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https://www.readbyqxmd.com/read/28943269/ramadan-fasting-in-diabetes-exercise-in-problem-solving
#1
Banshi Saboo
AIM: Appropriate management of a diabetic patient with co-morbidities, who is willing to fast during Ramadan. Case presentation A 45 year old male patient with T2DM for 5 years, current A1c of 8.3% and other co-morbidities is currently treated with metformin 500mg BID and glimepiride 2mg. During the pre-Ramadan assessment, glimepiride 2mg was changed to extended release gliclazide 60mg. It resulted in an improvement in his glycemic and microalbuminuria status without any hypoglycemic episodes...
July 29, 2017: Diabetes & Metabolic Syndrome
https://www.readbyqxmd.com/read/28942692/the-role-of-tele-medicine-in-patients-with-respiratory-diseases
#2
Nicolino Ambrosino, Claudio Fracchia
Tele-medicine is a clinical application connecting a patient with specialized care consultants by means of electronic platforms, potentially able to improve patients' self-management and allow for the care of patients with limited access to health services. This article summarizes the use of tele-medicine as a tool in managing patients suffering from some pathological respiratory conditions. Areas covered: We searched papers published between 1990 and 2017 dealing with tele-medicine and respiratory diseases, COPD, asthma, interstitial lung disease, chronic respiratory failure, neuromuscular diseases, critical illness, home mechanical ventilation, and also legal and economic issues...
September 25, 2017: Expert Review of Respiratory Medicine
https://www.readbyqxmd.com/read/28942096/evaluation-of-students-knowledge-about-paediatric-dosage-calculations
#3
Nurcan Özyazıcıoğlu, Ayla İrem Aydın, Semra Sürenler, Hava Gökdere Çinar, Dilek Yılmaz, Burcu Arkan, Gülseren Çıtak Tunç
Medication errors are common and may jeopardize the patient safety. As paediatric dosages are calculated based on the child's age and weight, risk of error in dosage calculations is increasing. In paediatric patients, overdose drug prescribed regardless of the child's weight, age and clinical picture may lead to excessive toxicity and mortalities while low doses may delay the treatment. This study was carried out to evaluate the knowledge of nursing students about paediatric dosage calculations. This research, which is of retrospective type, covers a population consisting of all the 3rd grade students at the bachelor's degree in May, 2015 (148 students)...
September 19, 2017: Nurse Education in Practice
https://www.readbyqxmd.com/read/28940043/extricating-manual-and-non-manual-features-for-subunit-level-medical-sign-modelling-in-automatic-sign-language-classification-and-recognition
#4
Elakkiya R, Selvamani K
Subunit segmenting and modelling in medical sign language is one of the important studies in linguistic-oriented and vision-based Sign Language Recognition (SLR). Many efforts were made in the precedent to focus the functional subunits from the view of linguistic syllables but the problem is implementing such subunit extraction using syllables is not feasible in real-world computer vision techniques. And also, the present recognition systems are designed in such a way that it can detect the signer dependent actions under restricted and laboratory conditions...
September 22, 2017: Journal of Medical Systems
https://www.readbyqxmd.com/read/28934923/discriminative-sparse-features-for-alzheimer-s-disease-diagnosis-using-multimodal-image-data
#5
A Ortiz, F Lozano, J M Gorriz, J Ramírez, F J Martinez-Murci, For The Alzheimer S Disease Neuroimaging Initiative
BACKGROUND: Feature extraction in medical image processing still remains a challenge, especially in high-dimensionality datasets, where the expected number of available samples is considerably lower than the dimension of the feature space. This is a common problem in real-world data, and, specifically, in medical image pro- cessing as, while images are composed of hundreds of thousands voxels, only a reduced number of patients are available. OBJECTIVE: Extracting descriptive and discriminative features to represent each sample (image) by a small number of features, which is particularly important in classification task, due to the curse of dimensionality problem...
September 21, 2017: Current Alzheimer Research
https://www.readbyqxmd.com/read/28931007/medical-resource-inventory-model-for-emergency-preparation-with-uncertain-demand-and-stochastic-occurrence-time-under-considering-different-risk-preferences-at-the-airport
#6
Wei Pan, Ying Guo, Lei Jin, ShuJie Liao
With the high accident rate of civil aviation, medical resource inventory becomes more important for emergency management at the airport. Meanwhile, medical products usually are time-sensitive and short lifetime. Moreover, we find that the optimal medical resource inventory depends on multiple factors such as different risk preferences, the material shelf life and so on. Thus, it becomes very complex in a real-life environment. According to this situation, we construct medical resource inventory decision model for emergency preparation at the airport...
2017: PloS One
https://www.readbyqxmd.com/read/28927941/gaming-the-system-creation-of-a-random-case-generating-game-for-use-in-morning-report
#7
Pallavi Kamra, Emily C Borman-Shoap, Lei Zhang, Michael B Pitt
BACKGROUND: Case-based morning reports are a staple of residency education. Little is known about the role of game-based learning in facilitating case-based discussions. OBJECTIVES: Compare an educational game that can be used for creating impromptu case-based sessions to traditional morning report. METHODS: We created a game called Differential Diagnosis Slot Machine, which allows participants to quickly generate theoretical cases for discussion...
