Adherence to the World Cancer Research Fund/American Institute for Cancer Research recommendations for cancer prevention is associated with better health –related quality of life among long-term colorectal cancer survivors: results of the PROFILES registry
AbstractSince colorectal cancer (CRC) survivors often suffer from long-term adverse health effects of the cancer and its treatment, having a negative impact on their health-related quality of life (HRQL), this study focuses on the association between adherence to WCRF/AICR recommendations and HRQL among CRC survivors. In a cross-sectional PROFILES registry study in 1096 CRC survivors (mean time since diagnosis 8.1  years), WCRF/AICR adherence scores (range 0–8, with a higher score for better adherence) were calculated, and HRQL was assessed using the EORTC QLQ-C30. Associations between adherence scores and HRQL ...
Source: Supportive Care in Cancer - November 1, 2019 Category: Cancer & Oncology Source Type: research

Holmium Laser Enucleation of the Prostate: Modified Two-Lobe Technique versus Traditional Three-Lobe Technique-A Randomized Study.
Conclusions: The modified two-lobe technology of HoLEP reduced the incidence of RE and UI, which improved the quality of life of the patients after surgery compared to the traditional three-lobe technology. This trial is registered with ChiCTR1800018553. PMID: 31662976 [PubMed - in process] (Source: Biomed Res)
Source: Biomed Res - November 1, 2019 Category: Research Authors: Xu C, Xu Z, Lin C, Feng S, Sun M, Chen J, Zheng Y Tags: Biomed Res Int Source Type: research

Waist Circumference Measured by Bioelectrical Impedance Analysis Is Interchangeable with Manual Measurement: Increased Waist Circumference Is Associated with Locomotive Syndrome Risk.
Conclusions: BIA and manual methods for measuring WC are interchangeable. The increase in WC measured by BIA was significantly associated with LS risk. It is important to continue focusing on increased WC and early detection of LS risk. PMID: 31662985 [PubMed - in process] (Source: Biomed Res)
Source: Biomed Res - November 1, 2019 Category: Research Authors: Tanaka S, Ando K, Kobayashi K, Seki T, Ishizuka S, Machino M, Morozumi M, Kanbara S, Ito S, Inoue T, Ishiguro N, Hasegawa Y, Imagama S Tags: Biomed Res Int Source Type: research

EMDR therapy in children and adolescents who have post-traumatic stress disorder: a six-week follow-up study.
Authors: Karadag M, Gokcen C, Sarp AS Abstract Objectives: The purpose of this study is to explore whether eye movement desensitisation and reprocessing (EMDR) is an effective therapy and to investigate whether EMDR affects anxiety levels for children and adolescents.Methods: We conducted this study with 30 clients. The clients completed self-administered questionnaires Child Post-Traumatic Stress Reaction Index Scale and The State-Trait Anxiety Inventory. The questionnaires were conducted before the therapy and 6 weeks after the completion of the therapy.Results: Nineteen clients (63%) had only one traumati...
Source: International Journal of Psychiatry in Clinical Practice - November 1, 2019 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Optimisation of methadone treatment in a group of patients on a mephedrone binge and dependent on many psychoactive substances.
Authors: Ordak M, Nasierowski T, Muszynska E, Bujalska-Zadrozny M Abstract Objectives: In recent years, an increase in the frequency of hospitalisations of patients on a mephedrone binge has been observed. The literature lacks data on the optimisation of methadone treatment in this group of people.Methods: The study included 601 patients who took mephedrone on a regular basis between 2010 and 2018. Based on the pharmacological database created, it was verified which methadone interaction contributed to subsequent hospitalisations in the group of people studied and which of them had the best therapeutic effect.Resul...
Source: International Journal of Psychiatry in Clinical Practice - November 1, 2019 Category: Psychiatry Tags: Int J Psychiatry Clin Pract Source Type: research

