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https://www.readbyqxmd.com/read/28727159/children-with-heavy-prenatal-alcohol-exposure-exhibit-atypical-gait-characteristics
#1
Tenille C Taggart, Roger W Simmons, Jennifer D Thomas, Edward P Riley
BACKGROUND: Impaired motor function in children with histories of prenatal exposure to alcohol has been previously reported but, to date, no studies using quantitatively-based analyses have been performed to assess gait in these children. METHODS: Gait of children with (n = 18) or without (n = 26) prenatal alcohol exposure was assessed using an electronically instrumented walkway. Children completed blocks of trials traversing the walkway with different combinations of walking condition (increased, self-paced, and decreased cadence) and direction (forward and backward)...
July 20, 2017: Alcoholism, Clinical and Experimental Research
https://www.readbyqxmd.com/read/28721995/comparative-evaluation-of-laser-microtextured-implant-versus-machined-collar-implant-for-soft-and-hard-tissue-attachment-a-clinical-and-radiological-study
#2
Saroj Kumar Rath, Manab Kosala, Ankit Gupta
BACKGROUND: Various mechanical modifications in the collar region of endosseous implants is a challenge for better performance and osseointegration. Here is a comparative evaluation being carried out to find out the effect of the machined collar (MC) and Laser-Lok (LL)-modified titanium implants on the success of implants being commonly advocated in partially edentulous among serving personnel and their families. MATERIALS AND METHODS: Twenty-four patients with appropriate inclusion and exclusion criteria were selected for placement of Biohorizons MC and LL implants in 12 cases each...
May 2017: Indian Journal of Dental Research: Official Publication of Indian Society for Dental Research
https://www.readbyqxmd.com/read/28713505/risk-factors-associated-with-musculoskeletal-disorders-of-the-neck-and-shoulder-in-the-personnel-of-kerman-university-of-medical-sciences
#3
Farzan Madadizadeh, Leila Vali, Sima Rafiei, Zahra Akbarnejad
BACKGROUND: Musculoskeletal disorders (MSDs) of the neck and shoulder are the most common and most influential factors causing disorder in the performance and absenteeism of work in administrative personnel. AIM: To identify risk factors which affect musculoskeletal disorders of neck and shoulder areas in headquarters staff of Kerman University of Medical Sciences. METHODS: The present cross-sectional study was conducted in 2015 on 282 headquarters personnel of Kerman University of Medical Sciences (Kerman, Iran)...
May 2017: Electronic Physician
https://www.readbyqxmd.com/read/28708753/effectiveness-of-preoperative-intranasal-dexmedetomidine-compared-with-oral-midazolam-for-the-prevention-of-emergence-delirium-in-the-pediatric-patient-undergoing-general-anesthesia-a-systematic-review
#4
James FitzSimons, Laura S Bonanno, Stephanie Pierce, Jennifer Badeaux
BACKGROUND: Emergence delirium is defined as a cognitive disturbance during emergence from general anesthesia resulting in hallucinations, delusions and confusion manifested by agitation, restlessness, involuntary physical movement and extreme flailing in bed. Postoperative emergence delirium develops in 12% to 18% of all children undergoing general anesthesia for surgery. This post-anesthetic phenomenon changes cognitive and psychomotor behavior, and puts pediatric patients and health care personnel at risk of injury...
July 2017: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/28705297/the-diagnosis-and-treatment-of-behavioral-disorders-in-dementia
#5
Torsten Kratz
BACKGROUND: Behavioral disorders such as aggressiveness, agitation, delusions, disinhibition, affect lability, and apathy arise in more than 90% of patients with dementia. Behavioral disorders are a major challenge and the greatest stress factor in everyday life for nursing personnel and for family members caring for the patient. METHODS: This review is based on relevant publications retrieved by a selective literature search in the PubMed, Cochrane Library, and German S3 guideline databases with the search terms "behavioral disorders," "non-cognitive disorders," and "challenging behavior," in conjunction with "dementia" and "behavioral and psychological symptoms of dementia...
