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https://www.readbyqxmd.com/read/28990336/peer-teaching-of-the-physical-exam-a-pilot-study
#1
Valeria C Pazo, Susan Frankl, Subha Ramani, Joel Katz
BACKGROUND: Mastery of the physical exam (PE), and the ability to teach it to peers and medical students, are important milestones for residents (junior doctors); however, several reports indicate that PE skills are in decline. To address this need, we explored the use of peer observation of teaching (POT) as a conceptual framework to develop an innovative approach to PE teaching at the postgraduate medical education level. INNOVATION: We designed a PE POT session to be conducted at the patient bedside, and piloted four sessions in April 2014...
October 9, 2017: Clinical Teacher
https://www.readbyqxmd.com/read/28977023/forest-litter-crickets-prefer-higher-substrate-moisture-for-oviposition-evidence-from-field-and-lab-experiments
#2
Fernando de Farias-Martins, Carlos Frankl Sperber, Daniel Albeny-Simões, Jennifer Ann Breaux, Marcos Fianco, Neucir Szinwelski
For insects, choosing a favorable oviposition site is a type of parental care, as far as it increases the fitness of its offspring. Niche theory predicts that crickets should show a bell-shaped oviposition response to substrate moisture. However, lab experiments with mole crickets showed a linear oviposition response to substrate moisture. Studies with the house cricket Acheta domesticus also showed a linear juvenile body growth response to water availability, thus adult ovipositing females should respond positively to substrate moisture...
2017: PloS One
https://www.readbyqxmd.com/read/28914247/assessment-of-hypoxia-sedation-level-and-adverse-events-occurring-during-inhalation-sedation-using-preadjusted-mix-of-30-nitrous-oxide-70-oxygen
#3
P V Samir, Srinivas Namineni, P Sarada
PURPOSE: To assess the efficacy of nitrous oxide (N2O)-oxygen (O2) inhalation sedation by rapid induction technique using preadjusted mix of 30% N2O and 70% O2 in children. MATERIALS AND METHODS: Sixty children with a treatment plan which included pulp therapy were recruited for the study. Children categorized 3 and 4 of Frankl behavior rating scale and American Society of Anesthesiologists health status I and II were included for the study. Children were distributed into study group (Group-I) and control group (Group-II) by fishbowl randomization...
October 2017: Journal of the Indian Society of Pedodontics and Preventive Dentistry
https://www.readbyqxmd.com/read/28904010/vitamin-d-supplementation-to-palliative-cancer-patients-protocol-of-a-double-blind-randomised-controlled-trial-palliative-d
#4
Maria Helde-Frankling, Jenny Bergqvist, Caritha Klasson, Marie Nordström, Jonas Höijer, Peter Bergman, Linda Björkhem-Bergman
BACKGROUND: According to a small pilot study on palliative cancer patients at our ward, vitamin D supplementation had beneficial effects on pain (measured as opioid consumption), infections and quality of life (QoL) without having any significant side effects. OBJECTIVE: The primary objective of the 'Palliative-D' study is to test the hypothesis that vitamin D supplementation for 12 weeks reduces opioid consumption. The secondary objectives are to study if reduction of antibiotic consumption and fatigue as well as improvement in QoL assessments can be observed...
September 13, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/28903106/constantin-tsiminakis-1875-1942-neurologist-neuropathologist-statesman
#5
Lazaros C Triarhou
The article is a 75-year memorial tribute to the Greek neurologist, Constantin Tsiminakis (1875-1942). Coming from a family of physicians, Tsiminakis graduated from the University of Athens in 1897, and trained in Vienna under Nothnagel, Frankl-Hochwart, and Obersteiner. In 1905, he was appointed Reader in Neurology and Psychiatry at his alma mater. He published over 40 articles on topics of neurology and neuropathology, including megalencephaly, hydrocephalus, progressive paralysis, epidemic encephalitis, dengue fever, and narcolepsy...
