151,625 results match your criteria Q Fever


Pain characterization and response to palliative care in dogs with naturally-occurring appendicular osteosarcoma: An open label clinical trial.

PLoS One 2018 6;13(12):e0207200. Epub 2018 Dec 6.

GREPAQ (Groupe de recherche en pharmacologie animale du Québec), Department of biomedical sciences, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, Quebec, Canada.

This study aimed to characterize bone cancer pain (quantitative sensory testing (QST), stance asymmetry index, actimetry, scores of pain and quality of life (QoL)) in dogs with appendicular osteosarcoma (OSA), and to evaluate a stepwise palliative analgesic treatment. The pain profile of thirteen client-owned dogs with OSA was compared with seven healthy dogs. Dogs with OSA were then enrolled in a prospective, open-label, clinical trial. Read More

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December 2018

Not performing an OGTT results in underdiagnosis, inadequate risk assessment and probable cost increases of (pre)diabetes in Han Chinese over 40 years: a population based prospective cohort study.

Endocr Connect 2018 Dec 1. Epub 2018 Dec 1.

L Chen, Endocrinology, Tongji Hospital affiliated with Tongji Medical School of Huazhong University of Science and Technology, Wuhan, 430022, China.

Screening for (pre)diabetes is recommended in China using fasting blood glucose as routine strategy currently but not oral glucose tolerance test (OGTT) in high-risk population. We aimed to explore the impact by not performing an OGTT in Han Chinese over 40 years. 6682 participants were included in the prospective cohort study followed up for 3 years. Read More

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December 2018
3 Reads

Microgravity-induced hepatogenic differentiation of rBMSCs on board the SJ-10 satellite.

FASEB J 2018 Dec 6:fj201802075R. Epub 2018 Dec 6.

Key Laboratory of Microgravity, Center of Biomechanics and Bioengineering, Institute of Mechanics, Chinese Academy of Sciences, Beijing, China.

Bone marrow-derived mesenchymal stem cells (BMSCs) are able to differentiate into functional hepatocytelike cells, which are expected to serve as a potential cell source in regenerative medicine, tissue engineering, and clinical treatment of liver injury. Little is known about whether and how space microgravity is able to direct the hepatogenic differentiation of BMSCs in the actual space microenvironment. In this study, we examined the effects of space microgravity on BMSC hepatogenic differentiation on board the SJ-10 Recoverable Scientific Satellite. Read More

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December 2018
1 Read
5.043 Impact Factor

Is Sexting Associated with Sexual Behaviors During Adolescence? A Systematic Literature Review and Meta-Analysis.

J Midwifery Womens Health 2018 Dec 6. Epub 2018 Dec 6.

Introduction: A growing body of research has addressed adolescent use of mobile devices to exchange sexually explicit images and messages (sexting). Although there are legal consequences in some states for sexting among adolescents, research findings have also demonstrated associations between sexting and sexual activity. The purpose of this systematic review was to synthesize research examining the association between adolescent sexting and sexual activity. Read More

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December 2018

Extreme cold consistently reduces seedling growth but has species-specific effects on browse tolerance in summer.

Am J Bot 2018 Dec 6. Epub 2018 Dec 6.

Department of Integrative Biology, University of Wisconsin-Madison, 250 N. Mills Street, Madison, WI, 53706, USA.

Premise Of The Study: Extreme weather events can injure plants, causing decreased survival. However, we may underestimate the ecological importance of extreme events if they have strong sublethal effects that manifest after several months. We tested the hypothesis that late-winter extreme-cold events decrease the ability of woody plants to grow and tolerate stem removal in summer. Read More

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December 2018

A novel method for the determination of field output factors and output correction factors for small static fields for six diodes and a microdiamond detector in megavoltage photon beams.

Med Phys 2018 Dec 6. Epub 2018 Dec 6.

Department of Radiation Oncology, University of Pittsburgh School of Medicine and UPMC Hillman Cancer Center, Pittsburgh, Pennsylvania, USA.

Purpose: The goal of this work is to provide a large and consistent set of data for detector specific output correction factors, , for small static fields for seven solid state detectors and to determine field output factors, , using EBT3 radiochromic films and W1 plastic scintillator as reference detectors on two different linear accelerators and four megavoltage photon beams. Consistent measurement conditions and recommendations given in the International Code of PracticeTRS-483 for small field dosimetry were followed throughout the study.

Methods: were determined on two linacs, Elekta Versa HD and Varian TrueBeam, for 6 and 10 MV beams with and without flattening filter and for nine fields ranging from 0. Read More

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December 2018
2 Reads

Assessment of ERBB2/HER2 Status in HER2-Equivocal Breast Cancers by FISH and 2013/2014 ASCO-CAP Guidelines.

