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https://read.qxmd.com/read/30785476/characterization-of-didactic-and-pedagogical-training-in-brazilian-stricto-sensu-postgraduate-programs-in-nursing
#1
Katheri Maris Zamprogna, Vânia Marli Schubert Backes, Jouhanna do Carmo Menegaz, Bruna de Souza Francisco
OBJECTIVE: To characterize the didactic and pedagogical training offered in Brazilian stricto sensu Postgraduate Programs in Nursing. METHOD: Descriptive, documentary research, based on data from 30 postgraduate programs that offer an academic master's degree and a PhD degree. We collected the course projects and teaching plans of the disciplines related to didactic and pedagogical training, accessed through the Sucupira Platform or the institutional website. The variables were analyzed by descriptive statistics, through calculations of relative and absolute frequency...
February 18, 2019: Revista da Escola de Enfermagem da U S P
https://read.qxmd.com/read/30783157/radiation-pneumonitis-after-intensity-modulated-radiotherapy-for-esophageal-cancer-institutional-data-and-a-systematic-review
#2
J J Tonison, S G Fischer, M Viehrig, S Welz, S Boeke, K Zwirner, B Klumpp, L H Braun, D Zips, C Gani
Radiation pneumonitis (RP) is a serious complication that can occur after thoracic radiotherapy. The goal of this study is to investigate the incidence of RP after radiochemotherapy with intensity modulated radiotherapy (IMRT) in patients with esophageal cancer and correlate this with dose volume histogram (DVH) related parameters. For this purpose, the clinical course of 73 patients was evaluated and irradiation doses to the lungs were extracted from radiotherapy treatment plans. Furthermore, a systematic review on this topic was conducted across PubMed...
February 19, 2019: Scientific Reports
https://read.qxmd.com/read/30782142/physical-activity-related-health-and-economic-benefits-of-building-walkable-neighbourhoods-a-modelled-comparison-between-brownfield-and-greenfield-developments
#3
Belén Zapata-Diomedi, Claire Boulangé, Billie Giles-Corti, Kath Phelan, Simon Washington, J Lennert Veerman, Lucy Dubrelle Gunn
BACKGROUND: A consensus is emerging in the literature that urban form can impact health by either facilitating or deterring physical activity (PA). However, there is a lack of evidence measuring population health and the economic benefits relating to alternative urban forms. We examined the issue of housing people within two distinct types of urban development forms: a medium-density brownfield development in an established area with existing amenities (e.g. daily living destinations, transit), and a low-density suburban greenfield development...
February 20, 2019: International Journal of Behavioral Nutrition and Physical Activity
https://read.qxmd.com/read/30782032/braf-in-the-cross-hairs
#4
Mark B Geyer, Omar Abdel-Wahab, Martin S Tallman
Hairy cell leukemia (HCL) is a rare, chronic B-cell lymphoproliferative disorder characterized by distinctive morphologic features and an indolent clinical course. The discovery of a recurrent activating mutation in BRAF (BRAF V600E) as a disease-defining genetic event in HCL has substantial diagnostic and therapeutic implications. Areas covered: Herein the authors review the role of BRAF V600E and RAF-MEK-ERK signaling in the pathogenesis of HCL, anecdotal clinical reports of BRAF inhibitor monotherapy in management of relapsed or refractory HCL, larger phase 2 trials investigating efficacy of BRAF inhibitor therapy for HCL, adverse effects commonly associated with BRAF inhibitor therapy, including cutaneous toxicity, and mechanisms of therapeutic resistance...
February 20, 2019: Expert Review of Hematology
https://read.qxmd.com/read/30777687/predictors-of-in-hospital-adverse-events-after-endovascular-aortic-aneurysm-repair
#5
Besma Nejim, Devin Zarkowsky, Caitlin W Hicks, Satinderjit Locham, Hanaa Dakour Aridi, Mahmoud Malas
BACKGROUND: Endovascular aneurysm repair (EVAR) offered outstanding survival benefit but at the expense of cost, periodic radiographic monitoring, and higher reinterventions rates. Perioperative complications, although rare, can occur after EVAR, contributing to longer hospitalization, higher cost, and significant comorbidity and mortality. Therefore, the aim of this study was to identify the predictors of in-hospital events (IHEs) after elective EVAR. METHODS: The Vascular Quality Initiative database was explored from 2003 to 2017...
