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https://www.readbyqxmd.com/read/30022998/pre-clinical-models-for-malignant-mesothelioma-research-from-chemical-induced-to-patient-derived-cancer-xenografts
#1
REVIEW
Noushin Nabavi, Jingchao Wei, Dong Lin, Colin C Collins, Peter W Gout, Yuzhuo Wang
Malignant mesothelioma (MM) is a rare disease often associated with environmental exposure to asbestos and other erionite fibers. MM has a long latency period prior to manifestation and a poor prognosis. The survival post-diagnosis is often less than a year. Although use of asbestos has been banned in the United States and many European countries, asbestos is still being used and extracted in many developing countries. Occupational exposure to asbestos, mining, and migration are reasons that we expect to continue to see growing incidence of mesothelioma in the coming decades...
2018: Frontiers in Genetics
https://www.readbyqxmd.com/read/30022301/rheumatology-science-and-practice-in-india
#2
REVIEW
Durga Prasanna Misra, Aman Sharma, Vikas Agarwal
The practice of rheumatology in a country like India presents its own unique challenges, including the need to manage patients in a cost-constrained setting, where the lack of uniform government funding for healthcare merits the need to optimize the use of cheaper medicines, as well as devise innovative strategies to minimize the use of costlier drugs such as biologic disease-modifying agents. Use of immunosuppressive agents is also associated with increased risks of infectious complications, such as the reactivation of tuberculosis...
July 19, 2018: Rheumatology International
https://www.readbyqxmd.com/read/30019462/key-considerations-for-selecting-instruments-when-evaluating-healthcare-professionals-ebp-competencies-a-discussion-paper
#3
Hannele Saunders, Katri Vehviläinen-Julkunen
AIM: A discussion of key considerations related to selecting instruments and tools for evaluating healthcare professionals' evidence-based practice competencies. DESIGN: A discussion paper. DATA SOURCES: Articles published in international peer-reviewed journals from January 2000 to November 2017 on validated instruments for assessing healthcare professionals' performance-based evidence-based practice competencies. IMPLICATIONS FOR NURSING: Validated evidence-based practice competency instruments based on actual performance to evaluate the evidence-based practice competencies of healthcare professionals are currently available in the field of medicine...
July 17, 2018: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/30016854/examiner-seniority-and-experience-are-associated-with-bias-when-scoring-communication-but-not-examination-skills-in-objective-structured-clinical-examinations-osces-in-australia
#4
Lauren Chong, Silas Taylor, Matthew Haywood, Barbara-Ann Adelstein, Boaz Shulruf
Purpose: There is good understanding of biases which may influence OSCE examiners' scoring, with recent research attempting to establish the magnitude of their impact. However, the influence of examiner experience, clinical seniority and occupation on communication and physical examination scores in OSCEs has not yet been clearly established. Methods: We compared the mean scores awarded for generic and clinical communication and physical examination skills in relation to examiner characteristics (gender, examining experience, occupation, seniority and speciality) across two undergraduate Medicine OSCEs...
July 18, 2018: Journal of Educational Evaluation for Health Professions
https://www.readbyqxmd.com/read/30010162/-the-usefulness-of-bronchial-challenge-tests-in-the-diagnosis-of-occupational-asthma
#5
Ewa Nowakowska-Świrta, Marta Wiszniewska, Jolanta Walusiak-Skorupa
Bronchial hyperresponsiveness (BHR) is the individual ability to respond with bronchoconstriction to a variety of specific and nonspecific stimuli which do not cause these symptoms among healthy subjects. Bronchial hyperresponsiveness is one of the hallmark features of asthma. The degree of bronchial hyperresponsiveness is variable among individuals with asthma and may correlate to its severity (the more severe asthma the higher bronchial hyperreactivity). Bronchial hyperresponsiveness is evaluated by performing bronchial provocation test (BPT)...