Clinical indicators of dry eye severity nursing outcome in intensive care unit.
CONCLUSION: the result indicators show that the clinical characteristics of patients in the intensive care unit interfere in the impairment and in the dry eyes severity. According to these results, the importance of assistance directed to the prevention of eye diseases is emphasized. PMID: 31664409 [PubMed - in process] (Source: Revista Latino-Americana de Enfermagem)
Source: Revista Latino-Americana de Enfermagem - November 1, 2019 Category: Nursing Authors: Soares RPDS, Fernandes APNL, Botarelli FR, Araújo JNM, Olímpio JA, Vitor AF Tags: Rev Lat Am Enfermagem Source Type: research

Effectiveness of an intervention with mothers to stimulate children under two years.
APDS Abstract OBJECTIVE: To analyze the effectiveness of an educational intervention with mothers to stimulate children under two years of age at risk for neuropsychomotor development. METHOD: Before-after intervention study, conducted with 52 mothers of children under two years old, enrolled in reference centers in early childhood education. Initially, maternal knowledge regarding child development and stimulation was assessed through a structured instrument. Then, workshops were held with the mothers and, after three months, maternal knowledge was revised, reapplying the data collection instrument. In the ...
Source: Revista Latino-Americana de Enfermagem - November 1, 2019 Category: Nursing Authors: Torquato IMB, Collet N, Forte FDS, França JRFS, Silva MFOC, Reichert APDS Tags: Rev Lat Am Enfermagem Source Type: research

Resilience, quality of life and symptoms of depression among elderlies receiving outpatient care.
Abstract OBJECTIVE: to analyze the relation between resilience and demographic variables, quality of life and symptoms of depression in elderlies attended at a Geriatric Outpatient Clinic. METHOD: analytical cross-sectional study, conducted with 148 elderlies, with a questionnaire of sociodemographic and health characterization, the Resilience Scale, the World Health Organization Quality of Life Bref, the World Health Organization Quality of Life Old, and the Center for Epidemiologic Survey - Depression Scale. Descriptive statistics, Student's t-test and Pearson correlation were used for data analysis. R...
Source: Revista Latino-Americana de Enfermagem - November 1, 2019 Category: Nursing Authors: Lima GS, Souza IMO, Storti LB, Silva MMJ, Kusumota L, Marques S Tags: Rev Lat Am Enfermagem Source Type: research

Effects of interprofessional education on teamwork and on knowledge chronic conditions management.
Abstract OBJECTIVE: Evaluate the effect of interprofessional education on the climate of Primary Health Care teams and on the acquisition of knowledge about management of chronic non-communicable diseases. METHOD: Quasi-experimental study of interprofessional education intervention. Seventeen Primary Health Care teams (95 professionals) participated in the study, of which nine teams (50 professionals) composed the intervention group and eight teams (45 participants) composed the control group. The team climate inventory scale and a questionnaire on knowledge about management of chronic conditions in Primary H...
Source: Revista Latino-Americana de Enfermagem - November 1, 2019 Category: Nursing Authors: Agreli HF, Peduzzi M, Silva MC, Mascarelle RCV, Espinoza P Tags: Rev Lat Am Enfermagem Source Type: research

Interpersonal communication competence among nursing students.
CONCLUSION: This study contributed to identify the level of interpersonal communication competence of nursing students in the Brazilian reality, providing useful information for education in the area. PMID: 31664414 [PubMed - in process] (Source: Revista Latino-Americana de Enfermagem)
Source: Revista Latino-Americana de Enfermagem - November 1, 2019 Category: Nursing Authors: Santos JLGD, Copelli FHDS, Balsanelli AP, Sarat CNF, Menegaz JDC, Trotte LAC, Stipp MAC, Soder RM Tags: Rev Lat Am Enfermagem Source Type: research

Frailty syndrome and cognitive impairment in older adults: systematic review of the literature.
CONCLUSION: despite of the methodological differences of the studies and the lack of definition of an exact proportion in the cause and effect relationship, most studies indicate Frailty Syndrome as a trigger for Cognitive decline. PMID: 31664410 [PubMed - in process] (Source: Revista Latino-Americana de Enfermagem)
Source: Revista Latino-Americana de Enfermagem - November 1, 2019 Category: Nursing Authors: Miyamura K, Fhon JRS, Bueno AA, Fuentes-Neira WL, Silveira RCCP, Rodrigues RAP Tags: Rev Lat Am Enfermagem Source Type: research

