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Proactive Consultation-Liaison Psychiatry: American Psychiatric Association Resource Document.

J Acad Consult Liaison Psychiatry 2021 Mar-Apr;62(2):169-185. Epub 2021 Jan 29.

Department of Psychiatry, Centre for Addiction and Mental Health, University of Toronto, Toronto, ON.

In 2019, the American Psychiatric Association Council on Consultation-Liaison (C-L) Psychiatry convened a work group to develop a resource document on proactive C-L psychiatry. A draft of this document was reviewed by the Council in July 2020, and a revised version was approved by this Council in September 2020. The accepted version was subsequently reviewed by the American Psychiatric Association Council on Health Care Systems and Financing in November 2020. Read More

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January 2021

Unilateral axilla-bilateral areola approach for thyroidectomy by da Vinci robot open surgery in thyroid cancer: a retrospective observational study.

Gland Surg 2021 Apr;10(4):1291-1299

Department of Breast and Thyroid Surgery, Southwest Hospital, Army Medical University, Chongqing, China.

Background: To compare the efficacy and safety of unilateral axilla-bilateral areola (UABA) approach for robot-assisted thyroidectomy with conventional open surgery in thyroid cancer patients.

Methods: The clinicopathological features and surgical outcomes of 194 thyroid cancer patients treated by robotic surgery using the UABA approach and 217 patients treated by open surgery in our department from January 2017 to August 2018 were analysed and compared.

Results: The operation time was longer in the robotic group than in the open surgery group. Read More

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The psychological and social impacts on personal stress for residents quarantined for COVID-19 in Saudi Arabia.

Arch Psychiatr Nurs 2021 06 25;35(3):311-316. Epub 2020 Sep 25.

Department of Psychology, Faculty of Education, Umm AL-Qura University, Saudi Arabia. Electronic address:

Objective: The study investigates psychological and social moderators of anxiety, depression, and personal stress in Saudi Arabian residents quarantined for COVID-19.

Methods: Data were collected from 200 participants quarantined in Saudi Arabia using the Emotion Regulation Scale (ERQ), Satisfaction With Life Scale (SWLS), Multidimensional Scale of Perceived Social Support (MSPSS), and the Hospital Anxiety and Depression Scale (HADS). Multiple regression analyses were carried out in SPSS. Read More

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Vitamin C mesotherapy versus topical application for gingival hyperpigmentation: a clinical and histopathological study.

Clin Oral Investig 2021 May 8. Epub 2021 May 8.

Department of Oral Medicine, Periodontology Oral Diagnosis and Radiology, Faculty of Dentistry, Ain-Shams University, 20 Organization of African Union St., Cairo, 1156, Egypt.

Objective: Vitamin C/Ascorbic acid inhibits tyrosinase enzyme causing melanin biosynthesis suppression. This study aimed to compare the efficacy of intra-mucosal injection (mesotherapy) with topical gel as non-surgical methods for managing gingival hyperpigmentation.

Materials And Methods: Twenty healthy non-smokers with mild to severe hyperpigmented gingiva were randomly assigned for Mesotherapy (G1); intra-mucosal injection of ascorbic acid (1/week/3 weeks); or Gel (G2), topical ascorbic acid gel (1/day/3 months). Read More

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Telephone-based depression self-management in Hispanic adults with epilepsy: a pilot randomized controlled trial.

Transl Behav Med 2021 May 8. Epub 2021 May 8.

Department of Neurology, NYU Langone Health, New York, NY, USA.

Depression is associated with adverse outcomes in epilepsy but is undertreated in this population. Project UPLIFT, a telephone-based depression self-management program, was developed for adults with epilepsy and has been shown to reduce depressive symptoms in English-speaking patients. There remains an unmet need for accessible mental health programs for Hispanic adults with epilepsy. Read More

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Evaluation of the optimal cooling temperature for the face measured by the tissue perfusion during hilotherapy using laser Doppler spectrophotometry.

Sci Rep 2021 May 7;11(1):9805. Epub 2021 May 7.

Department of Oral, Maxillofacial and Facial Plastic Surgery, School of Medicine, University Hospital RWTH Aachen, Pauwelsstr. 30, 52074, Aachen, Germany.

