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https://www.readbyqxmd.com/read/29667860/educational-needs-in-the-diagnosis-and-management-of-pediatric-functional-constipation-a-us-survey-of-specialist-and-primary-care-clinicians
#1
Justin Barnes, Brandon Coleman, Sharon Hwang, Aleksandra Stolic, Athos Bousvaros, Samuel Nurko, Gregory D Salinas
OBJECTIVES: The goal of this study was to identify opportunities among gastroenterologists and gastroenterology nurse practitioners (NPs)/physician assistants (PAs) for continuing medical education (CME) related to functional constipation. METHODS: An online, case-vignette survey was designed to identify and quantify practice patterns of pediatric gastroenterology clinicians. Case vignettes are a validated method for assessing clinician practice patterns. The survey consisted of three patient cases: a 3-year-old female with a 6-month history of constipation; a 6-year-old male with a 1-year history of constipation refractory to treatment and a sacral dimple with nearby tuft of hair; and a 16-year-old male with a 10-year history of constipation, and a sullen, depressed mood...
April 18, 2018: Postgraduate Medicine
https://www.readbyqxmd.com/read/29667566/us-emergency-medical-services-fellows
#2
Brian Clemency, Christian Martin-Gill, Nicole Rall, Dipesh Patel, Jeffery Myers
IntroductionThe 2015-2016 academic year was the fourth year since the Accreditation Council for Graduate Medical Education (ACGME; Chicago, Illinois USA) accredited Emergency Medical Services (EMS) fellowships, and the first year an in-training examination was given. Soon, ACGME-accredited fellowship education will be the sole path to EMS board certification when the practice pathway closes after 2019. This project aimed to describe the current class of EMS fellows at ACGME-accredited programs and their current educational opportunities to better understand current and future needs in EMS fellowship education...
April 18, 2018: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/29666948/epidemiology-of-hip-fracture-in-belarus-development-of-a-country-specific-frax-model-and-its-comparison-to-neighboring-country-models
#3
H Ramanau, I Chernyanin, E Rudenka, O Lesnyak, A Zakroyeva, J P Bilezikian, H Johansson, N C Harvey, E V McCloskey, J A Kanis
Fracture probabilities resulting from the newly generated FRAX model for Belarus based on regional estimates of the hip fracture incidence were compared with FRAX models of neighboring countries. Differences between the country-specific FRAX patterns and the rank orders of fracture probabilities were modest. OBJECTIVE: This paper describes the epidemiology of hip fractures in Belarus that was used to develop the country-specific fracture prediction FRAX® tool and illustrates its features compared to models for the neighboring countries of Poland, Russia, and Lithuania...
April 17, 2018: Archives of Osteoporosis
https://www.readbyqxmd.com/read/29666797/development-and-implementation-of-a-perianesthetic-safety-checklist-in-a-veterinary-university-small-animal-teaching-hospital
#4
Gwennaëlle Menoud, Shannon Axiak Flammer, Claudia Spadavecchia, Mathieu Raillard
Introduction: The use of a surgical safety checklist is recommended by the World Health Organization and is associated with advantages: improved communication and reduced complications and mortality. Adapting checklists to the environment in which they are used improves their efficiency, but their implementation can be challenging. The aim of this study was to develop and implement a perianesthetic safety checklist for a small animal hospital. Materials and methods: A panel of eight anesthesia diplomates and seven residents and doctoral students were gathered...
2018: Frontiers in Veterinary Science
https://www.readbyqxmd.com/read/29666206/taurine-supplementation-for-prevention-of-stroke-like-episodes-in-melas-a-multicentre-open-label-52-week-phase-iii-trial
#5
Yutaka Ohsawa, Hiroki Hagiwara, Shin-Ichiro Nishimatsu, Akihiro Hirakawa, Naomi Kamimura, Hideaki Ohtsubo, Yuta Fukai, Tatsufumi Murakami, Yasutoshi Koga, Yu-Ichi Goto, Shigeo Ohta, Yoshihide Sunada
OBJECTIVE: The aim of this study was to evaluate the efficacy and safety of high-dose taurine supplementation for prevention of stroke-like episodes of MELAS (mitochondrial myopathy, encephalopathy, lactic acidosis and stroke-like episodes), a rare genetic disorder caused by point mutations in the mitochondrial DNA that lead to a taurine modification defect at the first anticodon nucleotide of mitochondrial tRNALeu(UUR) , resulting in failure to decode codons accurately. METHODS: After the nationwide survey of MELAS, we conducted a multicentre, open-label, phase III trial in which 10 patients with recurrent stroke-like episodes received high-dose taurine (9 g or 12 g per day) for 52 weeks...
