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https://www.readbyqxmd.com/read/29346654/evaluation-of-system-mapping-approaches-in-identifying-patient-safety-risks
#1
Mecit Can Emre Simsekler, James R Ward, P John Clarkson
Objective: While many system mapping approaches (SMAs) have been broadly used in safety-critical industries, few have so far been employed in the healthcare field to assist in the identification of patient safety risks. In this study, we evaluated a set of system modelling approaches to assess their potential contribution to the identification of risks affecting patient safety. The aim was to gain a greater understanding of the practical application of system modelling approaches with the help of the risk categorization framework developed in this study...
January 16, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29330136/white-matter-volume-loss-in-amyotrophic-lateral-sclerosis-a-meta-analysis-of-voxel-based-morphometry-studies
#2
REVIEW
Guangxiang Chen, Baiwan Zhou, Hongyan Zhu, Weihong Kuang, Feng Bi, Hua Ai, Zhongwei Gu, Xiaoqi Huang, Su Lui, Qiyong Gong
Structural neuroimaging studies of white matter (WM) volume in amyotrophic lateral sclerosis (ALS) using voxel-based morphometry (VBM) have yielded inconsistent findings. This study aimed to perform a quantitative voxel-based meta-analysis using effect-size signed differential mapping (ES-SDM) to establish a statistical consensus between published studies for WM volume alterations in ALS. The pooled meta-analysis revealed significant WM volume losses in the bilateral supplementary motor areas (SMAs), bilateral precentral gyri (PGs), left middle cerebellar peduncle and right cerebellum in patients with ALS, involving the corticospinal tract (CST), interhemispheric fibers, subcortical arcuate fibers, projection fibers to the striatum and cortico-ponto-cerebellar tract...
January 9, 2018: Progress in Neuro-psychopharmacology & Biological Psychiatry
https://www.readbyqxmd.com/read/29302733/the-inclusion-of-orbicularis-oculi-muscle-in-the-smas-flap-in-asian-facelift-anatomical-consideration-of-orbicularis-muscle-and-zygomaticus-major-muscle
#3
Min-Hee Ryu, Victor A Moon, Weimin Yin
BACKGROUND: In the malar region, the SMAS flap can be thin and tear easily, making it difficult to securely fix it. And the surgical anatomy of the region may be unclear and confusing. The authors performed an anatomical study on the location of the lateral margin of the orbicularis oculi muscle (OOM) and the origin of the zygomaticus major muscle (ZMM) when using a high-SMAS facelift with finger-assisted spaces dissection technique, which included elevation of the SMAS flap with OOM...
January 4, 2018: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29276763/a-description-of-patient-and-provider-experience-and-clinical-outcomes-after-heart-failure-shared-medical-appointment
#4
Lisa B Cohen, Melanie Parent, Tracey H Taveira, Sandesh Dev, Wen-Chih Wu
Background: Shared medical appointments (SMAs) are clinical visits in which several patients meet with 1 or more providers at the same time. Objective: To describe the outcomes of an interdisciplinary SMA for veterans recently discharged for heart failure (HF). Methods: A retrospective chart review for patients' readmission rates, survival, medication adherence, and medication-related problems. For qualitative outcomes, we performed semistructured interviews on 12 patients who had undergone HF SMAs and their respective caregivers focusing on care satisfaction, HF knowledge, disease self-care, medication reconciliation, and peer support...
December 2017: Journal of Patient Experience
https://www.readbyqxmd.com/read/29200370/anesthesia-for-a-patient-with-excessive-supragastric-belching
#5
Michelle Wong
Excessive supragastric belching is rarely described in the anesthesia literature. Anesthesia planning of a 26-year-old patient with excessive supragastric belching, history of superior mesenteric artery syndrome (SMAS), and dental anxiety requires preoperative assessment. This case report outlines the anesthetic considerations and the management to facilitate comprehensive dentistry. Key anesthetic considerations include anxiolysis, aspiration risk reduction, total intravenous anesthesia (TIVA), and postoperative nausea and vomiting (PONV) prophylaxis...
