174,707 results match your criteria version 21results


The Onlay Rotated Flap (ORF): An Original Technique for Nasal Tip Plasty.

J Craniofac Surg 2021 Sep 23. Epub 2021 Sep 23.

Istanbul H. Baki Yilmaz Clinic Istanbul University-Cerrahpaşa Cerrahpaşa Medical School Otorhinolaryngology Department Istanbul Health Science University Umraniye Training and Research Hospital ENT Department, Istanbul, Turkey.

Objective: The reshaping of the nasal tip in rhinoplasty according to the expectations of the patient and the surgeon is called tip plasty. In this article, the onlay rotated flap (ORF) is presented as a new technique for reshaping, supporting, and projecting the nasal tip without any resection or grafting.

Methods: Thirty-two patients (26 female and 6 male) were included in the study retrospectively. Read More

View Article and Full-Text PDF
September 2021

Pediatric Odontogenic and Maxillofacial Bone Pathology: A Global Analysis.

J Craniofac Surg 2021 Sep 23. Epub 2021 Sep 23.

Department of Plastic Surgery, University of Kansas Medical Center, University of Kansas School of Medicine, Kansas City, KS Keck School of Medicine Children's Hospital Los Angeles, Division of Plastic and Maxillofacial Surgery, Los Angeles, CA.

Background: Although pathology in the maxillary and mandibular bones is rare in young patients, the differential diagnosis is broad. The World Health Organization (WHO) updated its classification of maxillofacial bone pathology in 2017. Using these updated guidelines, a systematic review of common maxillofacial bone lesions in the pediatric population was performed. Read More

View Article and Full-Text PDF
September 2021

Stability of Symptom Clusters in Patients With Gynecologic Cancer Receiving Chemotherapy.

Cancer Nurs 2021 Sep 23. Epub 2021 Sep 23.

Author Affiliations: Phyllis F. Cantor Center for Research in Nursing and Patient Care Services, Dana-Farber Cancer Institute (Drs Pozzar and Hammer), Boston, Massachusetts; School of Nursing (Drs Cooper, Kober, Paul, and Miaskowski) and School of Medicine, University of California, San Francisco (Drs Chen, Levine, and Miaskowski); School of Nursing, University of Pittsburgh (Dr Conley), Pennsylvania; Mount Sinai Medical Center (Dr Cartwright), New York, New York; and Rory Myers College of Nursing, New York University (Dr Wright), New York.

Background: Patients with gynecologic cancer undergoing chemotherapy experience multiple co-occurring symptoms. Understanding how symptom clusters change over time is essential to the development of interventions that target multiple co-occurring symptoms.

Objective: The aim of this study was to assess the relative stability of symptom clusters across a chemotherapy cycle in patients with gynecologic cancer. Read More

View Article and Full-Text PDF
September 2021

Certified nursing assistants' experiences with self-compassion training in the nursing home setting.

Geriatr Nurs 2021 Sep 21;42(6):1341-1348. Epub 2021 Sep 21.

The Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States; School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.

Certified nursing assistants (CNAs) in nursing home (NH) settings experience considerable work-related and personal stress. Self-compassion is a personal resource linked to improved stress coping and may be particularly relevant to health care workers. In this study, we explored NH CNA's experiences with self-compassion training based on their narrative replies. Read More

View Article and Full-Text PDF
September 2021

Level of nurse supportive supervision and its influencing factors in long-term care facilities.

Geriatr Nurs 2021 Sep 21;42(6):1316-1322. Epub 2021 Sep 21.

The First Affiliated Hospital of Soochow University, No. 188 Shizi Road, Suzhou 215006, People's Republic of China; School of Nursing, Medical College of Soochow University, No. 188 Shizi Street, Suzhou 215006, People's Republic of China. Electronic address:

Quality of care provided by personal support workers (PSWs) in long-term care facilities (LTCFs) is associated with the supportive supervisory performance of registered nurses (RNs). To determine the level of supportive supervision of RNs and its influencing factors in LTCFs in East China, a cross-sectional survey was conducted in 12 LTCFs using self-designed sociodemographic questionnaires and the Chinese version of the Supportive Supervisory Scale. A total of 643 PSWs supervised by 260 RNs were surveyed. Read More

View Article and Full-Text PDF
September 2021

Validation of the Persian version of the comprehensive frailty assessment instrument plus in community-dwelling older adults.

Geriatr Nurs 2021 Sep 21;42(6):1287-1293. Epub 2021 Sep 21.

