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https://www.readbyqxmd.com/read/28652634/-a-pilot-study-on-pain-assessment-among-elderly-with-severe-dementia-br-in-residential-aged-care-facilities-of-reggio-emilia-district
#1
Annalisa Bargellini, Stefano Mastrangelo, Monica Cervi, Michele Bagnasco, Jlenia Reghizzi, Sandra Coriani
. A pilot study on pain assessment among elderly with severe dementia in residential aged care facilities of Reggio Emilia district. INTRODUCTION: Despite the availability of pain assessment tools and best practice recommendations for the assessment and management of pain in people with severe dementia, pain in residential aged care facilities is still undetected or misinterpreted. OBJECTIVE: To assess pain prevalence and analgesic load medication in people with severe cognitive impairment admitted to residential aged care facilities of Reggio Emilia (Italy) province...
April 2017: Assistenza Infermieristica e Ricerca: AIR
https://www.readbyqxmd.com/read/28652067/pain-intensity-interference-and-medication-use-after-spinal-cord-injury-relationship-with-risk-of-mortality-after-controlling-for-socioeconomic-and-other-health-factors
#2
James S Krause, Yue Cao, Jillian M R Clark
OBJECTIVE: To identify the relationships of pain intensity, pain interference, and pain medication use with risk of mortality after spinal cord injury (SCI), controlling for demographic, injury, socioeconomic, and health factors. DESIGN: Prospective data collection occurred in 2007-2009 as part of a larger longitudinal study initiated in 1997-1998. Mortality status was determined as of December 31, 2014 using the National Death Index. A 3-stage Cox proportional hazards model was generated, with different sets of predictors entered at each step...
June 23, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28648408/nhsla-litigation-in-hip-fractures-lessons-learnt-from-nhsla-data
#3
Joseph Ring, Christopher Talbot, Charlotte Cross, Kunal Hinduja
Hip fractures are a major cause of trauma related death, usually occurring in vulnerable elderly patients. There are an estimated 70,000 hip fractures in the UK per year with numbers set to rise. The estimated annual cost to the healthcare economy is in the region of £2 billion. A 17-year review examining litigation related to hip fractures was undertaken. Under a freedom of information request, data was obtained relating to all orthopaedic claims made to the NHS Litigation Authority (NHSLA) between 1995 and 2012...
June 19, 2017: Injury
https://www.readbyqxmd.com/read/28640104/the-easytube-during-general-anesthesia-for-minor-surgery-a-randomized-controlled-trial
#4
Oliver Robak, Sonia Vaida, Luis Gaitini, Andreas Thierbach, Ricardo Urtubia, Peter Krafft, Michael Frass
BACKGROUND: The EasyTube (EzT) is a supraglottic airway device that is used for emergency airway situations. Ventilation during general anesthesia should also be feasible, but literature on the EzT is scarce. We evaluated the EzT in comparison with the endotracheal tube (ETT) in its use during general anesthesia in a comparative study. METHODS: A total of 400 patients with American Society of Anesthesiologists (ASA) physical status I to II scheduled for minor surgery in 4 centers were randomized for ventilation via the ETT or EzT...
June 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28636059/clinical-outcome-and-complications-of-thoracic-and-pelvic-limb-stump-and-socket-prostheses
#5
Andrew Phillips, Elvin Kulendra, Edith Bishop, Michelle Monk, Kevin Parsons, Arthur House
OBJECTIVES: To describe the use, quality of life, compliance, complications, and outcome of animals fitted with stump socket prostheses. METHODS: Medical records of dogs fitted with a stump socket prosthesis were reviewed. Functional outcome, quality of life and complications were retrospectively assessed from an owner questionnaire. RESULTS: Thirteen stump socket prostheses (12 dogs) were fitted for a variety of reasons including trauma, congenital abnormalities, and neoplasia...
June 21, 2017: Veterinary and Comparative Orthopaedics and Traumatology: V.C.O.T
https://www.readbyqxmd.com/read/28631809/anabolic-steroids-for-treating-pressure-ulcers
#6
REVIEW
Cho Naing, Maxine A Whittaker
BACKGROUND: Pressure ulcers, also known as bed sores, pressure sores or decubitus ulcers develop as a result of a localised injury to the skin or underlying tissue, or both. The ulcers usually arise over a bony prominence, and are recognised as a common medical problem affecting people confined to a bed or wheelchair for long periods of time. Anabolic steroids are used as off-label drugs (drugs which are used without regulatory approval) and have been used as adjuvants to usual treatment with dressings, debridement, nutritional supplements, systemic antibiotics and antiseptics, which are considered to be supportive in healing of pressure ulcers...
