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https://www.readbyqxmd.com/read/29783256/-psychological-features-of-the-motivation-component-in-the-training-of-doctors-in-the-system-of-postgraduate-education
#1
Svitlana Koshova, Viktoriia Horachuk, Valerii Pishchykov
OBJECTIVE: Introduction: Тhe problem of motivating adult learning in postgraduate education has so far been the subject of study primarily in methodological and pedagogical studies. They focus on the analysis of the content side of the motivation of adult learning activities. As for the problem of the dynamics of motivation for adult learning activities, including for doctors in the system of postgraduate medical education with continuous professional development, it has not been sufficiently studied so far...
2018: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/29780429/balancing-stability-and-flexibility-in-adaptive-governance-an-analysis-of-tools-available-in-u-s-environmental-law
#2
Robin Kundis Craig, Ahjond S Garmestani, Craig R Allen, Craig Anthony Tony Arnold, Hannah Birgé, Daniel A DeCaro, Alexander K Fremier, Hannah Gosnell, Edella Schlager
Adaptive governance must work "on the ground," that is, it must operate through structures and procedures that the people it governs perceive to be legitimate and fair, as well as incorporating processes and substantive goals that are effective in allowing social-ecological systems (SESs) to adapt to climate change and other impacts. To address the continuing and accelerating alterations that climate change is bringing to SESs, adaptive governance generally will require more flexibility than prior governance institutions have often allowed...
June 30, 2017: Ecology and Society: a Journal of Integrative Science for Resilience and Sustainability
https://www.readbyqxmd.com/read/29771724/early-impact-of-medicare-accountable-care-organizations-on-inpatient-surgical-spending
#3
Hari Nathan, Jyothi R Thumma, Andrew M Ryan, Justin B Dimick
OBJECTIVE: To evaluate whether hospital participation in accountable care organizations (ACOs) is associated with reduced Medicare spending for inpatient surgery. BACKGROUND: ACOs have proliferated rapidly and now cover more than 32 million Americans. Medicare Shared Savings Program (MSSP) ACOs have shown modest success in reducing medical spending. Whether they have reduced surgical spending remains unknown. METHODS: We used 100% Medicare claims from 2010 to 2014 for patients aged 65 to 99 years undergoing 6 common elective surgical procedures [abdominal aortic aneurysm (AAA) repair, colectomy, coronary artery bypass grafting (CABG), hip or knee replacement, or lung resection]...
May 16, 2018: Annals of Surgery
https://www.readbyqxmd.com/read/29770662/-construction-and-expression-of-multi-gene-recombinant-plasmid-peg-fp-n1-hbsag-rop2
#4
Ma Rong, Xiao Ting, Li Jin, Sun Hui, Xu Chao, Huang Bing-Cheng, Yin Kun, Zhao Gui-Hua, Cui Yong, Zhu Song, Liu Gong-Zhen, Yan Ge, Wei Qing-Kuan
OBJECTIVE: To construct pEGFP-N1-HBsAg-ROP2 recombinant expression plasmid and transfect HEK293T cells for expression, and pay a way for Toxoplasma gondii nucleic acid vaccine development. METHODS: According to the HBsAg gene sequence and pcDNA3-p30-ROP2 recombinant plasmid restriction sites, the HBsAg gene was amplified by PCR. The HBsAg gene was cloned into the pcDNA3-p30-ROP2 and instead of p30 gene. The HBsAg-ROP2 fragment was amplified by PCR and digested with Hind Ⅲ and Kpn Ⅰ to clone into the pEGFP-N1 eukaryotic expression vector and construct the recombinant pEGFP-N1-HBsAg-ROP2...