Center for Health-Related Social and Behavioral Sciences Research, Shahroud University of Medical Sciences, Shahroud, Iran. Electronic address:

This study aimed to examine the validity and reliability of the Persian Version of the Comprehensive Frailty Assessment Instrument Plus (CFAI-Plus) among community-dwelling older adults. It was completed by 340 older adults ≥60 years. The content and face validity were confirmed based on the opinion of the target group and experts. Read More

View Article and Full-Text PDF
September 2021

The relationship between death attitude and professional identity in nursing students from mainland China.

Nurse Educ Today 2021 Sep 16;107:105150. Epub 2021 Sep 16.

School of Clinical Medicine, Hangzhou Normal University, Hangzhou 311121, China. Electronic address:

Background: Professional identity reduces the risk of job burnout in nurses, and attitudes towards death might be a factor affecting nurses' professional identity. Little research has been conducted to directly investigate the relationship between professional identity and death attitudes in nursing students. In addition, there are cultural differences in the formation of death attitudes. Read More

View Article and Full-Text PDF
September 2021

Prismatic 2.0 - Simulation software for scanning and high resolution transmission electron microscopy (STEM and HRTEM).

Micron 2021 Sep 10;151:103141. Epub 2021 Sep 10.

National Center for Electron Microscopy, Molecular Foundry, Lawrence Berkeley National Laboratory, 1 Cyclotron Road, Berkeley, CA, USA. Electronic address:

Scanning transmission electron microscopy (STEM), where a converged electron probe is scanned over a sample's surface and an imaging, diffraction, or spectroscopic signal is measured as a function of probe position, is an extremely powerful tool for materials characterization. The widespread adoption of hardware aberration correction, direct electron detectors, and computational imaging methods have made STEM one of the most important tools for atomic-resolution materials science. Many of these imaging methods rely on accurate imaging and diffraction simulations in order to interpret experimental results. Read More

View Article and Full-Text PDF
September 2021

Improving the measurement of oral health-related quality of life: Rasch model of the Oral Health Impact Profile-14.

J Dent 2021 Sep 21:103819. Epub 2021 Sep 21.

Section for Outcomes Research, Center for Medical Statistics, Informatics, and Intelligent Systems, Medical University of Vienna, Spitalgasse 23, 1090, Vienna, Austria; Ludwig Boltzmann Institute for Arthritis and Rehabilitation, 1090, Vienna, Austria. Electronic address:

Objectives: The 14-item Oral Health Impact Profile (OHIP-14) is the most frequently used instrument to measure oral health-related quality-of-life (OHRQoL) in adults. Despite its popularity, its psychometric properties have been predominantly investigated based on the classical test theory while the fundamental principles of measurement have not been fully assessed. Therefore, our aim was to investigate to what extent the OHIP-14 meets the fundamental requirments of measurements. Read More

View Article and Full-Text PDF
September 2021

Combination treatment with rituximab, low-dose cyclophosphamide and plasma exchange for severe antineutrophil cytoplasmic antibody-associated vasculitis.

Kidney Int 2021 Sep 21. Epub 2021 Sep 21.

Vasculitis Clinic, Hammersmith Hospital, Imperial College Healthcare NHS Trust, London UK; Centre for Inflammatory Disease, Imperial College London, London UK. Electronic address:

Antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis can present with life-threatening lung-kidney syndromes. However, many controlled treatment trials excluded patients with diffuse alveolar hemorrhage or severely impaired glomerular filtration rates, and so the optimum treatment in these cases is unclear. In this retrospective cohort study, we report the outcomes of 64 patients with life-threatening disease treated with a combination regimen of rituximab, low-dose intravenous cyclophosphamide, oral glucocorticoids, and plasma exchange. Read More

View Article and Full-Text PDF
September 2021

Who is at risk of loneliness? A cross-sectional recursive partitioning approach in a population-based cohort of persons with spinal cord injury.

Arch Phys Med Rehabil 2021 Sep 21. Epub 2021 Sep 21.

Swiss Paraplegic Research, Nottwil, Switzerland; Department of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland.

Objective: To develop a more thorough understanding of the risk factors for loneliness in persons with a physical impairment, using a population-based sample of persons with SCI, based on regression modelling and a recursive partitioning approach.

Design: Cross-sectional, observational cohort.

Setting: Community, Switzerland. Read More

View Article and Full-Text PDF
September 2021

Supernova: a deoxyribozyme that catalyzes a chemiluminescent reaction.

Angew Chem Int Ed Engl 2021 Sep 24. Epub 2021 Sep 24.

