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https://www.readbyqxmd.com/read/29166685/-evaluation-of-inpatient-conservative-management-of-acute-subacute-and-chronic-back-pain
#1
Ingo Haase, Kilian Haase, Bernd Kladny
Background Backache is very common in the German population. It is a common reason for people to seek medical advice and specific back pain programs have been developed. The intention of this study is to evaluate the short and long term effects of conservative management of back pain in a German general hospital. Outcomes of interest were pain intensity, interference in daily functions, physical functioning and health related quality of life. Patients and Methods We examined 1010 patients with acute, subacute and chronic back pain, admitted to inpatient nonsurgical interventional therapy in a German hospital between July 2013 and July 2015...
November 22, 2017: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/29166378/blood-pressure-variability-is-independent-of-systolic-pressure-in-adolescent-and-young-adult-patients-undergoing-hemodialysis
#2
Jingjing Da, Zulong Zhang, Yan Shen, Qian Li, Ying Hu, Yan Zha
OBJECTIVE: Pre-dialysis blood pressure variability (BPV) in adolescent and young-adult maintenance hemodialysis (MHD) patients remains unknown. This study aimed to show the degree of 44-hour BPV and to explore its related risk factors in adolescent and young-adult MHD patients. METHOD: One hundred and fifty-three hemodialysis patients aged from 14 to 29 were selected from 11 medical facilities in Guizhou, China. Variability independent of mean BP (VIM) obtained by 44-hour ambulatory BP monitoring was used to calculate BPV...
November 22, 2017: Pediatric Research
https://www.readbyqxmd.com/read/29166366/abortion-surveillance-united-states-2014
#3
Tara C Jatlaoui, Jill Shah, Michele G Mandel, Jamie W Krashin, Danielle B Suchdev, Denise J Jamieson, Karen Pazol
PROBLEM/CONDITION: Since 1969, CDC has conducted abortion surveillance to document the number and characteristics of women obtaining legal induced abortions in the United States. PERIOD COVERED: 2014. DESCRIPTION OF SYSTEM: Each year, CDC requests abortion data from the central health agencies of 52 reporting areas (the 50 states, the District of Columbia, and New York City). The reporting areas provide this information voluntarily. For 2014, data were received from 49 reporting areas...
November 24, 2017: MMWR. Surveillance Summaries: Morbidity and Mortality Weekly Report. Surveillance Summaries
https://www.readbyqxmd.com/read/29165809/medical-industry-at-tumor-board-three-years-analysis-of-the-open-payments-database-and-comparison-of-oncologic-specialties
#4
Amanjit S Baadh, Mikin Patel, Ketan Patel, Osman Ahmed
BACKGROUND AND OBJECTIVES: To analyze and contrast medical industry payments across U.S. oncologic providers, including hematology-oncology (HO), surgical oncology (SO), interventional radiology (IR), and radiation oncology (RO). METHODS: Open-payment-data for each provider including provider specialty, state of practice, industry payor, reason for payment, and amount was compiled for each transaction between 2013 and 2015. Total, mean, and median payment amounts per-provider were calculated for each specialty...
November 22, 2017: Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29165793/risk-of-preterm-birth-in-women-with-cervical-intraepithelial-neoplasia-grade-one-a-population-based-cohort-study
#5
Annu Heinonen, Mika Gissler, Jorma Paavonen, Anna-Maija Tapper, Maija Jakobsson
INTRODUCTION: In this population based register study our objective was to explore the association of cervical intraepithelial neoplasia, grade 1 (CIN1) and loop electrosurcigal excision procedure (LEEP) with preterm birth (PTB). MATERIAL AND METHODS: Our population consisted of 4 759 women diagnosed for CIN1 during 1997-2009 and their 3 021 subsequent deliveries analyzed by LEEP and parity. Hospital Discharge Register was used to identify women diagnosed for CIN1 and this data were linked with the Medical Birth Register data...