After craniofacial trauma, symptoms like swelling and pain occur. Cooling reduces these symptoms but the optimal cooling temperature for a maximum benefit without adverse effects is unclear. 30 participants were cooled at 10 °C, 15 °C, 20 °C, 25 °C and 30 °C for 30 min. Read More

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Enhanced Recovery After Surgery strategies for elective craniotomy: a systematic review.

J Neurosurg 2021 May 7:1-25. Epub 2021 May 7.

1Machine Intelligence in Clinical Neuroscience (MICN) Laboratory, Department of Neurosurgery, Clinical Neuroscience Center, University Hospital Zurich, University of Zurich, Switzerland.

Objective: Enhanced Recovery After Surgery (ERAS) has led to a paradigm shift in perioperative care through multimodal interventions. Still, ERAS remains a relatively new concept in neurosurgery, and there is no summary of evidence on ERAS applications in cranial neurosurgery.

Methods: The authors systematically reviewed the literature using the PubMed/MEDLINE, Embase, Scopus, and Cochrane Library databases for ERAS protocols and elements. Read More

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Patient Experience and Satisfaction with Telemedicine During Coronavirus Disease 2019: A Multi-Institution Experience.

Telemed J E Health 2021 May 7. Epub 2021 May 7.

Department of Neurosurgery, Stanford University School of Medicine, Stanford, California, USA.

The coronavirus disease 2019 (COVID-19) heralded an unprecedented increase in telemedicine utilization. Our objective was to assess patient satisfaction with telemedicine during the COVID-19 era. Telemedicine visit data were gathered from Stanford Health Care (Stanford) and the Hospital for Special Surgery (HSS). Read More

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Do Digital Handover Checklists Influence the Clinical Outcome Parameters of Intensive Care Unit Patients? A Randomized Controlled Pilot Study.

Front Med (Lausanne) 2021 20;8:661343. Epub 2021 Apr 20.

Department of Anaesthesiology, Medical Faculty, University Hospital Rheinisch-Westfälische Technische Hochschule Aachen, Aachen, Germany.

Clinical handovers have been identified as high-risk situations for medical treatment errors. It has been shown that handover checklists lead to a reduced rate of medical errors and mortality. However, the influence of handover checklists on essential patient outcomes such as prevalence of sepsis, mortality, and length of hospitalization has not yet been investigated in a randomized controlled trial (RCT). Read More

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Ultrasonic Percutaneous Tenotomy for Recalcitrant Lateral Elbow Tendinopathy: Clinical and Sonographic Results at 90 Months.

Am J Sports Med 2021 May 6:3635465211010158. Epub 2021 May 6.

Department of Orthopaedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.

Background: In a study from our institution, ultrasonic percutaneous tenotomy of the brevis and the common extensor tendon for recalcitrant lateral elbow tendinopathy showed excellent safety profiles, high tolerability, efficiency, sustained pain relief, functional improvement, and sonographic evidence of tissue healing in 20 patients at 3 years' follow-up.

Purpose: To explore the long-term clinical and sonographic results of ultrasonic percutaneous tenotomy of the brevis and the common extensor tendon.

Study Design: Case series; Level of evidence, 4. Read More

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Situational Awareness Huddles in a Pediatric Cardiac Intensive Care Unit During the COVID-19 Pandemic.

Crit Care Nurse 2021 May 6:e1-e8. Epub 2021 May 6.

Michael Wolf is an attending physician in the cardiac and pediatric intensive care units and the Associate Medical Director of the cardiac intensive care unit, Children's Healthcare of Atlanta, and an associate professor of pediatrics, Emory University School of Medicine.

Background: The COVID-19 pandemic has created challenges for provider teams working in intensive care units, including rapidly changing patient care regulations, staffing considerations, and preservation of personal protective equipment. The need for enhanced respiratory precautions for infected patients and patients under investigation has necessitated a new process for interventions and resuscitation.

Local Problem: Along with changing regulations and equipment, significant staff anxiety surrounded caring for infected patients and preparing for emergency situations. Read More

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Delayed Treatment of a Galeazzi Fracture Using an External Ring Fixator.

J Orthop Case Rep 2020 May-Jun;10(3):47-49

Regensburg, Germany.

