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https://www.readbyqxmd.com/read/29332175/breast-cancer-survivor-s-perspectives-on-the-role-different-providers-play-in-follow-up-care
#1
J L Tucholka, N Jacobson, N M Steffens, J R Schumacher, A J Tevaarwerk, B Anderson, L G Wilke, C C Greenberg, Heather B Neuman
IMPORTANCE: Significant variation in the number and types of oncologists that provide breast cancer follow-up exists. However, there is limited understanding regarding breast cancer survivors' preferences for who provides their follow-up. Our objective was to explore breast cancer survivors' perspectives on the goals of breast cancer follow-up, the preferred role for primary care providers, and the perceived roles of different types of oncologists during follow-up. METHODS: A convenience sample of stage 0-III breast cancer survivors was identified and in-depth one-on-one interviews conducted...
January 13, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/29331091/terminal-spreading-depolarization-and-electric-silence-in-death-of-human-cortex
#2
Jens P Dreier, Sebastian Major, Brandon Foreman, Maren K L Winkler, Eun-Jeung Kang, Denny Milakara, Coline L Lemale, Vince DiNapoli, Jason M Hinzman, Johannes Woitzik, Norberto Andaluz, Andrew Carlson, Jed A Hartings
OBJECTIVE: Restoring the circulation is the primary goal in emergency treatment of cerebral ischemia. However, better understanding of how the brain responds to energy depletion could inform the time available for resuscitation until irreversible damage and advance development of interventions that prolong this span. Experimentally, injury to central neurons begins only with anoxic depolarization. This potentially reversible, spreading wave typically starts 2-5 min after the onset of severe ischemia, marking the onset of a toxic intraneuronal change that eventually results in irreversible injury...
January 13, 2018: Annals of Neurology
https://www.readbyqxmd.com/read/29330835/international-guidelines-for-groin-hernia-management
#3
(no author information available yet)
INTRODUCTION: Worldwide, more than 20 million patients undergo groin hernia repair annually. The many different approaches, treatment indications and a significant array of techniques for groin hernia repair warrant guidelines to standardize care, minimize complications, and improve results. The main goal of these guidelines is to improve patient outcomes, specifically to decrease recurrence rates and reduce chronic pain, the most frequent problems following groin hernia repair. They have been endorsed by all five continental hernia societies, the International Endo Hernia Society and the European Association for Endoscopic Surgery...
January 12, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29330242/patient-perspectives-on-discussions-of-electronic-cigarettes-in-primary-care
#4
Mark P Doescher, Ming Wu, Elizabeth Rainwater, Ali S Khan, Dorothy A Rhoades
PURPOSE: Patient preferences regarding the role of the primary care provider (PCP) in discussing electronic cigarette (e-cigarette) use are unknown. METHODS: We administered a cross-sectional survey to 568 adult patients in a family medicine clinic to explore e-cigarette use, sources of information on e-cigarettes, perceived knowledge about e-cigarette health effects, views regarding PCP knowledge of e-cigarettes, interest in discussing e-cigarettes with PCPs and preferred format for e-cigarette information...
January 2018: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/29329977/recent-insights-in-the-use-of-nanocarriers-for-the-oral-delivery-of-bioactive-proteins-and-peptides
#5
REVIEW
Patrícia Batista, Pedro M Castro, Ana Raquel Madureira, Bruno Sarmento, Manuela Pintado
Bioactive proteins and peptides have been used with either prophylactic or therapeutic purposes, presenting inherent advantages as high specificity and biocompatibility. Nanocarriers play an important role in the stabilization of proteins and peptides, offering enhanced buccal permeation and protection while crossing the gastrointestinal tract. Moreover, preparation of nanoparticles as oral delivery systems for proteins/peptides may include tailored formulation along with functionalization aiming bioavailability enhancement of carried proteins or peptides...
