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https://www.readbyqxmd.com/read/28820463/cycle-tracks-and-parking-environments-in-china-learning-from-college-students-at-peking-university
#1
Changzheng Yuan, Yangbo Sun, Jun Lv, Anne C Lusk
China has a historic system of wide cycle tracks, many of which are now encroached by cars, buses and bus stops. Even with these conditions, college students still bicycle. On campuses, students park their bikes on facilities ranging from kick-stand-plazas to caged sheds with racks, pumps and an attendant. In other countries, including Canada, some of the newer cycle tracks need to be wider to accommodate an increasing number of bicyclists. Other countries will also need to improve their bike parking, which includes garage-basement cages and two-tiered racks...
August 18, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28816890/improving-timeliness-of-%C3%AE-agonist-and-corticosteroid-administration-in-patients-with-acute-wheezing
#2
Mandisa McIver, William Stoudemire, Cherrelle Smith-Ramsey, Mousumee Panigrahi, Christine Walsh-Kelly
OBJECTIVE: Timely delivery of β-agonists and steroids to patients with acute recurrent wheezing is a key component of the National Heart, Lung, and Blood Institute recommended emergency department (ED) asthma care. We conducted an ED improvement initiative to standardize asthma care and improve time to treatments. METHODS: Our multidisciplinary team identified key contributing factors to timeliness, developed key driver diagrams, implemented and refined a management pathway, designed and executed rapid cycle improvements, and implemented interventions...
August 14, 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/28813918/how-to-prepare-a-person-with-complete-spinal-cord-injury-to-use-surface-electrodes-for-fes-trike-cycling
#3
Raymond K Y Tong, Xiaojun Wang, Kenry W C Leung, Ginny T Y Lee, Cathy C Y Lau, H W Wai, Peter M K Pang, H C Leung
Functional Electrical Stimulation (FES) cycling could benefit people with Spinal Cord Injury (SCI). The FES cycling involves large muscle groups during the training, and thus improves the cardiovascular function, increases the muscle bulk and reduces the secondary complications. This study developed an outdoor FES exercise cycling system for complete SCI persons to exercise their lower limbs without putting extra load on upper extremities. The mechanical structure of the cycling system was specially redesigned to secure the SCI persons in the cycling system...
July 2017: IEEE ... International Conference on Rehabilitation Robotics: [proceedings]
https://www.readbyqxmd.com/read/28809189/patient-participation-in-care-design-and-redesign
#4
(no author information available yet)
No abstract text is available yet for this article.
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28809181/redesigning-health-care-work
#5
(no author information available yet)
No abstract text is available yet for this article.
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28806954/-usability-of-data-integration-and-visualization-software-for-multidisciplinary-pediatric-intensive-care-a-human-factors-approach-to-assessing-technology
#6
Ying Ling Lin, Anne-Marie Guerguerian, Jessica Tomasi, Peter Laussen, Patricia Trbovich
BACKGROUND: Intensive care clinicians use several sources of data in order to inform decision-making. We set out to evaluate a new interactive data integration platform called T3™ made available for pediatric intensive care. Three primary functions are supported: tracking of physiologic signals, displaying trajectory, and triggering decisions, by highlighting data or estimating risk of patient instability. We designed a human factors study to identify interface usability issues, to measure ease of use, and to describe interface features that may enable or hinder clinical tasks...
August 14, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28805680/broadband-ultra-deep-sub-diffraction-limit-optical-focusing-by-metallic-graded-index-mgrin-lenses
#7
Yechuan Zhu, Weizheng Yuan, Hao Sun, Yiting Yu
The development of techniques for efficiently confining energy in the visible and infrared spectral regions to the deep subwavelength spatial scale with dimensions as small as a few nanometers would have great significance for scientific research and engineering practices. Such an ability to manipulate light is impossible for conventional dielectric lenses due to the diffraction limit. Here, we propose a metallic graded-index (MGRIN) lens formed by an array of coupled metallic waveguides with identical nanoscale widths embedded by index-varying dielectrics to enable the optical nanofocusing...
August 12, 2017: Nanomaterials
https://www.readbyqxmd.com/read/28801142/synergistic-experimental-and-numerical-characterization-of-a-dry-heat-fluid-warming-device
#8
Winston Tan, Eph M Sparrow, John M Gorman, Jungwon Ahn
Fluids that are infused into the human body must be at a temperature that is compatible with the internal thermal state of the body. Since infusants are typically stored at temperatures that are too low for compatibility, a heating means is required to achieve the appropriate infusion temperature. This paper sets forth a synergistic investigation involving coupled experimentation and numerical simulation of the characteristics of one of the main categories of body-fluid heating means. The methodology developed here serves equally well as a design optimization tool...
