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https://www.readbyqxmd.com/read/29149918/oxygen-transfer-in-moving-bed-biofilm-reactor-and-integrated-fixed-film-activated-sludge-processes
#1
(no author information available yet)
A demonstrated approach to design the, so-called, medium-bubble air diffusion network for oxygen transfer into the aerobic zone(s) of moving bed biofilm reactor (MBBR) and integrated fixed-film activated sludge (IFAS) processes is described in this paper. Operational full-scale biological water resource recovery systems treating municipal sewerage demonstrate that medium-bubble air diffusion networks designed using the method presented here provide reliable service. Further improvement is possible, however, as knowledge gaps prevent more rational process designs...
November 17, 2017: Water Environment Research: a Research Publication of the Water Environment Federation
https://www.readbyqxmd.com/read/29149877/key-bottlenecks-to-the-provision-of-safe-obstetric-anaesthesia-in-low-income-countries-a-cross-sectional-survey-of-64-hospitals-in-uganda
#2
Isabella Epiu, Agnes Wabule, Andrew Kambugu, Harriet Mayanja-Kizza, Jossy Verel Bahe Tindimwebwa, Gerald Dubowitz
BACKGROUND: Despite recent advances in surgery and anaesthesia which significantly improve safety, many health facilities in low-and middle-income countries (LMICs) remain chronically under-resourced with inability to cope effectively with serious obstetric complications (Knight et al., PLoS One 8:e63846, 2013). As a result many of these countries still have unacceptably high maternal and neonatal mortality rates. Recent data at the national referral hospitals in East Africa reported that none of the national referral hospitals met the World Federation of Societies of Anesthesiologists (WFSA) international standards required to provide safe obstetric anaesthesia (Epiu I: Challenges of Anesthesia in Low-and Middle-Income Countries...
November 17, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29143889/beyond-pathologizing-harm-understanding-ptsd-in-the-context-of-war-experience
#3
Patricia Benner, Jodi Halpern, Deborah R Gordon, Catherine Long Popell, Patricia W Kelley
An alternative to objectifying approaches to understanding Post-traumatic Stress Disorder (PTSD) grounded in hermeneutic phenomenology is presented. Nurses who provided care for soldiers injured in the Iraq and Afghanistan wars, and sixty-seven wounded male servicemen in the rehabilitation phase of their recovery were interviewed. PTSD is the one major psychiatric diagnosis where social causation is established, yet PTSD is predominantly viewed in terms of the usual neuro-physiological causal models with traumatic social events viewed as pathogens with dose related effects...
November 16, 2017: Journal of Medical Humanities
https://www.readbyqxmd.com/read/29138127/exploring-working-relationships-in-mental-health-care-via-an-e-recovery-portal-qualitative-study-on-the-experiences-of-service-users-and-health-providers
#4
Monica Strand, Deede Gammon, Lillian Sofie Eng, Cornelia Ruland
BACKGROUND: The quality of working relationships between service users and health providers is fundamental in the processes of recovery in mental health. How Internet-based interventions will influence these relationships for persons with long-term care needs, and the measures that can be taken to maintain and enhance working relationships through Internet, is still not well understood. OBJECTIVE: The aim of this study was to gain insights into how service users and health providers experience their working relationships when they are offered the option of supplementing ongoing collaboration with an e-recovery portal...
November 14, 2017: JMIR Mental Health
https://www.readbyqxmd.com/read/29137868/what-works-in-inclusion-health-overview-of-effective-interventions-for-marginalised-and-excluded-populations
#5
REVIEW
Serena Luchenski, Nick Maguire, Robert W Aldridge, Andrew Hayward, Alistair Story, Patrick Perri, James Withers, Sharon Clint, Suzanne Fitzpatrick, Nigel Hewett
Inclusion health is a service, research, and policy agenda that aims to prevent and redress health and social inequities among the most vulnerable and excluded populations. We did an evidence synthesis of health and social interventions for inclusion health target populations, including people with experiences of homelessness, drug use, imprisonment, and sex work. These populations often have multiple overlapping risk factors and extreme levels of morbidity and mortality. We identified numerous interventions to improve physical and mental health, and substance use; however, evidence is scarce for structural interventions, including housing, employment, and legal support that can prevent exclusion and promote recovery...
