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https://www.readbyqxmd.com/read/29140894/incontinence-associated-dermatitis-and-immobility-as-pressure-injury-risk-factors-a-multisite-epidemiologic-analysis
#1
Mikel Gray, Karen K Giuliano
PURPOSE: The purpose of this study was to measure the prevalence of incontinence-associated dermatitis (IAD) among incontinent persons in the acute care setting, characteristics of IAD in this group, and associations among IAD, urinary, fecal, and dual incontinence, immobility, and pressure injury in the sacral area. DESIGN: Descriptive and correlational analysis of data from a large database of IAD, and pressure injuries of sacral area and heels. SUBJECTS AND SETTING: The sample comprised 5342 adult patients in acute care facilities in 36 states representing all regions of the United States...
November 14, 2017: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/29135590/the-analgesic-effect-of-ultrasound-guided-quadratus-lumborum-block-after-cesarean-delivery-a-randomized-clinical-trial
#2
Anders Krohg, Kyrre Ullensvang, Leiv Arne Rosseland, Eldrid Langesæter, Axel R Sauter
BACKGROUND: Landmark and ultrasound-guided transversus abdominis plane blocks have demonstrated an opioid-sparing effect postoperatively after cesarean delivery. The more posterior quadratus lumborum (QL) might provide superior local anesthetic spread to the thoracolumbar fascia and paravertebral space. The aim of our study was to evaluate the efficacy of the QL block after cesarean delivery. METHODS: A randomized, double-blind, controlled trial was performed. Forty parturients undergoing cesarean delivery received bilateral ultrasound-guided QL blocks with either 2 mg/mL ropivacaine or saline postoperatively...
November 10, 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29135586/increased-hyperalgesia-and-proinflammatory-cytokines-in-the-spinal-cord-and-dorsal-root-ganglion-after-surgery-and-or-fentanyl-administration-in-rats
#3
Lu Chang, Fang Ye, Quehua Luo, Yuanxiang Tao, Haihua Shu
BACKGROUND: Perioperative fentanyl has been reported to induce hyperalgesia and increase postoperative pain. In this study, we tried to investigate behavioral hyperalgesia, the expression of proinflammatory cytokines, such as interleukin-1β (IL-1β), interleukin-6 (IL-6), and tumor necrosis factor-α (TNF-α), and the activation of microglia in the spinal cord and dorsal root ganglion (DRG) in a rat model of surgical plantar incision with or without perioperative fentanyl. METHODS: Four groups of rats (n = 32 for each group) were subcutaneously injected with fentanyl at 60 μg/kg or normal saline for 4 times with 15-minute intervals...
November 10, 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29135581/high-rates-of-hypertension-diabetes-elevated-low-density-lipoprotein-cholesterol-and-cardiovascular-disease-risk-factors-in-hiv-infected-patients-results-from-a-cross-sectional-survey-in-malawi
#4
Sekai C Mathabire Rücker, Alia Tayea, Joseph Bitilinyu-Bangoh, Elkin H Bermúdez-Aza, Leon Salumu, Isabel A Quiles, Elisabeth Szumilin, Zengani Chirwa, Fernanda Rick, David Maman
OBJECTIVES: Data on cardiovascular disease risks among HIV-infected patients taking antiretroviral therapy (ART) over long periods of time are lacking in Sub-Saharan Africa. METHODS: A cross-sectional study was conducted in Chiradzulu, Malawi from December 2015 to June 2016. HIV-infected persons on ART for more than 10 years (patients) and HIV-negative individuals (controls) from selected clinics participated. Following informed consent, a standardized questionnaire, clinical and laboratory examinations were performed...
November 10, 2017: AIDS
https://www.readbyqxmd.com/read/29132045/bullying-and-social-anxiety-in-chinese-children-moderating-roles-of-trait-resilience-and-psychological-suzhi
#5
Lili Wu, Dajun Zhang, Gang Cheng, Tianqiang Hu
Research examining the relationship between bullying victimization and social anxiety has mainly been conducted in Western countries, and little is known about the mechanisms underlying this relationship. This study explores the correlation between bullying victimization and social anxiety in a Chinese context and determines the moderating roles of psychological suzhi (a mental quality characterized by being steady, essential and implicit that affects adaptive, developmental, and creative behavior) and trait resilience among victims of bullying...
