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https://www.readbyqxmd.com/read/29330835/international-guidelines-for-groin-hernia-management
#1
(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/29325405/who-fctc-as-a-pioneering-and-learning-instrument-comment-on-the-legal-strength-of-international-health-instruments-what-it-brings-to-global-health-governance
#2
Pekka Puska
The World Health Organization (WHO) Framework Convention on Tobacco Control (FCTC) is a unique global health instrument, since it is in the health field the only instrument that is international law. After the 10 years of its existence an Independent Expert Group assessed the impact of the FCTC using all available data and visiting a number of countries interviewing different stakeholders. It is quite clear that the Treaty has acted as a strong catalyst and framework for national actions and that remarkable progress in global tobacco control can be seen...
May 23, 2017: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/29316636/segmentation-of-gait-sequences-in-sensor-based-movement-analysis-a-comparison-of-methods-in-parkinson-s-disease
#3
Nooshin Haji Ghassemi, Julius Hannink, Christine F Martindale, Heiko Gaßner, Meinard Müller, Jochen Klucken, Björn M Eskofier
Robust gait segmentation is the basis for mobile gait analysis. A range of methods have been applied and evaluated for gait segmentation of healthy and pathological gait bouts. However, a unified evaluation of gait segmentation methods in Parkinson's disease (PD) is missing. In this paper, we compare four prevalent gait segmentation methods in order to reveal their strengths and drawbacks in gait processing. We considered peak detection from event-based methods, two variations of dynamic time warping from template matching methods, and hierarchical hidden Markov models (hHMMs) from machine learning methods...
January 6, 2018: Sensors
https://www.readbyqxmd.com/read/29316582/-burnout-in-intensive-care
#4
Andrej Michalsen, Andreas Hillert, Andreas Schießl, Dominik Hinzmann
Both acute crises and chronically incriminating circumstances in people's lives may lead to their being afflicted by psychological and somatic ailments. "Burnout" has been coined and established as the term for chronic occupational strain. Many professions claim to be extraordinarily affected by burnout, amongst others physicians and nurses, especially those working in anaesthesiology and critical care. Usually assessed with the Maslach Burnout Inventary, the prevalence of moderate or severe burnout in these areas is estimated at about 30 % amongst nurses and about 40 % to 50 % amongst physicians...
January 2018: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/29306812/evaluator-competencies-in-the-context-of-diversity-training-the-practitioners-point-of-view
#5
Benjamin Froncek, Agostino Mazziotta, Verena Piper, Anette Rohmann
Evaluator competencies have been discussed since the beginnings of program evaluation literature. More recently, the Essential Competencies for Program Evaluators (Ghere et al., 2006; Stevahn, King, Ghere & Minnema, 2005a) have proven to be a useful taxonomy for learning and improving evaluation practice. Evaluation is critical to diversity training activities, and diversity training providers face the challenge of conducting evaluations of their training programs. We explored what competencies are viewed as instrumental to conducting useful evaluations in this specific field of evaluation practice...
January 2, 2018: Evaluation and Program Planning
https://www.readbyqxmd.com/read/29304791/medical-school-clinical-placements-the-optimal-method-for-assessing-the-clinical-educational-environment-from-a-graduate-entry-perspective
#6
Sarah Hyde, Ailish Hannigan, Tim Dornan, Deirdre McGrath
BACKGROUND: Educational environment is a strong determinant of student satisfaction and achievement. The learning environments of medical students on clinical placements are busy workplaces, composed of many variables. There is no universally accepted method of evaluating the clinical learning environment, nor is there consensus on what concepts or aspects should be measured. The aims of this study were to compare the Dundee ready educational environment measure (DREEM - the current de facto standard) and the more recently developed Manchester clinical placement index (MCPI) for the assessment of the clinical learning environment in a graduate entry medical student cohort by correlating the scores of each and analysing free text comments...
January 5, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29304448/reinstatement-of-instrumental-actions-in-humans-possible-mechanisms-and-their-implications-to-prevent-it
#7
A Matías Gámez, Rodolfo Bernal-Gamboa
The study of post-extinction recovery effects in humans has received significant attention. For instance, research on reinstatement has increased in the last decade. However, most of the studies focus on the return of fear responses. In the present experiments, we used a videogame task to explore the reinstatement of operant behavior in human participants. In Experiment 1, after participants learned to shoot at enemies, they received an extinction procedure that eliminated the shooting behavior. However, the mere reintroduction of the outcome reinstated the original response...
January 2, 2018: Acta Psychologica
https://www.readbyqxmd.com/read/29301872/prefrontal-cortico-striatal-disconnection-blocks-the-acquisition-of-goal-directed-action
#8
Genevra Hart, Laura A Bradfield, Bernard W Balleine
The acquisition of goal-directed action requires encoding the association between an action and its specific consequences or outcome. At a neural level, this encoding has been hypothesized to involve a prefrontal corticostriatal circuit involving the projection from the prelimbic cortex (PL) to the posterior dorsomedial striatum (pDMS); however, no direct evidence for this claim has been reported. In a series of experiments, we performed functional disconnection of this pathway using targeted lesions of the anterior corpus callosum to disrupt contralateral corticostriatal projections with asymmetrical lesions of the PL and/or pDMS to block plasticity in this circuit in rats...