July 16, 2018: Medycyna Pracy
https://www.readbyqxmd.com/read/30010052/interdisciplinary-pain-management-improves-pain-and-function-in-pediatric-patients-with-chronic-pain-associated-with-joint-hypermobility-syndrome
#6
Gadi Revivo, Diane K Amstutz, Christine M Gagnon, Zachary L McCormick
BACKGROUND: The relationship between chronic musculoskeletal pain and joint hypermobility in a small percentage of the pediatric population is well described. However, literature discussing the treatment of chronic pain associated with joint hypermobility in pediatrics is limited. The present study examines the impact of interdisciplinary treatment on chronic pain in pediatrics with joint hypermobility syndrome (JHS). OBJECTIVE: To determine if pediatric patients with chronic pain related to joint hypermobility can be effectively treated with an intensive, interdisciplinary pain management program, as measured by changes in pain, psychosocial and physical functioning, as well as parental coping...
July 13, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/30005304/out-of-bed-mobilization-of-patients-undergoing-mechanical-ventilation-with-orotracheal-tubes-a-survey-study
#7
Shunsuke Taito, Nobuaki Shime, Hideto Yasuda, Kohei Ota, Kazuhiro Sarada, Alan Kawarai Lefor, Masamitsu Sanui
PURPOSE: The aim of this study is to clarify intensive care unit (ICU)-level factors facilitating out-of-bed mobilization defined as a range of activities from sitting on edge of bed up to walking in mechanically ventilated patients with orotracheal tubes. MATERIALS AND METHODS: We conducted a survey of all intensive care units (ICUs) certified by the Japanese Society of Intensive Care Medicine (excluding pediatric ICUs) as training facilities for intensivists. RESULTS: We surveyed 294 ICUs, with a response rate of 57% (n = 168)...
June 28, 2018: Journal of Critical Care
https://www.readbyqxmd.com/read/30003411/official-definitions-for-undesirable-medical-events-are-they-correctly-applied-in-medicine
#8
Christian Smolle, Gerald Sendlhofer, Janos Cambiaso-Daniel, Michaela Sljivich, Herwig Friedl, Lars-Peter Kamolz, Gernot Brunner
BACKGROUND: In Austria, elaborate definitions exist for the undesirable medical events side effect, adverse event, complication and medical malpractice. We aimed at investigating whether the official definitions for the abovementioned terms can be understood by a sample population representing a cross-section of the Austrian population. METHODS: In this study 1021 Austrian citizens were interviewed. Demographic parameters (age, gender, occupation, level of education, monthly income, number of inhabitants at place of residence) were assessed...
July 12, 2018: Wiener Klinische Wochenschrift
https://www.readbyqxmd.com/read/29998596/position-paper-telemedicine-in-occupational-dermatology-current-status-and-perspectives
#9
REVIEW
Peter Elsner, Andrea Bauer, Thomas Ludwig Diepgen, Hans Drexler, Manigé Fartasch, Swen Malte John, Sibylle Schliemann, Wolfgang Wehrmann, Jörg Tittelbach
Teledermatology is the use of telecommunication technologies to exchange medical information for diagnosis, consultation, treatment and teaching in dermatology. While its use has been evaluated in a wide range of dermatological diagnoses, only few studies exist on its validity, diagnostic precision, feasibility, and cost-effectiveness in occupational dermatology. However, these studies show a considerable potential for diagnosis, prevention, treatment support and follow-up of patients with occupational skin diseases...
July 11, 2018: Journal der Deutschen Dermatologischen Gesellschaft, Journal of the German Society of Dermatology: JDDG
https://www.readbyqxmd.com/read/29998376/the-effects-of-interprofessional-education-in-mental-health-practice-findings-from-a-systematic-review
#10
REVIEW
Michael Marcussen, Birgitte Nørgaard, Sidse Arnfred
OBJECTIVE: The aim of this study was to conduct a systematic review of studies describing the effects of interprofessional education (IPE) on undergraduate healthcare students' educational outcomes, compared with conventional clinical training in mental health. METHODS: MEDLINE, CINAHL, PsychINFO, and EMBASE were searched for studies published in January 2001-August 2017. All retrieved papers were assessed for methodological quality; Kirkpatrick's model was employed to analyze and synthesize the included studies...
