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https://www.readbyqxmd.com/read/28060087/analysis-of-postoperative-bleeding-after-posterior-pharyngeal-flap-pharyngoplasty
#1
Teng Wan, Guomin Wang, Yusheng Yang, Yang Chen, Yong Zhang, Yun Liang, Yilai Wu
The aim of this study was to analyze the location and cause of postoperative bleeding after posterior pharyngeal flap pharyngoplasty and to investigate the surgical techniques with the goal of treating the bleeding. The patients received posterior pharyngeal flap pharyngoplasty in the Cleft Lip and Palate Treatment and Research Center of Shanghai Jiaotong University School of Medicine from January 2003 to December 2014, and postoperative bleeding in the surgical area was retrospectively analyzed. According to the record of the exploration of hemostasis, the locations and causes of the bleeding were summarized...
January 5, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28054380/perceived-stress-recurrent-pain-and-aggregate-salivary-cortisol-measures-in-mid-adolescent-girls-and-boys
#2
Petra Lindfors, Lisa Folkesson Hellstadius, Viveca Östberg
Measures of perceived stress have been criticized for theoretical inconsistency. However, the validated pressure activation stress scale has been suggested as a theoretically sound alternative. But it is unclear how pressure and activation stress relate to objective and subjective measures including commonly used aggregate cortisol measures and health complaints respectively. Specifically, this study aimed at investigating how pressure and activation stress were related to aggregate salivary cortisol measures and recurrent pain in mid-adolescent girls and boys...
February 2017: Scandinavian Journal of Psychology
https://www.readbyqxmd.com/read/28047582/su-g-206-16-investigation-of-dosimetric-consequence-via-cone-beam-ct-based-dose-reconstruction-in-hepatocellular-carcinoma-radiotherapy
#3
P Huang, H Li, J Chen, C Ma, Y Gang, S Qin, Y Yin, D Li
PURPOSE: Many patients with technically unresectable or medically inoperable hepatocellular carcinoma (HCC) had hepatic dosimetric variations as a result of inter-fraction anatomical deformation. This study was conducted to assess the hepatic dosimetric consequences via reconstructing weekly dose in HCC patients receiving three dimensional conformal radiation therapy. METHODS: Twenty-one HCC patients with 21 planning CT (pCT) scans and 63 weekly Cone-beam CT (CBCT) scans were enrolled in this investigation...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28033072/historic-leadership
#4
Ellen F Johnsen, Katherine J Pohlman
School nursing practice establishes itself in the midst of both education and nursing philosophies, ethics, standards, laws, and regulations. Treading these two worlds is difficult at times and requires that a school nurse possess a strong foundational knowledge base, seek professional collaboration, and navigate conflicting professional demands in order to promote student and public safety. This article is Part 1 of a four-part series that recounts the inspiring story of a school nurse, Ellen Johnsen, who did just that back in the 1980s in Broken Arrow, Oklahoma...
January 2017: NASN School Nurse
https://www.readbyqxmd.com/read/28011807/multicentre-individual-randomised-controlled-trial-of-screening-and-brief-alcohol-intervention-to-prevent-risky-drinking-in-young-people-aged-14-15-in-a-high-school-setting-sips-jr-high-study-protocol
#5
Emma L Giles, Simon Coulton, Paolo Deluca, Colin Drummond, Denise Howel, Eileen Kaner, Elaine McColl, Ruth McGovern, Stephanie Scott, Elaine Stamp, Harry Sumnall, Les Tate, Liz Todd, Luke Vale, Viviana Albani, Sadie Boniface, Jennifer Ferguson, Jo Frankham, Eilish Gilvarry, Nadine Hendrie, Nicola Howe, Grant J McGeechan, Grant Stanley, Dorothy Newbury-Birch
INTRODUCTION: Drinking has adverse impacts on health, well-being, education and social outcomes for adolescents. Adolescents in England are among the heaviest drinkers in Europe. Recently, the proportion of adolescents who drink alcohol has fallen, although consumption among those who do drink has actually increased. This trial seeks to investigate how effective and efficient an alcohol brief intervention is with 11-15 years olds to encourage lower alcohol consumption. METHODS AND ANALYSIS: This is an individually randomised two-armed trial incorporating a control arm of usual school-based practice and a leaflet on a healthy lifestyle (excl...