April 17, 2018: Journal of Neurology, Neurosurgery, and Psychiatry
https://www.readbyqxmd.com/read/29665861/trachoma-in-yunnan-province-of-southwestern-china-findings-from-trachoma-rapid-assessment
#6
Min Wu, Zhu Lin Hu, Dan He, Wen Rong Xu, Yan Li
BACKGROUND: To understand the situation of active trachoma among children aged 6 to 8 years old and scarring trachoma among those aged 15 and over in Yunnan Province, South-western China. METHODS: A rapid assessment of trachoma was conducted to determine the presence or absence of trachoma in Yunnan. Through risk assessment, 9 sites in 8 suspected trachoma epidemic counties were selected. Trachoma Rapid Assessment was conducted in these areas afterwards. Within each sites, 50 students from grade one in local primary school and adults aged 15 and above with suspected scarring trachoma were examined by survey teams...
April 17, 2018: BMC Ophthalmology
https://www.readbyqxmd.com/read/29665836/household-water-treatment-and-the-nutritional-status-of-primary-aged-children-in-india-findings-from-the-india-human-development-survey
#7
Wei Li, Echu Liu, Rhonda BeLue
BACKGROUND: Poor water quality, one of the leading causes of diarrhea, is an issue for most developing countries. Although the health burden of poor-quality water has been studied extensively, there is a paucity of research regarding the impact of household water treatment (HWT) on children's nutritional status using data from large-scale surveys. In this research, we study the effect of HWT on the nutritional status of primary-aged children in India using a secondary data set consisting of 20,315 children between the ages of 6 and 14 (10,523 males and 9,792 females) in 12,839 households from the second wave of the India Human Development Survey (IHDS-II)...
April 17, 2018: Globalization and Health
https://www.readbyqxmd.com/read/29665551/a-multi-medium-chain-modeling-approach-to-estimate-the-cumulative-effects-of-cadmium-pollution-on-human-health
#8
Xingmei Liu, Libin Zhong, Jun Meng, Fan Wang, Jiangjiang Zhang, Yuyou Zhi, Lingzao Zeng, Xianjin Tang, Jianming Xu
Cadmium is a highly persistent and toxic heavy metal that poses severe health risks to humans. Diet is the primary source of human exposure to cadmium, especially in China. Soil, as the main medium that transfers cadmium to rice, can be used as a helpful indicator to predict human exposure to cadmium in soils. There is, however, very little work that links a soil-rice transfer model with a biokinetic model to assess health risks. In this work, we introduce a multi-medium chain model based upon a soil-rice-human continuum to address this issue...
April 14, 2018: Environmental Pollution
https://www.readbyqxmd.com/read/29664893/occupational-exposure-during-emergency-department-thoracotomy-a-prospective-multi-institution-study
#9
Andrew Nunn, Priya Prakash, Kenji Inaba, Alvarez Escalante, Zoë Maher, Seiji Yamaguchi, Dennis Y Kim, James Maciel, William C Chiu, Byron Drumheller, Joshua P Hazelton, Kaushik Mukherjee, Xian Luo-Owen, Rachel M Nygaard, Ashley P Marek, Bryan C Morse, Caitlin A Fitzgerald, Patrick L Bosarge, Randeep S Jawa, Susan E Rowell, Louis J Magnotti, Adrian W Ong, Tejal S Brahmbhatt, Michael D Grossman, Mark J Seamon
BACKGROUND: Occupational exposure is an important consideration during emergency department thoracotomy (EDT). While HIV/hepatitis prevalence in trauma patients (0-16.8%) and occupational exposure rates during operative trauma procedures (1.9-18.0%) have been reported, exposure risk during EDT is unknown. We hypothesized that occupational exposure risk during EDT would be greater than other operative trauma procedures. METHODS: A prospective, observational study at 16 US trauma centers was performed (2015-2016)...