November 10, 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/29130869/effects-of-a-museum-based-social-prescription-intervention-on-quantitative-measures-of-psychological-wellbeing-in-older-adults
#6
Linda J Thomson, Bridget Lockyer, Paul M Camic, Helen J Chatterjee
AIMS: To assess psychological wellbeing in a novel social prescription intervention for older adults called Museums on Prescription and to explore the extent of change over time in six self-rated emotions ('absorbed', 'active', 'cheerful', 'encouraged', 'enlightened' and 'inspired'). METHODS: Participants ( n = 115) aged 65-94 years were referred to museum-based programmes comprising 10 weekly sessions, by healthcare and third sector organisations using inclusion criteria (e...
November 1, 2017: Perspectives in Public Health
https://www.readbyqxmd.com/read/29120964/analysis-of-survival-of-patients-treated-with-vemurafenib-ipilimumab-and-dabrafenib-for-advanced-skin-melanoma-in-daily-clinical-practice-real-world-data-retrospective-analysis-of-patients-treated-under-drug-reimbursement-programmes-in-poland-in-2013-2016
#7
Melania Brzozowska, Waldemar Wierzba, Andrzej Śliwczyński, Marcin Świerkowski, Piotr Potemski, Michał Marczak
Vemurafenib, ipilimumab and dabrafenib were registered for the treatment of advanced skin melanoma pursuant to the results of randomized phase III clinical trials. Real-world data on survival time for patients treated with those drugs in daily clinical practice are so far limited. Patients with advanced skin melanoma treated under reimbursement programmes (drug programmes), for which they were qualified pursuant to uniform inclusion criteria in force in all oncology centres in Poland. Data were obtained from the electronic databases of the national payer (NFZ) responsible for the implementation and monitoring of reimbursement (drug) programmes...
November 8, 2017: Melanoma Research
https://www.readbyqxmd.com/read/29120959/effect-of-total-domain-specific-and-intensity-specific-physical-activity-on-all-cause-and-cardiovascular-mortality-among-hypertensive-adults-in-china
#8
Mengyu Fan, Canqing Yu, Yu Guo, Zheng Bian, Xia Li, Ling Yang, Yiping Chen, Mingqiang Li, Xianzhi Li, Junshi Chen, Zhengming Chen, Jun Lv, Liming Li
OBJECTIVES: We aimed to prospectively examine the associations of total, domain-specific, and intensity-specific physical activity with all-cause and cardiovascular mortality among Chinese hypertensive adults. METHODS: We performed a prospective cohort study in 150 391 hypertensive participants aged 30-79 years from the China Kadoorie Biobank study of 512 891 participants recruited from 10 diverse areas across China during 2004-2008. Participants with heart disease, stroke, chronic obstructive pulmonary disease, and cancer at baseline were excluded...
November 8, 2017: Journal of Hypertension
https://www.readbyqxmd.com/read/29118735/divergent-thinking-in-parkinsonism-a-case-control-study
#9
Margherita Canesi, Maria Luisa Rusconi, Emanuele Cereda, Alessandra Ranghetti, Viviana Cereda, Federica Moroni, Gianni Pezzoli
Background: Creativity is a multidimensional phenomenon and an important component of human capacities. This ability is characterized by the involvement of several cognitive functions particularly linked to the prefrontal cortex. We compared divergent thinking, a measure of creativity, in patients affected by progressive supranuclear palsy (PSP), other parkinsonian syndromes, and healthy controls (HCs). Methods: Creativity features were evaluated using the Abbreviated Torrance Test for Adults (ATTA)...
2017: Frontiers in Neurology
https://www.readbyqxmd.com/read/29117064/electroacupuncture-pretreatment-attenuates-acute-lung-injury-through-%C3%AE-7-nicotinic-acetylcholine-receptor-mediated-inhibition-of-hmgb1-release-in-rats-after-cardiopulmonary-bypass
#10
Zhankui Wang, Lei Hou, Hao Yang, Jiaxi Ge, Shaocheng Wang, Weitian Tian, Xiangrui Wang, Zhongwei Yang
Acute lung injury is a common complication after cardiopulmonary bypass (CPB). α7 nicotinic acetylcholine receptors (α7nAChR) and α7nAChR-dependent cholinergic signaling are implicated in suppressing the release of high mobility group box 1 (HMGB1) and reducing the inflammatory response. A previous study has shown the electroacupuncture (EA) pretreatment induces tolerance against lung injury. However, the role of EA in CPB is poorly understood. This study employed EA and a rat model of CPB to determine whether EA was associated with CPB-induced lung injury...