November 22, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/29165032/a-new-method-for-evaluating-the-normal-rake-angle-and-inclination-angle-on-medical-needles
#6
Yingqiang Xu, Xuemei Qin, Guowei Liu, Lei Tan, Hongjian Dong, Pengpeng Wei, Qinhe Zhang, Hongcai Zhang
Hollow needles are the most frequently used medical equipment. The design of a hollow needle that best enables medical procedures requires a better understanding of needle tip geometry. Calculating the cutting angles of a needle for a complex surface topology is difficult. This article proposes a new method based on non-Euclidean geometry for the analysis of biopsy needle tip. The method can be used to calculate the cutting angles on any pipe needle. To verify the validity of this method, the normal rake angle and inclination angle on four types of needles (bias bevel needle, cylinder surface needle, curved surface needle and Cournand-type needle) were investigated...
November 1, 2017: Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine
https://www.readbyqxmd.com/read/29164295/the-economic-and-social-burden-of-traumatic-injuries-evidence-from-a-trauma-hospital-in-port-au-prince-haiti
#7
Christopher Zuraik, John Sampalis, Alexa Brierre
INTRODUCTION: The cost of traumatic injury is unknown in Haiti. This study aims to examine the burden of traumatic injury of patients treated and evaluated at a trauma hospital in the capital city of Port-au-Prince. METHODS: A retrospective cross-sectional chart review study was conducted at the Hospital Bernard Mevs Project Medishare for all patients evaluated for traumatic injury from December 2015 to January 2016, as described elsewhere (Zuraik and Sampalis in World J Surg, https://doi...
November 21, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/29163960/when-to-let-the-fellow-do-the-procedure
#8
Amnon Sonnenberg
Background and aims: In complex endoscopies, the initial attempt is often associated with the highest success and subsequent attempts to achieve the same outcome have a higher failure rate. An attending physician needs to decide how the ultimate success may become compromised by letting a fellow start the procedure. A decision analysis is aimed to shed light on this issue. Methods: A formula is derived to calculate the point in time when to switch the instrument between an attending and fellow physician...
November 2017: United European Gastroenterology Journal
https://www.readbyqxmd.com/read/29162757/low-fidelity-simulation-to-enhance-understanding-of-infection-control-among-undergraduate-medical-students
#9
Suman P Singh, Chirag M Modi, Chirag P Patel, Ajay G Pathak
BACKGROUND: Developing economies are stressing institutional care for better health outcomes but its advantages are dampened by healthcare-associated infections (HAIs). Besides other undesired complications, the economic cost of HAIs is enormous. Developing countries have higher HAI rates compared with Europe or the USA. The knowledge and practice of infection control is poor among medical students. Based on introspection of 'Infection Control Module' for undergraduates introduced in 2012, we tested emotional sensitization using low-fidelity techniques to enhance its effectiveness...
July 2017: National Medical Journal of India
https://www.readbyqxmd.com/read/29162658/hand-and-wrist-injuries-among-us-high-school-athletes-2005-06-2015-16
#10
Bernadette K Johnson, Lina Brou, Sarah K Fields, Alexandria N Erkenbeck, R Dawn Comstock
BACKGROUND: The risk of hand/wrist injuries is present across various sports. Little is known about the epidemiology of such injuries. The objective of this study was to calculate the rates of hand/wrist injuries and investigate injury patterns among high school athletes. METHODS: Athlete exposure (AE) and hand/wrist injury data were collected during 11 academic years, 2005/06 through 2015/16, from a large sample of US high schools as part of the National High School Sports-Related Injury Surveillance Study...
