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https://www.readbyqxmd.com/read/29787034/critical-preparation-and-readiness-to-support-future-change
#1
Elizabeth Curtis, Emma Duffy, Frank O'Rourke, Sylvia Huntley-Moore, Annabel Walsh, Ken Coogan, Catherine Comiskey
The challenging nature of change is well documented and adequate preparation before implementing a change initiative is critical to reducing resistance and increasing its chances of success. This article describes a service review conducted in preparation for possible change and improvement at an internationally ranked school of nursing and midwifery in an Irish tertiary education institution. The purpose of the review was to examine organisational structures and work activities, including pressures facing the administrative team that supports the school, and to establish whether operations were fit for purpose and capable of continuing to support the international ranking...
May 22, 2018: Nursing Management (Harrow)
https://www.readbyqxmd.com/read/29786619/-i-in-situ-i-nap-xps-spectroscopy-during-methane-dry-reforming-on-zro-sub-2-sub-pt-111-inverse-model-catalyst
#2
Christoph Rameshan, Hao Li, Kresimir Anic, Matteo Roiaz, Verena Pramhaas, Raffael Rameshan, Raoul Blume, Michael Hävecker, Jan Knudsen, Axel Knop-Gericke, Gunther Rupprechter
Due to the need of sustainable energy sources, methane dry reforming (MDR) is a useful reaction for the conversion of the greenhouse gases CH<sub>4</sub> and CO<sub>2</sub> to synthesis gas (CO + H<sub>2</sub>). Syngas is the basis for a wide range of commodity chemicals and can be utilized for fuel production via Fischer-Tropsch (FT) synthesis. The current study focuses on spectroscopic investigations of the surface and reaction properties of a ZrO<sub>2</sub>/Pt inverse model catalyst, i...
May 22, 2018: Journal of Physics. Condensed Matter: An Institute of Physics Journal
https://www.readbyqxmd.com/read/29785717/the-place-of-abortion-in-the-pregnancy-decision-making-process-in-young-adult-women-in-catalonia-spain
#3
Laia Ferrer Serret, Montserrat Solsona Pairó
Induced abortion is one option to control fertility in Spain. Young adult women (25-34 years old) show a different abortion pattern compared to women in other age groups, being less likely to seek abortions than younger women and having one of the lowest proportions of unintended pregnancies. We aimed to analyse the factors involved in the pregnancy decision-making process to better understand why young adult women seek abortions in Catalonia, Spain. In-depth semi-structured interviews with 25 nulliparous pregnant young adult women and one focus group discussion with healthcare providers were conducted in 2008/2010...
May 21, 2018: Sociology of Health & Illness
https://www.readbyqxmd.com/read/29785096/smartphone-apps-for-improving-medication-adherence-in-hypertension-patients-perspectives
#4
Eimear C Morrissey, Monica Casey, Liam G Glynn, Jane C Walsh, Gerard J Molloy
Purpose: Digital interventions, such as smartphone applications (apps), are becoming an increasingly common way to support medication adherence and self-management in chronic conditions. It is important to investigate how patients feel about and engage with these technologies. The aim of this study was to explore patients' perspectives on smartphone apps to improve medication adherence in hypertension. Methods: This was a qualitative study based in the West of Ireland...
2018: Patient Preference and Adherence
https://www.readbyqxmd.com/read/29785081/pressurized-intraperitoneal-aerosol-chemotheprapy-after-misdiagnosed-gastric-cancer-case-report-and-review-of-the-literature
#5
Maciej Nowacki, Dariusz Grzanka, Wojciech Zegarski
We report the first application of pressurized intraperitoneal aerosol chemotherapy (PIPAC) as a rescue therapy before palliative D2 gastrectomy combined with liver metastasectomy performed in a 49-year-old woman with peritoneal carcinomatosis who was primarily diagnosed with and underwent surgery for a Krukenberg tumor. The PIPAC procedure was performed with the use of cisplatin at 7.5 mg/m2 and doxorubicin at 1.5 mg/m2 for 30 min at 37 °C. Eight weeks after the PIPAC procedure, the patient underwent open classic D2 gastrectomy with the creation of a Roux-en-Y anastomosis (RNY) combined with liver metastasectomy...
