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https://www.readbyqxmd.com/read/29334528/comparison-of-laparoscopic-and-open-pancreaticoduodenectomy-for-the-treatment-of-nonpancreatic-periampullary-adenocarcinomas
#1
Ling-Wei Meng, Yun-Qiang Cai, Yong-Bin Li, He Cai, Bing Peng
BACKGROUND: Laparoscopic pancreaticoduodenectomy (LPD), a surgical option for nonpancreatic periampullary adenocarcinoma (NPPA), is a complex procedure that has become increasing popular. However, there is no consensus as to whether this technique should be performed routinely. Our aim was to evaluate the outcomes of LPD compared with open pancreaticoduodenectomy (OPD). MATERIALS AND METHODS: From October 2010 to September 2015, 58 LPDs were performed to treat NPPA and were compared with 58 OPDs, which can theoretically be carried out by laparoscopic approach...
January 12, 2018: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/29334514/monitoring-depression-rates-in-an-urban-community-use-of-electronic-health-records
#2
Arthur J Davidson, Stanley Xu, Carlos Irwin A Oronce, M Josh Durfee, Emily V McCormick, John F Steiner, Edward Havranek, Arne Beck
OBJECTIVES: Depression is the most common mental health disorder and mediates outcomes for many chronic diseases. Ability to accurately identify and monitor this condition, at the local level, is often limited to estimates from national surveys. This study sought to compare and validate electronic health record (EHR)-based depression surveillance with multiple data sources for more granular demographic subgroup and subcounty measurements. DESIGN/SETTING: A survey compared data sources for the ability to provide subcounty (eg, census tract [CT]) depression prevalence estimates...
January 12, 2018: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/29327162/explication-of-a-behavioral-health-primary-care-integration-learning-collaborative-and-its-quality-improvement-implications
#3
Martha Okafor, Victor Ede, Rosemary Kinuthia, David Satcher
In an effort to tackle fragmented care in the US healthcare delivery system, we explored the use of learning collaborative (LC) to advance integration of behavioral health and primary care as one of the potential solutions to a holistic approach to the delivery of quality healthcare to individuals with physical and mental illness. How a diverse group of primary care and behavioral health providers formed a Community of Practice (CoP) with a common purpose and shared vision to advance integrated care using a LC approach is described...
January 11, 2018: Community Mental Health Journal
https://www.readbyqxmd.com/read/29326067/transcutaneous-vagus-nerve-stimulation-tvns-enhances-divergent-thinking
#4
Lorenza S Colzato, Simone M Ritter, Laura Steenbergen
Creativity is one of the most important cognitive skills in our complex and fast-changing world. Previous correlative evidence showed that gamma-aminobutyric acid (GABA) is involved in divergent but not convergent thinking. In the current study, a placebo/sham-controlled, randomized between-group design was used to test a causal relation between vagus nerve and creativity. We employed transcutaneous vagus nerve stimulation (tVNS), a novel non-invasive brain stimulation technique to stimulate afferent fibers of the vagus nerve and speculated to increase GABA levels, in 80 healthy young volunteers...
January 8, 2018: Neuropsychologia
https://www.readbyqxmd.com/read/29324585/effects-of-metabolic-syndrome-on-arterial-function-in-different-age-groups-the-advanced-approach-to-arterial-stiffness-study
#5
Jirar Topouchian, Carlos Labat, Sylvie Gautier, Magnus Bäck, Apostolos Achimastos, Jacques Blacher, Marcin Cwynar, Alejandro de la Sierra, Denes Pall, Francesco Fantin, Katalin Farkas, Luis Garcia-Ortiz, Zoya Hakobyan, Piotr Jankowski, Ana Jelakovic, Zhanna Kobalava, Alexandra Konradi, Yulia Kotovskaya, Marina Kotsani, Irina Lazareva, Alexander Litvin, Viktor Milyagin, Iveta Mintale, Oscar Persson, Rafael Ramos, Anatoly Rogoza, Ligita Ryliskyte, Angelo Scuteri, Yuriy Sirenko, Georges Soulis, Nebojsa Tasic, Maryna Udovychenko, Saule Urazalina, Peter Wohlfahrt, Parounak Zelveian, Athanase Benetos, Roland Asmar
OBJECTIVE: The aim of the Advanced Approach to Arterial Stiffness study was to compare arterial stiffness measured simultaneously with two different methods in different age groups of middle-aged and older adults with or without metabolic syndrome (MetS). The specific effects of the different MetS components on arterial stiffness were also studied. METHODS: This prospective, multicentre, international study included 2224 patients aged 40 years and older, 1664 with and 560 without MetS...