August 8, 2017: Medical Engineering & Physics
https://www.readbyqxmd.com/read/28800389/silicon-micropore-based-parallel-plate-membrane-oxygenator
#9
Ajay Dharia, Emily Abada, Benjamin Feinberg, Torin Yeager, Willieford Moses, Jaehyun Park, Charles Blaha, Nathan Wright, Benjamin Padilla, Shuvo Roy
Extracorporeal membrane oxygenation (ECMO) is a life support system that circulates the blood through an oxygenating system to temporarily (days to months) support heart or lung function during cardiopulmonary failure until organ recovery or replacement. Currently, the need for high levels of systemic anticoagulation and the risk for bleeding are main drawbacks of ECMO that can be addressed with a redesigned ECMO system. Our lab has developed an approach using microelectromechanical systems (MEMS) fabrication techniques to create novel gas exchange membranes consisting of a rigid silicon micropore membrane (SμM) support structure bonded to a thin film of gas-permeable polydimethylsiloxane (PDMS)...
August 11, 2017: Artificial Organs
https://www.readbyqxmd.com/read/28799209/computation-guided-design-of-a-stimulus-responsive-multi-enzyme-supramolecular-assembly
#10
Lu Yang, Elliott M Dolan, Sophia K Tan, Tianyun Lin, Eduardo D Sontag, Sagar Khare
The construction of stimulus-responsive supramolecular complexes of metabolic pathway enzymes, inspired by natural multi-enzyme assemblies (metabolons), provides an attractive avenue for efficient and spatio-temporally controllable one-pot biotransformations. We constructed a phosphorylation- and optically-responsive metabolon for the biodegradation of the environmental pollutant 1,2,3-trichloropropane (TCP). The three enzymes in of a synthetic degradation pathway were fused to engineered variants of the peptide-binding domains (SH2, SH3; the latter redesigned to incorporate an unnatural photocrosslinkable amino acid) or their corresponding binding peptides, and enzyme co-localization in response to phosphorylation and UV-light was demonstrated...
August 10, 2017: Chembiochem: a European Journal of Chemical Biology
https://www.readbyqxmd.com/read/28790076/implementation-of-a-formulary-management-process
#11
Lauren I Karel, Dennis R Delisle, Ellena A Anagnostis, Cindy J Wordell
PURPOSE: The application of lean methodology in an initiative to redesign the formulary maintenance process at an academic medical center is described. SUMMARY: Maintaining a hospital formulary requires clear communication and coordination among multiple members of the pharmacy department. Using principles of lean methodology, pharmacy department personnel within a multihospital health system launched a multifaceted initiative to optimize formulary management systemwide...
August 15, 2017: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/28789948/burden-of-multiple-chronic-conditions-among-urologic-cancer-patients
#12
Tullika Garg, Amanda J Young, Korey A Kost, John F Danella, Sharon Larson, Matthew E Nielsen, H Lester Kirchner
PURPOSE: To describe age, multiple chronic condition (MCC) profiles, and health system contact in urologic cancer patients. MATERIALS & METHODS: Using Geisinger Health System electronic health records, we identified adult primary care patients and a subset with at least one urology encounter between 2001-2015. Agency for Healthcare Research and Quality Chronic Condition Indicator and Clinical Classifications Software tools were applied to International Classification of Diseases, Ninth Revision (ICD-9) codes to identify chronic conditions...
August 5, 2017: Journal of Urology
https://www.readbyqxmd.com/read/28776920/creating-an-innovative-youth-mental-health-service-in-the-united-kingdom-the-norfolk-youth-service
#13
Jon Wilson, Tim Clarke, Rebecca Lower, Uju Ugochukwu, Sarah Maxwell, Jo Hodgekins, Karen Wheeler, Andy Goff, Robert Mack, Rebecca Horne, David Fowler
Young people attempting to access mental health services in the United Kingdom often find traditional models of care outdated, rigid, inaccessible and unappealing. Policy recommendations, research and service user opinion suggest that reform is needed to reflect the changing needs of young people. There is significant motivation in the United Kingdom to transform mental health services for young people, and this paper aims to describe the rationale, development and implementation of a novel youth mental health service in the United Kingdom, the Norfolk Youth Service...
August 4, 2017: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/28768423/biomechanical-comparison-of-conventional-and-optimised-locking-plates-for-the-fixation-of-intraarticular-calcaneal-fractures-a-finite-element-analysis
#14
Hanbin Ouyang, Yuping Deng, Pusheng Xie, Yang Yang, Bingyun Jiang, Canjun Zeng, Wenhua Huang
Intraarticular calcaneal fractures can result in poor prognosis. Although operative fixation can improve the functional outcomes in most cases, surgical complications such as loss of reduction and wound healing problems may increase the risk of reoperation. Hence, this study aimed to design calcaneal locking plate with a lower profile and better biomechanical performance   and to compare the redesigned plate with the traditional calcaneal plate via the finite element method. A Sanders' type II-C intraarticular calcaneal fracture was simulated...