2017: Anesthesia Progress
https://www.readbyqxmd.com/read/29188548/spiritist-hospital-chaplaincy-in-brazil-5%C3%A2-years-of-documented-experience
#6
Alexandre Anefalos, Wilkens Aurélio Buarque E Silva, Renan Mercuri Pinto, Renée Danckwardt Ferrari, Aparecida de Fátima Boni, Cleide Borges Duarte, Rodrigo Ribas Dos Reis
Spiritist Hospital Chaplaincy in Brazil has been growing significantly in recent years, with the implementation of new services through the work of Spiritist Medical Associations (SMAs) in different regions of the country. This article describes the importance of historical interconnections from the advent of spiritism in the world and its introduction in Brazil to the emergence of Spiritist Hospital Chaplaincy in our country and presents the documented experience over 5 years of spiritist chaplain care, in the period from 2012 to 2016, guided by the SMA of Piracicaba at the Unimed Hospital of Piracicaba (São Paulo)...
November 29, 2017: Journal of Religion and Health
https://www.readbyqxmd.com/read/29180627/characteristics-of-martensitic-and-strain-glass-transitions-of-the-fe-substituted-tini-shape-memory-alloys-probed-by-transport-and-thermal-measurements
#7
Balakrishnan Ramachandran, Pei-Chi Chang, Yung-Kang Kuo, Chen Chien, Shyi-Kaan Wu
The electrical resistivity, Seebeck coefficient, thermal conductivity, and specific heat of Ti50Ni50-x Fe x (x = 2.0-10.0 at.%) shape memory alloys (SMAs) were measured to investigate the influence of point defects (Fe) on the martensitic transformation characteristics. Our results show that the Ti50Ni48Fe2 and Ti50Ni47Fe3 SMAs have a two-step martensitic transformation (B2 → R and R → B19'), while the Ti50Ni46Fe4, Ti50Ni44.5Fe5.5, and Ti50Ni44Fe6 SMAs display a one-step martensitic transition (B2 → R)...
November 27, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29168288/robotic-strong-s-procedure-for-the-treatment-of-superior-mesenteric-artery-syndrome-description-of-surgical-technique-on-occasion-of-the-first-reported-case-in-the-literature
#8
Harilaos Konstantinidis, Christos Charisis, Panagiotis Kottos
BACKROUND: Superior Mesenteric Artery Syndrome (SMAS) is a rare disorder caused by compression of the third portion of the duodenum by the SMA. Once a conservative approach fails, usual surgical strategies include Duodenojejunostomy and Strong's procedure. The latter avoids potential anastomotic risks and complications. Robotic Strong's procedure (RSP) combines both the benefits of a minimal invasive approach and also enchased robotic accuracy and efficacy. METHODS: For a young girl who was unsuccessfully treated conservatively, the paper describes the RSP surgical technique...
November 23, 2017: International Journal of Medical Robotics + Computer Assisted Surgery: MRCAS
https://www.readbyqxmd.com/read/29123896/superior-mesenteric-artery-syndrome-leading-to-reversible-mucosal-gangrene
#9
Satomi Uemura, Kei Suzuki, Naoyuki Katayama, Hiroshi Imai
We describe a case in which gastrointestinal distention due to superior mesenteric artery syndrome (SMAS) developed into membranous gangrene, which in turn led to septic shock in a 60-year-old woman with cerebral palsy and cachexia. The association with SMAS and septic shock is considered extremely rare, it is important to consider this combination especially in cachectic patients with gastric distension accompanying refractory shock unknown etiology.
July 2017: Acute Medicine & Surgery
https://www.readbyqxmd.com/read/29112393/ring-fusion-of-perylene-diimide-acceptor-enabling-efficient-nonfullerene-organic-solar-cells-with-a-small-voltage-loss
#10
Jianquan Zhang, Yunke Li, Jiachen Huang, Huawei Hu, Guangye Zhang, Tingxuan Ma, Philip C Y Chow, Harald Ade, Ding Pan, He Yan
We report a novel small molecule acceptor (SMA) named FTTB-PDI4 obtained via ring-fusion between the thiophene and perylene diimide (PDI) units of a PDI-tetramer with a tetrathienylbezene (TTB) core. A small voltage loss of 0.53 V and a high power conversion efficiency of 10.58% were achieved, which is the highest value reported for PDI-based devices to date. By comparing the fused and nonfused SMAs, we show that the ring-fusion introduces several beneficial effects on the properties and performances of the acceptor material, including more favorable energy levels, enhanced light absorption and stronger intermolecular packing...
