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https://www.readbyqxmd.com/read/28944948/use-and-modifications-of-cervical-and-upper-thoracic-laminar-screws-in-posterior-stabilization
#1
Burak Eren, Azmi Tufan, Feyza Karagöz Güzey, İlker Güleç, Abdurrahim Taş, Özgür Yusuf Aktaş, Mustafa Safi Vatansever, Ebru Doruk, Murat Yücel, Mustafa Örnek
AIM: Laminar screw technique is used to stabilize C2 and other levels when other techniques cannot be performed. MATERIAL AND METHODS: The patients underwent laminar screws at cervical and upper thoracic levels in our clinic during 5 yearswere evaluated retrospectively. RESULTS: In 25 patients, 6 to 82 years old,total 54 laminar screws were used. Most frequent diagnoses were cervical spinal stenosis and craniovertebraljunction anomalies.There were handicaps to perform other type of screwsin 19 out of 25 screws during first 4 years, and 9 out of 29 in the last year (p=0...
July 16, 2017: Turkish Neurosurgery
https://www.readbyqxmd.com/read/28944782/perioperative-cerebrospinal-fluid-drainage-for-the-prevention-of-spinal-ischemia-after-endovascular-aortic-repair
#2
M Wortmann, D Böckler, P Geisbüsch
Endovascular treatment of thoracic and thoracoabdominal aortic diseases is accompanied by a risk of spinal ischemia in 1-19% of patients, depending on the entity and extent of the disease. The use of perioperative drainage of cerebrospinal fluid is one of the invasive measures to reduce the occurrence of this severe complication. This article reviews the incidence of spinal ischemia, its risk factors, the evidence for carrying out cerebrospinal fluid drainage and its modern use by means of an automated, pressure controlled system (LiquoGuard®7)...
2017: Gefässchirurgie: Zeitschrift Für Vaskuläre und Endovaskuläre Chirurgie
https://www.readbyqxmd.com/read/28944752/a-randomised-controlled-study-of-the-effectiveness-of-breathing-retraining-exercises-taught-by-a-physiotherapist-either-by-instructional-dvd-or-in-face-to-face-sessions-in-the-management-of-asthma-in-adults
#3
Mike Thomas, Anne Bruton, Paul Little, Stephen Holgate, Amanda Lee, Lucy Yardley, Steve George, James Raftery, Jennifer Versnel, David Price, Ian Pavord, Ratko Djukanovic, Michael Moore, Sarah Kirby, Guiqing Yao, Shihua Zhu, Emily Arden-Close, Manimekalai Thiruvothiyur, Frances Webley, Mark Stafford-Watson, Elizabeth Dixon, Lynda Taylor
BACKGROUND: Asthma control is suboptimal, resulting in quality of life (QoL) impairment and costs. Breathing retraining exercises have evidence of effectiveness as adjuvant treatment, but are infrequently used. OBJECTIVES: To transfer the contents of a brief (three-session) physiotherapist-delivered breathing retraining programme to a digital versatile disc (DVD) and booklet format; to compare the effectiveness of the self-guided intervention with that of 'face-to-face' physiotherapy and usual care for QoL and other asthma-related outcomes; to perform a health economic assessment of both interventions; and to perform a process evaluation using quantitative and qualitative methods...
September 2017: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/28944732/patient-centered-drug-approval-the-role-of-patient-advocacy-in-the-drug-approval-process
#4
T Joseph Mattingly, Linda Simoni-Wastila
Recent approval of eteplirsen for Duchenne muscular dystrophy (DMD), a rare disease with few treatment alternatives, has reignited the debate over the U.S. drug approval process. The evolution of legal and regulatory restrictions to the marketing and sale of pharmaceuticals has spanned more than a century, and throughout this history, patient advocacy has played a significant role. Scientific evidence from clinical trials serves as the foundation for drug approval, but the patient voice has become increasingly influential...
October 2017: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/28944627/-difficulties-related-to-self-care-among-people-living-with-type-2-diabetes-160-a-narrative-literature-review-based-on-audulv-asplund-and-norbergh-8217-s-model
#5
Sarah Lafontaine, Edith Ellefsen
Introduction : self-care activities require a lot of adaptation from people living with type 2 diabetes.Context : existing interventions to support self-care are often determined by a conventional vision focused on managing the disease.Objective : this article aims to present the difficulties of people living with type 2 diabetes in relation with the Audulv, Asplund and Norbergh self-care integration model.Method : a narrative review of the literature on self-care in adults with type 2 diabetes was conducted on the CINAHL, MEDLINE, PsycINFO, PASCAL and FRANÇIS databases...
