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https://www.readbyqxmd.com/read/29340693/can-granulomatosis-with-polyangiitis-be-diagnosed-earlier-in-primary-care-a-case-control-study
#1
F A Pearce, R B Hubbard, M J Grainge, R A Watts, A Abhishek, P C Lanyon
Background: People with granulomatosis with polyangiitis (GPA) commonly described long delays before diagnosis. Aim: To study the natural history of GPA prior to diagnosis using primary care data, and determine whether clinical features could be identified to help earlier diagnosis. Design: Case-control study using the Clinical Practice Research Datalink. Methods: We compared primary care activity and clinical features between cases and 10 matched controls...
January 1, 2018: QJM: Monthly Journal of the Association of Physicians
https://www.readbyqxmd.com/read/29340588/antimicrobial-resistant-klebsiella-pneumoniae-carriage-and-infection-in-specialized-geriatric-care-wards-linked-to-acquisition-in-the-referring-hospital
#2
Claire L Gorrie, Mirjana Mirceta, Ryan R Wick, Louise M Judd, Kelly L Wyres, Nicholas R Thomson, Richard A Strugnell, Nigel F Pratt, Jill S Garlick, Kerrie M Watson, Peter C Hunter, Steve A McGloughlin, Denis W Spelman, Adam W J Jenney, Kathryn E Holt
Background: Klebsiella pneumoniae is a leading cause of extended-spectrum beta-lactamase (ESBL) producing hospital-associated infections, for which elderly patients are at increased risk. Methods: We conducted a 1-year prospective cohort study, in which a third of patients admitted to two geriatric wards in a specialized hospital were recruited and screened for carriage of K. pneumoniae by microbiological culture. Clinical isolates were monitored via the hospital laboratory...
January 11, 2018: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/29340153/temporal-migration-patterns-between-natal-locations-of-ruby-throated-hummingbirds-archilochus-colubris-and-their-gulf-coast-stopover-site
#3
Theodore J Zenzal, Andrea J Contina, Jeffrey F Kelly, Frank R Moore
Background: Autumn latitudinal migrations generally exhibit one of two different temporal migration patterns: type 1 where southern populations migrate south before northern populations, or type 2 where northern populations overtake southern populations en route. The ruby-throated hummingbird (Archilochus colubris) is a species with an expansive breeding range, which allows opportunities to examine variation in the timing of migration. Our objective was to determine a relationship between natal origin of ruby-throated hummingbirds and arrival at a Gulf coast stopover site; and if so, what factors, such as differences in body size across the range as well as the cost of migration, might drive such a pattern...
2018: Movement Ecology
https://www.readbyqxmd.com/read/29336943/one-time-quantitative-pcr-detection-of-pseudomonas-aeruginosa-to-discriminate-intermittent-from-chronic-infection-in-cystic-fibrosis
#4
Sébastien Boutin, Michael Weitnauer, Selina Hassel, Simon Y Graeber, Mirjam Stahl, A Susanne Dittrich, Marcus A Mall, Alexander H Dalpke
BACKGROUND: Chronic airway infection with Pseudomonas aeruginosa is a major risk factor of progression of lung disease in patients with cystic fibrosis (CF). Chronic P. aeruginosa infection evolves from intermittent infection that is amenable to antibiotic eradication, whereas chronically adapted P. aeruginosa becomes resistant to antibiotic therapy. Discrimination of intermittent versus chronic infection is therefore of high therapeutic relevance, yet the available diagnostic methods are only partly satisfactory...
January 11, 2018: Journal of Cystic Fibrosis: Official Journal of the European Cystic Fibrosis Society
https://www.readbyqxmd.com/read/29336898/effect-of-transcranial-direct-current-stimulation-on-short-term-and-long-term-treatment-of-chronic-tinnitus
#5
Hamidreza Abtahi, Ahmadreza Okhovvat, Somaiie Heidari, Azar Gharagazarloo, Motahare Mirdamadi, Mohammad Hossein Nilforoush, Hossein Ghazavi
OBJECTIVE: This study was conducted to investigate the effectiveness of anodal and cathodal methods in reducing the intensity of tinnitus and to compare them with the control. METHODOLOGY: This randomized double-blind clinical trial with case and control groups was conducted in Al-Zahra Hospital in Isfahan between 2015 and 2016. In this trial, 51 patients with tinnitus, for at least one year, were selected among those outpatients visiting the throat, nose and ear clinic within this period...
