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https://www.readbyqxmd.com/read/29328006/parent-guardian-knowledge-regarding-implanted-shunt-type-setting-and-symptoms-of-malfunction-infection
#1
Laurie L Ackerman, Daniel H Fulkerson, Andrew Jea, Jodi L Smith
OBJECTIVE Patients with shunts often interact with providers distant from their primary hospital, making it important that the parent(s)/guardian(s) is well versed in the type of shunt implanted and symptoms of malfunction/infection. This is particularly important with magnetic-sensitive programmable valves, as the use of MRI becomes more prevalent. METHODS Over a 6-month period, primary caregivers of 148 consecutive patients who received shunts were prospectively administered questionnaires at clinic visits...
January 12, 2018: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/29324427/lemons-in-the-arizona-sunshine-the-effects-of-furocoumarins-leading-to-phytophotodermatitis-and-burn-like-injuries
#2
Marc R Matthews, Joel C VanderVelde, Daniel M Caruso, Kevin N Foster
INTRODUCTION: Phytophototoxic dermatitis is a strong phototoxic reaction to ultraviolet A (UV-A) radiation exposure after cutaneous contact with citrus fruit containing furocoumarins, leading to skin injury. At the Arizona Burn Center (Phoenix, AZ), the majority of these injuries are managed in the outpatient setting. CASE REPORT: The authors present a pediatric admission for burn-like injuries following prolonged cutaneous exposure to lemons while playing in the Arizona sunshine...
December 2017: Wounds: a Compendium of Clinical Research and Practice
https://www.readbyqxmd.com/read/29297978/a-time-window-of-3%C3%A2-s-in-the-aesthetic-appreciation-of-poems
#3
Chen Zhao, Dongxue Zhang, Yan Bao
We studied the effect of time windows of a few seconds on the aesthetic appreciation of poems. Both Chinese and German subjects rated traditional Chinese poetic verses more beautiful in a time window of approximately 3 s, irrespective of understanding the poetic content. This observation suggests a common temporal preference for poetry appreciation across a different language background.
January 3, 2018: PsyCh Journal
https://www.readbyqxmd.com/read/29288896/achieving-universal-coverage-understanding-barriers-to-rural-placement-for-final-year-midwifery-students
#4
Jody R Lori, Cheryl A Moyer, Veronica Dzomeku, Emmanuel Kweku Nakua, Peter Agyei-Baffour, Sarah Rominski
OBJECTIVE: the objective of this study is to understand the barriers final year midwifery students face when deciding to practice in a rural, deprived area. DESIGN: a cross-sectional study design using a computer based structured survey. SETTING: 15 of the 16 publicly funded midwifery colleges across all ten regions in Ghana. PARTICIPANTS: a national sample of final-year midwifery students from publically funded midwifery colleges in Ghana...
December 15, 2017: Midwifery
https://www.readbyqxmd.com/read/29285455/bhagavad-gita-for-the-physician
#5
REVIEW
Sanjay Kalra, Ameya Joshi, Bharti Kalra, Vivekanand G Shanbhag, Rajib Bhattacharya, Komal Verma, Manash P Baruah, Rakesh Sahay, Sarita Bajaj, Navneet Agrawal, Ashim Chakraborty, Yatan Pal Singh Balhara, Sandeep Chaudhary, Deepak Khandelwal, Sameer Aggarwal, Nanik Ram, Jubbin Jacob, Sandeep Julka, Gagan Priya, Shelley Bhattacharya, Komal Dalal
This communication presents verses from the Bhagavad Gita which help define a good clinician's skills and behavior. Using the teachings of Lord Krishna, these curated verses suggest three essential skills that a physician must possess: Excellent knowledge, equanimity, and emotional attributes. Three good behaviors are listed (Pro-work ethics, Patient-centered care, and Preceptive leadership) and supported by thoughts written in the Gita.
