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https://www.readbyqxmd.com/read/27894929/ultra-thin-disposable-gastroscope-for-screening-and-surveillance-of-gastroesophageal-varices-in-patients-with-liver-cirrhosis-a-prospective-comparative-study
#1
Dep K Huynh, Leanne Toscano, Vinh-An Phan, Tsai-Wing Ow, Mark Schoeman, Nam Q Nguyen
BACKGROUND AND AIMS: The study aims to evaluate the role of an unsedated, ultra-thin disposable gastroscopy (TDG) against conventional gastroscopy (CG) in screening and surveillance of gastroesophageal varices (GOVs) in patients with liver cirrhosis. METHOD: 48 patients (56.4±1.3 years; 38M:10F) with liver cirrhosis referred for screening (n=12) or surveillance (n=36) of GOVs were prospectively enrolled. Unsedated gastroscopy was initially performed with TDG (E...
November 25, 2016: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/27891474/an-evaluation-of-use-of-botulinum-toxin-type-a-in-the-management-of-dynamic-forehead-wrinkles-a-clinical-study
#2
Avvaru Susmita, Naga Neelima Devi Kolli, Sridhar Meka, Srinivas Pandi Chakravarthi, Vivekanand Sabanna Kattimani, Krishna Prasad Lingamaneni, Latheef Saheb Shaik
INTRODUCTION: The pursuit of youth and beauty has undergone a resurgence of interest which is evidenced by increasing cosmetic procedures. Botulinum Toxin Type A (Botox) is one among the many procedures invented for facial rejuvenation which denervates certain muscles of facial expression responsible for facial wrinkles. It has been applied in the forehead, glabella, lateral canthal area and neck. In maxillofacial area hyperactive forehead wrinkles show sagging. AIM: This study was aimed to clinically evaluate the efficacy of Botox injection in the elimination of hyperdynamic forehead wrinkles and the objectives were to compare pre-operative and post-operative improvement in the number of wrinkles, photographic grading and patient satisfaction responses after 1(st) week, 4(th) week and 16(th) week...
October 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27866120/evidence-based-guidelines-on-the-therapeutic-use-of-transcranial-direct-current-stimulation-tdcs
#3
REVIEW
Jean-Pascal Lefaucheur, Andrea Antal, Samar S Ayache, David H Benninger, Jérôme Brunelin, Filippo Cogiamanian, Maria Cotelli, Dirk De Ridder, Roberta Ferrucci, Berthold Langguth, Paola Marangolo, Veit Mylius, Michael A Nitsche, Frank Padberg, Ulrich Palm, Emmanuel Poulet, Alberto Priori, Simone Rossi, Martin Schecklmann, Sven Vanneste, Ulf Ziemann, Luis Garcia-Larrea, Walter Paulus
A group of European experts was commissioned by the European Chapter of the International Federation of Clinical Neurophysiology to gather knowledge about the state of the art of the therapeutic use of transcranial direct current stimulation (tDCS) from studies published up until September 2016, regarding pain, Parkinson's disease, other movement disorders, motor stroke, poststroke aphasia, multiple sclerosis, epilepsy, consciousness disorders, Alzheimer's disease, tinnitus, depression, schizophrenia, and craving/addiction...
October 29, 2016: Clinical Neurophysiology: Official Journal of the International Federation of Clinical Neurophysiology
https://www.readbyqxmd.com/read/27845490/cognitive-disability-in-alzheimer-s-disease-and-its-management
#4
M Corsi, T Di Raimo, C Di Lorenzo, M Rapp-Ricciardi, T Archer, S Ricci, R Businaro
Cognitive disability linked to neurodegenerative diseases and in particular to Alzheimer's disease, remains an increasing cause for concern through a dramatic prevalence increment and associated socio-economic burdens. Initially Alzheimer's disease develops asymptomatically with primary clinical signs, such as memory impairment, decline of spatial and perceptual abilities, occurring at a later stage. This delay implies the possibility of promoting early interventions during the pre-symptomatic stage of the disease...