September 16, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28916381/perspectives-on-the-production-structural-characteristics-and-potential-applications-of-bioplastics-derived-from-polyhydroxyalkanoates
#8
REVIEW
Priscilla B S Albuquerque, Carolina B Malafaia
Since the last two decades, the use of synthetic materials has increased and become more frequent in this capitalist system. Polymers used as raw materials are usually disposed very rapidly and considered serious damages when they return to the environment. Because of this behaviour, there was an increasing in the global awareness by minimizing the waste generated, in addition to the scientific community concern for technological alternatives to solve this problem. Alternatively, biodegradable polymers are attracting special interest due to their inherent properties, which are similar to the ones of the conventional plastics...
September 12, 2017: International Journal of Biological Macromolecules
https://www.readbyqxmd.com/read/28906232/the-pharmaceutical-industry-and-the-canadian-government-folie-%C3%A3-deux
#9
Joel Lexchin
The interest of the pharmaceutical industry is in achieving a profit for its shareholders while the interest of the Canadian government should be in protecting public health. However, over the course of the past few decades the actions of the Canadian government have been tilted in favour of industry in two areas. The first is in the relationship between industry and Health Canada and is manifested in the regulation of clinical trials, the drug approval system, drug safety and promotion. The second is in economic policy as it applies to policies about patent protection, the price of medications and measures taken to incentivize research and development...
August 2017: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/28904539/the-relationship-of-social-problem-solving-skills-and-dysfunctional-attitudes-with-risk-of-drug-abuse-among-dormitory-students-at-isfahan-university-of-medical-sciences
#10
Ehteram Nasrazadani, Jahangir Maghsoudi, Tayebeh Mahrabi
BACKGROUND: Dormitory students encounter multiple social factors which cause pressure, such as new social relationships, fear of the future, and separation from family, which could cause serious problems such as tendency toward drug abuse. This research was conducted with the goal to determine social problem-solving skills, dysfunctional attitudes, and risk of drug abuse among dormitory students of Isfahan University of Medical Sciences, Iran. MATERIALS AND METHODS: This was a descriptive-analytical, correlational, and cross-sectional research...
July 2017: Iranian Journal of Nursing and Midwifery Research
https://www.readbyqxmd.com/read/28893238/monitoring-progression-of-clinical-reasoning-skills-during-health-sciences-education-using-the-case-method-a-qualitative-observational-study
#11
Kristina Orban, Maria Ekelin, Gudrun Edgren, Olof Sandgren, Pia Hovbrandt, Eva K Persson
BACKGROUND: Outcome- or competency-based education is well established in medical and health sciences education. Curricula are based on courses where students develop their competences and assessment is also usually course-based. Clinical reasoning is an important competence, and the aim of this study was to monitor and describe students' progression in professional clinical reasoning skills during health sciences education using observations of group discussions following the case method...
September 11, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28885476/determining-the-risk-of-sepsis-using-nurse-compounded-elastomeric-pumps-for-continuous-infusion-in-outpatient-parenteral-antibiotic-therapy
#12
Pauline M Dobson, Mark Loewenthal, Lisa Harris
Limited availability of compounded antibiotics used for continuous infusion outpatient parenteral antibiotic therapy (OPAT) can delay or interrupt an OPAT course. To solve this problem, OPAT nurses at a hospital in Australia have been compounding elastomeric pumps for immediate use. The incidence of sepsis in 5014 patients before and after the introduction of nurse compounding was compared. There were no cases of laboratory-confirmed bloodstream infection among the nurse-compounded group compared with 2 cases (0...
September 2017: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://www.readbyqxmd.com/read/28882184/modified-task-based-learning-program-promotes-problem-solving-capacity-among-chinese-medical-postgraduates-a-mixed-quantitative-survey
#13
Yanping Tian, Chengren Li, Jiali Wang, Qiyan Cai, Hanzhi Wang, Xingshu Chen, Yunlai Liu, Feng Mei, Lan Xiao, Rui Jian, Hongli Li
BACKGROUND: Despite great advances, China's postgraduate education faces many problems, for example traditional lecture-based learning (LBL) method provides fewer oppotunities to apply knowledge in a working situation. Task-based learning (TBL) is an efficient strategy for increasing the connections among skills, knowledge and competences. This study aimed to evaluate the effect of a modified TBL model on problem-solving abilities among postgraduate medical students in China. METHODS: We allocated 228 first-year postgraduate students at Third Military Medical University into two groups: the TBL group and LBL group...
