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"Continuity"

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https://www.readbyqxmd.com/read/28320135/further-evidence-for-the-reliability-and-validity-of-the-fatigue-and-daytime-sleepiness-scale
#1
Benjamin Gallais, Cynthia Gagnon, Geneviève Forgues, Isabelle Côté, Luc Laberge
BACKGROUND: Myotonic dystrophy type 1 (DM1) is an inherited neuromuscular disease causing, among other symptoms, fatigue and excessive daytime sleepiness, which are frequently undifferentiated by patients and/or clinicians. The Fatigue and Daytime Sleepiness Scale (FDSS) has been devised to measure these two overlapping symptoms as a single clinical entity. OBJECTIVE: To further examine the reliability and the construct validity of the FDSS in patients with DM1...
April 15, 2017: Journal of the Neurological Sciences
https://www.readbyqxmd.com/read/28320055/global-trends-in-esophageal-cancer
#2
Gautam K Malhotra, Ujwal Yanala, Advaitaa Ravipati, Matthew Follet, M Vijayakumar, Chandrakanth Are
BACKGROUND AND OBJECTIVES: Esophageal Cancer (EC) is a lethal malignancy with poor prognosis and significant variations in the incidence, mortality, and histopathology based on geographic regions. The aim of this study was to quantitatively analyze these variations to identify patterns and areas for further research. METHODS: We utilized the GLOBOCAN 2012, and Cancer Incidence in five Continents, Volume X (CI5X) database to analyze variations in EC incidence and mortality...
March 20, 2017: Journal of Surgical Oncology
https://www.readbyqxmd.com/read/28320028/extent-of-decompression-of-lumbar-spinal-canal-after-endoscopic-surgery
#3
Naresh Kumar Dewanngan, Yad Ram Yadav, Vijay Singh Parihar, Shailendra Ratre, Yatin Kher, Pushpraj Bhatele
Introduction Endoscopic techniques are being used in lumbar disk disease and lumbar canal stenosis to decompress the spinal canal. The present study analyzed pre- and postoperative magnetic resonance imaging (MRI) measurements of the lumbar canal. Material and Methods This was a prospective study of 30 lumbar levels. Patients < 18 years of age with unilateral compression, previous surgery at the same level, and spinal instability were excluded. Endoscopic posterior decompression was used. Pre- and postoperative MRIs of all the patients were performed...
March 20, 2017: Journal of Neurological Surgery. Part A, Central European Neurosurgery
https://www.readbyqxmd.com/read/28320025/-the-influence-of-caseload-on-continuous-treatment-with%C3%A2-antidementia-drugs
#4
Jens Bohlken, Karel Kostev
Objective The goal of this study is to investigate the impact of the number of dementia cases in general and specialist practices on the continuity of treatment with antidementia drugs. Methodology Period between 2004 and 2013: 1116 general practices, 200 specialist practices, 37 178 dementia cases; observation period: 36 months. Practice groups with 1 - 9, 10 - 20, 21-s49, and ≥ 50 dementia cases. Results The treatment continuity is higher in practices with an average of 150 dementia cases than in practices with five dementia cases (73...
March 2017: Fortschritte der Neurologie-Psychiatrie
https://www.readbyqxmd.com/read/28319986/perceived-ethics-dilemmas-among-pioneer-accountable-care-organizations
#5
Craig R Westling, Thom Walsh, William A Nelson
This study of Pioneer accountable care organizations (ACOs) suggests that the ACO model is creating moral distress for physicians and business leaders in seven critical ways:Despite an overall sense of optimism associated with the ACO model, our research identified an underlying sense of moral distress at most sites. A clear opportunity exists for ACOs to use a more comprehensive, coordinated approach to proactively resolving ethical dilemmas while continuing the march toward risk-based contracts.
