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https://www.readbyqxmd.com/read/28191345/holistic-care-for-patients-during-weaning-from-mechanical-ventilation-a-qualitative-study
#1
Ali Khalafi, Nasrin Elahi, Fazlollah Ahmadi
BACKGROUND: Weaning patients from mechanical ventilation is a complex and highly challenging process. It requires continuity of care, the overall assessment of patients, and a focus on all aspects of patients' needs by critical care nurses. OBJECTIVES: The aim of the present study was to explore holistic care while patients are being weaned from mechanical ventilation from the perspective of the critical care nurses. METHODS: The study was carried out in the intensive care units (ICUs) of six hospitals in Ahvaz, Iran, from 2014 to 2015...
November 2016: Iranian Red Crescent Medical Journal
https://www.readbyqxmd.com/read/28163354/targeting-out-scaling-and-prioritising-climate-smart-interventions-in-agricultural-systems-lessons-from-applying-a-generic-framework-to-the-livestock-sector-in-sub-saharan-africa
#2
An Notenbaert, Catherine Pfeifer, Silvia Silvestri, Mario Herrero
As a result of population growth, urbanization and climate change, agricultural systems around the world face enormous pressure on the use of resources. There is a pressing need for wide-scale innovation leading to development that improves the livelihoods and food security of the world's population while at the same time addressing climate change adaptation and mitigation. A variety of promising climate-smart interventions have been identified. However, what remains is the prioritization of interventions for investment and broad dissemination...
February 2017: Agricultural Systems
https://www.readbyqxmd.com/read/28076439/predictors-of-student-productivity-in-biomedical-graduate-school-applications
#3
Joshua D Hall, Anna B O'Connell, Jeanette G Cook
Many US biomedical PhD programs receive more applications for admissions than they can accept each year, necessitating a selective admissions process. Typical selection criteria include standardized test scores, undergraduate grade point average, letters of recommendation, a resume and/or personal statement highlighting relevant research or professional experience, and feedback from interviews with training faculty. Admissions decisions are often founded on assumptions that these application components correlate with research success in graduate school, but these assumptions have not been rigorously tested...
2017: PloS One
https://www.readbyqxmd.com/read/28049472/implementation-of-a-recovery-oriented-model-in-a-sub-acute-intermediate-stay-mental-health-unit-ismhu
#4
Barry G Frost, Megan Turrell, Ketrina A Sly, Terry J Lewin, Agatha M Conrad, Suzanne Johnston, Srinivasan Tirupati, Kerry Petrovic, Sadanand Rajkumar
BACKGROUND: An ongoing service evaluation project was initiated following the establishment of a new, purpose-built, 20-bed sub-acute Intermediate Stay Mental Health Unit (ISMHU). This paper: provides an overview of the targeted 6-week program, operating within an Integrated Recovery-oriented Model (IRM); characterises the clients admitted during the first 16 months; and documents their recovery needs and any changes. METHODS: A brief description of the unit's establishment and programs is initially provided...
January 3, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28032078/adolescents-interpretation-of-the-concept-of-wellness-a-qualitative-study
#5
Ezihe Loretta Ahanonu, Karien Jooste
Introduction: This study sought to explore and describe the interpretation which adolescents ascribe to the term wellness at a selected high school in the Western Cape Province of South Africa. Methods: A qualitative research design was utilized. Nine focus-group discussions were conducted among 58 adolescents. Sample was selected purposefully and collected data was analyzed using open coding. Results: Findings reflected adolescents' interpretations of the term wellness in the realm of holistic well-being transcending the nonexistence of illness or sickness in the body...