March 14, 2018: Zhongguo Xue Xi Chong Bing Fang Zhi za Zhi, Chinese Journal of Schistosomiasis Control
https://www.readbyqxmd.com/read/29760273/what-influences-success-in-family-medicine-maternity-care-education-programs-qualitative-exploration
#5
Anne Biringer, Milena Forte, Anastasia Tobin, Elizabeth Shaw, David Tannenbaum
OBJECTIVE: To ascertain how program leaders in family medicine characterize success in family medicine maternity care education and determine which factors influence the success of training programs. DESIGN: Qualitative research using semistructured telephone interviews. SETTING: Purposive sample of 6 family medicine programs from 5 Canadian provinces. PARTICIPANTS: Eighteen departmental leaders and program directors...
May 2018: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/29754389/cost-effectiveness-of-forced-air-warming-during-sedation-in-the-cardiac-catheterisation-laboratory
#6
Aaron Conway, Jed Duff, Joanna Sutherland
AIM: To determine the cost-effectiveness of forced air warming during sedation in a cardiac catheterisation laboratory. BACKGROUND: Forced air warming improves thermal comfort in comparison with standard care. It is not known whether the extra costs required for forced air warming are good value. DESIGN: Cost-effectiveness analysis alongside a randomised controlled trial conducted in 2016-2017. METHODS: A cost-effectiveness analysis was undertaken using Monte Carlo simulations from input distributions to estimate costs and effects associated with using forced air warming to reduce risk of thermal discomfort for patients receiving sedation in a cardiac catheterisation laboratory...
May 13, 2018: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29751198/price-to-pay-portal-vein-arterialization-for-hepatic-artery-thrombosis-after-living-donor-liver-transplantation-a-case-report
#7
Worakitti Lapisatepun, Anon Chotirosniramit, Trichak Sandhu, Kanya Udomsin, Wasana Ko-Iam, Phuriphong Chanthima, Warangkana Lapisatepun, Settapong Boonsri, Suraphong Lorsomradee, Quanhathai Kaewpoowat, Sunhawit Junrungsee
OBJECTIVE: Hepatic artery thrombosis (HAT) is one of the most serious complications of liver transplantation that can potentially lead to loss of the allograft. Retransplantation is the only option when revascularization can't be performed but the donor may be not available in the short period of time. We report the technique of using portal vein arterialization (PVA) for bridging before retransplantation. There are few reports in living donor setting. CASE DESCRIPTION: The recipient of the liver was a 59 year old male who received an extended right lobe graft from his son...
May 2, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29743188/engaging-men-in-family-planning-perspectives-from-married-men-in-lom%C3%A3-togo
#8
Tekou B Koffi, Karen Weidert, Erakalaza Ouro Bitasse, Marthe Adjoko E Mensah, Jacques Emina, Sheila Mensah, Annette Bongiovanni, Ndola Prata
Family planning programs have made vast progress in many regions of sub-Saharan Africa in the last decade, but francophone West Africa is still lagging behind. More emphasis on male engagement might result in better outcomes, especially in countries with strong patriarchal societies. Few studies in francophone West Africa have examined attitudes of male involvement in family planning from the perspective of men themselves, yet this evidence is necessary for development of successful family planning projects that include men...
May 9, 2018: Global Health, Science and Practice
https://www.readbyqxmd.com/read/29736277/why-miltefosine-a-life-saving-drug-for-leishmaniasis-is-unavailable-to-people-who-need-it-the-most
#9
REVIEW
Temmy Sunyoto, Julien Potet, Marleen Boelaert
Miltefosine, the only oral drug approved for the treatment of leishmaniasis-a parasitic disease transmitted by sandflies-is considered as a success story of research and development (R&D) by a public-private partnership (PPP). It epitomises the multiple market failures faced by a neglected disease drug: patients with low ability to pay, neglect by authorities and uncertain market size. Originally developed as an anticancer agent in the 1990s, the drug was registered in India in 2002 to treat the fatal visceral leishmaniasis...