January 9, 2018: Peptides
https://www.readbyqxmd.com/read/29329212/study-of-the-thermal-properties-and-the-fire-performance-of-flame-retardant-organic-pcm-in-bulk-form
#6
Anabel Palacios, Alvaro De Gracia, Laia Haurie, Luisa F Cabeza, A Inés Fernández, Camila Barreneche
The implementation of organic phase change materials (PCMs) in several applications such as heating and cooling or building comfort is an important target in thermal energy storage (TES). However, one of the major drawbacks of organic PCMs implementation is flammability. The addition of flame retardants to PCMs or shape-stabilized PCMs is one of the approaches to address this problem and improve their final deployment in the building material sector. In this study, the most common organic PCM, Paraffin RT-21, and fatty acids mixtures of capric acid (CA), myristic acid (MA), and palmitic acid (PA) in bulk, were tested to improve their fire reaction...
January 12, 2018: Materials
https://www.readbyqxmd.com/read/29328135/autostereoscopic-3d-display-system-with-dynamic-fusion-of-the-viewing-zone-under-eye-tracking-principles-setup-and-evaluation-invited
#7
Ki-Hyuk Yoon, Min-Koo Kang, Hwasun Lee, Sung-Kyu Kim
We study optical technologies for viewer-tracked autostereoscopic 3D display (VTA3D), which provides improved 3D image quality and extended viewing range. In particular, we utilize a technique-the so-called dynamic fusion of viewing zone (DFVZ)-for each 3D optical line to realize image quality equivalent to that achievable at optimal viewing distance, even when a viewer is moving in a depth direction. In addition, we examine quantitative properties of viewing zones provided by the VTA3D system that adopted DFVZ, revealing that the optimal viewing zone can be formed at viewer position...
January 1, 2018: Applied Optics
https://www.readbyqxmd.com/read/29326899/effectiveness-of-a-multimodal-exercise-rehabilitation-program-on-walking-capacity-and-functionality-after-a-stroke
#8
Montserrat Grau Pellicer, Andrés Chamarro Lusar, Josep Medina Casanovas, Bernat-Carles Serdà Ferrer
The aim of this study was to determine the effectiveness of a 12-week multimodal exercise rehabilitation program on walking speed, walking ability and activities of daily living (ADLs) among people who had suffered a stroke. Thirty-one stroke survivors who had completed a conventional rehabilitation program voluntarily participated in the study. Twenty-six participants completed the multimodal exercise rehabilitation program (2 days/wk, 1 hr/session). Physical outcome measures were: walking speed (10-m walking test), walking ability (6-min walking test and functional ambulation classification) and ADLs (Barthel Index)...
December 2017: Journal of Exercise Rehabilitation
https://www.readbyqxmd.com/read/29326817/seating-in-aged-care-physical-fit-independence-and-comfort
#9
Alethea Blackler, Claire Brophy, Maria O'Reilly, Marianella Chamorro-Koc
Objectives: This research was intended to provide a greater understanding of the context and needs of aged care seating, specifically:To conduct an audit of typical chairs used in aged care facilities;To collect data about resident and staff experiences and behaviour around chairs in order to gain a deeper understanding of the exact issues that residents and staff have with the chairs they use at aged care facilities;To identify positive and negative issues influencing use of chairs in aged care facilities;To deliver evidence-based recommendations for the design of chairs for aged care facilities...
2018: SAGE Open Medicine
https://www.readbyqxmd.com/read/29326502/comparative-evaluation-of-platelet-rich-fibrin-with-connective-tissue-grafts-in-the-treatment-of-miller-s-class-i-gingival-recessions
#10
Sonam Mufti, Sarvagna Mayank Dadawala, Phoram Patel, Monali Shah, Deepak Harish Dave
Background: One of the most common aesthetic problem encountered in the field of periodontology is gingival recession, which is, perceived by the patients as increase in length of teeth. The treatment of buccal gingival recession is a common requirement due to aesthetic concern or root sensitivity. This study was planned to evaluate the efficacy of PRF membrane compared to that of CTG in Miller's class I gingival recessions. Materials and Methods: 32 sites with Miller's Class I gingival recessions, out of which 16 sites received PRF (test) and 16 sites received CTG (control)...