September 7, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28880157/hierarchical-sparse-representation-for-robust-image-registration
#14
Yeqing Li, Chen Chen, Fei Yang, Junzhou Huang
Similarity measure is an essential component in image registration. In this article, we propose a novel similarity measure for registration of two or more images. The proposed method is motivated by the fact that optimally registered images can be sparsified hierarchically in the gradient domain and frequency domain with the separation of sparse errors. One of the key advantages of the proposed similarity measure is its robustness in dealing with severe intensity distortions, which widely exist on medical images, remotely sensed images and natural photos due to differences of acquisition modalities or illumination conditions...
September 1, 2017: IEEE Transactions on Pattern Analysis and Machine Intelligence
https://www.readbyqxmd.com/read/28879310/education-that-allows-south-korean-colleges-of-dentistry-to-teach-emergency-care
#15
REVIEW
Jeongwan Kang
As the medical environment and dental services change, the importance of educating dentists in responses to systemic emergencies is increasing. The current student-oriented education paradigm is moving towards training students in the abilities required to address the daily crises they will face, while also providing them with the ability to deliver knowledge. Before addressing a patient's situation, emergency physicians begin by diagnosing symptoms. As they must decide on the tests and treatments that are immediately required and must solve problems through interdisciplinary treatment, emergency physicians require additional skills and communication abilities besides clinical knowledge...
December 2016: J Dent Anesth Pain Med
https://www.readbyqxmd.com/read/28860432/-maggie-s-tokyo-s-human-support-the-meaning-of-where-now-and-cancer-journey
#16
Yoshie Takada
The landscape architect Maggie Jencks felt that she wanted a place to "get herself back" when her breast cancer recurred and was told that she only had a few months remaining. Mr. Charles Jencks, her husband who fulfilled her wishes, opened the first "Maggie's Cancer Caring Centre" in Edinburgh in 1996. Masako Akiyama, the chief of Maggie's Tokyo found out about Maggie's Centre when she listened to a presentation from Andrew Anderson, the director of Maggie's Edinburgh, at an International Nursing Seminar in 2008...
August 2017: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/28852853/predicting-symptomatic-cerebral-vasospasm-after-aneurysmal-subarachnoid-hemorrhage-with-an-artificial-neural-network-in-a-pediatric-population
#17
Jesse Skoch, Rizwan Tahir, Todd Abruzzo, John M Taylor, Mario Zuccarello, Sudhakar Vadivelu
PURPOSE: Artificial neural networks (ANN) are increasingly applied to complex medical problem solving algorithms because their outcome prediction performance is superior to existing multiple regression models. ANN can successfully identify symptomatic cerebral vasospasm (SCV) in adults presenting after aneurysmal subarachnoid hemorrhage (aSAH). Although SCV is unusual in children with aSAH, the clinical consequences are severe. Consequently, reliable tools to predict patients at greatest risk for SCV may have significant value...
August 29, 2017: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/28852665/promotion-of-higher-order-of-cognition-in-undergraduate-medical-students-using-case-based-approach
#18
Suparna Dubey, Ashok Kumar Dubey
BACKGROUND: The curriculum of pathology is conventionally "taught" in a series of didactic lectures, which promotes learning by rote. In this study, case-based learning (CBL) was introduced to assess its effect on higher order cognition and problem-solving skills in undergraduate medical students. SUBJECTS AND METHODS: The prescribed syllabus of hepatobiliary system was delivered to the undergraduate medical students of the fourth semester by conventional didactic lectures...
2017: Journal of Education and Health Promotion
https://www.readbyqxmd.com/read/28846504/a-mobile-health-data-collection-system-for-remote-areas-to-monitor-women-participating-in-a-cervical-cancer-screening-campaign
#19
Kelly Quercia, Phuong Lien Tran, Jéromine Jinoro, Joséa Lea Herniainasolo, Manuela Viviano, Pierre Vassilakos, Caroline Benski, Patrick Petignat
BACKGROUND: Barriers to efficient cervical cancer screening in low- and medium-income countries include the lack of systematic monitoring of the participants' data. The aim of this study was to assess the feasibility of a mobile health (m-Health) data collection system to facilitate monitoring of women participating to cervical cancer screening campaign. METHODS: Women aged 30-65 years, participating in a cervical cancer screening campaign in Ambanja, Madagascar, were invited to participate in the study...
August 28, 2017: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/28835028/-holistic-integrative-medicine-application-in-prevention-and-treatment-of-oral-mucosal-diseases
#20
X Jin, L Xie, X Zhao, J Li, X Zeng, Q M Chen
Holistic integrative medicine (HIM), as one of the important ideas in the field of medicine, arouses great concern recently. HIM regards the human body as a whole, turns data and evidence in medical research back to facts, integrates technologies and experience developed in clinical research into medical skills. The repeated practices at the levels of fact, experience, and medical skills will generate true knowledge to solve the wide spread problems brought by linearized thinking and fragmented knowledge. With the development of highly divided medical disciplines, how to utilize and practice HIM has become a common concern of the medical community...
August 9, 2017: Zhonghua Kou Qiang Yi Xue za Zhi, Zhonghua Kouqiang Yixue Zazhi, Chinese Journal of Stomatology
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