January 6, 2018: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/29336286/oral-allergy-syndrome
#6
Nuray Bayar Muluk, Cemal Cingi
OBJECTIVES: To review oral allergy syndrome (OAS). METHODS: We searched several medical literature data bases with the following key words: "oral allergy syndrome," "OAS," "pollen-food allergy syndrome," "PFAS," "allergy," "diagnosis," "treatment." RESULTS: Oral allergy syndrome (OAS), also called "pollen-food allergy syndrome," is a type of food allergy brought about by flavors, nuts, raw fruit, and vegetables. The most well-known symptoms are mouth and throat itching, which starts rapidly after a food is placed in the mouth, and that, as a rule, continues for just a couple of minutes after the food has been swallowed...
January 1, 2018: American Journal of Rhinology & Allergy
https://www.readbyqxmd.com/read/29335714/guideline-experts-recommend-a-single-dose-of-oral-steroids-for-pain-relief-in-acute-sore-throat
#7
Alexander W Chessman
No abstract text is available yet for this article.
January 16, 2018: Annals of Internal Medicine
https://www.readbyqxmd.com/read/29333582/outpatient-erbium-yag-2940%C3%A2-nm-laser-treatment-for-snoring-a-prospective-study-on-40-patients
#8
Isabelle Fini Storchi, Steven Parker, Francesca Bovis, Stefano Benedicenti, Andrea Amaroli
Snoring is a sleep phenomenon due to the partial upper airway obstruction during sleep which causes vibration of the tissues of the rhino-oro-hypopharynx and less frequently the larynx. This study evaluated the use and effectiveness of the erbium:YAG 2940-nm laser as an adjunctive in providing treatment for patients suffering from chronic snoring-related sleep disorders. A prospective study of 40 consecutive patients with snoring and sleep disorders was performed, assessing data before and after three Er:YAG laser treatment sessions...
January 15, 2018: Lasers in Medical Science
https://www.readbyqxmd.com/read/29331405/reliability-and-validity-of-the-turkish-version-of-the-consensus-auditory-perceptual-evaluation-of-voice-cape-v
#9
Esra Özcebe, Fatma Esen Aydinli, Tuğçe Karahan Tiğrak, Önal İncebay, Taner Yilmaz
OBJECTIVES: The main purpose of this study was to culturally adapt the Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V) to Turkish and to evaluate its internal consistency, validity, and reliability. MATERIALS AND METHODS: The Turkish version of CAPE-V was developed, and with the use of a prospective case-control design, the voice recordings of 130 participants were collected according to CAPE-V protocol. Auditory-perceptual evaluation was conducted according to CAPE-V and Grade, Roughness, Breathiness, Asthenia, and Strain (GRBAS) scale by two ear, nose, and throat specialists and two speech and language therapists...
January 11, 2018: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/29331281/-do-online-ratings-reflect-structural-differences-in-healthcare-the-example-of-german-physician-rating-websites
#10
Nina Meszmer, Lena Jaegers, Oliver Schöffski, Martin Emmert
BACKGROUND: Previous surveys have shown that patient satisfaction varies with the regional supply of physicians. Online ratings on physician-rating websites represent a relatively new instrument to display patient satisfaction results. The aim of this study was (1) to assess the current state of online ratings for two medical disciplines (dermatologists and ear, nose and throat (ENT) specialists), and (2) to analyze online derived patient satisfaction results according to the physician density in Germany...