Introduction: Although fractures of the forearm and also Galeazzi fractures are normally treated by open reduction and internal compression plate fixation, Ilizarov published good results using his ring fixator even for these injuries. Because a patient with a Galeazzi fracture denied in-hospital stay and open reduction and internal fixation of the radius shaft, he was treated by means of external fixation.

Case Report: A50-year-old patient presented 4 weeks after a Galeazzi injury without initial treatment and a shortened radius shaft associated with a dislocated distal radioulnar joint. Read More

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[Comprehensive Digital Workflow and Computer-Assisted Implant Surgery in a Patient with Reduced Crest Width. Case Report of a Split-Mouth Approach].

Swiss Dent J 2021 May;131(5):437-441

Klinik für Rekonstruktive Zahnmedizin und Gerodontologie, zmk Bern, Universität Bern.

Modern treatment protocols in implant dentistry focus on lower morbidity and patient-centered outcomes, in addition to commonly applied treatment success criteria. Prosthetically-driven digital planning followed by static computer-assisted implant surgery (sCAIS) may minimize the need for bone augmentation by ideally utilizing the residual crest and thereby improve patient satisfaction. A healthy 37-year-old female suffered from agenesis of both second mandibular premolars and presented wide single-tooth gaps on both sides of the mandible with a moderate (left) and pronounced (right) horizontal bone deficiency. Read More

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Quality of Life in Patients With Heart Failure With Recovered Ejection Fraction.

JAMA Cardiol 2021 May 5. Epub 2021 May 5.

University of Utah School of Medicine, Salt Lake City.

Importance: Heart failure with recovered ejection fraction (HFrecEF) is a recently recognized phenotype of patients with a history of reduced left ventricular ejection fraction (LVEF) that has subsequently normalized. It is unknown whether such LVEF improvement is associated with improvements in health status.

Objective: To examine changes in health-related quality of life in patients with heart failure with reduced ejection fraction (HFrEF) whose LVEF normalized, compared with those whose LVEF remains reduced and those with HF with preserved EF (HFpEF). Read More

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Quality of life and health status of hospitalized adults with congenital heart disease in Vietnam: a cross-sectional study.

BMC Cardiovasc Disord 2021 May 5;21(1):229. Epub 2021 May 5.

School of Medicine and Pharmacy, Vietnam National University, 144 Xuan Thuy Road, Cau Giay District, Hanoi, 100000, Vietnam.

Background: Little is known about the quality of life (QOL) and health status of adults with congenital heart disease (CHD) in developing countries. Therefore, this study aimed to describe the QOL and health status of hospitalized adults with CHD in Vietnam and investigate the association between QOL and their biological-social characteristics.

Methods: A cross-sectional study was conducted with 109 adults with CHD, hospitalized in the Vietnam National Heart Institute, between June and December 2019. Read More

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Affective Fear of Crime and Its Association with Depressive Feelings and Life Satisfaction in Advanced Age: Cognitive Emotion Regulation as a Moderator?

Int J Environ Res Public Health 2021 Apr 29;18(9). Epub 2021 Apr 29.

School of Law, Psychology and Social Work, Örebro University, SE-701 82 Örebro, Sweden.

Fear of crime is a substantial problem for older adults and is associated with reduced subjective well-being. However, less is known about factors that could moderate the associations between fear of crime and mental health problems and well-being in advanced age. Cognitive emotion regulation could serve as a potentially buffering factor for adverse health outcomes related to fear of crime due to its potential importance in managing feelings when facing threatening situations. Read More

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Distraction Osteogenesis: Mandible and Maxilla.

Facial Plast Surg 2021 May 3. Epub 2021 May 3.

Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.

Mandibular and maxillary deformities commonly require surgical intervention. Prior to distraction osteogenesis, traditional modalities involving single-staged translocation and rigid fixation were used to correct these craniofacial anomalies. Distraction osteogenesis has evolved as a compelling alternative for treating aesthetic and functional dentofacial defects. Read More

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Moral distress in medicine: An ethical analysis.

J Health Psychol 2021 May 2:13591053211014586. Epub 2021 May 2.

KU Leuven, Belgium.

Moral distress is a negative emotional response that occurs when physicians know the morally correct action but are prevented from taking it because of internal or external constraints. Moral distress undermines a physician's ethical integrity, leading to anger, poor job satisfaction, reduced quality of care and burnout. Scarce literature exists on the ethical aspects of moral distress in medicine. Read More

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Strange Days: Adult Physical Activity and Mental Health in the First Two Months of the COVID-19 Pandemic.

