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https://www.readbyqxmd.com/read/29792882/utilization-of-automated-performance-metrics-to-measure-surgeon-performance-during-robotic-vesicourethral-anastomosis-and-methodical-development-of-a-training-tutorial
#1
Jian Chen, Paul J Oh, Nathan Cheng, Ankeet Shah, Jeremy Montez, Anthony Jarc, Liheng Guo, Inderbir S Gill, Andrew J Hung
PURPOSE: To develop and validate automated performance metrics (APMs) to measure surgeon performance of vesicourethral anastomosis (VUA) during robotic-assisted radical prostatectomy (RRP). Furthermore, we seek to methodically develop a standardized training tutorial for the robotic VUA. MATERIALS AND METHODS: APMs (motion tracking and system events data) and synchronized surgical video were captured during the RRP. Non-automated performance metrics (NAPMs) were manually annotated by video review...
May 21, 2018: Journal of Urology
https://www.readbyqxmd.com/read/29792840/is-pregnancy-fatalism-normal-an-attitudinal-assessment-among-women-trying-to-get-pregnant-and-those-not-using-contraception
#2
Rachel K Jones
OBJECTIVES: To assess factors associated with pregnancy fatalism among U.S. adult women. STUDY DESIGN: I used data from the Change and Consistency in Contraceptive Use study, which collected information from a national sample of 4634U.S. women aged 18-39 at baseline (59% response rate). I assessed pregnancy fatalism based on agreement with the statement: "It doesn't matter whether I use birth control, when it is my time to get pregnant, it will happen." I compare fatalism among all respondents to fatalism among respondents who were trying to get pregnant and those who did not want to get pregnant but were not using contraception...
May 21, 2018: Contraception
https://www.readbyqxmd.com/read/29792486/okay-to-say-initial-validation-of-the-acceptability-of-racial-microaggressions-scale
#3
Yara Mekawi, Nathan R Todd
Despite a growing body of research documenting the negative impact of racial microaggressions on racial and ethnic minorities' wellbeing, there remains debate in society about whether it is acceptable to say racially microaggressive statements. However, no scale exists to assess attitudes about the acceptability of saying such statements. OBJECTIVES: In this study we present an initial validation of a new scale, the Acceptability of Racial Microaggressions Scale (ARMS), which assesses attitudes about how "okay" it is for White individuals to say different types of racially microaggressive statements to racial and ethnic minorities in an interpersonal interaction...
May 24, 2018: Cultural Diversity & Ethnic Minority Psychology
https://www.readbyqxmd.com/read/29792259/going-digital-a-checklist-in-preparing-for-hospital-wide-electronic-medical-record-implementation-and-digital-transformation
#4
Ian A Scott, Clair Sullivan, Andrew Staib
Objective In an era of rapid digitisation of Australian hospitals, practical guidance is needed in how to successfully implement electronic medical records (EMRs) as both a technical innovation and a major transformative change in clinical care. The aim of the present study was to develop a checklist that clearly and comprehensively defines the steps that best prepare hospitals for EMR implementation and digital transformation. Methods The checklist was developed using a formal methodological framework comprised of: literature reviews of relevant issues; an interactive workshop involving a multidisciplinary group of digital leads from Queensland hospitals; a draft document based on literature and workshop proceedings; and a review and feedback from senior clinical leads...
May 24, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/29792069/maternal-nutrition-and-the-developmental-origins-of-osteoporosis-in-offspring-potential-mechanisms-and-clinical-implications
#5
Jia Zheng, Qianyun Feng, Sheng Zheng, Xinhua Xiao
Osteoporosis, the most frequent metabolic disorder of bone, is a complex disease with a multifactorial origin that is influenced by genes and environments. However, the pathogenesis of osteoporosis has not been fully elucidated. The theory of "Developmental Origins of Health and Disease" indicates that early life environment exposure determines the risks of cardiometabolic diseases in adulthood. However, investigations into the effects of maternal nutrition and nutrition exposure during early life on the development of osteoporosis are limited...