IOCB, Biochemistry and Molecular Biology, Flemingovo nám. 542/2, 160 00, Prague, CZECH REPUBLIC.

Functional DNA molecules are useful components in nanotechnology and synthetic biology. To expand the toolkit of functional DNA parts, in this study we used artificial evolution to identify a glowing deoxyribozyme called Supernova. This deoxyribozyme transfers a phosphate from a 1,2-dioxetane substrate to its 5' hydroxyl group, which triggers a chemiluminescent reaction and a flash of blue light. Read More

View Article and Full-Text PDF
September 2021

Community risk perception and barriers for the practice of COVID-19 prevention measures in Northwest Ethiopia: A qualitative study.

PLoS One 2021 24;16(9):e0257897. Epub 2021 Sep 24.

School of Medicine, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.

Background: According to the World Health Organization, viral diseases continue to emerge and represent a serious issue for public health. The elderly and those with underlying chronic diseases are more likely to become severe cases. Our study sets out to present in-depth exploration and analyses of the community's risk perception and barriers to the practice of COVID-19 prevention measures in South Gondar Zone, Northwest Ethiopia. Read More

View Article and Full-Text PDF
September 2021

Quiescent Andersson Lesion Simplifies Deformity Correction: A Case Report.

JBJS Case Connect 2021 Sep 24;11(3). Epub 2021 Sep 24.

Mumbai Spine Scoliosis and Disc Replacement Centre, Mumbai, India.

Case: We present a case of ankylosing spondylitis with sagittal imbalance and having a suspicious Andersson lesion (AL) on magnetic resonance imaging (MRI) at D12-L1. The segment did not reveal any potential mobility on erect radiographs and supine MRI. L2 pedicle subtraction osteotomy was planned. Read More

View Article and Full-Text PDF
September 2021

Comminuted Distal Radius Fracture with Concomitant Median Nerve Transection: A Case Report and Literature Review.

JBJS Case Connect 2021 Sep 24;11(3). Epub 2021 Sep 24.

Department of Orthopaedic Surgery, Division of Hand and Microvascular Surgery, Mayo Clinic, Rochester, Minnesota.

Case: A 41-year-old woman sustained a distal radius fracture with concomitant median nerve transection. The wound was consistent with an inside-to-outside mechanism with noted metaphyseal bone loss at the level of the median nerve injury. The median nerve was not amenable to primary repair, and given concern for inability to define the zone of the injury, the patient underwent delayed reconstruction of the nerve. Read More

View Article and Full-Text PDF
September 2021

Primary Myoepithelial Carcinoma of the Cervical Spine: A Case Report.

JBJS Case Connect 2021 Sep 24;11(3). Epub 2021 Sep 24.

Department of Orthopaedics & Spine Surgery, KEM Hospital, Mumbai, India.

Case: A 36-year-old man presented with a subacute onset left upper limb weakness. Further investigation revealed a myoepithelial carcinoma arising from the C3-C5 vertebrae. He underwent 2-stage surgery with tumor excision and postoperative radiotherapy. Read More

View Article and Full-Text PDF
September 2021

Time Trends in Physical Activity Using Wearable Devices: A Systematic Review and Meta-analysis of Studies from 1995 to 2017.

Med Sci Sports Exerc 2021 Sep 20. Epub 2021 Sep 20.

Department of Kinesiology, Boise State University, Boise, ID Department of Clinical & Applied Movement Sciences, University of North Florida, Jacksonville, FL Department of Kinesiology, Recreation, and Sport Studies, University of Tennessee, Knoxville, TN Department of Food, Nutrition, and Sport Science, University of Gothenburg, Sweden Faculty of Physical Culture, Palacký University, Olomouc, Czech Republic Department of Preventive Medicine and Public Health, Tokyo Medical University, Tokyo, Japan.

Introduction: Conflicting evidence exists on whether physical activity (PA) levels of humans have changed over the last quarter-century. The main objective of this study was to determine if there is evidence of time trends in PA, from cross-sectional studies that assessed PA at different time points using wearable devices (e.g. Read More

View Article and Full-Text PDF
September 2021

Orthopaedic Trauma Research Priorities in Latin America: Developing Consensus Through a Modified Delphi Approach.

J Bone Joint Surg Am 2021 Sep 24. Epub 2021 Sep 24.

University of California San Francisco, San Francisco, California.

Background: Despite a substantial burden of musculoskeletal injury, orthopaedic trauma studies in Latin America are lacking. The purpose of the present study was to identify research priorities among orthopaedic trauma surgeons in Latin America.

