Read by QxMD icon Read


Laura M Seske, William C Ralston, Louis J Muglia, James M Greenberg
Infant mortality rate is generally regarded as a fundamental indicator of population health and is often used to validate public health interventions. Hamilton County, Ohio, has one of the highest rates in the nation. Most deaths that do not occur in the hospital fall under the jurisdiction of a coroner/medical examiner. We reviewed all infant deaths evaluated by the Hamilton County Coroner from 2006 to 2013 in order to identify opportunities for public health interventions. We predicted that the majority of these infant deaths were unintentional, but preventable...
October 17, 2016: Journal of Forensic and Legal Medicine
Caterina Magnani, Diana Giannarelli, Giuseppe Casale
OBJECTIVES: To assess the prevalence of breakthrough pain (BTP) provoked by 6 common procedures in patients with advanced disease. METHODS: A prospective, cross-sectional, multicenter, national study was performed in 23 palliative care units in Italy. Patients were recruited if they were undergoing one of the following procedures as part of normal care: turning, personal hygiene care, transfer from bed to chair, bladder catheterization, pressure ulcer care, and subcutaneous drug administration...
October 20, 2016: Clinical Journal of Pain
Vincenzo Vindigni, Carlotta Scarpa, Erica Dalla Venezia, Franco Bassetto
INTRODUCTION: Fournier's gangrene is a rare disease that affects the genital, abdominal, and perineal regions and leads to death if not treated promptly. CASE REPORT: A 42-year-old, obese woman presented to the authors' department affected by Fournier's gangrene. In order to treat her abdominal and genital regions, the authors performed a surgical debridement followed by combined therapy with antibiotics and topical negative pressure wound therapy (NPWT) with instillation plus saline solution...
October 2016: Wounds: a Compendium of Clinical Research and Practice
Ian Chik, Enda G Kelly, Razman Jarmin, Farrah-Hani Imran
INTRODUCTION: Negative pressure wound therapy is a widely used method of wound dressing with various commercially available brands. The authors created the Hanikoda Method (HM) for effective wound bed preparation or definite wound closure. METHODS: In this case series, the authors discuss 8 different wound cases that presented to their Plastics Unit from January 2014 to June 2015. Patients with traumatic or infected wounds were selected for treatment with the HM...
October 2016: Wounds: a Compendium of Clinical Research and Practice
Jeanine N Gordon
Nurses at the bed- or chairside are knowledgeable about clinical and operational concerns that need improvement and, consequently, are in the best position to generate and evaluate practical options and potential solutions to improve efficacy and care processes. Implementation of a shared governance model is effective in engaging staff nurses to make meaningful and sustainable change in patient care processes.
November 1, 2016: Oncology Nursing Forum
Katherine Bubric, Alan Hedge
BACKGROUND: Laptop computers have surpassed desktop computers in popularity, especially among college student users. The portability of these devices raises concerns regarding healthy usage patterns in different settings and there is a need to investigate the postures with which these devices are being used and associated reports of musculoskeletal discomfort. OBJECTIVE: This study investigated the configurations in which laptops are used and the prevalence of musculoskeletal discomfort associated with laptop use in a survey of college students...
October 17, 2016: Work: a Journal of Prevention, Assessment, and Rehabilitation
Brun Jean-Frédéric, Varlet-Marie Emmanuelle, Fédou Christine, Raynaud de Mauverger Eric
Equations of blood viscosity provide a prediction of the 'optimal' hematocrit' (hct) as the hct resulting in the highest value of the bell-shaped curve of hematocrit/viscosity ratio h/η. We investigated if overweight and obesity have an influence on these parameters. We compared 32 normal weight subjects, 40 overweight (BMI 25-30) and 38 obese subjects. There was no difference in the theoretical curve of h/η. The actual h/η is the same in the 3 groups but is always higher than the theoretical h/η in all groups...
October 15, 2016: Clinical Hemorheology and Microcirculation
Elizabeth A Neuner, Andrea M Pallotta, Simon W Lam, David Stowe, Steven M Gordon, Gary W Procop, Sandra S Richter
OBJECTIVE To describe the impact of rapid diagnostic microarray technology and antimicrobial stewardship for patients with Gram-positive blood cultures. DESIGN Retrospective pre-intervention/post-intervention study. SETTING A 1,200-bed academic medical center. PATIENTS Inpatients with blood cultures positive for Staphylococcus aureus, Enterococcus faecalis, E. faecium, Streptococcus pneumoniae, S. pyogenes, S. agalactiae, S. anginosus, Streptococcus spp., and Listeria monocytogenes during the 6 months before and after implementation of Verigene Gram-positive blood culture microarray (BC-GP) with an antimicrobial stewardship intervention...