November 15, 2017: Journal of the American Chemical Society
https://www.readbyqxmd.com/read/29109802/effect-of-ta-additions-on-the-microstructure-damping-and-shape-memory-behaviour-of-prealloyed-cu-al-ni-shape-memory-alloys
#11
Safaa N Saud, E Hamzah, H R Bakhsheshi-Rad, T Abubakar
The influence of Ta additions on the microstructure and properties of Cu-Al-Ni shape memory alloys was investigated in this paper. The addition of Ta significantly affects the green and porosity densities; the minimum percentage of porosity was observed with the modified prealloyed Cu-Al-Ni-2.0 wt.% Ta. The phase transformation temperatures were shifted towards the highest values after Ta was added. Based on the damping capacity results, the alloy of Cu-Al-Ni-3.0 wt.% Ta has very high internal friction with the maximum equivalent internal friction value twice as high as that of the prealloyed Cu-Al-Ni SMA...
2017: Scanning
https://www.readbyqxmd.com/read/29099790/design-of-uav-embedded-microphone-array-system-for-sound-source-localization-in-outdoor-environments
#12
Kotaro Hoshiba, Kai Washizaki, Mizuho Wakabayashi, Takahiro Ishiki, Makoto Kumon, Yoshiaki Bando, Daniel Gabriel, Kazuhiro Nakadai, Hiroshi G Okuno
In search and rescue activities, unmanned aerial vehicles (UAV) should exploit sound information to compensate for poor visual information. This paper describes the design and implementation of a UAV-embedded microphone array system for sound source localization in outdoor environments. Four critical development problems included water-resistance of the microphone array, efficiency in assembling, reliability of wireless communication, and sufficiency of visualization tools for operators. To solve these problems, we developed a spherical microphone array system (SMAS) consisting of a microphone array, a stable wireless network communication system, and intuitive visualization tools...
November 3, 2017: Sensors
https://www.readbyqxmd.com/read/29095193/the-effectiveness-of-sternocleidomastoid-flap-versus-superficial-musculoaponeurotic-system-flap-for-the-prevention-of-frey-syndrome-and-facial-depressed-deformity-in-parotid-surgery-for-pleomorphic-adenoma
#13
Marco Manola, Luca Moscillo, Vittorio Simeon, Elena De Luca, Americo Mastella
The purpose of this study was to compare 2 types of reconstruction techniques: sternocleidomastoid (SCM) flap and superficial musculoaponeurotic system (SMAS) flap after partial parotidectomy (PP) for preventing Frey syndrome (FS) and concave facial depressed deformity. A total of 99 patients underwent PP for pleomorphic adenoma of the parotid gland. The patients were divided in 2 groups according to the dimension of the tumor: tumors less than 3 cm (group A, 47 patients) and tumors greater than or equal to 3 cm (group B, 52 patients)...
October 31, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29095027/the-two-sides-of-superior-mesenteric-artery-syndrome-treatment-conservative-or-surgical-management
#14
Elvia Johanna Osegueda de Rodríguez, Antonio Carlos Hernández-Villegas, Aurora Elizabeth Serralde-Zúñiga, Ana Luz Del Carmen Reyes-Ramírez
INTRODUCTION: Superior mesenteric artery syndrome (SMAS) is a rare condition characterized by vascular compression of the duodenum. There is controversy regarding the optimal treatment. CASE REPORT: In case 1, we describe the case of a 21-year-old woman (body mass index -BMI- 16.9 kg/m2) with high-level obstructive symptoms three months prior, with computed tomography scan (TC) showing a superior mesenteric artery aorta angle (SMAA) of 13º and compression of the third portion of the duodenum (D3), for this reason a nasojejunal tube was placed for enteral feeding...
July 28, 2017: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/29093450/rapid-characterization-of-local-shape-memory-properties-through-indentation
#15
Peizhen Li, Haluk E Karaca, Yang-Tse Cheng
Shape memory alloys (SMAs) have the ability to show large recoverable shape changes upon temperature, stress or magnetic field cycling. Their shape memory, material and magnetic properties (e.g. transformation temperatures, strain, saturation magnetization and strength) determine their prospects for applications from small-scale microelectromechanical systems to large scale aerospace and biomedical systems. It should be noted that properties of SMAs are highly temperature dependent. Generally, the conventional mechanical characterization methods (e...
November 1, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29084189/-multiorgan-malfunction-after-fontan-operation-in-adult-patients
#16
Monika Smaś-Suska, Paweł Iwaszczuk, Beata Róg, Piotr Weryński, Maria Olszowska, Piotr Podolec, Lidia Tomkiewicz-Pająk
Although 85% of patients with univentricular heart after Fontan procedure survive twenty years after operation, the procedure alone seems to be an inadequate treatment as a permanent clinical solution. Patients with a "Fontan physiology" additionally have to face a various extra-cardiac complications, including thyroid, liver and kidney dysfunction, which are not only potentially life-threatening, but also can potentiate the circulatory insufficiency. AIM: The aim of the study was to assess a multiorgan dysfunction in adult patients after Fontan operation in long term follow-up and compare to healthy controls...