Aromatase inhibitors and risk of cardiovascular events in breast cancer patients: a systematic review and meta-analysis.
CONCLUSIONS: These results suggest that patients with breast cancer treated with AIs do not have a significant risk of developing CVEs in comparison with the controls, and exemestane might not be considered as the alternative AI to the breast cancer patients from the perspective of CVEs. Further studies are recommended to investigate this association and the risk differences among different tumor types, AIs or treatment regimens. PMID: 31665091 [PubMed - in process] (Source: BMC Pharmacology and Toxicology)
Source: BMC Pharmacology and Toxicology - November 1, 2019 Category: Drugs & Pharmacology Tags: BMC Pharmacol Toxicol Source Type: research

Feasibility and Acceptability of a Lifestyle Intervention For Individuals With Bipolar Disorder
Individuals with bipolar disorder are at greater risk for cardiovascular disease and are less likely to adhere to lifestyle interventions than the general population. To decrease cardiovascular risk and improve adherence to lifestyle interventions, we developed the Nutrition Exercise and Wellness Treatment (NEW Tx). NEW Tx is an 18-session, 20-week cognitive behavioral therapy–based treatment comprising 3 modules: Nutrition, Exercise, and Wellness. To evaluate the feasibility and acceptability of this intervention as well as predictors of treatment satisfaction and expectations, 38 adult outpatients with bipolar diso...
Source: Journal of Psychiatric Practice - November 1, 2019 Category: Psychiatry Tags: Articles Source Type: research

Correlating Changes in the Epithelial Gland Tissue With Advancing Colorectal Cancer Histologic Grade, Using IHC Stained for AIB1 Expression Biopsy Material
Conclusions: A systematic statistical analysis of AIB1-stained biopsy material showed that high-grade CRC lesions contain higher intensity levels, appear coarser, are more homogeneous with smooth variation across the image, have lower contrast that is slowly varying across the image, have lower AIB1 staining, and have lower edges. A combination of textural and color attributes, evaluating image gray-tone distribution, textural roughness, inhomogeneity, AIB1 staining, and image coarseness should be considered in evaluating AIB1-stained CRC lesions. (Source: Applied Immunohistochemistry and Molecular Morphology)
Source: Applied Immunohistochemistry and Molecular Morphology - November 1, 2019 Category: Chemistry Tags: Research Articles Source Type: research

Agreement and Repeatability of Noncycloplegic and Cycloplegic Wavefront-based Autorefraction in Children
SIGNIFICANCE Increasing prevalence of refractive error requires assessment of ametropia as a screening tool in children. If cycloplegia is not an option, knowledge about the increase in uncertainty for wavefront-based autorefraction is needed. The cycloplegic agent as the principal variant presents cross-reference and allows for extraction of the influence of accommodation. PURPOSE The purpose of this study was to determine the repeatability, agreement, and propensity to accommodate of cycloplegic (ARc) and noncycloplegic (ARnc) wavefront-based autorefraction (ZEISS i.Profiler plus; Carl Zeiss Vision, Aalen, Germany) ...
Source: Optometry and Vision Science - November 1, 2019 Category: Opthalmology Tags: ORIGINAL INVESTIGATIONS Source Type: research

The Veterans Affairs Continuous Positive Airway Pressure Use and Diabetic Retinopathy Study
CONCLUSIONS Increased CPAP compliance may mitigate the risk of developing diabetic retinopathy in type 2 diabetic patients with obstructive sleep apnea. (Source: Optometry and Vision Science)
Source: Optometry and Vision Science - November 1, 2019 Category: Opthalmology Tags: ORIGINAL INVESTIGATIONS Source Type: research