February 15, 2019: Journal of Vascular Surgery
https://read.qxmd.com/read/30777252/a-practical-radiotherapy-treatment-planning-technique-for-second-incidence-cancers-that-incorporates-complete-organ-at-risk-dose-history
#6
Haley Clark, Fred Cao, Carson Leong, Eric Berthelet
INTRODUCTION: Patients requiring treatment for second cancer incidences present unique radiotherapy plan development challenges. Historical dose delivered to organs at risk must be accounted for to properly estimate lifetime toxicity risks, but historical dose delivered to the region now occupied by tumours does not contribute to the prescription dose. Treatment planning systems permit inclusion of a base plan but do not provide the ability to manipulate it. We present a technique, dose cropping, which incorporates organ-at-risk dose history into the base plan while selectively excising dose history to diseased tissues now occupied by tumours...
March 2019: Journal of Medical Imaging and Radiation Sciences
https://read.qxmd.com/read/30777049/gla-d-%C3%A2-back-implementation-of-group-based-patient-education-integrated-with-exercises-to-support-self-management-of-back-pain-protocol-for-a-hybrid-effectiveness-implementation-study
#7
Alice Kongsted, Inge Ris, Per Kjaer, Werner Vach, Lars Morsø, Jan Hartvigsen
BACKGROUND: Reassuring patient education and exercise therapy are widely recommended interventions for back pain in clinical guidelines. However, many patients are offered non-guideline endorsed options, and strategies for effective implementation of guideline-based care have not yet been developed. This protocol outlines the evaluation of a strategy for nationwide implementation of standardised patient education and exercise therapy for people with persistent or recurrent back pain in a hybrid implementation-effectiveness design...
February 18, 2019: BMC Musculoskeletal Disorders
https://read.qxmd.com/read/30773179/including-anatomical-variations-in-robust-optimization-for-head-and-neck-proton-therapy-can-reduce-the-need-of-adaptation
#8
Macarena Cubillos-Mesías, Esther G C Troost, Fabian Lohaus, Linda Agolli, Maximilian Rehm, Christian Richter, Kristin Stützer
BACKGROUND AND PURPOSE: Classical robust optimization considers uncertainties in patient setup and particle range. However, anatomical changes occurring during the treatment are neglected. Our aim was to compare classical robust optimization (cRO) with anatomical robust optimization (aRO), to quantify the influence of anatomical variations during the treatment course, and to assess the need of adaptation. MATERIALS AND METHODS: Planning CT and weekly control CTs (cCTs) from 20 head and neck patients were analysed...
February 2019: Radiotherapy and Oncology: Journal of the European Society for Therapeutic Radiology and Oncology
https://read.qxmd.com/read/30768394/a-multisite-randomized-controlled-two-phase-trial-of-the-early-start-denver-model-compared-to-treatment-as-usual
#9
Sally J Rogers, Annette Estes, Catherine Lord, Jeff Munson, Marie Rocha, Jamie Winter, Jessica Greenson, Costanza Colombi, Geraldine Dawson, Laurie A Vismara, Catherine A Sugar, Gerhard Hellemann, Fiona Whelan, Meagan Talbott
OBJECTIVE: This single-blind, randomized, multi-site, intent-to-treat study was designed to replicate and extend Dawson et al.'s (2010) randomized controlled trial (RCT) testing effects of the Early Start Denver Model (ESDM), an intensive play-and routines-based intervention delivered in natural settings. METHOD: An RCT was conducted at three universities. 118 children with autism spectrum disorder (ASD), 14-24 months of age, were enrolled and randomly assigned to ESDM or community interventions for 27 months...
January 24, 2019: Journal of the American Academy of Child and Adolescent Psychiatry
https://read.qxmd.com/read/30758596/-model-based-treatment-in-surgery
#10
REVIEW
T Vogel, N Kohn, D Ostler, N Marahrens, N Samm, A Jell, M Kranzfelder, D Wilhelm, H Friess, H Feußner
BACKGROUND: The "magic triangle" in surgery and other disciplines consists of the demand for increasingly gentler forms of treatment, simultaneous cost reduction and the fundamental primacy of improving the quality of results. The digitalization of medicine offers a promising opportunity to do justice to this, also in the sense of "Surgery 4.0". The aim is to create a cognitive, collaborative diagnostics and treatment environment to support the surgeon. METHODS: In the sense of a "theory building" for analysis and planning, process modeling is the cornerstone for modern treatment planning...