October 23, 2017: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/29084187/-evaluation-of-the-clinical-suitability-of-automated-left-ventricle-s-fraction-and-volume-measurements-in-3-dimensional-echocardiography-compared-to-values-obtained-in-magnetic-resonance-imaging-pilot-study
#17
Agnieszka Żygadło, Magdalena Kaźnica-Wiatr, Justyna Błaut-Jurkowska, Klaudia Knap, Aleksandra Lenart-Migdalska, Monika Smaś-Suska, Maciej Skubera, Małgorzata Urbańczyk-Zawadzka, Piotr Podolec, Maria Olszowska
Recently a lot of authors have been trying to determine the usefulness of 3-dimensional echocardiography (TTE 3D) in evaluation of ejection fraction and left ventricular volume, but few attempt to compare it to the current gold standard of cardiac magnetic resonance (CMR). 3D imaging technics allows to avoid errors caused by geometry of the heart chambers and foreshortened views. American Echocardiographic Guidelines recommend the use of 3-dimensional echocardiography in daily clinical practice. AIM: The aim of the study was to establish clinical usefulness of automated 3D TTE software to calculate left ventricle ejection fraction (LVEF), left ventricle end diastolic volume (LVEDV) and left ventricle end systolic volume (LVESV), and to compare those measurements calculated in CMR and in 3D TTE...
October 23, 2017: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/29075927/effects-of-the-concentration-of-digestive-surgical-operations-in-regional-japan
#18
Takefumi Kitazawa, Kunichika Matsumoto, Shigeru Fujita, Kanako Seto, Yinghui Wu, Takayoshi Nagahama, Tomonori Hasegawa
PURPOSE: The purpose of this study was to investigate the relationship between the concentration of digestive system surgery and outcomes at a regional level in Japan, using time-series data. METHODS: We used nationwide data from 2008 to 2013, and analyzed the ten most common surgical procedures. The unit of analysis was secondary medical areas (SMAs), which cover several municipalities and provide medical services for common diseases. The concentration of surgery in these areas was measured using the Herfindahl-Hirschman Index (HHI) and the relationship between the concentration of surgery and length of stay in hospital (LOS) was analyzed, in accordance with surgical difficulty...
October 26, 2017: Surgery Today
https://www.readbyqxmd.com/read/29058360/design-of-a-new-small-molecule-electron-acceptor-enables-efficient-polymer-solar-cells-with-high-fill-factor
#19
Sunsun Li, Long Ye, Wenchao Zhao, Xiaoyu Liu, Jie Zhu, Harald Ade, Jianhui Hou
Improving the fill factor (FF) is known as a challenging issue in organic solar cells (OSCs). Herein, a strategy of extending the conjugated area of end-group is proposed for the molecular design of acceptor-donor-acceptor (A-D-A)-type small molecule acceptor (SMA), and an indaceno[1,2-b:5,6-b']dithiophene-based SMA, namely IDTN, by end-capping with the naphthyl fused 2-(3-oxocyclopentylidene)malononitrile is synthesized. Benefiting from the π-conjugation extension by fusing two phenyls, IDTN shows stronger molecular aggregation, more ordered packing structure, thus over one order of magnitude higher electron mobility relative to its counterpart...
October 23, 2017: Advanced Materials
https://www.readbyqxmd.com/read/29056084/acculturation-and-severity-of-depression-among-first-generation-vietnamese-outpatients-in-germany
#20
Main Huong Nguyen, Eric Hahn, Katja Wingenfeld, Iris T Graef-Calliess, Anita von Poser, Malte Stopsack, Hannah Burian, Annegret Dreher, Simon Wolf, Michael Dettling, Ronald Burian, Albert Diefenbacher, Thi Minh Tam Ta
BACKGROUND: Challenges of migration, particularly concerning the process of acculturation are associated with an increased risk of mental illness. Vietnamese migrants constitute the largest Southeast Asian migrant group in Germany, yet there is no data on the relationship between the mental health status and acculturation among this population. AIMS: Therefore, the present study examines the relationship between two well-established dimensions of acculturation, that is, dominant society immersion (DSI) and ethnic society immersion (ESI), the four resulting acculturation strategies (integration, assimilation, separation and marginalization), and severity of depression...
October 1, 2017: International Journal of Social Psychiatry
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