Effect of Vergence/Accommodative Therapy on Reading in Children with Convergence Insufficiency: A Randomized Clinical Trial
CONCLUSIONS For children aged 9 to 14 years with symptomatic convergence insufficiency, office-based vergence/accommodative therapy was no more effective than office-based placebo therapy for improving reading performance on standardized reading tests after 16 weeks of treatment. (Source: Optometry and Vision Science)
Source: Optometry and Vision Science - November 1, 2019 Category: Opthalmology Tags: CLINICAL TRIALS Source Type: research

Pulmonary Function Testing in Dentists Versus Controls: A Pilot Study Exploring the Potential Respiratory-Related Occupational Hazards of Dentistry
Objective: Minimal research exists evaluating respiratory-related occupational hazards associated with dentistry in the United States. The purpose of this study was to evaluate the pulmonary function of dentists as compared with controls. Methods: This is a case-control study evaluating pulmonary function in dentists versus controls. Outcomes included measurements of percent predicted FEV1 (FEV1%), percent of predicted FVC (FVC%), and forced expiratory volume in one second (FEV1)/forced vital capacity (FVC). Results: Our findings indicate that dentists had a statistically significant lower percent predicted FEV1% (...
Source: Journal of Occupational and Environmental Medicine - November 1, 2019 Category: Occupational Health Tags: ORIGINAL ARTICLES Source Type: research

Relationships Between Poor Health and Calories From Fat Among Commercial Truck Drivers
Conclusion: Meaningful relationships between PCF and poor health indicators exist. These indicators may provide an intervention to improve the health and safety of CMV drivers. (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - November 1, 2019 Category: Occupational Health Tags: ORIGINAL ARTICLES Source Type: research

Weekly Working Hours and Mental Health Status in Different Occupations: Evidence From the 2015 to 2016 California Health Interview Survey
Conclusion: These results suggest MHS be susceptible to WWH in total population, men and management, business and finance occupations. WWH for the best MHS for relevant populations could provide evidence for better work hours regulations in California. (Source: Journal of Occupational and Environmental Medicine)
Source: Journal of Occupational and Environmental Medicine - November 1, 2019 Category: Occupational Health Tags: ORIGINAL ARTICLES Source Type: research

Integrating Neuropsychology Services in a Multidisciplinary Concussion Clinic
Objective: To describe the integration of neuropsychology services in a multidisciplinary concussion clinic and provide descriptive information on patients, services, and initial health status. Setting: A university-based outpatient sports medicine concussion clinic. Participants: A consecutive sample of 338 patients ages 8 to 84 years (median 23.5 years, 35% 13-18 years), 49.1% male, seen between 2014 and 2018. Patients' injuries included sports 42%, work 28.4%, and vehicular 12.1% and 48.5% were students. Design: Descriptive statistics with group comparisons. Main Measures: 12-Item Short Form Health Survey ...
Source: The Journal of Head Trauma Rehabilitation - November 1, 2019 Category: Neurology Tags: Original Articles Source Type: research

Safety and Efficacy of Resident-Performed Functional Upper Eyelid Blepharoplasty
Conclusions: Ophthalmology residents can perform functional upper eyelid blepharoplasty safely and effectively under the supervision of an attending physician. Resident-performed functional upper eyelid blepharoplasty under the direct supervision of an attending is a safe and effective procedure with similar complication rate, number of revision procedures, and patient satisfaction to attending-performed functional upper eyelid blepharoplasty. (Source: Ophthalmic Plastic and Reconstructive Surgery)
Source: Ophthalmic Plastic and Reconstructive Surgery - November 1, 2019 Category: Opthalmology Tags: Original Investigations Source Type: research

The Use of Closing Questions in Qualitative Research: Results of a Web-Based Survey
Discussion Researchers frequently included closing questions in qualitative studies. The reasons for including these questions and how data are used vary, and support limited previously published literature. One unique reason, adding “new breath” to the interview, emerged. Study findings can aid qualitative researchers in deciding whether to include closing questions. (Source: Nursing Research)
Source: Nursing Research - November 1, 2019 Category: Nursing Tags: AVAILABLE ONLINE ONLY Source Type: research

