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https://www.readbyqxmd.com/read/28930807/breadth-of-genetic-testing-selected-by-patients-at-risk-of-hereditary-breast-and-ovarian-cancer
#1
J Brian Szender, Jasmine Kaur, Katherine Clayback, Mollie L Hutton, June Mikkelson, Kunle Odunsi, Cara Dresbold
OBJECTIVE: The aim of this study was to evaluate the ability of patients at risk of hereditary breast and ovarian cancer (HBOC) syndrome to select the extent of genetic testing personally preferred and the impact of demographic factors on the breadth of testing pursued. METHODS: A single-institution cohort was enumerated consisting of patients referred for clinical genetic counseling secondary to risk of HBOC syndrome. This was a retrospective study of consecutive patients seen for genetic counseling; all patients completed an epidemiologic questionnaire and provided personal and family medical histories...
September 19, 2017: International Journal of Gynecological Cancer
https://www.readbyqxmd.com/read/28930641/face-masks-and-cough-etiquette-reduce-the-cough-aerosol-concentration-of-pseudomonas-aeruginosa-in-people-with-cystic-fibrosis
#2
Michelle E Wood, Rebecca E Stockwell, Graham R Johnson, Kay A Ramsay, Laura J Sherrard, Nassib Jabbour, Emma Ballard, Peter O'Rourke, Timothy J Kidd, Claire E Wainwright, Luke D Knibbs, Peter D Sly, Lidia Morawska, Scott C Bell
RATIONALE: People with cystic fibrosis (CF) generate Pseudomonas aeruginosa in droplet nuclei during coughing. The use of surgical masks has been recommended in healthcare settings to minimise pathogen transmission between CF patients. OBJECTIVE: To determine if face masks and cough etiquette reduce viable P. aeruginosa aerosolised during cough. METHODS: Twenty-five adults with CF and chronic P. aeruginosa infection were recruited. Participants performed six talking and coughing maneuvers, with or without face masks (surgical and N95) and hand covering the mouth when coughing (cough etiquette) in an aerosol-sampling device...
September 20, 2017: American Journal of Respiratory and Critical Care Medicine
https://www.readbyqxmd.com/read/28929864/the-role-of-patient-provider-sexual-health-communication-in-understanding-the-uptake-of-hiv-prevention-services-among-black-men-who-have-sex-with-men
#3
Alvin J Rucker, Ashley Murray, Zaneta Gaul, Madeline Y Sutton, Patrick A Wilson
We examined factors that may be associated with whether Black men who have sex with men a) disclose their sexual orientation to healthcare providers, and b) discuss their sexual health with healthcare providers to inform interventions to improve HIV prevention efforts and reduce HIV incidence rates among Black men who have sex with men. During 2011-2012, we conducted semi-structured individual in-depth interviews with Black men who have sex with men in New York City. Interviews were audio recorded. We examined transcribed responses for main themes using a qualitative exploratory approach followed by computer-assisted thematic analyses...
September 20, 2017: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/28929170/comparison-of-two-6-minute-walk-tests-to-assess-walking-capacity-in-polio-survivors
#4
Merel-Anne Brehm, Suzan Verduijn, Jurgen Bon, Nicoline Bredt, Frans Nollet
OBJECTIVE: To compare walking dynamics and test-retest reliability for 2 frequently applied walk tests in polio survivors: the 6-minute walk test (6MWT) to walk as far as possible; and the 6-minute walking energy cost test (WECT) at comfortable speed. DESIGN: Observational study. PARTICIPANTS: Thirty-three polio survivors, able to walk ≥ 150 m. METHODS: On the same day participants performed a 6MWT and a WECT, which were repeated 1-3 weeks later...
September 20, 2017: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/28928771/an-analysis-of-patient-perceptions-and-expectations-to-dental-implants-is-there-a-significant-effect-on-long-term-satisfaction-levels
#5
Shane J J McCrea
Here we present an analysis of patient perceptions and expectations to dental implant placement and their prosthetic reconstruction, to then consider whether they have an effect on long-term satisfaction levels. A Post-Treatment Completion Questionnaire was designed to analyse whether patient satisfaction is influenced by age and/or gender; has an effect on patient-reported self-confidence levels; contributes to increased levels of oral hygiene; provides further insight into the average pain levels during and after the surgical intervention; or influences further acceptance of dental implant surgery...
