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https://www.readbyqxmd.com/read/28336209/transboundary-movement-of-marine-litter-in-an-estuarine-gradient-evaluating-sources-and-sinks-using-hydrodynamic-modelling-and-ground-truthing-estimates
#1
Allan Paul Krelling, Mihael Machado Souza, Allan Thomas Williams, Alexander Turra
Marine debris' transboundary nature and new strategies to identify sources and sinks in coastal areas were investigated along the Paranaguá estuarine gradient (southern Brazil), through integration of hydrodynamic modelling, ground truthing estimates and regressive vector analysis. The simulated release of virtual particles in different parts of the inner estuary suggests a residence time shorter than 5days before being exported through the estuary mouth (intermediate compartment) to the open ocean. Stranded litter supported this pathway, with beaches in the internal compartment presenting proportionally more items from domestic sources, while fragmented items with unknown sources were proportionally more abundant in the oceanic beaches...
March 20, 2017: Marine Pollution Bulletin
https://www.readbyqxmd.com/read/28334566/improving-communication-with-primary-care-physicians-at-the-time-of-hospital-discharge
#2
Lauren A Destino, Amy Dixit, Julie L Pantaleoni, Matthew S Wood, Natalie M Pageler, Joe Kim, Terry S Platchek
BACKGROUND: Communication with primary care physicians (PCPs) at the time of a patient's hospital discharge is important to safely transition care to home. The goal of this quality improvement initiative was to increase discharge communication to PCPs at an academic children's hospital. METHODS: A multidisciplinary team at Lucile Packard Children's Hospital Stanford used Lean A3 problem solving methodology to address the problem of inadequate discharge communication with PCPs...
February 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/28334248/photoacclimation-by-arctic-cryoconite-phototrophs
#3
R G Perkins, E Bagshaw, L Mol, C J Williamson, D Fagan, M Gamble, M L Yallop
Cryoconite is a matrix of sediment, biogenic polymer and a microbial community which resides on glacier surfaces. The phototrophic component of this community is well adapted to this extreme environment, including high light stress. Photoacclimation of the cryoconite phototrophic community on Longyearbreen, Svalbard was investigated using in situ variable chlorophyll fluorescence. Rapid light curves (RLCs) and induction recovery curves were used to analyse PSII quantum efficiency, relative electron transport rate and forms of down regulation including non-photochemical quenching (NPQ) and state transitions in cyanobacteria...
February 18, 2017: FEMS Microbiology Ecology
https://www.readbyqxmd.com/read/28333613/collaborative-management-of-neurocognitive-disorders-in-primary-care-explorations-of-an-attempt-at-culture-change
#4
Lewis Mehl-Madrona, Barbara Mainguy
INTRODUCTION: Minor neurocognitive disorder (MiND; previously mild cognitive impairment) is a transitional zone between normal cognitive function and early stages of major neurocognitive disorder (previously called dementia). Of people with MiND, 5% to 10% progress to major neurocognitive disorder. Simple interventions such as memory activities, balance exercises, and anti-inflammatory diets have been shown to improve cognitive ability. Also, education and support in group settings have proved beneficial for patients with MiND...
2017: Permanente Journal
https://www.readbyqxmd.com/read/28322180/operative-landscape-at-canadian-neurosurgery-residency-programs
#5
Michael K Tso, Ayoub Dakson, Syed Uzair Ahmed, Mark Bigder, Cameron Elliott, Daipayan Guha, Christian Iorio-Morin, Michelle Kameda-Smith, Pascal Lavergne, Serge Makarenko, Michael S Taccone, Bill Wang, Alexander Winkler-Schwartz, Tejas Sankar, Sean D Christie
Background Currently, the literature lacks reliable data regarding operative case volumes at Canadian neurosurgery residency programs. Our objective was to provide a snapshot of the operative landscape in Canadian neurosurgical training using the trainee-led Canadian Neurosurgery Research Collaborative. METHODS: Anonymized administrative operative data were gathered from each neurosurgery residency program from January 1, 2014, to December 31, 2014. Procedures were broadly classified into cranial, spine, peripheral nerve, and miscellaneous procedures...
