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https://www.readbyqxmd.com/read/29342198/three-dimensional-printing-model-improves-morphological-understanding-in-acetabular-fracture-learning-a-multicenter-randomized-controlled-study
#1
Zhenfei Huang, Wenhao Song, Yaoshen Zhang, Qiang Zhang, Dongsheng Zhou, Xi Zhou, Yu He
Conventional education results in unsatisfactory morphological understanding of acetabular fractures due to lack of three-dimensional (3D) details and tactile feedback of real fractures. Virtual reality (VR) and 3D printing (3DP) techniques are widely applied in teaching. The purpose of this study was to identify the effect of physical model (PM), VR and 3DP models in education of morphological understanding of acetabular fractures. 141 students were invited to participate in this study. Participants were equally and randomly assigned to the PM, VR and 3DP learning groups...
2018: PloS One
https://www.readbyqxmd.com/read/29340948/a-case-of-concomitant-pemphigus-foliaceus-and-oral-pemphigus-vulgaris
#2
Alexandra C Perks, Paula M Farthing, Ruth Murphy, Anne M Hegarty
Pemphigus is a chronic autoimmune condition that can affect multiple areas of the body. The two main subtypes of pemphigus are pemphigus vulgaris (PV) and pemphigus foliaceus (PF) which can rarely occur concurrently or even transition from one to the other. The process of transition may be explained by qualitative changes in desmoglein autoantibody profile. We present a rare case of concomitant PF and oral PV and explore the literature on transitions between pemphigus subtypes and whether this case could represent a transition from PF to PV...
January 16, 2018: Head and Neck Pathology
https://www.readbyqxmd.com/read/29340512/articulation-between-health-services-and-indigenous-medicine-anthropological-reflections-on-policies-and-reality-in-brazil
#3
Esther Jean Langdon, Luiza Garnelo
This paper contributes to the dialogue between the social sciences and social medicine in Latin America by exploring therapeutic pluralism in indigenous health policies and services in Brazil. It reviews recent anthropological research, concepts and current debates to critically examine Brazilian indigenous health policy and its concept of "differentiated care," which proposes articulation between official health practices and indigenous therapies. A number of contradictions and tensions are present in the structural organizational of the indigenous health subsystem at the national level and in the daily practices of health teams at the local level...
July 2017: Salud Colectiva
https://www.readbyqxmd.com/read/29339562/sleep-dependent-reductions-in-reality-monitoring-errors-arise-from-more-conservative-decision-criteria
#4
Carmen E Westerberg, Christopher A Hawkins, Lauren Rendon
Reality-monitoring errors occur when internally generated thoughts are remembered as external occurrences. We hypothesized that sleep-dependent memory consolidation could reduce them by strengthening connections between items and their contexts during an afternoon nap. Participants viewed words and imagined their referents. Pictures of the referents also accompanied half of the words. After a 2-h break filled with sleep (n = 31) or wakefulness (n = 32), participants indicated if they previously viewed a picture of each word...
February 2018: Learning & Memory
https://www.readbyqxmd.com/read/29339194/vaginal-construction-and-treatment-providers-experiences-a-qualitative-analysis
#5
Katrina Roen, Sarah M Creighton, Peter Hegarty, Lih-Mei Liao
OBJECTIVE: To investigate specialist clinicians' experiences of treating vaginal agenesis. DESIGN: Semi-structured interviews. SETTING: 12 hospitals in Sweden and the UK. SAMPLE: 32 health professionals connected to multidisciplinary teams including medical specialists and psychologists. METHODS: Theoretical thematic analysis of recorded verbatim data. RESULTS: The gynecologist and psychologist interviewees share certain observations including the importance of psychological readiness for and appropriate timing of treatment...