April 19, 2017: Recherche en Soins Infirmiers
https://www.readbyqxmd.com/read/28944617/genetic-diversity-anti-microbial-resistance-plasmid-profile-and-frequency-of-the-vi-antigen-in-salmonella-dublin-strains-isolated-in-brazil
#6
F P Vilela, M R Frazão, D P Rodrigues, R G Costa, M R T Casas, S A Fernandes, J P Falcão, F Campioni
Salmonella Dublin is strongly adapted to cattle causing enteritis and/or systemic disease with high rates of mortality. However, it can be sporadically isolated from humans, usually causing serious disease, especially in patients with underlying chronic diseases. The aim of this study was to molecularly type S. Dublin strains isolated from humans and animals in Brazil to verify the diversity of these strains as well as to ascertain possible differences between strains isolated from humans and animals. Moreover, the presence of the capsular antigen Vi and the plasmid profile was characterized in addition to the anti-microbial resistance against 15 drugs...
September 24, 2017: Zoonoses and Public Health
https://www.readbyqxmd.com/read/28944609/hypertension-management-research-priorities-from-patients-caregivers-and-healthcare-providers-a-report-from-the-hypertension-canada-priority-setting-partnership-group
#7
Nadia Khan, Simon L Bacon, Samia Khan, Sara Perlmutter, Carline Gerlinsky, Mark Dermer, Lonni Johnson, Finderson Alves, Donna McLean, Andreas Laupacis, Mandy Pui, Angelique Berg, Felicia Flowitt
Patient- and stakeholder-oriented research is vital to improving the relevance of research. The authors aimed to identify the 10 most important research priorities of patients, caregivers, and healthcare providers (family physicians, nurses, nurse practitioners, pharmacists, and dietitians) for hypertension management. Using the James Lind Alliance approach, a national web-based survey asked patients, caregivers, and care providers to submit their unanswered questions on hypertension management. Questions already answered from randomized controlled trial evidence were removed...
September 25, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28944604/the-social-practice-of-medical-guanxi-personal-connections-and-patient-physician-trust-in-china-an-anthropological-and-ethical-tsudy
#8
Xiang Zou, Yu Cheng, Jing-Bao Nie
In China's healthcare sector, a popular and socio-culturally distinctive phenomenon known as guanxi jiuyi (medical guanxi), whereby patients draw on their guanxi (personal connections) with physicians when seeking healthcare, is thriving. Integrating anthropological investigation with normative inquiry, this paper examines medical guanxi through the lens of patient-physician trust and mistrust. The first-hand empirical data acquired - on the lived experiences and perspectives of both patients and physicians - is based on six months' fieldwork carried out in a county hospital in Guangdong, southern China, which included in-depth interviews with 20 patients and 20 medical professionals...
September 25, 2017: Developing World Bioethics
https://www.readbyqxmd.com/read/28944509/diagnosis-and-treatment-of-patients-with-prostatic-abscess-in-the-post-antibiotic-era
#9
REVIEW
Anne Lenore Ackerman, Pooja S Parameshwar, Jennifer T Anger
We reviewed the pathogenesis, clinical presentation, treatment options and outcomes of prostatic abscess in the post-antibiotic era, focusing on how patient risk factors and the emergence of multidrug-resistant organisms influence management of the condition. A MEDLINE search for "prostate abscess" or "prostatic abscess" was carried out. Prostate abscess is no longer considered a consequence of untreated urinary infection; now, men with prostatic abscess are typically debilitated or immunologically compromised, with >50% of patients having diabetes...
September 24, 2017: International Journal of Urology: Official Journal of the Japanese Urological Association
https://www.readbyqxmd.com/read/28944441/translation-and-cross-cultural-adaptation-with-preliminary-validation-of-gcos-24-for-use-in-spain
#10
Patricia Muñoz-Cabello, Sixto García-Miñaúr, Manuel Eliecer Espinel-Vallejo, Lorenzo Fernández-Franco, Alexandra Stephens, Fernando Santos-Simarro, Pablo Lapunzina-Badía, Marion McAllister
The aim in this study was to translate and cross-culturally adapt the Genetic Counseling Outcome Scale (GCOS-24) for use in Spain and to carry out a preliminary psychometric validation in a sample of Spanish patients. With oversight by an expert panel, forward and backward translations were conducted to create the draft Spanish GCOS-24. Fourteen patients were recruited from a clinical genetics service in Madrid, Spain, to participate in cognitive interviews designed to explore readability and interpretability of the draft...
