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https://www.readbyqxmd.com/read/29777659/adopting-the-quadruple-aim-the-university-of-rochester-medical-center-experience-%C3%A2-%C3%A2-%C3%A2-moving-from-physician-burnout-to-physician-resilience
#1
Allen P Anandarajah, Timothy E Quill, Michael R Privitera
BACKGROUND: The high rates of burnout among medical professionals in the US are well documented. The reasons for burnout and the factors that contribute to physician resilience among healthcare providers in academic centers however are less well studied. METHODS: Healthcare providers at a large academic center were surveyed to measure degree of burnout and callousness and identify associated factors. Additional questions evaluated the features linked to resilience...
May 16, 2018: American Journal of Medicine
https://www.readbyqxmd.com/read/29776724/outcomes-of-splinting-in-pediatric-mallet-finger
#2
James S Lin, Julie Balch Samora
PURPOSE: Excessive flexion at the distal interphalangeal (DIP) joint disrupts the extensor mechanism, leading to mallet finger injuries. The goal of management is to restore active DIP joint extension. We sought to learn which variables (treatment technique, injury type, time to presentation, adherence to treatment) affect clinical outcomes of pediatric mallet finger injuries. METHODS: A retrospective review was performed of patients who presented with mallet finger injuries during 2013 to 2017 at a large pediatric hospital...
May 15, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29775802/nonoperative-management-of-a-severe-proximal-rectus-femoris-musculotendinous-injury-in-a-recreational-athlete-a-case-report
#3
Park Ck, Zlomislic V, Du J, Huang Bk, Chang Ey, Chang Dg
This report describes a severe injury to the proximal rectus femoris (RF) muscle in a 37-year-old recreational athlete. This injury is a relatively rare occurrence in both the general and elite athletic populations. Acute and long-term imaging and functional outcomes are described. This athlete was able to return to full activity without surgical intervention. Follow-up imaging demonstrated gross healing of both complete (or near complete) muscle and tendon tears.
May 15, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29771609/achilles-tendon-structure-differs-between-competitive-distance-runners-and-non-runners-despite-no-clinical-signs-or-symptoms-of-mid-substance-tendinopathy
#4
Todd J Hullfish, Kenton L Hagan, Ellen Casey, Josh R Baxter
Achilles tendinopathy affects many running athletes and often leads to chronic pain and functional deficits. While changes in tendon structure have been linked with tendinopathy, the effects of distance running on tendon structure is not well understood. Therefore, the purpose of this study was to characterize structural differences in the Achilles tendons in healthy young adults and competitive distance runners using quantitative ultrasound analyses. We hypothesized that competitive distance runners with no clinical signs or symptoms of tendinopathy would have quantitative signs of tendon damage, characterized by decreased collagen alignment and echogenicity, in addition to previous reports of thicker tendons...
May 17, 2018: Journal of Applied Physiology
https://www.readbyqxmd.com/read/29770946/using-google-earth-to-assess-shade-for-sun-protection-in-urban-recreation-spaces-methods-and-results
#5
R Gage, N Wilson, L Signal, M Barr, C Mackay, A Reeder, G Thomson
Shade in public spaces can lower the risk of and sun burning and skin cancer. However, existing methods of auditing shade require travel between sites, and sunny weather conditions. This study aimed to evaluate the feasibility of free computer software-Google Earth-for assessing shade in urban open spaces. A shade projection method was developed that uses Google Earth street view and aerial images to estimate shade at solar noon on the summer solstice, irrespective of the date of image capture. Three researchers used the method to separately estimate shade cover over pre-defined activity areas in a sample of 45 New Zealand urban open spaces, including 24 playgrounds, 12 beaches and 9 outdoor pools...
