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https://www.readbyqxmd.com/read/28635869/-the-topical-problems-of-expert-mistakes-and-evaluation-of-the-quality-of-forensic-medical-expertises-based-on-the-analysis-of-the-reports-published-in-the-journal-sudebno-meditsinskaya-ekspertiza-forensic-medical-expertise-during-the-period-from-1958-till
#1
L A Shmarov
The objective of the present study was the thematic analysis of the reports published in the journal 'Sudebno-meditsinskaya ekspertiza' (Forensic Medical Expertise) during the period from 1958 till 2015 that contain the authors' characteristics of the mistakes made in connection with the performance of various forms of forensic medical expertise with special reference to their quality and time schedules. A total of 268 issues of the journal were looked through from which 25 articles were selected dealing with the analysis of expert mistakes...
2017: Sudebno-meditsinskaia Ekspertiza
https://www.readbyqxmd.com/read/28635665/towards-a-uniform-metrological-assessment-of-grating-based-optical-fiber-sensors-from-refractometers-to-biosensors
#2
REVIEW
Francesco Chiavaioli, Carlos A J Gouveia, Pedro A S Jorge, Francesco Baldini
A metrological assessment of grating-based optical fiber sensors is proposed with the aim of providing an objective evaluation of the performance of this sensor category. Attention was focused on the most common parameters, used to describe the performance of both optical refractometers and biosensors, which encompassed sensitivity, with a distinction between volume or bulk sensitivity and surface sensitivity, resolution, response time, limit of detection, specificity (or selectivity), reusability (or regenerability) and some other parameters of generic interest, such as measurement uncertainty, accuracy, precision, stability, drift, repeatability and reproducibility...
June 21, 2017: Biosensors
https://www.readbyqxmd.com/read/28634619/implementation-of-li-rads-into-a-radiological-practice
#3
REVIEW
Stefan T Siedlikowski, Ania Z Kielar, Eleanor L Ormsby, Bijan Bijan, Christopher Kagay
Since its introduction in 2011, Liver Imaging Reporting and Data System (LI-RADS) has become an increasingly utilized method for radiologists to categorize lesions for hepatocellular carcinoma (HCC) in patients at risk (American College of Radiology, www.acr.org/quality-safety/resources/lirads 2016). This overview article presents insight into methods of incorporating LI-RADS into an existing clinical practice, highlighting concrete ways to establish this system as a mainstay in any radiologist's evidence-based armamentarium...
June 20, 2017: Abdominal Radiology
https://www.readbyqxmd.com/read/28633761/the-opinion-of-health-professionals-regarding-the-presence-of-relatives-during-cardiopulmonary-resucitation
#4
J M Asencio-Gutiérrez, I Reguera-Burgos
BACKGROUND: The latest recommendations from the American Heart Association and the European Resuscitation Council invite allowance for the presence of relatives (PR) during cardiopulmonary resuscitation (CPR) as an extra measure of family care. OBJECTIVE: To discover the opinion of health professionals on the PR during CPR. METHOD: Cross-sectional observational study through an online survey in Spain, based on a non-probability sample (n=315)...
June 17, 2017: Enfermería Intensiva
https://www.readbyqxmd.com/read/28633732/to-err-is-human-can-american-medicine-learn-from-past-mistakes
#5
Jeffrey B Ritterman
The history of medicine includes many errors. Some persisted for decades and caused great harm. Several are highlighted in this article, including the mythical thymic diseases: thymic asthma and status thymicolymphaticus. Some medical mistakes, such as the diet-heart hypothesis of Ancel Keys, continue to cause harm. To avoid future errors and their associated harm, I suggest a cultural shift encouraging professional humility and greater questioning of medical dogma. Medical education focused on teaching students this history may help with this cultural shift...
