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“How i manage“

M Thimmesch, N Seret, G Hens, A François, G François
Pierre Robin sequence (PRS) is described as a triad of micrognathia, glossoptosis and cleft palate. This sequence may be isolated or associated with a genetic syndrome in half of the cases. Main complications affect respiratory function and the upper digestive tract. Respiratory obstruction can arise as soon as in the first hours of life and may be life-threatening if no early appropriate management is implemented. PRS is phenotypically variable and the required treatment varies accordingly: some patients will be relieved with prone positioning alone while others will benefit from nasopharyngeal tube, CPAP ("Continuous Positive Airway Pressure") or rarely surgery...
March 2019: Revue Médicale de Liège
Allyson G Box, Yuri Feito, Chris Brown, Katie M Heinrich, Steven J Petruzzello
High Intensity Functional Training (HIFT) is a unique fitness method that promotes an active lifestyle and has seen exponential and continual growth over the last two decades. Motivation to exercise is likely to change over time as individuals' motives to initiate exercise may be different than those which motivate them to maintain an exercise program. The purpose of this study was to examine the motivational factors reported by individuals who actively engage in HIFT with varying length of participation and competition levels...
2019: PloS One
Julia L Allan, Derek W Johnston, Daniel J H Powell, Barbara Farquharson, Martyn C Jones, George Leckie, Marie Johnston
OBJECTIVE: The present study investigates whether nurses working for a national medical telephone helpline show evidence of "decision fatigue," as measured by a shift from effortful to easier and more conservative decisions as the time since their last rest break increases. METHOD: In an observational, repeated-measures study, data from approximately 4,000 calls to 150 nurses working for the Scottish NHS 24 medical helpline (37% of the national workforce) were modeled to determine whether the likelihood of a nurse's decision to refer a patient to another health professional the same day (the clinically safest but most conservative and resource inefficient decision) varied according to the number of calls taken/time elapsed since a nurse's last rest break and/or since the start of shift...
April 2019: Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association
J P R Bouvet, A Urbaneja, M Pérez-Hedo, C Monzó
Biological control has traditionally simplified the view of trophic relationships between herbivorous pests and their natural enemies in agriculture. The success or failure of this pest management strategy is still mainly attributed to the ability of a few key natural enemies to suppress the pest density. For example, successful regulation of the California red scale (Aonidiella aurantii) a key citrus pest, is generally credited to specific parasitoids of the Aphytis genus. Currently, research is revealing how herbivore regulation in agroecosystems can be alternatively achieved with a greater number of trophic associations within the system...
March 21, 2019: Journal of Animal Ecology
Clare Aslan, Noelle G Beckman, Haldre S Rogers, Judie Bronstein, Damaris Zurell, Florian Hartig, Katriona Shea, Liba Pejchar, Mike Neubert, John Poulsen, Janneke HilleRisLambers, Maria Miriti, Bette Loiselle, Edu Effiom, Jenny Zambrano, Geno Schupp, Gesine Pufal, Jeremy Johnson, James M Bullock, Jedediah Brodie, Emilio Bruna, Robert Stephen Cantrell, Robin Decker, Evan Fricke, Katie Gurski, Alan Hastings, Oleg Kogan, Onja Razafindratsima, Manette Sandor, Sebastian Schreiber, Rebecca Snell, Christopher Strickland, Ying Zhou
Seed dispersal enables plants to reach hospitable germination sites and escape natural enemies. Understanding when and how much seed dispersal matters to plant fitness is critical for understanding plant population and community dynamics. At the same time, the complexity of factors that determine if a seed will be successfully dispersed and subsequently develop into a reproductive plant is daunting. Quantifying all factors that may influence seed dispersal effectiveness for any potential seed-vector relationship would require an unrealistically large amount of time, materials and financial resources...
April 2019: AoB Plants
Laura Allen, Ayham Al Afif, Matthew H Rigby, Martin J Bullock, Jonathan Trites, S Mark Taylor, Robert D Hart
BACKGROUND: The Bethesda System is the most widely used for reporting fine needle aspiration (FNA) cytology. It recommends a repeat FNA (rFNA) when initial results are category I or III. It is unclear how often rFNA provides additional diagnostic information. We sought to investigate its utility at our institution. METHODS: A retrospective chart review was performed of patients who had a category I or III FNA result and underwent rFNA of the same thyroid nodule between 2013 and 2015 at the QE II Health Sciences Centre in Nova Scotia, Canada...