March 21, 2017: Canadian Journal of Neurological Sciences. le Journal Canadien des Sciences Neurologiques
https://www.readbyqxmd.com/read/28319325/transitions-to-and-from-long-term-care-facilities-and-length-of-completed-stay-reuse-of-population-based-survey-data
#6
Joanna B Broad, Thomas Lumley, Toni Ashton, Peter B Davis, Michal Boyd, Martin J Connolly
OBJECTIVE: This article estimates length of completed stay and resident transitions for RAC residents over 12 months in Auckland. METHODS: Data from a census-type survey of nursing home residents (n = 6816) were linked with national mortality data. Transitions described include entry to residential aged care (RAC), movement between RAC facilities and deaths. RESULTS: When reweighted for missing data and adjusted for length bias, an estimated 9676 residents (95% CI 8368-10 985) used care over a 12-month period...
March 20, 2017: Australasian Journal on Ageing
https://www.readbyqxmd.com/read/28317677/trends-in-cataract-surgery-training-curricula
#7
Mona Lotfipour, Ramunas Rolius, Erik B Lehman, Seth M Pantanelli, Ingrid U Scott
PURPOSE: To evaluate trends in cataract surgery training curricula and factors affecting timing of resident participation as a primary surgeon. SETTING: Pennsylvania State College of Medicine, Hershey, Pennsylvania, USA. DESIGN: Cross-sectional study of anonymous survey results. METHODS: A description of the study and link to an online survey was e-mailed to program directors of each ophthalmology residency training program accredited by the Accreditation Council for Graduate Medical Education (ACGME)...
January 2017: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/28303104/mathematical-modeling-of-streptococcus-pneumoniae-colonization-invasive-infection-and-treatment
#8
Elisa Domínguez-Hüttinger, Neville J Boon, Thomas B Clarke, Reiko J Tanaka
Streptococcus pneumoniae (Sp) is a commensal bacterium that normally resides on the upper airway epithelium without causing infection. However, factors such as co-infection with influenza virus can impair the complex Sp-host interactions and the subsequent development of many life-threatening infectious and inflammatory diseases, including pneumonia, meningitis or even sepsis. With the increased threat of Sp infection due to the emergence of new antibiotic resistant Sp strains, there is an urgent need for better treatment strategies that effectively prevent progression of disease triggered by Sp infection, minimizing the use of antibiotics...
2017: Frontiers in Physiology
https://www.readbyqxmd.com/read/28300484/factors-associated-with-general-and-health-related-quality-of-life-in-menopausal-transition-among-women-from-serbia
#9
Jelena Dotlic, Ilma Kurtagic, Selmina Nurkovic, Nikolina Kovacevic, Sanja Radovanovic, Biljana Rancic, Branislav Milosevic, Milan Terzic, Tatjana Gazibara
This study assessed factors associated with quality of life (QOL) among Serbian peri- and postmenopausal women using two menopause-specific scales. This cross-sectional study included 500 women aged 40-65 years who had a gynecologic check-up in one of two Community Health Centers in Belgrade during February 2014 to January 2015. Women completed: a questionnaire about socio-demographics, habits and health status; a menopause-specific questionnaire, Utian's Quality of Life Scale (UQOL); a Women's Health Questionnaire (WHQ) and Beck's Depression Inventory (BDI)...
March 16, 2017: Women & Health
https://www.readbyqxmd.com/read/28300265/catalytic-routes-to-fuels-from-c1-and-oxygenate-molecules
#10
Shuai Wang, Iker Agirrezabal-Telleria, Aditya Bhan, Dante Simonetti, Kazuhiro Takanabe, Enrique Iglesia
This account illustrates concepts in chemical kinetics underpinned by the formalism of transition state theory using catalytic processes that enable the synthesis of molecules suitable as fuels from C1 and oxygenate reactants. Such feedstocks provide an essential bridge towards a carbon-free energy future, but their volatility and low energy density require the formation of new C-C bonds and the removal of oxygen. These transformations are described here through recent advances in our understanding of the mechanisms and site requirements in catalysis by surfaces, with emphasis on enabling concepts that tackle ubiquitous reactivity and selectivity challenges...