2017: International Journal of Dentistry
https://www.readbyqxmd.com/read/28928554/study-to-compare-the-effect-of-oral-rectal-and-intravenous-infusion-of-paracetamol-for-postoperative-analgesia-in-women-undergoing-cesarean-section-under-spinal-anesthesia
#6
Lakshmi Mahajan, Vaishali Mittal, Ruchi Gupta, Himani Chhabra, Jyoti Vidhan, Ashreen Kaur
BACKGROUND: Effective pain relief therapy after caesarean section is essential for the parturient's comfort and early ambulation. Paracetamol has an excellent safety profile when compared to opioids. AIM: To assess and evaluate the effect of oral, rectal, and intravenous infusion of paracetamol for post-operative analgesia in women undergoing caesarean section under spinal anaesthesia. SETTINGS AND DESIGN: We conducted a prospective, randomized controlled study (18-35 years of age) of the ASA- I and II parturient scheduled for lower segment caesarean section were included...
July 2017: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/28928427/warming-up-human-body-by-nanoporous-metallized-polyethylene-textile
#7
Lili Cai, Alex Y Song, Peilin Wu, Po-Chun Hsu, Yucan Peng, Jun Chen, Chong Liu, Peter B Catrysse, Yayuan Liu, Ankun Yang, Chenxing Zhou, Chenyu Zhou, Shanhui Fan, Yi Cui
Space heating accounts for the largest energy end-use of buildings that imposes significant burden on the society. The energy wasted for heating the empty space of the entire building can be saved by passively heating the immediate environment around the human body. Here, we demonstrate a nanophotonic structure textile with tailored infrared (IR) property for passive personal heating using nanoporous metallized polyethylene. By constructing an IR-reflective layer on an IR-transparent layer with embedded nanopores, the nanoporous metallized polyethylene textile achieves a minimal IR emissivity (10...
September 19, 2017: Nature Communications
https://www.readbyqxmd.com/read/28928347/improving-breastfeeding-medicine-in-undergraduate-medical-education-a-student-survey-and-extensive-curriculum-review-with-suggestions-for-improvement
#8
Anna J Gary, Erin E Birmingham, Laurie B Jones
BACKGROUND: Breastfeeding education should be incorporated routinely into medical school curricula. Despite strong evidence supporting exclusive breastfeeding of infants, lack of physician education has continued to undermine the practice of breastfeeding. Protecting and supporting breastfeeding should be a public health priority as it has the potential to save billions of dollars in health care and also provide the most benefit to the newborn infant. The purpose of this article was to evaluate how the United States undergraduate medical institution incorporates breastfeeding medicine into its curriculum and to suggest modifications that will improve breastfeeding education at all undergraduate medical institutions...
May 2017: Education for Health: Change in Training & Practice
https://www.readbyqxmd.com/read/28927764/how-to-value-patient-values-cesarean-sections-for-the-periviable-fetus-and-home-births
#9
REVIEW
Howard Minkoff, Fouad Atallah
Respect for patient autonomy involves providing sufficient information to patients to allow them to make informed decisions, and then honoring their requests unless they are unethical or futile. At times, the factors that patients consider may not be purely biologic ones but rather will include "spiritual" factors (a sense of control in a home birth). When patients balance biologic risks against spiritual gain, physicians may not be comfortable giving deference to patients' choice. In order to explicate this issue we explore two clinical scenarios: home birth, and cesarean section for a periviable fetus; and we consider futility and limits on affirmative autonomy...
September 15, 2017: Seminars in Fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/28927731/effect-of-contact-lens-surface-properties-on-comfort-tear-stability-and-ocular-physiology
#10
Maria Vidal-Rohr, James S Wolffsohn, Leon N Davies, Alejandro Cerviño
AIM: Retrospective analysis of different contact lens wearing groups suggests lens surface lubricity is the main factor influencing contact lens comfort. However, the examined commercially available contact lenses differ in material and design as well as surface properties. Hence this study isolates the contribution of lens surface properties using an ultra-thin coating technology. METHODS: Nineteen habitual contact lens wearers (21.6±1.7years) wore formofilcon B soft monthly disposable contact lenses with and without coating technology modified surface properties for a month each in a randomised double-masked cross-over study...
