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https://www.readbyqxmd.com/read/27918248/prevalence-of-trachoma-in-benishangul-gumuz-region-ethiopia-results-of-seven-population-based-surveys-from-the-global-trachoma-mapping-project
#1
Yilikal Adamu, Colin Macleod, Liknaw Adamu, Wirtu Fikru, Beyene Kidu, Aida Abashawl, Michael Dejene, Brian K Chu, Rebecca M Flueckiger, Rebecca Willis, Alexandre L Pavluck, Anthony W Solomon
PURPOSE: Trachoma is a major cause of blindness in Ethiopia, and targeted for elimination as a public health problem by the year 2020. Prevalence data are needed to plan interventions. We set out to estimate the prevalence of trachoma in each evaluation unit of grouped districts ("woredas") in Benishangul Gumuz region, Ethiopia. METHODS: We conducted seven cross-sectional community-based surveys, covering 20 woredas, between December 2013 and January 2014, as part of the Global Trachoma Mapping Project (GTMP)...
December 5, 2016: Ophthalmic Epidemiology
https://www.readbyqxmd.com/read/27904260/sonographic-identification-of-peripheral-nerves-in-the-forearm
#2
Saundra A Jackson, Charlotte Derr, Anthony De Lucia, Marvin Harris, Zuheily Closser, Branko Miladinovic, Rahul Mhaskar, Theresa Jorgensen, Lori Green
BACKGROUND: With the growing utilization of ultrasonography in emergency medicine combined with the concern over adequate pain management in the emergency department (ED), ultrasound guidance for peripheral nerve blockade in ED is an area of increasing interest. The medical literature has multiple reports supporting the use of ultrasound guidance in peripheral nerve blocks. However, to perform a peripheral nerve block, one must first be able to reliably identify the specific nerve before the procedure...
October 2016: Journal of Emergencies, Trauma, and Shock
https://www.readbyqxmd.com/read/27903252/shifting-tides-in-the-emigration-patterns-of-canadian-physicians-to-the-united-states-a-cross-sectional-secondary-data-analysis
#3
Thomas R Freeman, Stephen Petterson, Sean Finnegan, Andrew Bazemore
BACKGROUND: The relative ease of movement of physicians across the Canada/US border has led to what is sometimes referred to as a 'brain drain' and previous analysis estimated that the equivalent of two graduating classes from Canadian medical schools were leaving to practice in the US each year. Both countries fill gaps in physician supply with international medical graduates (IMGs) so the movement of Canadian trained physicians to the US has international ramifications. Medical school enrolments have been increased on both sides of the border, yet there continues to be concerns about adequacy of physician human resources...
December 1, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27899112/a-comparison-of-intimate-partner-violence-and-associated-physical-injuries-between-cohabitating-and-married-women-a-5-year-medical-chart-review
#4
Janet Yuen-Ha Wong, Anna Wai-Man Choi, Daniel Yee-Tak Fong, Edmond Pui Hang Choi, John Kit-Shing Wong, Fung Ling So, Chu-Leung Lau, Chak-Wah Kam
BACKGROUND: Cohabitation, referring to a co-residential romantic relationship between two intimate partners without a marriage license, has become widely accepted in contemporary societies. It has been found that cohabitating women have a higher risk of experiencing intimate partner violence (IPV) than married women. However, as yet, no studies have investigated the level and pattern of IPV-associated physical injuries and its mental health impact on cohabitating women. Therefore, we aim to compare IPV-associated physical injuries between cohabitating and married women by conducting a review of 5-year medical records from the emergency departments of two major public hospitals in Hong Kong...
November 29, 2016: BMC Public Health
https://www.readbyqxmd.com/read/27895361/neurosurgery-training-in-pakistan-follow-up-survey-and-critical-analysis-of-national-training-programmes
#5
Saqib Kamran Bakhshi, Muhammad Waqas, Muhammad Mehboob Alam, Muhammad Shahzad Shamim, Mohsin Qadeer
This cross-sectional nation-wide survey was planned to assess the current status of neurosurgery residency training in Pakistan and to compare it with the results of a previous study. The duration of study was from July to December 2015. It comprised of neurosurgery trainees enrolled with the College of Physicians and Surgeons of Pakistan (CPSP). In this study, 43 trainees from 13 centres were included. The mean duration of training acquired by participants was 2.8±1.9 years. The mean work hours were 73.8±21...