January 4, 2018: Journal of Neuroscience: the Official Journal of the Society for Neuroscience
https://www.readbyqxmd.com/read/29301318/underwater-acoustic-target-tracking-a-review
#9
REVIEW
Junhai Luo, Ying Han, Liying Fan
Advances in acoustic technology and instrumentation now make it possible to explore marine resources. As a significant component of ocean exploration, underwater acoustic target tracking has aroused wide attention both in military and civil fields. Due to the complexity of the marine environment, numerous techniques have been proposed to obtain better tracking performance. In this paper, we survey over 100 papers ranging from innovative papers to the state-of-the-art in this field to present underwater tracking technologies...
January 2, 2018: Sensors
https://www.readbyqxmd.com/read/29296175/organotypic-three-dimensional-cancer-cell-cultures-mirror-drug-responses-in-vivo-lessons-learned-from-the-inhibition-of-egfr-signaling
#10
Nico Jacobi, Rita Seeboeck, Elisabeth Hofmann, Helmut Schweiger, Veronika Smolinska, Thomas Mohr, Alexandra Boyer, Wolfgang Sommergruber, Peter Lechner, Corina Pichler-Huebschmann, Kamil Önder, Harald Hundsberger, Christoph Wiesner, Andreas Eger
Complex three-dimensional (3D) in vitro models that recapitulate human tumor biology are essential to understand the pathophysiology of the disease and to aid in the discovery of novel anti-cancer therapies. 3D organotypic cultures exhibit intercellular communication, nutrient and oxygen gradients, and cell polarity that is lacking in two-dimensional (2D) monolayer cultures. In the present study, we demonstrate that 2D and 3D cancer models exhibit different drug sensitivities towards both targeted inhibitors of EGFR signaling and broad acting cytotoxic agents...
December 8, 2017: Oncotarget
https://www.readbyqxmd.com/read/29287862/using-simulators-to-teach-pediatric-airway-procedures-in-an-international-setting
#11
Marissa A Schwartz, Katherine R Kavanagh, Steven J Frampton, Iain A Bruce, Tulio A Valdez
INTRODUCTION: There has been a growing shift towards endoscopic management of laryngeal procedures in pediatric otolaryngology. There still appears to be a shortage of pediatric otolaryngology programs and children's hospitals worldwide where physicians can learn and practice these skills. Laryngeal simulation models have the potential to be part of the educational training of physicians who lack exposure to relatively uncommon pediatric otolaryngologic pathology. OBJECTIVES: The objective of this study was to assess the utility of pediatric laryngeal models to teach laryngeal pathology to physicians at an international meeting...
January 2018: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29287751/validation-of-a-visual-spatial-secondary-task-to-assess-automaticity-in-laparoscopic-skills
#12
Richard Castillo, Juan Alvarado, Pablo Moreno, Pablo Billeke, Carlos Martínez, Julián Varas, Nicolás Jarufe
INTRODUCTION: Our objective was to assess reliability and validity of a visual-spatial secondary task (VSST) as a method to measure automaticity on a basic simulated laparoscopic skill model. In motor skill acquisition, expertise is defined by automaticity. The highest level of performance with less cognitive and attentional resources characterizes this stage, allowing experts to perform multiple tasks. Conventional validated parameters as operative time, objective assessment skills scales (OSATS), and movement economy, are insufficient to distinguish if an individual has reached the more advanced learning phases, such as automaticity...
December 26, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29285793/application-of-a-modified-diabetes-prevention-program-with-adolescents
#13
Kimberly Geria, Janice M Beitz
OBJECTIVE: The purpose of this study was to increase type 2 diabetes (T2DM) awareness and decrease T2DM risk factors by examining effectiveness of a modified version of the Centers for Disease Control and Prevention (CDC) Diabetes Prevention Program (DPP) with adolescents. DESIGN AND SAMPLE: A quasi-experimental one-group, pretest/posttest design was used to determine impact of the modified DPP on adolescents. Study intervention was incorporated into the health education curriculum at a public charter school and implemented over 11 weeks...
December 29, 2017: Public Health Nursing
https://www.readbyqxmd.com/read/29282418/effect-of-vaginal-hygiene-module-to-attitudes-and-behavior-of-pathological-vaginal-discharge-prevention-among-female-adolescents-in-slemanregency-yogyakarta-indonesia
#14
Sumarah Sumarah, Hesty Widyasih
Objective: To determine the effect of vaginal hygiene module to attitudes and behavior of pathological vaginal discharge prevention in adolescent girls in Sleman Regency, Yogyakarta, Indonesia. Materials and methods: This present study is a quasi experiment with pretest and post-test control group design. A total of 80 female students was selected randomly from two secondary schools at the study site and then distributed equally to control and experimental group. Only participants in the experimental group were given self-learning vaginal hygiene module to maintain vaginal cleanliness...