March 20, 2019: Journal of Otolaryngology—Head & Neck Surgery
Marlee McGuire
Pharmaceutical industry representatives and public drug plan managers hold competing visions of drug access, ones I theorize as "fast" and "slow" care paces. The relationship between free market imaginaries and population-based biopolitics is negotiated through these paces from within the flexible political category of rare disease. In this article, I explore expensive rare disease drug access in Canada's universal health system through a temporal lens. I show how two families navigate these powerful negotiations, asserting themselves as deserving of resources while finding ways to consider life and death outside of this clash between health system pragmatics and pharmaceutical promise...
March 20, 2019: Medical Anthropology
Gregory L Alexander, Kimberly Powell, Chelsea B Deroche, Lori Popejoy, Abu Saleh Mohammad Mosa, Richelle Koopman, Lorren Pettit, Michelle Dougherty
OBJECTIVES: We describe the development of a nursing home information technology (IT) maturity model designed to capture stages of IT maturity. MATERIALS AND METHODS: This study had 2 phases. The purpose of phase I was to develop a preliminary nursing home IT maturity model. Phase II involved 3 rounds of questionnaires administered to a Delphi panel of expert nursing home administrators to evaluate the validity of the nursing home IT maturity model proposed in phase I...
March 19, 2019: Journal of the American Medical Informatics Association: JAMIA
M Dastouri, M Kowash, M Al-Halabi, A Salami, A H Khamis, I Hussein
PURPOSE: The broken down first permanent molar (BDFPM) is common in children. Enforced extractions of first permanent molars (EExFPMs) guidelines were published in the United Kingdom (UK) in 2014. We aimed to assess the knowledge and practice of dentists in the United Arab Emirates (UAE) of BDFPMs in children in light of the guidelines. METHODS: A cross-sectional sample of UAE-based dentists treating children completed a self-administered questionnaire covering; knowledge and practice of the principle of EExFPMs; to whom dentists would refer in case of BDFPMs; knowledge of the ideal age for EExFPMs (8-10 years) and finally actual awareness of the EExFPMs guidelines...
March 18, 2019: European Archives of Paediatric Dentistry: Official Journal of the European Academy of Paediatric Dentistry
Omar Hamoui, Mohamed I Omar, Frederick J Raal, Wafa Rashed, Abdoul Kane, Mohamed Alami, Paula Abreu, Walid Mashhoud, Alawi A Alsheikh-Ali
BACKGROUND: With development of cholesterol management guidelines by the American College of Cardiology/American Heart Association (ACC/AHA), more individuals at risk of cardiovascular disease may be eligible for statin therapy. It is not known how this affects statin eligibility in the Africa and Middle East Region. METHODS: Data were used from the Africa Middle East Cardiovascular Epidemiological (ACE) study. The percentage of subjects eligible for statins per the ACC/AHA 2013 cholesterol guidelines and the 2002 National Cholesterol Education Program-Adult Treatment Panel (NCEP-ATP III) recommendations were compared...
March 15, 2019: BMC Cardiovascular Disorders
Alina M Mateo, Anna M Mazor, Lyudmila DeMora, Elin R Sigurdson, Elizabeth A Handorf, John M Daly, Allison A Aggon, Elias Obeid, Shelly B Hayes, Richard J Bleicher
BACKGROUND: The management of small skin-involved (SI) invasive breast cancers is controversial because although they are considered unresectable, their prognosis is far better than their stage III classification. This study was undertaken to determine how SI lesions are treated in the United States and to discern the benefit of systemic therapy. PATIENTS AND METHODS: Data of patients diagnosed with stage I-III breast cancer in the National Cancer Data Base between 2004 and 2011 were reviewed...
February 16, 2019: Clinical Breast Cancer
Asad Jehangir, Henry P Parkman
OBJECTIVES: Gastroparesis (Gp) can be a challenging disorder to manage due to the paucity of treatment options. We do not know how frequently patients with Gp symptoms resort to cannabinoids to address their symptoms. This study (i) determines the prevalence of cannabinoid use in patients with Gp symptoms, (ii) describes the patients with Gp symptoms using cannabinoids, and (iii) assesses the patients' perceived benefit of cannabinoids for Gp symptoms. METHODS: Consecutive outpatients with symptoms suggestive of Gp seen on follow-up at our academic center from June 2018 to September 2018 filled out questionnaires on their symptoms and the current treatments...