September 2016: La Clinica Terapeutica
https://www.readbyqxmd.com/read/27825020/are-participants-reports-of-their-own-reaction-times-reliable-re-examining-introspective-limitations-in-active-and-passive-dual-task-paradigms
#5
Donna Bryce, Daniel Bratzke
There is a known introspective limitation in the Psychological Refractory Period (PRP) paradigm - people underestimate the dual-task costs on their second reaction time. The prevailing explanation for this is that conscious awareness of the second stimulus is delayed in time until the first task has been centrally processed. Here, we examined this effect in more detail, by comparing reaction time estimates after processing a PRP task, and after passively experiencing 'replays' of PRP trials. Even when participants had no dual-task processing demands, they did not accurately report the reaction time intervals using a visual analogue scale (the original reporting method of most introspective PRP experiments), but they did when placing markers that represent each event on a timeline...
November 5, 2016: Acta Psychologica
https://www.readbyqxmd.com/read/27824937/gazing-into-thin-air-the-dual-task-costs-of-movement-planning-and-execution-during-adaptive-gait
#6
Toby J Ellmers, Adam J Cocks, Michail Doumas, A Mark Williams, William R Young
We examined the effect of increased cognitive load on visual search behavior and measures of gait performance during locomotion. Also, we investigated how personality traits, specifically the propensity to consciously control or monitor movements (trait movement 'reinvestment'), impacted the ability to maintain effective gaze under conditions of cognitive load. Healthy young adults traversed a novel adaptive walking path while performing a secondary serial subtraction task. Performance was assessed using correct responses to the cognitive task, gaze behavior, stepping accuracy, and time to complete the walking task...
2016: PloS One
https://www.readbyqxmd.com/read/27798067/radiolucent-triangle-as-a-positioning-tool-to-simplify-prone-ankle-fracture-surgery-technical-tip
#7
Kamran S Hamid, Travis J Dekker, Peter W White, Samuel B Adams
: Prone positioning affords significant benefits for the fixation of trimalleolar ankle fractures and has been the long-time standard for treatment of these injuries. However, 2 primary disadvantages hamper its utility. First, access to the medial ankle is impeded by the contralateral limb and inability to rotate the operative leg to the extent that is possible in other positions. Second, lateral fluoroscopic imaging of the ankle can be cumbersome and often necessitates physically elevating the ankle for a radiograph then placing it back on the operative table...
October 25, 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/27795820/cost-of-illness-among-patients-with-diabetic-foot-ulcer-in-turkey
#8
Ergun Oksuz, Simten Malhan, Bilge Sonmez, Rukiye Numanoglu Tekin
AIM: To evaluate the annual cost of patients with Wagner grade 3-4-5 diabetic foot ulcer (DFU) from the public payer's perspective in Turkey. METHODS: This study was conducted focused on a time frame of one year from the public payer's perspective. Cost-of-illness (COI) methodology, which was developed by the World Health Organization, was used in the generation of cost data. By following a clinical path with the COI method, the main total expenses were reached by multiplying the number of uses of each expense item, the percentage of cases that used them and unit costs...
October 15, 2016: World Journal of Diabetes
https://www.readbyqxmd.com/read/27788632/can-behavioural-observations-made-during-the-smart-assessment-detect-the-potential-for-later-emergence-from-vegetative-state
#9
Liliana da Conceição Teixeira, Helen Gill-Thwaites, Frances Reynolds, Sophie Duport
The management of prolonged disorders of consciousness (PDOC) such as vegetative state (VS) is a major clinical challenge. Presently there are no validated prognostic markers for emergence from VS apart from age, aetiology and time spent in VS. This study explores whether or not the behavioural observation component of the SMART assessment can detect the potential for later emergence from VS. For this retrospective study 14 patients were selected who were originally assessed by the SMART as being in VS. Clinical records showed that seven of these patients have since emerged from VS (Group 1) and the other half have remained in VS (Group 2)...
October 27, 2016: Neuropsychological Rehabilitation
https://www.readbyqxmd.com/read/27765016/the-addition-of-s100b-to-guidelines-for-management-of-mild-head-injury-is-potentially-cost-saving
#10
Olga Calcagnile, Anders Anell, Johan Undén
BACKGROUND: Mild traumatic brain injury (TBI) is associated with substantial costs due to over-triage of patients to computed tomography (CT) scanning, despite validated decision rules. Serum biomarker S100B has shown promise for safely omitting CT scans but the economic impact from clinical use has never been reported. In 2007, S100B was adapted into the existing Scandinavian management guidelines in Halmstad, Sweden, in an attempt to reduce CT scans and save costs. METHODS: Consecutive adult patients with mild TBI (GCS 14-15, loss of consciousness and/or amnesia), managed with the aid of S100B, were prospectively included in this study...