January 1, 2018: Experimental Biology and Medicine
https://www.readbyqxmd.com/read/29791174/-drug-and-herbal-hepatotoxicity-an-overview-of-clinical-classifications
#6
Mária Szántová, Jozef Sedlačko, Martina Jakabovičová
Drug induced liver injury (DILI) is often underdiagnosed disease with increasing incidence. In developed countries it belongs to the leading causes of acute liver failure. Risk groups are women and persons older than 60 years. The work summarizes the up to date information on diagnosis and mostly used classifications on DILI. It is quite often and serious complication of medicament therapy. DILI belongs to the most often cause of acute hepatic failure in the old age in developed countries. Diagnostic procedure includes medical history (time correlation with drug intake), clinical symptoms and blood tests...
2018: Vnitr̆ní Lékar̆ství
https://www.readbyqxmd.com/read/29791020/discursive-constructions-of-professional-identity-in-policy-and-regulatory-discourse
#7
Gerard Fealy, Josephine-Mary Hegarty, Martin McNamara, Mary Casey, Denise O'Leary, Catriona Kennedy, Pauline O'Reilly, Rhona O'Connell, Anne-Marie Brady, Emma Nicholson
AIM: To examine and describe disciplinary discourses conducted through professional policy and regulatory documents in nursing and midwifery in Ireland. BACKGROUND: A key tenet of discourse theory is that group identities are constructed in public discourses and these discursively-constructed identities become social realities. Professional identities can be extracted from both the explicit and latent content of discourse. Studies of nursing's disciplinary discourse have drawn attention to a dominant discourse that confers nursing with particular identities, which privilege the relational and affective aspects of nursing and in the process, marginalise scientific knowledge and the technical and body work of nursing...
May 23, 2018: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29791001/plain-language-emergency-alert-codes-the-importance-of-direct-impact-statements-in-hospital-emergency-alerts
#8
Kristopher J Prickett, Kay Williams-Prickett
The nature of an emergency is not predictable, and no two emergencies are alike. In response to this unpredictable nature, healthcare facilities across the nation have adopted a system of emergency codes to notify staff of an emergent situation, often without alerting patients and visitors to the crises. However, the system of emergency codes varies significantly within most states and even within healthcare coalition regions. This variation in codes leads to not only the potential for staff confusion, considering many healthcare providers work within multiple healthcare centers, but also decreases the amount of transparency a healthcare center projects to its patients and visitors...
March 2018: Journal of Emergency Management: JEM
https://www.readbyqxmd.com/read/29789648/dalm-rest-in-peace-a-pathologist-s-perspective-on-dysplasia-in-inflammatory-bowel-disease-in-the-post-dalm-era
#9
REVIEW
Kenrry Chiu, Robert H Riddell, David F Schaeffer
There are few abbreviations in surgical pathology that are associated with as much immediate recognition, frustration, and confusion as DALM (dysplasia-associated lesion or mass). DALM is used to describe endoscopically visible dysplastic lesions in the surveillance of patients with inflammatory bowel disease. However, the diagnosis of DALM has been complicated by the inconsistent criteria and use of terminology for describing dysplasia in inflammatory bowel disease, and a tendency to relate DALM with the need for colectomy...
May 22, 2018: Modern Pathology: An Official Journal of the United States and Canadian Academy of Pathology, Inc
https://www.readbyqxmd.com/read/29789381/wt1-expressing-interneurons-regulate-left-right-alternation-during-mammalian-locomotor-activity
#10
Farhia Haque, Vladimir Rancic, Wei Zhang, Robin Clugston, Klaus Ballanyi, Simon Gosgnach
The basic pattern of activity underlying stepping in mammals is generated by a neural network located in the caudal spinal cord. Within this network the specific circuitry coordinating left-right alternation has been shown to involve several groups of molecularly-defined interneurons. Here we characterize a population of spinal neurons that express the Wilms' Tumor 1 (WT1) gene and investigate their role during locomotor activity in mice of both sexes. We demonstrate that WT1-expressing cells are located in the ventromedial region of the spinal cord of mice and are also present in the human spinal cord...
May 22, 2018: Journal of Neuroscience: the Official Journal of the Society for Neuroscience
https://www.readbyqxmd.com/read/29789380/metaplasticity-in-the-visual-cortex-crosstalk-between-visual-experience-and-reactive-oxygen-species
#11
José Francis-Oliveira, Guilherme Shuigueto Vilar Higa, Lívia Mendonça Munhoz Dati, Ianê Carvalho Shieh, Roberto De Pasquale
Metaplasticity is the regulation of synaptic plasticity based on the history of previous synaptic activation. This concept was formulated after observing that synaptic changes in the visual cortex are not fixed, but dynamic, and dependent on the history of visual information flux. In visual cortical neurons, sustained synaptic stimulation activate the enzymatic complex NOX2, resulting in the generation of reactive oxygen species (ROS). NOX2 is the main molecular structure responsible for translating neural activity into redox modulation of intracellular signaling pathways involved in plastic changes...