November 7, 2017: Shock
https://www.readbyqxmd.com/read/29117062/relations-between-self-reported-daily-life-fatigue-hearing-status-and-pupil-dilation-during-a-speech-perception-in-noise-task
#11
Yang Wang, Graham Naylor, Sophia E Kramer, Adriana A Zekveld, Dorothea Wendt, Barbara Ohlenforst, Thomas Lunner
OBJECTIVE: People with hearing impairment are likely to experience higher levels of fatigue because of effortful listening in daily communication. This hearing-related fatigue might not only constrain their work performance but also result in withdrawal from major social roles. Therefore, it is important to understand the relationships between fatigue, listening effort, and hearing impairment by examining the evidence from both subjective and objective measurements. The aim of the present study was to investigate these relationships by assessing subjectively measured daily-life fatigue (self-report questionnaires) and objectively measured listening effort (pupillometry) in both normally hearing and hearing-impaired participants...
November 7, 2017: Ear and Hearing
https://www.readbyqxmd.com/read/29116580/extending-awareness-of-catholic-healthcare-ethics-among-junior-clinicians-a-qualitative-study
#12
Clare O'Callaghan, Julia Trimboli, Xavier Symons, Margaret Staples, Emma Patterson, Natasha Michael
As Catholic healthcare organizations form a substantive part of healthcare delivery in the USA and Australia, ethical standards for Catholic health care were developed to guide practice. This study examined junior staff's understanding of Catholic ethics. Using a qualitative descriptive design, we recruited 22 medical and nursing staff to interviews/focus groups. Though Catholic ethics seldom informed ethical approaches, the principles were acknowledged as being useful to support development of confident and respectful care approaches...
November 7, 2017: Journal of Religion and Health
https://www.readbyqxmd.com/read/29114550/comparison-of-the-effects-of-storytelling-and-creative-drama-methods-on-children-s-awareness-about-personal-hygiene
#13
Mohammad Reza Soleymani, Soheila Hemmati, Hassan Ashrafi-Rizi, Leila Shahrzadi
BACKGROUND AND OBJECTIVE: Maintaining and improving the health situation of children requires them to become more aware about personal hygiene through proper education. Based on several studies, teachings provided through informal methods are fully understandable for children. Therefore, the goal of this study is to compare the effects of creative drama and storytelling education methods on increasing the awareness of children regarding personal hygiene. METHODS: This is an applied study conducted using semiempirical method in two groups...
2017: Journal of Education and Health Promotion
https://www.readbyqxmd.com/read/29112097/predictive-factors-for-long-operative-duration-in-patients-undergoing-laparoscopic-cholecystectomy-after-endoscopic-retrograde-cholangiography-for-combined-choledochocystolithiasis
#14
Ryukyung Lee, Heontak Ha, Young Seok Han, Min Kyu Jung, Jae Min Chun
PURPOSE: Choledochocystolithiasis and its associated complications such as cholangitis and pancreatitis are managed by endoscopic retrograde cholangiography (ERC), with endoscopic stone extraction followed by laparoscopic cholecystectomy (LC). However, affected patients present with complex conditions linked to operative difficulties in performing LC. The aim of this study was to elucidate the predictive factors for a prolonged LC procedure following ERC for treating patients with choledochocystolithiasis...
November 3, 2017: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/29110621/functional-germ-cells-from-non-testicular-adult-stem-cells-a-dream-or-reality
#15
Mohammad Ghasemzadeh-Hasankolaei, Mohammadreza Baghaban Eslaminejad, Maryam Ghasemzadeh-Hasankolaei
BACKGROUND: Some research studies provided evidence for the differentiation capacity of adult stem cells (ASCs) into germ cells (GCs). Since the generation of GCs from stem cells (SCs) has been proposed as a potential way for treatment of infertility, many research groups, have begun their creative studies on generation of new GCs both in vitro and in vivo, and utilized different ASC types such as bone marrow mesenchymal stem cells (BM-MSCs), skin stem cells, pancreatic stem cells, and adipose tissue MSCs...
