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https://www.readbyqxmd.com/read/28529911/severe-trauma-in-the-geriatric-population
#1
REVIEW
Juan Antonio Llompart-Pou, Jon Pérez-Bárcena, Mario Chico-Fernández, Marcelino Sánchez-Casado, Joan Maria Raurich
Geriatric trauma constitutes an increasingly recognized problem. Aging results in a progressive decline in cellular function which leads to a loose of their capacity to respond to injury. Some medications commonly used in this population can mask or blunt the response to injury. Falls constitute the most common cause of trauma and the leading cause of trauma-related deaths in this population. Falls are complicated by the widespread use of antiplatelets and anticoagulants, especially in patients with brain injury...
May 4, 2017: World Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/28529875/advanced-magnetic-resonance-imaging-and-neuropsychological-assessment-for-detecting-brain-injury-in-a-prospective-cohort-of-university-amateur-boxers
#2
M G Hart, C R Housden, J Suckling, R Tait, A Young, U Müller, V F J Newcombe, I Jalloh, B Pearson, J Cross, R A Trivedi, J D Pickard, B J Sahakian, P J Hutchinson
BACKGROUND/AIM: The safety of amateur and professional boxing is a contentious issue. We hypothesised that advanced magnetic resonance imaging and neuropsychological testing could provide evidence of acute and early brain injury in amateur boxers. METHODS: We recruited 30 participants from a university amateur boxing club in a prospective cohort study. Magnetic resonance imaging (MRI) and neuropsychological testing was performed at three time points: prior to starting training; within 48 h following a first major competition to detect acute brain injury; and one year follow-up...
2017: NeuroImage: Clinical
https://www.readbyqxmd.com/read/28527497/informatics-and-technology-in-resident-education
#3
REVIEW
William Niehaus
Biomedical or clinical informatics is the transdisciplinary field that studies and develops effective uses of biomedical data, information technology innovations, and medical knowledge for scientific inquiry, problem solving, and decision making, with an emphasis on improving human health. Given the ongoing advances in information technology, the field of informatics is becoming important to clinical practice and to residency education. This article will discuss how informatics is specifically relevant to residency education and the different ways to incorporate informatics into residency education, and will highlight applications of current technology in the context of residency education...
May 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28511143/dna-assisted-upconversion-nanoplatform-for-imaging-guided-synergistic-therapy-and-laser-switchable-drug-detoxification
#4
Luoyuan Li, Panlong Hao, Peng Wei, Limin Fu, Xicheng Ai, Jianping Zhang, Jing Zhou
The side effects of chemotherapy bring significant physical and psychological suffering to patients. To solve this urgent medical problem, Yb(3+) and Er(3+) co-doped NaLuF4 upconversion nanoparticles (UCNPs) were constructed for upconversion luminescence (UCL)-labeled diagnosis under 980 nm laser irradiation. The UCNPs were then modified layer by layer with polypyrrole and a special programming DNA segment as photothermal conversion agents and controllable drug carriers, respectively. The nanoplatform was successfully used for imaging-guided synergistic therapy (photothermal therapy and chemotherapy) at a safe power density (300 mW cm(-2)), and DNA-assisted detoxification at lower temperature in cancer cells when the laser off...
May 5, 2017: Biomaterials
https://www.readbyqxmd.com/read/28507825/spatiotemporal-strategies-for-joint-segmentation-and-motion-tracking-from-cardiac-image-sequences
#5
Huafeng Liu, Ting Wang, Lei Xu, Pengcheng Shi
Although accurate and robust estimations of the deforming cardiac geometry and kinematics from cine tomographic medical image sequences remain a technical challenge, they have significant clinical value. Traditionally, boundary or volumetric segmentation and motion estimation problems are considered as two sequential steps, even though the order of these processes can be different. In this paper, we present an integrated, spatiotemporal strategy for the simultaneous joint recovery of these two ill-posed problems...
2017: IEEE Journal of Translational Engineering in Health and Medicine
https://www.readbyqxmd.com/read/28507421/orthopaedic-tumors-what-problems-are-we-solving-and-are-universities-and-major-medical-centers-doing-enough
#6
Mohamed Mediouni, Daniel R Schlatterer
Little has been published about the complexity of orthopaedic tumors compared to others tumors. The current study in the literature treated this problem in terms of classification, surgical intervention and impact on the patient. In this article, factors risks of tumors will be we identified. A strategy based on three dimensional simulations will be explained in order to improve the clinical trials.
June 2017: Journal of Orthopaedics
https://www.readbyqxmd.com/read/28504934/vision-based-surgical-field-defogging
#7
Xiongbiao Luo, A McLeod, Stephen Pautler, Christopher Schlachta, Terry Peters
Fogged surgical field visualization that is a common and potentially harmful problem can lead to inappropriate device use and incorrectly targeted tissue and increase surgical risks in endoscopic surgery. This work aims to remove fog or smoke on endoscopic video sequences to augment and maintain a direct and clear visualization of the operating field. A new visibilitydriven fusion defogging framework is proposed for surgical endoscopic video processing. This framework first recovers the visibility and enhances the contrast of hazy images...