2017: Permanente Journal
https://www.readbyqxmd.com/read/28628750/ergonomic-benefits-from-a-laparoscopic-instrument-with-rotatable-handle-piece-depend-on-the-area-of-the-operating-field-and-working-height
#6
Benjamin Steinhilber, Florian Reiff, Robert Seibt, Monika A Rieger, Peter Martus, Bernhard Kraemer, Ralf Rothmund
Objective To evaluate the effect of a laparoscopic instrument with a 360° rotatable handle piece (rot-HP) on biomechanical stress and precision in different areas of a simulated operating field at two working heights. Background Surgeons performing laparoscopic procedures are exposed to biomechanical stress and have an increased risk of musculoskeletal complaints. Method Fifty-seven healthy subjects (27 men, median age 26) without experience in laparoscopy performed a precision task in four quadrants (A-D) of the operating field using the rot-HP or a common fixed handle piece (fixed-HP) at an individually adjusted lower or higher working height...
June 1, 2017: Human Factors
https://www.readbyqxmd.com/read/28622614/desirable-difficulties-during-the-development-of-active-inquiry-skills
#7
George Kachergis, Marjorie Rhodes, Todd Gureckis
This study explores developmental changes in the ability to ask informative questions, hypothesizing a link between the ability to update beliefs in light of evidence and the ability to ask informative questions. Five- to ten-year-old children played an iPad game asking them to identify a hidden insect. Learners could either ask about individual insects, or make a series of feature queries (e.g., "Does the hidden insect have antenna?") that could more efficiently narrow the hypothesis space. Critically, the task display either helped children integrate evidence with the hypothesis space or required them to perform this operation themselves...
June 13, 2017: Cognition
https://www.readbyqxmd.com/read/28620576/polish-experience-of-implementing-vision-zero
#8
REVIEW
Kazimierz Jamroz, Lech Michalski, Joanna Żukowska
PURPOSE OF REVIEW: The aim of this study is to present an outline and the principles of Poland's road safety strategic programming as it has developed over the last 25 years since the first Integrated Road Safety System with a strong focus on Sweden's "Vision Zero". RECENT FINDINGS: Countries that have successfully improved road safety have done so by following strategies centred around the idea that people are not infallible and will make mistakes. The human body can only take a limited amount of energy upon impact, so roads, vehicles and road safety programmes must be designed to address this...
2017: Current Trauma Reports
https://www.readbyqxmd.com/read/28620350/considerations-for-experimental-animal-models-of-concussion-traumatic-brain-injury-and-chronic-traumatic-encephalopathy-these-matters-matter
#9
REVIEW
Mark W Wojnarowicz, Andrew M Fisher, Olga Minaeva, Lee E Goldstein
Animal models of concussion, traumatic brain injury (TBI), and chronic traumatic encephalopathy (CTE) are widely available and routinely deployed in laboratories around the world. Effective animal modeling requires careful consideration of four basic principles. First, animal model use must be guided by clarity of definitions regarding the human disease or condition being modeled. Concussion, TBI, and CTE represent distinct clinical entities that require clear differentiation: concussion is a neurological syndrome, TBI is a neurological event, and CTE is a neurological disease...
2017: Frontiers in Neurology
https://www.readbyqxmd.com/read/28618299/is-the-devil-in-the-detail-a-randomised-controlled-trial-of-guided-internet-based-cbt-for-perfectionism
#10
Roz Shafran, Tracey D Wade, Sarah J Egan, Radha Kothari, Hannah Allcott-Watson, Per Carlbring, Alexander Rozental, Gerhard Andersson
An internet guided self-help cognitive-behavioural treatment (ICBT) for perfectionism was recently found to be effective (see this issue). Such studies stand in need of replication. The aim of this study was to report the outcomes and predictors of change when the treatment is delivered in a UK setting. A total of 120 people (Mean = 28.9 years; 79% female) were randomised to receive ICBT or wait-list control over 12 weeks (trial registration: NCT02756871). While there were strong similarities between the current study and its Swedish counterpart, there were also important differences in procedural details...