Validation of the Presence of Nursing Scale Using Data Triangulation
This study asked if the Presence of Nursing Scale (PONS) is a reliable and valid instrument to measure nursing presence from the patient’s perspective. Methods A convenience sample of 75 adult acute care inpatients were verbally administered the 25-item PONS considering the registered nurse taking care of them on the day of data collection. Open-ended questions elicited the patients’ explanations of their ratings. They also rated their overall satisfaction with the nursing care provided by the subject nurse using a 5-point scale. Results The mean PONS score was 104.5 (SD = 17.26) on the 25–125 scale...
Source: Nursing Research - November 1, 2019 Category: Nursing Tags: FEATURE ARTICLES Source Type: research

The Problem With p and Statistical Significance
No abstract available (Source: Nursing Research)
Source: Nursing Research - November 1, 2019 Category: Nursing Tags: EDITORIAL Source Type: research

The Association Between Antenatal Maternal Self-reported Substance Use, Maternal Characteristics, and Obstetrical Variables
Conclusion: Substance use disorders during pregnancy are an often underestimated cause of maternal, fetal, and neonatal complications. Limited studies have examined the relationship between maternal characteristics and associated illicit or nonillicit drug use. The absence of correlation between maternal demographics and disclosure of illicit substance use demonstrates the fact that all antepartum patients are at risk for these behaviors. Furthermore, the fact that women who did not disclose their illicit drug use were less likely to seek complete prenatal care reflects the need for physicians to provide a destigmatized ...
Source: Journal of Addiction Medicine - November 1, 2019 Category: Addiction Tags: Original Research Source Type: research

Disparities Between US Opioid Overdose Deaths and Treatment Capacity: A Geospatial and Descriptive Analysis
Conclusion: Assessing the overlay between treatment capacity and need demonstrated that regional imbalances exist. These data can aid in strategic planning to correct the mismatch and potentially reduce mortality in the most challenged geographic regions. (Source: Journal of Addiction Medicine)
Source: Journal of Addiction Medicine - November 1, 2019 Category: Addiction Tags: Original Research Source Type: research

Structure-function Relationship in Advanced Glaucoma After Reaching the RNFL Floor
Conclusions: Even after the cpRNFL had reached the measurement floor, several macular parameters showed a statistically significant relationship with functional status in VF. In particular, the assessment of structural changes in the nasal macular region may be important in determining the central VF in advanced glaucoma. (Source: Journal of Glaucoma)
Source: Journal of Glaucoma - November 1, 2019 Category: Opthalmology Tags: Original Studies Source Type: research

Threshold Automated Perimetry of the Full Visual Field in Patients With Glaucoma With Mild Visual Loss
Precis: The authors used the Open Perimetry Interface to design a static automated perimetry test of the full field. Abnormal test locations in the nasal midperiphery and temporal inferior sector area best separated glaucomas from normals. Purpose: The peripheral visual field in glaucoma outside 30 degrees is largely unexplored with static perimetry. Their goal was to use threshold static automated perimetry to characterize the visual loss in glaucoma of the central 30 degrees and the far periphery. Patients and Methods: The authors administered the 30-2 perimetric test to 27 patients with early stage glaucoma (wit...
Source: Journal of Glaucoma - November 1, 2019 Category: Opthalmology Tags: Original Studies Source Type: research

Orthognathic Surgery Has a Significant Positive Effect on Perceived Personality Traits and Perceived Emotional Facial Expressions in Subjects With Primary Mandibular Deficiency
This study tested the hypothesis that a layperson's social perceptions of a dentofacial deformity (DFD) patient with primary mandibular deficiency (PMD) are more positive after bimaxillary orthognathic surgery. A survey was implemented comparing layperson's social perceptions of emotional expressions and personality traits before and>6 months after orthognathic surgery when viewing standardized facial photographs. The study sample comprised 20 patients selected randomly from a larger primary mandibular deficiency database, treated by 1 surgeon after orthognathic surgery. The outcome variable was change in 6 perceived e...
Source: Journal of Craniofacial Surgery - November 1, 2019 Category: Surgery Tags: Original Articles Source Type: research