March 16, 2017: Faraday Discussions
https://www.readbyqxmd.com/read/28291562/consequences-of-sarcopenia-among-nursing-home-residents-at%C3%A2-long-term%C3%A2-follow-up
#11
Tim Henwood, Bothaina Hassan, Paul Swinton, Hugh Senior, Justin Keogh
The consequences of and transition into sarcopenia with long-term survival was investigated in the nursing home setting. Eligible residents from 11 nursing homes were followed-up 18-months after their assessment for sarcopenia using the European Working Group on Sarcopenia in Older People criteria, with other demographic, physical and cognitive health measures collected. Of the 102 older adults who consented at baseline, 22 had died and 58 agreed to participate at follow-up, 51.7% of whom had sarcopenic. Sarcopenia at baseline was associated with a depression (p < ...
March 10, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28291556/teaching-communication-skills-to-radiology-residents
#12
Jason N Itri, Sammy Yacob, Ayman Mithqal
The transition of health care in the United States from volume to value requires a systems-based approach aligning clinical services across the continuum of care. The ability to communicate effectively and resolve conflict is a critical skill within the systems-based model. Recognizing the essential role of communication in medicine, the Accreditation Council of Graduate Medical Education has designated interpersonal and communication skills a core competency for all residents regardless of specialty. Yet, communication skills are often developed through on-the-job training or not at all...
January 17, 2017: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28285352/midgut-morphological-changes-and-autophagy-during-metamorphosis-in-sand-flies
#13
Juliana Malta, Matthew Heerman, Ju Lin Weng, Kenner M Fernandes, Gustavo Ferreira Martins, Marcelo Ramalho-Ortigão
During metamorphosis, holometabolous insects undergo significant remodeling of their midgut and become able to cope with changes in dietary requirements between larval and adult stages. At this stage, insects must be able to manage and recycle available food resources in order to develop fully into adults, especially when no nutrients are acquired from the environment. Autophagy has been previously suggested to play a crucial role during metamorphosis of the mosquito. Here, we investigate the overall morphological changes of the midgut of the sand fly during metamorphosis and assess the expression profiles of the autophagy-related genes ATG1, ATG6, and ATG8, which are associated with various steps of the autophagic process...
March 11, 2017: Cell and Tissue Research
https://www.readbyqxmd.com/read/28276169/intergenerational-transfers-and-informal-care-for-disabled-elderly-persons-in-china-evidence-from-charls
#14
Xiaoting Liu, Bei Lu, Zhixin Feng
Aiming at 'ageing healthier and ageing better', a certain amount of high-quality informal care should be available for elderly persons with physical disability as formal care is barely accessible in China. The demographic transition and family structural changes have dramatically weakened traditional norms of filial piety and the structure of intergenerational transfers. This article employed nationwide representative data from the first wave (2011) of Chinese Health and Retirement Longitudinal Study (CHARLS) in order to identify the duration of informal care provision at home for frail elders (1122 in rural areas and 577 in urban areas, total 1699), measured in monthly hours, before estimating the associations between intergenerational transfers and the received time of informal care with Tobit Model analysis...
March 9, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28272478/erythro-myeloid-progenitors-can-differentiate-from-endothelial-cells-and-modulate-embryonic-vascular-remodeling
#15
Bahar Kasaai, Vincenza Caolo, Hanna M Peacock, Stephanie Lehoux, Elisa Gomez-Perdiguero, Aernout Luttun, Elizabeth A V Jones
Erythro-myeloid progenitors (EMPs) were recently described to arise from the yolk sac endothelium, just prior to vascular remodeling, and are the source of adult/post-natal tissue resident macrophages. Questions remain, however, concerning whether EMPs differentiate directly from the endothelium or merely pass through. We provide the first evidence in vivo that EMPs can emerge directly from endothelial cells (ECs) and demonstrate a role for these cells in vascular development. We find that EMPs express most EC markers but late EMPs and EMP-derived cells do not take up acetylated low-density lipoprotein (AcLDL), as ECs do...