May 11, 2017: IEEE Transactions on Medical Imaging
https://www.readbyqxmd.com/read/28503008/a-new-model-order-reduction-strategy-adapted-to-nonlinear-problems-in-earthquake-engineering
#8
Franz Bamer, Abbas Kazemi Amiri, Christian Bucher
Earthquake dynamic response analysis of large complex structures, especially in the presence of nonlinearities, usually turns out to be computationally expensive. In this paper, the methodical developments of a new model order reduction strategy (MOR) based on the proper orthogonal decomposition (POD) method as well as its practical applicability to a realistic building structure are presented. The seismic performance of the building structure, a medical complex, is to be improved by means of base isolation realized by frictional pendulum bearings...
April 10, 2017: Earthquake Engineering & Structural Dynamics
https://www.readbyqxmd.com/read/28496378/ethnopsychiatry-fosters-creativity-and-the-adoption-of-critical-and-reflexive-thinking-in-higher-education-students-insights-from-a-qualitative-analysis-of-a-preliminary-pilot-experience-at-the-faculty-of-medicine-and-surgery-university-of-genoa-italy
#9
Anna Siri, Giovanni Del Puente, Mariano Martini, Nicola Luigi Bragazzi
Creativity is an ability that plays a major role in the modern economy and society. It should represent an important component of the medical syllabus. However, it is often overlooked by the formal courses at universities. The current study aimed at evaluating whether the interactive educational models, recently adopted by the Faculty of Medicine and Surgery, at the University of Genoa, Italy, would favor the adoption of critical thinking, attitudes to changes, cultural diversity acceptance, and the adoption of relational soft skills versus traditional and frontal didactic teaching...
2017: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/28495002/a-hybrid-energy-model-for-region-based-curve-evolution-application-to-cta-coronary-segmentation
#10
Muhammad Moazzam Jawaid, Ronak Rajani, Panos Liatsis, Constantino Carlos Reyes-Aldasoro, Greg Slabaugh
BACKGROUND AND OBJECTIVE: State-of-the-art medical imaging techniques have enabled non-invasive imaging of the internal organs. However, high volumes of imaging data make manual interpretation and delineation of abnormalities cumbersome for clinicians. These challenges have driven intensive research into efficient medical image segmentation. In this work, we propose a hybrid region-based energy formulation for effective segmentation in computed tomography angiography (CTA) imagery. METHODS: The proposed hybrid energy couples an intensity-based local term with an efficient discontinuity-based global model of the image for optimal segmentation...
June 2017: Computer Methods and Programs in Biomedicine
https://www.readbyqxmd.com/read/28492494/nasal-irrigation-an-imprecisely-defined-medical-procedure
#11
REVIEW
Nicola Principi, Susanna Esposito
Nasal irrigation (NI) is an old practice of upper respiratory tract care that likely originated in the Ayurvedic medical tradition. It is used alone or in association with other therapies in several conditions-including chronic rhinosinusitis and allergic rhinitis-and to treat and prevent upper respiratory tract infections, especially in children. However, despite it being largely prescribed in everyday clinical practice, NI is not included or is only briefly mentioned by experts in the guidelines for treatment of upper respiratory tract diseases...
May 11, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28474079/-a-retrospective-analysis-of-621-cases-with-craniomaxillofacial-fractures
#12
Yang Lu, Xiao-Feng Lu, Xian-Qun Fan
PURPOSE: To investigate the epidemiological characteristics of 621 hospitalized patients with craniomaxillofacial fractures by a retrospective study. METHODS: From July 2015 to August 2016, the medical records of 621 patients with craniomaxillofacial fractures in Shanghai Ninth People's Hospital were analyzed statistically according to age, gender, etiology and site of fracture. Chi-square test was used to analyze the causes of single and multiple fractures with SPSS 20...
February 2017: Shanghai Kou Qiang Yi Xue, Shanghai Journal of Stomatology
https://www.readbyqxmd.com/read/28469988/polio-in-syria-problem-still-not-solved
#13
Ahmad Al-Moujahed, Fares Alahdab, Heba Abolaban, Leo Beletsky
The reappearance of polio in Syria in mid-2013, 18 years after it was eliminated from the country, manifests the public health catastrophe brought on by the civil war. Among the lessons learned, this outbreak emphasizes the importance of increasing the international financial and logistical support for vaccine and immunization efforts, especially in countries suffering from conflicts. The lack of access to polio accredited laboratory or outright lack of laboratories in settings of conflict should be recognized allowing international surveillance to be strengthened by supplementing the laboratory definition with the clinical definition...