December 2016: Journal of Caring Sciences
https://www.readbyqxmd.com/read/28025324/defining-pharmaceutical-systems-strengthening-concepts-to-enable-measurement
#6
REVIEW
Tamara Hafner, Helena Walkowiak, David Lee, Francis Aboagye-Nyame
: Pharmaceutical products are indispensable for improving health outcomes. An extensive body of work on access to and use of medicines has resulted in an assortment of tools measuring various elements of pharmaceutical systems. Until now however, there has been little attempt to conceptualize a pharmaceutical system as an entity and define its strengthening in a way that allows for measuring systems strengthening. The narrow focus of available tools limits their value in ascertaining which interventions result in stronger, more resilient systems...
December 26, 2016: Health Policy and Planning
https://www.readbyqxmd.com/read/28006739/participatory-action-inquiry-using-baccalaureate-nursing-students-the-inclusion-of-integrative-health-care-modalities-in-nursing-core-curriculum
#7
Roxane Raffin Chan, Michelle Schaffrath
Nurses, nursing educators and students support the inclusion of integrative health care (IHC) into nursing core curriculum as a way to create nurses who deliver nursing care to the full extent of their scope of practice and advance evidenced based IHC. Because of the holistic nature of IHC modalities, research to investigate appropriate teaching strategies and potential efficacy of learning IHC in the baccalaureate core curriculum requires a holistic approach. Therefore a phenomenological exploration using participatory action inquiry was conducted at a large Midwestern university...
January 2017: Nurse Education in Practice
https://www.readbyqxmd.com/read/27992830/what-prevents-chinese-parents-from-reporting-possible-cases-of-child-sexual-abuse-to-authority-a-holistic-interactionistic-approach
#8
Qian Wen Xie, Xiaoyue Sun, Mengtong Chen, Dong Ping Qiao, Ko Ling Chan
The reporting of suspected CSA cases to authorities in a timely manner is important in preventing continued abuse and protecting abused children at early ages. The current study seeks to explore parents' intentions of reporting their own children's CSA experiences to authorities as well as their reporting willingness when they become aware of possible CSA cases happening to children in other families. Two rounds of semi-structured interviews were conducted among a sample of 26 parents in Beijing; these parents were purposefully selected so as to be diverse in terms of gender, age, and socioeconomic status...
December 16, 2016: Child Abuse & Neglect
https://www.readbyqxmd.com/read/27879175/identifying-talented-track-and-field-athletes-the-impact-of-relative-age-effect-on-selection-to-the-spanish-national-athletics-federation-training-camps
#9
Javier Brazo-Sayavera, María Asunción Martínez-Valencia, Lisa Müller, Georgios Andronikos, Russell J J Martindale
This study examined the impact of relative age effect (RAE) on selection to the Spanish National Athletics Federation (RFEA) training camps (TC) between 2006 and 2013. Overall, 1,334 selected athletes at U15 years (cadet) and U17 years (juvenile) were compared against 27,711 licensed but unselected athletes for the same age groups. The results highlighted the influential role of the RAE on selection to national level track and field training camp opportunities. Interestingly, this effect was mediated by age and gender, where effects were stronger for both males and younger athletes (U15), with no evidence of RAE for older (U17) female athletes...
November 23, 2016: Journal of Sports Sciences
https://www.readbyqxmd.com/read/27855698/perceptions-and-experiences-of-patients-living-with-implantable-cardioverter-defibrillators-a-systematic-review-and-meta-synthesis
#10
REVIEW
Sim Leng Ooi, Hong-Gu He, Yanhong Dong, Wenru Wang
BACKGROUND: Sudden cardiac deaths have become a growing major public health concern that affects the world. Despite the various etiologies, life-threatening cardiac arrhythmias attribute the main cause of sudden cardiac deaths. Therefore in certain groups of high-risk patients, the Implantable Cardioverter Defibrillator (ICD) has been recommended as either a secondary or primary prophylactic method of prevention. OBJECTIVE: To summarise the perceptions of ICD recipients and provide an overview of their experiences with regards to the quality of life, coping strategies, and learning needs...
