also negative for hypermobility...
2017: Case Reports in Orthopedics
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