January 10, 2018: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/29331009/cyanoacrylate-injury-to-the-ear-canal
#11
Assad Khan, Sinthuja Neminathan, Anita Sonsale, Atilla Dezso
This is a case regarding a 35-year-old gentleman who presented to the Accident and Emergency department at Walsall Manor Hospital. He had mistakenly placed cyanoacrylate ('superglue') into his right ear canal in the early morning. In terms of its removal, an initial attempt was made in the Ear, Nose and throat (ENT) outpatient clinic which proved to be unsuccessful due to the amount of discomfort it caused the patient. Therefore, it had to be removed under general anaesthesia.
October 2017: Journal of Ayub Medical College, Abbottabad: JAMC
https://www.readbyqxmd.com/read/29330009/the-almanach-project-preliminary-results-and-potentiality-from-afghanistan
#12
A Bernasconi, F Crabbé, R Rossi, I Qani, A Vanobberghen, M Raab, S Du Mortier
INTRODUCTION: ALMANACH (ALgorithms for the MANagement of Acute CHildhood illnesses) is an electronic version of IMCI (Integrated Management of Childhood Illness) running on tablets. ALMANACH enhances its concept, it integrates well into health staff's daily consultation work and facilitates diagnosis and treatment. ALMANACH informs when to refer a child or to perform a rapid diagnostic test (RDT), recommends the right treatment dosage and synchronizes collected data real time with a Health Management Information System (DHIS2) for epidemiological evaluation and decision making...
December 28, 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29328713/egalitarianism-among-bubbles-in-porous-media-an-ostwald-ripening-derived-anticoarsening-phenomenon
#13
Ke Xu, Roger Bonnecaze, Matthew Balhoff
We show that smaller gas bubbles grow at the expense of larger bubbles and all bubbles approach the same surface curvature after long times in porous media. This anticoarsening effect is contrary to typical Ostwald ripening and leads to uniformly sized bubbles in a homogeneous medium. Evolution dynamics of bubble populations were measured, and mathematical models were developed that fit the experimental data well. Ostwald ripening is shown to be the driving mechanism in this anticoarsening phenomenon; however, the relationship between surface curvature and bubble size determined by the pore-throat geometric confinement reverses the ripening direction...
December 29, 2017: Physical Review Letters
https://www.readbyqxmd.com/read/29327685/the-role-of-pepsin-in-the-laryngopharyngeal-reflux
#14
Katarzyna Kowalik, Antoni Krzeski
Laryngopharyngeal reflux (LPR) is a common defect among laryngological and phoniatric patients. Although LPR is categorized as a superficial gastroesophageal reflux disease (GERD), differential diagnosis should treat these two diseases separately. LPR symptoms can be assessed in the interview using as a tool the reflux symptom index (RSI). In addition, changes in the larynx that occur during LPR might be seen during laryngoscopy and classified according to the reflux finding score (RFS). One of the main mucosal irritants in LPR is pepsin which digests proteins and impairs the functions of the upper respiratory tract cells by affecting carbonate anhydrase (CAIII) and the Sep 70 protein...
December 30, 2017: Otolaryngologia Polska
https://www.readbyqxmd.com/read/29324922/autologous-free-fat-transfer-in-patients-with-velopharyngeal-insufficiency
#15
Pericles Foroglou, Olga Christina Goula, Antonis Tsimponis, Elena Georgiadou, Efterpi Demiri
AIM: To report our initial experience and preliminary results of autologous free fat transfer to improve speech and hypernasality in patients with velopharyngeal insufficiency (VPI) as a sequela of cleft lip and palate repair. MATERIAL AND METHODS: To date 2 patients with a mean age of 25 years were treated with this method. Both had initially received multiple procedures elsewhere for cleft lip and palate repair. We recorded the number of free fat transfer sessions, anatomical places of placement and volumes injected in-patient stay, occurrence or absence of complications and effectiveness of this operation in terms of clinical speech evaluation, functional velopharyngeal closure measurements and speech improvement percentage by an Ear, Nose and Throat (ENT) specialist...