November 2017: Indian Journal of Endocrinology and Metabolism
https://www.readbyqxmd.com/read/29279731/acupuncture-associated-vasovagal-response-revised-terminology-and-hospital-experience
#6
Kimberly A Christensen, Barbara J Gosse, Celia Hildebrand, Lynn A Gershan
Background: Vasovagal responses associated with acupuncture therapy are relatively uncommon adverse events, occurring in ∼0.02%-7% of treatments. The complex neurocardiovascular reflexes involved in vasovagal responses can induce a range of symptoms such as dizziness, nausea, sweating, bradycardia, hypotension, and, in some cases, syncope or convulsions. Although patients typically recover quickly with proper support, these events may be of concern and anxiety-producing for both patient and provider. Providers need to be well-versed in methods for prevention and treatment of acupuncture-associated vasovagal responses to promote safe practice environments, patient satisfaction and comfort, and cost-effectiveness...
December 1, 2017: Medical Acupuncture
https://www.readbyqxmd.com/read/29275414/a-prospective-audit-of-intermittent-anti-androgen-verses-pituitary-blockade-suggests-a-bipolar-androgen-type-strategy-may-be-safe-in-untreated-prostate-cancer
#7
Timothy Oliver, Peter Wilson, Wendy Ansell, Tim Philp, Frank Chinegwundoh, Jonathan Shamash, Greg Shaw, Amar Ahmad
OBJECTIVE: A locally advanced Gleason 4 + 4 prostate cancer patient who was on self-medication with intermittent anti-androgen monotherapy (iAAm) over 14 years suggested that raised testosterone was not dangerous and this suggestion needed investigating. PATIENTS: Others who were on AA continuously were recruited to ongoing audit of intermittent hormone therapy (IHT) and iAAm outcomes were compared with intermittent LHRH therapy (iLHRH or iMAB). RESULTS: Between 1994 and 2007, 111 patients sought IHT because of side effects of treatment...
December 22, 2017: Urologia Internationalis
https://www.readbyqxmd.com/read/29273670/using-a-retrospective-cross-sectional-study-to-analyse-unintentional-fatal-drowning-in-australia-icd-10-coding-based-methodologies-verses-actual-deaths
#8
Amy E Peden, Richard C Franklin, Alison J Mahony, Justin Scarr, Paul D Barnsley
OBJECTIVES: Fatal drowning estimates using a single underlying cause of death (UCoD) may under-represent the number of drowning deaths. This study explores how data vary by International Classification of Diseases (ICD)-10 coding combinations and the use of multiple underlying causes of death using a national register of drowning deaths. DESIGN: An analysis of ICD-10 external cause codes of unintentional drowning deaths for the period 2007-2011 as extracted from an Australian total population unintentional drowning database developed by Royal Life Saving Society-Australia (the Database)...
December 21, 2017: BMJ Open
https://www.readbyqxmd.com/read/29231323/-analysis-on-mechanism-of-acupuncture-with-three-needles-at-hegu-li-4-and-its-clinical-application
#9
Lizhi Zhang, Nenggui Xu
Inverted horse acupuncture (acupuncture with three needles) at Hegu (LI 4) is different from triple needling, a traditional needling method. Based on DONG's warming yang and tonifying qi by simultaneous acu-puncture at Linggu (Extra) and Dabai (Extra), we palpate points along the large intestine meridian of hand-yangming, and Linggu (Extra), Hegu (LI 4), and Dabai (Extra) are pricked perpendicularly to smooth triple energizer directly. Thus, functions of zangfu organs are holistically adjusted and clinical effect is better...
January 12, 2017: Zhongguo Zhen Jiu, Chinese Acupuncture & Moxibustion
https://www.readbyqxmd.com/read/29225417/comparison-of-raft-derived-poly-vinylpyrolidone-verses-poly-oligoethyleneglycol-methacrylate-for-the-stabilization-of-glycosylated-gold-nanoparticles
#10
Nga Sze Ieong, Caroline I Biggs, Mark Walker, Matthew I Gibson
Carbohydrates dictate many biological processes including infection by pathogens. Glycosylated polymers and nanomaterials which have increased affinity due to the cluster glycoside effect, are therefore useful tools to probe function, but also as prophylactic therapies or diagnostic tools. Here, the effect of polymer structure on the coating of gold nanoparticles is studied in the context of grafting density, buffer stability and in a lectin binding assay. RAFT polymerization is used to generate poly(oligoethyleneglycol methacrylates) and poly(N-vinyl pyrolidones) with a thiol end-group for subsequent immobilization onto the gold...