May 16, 2018: Journal of Community Health
https://www.readbyqxmd.com/read/29764527/an-outbreak-of-haemorrhagic-fever-with-renal-syndrome-linked-with-mountain-recreational-activities-in-zagreb-croatia-2017
#6
Z Lovrić, B Kolarić, M L Kosanović Ličina, M Tomljenović, O Đaković Rode, K Danis, B Kaić, V Tešić
In 2017 Zagreb faced the largest outbreak of haemorrhagic fever with renal syndrome (HFRS) to date. We investigated to describe the extent of the outbreak and identify risk factors for infection. We compared laboratory-confirmed cases of Hantavirus infection in Zagreb residents with the onset of illness after 1 January 2017, with individually matched controls from the same household or neighbourhood. We calculated adjusted matched odds ratios (amOR) using conditional logistic regression. During 2017, 104 cases were reported: 11-81 years old (median 37) and 71% (73) male...
May 16, 2018: Epidemiology and Infection
https://www.readbyqxmd.com/read/29761235/characteristics-of-sports-and-recreation-related-emergency-department-visits-among-school-age-children-and-youth-in-north-carolina-2010-2014
#7
Katherine J Harmon, Scott K Proescholdbell, Johna Register-Mihalik, David B Richardson, Anna E Waller, Stephen W Marshall
BACKGROUND: Sports and recreational activities are an important cause of injury among children and youth, with sports-related traumatic brain injuries (TBIs) being of particular concern given the developing brain. This paper reports the characteristics of sport and recreation-related (SR) emergency department (ED) visits among school-age children and youth in a statewide population. METHODS: This study included all injury-related visits made to all North Carolina 24/7 acute-care civilian hospital-affiliated EDs by school-age youth, 5-18 years of age, during 2010-2014 (N = 918,662)...
May 15, 2018: Injury Epidemiology
https://www.readbyqxmd.com/read/29760180/the-affective-and-neural-correlates-of-heroin-vs-cocaine-use-in-addiction-are-influenced-by-environmental-setting-but-in-opposite-directions
#8
Silvana De Pirro, Gaspare Galati, Luigi Pizzamiglio, Aldo Badiani
Previous studies have shown that individuals with heroin and cocaine addiction prefer to use these drugs in distinct settings: mostly at home in the case of heroin and mostly outside the home in the case of cocaine. Here we investigated whether the context would modulate the affective and neural responses to these drugs in a similar way. First, we used a novel emotional task to assess the affective state produced by heroin or cocaine in different settings, based on the recollections of male and female drug users...
May 14, 2018: Journal of Neuroscience: the Official Journal of the Society for Neuroscience
https://www.readbyqxmd.com/read/29760024/an-updated-analysis-of-direct-to-consumer-television-advertisements-for-prescription-drugs
#9
Janelle Applequist, Jennifer Gerard Ball
PURPOSE: In 2015, the American Medical Association called for a ban of direct-to-consumer advertising (DTCA) for prescription drugs. Yet, the pharmaceutical industry spends more than ever on broadcast advertisements, with national health care costs largely driven by drug spending. An evaluation of these ads is critical, as these advertisements can impact the frequency which patients ask their doctors about medications. METHODS: A content analysis of prime-time direct-to-consumer ads was conducted across 4 major cable television networks...
May 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/29753971/development-and-validation-of-an-hplc-ms-ms-method-for-the-detection-of-ketamine-in-calliphora-vomitoria-l-diptera-calliphoridae
#10
Paola A Magni, Marco Pazzi, Jessica Droghi, Marco Vincenti, Ian R Dadour
Entomotoxicology is a branch of forensic entomology that studies the detection of drugs or other toxic substances from insects developing on the decomposing tissues of a human corpse or animal carcass. Entomotoxicology also investigates the effects of these substances on insect development, survival and morphology to provide an estimation of the minimum time since death. Ketamine is a medication mainly used for starting and maintaining anesthesia. In recent years ketamine has also been used as a recreational drug, and occasionally as a sedating drug to facilitate sexual assault...