May 22, 2018: Journal of Neuroscience: the Official Journal of the Society for Neuroscience
https://www.readbyqxmd.com/read/29789379/correlated-gene-expression-and-anatomical-communication-support-synchronized-brain-activity-in-the-mouse-functional-connectome
#12
Brian D Mills, David S Grayson, Anandakumar Shunmugavel, Oscar Miranda-Dominguez, Eric Feczko, Eric Earl, Kim Neve, Damien A Fair
Cognition and behavior depend on synchronized intrinsic brain activity that is organized into functional networks across the brain. Research has investigated how anatomical connectivity both shapes and is shaped by these networks, but not how anatomical connectivity interacts with intra-areal molecular properties to drive functional connectivity. Here, we present a novel linear model to explain functional connectivity by integrating systematically obtained measurements of axonal connectivity, gene expression, and resting state functional connectivity MRI in the mouse brain...
May 22, 2018: Journal of Neuroscience: the Official Journal of the Society for Neuroscience
https://www.readbyqxmd.com/read/29789378/subthalamic-nucleus-neurons-differentially-encode-early-and-late-aspects-of-speech-production
#13
W J Lipski, A Alhourani, T Pirnia, P W Jones, C Dastolfo-Hromack, L B Helou, D J Crammond, S Shaiman, M W Dickey, L L Holt, R S Turner, J A Fiez, R M Richardson
Basal ganglia-thalamocortical loops mediate all motor behavior, yet little detail is known about the role of basal ganglia nuclei in speech production. Using intracranial recording during deep brain stimulation surgery in humans with Parkinson's disease, we tested the hypothesis that the firing rate of subthalamic nucleus neurons is modulated in sync with motor execution aspects of speech. Nearly half of seventy-nine unit recordings exhibited firing rate modulation, during a syllable reading task across twelve subjects (male and female)...
May 22, 2018: Journal of Neuroscience: the Official Journal of the Society for Neuroscience
https://www.readbyqxmd.com/read/29789377/polyamine-modulation-of-anticonvulsant-drug-response-a-potential-mechanism-contributing-to-pharmacoresistance-in-chronic-epilepsy
#14
Niklas Michael Beckonert, Thoralf Opitz, Julika Pitsch, Patrício Soares da Silva, Heinz Beck
Despite the development of numerous novel anticonvulsant drugs, approximately 30% of epilepsy patients remain refractory to antiepileptic drugs (AEDs). Many established and novel AEDs reduce hyperexcitability via voltage- and use-dependent inhibition of voltage-gated Na+ channels. For the widely-used anticonvulsant carbamazepine (CBZ), use-dependent block of Na+ channels is significantly reduced both in experimental and human epilepsy. However, the molecular underpinnings of this potential cellular mechanism for pharmacoresistance have remained enigmatic...
May 22, 2018: Journal of Neuroscience: the Official Journal of the Society for Neuroscience
https://www.readbyqxmd.com/read/29789376/optogenetic-activation-of-colon-epithelium-of-the-mouse-produces-high-frequency-bursting-in-extrinsic-colon-afferents-and-engages-visceromotor-responses
#15
Payal A Makadia, Sarah A Najjar, Jami L Saloman, Peter Adelman, Bin Feng, Joseph F Margiotta, Kathryn M Albers, Brian M Davis
Epithelial cells of the colon provide a vital interface between the internal environment (lumen of the colon) and colon parenchyma. To examine epithelial-neuronal signaling at this interface, we analyzed mice in which channelrhodopsin (ChR2) was targeted to either TRPV1-positive afferents or to villin expressing colon epithelial cells. Expression of a ChR2-EYFP fusion protein was directed to either primary sensory neurons or to colon epithelial cells by crossing Ai32 mice with TRPV1-Cre or villin-Cre mice, respectively...