November 21, 2017: Pediatrics
https://www.readbyqxmd.com/read/29162346/self-management-measurement-and-prediction-of-clinical-outcomes-in-pediatric-transplant
#11
Rachel A Annunziato, John C Bucuvalas, Wanrong Yin, Ravinder Arnand, Estella M Alonso, George V Mazariegos, Robert S Venick, Margaret L Stuber, Benjamin L Shneider, Eyal Shemesh
OBJECTIVE: To further refine a measure of self-management, the Responsibility and Familiarity with Illness Survey (REFILS), and to determine if this score predicts medication adherence and, thus, fewer instances of allograft rejection among pediatric liver transplant recipients. STUDY DESIGN: Participants were 400 liver transplant recipients and their parents recruited for the Medication Adherence in Children Who Had a Liver Transplant study, from 5 US pediatric transplant centers...
November 18, 2017: Journal of Pediatrics
https://www.readbyqxmd.com/read/29162064/effect-of-exclusive-breastfeeding-on-selected-adverse-health-and-nutritional-outcomes-a-nationally-representative-study
#12
Md Nuruzzaman Khan, M Mofizul Islam
BACKGROUND: Despite growing evidence in support of exclusive breastfeeding (EBF) among infants in the first 6 months of birth, the debate over the optimal duration of EBF continues. This study examines the effect of termination of EBF during the first 2, 4 and 6 months of birth on a set of adverse health and nutritional outcomes of infants. METHODS: Three waves of Bangladesh Demographic and Health Survey data were analysed using multivariate regression. The adverse health outcomes were: an episode of diarrhea, fever or acute respiratory infection (ARI) during the 2 weeks prior to the survey...
November 21, 2017: BMC Public Health
https://www.readbyqxmd.com/read/29159857/methylphenidate-for-children-and-adolescents-with-autism-spectrum-disorder
#13
REVIEW
Nancy Sturman, Laura Deckx, Mieke L van Driel
BACKGROUND: Children with autistic spectrum disorder (ASD) frequently present with inattention, impulsivity and hyperactivity, which are the cardinal symptoms of attention deficit hyperactivity disorder (ADHD). The effectiveness of methylphenidate, a commonly used ADHD treatment, is therefore of interest in these children. OBJECTIVES: To assess the effects of methylphenidate for symptoms of ADHD (inattention, impulsivity and hyperactivity) and ASD (impairments in social interaction and communication, and repetitive, restricted or stereotypical behaviours) in children and adolescents aged 6 to 18 years with ASD...
November 21, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29159580/low-left-amygdala-volume-is-associated-with-a-longer-duration-of-unipolar-depression
#14
Maxim Zavorotnyy, Rebecca Zöllner, L R Schulte-Güstenberg, L Wulff, S Schöning, U Dannlowski, H Kugel, V Arolt, C Konrad
The amygdala plays a crucial role in the pathogenesis of major depressive disorder (MDD). While robust findings support a negative impact of illness duration on hippocampal volume in MDD, morphometric studies of the amygdala have yielded inhomogeneous results. Considering the methodical problems of automatic segmentation methods, a standardized segmentation protocol with proven inter- and intra-rater reliability was employed using high-resolution magnetic resonance imaging. To identify the effect of MDD on amygdala morphometry, 23 unipolar depressed patients who responded to antidepressant medication and 30 age-matched healthy controls (HC) were enrolled...
November 20, 2017: Journal of Neural Transmission
https://www.readbyqxmd.com/read/29159463/a-nationwide-survey-of-the-influence-of-month-of-birth-on-the-risk-of-developing-multiple-sclerosis-in-sweden-and-iceland
#15
Olöf Eliasdottir, Anders Hildeman, Marco Longfils, O Nerman, J Lycke
Previous studies have shown that the risk of multiple sclerosis (MS) is associated with season of birth with a higher proportion of MS patients being born in spring. However, this relationship has recently been questioned and may be due to confounding factors. Our aim was to assess the influence from season or month of birth on the risk of developing MS in Sweden and Iceland. Information about month of birth, gender, and phenotype of MS for patients born 1940-1996 was retrieved from the Swedish MS registry (SMSR), and their place of birth was retrieved from the Swedish Total Population Registry (TPR)...
