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https://www.readbyqxmd.com/read/27826218/instrumental-tactile-diagnostics-in-robot-assisted-surgery
#1
Rozalia F Solodova, Vladimir V Galatenko, Eldar R Nakashidze, Igor L Andreytsev, Alexey V Galatenko, Dmitriy K Senchik, Vladimir M Staroverov, Vladimir E Podolskii, Mikhail E Sokolov, Victor A Sadovnichy
BACKGROUND: Robotic surgery has gained wide acceptance due to minimizing trauma in patients. However, the lack of tactile feedback is an essential limiting factor for the further expansion. In robotic surgery, feedback related to touch is currently kinesthetic, and it is mainly aimed at the minimization of force applied to tissues and organs. Design and implementation of diagnostic tactile feedback is still an open problem. We hypothesized that a sufficient tactile feedback in robot-assisted surgery can be provided by utilization of Medical Tactile Endosurgical Complex (MTEC), which is a novel specialized tool that is already commercially available in the Russian Federation...
2016: Medical Devices: Evidence and Research
https://www.readbyqxmd.com/read/27734452/a-case-of-prehospital-traumatic-arrest-in-a-us-special-operations-soldier-care-from-point-of-injury-to-full-recovery
#2
Myles R McKenzie, Ernest W Parrish, Ethan A Miles, James C Spradling, Lanny F Littlejohn, Mark D Quinlan, George A Barbee, David R King
During an assault on an extremely remote target, a US Special Operations Soldier sustained multiple gunshot and fragmentation wounds to the thorax, resulting in a traumatic arrest and subsequent survival. His care, including care under fire, tactical field care, tactical evacuation care, and Role III, IV, and V care, is presented. The case is used to illustrate the complex dynamics of Special Operations care on the modern battlefield and the exceptional outcomes possible when evidence-based medicine is taken to the warfighter with effective, farforward, expeditionary medical-force projection...
2016: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://www.readbyqxmd.com/read/27734447/force-protection-medical-support-at-national-special-security-events-experience-from-the-2016-republican-and-democratic-national-conventions
#3
Nelson Tang, Asa M Margolis, Nathan Woltman, Matthew J Levy
No abstract text is available yet for this article.
2016: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://www.readbyqxmd.com/read/27734444/walking-the-plank
#4
Joshua Banting, Tony Meriano
The series objective is to review various clinical conditions/ presentations, including the latest evidence on management, and to dispel common myths. In the process, core knowledge and management principles are enhanced. A clinical case will be presented. Cases will be drawn from real life but phrased in a context that is applicable to the Special Operations Forces (SOF) or tactical emergency medical support (TEMS) environment. Details will be presented in such a way that the reader can follow along and identify how they would manage the case clinically depending on their experience and environment situation...
2016: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://www.readbyqxmd.com/read/27633573/enteric-immunity-the-gut-microbiome-and-sepsis-rethinking-the-germ-theory-of-disease
#5
Javier Cabrera-Perez, Vladimir P Badovinac, Thomas S Griffith
Sepsis is a poorly understood syndrome of systemic inflammation responsible for hundreds of thousands of deaths every year. The integrity of the gut epithelium and competence of adaptive immune responses are notoriously compromised during sepsis, and the prevalent assumption in the scientific and medical community is that intestinal commensals have a detrimental role in the systemic inflammation and susceptibility to nosocomial infections seen in critically ill, septic patients. However, breakthroughs in the last decade provide strong credence to the idea that our mucosal microbiome plays an essential role in adaptive immunity, where a human host and its prokaryotic colonists seem to exist in a carefully negotiated armistice with compromises and benefits that go both ways...