April 1, 2017: Journal of Polymer Science. Part A, Polymer Chemistry
https://www.readbyqxmd.com/read/29207784/emergency-peripartum-hysterectomy-a-14-year-experience-at-a-tertiary-care-centre-in-india
#11
S Tahmina, Mary Daniel, Preetha Gunasegaran
Introduction: Emergency Peripartum Hysterectomy (EPH), although relatively infrequent in present day obstetrics, is a life-saving procedure in the event of a massive postpartum haemorrhage. Aim: To assess incidence, risk factors, indications and complications of peripartum hysterectomies at a tertiary care teaching hospital in India. Materials and Methods: A retrospective study was conducted at 650-bedded tertiary care medical teaching hospital in Southern India...
September 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/29195272/multivalent-antimicrobial-polymer-nanoparticles-target-mycobacteria-and-gram-negative-bacteria-by-distinct-mechanisms
#12
Sarah-Jane Richards, Klea Isulfi, Laura E Wilkins, Julia Lipecki, Elizabeth Fullam, Matthew I Gibson
Due to the emergence of antimicrobial resistance to traditional small molecule drugs, cationic antimicrobial polymers are appealing targets. Mycobacterium tuberculosis is a particular problem, with multi- and total drug resistance spreading and more than a billion latent infections globally. This study reports nanoparticles bearing variable densities of poly(dimethylaminoethyl methacrylate) and the unexpected and distinct mechanisms of action this multivalent presentation imparts against Escherichia coli verses Mycobacterium smegmatis (model of M...
December 1, 2017: Biomacromolecules
https://www.readbyqxmd.com/read/29161386/to-err-is-human-use-of-simulation-to-enhance-training-and-patient-safety-in-anaesthesia
#13
H Higham, B Baxendale
Human beings who work in complex, dynamic, and stressful situations make mistakes. This is as true for anaesthetists as for any other health-care professional, but we face unique challenges in the many roles and responsibilities we have in diverse clinical contexts. As a profession, we are well versed in the development and utilization of improvement techniques and technologies that prioritize high-quality, safe care for patients. This article focuses on one particular domain of patient safety in which anaesthetists have been pre-eminent, the use of simulation in training to improve both professional capabilities and patient safety in anaesthetic practice...
December 1, 2017: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/29158911/a-retrospective-evaluation-of-activity-of-gemcitabine-platinum-regimens-in-the-treatment-of-recurrent-ovarian-cancer
#14
Tran N Le, Rachel E Harvey, Christine K Kim, Jubilee Brown, Robert L Coleman, Judith A Smith
Background: While many of these agents have been compared in prospective clinical trials, the gemcitabine/platinumbased regimens have not been compared in a prospective, randomized clinical trial. While bothgemcitabine/carboplatin and gemcitabine/cisplatin have a similar ORR in separate clinical trials, the tworegimens have never been directly been compared. With overlapping dose-limiting toxicity of thrombocytopenia, the gemcitabine/carboplatin regimen has been challenging to employ in the clinical setting in previously treated ovarian cancer patients and is often associated with treatment delays and/or dose reductions...
2017: Gynecologic Oncology Research and Practice
https://www.readbyqxmd.com/read/29149122/leukostasis-management-to-prevent-crisis-in-acute-leukemia%C3%A2
#15
Lisa M Blackburn, Shelly Brown, Aimee Munyon, Michelle Orovets
BACKGROUND: Hyperleukocytosis, a peripheral white blood cell count greater than 100,000/mm3,is most commonly seen in patients with newly diagnosed or relapsed acute lymphoblastic leukemia and acute myeloid leukemia. Leukostasis is a reduction in blood flow related to hyperviscosity. Hyperleukocytosis, causing leukostasis, is an oncologic emergency and requires an exacting assessment and rapid response with appropriate intervention to prevent morbidity and mortality in the first week after diagnosis...