November 2016: Infection Control and Hospital Epidemiology
Angela Sierras, Coby Schal
BACKGROUND: The global prevalence of Cimex lectularius infestations has challenged current intervention efforts, as pyrethroid resistance has become ubiquitous, availability of labeled insecticides for bed bugs is limited, and non-chemical treatment options, such as heat, are often unaffordable. We evaluated representative insecticides toward the goal of developing a novel, ingestible liquid bait for hematophagous arthropods. RESULTS: LC50 values were estimated for adult males and first instar nymphs of an insecticide-susceptible strain for abamectin, clothianidin, fipronil and indoxacarb, after ingestion from an in vitro feeder...
October 21, 2016: Pest Management Science
Momotazur Rahman, David C Grabowski, Vincent Mor, Edward C Norton
OBJECTIVE: To determine whether the observed differences in the risk-adjusted rehospitalization rates across skilled nursing facilities (SNFs) reflect true differences or merely differences in patient severity. SETTINGS: Elderly Medicare beneficiaries newly admitted to an SNF following hospitalization. STUDY DESIGN: We used 2009-2012 Medicare data to calculate SNFs' risk-adjusted rehospitalization rate. We then estimated the effect of these rehospitalization rates on the rehospitalization of incident patients in 2013, using an instrumental variable (IV) method and controlling for patient's demographic and clinical characteristics and residential zip code fixed effects...
October 21, 2016: Health Services Research
Raliat Onatade, Gavin Miller, Inderjit Sanghera
Background Several clinical pharmacy activities are common to UK hospitals. It is not clear whether these are provided at similar levels, and whether they take similar amounts of time to carry out. Objective To quantify and compare clinical pharmacist ward activities between different UK hospitals. Setting Seven acute hospitals in the Greater London area (UK). Methods A list of common ward activities was developed. On five consecutive days, pharmacists visiting hospital wards documented total time spent and how many of each activity they undertook...
October 20, 2016: International Journal of Clinical Pharmacy
Ammara Usman, Umar Sadat, Zhongzhao Teng, Martin J Graves, Jonathan R Boyle, Kevin Varty, Paul D Hayes, Jonathan H Gillard
BACKGROUND: Functional magnetic resonance (MR) imaging of atheroma using contrast media enables assessment of the systemic severity of atherosclerosis in different arterial beds. Whether black-blood imaging has similar ability remains widely unexplored. In this study, we evaluate whether black-blood imaging can differentiate carotid plaques of patients with and without coronary artery disease (CAD) in terms of morphological and biomechanical features of plaque vulnerability, thereby allowing assessment of the systemic severity nature of atherosclerosis in different arterial beds...
October 17, 2016: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
Lori Jane Curtis, Paule Bernier, Khursheed Jeejeebhoy, Johane Allard, Donald Duerksen, Leah Gramlich, Manon Laporte, Heather H Keller
BACKGROUND & AIMS: Hospital malnutrition has been established as a critical, prevalent, and costly problem in many countries. Many cost studies are limited due to study population or cost data used. The aims of this study were to determine: the relationship between malnutrition and hospital costs; the influence of confounders on, and the drivers (medical or surgical patients or degree of malnutrition) of the relationship; and whether hospital reported cost data provide similar information to administrative data...
September 19, 2016: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
Rachael E C Schutz, Heather L Coats, Ruth A Engelberg, J Randall Curtis, Claire J Creutzfeldt
BACKGROUND: Patients with severe acute brain injury (SABI) raise important palliative care considerations associated with sudden devastating injury and uncertain prognosis. OBJECTIVE: The goal of this study was to explore how family members, nurses, and physicians experience the palliative and supportive care needs of patients with SABI receiving care in the neuroscience intensive care unit (neuro-ICU). DESIGN: Semistructured interviews were audiotaped, transcribed, and analyzed using thematic analysis...