September 15, 2017: Contact Lens & Anterior Eye: the Journal of the British Contact Lens Association
https://www.readbyqxmd.com/read/28927643/a-combined-kinematic-and-kinetic-analysis-at-the-residuum-socket-interface-of-a-knee-disarticulation-amputee
#11
Jinghua Tang, Michael McGrath, Nick Hale, Liudi Jiang, Dan Bader, Piotr Laszczak, David Moser, Saeed Zahedi
The bespoke interface between a lower limb residuum and a prosthetic socket is critical for an amputee's comfort and overall rehabilitation outcomes. Analysis of interface kinematics and kinetics is important to gain full understanding of the interface biomechanics, which could aid clinical socket fit, rehabilitation and amputee care. This pilot study aims to investigate the dynamic correlation between kinematic movement and kinetic stresses at the interface during walking tests on different terrains. One male, knee disarticulation amputee participated in the study...
September 15, 2017: Medical Engineering & Physics
https://www.readbyqxmd.com/read/28927494/evaluation-of-knowledge-and-utility-of-the-2014-australian-sexually-transmissible-infection-and-hiv-testing-guidelines-for-asymptomatic-men-who-have-sex-with-men-among-general-practitioners-in-sydney
#12
David J Templeton, Phillipe C G Adam, Rajesh Varma, Phillip Read, Chistopher Bourne, Shih-Chi Kao, On Behalf Of The Sexually Transmissible
The Australian sexually transmissible infection and HIV testing guidelines for asymptomatic men who have sex with men were updated in 2014. An evaluation study targeting Sydney-based general practitioners was conducted among 85 clinicians. Respondents with knowledge of guideline recommendations were significantly more likely to feel comfortable asking men who have sex with men about their sexual history (98.1% vs 81.3%, P=0.039), and to recommend at least annual testing (94.0% vs 68.8%, P=0.015), 3-month retesting after chlamydia or gonorrhoea treatment (96...
September 20, 2017: Sexual Health
https://www.readbyqxmd.com/read/28927332/qualitative-and-quantitative-feedback-in-the-context-of-competency-based-education
#13
Ara Tekian, Christopher J Watling, Trudie E Roberts, Yvonne Steinert, John Norcini
Research indicates the importance and usefulness of feedback, yet with the shift of medical curricula toward competencies, feedback is not well understood in this context. This paper attempts to identify how feedback fits within a competency-based curriculum. After careful consideration of the literature, the following conclusions are drawn: (1) Because feedback is predicated on assessment, the assessment should be designed to optimize and prevent inaccuracies in feedback; (2) Giving qualitative feedback in the form of a conversation would lend credibility to the feedback, address emotional obstacles and create a context in which feedback is comfortable; (3) Quantitative feedback in the form of individualized data could fulfill the demand for more feedback, help students devise strategies on how to improve, allow students to compare themselves to their peers, recognizing that big data have limitations; and (4) Faculty development needs to incorporate and promote cultural and systems changes with regard to feedback...
September 19, 2017: Medical Teacher
https://www.readbyqxmd.com/read/28927324/parasagittal-meningioma-a-not-so-benign-entity
#14
Roger W Byard
While the majority of intracranial meningiomas have an indolent clinical course, sudden and unexpected death may rarely occur. Two cases are reported to demonstrate rapid clinical deterioration resulting in death in individuals with large, grade I, parasagittal meningiomas. Case 1 was a 46-year-old man with a history of headaches and epilepsy who suddenly collapsed and died. A large right frontal parasagittal meningioma with haemorrhage had compressed the brain and lateral ventricle, causing tonsillar herniation...
January 1, 2017: Medicine, Science, and the Law
https://www.readbyqxmd.com/read/28926510/restoring-vaginal-function-in-postmenopausal-women-with-genitourinary-syndrome-of-menopause
#15
Risa Kagan, Eliza Rivera
Menopause practitioners are often asked to help postmenopausal women restore vaginal health and function. A common scenario is the postmenopausal woman who has been without a sexual partner for many years and is now about to resume or has already unsuccessfully attempted penetrative sexual activity. This Practice Pearl addresses the pathophysiology and effect of atrophic genital changes and offers advice on how vaginal health and comfortable sexual activity can be restored.