September 2017: Hellenic Journal of Nuclear Medicine
https://www.readbyqxmd.com/read/29324884/a-cross-sectional-study-on-dutch-layer-farms-to-investigate-the-prevalence-and-potential-risk-factors-for-different-chlamydia-species
#16
Marloes Heijne, Jeanet A van der Goot, Helmi Fijten, Joke W van der Giessen, Eric Kuijt, Catharina B M Maassen, Annika van Roon, Ben Wit, Ad P Koets, Hendrik I J Roest
In poultry several Chlamydia species have been detected, but Chlamydia psittaci and Chlamydia gallinacea appear to be most prevalent and important. Chlamydia psittaci is a well-known zoonosis and is considered to be a pathogen of poultry. Chlamydia gallinacea has been described more recently. Its avian pathogenicity and zoonotic potential have to be further elucidated. Within the Netherlands no data were available on the presence of Chlamydia on poultry farms. As part of a surveillance programme for zoonotic pathogens in farm animals, we investigated pooled faecal samples from 151 randomly selected layer farms...
2018: PloS One
https://www.readbyqxmd.com/read/29324816/changes-in-respiratory-and-non-respiratory-symptoms-in-occupants-of-a-large-office-building-over-a-period-of-moisture-damage-remediation-attempts
#17
Ju-Hyeong Park, Sook Ja Cho, Sandra K White, Jean M Cox-Ganser
There is limited information on the natural history of building occupants' health in relation to attempts to remediate moisture damage. We examined changes in respiratory and non-respiratory symptoms in 1,175 office building occupants over seven years with multiple remediation attempts. During each of four surveys, we categorized participants using a severity score: 0 = asymptomatic; 1 = mild, symptomatic in the last 12 months, but not frequently in the last 4 weeks; 2 = severe, symptomatic at least once weekly in the last 4 weeks...
2018: PloS One
https://www.readbyqxmd.com/read/29323376/a-multifunctional-wearable-sensor-based-on-a-graphene-inverse-opal-cellulose-film-for-simultaneous-in-situ-monitoring-of-human-motion-and-sweat
#18
Hua Xu, Yi Fei Lu, Jian Xin Xiang, Ming Kun Zhang, Yuan Jin Zhao, Zhuo Ying Xie, Zhong Ze Gu
A multifunctional, wearable sensor based on a reduced oxide graphene (rGO) film onto a porous inverse opal acetylcellulose (IOAC) film has been developed and can perform simultaneous, in situ monitoring of various human motions and ion concentrations in sweat. The rGO film is used as a strain-sensing layer for monitoring human motion via its resistance change, whereas the porous IOAC film is used as a flexible microstructured substrate not only for high sensitive motion sensing, but also for collection and analysis of ion concentrations in sweat by its simple colorimetric changes or reflection-peak shifts...
January 11, 2018: Nanoscale
https://www.readbyqxmd.com/read/29322502/systematic-review-of-benefits-or-harms-of-routine-anaesthetist-inserted-throat-packs-in-adults-practice-recommendations-for-inserting-and-counting-throat-packs-an-evidence-based-consensus-statement-by-the-difficult-airway-society-das-the-british-association
#19
REVIEW
V Athanassoglou, A Patel, B McGuire, A Higgs, M S Dover, P A Brennan, A Banerjee, B Bingham, J J Pandit
Throat packs are commonly inserted by anaesthetists after induction of anaesthesia for dental, maxillofacial, nasal or upper airway surgery. However, the evidence supporting this practice as routine is unclear, especially in the light of accidentally retained throat packs which constitute 'Never Events' as defined by NHS England. On behalf of three relevant national organisations, we therefore conducted a systematic review and literature search to assess the evidence base for benefit, and also the extent and severity of complications associated with throat pack use...
January 10, 2018: Anaesthesia
https://www.readbyqxmd.com/read/29322492/have-we-reached-the-end-for-throat-packs-inserted-by-anaesthetists
#20
EDITORIAL
C R Bailey, R Nouraie, J M Huitink
No abstract text is available yet for this article.
January 10, 2018: Anaesthesia
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