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https://www.readbyqxmd.com/read/29458092/ramifications-of-the-children-s-surgery-verification-program-for-patients-and-hospitals
#1
Katherine J Baxter, Bonnie F Gale, Curtis D Travers, Kurt F Heiss, Mehul V Raval
BACKGROUND: The American College of Surgeons in 2015 instituted the Children's Surgery Verification (CSV) program delineating requirements for hospitals providing pediatric surgical care. Our purpose was to examine possible effects of the CSV program by evaluating neonates undergoing high-risk operations. STUDY DESIGN: Using the Kid's Inpatient Database 2009, we identified infants undergoing surgery for five high risk neonatal conditions. We considered all children's hospitals and children's units Level I centers and considered all others Level II/III...
February 16, 2018: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/29457993/leptospira-seroprevalence-in-animals-in-the-caribbean-region-a-systematic-review
#2
REVIEW
Nicola Pratt, Sreekumari Rajeev
This systematic review summarises the data published on the Leptospira seroprevalence, serovar diversity and distribution among animal species in the Caribbean region. Following Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines, and checklist, relevant articles were identified and data were extracted and recorded. The review provided Leptospira seroprevalence data from 16 Caribbean islands (Barbados, Trinidad, Grenada, Puerto Rico, Saint Croix, St. Kitts and Nevis, Jamaica, Antigua, Carriacou, Dominica, Guadalupe, Martinique, Monserrat, St...
February 16, 2018: Acta Tropica
https://www.readbyqxmd.com/read/29455164/surgical-efficiency-in-femtosecond-laser-cataract-surgery-compared-with-phacoemulsification-cataract-surgery-a-case-control-study
#3
Alexander C Day, Phillip R Smith, Hongying Lilian Tang, Francesco Aiello, Badrul Hussain, Vincenzo Maurino, John Marshall, George M Saleh
OBJECTIVES: To investigate differences in surgical time, the distance the surgical instrument travelled and number of movements required to complete manual phacoemulsification cataract surgery versus femtosecond laser cataract surgery. DESIGN: Non-randomised comparative case series. SETTING: Single surgery site, Moorfields Eye Hospital, UK. PARTICIPANTS: 40 cataract surgeries of 40 patients. INTERVENTIONS: Laser-assisted and manual phacoemulsification cataract surgery...
February 17, 2018: BMJ Open
https://www.readbyqxmd.com/read/29454530/system-dynamics-model-of-taxi-management-in-metropolises-economic-and-environmental-implications-for-beijing
#4
Hao Wang, Kai Zhang, Junhua Chen, Zhifeng Wang, Guijun Li, Yuqi Yang
Taxis are an important component of urban passenger transport. Research on the daily dispatching of taxis and the utility of governmental management is important for the improvement of passenger travel, taxi driver income and environmental impacts. However, urban taxi management is a complex and dynamic system that is affected by many factors, and positive/negative feedback relationships and nonlinear interactions exist between each subsystem and variable. Therefore, conventional research methods can hardly depict its characteristics comprehensively...
February 14, 2018: Journal of Environmental Management
https://www.readbyqxmd.com/read/29454331/the-increasing-importance-of-a-continence-nurse-specialist-to-improve-outcomes-and-save-costs-of-urinary-incontinence-care-an-analysis-of-future-policy-scenarios
#5
Margreet G Franken, Isaac Corro Ramos, Jeanine Los, Maiwenn J Al
BACKGROUND: In an ageing population, it is inevitable to improve the management of care for community-dwelling elderly with incontinence. A previous study showed that implementation of the Optimum Continence Service Specification (OCSS) for urinary incontinence in community-dwelling elderly with four or more chronic diseases results in a reduction of urinary incontinence, an improved quality of life, and lower healthcare and lower societal costs. The aim of this study was to explore future consequences of the OCSS strategy of various healthcare policy scenarios in an ageing population...