JAMA Oncol 2018 Dec 6. Epub 2018 Dec 6.

Department of Medicine, Geffen School of Medicine at University of California Los Angeles, Los Angeles.

Importance: The 2013/2014 American Society of Clinical Oncology and College of American Pathologists (ASCO-CAP) guidelines for HER2 testing by fluorescence in situ hybridization (FISH) designated an "equivocal" category (average HER2 copies per tumor cell ≥4-6 with HER2/CEP17 ratio <2.0) to be resolved as negative or positive by assessments with alternative control probes. Approximately 4% to 12% of all invasive breast cancers are characterized as HER2-equivocal based on FISH. Read More

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December 2018

Shell model extension to the valence force field: application to single-layer black phosphorus.

Phys Chem Chem Phys 2018 Dec 6. Epub 2018 Dec 6.

Department of Physics, Applied Physics, and Astronomy, Rensselaer Polytechnic Institute, Troy, NY 12180, USA.

We propose an extension of the traditional valence force field model to allow for the effect of electronic polarization to be included in the inter-atomic potential. Using density functional theory as a reference, this model is parameterized for the specific case of single-layer black phosphorus by fitting the phonon dispersion relation over the entire Brillouin zone. The model is designed to account for the effect of induced dipole interaction on the long-wavelength (|q[combining right harpoon above]| → 0) modes for the case of homopolar covalent crystals. Read More

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December 2018
1 Read

Transient Q-waves in an infant with asymptomatic myocardial infarction due to Kawasaki disease.

Cardiol Young 2018 Dec 6:1-4. Epub 2018 Dec 6.

Department of Pediatrics,Shinshu University School of Medicine,Asahi 3-1-1, Matsumoto,Japan.

Giant coronary artery aneurysms are a complication of Kawasaki disease and can be fatal if associated with thrombosis. We describe the clinical outcome of a boy with Kawasaki disease who exhibited "supergiant" coronary artery aneurysms at the age of 14 months and, despite treatment with anticoagulant and antiplatelet medication, developed a left coronary artery thrombosis and presented following a myocardial infarction at 2 years old. Although his symptoms were minimal, the myocardial infarction was identified by abnormal Q-waves and giant negative T-waves in precordial leads of routine electrocardiography. Read More

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December 2018

Same day implant bridge for full-arch implant fixed rehabilitation.

J Esthet Restor Dent 2018 Dec 6. Epub 2018 Dec 6.

Q LAB, Perth, Western Australia, Australia.

Objective: To report an alternative clinical and laboratory protocol for same-day implant fixed full-arch provisional rehabilitation that may overcome limitations associated with traditional immediate provisional denture conversion rehabilitation protocols.

Clinical Considerations: The traditional denture conversion fabrication method of an immediate full-arch fixed provisional involves the conversion of a complete denture into a provisional fixed implant-support prosthesis. The conversion technique has several shortcomings which compromise structural integrity, longevity, ease of modification, and the need for a silicone impression. Read More

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December 2018
1 Read

Ischemic optic neuropathy in robotic-assisted gynaecologic surgery: A case report.

J Obstet Gynaecol Res 2018 Dec 6. Epub 2018 Dec 6.

Ceyhan State Hospital Ophthalmology Department, Adana, Turkey.

The study was aimed to present a rare case of who developed non arteritic anterior ischemic optic neuropathy (NAION) following robotic-assisted gynaecologic surgery. A 58-year-old female patient presented with vision loss in right eye after non-complicated robotic-assisted total hysterectomy and bilateral salpingo-oopherectomy. We observed on fundoscopy optic disc edema and splinter hemorrhages at the optic disc edges. Read More

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December 2018
4 Reads

Screening for Q fever. A tertiary care hospital-based experience in central Saudi Arabia.

Saudi Med J 2018 Dec;39(12):1195-1199

Department of Pathology, King Saud University, Riyadh, Kingdom of Saudi Arabia. E-mail.

Objectives: To evaluate the presence of Coxiella burnetii  (C. brunetii) infection among patients presenting with fever of unknown origin (FUO).

Methods: A cross-sectional study of 100 patients (54 men and 46 women; mean age: 34. Read More

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December 2018

A meta-analysis of neuropsychological, social cognitive, and olfactory functioning in the behavioral and language variants of frontotemporal dementia.

Psychol Med 2018 Dec 6:1-12. Epub 2018 Dec 6.

Department of Psychiatry and Behavioral Sciences,Baltimore, MD,USA.