Front Public Health 2021 15;9:567552. Epub 2021 Apr 15.

Population Physical Activity Lab, School of Kinesiology, University of British Columbia, Vancouver, BC, Canada.

In addition to its physical health benefits, physical activity is increasingly recognized as a means to support mental health. Regular moderate-to-vigorous physical activity (MVPA) is associated with improved mental well-being, reduced likelihood of developing mental illness, and improved symptom management. Despite these benefits, most people fail to achieve minimum recommended levels of MVPA. Read More

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eSIMPLER: A Dynamic, Electronic Health Record-Integrated Checklist for Clinical Decision Support During PICU Daily Rounds.

Pediatr Crit Care Med 2021 May 3. Epub 2021 May 3.

Division of Critical Care Medicine, Department of Anesthesiology, Critical Care, and Pain Medicine, Boston Children's Hospital, Boston, MA. Computational Health Informatics Program, Boston Children's Hospital, Boston, MA. Department of Anaesthesia, Harvard Medical School, Boston, MA. Department of Cardiovascular and Critical Care Nursing, Medical-Surgical Intensive Care Unit, Boston Children's Hospital, Boston, MA. Anesthesia Information Services, Department of Anesthesiology, Critical Care, and Pain Medicine, Boston Children's Hospital, Boston, MA.

Objectives: Design, implement, and evaluate a rounding checklist with deeply embedded, dynamic electronic health record integration.

Design: Before-after quality-improvement study.

Setting: Quaternary PICU in an academic, free-standing children's hospital. Read More

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Repeat limited fasciectomy is a safe and effective treatment for recurrence of Dupuytren's disease.

Bone Joint J 2021 May;103-B(5):946-950

Department of Trauma and Orthopaedic Surgery, St Mary's Hospital, London, UK.

Aims: The results of surgery for Dupuytren's disease can be compromised by the potential for disease recurrence and loss of function. Selecting which patients will benefit from repeat surgery, when to operate, and what procedure to undertake requires judgement and an understanding of patient expectations and functional needs. We undertook this study to investigate patient outcomes and satisfaction following repeat limited fasciectomy for recurrent Dupuytren's disease. Read More

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"Pretty hurts": Acceptance of hegemonic feminine beauty ideals and reduced sexual well-being among Black women.

Body Image 2021 Apr 29;38:181-190. Epub 2021 Apr 29.

Department of Psychology, Macalester College, 1600 Grand Avenue, Saint Paul, MN, 55105, USA. Electronic address:

Although women are expected to idealize and achieve hegemonic feminine beauty standards such as being slender and lighter skinned, few studies have examined how women's investment in achieving these restrictive feminine appearance ideals may influence their sexual attitudes and behaviors. Even less is known about Black women. We surveyed 640 Black college women to test hypotheses that endorsement of hegemonic beauty ideals would be positively associated with four dimensions of negative sexual affect (sexual guilt, shame, emotional distancing, and self-consciousness) and negatively associated with two dimensions of sexual agency (sexual assertiveness and satisfaction). Read More

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Can we decrease the duration of basal thumb joint distraction for early osteoarthritis from 8 to 6 weeks? Study protocol for a non-inferiority randomized controlled trial.

Trials 2021 May 1;22(1):316. Epub 2021 May 1.

Department of Plastic, Reconstructive and Hand Surgery, University Medical Center Utrecht, Heidelberglaan 100, 3508 GA, Utrecht, The Netherlands.

Background: To our knowledge, to date, 52 patients with thumb carpometacarpal osteoarthritis (CMC1 OA) were treated with joint distraction. So far, most patients experienced improved physical function and less pain. After 2 years, only 1 patient proceeded to trapeziectomy. Read More

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Creative recovery: Narrative creativity mitigates identity distress among young adults with cancer.

J Psychosoc Oncol 2021 Apr 30:1-15. Epub 2021 Apr 30.

Psychological Sciences Research Institute, UCLouvain (University of Louvain), Louvain-la-Neuve, Belgium.