June 30, 2017: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/28698757/new-safety-margins-for-melanoma-surgery-nice-possibility-for-drinking-of-just-that-cup-of-coffee
#6
Georgi Tchernev, Anastasiya Atanasova Chokoeva
BACKGROUND: The American Joint Committee on Cancer (AJCC's) skin melanoma surgical treatment recommendations from 2011 are characterised by a prima facie "freedom of choice" regarding how extensive should be the excisions for melanomas with tumour thickness up to 2 mm and melanoma in situ. It is unclear why the recommended surgical security margins vary between 0.5 and 1 cm for melanoma in situ, whereas for melanomas with a tumour thickness of up to 1.99 mm, the range of variation is also between 1 and 2 cm, without specifying when the surgical field should be broader and, narrower, accordingly...
June 15, 2017: Open Access Macedonian Journal of Medical Sciences
https://www.readbyqxmd.com/read/28695651/the-nurse-s-role-in-palliative-care-a-qualitative-meta-synthesis
#7
REVIEW
Ragnhild Johanne Tveit Sekse, Irene Hunskår, Sidsel Ellingsen
AIMS AND OBJECTIVES: To explore how nurses, across various health systems, describe their role in providing palliative care for patients with life-threatening illnesses. BACKGROUND: Despite the fact that nurses make up the largest group of healthcare professionals, little is known about their role in palliative care, across health services. DESIGN: A qualitative systematic review of studies. METHODS: A search was made for relevant articles, published between January 2000-June 2016...
June 8, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28691331/scaling-up-proven-innovative-cervical-cancer-screening-strategies-challenges-and-opportunities-in-implementation-at-the-population-level-in-low-and-lower-middle-income-countries
#8
Francesca Holme, Sharon Kapambwe, Ashrafun Nessa, Partha Basu, Raul Murillo, Jose Jeronimo
The problem of cervical cancer in low- and lower-middle-income countries (LLMICs) is both urgent and important, and calls for governments to move beyond pilot testing to population-based screening approaches as quickly as possible. Experiences from Zambia, Bangladesh, Guatemala, Honduras, and Nicaragua, where scale-up of evidence-based screening strategies is taking place, may help other countries plan for large-scale implementation. These countries selected screening modalities recommended by the WHO that are within budgetary constraints, improve access for women, and reduce health system bottlenecks...
July 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28683742/impact-of-mobile-phone-based-technology-to-improve-health-population-and-nutrition-services-in-rural-bangladesh-a-study-protocol
#9
Jasim Uddin, Tuhin Biswas, Gourab Adhikary, Wazed Ali, Nurul Alam, Rajesh Palit, Nizam Uddin, Aftab Uddin, Fatema Khatun, Abbas Bhuiya
BACKGROUND: Mobile phone-based technology has been used in improving the delivery of healthcare services in many countries. However, data on the effects of this technology on improving primary healthcare services in resource-poor settings are limited. The aim of this study is to develop and test a mobile phone-based system to improve health, population and nutrition services in rural Bangladesh and evaluate its impact on service delivery. METHODS: The study will use a quasi-experimental pre-post design, with intervention and comparison areas...
July 6, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28682184/-women-and-active-life-an-extended-tpb-based-multimedia-software-to-boost-and-sustain-physical-activity-and-fitness-of-iranian-women
#10
Zeinab Gholamnia-Shirvani, Fazlollah Ghofranipour, Reza Gharakhanlou, Anoshirvan Kazemnejad
Inactivity is prevalent in women, although regular physical activity (PA) has significant health benefits. Health education interventions based on multimedia software and the extended Theory of Planned Behavior (TPB) with planning may be efficacious in promoting PA. This randomized controlled trial, conducted in 2014, aimed to evaluate theory-based multimedia for increasing and maintaining PA and fitness of 130 military personnel's wives in Tehran, Iran. We randomly selected respondents by multi-stage cluster sampling...