October 2016: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/27892673/survival-rate-of-breast-cancer-in-iran-a-meta-analysis
#6
Ghasem Abedi, Ghasem Janbabai, Mahmood Mosazadeh, Fereshte Farshidi, Mohammad Amiri, Ahmad Khosravi
Background: There has not been a general estimation about survival rates of breast cancer cases in Iran. Therefore, the present study aimed to assess survival using a meta-analysis. Materials and Methods: International credible databases such as Scopus, Web of Science, PubMed, Science direct and Google Scholar and Iranian databases such as Magiran, Irandoc and SID, from 1997 to 2015 were searched. All articles covering survival rate of breast cancer were entered into the study without any limits. Quality assessment of the articles and data extraction were performed by two researchers using the modified STROBE checklist, which includes 12 questions...
January 10, 2016: Asian Pacific Journal of Cancer Prevention: APJCP
https://www.readbyqxmd.com/read/27886967/the-independent-plastic-surgery-match-analysis-of-changes-in-recent-years-and-applicant-preferences
#7
Ziyad S Hammoudeh, Gamal Mostafa, Michel Saint-Cyr, Karim Bakri, Samir Mardini
BACKGROUND: The number of surgical applicants to "independent" plastic surgery programs has drastically decreased. However, the competitiveness of recent applicants relative to previous years has not been assessed. The purpose of this study was to analyze the characteristics of recent "independent" applicants and to obtain their preferences regarding the match. METHODS: A 25-question survey was distributed to 97 applicants of the 2012 "independent" match. The survey consisted of questions regarding demographics, academic qualifications, interview results, match results, program characteristic preferences, interview preferences, and future career plans...
November 2016: Journal of Surgical Education
https://www.readbyqxmd.com/read/27885427/-the-homburger-curriculum-as-a-model-for-medical-resident-education-for-ophthalmologists-at-saarland-university-medical-center
#8
S Goebels, A Viestenz, B Seitz
BACKGROUND: The Homburger Curriculum was introduced in 2012 to enhance the medical resident education and professional satisfaction. At the same time different steps were taken to encourage applications of eligible candidates. METHODS: To address candidates, the Homburger Curriculum is presented on the department's website and a short-term hospitation was introduced. The curriculum has been divided into time slots of 4 months throughout the 5 years of residency...
November 24, 2016: Der Ophthalmologe: Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
https://www.readbyqxmd.com/read/27884840/long-term-effects-of-the-active-for-life-year-5-afly5-school-based-cluster-randomised-controlled-trial
#9
Emma L Anderson, Laura D Howe, Ruth R Kipping, Rona Campbell, Russell Jago, Sian M Noble, Sian Wells, Catherine Chittleborough, Tim J Peters, Debbie A Lawlor
OBJECTIVE: To investigate the long-term effectiveness of a school-based intervention to improve physical activity and diet in children. DESIGN: Cluster-randomised controlled trial. SETTING: 60 primary schools in the southwest of England. PARTICIPANTS: Primary school children who were aged 8-9 years at recruitment, 9-10 years during the intervention and 10-11 years at the long-term follow-up assessment. INTERVENTION: Teacher training, provision of lesson and child-parent interactive homework plans and teaching materials...
November 24, 2016: BMJ Open
https://www.readbyqxmd.com/read/27879183/-supporting-patients-in-self-management-moving-to-a-personalised-approach
#10
N Eikelenboom, J van Lieshout, A Jacobs, F Verhulst, J Lacroix, A van Halteren, M Klomp, I Smeele, M Wensing
OBJECTIVE: The aim of this research was to assess the effect of providing personalised self-management support on patient activation (knowledge, skills, self-efficacy) and self-management behaviour. DESIGN: Cluster randomised trial in 15 general practices (Dutch Trial Register No.: NTR 3960). METHOD: Patients aged 18 years or older with a chronic condition were invited to participate in the study. The Self-Management Screening (SeMaS) questionnaire - which illustrates barriers to self-management - was used as a tool for personalised self-management support...