November 20, 2017: Journal of Neurology
https://www.readbyqxmd.com/read/29159426/an-initial-cost-effectiveness-analysis-of-intraoperative-magnetic-resonance-imaging-imri-in-pediatric-epilepsy-surgery
#16
Matthew F Sacino, Sean S Huang, Robert F Keating, William D Gaillard, Chima O Oluigbo
PURPOSE: Previous studies have illustrated the clinical utility of the addition of intraoperative magnetic resonance imaging (iMRI) to conventional microsurgical resection. While iMRI requires initial capital cost investment, long-term reduction in costly follow-up management and reoperation costs may prove economically efficacious. The objective of this study is to investigate the cost-effectiveness of the addition of iMRI utilization versus conventional microsurgical techniques in focal cortical dysplasia (FCD) resection in pediatric patients with medically refractory epilepsy...
November 20, 2017: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/29159405/management-of-tiny-unruptured-intracranial-aneurysms-a-comparative-effectiveness-analysis
#17
Ajay Malhotra, Xiao Wu, Howard P Forman, Charles C Matouk, Dheeraj Gandhi, Pina Sanelli
Importance: Unruptured intracranial aneurysms (UIAs) are relatively common in the general population and are being increasingly diagnosed; a significant proportion are tiny (≤3 mm) aneurysms. There is significant heterogeneity in practice and lack of clear guidelines on the management of incidental, tiny UIAs. It is important to quantify the implications of different management strategies in terms of health benefits to patients. Objective: To evaluate the effectiveness of routine treatment (aneurysm coiling) vs 3 strategies for imaging surveillance compared with no preventive treatment or routine follow-up of tiny UIAs...
November 20, 2017: JAMA Neurology
https://www.readbyqxmd.com/read/29158870/who-has-anaphylaxis-in-brazil-validation-of-a-questionnaire-for-population-studies
#18
Elaine Gagete, Lucilene Delazari Dos Santos, Leticia Gomes de Pontes, Fábio Morato Castro
Background: The incidence of anaphylaxis is increasing in several parts of the world; thus, determining the prevalence of the disease in a given region is important to understand the factors involved and to promote measures to avoid this type of allergic reaction. Aiming this objective, we validated an instrument for a population-basedstudy that assesses the prevalence of anaphylaxis in the Brazilian population. Methods: A questionnaire was generated in two variants - one for subjects seven years old or above (Group A) and another for children who were up to six years, 11 months and 29 days (Group B)...
2017: World Allergy Organization Journal
https://www.readbyqxmd.com/read/29158734/a-study-of-the-importance-of-clonus-symptoms-in-patients-with-tramadol-poisoning
#19
Fares Najari, Anahita Alizadeh-Ghamsari, Maryam Vahabzadeh, Bita Dadpour, Seyed Reza Mousavi, Ideh Baradaran Kayal
Objectives: Clinical studies to reduce the side effects of tramadol, such as seizure, are necessary. Owing to the high prevalence of tramadol consumption and subsequent complications that result from seizures, the aim of the present study was to find a relationship between clonus and prediction of seizure outcome in patients with tramadol overdose. This can be used to determine the need for essential actions if a significant indicator of preventive medical measures is observed. Methods: In this case-control study, three groups of patients poisoned with tramadol and with marked ankle clonus were evaluated...
2017: Journal of Toxicology
https://www.readbyqxmd.com/read/29158454/direct-medical-costs-of-motorcycle-crashes-in-ontario
#20
Daniel Pincus, David Wasserstein, Avery B Nathens, Yu Qing Bai, Donald A Redelmeier, Walter P Wodchis
BACKGROUND: There is no reliable estimate of costs incurred by motorcycle crashes. Our objective was to calculate the direct costs of all publicly funded medical care provided to individuals after motorcycle crashes compared with automobile crashes. METHODS: We conducted a population-based, matched cohort study of adults in Ontario who presented to hospital because of a motorcycle or automobile crash from 2007 through 2013. For each case, we identified 1 control absent a motor vehicle crash during the study period...
November 20, 2017: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
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