- Dental Professionals' Engagement in Tobacco, Electronic Cigarette, and Cannabis Patient Counseling. [Journal Article]
- JCJDR Clin Trans Res 2019 Jul 19; :2380084419861384
- CONCLUSIONS: California dental professionals often ask about smoking but lag in providing cessation assistance and inquiring about noncigarette products. Successful efforts to encourage dental professionals' engagement in tobacco prevention and cessation must enhance providers' self-efficacy and motivation and likely will require system and organizational change.
- [Physiotherapy in dental patients with periodontal disease and compliance to it by dentists and patients]. [Journal Article]
- SStomatologiia (Mosk) 2019; 98(3):15-20
- The research is aimed at determining the state of physical therapy service in UR, provision of equipment and ranking of various physical therapy methods used in dental institutions of different owner…
The research is aimed at determining the state of physical therapy service in UR, provision of equipment and ranking of various physical therapy methods used in dental institutions of different ownership forms and the structure of the organization used in periodontological reception. Monitoring of frequency of use of physiotherapeutic methods in the course of rendering assistance to patients with periodontal diseases is carried out. The analysis of adherence to the physiotherapeutic method of treatment of dentists, as well as patients with chronic generalized periodontitis receiving physiotherapeutic treatment was carried out.
- [IATROGENIC CRIMES: ISSUES OF THE INVESTIGATION TECHNIQUE]. [Journal Article]
- GMGeorgian Med News 2019; (290):163-170
- The objective of the article is to define the concept of iatrogenic crimes, the specifics of their forensic characteristics, the circumstances to be established and studied, and the development of ta…
The objective of the article is to define the concept of iatrogenic crimes, the specifics of their forensic characteristics, the circumstances to be established and studied, and the development of tactics for the main investigative actions. To achieve this objective, the authors have used general scientific and special methods of cognition, chosen according to the objective of the paper. So, the circumstances to be established and studied during the investigation of cases involving iatrogenic crimes have been determined with the help of the method of legal analysis. The statistical method has been used to determine the tactics of the main investigative actions, to identify problem aspects faced by investigators or operative officers during the investigation of crimes on the commission of a negligent crime in the provision of medical assistance or improper performance of professional duties by medical employees or pharmacists. The carried out study made it possible to formulate a forensic characteristic of iatrogenic crimes, to determine and analyze the stages of the process of providing medical care to a patient, as a result of which the patient had or developed iatrogeny, to pay attention to specific features of the interrogation of victims, witnesses and suspects. The authors have highlighted some aspects of the problem of identifying and solving iatrogenic crimes faced by law enforcement agencies. For this purpose, the interviewing of certain groups of investigators and operative officers of the police and security service in Kharkiv region has been conducted. This made it possible to identify problematic issues faced by investigators or operative officers during the investigation of crimes on the commission of a careless crime while providing medical assistance or improper performance of professional duties by medical employees or pharmacists and to suggest the ways to solve them.
- Identification of a novel mutation site in maturity‑onset diabetes of the young in a Chinese family by whole‑exome sequencing. [Journal Article]
- MMMol Med Rep 2019 Jul 03
- The aim of the present study was to determine the mutant genes and mutation sites in a family with maturity‑onset diabetes of the young (MODY), in order to provide evidence for the diagnosis and trea…
The aim of the present study was to determine the mutant genes and mutation sites in a family with maturity‑onset diabetes of the young (MODY), in order to provide evidence for the diagnosis and treatment of clinical MODY. Based on the clinical characteristics of MODY, one family was selected from the Department of Endocrinology of Shanxi Provincial People's Hospital (Shanxi, China). The family comprised seven individuals, four of which were healthy (without MODY), and the whole exome of the individual with MODY, her father and her mother were sequenced. A suspected case (patient's uncle) and a healthy individual (patient's aunt) were sequenced for verification. The Q30 ratio was >90% in the family of three and the sequencing quality was good. The alignment rate was >95%, while the repeat sequence was <10%, with a mean sequencing depth of >120x, which is sufficient to identify mutations. According to Mutation Taster and LRT, it was predicted that the p.leu73Pro mutation of the pancreatic and duodenal homeobox 1 (PDX1) gene was deleterious. The mutation was verified by next‑generation sequencing as the pathogenic site in this family. In conclusion, a novel mutation site of MODY type 4 in the PDX1 gene was identified in a family with MODY, which may provide a basis for its clinical treatment. Whole‑exome sequencing appears to be of assistance in accurately diagnosing MODY.
- Is Assisted Peritoneal Dialysis a Solution for Northern Manitoba? [Journal Article]
- HPHealthc Policy 2019; 14(4):52-65
- CONCLUSIONS: Assisted peritoneal dialysis (APD) is an emerging model where PD supplies are centrally located, and where a cohort of PD patients can provide mutual support with added assistance from an APD worker. This model could mitigate existing treatment barriers.