May 21, 2018: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/29785066/low-temperature-cmut-fabrication-process-with-dielectric-lift-off-membrane-support-for-improved-reliability
#6
Amirabbas Pirouz, F Levent Degertekin
This paper reports an improved CMOS compatible low temperature sacrificial layer fabrication process for Capacitive Micromachined Ultrasonic Transducers (CMUTs). The process adds the fabrication step of silicon oxide evaporation which is followed by a lift-off step to define the membrane support area without a need for an extra mask. This simple addition improves reliability by reducing the electric field between the top and bottom electrodes everywhere except the moving membrane without affecting the vacuum gap thickness...
August 2018: Journal of Micromechanics and Microengineering: Structures, Devices, and Systems
https://www.readbyqxmd.com/read/29784806/restoration-of-paper-artworks-with-microemulsions-confined-in-hydrogels-for-safe-and-efficient-removal-of-adhesive-tapes
#7
Nicole Bonelli, Costanza Montis, Antonio Mirabile, Debora Berti, Piero Baglioni
The presence of pressure-sensitive tapes (PSTs) on paper artworks, either fortuitous or specifically applied for conservation purposes, is one of the most frequent and difficult issues encountered during restoration. Aged PSTs can damage or disfigure artworks, compromising structural integrity, readability, and enjoyment. Current procedures are often inherently hazardous for artistic media and paper support. Challenged by the necessity to remove PSTs from a contemporary and an ancient drawing (20th century, by artists da Silva and Hayter, and a 16th century drawing of one figure from the Sistine Chapel by Michelangelo), we addressed this issue from a physicochemical perspective, leveraging colloid and interface science...
May 21, 2018: Proceedings of the National Academy of Sciences of the United States of America
https://www.readbyqxmd.com/read/29784606/associated-with-ischemic-stroke-risk-reduction-after-endoscopic-thoracic-sympathectomy-for-palmar-sweating
#8
Chun-Gu Cheng, Chun-An Cheng, Wu-Chien Chien, Chi-Hsiang Chung, Jiunn-Tay Lee
BACKGROUND: Endoscopic thoracic sympathectomy (ETS) was performed to cure palmar hyperhidrosis (PH). After ETS, blood pressure decreased, and cerebral flow velocity increased within 1 month. However, no studies distinguish between subsequent ischemic and hemorrhagic stroke following ETS for PH. The association between stroke type and PH after ETS must be evaluated. METHODS: We surveyed newly diagnosed patients with PH using the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) diagnostic code 708...
May 18, 2018: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/29784246/the-effect-of-a-maternity-support-belt-on-static-stability-and-posture-in-pregnant-and-non-pregnant-women
#9
Marie Elena Bey, Adamantios Arampatzis, Kirsten Legerlotz
PURPOSE: Physical and hormonal changes during pregnancy are thought to affect balance and injury risk, with increased numbers of falls being reported. A maternity support belt (MSB) has been suggested to stabilize the pelvis and to enhance balance. The purpose of this study was therefore to investigate the effect of an MSB on postural stability in different trimesters of pregnancy. METHODS: Postural stability was assessed in the first (T1, n = 30), second (T2, n = 30) and third trimester (T3, n = 30) of pregnancy and compared to non-pregnant controls (n = 30), using a portable force plate...
May 18, 2018: Journal of Biomechanics
https://www.readbyqxmd.com/read/29784219/an-attempt-to-stem-the-tide-exploring-the-effect-of-a-90-day-transitional-care-intervention-on-readmissions-to-an-acute-male-psychiatric-unit-in-south-africa
#10
Ulla A Botha, Marise Coetzee, Liezl Koen, Dana J H Niehaus
INTRODUCTION: Pressure on inpatient beds often results in premature discharges, which may precipitate early readmission. This has prompted an increased interest in transitional care interventions to bridge the gap between in- and outpatient care to reduce such readmissions. Our study aimed to assess the effect of a Transitional Care Service (TCS) on readmission rates in a high pressure inpatient service which utilizes a premature discharge policy to address bed pressures. METHODS: Sixty male patients identified for crisis discharge were offered a TCS for the first ninety days after discharge...