Background: Though meta-analyses of neuropsychological and social cognitive deficits in behavioral variant frontotemporal dementia (bvFTD) have been conducted, no study has comprehensively characterized and compared the neuropsychological, social cognitive, and olfactory profiles in the behavioral and language variants of FTD.

Methods: Our search yielded 470 publications meeting inclusion criteria representing 11 782 FTD patients and 19 451 controls. For each domain, we calculated Hedges' g effect sizes, which represent the mean difference between the patient and control group divided by the pooled standard deviation. Read More

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December 2018
1 Read

The impact of the implementation of the Dutch combined Meeting Centres Support Programme for family caregivers of people with dementia in Italy, Poland and UK.

Aging Ment Health 2018 Dec 6:1-11. Epub 2018 Dec 6.

j Department of Psychiatry , VU University Medical Centre , Amsterdam , The Netherlands.

Objectives: The MEETINGDEM research project aimed to implement the combined Dutch Meeting Centre Support Programme (MCSP) for community-dwelling people with dementia and caregivers within Italy, Poland and UK and to assess whether comparable benefits were found in these countries as in the Netherlands.

Method: Nine pilot Meeting Centres (MCs) participated (Italy-5, Poland-2, UK-2). Effectiveness of MCSP was compared to usual care (UC) on caregiver outcomes measuring competence (SSCQ), mental health (GHQ-12), emotional distress (NPI-Q) and loneliness (UCLA) analysed by ANCOVAs in a 6-month pre-test/post-test controlled trial. Read More

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December 2018

II. MEASURES: SECURE BASE BEHAVIOR, CO-CONSTRUCTION, AND ATTACHMENT SCRIPTS.

Monogr Soc Res Child Dev 2018 Dec;83(4):22-34

In order to examine the interplay between behavioral and cognitive representations of attachment during early childhood, we compiled both behavior-based and more cognitive-based attachment measures for this age range. The behavior-based measures were observational Q-set methodologies already established in the literature. Measures of attachment representations for the children and mothers were narrative-based procedures, that is, established storytelling tasks for obtaining attachment narratives from children and adults. Read More

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December 2018
1 Read

VII. MATERNAL SECURE BASE SCRIPT KNOWLEDGE AND JUDGMENTS OF MOTHER-CHILD INTERACTIONS.

Monogr Soc Res Child Dev 2018 Dec;83(4):106-120

Previous studies have shown that mothers with high script scores are better at providing secure base support in naturalistic settings. In the current study, we examine whether maternal script knowledge guides mothers' expectations and judgments of mother-child interactions, providing a bridge between their knowledge and behavior. Forty mothers were asked to use a new Parental Secure Base Q-set designed to characterize a typical mother-child play day at a park. Read More

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December 2018
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III. THE ORGANIZATION OF ATTACHMENT BEHAVIOR IN EARLY CHILDHOOD: LINKS WITH MATERNAL SENSITIVITY AND CHILD ATTACHMENT REPRESENTATIONS.

Monogr Soc Res Child Dev 2018 Dec;83(4):35-59

This article investigated two central questions about mother-child attachment relationships during early childhood: (1) the association between maternal sensitivity and child attachment behavior (Study 1) and (2) the link between child attachment behavior and representations (Study 2). In Study 1, maternal sensitivity and child security were assessed in naturalistic contexts among 74 middle-class dyads, when children were about 3.5 and again 5. Read More

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December 2018

Thoracic epidural analgesia (TEA) versus patient-controlled analgesia (PCA) in laparoscopic colectomy: a systematic review and meta-analysis.

Int J Colorectal Dis 2018 Dec 5. Epub 2018 Dec 5.

Department of Surgery, University Hospital of Larissa, Mezourlo, 41110, Larissa, Greece.

Purpose: A meta-analysis of RCTs was designed to provide an up-to-date comparison of thoracic epidural analgesia (TEA) and patient-controlled analgesia (PCA) in laparoscopic colectomy.

Methods: Our study was completed following the PRISMA guidelines and the Cochrane Handbook for Systematic Reviews of Interventions. A systematic literature screening was performed in MEDLINE and Web of Science. Read More

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December 2018

Should We Always Use Antibiotics after Urodynamic Studies in High-Risk Patients?

Biomed Res Int 2018 5;2018:1607425. Epub 2018 Nov 5.

2nd Department of Gynaecology, Medical University of Lublin, Lublin, Poland.

Aim: The aim of this observational study was to evaluate the effectiveness of a phytotherapic drug (Canephron N) in preventing urinary tract infection (UTI) in high-risk women undergoing urodynamic studies (UDS).