September 15, 2016: Experimental Biology and Medicine
https://www.readbyqxmd.com/read/27612678/what-is-an-intensive-care-unit-a-report-of-the-task-force-of-the-world-federation-of-societies-of-intensive-and-critical-care-medicine
#6
John C Marshall, Laura Bosco, Neill K Adhikari, Bronwen Connolly, Janet V Diaz, Todd Dorman, Robert A Fowler, Geert Meyfroidt, Satoshi Nakagawa, Paolo Pelosi, Jean-Louis Vincent, Kathleen Vollman, Janice Zimmerman
Since their widespread introduction more than half a century ago, intensive care units (ICUs) have become an integral part of the health care system. Although most ICUs are found in high-income countries, they are increasingly a feature of health care systems in low- and middle-income countries. The World Federation of Societies of Intensive and Critical Care Medicine convened a task force whose objective was to answer the question "What is an ICU?" in an internationally meaningful manner and to develop a system for stratifying ICUs on the basis of the intensity of the care they provide...
July 25, 2016: Journal of Critical Care
https://www.readbyqxmd.com/read/27604725/a-porcine-model-of-traumatic-brain-injury-via-head-rotational-acceleration
#7
D Kacy Cullen, James P Harris, Kevin D Browne, John A Wolf, John E Duda, David F Meaney, Susan S Margulies, Douglas H Smith
Unique from other brain disorders, traumatic brain injury (TBI) generally results from a discrete biomechanical event that induces rapid head movement. The large size and high organization of the human brain makes it particularly vulnerable to traumatic injury from rotational accelerations that can cause dynamic deformation of the brain tissue. Therefore, replicating the injury biomechanics of human TBI in animal models presents a substantial challenge, particularly with regard to addressing brain size and injury parameters...
2016: Methods in Molecular Biology
https://www.readbyqxmd.com/read/27450608/pain-as-a-barrier-to-human-performance-a-focus-on-function-for-self-reporting-pain-with-the-defense-veterans-pain-rating-scale
#8
Chester C Buckenmaier, Kevin T Galloway, Rosemary C Polomano, Patricia A Deuster
The intense physical demands and dangerous operational environments common to Special Operations Forces (SOF) result in a variety of painful conditions, including musculoskeletal pain, headaches, and acute and chronic pain from combat injuries. Pain is a wellaccepted barrier to human performance. The Pain Management Task Force and the development of the Defense Veterans Pain Rating Scale (DVPRS) are discussed to provide a framework for changing the culture of pain management away from intensity of pain to interference with function and performance...
2016: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://www.readbyqxmd.com/read/27450607/sea-state-green
#9
Joshua Banting, Tony Meriano
The series objective is to review various clinical conditions/ presentations, including the latest evidence on management, and to dispel common myths. In the process, core knowledge and management principles are enhanced. A clinical case will be presented. Cases will be drawn from real life but phrased in a context that is applicable to the Special Operations Forces (SOF) or tactical emergency medical support (TEMS) environment. Details will be presented in such a way that the reader can follow along and identify how they would manage the case clinically depending on their experience and environment situation...
2016: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://www.readbyqxmd.com/read/27450601/field-sterilization-in-the-austere-and-operational-environment-a-literature-review-of-recommendations
#10
Joshua S Will, Shawn M Alderman, Robert C Sawyer
Special Operations Forces medical providers are often deployed far beyond traditional military supply chains, forcing them to rely on alternative methods for field sterilization of medical equipment. This literature review proposes several alternative methods for both sterilization and disinfection of medical instruments after use and cleaning of skin and wounds before procedures. This article reviews recommendations from sources like the United Nations, the World Health Organization, the Special Operations Forces Medical Handbook, and the Centers for Disease Control and Prevention...
2016: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://www.readbyqxmd.com/read/27450596/case-report-of-an-anthrax-presentation-relevant-to-special-operations-medicine
#11
Stephen Winkler, Robert W Enzenauer, James W Karesh, Nshimyimana Pasteur, Derek L Eisnor, Rex B Painter, Christopher J Calvano
Special Operations Forces (SOF) medical personnel function worldwide in environments where endemic anthrax (caused by Bacillus anthracis infection) may present in one of three forms: cutaneous, pulmonary, or gastrointestinal. This report presents a rare periocular anthrax case from Haiti to emphasize the need for heightened diagnostic suspicion of unusual lesions likely to be encountered in SOF theaters.
