ESO Solutions names Jennifer Mabe Chief Financial Officer

AUSTIN, Texas – ESO Solutions, Inc., a leading provider of healthcare software and interoperability solutions, announced today the hiring of Jennifer Mabe, CPA, CGMA, as Chief Financial Officer (CFO). "It's an exciting time at ESO. We're growing fast and focused on scaling to meet our customers' needs," said Chris Dillie, President and CEO of ESO. "As we scale, it is ...

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Pediatric IOs: 5 things I didn’t learn in paramedic school

Pediatric IO insertion can be stressful, but it's a critical tool to have if you can't get IV access.

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In vivo bone strain in the mandibular corpus of Sapajus during a range of oral food processing behaviors

Publication date: Available online 23 August 2016
Source:Journal of Human Evolution
Author(s): Callum F. Ross, Jose Iriarte-Diaz, David A. Reed, Thomas A. Stewart, Andrea B. Taylor
It has been hypothesized that mandibular corpus morphology of primates is related to the material properties of the foods that they chew. However, chewing foods with different material properties is accompanied by low levels of variation in mandibular strain patterns in macaques. We hypothesized that if variation in primate mandible form reflects adaptations to feeding on foods with different material and geometric properties, then this variation will be driven primarily by differences in oral food processing behavior rather than differences in chewing per se. To test this hypothesis, we recorded in vivo bone strain data from the lateral and medial surfaces of the mandibular corpus during complete feeding sequences in three adult male Sapajus as they fed on foods with a range of sizes and material properties. We assessed whether variation in mandibular corpus strain regimes is associated with variation in feeding behaviors and/or chewing on different foods, and we quantified the relative variation in mandibular corpus strain regimes associated with chewing on foods of different material properties versus a range of oral food processing behaviors (incisor, premolar, and molar biting; pulling on incisors; mastication). Feeding behavior had a significant effect on mandibular corpus strain regimes, as did chewing side and the cycle number in a feeding sequence. However, food type had weaker effects and usually only through interaction effects with chewing side and/or cycle type. Strain regimes varied most across different chew sides, then across different behaviors, and lastly between mastication cycles on different foods. Strain magnitudes associated with premolar, molar, and incisor biting were larger than those recorded during mastication. These data suggest that intra- and inter-specific variation in mandible morphology is a trade-off between performance requirements of different oral food processing behaviors and of variation in chewing side, with direct effects of food type being less important.



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A comparative study on intraoperative mitomycin-c augmented external dacryocystorhinostomy with conventional dacryocystorhinostomy

2016-08-23T08-14-23Z
Source: International Journal of Research in Medical Sciences
Bharoti Sarmah Puzari, Pramod Kumar H. N..
Background: Dacryocystorhinostomy (DCR) is a commonly done surgery performed for management of epiphora due to nasolacrimal duct obstruction. Goal of the procedure is to bypass the obstructed nasolacrimal duct allowing tear drainage into the nasal cavity directly from lacrimal sac by creating an anastomosis between the lacrimal sac and the nasal mucosa via a bony ostium. Common cause of DCR failure are attributed as an end effect of fibrous tissue growth, scarring and granulation tissue formation which obstructs the new drainage channel. Mitomycin c is an antiproliferative agent and may enhance the result of DCR by inhibiting fibrous tissue proliferation. Here we aim to evaluate the results of intraoperative mitomycin C application in dacryocystorhinostomy surgery compared with the result of conventional DCR. Methods: A prospective randomized comparative study of one year duration was done in the Department of Ophthalmology, Assam Medical College and Hospital, Dibrugarh, Assam, India. A total of 60 patients of acquired nasolacrimal duct obstruction were enrolled and divided randomly into two groups, 30 nos of patients in each group. One group had undergone conventional external DCR operation and other group was treated with DCR surgery with intraoperative mitomycin C application at the anastomotic flap and osteotomy site. Patients were reviewed after 1week, 1month, 3month and 6months postoperatively. The results of DCR surgeries were evaluated by observation of different parameters such as height of tear meniscus and patency of the nasolacrimal passage. Results: In our study we have observed that majority of cases were in 21-30 years age group with female preponderance (male vs female; 35% vs 75%). Chronic dacryocystitis was seen in majority of cases (70%) followed by mucocele (26.67%) and lacrimal fistula (3.33%). Major difficulties encountered during surgery and postoperatively were almost identical in both the groups. There was no case of abnormal mucosal bleeding, mucosal necrosis, delayed wound healing in patients which underwent DCR with mitomycin C use. Post-operative care and follow up were done identically in both the groups. It was seen that a total success rate of 80% was achieved in conventional group where as 96.67% success was achieved in MMC group at the end of 6 months. In case of scar prone conditions like lacrimal fistula mitomycin C use has shown to be efficacious in maintaining patency of the system after surgery. Conclusions: Distinctly higher success rate have been achieved in patients undergoing DCR with intra-operative MMC as compared to patients undergoing conventional DCR. Use of intraoperative mitomycin C can be considered safe and simple but very effective modification of conventional external DCR.