2017: European Neurology
https://www.readbyqxmd.com/read/28859173/vitamin-d-supplementation-to-palliative-cancer-patients-shows-positive-effects-on-pain-and-infections-results-from-a-matched-case-control-study
#6
Maria Helde-Frankling, Jonas Höijer, Jenny Bergqvist, Linda Björkhem-Bergman
BACKGROUND: We previously showed an association between low vitamin D levels and high opioid doses to alleviate pain in palliative cancer patients. The aim of this case-controlled study was to investigate if vitamin D supplementation could improve pain management, quality of life (QoL) and decrease infections in palliative cancer patients. METHODS: Thirty-nine palliative cancer patients with levels of 25-hydroxyvitamin D < 75 nmol/L were supplemented with vitamin D 4000 IE/day, and were compared to 39 untreated, matched "control"-patients from a previous study at the same ward...
2017: PloS One
https://www.readbyqxmd.com/read/28828113/parastomal-gallbladder-hernia-in-a-septic-patient
#7
Joseph Frankl, Maria Michailidou, Felipe Maegawa
Parastomal gallbladder herniation is a rare complication of enterostomies with only 6 previously reported cases. Most cases have occurred in elderly women. Patients typically presented with acute abdominal pain and the majority was managed operatively. Here, we report the clinical course of an 88-year-old female who presented with signs of sepsis and minimal abdominal symptoms. She was subsequently found to have a parastomal gallbladder herniation and Klebsiella pneumoniae bacteremia. Given the patient's multiple comorbidities, she was managed nonoperatively with manual reduction of the parastomal hernia and antibiotics...
September 2017: Radiology case reports
https://www.readbyqxmd.com/read/28814367/relationship-between-salivary-cortisol-levels-and-children-s-behavior-during-a-dental-examination
#8
Wanessa Botega Curcio, Lucas Guimarães Abreu, Camila Faria Carrada, Flávia Almeida Ribeiro Scalioni, Rosangela Almeida Ribeiro
PURPOSE: To correlate the salivary cortisol levels in children attending a university dental clinic with their behavior during the dental appointment. METHODS: A prospective study was conducted with 43 seven- to 10-year-old children whose behavior during the dental appointment was assessed using the Frankl scale. Participants were divided into two groups: (1) cooperative children; and (2) uncooperative children. All children had four saliva samples collected as follows: prior to the dental examination (S1); shortly after the dental examination (S2); 30 minutes after waking up in the morning after the day of the appointment (S3); and in the afternoon, 24 hours after the dental appointment (S4)...
May 15, 2017: Journal of Dentistry for Children
https://www.readbyqxmd.com/read/28796043/smith-petersen-osteotomy-combined-with-anterior-debridement-and-allografting-for-active-thoracic-and-lumbar-spinal-tuberculosis-with-kyphotic-deformity-in-young-children-a-prospective-study-and-literature-review
#9
Yakefu Abulizi, Wei-Dong Liang, Maierdan Maimaiti, Wei-Bin Sheng
The purpose of this study is to determine the efficacy and safety of Smith-Petersen osteotomy combined with anterior debridement and allogenic strut bone grafting for the treatment of active thoracic and lumbar spinal tuberculosis with kyphotic deformity in young children.Spinal tuberculosis is more destructive in young children and often causes severe kyphosis and paraplegia. Despite much progress has been made, surgical treatment is still controversial and technically challenging.From October 2010 to August 2014, 25 children (11 males, 14 females; aged under 6 years) with active thoracic and lumbar spinal tuberculosis treated by Smith-Petersen osteotomy combined with anterior debridement and allogenic strut bone grafting were enrolled in this study...
August 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28750327/cholesterol-is-required-for-stability-and-infectivity-of-influenza-a-and-respiratory-syncytial-viruses
#10
Shringkhala Bajimaya, Tünde Frankl, Tsuyoshi Hayashi, Toru Takimoto
Cholesterol-rich lipid raft microdomains in the plasma membrane are considered to play a major role in the enveloped virus lifecycle. However, the functional role of cholesterol in assembly, infectivity and stability of respiratory RNA viruses is not fully understood. We previously reported that depletion of cellular cholesterol by cholesterol-reducing agents decreased production of human parainfluenza virus type 1 (hPIV1) particles by inhibiting virus assembly. In this study, we analyzed the role of cholesterol on influenza A virus (IAV) and respiratory syncytial virus (RSV) production...
