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https://www.readbyqxmd.com/read/29161686/impact-of-an-in-hospital-patient-education-program-on-choice-of-renal-replacement-modality-in-unplanned-dialysis-initiation
#1
Moritz Schanz, Markus Ketteler, Markus Heck, Juergen Dippon, Mark Dominik Alscher, Martin Kimmel
BACKGROUND/AIMS: Up to 50% patients requiring dialysis receive an urgent, unplanned start (UPS) to renal replacement therapy (RRT). Most of these are initiated with an intravenous catheter and commenced and maintained on hemodialysis (HD). Although peritoneal dialysis (PD) could be an equipotent initial modality for RRT, it is used less frequently as long-term RRT in UPS patients. This multicenter-study aimed to evaluate the impact of a structured, in-hospital education program and factors influencing PD rates, especially in UPS patients...
November 21, 2017: Kidney & Blood Pressure Research
https://www.readbyqxmd.com/read/29161609/cancers-in-france-in-2015-attributable-to-high-body-mass-index
#2
Melina Arnold, Marina Touillaud, Laure Dossus, Heinz Freisling, Freddie Bray, Irène Margaritis, Valérie Deschamps, Isabelle Soerjomataram
BACKGROUND: Overweight, as defined by high body mass index (BMI), is an established risk factor for various morbidities including cancer. Globally, its prevalence has increased markedly over the past decades. The aim of this study was to estimate the proportion and number of cancers that were attributable to high BMI in France in 2015. METHODS: Population attributable fractions (PAFs) and numbers of cancer cases attributable to high BMI (a population mean BMI above the optimum of 22kg/m(2)) were estimated by age and sex, for cancer sites with convincing or probable evidence of an established causal link...
November 18, 2017: Cancer Epidemiology
https://www.readbyqxmd.com/read/29161465/neuromuscular-electrical-stimulation-for-the-prevention-of-venous-thromboembolism
#3
REVIEW
Shahab Hajibandeh, Shahin Hajibandeh, George A Antoniou, James Rh Scurr, Francesco Torella
BACKGROUND: Venous thromboembolism (VTE) is a serious but preventable cause of morbidity and mortality. Neuromuscular electrical stimulation systems (NMES) for the prevention of VTE may be beneficial for patients in whom pharmacological or standard mechanical prophylaxis methods are contraindicated or are regarded as unsafe or impractical. Although findings of experimental studies suggest that NMES reduce venous stasis, the clinical utility and effectiveness of NMES in VTE prevention remain controversial...
November 21, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29161399/global-lessons-developing-military-trauma-care-and-lessons-for-civilian-practice
#4
T Woolley, J A Round, M Ingram
The wars in Iraq and Afghanistan have helped to shape the modern Defence Medical Services. Many lessons were learnt including the need for rapid haemorrhage control, senior decision-making and the evolution of deployed transfusion support. These changes were implemented simultaneously with a coherent, end-to-end medical plan from point of wounding through to rehabilitation. Implementation of the medical plan is harmonious with the NHS trauma pathway, and is key to ensuring effective delivery. Military anaesthetists have a long pre-deployment training pathway starting with a Certificate of Completion of Training (CCT) in anaesthesia and/or critical care, and with an emphasis on military skills related to their specific role...
December 1, 2017: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/29161395/postoperative-cognitive-dysfunction-and-dementia-what-we-need-to-know-and-do
#5
M J Needham, C E Webb, D C Bryden
Approximately 12% of apparently previously cognitively well patients undergoing anaesthesia and noncardiac surgery will develop symptoms of cognitive dysfunction after their procedure. Recent articles in this Journal have highlighted the difficulties of confirming any clear links between anaesthesia and cognitive dysfunction, in part because of the lack of consistency regarding definition and diagnosis. Postoperative cognitive dysfunction (POCD) is usually self-limiting and rarely persists in the longer term, although plausible biological mechanisms for an impact on brain protein deposition do exist...