Methods: The study protocol was approved by the local institutional ethical committee. Adult women with at least one risk factor for acquiring UTI (defined as: age over 70, elevated postvoid residual urine>100 ml, recurrent UTI, pelvic organ prolapse (POP) ≥II in POP-Q scale, and neurogenic bladder) had received after UDS either a single oral dose of fosfomycin trometamol (FT) (3 grams) or a phytodrug containing centaury herb, lovage root, and rosemary leaves (5 ml taken orally three times daily for one week). Read More

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November 2018
2 Reads

Assessing the Prevalence of Incidental Findings Identified by CTPA in Women of Reproductive Age.

Emerg Med Int 2018 4;2018:4630945. Epub 2018 Nov 4.

Department of Radiology and Nuclear Medicine, Memorial University of Newfoundland, St. John's, NL, Canada.

Background And Objective: Though multiple studies have evaluated the prevalence of incidental findings identified by CTPA, none have done so with a focus on reproductive-age females with normal chest X-ray (CXR). Due to a comparatively lower breast radiation dose, the oft-recommended alternative to CTPA in this patient group is a V/Q scan. However, these are limited in their assessment of these alternate findings; therefore, it is of particular importance to evaluate the likelihood of these findings on CT in this patient group, which is the goal of this study. Read More

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November 2018

The effects of vitamin D supplementation on endothelial activation among patients with metabolic syndrome and related disorders: a systematic review and meta-analysis of randomized controlled trials.

Nutr Metab (Lond) 2018 29;15:85. Epub 2018 Nov 29.

4Research Center for Biochemistry and Nutrition in Metabolic Diseases, Kashan University of Medical Sciences, Kashan, IR Iran.

Background And Objective: The current systematic review and meta-analysis of randomized controlled trials (RCTs) was conducted to summarize the effect of vitamin D supplementation on endothelial activation among patients with metabolic syndrome and related disorders.

Methods: Cochrane library, Embase, PubMed, and Web of Science database were searched to identify related RCTs published before 30th April 2018. The heterogeneity among the included studies was assessed using Cochran's Q test and I-square (I) statistic. Read More

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November 2018

The plasma peptidome.

Clin Proteomics 2018 1;15:39. Epub 2018 Dec 1.

1Ryerson Analytical Biochemistry Laboratory (RABL), Department of Chemistry and Biology, Faculty of Science, Ryerson University, 350 Victoria St, Toronto, ON Canada.

Background: It may be possible to discover new diagnostic or therapeutic peptides or proteins from blood plasma using LC-ESI-MS/MS to identify, with a linear quadrupole ion trap to identify, quantify and compare the statistical distributions of peptides cleaved ex vivo from plasma samples from different clinical populations.

Methods: A systematic method for the organic fractionation of plasma peptides was applied to identify and quantify the endogenous tryptic peptides from human plasma from multiple institutions by C18 HPLC followed nano electrospray ionization and tandem mass spectrometry (LC-ESI-MS/MS) with a linear quadrupole ion trap. The endogenous tryptic peptides, or tryptic phospho peptides (i. Read More

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December 2018

Prevalence of poststroke depression in Iranian patients: a systematic review and meta-analysis.

Neuropsychiatr Dis Treat 2018 13;14:3073-3080. Epub 2018 Nov 13.

Strathclyde Institute of Pharmacy and Biomedical Science, University of Strathclyde, Glasgow, UK.

Background: Poststroke depression (PSD) is the most common and important neuropsychiatric consequences of stroke, which can result in longer hospital stay, compromise the effectiveness of rehabilitation, and reduce the patients' quality of life. However, Iranian studies have reported different and conflicting prevalence rates for PSD.

Objective: The present systematic review and meta-analysis aimed to evaluate the overall prevalence of PSD in Iranian patients. Read More

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November 2018
2 Reads

Associations of clock genes polymorphisms with soft tissue sarcoma susceptibility and prognosis.

J Transl Med 2018 Dec 5;16(1):338. Epub 2018 Dec 5.

Department of Surgery Oncology and Gastroenterology, University of Padova, Padua, Italy.

Background: Dysfunction of the circadian clock and polymorphisms of some circadian genes have been linked to cancer development and progression. We investigated the relationship between circadian genes germline variation and susceptibility or prognosis of patients with soft tissue sarcoma.

Patients And Methods: We considered the 14 single nucleotide polymorphisms (SNPs) of 6 core circadian genes that have a minor allele frequency > 5% and that are known to be associated with cancer risk or prognosis. Read More

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December 2018

Distraction by deviant sounds during reading: An eye-movement study.