September 25, 2017: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/28944414/the-spectrum-of-skin-biopsies-and-excisions-in-a-pediatric-skin-center
#11
Martin Theiler, Kathrin Neuhaus, Katrin Kerl, Lisa Weibel
Little is known about the spectrum of pediatric skin disorders requiring biopsy/excision, their indication, impact on further management, and the accuracy of clinical diagnosis. We aimed to address these questions in the patient population seen at our Swiss University referral center for Pediatric Dermatology and Plastic Surgery. All skin biopsies/excisions performed in patients aged ≤ 16 years over a period of 2 years were retrospectively analyzed. A total of 506 samples were included. The majority of biopsies/excisions (n = 413, 82%) was performed for tumors, cysts, and hamartomas and 18% for other skin conditions...
September 25, 2017: European Journal of Pediatrics
https://www.readbyqxmd.com/read/28944378/treatment-of-single-and-multiple-miller-class-i-and-iii-gingival-recessions-at-crown-restored-teeth-in-maxillary-esthetic-areas
#12
Anton Sculean, Raluca Cosgarea, Christos Katsaros, Nicole Birgit Arweiler, Richard John Miron, Herbert Deppe
OBJECTIVE: To clinically evaluate the outcomes following surgical coverage of single and multiple Miller Class I and III gingival recessions at crown-restored teeth in the esthetic area by means of the modified coronally advanced tunnel (MCAT). METHOD AND MATERIALS: Eight systemically healthy patients (5 females) with a total of 23 single or multiple maxillary Miller Class I or III gingival recessions were consecutively treated with MCAT in conjunction with a subepithelial connective tissue graft (SCTG)...
September 22, 2017: Quintessence International
https://www.readbyqxmd.com/read/28944367/clinical-outcomes-of-full-arch-fixed-implant-supported-zirconia-prostheses-a-systematic-review
#13
Avinash Bidra, Patchanee Rungruanganunt, Marissa Gauthier
AIM: The primary aim of this systematic review was to study the clinical outcomes of one-piece fixed complete dentures (complete arch fixed implant-supported prostheses) made of zirconia for edentulous patients. The secondary aim was to compare the clinical outcomes of monolithic zirconia vs zirconia veneered with porcelain (conventional, minimal or gingival) for fixed complete dentures. MATERIALS AND METHODS: Two investigators conducted an independent electronic search of the literature, using PubMed and Scopus search engines from January 1, 2000, to August 31, 2016...
2017: European Journal of Oral Implantology
https://www.readbyqxmd.com/read/28944360/immediate-loading-of-fixed-prostheses-in-fully-edentulous-jaws-1-year-follow-up-from-a-single-cohort-retrospective-study
#14
Francesco Giordano, Marco Esposito
PURPOSE: To evaluate the clinical outcome of four to five implants immediately restored with metal-resin screw-retained cross-arch fixed prostheses in edentulous jaws 1 year after loading. MATERIALS AND METHODS: In total, 104 consecutive patients received four 11 × 4.5 mm implants with a torque superior to 35 Ncm. If one implant did not reach a torque superior to 35 Ncm a fifth implant was added. If two implants did not reach a torque superior to 35 Ncm, loading was postponed after 3 months...
2017: European Journal of Oral Implantology
https://www.readbyqxmd.com/read/28944359/crestal-sinus-lift-using-an-implant-with-an-internal-l-shaped-channel-1-year-after-loading-results-from-a-prospective-cohort-study
#15
Marco Tallarico, David L Cochran, Erta Xhanari, Claudia Dellavia, Elena Canciani, Eitan Mijiritsky, Silvio Mario Meloni
PURPOSE: To evaluate the clinical and radiographic outcomes of a one-stage crestal sinus elevation procedure using a self-tapping endosseous implant system (iRaise, Maxillent, Herzliya, Israel) developed for sinus augmentation, 1 year after loading. MATERIALS AND METHODS: Patients needing restoration in the posterior maxilla with a residual alveolar crest of 3 to 8 mm in height and 5 mm in width distal to the canine as measured on CBCT scan were treated using the iRaise sinus lift system...
2017: European Journal of Oral Implantology
https://www.readbyqxmd.com/read/28944357/endodontic-retreatment-vs-dental-implants-of-teeth-with-an-uncertain-endodontic-prognosis-1-year-results-from-a-randomised-controlled-trial
#16
Marco Esposito, Marco Tallarico, Anna Trullenque-Eriksson, Rodolfo Gianserra
PURPOSE: To ascertain whether in the presence of a previously endodontically treated tooth with a periapical pathology and/or symptoms and an uncertain prognosis, it is better to endodontically retreat it or to replace the tooth with a single implant-supported crown. MATERIALS AND METHODS: Forty patients requiring the treatment of a previously endodontically treated tooth, with a periapical pathology and/or symptoms of endodontic origin and an uncertain prognosis, as judged by the recruiting investigators, were randomly allocated to endodontic retreatment (endo group; 20 patients) or tooth extraction and replacement with an implant-supported crown (implant group; 20 patients) according to a parallel group design at two different centres...