October 2017: Virology
https://www.readbyqxmd.com/read/28630594/individual-meaning-centered-psychotherapy-for-palliative-cancer-patients-in-lithuania-a-case-report
#11
Meda Sutkevičiūtė, Monika Stančiukaitė, Giedrė Bulotienė
Patients with oncological diseases, especially palliative care patients, suffer from physical and psychological difficulties. The quality of life of such patients is bad, they do not have purpose to live and they feel anxiety and distress. In 1959 Victor Frankl wrote the book Man's Search for Meaning in which he stated that the driving force of human life lay in the ability to discern the meaning of faith and spirituality. Inspired by Frankl's ideas, the American psychiatrist William Breitbart with colleagues have developed both an individual and group model of Meaning-Centered Psychotherapy...
2017: Acta medica Lituanica
https://www.readbyqxmd.com/read/28616208/patient-survey-of-current-water-intake-practices-in-autosomal-dominant-polycystic-kidney-disease-the-sips-survey
#12
Ragada El-Damanawi, Tess Harris, Richard N Sandford, Fiona E Karet Frankl, Thomas F Hiemstra
Background: Autosomal dominant polycystic kidney disease (ADPKD) affects 12.5 million worldwide. Vasopressin drives cysts growth and in animal models can be suppressed through high water intake. A randomized controlled trial of 'high' versus 'standard' water intake in ADPKD is essential to determine if this intervention is beneficial. We conducted an ADPKD patient survey to gain an understanding of current fluid intake practices and the design challenges of a randomized water intake trial. Methods: In collaboration with the PKD Charity, we developed and distributed an online survey to ADPKD patients over age 16 years and not on renal replacement therapy...
June 2017: Clinical Kidney Journal
https://www.readbyqxmd.com/read/28610217/a-new-genus-and-species-of-neotropical-nemobiinae-insecta-orthoptera-grylloidea-trigonidiidae-nemobiinae
#13
Fabiene Maria DE Jesus, Marcelo Ribeiro Pereira, Geanne Carla Ripani Rodrigues, Carlos Frankl Sperber
A new genus and a new species of Neotropical cricket is described: Pepoapua cariacica n. gen., n. sp., occurring in four Atlantic Forest remnants in the states of Bahia and Espírito Santo, Brazil. This new genus is morphologically similar in external characteristics, both male and female genitalia, with two other Neotropical genera of Nemobiinae: Amanayara and Kevanemobius. The combination of the external morphological characteristics, along with male genitalia, characterize a new genus through combination of the following characters: (i) males and females with morphologically similar tegmina; (ii) tegmina reduced, not reaching half of the second abdominal segment; (iii) dorsal field of the tegmina with parallel veins, without stridulatory vein or any specialized area for sound production; (iv) tibia of the first pair of legs without tympanum; (v) tibia of the third pair of legs with seven dorsal spurs, four inner and three outer, the proximo-dorsal inner spur reduced in size and the disto-dorsal inner spur without glandular aspect; (vi) ovipositor with distal portion of the dorsal and ventral valves serrated; (vii) male genitalia without evident bristles or sensillas; (viii) pseudepiphallic median lobe presenting apical and ventral projections...
June 9, 2017: Zootaxa
https://www.readbyqxmd.com/read/28583244/association-between-childhood-traumatic-stress-and-behavior-in-the-pediatric-dental-clinic
#14
Serena Mitchual, Marcio A da Fonseca, Sheela Raja, Darien Weatherspoon, Anne Koerber
PURPOSE: The purpose of this study was to examine the relationship between a history of potentially traumatic events (PTE) and a child's behavior during dental treatment. METHODS: Parents of healthy children, age four years and older and attending their initial dental appointment at a university pediatric dental clinic, were asked to complete the Traumatic Events Screening Inventory-Parent Report Revised and a demographic survey. Following the dental appointment, a pediatric dental resident reported the child's behavior using the Frankl scale...
May 15, 2017: Pediatric Dentistry
https://www.readbyqxmd.com/read/28548997/anterior-inferior-plating-results-in-fewer-secondary-interventions-compared-to-superior-plating-for-acute-displaced-midshaft-clavicle-fractures
#15
Rafael Serrano, Amrut Borade, Hassan Mir, Anjan Shah, David Watson, Anthony Infante, Mark A Frankle, Mark A Mighell, H Claude Sagi, Daniel S Horwitz, Roy W Sanders
OBJECTIVES: To determine whether a difference in plate position for fixation of acute, displaced, midshaft clavicle fractures would affect the rate of secondary intervention. DESIGN: Retrospective Comparative Study. SETTING: Two academic Level 1 Regional Trauma Centers. PATIENTS: Five hundred ten patients treated surgically for an acutely displaced midshaft clavicle fracture between 2000 and 2013 were identified and reviewed retrospectively at a minimum of 24 months follow-up (F/U)...