Q J Exp Psychol (Hove) 2018 Dec 5:1747021818820816. Epub 2018 Dec 5.

Bournemouth University.

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December 2018

A Metabolomics Approach to the Identification of Urinary Biomarkers of Pea Intake.

Nutrients 2018 Dec 4;10(12). Epub 2018 Dec 4.

School of Agriculture and Food Science, Institute of Food and Health, University College Dublin, Belfield, Dublin 4, Ireland.

A significant body of evidence demonstrates that isoflavone metabolites are good markers of soy intake, while research is lacking on specific markers of other leguminous sources such as peas. In this context, the objective of our current study was to identify biomarkers of pea intake using an untargeted metabolomics approach. A randomized cross-over acute intervention study was conducted on eleven participants who consumed peas and couscous (control food) in random order. Read More

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December 2018

Metabolomic study of natrin-induced apoptosis in SMMC-7721 hepatocellular carcinoma cells by ultra-performance liquid chromatography-quadrupole/time-of-flight mass spectrometry.

Int J Biol Macromol 2018 Nov 30. Epub 2018 Nov 30.

Pharmaceutical College, Guangxi Medical University, Nanning, China. Electronic address:

Natrin, a new member of the cysteine-rich secretory protein (CRISP) family purified from the snake venom of Naja naja atra, has been demonstrated to have anticancer activity. However, the underlying molecular mechanisms need further elucidation. In this study, MTT was used to evaluate cell viability. Read More

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November 2018
1 Read

Epidemiology and microbiology of skin and soft tissue infections: preliminary results of a National registry.

J Chemother 2018 Dec 3:1-6. Epub 2018 Dec 3.

y UOC Medicina Interna , Ospedale Umberto I , Enna , Italy.

Skin and soft tissue infections (SSTIs) represent a wide range of clinical conditions characterized by a considerable variety of clinical presentations and severity. Their aetiology can also vary, with numerous possible causative pathogens. While other authors previously published analyses on several types of SSTI and on restricted types of patients, we conducted a large nationwide surveillance programme on behalf of the Italian Society of Infectious and Tropical Diseases to assess the clinical and microbiological characteristics of the whole SSTI spectrum, from mild to severe life-threatening infections, in both inpatients and outpatients. Read More

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December 2018
1 Read

Monitoring eating and activity: Links with disordered eating, compulsive exercise, and general wellbeing among young adults.

Int J Eat Disord 2018 Dec 3. Epub 2018 Dec 3.

WMG, University of Warwick, Coventry, United Kingdom.

Objective: To explore the relationships between the use of food intake and activity monitoring tools with compulsive exercise, eating psychopathology, and psychological wellbeing.

Method: Participants (N = 352; mean age 21.90 years) indicated their use of activity and food intake monitoring tools, and completed the Compulsive Exercise Test (CET), Eating Disorders Examination Questionnaire (EDE-Q), and the Warwick Edinburgh Mental Wellbeing Scale (WEMWBS). Read More

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December 2018
1 Read

Rationale for vaccination with trivalent or quadrivalent live attenuated influenza vaccines: Protective vaccine efficacy in the ferret model.

PLoS One 2018 3;13(12):e0208028. Epub 2018 Dec 3.

International Institutional Cooperation, Institut national de la santé et de la recherche médicale (INSERM), Paris, France.

Background And Aim: The majority of seasonal influenza vaccines are trivalent, containing two A virus strains (H1N1 and H3N2) and one B virus strain. The co-circulation of two distinct lineages of B viruses can lead to mismatch between the influenza B virus strain recommended for the trivalent seasonal vaccine and the circulating B virus. This has led some manufacturers to produce quadrivalent influenza vaccines containing one strain from each B lineage in addition to H1N1 and H3N2 strains. Read More

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December 2018
3 Reads

Cereal aphids differently affect benzoxazinoid levels in durum wheat.

PLoS One 2018 3;13(12):e0208103. Epub 2018 Dec 3.

French Associates Institute for Agriculture and Biotechnology of Drylands, Jacob Blaustein Institutes for Desert Research, Ben-Gurion University of the Negev, Sede Boqer Campus, Israel.

Aphids are major pests in cereal crops that cause direct and indirect damage leading to yield reduction. Despite the fact that wheat provides 20% of the world's caloric and protein diet, its metabolic responses to aphid attack, in general, and specifically its production of benzoxazinoid defense compounds are poorly understood. The objective of this study was to compare the metabolic diversity of durum wheat seedlings (Triticum turgidum ssp. Read More

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December 2018

Prevention of Pressure Injury by Using Silicone Foam Dressings: Experience at a University Hospital in Hong Kong.

