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https://www.readbyqxmd.com/read/29475013/recommendations-for-the-successful-control-of-a-large-outbreak-of-vancomycin-resistant-enterococcus-faecium-vre-in-a-non-endemic-hospital-setting
#1
F N J Frakking, W S Bril, J C Sinnige, J E van 't Klooster, B A W de Jong, E J van Hannen, M Tersmette
BACKGROUND: A large outbreak of three epidemic vancomycin-resistant Enterococcus faecium (VRE) clones affected our hospital for almost two years. AIM: To describe the strategy to successfully control this outbreak and eradicate VRE from our hospital. METHODS: Infection control interventions started after detection of VRE in three patients. After ongoing transmission despite isolation precautions, cleaning and contact tracing, hospital-wide surveillance was started...
February 20, 2018: Journal of Hospital Infection
https://www.readbyqxmd.com/read/29474885/purse-string-closure-versus-conventional-primary-closure-of-wound-following-stoma-reversal-meta-analysis-of-randomized-controlled-trials
#2
REVIEW
Fabio Rondelli, Laura Franco, Ruben Carlo Balzarotti Canger, Graziano Ceccarelli, Cecilia Becattini, Walter Bugiantella
PURPOSE: Surgical site infection (SSI) is one of the most frequent complications after stoma closure and the optimal skin closure technique is still not clear. The goal of this review was to compare outcomes with purse-string closure technique (PSC) versus conventional closure technique (CCT) for skin closure after stoma reversal. METHODS: We performed a systematic review and meta-analysis of available randomized controlled trials (RCTs) to compare SSI rate within 30 days, operative time, hospital stay, incisional hernia and intestinal obstruction rates between PSC and CCT...
February 20, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29474884/cardiopulmonary-exercise-testing-in-hepato-biliary-pancreas-cancer-surgery-a-systematic-review-are-we-any-further-than-walking-up-a-flight-of-stairs
#3
REVIEW
R Kumar, G Garcea
INTRODUCTION: Cardiopulmonary exercise testing (CPET) is a reliable, reproducible and non-invasive measure of functional capacity. CPET has been increasingly used to assess pre-operative risk and stratify patients at risk of mortality and morbidity following surgery. CPET parameters that predict outcomes within liver and pancreas cancer surgery still remain to be defined. METHODS: A systematic review to assess CPET use in predicting post-operative outcomes in liver and pancreas cancer surgery was carried out using the following databases AMED, CINAHL, Cochrane Library, EMBASE, Google Scholar and PubMED...
February 20, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29474879/quantitative-analysis-of-relative-volume-of-low-apparent-diffusion-coefficient-value-can-predict-neurologic-outcome-after-cardiac-arrest
#4
Hyung Ki Moon, Jinhee Jang, Kyu Nam Park, Soo Hyun Kim, Byung Kook Lee, Sang Hoon Oh, Kyung Woon Jeung, Seung Pill Choi, In Soo Cho, Chun Song Youn
INTRODUCTION: Predicting neurologic outcomes after cardiac arrest (CA) is challenging. This study tested the hypothesis that a quantitative analysis of diffusion weighted imaging (DWI) using the FMRIB Software Library (FSL) can predict neurologic outcomes after CA and can clarify the optimal apparent diffusion coefficient (ADC) thresholds for predicting poor neurologic outcomes. METHODS: Out-of-hospital CA patients treated with targeted temperature management (TTM) who underwent DWI were included in this study...
February 20, 2018: Resuscitation
https://www.readbyqxmd.com/read/29474878/long-term-effects-of-brief-hypoxia-due-to-cardiac-arrest-hippocampal-reductions-and-memory-deficits
#5
Vess Stamenova, Raneen Nicola, Judith Aharon-Peretz, Dorith Goldsher, Michael Kapeliovich, Asaf Gilboa
OBJECTIVE: To examine the effects of brief hypoxia (<7 min) due to cardiac arrest on the integrity of the brain and performance on memory and executive functions tasks. METHODS: Acute myocardial infarction (MI) patients after out-of-hospital cardiac arrest (CA) (n = 9), who were deemed neurologically intact on discharge, were compared to matched patients with MI (n = 9). A battery of clinical and experimental memory and executive functions neuropsychological tests were administered and MRI scans for all patients were collected...
February 20, 2018: Resuscitation
https://www.readbyqxmd.com/read/29474502/validation-of-the-portable-air-smart-spirometer
#6
Cristina Ramos Hernández, Marta Núñez Fernández, Abel Pallares Sanmartín, Cecilia Mouronte Roibas, Luz Cerdeira Domínguez, Maria Isabel Botana Rial, Nagore Blanco Cid, Alberto Fernández Villar
BACKGROUND: The Air-Smart Spirometer is the first portable device accepted by the European Community (EC) that performs spirometric measurements by a turbine mechanism and displays the results on a smartphone or a tablet. METHODS: In this multicenter, descriptive and cross-sectional prospective study carried out in 2 hospital centers, we compare FEV1, FVC, FEV1/FVC ratio measured with the Air Smart-Spirometer device and a conventional spirometer, and analyze the ability of this new portable device to detect obstructions...