- Integrating PrEP into HIV care clinics could improve partner testing services and reinforce mutual support among couples: provider views from a PrEP implementation project in Kenya. [Journal Article]
- JIJ Int AIDS Soc 2019; 22 Suppl 3:e25303
- CONCLUSIONS: Providers felt that the integration of PrEP into HIV care clinics stimulated the provision of PNS, and PNS was used to improve the identification of potential PrEP clients. The integrated combination of PNS, PrEP and ART is synergistic and should be promoted in HIV clinics.
- Pedicle screw accuracy in clinical utilization of minimally invasive navigated robot-assisted spine surgery. [Journal Article]
- JRJ Robot Surg 2019 Jul 19
- In the emerging field of robot-assisted spine surgery, the radiographic evaluation of pedicle screw accuracy in clinical application is an area of high interest. This study describes the pedicle scre…
In the emerging field of robot-assisted spine surgery, the radiographic evaluation of pedicle screw accuracy in clinical application is an area of high interest. This study describes the pedicle screw accuracy of the first 56 consecutive cases in which navigated robotic assistance was used in a private practice clinical setting. A retrospective, Institutional Review Board-exempt review of the first 56 navigated robot-assisted spine surgery cases was performed. Pedicle screw malposition, reposition, and return to operating room (OR) rates were collected. A CT-based Gertzbein and Robbins system (GRS) was used to classify pedicle screw accuracy. In the first 56 robotic cases, 356 total pedicle screws were placed. Eight screws were placed without the robot due to surgeon discretion. Of the 348 pedicle screws inserted by navigated robotic guidance, only 2.6% (9/348) were repositioned, resulting in a 97.4% (339/348) successful screw placement rate. The average age was 64, and 48% were female. Average body mass index was 31 kg/m2. Based on the GRS CT-based grading, 97.7% (340/348) were graded A or B, 1.7% (6/348) screws were graded C, and only 0.6% (2/348) of screws were graded D. Two complications, explantation of interbody and vacuum-assisted wound closure, were reported as requiring a return to the OR, but these were not related to robotic guidance or pedicle screws. This study demonstrated a high level of accuracy (97.7%) in the first 56 cases using navigated, robot-assisted surgery based on the GRS. There were two non-screw-related complications requiring return to the operating room.
- To die, to sleep, perchance to dream? A response to DeMichelis, Shaul and Rapoport. [Journal Article]
- JMJ Med Ethics 2019 Jul 18
- In developing their policy on paediatric medical assistance in dying (MAID), DeMichelis, Shaul and Rapoport decide to treat euthanasia and physician-assisted suicide as ethically and practically equi…
In developing their policy on paediatric medical assistance in dying (MAID), DeMichelis, Shaul and Rapoport decide to treat euthanasia and physician-assisted suicide as ethically and practically equivalent to other end-of-life interventions, particularly palliative sedation and withdrawal of care (WOC). We highlight several flaws in the authors' reasoning. Their argument depends on too cursory a dismissal of intention, which remains fundamental to medical ethics and law. Furthermore, they have not fairly presented the ethical analyses justifying other end-of-life decisions, analyses and decisions that were generally accepted long before MAID was legal or considered ethical. Forgetting or misunderstanding the analyses would naturally lead one to think MAID and other end-of-life decisions are morally equivalent. Yet as we recall these well-developed analyses, it becomes clear that approving of some forms of sedation and WOC does not commit one to MAID. Paediatric patients and their families can rationally and coherently reject MAID while choosing palliative care and WOC. Finally, the authors do not substantiate their claim that MAID is like palliative care in that it alleviates suffering. It is thus unreasonable to use this supposition as a warrant for their proposed policy.
- Impact of Artificial Intelligence on Interventional Cardiology: From Decision-Making Aid to Advanced Interventional Procedure Assistance. [Review]
- JCJACC Cardiovasc Interv 2019 Jul 22; 12(14):1293-1303
- Access to big data analyzed by supercomputers using advanced mathematical algorithms (i.e., deep machine learning) has allowed for enhancement of cognitive output (i.e., visual imaging interpretation…
Access to big data analyzed by supercomputers using advanced mathematical algorithms (i.e., deep machine learning) has allowed for enhancement of cognitive output (i.e., visual imaging interpretation) to previously unseen levels and promises to fundamentally change the practice of medicine. This field, known as "artificial intelligence" (AI), is making significant progress in areas such as automated clinical decision making, medical imaging analysis, and interventional procedures, and has the potential to dramatically influence the practice of interventional cardiology. The unique nature of interventional cardiology makes it an ideal target for the development of AI-based technologies designed to improve real-time clinical decision making, streamline workflow in the catheterization laboratory, and standardize catheter-based procedures through advanced robotics. This review provides an introduction to AI by highlighting its scope, potential applications, and limitations in interventional cardiology.
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- Computer-aided diagnosis of endobronchial ultrasound images using convolutional neural network. [Journal Article]
- CMComput Methods Programs Biomed 2019; 177:175-182
- CONCLUSIONS: From the experiment results, it has potential ability to diagnose EBUS images with CNN.