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A study of birth preparedness of women in Jamnagar district

2016-08-23T07-53-46Z
Source: International Journal of Community Medicine and Public Health
Khyati A. Nimavat, Abha D. Mangal, Sumit V. Unadkat, Sudha B. Yadav.
Background: About 800 women die every day from preventable causes related to pregnancy and child birth globally. Birth-preparedness is a strategy developed by the maternal and neonatal health programme of JHPIEGO for addressing the three main delays at various stakeholder levels. Present study is an attempt to assess the level of birth preparedness of pregnant women in rural area of Jamnagar district and various factors associated with it. Methods: It was a cross-sectional study conducted during October 2011 to March 2012. Total live births in a year 2011 were 39943.90 and Taking 1% of total births ≈ 400, Adding 10% of non-response rate, total sample size was 440. Total 450 study subjects were chosen. The study-subjects were divided in 1) current pregnant women and 2) recent delivered women. A pretested semi-structured questionnaire was used to interview women, chosen for the study using multistage random sampling technique and data was analysed by Epi Info. Results: It was found that only about one third of women i.e. 32.2% were prepared for birth and 67.8% women were not prepared. Out of 450 women, it was found that 86.2% of them planned for the skilled birth attendant, 59.6% women planned for saving money, about one third of women i.e. 37.6% had planned for transportation and only 2.7% women had planned for blood donor in case of emergency. Religion Hindu, literacy of women and their husbands, higher socio-economic status, advice given during pregnancy were some positive factors associated with birth preparedness. Conclusions: The level of birth preparedness in study subjects was found very low. Sincere efforts are required to identify this gap and reducing the same.


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Knowledge and practice of universal precautions among nursing staff at a tertiary care hospital in South Gujarat, India

2016-08-23T07-53-46Z
Source: International Journal of Community Medicine and Public Health
Priti Solanky, Hinal Baria, Alka Nerulkar, Nilesh Chavda.
Background: Health care providers are at an increased risk of exposure to various infections like HIV, Hepatitis B, Hepatitis C etc. These infections are prevented if proper universal precautions are observed by health care providers consistently in their day to day clinical work. In study we have explored knowledge and practice of universal precautions among nursing staff. Methods: A cross sectional study carried out among staff nurses in December 2013. Self-administered semi structured proforma was used for data collection. Information regarding knowledge and practice of universal precautions was collected. Results: Out of 88 participants interviewed, almost all of them reported of having awareness about universal precautions and personal protective equipments. Only 44.3% nurses mentioned all the correct measures for universal precautions. 89.77% nurses were aware about health hazards of needle stick injury but only 67.05% correctly reported about how needle stick injury can be prevented. 38.64% nurses had experienced needle stick injury while working and most of them (79.41%) followed proper guidelines. Conclusions: correct knowledge regarding universal precautions among nursing staff is still not of satisfactory level and training at repeated interval needs to be given to ensure correct knowledge as well as implementation of universal precautions.


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The effect of different bleaching materials on the solubility of enamel

2016-08-23T07-15-36Z
Source: Medicine Science | International Medical Journal
Hatice Akinci Cansunar, Yegane Guven, Ferda Dogan.
In this research, the effect of three bleaching materials, 20% carbamide peroxide, 35% carbamide peroxide and 38% hydrogen peroxide on the solubility of enamel is examined. For this study, 30 premolar teeth extracted for orthodontic purpose were used. They were divided into three groups 10 teeth in each Crowns of the teeth were divided into 2 pieces longitudinally. One part of the tooth crown was used as control and the other part was used as experimental group. 20 percent carbamide peroxide was applied at 370 C during 6 hours for 8 days to the first test group (at-home bleaching), 35 percent carbamide peroxide was applied at 37 0C for 30 minutes for 8 days to the second test group (at-home bleaching) and 38 percent hydrogen peroxide was used 4 times for 15 minutes making a total 60 minutes on the remaining ten specimen (in-office bleaching). The solubility of the enamel was calculated by the determination of inorganic phosphorus using a spectrophotometer. Comparative analysis of the depths in the groups was carried out and its relation with mineral loss was evaluated. Paired t-test was used to compare the differences between the groups. A statistically significant difference was found between the control and the study groups for the 38% hydrogen peroxide. There was no statistically significant difference between the control and experimental groups in the other two groups. It is concluded that of these three bleaching materials, 38% hydrogen peroxide has the greatest effect on mineral loss from the enamel.


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