Cone-Beam Computed Tomography Study of Mandibular Condylar Morphology
Objective: The purpose of this study was to evaluate the morphology of mandibular condyle using cone-beam computed tomography (CBCT) on coronal sections in a South-Eastern Anatolian population. Methods: A total of 1820 joints in 910 subjects with age range of 18 to 86 years were examined retrospectively on CBCT images. The mandibular condylar morphology was examined in right and left sides on coronal sections and classified as convex, round, flat, and angled. In addition, condyle morphology was assessed according to age, gender, edentulism, Angle's classification. Results: The study sample contained CBCT scans of 9...
Source: Journal of Craniofacial Surgery - November 1, 2019 Category: Surgery Tags: Anatomical Studies Source Type: research

The Impact of Ethnicity on Craniosynostosis in the United States
While many studies have examined potential risk factors for nonsyndromic craniosynostosis, there have been no publications to date investigating the role of ethnicity in the United States. The current study was undertaken as the first multi-center investigation to examine the relationship between ethnicity and nonsyndromic craniosynostosis, looking at both overall prevalence as well as potential correlation between ethnicity and pattern of affected suture site. A chart review of patients diagnosed with nonsyndromic craniosynostosis treated at four major children's hospitals was performed to obtain ethnicity data. Analysis ...
Source: Journal of Craniofacial Surgery - November 1, 2019 Category: Surgery Tags: Clinical Studies Source Type: research

Oncoplastic Lower Eyelid Reconstruction Analysis
Background: Oncoplastic lower eyelid reconstruction is a challenging task due to the complicated structure of the eyelid and requirement of high operative accuracy. Poorly treated defects result in ectropion and ptosis which may lead to keratitis and corneal ulceration. Previous related studies do not include a detailed comparison of the common reconstructive methods of the lower eyelid in terms of results and complication rates. Objective: The authors aim to demonstrate whether the choice of reconstruction affects the aesthetic and functional outcome of oncoplastic lower eyelid reconstruction. Methods & Material...
Source: Journal of Craniofacial Surgery - November 1, 2019 Category: Surgery Tags: Clinical Studies Source Type: research

Barriers to the Effective Management of Gynecomastia in Adolescents
Discussion: High surgical success rate, coupled with significant improvements in psychosocial functioning suggests that mastectomy is a highly effective intervention for adolescents with gynecomastia. However, due to vague and inadequate coverage and evaluation criteria surgery is often not performed. This paper offers a framework for developing a quantitative system by which to evaluate surgical candidates by adopting well-established guidelines currently in use for reduction mammoplasties and suggests further analysis into a cost/benefit analysis for coverage of the procedure. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - November 1, 2019 Category: Surgery Tags: Original Articles Source Type: research

Identifying Differences Between a Straight Face and a Posed Smile Using the Homologous Modeling Technique and the Principal Component Analysis
Recently, a homologous modeling method was developed to simulate 3D human body forms, which can visualize principal component analysis (PCA) results and facilitate its detailed comparison with results of previous method. Herein, we aimed to construct a homologous model of the face to identify differences between a straight face and a posed smile. Thirty-eight volunteers (19 males and 19 females, 38 straight faces and 38 posed smiles) with no medical history associated with a posed smile were enrolled. Three-dimensional images were constructed using the Homologous Body Modeling software and the HBM-Rugle; 9 landmarks were i...
Source: Journal of Craniofacial Surgery - November 1, 2019 Category: Surgery Tags: Original Articles Source Type: research

Vitamin E Promotes Bone Formation in a Distraction Osteogenesis Model
The long consolidation period of distraction osteogenesis (DO) may lead to complications such as pain, infection, fracture, scar formation, malunion and delayed union. The aim of this study was to evaluate the effect of systemic Vitamin E application during mandibular DO on new bone regeneration in a rabbit model. 16 adult male 8 months old New Zealand rabbits underwent mandibular lengthening with a distractor for the study. After the latency period of 5 days, the distractor was activated at a rate of 0.5 mm/12 hours for 7 days. Experimental animals received 200 mg/kg injections of α-tocopherol intraperitoneall...
Source: Journal of Craniofacial Surgery - November 1, 2019 Category: Surgery Tags: Original Articles Source Type: research