January 12, 2018: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/29338962/knowledge-on-asthma-food-allergies-and-anaphylaxis-assessment-of-elementary-school-teachers-parents-caregivers-of-asthmatic-children-and-university-students-in-uruguaiana-in-the-state-of-rio-grande-do-sul-brazil
#6
M Urrutia-Pereira, L P Mocellin, R B de Oliveira, L Simon, L Lessa, D Solé
INTRODUCTION: Allergic diseases have become an increasingly common reality in the last years, extending beyond the family context. OBJECTIVE: Assessing the level of knowledge on asthma, food allergies and anaphylaxis of asthmatic children's parents/caregivers (PC), elementary school teachers (EST) and university students (US) in Uruguaiana, RS, Brazil. METHOD: 577 individuals (PC - N=111; EST - N=177; US - N=299) took part in the study, answering the Newcastle Asthma Knowledge Questionnaire (validated for Portuguese) and another questionnaire on Food Allergy (FA) and anaphylaxis...
January 12, 2018: Allergologia et Immunopathologia
https://www.readbyqxmd.com/read/29337877/virtual-environments-for-visualizing-structural-health-monitoring-sensor-networks-data-and-metadata
#7
Rebecca Napolitano, Anna Blyth, Branko Glisic
Visualization of sensor networks, data, and metadata is becoming one of the most pivotal aspects of the structural health monitoring (SHM) process. Without the ability to communicate efficiently and effectively between disparate groups working on a project, an SHM system can be underused, misunderstood, or even abandoned. For this reason, this work seeks to evaluate visualization techniques in the field, identify flaws in current practices, and devise a new method for visualizing and accessing SHM data and metadata in 3D...
January 16, 2018: Sensors
https://www.readbyqxmd.com/read/29337849/vitamin-e-as-a-treatment-for-nonalcoholic-fatty-liver-disease-reality-or-myth
#8
REVIEW
Hamza El Hadi, Roberto Vettor, Marco Rossato
Obesity is one of the major epidemics of this millennium, and its incidence is growing worldwide. Following the epidemics of obesity, nonalcoholic fatty liver disease (NAFLD) has become a disease of increasing prevalence and a leading cause of morbidity and mortality closely related to cardiovascular disease, malignancies, and cirrhosis. It is believed that oxidative stress is a main player in the development and progression of NAFLD. Currently, a pharmacological approach has become necessary in NAFLD because of a failure to modify lifestyle and dietary habits in most patients...
January 16, 2018: Antioxidants (Basel, Switzerland)
https://www.readbyqxmd.com/read/29337463/-virtual-reality-a-tool-that-can-be-used-in-outpatient-diabetes-services
#9
Sébastien Miserez, Léonie Chinet, Alberto Guardia, Fabienne Matthys, Isabelle Hagon-Traub
Health-related emerging technologies are growing fast. The use of virtual reality in diabetes outpatient care still remains unprecedented, notably in Switzerland. Thus, the Programme cantonal Diabète led a pilot study to assess the feasibility of an immersive application in such an outpatient setting. Results emphasize that this device is practicable and useful in diabetes care. Patients and their relatives overall appreciate the game, each of them for specific reasons: playful quality, opportunity to « learn differently » or to exchange about the subjective experience...
January 10, 2018: Revue Médicale Suisse
https://www.readbyqxmd.com/read/29337384/dual-hormone-artificial-pancreas-benefits-and-limitations-compared-with-single-hormone-systems
#10
Tricia M Peters, Ahmad Haidar
Technological advances have made the artificial pancreas a reality. This has the potential to improve the lives of individuals with Type 1 diabetes by reducing the risk of hypoglycaemia, achieving better overall glucose control, and enhancing quality of life. Both single-hormone (insulin-only) and dual-hormone (insulin and glucagon) systems have been developed; however, a focused review of the relative benefits of each artificial pancreas system is needed. We reviewed studies that directly compared single- and dual-hormone systems to evaluate the efficacy of each system for preventing hypoglycaemia and maintaining glycaemic control, as well as their utility in specific situations including during exercise, overnight and during the prandial period...