April 16, 2018: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/29664847/ovarian-cancer-surgery-in-australia-and-new-zealand-a-survey-to-determine-changes-in-surgical-practice-over-10-years
#10
Rhonda Farrell, Winston Spencer Liauw, Alison Hilary Brand
OBJECTIVE: This study aimed to survey all practicing certified gynecological oncologists (CGOs) in Australia and New Zealand to determine their current surgical practice for primary advanced epithelial ovarian cancer (EOC) and compare the findings with an identical survey conducted 10 years previously. METHODS/MATERIALS: A questionnaire was e-mailed to all 53 practicing CGOs in Australia and New Zealand in July 2017 assessing their definition of optimal debulking for EOC, their use of neoadjuvant chemotherapy, and the surgical procedures they use to achieve cytoreduction...
April 16, 2018: International Journal of Gynecological Cancer
https://www.readbyqxmd.com/read/29663970/pediatric-dentists-treatment-planning-decisions-for-class-ii-carious-lesions-in-primary-molars
#11
Martha Holland, Caroline Carrico, Tiffany Williams
PURPOSE: To assess pediatric dentists' choice for restoring Class II carious lesions in primary molars. METHODS: A survey with eight cases of class II carious lesions was emailed to American Academy of Pediatric Dentistry members, who were asked to choose either a stainless steel crown (SSC) or composite resin as a final restoration, or no treatment. Treatment decisions were compared to evidence-based treatment recommendations. Repeated measures logistic regression was used to determine factors associated with treatment decisions...
January 15, 2018: Journal of Dentistry for Children
https://www.readbyqxmd.com/read/29662833/short-term-outcomes-following-hepatectomy-in-elderly-patients-with-hepatocellular-carcinoma-an-analysis-of-10-805-septuagenarians-and-2-381-octo-and-nonagenarians-in-japan
#12
Hiroko Okinaga, Hideo Yasunaga, Kiyoshi Hasegawa, Kiyohide Fushimi, Norihiro Kokudo
Background: As the population is aging, the indication for hepatocellular carcinoma (HCC) resection in patients aged over 80 years will increase. Japan is facing the most aging society worldwide. We examined the safety of hepatectomy in octogenarians and nonagenarians using large-scale data from the Diagnosis Procedure Combination database, a national administrative database in Japan. Method: We conducted a survey to collect data for all inpatients from 2007 and 2012...
March 2018: Liver Cancer
https://www.readbyqxmd.com/read/29662619/uev1a-ubc13-promotes-colorectal-cancer-metastasis-through-regulating-cxcl1-expression-via-nf-%C3%B0%C2%BAb-activation
#13
Zhaojia Wu, Heather Neufeld, Eminao Torlakovic, Wei Xiao
Colorectal cancer is the second most common cause of cancer-related death worldwide. Uncontrolled growth and distant metastasis are hallmarks of colorectal cancer. However, the precise etiological factors and the mechanisms are diverse and still largely unclear. The potential proto-oncogene UEV1A encodes a ubiquitin conjugating enzyme variant, which is required for Ubc13-catalyzed K63-linked poly-ubiquitination of target proteins and the activation of NF-кB, a transcription factor known to be involved in innate immunity, anti-apoptosis, inflammation and cancer...
March 23, 2018: Oncotarget
https://www.readbyqxmd.com/read/29661749/a-website-supporting-sensitive-religious-and-cultural-advance-care-planning-acptalk-formative-and-summative-evaluation
#14
Amanda Pereira-Salgado, Patrick Mader, Clare O'Callaghan, Leanne Boyd
BACKGROUND: Advance care planning (ACP) promotes conversations about future health care needs, enacted if a person is incapable of making decisions at end-of-life that may be communicated through written documentation such as advance care directives. To meet the needs of multicultural and multifaith populations in Australia, an advance care planning website, ACPTalk, was funded to support health professionals in conducting conversations within diverse religious and cultural populations...
April 16, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29661747/patient-continued-use-of-online-health-care-communities-web-mining-of-patient-doctor-communication
#15
Bing Wu
BACKGROUND: In practice, online health communities have passed the adoption stage and reached the diffusion phase of development. In this phase, patients equipped with knowledge regarding the issues involved in health care are capable of switching between different communities to maximize their online health community activities. Online health communities employ doctors to answer patient questions, and high quality online health communities are more likely to be acknowledged by patients...