June 2017: Journal of Family & Reproductive Health
https://www.readbyqxmd.com/read/29278256/the-purpose-of-united-nations-security-council-practice-contesting-competence-claims-in-the-normative-context-created-by-the-responsibility-to-protect
#15
Jason Ralph, Jess Gifkins
Practice theory provides important insights into the workings of the Security Council. The contribution is currently limited, however, by the conjecture that practice theory operates on 'a different analytical plane' to norm/normative theory. Building on existing critiques, we argue that analysing practices separately from normative positions risks misappropriating competence and reifying practice that is not fit for purpose. This risk is realized in Adler-Nissen and Pouliot's practice-based account of the Libya crisis...
September 2017: Eur J Int Relat
https://www.readbyqxmd.com/read/29277013/self-concept-of-children-with-cerebral-palsy-measured-using-the-population-specific-mytreehouse-self-concept-assessment
#16
Sau Kuan Cheong, Cathryne P Lang, Leanne M Johnston
Self-concept is an individual's perception of him/herself. Research into the self-concept of children with cerebral palsy (CP) has been sparse due to the lack of a population-specific self-concept instrument. Using the new myTREEHOUSE Self-Concept Assessment, this study investigated the self-concept of children with CP in relation to age, gender, motor, communication and cognitive function. Children with CP aged 8-12 years (n = 50; 29 males; mean 10 years 2 months; GMFCS-E&R I = 36, II = 8, III = 5, IV = 1) completed myTREEHOUSE and a standardised intelligence measure...
December 22, 2017: Research in Developmental Disabilities
https://www.readbyqxmd.com/read/29276847/piano-jacket-for-perceiving-and-playing-music-for-patients-with-cerebral-palsy
#17
Renée Lampe, Varvara Turova, Ana Alves-Pinto
PURPOSE: Patients with cerebral palsy with severe motor disabilities are limited not only in everyday life activities but also in choice of their hobbies. Playing a musical instrument is for the majority not possible, even though music constitutes a central component of many relaxation activities for people with disabilities. To give affected patients the opportunity to make music and to learn piano playing through somatosensory perception, a prototype of piano jacket was developed. METHOD: A cycling jacket was equipped with boxes, each representing a musical note, incorporated into the sleeves...
December 23, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/29276370/statistical-prediction-of-hand-force-exertion-levels-in-a-simulated-push-task-using-posture-kinematics
#18
Sol Lim, Clive D'Souza
This study explored the use of body posture kinematics derived from wearable inertial sensors to estimate force exertion levels in a two-handed isometric pushing and pulling task. A prediction model was developed grounded on the hypothesis that body postures predictably change depending on the magnitude of the exerted force. Five body postural angles, viz., torso flexion, pelvis flexion, lumbar flexion, hip flexion, and upper arm inclination, collected from 15 male participants performing simulated isometric pushing and pulling tasks in the laboratory were used as predictor variables in a statistical model to estimate handle height (shoulder vs...
September 2017: Proceedings of the Human Factors and Ergonomics Society ... Annual Meeting
https://www.readbyqxmd.com/read/29274494/an-integrative-review-developing-and-measuring-creativity-in-nursing
#19
REVIEW
Xing Ma, Yuanyuan Yang, Xue Wang, Yuli Zang
OBJECTIVE: To analyze and synthesise the existing evidence on creativity in nursing. DESIGN: An integrative review. DATA SOURCES: A systematic search was conducted using seven English databases (PubMed, Science Direct, Web of Science, Cochrane, EBSCO, Wiley, and Medline) and the top three best Chinese databases (CNKI, Wanfang Data, and VIP). REVIEW METHODS: The combined keywords, creativity and nursing/nurse, were used to search for relevant journal articles that were written in English or Chinese from January 1995 to December 2016...
December 13, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/29273299/-self-intermittent-catheterization-and-urinary-retentions-in-parkinsonian-syndromes
#20
E Savard, A Declemy, V Coindreau, F Babany, C Chesnel, A Charlanes, F Le Breton, G Amarenco
INTRODUCTION: Lower urinary tract symptoms are common in Parkinson diseases, especially chronic urinary retention. In case of significant and symptomatic postvoid residual, a specific treatment is necessary in order to empty the bladder and nowadays the gold standard of such neurogenic bladder is based on self-intermittent-catheterizations, if possible at all. We carried out a retrospective study about feasibility and outcomes of self-intermittent-catheterizations in this population. METHODS: Retrospective study with qualitative and quantitative, clinical and instrumental (urodynamic) assessment, of lower urinary tract symptoms as urinary retention in extrapyramidal syndromes...
December 19, 2017: Progrès en Urologie
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