May 26, 2017: Behaviour Research and Therapy
https://www.readbyqxmd.com/read/28616726/how-to-write-an-original-radiological-research-manuscript
#11
Peter Bannas, Scott B Reeder
Many scientific manuscripts submitted for publication are limited by fundamental mistakes in their preparation, leading to rejection. We describe how to write a well-organized radiological research manuscript containing all of the important ingredients for effective communication of a hypothesis-driven scientific study in the context of medical imaging. KEY POINTS: • Mistakes in the preparation of scientific manuscripts lead to rejection. • Scientific writing, like any important skill, can be learned...
June 14, 2017: European Radiology
https://www.readbyqxmd.com/read/28614458/capacity-for-self-monitoring-reading-comprehension-in-elementary-school
#12
Gabriela Juliane Bueno, Carolina Alves Ferreira Carvalho, Clara Regina Brandão de Ávila
Purpose: To investigate the capacity for self-monitoring reading comprehension in Brazilian Elementary School students. Methods: Fifty-three Elementary students in the 5th and 9th grades from two Public Schools in the city of São Paulo were assessed. They were selected based on their oral reading rate and grouped according to their performance in reading comprehension in the following categories: Group with best comprehension: students with adequate rate and accuracy, without difficulties in reading comprehension; Group with worst comprehension: students with adequate rate and accuracy but with difficulties in reading comprehension...
June 8, 2017: CoDAS
https://www.readbyqxmd.com/read/28614406/learning-from-the-mistakes-of-others-how-female-elk-cervus-elaphus-adjust-behaviour-with-age-to-avoid-hunters
#13
Henrik Thurfjell, Simone Ciuti, Mark S Boyce
In animal behaviour, there is a dichotomy between innate behaviours (e.g., temperament or personality traits) versus those behaviours shaped by learning. Innate personality traits are supposedly less evident in animals when confounded by learning acquired with experience through time. Learning might play a key role in the development and adoption of successful anti-predator strategies, and the related adaptation has the potential to make animals that are more experienced less vulnerable to predation. We carried out a study in a system involving a large herbivorous mammal, female elk, Cervus elaphus, and their primary predator, i...
2017: PloS One
https://www.readbyqxmd.com/read/28607680/increasing-the-uptake-of-electronic-prescribing-in-primary-care
#14
Nazia Imambaccus, Samuel Glace, Rory Heath
Electronic prescribing is a form of paperless prescribing that is reported to reduce prescription mistakes and increases the cost effectiveness of the process. In England, around 1.5 million prescriptions are generated in general practice daily. Thus by reducing costs and increasing efficiency of this system through electronic prescribing, costs can be driven down. In this Quality Improvement project, a GP practice in London with approximately 3000 patients on record was assessed for its electronic prescribing rates throughout 3 intervention cycles over a period of 2 months...
2017: BMJ Quality Improvement Reports
https://www.readbyqxmd.com/read/28605142/aberrant-expression-of-fli-1-in-melanoma
#15
Nisha Ramani, Phyu P Aung, Wen-Jen Hwu, Priyadharsini Nagarajan, Michael T Tetzlaff, Jonathan L Curry, Doina Ivan, Victor G Prieto, Carlos A Torres-Cabala
FLI-1 (Friend leukemia integration site 1) nuclear transcription factor has been proposed as a suitable tool in the differential diagnosis of small round cell sarcomas. It has also been described as nuclear marker of endothelial differentiation. Expression of FLI-1 has been demonstrated in Ewing's sarcoma/ primitive neuroectodermal tumor (ES/PNET) and vascular neoplasms. In the present study, we describe two cases of metastatic melanoma with small round blue cell morphology that showed strong nuclear expression of FLI-1...