2018: PloS One
https://www.readbyqxmd.com/read/29474482/prevalence-of-several-somatic-diseases-depends-on-the-presence-and-severity-of-obstructive-sleep-apnea
#7
Ragnhild L Tveit, Sverre Lehmann, Bjørn Bjorvatn
STUDY OBJECTIVES: The objective was to investigate the prevalence of heart attack, angina pectoris, stroke, hypertension, diabetes mellitus, chronic obstructive pulmonary disease, asthma and obesity in relation to the presence and severity of obstructive sleep apnea. METHODS: The sample consisted of 1887 patients, with mean age of 48.6 years (range 16-83 years), referred to a university hospital on suspicion of obstructive sleep apnea. The patients filled out a questionnaire asking whether they were previously diagnosed with the comorbidities in interest...
2018: PloS One
https://www.readbyqxmd.com/read/29474392/characterising-non-urgent-users-of-the-emergency-department-ed-a-retrospective-analysis-of-routine-ed-data
#8
Colin O'Keeffe, Suzanne Mason, Richard Jacques, Jon Nicholl
BACKGROUND: The pressures of patient demand on emergency departments (EDs) continue to be reported worldwide, with an associated negative impact on ED crowding and waiting times. It has also been reported that a proportion of attendances to EDs in different international systems could be managed in settings such as primary care. This study used routine ED data to define, measure and profile non-urgent ED attendances that were suitable for management in alternative, non-emergency settings...
2018: PloS One
https://www.readbyqxmd.com/read/29474357/effects-of-flow-rate-on-the-migration-of-different-plasticizers-from-pvc-infusion-medical-devices
#9
Lise Bernard, Teuta Eljezi, Hélène Clauson, Céline Lambert, Yassine Bouattour, Philip Chennell, Bruno Pereira, Valérie Sautou
Infusion medical devices (MDs) used in hospitals are often made of plasticized polyvinylchloride (PVC). These plasticizers may leach out into infused solutions during clinical practice, especially during risk-situations, e.g multiple infusions in Intensive Care Units and thus may enter into contact with the patients. The migrability of the plasticizers is dependent of several clinical parameters such as temperature, contact time, nature of the simulant, etc… However, no data is available about the influence of the flow rate at which drug solutions are administrated...
2018: PloS One
https://www.readbyqxmd.com/read/29474322/validation-of-a-novel-molecular-host-response-assay-to-diagnose-infection-in-hospitalized-patients-admitted-to-the-icu-with-acute-respiratory-failure
#10
Maria E Koster-Brouwer, Diana M Verboom, Brendon P Scicluna, Kirsten van de Groep, Jos F Frencken, Davy Janssen, Rob Schuurman, Marcus J Schultz, Tom van der Poll, Marc J M Bonten, Olaf L Cremer
OBJECTIVES: Discrimination between infectious and noninfectious causes of acute respiratory failure is difficult in patients admitted to the ICU after a period of hospitalization. Using a novel biomarker test (SeptiCyte LAB), we aimed to distinguish between infection and inflammation in this population. DESIGN: Nested cohort study. SETTING: Two tertiary mixed ICUs in the Netherlands. PATIENTS: Hospitalized patients with acute respiratory failure requiring mechanical ventilation upon ICU admission from 2011 to 2013...
March 2018: Critical Care Medicine
https://www.readbyqxmd.com/read/29473482/prospective-surveillance-and-targeted-physiotherapy-for-arm-morbidity-after-breast-cancer-surgery-a-pilot-randomized-controlled-trial
#11
Bolette S Rafn, Stanley Hung, Alison M Hoens, Margaret L McNeely, Chiara A Singh, Winkle Kwan, Carol Dingee, Elaine C McKevitt, Urve Kuusk, Jinsi Pao, Nancy Van Laeken, Charlie H Goldsmith, Kristin L Campbell
OBJECTIVE: To evaluate prospective surveillance and targeted physiotherapy (PSTP) compared to education (EDU) on the prevalence of arm morbidity and describe the associated program cost. DESIGN: Pilot randomized single-blinded controlled trial. SETTING: Urban with assessments and treatment delivered in hospitals. PARTICIPANTS: Women scheduled for breast cancer surgery. INTERVENTIONS: Participants were randomly assigned (1:1) to PSTP ( n = 21) or EDU ( n = 20) and assessed presurgery and 12 months postsurgery...