January 2017: Journal of Healthcare Management / American College of Healthcare Executives
https://www.readbyqxmd.com/read/28319979/patient-experience-a-critical-indicator-of-healthcare-performance
#6
Pamela H Guler
Patient experience has become a critical differentiator for healthcare organizations, and it will only grow in importance as transparency and consumerism dominate the healthcare landscape. Creating and sustaining a consistently exceptional experience that promotes patient engagement and the best outcomes is far more than just "satisfying" patients, going well beyond amenities that may be provided.Perception of care experience is often shaped by methods we use to address the biopsychosocial needs of patients...
April 2017: Frontiers of Health Services Management
https://www.readbyqxmd.com/read/28319869/biofilm-inhibition-formation-of-clinical-strains-of-pseudomonas-aeruginosa-mutans-photocatalytic-activity-of-azo-dye-and-gc-ms-analysis-of-leaves-of-lagerstroemia-speciosa
#7
V Sai Saraswathi, Neethu Kamarudheen, K V Bhaskara Rao, K Santhakumar
The investigation was conducted to analyse the bioactive compounds from the leaf extracts of L. speciosa by GC-MS. The extracts were screened for antibacterial and antibiofilm activities against potential clinical strains. The bioactive compounds from the leaves of L. speciosa were extracted by soxhlet continuous extraction method and their chemical composition was analysed by Gas Chromatography-Mass Spectroscopy (GC-MS). The antibacterial activity was evaluated against clinical strain like Staphylococcus aureus, Escherichia coli, P...
March 9, 2017: Journal of Photochemistry and Photobiology. B, Biology
https://www.readbyqxmd.com/read/28319859/use-of-clay-to-remediate-cadmium-contaminated-soil-under-different-water-management-regimes
#8
Jianrui Li, Yingming Xu
We examined in situ remediation of sepiolite on cadmium-polluted soils with diverse water regimes, and several variables including brown rice Cd, exchangeable Cd, pH, and available Fe/P. pH, available Fe/P in soils increased gradually during continuous flooding, which contributed to Cd absorption on colloids. In control group (untreated soils), compared to conventional irrigation, brown rice Cd in continuous flooding reduced by 37.9%, and that in wetting irrigation increased by 31.0% (p<0.05). In contrast to corresponding controls, brown rice Cd in sepiolite treated soils reduced by 44...
March 17, 2017: Ecotoxicology and Environmental Safety
https://www.readbyqxmd.com/read/28319813/the-clinical-implications-of-legalizing-marijuana-are-physician-and-non-physician-providers-prepared
#9
Elizabeth Brooks, Doris C Gundersen, Erin Flynn, Ashley Brooks-Russell, Sheana Bull
INTRODUCTION: Passage of voter-driven marijuana reform laws signals a shift in public attitudes for marijuana use. For providers, legalization may necessitate practice modifications, particularly regarding patient-provider conversations about use and risk. We examined healthcare providers' knowledge of marijuana laws and health implications, professional practice behaviors, and attitudes about training. MATERIALS AND METHODS: We surveyed 114 Colorado-based providers who care for children, adolescents, pregnant and breastfeeding women using a Venue-Day-Time survey methodology throughout Colorado...
March 10, 2017: Addictive Behaviors
https://www.readbyqxmd.com/read/28319774/kinetics-and-mechanism-of-hemicelluloses-removal-from-cellulosic-fibers-during-the-cold-caustic-extraction-process
#10
Jianguo Li, Huichao Hu, Hailong Li, Liulian Huang, Lihui Chen, Yonghao Ni
The effective separation of hemicelluloses and cellulose is desirable for the production of high-purity cellulose, which is a sustainable raw material for many value-added applications. For this purpose, the kinetics and mechanism of hemicelluloses removal from the cold caustic extraction (CCE) were investigated in the present study. The hemicelluloses removal process consists of: 1) the bulk phase, characteristic of significant hemicelluloses removal; 2) the transition phase, hemicelluloses transferring from the inner to the outer region of the fiber wall, with negligible overall hemicelluloses removal; 3) the residual phase, presenting a weak but continuing hemicelluloses removal...
