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https://www.readbyqxmd.com/read/29336785/the-erector-spinae-plane-block-in-4-cases-of-video-assisted-thoracic-surgery
#1
J C Luis-Navarro, M Seda-Guzmán, C Luis-Moreno, J L López-Romero
Multimodal anaesthesia, combining epidural catheter and general anaesthesia, is a common technique in thoracic surgery, however, epidural catheter placement is not always possible. Recently, erector spinae plane block has been described, which provides analgesia like that of the epidural block, although unilateral, and which has been used in various procedures at thoracic level. At present, there are no studies comparing the efficacy or safety of this block with those commonly used in thoracic surgery. However, its safety profile and contraindications seem different from those of the epidural catheter, since its placement is done under ultrasound view, the needle introduction is done in plane and the ultrasound target, the transverse process, is easily identifiable and is relatively remote from major neural or vascular structures and the pleura...
January 11, 2018: Revista Española de Anestesiología y Reanimación
https://www.readbyqxmd.com/read/29336206/working-in-global-health-a-planning-and-implementation-framework-for-international-electives
#2
Sarah T Thomas, Elizabeth T Thomas, Michelle McLean
PURPOSE: Propose a framework for planning and undertaking an international elective. METHODS: On returning from conducting maternal health and well-being research in several remote communities in India, two undergraduate medical students have reflected on and documented their experiences with the view to assisting other students (and their supervisors) considering undertaking an international elective. RESULTS: A framework for undertaking clinical or research electives in remote or rural communities is presented...
January 16, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29331533/a-woman-s-hand-and-a-lion-s-heart-skills-and-attributes-for-rural-midwifery-practice-in-new-zealand-and-scotland
#3
Andrea Gilkison, Jean Rankin, Mary Kensington, Rea Daellenbach, Lorna Davies, Ruth Deery, Susan Crowther
OBJECTIVE: the complex and challenging nature of rural midwifery is a global issue. New Zealand and Scotland both face similar ongoing challenges in sustaining a rural midwifery workforce, and understanding the best preparation for rural midwifery practice. This study aimed to explore the range of skills, qualities and professional expertise needed for remote and rural midwifery practice. DESIGN: online mixed methods: An initial questionnaire via a confidential SurveyMonkey® was circulated to all midwives working with rural women and families in New Zealand and Scotland...
December 19, 2017: Midwifery
https://www.readbyqxmd.com/read/29326098/cognitive-and-behavioral-skills-exercises-completed-by-patients-with-major-depression-during-smartphone-cognitive-behavioral-therapy-secondary-analysis-of-a-randomized-controlled-trial
#4
Toshi A Furukawa, Masaru Horikoshi, Hirokazu Fujita, Naohisa Tsujino, Ran Jinnin, Yuki Kako, Sei Ogawa, Hirotoshi Sato, Nobuki Kitagawa, Yoshihiro Shinagawa, Yoshio Ikeda, Hissei Imai, Aran Tajika, Yusuke Ogawa, Tatsuo Akechi, Mitsuhiko Yamada, Shinji Shimodera, Norio Watanabe, Masatoshi Inagaki, Akio Hasegawa
BACKGROUND: A strong and growing body of evidence has demonstrated the effectiveness of cognitive behavioral therapy (CBT), either face-to-face, in person, or as self-help via the Internet, for depression. However, CBT is a complex intervention consisting of several putatively effective components, and how each component may or may not contribute to the overall effectiveness of CBT is poorly understood. OBJECTIVE: The aim of this study was to investigate how the users of smartphone CBT use and benefit from various components of the program...
January 11, 2018: JMIR Mental Health
https://www.readbyqxmd.com/read/29316000/perspectives-of-rural-health-and-human-service-practitioners-following-suicide-prevention-training-programme-in-australia-a-thematic-analysis
#5
Martin Jones, Monika Ferguson, Sandra Walsh, Lee Martinez, Michael Marsh, Kathryn Cronin, Nicolas Procter
There are well-established training programmes available to support health and human services professionals working with people vulnerable to suicide. However, little is known about involving people with lived experience in the delivery of suicide prevention training with communities with increased rates of suicide. The aim of this paper was to report on a formative dialogical evaluation that explored the views of health and human services workers with regard to a suicide prevention training programme in regional (including rural and remote areas) South Australia which included meaningful involvement of a person with lived experience in the development and delivery of the training...