January 16, 2018: Diabetic Medicine: a Journal of the British Diabetic Association
https://www.readbyqxmd.com/read/29336346/future-of-urology-training
#11
Selcuk Sarikaya, Aurus Dourado Meneses, Giovanni Enrico Cacciamani, Juan Gómez Rivas
Urology has become more complex through the years, as it comprises increasingly sophisticated medical and surgical technologies such as advanced medical tumour therapies, and endourological, laparoscopicand robotic surgical techniques. Training in urology starts during medical school and once a medical student chooses to specialize on it, becomes life-long. Becoming a good urologist requires a highly qualified education and sufficient experience. To devise a training programme of high proficiency, several important factors must be considered...
January 2018: Archivos Españoles de Urología
https://www.readbyqxmd.com/read/29336344/-the-urologist-of-the-future-and-new-technologies
#12
Francois Peinado, Atanasio Fernández, Fernando Teba, Guillermo Celada, Marco Antonio Acosta
The last 25 years have brought about revolutionary changes for medicine and in particular for urology: internet was only in its infancy, medical records were written on paper, searches for medical information were done in the hospital library, medical articles were photocopied and our relationship with patients only existed face to face. Social networks had not yet appeared and even Google did not exist. Just imagine what might happen during the next 25 years, we're going to see even more radical changes. The urologist of the future is going to see the arrival of artificial intelligence, collaborative medicine, telemedicine, machine learning, the Internet of Things and personalized robotics; in the meantime, social media will continue to transform the interaction between physician and patient...
January 2018: Archivos Españoles de Urología
https://www.readbyqxmd.com/read/29336336/-training-program-in-urological-laparoscopic-surgery-future-perspective
#13
Alfredo Aguilera Bazán, Juan Gómez Rivas, Estefanía Linares-Espinós, Mario Alvarez-Maestro, Luis Martínez-Piñeiro
Nowadays in urology, laparoscopic surgery is a reality that implies a very high percentage of the daily surgical activity. The interest in laparoscopy in urological pathology is undeniable, and the advantages for our patients with this approach are clear in most cases. But how do we deal with learning curve of this technique? What is the difficulty in laparoscopy training? What future perspectives might offer this approach? Difficulties in learning laparoscopy are easily identified and clear. The loss of the image in 3 dimensions, loss of touch, great dependence on surgical instruments, among others...
January 2018: Archivos Españoles de Urología
https://www.readbyqxmd.com/read/29336329/-current-status-of-urological-training-in-latin-america
#14
Javier C Angulo, Carlos Figueroa, Reynaldo Gómez, Francisco Martins, Juan Guillermo Corrales, Fernando Secin, Gerardo López-Secchi, Antonio León, Marcelo Torrico, Leonardo O Reis, Mauricio Plata, Mariano Sotomayor, Jorge Gutiérrez-Aceves
OBJECTIVE: Achieving residents' medical training of quality is a constant concern in the Confederación Americana de Urología (CAU), the third Urological Society worldwide. We aim to analyze the diversity of state training programs, with the intention to identify opportunities for global improvement within them and also to analyse the professional reality in different countries. METHODS: Data from 2nd and 3rd Foro Educativo CAU regarding postgraduate training and labour implications are reviewed...
January 2018: Archivos Españoles de Urología
https://www.readbyqxmd.com/read/29336328/needs-realities-and-expectations-for-urology-training-questionaire-based-study
#15
Selcuk Sarikaya
OBJECTIVE: Urology residency training is a difficult and complex education period for urology residents. This education period differs in countries and mainly for 5 years. In this study, we aimed to assess the expectations and the realities for Turkish urology residents and to evaluate the adequacy of their education in the field of urology. METHODS: In this study, 113 Turkish urology residents have been included and residents were asked 24 questions related with their surgical skills, thoughts towards their educations, their future plans and including demographic information...
