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https://www.readbyqxmd.com/read/28224099/using-quality-improvement-methods-to-increase-use-of-pain-prevention-strategies-for-childhood-vaccination
#1
Jennifer Verrill Schurman, Amanda D Deacy, Rebecca J Johnson, Jolynn Parker, Kristi Williams, Dustin Wallace, Mark Connelly, Lynn Anson, Kevin Mroczka
AIM: To increase evidence-based pain prevention strategy use during routine vaccinations in a pediatric primary care clinic using quality improvement methodology. METHODS: Specific intervention strategies (i.e., comfort positioning, nonnutritive sucking and sucrose analgesia, distraction) were identified, selected and introduced in three waves, using a Plan-Do-Study-Act framework. System-wide change was measured from baseline to post-intervention by: (1) percent of vaccination visits during which an evidence-based pain prevention strategy was reported as being used; and (2) caregiver satisfaction ratings following the visit...
February 8, 2017: World Journal of Clinical Pediatrics
https://www.readbyqxmd.com/read/28147693/inverse-collimated-proton-radiography-for-imaging-thin-materials
#2
Matthew S Freeman, Jason Allison, Malcolm Andrews, Eric Ferm, John J Goett, Kris Kwiatkowski, Julian Lopez, Fesseha Mariam, Mark Marr-Lyon, Michael Martinez, Jason Medina, Patrick Medina, Frank E Merrill, Chris L Morris, Matthew M Murray, Paul Nedrow, Levi P Neukirch, Katherine Prestridge, Paolo Rigg, Alexander Saunders, Tamsen Schurman, Amy Tainter, Frans Trouw, Dale Tupa, Josh Tybo, Wendy Vogan-McNeil, Carl Wilde
Relativistic, magnetically focused proton radiography was invented at Los Alamos National Laboratory using the 800 MeV LANSCE beam and is inherently well-suited to imaging dense objects, at areal densities >20 g cm(-2). However, if the unscattered portion of the transmitted beam is removed at the Fourier plane through inverse-collimation, this system becomes highly sensitive to very thin media, of areal densities <100 mg cm(-2). Here, this inverse-collimation scheme is described in detail and demonstrated by imaging Xe gas with a shockwave generated by an aluminum plate compressing the gas at Mach 8...
January 2017: Review of Scientific Instruments
https://www.readbyqxmd.com/read/28140312/-argentine-guidelines-for-the-diagnosis-prevention-and-treatment-of-osteoporosis-2015
#3
León Schurman, Ana M Galich, Claudio González, Diana González, Osvaldo D Messina, Claudia Sedlinsky, Claudia R Uñas, Ariel Sánchez
Osteoporosis is an evolving disease which affects over 200 million people worldwide. Our recommendations are guidelines for its diagnosis, prevention and treatment, but they do not constitute standards for clinical decisions in individual cases. The physician must adapt them to individual special situations, incorporating personal factors that transcend the limits of these guidelines and are dependent on the knowledge and art of the practice of Medicine. These guidelines should be reviewed and updated periodically as new, better and more effective diagnostic and therapeutic tools become available...
2017: Medicina
https://www.readbyqxmd.com/read/28135199/pre-exposure-prophylaxis-prep-as-an-additional-tool-for-hiv-prevention-among-men-who-have-sex-with-men-in-belgium-the-be-prep-ared-study-protocol
#4
Irith De Baetselier, Thijs Reyniers, Christiana Nöstlinger, Kristien Wouters, Katrien Fransen, Tania Crucitti, Chris Kenyon, Jozefien Buyze, Céline Schurmans, Marie Laga, Bea Vuylsteke
BACKGROUND: Pre-exposure prophylaxis (PrEP) is a promising and effective tool to prevent HIV. With the approval of Truvada as daily PrEP by the European Commission in August 2016, individual European Member states prepare themselves for PrEP implementation following the examples of France and Norway. However, context-specific data to guide optimal implementation is currently lacking. OBJECTIVE: With this demonstration project we evaluate whether daily and event-driven PrEP, provided within a comprehensive prevention package, is a feasible and acceptable additional prevention tool for men who have sex with men (MSM) at high risk of acquiring HIV in Belgium...