February 17, 2018: BMC Family Practice
https://www.readbyqxmd.com/read/29454140/weight-management-in-rural-health-clinics-the-midwest-diet-and-exercise-trial
#6
Anna M Gorczyca, Richard A Washburn, Lauren Ptomey, Matthew S Mayo, Debra K Sullivan, Cheryl A Gibson, Robert Lee, Sarah Stolte, Joseph E Donnelly
Obesity prevalence is higher in rural compared to urban residents. Rural health clinics offer a potential venue for delivery of weight management. However, traditional programs require travel to attend on-site meetings which is impractical or inconvenient for rural residents. Clinic staff in most rural settings are unlikely to be trained to provide effective weight management. Remote delivery using group phone conferences (GP) or individual phone calls (IP), by staff associated with rural clinics eliminates the need for travel to attend on-site meetings...
February 14, 2018: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/29454050/when-travel-is-a-challenge-travel-medicine-and-the-dis-abled-traveller
#7
REVIEW
Irmgard Bauer
Travellers with recognised disabilities or the dis-ability to function as required during a trip have been overlooked in the travel medicine literature. This paper provides a starting point for further discussion and research into this neglected traveller population. In contrast, tourism research has explored travel with a disability for some time in order to understand the travellers' needs and to improve services accordingly. The contemporary bio-psycho-social understanding of disability serves as the framework for exploring motivations to travel as well as barriers, such as inter and intrapersonal, economic, structural and attitudinal obstacles...
February 14, 2018: Travel Medicine and Infectious Disease
https://www.readbyqxmd.com/read/29453706/family-experiences-with-the-diagnosis-of-autism-spectrum-disorder-system-barriers-and-facilitators-of-efficient-diagnosis
#8
M Martinez, K C Thomas, C S Williams, R Christian, E Crais, R Pretzel, S R Hooper
This paper examines family experiences with the efficiency of ASD diagnosis. Children were age 8 or younger with ASD (n = 450). Outcomes were delay from first parent concern to diagnosis, shifting diagnoses, and being told child did not have ASD. Predictors were screening, travel distance, and problems finding providers. Logit models were used to examine associations. Screening was associated with reduced delay in diagnosis; problems finding providers were associated with greater delay. Screening, travel distance, and delay in diagnosis were associated with shifting diagnoses and being told child did not have ASD...
February 16, 2018: Journal of Autism and Developmental Disorders
https://www.readbyqxmd.com/read/29453580/neurosurgical-management-of-hydrocephalus-by-a-general-surgeon-in-an-extremely-low-resource-setting-initial-experience-in-north-kivu-province-of-eastern-democratic-republic-of-congo
#9
Sarah B Cairo, Justice Agyei, Kavira Nyavandu, David H Rothstein, Luc Malemo Kalisya
PURPOSE: Evaluate the management of hydrocephalus in pediatric patients in the Eastern Democratic Republic of Congo by a general surgeon. METHODS: Retrospective review of a single institution in the province of North Kivu. Patient charts and surgical notes were reviewed from 2003 to 2016. RESULTS: 116 procedures were performed for an average of 8.9 per year. 51.7% of surgeries were on female patients with an average age of 13.6 ± 22.7. The average distance traveled from home to hospital was 153...
February 16, 2018: Pediatric Surgery International
https://www.readbyqxmd.com/read/29453436/rural-urban-differences-in-access-to-hospital-obstetric-and-neonatal-care-how-far-is-the-closest-one
#10
Peiyin Hung, Michelle M Casey, Katy B Kozhimannil, Pinar Karaca-Mandic, Ira S Moscovice
OBJECTIVES: To quantify drive distances to hospital obstetric services and advanced neonatal care and to examine such disparities by residential rurality and insurance type. STUDY DESIGN: Data for all-payer maternal childbirth hospitalizations in 2002 (N = 661,240) and 2013 (N = 634,807) from nine geographically dispersed states were linked with the American Hospital Association annual surveys to identify maternal residence zip codes and the addresses of hospitals with obstetric services or advanced neonatal care...