Crit Care Nurs Q 2019 Jan/Mar;42(1):117-126

Departments of Surgery (Ms Lee), Adult Intensive Care Unit (Messrs Lai and Chan), Neurosurgery (Ms Boo), Cardiothoracic Surgery (Ms Hui), and Orthopedic & Traumatology (Mr Kwong), Queen Mary Hospital, Pok Fu Lam, Hong Kong; and Department of Medicine, Tung Wah Hospital, Sheung Wan, Hong Kong (Ms Wan).

Pressure injury is a serious problem and is common in critical care units. Over the last decade, there is new evidence suggesting that the use of multilayered silicone foam dressing as preventive measures can decrease the incidence and prevalence rate of hospital-acquired pressure injury. The purpose of this study was to investigate the clinical efficacy of this dressing in reducing sacral and coccygeal pressure injury incidence rate as compared with standard preventive interventions in critical care settings. Read More

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December 2018

Effect of Interventional Educational Programs on Intensive Care Nurses' Perception, Knowledge, Attitude, and Practice About Physical Restraints: A Pre-/Postclinical Trial.

Crit Care Nurs Q 2019 Jan/Mar;42(1):106-116

Student Research Committee (Mr Ahmadi), Clinical Care Research Center (Mr Bagheri-Saweh and Dr Valiee), Social Determinants of Health Research Center, Research Institute for Health Development (Dr Nouri), and Salahuddin Ayyubi Hospital (Mr Mohamadamini), Kurdistan University of Medical Sciences, Sanandaj, Iran.

The article reports results of an educational program designed to modify negative attitudes of intensive care nurses regarding the use of physical restraints. Findings revealed that increased knowledge about appropriate utilization of various types of restraints positively impacted perceptions, attitudes, and patient care practices. Authors also explore restraint use in several countries and identify variations in use of restraining methods. Read More

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December 2018

Case Study Investigation Decreases Burnout While Improving Interprofessional Teamwork, Nurse Satisfaction, and Patient Safety.

Crit Care Nurs Q 2019 Jan/Mar;42(1):96-105

Jacobs Medical Center Medical/Surgical Intensive Care Unit (Mss Hellyar and Yeaman and Drs Madani and Kerr), Intensive Care Unit (Ms O'Connor), and Education Development and Research (Dr Davidson), University of California San Diego Health.

Prevention of burnout is a national imperative, and blame-free investigations of clinical events are advocated. Reflective inquiry techniques are helpful in processing adverse events while minimizing blame. The purpose of this project was to develop an interprofessional peer review program (Case Study Investigation) to process emotions, improve teamwork, and optimize patient outcomes. Read More

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December 2018
1 Read

Effect of Intensive Care Unit Nurses' Empowerment Program on Ability in Visual Differential Diagnosis of Pressure Ulcer Classification.

Crit Care Nurs Q 2019 Jan/Mar;42(1):89-95

School of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran (Ms Okhovati and Dr Shariat); and School of Nursing & Midwifery, Nursing and Midwifery Care Research Center, Tehran University of Medical Sciences, Tehran, Iran (Dr Esmaeili).

Nurses play a vital role in preventing and detecting pressure ulcers within an intensive care unit. This study was conducted to investigate the effect of an empowerment program on nurses' ability to visually determine the stage of a pressure ulcer. This study was a nonrandomized clinical trial involving an intervention group and a control group. Read More

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December 2018

Symptom Management and Hospital Readmission in Heart Failure Patients: A Qualitative Study From Portugal.

Crit Care Nurs Q 2019 Jan/Mar;42(1):81-88

Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Porto, Portugal and Cardiology Unit/Heart Failure Intensive Care Unit, Centro Hospitalar e Universitário de Coimbra, Portugal (Ms Sousa); and Centro de Investigação Interdisciplinar em Saúde - Instituto Ciências da Saúde, Universidade Católica Portuguesa, Porto, Portugal (Dr Santos).

This article reports a study aimed at identifying the factors that result in hospital readmissions for patients with heart failure. The high rates of readmission are often due to a lack of knowledge about symptoms and signs of disease progression, and these Portuguese nurses believed that readmissions could be decreased through disease management programs in which patients assumed a more active role in self-care. A study was designed to identify broad categories of problems that lead Portuguese patients with heart failure to be readmitted to hospital. Read More

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December 2018

Measurement and Nonpharmacologic Management of Sleep Disturbance in the Intensive Care Units: A Literature Review.