October 20, 2016: Journal of Palliative Medicine
Hagai Cohen, Shaked Ein Eli, Morten Jõgi, Matthew E Suss
Carbon-based suspension electrodes are currently intensively investigated for emerging electrochemical systems, such as flow batteries, flow capacitors, and capacitive deionization cells. The main limitation of such electrodes is their low electric conductivity, which is typically orders of magnitude lower than that of traditional static carbon electrodes. Two main categories of suspension electrodes exist: 1) slurry electrodes where particles are not significantly affected by gravity, and 2) fluidized bed electrodes where particles are affected by gravity...
October 20, 2016: ChemSusChem
Feigao Xu, Wencheng Tan, Heng Liu, Dan Li, Yuexiang Li, Min Wang
Crack-free PDMS-SiO2-TiO2 composite as photocatalyst was prepared for degrading dyes by using thin-film fixed bed reactor. The hydrophobic surface of the photocatalyst loaded with PDMS-SiO2-TiO2 composite could be considered as an extractant for organic pollutants. The effect of different supports including pumice stone, medicinal stone, and fiberglass for photocatalytic efficiency were compared. Under the same condition, it was found that the photocatalytic degradation effect of dyes was best when PDMS-SiO2-TiO2 composite was fixed on pumice stone rather than medicinal stone or fiberglass...
October 2016: Water Science and Technology: a Journal of the International Association on Water Pollution Research
Michal Sposob, Carlos Dinamarca, Rune Bakke
Sulphides are present in many wastewater streams; their removal is important due to corrosiveness, toxicity and unpleasant odour, and can be carried out by anaerobic biological treatment. This study focuses on the temperature effect (25-10 °C) on an expanded granular sludge bed (EGSB) reactor for sulphide removal using nitrate as electron acceptor. The reactor was run at a NO3(-)/HS(-) molar ratio of 0.35 and pH of 8.5-9.0. Samples were analysed by ion chromatography (NO3(-), SO4(2-) and S2O3(2-)), spectrophotometry (S(2-)) and by scanning electron microscopy (SEM)...
October 2016: Water Science and Technology: a Journal of the International Association on Water Pollution Research
Suymara Toledo Miranda, Antonio Teixeira de Matos, Gheila Corrêa Ferres Baptestini, Alisson Carraro Borges
In horizontal subsurface flow constructed wetlands (HSSF-CWs), the main operational problem is clogging of the porous medium. In this study, the unclogging of HSSF-CWs was evaluated, at rest, by adding a nitrogen-based nutrient solution to the influent. For this, six HSSF-CWs were used, consisting of two uncultivated (CW-C), two cultivated with Tifton 85-grass (Cynodon spp.) (CW-T) and two cultivated with alligator weed (Alternanthera philoxeroides) (CW-A), which were fully clogged after being used for the treatment of swine wastewater...
October 2016: Water Science and Technology: a Journal of the International Association on Water Pollution Research
Maria R Hartono, Ariel Kushmaro, Robert S Marks, Xiaodong Chen
In this study, composite calcium-alginate/carbon nanotubes/TiO2 beads were prepared and tested for their potential in the removal of bisphenol A (BPA) from aqueous solutions. The removal traits were inspected using a fixed-bed sorption column. By varying parameters such as bed height (15-20 cm), flow rate (2.0-6.0 mL.min(-1)) and inlet BPA concentration (10-30 mg.L(-1)) we assessed the removal capacity of these composites. The highest sorption capacity of 5.46 mg.g(-1) was achieved at 10 mg.L(-1) BPA concentration, 2...
October 2016: Water Science and Technology: a Journal of the International Association on Water Pollution Research
Yinjun Zhao, Aizhong Ding
River classification is a very useful tool for river management yet still a difficult task. This paper proposed a new decision classifier (DCF) to classify rivers for Chinese river management based on existing classification systems. Aimed at river function management, the DCF with the five-layers frame was developed on reach level in a spatially nested pattern that from top to bottom are natural province, basin, valley, reach, habitat and microhabitat. Five indexes (artificial degree, closeness, sinuosity, bed material texture, geomorphic units (GUs)) were selected and organized into the DCF according to the importance of the influence on river structure from macro to micro, large to small and top to bottom, because they represent main aspects of river structures and are easy to obtain...
October 2016: Water Science and Technology: a Journal of the International Association on Water Pollution Research
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"