July 11, 2018: Academic Psychiatry
https://www.readbyqxmd.com/read/29997074/lupus-evidence-of-environmental-degradation-assessment-from-60-patients-followed-up-in-the-internal-medicine-department-at-the-libreville-university-hospital-gabon
#11
J Iba Ba, P L Andjuma Mindze, I Nseng Nseng, J R Nzenze, J B Boguikouma
Lupus is an autoimmune disease of the connective tissue that occurs predominantly in women and blacks and whose expression is influenced by environmental factors, especially ultraviolet rays. The rising temperature in Gabon for nearly two decades led us to look for correlations between the onset of lupus, the patients' regions of origin, and environmental temperatures before and at diagnosis. retrospective, descriptive, and analytic study conducted in the Department of Internal Medicine of the CHU of Libreville (Gabon), from 01/01/2016 to 31/05/2016, based on the files of patients with diagnosed lupus receiving care in the department since 01/2002...
May 1, 2018: Médecine et Santé Tropicales
https://www.readbyqxmd.com/read/29991434/evaluation-of-clinical-tools-to-screen-and-assess-for-obstructive-sleep-apnea
#12
Charlene Gamaldo, Luis Buenaver, Oleg Chernyshev, Stephen Derose, Reena Mehra, Kimberly Vana, Harneet K Walia, Vanessa Gonzalez, Indira Gurubhagavatula
Obstructive sleep apnea (OSA) is a globally recognized medical condition, associated with development of long-term adverse health consequences, including cardiovascular disease, cerebrovascular disease, neurocognitive deficiencies, and vehicular and occupational accidents. OSA can be screened effectively, because it can be identified well before the manifestation of the aforementioned poor health and public safety consequences. Additionally, appropriate management of OSA includes an assessment of outcomes before and after therapeutic intervention initiation...
July 6, 2018: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
https://www.readbyqxmd.com/read/29987776/determinants-of-metabolic-syndrome-in-obese-workers-gender-differences-in-perceived-job-related-stress-and-in-psychological-characteristics-identified-using-artificial-neural-networks
#13
Luisella Vigna, Amelia Brunani, Agostino Brugnera, Enzo Grossi, Angelo Compare, Amedea S Tirelli, Diana M Conti, Gianna M Agnelli, Lars L Andersen, Massimo Buscema, Luciano Riboldi
OBJECTIVE: The metabolic syndrome (MS) is a multifactorial disorder associated with a higher risk of developing cardiovascular diseases and type 2 diabetes. However, its pathophysiology and risk factors are still poorly understood. In this study, we investigated the associations among gender, psychosocial variables, job-related stress and the presence of MS in a cohort of obese Caucasian workers. METHODS: A total of 210 outpatients (142 women, 68 men) from an occupational medicine service was enrolled in the study...
July 10, 2018: Eating and Weight Disorders: EWD
https://www.readbyqxmd.com/read/29979684/the-current-epidemiological-status-of-urogenital-schistosomiasis-among-primary-school-pupils-in-katsina-state-nigeria-an-imperative-for-a-scale-up-of-water-and-sanitation-initiative-and-mass-administration-of-medicines-with-praziquantel
#14
Tolulope Ebenezer Atalabi, Stephen Dumebi Adoh, Kingsley Marvin Eze
INTRODUCTION: Human schistosomiasis, a debilitating and chronic diseases, is among a set of 17 neglected tropical infectious diseases of poverty that is currently posing a threat to the wellbeing of 2 billion people in the world. The SHAWN/WASH and MAM programmes in the study area require epidemiological data to enhance their effectiveness. We therefore embarked on this cross-sectional study with the aim of investigating the prevalence, intensity and risk factors of urogenital schistosomiasis...