Crit Care Nurs Q 2019 Jan/Mar;42(1):75-80

Princess Aisha Bint Al-Hussein College of Nursing & Health Sciences, Al-Hussein Bin Talal University, Maan, Jordan (Dr Bani Younis); Faculty of Nursing, University of Jordan, Amman, Jordan (Dr Hayajneh); and Philadelphia University, Amman, Jordan (Dr Batiha).

The general goal of this review is to summarize, clarify, and evaluate what is known about patients' sleep in the intensive care units (ICUs) in terms of sleep measurement and management. In addition, this review focuses on the gap in knowledge in this field. A review of online databases for relevant articles in the period between 2000 and 2017 was conducted. Read More

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December 2018

Lifestyle Modifications in Adults and Older Adults With Chronic Gastroesophageal Reflux Disease (GERD).

Crit Care Nurs Q 2019 Jan/Mar;42(1):64-74

NYU Langone Health, Tisch Hospital, New York (Mr Commisso) and NYU Rory Meyers College of Nursing, New York (Mr Lim).

Gastroesophageal reflux disease (GERD) is a chronic disorder that causes the unwanted backflow of gastric contents into the esophagus, throat, and mouth. Gastroesophageal reflux disease affects roughly 20% of the US population. It is estimated that older adults experience GERD symptoms more commonly and with greater severity because of age-related physiologic changes. Read More

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December 2018
1 Read

Teaching Critical Care Nursing Online for RNs.

Crit Care Nurs Q 2019 Jan/Mar;42(1):53-63

Departments of Nursing (Dr Warren) and Educational Studies (Dr Spiegel), University of Tennessee at Martin.

Registered nurses are choosing to further their educational careers by seeking a bachelor's of science degree online (RN-to-BSN). The impetus for choosing the online delivery method is related to the ability to sign into a Learning Management System during times that are advantageous to their hospital work schedules, family, and daily living activities. The RN-to-BSN online option degree requires a Critical Care/Advanced Health Care Course as part of their curriculum plan; therefore, the article presents an overall view of the critical care course, the theoretical underpinnings for progression to the online delivery method, and examples of a module required by the critical care course. Read More

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December 2018

Horseshoe, Cockpit, and Dragonfly: Nurse Movement in Headwall Patient Rooms.

Authors:
D Kirk Hamilton

Crit Care Nurs Q 2019 Jan/Mar;42(1):47-52

College of Architecture, Texas A&M University, College Station.

An exploratory, qualitative study conducted on 6 units in 4 hospitals featured field observations of 20 experienced nurses during complete 12-hour day and night shifts, followed by semistructured participant interviews. All patient rooms featured conventional headwall-type life support systems in which the head of the bed is against the wall where multiple electrical, gas, and communication utilities are located. Critical care nurses displayed repetitive movement patterns around the patient and the bed. Read More

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December 2018

Spurious Laboratory Values in Patients With Leukocytosis.

Crit Care Nurs Q 2019 Jan/Mar;42(1):44-46

Emergency Department, Bellevue Hospital Center, NYU School of Medicine, New York (Mr Malek); and Department of Anesthesiology and Critical Care Medicine, Memorial Sloan Kettering Cancer Center, and NYU Rory Meyers College of Nursing, New York (Dr Chen).

Physiological derangements such as hypoxemia and hyperkalemia are medical emergencies that warrant prompt interventions to prevent further patient clinical deterioration. However, in patients with myeloproliferative diseases or malignancies that result in extreme leukocytosis, hypoxemia and hyperkalemia demonstrated in laboratory results could be deceiving due to in vitro reactions and may not reflect actual patient condition. Clinicians have to be familiar with these phenomena so as to not cause harm by treating these spurious laboratory values. Read More

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December 2018
1 Read

Clinical Education to Decrease Perceived Barriers to Delirium Screening in Adult Intensive Care Units.

Crit Care Nurs Q 2019 Jan/Mar;42(1):41-43

Medical University of South Carolina, Charleston.

Despite current advances in critical care medicine, delirium remains a frequent complication of an intensive care unit stay. The consequences can be severe and far reaching, including an increase in mortality, length of stay, and long-term cognitive sequelae. Frequently, delirium can be missed by clinicians who fail to complete a standardized delirium screening tool and, therefore, many cases go unrecognized and untreated. Read More

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December 2018

Nursing Considerations When Using Neuromuscular Blocking Agents to Assist With Intubation: A Review of Literature.

Crit Care Nurs Q 2019 Jan/Mar;42(1):30-40

Department of Baccalaureate Nursing, Indiana State University, Monroeville (Mr Blauvelt); and School of Nursing, Indiana State University, Terre Haute (Drs Burdick and Cannon).