December 23, 2016: BMJ Open
https://www.readbyqxmd.com/read/28011030/translation-and-cross-cultural-adaptation-of-the-cardiff-wound-impact-schedule-to-brazilian-portuguese
#6
Fabiana da Silva Augusto, Leila Blanes, Denise Nicodemo, Lydia Masako Ferreira
AIM: To translate into Brazilian Portuguese and cross-culturally adapt the Cardiff Wound Impact Schedule, a specific measure of health-related quality of life (HRQoL) for patients with chronic wounds. Chronic wounds have a relevant impact on the HRQoL of patients. However, there are few instruments cross-culturally adapted and validated in Brazil to assess HRQoL in patients with wounds. METHODS: A descriptive cross-sectional study was conducted following six steps: (1) translation of the original instrument into Brazilian-Portuguese by two independent translators; (2) construction of a consensus version based on both translations; (3) two independent back-translations into English of the consensus version; (4) review by an expert committee and construction of the pre-final version; (5) testing of the pre-final version on patients with chronic wounds; and (6) construction of the final version...
December 11, 2016: Journal of Tissue Viability
https://www.readbyqxmd.com/read/28002719/establishing-a-sustainable-childhood-obesity-monitoring-system-in-regional-victoria
#7
Nicholas Crooks, Claudia Strugnell, Colin Bell, Steve Allender
Issue addressed: Childhood obesity poses a significant immediate and long-term burden to individuals, societies and health systems. Infrequent and inadequate monitoring has led to uncertainty about trends in childhood obesity prevalence in many countries. High-quality data, collected at regular intervals, over extended timeframes, with high response rates and timely feedback are essential to support prevention efforts. Our aim was to establish a sustainable childhood obesity monitoring system in regional Australia to collect accurate anthropometric and behavioural data, provide timely feedback to communities and build community engagement and capacity...
December 19, 2016: Health Promotion Journal of Australia
https://www.readbyqxmd.com/read/27998331/yesterday-s-doctors-the-human-aspects-of-medical-education-in-britain-1957-93
#8
Victoria Bates
In the wake of the Second World War there was a movement to counterbalance the apparently increasingly technical nature of medical education. These reforms sought a more holistic model of care and to put people - rather than diseases - back at the centre of medical practice and medical education. This article shows that students often drove the early stages of education reform. Their innovations focused on relationships between doctors and their communities, and often took the form of informal discussions about medical ethics and the social dimensions of primary care...
January 2017: Medical History
https://www.readbyqxmd.com/read/27998156/reliability-and-validity-of-kurdish-language-version-of-health-promoting-lifestyle-profile-ii-among-kurdish-healthcare-providers-kurdish-version-of-hplp-ii
#9
Aram Salih Mohammed Amin Kamali, Roya Sadeghi, Azar Tol, Mahdi Yaseri
BACKGROUND: Unhealthy lifestyles pose significant threat to public health. This study aimed to assess the validity and reliability of a Kurdish version of the HPLP-II instrument among Kurdish healthcare providers, whose society and culture differ from that of North America and Spain, where the instrument was developed. METHODS: The instrument was translated into Kurdish, back translated, and pilot tested to ascertain cultural sensitivity. It was then evaluated using a convenience sample of 460 healthcare providers in the Kurdistan region, northern Iraq using a principal components factor analysis...