June 12, 2017: Journal of Cutaneous Pathology
https://www.readbyqxmd.com/read/28602557/recurrent-failings-of-medical-humanitarianism-intractable-ignored-or-just-exaggerated
#16
REVIEW
Sandro Colombo, Enrico Pavignani
Humanitarian health workers operate in dangerous and uncertain contexts, in which mistakes and failures are common, often have severe consequences, and are regularly repeated, despite being documented by many reviews. This Series paper aims to discuss the failures of medical humanitarianism. We describe why some of these recurrent failings, which are often not identified until much later, seem intractable: they are so entrenched in humanitarian action that they cannot be addressed by simple technical fixes...
June 7, 2017: Lancet
https://www.readbyqxmd.com/read/28600791/orientation-behavior-is-a-good-biomarker-of-trace-metal-contamination-in-parallelomorphus-laevigatus-coleoptera-carabidae
#17
Erminia Conti, Sandro Dattilo, Giovanni Costa, Concetto Puglisi
Behavioral ecotoxicology has become very important in the short time since a change in behavior is very often the first response to environmental altered conditions. We investigated the influence of trace metal intake on the spatial orientation performances of the carabid beetle Parallelomorphus laevigatus, fundamental ability for its survival. The aim of this study was to consider the solar orientation as behavioral biomarker for exposure to trace metal contamination. Therefore, we tested the ability of solar orientation of specimens of this species, fed with shrimps contaminated with three different concentrations of Cu, Zn, or Hg...
June 9, 2017: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/28594492/thoracic-outlet-syndrome-getting-it-right-so-you-don-t-have-to-do-it-again
#18
Alan J Micev, Joshua M Abzug, A Lee Osterman
Thoracic outlet syndrome is a disorder caused by thoracic outlet compression of the brachial plexus and/or the subclavian vessels. The characteristics of thoracic outlet syndrome are highly variable. Objective tests, such as electrodiagnostic studies, are often unreliable in characterizing thoracic outlet syndrome. The existence of thoracic outlet syndrome as a discrete entity is controversial. Surgeons who accept the existence of thoracic outlet syndrome acknowledge that diagnosis is clinical. The variability and complexity of thoracic outlet syndrome lends itself to mistakes in both diagnosis and surgical treatment...
February 15, 2017: Instructional Course Lectures
https://www.readbyqxmd.com/read/28590770/pediatric-abdominal-radiographs-common-and-less-common-errors
#19
Sarah J Menashe, Ramesh S Iyer, Marguerite T Parisi, Randolph K Otto, Edward Weinberger, A Luana Stanescu
OBJECTIVE: Interpretation of abdominal radiographs of children benefits from a firm knowledge of the congenital anomalies and pathologies unique to this patient population, leveraged by a systematic approach. Interpretive errors place the patients and their families at risk for a delay in diagnosis, unnecessary additional imaging, a potential increase in the radiation burden, and possible psychologic trauma. CONCLUSION: In this article, we describe the common and uncommon potential pitfalls in pediatric abdominal radiography, using several of our own interpretive errors as a framework while providing teaching points to help avoid these mistakes...
June 7, 2017: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/28586713/a-randomized-controlled-trial-of-internet-based-cognitive-behavior-therapy-for-perfectionism-including-an-investigation-of-outcome-predictors
#20
Alexander Rozental, Roz Shafran, Tracey Wade, Sarah Egan, Lise Bergman Nordgren, Per Carlbring, Andreas Landström, Stina Roos, Malin Skoglund, Elisabet Thelander, Linnéa Trosell, Alexander Örtenholm, Gerhard Andersson
Being highly attentive to details can be a positive feature. However, for some individuals, perfectionism can lead to distress and is associated with many psychiatric disorders. Cognitive behavior therapy has been shown to yield many benefits for those experiencing problems with perfectionism, but the access to evidence-based care is limited. The current study investigated the efficacy of guided Internet-based Cognitive Behavior Therapy (ICBT) and predictors of treatment outcome. In total, 156 individuals were included and randomized to an eight-week treatment or wait-list control...
May 26, 2017: Behaviour Research and Therapy
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