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2017 AIDS guide

Annie M Q Wang, Min Kim, Emily S Ho, Kristen M Davidge
BACKGROUND: Camptodactyly is a pediatric hand condition, the treatment of which remains controversial. The authors' aim was to improve patient care through clarifying the definition of camptodactyly and indications for surgical and/or conservative management, summarizing outcomes, and defining risks. METHODS: A systematic review was conducted of articles in all languages on outcomes following surgical and/or conservative management of idiopathic camptodactyly in children using MEDLINE (Medical Literature Analysis and Retrieval System Online), PubMed, EMBASE (Excerpta Medica database), AMED (Allied and Complementary Medicine), and CINAHL (Cumulative Index of Nursing and Allied Health Literature) (until January 2017)...
March 22, 2019: Hand: Official Journal of the American Association for Hand Surgery
Q Yu, Y Q Xiao, X Y Hu, Z F Xia
Objective: To assess the cognitive level of first aid knowledge regarding the small area burn among the child caregivers in Shanghai and improve the level of first aid for small area burn in children. Methods: From November 2017 to March 2018, 7 municipal districts in Shanghai were selected according to the random number table, from which 2 750 students of 4 nurseries, 5 kindergartens, 6 primary schools, and 2 junior middle schools were selected by adopting the convenience sampling method. Each student was limited to one caregiver as the research object...
March 20, 2019: Zhonghua Shao Shang za Zhi, Zhonghua Shaoshang Zazhi, Chinese Journal of Burns
Chi-Wei Lin, Huan-Jang Ko, Shun-Mao Yang, Yi-Chang Chen, Wei-Chun Ko, Hsin-Chieh Huang, Jin-Shing Chen, Yeun-Chung Chang
BACKGROUND/PURPOSE: In video-assisted thoracic surgery (VATS) resection of small lung nodules, preoperative dye marking around the visceral pleura provides surface localization to help initiate resection, while implantation of a fiducial marker such as a microcoil can provide inner localization to aid nodule resection under fluoroscopic guidance. We aimed to determine whether dual localization with microcoil placement and dye marking is safe and useful for guiding the resection of small deep-seated lung nodules...
March 9, 2019: Journal of the Formosan Medical Association
Feng Yan, Gary Rajah, Yuchuan Ding, Yang Hua, Hongqi Zhang, Liqun Jiao, Guilin Li, Ming Ren, Ran Meng, Feng Lin, Xunming Ji
OBJECTIVESymptomatic intracranial hypertension can be caused by cerebral venous sinus stenosis (CVSS) and cerebral venous sinus thrombotic (CVST) stenosis, which is usually found in some patients with idiopathic intracranial hypertension (IIH). Recently, at the authors' center, they utilized intravascular ultrasound (IVUS) as an adjunct to conventional venoplasty or stenting to facilitate diagnosis and accurate stent placement in CVSS.METHODSThe authors designed a retrospective review of their prospective database of patients who underwent IVUS-guided venous sinus stenting between April 2016 and February 2017...
March 1, 2019: Journal of Neurosurgery
Thomas J Wang, Christopher C Thompson, Marvin Ryou
BACKGROUND: Performing endoscopic retrograde cholangiopancreatography (ERCP) in patients with Roux-en-Y gastric bypass (RYGB) anatomy is technically challenging. Device-assisted enteroscopy and laparoscopic-assisted methods suffer from high failure rates and/or post-procedural complications. A novel endoscopic technique termed EUS-Directed Transgastric ERCP (EDGE) or Gastric Access Temporary for Endoscopy (GATE) has recently emerged, demonstrating excellent technical and therapeutic success...
February 25, 2019: Surgical Endoscopy
Hui Duan, Ping Liu, Chunlin Chen, Lan Chen, Pengfei Li, Weili Li, Shipeng Gong, Yikai Xv, Ruiying Chen, Lei Tang
INTRODUCTION: A three-dimensional (3D) model of the pelvic vessels was reconstructed before surgery to aid in the understanding of the individual anatomy and help guide lymphadenectomy performance. MATERIAL AND METHODS: Thirty patients with early-stage cervical cancer who were scheduled for lymphadenectomy at Nanfang Hospital, Southern Medical University from January 2017 to June 2017 were included. Three-dimensional models of the pelvic vessels were obtained. RESULTS: All 3D models of the 30 patients were reconstructed successfully and were consistent with the operative findings...
February 22, 2019: Minimally Invasive Therapy & Allied Technologies: MITAT
Andrea M Egizi, Richard G Robbins, Lorenza Beati, Santiago Nava, Colleen R Vans, James L Occi, Dina M Fonseca
Until recently, only two haemaphysaline species, Haemaphysalischordeilis (Packard, 1869) and Haemaphysalisleporispalustris (Packard, 1869), were known to occur in the United States, and neither was considered to be of significant medical or veterinary importance. In 2017-2018 established populations of the Asian longhorned tick, Haemaphysalislongicornis Neumann, 1901, were detected in the eastern US for the first time. Haemaphysalislongicornis has the potential to be a significant threat to human and animal health, and the urgent need to determine the full extent of its distribution and host range requires availability of a straightforward and practical guide to differentiate it from native species...