November 6, 2017: Current Stem Cell Research & Therapy
https://www.readbyqxmd.com/read/29105129/preliminary-study-of-a-communication-intervention-for-family-caregivers-and-spouses-with-dementia
#16
Christine L Williams, David Newman, Lena Marmstål Hammar
OBJECTIVE: This study was to designed to examine the feasibility and preliminary outcomes of CARE: Caring About Relationships and Emotions, a 10-week, home-based, intervention to support married couples affected by dementia. METHODS: Fifteen older couples participated in a single group repeated measures feasibility study. Weekly, video-recorded conversations over 10 weeks were used to rate communication using the Verbal/Nonverbal Interaction Scale for caregivers and care receivers...
November 3, 2017: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29105124/a-controlled-early-group-intervention-study-for-unaccompanied-minors-can-expressive-arts-alleviate-symptoms-of-trauma-and-enhance-life-satisfaction
#17
Melinda A Meyer DeMott, Marianne Jakobsen, Tore Wentzel-Larsen, Trond Heir
This is the first controlled study of an expressive arts group intervention with unaccompanied minor asylum seeking children. The aim of the study was to examine whether such an intervention may alleviate symptoms of trauma and enhance life satisfaction and hope. One hundred forty five unaccompanied minor refugee boys with their stated age between 15 and 18 were allocated into a 10 session 5 weeks manualized expressive arts intervention (EXIT) or a life as usual (LAU) control group. The participants were assessed at onset and 4 times over a period of 25 months with a battery of instruments measuring post-traumatic stress symptoms (PTSS), general psychological distress (HSCL-25A), current life satisfaction (CLS) and expected life satisfaction (ELS)...
December 2017: Scandinavian Journal of Psychology
https://www.readbyqxmd.com/read/29098696/recommendations-for-undergraduate-medical-electives-a-uk-consensus-statement
#18
Connie Wiskin, Michael Barrett, Birgit Fruhstorfer, Matthias L Schmid
INTRODUCTION: Many doctors, across grades and specialities, supervise or advise students and juniors undertaking elective placements. Electives form part of medical curricula on a worldwide scale. The Medical Schools Council (MSC) Electives Committee in the UK identified a gap in the current literature in relation to provision of comprehensive recommendations for the design and management of undergraduate elective programmes. Electives afford many known benefits for medical and other health care students, but the context, and risks (impacting potentially on patient, public and student well-being) are usually different from those associated with 'home' clinical placements...
November 2, 2017: Medical Education
https://www.readbyqxmd.com/read/29096539/the-role-of-participatory-music-making-in-supporting-people-with-dementia-in-hospital-environments
#19
Norma Daykin, Barbara Parry, Kerry Ball, David Walters, Ann Henry, Bronwyn Platten, Rachel Hayden
Background Improving the quality of care for people with dementia in general hospitals is a key priority. Creative activities including music have been examined for their potential role in enhancing quality of life for people with dementia, although relatively few studies have evaluated their use in acute hospital settings. Methods A mixed methods study examined the effects of a ten week period of weekly music sessions on the wellbeing of patients with dementia and on the ward environment in an acute elderly care service in a UK hospital...
January 1, 2017: Dementia
https://www.readbyqxmd.com/read/29095245/prospective-multicenter-randomized-crossover-clinical-trial-comparing-the-safety-and-effectiveness-of-cooled-radiofrequency-ablation-with-corticosteroid-injection-in-the-management-of-knee-pain-from-osteoarthritis
#20
Tim Davis, Eric Loudermilk, Michael DePalma, Corey Hunter, David Lindley, Nilesh Patel, Daniel Choi, Marc Soloman, Anita Gupta, Mehul Desai, Asokumar Buvanendran, Leonardo Kapural
BACKGROUND AND OBJECTIVES: Osteoarthritis (OA) of the knee affects the aging population and has an associated influence on the health care system. Rigorous studies evaluating radiofrequency ablation for OA-related knee pain are lacking. This study compared long-term clinical safety and effectiveness of cooled radiofrequency ablation (CRFA) with intra-articular steroid (IAS) injection in managing OA-related knee pain. METHODS: This is a prospective, multicenter, randomized trial with 151 subjects with chronic (≥6 months) knee pain that was unresponsive to conservative modalities...
November 1, 2017: Regional Anesthesia and Pain Medicine
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