January 10, 2018: Journal of Hypertension
https://www.readbyqxmd.com/read/29324543/short-term-outcomes-and-pregnancy-rate-after-laparoscopic-fertility-sparing-surgery-for-borderline-ovarian-tumors-a-single-institute-experience
#6
Jianguo Zhao, Caiyan Liu, Jing Liu, Pengpeng Qu
OBJECTIVE: We investigated the short-term outcomes and pregnancy rate after a laparoscopic approach to fertility preservation in patients with borderline ovarian tumors (BOTs). METHODS: Clinic-pathologic variants of patients with BOTs who underwent conservative surgery at the Tianjin Central Hospital of Obstetrics and Gynecology between January 2009 and July 2015 were retrospectively analyzed. RESULTS: Among 211 patients with BOTs, 74 (35...
January 10, 2018: International Journal of Gynecological Cancer
https://www.readbyqxmd.com/read/29319574/risk-factors-of-vasopressor-induced-symmetrical-peripheral-gangrene
#7
Jung Woo Kwon, Min Ki Hong, Bo Young Park
BACKGROUND: Symmetrical peripheral gangrene (SPG) is an uncommon syndrome showing symmetrical gangrene in acral regions without evidence of large-vessel occlusion or vasculitis. Intravenous vasopressors are frequently used to manage hemodynamically unstable patients. There have been few reports about SPG after using inotropics. However, risk factors for SPG have not been extensively studied. Therefore, the objective of this study was to analyze several cases of SPG and identify risk factors for SPG...
January 9, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29319469/lgbt-family-lawyers-and-same-sex-marriage-recognition-how-legal-change-shapes-professional-identity-and-practice
#8
Amanda K Baumle
Lawyers who practice family law for LGBT clients are key players in the tenuous and evolving legal environment surrounding same-sex marriage recognition. Building on prior research on factors shaping the professional identities of lawyers generally, and activist lawyers specifically, I examine how practice within a rapidly changing, patchwork legal environment shapes professional identity for this group of lawyers. I draw on interviews with 21 LGBT family lawyers to analyze how the unique features of LGBT family law shape their professional identities and practice, as well as their predictions about the development of the practice in a post-Obergefell world...
January 10, 2018: Journal of Homosexuality
https://www.readbyqxmd.com/read/29318733/culture-change-and-mandating-quality-improvement
#9
Thomas Bartlett, Edward Hewertson, Michael Vassallo
BACKGROUND: A mandatory programme of quality improvement (QI) education was developed for newly qualified Foundation Year 1 (FY1) doctors to complete their curriculum requirements. Their perceptions were evaluated to refine the programme. METHODS: The programme delivered theoretical and experiential learning. Participants were asked to form groups and to come up with their own projects addressing the areas of need that they had identified. The 9-month group project included formal teaching and a formal presentation to the hospital...
January 10, 2018: Clinical Teacher
https://www.readbyqxmd.com/read/29315160/preventive-effects-of-vitamin-d-on-seasonal-influenza-a-in-infants-a-multicenter-randomized-open-controlled-clinical-trial
#10
Jian Zhou, Juan Du, Leting Huang, Youcheng Wang, Yimei Shi, Hailong Lin
OBJECTIVES: This study aimed to evaluate the clinical efficacy and safety of vitamin D for preventing influenza A in 400 infants in a multicenter, randomized, open, controlled clinical trial. METHODS: The infants were randomized into low-dose and high-dose vitamin D groups, and serum calcium, inorganic phosphorus and 25-hydroxyvitamin D levels were detected thrice in 4 months. Infants infected with influenza A were monitored for symptoms including fever, cough, and wheezing...