October 2017: Contemporary Clinical Dentistry
https://www.readbyqxmd.com/read/29326032/the-anxiolytic-effect-of-juniperus-virginiana-l-essential-oil-and-determination-of-its-active-constituents
#11
Kai Zhang, Lei Yao
Essential oil from Juniperus virginiana L. (eastern red cedarwood essential oil, CWO) has been used to relax mind and enhance comfort for medical purposes. Few reports showed its effect on anxiety behaviors in animal models. The present study investigated the anxiolytic effect of CWO using two anxiety tests in mice, then determined the major active constituents, examined the change of neurotransmitters after intraperitoneal (i.p.) administration. Analysis using GC/MS revealed that the CWO contained (-)-α-cedrene (28...
January 8, 2018: Physiology & Behavior
https://www.readbyqxmd.com/read/29326024/aerodynamic-characteristics-of-syllable-and-sentence-productions-in-normal-speakers
#12
Cedric Thiel, Jin Yang, Brianna Crawley, Priya Krishna, Thomas Murry
BACKGROUND: Aerodynamic measures of subglottic air pressure (Ps) and airflow rate (AFR) are used to select behavioral voice therapy versus surgical treatment for voice disorders. However, these measures are usually taken during a series of syllables, which differs from conversational speech. Repeated syllables do not share the variation found in even simple sentences, and patients may use their best rather than typical voice unless specifically instructed otherwise. This study examined the potential differences in estimated Ps and AFR in syllable and sentence production and their effects on a measure of vocal efficiency in normal speakers...
January 8, 2018: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/29324495/intravenously-administered-lidocaine-and-magnesium-during-thyroid-surgery-in-female-patients-for-better-quality-of-recovery-after-anesthesia
#13
Myoung Hwa Kim, Min Soo Kim, Jae Hoon Lee, Sang Tae Kim, Jeong-Rim Lee
BACKGROUND: Although systemic lidocaine and magnesium have been widely studied as perioperative analgesic adjuvants, they have been rarely evaluated with respect to recovery quality under the same conditions. We compared the quality of recovery 40 (QoR-40) scores of female patients who received intravenous lidocaine, magnesium, and saline during thyroidectomy to investigate their effects on comprehensive recovery from anesthesia. METHODS: In this prospective, double-blind trial, 135 female patients scheduled for open thyroidectomy were randomly assigned to the lidocaine group (group L), magnesium group (group M), or control group (group C)...
January 9, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29323822/hand-hygiene-among-health-care-workers-is-educating-patients-and-families-a-feasible-way-to-increase-rates
#14
Marvin J Bittner, Jared M Routh, Matthew D Folchert, Nicholas E Woessner, Sean J Kennedy, Chase C Parks
BACKGROUND: The Centers for Disease Control and Prevention has recommended teaching patients to remind health care workers to disinfect their hands. However, cognitive impairment among patients may hamper such efforts. METHODS: The St. Louis University Mental Status (SLUMS) Examination was administered to randomly selected inpatients at the Omaha VA Medical Center in Omaha, Nebraska. We asked patients and their families about attitudes toward reminding health care workers to disinfect their hands: willingness, feeling comfortable, and feeling responsible...
June 2017: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/29323132/assembly-of-an-atypical-%C3%AE-macroglobulin-complex-from-pseudomonas-aeruginosa
#15
Samira Zouhir, Mylène Robert-Genthon, Daniel Maragno Trindade, Viviana Job, Marko Nedeljković, Cécile Breyton, Christine Ebel, Ina Attrée, Andréa Dessen
Alpha-2-macroglobulins (A2Ms) are large spectrum protease inhibitors that are major components of the eukaryotic immune system. Pathogenic and colonizing bacteria, such as the opportunistic pathogen Pseudomonas aeruginosa, also carry structural homologs of eukaryotic A2Ms. Two types of bacterial A2Ms have been identified: Type I, much like the eukaryotic form, displays a conserved thioester that is essential for protease targeting, and Type II, which lacks the thioester and to date has been poorly studied despite its ubiquitous presence in Gram-negatives...