June 2018: Archives of Psychiatric Nursing
https://www.readbyqxmd.com/read/29784048/a-meta-analysis-of-the-effect-of-a-dexamethasone-intravitreal-implant-versus-intravitreal-anti-vascular-endothelial-growth-factor-treatment-for-diabetic-macular-edema
#11
Ye He, Xin-Jun Ren, Bo-Jie Hu, Wai-Ching Lam, Xiao-Rong Li
BACKGROUND: This meta-analysis evaluated the effectiveness and safety of dexamethasone (DEX) implant and intravitreal anti-vascular endothelial growth factor (VEGF) treatment for diabetic macular edema (DME). METHODS: The PubMed, Embase, clinicaltrials.gov website and Cochrane Library databases were comprehensively searched for studies comparing DEX implant with anti-VEGF in patients with DME. Best-corrected visual acuity (BCVA), central subfield thickness (CST) and adverse events were extracted from the final eligible studies...
May 21, 2018: BMC Ophthalmology
https://www.readbyqxmd.com/read/29783937/enterococcus-gallinarum-meningitis-a-case-report-and-literature-review
#12
Bo Zhao, Mao Sheng Ye, Rui Zheng
BACKGROUND: As an opportunistic pathogen, E. gallinarum mainly leads to nosocomial infections, and it's multi-drug resistance has gained more and more attention. Central nervous system infections caused by E. gallinarum are rare, but have been reported more often in recent years. The previous cases were generally secondary to neurosurgery, especially ventriculoperitoneal shunts. In recent years, the cases largely occurred in patients with impaired immune function. The patient in our report may have had dual risk factors (immune impairment and an invasive surgical procedure)...
May 21, 2018: BMC Infectious Diseases
https://www.readbyqxmd.com/read/29781789/the-influence-of-wearing-ski-boots-with-different-rigidity-characteristics-on-postural-control
#13
Frédéric Noé, Xavier García-Massó, Pauline Delaygue, Audrey Melon, Thierry Paillard
External supports that reduce ankle joint mobility such as ski-boots can impair postural control of healthy participants. Although this disruptive effect has been attributed to the rigidity of the external supports, the results remained controversial and no study has been conducted in order to evaluate the influence of ski-boots rigidity. Hence, the question about the influence of ankle support rigidity on postural control remains open. This study was therefore undertaken in order to investigate the effect of ski-boots rigidity on postural control...
May 21, 2018: Sports Biomechanics
https://www.readbyqxmd.com/read/29781694/family-medicine-training-in-africa-views-of-clinical-trainers-and-trainees
#14
Louis S Jenkins, Klaus Von Pressentin
BACKGROUND:  This article reports on the findings of a workshop held at the joint 5th World Organisation of Family Doctors (WONCA) Africa and 20th National Family Practitioners Conference in Tshwane, South Africa, in 2017. Postgraduate training for family medicine in Africa takes place in the clinical workspace at the bedside or next to the patient in the clinic, district hospital or regional hospital. Direct supervisor observation, exchange of reflection and feedback, and learning conversations between the supervisor and the registrar are central to learning and assessment processes...
April 12, 2018: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/29781156/effects-of-low-intensity-pulsed-ultrasound-on-radiographic-healing-of-tibial-plateau-leveling-osteotomies-in-dogs-a-prospective-randomized-double-blinded-study
#15
Nina R Kieves, Sherman O Canapp, Peter J Lotsikas, Scott A Christopher, Christopher S Leasure, Debra Canapp, Patrick R Gavin
OBJECTIVE: To determine the influence of low-intensity pulsed ultrasound (LIPUS) on radiographic healing and limb function after uncomplicated, stable osteotomies in dogs. STUDY DESIGN: In vivo, prospective, randomized, double-blinded, placebo-control study. SAMPLE POPULATION: Fifty client-owned dogs. METHODS: Fifty client-owned dogs with naturally occurring unilateral cranial cruciate ligament rupture were enrolled prior to tibial plateau leveling osteotomy...