2017: European Journal of Oral Implantology
https://www.readbyqxmd.com/read/28944355/wide-diameter-immediate-post-extractive-implants-vs-delayed-placement-of-normal-diameter-implants-in-preserved-sockets-in-the-molar-region-1-year-post-loading-outcome-of-a-randomised-controlled-trial
#17
Vittorio Checchi, Pietro Felice, Giovanni Zucchelli, Carlo Barausse, Maurizio Piattelli, Roberto Pistilli, Giovanni Grandi, Marco Esposito
PURPOSE: To compare the effectiveness of 6.0 to 8.0 mm-wide diameter implants, placed immediately after tooth extraction, with conventional 4.0 or 5.0 mm diameter implants placed in a preserved socket after a 4-month period of healing in the molar region. MATERIALS AND METHODS: Just after extraction of one or two molar teeth, and with no vertical loss of the buccal bone in relation to the palatal wall, 100 patients requiring immediate post-extractive implants were randomly allocated to immediate placement of one or two 6...
2017: European Journal of Oral Implantology
https://www.readbyqxmd.com/read/28944289/video-intervention-increases-participation-of-black-breast-cancer-patients-in-therapeutic-trials
#18
Brandi N Robinson, Antoinette F Newman, Eshetu Tefera, Pia Herbolsheimer, Raquel Nunes, Christopher Gallagher, Pamela Randolph-Jackson, Adedamola Omogbehin, Asma Dilawari, Paula R Pohlmann, Mahsa Mohebtash, Young Lee, Yvonne Ottaviano, Avani Mohapatra, Filipa Lynce, Richard Brown, Mihriye Mete, Sandra M Swain
There is a striking racial and ethnic disparity in incidence and mortality of cancer yet minorities remain markedly underrepresented in clinical trials. This pilot study set out to determine the impact of a 15-min culturally tailored educational video on three outcomes relating to clinical trials: likely participation, attitudes (assessed based on six barriers), and actual enrollment. Breast cancer patients with Stage I-III, if diagnosed within previous 6 months, or metastatic disease who self-identified as black or African American were invited to participate...
2017: NPJ Breast Cancer
https://www.readbyqxmd.com/read/28944232/mutational-analysis-of-brca1-and-brca2-genes-in-peruvian-families-with-hereditary-breast-and-ovarian-cancer
#19
Jose Buleje, Maria Guevara-Fujita, Oscar Acosta, Francia D P Huaman, Pierina Danos, Alexis Murillo, Joseph A Pinto, Jhajaira M Araujo, Alfredo Aguilar, Jaime Ponce, Carlos Vigil, Carlos Castaneda, Gabriela Calderon, Henry L Gomez, Ricardo Fujita
BACKGROUND: Breast cancer is one of the most prevalent malignancies in the world. In Peru, breast cancer is the second cause of death among women. Five to ten percent of patients present a high genetic predisposition due to BRCA1 and BRCA2 germline mutations. METHODS: We performed a comprehensive analysis of BRCA1 and BRCA2 genes by Sanger sequencing and multiplex ligation-dependent probe amplification (MLPA) to detect large rearrangements in patients from 18 families, which met the criteria for hereditary breast cancer...
September 2017: Molecular Genetics & Genomic Medicine
https://www.readbyqxmd.com/read/28944175/long-term-outcome-of-simultaneous-septal-myectomy-and-anterior-mitral-leaflet-retention-plasty-in-hypertrophic-obstructive-cardiomyopathy-the-berlin-experience
#20
Eva Maria Delmo Walter, Mariano Francisco Javier, Roland Hetzer
BACKGROUND: Various surgical strategies designed to relieve left ventricular outflow tract obstruction (LVOTO) and correct mitral regurgitation (MR) in hypertrophic obstructive cardiomyopathy (HOCM) have evolved, yet reports on the long-term outcomes of each technique are scarce. We provide an update on over 20 years' experience at our institution in the standardized surgical treatment of HOCM. METHODS: Between April 1986 and April 2014, 320 cases of endomyocardial resection and 305 septal myectomies were performed at our institution...
July 2017: Annals of Cardiothoracic Surgery
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