Methods: Research questions were solicited from members of the Asociación de Cirujanos Traumatólogos de las Américas. Read More

View Article and Full-Text PDF
September 2021

Heterotopic Ossification in the Posterior Septum of the Knee Excised by an Arthroscopic Dual Portal Technique: A Case Report.

JBJS Case Connect 2021 Sep 24;11(3). Epub 2021 Sep 24.

Department of Orthopaedics, Pinnamaneni Siddhartha Institute of Medical Sciences, Chinaavutapalli, Andhra Pradesh, India.

Case: We present a 15-year-old adolescent girl with acute onset knee pain and a lesion in the posterior septum (PS) believed to be an infectious process on initial investigations. This was excised successfully using a combination of transseptal and transnotch portals and proven to be a case of heterotopic ossification (HO) within the PS with an excellent outcome within 4 weeks. Our case is unique for the pathology that occurred and the technique of excision. Read More

View Article and Full-Text PDF
September 2021

Reconstruction of Massive Segmental Distal Femoral Metaphyseal Bone Defects After Open Injury: A Study of 20 Patients Managed with Intercalary Gamma-Irradiated Structural Allografts and Autologous Cancellous Grafts.

J Bone Joint Surg Am 2021 Sep 24. Epub 2021 Sep 24.

Department of Orthopaedics & Trauma Surgery, Ganga Medical Centre & Hospitals Private Limited, Coimbatore, India.

Background: Our aim was to examine the outcome of gamma-irradiated intercalary structural allografts combined with autologous cancellous grafts in treating large metaphyseal bone defects of the distal femur following open injuries.

Methods: We prospectively included 20 consecutive patients with large metaphyseal bone defects of >4 cm located in the region of the distal femur following open injuries treated between 2010 and 2018, with a mean follow-up of 2 years (range, 2 to 10 years). Of these patients,18 were men and 2 were women. Read More

View Article and Full-Text PDF
September 2021

The Management of Missed Median Nerve Laceration After Pediatric Both-Bone Forearm Fracture: A Case Report.

JBJS Case Connect 2021 Sep 24;11(3). Epub 2021 Sep 24.

Department of Orthopaedic Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin.

Case: A 12-year-old girl presented with a both-bone forearm fracture after a fall. Fracture healing occurred, but nerve injury was not addressed until 18 months after injury. Magnetic resonance imaging and electromyography yielded a median nerve injury, and she underwent nerve reconstruction with sural nerve grafting. Read More

View Article and Full-Text PDF
September 2021

Parsonage-Turner Syndrome After SARS-CoV-2 BNT162b2 Vaccine: A Case Report.

JBJS Case Connect 2021 Sep 24;11(3). Epub 2021 Sep 24.

Department of Orthopaedic Surgery and Rehabilitation, The University of Texas Medical Branch, Galveston, Texas.

Case: Parsonage-Turner syndrome, also known as brachial neuritis or neuralgic amyotrophy, is characterized by sudden-onset pain and subsequent weakness of the shoulder. Known precipitating factors include viral and bacterial infections and certain immunizations. Isolated cases after severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection have been reported. Read More

View Article and Full-Text PDF
September 2021

[Sarcopenia y albúmina sanguínea: revisión sistemática con metaanálisis].

Biomedica 2021 Sep 22;41(3):590-603. Epub 2021 Sep 22.

Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, Brasil.

La sarcopenia se caracteriza por la pérdida de musculatura durante el envejecimiento, lo que puede traer consecuencias para la salud. Se detecta de diversas formas, una de ellas, el uso de biomarcadores sanguíneos como la albúmina, aunque todavía no se ha establecido dicha asociación de forma definitiva. Esta revisión sistemática y metaanálisis resume el conocimiento sobre la asociación entre sarcopenia y albúmina sérica en los adultos mayores, centrada en la etiología y los factores de riesgo. Read More

View Article and Full-Text PDF
September 2021

Paracetamol/acetaminophen (single administration) for perineal pain in the early postpartum period.

Cochrane Database Syst Rev 2021 Jan 8;1:CD008407. Epub 2021 Jan 8.

Cochrane Pregnancy and Childbirth Group, Department of Women's and Children's Health, University of Liverpool, Liverpool, UK.

Background: Perineal pain is a common but poorly studied adverse outcome following childbirth. Pain may result from perineal trauma due to bruising, spontaneous tears, surgical incisions (episiotomies), or in association with operative vaginal births (ventouse or forceps-assisted births). This is an update of a review last published in 2013. Read More

View Article and Full-Text PDF
January 2021

Treatment options for progression or recurrence of glioblastoma: a network meta-analysis.

