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https://www.readbyqxmd.com/read/29913434/factors-influencing-child-protection-professionals-decision-making-and-multidisciplinary-collaboration-in-suspected-abusive-head-trauma-cases-a-qualitative-study
#1
Laura E Cowley, Sabine Maguire, Daniel M Farewell, Harriet D Quinn-Scoggins, Matthew O Flynn, Alison M Kemp
Clinicians face unique challenges when assessing suspected child abuse cases. The majority of the literature exploring diagnostic decision-making in this field is anecdotal or survey-based and there is a lack of studies exploring decision-making around suspected abusive head trauma (AHT). We aimed to determine factors influencing decision-making and multidisciplinary collaboration in suspected AHT cases, amongst 56 child protection professionals. Semi-structured interviews were conducted with clinicians (25), child protection social workers (10), legal practitioners (9, including 4 judges), police officers (8), and pathologists (4), purposively sampled across southwest United Kingdom...
June 15, 2018: Child Abuse & Neglect
https://www.readbyqxmd.com/read/29913078/sexual-rehabilitation-after-prostate-cancer-through-assistive-aids-a-comparison-of-gay-bisexual-and-heterosexual-men
#2
Jane M Ussher, Janette Perz, Duncan Rose, Andrew Kellett, Gary Dowsett
The use of assistive aids in sexual rehabilitation after prostate cancer (PCa) was examined in 124 gay, bisexual, and other men who have sex with men (GBM) and 225 heterosexual men. GBM were significantly more likely to use assistive aids (79% versus 56%), to try multiple assistive aids (M = 1.65 versus M = 0.83) including medication, penile injection, penile implant, vacuum pump, and nonmedical sex aids, and to seek information about sexual rehabilitation on the Internet, through counseling, or in a support group...
June 18, 2018: Journal of Sex Research
https://www.readbyqxmd.com/read/29912920/sensitive-operation-of-enzyme-based-biodevices-by-advanced-signal-processing
#3
Stanislav Mazurenko, Sarka Bidmanova, Marketa Kotlanova, Jiri Damborsky, Zbynek Prokop
Analytical devices that combine sensitive biological component with a physicochemical detector hold a great potential for various applications, e.g., environmental monitoring, food analysis or medical diagnostics. Continuous efforts to develop inexpensive sensitive biodevices for detecting target substances typically focus on the design of biorecognition elements and their physical implementation, while the methods for processing signals generated by such devices have received far less attention. Here, we present fundamental considerations related to signal processing in biosensor design and investigate how undemanding signal treatment facilitates calibration and operation of enzyme-based biodevices...
2018: PloS One
https://www.readbyqxmd.com/read/29912773/auguste-renoir-sculptor-with-hired-hands-a-masterful-artistic-cooperation-overshadowed-by-legal-issues-and-copyright-infringement
#4
Henning K Zeidler
The coping with rheumatoid arthritis of the famous French impressionist painter Pierre-Auguste Renoir (1841-1919) is described in former publications. The heavily handicapped painter has in his last years created sculptures in cooperation with the sculptor Richard Guino (1890-1973). The extraordinary genesis of the sculptures through a masterful artistic cooperation, as well as the resulting legal issues and shameful copyright infringements, is reported. Renoir's decision to create sculptures with the help of Guido can be attributed to his remarkable artistic vision, vitality, optimistic nature, and strong will and is also a further testimonial of creative coping of an artist overcoming the physical handicap due to rheumatoid arthritis of his final years, so far not described in detail in the medical literature...
June 15, 2018: Journal of Clinical Rheumatology: Practical Reports on Rheumatic & Musculoskeletal Diseases
https://www.readbyqxmd.com/read/29912034/vestibular-rehabilitation-is-associated-with-visuovestibular-improvement-in-pediatric-concussion
#5
Eileen P Storey, Douglas J Wiebe, Bernadette A DʼAlonzo, Kim Nixon-Cave, Janet Jackson-Coty, Arlene M Goodman, Matthew F Grady, Christina L Master
BACKGROUND AND PURPOSE: Vision and vestibular-related deficits are common after concussion and are associated with prolonged recovery times, substantially impacting the quality of life for children. The utility of targeted vestibular rehabilitation for these deficits in children after concussion is unknown. The purpose of this study was to determine whether active vestibular rehabilitation is associated with an improvement in visuovestibular signs and symptoms in children with concussion...