February 13, 2019: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://read.qxmd.com/read/30748030/recurrent-oral-squamous-cell-carcinoma-incorporating-advance-care-planning-in-education-and-practice
#11
Stephanie M Munz, Joseph I Helman, Margaret K Tiner, Anita L Hart
This reflection describes a life-limiting case of oral squamous cell carcinoma (SCC) that required thoughtful management facilitated by an advance care plan (ACP). A 70-year-old female was diagnosed with a T4aN2bM0 biopsy-proven invasive, well-differentiated keratinizing SCC. Surgical wide-local excision included teeth #11-16 with left unilateral neck dissection, levels I-V. She was rehabilitated with maxillary obturator prosthesis and underwent chemoradiation therapy. Her course was complicated by dysphagia and trismus...
February 12, 2019: Special Care in Dentistry
https://read.qxmd.com/read/30745887/target-uncertainty-during-motor-decision-making-the-time-course-of-movement-variability-reveals-the-effect-of-different-sources-of-uncertainty-on-the-control-of-reaching-movements
#12
Melanie Krüger, Joachim Hermsdörfer
The processes underlying motor decision-making have recently caught considerable amount of scientific attention, focusing on the integration of empirical evidence from sensorimotor control research with psychological theories and computational models on decision-making. Empirical studies on motor decision-making suggest that the kinematics of goal-directed reaching movements are sensitive to the level of target uncertainty during movement planning. However, the source of uncertainty as a relevant factor influencing the process of motor decision-making has not been sufficiently considered, yet...
2019: Frontiers in Psychology
https://read.qxmd.com/read/30745653/are-emotion-recognition-deficits-in-patients-with-schizophrenia-states-or-traits-a-6-month-follow-up-study
#13
Sakir Gica, Burc Cagri Poyraz, Huseyin Gulec
Background: Patients with schizophrenia were found to be less successful at emotion recognition tasks (ERTs) than healthy individuals. There is a debate surrounding whether this deficit is permanent or temporary. The current study aims to assess how emotion recognition skills are affected by treatment processes and during the course of the disease and also to determine the relation of this change with clinical assessment scales, other cognitive functions, and quantitative electroencephalography (QEEG)...
January 2019: Indian Journal of Psychiatry
https://read.qxmd.com/read/30745344/are-there-differences-in-technical-assessment-grades-between-adjunct-and-full-time-dental-faculty-a-pilot-study
#14
Janina Golob Deeb, Thomas E Koertge, Daniel M Laskin, Caroline K Carrico
Some dental students preferentially schedule graded assessments with adjunct faculty members in expectation of obtaining a higher grade. The aim of this pilot study was to compare the grades given by full-time and adjunct faculty members in clinical periodontics to determine if a difference in grading existed. Grades for students given by seven full-time and 11 adjunct faculty members for various technical and competency assessments in D3 and D4 clinical periodontics courses in academic year 2015-16 were compared...
February 11, 2019: Journal of Dental Education
https://read.qxmd.com/read/30744536/lingual-alveolar-soft-part-sarcoma-in-a-1-year-old-infant-youngest-reported-case-with-characteristic-aspscr1-tfe3-fusion
#15
Amy Ruffle, Malcolm Cameron, Nicolaas Jonas, Samantha Levine, Caroline Mills, C Elizabeth Hook, Matthew J Murray
Alveolar soft part sarcoma (ASPS) is an exceptionally rare non-rhabdomyosarcomatous soft tissue sarcoma (NRSTS), characterized by the translocation t(X;17) p(11.2;q25). This translocation results in the chimeric ASPSCR1-TFE3 transcription factor which drives tumorigenesis. Complete surgical resection is crucial in allowing a successful outcome in these cases. Here, we describe an 11-month-old female infant who presented with a well-circumscribed lesion of the tongue, with the clinical and radiologic appearances of an infantile hemangioma...
