Understanding the Influenza Vaccine Knowledge, Barriers, and Trust in the Hispanic Community of Metro Detroit.

Mistrust and barriers to influenza vaccination are well-documented in the literature. Underserved populations, including the Hispanic community, experience social determinants of health that exacerbate their health outcomes, including for common preventable illnesses such as influenza (flu). There is currently a gap in the literature regarding the knowledge, barriers to access, and trust of the Hispanic community regarding the influenza vaccine.

The Impact of Normothermic Machine Perfusion on Biliary Complications in Donation After Circulatory Death Donor Liver Transplantation.

Background: The incidence of ischemic cholangiopathy (IC) in liver transplant (LT) patients from donation after circulatory death (DCD) has been observed to be higher compared with those from donation after brain death (DBD). It has been reported that the normothermic machine perfusion (NMP) technique was associated with lower rates of IC. However, the effect of NMP on anastomotic biliary complications remains unclear.

The role of flaps in preventing lower extremity amputations.

The increasing prevalence of chronic limb-threatening ischemia and diabetes mellitus has led to a surge in lower extremity amputations, driven by the combination of peripheral arterial disease and extensive wounds. Although revascularization often addresses ischemia, severe wounds pose a significant risk of amputation. Flaps, which involve the transfer of vascularized tissue, can provide immediate closure of complex wounds, particularly those involving bone or tendon exposure, where skin grafts are insufficient.

Impact of Early Procedural Exposure on Pre-clinical Medical Students' Confidence.

Introduction: Pre-clinical involvement in procedural training is an essential part of medical school curricula and represents a core competency for medical students entering clerkships and residency. To prepare students for clerkships, "transition to clerkships" courses have been implemented just prior to entering the clinical setting. Despite this additional training, medical students often experience a lack of confidence in procedural skills.

Is prehospital physical performance a predictor of functional capacity decline at discharge in hospitalized Brazilian older adults?

Background: Hospitalization contributes to functional decline in older adults.

Objective: To assess the relationship between physical performance on admission and functional capacity and functional capacity decline at discharge, and to investigate tools capable of predicting this decline.

Methods: Prospective longitudinal study with 75 older adults admitted to a public hospital between July 2021 and February 2022.

The Anaphase Promoting Complex/Cyclosome Subunit 11 and Its Role in Organ Size and Plant Development.

The anaphase promoting complex/cyclosome (APC/C), a member of the E3 ubiquitin ligase family, plays an important role in recognizing the substrates to be ubiquitylated. Progression of anaphase, and therefore, of the cell cycle, is coordinated through cyclin degradation cycles dependent on proteolysis triggered by APC/C. The APC/C activity depends on the formation of a pocket comprising the catalytic subunits, APC2, APC11, and APC10.

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Background: Vascular access is the procedure performed with greatest frequency in hospitalized patients. Simulation models are intended to minimize complications and combine technical and theoretical knowledge, offering a safe environment for training health professionals that avoids the ethical dilemmas of conducting initial training with patients. Many different training dolls have been developed to achieve this objective, but their high cost means they are not universally available, and it is common for unqualified health professionals to perform procedures on patients with no previous practice.

Effects of Copaiba oil in the healing process of urinary bladder in rats.

Introduction: The appropriate closure of the urinary bladder is important to many urologic procedures to avoid the formation of fistulas and strictures by excessive fibrosis. This paper presents the alterations in the bladder healing process of rats after the topical use of Copaiba oil (Copaifera reticulata).

Material And Methods: Ten male Wistar rats were used and randomly divided into two groups: Control group (CG): injected 1ml/kg of saline solution on the suture line; and Copaiba group (CpG): 0.

Epidemic of postsurgical infections caused by Mycobacterium massiliense.

An epidemic of infections after video-assisted surgery (1,051 possible cases) caused by rapidly growing mycobacteria (RGM) and involving 63 hospitals in the state of Rio de Janeiro, Brazil, occurred between August 2006 and July 2007. One hundred ninety-seven cases were confirmed by positive acid-fast staining and/or culture techniques. Thirty-eight hospitals had cases confirmed by mycobacterial culture, with a total of 148 available isolates recovered from 146 patients.