May 20, 2018: Veterinary Surgery: VS
https://www.readbyqxmd.com/read/29780341/general-slowing-and-education-mediate-task-switching-performance-across-the-life-span
#16
Luca Moretti, Carlo Semenza, Antonino Vallesi
Objective: This study considered the potential role of both protective factors (cognitive reserve, CR) and adverse ones (general slowing) in modulating cognitive flexibility in the adult life-span. Method: Ninety-eight individuals performed a task-switching (TS) paradigm in which we adopted a manipulation concerning the timing between the cue and the target. Working memory demands were minimized by using transparent cues. Additionally, indices of cognitive integrity, depression, processing speed and different CR dimensions were collected and used in linear models accounting for TS performance under the different time constraints...
2018: Frontiers in Psychology
https://www.readbyqxmd.com/read/29780272/experimental-study-on-the-confinement-dependent-characteristics-of-a-utah-coal-considering-the-anisotropy-by-cleats
#17
Bo-Hyun Kim, Gabriel Walton, Mark K Larson, Steve Berry
Characterizing a coal from an engineering perspective for design of mining excavations is critical in order to prevent fatalities, as underground coal mines are often developed in highly stressed ground conditions. Coal pillar bursts involve the sudden expulsion of coal and rock into the mine opening. These events occur when relatively high stresses in a coal pillar, left for support in underground workings, exceed the pillar's load capacity causing the pillar to rupture without warning. This process may be influenced by cleating, which is a type of joint system that can be found in coal rock masses...
May 2018: International Journal of Rock Mechanics and Mining Sciences
https://www.readbyqxmd.com/read/29780109/a-case-of-cardiogenic-shock-due-to-pulseless-electrical-activity-arrest-associated-with-severe-coronary-artery-spasm
#18
Shozo Sueda, Kaori Fujimoto, Yasuhiro Sasaki, Hirokazu Habara, Hiroaki Kohno
A 75-year-old man was admitted to our hospital for follow-up coronary angiography. Just after starting coronary angiography, his electrocardiogram showed ST-segment elevation in the V1-6, I, II, and aVF leads, and he fell into catastrophic cardiogenic shock. His left coronary arteriogram showed proximal total obstruction in the left anterior descending artery and proximal subtotal occlusion in the left circumflex artery. Because pulseless electrical activity arrest was recognized, cardiopulmonary support was started...
May 18, 2018: Internal Medicine
https://www.readbyqxmd.com/read/29779829/leveling-the-playing-field-evaluation-of-a-portable-instrument-for-quantifying-balance-performance
#19
Sutton B Richmond, Kevin D Dames, Daniel J Goble, Brett W Fling
Balance is a complex, sensorimotor task requiring an individual to maintain the center of gravity within the base of support. Quantifying balance in a reliable and valid manner is essential to evaluating disease progression, aging complications, and injuries in clinical and research settings. Typically, researchers use force plates to track motion of the center of gravity during a variety of tasks. However, limiting factors such as cost, portability, and availability have hindered postural stability evaluation in these settings...
May 17, 2018: Journal of Biomechanics
https://www.readbyqxmd.com/read/29779801/docosahexaenoic-acid-supplementation-for-children-with-attention-deficit-hyperactivity-disorder-a-comprehensive-review-of-the-evidence
#20
REVIEW
Renata Ramalho, Ana Colaço Pereira, Filipa Vicente, Paula Pereira
Attention deficit hyperactivity disorder (ADHD) is considered the most common behavioural disorder in school-age children. ADHD is a complex and multifactorial disorder characterised by a variety of symptoms, including concentration problems, excessive motor activity and impulsivity which interferes with execution of simple school tasks. Diagnosis has been essentially subjective, since no specific laboratory tests are available. However, ADHD remains overdiagnosed, probably due to social pressures for children to be successful in school from an early age, which leads parents to seek medical support...
June 2018: Clinical Nutrition ESPEN
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