July 2018: Journal of Neurologic Physical Therapy: JNPT
https://www.readbyqxmd.com/read/29911752/immediate-breast-reconstruction-comparative-outcome-study-of-one-stage-direct-to-implant-and-two-stage-tissue-expander-techniques
#6
Sagit Meshulam-Derazon, Tamir Shay, Sivan Lewis, Neta Adler
BACKGROUND: One-stage direct-to-implant post-mastectomy breast reconstruction has been gaining popularity over the traditional two-stage/tissue-expander approach. OBJECTIVES: To evaluate the outcome of the two post-mastectomy breast reconstruction procedures in terms of patient satisfaction. METHODS: Clinical data were collected by file review for patients who underwent mastectomy with immediate breast reconstruction at two tertiary medical centers in 2010-2013...
June 2018: Israel Medical Association Journal: IMAJ
https://www.readbyqxmd.com/read/29911635/migraine-co-existing-tension-type-headache-and-neck-pain-validation-of-questionnaires
#7
Lotte Skytte Krøll, Catharina Sjödahl Hammarlund, Rigmor Højland Jensen, Gunvor Gard
Aabstract Background and aim Migraine often includes co-existing tension-type headache (TTH) and neck pain (NP). Multiple headache questionnaires assessing headache impact have beendescribed previously; however, none of the existing questionnaires have been designed to cover migraine with co-existing TTH and NP. Therefore a new questionnaire was developed to measure these co-morbidities. The aim was to determine face and content validity of the newly developed questionnaire, "Impact of Migraine, Tension-Type Headache and Neck Pain" (impact M-TTH-NP) and to determine face and content validity of the International Physical Activity Questionnaire (IPAQ short form), Migraine-Specific Quality of Life Questionnaire (MSQ v...
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29911396/epidemiology-of-swallowing-disorders-in-rheumatoid-arthritis-prevalence-risk-factors-and-quality-of-life-burden
#8
Nelson Roy, Kristine M Tanner, Ray M Merrill, Charisse Wright, Jenny L Pierce, Karla L Miller
OBJECTIVE: This investigation examined the prevalence, symptoms, risk factors, and quality-of-life burden of swallowing disorders in rheumatoid arthritis (RA), a chronic, progressive autoimmune inflammatory disease. METHODS: One hundred individuals with RA (84 women, 16 men; mean age = 61.1 years, SD = 13.1) were interviewed regarding the presence, nature, and impact of swallowing symptoms and disorders. Associations between swallowing disorders, medical factors, RA disease severity, and quality of life were examined...
June 1, 2018: Annals of Otology, Rhinology, and Laryngology
https://www.readbyqxmd.com/read/29911282/knee-osteoarthritis-in-professional-football-is-related-to-severe-knee-injury-and-knee-surgery
#9
Vincent Gouttebarge, Haruhito Aoki, Gino M M J Kerkhoffs
BACKGROUND: As a consequence of severe knee injuries, knee osteoarthritis (OA) seems prevalent in retired professional footballers. However, some epidemiological data remain missing, for instance whether knee OA is also prevalent in current professional footballers, whether knee OA is associated with knee injuries and surgeries, and whether knee OA leads to a lower level of functioning. Therefore, three research questions were answered: (i) what is the prevalence of knee osteoarthritis (OA) among current and retired professional footballers? (ii) is severe knee injury or knee surgery associated with knee OA among current and retired professional footballers? (iii) what are the consequences of knee OA on physical knee function among current and retired professional footballers? METHODS: An observational study based on a cross-sectional design by means of questionnaires was conducted...
June 18, 2018: Injury Epidemiology
https://www.readbyqxmd.com/read/29911187/impact-of-the-cms-no-pay-policy-on-hospital-acquired-fall-prevention-related-practice-patterns
#10
Elizabeth A Fehlberg, Robert J Lucero, Michael T Weaver, Anna M McDaniel, A Michelle Chandler, Phyllis A Richey, Lorraine C Mion, Ronald I Shorr
Background and Objectives: In October 2008, the Centers for Medicare & Medicaid Services (CMS) stopped reimbursing hospitals for costs related to patient falls. This study aimed to examine whether the CMS no-pay policy influenced four fall prevention practices: bed alarms, sitters, room changes, and physical restraints. Research Design and Methods: Using electronic medical record data collected from four hospitals between 2005 and 2010, this secondary observational analysis examined the associations between the CMS no-pay policy and nursing interventions and medical orders related to fall prevention...