April 16, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29661635/assessment-of-community-level-effects-of-intermittent-preventive-treatment-for-malaria-in-schoolchildren-in-jinja-uganda-start-ipt-trial-a-cluster-randomised-trial
#16
Sarah G Staedke, Catherine Maiteki-Sebuguzi, Andrea M Rehman, Simon P Kigozi, Samuel Gonahasa, Jaffer Okiring, Steve W Lindsay, Moses R Kamya, Clare I R Chandler, Grant Dorsey, Chris Drakeley
BACKGROUND: Intermittent preventive treatment (IPT) is a well established malaria control intervention. Evidence that delivering IPT to schoolchildren could provide community-level benefits is limited. We did a cluster-randomised controlled trial to assess the effect of IPT of primary schoolchildren with dihydroartemisinin-piperaquine (DP) on indicators of malaria transmission in the community, in Jinja, Uganda. METHODS: We included 84 clusters, each comprising one primary school and the 100 closest available households...
April 13, 2018: Lancet Global Health
https://www.readbyqxmd.com/read/29660999/a-community-based-approach-to-hiv-prevention-in-rural-guatemala
#17
Victoria Orrego Dunleavy, Elena Chudnovskaya, Jazmyne Vanecia Simmons
BACKGROUND: HIV is one of the primary causes of death in Guatemala, and during the period 2005 to 2013, Guatemala exhibited a 95% increase in such deaths. HIV transmission rates are nearly 3 times higher among the indigenous Mayan population than nonindigenous Guatemalans. Guided by the community-based participatory research approach, this article demonstrates the iterative formative research process necessary to develop a deeper and more informed understanding of HIV prevention attitudes and behaviors in the priority population...
April 1, 2018: Health Promotion Practice
https://www.readbyqxmd.com/read/29660592/declining-trends-in-drug-dealing-among-adolescents-in-the-united-states
#18
Michael G Vaughn, Millan A AbiNader, Christopher P Salas-Wright, Sehun Oh, Katherine J Holzer
INTRODUCTION: The link between drug selling and other delinquent behaviors in adolescence is well established. Less is known regarding the trends in drug selling among youth in the US and whether they are consistent with the recently observed decline in problem behaviors among this population. METHODS: Data were collected between 2002 and 2015 as part of the National Survey on Drug Use and Health (NSDUH). Participants included 233,435 US youth aged 12-17. The primary variable of interest was self-reported past year drug-selling...
April 9, 2018: Addictive Behaviors
https://www.readbyqxmd.com/read/29659928/detection-of-aedes-stegomyia-aegypti-diptera-culicidae-populations-in-southern-alabama-following-a-26-yr-absence-and-public-perceptions-of-the-threat-of-zika-virus
#19
Sarah Zohdy, Wayde C Morse, Derrick Mathias, Victoria Ashby, Sarah Lessard
With the establishment of Zika virus in the Americas, an accurate understanding of the geographic range of its primary vector, Aedes (Stegomyia) aegypti (L.) (Diptera: Culicidae), is vital to assessing transmission risk. In an article published in June 2016, Hahn and colleagues compiled county-level records in the United States for the presence of Ae. aegypti and Aedes (Stegomyia) albopictus (Skuse) (Diptera: Culicidae) reported between January 1995 and March 2016. Despite ecological suitability for both mosquito species along the Gulf Coast, Ae...
April 5, 2018: Journal of Medical Entomology
https://www.readbyqxmd.com/read/29659488/does-a-consumer-targeted-deprescribing-intervention-compromise-patient-healthcare-provider-trust
#20
Yi Zhi Zhang, Justin P Turner, Philippe Martin, Cara Tannenbaum
One in four community-dwelling older adults is prescribed an inappropriate medication. Educational interventions aimed at patients to reduce inappropriate medications may cause patients to question their prescriber’s judgment. The objective of this study was to determine whether a patient-focused deprescribing intervention compromised trust between older adults and their healthcare providers. An educational brochure was distributed to community-dwelling older adults by community pharmacists in order to trigger deprescribing conversations...
April 16, 2018: Pharmacy (Basel, Switzerland)
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