February 11, 2019: Pediatric and Developmental Pathology
https://read.qxmd.com/read/30742792/functional-reconstruction-of-mandibular-segment-defects-with-individual-preformed-reconstruction-plate-and-computed-tomographic-angiography-aided-iliac-crest-flap
#16
Maorui Zhang, Pengcheng Rao, Delin Xia, Libo Sun, Xiaoxiao Cai, Jingang Xiao
PURPOSE: With the development of imaging technology and computer-assisted surgery in oral and maxillofacial surgery, digital technology is widely used in vascularized bone flap grafts for mandibular reconstruction. The aim of this study was to use digital technology throughout the treatment process to show that digital techniques can provide a reliable and accurate match between the mandible and the iliac crest flap to achieve functional reconstruction of mandibular segment defects. MATERIALS AND METHODS: Twenty patients underwent 3-dimensional (3D) computed tomography (CT), mirroring technology, 3D model prototyping, and CT angiography (CTA) for treatment planning...
January 18, 2019: Journal of Oral and Maxillofacial Surgery
https://read.qxmd.com/read/30738520/evaluation-of-patient-positional-reproducibility-on-the-treatment-couch-and-its-impact-on-dose-distribution-using-rotating-gantry-system-in-scanned-carbon-ion-beam-therapy
#17
Takayuki Kanai, Wataru Furuichi, Shinichiro Mori
PURPOSE: The daily variations in patient setup may cause beam range uncertainties. We evaluated the reproducibility of relative position between the patient and the treatment couch throughout the treatment course and assessed its effects on dose distributions when a beam passes through treatment couch using rotating gantry system. METHODS: We enrolled 1023 patients (=13072 fractions) treated by carbon-ion pencil beam scanning therapy. Seven treatment sites including prostate, head and neck, bone and soft tissue, rectum, liver, lung, and pancreas were investigated...
January 2019: Physica Medica: PM
https://read.qxmd.com/read/30738370/biliary-atresia-with-an-unusual-abdominal-orientation-a-case-report
#18
Jawad Allarakia, Taher Felemban, Waleed Khayyat, Ahmed Alawi, Abdurrahaman Mirza, Batool Alkhazal, Yasmin Yousef
INTRODUCTION: Biliary atresia (BA) is a rare condition where the hepatic or common bile ducts get obliterated by fibrous tissue for unknown causes. It is diagnosed in 5-10 per 100,000 live births worldwide in whom liver injury and death are definite if untreated. PRESENTATION: We report a case of BA with associated malrotation and situs ambiguous discovered incidentally during Kasai procedure. The small intestine was found to be malrotated with the duodenojejunal junction to the right of the vertebral column...
January 30, 2019: International Journal of Surgery Case Reports
https://read.qxmd.com/read/30736809/dosimetric-predictors-of-temporal-lobe-injury-after-intensity-modulated-radiotherapy-for-t4-nasopharyngeal-carcinoma-a-competing-risk-study
#19
Juan Huang, Fang-Fang Kong, Ronald Wihal Oei, Rui-Ping Zhai, Chao-Su Hu, Hong-Mei Ying
BACKGROUND: In patients with T4 nasopharyngeal carcinoma (NPC), death may occur prior to the occurrence of temporal lobe injury (TLI). Because such competing risk death precludes the occurrence of TLI and thus the competing risk analysis should be applied to TLI research. The aim was to investigate the incidence and predictive factors of TLI after intensity-modulated radiotherapy (IMRT) among T4 NPC patients. METHODS: From March 2008 to December 2014, T4 NPC patients treated with full-course radical IMRT at our center were reviewed retrospectively...
February 8, 2019: Radiation Oncology
https://read.qxmd.com/read/30735480/benefits-of-treatment-completion-over-premature-termination-findings-from-the-national-child-traumatic-stress-network
#20
Alan M Steinberg, Christopher M Layne, Ernestine C Briggs, Li-Jung Liang, Melissa J Brymer, Thomas R Belin, John A Fairbank, Robert S Pynoos
OBJECTIVE: To evaluate potential differences in therapeutic outcomes between youths who completed a full course of treatment as planned compared to youths who terminated treatment prematurely. METHOD: Using longitudinal data from the National Child Traumatic Stress Network (NCTSN) Core Data Set, the present study examined demographic characteristics, trauma history, scores on standardized measures, and ratings of functional impairment and behavior problems in a large clinical sample of children and adolescents exposed to trauma who received treatment at NCTSN centers across the United States...
February 8, 2019: Psychiatry
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