October 20, 2016: BMC Neurology
https://www.readbyqxmd.com/read/27746156/cost-analysis-of-iliac-stenting-performed-in-the-operating-room-and-the-catheterization-lab-a-case-control-study
#11
Sooyeon Kim, Sage P Kramer, Adam J Dugan, David J Minion, John C Gurley, Daniel L Davenport, Victor A Ferraris, Sibu P Saha
BACKGROUND: Iliac arterial stenting is performed both in the operating room (OR) and the catheterization lab (CL). To date, no analysis has compared resource utilization between these locations. METHODS: Consecutive patients (n = 105) treated at a single center were retrospectively analyzed. Patients included adults with chronic, symptomatic iliac artery stenosis with a minimum Rutherford classification (RC) of 3, treated with stents. Exclusion criteria were prior stenting, acute ischemia, or major concomitant procedures...
October 12, 2016: International Journal of Surgery
https://www.readbyqxmd.com/read/27737654/effectiveness-and-cost-effectiveness-of-routine-third-trimester-ultrasound-screening-for-intrauterine-growth-restriction-study-protocol-of-a-nationwide-stepped-wedge-cluster-randomized-trial-in-the-netherlands-the-iris-study
#12
Jens Henrichs, Viki Verfaille, Laura Viester, Myrte Westerneng, Bert Molewijk, Arie Franx, Henriette van der Horst, Judith E Bosmans, Ank de Jonge, Petra Jellema
BACKGROUND: Intrauterine growth retardation (IUGR) is a major risk factor for perinatal mortality and morbidity. Thus, there is a compelling need to introduce sensitive measures to detect IUGR fetuses. Routine third trimester ultrasonography is increasingly used to detect IUGR. However, we lack evidence for its clinical effectiveness and cost-effectiveness and information on ethical considerations of additional third trimester ultrasonography. This nationwide stepped wedge cluster-randomized trial examines the (cost-)effectiveness of routine third trimester ultrasonography in reducing severe adverse perinatal outcome through subsequent protocolized management...
October 13, 2016: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/27733640/is-telemonitoring-useful-for-supporting-persons-with-consciousness-disorders-and-caregivers-a-preliminary-observational-study-in-a-real-life-population
#13
Chiara Zucchella, Massimo Di Santis, Biagio Ciccone, Massimiliano Pelella, Marina Scappaticci, Giovanna Badalassi, Susanna Lavezzi, Michelangelo Bartolo
INTRODUCTION: Preliminary evidences showed that telemedicine may allow a reduction of costs and an enhancement of patients' satisfaction and quality of life (QoL), with the same effectiveness of conventional methods of healthcare delivery. Literature is quite absent in relation to the use of telemedicine for patients with disorders of consciousness (DoC) whose management is delegated almost entirely to the family. In order to promote an alternative setting to manage persons affected by DoC, also supporting their families, a pilot project was designed to test the feasibility of home-care assistance based on a system of telemonitoring...
October 12, 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27712704/measuring-high-risk-patients-preferences-for-pharmacogenetic-testing-to-reduce-severe-adverse-drug-reaction-a-discrete-choice-experiment
#14
Di Dong, Semra Ozdemir, Yong Mong Bee, Sue-Anne Toh, Marcel Bilger, Eric Finkelstein
OBJECTIVES: To investigate patient preferences and willingness to pay (WTP) for a genetic test that can reduce the risk of life-threatening adverse drug reactions (ADRs). We hypothesize that test features (risk of developing the adverse reaction with and without testing, test cost, and treatment cost) and the choice context (physician recommendation and the most common choice made by peer patients) will influence choices. METHODS: A discrete choice experiment was conducted in which 189 patients at high risk for gout were asked to choose between treatment options that varied along key attributes...
September 2016: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/27697232/the-development-and-use-of-a-new-methodology-to-reconstruct-courses-of-admission-and-ambulatory-care-based-on-the-danish-national-patient-registry
#15
Sophie Gubbels, Kenn Schultz Nielsen, Jakob Sandegaard, Kåre Mølbak, Jens Nielsen
INTRODUCTION: The Danish National Patient Registry (DNPR) contains clinical and administrative data on all patients treated in Danish hospitals. The data model used for reporting is based on standardized coding of contacts rather than courses of admissions and ambulatory care. METHODS: To reconstruct a coherent picture of courses of admission and ambulatory care, we designed an algorithm with 28 rules that manages transfers between departments, between hospitals and inconsistencies in the data, e...