November 10, 2017: Lancet
https://www.readbyqxmd.com/read/29135522/determinants-of-long-term-neurological-recovery-patterns-relative-to-hospital-discharge-among-cardiac-arrest-survivors
#6
Sachin Agarwal, Alex Presciutti, William Roth, Elizabeth Matthews, Ashley Rodriguez, David J Roh, Soojin Park, Jan Claassen, Ronald M Lazar
OBJECTIVE: To explore factors associated with neurological recovery at 1 year relative to hospital discharge after cardiac arrest. DESIGN: Observational, retrospective review of a prospectively collected cohort. SETTING: Medical or surgical ICUs in a single tertiary care center. PATIENTS: Older than 18 years, resuscitated following either in-hospital or out-of-hospital cardiac arrest and considered for targeted temperature management between 2007 and 2013...
November 10, 2017: Critical Care Medicine
https://www.readbyqxmd.com/read/29134856/boston-offender-needs-delivery-project
#7
Leila Salem, Emily Reichert, Julianne Siegfriedt, Taylor Hall, Stephanie W Hartwell
To bridge a gap in access to community services for releasing state inmates, the Boston Offender Needs Delivery (BOND) project was developed as a longitudinal study (2014-2016) of adult inmates with a history of substance use and co-occurring mental health disorders returning to the community following detention in one of Massachusetts' State correctional facilities. Pre-release inmates who were wrapping up their sentence (i.e., no community supervision) and presented with mental illness and/or substance use disorder were recruited...
November 1, 2017: International Journal of Offender Therapy and Comparative Criminology
https://www.readbyqxmd.com/read/29134826/cancer-patients-recommendations-for-nature-based-design-and-engagement-in-oncology-contexts-qualitative-research
#8
Sarah Blaschke, Clare C O'Callaghan, Penelope Schofield
OBJECTIVES: To explore cancer patients' recommendations for nature engagement based on their subjective nature experiences and observations in the cancer setting. The rationale was to gain practical insight for delineating relevant and translatable nature-based care and design opportunities in oncology contexts. BACKGROUND: Innovative cancer care services are needed to respond to growing demand and shifting healthcare needs. Engagement with nature has shown multiple health benefits and presents a promising opportunity for application in healthcare to improve outcomes...
January 1, 2017: HERD
https://www.readbyqxmd.com/read/29134557/advancing-care-within-an-adult-mental-health-day-hospital-program-re-design-and-evaluation
#9
Marlene Taube-Schiff, Adrienne Mehak, Sandy Marangos, Anastasia Kalim, Thomas Ungar
Day hospital mental health programs provide alternate care to individuals of high acuity that do not require an inpatient psychiatric stay. Ensuring provision of best practice within these programs is essential for patient stabilization and recovery. However, there is scant literature to review when creating such a program. This paper provides an overview of the steps an acute care hospital took when designing and implementing new programming within a day hospital program. Qualitative data was collected following initial program rollout...
November 13, 2017: Journal of Behavioral Health Services & Research
https://www.readbyqxmd.com/read/29132616/imperceptible-watermarking-for-security-of-fundus-images-in-tele-ophthalmology-applications-and-computer-aided-diagnosis-of-retina-diseases
#10
Anushikha Singh, Malay Kishore Dutta
BACKGROUND AND OBJECTIVES: The authentication and integrity verification of medical images is a critical and growing issue for patients in e-health services. Accurate identification of medical images and patient verification is an essential requirement to prevent error in medical diagnosis. The proposed work presents an imperceptible watermarking system to address the security issue of medical fundus images for tele-ophthalmology applications and computer aided automated diagnosis of retinal diseases...