March 7, 2017: Bioresource Technology
https://www.readbyqxmd.com/read/28319759/removal-of-hydrogen-sulfide-generated-during-anaerobic-treatment-of-sulfate-laden-wastewater-using-biochar-evaluation-of-efficiency-and-mechanisms
#11
Jarupat Kanjanarong, Balendu S Giri, Deb P Jaisi, Fernanda R Oliveira, Piyarat Boonsawang, Sumate Chaiprapat, R S Singh, Avula Balakrishna, Samir Kumar Khanal
Removal of hydrogen sulfide (H2S) from biogas was investigated in a biochar column integrated with a bench-scale continuous-stirred tank reactor (CSTR) treating sulfate-laden wastewater. Synthetic wastewater containing sulfate concentrations of 200-2000mg SO4(2-)/L was used as substrate, and the CSTR was operated at an organic loading rate of 1.5g chemical oxygen demand (COD)/L·day and a hydraulic retention time (HRT) of 20days. The biochar was able to remove about 98.0 (±1.2)% of H2S for the ranges of concentrations from 105-1020ppmv, especially at high moisture content (80-85%)...
March 4, 2017: Bioresource Technology
https://www.readbyqxmd.com/read/28319709/towards-an-integrated-understanding-of-how-micro-scale-processes-shape-groundwater-ecosystem-functions
#12
Susanne I Schmidt, Mark O Cuthbert, Marc Schwientek
Micro scale processes are expected to have a fundamental role in shaping groundwater ecosystems and yet they remain poorly understood and under-researched. In part, this is due to the fact that sampling is rarely carried out at the scale at which microorganisms, and their grazers and predators, function and thus we lack essential information. While set within a larger scale framework in terms of geochemical features, supply with energy and nutrients, and exchange intensity and dynamics, the micro scale adds variability, by providing heterogeneous zones at the micro scale which enable a wider range of redox reactions...
March 16, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28319706/fire-spread-predictions-sweeping-uncertainty-under-the-rug
#13
Akli Benali, Ana C L Sá, Ana R Ervilha, Ricardo M Trigo, Paulo M Fernandes, José M C Pereira
Predicting fire spread and behavior correctly is crucial to minimize the dramatic consequences of wildfires. However, our capability of accurately predicting fire spread is still very limited, undermining the utility of such simulations to support decision-making. Improving fire spread predictions for fire management purposes, by using higher quality input data or enhanced models, can be expensive, unfeasible or even impossible. Fire managers would benefit from fast and inexpensive ways of improving their decision-making...
March 15, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28319699/urdaibai-biosphere-reserve-biscay-spain-conservation-against-development
#14
Nekane Castillo-Eguskitza, Alejandro J Rescia, Miren Onaindia
The protected area approach has extended from conserving biodiversity to improving human well-being. However, the relationship between conservation and socioeconomic and cultural development continues to be controversial. This paper combines land use variables with socioeconomic and cultural variables through multivariate ordination analysis and evaluates their evolution in two areas inside and outside a Biosphere Reserve since the approval of the Governance Plan for Use and Management in the Reserve. The results indicate a similar tendency in the two areas, from the abandonment of traditional rural activities and decline in pine plantations to naturalness, urban sprawl and the growth of the tertiary economic sector, welfare indicators and sustainability index...
March 15, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28319672/extremes-in-otolaryngology-resident-surgical-case-numbers-an-update
#15
Tiffany P Baugh, Christine B Franzese
Objectives The purpose of this study is to examine the effect of minimum case numbers on otolaryngology resident case log data and understand differences in minimum, mean, and maximum among certain procedures as a follow-up to a prior study. Study Design Cross-sectional survey using a national database. Setting Academic otolaryngology residency programs. Subjects and Methods Review of otolaryngology resident national data reports from the Accreditation Council for Graduate Medical Education (ACGME) resident case log system performed from 2004 to 2015...