2016: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://www.readbyqxmd.com/read/27444985/the-intensive-care-unit-specialist-report-from-the-task-force-of-world-federation-of-societies-of-intensive-and-critical-care-medicine
#12
Pravin Amin, Alison Fox-Robichaud, J V Divatia, Paolo Pelosi, Defne Altintas, Emel Eryüksel, Yatin Mehta, Gee Young Suh, Lluís Blanch, Norbert Weiler, Janice Zimmerman, Jean-Louis Vincent
The role of the critical care specialist has been unequivocally established in the management of severely ill patients throughout the world. Data show that the presence of a critical care specialist in the intensive care unit (ICU) environment has reduced morbidity and mortality, improved patient safety, and reduced length of stay and costs. However, many ICUs across the world function as "open ICUs," in which patients may be admitted under a primary physician who has not been trained in critical care medicine...
October 2016: Journal of Critical Care
https://www.readbyqxmd.com/read/27442023/do-current-national-and-international-guidelines-have-specific-recommendations-for-older-adults-with-bipolar-disorder-a-brief-report
#13
Annemiek Dols, Lars Vedel Kessing, Sergio A Strejilevich, Soham Rej, Shang-Ying Tsai, Ariel G Gildengers, Osvaldo P Almeida, Kenneth I Shulman, Martha Sajatovic
OBJECTIVE: Older adults with bipolar disorder (OABD) are a growing segment of patients with bipolar disorder (BD) for which specific guidelines are warranted. Although, OABD are frequently excluded from randomized controlled trials due to their age or somatic comorbidity, more treatment data from a variety of sources have become available in recent years. It is expected that at least some of this emerging information on OABD would be incorporated into treatment guidelines available to clinicians around the world...
July 21, 2016: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/27416723/-branch-n-1-of-the-vishhnevsky-central-military-clinical-hospital-n-3-celebrates-the-70th-anniversary
#14
A V Esipov, A V Meshkov, V P Galik, V A Musailov
On May 2016 the 114th Central aircraft hospital of fighters of air defense troop celebrates the 70th anniversary. Since the establishment of the hospital soldiers took an active part in medical support of the Soviet and later the Russian Air Force. During its existence, the hospital repeatedly reorganized, is now a modern military medical institution, has qualified and specialized medical care to the wounded and sick.
April 2016: Voenno-medit︠s︡inskiĭ Zhurnal
https://www.readbyqxmd.com/read/27412359/medical-causes-of-temporary-or-definitive-leaves-from-a-french-counterterrorist-unit-pre-internship
#15
Oscar Thabouillot, R Roffi, K Bertho, F Ramon, D Commeau, Y Fressancourt, E Quemeneur, N-C Roche, O Dubourg
INTRODUCTION: Each year, the French Special Weapons And Tactics team, Groupe d'Intervention de la Gendarmerie Nationale, recruits new members through a physically demanding 8-week selection process. The goal of this study is to estimate the incidence and the causes for temporary or final interruptions during this process for medical reasons. SUBJECTS, MATERIAL AND METHODS: All of the candidates for the November 2015 selection process were included in this prospective study...
July 13, 2016: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/27388257/between-resentment-and-aid-german-and-austrian-psychiatrist-and-neurologist-refugees-in-great-britain-since-1933
#16
Aleksandra Loewenau
This article is a historiographical exploration of the experiences that German and Austrian émigré psychiatrists and neurologists made in Great Britain since 1933, after the Nazi Governments in Central Europe had ousted them from their positions. When placing these occurrences in a wider historiographical perspective, the in-depth analysis provided here also describes the living and working conditions of the refugee neuroscientists on the British Isles. In particular, it looks at the very elements and issues that influenced the international forced migration of physicians and psychiatrists during the 1930s and 1940s...