September 18, 2017: Menopause: the Journal of the North American Menopause Society
https://www.readbyqxmd.com/read/28926291/has-province-wide-symptom-screening-changed-opioid-prescribing-rates-in-older-patients-with-cancer
#16
Lisa Barbera, Rinku Sutradhar, Anna Chu, Hsien Seow, Craig C Earle, Mary Ann O'Brien, Deborah Dudgeon, Carlo DeAngelis, Clare Atzema, Amna Husain, Ying Liu, Doris Howell
PURPOSE: Previous work in Ontario demonstrated that 33% of patients with cancer with severe pain did not receive opioids at the time of their pain assessment. With efforts to increase symptom screening and management since then, the objective of this study was to examine temporal trends in opioid prescribing. METHODS: The cohort was comprised of Ontario residents ≥ 65 years of age with a cancer history who were eligible for the government pharmacare program and had a pain assessment using the Edmonton Symptom Assessment System...
September 19, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28925559/persistent-pain-in-neonates-challenges-in-assessment-without-the-aid-of-a-clinical-tool
#17
Elaine M Boyle, Joanna Bradshaw, Kathryn I Blake
AIM: Evaluation of comfort and pain in neonates is important for management. Specific signs of persistent pain in neonates remain undefined; few validated clinical tools assess persistent pain. We sought to determine (i) difficulty perceived by staff and parents in assessing comfort/persistent pain in babies, (ii) strategies employed when no clinical tool is used (iii) variation between clinicians' assessments. METHODS: Parent and staff questionnaires addressed difficulty in assessing pain/comfort in neonates and strategies used in making assessments...
September 19, 2017: Acta Paediatrica
https://www.readbyqxmd.com/read/28925331/assessment-of-the-effectiveness-of-modular-clothing-protecting-against-the-cold-based-on-physiological-tests
#18
Anna Marszałek, Grażyna Bartkowiak, Anna Dąbrowska
At many work stations under cold environment, protective clothing, which is provided for the workers is characterized by an inadequate thermal insulation, which results in an adverse impact of cold environment on a worker's body. The purpose of this paper is to present a developed new ergonomic modular cold protective clothing, which allows for easy adaptation of the thermal insulation of clothing to worker's individual needs. This clothing was compared in a laboratory study with the clothing having been used so far by workers of cold environment using physiological and physical measurements, subjective ratings of thermal state as well a questionnaire of subjective assessment of used clothing...
September 19, 2017: International Journal of Occupational Safety and Ergonomics: JOSE
https://www.readbyqxmd.com/read/28924984/body-image-and-nonsuicidal-self-injury-validation-of-the-body-investment-scale-in-participants-with-eating-disorders
#19
J H Marco, M Cañabate, J García-Alandete, G Llorca, M Real-López, M Beltrán, S Pérez
The Body Investment Scale (BIS) assesses body image feelings, body care, protection of the body, and comfort in touch, in order to identify and distinguish participants with self-harming and self-destructive tendencies. However, the psychometric properties of the BIS were not analysed in participants diagnosed with eating disorders. The main objective of the present study is to confirm the factor structure of the Spanish version of the BIS and analyse its psychometric properties in a sample composed of women diagnosed with eating disorders...
September 18, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28924336/intravitreal-injections-of-bevacizumab-the-impact-of-needle-size-in-intraocular-pressure-and-pain
#20
Mónica Loureiro, Rita Matos, Paula Sepulveda, Dália Meira
AIM: To compare the effect of 30-gauge vs 27-gauge needle size on intraocular pressure (IOP) rise and patients' pain experience after intravitreal injection (IVI) of bevacizumab. MATERIALS AND METHODS: Cross-sectional, randomized, double-armed study. Patients were randomized to IVI with 30-gauge or 27-gauge needle. The IOP was measured pre and post IVI. Patients' pain was graded using the visual analog scale (VAS). RESULTS: A total of 54 eyes were included...
May 2017: Journal of Current Glaucoma Practice
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