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https://www.readbyqxmd.com/read/29450499/otorhinolaryngology-and-diving-part-2-otorhinolaryngological-fitness-for-compressed-gas-scuba-diving-a-review
#1
Matt Lechner, Liam Sutton, Jonathan M Fishman, David M Kaylie, Richard E Moon, Liam Masterson, Christoph Klingmann, Martin A Birchall, Valerie J Lund, John S Rubin
Importance: Self-contained underwater breathing apparatus (scuba) diving has become increasingly popular with millions of people diving each year. Otorhinolaryngologists are often consulted either by patients or diving physicians regarding fitness to dive, and at present, the guidelines do not provide comprehensive information regarding the evaluation of this patient cohort. The aim of this review is to provide a comprehensive overview of existing otorhinolaryngological guidelines for fitness to dive recreationally...
February 15, 2018: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/29447726/no-129-exercise-in-pregnancy-and-the-postpartum-period
#2
Gregory A L Davies, Larry A Wolfe, Michelle F Mottola, Catherine MacKinnon
OBJECTIVE: To design Canadian guidelines advising obstetric care providers of the maternal, fetal, and neonatal implications of aerobic and strength-conditioning exercises in pregnancy. OUTCOMES: Knowledge of the impact of exercise on maternal, fetal, and neonatal morbidity, and of the maternal measures of fitness. EVIDENCE: MEDLINE search from 1966 to 2002 for English language articles related to studies of maternal aerobic and strength conditioning in a previously sedentary population, maternal aerobic and strength conditioning in a previouslyactive population, impact of aerobic and strength conditioning on early and late pregnancy outcomes, and impact of aerobic and strength conditioning on neonatal outcomes, as well as for review articles and meta-analyses related to exercise in pregnancy...
February 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/29447231/preparedness-of-lower-level-health-facilities-and-the-associated-factors-for-the-outpatient-primary-care-of-hypertension-evidence-from-tanzanian-national-survey
#3
Deogratius Bintabara, Bonaventura C T Mpondo
INTRODUCTION: Sub-Saharan Africa is experiencing a rapid rise in the burden of non-communicable diseases in both urban and rural areas. Data on health system preparedness to manage hypertension and other non-communicable diseases remains scarce. This study aimed to assess the preparedness of lower-level health facilities for outpatient primary care of hypertension in Tanzania. METHODS: This study used data from the 2014-2015 Tanzania Service Provision Assessment survey...
2018: PloS One
https://www.readbyqxmd.com/read/29433990/follow-up-after-curative-treatment-for-oral-squamous-cell-carcinoma-a-critical-appraisal-of-the-guidelines-and-a-review-of-the-literature
#4
REVIEW
M T Brands, P A Brennan, A L M Verbeek, M A W Merkx, S M E Geurts
The oral cavity is the commonest subsite of head and neck squamous cell carcinoma (HNSCC). Because of the rising incidence and increasing survival, more patients will be enrolled in a routine follow-up program. This review gives an overview of the evidence and guideline recommendations concerning follow-up after oral squamous cell carcinoma (OSCC). There is limited evidence concerning the effectiveness of follow-up after OSCC. This lack of evidence is reflected in a variation in guideline recommendations with respect to test interval and duration (i...
January 12, 2018: European Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29433071/applying-crash-data-to-injury-claims-an-investigation-of-determinant-factors-in-severe-motor-vehicle-accidents
#5
Darren Shannon, Finbarr Murphy, Martin Mullins, Julian Eggert
An extensive number of research studies have attempted to capture the factors that influence the severity of vehicle impacts. The high number of risks facing all traffic participants has led to a gradual increase in sophisticated data collection schemes linking crash characteristics to subsequent severity measures. This study serves as a departure from previous research by relating injuries suffered in road traffic accidents to expected trauma compensation payouts and deriving a quantitative cost function. Data from the National Highway Traffic Safety Administration's (NHTSA) Crash Injury Research (CIREN) database for the years 2005-2014 is combined with the Book of Quantum, an Irish governmental document that offers guidelines on the appropriate compensation to be awarded for injuries sustained in accidents...