November 2017: Innovation in Aging
https://www.readbyqxmd.com/read/29910709/a-complex-relationship-between-suicide-dementia-and-amyloid-a-narrative-review
#11
Ismael Conejero, Sophie Navucet, Jacques Keller, Emilie Olié, Philippe Courtet, Audrey Gabelle
Background: Suicide rates are high among older adults and many conditions have been related to suicide in this population: chronic illnesses, physical disabilities, cancer, social isolation, mental disorders and neurocognitive disorders. Objectives: Among neurocognitive disorders, analysis of the relationships between dementia and suicidal behaviors led to conflicting results and some questions are still without answer. Particularly, it is not known whether (i) Alzheimer's disease (AD) increases the risk of suicidal ideation and suicide attempts (SA) or the frequency of death by suicide; (ii) the presence of suicidal ideation or SA in people older than 65 years of age is an early dementia sign; and (iii) amyloid load in frontal areas facilitates SA by modifying the decision-making pathway...
2018: Frontiers in Neuroscience
https://www.readbyqxmd.com/read/29910619/investigation-on-dysfunctional-beliefs-and-attitudes-about-sleep-in-chinese-college-students
#12
Lairun Jin, Jun Zhou, Hui Peng, Shushu Ding, Hui Yuan
Objective: The aims of this study were to evaluate a subset of sleep-related cognitions and to examine whether dysfunctional beliefs and attitudes about sleep were associated with sleep quality in college students. Patients and methods: A total of 1,333 college students were enrolled in this study by randomized cluster sampling. A brief version of Dysfunctional Beliefs and Attitudes about Sleep Scale (DBAS-16) was administered to college students at several colleges...
2018: Neuropsychiatric Disease and Treatment
https://www.readbyqxmd.com/read/29910473/os-clitoris-in-dogs-17-cases-2009-2017
#13
Scarlett M Sumner, Janet A Grimes, Mandy L Wallace, Chad W Schmiedt
Medical records of 17 client-owned dogs diagnosed with os clitoris on physical examination or diagnostic imaging were reviewed to describe the clinical signs and surgical management of this condition. All dogs were phenotypically female. The most common presenting complaints included an enlarged clitoris ( n = 10), urinary tract infection ( n = 5), and licking of the vulva ( n = 3). Other frequently reported clinical signs included vaginal discharge and/or lower urinary tract signs such as pollakiuria. Ten dogs were surgically managed with os clitorectomy...
June 2018: Canadian Veterinary Journal. la Revue Vétérinaire Canadienne
https://www.readbyqxmd.com/read/29910418/are-we-compensating-for-the-lack-of-physical-activity-in-our-diabetic-patients-with-treatment-intensification
#14
Maja Cigrovski Maja Cigrovski Berkovic, Ines Bilic-Curcic, Marina Gradiser, Davorka Herman-Mahecic, Vjekoslav Cigrovski, Marul Ivandic
BACKGROUND: We studied the association between leisure time physical activity (LTPA) and glycemic control, body mass index (BMI), and hypoglycemic incidents in type 1 (T1DM) and type 2 diabetes patients (T2DM). METHODS: This is a cross-sectional study of 198 diabetic patients (60 with type 1 diabetes, 138 with type 2 diabetes). LTPA was assessed by a validated 12-month questionnaire. Patients were grouped as sedentary and moderately to vigorously active. Outcome measures were Hemoglobin A1c (HbA1c), BMI, and hypoglycemic episodes...
August 7, 2017: Sports (Basel)
https://www.readbyqxmd.com/read/29909744/the-role-of-ecstasy-mdma-in-managing-intimacy-and-conflict-in-stable-relationships
#15
Kristin M Kostick, Jean J Schensul
This paper discusses motivations for the use of MDMA among young adults in intimate relationships living in resource poor environments, where structural constraints limit potential for economic mobility and impact upon interpersonal relations. Drawing from in-depth interviews with men and women in intimate relationships with one or more partners, we report the range of motivations for MDMA use and their association with indicators of relationship quality, specifically trust and romantic exclusivity. Findings demonstrate that both men and women use MDMA primarily for the purpose of sexual enjoyment...