August 3, 2017: Computer Methods in Biomechanics and Biomedical Engineering
https://www.readbyqxmd.com/read/28765444/an-interactive-online-approach-to-teaching-evidence-based-dentistry-with-web-2-0-technology
#15
Meixun Zheng, Daniel Bender, Laura Reid, Jim Milani
At many dental schools, evidence-based dentistry (EBD) is taught in a traditional lecture format. To avoid the constraints of lectures, in 2012 the EBD unit was redesigned for online delivery at the Arthur A. Dugoni School of Dentistry at the University of the Pacific with a Web 2.0 tool called Voicethread. The aim of this study was to assess the impact of Voicethread-based online learning on students' perceptions of learning EBD, their participation and engagement, and their acceptance of this new online delivery approach...
August 2017: Journal of Dental Education
https://www.readbyqxmd.com/read/28764696/healthcare-quality-improvement-and-work-engagement-concluding-results-from-a-national-longitudinal-cross-sectional-study-of-the-productive-ward-releasing-time-to-care-programme
#16
Mark White, Tony Butterworth, John Sg Wells
BACKGROUND: Concerns about patient safety and reducing harm have led to a particular focus on initiatives that improve healthcare quality. However Quality Improvement (QI) initiatives have in the past typically faltered because they fail to fully engage healthcare professionals, resulting in apathy and resistance amongst this group of key stakeholders. Productive Ward: Releasing Time to Care (PW) is a ward-based QI programme created to help ward-based teams redesign and streamline the way that they work; leaving more time to care for patients...
August 1, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28763578/symmetry-directed-self-assembly-of-a-tetrahedral-protein-cage-mediated-by-de-novo-designed-coiled-coils
#17
Somayesadat Badieyan, Aaron Sciore, Joseph Eschweiler, Philipp Koldewey, Ajitha S Cristie-David, Brandon T Ruotolo, James C A Bardwell, Min Su, Neil Marsh
The organization of proteins into new hierarchical forms is an important challenge in synthetic biology. However, engineering new interactions between protein subunits is technically challenging and typically requires extensive redesign of protein-protein interfaces. We have developed a conceptually simple approach, based on symmetry principles, that uses short coiled-coil domains to assemble proteins into higher-order structures. Here we demonstrate the assembly of a trimeric enzyme into a well-defined tetrahedral cage, achieved by genetically fusing a trimeric coiled-coil domain to its C-terminus through a flexible poly-glycine linker sequence...
August 1, 2017: Chembiochem: a European Journal of Chemical Biology
https://www.readbyqxmd.com/read/28756494/usability-evaluation-of-a-private-social-network-on-mental-health-for-relatives
#18
José Miguel Toribio-Guzmán, Alicia García-Holgado, Felipe Soto Pérez, Francisco J García-Peñalvo, Manuel Franco Martín
Usability is one of the most prominent criteria that must be fulfilled by a software product. This study aims to evaluate the usability of SocialNet, a private social network for monitoring the daily progress of patients by their relatives, using a mixed usability approach: heuristic evaluation conducted by experts and user testing. A double heuristic evaluation with one expert evaluator identified the issues related to consistency, design, and privacy. User testing was conducted on 20 users and one evaluator using observation techniques and questionnaires...
September 2017: Journal of Medical Systems
https://www.readbyqxmd.com/read/28756438/feedback-and-training-to-improve-use-of-an-electronic-prescribing-system-a-randomised-controlled-trial
#19
Scott Leung, Wu Yi Zheng, Anmol Sandhu, Richard Day, Ling Li, Melissa Baysari
Excessive presentation of alerts in electronic prescribing systems (ePS) results in 'alert fatigue' which reduces alert effectiveness and frustrates users. Previous research at our study site showed high rates of duplication alerts, some of which were the result of doctors not using available short-cut functions in the ePS. This study aimed to improve uptake of short-cut functions and so reduce alert fatigue by trialing two interventions: feedback and training. Fifty doctors were randomised to one of three groups: Control, Feedback or Training...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28755064/inclusion-of-diverse-populations-in-genomic-research-and-health-services-genomix-workshop-report
#20
Savio S Mathew, Julian Barwell, Nasaim Khan, Ella Lynch, Michael Parker, Nadeem Qureshi
Clinical genetic services and genomic research are rapidly developing but, historically, those with the greatest need are the least to benefit from these advances. This encompasses low-income communities, including those from ethnic minority and indigenous backgrounds. The "Genomix" workshop at the European Society of Human Genetics (ESHG) 2016 conference offered the opportunity to consider possible solutions for these disparities from the experiences of researchers and genetic healthcare practitioners working with underserved communities in the USA, UK and Australia...
July 28, 2017: Journal of Community Genetics
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