February 9, 2018: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/29432386/validation-of-a-reversed-phase-ultra-high-performance-liquid-chromatographic-method-with-photodiode-array-detection-for-the-determination-of-voriconazole-in-human-serum-and-its-application-to-therapeutic-drug-monitoring
#6
Ignacio G Bressán, Mariana L Mendez, María I Gimenez
BACKGROUND: Voriconazole is a broad-spectrum triazole antifungal agent. It is widely used in the treatment of invasive fungal infections in immunocompromised patients. Because the pharmacokinetics of voriconazole demonstrates considerable variability, monitoring its serum levels plays an important role in optimizing therapies against many clinically relevant fungal pathogens. The aim of this study was to validate a simple and rapid U-HPLC-PDA method with minimal sample preparation for routine therapeutic drug monitoring (TDM) of voriconazole...
February 8, 2018: Therapeutic Drug Monitoring
https://www.readbyqxmd.com/read/29431507/high-amounts-of-sitting-low-cardiorespiratory-fitness-and-low-physical-activity-levels-3-key-ingredients-in-the-recipe-for-influencing-metabolic-syndrome-prevalence
#7
Meghan K Edwards, Paul D Loprinzi
PURPOSE: Limited research has evaluated the independent and additive associations of moderate-to-vigorous physical activity (MVPA), sedentary behavior (SB), and cardiorespiratory fitness (CRF) with metabolic syndrome, which was the purpose of this study. DESIGN: Cross-sectional. SETTING: National Health and Nutrition Examination Survey 2003 to 2004. SAMPLE: Three hundred seven adults aged 20 to 49 years. MEASURES: Moderate-to-vigorous physical activity and SB were assessed via accelerometer, whereas CRF was assessed via submaximal treadmill testing...
March 2018: American Journal of Health Promotion: AJHP
https://www.readbyqxmd.com/read/29429836/diagnosis-and-treatment-of-orofacial-pain-in-a-patient-with-unserviceable-complete-dentures-a-clinical-report
#8
Audrey M Selecman, Swati A Ahuja
An ill-fitting complete denture has the potential to create pain and discomfort as well as conceal or confound the diagnosis of other primary sources of orofacial pain such as trigeminal neuralgia. Guidelines of the American Academy of Orofacial Pain offer an evidence-based approach for the assessment, diagnosis, and management of orofacial pain. A complete and accurate differential diagnosis is paramount to the success of treatment as well as to the circumvention of unnecessary therapy. The purpose of this clinical report was to emphasize an evidence-based approach to the diagnosis and treatment of orofacial pain in a patient with edentulism and a history of prolonged denture wear...
February 8, 2018: Journal of Prosthetic Dentistry
https://www.readbyqxmd.com/read/29428538/carotid-access-for-endovascular-repair-of-aortic-pathology-a-systematic-review
#9
Thomas W Stonier, Kirtan Patel, Vamsee Bhrugubanda, Andrew Mtl Choong
BACKGROUND: Endovascular repair is now preferred to open access for the management of aortic diseases. This is typically performed via the femoral artery, however not all patients are eligible for this. This systematic review summaries the current evidence for utilising the carotid artery as an alternative access route. METHODS: A systematic review was conducted as per the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines using four electronic databases...
February 8, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29427732/risk-of-oral-and-upper-gastrointestinal-cancers-in-persons-with-positive-results-from-a-fecal-immunochemical-test-in-a-colorectal-cancer-screening-program
#10
Manon van der Vlugt, Esmée J Grobbee, Patrick M Bossuyt, Amanda C R K Bos, Ernst J Kuipers, Iris Lansdorp-Vogelaar, Manon C W Spaander, Evelien Dekker
BACKGROUND & AIMS: European guidelines recommend screening for colorectal cancer (CRC) using the fecal immunochemical test (FIT), with follow-up colonoscopies for individuals with positive test results. However, more than half of participants with positive results from the FIT are not found to have advanced neoplasia in the colonoscopy examination. Fecal occult blood might also come from the upper gastrointestinal (GI) tract, so perhaps we should consider esophagogastroduodenoscopy (EGD), to detect upper GI cancers...