February 1, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/29473424/european-society-of-cardiology-council-for-cardiology-practice-worldwide-survey-of-transcatheter-aortic-valve-implantation-beliefs-and-practices
#12
Riccardo Asteggiano, Peter Bramlage, Dimitrios J Richter
Background Transcatheter aortic valve implantation (TAVI) continues to gain popularity in the management of patients with severe aortic stenosis (SAS). Distribution of resources to maximise appropriate use remains a priority. Design & methods To determine the current perceptions and behaviours regarding SAS patient management, an 18-point multiple-choice questionnaire was distributed to European Society of Cardiology (ESC) Council for Cardiology Practice (CCP) e-journal and/or electronic newsletter subscribers...
January 1, 2018: European Journal of Preventive Cardiology
https://www.readbyqxmd.com/read/29473403/-objectives-the-aim-of-this-study-was-to-evaluate-the-well-being-and-occupational-perception-of-healthcare-workers-in-morocco-methods-this-observational-and-cross-sectional-survey-carried-out-by-self-administered-questionnaire-was-conducted-in-public-hospitals
#13
[Objectives: The aim of this study was to evaluate the well-being and occupational perception of healthcare workers in Morocco.Methods: This observational and cross-sectional survey, carried out by self-administered questionnaire, was conducted in public hospitals in three cities. The target population consisted of 2,453 healthcare workers, comprising physicians and paramedics with at least two years of clinical experience.Results: 1951 healthcare workers returned the questionnaire (29.4% physicians and 70.6% allied health personnel).The mean age was 40.3 ± 10.1 years. 79.8% drank tea and 59.6% drank coffee daily to remain alert at work. 13.9% were smokers and 5.5% drank alcohol. Medication use consisted of analgesics for 28.1% and psychotropic drugs for 11.6%. The respective prevalence of general health perception was "bad or very bad" for 14.1% to 24.5%. Perceived symptoms varied from 20.4% to 26.2%. Pain and headache were the most common symptoms. 53.9% "often and continuously" experienced stress at work. Work requirements were considered to be "difficult" or "very difficult" by 32.1% to 46.2%.The workplace was unsuitable for 37.2%, salary was inadequate for 39.4%, the workload was excessive for 39.8% and the work rate was excessive for 43.2%. Relationship with colleagues (work environments and trust) were appropriate for 55.6% and 65%, respectively. Relationships with hierarchical superiors were appropriate for 15.6% and based on confidence for 13.8%. Perceived social support outside of work was high.Conclusion].
Omar Laraqui, Nadia Manar, Salwa Laraqui, Mehdi Boukili, Tarik Ghailan, Frédéric Deschamps, Chakib El Houssine Laraqui
OBJECTIVES: The aim of this study was to evaluate the well-being and occupational perception of healthcare workers in Morocco. METHODS: This observational and cross-sectional survey, carried out by self-administered questionnaire, was conducted in public hospitals in three cities. The target population consisted of 2,453 healthcare workers, comprising physicians and paramedics with at least two years of clinical experience. RESULTS: 1951 healthcare workers returned the questionnaire (29...
January 30, 2018: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
https://www.readbyqxmd.com/read/29473011/use-of-3d-navigation-in-subaxial-cervical-spine-lateral-mass-screw-insertion
#14
Abdullah Arab, Fahad Alkherayf, Adam Sachs, Eugene K Wai
Objective  Cervical spine can be stabilized by different techniques. One of the common techniques used is the lateral mass screws (LMSs), which can be inserted either by freehand techniques or three-dimensional (3D) navigation system. The purpose of this study is to evaluate the difference between the 3D navigation system and the freehand technique for cervical spine LMS placement in terms of complications. Including intraoperative complications (vertebral artery injury [VAI], nerve root injury [NRI], spinal cord injury [SCI], lateral mass fracture [LMF]) and postoperative complications (screw malposition, screw complications)...
January 2018: Journal of Neurological Surgery Reports
https://www.readbyqxmd.com/read/29472834/real-world-data-in-health-technology-assessments-in-kidney-transplants-in-germany-use-of-routinely-collected-data-to-address-epidemiologic-questions-in-kidney-transplants-in-the-amnog-process-in-germany
#15
Kirsten H Herrmann, Ulf Meier-Kriesche, Aljoscha S Neubauer
Introduction: It is discussed whether real world data can be used in health technology assessment. Following it is of interest whether routinely collected data for quality assurance (QA) in the hospital sector is feasible to address epidemiologic questions in kidney transplantation in the AMNOG process in Germany. Objectives: To investigate the proportion of kidney transplants classified as from so-called standard criteria donors (SCD) and from expanded criteria donors (ECD) in Germany and to study the age distribution...