The use of neuromuscular blocking agents (NMBAs) in acute care settings during intubation is vitally important. The NMBAs increase first pass success rates significantly while protecting patients from gastric aspiration, tracheal injury, and death. During emergent intubations, succinylcholine and rocuronium are commonly used, but each comes with specific risks and individualized interventions. Read More

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December 2018

Recognition, Assessment, and Pharmacotherapeutic Treatment of Alcohol Withdrawal Syndrome in the Intensive Care Unit.

Crit Care Nurs Q 2019 Jan/Mar;42(1):12-29

Department of Pharmacy Services, UC Health-University of Cincinnati Medical Center, Ohio (Drs Foertsch, Winter, Droege, and Ernst); University of Cincinnati James L. Winkle College of Pharmacy, Ohio (Drs Foertsch, Winter, Rhoades, Martin, Droege, and Ernst); Department of Pharmacy Services, The Christ Hospital Health Network, Cincinnati, Ohio (Dr Rhoades); and Department of Pharmacy Services, St Elizabeth Healthcare, Edgewood, Kentucky (Dr Martin).

Alcohol withdrawal syndrome (AWS) is a complex neurologic disorder that develops after an acute reduction in or cessation of chronic alcohol consumption that alters neurotransmitter conduction. The incidence of AWS in the intensive care unit varies, but has been associated with poor outcomes. This is primarily driven by downregulation of gamma-aminobutyric acid (GABA) leading to autonomic excitability and psychomotor agitation. Read More

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December 2018

Pharmacologic Approach to Management of Clostridium difficile Infection.

Crit Care Nurs Q 2019 Jan/Mar;42(1):2-11

Department of Pharmacy, St Elizabeth Healthcare, Edgewood, Kentucky (Drs Martin, Vincent, Gillian, Moore, and Ratermann); Department of Pharmacy Services, University of Cincinnati Medical Center, and Division of Pharmacy Practice and Administrative Sciences, James L. Winkle College of Pharmacy, Cincinnati, Ohio (Dr Droege).

Clostridium difficile is a gram-positive, anaerobic, spore-forming bacterium that is the leading cause of nosocomial infections in hospitals in the United States. Critically ill patients are at high risk for C. difficile infection (CDI) and face potentially detrimental effects, including prolonged hospitalization, risk of recurrent disease, complicated surgery, and death. Read More

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December 2018

Foreword.

Authors:
Carmen Warner

Crit Care Nurs Q 2019 Jan/Mar;42(1)

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December 2018

Mental practice for upper limb motor restoration after stroke: an updated meta-analysis of randomized controlled trials.

Top Stroke Rehabil 2018 Dec 3:1-7. Epub 2018 Dec 3.

c Internal Medicine , Jining No.2 People's Hospital , Jining , Shandong Province , China.

Objectives: Stroke is a common refractory disease that may cause dysfunctions in the motor system. The study aimed to evaluate the effects of mental practice (MP) compared with other methods on upper limb motor restoration after stroke.

Methods: Eligible studies were identified from Pubmed, Embase, and The Cochrane Library. Read More

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December 2018
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Assessing development across cultures: Invariance of the Bayley-III Scales Across Seven International MAL-ED sites.

Sch Psychol Q 2018 Dec;33(4):604-614

Fogarty International Center, National Institutes of Health.

The Bayley's Scales of Infant and Toddler Development-Third Edition (Bayley-III) were used to measure the development of 24-month-old children (N = 1,452) in the Interactions of Malnutrition and Enteric Infections: Consequences for Child Health and Development (MAL-ED) study (an international, multisite study on many aspects of child development). This study examined the factor structure and measurement equivalence/invariance of Bayley-III scores across 7 international research sites located in Bangladesh, Brazil, India, Nepal, Pakistan, Peru, and South Africa. Exploratory and confirmatory factor analyses were used to identify the factor structure of Bayley-III scores. Read More

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December 2018

Mindfulness-based interventions for teachers: A meta-analysis of the emerging evidence base.

Sch Psychol Q 2018 Dec;33(4):501-511

Department of Psychology, Utah State University.

Teachers report high levels of occupational stress, which is associated with teacher turnover and potential negative consequences for students. Mindfulness-based interventions (MBIs) may improve the protective factors that buffer educators against occupational stress. Although previous meta-analytic reviews synthesized the effects of MBIs for healthy and clinical samples of adults, this study was the first to synthesize the effects of MBIs for teachers (grades pre-K through 12). Read More

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December 2018