Cochrane Database Syst Rev 2021 May 4;5:CD013579. Epub 2021 May 4.

Department of Oncology, Addenbrooke's Hospital, Cambridge, UK.

Background: Glioblastoma (GBM) is a highly malignant brain tumour that almost inevitably progresses or recurs after first line standard of care. There is no consensus regarding the best treatment/s to offer people upon disease progression or recurrence. For the purposes of this review, progression and recurrence are considered as one entity. Read More

View Article and Full-Text PDF

Stroke-associated pneumonia: A bibliometric analysis of worldwide trends from 2003 to 2020.

Medicine (Baltimore) 2021 Sep;100(38):e27321

Nursing Department, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.

Abstract: Stroke-associated pneumonia (SAP) is a spectrum of pulmonary infections in patients within 7 days of stroke. Which is one of the most common complications after stroke and is significantly associated with a poor prognosis of stroke. To the best of our knowledge, a bibliometric method was not previously used to analyze the topic of SAP; we aim to describe the situation and evolution of SAP from 2003 to 2020, and to discuss the research hotspots and frontiers. Read More

View Article and Full-Text PDF
September 2021

Cognitive decline according to amyloid uptake in patients with poststroke cognitive impairment.

Medicine (Baltimore) 2021 Sep;100(38):e27252

Department of Neurology, The Catholic University of Korea Eunpyeong St. Mary's Hospital, Seoul, Republic of Korea.

Background And Purpose: Poststroke cognitive impairment (PSCI) is common, but the impact of β-amyloid (Aβ) on PSCI is uncertain. The proposed study will investigate amyloid pathology in participants with PSCI and how differently their cognition progress according to the amyloid pathology.

Methods: This multicenter study was designed to be prospective and observational based on a projected cohort size of 196 participants with either newly developed cognitive impairment, or rapidly aggravated CI, within 3 months after acute cerebral infarction. Read More

View Article and Full-Text PDF
September 2021

Comparative efficacy and safety for second-line treatment with ramucirumab, regorafenib, and cabozantinib in patients with advanced hepatocellular carcinoma progressed on sorafenib treatment: A network meta-analysis.

Medicine (Baltimore) 2021 Sep;100(38):e27013

Department of Oncology, the 900th Hospital of Joint Logistics Support Forces of Chinese PLA, Fuzhou, China.

Background: The present network meta-analysis was conducted to perform an indirect comparison among ramucirumab, regorafenib, and cabozantinib in patients with advanced hepatocellular carcinoma (HCC) progressed on sorafenib treatment.

Methods: A systematic review through Medline, Embase, and Cochrane library was developed, with eligible randomized clinical trials been included. Hazard ratios (HRs) including progression-free survival (PFS), overall survival (OS), odds ratios of disease control rate (DCR), objective response rate (ORR), and adverse events were compared indirectly with network meta-analysis using random model in software STATA version 13. Read More

View Article and Full-Text PDF
September 2021

Effects of an Artificial Intelligence-Assisted Health Program on Workers With Neck/Shoulder Pain/Stiffness and Low Back Pain: Randomized Controlled Trial.

JMIR Mhealth Uhealth 2021 Sep 24;9(9):e27535. Epub 2021 Sep 24.

Department of Medical Research and Management for Musculoskeletal Pain, 22nd Century Medical and Research Center, Faculty of Medicine, The University of Tokyo, Tokyo, Japan.

Background: Musculoskeletal symptoms such as neck and shoulder pain/stiffness and low back pain are common health problems in the working population. They are the leading causes of presenteeism (employees being physically present at work but unable to be fully engaged). Recently, digital interventions have begun to be used to manage health but their effectiveness has not yet been fully verified, and adherence to such programs is always a problem. Read More

View Article and Full-Text PDF
September 2021

Oncologists' attitudes towards prophylaxis of cancer associated venous thromboembolism: A prospective, descriptive study.

J Oncol Pharm Pract 2021 Sep 24:10781552211035704. Epub 2021 Sep 24.

Hacettepe Cancer Institute, 37515Hacettepe University, Ankara, Turkey.

Introduction: Cancer-associated venous thromboembolism creates a big burden on both patients and healthcare systems. Clinical guidelines have a consensus on the initiation of prophylactic treatment for hospitalised patients, however a debate still exists for ambulatory cancer patients. Therefore, this study aimed to identify attitudes and practices of medical oncologists on cancer-associated venous thromboembolism management. Read More

View Article and Full-Text PDF
September 2021