December 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29130154/a-transgenic-core-facility-s-experience-in-genome-editing-revolution
#11
Celvie L Yuan, Yueh-Chiang Hu
The use of animal models, particularly rodents, has been immensely important to nearly all aspects of biomedical research, from basic science exploration to translational discoveries into clinical applications. The transgenic core facility that provides animal model production, preservation, and recovery services has been fundamental to the success of research efforts using animals. Recent advances in genome editing technologies, especially the clustered regularly interspaced short palindromic repeats (CRISPR)/CRISPR-associated (Cas) enzyme system, have transformed the tedious animal model production into a simple and effective procedure...
2017: Advances in Experimental Medicine and Biology
https://www.readbyqxmd.com/read/29129345/defining-value-based-care-in-cardiac-and-vascular-anesthesiology-the-past-present-and-future-of-perioperative-cardiovascular-care
#12
REVIEW
Lavinia M Kolarczyk, Harendra Arora, Michael W Manning, David A Zvara, Robert S Isaak
Health care reimbursement models are transitioning from volume-based to value-based models. Value-based models focus on patient outcomes both during the hospital admission and postdischarge. These models place emphasis on cost, quality of care, and coordination of multidisciplinary services. Perioperative physicians are challenged to evaluate traditional practices to ensure coordinated, cost-effective, and evidence-based care. With the Centers for Medicare and Medicaid Services planned introduction of bundled payments for coronary artery bypass graft surgery, cardiovascular anesthesiologists are financially responsible for postdischarge outcomes...
September 28, 2017: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/29129182/integrated-one-stop-shop-youth-health-care-best-available-evidence-and-future-directions
#13
Sarah E Hetrick, Alan P Bailey, Kirsten E Smith, Ashok Malla, Steve Mathias, Swaran P Singh, Aileen O'Reilly, Swapna K Verma, Laelia Benoit, Theresa M Fleming, Marie Rose Moro, Debra J Rickwood, Joseph Duffy, Trissel Eriksen, Robert Illback, Caroline A Fisher, Patrick D McGorry
Although mental health problems represent the largest burden of disease in young people, access to mental health care has been poor for this group. Integrated youth health care services have been proposed as an innovative solution. Integrated care joins up physical health, mental health and social care services, ideally in one location, so that a young person receives holistic care in a coordinated way. It can be implemented in a range of ways. A review of the available literature identified a range of studies reporting the results of evaluation research into integrated care services...
November 20, 2017: Medical Journal of Australia
https://www.readbyqxmd.com/read/29126631/antioxidant-response-to-heat-stress-in-seagrasses-a-gene-expression-study
#14
O Tutar, L MarĂ­n-Guirao, J M Ruiz, G Procaccini
Seawater warming associated to the ongoing climate change threatens functioning and survival of keystone coastal benthic species such as seagrasses. Under elevated temperatures, the production of reactive oxygen species (ROS) is increased and plants must activate their antioxidant defense mechanisms to protect themselves from oxidative damage. Here we explore from a molecular perspective the ability of Mediterranean seagrasses to activate heat stress response mechanisms, with particular focus on antioxidants...
October 27, 2017: Marine Environmental Research
https://www.readbyqxmd.com/read/29125443/neurosurgical-management-in-children-with-bleeding-diathesis-auditing-neurological-outcome
#15
Zaitun Zakaria, Chandrasekaran Kaliaperumal, Darach Crimmins, John Caird
OBJECTIVE The aim of this study was to assess the outcome of neurosurgical treatment in children with bleeding diathesis and also to evaluate the current management plan applied in the authors' service. METHODS The authors retrospectively analyzed all cases in which neurosurgical procedures were performed in pediatric patients presenting with intracranial hematoma due to an underlying bleeding tendency over a 5-year period at their institution. They evaluated the patients' neurological symptoms from the initial referral, hematological abnormalities, surgical treatment, neurological outcome, and scores on the Pediatric Glasgow Outcome Scale-Extended (GOS-E Peds) obtained 1 year after the last operation...