January 30, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/27895848/four-artemisinin-based-treatments-in-african-pregnant-women-with-malaria
#5
Divine Pekyi, Akua A Ampromfi, Halidou Tinto, Maminata Traoré-Coulibaly, Marc C Tahita, Innocent Valéa, Victor Mwapasa, Linda Kalilani-Phiri, Gertrude Kalanda, Mwayiwawo Madanitsa, Raffaella Ravinetto, Theonest Mutabingwa, Prosper Gbekor, Harry Tagbor, Gifty Antwi, Joris Menten, Maaike De Crop, Yves Claeys, Celine Schurmans, Chantal Van Overmeir, Kamala Thriemer, Jean-Pierre Van Geertruyden, Umberto D'Alessandro, Michael Nambozi, Modest Mulenga, Sebastian Hachizovu, Jean-Bertin B Kabuya, Joyce Mulenga
BACKGROUND: Information regarding the safety and efficacy of artemisinin combination treatments for malaria in pregnant women is limited, particularly among women who live in sub-Saharan Africa. METHODS: We conducted a multicenter, randomized, open-label trial of treatments for malaria in pregnant women in four African countries. A total of 3428 pregnant women in the second or third trimester who had falciparum malaria (at any parasite density and regardless of symptoms) were treated with artemether-lumefantrine, amodiaquine-artesunate, mefloquine-artesunate, or dihydroartemisinin-piperaquine...
September 2016: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/27812101/experiences-and-lessons-from-a-multicountry-nidiag-study-on-persistent-digestive-disorders-in-the-tropics
#6
Sören L Becker, Peiling Yap, Ninon S Horié, Emilie Alirol, Barbara Barbé, Nisha K Bhatta, Narayan R Bhattarai, Emmanuel Bottieau, Justin K Chatigre, Jean T Coulibaly, Hassan K M Fofana, Jan Jacobs, Prahlad Karki, Basudha Khanal, Stefanie Knopp, Kanika Koirala, Yodi Mahendradhata, Pascal Mertens, Fransiska Meyanti, Elsa H Murhandarwati, Eliézer K N'Goran, Rosanna W Peeling, Bickram Pradhan, Raffaella Ravinetto, Suman Rijal, Moussa Sacko, Rénion Saye, Pierre H H Schneeberger, Céline Schurmans, Kigbafori D Silué, Peter Steinmann, Harry van Loen, Kristien Verdonck, Lisette van Lieshout, Lutz von Müller, Joel A Yao, Marleen Boelaert, François Chappuis, Katja Polman, Jürg Utzinger
No abstract text is available yet for this article.
November 2016: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/27788131/the-impact-of-environmental-and-endogenous-damage-on-somatic-mutation-load-in-human-skin-fibroblasts
#7
Natalie Saini, Steven A Roberts, Leszek J Klimczak, Kin Chan, Sara A Grimm, Shuangshuang Dai, David C Fargo, Jayne C Boyer, William K Kaufmann, Jack A Taylor, Eunjung Lee, Isidro Cortes-Ciriano, Peter J Park, Shepherd H Schurman, Ewa P Malc, Piotr A Mieczkowski, Dmitry A Gordenin
Accumulation of somatic changes, due to environmental and endogenous lesions, in the human genome is associated with aging and cancer. Understanding the impacts of these processes on mutagenesis is fundamental to understanding the etiology, and improving the prognosis and prevention of cancers and other genetic diseases. Previous methods relying on either the generation of induced pluripotent stem cells, or sequencing of single-cell genomes were inherently error-prone and did not allow independent validation of the mutations...