2018: BMJ Global Health
https://www.readbyqxmd.com/read/29724528/meat-packaging-solutions-to-current-industry-challenges-a-review
#10
REVIEW
Benjamin W B Holman, Joseph P Kerry, David L Hopkins
Many advances have occurred in the field of smart meat packaging, and the potential for these to be used as tools that respond to challenges faced by industry is exciting. Here, we review packaging solutions to several immediate concerns, encompassing dark cutting, purge and yield losses, product traceability and provenance, packaging durability, microbial spoilage and safety, colour stability, environmental impacts, and the preservation of eating quality. Different active and intelligent packaging approaches to each of these were identified and are discussed in terms of their usefulness - to processors, retailers and/or consumers...
April 30, 2018: Meat Science
https://www.readbyqxmd.com/read/29720686/recurrent-complex-spinal-tuberculosis-accompanied-by-sinus-tract-formation-causes-of-recurrence-and-clinical-treatments
#11
Biao Wang, Lingbo Kong, Ziqi Zhu, Wenjie Gao, Hua Guo, Xiaodong Wang, Hui Li, Qinpeng Zhao, Haiping Zhang, Dingjun Hao
Recurrent complex spinal tuberculosis accompanied by sinus tract formation is one of the most common and complex types of recurrent tuberculosis. To date, only very few studies have reported the strategies and effectiveness of surgical treatments on postoperative recurrent spinal tuberculosis accompanied by sinus tract formation. In this study, 21 recurrent patients out of 87 patients with complex spinal tuberculosis were reviewed. The data of the patients, including age, gender, existence of drug-resistant mycobacterium tuberculosis, postoperative standard chemotherapy, completeness of lesion debridement, reconstruction of the spinal stability, nutritional status, accompaniment by tuberculosis in other regions, timing of the operations, and areas of the lesions, were collected for single- and multiple-factor analyses...
May 2, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29709582/differential-effects-of-sustained-and-transient-effort-triggered-by-reward-a-combined-eeg-and-pupillometry-study
#12
Mariam Kostandyan, Klaas Bombeke, Thomas Carsten, Ruth M Krebs, Wim Notebaert, C Nico Boehler
In instrumental task contexts, incentive manipulations such as posting reward on successful performance usually trigger increased effort, which is signified by effort markers like increased pupil size. Yet, it is not fully clear under which circumstances incentives really promote performance, and which role effort plays therein. In the present study, we compared two schemes of associating reward with a Flanker task, while simultaneously acquiring electroencephalography (EEG) and pupillometry data in order to explore the contribution of effort-related processes...
April 27, 2018: Neuropsychologia
https://www.readbyqxmd.com/read/29709485/endometriosis-surgery-and-preservation-of-fertility-what-surgeons-should-know
#13
H Roman
Colorectal surgeons often participate in the multidisciplinary management of young females with endometriosis. Complications of endometriosis as well as its management often result in infertility since they can involve all pelvic organs including the procreative organs: uterus, ovaries and fallopian tubes. Complete excision of all endometriotic lesions should not be performed at the expense of irreversible destruction of the procreative organs; definitive infertility should not be the price to pay in order to obtain an improvement of the painful symptoms caused by endometriosis...
April 27, 2018: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/29704147/associations-between-marijuana-use-trajectories-and-educational-and-occupational-success-in-young-adulthood
#14
Kara Thompson, Bonnie Leadbeater, Megan Ames, Gabriel J Merrin
Adolescence and young adulthood is a critical stage when the economic foundations for life-long health are established. To date, there is little consensus as to whether marijuana use is associated with poor educational and occupational success in adulthood. We investigated associations between trajectories of marijuana use from ages 15 to 28 and multiple indicators of economic well-being in young adulthood including achievement levels (i.e., educational attainment and occupational prestige), work characteristics (i...
April 28, 2018: Prevention Science: the Official Journal of the Society for Prevention Research
https://www.readbyqxmd.com/read/29700812/privileges-and-penalties-in-the-legal-profession-an-intersectional-analysis-of-career-progression
#15
Jennifer Tomlinson, Danat Valizade, Daniel Muzio, Andy Charlwood, Sundeep Aulakh
Intersectionality theory is concerned with integrating social characteristics to better understanding complex human relations and inequalities in organizations and societies (McCall ). Recently, intersectionality research has taken a categorical and quantitative turn as scholars critically adopt but retain existing social categories to explain differences in labour market outcomes. A key contention is that social categories carry penalties or privileges and their intersection promotes or hinders the life chances of particular groups and individuals...