The Surface and Intracranial Location of Asterion
Conclusion: Asterion is an important landmark for the retrosigmoid approaches. The surface and intracranial location of the asterion and proximity with dural sinuses are important for surgeons not to cause fatal subdural hematomas during the approaches using “Burr Hole” technic in neurochirurgie operations. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - November 1, 2019 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Does Meningioma Volume Correlate With Clinical Disease Manifestation Irrespective of Histopathologic Tumor Grade?
Conclusion: The size of a meningioma does not seem to reliably predict tumor grade. Growth potential seems to be influenced by tumor location. Higher tumor volumes were significantly associated with the occurrence of clinical symptoms. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - November 1, 2019 Category: Surgery Tags: Brief Clinical Studies Source Type: research

A Comparison of the Aesthetics Outcomes and Respiratory Side Effects of the Use of Spreader Flap and Spreader Graft Techniques in Open Rhinoplasty
Conclusion: The findings of the present research indicated that there is no significant difference between the use of spreader graft and spreader flap techniques. Therefore, considering the clinical conditions of patients, either of the 2 techniques can be used effectively in rhinoplasties. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - November 1, 2019 Category: Surgery Tags: Clinical Studies Source Type: research

Analysis of Dental Arch in Children With Oral Cleft Before and After the Primary Surgeries
This study aimed to evaluate longitudinally the alteration of the dental arch dimensions of children with different oral cleft types, before and after the primary surgeries. Three-dimensional images of the maxillary dental casts of children with unilateral complete cleft lip (G1), unilateral complete cleft lip and palate (G2), and cleft palate (G3). The children were evaluated at pre-cheiloplasty (T1), pre-palatoplasty (T2), and 1 year after palatoplasty (T3). The measurements obtained: intercanine (C-C’) and intertuberosity (T-T’) distances, anterior (I-CC’) and total (I-TT’) arch lengths. To analy...
Source: Journal of Craniofacial Surgery - November 1, 2019 Category: Surgery Tags: Clinical Studies Source Type: research

Delay in Cleft Lip and Palate Surgical Repair: An Institutional Review on Cleft Health Disparities in an Urban Population
Access to specialized medical care is critical to decrease complications and minimize long-term morbidity, yet racial disparities in cleft surgery persist as time to initial reconstruction remains delayed among minority patients. Research has demonstrated an average 3-week delay in surgery for minority patients nationally. A retrospective chart review of patient demographics, visit timing, and surgical history was performed for patients who underwent primary cleft lip with or without palate (CL + P) reconstruction between 2002 and 2016 at an urban craniofacial center. Of the 89 children who underwent surgery, 87% were ...
Source: Journal of Craniofacial Surgery - November 1, 2019 Category: Surgery Tags: Original Articles Source Type: research

National Analysis of Patients With External Ear Melanoma in the United States
Background: External ear melanoma (EEM) is a rare condition with controversies in the literature. We analyzed patients with EEM in the United States compared to other head and neck melanomas (OHNMs). Methods: The National Cancer Database (NCDB) was used to select patients with head and neck melanoma from January 1, 2004 to December 31, 2015. Mann–Whitney and χ2 tests were used to estimate statistical significance, and multivariate logistic regression to identify independent associations adjusted for confounders. Results: A total of 137,233 patients met the study criteria. Among them, 16,991 (12.4%) had EE...
Source: Journal of Craniofacial Surgery - November 1, 2019 Category: Surgery Tags: Brief Clinical Studies Source Type: research

Relative Head Impact Exposure and Brain White Matter Alterations After a Single Season of Competitive Football: A Pilot Comparison of Youth Versus High School Football
Objective: Youth athletes are believed to be more susceptible to white matter (WM) degradation resulting from head impact exposure relative to high school (HS) athletes; this hypothesis has not been objectively tested. The purpose of this study was to determine preseason to postseason changes in WM integrity from repetitive head impacts for youth football (YFB) players compared with HS football players during a competitive football season. Design: Prospective cohort. Setting: One season of YFB (grades 7 and 8) and varsity HS football (grades 10-12). Patients or Other Participants: Twelve YFB (13.08 ± 0.64...
Source: Clinical Journal of Sport Medicine - November 1, 2019 Category: Sports Medicine Tags: Original Research Source Type: research