2016: PLoS Genetics
https://www.readbyqxmd.com/read/27694492/inositol-triphosphate-3-kinase-c-mediates-inflammasome-activation-and-treatment-response-in-kawasaki-disease
#8
Martin Prince Alphonse, Trang T Duong, Chisato Shumitzu, Truong Long Hoang, Brian W McCrindle, Alessandra Franco, Stéphane Schurmans, Dana J Philpott, Martin L Hibberd, Jane Burns, Taco W Kuijpers, Rae S M Yeung
Kawasaki disease (KD) is a multisystem vasculitis that predominantly targets the coronary arteries in children. Phenotypic similarities between KD and recurrent fever syndromes point to the potential role of inflammasome activation in KD. Mutations in NLRP3 are associated with recurrent fever/autoinflammatory syndromes. We show that the KD-associated genetic polymorphism in inositol-triphosphate 3-kinase C (ITPKC) (rs28493229) has important functional consequences, governing ITPKC protein levels and thereby intracellular calcium, which in turn regulates NLRP3 expression and production of IL-1β and IL-18...
September 30, 2016: Journal of Immunology: Official Journal of the American Association of Immunologists
https://www.readbyqxmd.com/read/27589038/knowledge-gaps-in-patients-with-atrial-fibrillation-revealed-by-a-new-validated-knowledge-questionnaire
#9
Lien Desteghe, Lara Engelhard, Zina Raymaekers, Kiki Kluts, Johan Vijgen, Dagmara Dilling-Boer, Pieter Koopman, Joris Schurmans, Paul Dendale, Hein Heidbuchel
OBJECTIVE: The aim of this study was to develop and validate a new questionnaire, the Jessa Atrial fibrillation Knowledge Questionnaire (JAKQ), to test the knowledge of patients with atrial fibrillation (AF) about the arrhythmia, its treatment and their ability for self-management. METHODS: The JAKQ was developed based on other questionnaires, two educational checklists and patient information support websites. The JAKQ was validated based on content validity, face validity, response process, discriminatory potential and sensitivity of the questionnaire, construct validity and reliability...
November 15, 2016: International Journal of Cardiology
https://www.readbyqxmd.com/read/27457769/prevalence-of-overlap-syndromes-and-symptoms-in-pediatric-functional-dyspepsia
#10
Craig A Friesen, John M Rosen, Jennifer V Schurman
BACKGROUND: The purpose was to evaluate the overlap frequency of irritable bowel syndrome (IBS), gastroesophageal reflux disease (GERD), and overactive bladder syndrome (OBS), as well as other gastrointestinal and systemic symptoms, in functional dyspepsia (FD). Additionally, we sought to determine whether adult Rome III FD subtypes were uniquely related to overlap syndromes or symptoms. METHODS: The study was a retrospective review of 100 consecutive pediatric patients, age 8-17 years, diagnosed with FD...
July 25, 2016: BMC Gastroenterology
https://www.readbyqxmd.com/read/27356273/implementing-psychological-therapies-for-functional-gi-disorders-in-children-and-adults
#11
Bonney Reed-Knight, Robyn Lewis Claar, Jennifer Verrill Schurman, Miranda A L van Tilburg
INTRODUCTION: Functional GI disorders (FGIDs) are common in adults and children. Psychological factors play an important role in the onset and maintenance of FGIDs and in explaining the associated disability. Psychological treatments such as Cognitive Behavioral Therapy and Hypnotherapy have been found efficacious in FGIDs but Integrating psychological treatments into traditionally medically-oriented care can be challenging. AREAS COVERED: This review outlines the case for integrating psychological therapies into medical care for FGIDs and examine various models of integrated care that can be adapted to fit specific practice scenarios...