December 1, 2017: Clinical Journal of Oncology Nursing
https://www.readbyqxmd.com/read/29127912/pesticides-contaminated-dust-exposure-risk-diagnosis-and-exposure-markers-in-occupational-and-residential-settings-of-lahore-pakistan
#16
Sidra Waheed, Crispin Halsall, Andrew J Sweetman, Kevin C Jones, Riffat Naseem Malik
There are few studies documenting the dust loaded with pesticides as a potential non-dietary exposure source for occupational worker and populations living near agricultural farms and pesticides formulation plants. In present study we have evaluated the pesticide concentration in dust from potential sites and relevant health risk from dust ingestion. Furthermore, the effect of currently used pesticides was investigated on blood and urine parameters of subjects: farmer, factory worker, urban resident and rural resident and controlled subjects with presumably different levels of exposure...
November 7, 2017: Environmental Toxicology and Pharmacology
https://www.readbyqxmd.com/read/29118150/gastroesophageal-reflux-disease-symptom-screening-in-a-dental-setting
#17
Anisha Raibrown, Lori J Giblin, Linda D Boyd, Kristen Perry
Purpose: Gastroesophageal Reflux Disease (GERD) is a chronic health condition in which the symptoms often go unnoticed. Oral problems accompanying GERD may include non-specific burning sensation, mucosa ulceration and erosion, erythema of the soft/hard palate mucosa and uvula, loss of taste and either xerostomia or increased salivary flow with potential long-term complications such as difficulty swallowing, trouble breathing, esophagitis and potential development of esophageal adenocarcinoma (EAC). The purpose of this study was to assess the feasibility of using a GERD screening in the dental clinic setting to identify and refer patients...
February 2017: Journal of Dental Hygiene: JDH
https://www.readbyqxmd.com/read/29111542/a-call-to-action-to-develop-integrated-curricula-in-cardiorenal-medicine
#18
Claudio Ronco, Federico Ronco, Peter A McCullough
With the adoption of the new definition and classification of cardiorenal syndrome (CRS) and its relevant subtypes, much attention has been placed on elucidating the mechanisms of heart and kidney interactions. The pathophysiologic pathways are of great interest by which acute heart failure may result in acute kidney injury (AKI; type 1), chronic heart failure accelerates the progression of chronic kidney disease (CKD; type 2), AKI provokes cardiac events (type 3), and CKD increases the risk and severity of cardiovascular disease (type 4)...
2017: Reviews in Cardiovascular Medicine
https://www.readbyqxmd.com/read/29110206/incorporating-islamic-creed-into-islamic-counselling-process-a-guideline-to-counsellors
#19
Norazlina Zakaria, Noor Shakirah Mat Akhir
This article is a concept paper that reviewed the main principles of Islamic creed (aqīdah) related to counselling. Islamic creed has been regarded as the root of Islam; thus, it should be the fundamental composition of Islamic counselling. The objectives of this review are to demonstrate the relationship between counselling and Islamic creed and to establish a guideline for the practitioners of Islamic counselling when consulting with their clients in matters related to creed. The review was conducted by suggesting methods to incorporate Islamic creed into three stages of counselling process...
November 7, 2017: Journal of Religion and Health
https://www.readbyqxmd.com/read/29110204/shiite-perspective-on-the-moral-status-of-the-early-human-embryo-a-critical-review
#20
Kiarash Aramesh
According to Shiite perspective, the relative inviolability of the human embryo starts at the time of implantation and attains complete ethical status at ensoulment. Different paradigms of embryology have been influential on the understanding of Shiite jurists of the relevant Qur'anic verses. This paper provides a critical review of the process of issuing religious decrees on issues related to the early human life and concludes that Shiite jurisprudence needs to obtain consistency in its adopted account of embryology and adopt a proactive approach toward the bioethical new-emerging issues...
November 6, 2017: Journal of Religion and Health
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