July 6, 2018: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/29976043/determinants-of-occupational-multisite-musculoskeletal-disorders-a-cross-sectional-study-among-254-patients
#15
A Mahfoudh, K Fennani, M Akrout, K Taoufik
The aim was to describe the profile of workers with occupational multi-site musculoskeletal disorders (MSMSD) and study the relationship between these lesions and socio-professional factors. This is a cross-sectional study involving 254 subjects with occupational musculoskeletal disorders (MSD), identified in the Department of Occupational Medicine at the University Hospital of Mahdia, in Tunisia, over a period of 10 years from 2005 to 2014. The study population was subdivided into two groups; mono-site MSD and multi-site (≥2 sites) groups...
July 6, 2018: Reumatismo
https://www.readbyqxmd.com/read/29968559/exercise-testing-in-sports-medicine
#16
Herbert Löllgen, Dieter Leyk
BACKGROUND: Bicycle and treadmill exercise tests are used in sports medicine and occupational medicine to detect latent disease, to monitor treatment, and to measure patients' physical performance ability and reserve. In this review, we describe the indications, contraindications, and manner of performance of these tests, along with the variables tested, criteria for evaluation, (sub)maximal stress, and the factors that affect these tests, including age, sex, and medications. METHODS: This review is based on pertinent articles retrieved by a selective literature search and on the ergometry guidelines of four medical specialty societies...
June 15, 2018: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/29957748/the-canone-inverso-when-tobacco-was-not-so-bad-a-look-back-at-the-primordial-debate-on-the-tobacco-effects-in-the-occupational-medicine
#17
Silvia Marinozzi, Silvia Iorio, Marta Licata, Matteo Gulino
AIM: The article provides an overview on the beginning and evolutions of medical observations on tobacco induced diseases between Eighteenth and Nineteenth century. METHODS: By searching for historical medical literature, first studies on tobacco-induced diseases focused on production risks rather than on adverse effects that the use of tobacco has for the human health. RESULTS: The approach induced first eighteenth-century authors to define this substance as a non-pathogenic and, consequently, not to consider tobacco factories dangerous for health workers...
June 15, 2018: Acta Bio-medica: Atenei Parmensis
https://www.readbyqxmd.com/read/29950191/five-year-trends-in-adenoviral-conjunctivitis-in-employees-of-one-medical-center
#18
Irene C Kuo, Colleen Espinosa
OBJECTIVE: To describe the 5-year findings after a policy to screen for, diagnose, and isolate medical center employees with adenoviral conjunctivitis was implemented. DESIGN: Observational report with a retrospective evaluation of a current quality improvement initiative. SETTING: Johns Hopkins Medicine, Baltimore, Maryland.ParticipantsJohns Hopkins Medicine employees. METHODS: Data were retrieved from records maintained for this initiative, in which employees with suspected adenoviral conjunctivitis were evaluated in the Occupational Health Clinic and swabbed for polymerase chain reaction (PCR) testing for adenoviral conjunctivitis...
June 28, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/29945256/a-structural-equation-model-of-the-family-physicians-attitude-towards-their-role-in-prevention-a-cross-sectional-study-in-switzerland
#19
Christine Cohidon, Pascal Wild, Nicolas Senn
Background: In contrast to many studies exploring barriers to preventive care in family medicine, there is less quantitative research regarding the self-perceived role of family physicians (FPs) in prevention and its predictive factors. Moreover, the existing studies considered this attitude as a homogeneous entity. The objective of this study is firstly, to characterize FPs' attitudes towards prevention taking into account nine different prevention themes, and secondly, to explore the factors that could be predictive of this attitude...
June 26, 2018: Family Practice
https://www.readbyqxmd.com/read/29943749/occupational-health-and-safety-of-road-haulage-company-employees
#20
Matteo Marco Riva, Francesco Cantamessa, Daniela Borleri, Giovanni Mosconi
BACKGROUND: This paper follows up on a project that was launched in 2008 and contributed to the development of the new Italian Society of Occupational Medicine (SIML) guidelines for the road haulage industry. OBJECTIVE: To reach a better understanding of occupational illness amongst truck drivers, in order to define appropriate health monitoring protocols and promote a healthy life-style. METHODS: We assessed 673 male drivers (mean age 43...
May 28, 2018: La Medicina del Lavoro
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