September 2016: Expert Review of Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/27036498/specific-expression-and-function-of-inositol-1-4-5-trisphosphate-3-kinase-c-itpkc-in-wild-type-and-knock-out-mice
#12
Ariane Scoumanne, Patricia Molina-Ortiz, Daniel Monteyne, David Perez-Morga, Christophe Erneux, Stéphane Schurmans
Inositol 1,4,5-trisphosphate 3-kinase C (ITPKC) is the last identified member of the inositol 1,4,5-trisphosphate 3-kinases family which phosphorylates inositol 1,4,5-trisphosphate into inositol 1,3,4,5-tetrakisphosphate. Although expression and function of the two other family members ITPKA and ITPKB are rather well characterized, similar information is lacking for ITPKC. Here, we first defined the expression of Itpkc mRNA and protein in mouse tissues and cells using in situ hybridization and new antibodies...
March 22, 2016: Advances in Biological Regulation
https://www.readbyqxmd.com/read/26893496/performance-of-handheld-electrocardiogram-devices-to-detect-atrial-fibrillation-in-a-cardiology-and-geriatric-ward-setting
#13
Lien Desteghe, Zina Raymaekers, Mark Lutin, Johan Vijgen, Dagmara Dilling-Boer, Pieter Koopman, Joris Schurmans, Philippe Vanduynhoven, Paul Dendale, Hein Heidbuchel
AIMS: To determine the usability, accuracy, and cost-effectiveness of two handheld single-lead electrocardiogram (ECG) devices for atrial fibrillation (AF) screening in a hospital population with an increased risk for AF. METHODS AND RESULTS: Hospitalized patients (n = 445) at cardiological or geriatric wards were screened for AF by two handheld ECG devices (MyDiagnostick and AliveCor). The performance of the automated algorithm of each device was evaluated against a full 12-lead or 6-lead ECG recording...
January 2017: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/26855822/therapeutic-effect-of-melatonin-on-pediatric-functional-dyspepsia-a-pilot-study
#14
Katherine Zybach, Craig A Friesen, Jennifer V Schurman
AIM: To study the effectiveness of melatonin vs placebo in children with functional dyspepsia (FD). METHODS: The study was conducted as a double blind, randomized, placebo controlled crossover trial. Subjects were aged 8-17 years and diagnosed with FD based on Rome III criteria. All subjects had failed to respond to 4 wk of acid suppression. Subjects receive a continuous two weeks of placebo and a continuous two weeks of melatonin in an order blinded to the participant and the study team...
February 6, 2016: World Journal of Gastrointestinal Pharmacology and Therapeutics
https://www.readbyqxmd.com/read/26847122/cancer-in-the-left-anterior-descending-artery-a-therapeutic-aspect-of-thrombus-aspiration
#15
Dieter Dauwe, Nick Hiltrop, Willem Schurmans, Philippe Moerman, Jan Bogaert, Stefan Janssens, Mark Coosemans
No abstract text is available yet for this article.
February 8, 2016: JACC. Cardiovascular Interventions
https://www.readbyqxmd.com/read/26710227/parent-attitudes-toward-pain-management-for-childhood-immunizations
#16
Mark Connelly, Dustin P Wallace, Kristi Williams, JoLynn Parker, Jennifer V Schurman
OBJECTIVES: Evidence-based pain-limiting strategies for pediatric immunizations remain underutilized, with barriers identified to date mostly pertaining to health care providers and systems of care. The present study sought to quantify and investigate parent attitudes toward pain management as another potential barrier to the routine use of pain-mitigating strategies during immunizations. MATERIALS AND METHODS: Questionnaires measuring parent attitudes, willingness to pay, and perceived barriers for using pain management for immunizations were completed by 259 parent/guardians of children ages 0 to 5 years attending appointments at an urban primary care clinic in the Midwestern United States...