January 8, 2018: Health & Social Care in the Community
https://www.readbyqxmd.com/read/29313498/the-delegation-of-tasks-in-the-era-of-e-health-to-support-community-interventions-in-maternal-and-child-health-lessons-learned-from-the-pact-denbaya-project
#6
C-O Bagayoko, M Niang, A Anne, D Traoré, H Sangho, A-K Traoré, A Geissbuhler
The PACT-Denbaya project (Program for community access to telemedicine for families) aimed to help improve the health of mothers and child in rural communities through the delegation of obstetric-gynecologic and pediatric tasks, supported by teleconsultations. This operational research took place in 6 community health centers in the Dioïla health district in Mali. Our method was based of the delegation of tasks, supported by teleconsultations. Experts in pediatrics and obstetrics/gynecology provided a week-long training program to general practitioners and midwives, in the management of the most common problems in the field and in the use of the "Bogou" teleconsultation and "Dudal" tele-education platforms to ensure exchanges and follow-up...
November 1, 2017: Médecine et Santé Tropicales
https://www.readbyqxmd.com/read/29301168/design-and-development-of-a-novel-distance-learning-telementoring-system-using-off-the-shelf-materials-and-software
#7
James C Rosser, Jeffrey P Fleming, Timothy B Legare, Katherine M Choi, Jamie Nakagiri, Elliot Griffith
OBJECTIVE: To design and develop a distance learning (DL) system for the transference of laparoscopic surgery knowledge and skill constructed from off-the-shelf materials and commercially available software. INTRODUCTION: Minimally invasive surgery offers significant benefits over traditional surgical procedures, but adoption rates for many procedures are low. Skill and confidence deficits are two of the culprits. DL combined with simulation training and telementoring may address these issues with scale...
December 22, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/29273687/ophthalmoscopy-in-the-21st-century-the-2017-h-houston-merritt-lecture
#8
REVIEW
Valérie Biousse, Beau B Bruce, Nancy J Newman
Although the usefulness of viewing the ocular fundus is well-recognized, ophthalmoscopy is infrequently and poorly performed by most nonophthalmologist physicians, including neurologists. Barriers to the practice of ophthalmoscopy by nonophthalmologists include not only the technical difficulty related to direct ophthalmoscopy, but also lack of adequate training and discouragement by preceptors. Recent studies have shown that digital retinal fundus photographs with electronic transmission and remote interpretation of images by an ophthalmologist are an efficient and reliable way to allow examination of the ocular fundus in patients with systemic disorders such as diabetes mellitus...
December 22, 2017: Neurology
https://www.readbyqxmd.com/read/29241237/delayed-hyperbaric-intervention-in-life-threatening-decompression-illness
#9
Michael Fm Perez, Janet V Ongkeko Perez, April R Serrano, Maravic P Andal, Maria Cc Aldover
Arterial gas embolism is a catastrophic event. Bubbles in the arterial circulation may lodge in the brain and cause infarction in the affected area and/or in a coronary vessel causing acute myocardial ischaemia. There is no well-defined window of time beyond which a response to hyperbaric oxygen is not expected. Major improvement may occur if the patient is treated as soon as possible, but is less likely in divers with severe decompression illness who have delayed intervention. We report on a 51-year-old, male rebreather diver who suffered loss of consciousness and cardiovascular collapse within minutes of a 30-metre deep dive at a remote Micronesian dive site...