Young adults with cancer are at a heightened risk for experiencing identity distress, with adverse consequence on their satisfaction with life (SwL). This study examines the contributions of two resources thought to mitigate identity distress: parental warmth and narrative creativity. 164 young adults divided into three groups: (a) group (no history of life-threatening medical illness); (b) group, and (c) group (currently in treatment) completed measures of SwL, identity distress, parental warmth, and narrative creativity. Read More

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Efficacy of microsurgery and comparison to macrosurgery for gingival recession treatment: a systematic review with meta-analysis.

Clin Oral Investig 2021 Apr 29. Epub 2021 Apr 29.

Department of Periodontics and Oral Medicine, University of Michigan - School of Dentistry, 1011 North University Avenue, Ann Arbor, MI, USA.

Objectives: Microsurgical principles, techniques, and armamentarium have made significant contributions to the periodontal plastic surgery. The present meta-analysis aimed to investigate the overall efficacy of microsurgery on root coverage, and its clinical outcomes when compared to traditional macrosurgery.

Material And Methods: Electronic searches on PubMed, Embase, and CINAHL were used to retrieve prospective clinical trials. Read More

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Direct discharge from the emergency department of simple stable injuries: a propensity score-adjusted non-inferiority trial.

Trauma Surg Acute Care Open 2021 14;6(1):e000709. Epub 2021 Apr 14.

Department of Trauma Surgery, OLVG, Amsterdam, The Netherlands.

Background: Recent studies suggest a large proportion of musculoskeletal injuries are simple stable injuries (SSIs). The aim of this study was to evaluate whether direct discharge (DD) from the emergency department (ED) of SSIs is non-inferior to 'traditional care' regarding treatment satisfaction and functional outcome, and to compare other patient-reported outcomes (PROMs), patient-reported experiences (PREMs), resource utilization, and adverse outcomes before and after DD.

Methods: This trial compared outcomes for 11 SSIs 6 months before and after the implementation of DD protocols. Read More

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Patient-Reported Preference and Clinical Efficacy of Insulin Pen Devices With Safety Needles in Adolescents and Young Adults With Type 1 Diabetes: A Prospective Study.

Cureus 2021 Apr 19;13(4):e14555. Epub 2021 Apr 19.

Department of Endocrinology and Diabetes, Prince Sultan Military Medical City, Riyadh, SAU.

Purpose Current evidence indicates that diabetic patients' preference and medication adherence can be affected by the type of insulin pen needles. We aimed to assess the impact of insulin pen devices with safety needles (SPN) on the usability, behavioral, lifestyle, and emotional aspects of type 1 diabetes mellitus (T1DM) in adolescents and young adults. Patients and methods We conducted a prospective single-center study on adolescent T1DM patients treated with multiple insulin doses using basal-bolus therapy for at least one year. Read More

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Remote Clinics During Coronavirus Disease 2019: Lessons for a Sustainable Future.

Cureus 2021 Mar 25;13(3):e14114. Epub 2021 Mar 25.

Trauma and Orthopaedics, Musgrove Park Hospital, Taunton, GBR.

Background The coronavirus disease 2019 (COVID-19) pandemic has led to a focus on non-face-to-face (NF2F) orthopedic clinics. In this study, our aim was to establish whether NF2F clinics are sustainable according to the "triple bottom line" framework by taking into account the impact on patients, the planet, and the financial cost. Methodology This retrospective cohort study was carried out at a large district general hospital with 261 patients identified as having undergone face-to-face (F2F) or NF2F orthopedic consultations (April 2020). Read More

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Use of Visual Dashboards to Enhance Pharmacy Teaching.

Pharmacy (Basel) 2021 Apr 23;9(2). Epub 2021 Apr 23.

School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW 2006, Australia.

Teaching large cohorts of pharmacy students with a team of multiple tutors in a feedback intensive course poses challenges in relation the amount of data generated, data integrity, interpretation of the data and importantly application of the insights gained from the data. The dispensing and counselling course in the third year BPharm at the University of Sydney has implemented the USyd Pharmacy Dashboard, developed to address these challenges following the Technological Pedagogical Content Knowledge Framework (TPACK) to integrate technology into teaching. The dashboard was designed to improve the student experience through more consistent feedback, gain insights to improve teaching delivery and provide efficiencies in maintaining data integrity. Read More

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