January 8, 2018: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/29300219/the-effect-of-a-non-peptide-angiotensin-ii-type-2-receptor-agonist-compound-21-on-aortic-aneurysm-growth-in-a-mouse-model-of-marfan-syndrome
#11
Peter Verbrugghe, Jelle Verhoeven, Marnick Clijsters, Dominique Vervoort, Jarne Schepens, Bart Meuris, Paul Herijgers
IntroductionAvailable evidence suggests that the renin-angiotensin-aldosterone (RAA) system is a good target for medical intervention on aortic root dilatation in Marfan syndrome (MFS). The effect of Compound 21 (C21), a non-peptide angiotensin II type 2 receptor (AT2R) agonist on aneurysm progression is was tested.MethodsMice with a mutation in fibrillin-1 (Fbn1C1039G/+) and wild-type (WT) mice were treated with vehicle, losartan, C21, enalapril or a combination. Blood pressure, aortic root diameter, and histological slides were evaluated...
January 3, 2018: Journal of Cardiovascular Pharmacology
https://www.readbyqxmd.com/read/29300148/introduction-to-the-special-section-creative-applications-of-restorative-retelling
#12
Joah L Williams, Alyssa A Rheingold
Restorative Retelling is a structured, group-based intervention for violent loss survivors. Preliminary evidence supports the effectiveness of Restorative Retelling as a tertiary intervention for bereavement-related mental health problems. Providers delivering treatments like Restorative Retelling, however, should recognize that many survivors will likely encounter a number of barriers to care that can make engaging in structured, time-intensive interventions rather difficult. In this special section, we introduce a series of articles by expert clinicians and researchers describing creative applications of the restorative retelling model that simultaneously aim to mitigate known barriers to care and promote engagement in violent loss treatment...
January 4, 2018: Death Studies
https://www.readbyqxmd.com/read/29298218/community-level-sports-group-participation-and-older-individuals-depressive-symptoms
#13
Taishi Tsuji, Yasuhiro Miyaguni, Satoru Kanamori, Masamichi Hanazato, Katsunori Kondo
PURPOSE: Community-level group participation is a structural aspect of social capital that may have a contextual influence on an individual's health. Herein, we sought to investigate a contextual relationship between community-level prevalence of sports group participation and depressive symptoms in older individuals. METHODS: We used data from the 2010 Japan Gerontological Evaluation Study (JAGES), a population-based, cross-sectional study of individuals aged ≥65 years without long-term care needs in Japan...
January 3, 2018: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/29296128/-borono-lectin-based-engineering-as-a-versatile-platform-for-biomedical-applications
#14
REVIEW
Akira Matsumoto, Yuji Miyahara
Boronic acids are well known for their ability to reversibly interact with the diol groups, a common motif of biomolecules including sugars and ribose. Due to their ability to interact with carbohydrates, they can be regarded as synthetic mimics of lectins, termed 'borono-lectins'. The borono-lectins can be tailored to elicit a broad profile of binding strength and specificity. This special property has been translated into many creative biomedical applications in a way interactive with biology. This review provides a brief overview of recent efforts of polymeric materials-based engineering taking advantage of such virtue of 'borono-lectins' chemistry, related to the field of biomaterials and drug delivery applications...
2018: Science and Technology of Advanced Materials
https://www.readbyqxmd.com/read/29284277/-life-within-the-person-comes-to-the-fore-pastoral-workers-practice-wisdom-on-using-arts-in-palliative-care
#15
Clare O'Callaghan, Libby Byrne, Eleni Cokalis, David Glenister, Margaret Santilli, Rose Clark, Therese McCarthy, Natasha Michael
BACKGROUND: Pastoral care (also chaplaincy, spiritual care) assists people to find meaning, personal resources, and connection with self, others, and/or a higher power. Although essential in palliative care, there remains limited examination of what pastoral workers do. This study examined how pastoral workers use and consider the usefulness of art-based modalities. METHODS: Qualitative research was used to examine the practice wisdom (tacit practice knowledge) of pastoral workers experienced in using visual arts and music in palliative care...