2018: German Medical Science: GMS E-journal
https://www.readbyqxmd.com/read/29472015/-what-is-the-cost-of-treatment-of-diabetic-retinopathy-by-argon-laser-in-yaound%C3%A3
#16
G Koki, E Epée, G Helles, Y Bilong, A V Dohvoma, P Biangoup, S Bimbaï, A Omgbwa Eballé, A L Bella, C Ebana Mvogo
PURPOSE: To evaluate the total cost of treatment of diabetic retinopathy by argon laser for a patient when indicated. PATIENTS AND METHOD: Prospective cross-sectional and descriptive survey, carried out in the angiography and laser center of the Yaoundé Central Hospital from October 2014 to October 2015. All consecutive diabetic patients with retinopathy and suitable indication for argon laser treatment were included. The costs related to the initial and final fluorescein angiography, the appointment for follow-up, round-trip transportation costs from the patient's home and the cost of laser treatment were included...
February 19, 2018: Journal Français D'ophtalmologie
https://www.readbyqxmd.com/read/29471735/cognitive-impairment-in-older-patients-undergoing-colorectal-surgery
#17
Jonathan Hewitt, Margaret Marke, Calum Honeyman, Simon Huf, Aida Lai, Anni Dong, Tom Wright, Sarah Blake, Rebecca Fallaize, Jane L Hughes, Lyndsay Pearce, Kathryn McCarthy
Background With increasing numbers of older people being referred for elective colorectal surgery, cognitive impairment is likely to be present and affect many aspects of the surgical pathway. This study is aimed to determine the prevalence of cognitive impairment and assess it against surgical outcomes. Methods The Montreal Cognitive Assessment (MoCA) was carried out in patients aged more than 65 years. We recorded demographic information. Data were collected on length of hospital stay, complications and 30-day mortality...
January 1, 2018: Scottish Medical Journal
https://www.readbyqxmd.com/read/29471554/-day-surgery-for-endoscopic-inguinal-hernia-repair
#18
Ulrich Steger, Markus Bisping, Jennifer Urban, Thorsten Vowinkel, Aloys Wiesmann, Jonathan Ryll
BACKGROUND: Whereas international guidelines recommend day surgery for endoscopic inguinal hernia repair, this approach is still controversial in Germany. In the light of international guidelines and at the request of patients, we have established total extraperitoneal patch plastic (TEP) surgery in the outpatient setting in our hospital. METHODS: A retrospective analysis of all unilateral TEP procedures carried out between January 2013 and December 2015 in our outpatient surgery, focused on postoperative complications, conversion to admission and rate of recurrence...
February 22, 2018: Zentralblatt Für Chirurgie
https://www.readbyqxmd.com/read/29471520/effect-of-exposure-to-second-hand-smoke-from-husbands-on-biochemical-hyperandrogenism-metabolic-syndrome-and-conception-rates-in-women-with-polycystic-ovary-syndrome-undergoing-ovulation-induction
#19
Jian Li, Q Wu, Xiao-Ke Wu, Zhong-Ming Zhou, Ping Fu, Xiu-Hua Chen, Ying Yan, Xin Wang, Zheng-Wang Yang, Wei-Li Li, Elisabet Stener-Victorin, Richard S Legro, Ernest Hung-Yu Ng, Heping Zhang, Ben Willem J Mol, Chi Chiu Wang
STUDY QUESTION: Does second-hand smoke (SHS) exposure from husbands have adverse effects on sex hormones, metabolic profiles, clinical phenotypes and fertility outcomes in women with polycystic ovary syndrome (PCOS) undergoing ovulation induction? SUMMARY ANSWER: SHS exposure is associated with worsened biochemical hyperandrogenism, higher incidence of metabolic syndrome and reduced conception rates in women with PCOS. WHAT IS KNOWN ALREADY: Smoking in women impairs fecundity at some stages of the reproductive process including folliculogenesis, embryo transport, endometrial angiogenesis and uterine blood flow...
February 20, 2018: Human Reproduction
https://www.readbyqxmd.com/read/29470530/effectiveness-of-health-education-intervention-in-improving-knowledge-attitude-and-practices-regarding-tuberculosis-among-hiv-patients-in-general-hospital-minna-nigeria-a-randomized-control-trial
#20
Chindo Ibrahim Bisallah, Lekhraj Rampal, Munn-Sann Lye, Sherina Mohd Sidik, Normala Ibrahim, Zubairu Iliyasu, Michael Ochigbo Onyilo
INTRODUCTION: The risk of development of active TB in HIV-infected individuals is 20-37 times higher than those that are HIV negative. Poor knowledge of TB amongst people living with HIV has been associated with high transmission. OBJECTIVES: To determine the effectiveness of a new health education intervention module in improving knowledge, attitude, and practice (KAP) regarding tuberculosis among HIV patients in General Hospital Minna, Nigeria. METHODS: A randomized control trial was carried out from July 2015 to June 2017...
2018: PloS One
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