March 8, 2019: American Journal of Gastroenterology
Elizabeth Rivers, Austen Worth, Adrian J Thrasher, Siobhan O Burns
Wiskott Aldrich syndrome (WAS) is a primary immunodeficiency disease resulting in recurrent infections, eczema and microthrombocytopaenia. In its classical form, significant combined immune deficiency, autoimmune complications and risk of haematological malignancy necessitate early correction with stem cell transplantation or gene therapy. A milder form, X-linked thrombocytopaenia (XLT), shares similar bleeding risk from thrombocytopaenia but is not associated with other significant clinical features and is generally managed conservatively...
March 12, 2019: British Journal of Haematology
E Louise Allan, Laurence Livermore, Benjamin W Price, Olha Shchedrina, Vincent S Smith
The Natural History Museum, London (NHM) has embarked on an ambitious programme to digitise its collections. One aim of the programme has been to improve the workflows and infrastructure needed to support high-throughput digitisation and create comprehensive digital inventories of large scientific collections. This paper presents the workflow developed to digitise the entire Phthiraptera (parasitic lice) microscope slide collection (70,663 slides). Here we describe a novel process of semi-automated mass digitisation using both temporary and permanent barcode labels applied before and during slide imaging...
2019: Biodiversity Data Journal
Richard I Horowitz, Phyllis R Freeman
Purpose: We collected data from an online survey of 200 of our patients, which evaluated the efficacy of dapsone (diaminodiphenyl sulfone, ie, DDS) combined with other antibiotics and agents that disrupt biofilms for the treatment of chronic Lyme disease/post-treatment Lyme disease syndrome (PTLDS). We also collected aggregate data from direct retrospective chart review, including laboratory testing for Lyme, other infections, and associated tick-borne coinfections. This helped us to determine the frequency of exposure to other infections/coinfections among a cohort of chronically ill Lyme patients, evaluate the efficacy of newer "persister" drug regimens like DDS, and determine how other infections and tick-borne coinfections may be contributing to the burden of chronic illness leading to resistant symptomatology...
2019: International Journal of General Medicine
Karl Hedman
BACKGROUND: Few empirical studies have examined strengths and support of older people in circumstances of precarity. A better understanding of this problem has the potential to contribute to the development of care planning and delivery. PURPOSE: To investigate how older people deal with episodes of precarity in South Louisiana. METHOD: More than 300 hr of participant observation and interviews were conducted with 20 predominantly older African American women in a housing complex for low-income older persons and two senior citizen centres...
March 12, 2019: International Journal of Older People Nursing
L Joubert-van der Merwe, J S Pryke, M J Samways
Habitat degradation is a major concern in transformed landscapes, as it reduces complexity by removing species, interactions, and ultimately biodiversity. Degradation is also of concern for ecological networks (ENs) composed of an interconnected system of conservation corridors among South Africa's commercial forestry compartments. These corridors are predominantly grasslands, and used as rangeland, so managed to optimize grazing conditions. Yet, how this management approach influences biodiversity remains unknown...
March 9, 2019: Journal of Environmental Management
Ana Carolina E S Lima, Leandro Nunes de Castro
Temperament and Psychological Types can be defined as innate psychological characteristics associated with how we relate with the world, and often influence our study and career choices. Furthermore, understanding these features help us manage conflicts, develop leadership, improve teaching and many other skills. Assigning temperament and psychological types is usually made by filling specific questionnaires. However, it is possible to identify temperamental characteristics from a linguistic and behavioral analysis of social media data from a user...
2019: PloS One
William J Scarborough, Danny L Lambouths, Allyson L Holbrook
Workplace diversity policies are more effective when they are supported by managers and workers, but there is little direct evidence on how people feel about these policies or why they hold certain opinions. In this study, we analyze data from a survey experiment designed to assess public opinion about a range of workplace diversity policies. We examine how support for these policies among employed respondents varies by race, gender, and by the targeted population (i.e. whether the policies aim to improve the workplace representation of women or racial minorities)...
March 2019: Social Science Research
Laurent Michaud, Friedrich Stiefel, Delphine Moreau, Yves Dorogi, Anouk Morier-Genoud, Céline Bourquin
OBJECTIVE: To identify health care-related factors associated with death by suicide in psychiatric patients and to gain insight into clinician views on how to deal with suicidality. METHOD: The study material derived from a clinician committee in a psychiatric department reviewing every outpatient and inpatient suicide in a standardized way. Reports' conclusions and corresponding plenary discussion minutes regarding 94 suicides were analysed using inductive thematic content analysis...
March 11, 2019: Archives of Suicide Research: Official Journal of the International Academy for Suicide Research
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