December 1, 2017: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/29161267/sugar-industry-sponsorship-of-germ-free-rodent-studies-linking-sucrose-to-hyperlipidemia-and-cancer-an-historical-analysis-of-internal-documents
#6
Cristin E Kearns, Dorie Apollonio, Stanton A Glantz
In 1965, the Sugar Research Foundation (SRF) secretly funded a review in the New England Journal of Medicine that discounted evidence linking sucrose consumption to blood lipid levels and hence coronary heart disease (CHD). SRF subsequently funded animal research to evaluate sucrose's CHD risks. The objective of this study was to examine the planning, funding, and internal evaluation of an SRF-funded research project titled "Project 259: Dietary Carbohydrate and Blood Lipids in Germ-Free Rats," led by Dr. W...
November 2017: PLoS Biology
https://www.readbyqxmd.com/read/29161240/rapid-nodal-staging-of-head-and-neck-cancer-surgical-specimens-with-flow-cytometric-analysis
#7
Valtteri Häyry, Åsa Kågedal, Eric Hjalmarsson, Pedro Farrajota Neves da Silva, Cecilia Drakskog, Gregori Margolin, Susanna Kumlien Georén, Eva Munck-Wikland, Ola Winqvist, Lars Olaf Cardell
BACKGROUND: Detection of metastatic spread of head and neck cancer to cervical lymph nodes is essential for optimal design of therapy. Undetected metastases lead to mortality, which can be prevented by better detection methods. METHODS: We analysed 41 lymph nodes from 19 patients with oral squamous cell carcinoma (OSCC). Each lymph node was divided in two, one half processed for histopathology and the other half dissociated into single-cell suspension, stained for the carcinoma cell markers cytokeratin 5/8 (CK5/8), epithelial cell adhesion molecule (EpCAM) and epithelial mucin (MUC-1), and analysed with flow cytometry...
November 21, 2017: British Journal of Cancer
https://www.readbyqxmd.com/read/29161212/positive-affect-as-a-predictor-of-smoking-cessation-and-relapse-does-it-offer-unique-predictive-value-among-depressive-symptom-domains
#8
Jaimee L Heffner, Kristin E Mull, Jennifer B McClure, Jonathan B Bricker
BACKGROUND: Prior studies have suggested that, among the domains of depressive symptoms, low positive affect (PA) may have a distinct relationship with smoking cessation and relapse. However, the empirical basis for PA-focused interventions cessation is limited, with some mixed findings. OBJECTIVES: Using a large, diverse sample of treatment-seeking smokers, this study tested the hypothesis that PA adds unique predictive value beyond the effects of the other symptom domains in models of cessation and relapse...
November 21, 2017: Substance Use & Misuse
https://www.readbyqxmd.com/read/29160810/towards-more-nuanced-classification-of-ngos-and-their-services-to-improve-integrated-planning-across-disaster-phases
#9
Vivian L Towe, Joie D Acosta, Anita Chandra
Nongovernmental organizations (NGOs) are being integrated into U.S. strategies to expand the services that are available during health security threats like disasters. Identifying better ways to classify NGOs and their services could optimize disaster planning. We surveyed NGOs about the types of services they provided during different disaster phases. Survey responses were used to categorize NGO services as core-critical to fulfilling their organizational mission-or adaptive-services implemented during a disaster based on community need...
November 21, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29160775/anatomical-robust-optimization-to-account-for-nasal-cavity-filling-variation-during-intensity-modulated-proton-therapy-a-comparison-with-conventional-and-adaptive-planning-strategies
#10
Steven van de Water, Francesca Albertini, Damien Charles Weber, Ben J M Heijmen, Mischa S Hoogeman, Antony John Lomax
The aim of this study is to develop an anatomical robust optimization method for intensity-modulated proton therapy (IMPT) that accounts for interfraction variations in nasal cavity filling, and to compare it with conventional single-field uniform dose (SFUD) optimization and online plan adaptation. We included CT data of five patients with tumors in the sinonasal region. Using the planning CT, we generated for each patient 25 'synthetic' CTs with varying nasal cavity filling. The robust optimization method available in our treatment planning system 'Erasmus-iCycle' was extended to also account for anatomical uncertainties by including (synthetic) CTs with varying patient anatomy as error scenarios in the inverse optimization...