July 6, 2017: Women & Health
https://www.readbyqxmd.com/read/28669789/self-directed-interactive-video-based-instruction-versus-instructor-led-teaching-for-myanmar-house-surgeons-a-randomized-noninferiority-trial
#11
Albert Thein Lwin, Thein Lwin, Phyu Naing, Yee Oo, David Kidd, Marcelo Cerullo, Joshua Posen, Kyaw Hlaing, Gayane Yenokyan, Kyi Kyi Thinn, Zaw Wai Soe, Kent A Stevens
OBJECTIVE: To compare self-directed interactive video-based instruction (IVBI) with instructor-led teaching in the acquisition of basic surgical skills by House Surgeons at University of Medicine 1, Yangon. DESIGN: A prospective, 1:1 randomized controlled trial was conducted. Participants were randomized into 2 teaching arms: (1) self-directed IVBI or (2) instructor-led teaching. Self-directed IVBI participants were provided with a portable DVD player that could play, fast forward, rewind, and skip through skills modules...
June 29, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28666439/preventing-blood-transfusion-failures-fmea-an-effective-assessment-method
#12
Zhila Najafpour, Mojtaba Hasoumi, Faranak Behzadi, Efat Mohamadi, Mohamadreza Jafary, Morteza Saeedi
BACKGROUND: Failure Mode and Effect Analysis (FMEA) is a method used to assess the risk of failures and harms to patients during the medical process and to identify the associated clinical issues. The aim of this study was to conduct an assessment of blood transfusion process in a teaching general hospital, using FMEA as the method. METHODS: A structured FMEA was recruited in our study performed in 2014, and corrective actions were implemented and re-evaluated after 6 months...
June 30, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28659257/telemedicine-services-for-the-arctic-a-systematic-review
#13
Ashenafi Zebene Woldaregay, Ståle Walderhaug, Gunnar Hartvigsen
BACKGROUND: Telemedicine services have been successfully used in areas where there are adequate infrastructures such as reliable power and communication lines. However, despite the increasing number of merchants and seafarers, maritime and Arctic telemedicine have had limited success. This might be linked with various factors such as lack of good infrastructure, lack of trained onboard personnel, lack of Arctic-enhanced telemedicine equipment, extreme weather conditions, remoteness, and other geographical challenges...
June 28, 2017: JMIR Medical Informatics
https://www.readbyqxmd.com/read/28655677/private-pharmacy-staff-in-five-main-towns-in-benin-burkina-faso-and-mali-knowledge-and-practices-concerning-malaria-care-in-2014
#14
H Ganfon, T Diallo, C Nanga, N Coulibaly, V Benao, G Ekanmian, A Sandouidi, E Daniel Garcia
The Global Fund's involvement in the fight against malaria has led to significant improvements, but mostly through programs supporting public-sector health facilities and personnel. The authors report the results of the preliminary survey preceding their intervention with private pharmacies. A simple random sampling technique was used to select the sample of pharmacies in urban areas in Burkina Faso, Benin, and Mali. A pretested questionnaire was administered to the supervisor present in each pharmacy at the time of the survey...
June 1, 2017: Médecine et Santé Tropicales
https://www.readbyqxmd.com/read/28655669/health-support-for-the-raid-of-the-seven-stones%C3%A2-in-the-footsteps-of-navy-physician-jules-crevaux-in-french-guiana
#15
N Barthes, J-P Boudsocq
In the summer of 2015, soldiers of the 3rd Foreign Infantry Regiment and civilian scientists mounted a joint expedition on foot to reconnoiter and better define the southern frontier of French Guiana with Brazil. Three doctor-nurse pairs worked in relay to provide medical support for this unprecedented 42-day, 320-km journey through a hostile and isolated environment, a mission whose success was made possible by large-scale logistic and technical prowess. The army health department, using knowledge gained from previous large-scale missions and expeditions and from its staff's local experience, provided its technical support for personnel selection, organization of the health logistics, and field support...