2016: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/27878781/successful-elimination-of-extended-spectrum-beta-lactamase-esbl-producing-nosocomial-bacteria-at-a-neonatal-intensive-care-unit
#11
Borbála Szél, Zsolt Reiger, Edit Urbán, Andrea Lázár, Krisztina Mader, Ivelina Damjanova, Kamilla Nagy, Gyula Tálosi
BACKGROUND: Extended-spectrum beta-lactamase (ESBL)-producing Gram-negative bacteria are highly dangerous to neonates. At our Neonatal Intensive Care Unit (NICU), the presence of these bacteria became so threatening in 2011 that immediate intervention was required. METHODS: This study was conducted during a nearly two-year period consisting of three phases: retrospective (9 months), educational (3 months) and prospective (9 months). Based on retrospective data analysis, a complex management plan was devised involving the introduction of the INSURE protocol, changes to the antibiotic regimen, microbiological screening at short intervals, progressive feeding, a safer bathing protocol, staff hand hygiene training and continuous monitoring of the number of newly infected and newly colonized patients...
November 23, 2016: World Journal of Pediatrics: WJP
https://www.readbyqxmd.com/read/27875482/impact-of-community-health-workers-on-elderly-patients-advance-care-planning-and-health-care-utilization-moving-the-dial
#12
Debra K Litzelman, Thomas S Inui, Wilma J Griffin, Anthony Perkins, Ann H Cottingham, Kathleen M Schmitt-Wendholt, Steven S Ivy
BACKGROUND: Advance care planning (ACP) is recommended for all persons to ensure that the care they receive aligns with their values and preferences. OBJECTIVE: To evaluate an ACP intervention developed to better meet the needs and priorities of persons with chronic diseases, including mild cognitive impairment. RESEARCH DESIGN: A year-long, pre-post intervention using lay community health workers [care coordinator assistants (CCAs)] trained to conduct and document ACP conversations with patients during home health visits with pre-post evaluation...
November 21, 2016: Medical Care
https://www.readbyqxmd.com/read/27872271/effects-of-a-change-in-entry-to-practice-criteria-for-cardiovascular-perfusion-in-canada-results-of-a-national-survey
#13
Dean Belway, Diem T T Tran, Fraser D Rubens
INTRODUCTION: Years of experience and level of education are two important determinants of a clinician's expertise. While entry-to-practice criteria for admission to perfusion training in Canada changed from clinical experience-based criteria to education-based criteria in 2006, the effects of these changes have not been studied. OBJECTIVE: To determine the academic and clinical backgrounds of perfusionists in Canada, ascertain perceptions about the adequacy of training and evaluate the effects of the changes on the composition of the perfusion community of Canada...
November 20, 2016: Perfusion
https://www.readbyqxmd.com/read/27870588/assessment-of-paramedic-performance-on-difficult-airway-simulation
#14
Ashish R Panchal, Geoffrey Finnegan, David P Way, Thomas Terndrup
OBJECTIVE: Airway management is a common, important intervention for critically ill patients in the United States. A key element of prehospital airway management is endotracheal intubation (ETI). Prehospital ETI success rates have been shown to be as low as 77% compared to in-hospital rates of 95%. Given these rates, the use of backup airway devices is a necessary precaution for patient safety. The extent to which paramedics integrate backup airway use into their airway algorithm is unknown...
November 21, 2016: Prehospital Emergency Care
https://www.readbyqxmd.com/read/27867310/the-north-wyke-farm-platform-effect-of-temperate-grassland-farming-systems-on-soil-moisture-contents-runoff-and-associated-water-quality-dynamics
#15
R J Orr, P J Murray, C J Eyles, M S A Blackwell, L M Cardenas, A L Collins, J A J Dungait, K W T Goulding, B A Griffith, S J Gurr, P Harris, J M B Hawkins, T H Misselbrook, C Rawlings, A Shepherd, H Sint, T Takahashi, K N Tozer, A P Whitmore, L Wu, M R F Lee
: The North Wyke Farm Platform was established as a United Kingdom national capability for collaborative research, training and knowledge exchange in agro-environmental sciences. Its remit is to research agricultural productivity and ecosystem responses to different management practices for beef and sheep production in lowland grasslands. A system based on permanent pasture was implemented on three 21-ha farmlets to obtain baseline data on hydrology, nutrient cycling and productivity for 2 years...