2019: ZooKeys
Christian Frois, Andrew Howe, John Jarvis, Kathryn Grice, Ken Wong, Christopher Zacker, Rahul Sasane
BACKGROUND: The U.S. health care system's transition to a value-based reimbursement model holds important implications for medical innovation, care delivery, and value-based assessments of therapeutic interventions. This transition has been especially noteworthy in oncology, with substantial ongoing changes to payer reimbursement and the provider landscape, as well as the introduction of value frameworks to guide drug treatment decision making. The implications of these changes for provider assessments of drug value and evidence needs remain unclear...
February 2019: Journal of Managed Care & Specialty Pharmacy
Kristine Caiafa, Kathryn G Dewey, Kim F Michaelsen, Saskia de Pee, Steve Collins, Beatrice Lorge Rogers, Tatyana El-Kour, Shelley Walton, Patrick Webb
BACKGROUND: Food aid is a valuable tool for meeting global nutrition goals, particularly for vulnerable populations of children and reproductive-aged women. On October 21, 2017, the Food Aid Quality Review Project hosted a scientific symposium at the 21st International Congress on Nutrition in Buenos Aires, Argentina, to take stock of what the global community has learned about selected topics in the research literature on food aid used to address malnutrition. OBJECTIVE: This article presents the discussion that took place during the symposium, which was guided by presentations by 6 experts from the field of nutrition, food aid, and humanitarian response...
January 27, 2019: Food and Nutrition Bulletin
Linda M Pak, Johan Gagnière, Peter J Allen, Vinod P Balachandran, Michael I D'Angelica, Ronald P DeMatteo, William R Jarnagin, Michael I Miga, Amber L Simpson, T Peter Kingham
BACKGROUND: Colorectal liver metastases that demonstrate a complete radiographic response during chemotherapy are increasingly common with advances in chemotherapy regimens and are described as disappearing liver metastases (DLMs). However, these DLMs often continue to harbor residual viable tumor. If these tumors are found in the operating room with ultrasound (US), they should be treated. The intraoperative sonographic visualization of these lesions, however, can be hindered by chemotherapy-associated liver parenchyma changes...
January 24, 2019: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
Marcel Yotebieng, Ellen Brazier, Diane Addison, April D Kimmel, Morna Cornell, Olivia Keiser, Angela M Parcesepe, Amobi Onovo, Kathryn E Lancaster, Barbara Castelnuovo, Pamela M Murnane, Craig R Cohen, Rachel C Vreeman, Mary-Ann Davies, Stephany N Duda, Constantin T Yiannoutsos, Rose S Bono, Robert Agler, Charlotte Bernard, Jennifer L Syvertsen, Jean d'Amour Sinayobye, Radhika Wikramanayake, Annette H Sohn, Per M von Groote, Gilles Wandeler, Valeriane Leroy, Carolyn F Williams, Kara Wools-Kaloustian, Denis Nash
INTRODUCTION: "Treat All" - the treatment of all people with HIV, irrespective of disease stage or CD4 cell count - represents a paradigm shift in HIV care that has the potential to end AIDS as a public health threat. With accelerating implementation of Treat All in sub-Saharan Africa (SSA), there is a need for a focused agenda and research to identify and inform strategies for promoting timely uptake of HIV treatment, retention in care, and sustained viral suppression and addressing bottlenecks impeding implementation...
January 2019: Journal of the International AIDS Society
Ju-Won Kim, Jong-Cheol Kim, Chun-Gi Jeong, Kyeong-Jun Cheon, Seoung-Won Cho, In-Young Park, Byoung-Eun Yang
BACKGROUND: Many reports have been published on orthognathic surgery (OGS) using computer-aided surgical simulation (CASS). The purpose of this study was to evaluate the accuracy of the maxillary repositioning and the stability of the maxilla in patients who underwent OGS using a newly developed CASS program, a customized osteotomy guide, and a customized miniplate. METHODS: Thirteen patients who underwent OGS from 2015 to 2017 were included. All patients underwent a bimaxillary operation...
January 15, 2019: BMC Oral Health
Jennifer Valeska Elli Brown, Nicholas Meader, Jemma Cleminson, William McGuire
BACKGROUND: Late-onset infection is the most common serious complication associated with hospital care for newborn infants. Because confirming the diagnosis by microbiological culture typically takes 24 to 48 hours, the serum level of the inflammatory marker C-reactive protein (CRP) measured as part of the initial investigation is used as an adjunctive rapid test to guide management in infants with suspected late-onset infection. OBJECTIVES: To determine the diagnostic accuracy of serum CRP measurement in detecting late-onset infection in newborn infants...