November 17, 2016: Health and Quality of Life Outcomes
https://www.readbyqxmd.com/read/27657662/the-experience-of-family-caregivers-caring-for-a-terminal-patient-at-home-a-research-review
#11
REVIEW
J Martín Martín, M Olano-Lizarraga, M Saracíbar-Razquin
INTRODUCTION: One of the key aspects of the care of terminal patients is care delivered in their own home. Increasingly, the process of dying is moving from hospitals to homes. Although this process is directly related to the support of the social health environment, the involvement of family caregivers is essential. Given the impact that caring for a terminally ill family member has on people's lives, it is necessary to comprehend their personal experience in a holistic way. OBJECTIVE: To reveal the experience of family caregivers who are caring for a terminal patient in their home...
December 2016: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/27636751/prosthodontic-decision-making-relating-to-dentitions-with-compromised-molars-the-perspective-of-swedish-general-dental-practitioners
#12
E-K Korduner, I Collin Bagewitz, P Vult von Steyern, E Wolf
The aim of this investigation was to study the clinical prosthodontic decision-making process relating to dentitions with compromised molars among Swedish general dental practitioners (GDPs). Eleven Swedish GDPs were purposively selected, and all agreed to participate. Then, in-depth, semi-structured interviews were conducted and covered treatment considerations concerning two authentic patient cases, initially with complete dental arches, and later, a final treatment based on a shortened dental arch (SDA) was discussed...
December 2016: Journal of Oral Rehabilitation
https://www.readbyqxmd.com/read/27627631/holistic-review-in-medical-school-admissions-and-selection-a-strategic-mission-driven-response-to-shifting-societal-needs
#13
Sarah S Conrad, Amy N Addams, Geoffrey H Young
Medical schools and residency programs have always sought excellence in the areas of education, research, and clinical care. However, these pursuits are not accomplished within a vacuum-rather, they are continually and necessarily influenced by social, cultural, political, legal, and economic forces. Persistent demographic inequalities coupled with rapidly evolving biomedical research and a complex legal landscape heighten our collective awareness and emphasize the continued need to consider medicine's social contract when selecting, educating, and developing physicians and physician-scientists...
September 13, 2016: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/27614900/electrophysiological-evidence-for-parts-and-wholes-in-visual-face-memory
#14
John Towler, Martin Eimer
It is often assumed that upright faces are represented in a holistic fashion, while representations of inverted faces are essentially part-based. To assess this hypothesis, we recorded event-related potentials (ERPs) during a sequential face identity matching task where successively presented pairs of upright or inverted faces were either identical or differed with respect to their internal features, their external features, or both. Participants' task was to report on each trial whether the face pair was identical or different...
October 2016: Cortex; a Journal Devoted to the Study of the Nervous System and Behavior
https://www.readbyqxmd.com/read/27520404/medical-educational-culture-introducing-patients-to-applicants-as-part-of-the-medical-school-interview-feasibility-and-initial-impact-show-and-tell
#15
Shireen Madani Sims, James W Lynch
INTRODUCTION: The College of Medicine at our institution underwent a major curricular revision in order to develop a patient-centered context for learning. The admission process was revised to reflect this change, adopting a holistic review process, with the hope of attracting students who were particularly well suited to a patient-centered curriculum and learning culture. METHODS: Patients from a single practitioner, who were accustomed to working with medical students, were asked if they would like to select the next generation of physicians...