April 26, 2018: British Journal of Sociology
https://www.readbyqxmd.com/read/29697802/so-you-want-to-share-your-science%C3%A2-connecting-to-the-world-of-informal-science-learning
#16
Carol Lynn Alpert
Scientists can reap personal rewards through collaborations with science and natural history museums, zoos, botanical gardens, aquaria, parks, and nature preserves, and, while doing so, help to advance science literacy and broaden participation in the natural sciences. Beyond volunteer opportunities, which allow scientists to contribute their knowledge and passion within the context of existing programs and activities, there are also opportunities for scientists to bring their knowledge and resources to the design and implementation of new learning experiences for visitors to these informal science learning organizations (ISLOs)...
April 25, 2018: Integrative and Comparative Biology
https://www.readbyqxmd.com/read/29661751/comparison-of-online-survey-recruitment-platforms-for-hard-to-reach-pregnant-smoking-populations-feasibility-study
#17
Jose Luis Ibarra, Jessica Marie Agas, Melissa Lee, Julia Lily Pan, Alison Meredith Buttenheim
BACKGROUND: Recruiting hard-to-reach populations for health research is challenging. Web-based platforms offer one way to recruit specific samples for research purposes, but little is known about the feasibility of online recruitment and the representativeness and comparability of samples recruited through different Web-based platforms. OBJECTIVE: The objectives of this study were to determine the feasibility of recruiting a hard-to-reach population (pregnant smokers) using 4 different Web-based platforms and to compare participants recruited through each platform...
April 16, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29649836/-flight-routes-to-germany-of-seriously-ill-children-and-adolescents-from-former-eastern-bloc-countries-for-treatment-of-renal-failure
#18
Dilbar Mammadova, Ines Marek, Matthias Galiano, Wolfgang Rascher
BACKGROUND: Increased patient mobility and restricted treatment of children with end-stage renal disease forced families from the former Eastern Bloc countries to flee with their children to Germany for adequate medical treatment. METHODS: In a case study, the patients' charts were analysed retrospectively. In structured interviews, parents and patients were asked about their flight routes to Germany, their medical treatment and their integration. RESULTS: From 2003 to 2013, eight children and adolescents with renal failure were treated with dialysis or renal transplantation in Erlangen...
April 12, 2018: Klinische Pädiatrie
https://www.readbyqxmd.com/read/29629381/what-are-the-predictor-variables-of-social-well-being-among-the-medical-science-students
#19
Nazila Javadi-Pashaki, Azar Darvishpour
CONTEXT: Individuals with social well-being can cope more successfully with major problems of social roles. Due to the social nature of human life, it cannot be ignored to pay attention the social aspect of health. AIMS: The purpose of this study was to identify variables that predict the social well-being of medical students. SETTINGS AND DESIGN: A descriptive-analytical study was conducted on 489 medical science students of Gilan Province, the North of Iran, during May to September 2016...
2018: Journal of Education and Health Promotion
https://www.readbyqxmd.com/read/29622381/harnessing-the-private-health-sector-by-using-prices-as-a-policy-instrument-lessons-learned-from-south-africa
#20
Sarah L Barber, Ankit Kumar, Tomas Roubal, Francesca Colombo, Luca Lorenzoni
Governments frequently draw upon the private health care sector to promote sustainability, optimal use of resources, and increased choice. In doing so, policy-makers face the challenge of harnessing resources while grappling with the market failures and equity concerns associated with private financing of health care. The growth of the private health sector in South Africa has fundamentally changed the structure of health care delivery. A mutually reinforcing ecosystem of private health insurers, private hospitals and specialists has grown to account for almost half of the country's spending on health care, despite only serving 16% of the population with the capacity to pay...
March 29, 2018: Health Policy
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