February 7, 2018: Clinical Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/29423219/the-effect-of-protein-supplementation-on-body-muscle-mass-and-fat-mass-in-post-bariatric-surgery-a-randomized-controlled-trial-rct-study-protocol
#11
Sahar D Al-Shamari, Mohamed Aly ElSherif, Wahiba Hamid, Fahad Hanna
Background: Severe weight loss through means of bariatric surgery has been associated with loss of muscle mass due to lack of absorption of protein. The aim of this RCT is to investigate the effectiveness of protein supplementation in reducing the risk of developing protein malnutrition and muscle wasting in post-bariatric surgery patients in Qatar. Methods and analysis: The study was based at the Department of bariatric and metabolic surgery, Doha metropolitan and regional areas...
2018: Archives of Public Health, Archives Belges de Santé Publique
https://www.readbyqxmd.com/read/29406177/could-patient-controlled-thirst-driven-fluid-administration-lead-to-more-rapid-rehydration-than-clinician-directed-fluid-management-an-early-feasibility-study
#12
F Hughes, S C Ng, M Mythen, H Montgomery
BACKGROUND: Fluid management is a major factor determining perioperative outcome, yet in reality, fluid administration practice is variable. Thirst however, is a highly sensitive and reliable indicator of fluid deficits. We explored the use of thirst sensation to trigger i.v. fluid boluses to guide individualized fluid management. METHODS: We performed a randomised double crossover trial on 16 healthy male volunteers, of mean age 31 yr and BMI 24.4 kg m-2. Twice, after administrations of oral furosemide (40 mg) and 12 h of oral fluid restriction, participants received a 4-h i...
February 2018: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/29405849/which-is-most-sensitive-assessing-responses-of-mice-and-rats-in-toxicity-bioassays
#13
Jessica Kratchman, Bing Wang, George Gray
Rodent species are commonly used in traditional toxicology testing guidelines to predict human health toxicity outcomes. The use of a consistent species in test guidelines is important for maintaining consistency and comparability between tests and testing guidelines. This recommendation was operationalized for this study as the implicit assumption of uniform species and species-sex sensitivities. This investigation analyzed the uniformity assumption using data from National Toxicology Program Technical Reports (and where applicable Toxicity Reports), which provide data from both short-term and chronic rodent toxicity tests...
February 6, 2018: Journal of Toxicology and Environmental Health. Part A
https://www.readbyqxmd.com/read/29404359/incidence-and-predictors-of-acute-coronary-syndrome-within-a-year-following-a-negative-stress-test-a-false-sense-of-security-is-routine-screening-any-useful
#14
REVIEW
Issa Pour-Ghaz, Tamunoinemi Bob-Manuel, Hemnishil K Marella, Jayna Kelly, Amit Nanda, William Paul Skelton, Rami N Khouzam
One of the major issues in management of the acute coronary syndrome (ACS) is classification of patients with atypical presentation who have low risk of having a coronary episode at presentation. There have been multiple studies on the stratification of high risk patients and medical management of such cases, however, there is a sub-class of patients who do not fit any category. In this paper, we have looked at the current literature on stratification of patients based on the study tools available and the risk of having a coronary episode during the following year...
January 2018: Annals of Translational Medicine
https://www.readbyqxmd.com/read/29401059/survey-of-current-practice-in-the-fitting-and-fine-tuning-of-common-signal-processing-features-in-hearing-aids-for-adults
#15
Melinda C Anderson, Kathryn H Arehart, Pamela E Souza
BACKGROUND: Current guidelines for adult hearing aid fittings recommend the use of a prescriptive fitting rationale with real-ear verification that considers the audiogram for the determination of frequency-specific gain and ratios for wide dynamic range compression. However, the guidelines lack recommendations for how other common signal-processing features (e.g., noise reduction, frequency lowering, directional microphones) should be considered during the provision of hearing aid fittings and fine-tunings for adult patients...
February 2018: Journal of the American Academy of Audiology
https://www.readbyqxmd.com/read/29397655/colorectal-cancer-screening-who-how-and-when
#16
REVIEW
Roisin Bevan, Matthew D Rutter
Colorectal cancer (CRC) is the third most common cancer worldwide. It is amenable to screening as it occurs in premalignant, latent, early, and curable stages. PubMed, Cochrane Database of Systematic Reviews, and national and international CRC screening guidelines were searched for CRC screening methods, populations, and timing. CRC screening can use direct or indirect tests, delivered opportunistically or via organized programs. Most CRCs are diagnosed after 60 years of age; most screening programs apply to individuals 50-75 years of age...