2016: Medical Education Online
https://www.readbyqxmd.com/read/27458207/visualizing-the-phage-t4-activated-transcription-complex-of-dna-and-e-coli-rna-polymerase
#16
Tamara D James, Timothy Cardozo, Lauren E Abell, Meng-Lun Hsieh, Lisa M Miller Jenkins, Saheli S Jha, Deborah M Hinton
The ability of RNA polymerase (RNAP) to select the right promoter sequence at the right time is fundamental to the control of gene expression in all organisms. However, there is only one crystallized structure of a complete activator/RNAP/DNA complex. In a process called σ appropriation, bacteriophage T4 activates a class of phage promoters using an activator (MotA) and a co-activator (AsiA), which function through interactions with the σ(70) subunit of RNAP. We have developed a holistic, structure-based model for σ appropriation using multiple experimentally determined 3D structures (Escherichia coli RNAP, the Thermus aquaticus RNAP/DNA complex, AsiA /σ(70) Region 4, the N-terminal domain of MotA [MotA(NTD)], and the C-terminal domain of MotA [MotA(CTD)]), molecular modeling, and extensive biochemical observations indicating the position of the proteins relative to each other and to the DNA...
September 19, 2016: Nucleic Acids Research
https://www.readbyqxmd.com/read/27442071/face-processing-systems-from-neurons-to-real-world-social-perception
#17
Winrich Freiwald, Bradley Duchaine, Galit Yovel
Primate face processing depends on a distributed network of interlinked face-selective areas composed of face-selective neurons. In both humans and macaques, the network is divided into a ventral stream and a dorsal stream, and the functional similarities of the areas in humans and macaques indicate they are homologous. Neural correlates for face detection, holistic processing, face space, and other key properties of human face processing have been identified at the single neuron level, and studies providing causal evidence have established firmly that face-selective brain areas are central to face processing...
July 8, 2016: Annual Review of Neuroscience
https://www.readbyqxmd.com/read/27210036/investigating-the-causal-role-of-rofa-in-holistic-detection-of-mooney-faces-and-objects-an-fmri-guided-tms-study
#18
Silvia Bona, Zaira Cattaneo, Juha Silvanto
BACKGROUND: The right occipital face area (rOFA) is known to be involved in face discrimination based on local featural information. Whether this region is also involved in global, holistic stimulus processing is not known. OBJECTIVE: We used fMRI-guided transcranial magnetic stimulation (TMS) to investigate whether rOFA is causally implicated in stimulus detection based on holistic processing, by the use of Mooney stimuli. METHODS: Two studies were carried out: In Experiment 1, participants performed a detection task involving Mooney faces and Mooney objects; Mooney stimuli lack distinguishable local features and can be detected solely via holistic processing (i...
July 2016: Brain Stimulation
https://www.readbyqxmd.com/read/27194358/microfluidic-devices-for-automation-of-assays-on-drosophila-melanogaster-for-applications-in-drug-discovery-and-biological-studies
#19
REVIEW
Reza Ghaemi, Ponnambalam R Selvaganapathy
Drug discovery is a long and expensive process, which usually takes 12-15 years and could cost up to ~$1 billion. Conventional drug discovery process starts with high throughput screening and selection of drug candidates that bind to specific target associated with a disease condition. However, this process does not consider whether the chosen candidate is optimal not only for binding but also for ease of administration, distribution in the body, effect of metabolism and associated toxicity if any. A holistic approach, using model organisms early in the drug discovery process to select drug candidates that are optimal not only in binding but also suitable for administration, distribution and are not toxic is now considered as a viable way for lowering the cost and time associated with the drug discovery process...
2016: Current Pharmaceutical Biotechnology
https://www.readbyqxmd.com/read/27184617/producing-microbial-polyhydroxyalkanoate-pha-biopolyesters-in-a-sustainable-manner
#20
Martin Koller, Lukáš Maršálek, Miguel Miranda de Sousa Dias, Gerhart Braunegg
Sustainable production of microbial polyhydroxyalkanoate (PHA) biopolyesters on a larger scale has to consider the "four magic e": economic, ethical, environmental, and engineering aspects. Moreover, sustainability of PHA production can be quantified by modern tools of Life Cycle Assessment. Economic issues are to a large extent affected by the applied production mode, downstream processing, and, most of all, by the selection of carbon-rich raw materials as feedstocks for PHA production by safe and naturally occurring wild type microorganisms...
May 13, 2016: New Biotechnology
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