February 16, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29452152/behavioral-and-endocrine-consequences-of-placentophagia-in-male-california-mice-peromyscus-californicus
#11
Juan P Perea-Rodriguez, Meng Zhao, Breanna N Harris, Joel Raqueno, Wendy Saltzman
Ingestion of placenta by mammalian mothers can lead to changes in pain sensitivity, hormone levels, and behavioral responses to newborns. In some biparental mammals, males, in addition to females, ingest placenta when their offspring are born. In the monogamous, biparental California mouse (Peromyscus californicus), males first become attracted to placenta when cohabitating with their pregnant mate, and virgin males administered placenta are less neophobic than males given oil vehicle. In this study, we investigated the effects of placentophagia on pain sensitivity, anxiety-like behavior, behavioral responses to pups, and circulating corticosterone levels of both breeding and nonbreeding male California mice...
February 13, 2018: Physiology & Behavior
https://www.readbyqxmd.com/read/29451881/population-based-coverage-survey-results-following-the-mass-drug-administration-of-azithromycin-for-the-treatment-of-trachoma-in-amhara-ethiopia
#12
Tigist Astale, Eshetu Sata, Mulat Zerihun, Andrew W Nute, Aisha E P Stewart, Demelash Gessesse, Gedefaw Ayenew, Berhanu Melak, Melsew Chanyalew, Zerihun Tadesse, E Kelly Callahan, Scott D Nash
BACKGROUND: Trachoma is the leading infectious cause of blindness worldwide. In communities where the district level prevalence of trachomatous inflammation-follicular among children ages 1-9 years is ≥5%, WHO recommends annual mass drug administration (MDA) of antibiotics with the aim of at least 80% coverage. Population-based post-MDA coverage surveys are essential to understand the effectiveness of MDA programs, yet published reports from trachoma programs are rare. METHODS: In the Amhara region of Ethiopia, a population-based MDA coverage survey was conducted 3 weeks following the 2016 MDA to estimate the zonal prevalence of self-reported drug coverage in all 10 administrative zones...
February 16, 2018: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/29451368/public-health-response-to-an-imported-case-of-canine-melioidosis
#13
C W Ryan, K Bishop, D D Blaney, S J Britton, F Cantone, C Egan, M G Elrod, C W Frye, A M Maxted, G Perkins
Melioidosis in humans presents variably as fulminant sepsis, pneumonia, skin infection and solid organ abscesses. It is caused by Burkholderia pseudomallei, which in the United States is classified as a select agent, with "potential to pose a severe threat to both human and animal health, to plant health or to animal and plant products" (Federal Select Agent Program, http://www.selectagents.gov/, accessed 22 September 2016). Burkholderia pseudomallei is found in soil and surface water in the tropics, especially South-East Asia and northern Australia, where melioidosis is endemic...
February 16, 2018: Zoonoses and Public Health
https://www.readbyqxmd.com/read/29451044/endemic-and-emerging-acute-virus-infections-in-indonesia-an-overview-of-the-past-decade-and-implications-for-the-future
#14
Wesley de Jong, Musofa Rusli, Soerajja Bhoelan, Sofie Rohde, Fedik A Rantam, Purwati A Noeryoto, Usman Hadi, Eric C M van Gorp, Marco Goeijenbier
Being the largest archipelago country in the world, with a tropical climate and a unique flora and fauna, Indonesia habitats one of the most diverse biome in the world. These characteristics make Indonesia a popular travel destination, with tourism numbers increasing yearly. These characteristics also facilitate the transmission of zoonosis and provide ideal living and breading circumstances for arthropods, known vectors for viral diseases. A review of the past 10 years of literature, reports of the Ministry of Health, Republic of Indonesia and ProMED-mail shows a significant increase in dengue infection incidence...