May 22, 2018: Journal of Neuroscience: the Official Journal of the Society for Neuroscience
https://www.readbyqxmd.com/read/29789375/neurotrophin-responsiveness-of-sympathetic-neurons-is-regulated-by-rapid-mobilization-of-the-p75-receptor-to-the-cell-surface-through-trka-activation-of-arf6
#16
F Edward Hickman, Emily M Stanley, Bruce D Carter
The p75 neurotrophin receptor (p75NTR) plays an integral role in patterning the sympathetic nervous system during development. Initially, p75NTR is expressed at low levels as sympathetic axons project toward their targets, which enables neurotrophin-3 (NT3) to activate TrkA receptors and promote growth. Upon reaching nerve growth factor (NGF) producing tissues, p75NTR is up regulated resulting in formation of TrkA-p75 complexes, which are high affinity binding sites selective for NGF, thereby blunting NT3 signaling...
May 22, 2018: Journal of Neuroscience: the Official Journal of the Society for Neuroscience
https://www.readbyqxmd.com/read/29789374/identification-and-characterization-of-a-novel-spontaneously-active-bursty-gabaergic-interneuron-in-the-mouse-striatum
#17
Maxime Assous, Thomas W Faust, Robert Assini, Fulva Shah, Yacouba Sidibe, James M Tepper
The recent availability of different transgenic mouse lines coupled with other modern molecular techniques has led to the discovery of an unexpectedly large cellular diversity and synaptic specificity in striatal interneuronal circuitry. Prior research has described three spontaneously active interneuron types in mouse striatal slices; the cholinergic interneuron, the neuropeptide Y-low threshold spike interneuron, and the tyrosine hydroxylase interneurons (THINs). Using transgenic Htr3a-Cre mice we now characterize a fourth population of spontaneously active striatal GABAergic interneurons termed spontaneously active bursty interneurons (SABI) because of their unique burst-firing pattern in cell-attached recordings...
May 22, 2018: Journal of Neuroscience: the Official Journal of the Society for Neuroscience
https://www.readbyqxmd.com/read/29789373/voltage-gated-calcium-influx-modifies-cholinergic-inhibition-of-inner-hair-cells-in-the-immature-rat-cochlea
#18
Stephen Zachary, Nathaniel Nowak, Pankhuri Vyas, Luke Bonanni, Paul Albert Fuchs
Until postnatal day 12, inner hair cells of the rat cochlea are invested with both afferent and efferent synaptic connections. With the onset of hearing at P12, the efferent synapses disappear, and afferent (ribbon) synapses operate with greater efficiency. This change coincides with increased expression of voltage-gated potassium channels, the loss of calcium-dependent electrogenesis, and the onset of graded receptor potentials driven by sound. The transient efferent synapses include near-membrane postsynaptic cisterns thought to regulate calcium influx through the hair cell's α9α10-nAChR that activates small conductance Ca2+ -activated K+ (SK) channels...
May 22, 2018: Journal of Neuroscience: the Official Journal of the Society for Neuroscience
https://www.readbyqxmd.com/read/29789352/reporting-quality-of-randomised-controlled-trial-abstracts-on-age-related-macular-degeneration-health-care-a-cross-sectional-quantification-of-the-adherence-to-consort-abstract-reporting-recommendations
#19
Christine Baulig, Frank Krummenauer, Berit Geis, Sabrina Tulka, Stephanie Knippschild
OBJECTIVE: To assess the reporting quality of randomised controlled trial (RCT) abstracts on age-related macular degeneration (AMD) healthcare, to evaluate the adherence to the Consolidated Standards of Reporting Trials (CONSORT) statement's recommendations on minimum abstract information and to identify journal characteristics associated with abstract reporting quality. DESIGN: Cross-sectional evaluation of RCT abstracts on AMD healthcare. METHODS: A PubMed search was implemented to identify RCT abstracts on AMD healthcare published in the English language between January 2004 and December 2013...
May 22, 2018: BMJ Open
https://www.readbyqxmd.com/read/29788846/-patient-vs-physician-reported-implementation-of-and-compliance-to-anti-osteoporotic-medication-one-year-after-sustained-fragility-fracture
#20
Thomas Gross
Patient- vs Physician-Reported Implementation of and Compliance to Anti-Osteoporotic Medication One Year after Sustained Fragility Fracture Abstract. We were interested why therapy recommendations made by specialists are often not followed by general practitioners (GPs) and patients. We evaluated systematic questionnaires comparing both, patient and GP statements (n = 151 each) with regard to the implementation of and compliance to specific therapy recommended by an osteologic specialist one year after an osteoporotic fracture...
2018: Praxis
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