March 1, 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28319661/atomistic-insights-into-nucleation-and-formation-of-hexagonal-boron-nitride-on-ni-from-first-principles-based-reactive-molecular-dynamics-simulations
#16
Song Liu, Adri C T van Duin, Diana M van Duin, Bin Liu, James H Edgar
Atomistic-scale insights into the growth of a continuous, atomically thin hexagonal boron nitride (hBN) lattice from elemental boron and nitrogen on Ni substrates were obtained from multi-scale modeling combining density functional theory (DFT) and reactive molecular dynamics (rMD). The quantum mechanical calculations focused on the adsorption and reaction energetics for the hBN building-block species, i.e., atomic B, N, BxNy (x, y = 1-2), on Ni(111) and Ni(211), and the diffusion pathways of elemental B and N on these slab model surfaces and in the sublayer...
March 20, 2017: ACS Nano
https://www.readbyqxmd.com/read/28319652/effect-of-freezing-rate-and-microwave-thawing-on-texture-and-microstructural-properties-of-potato-solanum-tuberosum
#17
David M Phinney, John C Frelka, Anita Wickramasinghe, Dennis R Heldman
Food freezing is a preservation process that works by lowering temperature while simultaneously decreasing water activity. It is accepted that although freezing preserves foods, it generally has a negative effect on textural quality. This research investigated the texture response of potatoes (Solanum tuberosum) as a function of time to freeze (defined as the time for the center temperature to reach -20 °C) and thawing process. Potatoes slices (6 mm) were blanched then frozen in an ethanol/carbon dioxide bath, a pilot scale high velocity air freezer (HVAF) and a still air freezer to achieve various times to freeze...
March 20, 2017: Journal of Food Science
https://www.readbyqxmd.com/read/28319644/the-retinal-relaxing-factor-update-on-an-enigmatic-regulator-of-the-retinal-circulation
#18
Laura Vanden Daele, Charlotte Boydens, Bart Pauwels, Johan Van de Voorde
The retinal circulation is regulated by different local factors and might include the retinal relaxing factor (RRF). This factor is found to be continuously released by the retina and relaxes smooth muscle cells. This review describes the current knowledge about the RRF. Despite many research efforts, the cellular source, identity, mechanism, and physiological role of the RRF remain largely unknown. Thus far, it seems that the RRF is a hydrophilic, thermostable, diffusible chemical messenger, which characteristics do not correspond with most well-known endogenous vasorelaxants...
March 1, 2017: Investigative Ophthalmology & Visual Science
https://www.readbyqxmd.com/read/28319643/grooved-glaucoma-drainage-devices-that-continuously-deliver-cyclosporine-a-decrease-postsurgical-scar-formation-in-rabbit-eyes
#19
Zhaoxing Dai, Xiaobo Yu, Jianguo Sun, Xinghuai Sun
Purpose: To study the functional outcomes of filtration surgery by implanting improved glaucoma drainage devices (GDDs) comprising surface grooves and a composite coating of cyclosporine A (CsA) and PLGA in experimental rabbit eyes. Methods: Improved GDDs were designed and prepared by modifying normal GDD with surface grooves and a CsA-PLGA composite coating. Normal GDDs, grooved GDDs (G-GDDs), and G-GDDs with a CsA-PLGA composite coating (CsA@G-GDD) were implanted into 18 rabbit eyes (six eyes per group)...
March 1, 2017: Investigative Ophthalmology & Visual Science
https://www.readbyqxmd.com/read/28319641/correlation-of-visually-evoked-functional-and-blood-flow-changes-in-the-rat-retina-measured-with-a-combined-oct-erg-system
#20
Bingyao Tan, Erik Mason, Benjamin MacLellan, Kostadinka K Bizheva
Purpose: To correlate visually evoked functional and blood flow changes in the rat retina measured simultaneously with a combined optical coherence tomography and electroretinography system (OCT+ERG). Methods: Male Brown Norway (n = 6) rats were dark adapted and anesthetized with ketamine/xylazine. Visually evoked changes in the retinal blood flow (RBF) and functional response were measured simultaneously with an OCT+ERG system with 3-μm axial resolution in retinal tissue and 47-kHz image acquisition rate...
March 1, 2017: Investigative Ophthalmology & Visual Science
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