January 2018: Archivos Españoles de Urología
https://www.readbyqxmd.com/read/29334993/quality-of-life-in-mucopolysaccharidoses-construction-of-a-specific-measure-using-the-focus-group-technique
#16
M R Oliveira, I Schwartz, L S Costa, H Maia, M Ribeiro, L B Guerreiro, A Acosta, N S Rocha
OBJECTIVE: To describe the perceptions of patients, their caregivers, and their healthcare providers to the development of a new specific instrument for assessment of the quality of life (QoL) in patients with mucopolysaccharidoses (MPS) using a qualitative focus group (FG) design. FGs were held in two Brazilian states (Rio Grande do Sul and Rio de Janeiro). RESULTS: Three versions of the new instrument were developed, each for a different age group: children (age 8-12 years), adolescents (age 13-17), and adults (age ≥ 18)...
January 15, 2018: BMC Research Notes
https://www.readbyqxmd.com/read/29334251/discussing-edaravone-with-the-als-patient-an-ethical-framework-from-a-u-s-perspective
#17
Crystal Jing Jing Yeo, Zachary Simmons
The recent approval of edaravone by the United States Food and Drug Administration has generated a mix of hope tempered by reality. The costs of the drug, both monetarily and with regard to intensity of treatment, are high. The benefits, while modest, will be viewed through a very different lens by individuals depending on their goals of care. By virtue of our training and experience, physicians are ideally suited to understand and explain new treatments to our patients. As healthcare providers with a fiduciary responsibility to our patients, we must make sure they are fully informed about both the costs and benefits of non-curative therapies such as edaravone, and be prepared to discuss these in the context of their goals of care and potential impact on quality of life...
January 15, 2018: Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration
https://www.readbyqxmd.com/read/29332535/viewing-gendered-violence-in-guatemala-through-photovoice
#18
Lynne Duffy
This research examined rural and urban women's experiences of gender-based violence in Chimaltenango, Guatemala. Photovoice methodology was used to describe and analyze local realities and vulnerabilities, and ethnographic techniques added cultural and contextual factors. While the initial focus was on intimate partner violence, results showed that violence for women exists from childhood to senior years. Participants noted gaps in services and participated in a public strategy workshop to address these. Challenges and opportunities are presented around the enduring and complex global crisis of gendered violence...
June 1, 2017: Violence Against Women
https://www.readbyqxmd.com/read/29331878/how-shared-reality-is-created-in-interpersonal-communication
#19
REVIEW
Gerald Echterhoff, Bjarne Schmalbach
Communication is a key arena and means for shared-reality creation. Most studies explicitly devoted to shared reality have focused on the opening part of a conversation, that is, a speaker's initial message to an audience. The aspect of communication examined by this research is the evaluative adaptation (tuning) of the messages to the audience's attitude or judgment. The speaker's shared-reality creation is typically assessed by the extent to which the speaker's evaluative representation of the topic matches the audience-tuned view expressed in the message...
December 29, 2017: Current Opinion in Psychology
https://www.readbyqxmd.com/read/29331734/in-vitro-assessment-of-silver-nanoparticles-immunotoxicity
#20
Valentina Galbiati, Laura Cornaghi, Elisabetta Gianazza, Marco A Potenza, Elena Donetti, Marina Marinovich, Emanuela Corsini
This study aimed to characterize unwanted immune effects of nanoparticles (NP) using THP-1 cells, human whole blood and enriched peripheral blood monocytes. Commercially available silver NP (AgNP < 100 nm, also confirmed by Single Particle Extinction and Scattering) were used as prototypical NP. Cells were treated with AgNP alone or in combination with classical immune stimuli (i.e. LPS, PHA, PWM) and cytokine assessed; in addition, CD54 and CD86 expression was evaluated in THP-1 cells. AgNP alone induced dose-related IL-8 production in all models, with higher response observed in THP-1 cells, possibly connected to different protein corona formation in bovine versus human serum...
January 10, 2018: Food and Chemical Toxicology
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