June 18, 2018: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/29909728/the-role-of-ethnic-and-racial-disparities-in-mobility-and-physical-function-in-older-adults
#16
Elizabeth Vásquez, Cassandra M Germain, Fei Tang, Matthew C Lohman, Karen L Fortuna, John A Batsis
OBJECTIVE: To compare estimates of the prevalence of mobility and physical function limitations by race and ethnicity using data from the Medical Expenditure Panel Survey (MEPS). METHOD: The sample comprised of 28,854 adults aged ≥60 from the MEPS (2004-2013). Physical function (limitations in basic and instrumental activities of daily living [ADL/IADL]) and mobility limitations were assessed by self-report. RESULTS: Non-Hispanic Whites (NHWs) represented the majority of the sample followed by non-Hispanic Blacks (NHBs), Hispanic and non-Hispanic Other (Other)...
June 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29909594/the-influence-of-adolescence-on-parents-perspectives-of-testing-and-discussing-inherited-cancer-predisposition
#17
Corinna L Schultz, Melissa A Alderfer, Robert B Lindell, Zachary McClain, Kristin Zelley, Kim E Nichols, Carol A Ford
Li-Fraumeni syndrome (LFS) is a highly penetrant cancer predisposition syndrome that may present with a first cancer before or during adolescence/young adulthood. Families offered LFS genetic testing for their children can inform our understanding of how the unique developmental context of adolescence influences parental perspectives about genetic testing and discussions of cancer risk. In this study, semi-structured interviews were conducted with 46 parents of children at risk for LFS to capture those perspectives...
June 16, 2018: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/29909476/the-use-of-ehealth-to-promote-physical-activity-in-cancer-survivors-a-systematic-review
#18
Ciarán Haberlin, Tom O'Dwyer, David Mockler, Jonathan Moran, Dearbhaile M O'Donnell, Julie Broderick
PURPOSE: Achieving adequate levels of physical activity (PA) and avoiding sedentary behaviour are particularly important in cancer survivors. eHealth, which includes, but is not limited to, the delivery of health information through Internet and mobile technologies, is an emerging concept in healthcare which may present opportunities to improve PA in cancer survivors. The aim of this systematic review was to explore the effects of eHealth in the promotion of PA among cancer survivors...
June 16, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/29908857/midlife-contributors-to-socioeconomic-differences-in-frailty-during-later-life-a-prospective-cohort-study
#19
Eric J Brunner, Martin J Shipley, Sara Ahmadi-Abhari, Carlos Valencia Hernandez, Jessica G Abell, Archana Singh-Manoux, Ichiro Kawachi, Mika Kivimaki
BACKGROUND: Health inequalities persist into old age. We aimed to investigate risk factors for socioeconomic differences in frailty that could potentially be modified through policy measures. METHODS: In this multi-wave longitudinal cohort study (Whitehall II study), we assessed participants' socioeconomic status, behavioural and biomedical risk factors, and disease status at age 45-55 years, and frailty (defined according to the Fried phenotype) at baseline and at one or more of three clinic visits about 18 years later (mean age 69 years [SD 5·9])...
June 13, 2018: Lancet. Public Health
https://www.readbyqxmd.com/read/29908820/dermatoses-caused-by-cultural-practices-cosmetic-cultural-practices
#20
REVIEW
Neelam A Vashi, Nicole Patzelt, Stephen Wirya, Mayra B C Maymone, Roopal V Kundu
The second article in this continuing medical education series discusses cosmetic practices associated with cultural dermatoses, including hair care, traditional clothing, and skin decorations. Often, the steps individuals take to enhance their physical appearance are determined by cultural perceptions of beauty. Without awareness of cultural practices, a multitude of cutaneous dermatoses may be missed by the dermatologist. Recognition and understanding of patients' cultural backgrounds and habits will allow the practicing dermatologist to offer better counseling and treatment options while providing a more meaningful and understanding physician-patient relationship...
July 2018: Journal of the American Academy of Dermatology
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