November 10, 2017: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/29123602/rehabilitation-of-vulnerable-groups-in-emergencies-and-disasters-a-systematic-review
#16
REVIEW
Hojjat Sheikhbardsiri, Mohammad H Yarmohammadian, Fatemeh Rezaei, Mohammad Reza Maracy
BACKGROUND: Natural and man-made disasters, especially those occurring in large scales not only result in human mortality, but also cause physical, psychological, and social disabilities. Providing effective rehabilitation services in time can decrease the frequency of such disabilities. The aim of the current study was to perform a systematic review related to rehabilitation of vulnerable groups in emergencies and disasters. METHODS: The systematic review was conducted according to the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines...
2017: World Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29122474/predicting-individual-risk-for-medial-tibial-stress-syndrome-in-navy-recruits
#17
Cameron Garnock, Jeremy Witchalls, Phil Newman
OBJECTIVES: Quantifying individual risk for medial tibial stress syndrome (MTSS) is valuable due to the high prevalence, substantial financial and service costs, and lengthy recovery time of the condition. Identification of those at risk is a key first step in prevention of the condition. This study aimed to test a suite of best evidence risk factors in a cohort of Navy recruits and to develop a predictive model for individuals at risk of MTSS. DESIGN: Prospective cohort study of Navy recruits undergoing initial training METHODS: A prospective cohort design, this study screened recruits by assessing gender, MTSS history, years of running experience, orthotic use, BMI, navicular drop, ankle plantarflexion and hip external rotation at the beginning of basic training...
October 23, 2017: Journal of Science and Medicine in Sport
https://www.readbyqxmd.com/read/29122001/development-of-a-peer-supported-self-management-intervention-for-people-following-mental-health-crisis
#18
Alyssa Milton, Brynmor Lloyd-Evans, Kate Fullarton, Nicola Morant, Bethan Paterson, David Hindle, Kathleen Kelly, Oliver Mason, Marissa Lambert, Sonia Johnson
BACKGROUND: A documented gap in support exists for service users following discharge from acute mental health services, and structured interventions to reduce relapse are rarely provided. Peer-facilitated self-management interventions have potential to meet this need, but evidence for their effectiveness is limited. This paper describes the development of a peer-provided self-management intervention for mental health service users following discharge from crisis resolution teams (CRTs)...
November 9, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/29120404/a-tree-based-broadcast-scheme-for-m-k-firm-real-time-stream-in-wireless-sensor-networks
#19
HoSung Park, Beom-Su Kim, Kyong Hoon Kim, Babar Shah, Ki-Il Kim
Recently, various unicast routing protocols have been proposed to deliver measured data from the sensor node to the sink node within the predetermined deadline in wireless sensor networks. In parallel with their approaches, some applications demand the specific service, which is based on broadcast to all nodes within the deadline, the feasible real-time traffic model and improvements in energy efficiency. However, current protocols based on either flooding or one-to-one unicast cannot meet the above requirements entirely...
November 9, 2017: Sensors
https://www.readbyqxmd.com/read/29115928/the-japanese-version-of-the-questionnaire-about-the-process-of-recovery-development-and-validity-and-reliability-testing
#20
Akiko Kanehara, Risa Kotake, Yuki Miyamoto, Yousuke Kumakura, Kentaro Morita, Tomoko Ishiura, Kimiko Shimizu, Yumiko Fujieda, Shuntaro Ando, Shinsuke Kondo, Kiyoto Kasai
BACKGROUND: Personal recovery is increasingly recognised as an important outcome measure in mental health services. This study aimed to develop a Japanese version of the Questionnaire about the Process of Recovery (QPR-J) and test its validity and reliability. METHODS: The study comprised two stages that employed the cross-sectional and prospective cohort designs, respectively. We translated the questionnaire using a standard translation/back-translation method...
November 7, 2017: BMC Psychiatry
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