January 11, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29322580/a-study-of-environmental-factors-affecting-nurses-comfort-and-protection-in-wearing-n95-respirators-during-bedside-procedures
#16
P P L Or, J W Y Chung, T K S Wong
AIM: To investigate room temperature and relative humidity affecting nurses' comfort and protection in wearing N95 respirators during clinical bedside procedures. BACKGROUND: N95 respirators are most commonly used to protect healthcare workers against airborne diseases. The elastic head straps required for tight fit may cause headache, facial pain and/or ear lobe discomfort. Although some past fit test results showed that these respirators are likely to fit comfortably, in reality any discomfort from use may influence negatively their appeal and acceptability and thus lower their effectiveness to protect the wearers...
January 10, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29322185/selecting-treatments-and-monitoring-outcomes-the-circle-of-evidence-based-practice-and-client-centered-care-in-treating-a-preschool-child-who-stutters
#17
Nan Bernstein Ratner
Purpose: The purpose of the present clinical forum is to compare how 2 clinicians might select among therapy options for a preschool-aged child who presents with stuttering close to onset. Method: I discuss approaches to full evaluation of the child's profile, advisement of evidence-based practice options open to the family, the need for monitoring of the child's response, and selection of other approaches, if the child appears nonresponsive to the 1st-line approach...
January 9, 2018: Language, Speech, and Hearing Services in Schools
https://www.readbyqxmd.com/read/29320447/parents-perspectives-on-family-sexuality-communication-from-middle-school-to-high-school
#18
Jennifer M Grossman, Lisa J Jenkins, Amanda M Richer
Parents' conversations with teens about sex and relationships can play a critical role in improving teenage reproductive health by reducing teens' risky sexual behavior. However, little is known about how teen-parent communication changes from early to middle adolescence and how parents can tailor their communication to address their teens' changing development and experiences during these periods. In this longitudinal qualitative study, U.S. parents (N = 23) participated in interviews when their teens were in early adolescence, then again when the teens were in middle adolescence...
January 10, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29319651/proper-education-on-spinal-orthotics-a-way-to-minimize-associated-complications
#19
Christopher Elia, Katie Huynh, Fanglong Dong, Dan Miulli
Spinal orthotic bracing is a common modality for treating nonoperative spinal fractures with risks. This study aimed to assess the effect of an intervention on critical care nurses to improve their clinical knowledge and comfort level of managing patients. A literature review was conducted regarding common complications associated with spinal orthotics. This information was compiled and used to create a questionnaire and spinal orthotic course for nurses. Pre- and postassessments of nurses' knowledge regarding spinal orthotics were conducted...
January 2018: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://www.readbyqxmd.com/read/29319444/use-of-2-octyl-cyanoacrylate-for-wound-closure-in-a-modified-roberts-bistner-procedure-for-eyelid-agenesis-in-five-cats-nine-eyes
#20
Zoe Reed, Clinton J Doering, Paul M Barrett
CASE DESCRIPTION 5 cats (9 eyes) were evaluated for surgical correction of bilateral eyelid agenesis. CLINICAL FINDINGS All eyes lacked > 25% of the temporal upper eyelid, and all cats had clinical signs attributable to chronic ocular exposure. Abnormalities were limited to the ocular surface in the 4 female cats, whereas the sole male cat had additional abnormalities consistent with anterior segment dysgenesis. TREATMENT AND OUTCOME A modified Roberts-Bistner procedure involving 2-octyl cyanoacrylate (2OCA) was performed on 9 eyes; 1 eye was enucleated...
January 15, 2018: Journal of the American Veterinary Medical Association
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