December 2016: Archives of Iranian Medicine
https://www.readbyqxmd.com/read/27993088/interview-with-dr-ghassan-k-abou-alfa
#10
G K Abou-Alfa
Ghassan K Abou-Alfa joined the Gastrointestinal Oncology Service at Memorial Sloan-Kettering Cancer Center and Weill Cornell Medical College in New York back in 2001. Dr Abou-Alfa specializes in the treatment of gastrointestinal malignancies. Dr Abou-Alfa received his medical degree from the American University of Beirut, Lebanon, and completed his post-doctoral training at Yale University School of Medicine. His research is dedicated to finding novel therapies and improving the effectiveness of the current therapies for hepatocellular carcinoma, cholangiocarcinoma and gallbladder cancer, while continuing to understand the basic mechanisms of the diseases and its therapy...
November 2016: Immunotherapy
https://www.readbyqxmd.com/read/27987519/-autoimmune-disorder-secondary-to-digeorge-syndrome-a-long-term-follow-up-case-report-and-literature-review
#11
Y Xie, J Q Guo, Y Hua, W H Zhao, Q Sun, X T Lu
DiGeorge syndrome is the most common chromosome microdeletion disease. The classical complications include congenital heart disease, hypothyroidism, immunodeficiency, facial abnormalities, and hypocalcemia. According to whether there is an absence or hypoplasia of the thymus, DiGeorge syndrome can be divided into two types, complete DiGeorge syndrome and partial DiGeorge syndrome. The patient was a female born with congenital heart disease, facial abnormalities and cleft palate. When the patient went to school, she had learning difficulty and had problems in communication and personal social behavior...
December 18, 2016: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
https://www.readbyqxmd.com/read/27973643/syntactic-versus-memory-accounts-of-the-sentence-comprehension-deficits-of-specific-language-impairment-looking-back-looking-ahead
#12
James W Montgomery, Ronald B Gillam, Julia L Evans
Purpose: Compared with same-age typically developing peers, school-age children with specific language impairment (SLI) exhibit significant deficits in spoken sentence comprehension. They also demonstrate a range of memory limitations. Whether these 2 deficit areas are related is unclear. The present review article aims to (a) review 2 main theoretical accounts of SLI sentence comprehension and various studies supporting each and (b) offer a new, broader, more integrated memory-based framework to guide future SLI research, as we believe the available evidence favors a memory-based perspective of SLI comprehension limitations...
December 1, 2016: Journal of Speech, Language, and Hearing Research: JSLHR
https://www.readbyqxmd.com/read/27968731/advances-in-dyslexia-genetics-new-insights-into-the-role-of-brain-asymmetries
#13
S Paracchini, R Diaz, J Stein
Dyslexia is a common condition affecting up to 10% school-aged children. There is strong evidence that genetics plays an important role in dyslexia and is expected to be complex in nature. Few specific susceptibility factors have been identified so far, but their functional characterization has provided novel insights into the biology of dyslexia. In particular, they point to an unexpected role of candidate genes for dyslexia in the biology of cilia, cellular organelles required in many processes including the establishment of left-right asymmetries early in development...
2016: Advances in Genetics
https://www.readbyqxmd.com/read/27967244/analyzing-complex-treatment-effects-in-nonrandomized-observational-studies-the-case-of-retention-of-students-in-grade
#14
Stephen G West
Should low-achieving students be promoted to the next grade or be retained (held back) in the prior grade? This special section presents a discussion of the application of marginal structural models to the challenging problem of estimating the effect of promotion versus retention in grade on math scores in elementary school. Vandecandelaere, De Fraine, Van Damme, and Vansteelandt provide a didactic presentation of the marginal structural modeling approach, noting retention is a time-varying treatment because promoted low-achieving students may be retained in a subsequent grade...
November 2016: Multivariate Behavioral Research
https://www.readbyqxmd.com/read/27965502/study-of-caries-prevalence-among-miswak-and-non-miswak-users-a-prospective-study
#15
Mohammed Mustafa, Zaid AlJeaidi, Wafa Hassan AlAajam, Kawthar Ahmed Dafaalla Mohammed
INTRODUCTION: Various types of oral hygiene measures have been practiced by different populations around the world, as there is difference in the oral hygiene products including toothpicks and toothpowders. Miswak or tooth cleaning stick, for mechanical tooth cleaning, can be traced back at least to pre-Islamic times. Currently, many of the world populations still use chewing sticks as the single method for tooth brushing. The present study was done to study the incidence and prevalence of caries among Miswak and non-Miswak users...