February 16, 2018: Critical Reviews in Microbiology
https://www.readbyqxmd.com/read/29451026/the-tim-system-developing-a-novel-telehealth-service-to-improve-access-to-specialist-care-in-motor-neurone-disease-using-user-centered-design
#15
Esther V Hobson, Wendy O Baird, Rebecca Partridge, Cindy L Cooper, Susan Mawson, Ann Quinn, Pamela J Shaw, Theresa Walsh, Daniel Wolstenholme, Christopher J Mcdermott
OBJECTIVES: Attendance at a specialist multidisciplinary motor neurone disease (MND) clinic is associated with improved survival and may also improve quality of life and reduce hospital admissions. However, patients struggle to travel to clinic and may experience difficulties between clinic visits that may not be addressed in a timely manner. We wanted to explore how we could improve access to specialist MND care. METHODS: We adopted an iterative, user-centered co-design approach, collaborating with those with experience of providing and receiving MND care including patients, carers, clinicians, and technology developers...
February 16, 2018: Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration
https://www.readbyqxmd.com/read/29450432/tracing-the-sources-of-pcdd-fs-in-baltic-sea-air-by-using-metals-as-source-markers
#16
Anteneh Assefa, Mats Tysklind, Jana Klanova, Karin Wiberg
The atmosphere is the major contributor of polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs) in the Baltic Sea environment. In this study, we investigated the potential of using metals along with PCDD/Fs as markers of important emission sources of PCDD/Fs in air. The air concentrations of PCDD/F congeners (n = 17), other persistent organic pollutants (n = 8) and metals (n = 16) were determined in summer and winter air using high volume samplers at a rural field station (Aspvreten, Sweden) located close to the Baltic Sea coast...
February 16, 2018: Environmental Science. Processes & Impacts
https://www.readbyqxmd.com/read/29449723/an-outbreak-of-cutaneous-leishmaniasis-in-modena-province-northern-italy-report-of-35-cases
#17
A M Cesinaro, S Nosseir, E Mataca, M C Mengoli, C Cavatorta, W Gennari
Canine Leishmaniasis is a disease endemic in many parts of Europe, carried by insects of phlebotomous species. Humans are occasional hosts of the parasites. Cases of human leishmaniasis have been registered in Italy, particularly in the southern and coastal regions. In the period 1997-2016, we collected a series of 35 patients affected by cutaneous leishmaniasis, uncovered by skin biopsy and histological examination, 21 of them found in last 3 years. The patients, 28 males and 7 female, aged between 19 and 91, resided in a restricted area of Northern Italy, and none, but two, had travelled abroad...
December 2017: Pathologica
https://www.readbyqxmd.com/read/29449652/serious-concerns-about-the-general-dental-council-s-performance-and-its-direction-of-travel
#18
J Renshaw
There should be tension between a profession and its regulator, it would be odd if it were not so, but the level of concern that has been articulated recently by some high profile commentators about that relationship has been well beyond what I would describe as tension. In this piece I attempt to contextualise my personal observations and comments on what is rapidly becoming a serious concern among those few of us who have had to deal with the profession: regulator interface at the highest level.
February 16, 2018: British Dental Journal
https://www.readbyqxmd.com/read/29449489/observation-of-three-photon-bound-states-in-a-quantum-nonlinear-medium
#19
Qi-Yu Liang, Aditya V Venkatramani, Sergio H Cantu, Travis L Nicholson, Michael J Gullans, Alexey V Gorshkov, Jeff D Thompson, Cheng Chin, Mikhail D Lukin, Vladan Vuletić
Bound states of massive particles, such as nuclei, atoms, or molecules, constitute the bulk of the visible world around us. By contrast, photons typically only interact weakly. We report the observation of traveling three-photon bound states in a quantum nonlinear medium where the interactions between photons are mediated by atomic Rydberg states. Photon correlation and conditional phase measurements reveal the distinct bunching and phase features associated with three-photon and two-photon bound states. Such photonic trimers and dimers possess shape-preserving wave functions that depend on the constituent photon number...
February 16, 2018: Science
https://www.readbyqxmd.com/read/29449243/schistosomiasis-in-a-returning-international-traveler-with-cyclic-fevers-and-diarrhea
#20
Emily Greer, Kabir Harricharan Singh, Gregory Blake, M David Stockton
No abstract text is available yet for this article.
February 2018: Canadian Family Physician Médecin de Famille Canadien
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