November 21, 2017: Physics in Medicine and Biology
https://www.readbyqxmd.com/read/29160719/geographical-proximity-and-depressive-symptoms-among-adult-child-caregivers-social-support-as-a-moderator
#11
Mengting Li, Weiyu Mao, Iris Chi, Vivian W Q Lou
OBJECTIVES: This study examined whether geographical proximity is a predictor of depressive symptoms, and whether family and friend support can moderate the relationship between geographical proximity and depressive symptoms. METHOD: A survey of 557 adult child primary caregivers was conducted in Shanghai, China in 2013. Geographical proximity was measured as a categorical variable: coresidence, short distance (less than 30 minutes' travel time), and long distance (more than 30 minutes' travel time)...
November 21, 2017: Aging & Mental Health
https://www.readbyqxmd.com/read/29160682/care-planning-and-chronic-care-management
#12
Cindy Hughes
No abstract text is available yet for this article.
November 2017: Family Practice Management
https://www.readbyqxmd.com/read/29160560/a-functional-near-infrared-spectroscopy-study-of-trauma-related-auditory-and-olfactory-cues-posttraumatic-stress-disorder-or-combat-experience
#13
Michael A Gramlich, Sandra M Neer, Deborah C Beidel, Corey J Bohil, Clint A Bowers
The prevalence of posttraumatic stress disorder (PTSD) among U.S. veterans deployed to Iraq or Afghanistan necessitates the need for comprehensive assessment and treatment strategies. This study investigated the utility of a combat-related PTSD symptom provocation paradigm to elicit unique neurological responses across three groups: combat veterans with PTSD, combat veterans without PTSD, and nonmilitary participants without PTSD. Using functional near-infrared spectroscopy (fNIRS) the results indicated that combat veterans with PTSD demonstrated significant activation to a trauma-related sound compared with nonmilitary personnel, channel 14: d = 1...
November 21, 2017: Journal of Traumatic Stress
https://www.readbyqxmd.com/read/29160557/the-complex-trauma-inventory-a-self-report-measure-of-posttraumatic-stress-disorder-and-complex-posttraumatic-stress-disorder
#14
Justin M Litvin, Patricia L Kaminski, Shelley A Riggs
The work group revising the criteria for trauma-related disorders in the International Classification of Diseases (ICD-11) made several changes. Specifically, they simplified the criteria for posttraumatic stress disorder (PTSD) and added a new trauma disorder called complex PTSD (CPTSD). These proposed changes to taxonomy require new instruments to assess these novel constructs. We developed a measure of PTSD and CPTSD (the Complex Trauma Inventory; CTI) according to the proposed domains, creating several items to assess each domain...
November 21, 2017: Journal of Traumatic Stress
https://www.readbyqxmd.com/read/29160498/bath-for-dependent-patients-theorizing-aspects-of-nursing-care-in-rehabilitation
#15
Athaynne Ramos de Aguiar Prado, Ricardo Luiz Ramos, Olga Maria Pimenta Lopes Ribeiro, Nébia Maria Almeida de Figueiredo, Maria Manuela Martins, Wiliam César Alves Machado
OBJECTIVE: to produce a reflective essay on what has been produced in relation to bath as a procedure related to nursing care and diagnosis for dependent patients undergoing mediate and immediate rehabilitation processes after a traumatic event. METHOD: discursive, reflective study supported by classical content analysis consisting of the following stages: a) reading of the texts in their most comprehensive form; b) emphasizing the relevant elements produced about bathing; c) reflection on texts and what is produced about bathing...