September 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28514491/3d-image-based-morphometric-analysis-of-the-scapular-neck-length-in-subjects-undergoing-reverse-shoulder-arthroplasty
#16
P Simon, M Diaz, M Cusick, B Santoni, M Frankle
INTRODUCTION: Scapular notching after RSA may, in part, be related to a patient's scapular morphology. The purpose of this study was to develop a novel 3D measurement technique to describe infraglenoid tubercle morphometry. We hypothesize that the parameters describing infraglenoid tubercle would be normally distributed and would correlate with individual's demographics and glenoid morphometry. MATERIALS AND METHODS: A group of 110 subjects treated with RSA were evaluated...
May 17, 2017: Clinical Anatomy
https://www.readbyqxmd.com/read/28504808/outcome-of-reverse-shoulder-arthroplasty-for-patients-with-parkinson-s-disease-a-matched-cohort-study
#17
Michael C Cusick, Randall J Otto, Rachel E Clark, Mark A Frankle
Parkinson's disease (PD) is a progressive neurologic disorder that affects the musculoskeletal system. Currently, the use of reverse shoulder arthroplasty (RSA) for patients with PD has not been adequately studied. The authors sought to determine if RSA provided similar functional outcomes for patients with PD compared with a matched cohort of patients without PD. Between 2004 and 2011, 10 patients with PD (4 men, 6 women) underwent RSA. Patients with PD were matched to patients without PD at a 1:4 ratio based on age (average, 76 years; range, 63-85 years), sex (16 men, 24 women), preoperative diagnosis, and length of follow-up (average, 43 months; range, 24-128 months)...
July 1, 2017: Orthopedics
https://www.readbyqxmd.com/read/28492191/prevalence-of-dental-fear-and-its-causes-using-three-measurement-scales-among-children-in-new-delhi
#18
Anju Singh Rajwar, Mridula Goswami
INTRODUCTION: There is a great need for identifying fearful children, who often present problems in patient management, thus affecting the quality of dental care rendered to them. This study is unique in the way that dental fear was assessed through three fear scales as research has suggested the use of more than one scale because each scale has its own restrictions and is open to criticism. AIM: The aim of this study was to evaluate dental fear and anxiety (DFA) among children aged 3-14 years using three fear measurement scales...
April 2017: Journal of the Indian Society of Pedodontics and Preventive Dentistry
https://www.readbyqxmd.com/read/28492190/decreased-sleep-in-children-and-their-behavioral-problems-in-dental-operatory
#19
Vinaya Kumar Kulkarni, Ami Kandya, Sakshi Arora, Garima Singh
PURPOSE: This study was conducted to examine the contribution of inadequate sleep and its associated factors, on behavior and cooperation of children in the dental operatory. MATERIALS AND METHODS: A cross-sectional study was conducted on 100 healthy children at the time of their initial visit to the dental hospital, ranging from preschoolers to adolescents. Data acquisition was done by a questionnaire. Interview with the accompanying person was done to ask about the sleep duration, naps, and sleep habits of the child...
April 2017: Journal of the Indian Society of Pedodontics and Preventive Dentistry
https://www.readbyqxmd.com/read/28384187/target-localization-of-3d-versus-4d-cone-beam-computed-tomography-in-lipiodol-guided-stereotactic-radiotherapy-of-hepatocellular-carcinomas
#20
Mark Chan, Chi Leung Chiang, Venus Lee, Steven Cheung, Ronnie Leung, Matthew Wong, Frankle Lee, Oliver Blanck
BACKGROUND: Aim of this study was to comparatively evaluate the accuracy of respiration-correlated (4D) and uncorrelated (3D) cone beam computed tomography (CBCT) in localizing lipiodolized hepatocellular carcinomas during stereotactic body radiotherapy (SBRT). METHODS: 4D-CBCT scans of eighteen HCCs were acquired during free-breathing SBRT following trans-arterial chemo-embolization (TACE) with lipiodol. Approximately 1320 x-ray projections per 4D-CBCT were collected and phase-sorted into ten bins...
2017: PloS One
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