June 1, 2017: Médecine et Santé Tropicales
https://www.readbyqxmd.com/read/28654954/bioequivalence-between-generic-and-branded-lamotrigine-in-people-with-epilepsy-the-equigen-randomized-clinical-trial
#16
Michel Berg, Timothy E Welty, Barry E Gidal, Francisco J Diaz, Ron Krebill, Jerzy P Szaflarski, Barbara A Dworetzky, John R Pollard, Edmund J Elder, Wenlei Jiang, Xiaohui Jiang, Regina D Switzer, Michael D Privitera
Importance: Switching between generic antiepileptic drugs is a highly debated issue that affects both clinical care and overall health care costs. Objective: To evaluate the single-dose pharmacokinetic bioequivalence of 3 (1 branded and 2 generic drugs) on-market, immediate-release lamotrigine drug products. Design, Setting, and Participants: The Equivalence Among Antiepileptic Drug Generic and Brand Products in People With Epilepsy (EQUIGEN) single-dose study is a crossover, prospective, sequence-randomized, replicate pharmacokinetic study conducted at 5 US academic epilepsy centers...
June 26, 2017: JAMA Neurology
https://www.readbyqxmd.com/read/28652259/is-everyone-really-breathing-20-times-a-minute-assessing-epidemiology-and-variation-in-recorded-respiratory-rate-in-hospitalised-adults
#17
Jack Badawy, Oanh Kieu Nguyen, Christopher Clark, Ethan A Halm, Anil N Makam
BACKGROUND: Respiratory rate (RR) is an independent predictor of adverse outcomes and an integral component of many risk prediction scores for hospitalised adults. Yet, it is unclear if RR is recorded accurately. We sought to assess the potential accuracy of RR by analysing the distribution and variation as a proxy, since RR should be normally distributed if recorded accurately. METHODS: We conducted a descriptive observational study of electronic health record data from consecutive hospitalisations from 2009 to 2010 from six diverse hospitals...
June 26, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28649416/educational-intervention-to-reduce-disease-related-to-sub-optimal-basic-hygiene-in-rwanda-initial-evaluation-and-feasibility-study
#18
Margaret A Stone, Hormisdas Ndagijimana
BACKGROUND: Despite a global reduction in morbidity related to sub-optimal water, sanitation and hygiene, the incidence of such diseases remains a significant problem in sub-Saharan Africa. This study aimed to initially assess the potential effectiveness (primarily in terms of impact on morbidity) of a simple educational intervention delivered in Rwanda. Additionally, we sought to explore feasibility relating to the practicality of evaluating and implementing this type of intervention in a low- and middle-income country...
2018: Pilot and Feasibility Studies
https://www.readbyqxmd.com/read/28649387/quality-and-quantity-of-construction-and-demolition-waste-in-tehran
#19
Alireza Asgari, Tahereh Ghorbanian, Nader Yousefi, Dariush Dadashzadeh, Fatemeh Khalili, Amin Bagheri, Mehdi Raei, Amir Hossein Mahvi
BACKGROUND: In recent years the generation rate of construction and demolition waste (C&D) has significantly augmented. The aim of this study was to assessed the quality and quantity of construction and demolition waste in Tehran (capital of Iran). METHODS: Questionnaire methods were used for estimating the amount of generated C&D wastes national statistical data and typical waste generation data. In order to defining the composition of C&D waste, trucks were randomly selected and their wastes were separated and weighted...
2017: Journal of Environmental Health Science & Engineering
https://www.readbyqxmd.com/read/28647973/-study-on-the-immunization-status-and-its-influencing-factors-among-workers-from-the-polio-network-laboratories-in-china
#20
Y S Guo, J Q Wang, C Xu, Y N Liu, X H He, Q Wei
Objective: To Investigate the immune status and influencing factors of provincial polio network laboratory (PNL) workers in China so as to provide evidence for the development of related strategies to protect personnel working at the PNLs. Methods: All the practitioners from the PNLs at the provincial centers for disease control, were selected as objects for this study, from October to December, 2016, under a questionnaire survey. Information on status of immunity and influencing factors was collected, with SAS software, trend chi-square used for statistics analysis...
June 10, 2017: Zhonghua Liu Xing Bing Xue za Zhi, Zhonghua Liuxingbingxue Zazhi
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