December 2017: Diving and Hyperbaric Medicine: the Journal of the South Pacific Underwater Medicine Society
https://www.readbyqxmd.com/read/29237400/accuracy-of-acute-burns-diagnosis-made-using-smartphones-and-tablets-a-questionnaire-based-study-among-medical-experts
#10
Lisa Blom, Constance Boissin, Nikki Allorto, Lee Wallis, Marie Hasselberg, Lucie Laflamme
BACKGROUND: Remote assistance for burns by medical experts can support nurses and general physicians in emergency care with diagnostic and management advice. Previous studies indicate a high diagnostic accuracy based on images viewed on a computer screen, but whether image-based analysis by experts using handheld devices is accurate remains to be determined. METHOD: A review of patient data from eight emergency centres in the Western Cape, South Africa, revealed 10 typical cases of burns commonly seen in children and adults...
December 13, 2017: BMC Emergency Medicine
https://www.readbyqxmd.com/read/29236700/a-component-based-system-for-agricultural-drought-monitoring-by-remote-sensing
#11
Heng Dong, Jun Li, Yanbin Yuan, Lin You, Chao Chen
In recent decades, various kinds of remote sensing-based drought indexes have been proposed and widely used in the field of drought monitoring. However, the drought-related software and platform development lag behind the theoretical research. The current drought monitoring systems focus mainly on information management and publishing, and cannot implement professional drought monitoring or parameter inversion modelling, especially the models based on multi-dimensional feature space. In view of the above problems, this paper aims at fixing this gap with a component-based system named RSDMS to facilitate the application of drought monitoring by remote sensing...
2017: PloS One
https://www.readbyqxmd.com/read/29236564/views-from-the-field-medical-student-experiences-and-perceptions-of-interprofessional-learning-and-collaboration-in-rural-settings
#12
David S Thompson, Jacques Abourbih, Lorraine Carter, Gayle Adams-Carpino, Sue Berry, Lisa E Graves, Nichole J Ranger
Exploring the perceived environment where students are educated, as well as where they practice, is particularly important for educators and practitioners working in situations of interprofessional rural and remote health. In this study, we explored the perceptions of undergraduate medical students regarding interprofessionalism across their four-year undergraduate program which focuses on rural health. A thematic content analysis of the text-data was conducted on a convenience sample of 47 student responses to essay questions across four cohorts of a four-year undergraduate medical program...
December 13, 2017: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29233077/new-technologies-real-time-telepathology-systems-novel-cost-effective-tools-for-real-time-consultation-and-data-sharing
#13
Gabriel Siegel, Dan Regelman, Robert Maronpot, Moti Rosenstock, Abraham Nyska
Real-time telepathology for use in investigative and regulated preclinical toxicology studies is now feasible. Newly developed microscope-integrated telepathology systems enable geographically remote stakeholders to view the live histopathology slide as seen by the study pathologist within the microscope. Simultaneous online viewing and dialog between study pathologist and remote colleagues is an efficient and cost-effective means for consultation, pathology working groups, and peer review, facilitating good science and economic benefits by enabling more timely and informed clinical decisions...
December 2017: Toxicologic Pathology
https://www.readbyqxmd.com/read/29231287/using-secondments-in-tertiary-health-facilities-to-build-paediatric-expertise-in-allied-health-professionals-working-in-rural-new-south-wales
#14
Carmel Blayden, Sonia Hughes, Jennifer Nicol, Susan Sims, Isobel J Hubbard
OUTLINE OF PROBLEM: Allied health professionals working in rural settings have broad caseloads requiring advanced skills as general specialists. This can include children with specialised needs. DESIGN: Educational secondments were coordinated for allied health professionals to achieve self-nominated learning objectives. Learning objectives were assessed using pre and post evaluations to determine the effect of the educational secondment on knowledge and confidence specific to the nominated learning outcomes...
December 2017: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/29226202/interobserver-variability-of-radiographic-assessment-using-a-mobile-messaging-application-as-a-teleconsultation-tool
#15
Sezai Özkan, Jos J Mellema, David Ring, Neal C Chen
Background: To examine whether interobserver reliability, decision-making, and confidence in decision-making in the treatment of distal radius fractures changes if radiographs are viewed on a messenger application on a mobile phone compared to a standard DICOM viewer. Methods: Radiographs of distal radius fractures were presented to surgeons on either a smart phone using a mobile messenger application or a laptop using a DICOM viewer application. Twenty observers participated: 10 (50%) were randomly assigned to the DICOM viewer group and 10 (50%) to the mobile messenger group...