November 2016: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/27681745/the-radiation-oncology-job-market-the-economics-and-policy-of-workforce-regulation
#16
REVIEW
Benjamin P Falit, Hubert Y Pan, Benjamin D Smith, Brian M Alexander, Anthony L Zietman
Examinations of the US radiation oncology workforce offer inconsistent conclusions, but recent data raise significant concerns about an oversupply of physicians. Despite these concerns, residency slots continue to expand at an unprecedented pace. Employed radiation oncologists and professional corporations with weak contracts or loose ties to hospital administrators would be expected to suffer the greatest harm from an oversupply. The reduced cost of labor, however, would be expected to increase profitability for equipment owners, technology vendors, and entrenched professional groups...
November 1, 2016: International Journal of Radiation Oncology, Biology, Physics
https://www.readbyqxmd.com/read/27676817/retrospective-study-of-the-acute-period-of-locked-in-syndrome-consciousness-recovery-and-communication-restoration
#17
Perrine Séguin, Annie Moulin, Lesly Fornoni, Jérémie Mattout, Emmanuel Maby, Brice Lapin, Véronique Blandin, Pascal Giraux
OBJECTIVE: Brainstem lesions can cause a locked-in syndrome (LIS). At the initial state, the LIS can be complete (CLIS), without any possibility for the patient to communicate. The main issues are to do the right diagnosis and the recovery of a communication. The delay to the diagnosis of LIS is of about 78 days after the initial injury (León-Carrión, 2002). The aim of this study is to identify possibilities to improve the care of persons with LIS at the initial state. MATERIAL/PATIENTS AND METHODS: An original questionnaire of 33 items, concerning patient's feelings and communication possibilities at the initial state of LIS, was sent to the 274 LIS members of the French association of LIS (ALIS) in November, 2015...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27639184/students-and-doctors-are-unaware-of-the-cost-of-drugs-they-frequently-prescribe
#18
Tim Schutte, Jelle Tichelaar, Prabath Nanayakkara, Milan Richir, Michiel van Agtmael
Given the increasing healthcare costs of an ageing population, there is growing interest in rational prescribing, which takes costs of medication into account. We aimed to gain insight into the attitude to and knowledge of medication costs of medical students and doctors in daily practice. This was a cross-sectional electronic survey among medical students (bachelor/master) and doctors (consultants/registrars). Attitude to costs was evaluated using a cost-consciousness scale. In open questions, the participants estimated the cost of commonly prescribed (generic/non-generic) drugs (including separate pharmacy dispensing costs)...
September 17, 2016: Basic & Clinical Pharmacology & Toxicology
https://www.readbyqxmd.com/read/27637655/high-reliability-of-care-in-orthopedic-surgery-are-we-there-yet
#19
REVIEW
Afshin A Anoushiravani, Zain Sayeed, Mouhanad M El-Othmani, Peter K Wong, Khaled J Saleh
As health care reimbursement models shift from volume-based to value-based models, orthopedic surgeons must provide patients with highly reliable care, while consciously minimizing cost, maintaining quality, and providing timely interventions. An established means of achieving these goals is by implementing a highly reliable care model; however, before such a model can be initiated, a safety culture, robust improvement strategies, and committed leadership are needed. This article discusses interdependent and critical changes required to implement a highly reliable care system...
October 2016: Orthopedic Clinics of North America
https://www.readbyqxmd.com/read/27624563/safety-and-cost-effectiveness-of-port-removal-outside-of-the-operating-room-among-pediatric-patients
#20
Tehsina F Devji, Arin L Madenci, Elizabeth Carpino, Izabela C Leahy, Mihail Samnaliev, Jennifer L Dearden, Brent R Weil, Christopher B Weldon, Joseph Cravero
PURPOSE: The current emphasis on fiscally responsible health spending in the era of the Affordable Care Act and other health care reform necessitates cost-conscious delivery of care. "Value" in health care is defined as the quality of care divided by the cost. As such, health systems optimize value by providing the most cost-effective care possible without sacrificing safety or outcomes. Elective, minimal risk surgical procedures in children may be value-enhanced by moving from an operating room (OR) to a more cost-efficient setting...
November 2016: Journal of Pediatric Surgery
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