August 2016: Clinical Journal of Pain
https://www.readbyqxmd.com/read/26642430/examining-predictors-of-healthcare-utilization-in-youth-with-inflammatory-bowel-disease
#17
Andrea A Wojtowicz, Jill M Plevinsky, Natasha Poulopoulos, Jennifer V Schurman, Rachel N Greenley
BACKGROUND AND AIMS: Traditional definitions of healthcare utilization (HCU) emphasize clinical visits and procedures. Clinic calls, an understudied form of HCU, occur with high frequency. Understanding and examining predictors of HCU, such as disease activity and parent distress, may help reduce overutilization. METHODS: A total of 68 adolescents with inflammatory bowel disease [IBD; mean (SD) =14.18 (1.92) years] and their parents participated. Parent distress was assessed through parent report on the PedsQL Family Impact Module, and physicians provided ratings of patient disease activity using the Physician's Global Assessment index...
April 2016: European Journal of Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/26558142/present-state-and-future-challenges-in-pediatric-abdominal-pain-therapeutics-research-looking-beyond-the-forest
#18
Craig A Friesen, Jennifer V Schurman, Susan M Abdel-Rahman
At the present time, it is nearly impossible to treat pediatric functional gastrointestinal disorders associated with pain in an evidence based fashion. This is due to the overall lack of controlled studies and, even more importantly, the complexity of the contributors to disease phenotype which are not controlled or accounted for in most therapeutic trials. In this manuscript, we review the challenges of defining entry criteria, controlling for the large number of biopsychosocial factors which may effect outcomes, and understanding pharmacokinetic and pharmacodynamic factors when designing therapeutic trials for abdominal pain in children...
November 6, 2015: World Journal of Gastrointestinal Pharmacology and Therapeutics
https://www.readbyqxmd.com/read/26537896/erratum-to-diagnosis-of-neglected-tropical-diseases-among-patients-with-persistent-digestive-disorders-diarrhoea-and-or-abdominal-pain-%C3%A2-14-days-a-multi-country-prospective-non-experimental-case-control-study
#19
Katja Polman, Sören L Becker, Emilie Alirol, Nisha K Bhatta, Narayan R Bhattarai, Emmanuel Bottieau, Martin W Bratschi, Sakib Burza, Jean T Coulibaly, Mama N Doumbia, Ninon S Horié, Jan Jacobs, Basudha Khanal, Aly Landouré, Yodi Mahendradhata, Filip Meheus, Pascal Mertens, Fransiska Meyanti, Elsa H Murhandarwati, Eliézer K N'Goran, Rosanna W Peeling, Raffaella Ravinetto, Suman Rijal, Moussa Sacko, Rénion Saye, Pierre H H Schneeberger, Céline Schurmans, Kigbafori D Silué, Jarir A Thobari, Mamadou S Traoré, Lisette van Lieshout, Harry van Loen, Kristien Verdonck, Lutz von Müller, Cédric P Yansouni, Joel A Yao, Patrick K Yao, Peiling Yap, Marleen Boelaert, François Chappuis, Jürg Utzinger
No abstract text is available yet for this article.
2015: BMC Infectious Diseases
https://www.readbyqxmd.com/read/26504246/tether-mutations-that-restore-function-and-suppress-pleiotropic-phenotypes-of-the-c-elegans-isp-1-qm150-rieske-iron-sulfur-protein
#20
Gholamali Jafari, Brian M Wasko, Ashley Tonge, Nathan Schurman, Cindy Dong, Zhongyu Li, Rebecca Peters, Ernst-Bernhard Kayser, Jason N Pitt, Phil G Morgan, Margaret M Sedensky, Antony R Crofts, Matt Kaeberlein
Mitochondria play an important role in numerous diseases as well as normative aging. Severe reduction in mitochondrial function contributes to childhood disorders such as Leigh Syndrome, whereas mild disruption can extend the lifespan of model organisms. The Caenorhabditis elegans isp-1 gene encodes the Rieske iron-sulfur protein subunit of cytochrome c oxidoreductase (complex III of the electron transport chain). The partial loss of function allele, isp-1(qm150), leads to several pleiotropic phenotypes. To better understand the molecular mechanisms of ISP-1 function, we sought to identify genetic suppressors of the delayed development of isp-1(qm150) animals...
November 10, 2015: Proceedings of the National Academy of Sciences of the United States of America
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