January 2018: Clinical Endoscopy
https://www.readbyqxmd.com/read/29397328/cardiorespiratory-fitness-and-body-composition-responses-to-different-intensities-and-frequencies-of-exercise-training-in-colorectal-cancer-survivors
#17
James L Devin, David G Jenkins, Andrew T Sax, Gareth I Hughes, Joanne F Aitken, Suzanne K Chambers, Jeffrey C Dunn, Kate A Bolam, Tina L Skinner
INTRODUCTION: Deteriorations in cardiorespiratory fitness (V˙o2peak) and body composition are associated with poor prognosis after colorectal cancer treatment. However, the optimal intensity and frequency of aerobic exercise training to improve these outcomes in colorectal cancer survivors is unknown. PATIENTS AND METHODS: This trial compared 8 weeks of moderate-intensity continuous exercise (MICE; 50 minutes; 70% peak heart rate [HRpeak]; 24 sessions), with high-intensity interval exercise (HIIE; 4 × 4 minutes; 85%-95% HRpeak) at an equivalent (HIIE; 24 sessions) and tapered frequency (HIIE-T; 16 sessions) on V˙o2peak and on lean and fat mass, measured at baseline, 4, 8, and 12 weeks...
January 11, 2018: Clinical Colorectal Cancer
https://www.readbyqxmd.com/read/29395757/standardized-model-of-porcine-resuscitation-using-a-custom-made-resuscitation-board-results-in-optimal-hemodynamic-management
#18
Jakob Wollborn, Eva Ruetten, Bjoern Schlueter, Joerg Haberstroh, Ulrich Goebel, Martin A Schick
AIM: Standardized modeling of cardiac arrest and cardiopulmonary resuscitation (CPR) is crucial to evaluate new treatment options. Experimental porcine models are ideal, closely mimicking human-like physiology. However, anteroposterior chest diameter differs significantly, being larger in pigs and thus poses a challenge to achieve adequate perfusion pressures and consequently hemodynamics during CPR, which are commonly achieved during human resuscitation. The aim was to prove that standardized resuscitation is feasible and renders adequate hemodynamics and perfusion in pigs, using a specifically designed resuscitation board for a pneumatic chest compression device...
January 22, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29395211/height-alone-rather-than-body-surface-area-suffices-for-risk-estimation-in-ascending-aortic-aneurysm
#19
Mohammad A Zafar, Yupeng Li, John A Rizzo, Paris Charilaou, Ayman Saeyeldin, Camilo A Velasquez, Ahmed M Mansour, Syed Usman Bin Mahmood, Wei-Guo Ma, Adam J Brownstein, Maryann Tranquilli, Julia Dumfarth, Panagiotis Theodoropoulos, Kabir Thombre, Maryam Tanweer, Young Erben, Sven Peterss, Bulat A Ziganshin, John A Elefteriades
BACKGROUND: In international guidelines, risk estimation for thoracic ascending aortic aneurysm (TAAA) is based on aortic diameter. We previously introduced the aortic size index (ASI), defined as aortic size/body surface area (BSA), as a predictor of aortic dissection, rupture, and death. However, weight might not contribute substantially to aortic size and growth. We seek to evaluate the height-based aortic height index (AHI) versus ASI for risk estimation and revisit our natural history calculations...
December 6, 2017: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/29393664/the-2018-revision-of-the-isber-best-practices-summary-of-changes-and-the-editorial-team-s-development-process
#20
Lori D Campbell, Jonas J Astrin, Yvonne DeSouza, Judith Giri, Ashokkumar A Patel, Melissa Rawley-Payne, Amanda Rush, Nicole Sieffert
An increased need for specimens of reliable and consistent quality for research purposes requires the development of standardized policies and practices for the collection, handling, storage, retrieval, and distribution of specimens and specimen-related data. Providers of specimen resources should strive to incorporate new technologies and state-of-the-science approaches and thus ensure the availability of fit-for-purpose research specimens. Strategies to achieve quality outcomes and performance improvements often include adherence to established standards and implementation of best practices...
February 2, 2018: Biopreservation and Biobanking
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