May 3, 2018: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/29751887/integrating-activity-spaces-in-health-research-comparing-the-veritas-activity-space-questionnaire-with-7-day-gps-tracking-and-prompted-recall
#11
Yan Kestens, Benoit Thierry, Martine Shareck, Madeleine Steinmetz-Wood, Basile Chaix
BACKGROUND: Accounting for daily mobility allows assessment of multiple exposure to environments. This study compares spatial data obtained (i) from an interactive map-based questionnaire on regular activity locations (VERITAS) and (ii) from GPS tracking. METHODS: 234 participants of the RECORD GPS Study completed the VERITAS questionnaire and wore a GPS tracker for 7 days. Analyses illustrate the spatial match between both datasets. RESULTS: For half of the sample, 85...
June 2018: Spatial and Spatio-temporal Epidemiology
https://www.readbyqxmd.com/read/29748721/impact-of-acute-dynamic-exercise-on-radial-artery-low-flow-mediated-constriction-in-humans
#12
Robert O Elliott, Sultan Alsalahi, James P Fisher
PURPOSE: A "low-flow mediated constriction" (L-FMC) is evoked in the radial artery by the inflation of an ipsilateral wrist cuff to a supra-systolic pressure. We sought to test the hypothesis that the radial artery L-FMC response is augmented immediately following acute dynamic leg exercise in young healthy individuals. METHODS: Ten healthy and recreationally active men (23 ± 4 years) undertook a 30-min trial of incremental dynamic leg cycling exercise (10 min at 50, 100 and 150 W) and a 30-min time control trial (seated rest)...
May 10, 2018: European Journal of Applied Physiology
https://www.readbyqxmd.com/read/29745801/cold-water-immersion-after-training-sessions-effects-on-fiber-type-specific-adaptations-in-muscle-k-transport-proteins-to-sprint-interval-training-in-men
#13
Danny Christiansen, David John Bishop, James R Broatch, Jens Bangsbo, Michael John McKenna, Robyn M Murphy
Effects of regular use of cold-water immersion (CWI) on fiber type-specific adaptations in muscle K+ transport proteins to intense training, along with their relationship to changes in mRNA levels after the first training session, were investigated in humans. Nineteen recreationally-active men (24{plus minus}6 y, 79.5{plus minus}10.8 kg, 44.6{plus minus}5.8 mL∙kg-1 ∙min-1 ) completed six weeks of sprint-interval cycling either without (passive rest; CON) or with training sessions followed by CWI (15 min at 10{degree sign}C; COLD)...
May 10, 2018: Journal of Applied Physiology
https://www.readbyqxmd.com/read/29744527/inherited-primary-arrhythmia-disorders-cardiac-channelopathies-and-sports-activity
#14
REVIEW
S Marrakchi, I Kammoun, E Bennour, L Laroussi, M Ben Miled, S Kachboura
Sudden cardiac death (SCD) in an apparently healthy individual is a tragedy. It is important to identify the cause of death and to prevent SCD in potentially at-risk family members. Inherited primary arrhythmia disorders are associated with exercise-related SCD. Despite the well-known benefits of exercise, exercise restriction has been a historical mainstay of therapy for these conditions. However, since familiarity with inherited arrhythmia conditions has increased and patients are often children and young adults, it is necessary to reassess the treatment guidelines regarding exercise constraints...
May 9, 2018: Herz
https://www.readbyqxmd.com/read/29743069/quantifying-multi-dimensional-attributes-of-human-activities-at-various-geographic-scales-based-on-smartphone-tracking
#15
Xiaolu Zhou, Dongying Li
BACKGROUND: Advancement in location-aware technologies, and information and communication technology in the past decades has furthered our knowledge of the interaction between human activities and the built environment. An increasing number of studies have collected data regarding individual activities to better understand how the environment shapes human behavior. Despite this growing interest, some challenges exist in collecting and processing individual's activity data, e.g., capturing people's precise environmental contexts and analyzing data at multiple spatial scales...