April 2017: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/28469903/transitional-care-management-in-the-outpatient-setting
#14
Analiza Baldonado, Ofelia Hawk, Thomas Ormiston, Danielle Nelson
Patients who are high risk high cost (HRHC), those with severe or multiple medical issues, and the chronically ill elderly are major drivers of rising health care costs.1 The HRHC patients with complex health conditions and functional limitations may likely go to emergency rooms and hospitals, need more supportive services, and use long-term care facilities.2 As a result, these patient populations are vulnerable to fragmented care and "falling through the cracks".2 A large county health and hospital system in California, USA introduced evidence-based interventions in accordance with the Triple AIM3 focused on patient-centered health care, prevention, health maintenance, and safe transitions across the care continuum...
2017: BMJ Quality Improvement Reports
https://www.readbyqxmd.com/read/28468642/the-ciprus-study-a-nurse-led-psychological-treatment-for-patients-with-undifferentiated-somatoform-disorder-in-primary-care-study-protocol-for-a-randomised-controlled-trial
#15
Kate Sitnikova, Stephanie S Leone, Lyonne N L Zonneveld, Harm W J van Marwijk, Judith E Bosmans, Johannes C van der Wouden, Henriëtte E van der Horst
BACKGROUND: Up to a third of patients presenting medically unexplained physical symptoms in primary care may have a somatoform disorder, of which undifferentiated somatoform disorder (USD) is the most common type. Psychological interventions can reduce symptoms associated with USD and improve functioning. Previous research has either been conducted in secondary care or interventions have been provided by general practitioners (GPs) or psychologists in primary care. As efficiency and cost-effectiveness are imperative in primary care, it is important to investigate whether nurse-led interventions are effective as well...
May 3, 2017: Trials
https://www.readbyqxmd.com/read/28466396/utilization-of-simulated-patients-to-assess-diabetes-and-asthma-counseling-practices-among-community-pharmacists-in-qatar
#16
Bridget Paravattil, Nadir Kheir, Adil Yousif
Background Patient counseling is one of the most important services a pharmacist can provide to patients. Studies have shown that counseling provided by pharmacists may prevent medication related problems and improve adherence to medication therapy. Objective To explore counseling practices among community pharmacists using simulated patients and to determine if patient, pharmacist, and pharmacy characteristics influence the counseling provided by community pharmacists. Setting Private community pharmacies within Qatar...
May 2, 2017: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/28462741/medicines-reablement-in-intermediate-health-and-social-care-services
#17
Kate Gerrish, Sara Laker, Sarah Wright, Wendy Stainrod
Aim To evaluate a medicines reablement initiative involving health and social care, to include consideration of the training package, proportion of patients reabled successfully, and patient and staff perspectives of the service. BACKGROUND: Intermediate care services provide short-term intervention to support patients with chronic conditions transition from hospital to community-based services and involves maximising patients' independence through reablement. The term 'medicines reablement' describes the process of rehabilitating patients to be independent with their medication...
May 2, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28458335/communication-skills-training-adapting-to-the-trends-and-moving-forward
#18
Ye Liu, Yiqin Huang, Hong Gao, Xunjia Cheng
Communication ability is one of the core requirements of doctors' competency. Teaching communication to medical students and junior doctors has attracted much attention. With the challenge of escalating demands, the status of training communication skills has been promoted in the past several decades. The training content was integrated with other courses and various pedagogic approaches have been applied and proved to be effective. Practical strategies and mixed types were highly recommended. However, there are still many problems, including the fragmentation of the training, insufficient practice, inadequate qualified teachers, case adaptation, course localization and impediment from the environment...
April 29, 2017: Bioscience Trends
https://www.readbyqxmd.com/read/28450083/improving-the-quality-of-home-healthcare-for-children-with-medical-complexity
#19
Savithri Nageswaran, Shannon L Golden
OBJECTIVES: The objectives of this study are to (1) describe the quality of home healthcare services for children with medical complexity, (2) identify barriers to delivering optimal home healthcare, and (3) discuss potential solutions to improve home healthcare delivery. METHODS: In this qualitative study, we conducted 20 semi-structured in-depth interviews with primary caregivers of children with medical complexity, and 4 focus groups with 18 home health nurses...
April 24, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28449672/compressed-sensing-mri-via-fast-linearized-preconditioned-alternating-direction-method-of-multipliers
#20
Shanshan Chen, Hongwei Du, Linna Wu, Jiaquan Jin, Bensheng Qiu
BACKGROUND: The challenge of reconstructing a sparse medical magnetic resonance image based on compressed sensing from undersampled k-space data has been investigated within recent years. As total variation (TV) performs well in preserving edge, one type of approach considers TV-regularization as a sparse structure to solve a convex optimization problem. Nevertheless, this convex optimization problem is both nonlinear and nonsmooth, and thus difficult to handle, especially for a large-scale problem...
April 27, 2017: Biomedical Engineering Online
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