June 20, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28614163/effect-of-low-volume-high-intensity-interval-exercise-and-continuous-exercise-on-delayed-onset-muscle-soreness-in-untrained-healthy-males
#7
Luiz F Farias Junior, Rodrigo A V Browne, Danniel T Frazão, Teresa C B Dantas, Paulo H M Silva, Rodrigo P A Freitas, Marcelo S Aoki, Eduardo C Costa
The aim of this study was to compare the effect of a single session of a low-volume high-intensity interval exercise (HIIE) and a continuous exercise (CE) on the magnitude of delayed onset-muscle soreness (DOMS) in untrained healthy males. Fifteen participants (25.1±4.4 years) completed 2 experimental sessions in a randomized order: (a) low-volume HIIE: 10 x 60 s at 90% of maximal velocity (MV) interspersed with 60s of active recovery at 30% of MV; and (b) CE: 20 min at 60% of MV. Pressure-pain threshold (PPT), pressure-pain tolerance (PPTol) and perceived pain intensity (PPI) were assessed in the rectus femoris, biceps femoris and gastrocnemius before and 24 hours post-exercise...
June 12, 2017: Journal of Strength and Conditioning Research
https://www.readbyqxmd.com/read/28598762/efficacy-of-arginine-enriched-enteral-formulas-for-the-healing-of-pressure-ulcers-a-systematic-review
#8
P Liu, W-Q Shen, H-L Chen
OBJECTIVE: Arginine improves healing and modulates inflammation and the immune response. This systematic review aimed to assess the effect of arginine-enriched enteral formulas in pressure ulcer (PU) healing. METHOD: Systematic computerised searches of PubMed, Web of Knowledge, Scopus, ENTRAL and CINAHL databases were performed from their inception to 20 January 2016. Randomised controlled trials (RCTs) were included in this systematic review. We used the Jadad scale as a quality assessment tool...
June 2, 2017: Journal of Wound Care
https://www.readbyqxmd.com/read/28592581/the-stop-ab-trial-protocol-efficacy-and-safety-of-discontinuing-patient-antibiotic-treatment-when-physicians-no-longer-consider-it-necessary
#9
Carl Llor, Ana Moragas, Carolina Bayona, Josep M Cots, José M Molero, Joana Ribas, Julio Francisco Fóthy, Isabel Gutiérrez, Coro Sánchez, Jesús Ortega, Javier Arranz, Jenifer Botanes, Purificación Robles
INTRODUCTION: Since 2011, the Spanish Society of Family Medicine has recommended general practitioners (GPs) to ask their patients to stop taking antibiotics when they suspect a viral infection. However, this practice is seldom used because uncertainty about diagnosis, and fear of consequences of discontinuing antibiotic therapy, as well as perceived pressure to continue prescribing antibiotics and potential conflict with patients are more of a concern for GPs than antibiotic resistance...
June 6, 2017: BMJ Open
https://www.readbyqxmd.com/read/28580759/a-quality-control-circle-process-to-improve-implementation-effect-of-prevention-measures-for-high-risk-patients
#10
Haixia Feng, Guohong Li, Cuirong Xu, Changping Ju, Peiheng Suo
The aim of the study was to analyse the influence of prevention measures on pressure injuries for high-risk patients and to establish the most appropriate methods of implementation. Nurses assessed patients using a checklist and factors influencing the prevention of a pressure injury determined by brain storming. A specific series of measures was drawn up and an estimate of risk of pressure injury determined using the Braden Scale, analysis of nursing documents, implementation of prevention measures for pressure sores and awareness of the system both before and after carrying out a quality control circle (QCC) process...