November 2017: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/29160496/supported-self-care-for-children-and-adolescents-with-chronic-disease-and-their-families
#16
Leiliane Teixeira Bento Fernandes, Vanessa Medeiros da Nóbrega, Maria Elizabete de Amorim Silva, Amanda Narciso Machado, Neusa Collet
OBJECTIVE: analyze the scientific production between 2006 and 2015 on strategies for supported self-care by children and adolescents with chronic disease and their families. METHOD: integrative review of the literature conducted July and August 2016 in the databases: BDENF, LILACS, IBECS, ADOLEC, MEDLINE/PubMed and SCIELO. The 27 selected studies were analyzed and categorized into the five pillars of supported self-care: evaluation, counseling, agreement, care and accompaniment...
November 2017: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/29160490/care-management-and-nursing-governance-in-a-maternity-ward-grounded-theory
#17
Fernanda Hannah da Silva Copelli, Roberta Juliane Tono de Oliveira, José Luís Guedes Dos Santos, Aline Lima Pestana Magalhães, Vitória Regina Petters Gregório, Alacoque Lorenzini Erdmann
ETJECTIVE: To understand the care management strategies used by nurses in the governance of nursing practice in a maternity ward. METHOD: Qualitative study based on grounded theory conducted with 27 participants, partitioned into four sample groups. The data were collected through semi-structured interviews and analyzed through open, axial, and selective coding. RESULT: The care management strategies used by the nurses were: planning professional practice, leading the nursing team, search for scientific knowledge, and training inthe best practices in obstetric care...
November 2017: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/29160484/critical-points-for-the-control-of-tuberculosis-on-primary-health-care
#18
Patrícia Geórgia Oliveira Diniz Pinheiro, Lenilde Duarte de Sá, Pedro Fredemir Palha, Rita de Cássia Cordeiro de Oliveira, Jordana de Almeida Nogueira, Tereza Cristina Scatena Villa
OBJECTIVE: To analyze the discourses of professionals that work on the reference service about the critical points that affects the essential attributes of the Primary Health Care (PHC) related to the control of tuberculosis in the city of João Pessoa. METHOD: The empirical material collected from August to October in 2014, through the interview technique was analyzed through the methodological-theoretical framework of French Discourse Analysis. RESULTS: The discourses demonstrated the critical points on the control of the disease on PHC as being the lack of bond and welcoming from the professionals in relation to patients with tuberculosis...
November 2017: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/29160480/possibilities-of-care-for-serodiscordant-couples-for-hiv-who-got-pregnant
#19
Tassiane Ferreira Langendorf, Ivis Emília de Oliveira Souza, Stela Maris de Mello Padoin, Cristiane Cardoso de Paula, Ana Beatriz Azevedo Queiroz, Maria Aparecida Vasconcelos Moura, Maria Carmen Simões Cardoso de Melo, Lúcia de Fatima da Silva
OBJECTIVE: Understanding the meaning of pregnancy for heterosexual couples facing serodiscordant situation for HIV, aiming at construction of care possibilities based on subjectivity. METHOD: Phenomenological research, theoretical-philosophical-methodological framework by Martin Heidegger. Research was conducted in a University Hospital in the countryside of Southern Brazil, from September 2013 to May 2014 through a phenomenological interview, with participation of eleven couples...
November 2017: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/29160464/use-of-medicines-by-patients-of-the-primary-health-care-of-the-brazilian-unified-health-system
#20
Clarisse Melo Franco Neves Costa, Micheline Rosa Silveira, Francisco de Assis Acurcio, Augusto Afonso Guerra, Ione Aquemi Guibu, Karen Sarmento Costa, Margô Gomes de Oliveira Karnikowski, Orlando Mario Soeiro, Silvana Nair Leite, Ediná Alves Costa, Renata Cristina Rezende Macedo do Nascimento, Vânia Eloísa de Araújo, Juliana Álvares
OBJECTIVE: To characterize the use of medicines by patients of the primary health care of the Brazilian Unified Health System (SUS). METHODS: This is a cross-sectional, exploratory, and descriptive study, part of the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos - Serviços, 2015 (PNAUM - National Survey on Access, Use and Promotion of Rational Use of Medicines - Services, 2015). Interviews were carried out with patients present in the services by semi-structured questionnaires...
November 13, 2017: Revista de Saúde Pública
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