May 9, 2018: International Journal of Health Geographics
https://www.readbyqxmd.com/read/29741426/yoga-therapy-in-the-german-healthcare-system
#16
Holger Cramer
An estimated 15.7 million Germans are currently practicing yoga or are at least interested in starting to practice, and they often perceive yoga as a therapeutic approach. From a healthcare system perspective, the situation is less clear. Here, yoga is only recognized as a recreational or preventive activity. When yoga teachers fulfill specific qualifications, their preventive yoga classes are covered by the statutory health insurances. Only those with additional qualifications in medicine or psychotherapy, however, can independently use and promote "yoga therapy...
May 9, 2018: International Journal of Yoga Therapy
https://www.readbyqxmd.com/read/29740356/behavioural-pharmacokinetic-metabolic-and-hyperthermic-profile-of-3-4-methylenedioxypyrovalerone-mdpv-in-the-wistar-rat
#17
Rachel R Horsley, Eva Lhotkova, Katerina Hajkova, Barbara Feriancikova, Michal Himl, Martin Kuchar, Tomas Páleníček
3,4-methylenedioxypyrovalerone (MDPV) is a potent pyrovalerone cathinone that is substituted for amphetamines by recreational users. We report a comprehensive and detailed description of the effects of subcutaneous MDPV (1-4 mg/kg) on pharmacokinetics, biodistribution and metabolism, acute effects on thermoregulation under isolated and aggregated conditions, locomotion (open field) and sensory gating (prepulse inhibition, PPI). All studies used male Wistar rats. Pharmacokinetics after single dose of 2 mg/kg MDPV was measured over 6 h in serum, brain and lungs...
2018: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/29738609/potential-of-electric-bicycles-to-improve-the-health-of-people-with-type-2-diabetes-a-feasibility-study
#18
A R Cooper, B Tibbitts, C England, D Procter, A Searle, S J Sebire, E Ranger, A S Page
AIM: To explore in a feasibility study whether 'e-cycling' was acceptable to, and could potentially improve the health of, people with Type 2 diabetes. METHODS: Twenty people with Type 2 diabetes were recruited and provided with an electric bicycle for 20 weeks. Participants completed a submaximal fitness test at baseline and follow-up to measure predicted maximal aerobic power, and semi-structured interviews were conducted to assess the acceptability of using an electric bicycle...
May 8, 2018: Diabetic Medicine: a Journal of the British Diabetic Association
https://www.readbyqxmd.com/read/29738574/prevalence-and-characterization-of-escherichia-coli-isolated-from-the-upper-oconee-watershed-in-northeast-georgia
#19
Sohyun Cho, Lari M Hiott, John B Barrett, Elizabeth A McMillan, Sandra L House, Shaheen B Humayoun, Eric S Adams, Charlene R Jackson, Jonathan G Frye
Surface waters are important sources of water for drinking, industrial, agricultural, and recreational uses; hence, contamination of water by fecal, pathogenic, or antimicrobial resistant (AR) bacteria is a major environmental and public health concern. However, very little data is available on prevalence of these bacteria in surface water throughout a watershed. This study aimed to characterize Escherichia coli present in the Upper Oconee Watershed, a mixed-use watershed in Athens, GA, USA for potential pathogenicity and AR...
2018: PloS One
https://www.readbyqxmd.com/read/29738557/hand-reach-star-excursion-balance-test-an-alternative-test-for-dynamic-postural-control-and-functional-mobility
#20
Ola Eriksrud, Peter Federolf, Patrick Anderson, Jan Cabri
Tests of dynamic postural control eliciting full-body three-dimensional joint movements in a systematic manner are scarce. The well-established star excursion balance test (SEBT) elicits primarily three-dimensional lower extremity joint movements with minimal trunk and no upper extremity joint movements. In response to these shortcomings we created the hand reach star excursion balance test (HSEBT) based on the SEBT reach directions. The aims of the current study were to 1) compare HSEBT and SEBT measurements, 2) compare joint movements elicited by the HSEBT to both SEBT joint movements and normative range of motion values published in the literature...
2018: PloS One
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