July 2016: European Journal of Soil Science
https://www.readbyqxmd.com/read/27866639/innovation-within-a-university-setting
#16
Elisabeth K Wynne, Thomas M Krummel
Elisabeth K. Wynne, MD, completed her undergraduate degree in bioengineering and is currently a surgical resident in training at the University of Washington. From 2014-2016, she served as a Biodesign Fellow at Stanford University. She plans to pursue a career of innovation as an academic surgeon. Thomas M. Krummel, MD, is the Emile Holman Professor and Chair Emeritus of the Department of Surgery at Stanford University School of Medicine. Throughout his career, Dr Krummel has been a pioneer and an innovator...
December 2016: Surgery
https://www.readbyqxmd.com/read/27864571/the-relationship-between-coach-and-player-training-load-perceptions-in-professional-soccer
#17
Paulo Eduardo Redkva, Sergio Gregorio da Silva, Mauro Ricetti Paes, Julio Wilson Dos-Santos
The training load imposed and perceived by coaches and soccer players, respectively, was compared for three weeks of the basic preparatory period of a professional soccer team through session ratings of perceived exertion (S-RPE). Participants were 24 professional Brazilian soccer players (all males, age: 24.1 ± 3.4 years) and their coaches. Athletes responded to the scale of perceived exertion (scores from 0 to10) after the training, while the coaches completed the scale prior to the training session, based on prior planning...
November 17, 2016: Perceptual and Motor Skills
https://www.readbyqxmd.com/read/27861917/saskatchewan-s-school-based-dental-program-staffed-by-dental-therapists-a-retrospective-case-study
#18
Kavita R Mathu-Muju, Jay W Friedman, David A Nash
OBJECTIVES: The poor oral health of Saskatchewan's children, in concert with a significant shortage of dentists, prompted the province in the early 1970s to seek an alternative method of addressing the oral health care needs of children. The result was the Saskatchewan Health Dental Plan (SHDP), which trained and employed dental therapists in school-based clinics to provide basic dental care to all children. The program was initiated over the opposition of Saskatchewan's dentists. The purpose of this research was to provide information and data previously not documented in the refereed dental literature regarding the only school-based program staffed by dental therapists to ever exist in North America...
November 12, 2016: Journal of Public Health Dentistry
https://www.readbyqxmd.com/read/27852239/determinants-of-use-of-health-facility-for-childbirth-in-rural-hadiya-zone-southern-ethiopia
#19
Netsanet Abera Asseffa, Fawole Bukola, Arowojolu Ayodele
BACKGROUND: Maternal mortality remains a major global public health concern despite many international efforts. Facility-based childbirth increases access to appropriate skilled attendance and emergency obstetric care services as the vast majority of obstetric complications occur during delivery. The purpose of the study was to determine the proportion of facility delivery and assess factors influencing utilization of health facility for childbirth. METHODS: A cross-sectional study was conducted in two rural districts of Hadiya zone, southern Ethiopia...
November 16, 2016: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/27849238/diabetes-mellitus-in-childhood-an-emerging-condition-in-the-21st-century
#20
Thais Della Manna, Nuvarte Setian, Roberta Diaz Savoldelli, Dulce Rondina Guedes, Hilton Kuperman, Hamilton Cabral Menezes, Leandra Steinmetz, Louise Cominato, Vaê Dichtchekenian, Durval Damiani
The International Diabetes Federation (IDF-2015) estimates the existence of 30,900 children under 15 years old with type 1 diabetes mellitus (DM1) in Brazil, and an increase of 3.0% per year is expected. This review focused on meta-analysis and pediatric diabetes update articles in order to draw attention to the need of planning coping strategies to support this serious public health problem in coming years. DM1 is considered an immuno-mediated disease with a complex transmission influenced by genetic and environmental factors responsible for a gradual destruction of the insulin producing pancreatic beta cells...
September 2016: Revista da Associação Médica Brasileira
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