July 2016: Journal of the History of the Neurosciences
https://www.readbyqxmd.com/read/27354780/agreement-between-a-simple-dyspnea-guided-treatment-algorithm-for-stable-copd-and-the-gold-guidelines-a-pilot-study
#17
Carlos Cabrera, Ciro Casanova, Yolanda Martín, Virginia Mirabal, María Del Carmen Sánchez, Felisa Álvarez, Gabriel Juliá, Pedro Cabrera-Navarro, Miguel Ángel García-Bello, José María Marín, Juan Pablo de-Torres, Miguel Divo, Bartolomé Celli
INTRODUCTION: Guidelines recommendations for the treatment of COPD are poorly followed. This could be related to the complexity of classification and treatment algorithms. The purpose of this study was to validate a simpler dyspnea-based treatment algorithm for inhaled pharmacotherapy in stable COPD, comparing its concordance with the current Global Initiative for Obstructive Lung Disease (GOLD) guideline. METHODS: We enrolled patients who had been diagnosed with COPD in three primary care facilities and two tertiary hospitals in Spain...
2016: International Journal of Chronic Obstructive Pulmonary Disease
https://www.readbyqxmd.com/read/27330285/determinants-for-changing-the-treatment-of-copd-a-regression-analysis-from-a-clinical-audit
#18
Jose Luis López-Campos, María Abad Arranz, Carmen Calero Acuña, Fernando Romero Valero, Ruth Ayerbe García, Antonio Hidalgo Molina, Ricardo I Aguilar Perez-Grovas, Francisco García Gil, Francisco Casas Maldonado, Laura Caballero Ballesteros, María Sánchez Palop, Dolores Pérez-Tejero, Alejandro Segado, Jose Calvo Bonachera, Bárbara Hernández Sierra, Adolfo Doménech, Macarena Arroyo Varela, Francisco González Vargas, Juan J Cruz Rueda
INTRODUCTION: This study is an analysis of a pilot COPD clinical audit that evaluated adherence to guidelines for patients with COPD in a stable disease phase during a routine visit in specialized secondary care outpatient clinics in order to identify the variables associated with the decision to step-up or step-down pharmacological treatment. METHODS: This study was a pilot clinical audit performed at hospital outpatient respiratory clinics in the region of Andalusia, Spain (eight provinces with over eight million inhabitants), in which 20% of centers in the area (catchment population 3,143,086 inhabitants) were invited to participate...
2016: International Journal of Chronic Obstructive Pulmonary Disease
https://www.readbyqxmd.com/read/27314972/forensic-nursing-global-scenario-and-indian-perspective
#19
REVIEW
Shreemanta Kumar Dash, Shailendra Patel, Krishnadutt Chavali
Sexual violence is a significant cause of physical and psychological harm and suffering for women and children. Although sexual violence mostly affects women and girls, boys are also subject to child sexual abuse. Nurse is the person who attends the victim first. In order to meet the rigid and ever-changing demands of providing care to the victim and complying with our confusing system of laws, the nursing should has been forced to expand into a Forensic nursing, specialty of its own. Nursing roles in the criminal justice service known by many names worldwide-Custody nursing, Prison/Correctional nursing, Immigration centre nursing, Sexual Assault Nurse Examiner (SANE) or Sexual Assault Forensic Examiner (SAFE), SARTs (Sexual assault response team), SARCs (Sexual assault referral centre) and FNDIs (Forensic nurse death investigator)...
August 2016: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/27230063/medicine-and-management-in-european-hospitals-a-comparative-overview
#20
Ian Kirkpatrick, Ellen Kuhlmann, Kathy Hartley, Mike Dent, Federico Lega
BACKGROUND: Since the early 1980s all European countries have given priority to reforming the management of health services. A distinctive feature of these reforms has also been the drive to co-opt professionals themselves into the management of services, taking on full time or part time (hybrid) management or leadership roles. However, although these trends are well documented in the literature, our understanding of the nature and impact of reforms and how they are re-shaping the relationship between medicine and management remains limited...
2016: BMC Health Services Research
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