June 4, 2017: International Wound Journal
https://www.readbyqxmd.com/read/28575056/inter-center-comparison-of-easytube-and-endotracheal-tube-during-general-anesthesia-in-minor-elective-surgery
#11
Oliver Robak, Sonia Vaida, Mostafa Somri, Luis Gaitini, Lisa Füreder, Michael Frass, Lukasz Szarpak
BACKGROUND: The EasyTube® (EzT) is a supraglottic airway device (SAD) enabling ventilation irrespective of its placement into the esophagus or trachea. Data obtained on SADs from multicenter studies, performed in highly specialized centers cannot always be transferred to other sites. However, data on comparability of different sites are scarce. This study focused on inter-site variability of ventilatory and safety parameters during general anesthesia with the EzT. METHODS: 400 patients with ASA physical status I-II undergoing general anesthesia for elective surgery in four medical centers (EzT group (n = 200), ETT group (n = 200))...
2017: PloS One
https://www.readbyqxmd.com/read/28574527/prognostic-value-of-braden-activity-subscale-for-mobility-status-in-hospitalized-older-adults
#12
Vincenzo Valiani, Zhiguo Chen, Gigi Lipori, Marco Pahor, Carlo Sabbá, Todd M Manini
OBJECTIVE: To evaluate the predictive value of the Activity subscale of the Braden Scale for Predicting Pressure Sore Risk in assessing mobility impairment and recovery among hospitalized older adults. DESIGN: Retrospective cohort study. SETTING: UF Health Shands Hospital, University of Florida, Gainesville, Florida. PATIENTS: 19,769 older adults (≥65 years) hospitalized between January 2009 and April 2014. MEASUREMENTS: Incident mobility impairment and recovery were assessed with the Braden Activity subscale (BAS) score that nurses use to grade patients at every shift change (~3 times/d)...
June 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/28571527/assessment-and-management-of-acute-spinal-cord-injury-from-point-of-injury-to-rehabilitation
#13
Laureen D Hachem, Christopher S Ahuja, Michael G Fehlings
CONTEXT: Spinal cord injury (SCI) is a devastating condition that can lead to significant neurological impairment and reduced quality of life. Despite advancements in our understanding of the pathophysiology and secondary injury mechanisms involved in SCI, there are currently very few effective treatments for this condition. The field, however, is rapidly changing as new treatments are developed and key discoveries are made. METHODS: In this review, we outline the pathophysiology, management, and long-term rehabilitation of individuals with traumatic SCI...
June 1, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28552279/a-retrospective-study-multivariate-logistic-regression-analysis-of-the-outcomes-after-pressure-sores-reconstruction-with-fasciocutaneous-myocutaneous-and-perforator-flaps
#14
Yu-Jen Chiu, Wen-Chieh Liao, Tien-Hsiang Wang, Yu-Chung Shih, Hsu Ma, Chih-Hsun Lin, Szu-Hsien Wu, Cherng-Kang Perng
BACKGROUND: Despite significant advances in medical care and surgical techniques, pressure sore reconstruction is still prone to elevated rates of complication and recurrence. We conducted a retrospective study to investigate not only complication and recurrence rates following pressure sore reconstruction but also preoperative risk stratification. METHODS: This study included 181 ulcers underwent flap operations between January 2002 and December 2013 were included in the study...
April 23, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/28551927/-percutaneous-correction-of-forefoot-deformities-in-diabetic-patients-in-order-to-prevent-pressure-sores-technique-and-results-in-20-consecutive-patients
#15
Mustafa Yassin, Avraham Garti, Eyal Heller, Moshe Weissbrot, Dror Robinson
INTRODUCTION: Diabetes mellitus is a 21st century pandemic. Due to life-span prolongation combined with the increased rate of diabetes, a growing population of patients is afflicted with neuropathic foot deformities. Traditional operative repair of these deformities is associated with a high complication rate and relatively common infection incidence. In recent years, in order to prevent these complications, percutaneous deformity correction methods were developed. OBJECTIVES: Description of experience accumulated in treating 20 consecutive patients with diabetic neuropathic foot deformities treated in a percutaneous fashion...
April 2017: Harefuah
https://www.readbyqxmd.com/read/28549053/does-incremental-positioning-weight-shifts-reduce-pressure-injuries-in-critical-care-patients
#16
Lee Ann Krapfl, Julia Langin, Caitlin A Pike, Patricia Pezzella
BACKGROUND: Incremental positioning or weight shifts are often suggested as an alternative to standard repositioning/turning in critical care patients deemed clinically unstable. OBJECTIVE: This evidence-based report card reviews whether incremental positioning and/or weight shifts reduce hospital-acquired sacral/buttocks pressure injuries in critical care patients deemed too unstable to turn. METHODS AND SEARCH STRATEGY: A scoping review of the literature was conducted for studies related to repositioning and hospital-acquired pressure injuries in high-risk, critical care patients...