January 1, 2017: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/29283913/vestibular-outcome-after-cochlear-implantation-is-not-related-to-surgical-technique-a-double-blinded-randomized-clinical-trial-of-round-window-approach-versus-cochleostomy
#16
Leise Elisabeth Hviid Korsager, Jesper Hvass Schmidt, Christian Faber, Jens Højberg Wanscher
OBJECTIVE: To establish whether the round window approach (RWA) leads to less vestibular dysfunction and dizziness than the standard cochleostomy approach (SCA) during cochlear implant (CI) surgery, as assessed using the video head impulse test (vHIT).Additionally, objective findings were compared with the subjective dizziness perceived by the patient. STUDY DESIGN: Double blinded, clinical randomized trial. SETTING: University Hospital. PATIENTS: Fifty-two ears from 46 patients were included...
December 27, 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/29280937/efficacy-and-safety-of-intravitreal-aflibercept-and-ranibizumab-in-asian-patients-with-neovascular-age-related-macular-degeneration-subgroup-analyses-from-the-view-trials
#17
Tien Yin Wong, Chui Ming Gemmy Cheung, Timothy Y Y Lai, Shih-Jen Chen, Won Ki Lee, Young Hee Yoon, Tomohiro Iida, Claudia Tueckmantel, Olaf Sowade, Yuichiro Ogura
PURPOSE: To assess the treatment effect of intravitreal aflibercept and ranibizumab in Asian patients with neovascular age-related macular degeneration. METHODS: We evaluated data from VIEW 1 and VIEW 2, comparing functional and morphologic outcomes at Week 96 between intravitreal aflibercept 2 mg monthly (2q4) or 2 mg bimonthly after 3 initial monthly doses (2q8) versus ranibizumab 0.5 mg monthly among Asian patients (n = 269) and between Asian and white patients (n = 2044)...
December 26, 2017: Retina
https://www.readbyqxmd.com/read/29280921/impact-of-steatosis-and-inflammation-definitions-on-the-performance-of-nash-tests
#18
Thierry Poynard, Mona Munteanu, Frederic Charlotte, Hugo Perazzo, Yen Ngo, Olivier Deckmyn, Raluca Pais, Philippe Mathurin, Vlad Ratziu
BACKGROUND AND AIM: One of the unmet needs in subjects with metabolic risks is the prediction of metabolic liver disease by noninvasive tests. The construction of performant tests is dependent on the appropriateness of the histological reference definition. The aim of this study was to analyze the limitations of similar European (Fatty Liver Inhibition of Progression) and USA (Clinical-Research-Network) standard definitions and their impact on the construction of tests. METHODS: We hypothesized that a simpler histological definition of non-alcoholo steato-hepatitis (NASH), which does not require the presence of steatosis and the presence of both lobular inflammation and ballooning, should improve the concordance rates with previously validated blood tests...
December 26, 2017: European Journal of Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/29278610/resource-allocation-strategies-to-increase-the-efficiency-and-sustainability-of-gavi-s-health-system-strengthening-grants
#19
Honoré Mimche, Ellen Squires, Yodé Miangotar, Ali Mokdad, Charbel El Bcheraoui
BACKGROUND: Despite the increase in Health System Strengthening (HSS) grants, there is no consensus among global health actors about how to maximize the efficiency and sustainability of HSS programs and their resulting gains. To formally analyze and compare the efficiency and sustainability of Gavi's HSS grants, we investigated the factors, events, and root causes that increased the time and effort needed to implement HSS grants, decreased expected outcomes, and threatened the continuity of activities and the sustainability of the results gained through these grants in Cameron and Chad...
December 22, 2017: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/29274494/an-integrative-review-developing-and-measuring-creativity-in-nursing
#20
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
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