March 8, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28271080/how-do-orthopaedic-surgeons-address-psychological-aspects-of-illness
#16
Ana Maria Vranceanu, Reinier B Beks, Thierry G Guitton, Stein J Janssen, David Ring
BACKGROUND: Orthopaedic surgeons have a pivotal role in transitioning the care of orthopedic patients from a biomedical to a biopsychosocial model. In an effort to foster this transition, we designed a study aimed to determine surgeons' attitudes and practice of noticing, screening, discussing psychological illness with patients, as well as making referrals to address psychosocial issues in patients in need. Additionally, we asked surgeons to rank order potential barriers to and reasons for referrals to psychosocial treatment...
January 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/28267923/multi-functional-cellulolytic-enzymes-outperform-processive-fungal-cellulases-for-co-production-of-nanocellulose-and-biofuels
#17
John M Yarbrough, Ruoran Zhang, Ashutosh Mittal, Todd Vander Wall, Yannick J Bomble, Stephen R Decker, Michael E Himmel, Peter N Ciesielski
Producing fuels, chemicals, and materials from renewable resources to meet societal demands remains an important step in the transition to a sustainable, clean energy economy. The use of cellulolytic enzymes for the production of nanocellulose enables the co-production of sugars for biofuels production in a format that is largely compatible with the process design employed by modern lignocellulosic (second generation) biorefineries. However, yields of enzymatically produced nanocellulose are typically much lower than those achieved by mineral acid production methods...
March 7, 2017: ACS Nano
https://www.readbyqxmd.com/read/28267026/first-time-fathers-needs-and-experiences-of-transition-to-fatherhood-in-relation-to-their-mental-health-and-wellbeing-a-qualitative-systematic-review-protocol
#18
Sharin Baldwin, Debra Bick
This qualitative review seeks to identify first-time fathers' needs and experiences in relation to their mental health and wellbeing during their transition to fatherhood. This will include resident first-time fathers who are either the biological or non-biological father.The objectives are to explore first-time fathers' experiences in relation to.
March 2017: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/28255075/rheumatic-heart-disease-severity-progression-and-outcomes-a-multi-state-model
#19
Jeffrey Cannon, Kathryn Roberts, Catherine Milne, Jonathan R Carapetis
BACKGROUND: Rheumatic heart disease (RHD) remains a disease of international importance, yet little has been published about disease progression in a contemporary patient cohort. Multi-state models provide a well-established method of estimating rates of transition between disease states, and can be used to evaluate the cost-effectiveness of potential interventions. We aimed to create a multi-state model for RHD progression using serial clinical data from a cohort of Australian patients...
March 2, 2017: Journal of the American Heart Association
https://www.readbyqxmd.com/read/28254942/layer-specific-modulation-of-neocortical-dendritic-inhibition-during-active-wakefulness
#20
William Muñoz, Robin Tremblay, Daniel Levenstein, Bernardo Rudy
γ-Aminobutyric acid (GABA)ergic inputs are strategically positioned to gate synaptic integration along the dendritic arbor of pyramidal cells. However, their spatiotemporal dynamics during behavior are poorly understood. Using an optical-tagging electrophysiological approach to record and label somatostatin-expressing (Sst) interneurons (GABAergic neurons specialized for dendritic inhibition), we discovered a layer-specific modulation of their activity in behaving mice. Sst interneuron subtypes, residing in different cortical layers and innervating complementary laminar domains, exhibited opposite activity changes during transitions to active wakefulness...
March 3, 2017: Science
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