Impact of Clavicle Fractures on Return to Play and Performance Ratings in NFL Athletes
Conclusion: Although clavicle fractures did have a significant impact on athletes because of lost playing time, there was no statistically significant difference in player performance after the injury when compared with a control group. (Source: Clinical Journal of Sport Medicine)
Source: Clinical Journal of Sport Medicine - November 1, 2019 Category: Sports Medicine Tags: Original Research Source Type: research

Nitrous Oxide 70% for Procedural Analgosedation in a Pediatric Emergency Department–With or Without Intranasal Fentanyl?
Conclusions Because of the study design and limitations, no conclusions about adding INF to N20 70% can be made. Additional research is needed to investigate the effect of combining N20 70% with INF. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - November 1, 2019 Category: Emergency Medicine Tags: Original Articles Source Type: research

Improving Bronchiolitis Care in Outpatient Settings Across a Health Care System
Conclusion A system-wide quality improvement project involving multiple outpatient care settings reduced the use of ineffective therapies and interventions in patients with bronchiolitis and resulted in significant cost savings. Improvements in care were sustained for 3 bronchiolitis seasons. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - November 1, 2019 Category: Emergency Medicine Tags: Original Research-QI Source Type: research

A Review of Nonfatal Drowning in the Pediatric-Age Group: A 10-Year Experience at a University Hospital in Saudi Arabia
Conclusions The findings of this study were in line with results of most of the international and local studies on the subject. Significant defects have been concluded in prehospital medical care and cardiopulmonary resuscitation. Adequate swimming safety regulations, assignments of lifeguards, and parental education should be taken into consideration by media and involved authorities. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - November 1, 2019 Category: Emergency Medicine Tags: Original Articles Source Type: research

Parallel transverse uterine incisions, a novel approach for managing heavy hemorrhage and preserving the uterus: A retrospective cohort study for patients with anterior placenta previa and accreta
Placenta previa and accreta with prior cesarean section is an extremely serious condition that is associated with maternal morbidity and mortality from obstetric hemorrhage. The aim of our study was to evaluate the efficacy and advantages of a novel surgical technique, parallel transverse uterine incisions (PTUI), during conservative cesarean delivery in patients with placenta previa and accreta. This was a retrospective cohort study including 124 pregnant women, who had at least 1 prior cesarean section and were diagnosed with anterior placenta previa and accreta between January 2014 and October 2017. Using the hospital'...
Source: Medicine - November 1, 2019 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research

Effect of soft tissue injury and ulnar angulation on radial head instability in a Bado type I Monteggia fracture model
The effects of soft tissue damage and ulnar angulation deformity on radial head instability in Monteggia fractures are unclear. We tested the hypothesis that radial head instability correlates with the magnitude of ulnar angular deformity and the degree of proximal forearm soft tissue injury in Bado type I Monteggia fractures. We performed a biomechanical study in 6 fresh-frozen cadaveric upper extremities. Monteggia fractures were simulated by anterior ulnar angulation osteotomy and sequential sectioning of ligamentous structures. We measured radial head displacement during passive mobility testing in pronation, supinati...
Source: Medicine - November 1, 2019 Category: Internal Medicine Tags: Research Article: Quality Improvement Study Source Type: research

Effect of neuromuscular electrical stimulation combined with effortful swallowing using electromyographic biofeedback on oropharyngeal swallowing function in stroke patients with dysphagia: A pilot study
Conclusion: This study demonstrated that the use of NMES combined with EMG-BF had the potential to improve oropharyngeal swallowing in stroke patients with dysphagia. (Source: Medicine)
Source: Medicine - November 1, 2019 Category: Internal Medicine Tags: Research Article: Clinical Trial/Experimental Study Source Type: research