September 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/29225715/classification-of-large-scale-remote-sensing-images-for-automatic-identification-of-health-hazards-smoke-detection-using-an-autologistic-regression-classifier
#16
Mark A Wolters, C B Dean
Remote sensing images from Earth-orbiting satellites are a potentially rich data source for monitoring and cataloguing atmospheric health hazards that cover large geographic regions. A method is proposed for classifying such images into hazard and nonhazard regions using the autologistic regression model, which may be viewed as a spatial extension of logistic regression. The method includes a novel and simple approach to parameter estimation that makes it well suited to handling the large and high-dimensional datasets arising from satellite-borne instruments...
2017: Statistics in Biosciences
https://www.readbyqxmd.com/read/29220314/random-access-memories-a-new-paradigm-for-target-detection-in-high-resolution-aerial-remote-sensing-images
#17
Zhengxia Zou, Zhenwei Shi
We propose a new paradigm for target detection in high resolution aerial remote sensing images under small target priors. Previous remote sensing target detection methods frame the detection as learning of detection model + inference of class-label and bounding-box coordinates. Instead, we formulate it from a Bayesian view that at inference stage, the detection model is adaptively updated to maximize its posterior that is determined by both training and observation. We call this paradigm "random access memories (RAM)...
March 2018: IEEE Transactions on Image Processing: a Publication of the IEEE Signal Processing Society
https://www.readbyqxmd.com/read/29218332/evaluating-author-and-user-experience-for-an-audio-haptic-system-for-annotation-of-physical-models
#18
James M Coughlan, Joshua Miele
We describe three usability studies involving a prototype system for creation and haptic exploration of labeled locations on 3D objects. The system uses a computer, webcam, and fiducial markers to associate a physical 3D object in the camera's view with a predefined digital map of labeled locations ("hotspots"), and to do real-time finger tracking, allowing a blind or visually impaired user to explore the object and hear individual labels spoken as each hotspot is touched. This paper describes: (a) a formative study with blind users exploring pre-annotated objects to assess system usability and accuracy; (b) a focus group of blind participants who used the system and, through structured and unstructured discussion, provided feedback on its practicality, possible applications, and real-world potential; and (c) a formative study in which a sighted adult used the system to add labels to on-screen images of objects, demonstrating the practicality of remote annotation of 3D models...
October 2017: ASSETS Association for Computing Machinery
https://www.readbyqxmd.com/read/29204895/the-development-of-a-healing-model-of-care-for-an-indigenous-drug-and-alcohol-residential-rehabilitation-service-a-community-based-participatory-research-approach
#19
Alice Munro, Anthony Shakeshaft, Anton Clifford
BACKGROUND: Given the well-established evidence of disproportionately high rates of substance-related morbidity and mortality after release from incarceration for Indigenous Australians, access to comprehensive, effective and culturally safe residential rehabilitation treatment will likely assist in reducing recidivism to both prison and substance dependence for this population. In the absence of methodologically rigorous evidence, the delivery of Indigenous drug and alcohol residential rehabilitation services vary widely, and divergent views exist regarding the appropriateness and efficacy of different potential treatment components...
December 4, 2017: Health & Justice
https://www.readbyqxmd.com/read/29199547/from-ships-to-robots-the-social-relations-of-sensing-the-world-ocean
#20
Jessica Lehman
The dominant practices of physical oceanography have recently shifted from being based on ship-based ocean sampling and sensing to being based on remote and robotic sensing using satellites, drifting floats and remotely operated and autonomous underwater vehicles. What are the implications of this change for the social relations of oceanographic science? This paper contributes to efforts to address this question, pursuing a situated view of ocean sensing technologies so as to contextualize and analyze new representations of the sea, and interactions between individual scientists, technologies and the ocean...
December 1, 2017: Social Studies of Science
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