January 14, 2019: Cochrane Database of Systematic Reviews
Jennifer Townsend, Victoria Adams, Panagis Galiatsatos, David Pearse, Hardin Pantle, Mary Masterson, Flora Kisuule, Elsen Jacob, Catherine Kiruthi, Paul Ortiz, Albert Agbanlog, Robert Jurao, Sam Stern, Seema Nayak, Michael Melgar, Jacob Sama, Jillian Irwin, Cyrus Mazidi, Kevin Psoter, Robin McKenzie
Background: European trials using procalcitonin (PCT)-guided antibiotic therapy for patients with lower respiratory tract infections (LRTIs) have demonstrated significant reductions in antibiotic use without increasing adverse outcomes. Few studies have examined PCT for LRTIs in the United States. Methods: In this study, we evaluated whether a PCT algorithm would reduce antibiotic exposure in patients with LRTI in a US hospital. We conducted a controlled pre-post trial comparing an intervention group of PCT-guided antibiotic therapy to a control group of usual care...
December 2018: Open Forum Infectious Diseases
Makenzie L Barr, Lawrence E Tabone, Stephanie J Cox, Cassie Brode, Nova Szoka, I Mark Olfert, Laura Davisson, Melissa D Olfert
BACKGROUND: Most effective treatment for morbid obesity and its comorbidities is bariatric surgery. However, research is limited on weight loss and associated outcomes among patients in Appalachia. The objective of this study was to examine demographic and comorbidity influence on surgical outcomes of this population including age, sex, race, state of residence, education, marital status, body mass index (BMI kg/m2 ), excess body weight (EBW), percent excess weight loss (%EWL), blood pressure, diagnosed depression, diagnosed type 2 diabetes (T2D), Beck Depression Inventory-II (BDI-II), and laboratory values (i...
January 6, 2019: Obesity Surgery
Eileen R Hoskin, David C Johnsen, Yun Saksena, Zsuzsa Horvath, Tracy de Peralta, Neal Fleisher, Teresa A Marshall, Cataldo Leone
The aim of this study was to seek the views of a national sample of dental educators regarding the importance of learning domains in dental education, their defined outcomes of those domains, and their perceived effectiveness of their schools in guiding learning in those domains. The study defined the educational domains important for training future dentists as knowledge, technical skills, critical thinking, ethics, social responsibility, and interprofessional education/practice (IPE/IPP). A survey of members of the American Dental Education Association (ADEA) Special Interest Group on the Scholarship of Teaching and Learning was conducted in 2017...
January 2019: Journal of Dental Education
Colin Price, William Green, Olga Suhomlinova
Objective: There is global interest in implementing national information systems to support healthcare, and the National Health Service in England (NHS) has a troubled 25-year history in this sphere. Our objective was to chronicle structural reorganizations within the NHS from 1973 to 2017, alongside concurrent national information technology (IT) strategies, as the basis for developing a conceptual model to aid understanding of the organizational factors involved. Materials and Methods: We undertook an exploratory, retrospective longitudinal case study by reviewing strategic plans, legislation, and health policy documents, and constructed schemata for evolving structure and strategy...
December 28, 2018: Journal of the American Medical Informatics Association: JAMIA
Walid Shahrour, Pankaj Joshi, Craig B Hunter, Vikram S Batra, Hazem Elmansy, Sandesh Surana, Sanjay Kulkarni
Introduction and Objective: The proper evaluation of urethral strictures is an essential part of the surgical planning in urethral reconstruction. The proper evaluation of the stricture can be challenging in certain situations, especially when the meatus is involved. We propose that the use of a small caliber ureteroscope (4.5 Fr and 6.5 Fr) can offer additional help and use for the surgical planning in urethroplasty. Methods: We prospectively collected data on 76 patients who underwent urethroplasties in Kulkarni Reconstructive Urology Center, Pune, India and Thunder Bay Regional Health Sciences Center, Thunder Bay, Canada...
2018: Advances in Urology
Daniel Horner, Abdullah Pandor, Steve Goodacre, Mark Clowes, Beverley J Hunt
BACKGROUND: Patients immobilised after lower limb injury are at risk of venous thromboembolism (VTE). There is international variation in the use of thromboprophylaxis for such patients. Risk based strategies have been adopted to aid decision making in many settings. The accuracy of these strategies is unclear. OBJECTIVES: A systematic review was undertaken to identify all individual patient identifiable risk factors linked to any VTE outcome following lower limb immobilisation...
December 23, 2018: Journal of Thrombosis and Haemostasis: JTH
David E Janhofer, Chrisovalantis Lakhiani, Paul J Kim, Cameron Akbari, Iram Naz, Eshetu A Tefera, Christopher E Attinger, Karen Kim Evans
BACKGROUND: In patients with lower extremity wounds, free tissue transfer is often the last option before amputation, making it crucial to optimize preoperative planning in order to prevent flap breakdown. No consensus exists regarding preoperative vascular work ups before lower extremity free tissue transfer. Here we analyzed the utility of using arteriography for lower extremity free flap planning. METHODS: A retrospective review was performed of 57 patients who underwent lower extremity arteriography and 59 free flap operations for lower extremity wounds between November 2014 and August 2017...
November 26, 2018: Plastic and Reconstructive Surgery
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