November 1, 2016: Journal of Contemporary Dental Practice
https://www.readbyqxmd.com/read/27942255/validation-of-the-portuguese-dsm-iv-mr-j
#16
Filipa Calado, Joana Alexandre, Mark D Griffiths
Youth problem gambling is viewed as an emergent public health issue in many countries, and is also an emerging area of public concern in Portugal. However, there is currently no Portuguese instrument that focuses specifically on the measurement of problem gambling among young people. Consequently, the present study aimed to validate the DSM-IV-MR-J for use among Portuguese adolescents and to examine its' psychometric properties. A cross-cultural adaption of this instrument to the Portuguese language was performed using the translation and back translation method...
2016: International Journal of Mental Health and Addiction
https://www.readbyqxmd.com/read/27936196/resilience-and-associated-factors-among-mainland-chinese-women-newly-diagnosed-with-breast-cancer
#17
Zijing Wu, Ye Liu, Xuelian Li, Xiaohan Li
PURPOSE: Resilience is the individual's ability to bounce back from trauma. It has been studied for some time in the U.S., but few studies in China have addressed this important construct. In mainland China, relatively little is known about the resilience of patients in clinical settings, especially among patients with breast cancer. In this study, we aimed to evaluate the level of resilience and identify predictors of resilience among mainland Chinese women newly diagnosed with breast cancer...
2016: PloS One
https://www.readbyqxmd.com/read/27922556/using-the-nursing-process-to-identify-and-treat-angioedema-a-case-study
#18
Tracey A Hotta
The nursing process is the essential core of practice for registered nurses, independent of what field of nursing you have chosen. You learn it in nursing school and use it until you are no longer practicing. It is designed to train nurses how to develop a nursing care plan through critical thinking. Over the years it becomes a routine way of problem solving, but it is sometimes good to go back to the basics to remember the ground work. The focus of this article is to review the steps of the nursing process when faced with a complication, using our critical thinking skills...
October 2016: Plastic Surgical Nursing
https://www.readbyqxmd.com/read/27909807/german-validation-of-the-bidq-s-questionnaire-on-body-image-disturbance-in-idiopathic-scoliosis
#19
Mark Wetterkamp, Meinald T Thielsch, Georg Gosheger, Patrick Boertz, Jan Henrik Terheyden, Tobias L Schulte
PURPOSE: The Body Image Disturbance Questionnaire-Scoliosis (BIDQ-S) is a seven-item questionnaire inquiring into patients' worries about back shape and associated problems at school, at work, with friends or family, and whether the patients are avoiding certain activities. The aim of this study was to translate the BIDQ-S into German (G-BIDQ-S), test its reliability, and establish its convergent, divergent, concurrent, and discriminant validity. METHODS: In a prospective cohort study, 259 patients with idiopathic scoliosis (mean age 30...
December 1, 2016: European Spine Journal
https://www.readbyqxmd.com/read/27901240/prevalence-of-chronic-spinal-pain-and-identification-of-associated-factors-in-a-sample-of-the-population-of-s%C3%A3-o-paulo-brazil-cross-sectional-study
#20
Jidiene Dylese Presecatan Depintor, Eduardo Sawaya Botelho Bracher, Dayane Maia Costa Cabral, José Eluf-Neto
CONTEXT AND OBJECTIVE: Chronic spinal pain, especially low-back pain and neck pain, is a leading cause of years of life with disability. The aim of the present study was to estimate the prevalence of chronic spinal pain among individuals aged 15 years or older and to identify the factors associated with it. DESIGN AND SETTING: Cross-sectional epidemiological study on a sample of the population of the city of São Paulo. METHOD: Participants were selected using random probabilistic sampling and data were collected via face-to-face interviews...
September 2016: São Paulo Medical Journal, Revista Paulista de Medicina
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