May 25, 2017: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/28548304/delayed-onset-muscle-soreness-doms-does-not-influence-occlusal-sensitivity-and-position-sense-of-the-mandible
#17
Rosaria Bucci, Frank Lobbezoo, Ambrosina Michelotti, Christina Orfanou, Michail Koutris
BACKGROUND: Masticatory muscle-pain patients often complain about sensorimotor changes, but the effects of pain on the psychophysical properties remain unclear. This study aimed to investigate the effects of Delayed-Onset Muscle Soreness (DOMS) on the jaw's position sense (PS) and occlusal sensitivity (OS). METHODS: Twelve participants underwent intense concentric-eccentric jaw exercises. Self-reported muscle fatigue and pain, pain-free maximum mouth opening (MMO), pain pressure thresholds (PPTs) at right and left masseter and right and left anterior temporalis, maximum voluntary bite force (MVBF), PS, and OS were recorded before, immediately after, 24h, 48h, and one week after the exercises...
May 26, 2017: Journal of Oral Rehabilitation
https://www.readbyqxmd.com/read/28538393/a-comparison-of-extraluminal-and-intraluminal-use-of-the-uniblocker-in-left-thoracic-surgery-a-consort-compliant-article
#18
RANDOMIZED CONTROLLED TRIAL
Zhuo Liu, WenSheng He, QianQian Jia, XiaoChun Yang, ShuJuan Liang, XiuLi Wang
BACKGROUND: The aim of this study was to assess the feasibility and safety issues concerning extraluminal use of the Uniblocker for one-lung ventilation (OLV) in the left thoracic surgery. METHODS: Forty patients undergoing elective left thoracic surgery were included in this study, and all patients were randomly allocated to extraluminal use of Uniblocker group (E group, n = 20) or intraluminal use of Uniblocker group (I group, n = 20). Time for intubation, time for verification of the correct position of Uniblocker, incidence of Uniblocker displacement, index of pulmonary collapse, mean arterial pressure, heart rate, peak airway pressure, oxygen saturation in two-lung ventilation, and 30 minutes after OLV, bronchial damage after OLV, sore throat, and hoarseness postoperative were recorded...
May 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28513987/dermatological-diseases-in-palliative-care-patients-a-prospective-study-of-271-patients
#19
Lenche Neloska, Katerina Damevska, Andjelka Kuzmanova, Lidija Pavleska, Milenko Kostov, Biljana Petreska Zovic
BACKGROUND: Numerous risk factors place palliative care patients at an increased risk of skin infections, dermatitis, and pressure sores. Furthermore, worsening of chronic skin disorders can be expected, as well as the development of treatment-induced and malignancy-related dermatoses. The objective of the present study was to investigate the prevalence and treatment of dermatological conditions in patients receiving hospital-based palliative care. METHODS: Two hundred seventy-one palliative patients were enrolled...
June 2017: Journal der Deutschen Dermatologischen Gesellschaft, Journal of the German Society of Dermatology: JDDG
https://www.readbyqxmd.com/read/28509365/the-degree-of-satisfaction-of-in-hospital-medical-patients-with-nursing-care-and-predictors-of-dissatisfaction-findings-from-a-secondary-analysis
#20
Alvisa Palese, Silvia Gonella, Anna Fontanive, Annamaria Guarnier, Paolo Barelli, Paola Zambiasi, Elisabetta Allegrini, Letizia Bazoli, Paola Casson, Meri Marin, Marisa Padovan, Michele Picogna, Patrizia Taddia, Daniele Salmaso, Paolo Chiari, Tiziana Frison, Oliva Marognolli, Federica Canzan, Elisa Ambrosi, Luisa Saiani
BACKGROUND: Patient satisfaction with nursing care (NC) is an important predictor of overall satisfaction with the hospital experience. However, the concept of patient satisfaction has been criticised both at the theoretical and at the methodological levels, and more attention on patient dissatisfaction has been called for with the aim of identifying strategies to improve the quality of care. AIMS: To describe dissatisfaction with NC as perceived by acute medical patients and identify predictors...
May 16, 2017: Scandinavian Journal of Caring Sciences
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