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https://www.readbyqxmd.com/read/28828248/reproductive-biology-and-nectar-secretion-dynamics-of-penstemon-gentianoides-plantaginaceae-a-perennial-herb-with-a-mixed-pollination-system
#1
LucĂ­a Salas-Arcos, Carlos Lara, Juan Francisco Ornelas
BACKGROUND: In many plant species, pollination syndromes predict the most effective pollinator. However, other floral visitors may also offer effective pollination services and promote mixed pollination systems. Several species of the species-rich Penstemon (Plantaginaceae) exhibit a suite of floral traits that suggest adaptation for pollination by both hymenopterans and hummingbirds. Transitions from the ancestral hymenopteran pollination syndrome to more derived hummingbird pollination syndrome may be promoted if the quantity or quality of visits by hummingbirds is increased and if the ancestral pollinator group performs less efficiently...
2017: PeerJ
https://www.readbyqxmd.com/read/28827267/better-evidence-for-earlier-assessment-and-surgical-intervention-for-refractory-epilepsy-the-best-study-a-mixed-methods-study-protocol
#2
Frances Rapport, Patti Shih, Rebecca Mitchell, Armin Nikpour, Andrew Bleasel, Geoffrey Herkes, Sanjyot Vagholkar, Virginia Mumford
INTRODUCTION: One-third of patients with refractory epilepsy may be candidates for resective surgery, which can lead to positive clinical outcomes if efficiently managed. In Australia, there is currently between a 6-month and 2-year delay for patients who are candidates for respective epilepsy surgery from the point of referral for surgical assessment to the eventual surgical intervention. This is a major challenge for implementation of effective treatment for individuals who could potentially benefit from surgery...
August 21, 2017: BMJ Open
https://www.readbyqxmd.com/read/28820496/energy-efficiency-maximization-for-wsns-with-simultaneous-wireless-information-and-power-transfer
#3
Hongyan Yu, Yongqiang Zhang, Songtao Guo, Yuanyuan Yang, Luyue Ji
Recently, the simultaneous wireless information and power transfer (SWIPT) technique has been regarded as a promising approach to enhance performance of wireless sensor networks with limited energy supply. However, from a green communication perspective, energy efficiency optimization for SWIPT system design has not been investigated in Wireless Rechargeable Sensor Networks (WRSNs). In this paper, we consider the tradeoffs between energy efficiency and three factors including spectral efficiency, the transmit power and outage target rate for two different modes, i...
August 18, 2017: Sensors
https://www.readbyqxmd.com/read/28817750/the-surgeon-on-service-model-for-timely-economically-viable-inpatient-care-of-tracheostomy-patients-in-academic-pediatric-otolaryngology
#4
Jennifer M Lavin, James W Schroeder, Dana M Thompson
Importance: The traditional practice model for pediatric otolaryngologists at high-volume academic centers is to simultaneously balance outpatient care responsibilities with those of the inpatient service, emergency department, and ambulatory care clinics. This model leads to challenges with care coordination, timeliness of nonemergency operative care, and consistent participation in care and consultation at the attending surgeon level. The "surgeon on service" (SOS) model-where faculty members rotate to manage the inpatient service in lieu of outpatient responsibilities-has been described as one method to address this conundrum...
August 17, 2017: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/28811819/adaptive-resource-utilization-prediction-system-for-infrastructure-as-a-service-cloud
#5
Qazi Zia Ullah, Shahzad Hassan, Gul Muhammad Khan
Infrastructure as a Service (IaaS) cloud provides resources as a service from a pool of compute, network, and storage resources. Cloud providers can manage their resource usage by knowing future usage demand from the current and past usage patterns of resources. Resource usage prediction is of great importance for dynamic scaling of cloud resources to achieve efficiency in terms of cost and energy consumption while keeping quality of service. The purpose of this paper is to present a real-time resource usage prediction system...
2017: Computational Intelligence and Neuroscience
https://www.readbyqxmd.com/read/28810985/multimedia-campaign-enhances-orthopaedic-patient-perceptions-of-health-care-quality-a-prospective-analysis-of-effect-at-a-military-treatment-facility
#6
Andrew J Sheean, James N Foster, James K Aden, Creighton C Tubb, Anthony E Johnson, Daniel J Stinner
BACKGROUND: The importance of patient satisfaction as a measure of quality has grown with initiatives intended to enhance demand for services, refocus reimbursement paradigms, encourage health care efficiencies, and ultimately improve clinical outcomes. The purpose of our performance improvement project was to (1) characterize the effect of a two-pronged multimedia initiative on patient perceptions of health care quality and satisfaction as assessed by the Army Provider Level Satisfaction Survey (APLSS) and (2) assess for differences in APLSS scores between the surgeons that did and did not participate in the program...
July 2017: Military Medicine
https://www.readbyqxmd.com/read/28806904/a-falls-prevention-programme-to-improve-quality-of-life-physical-function-and-falls-efficacy-in-older-people-receiving-home-help-services-study-protocol-for-a-randomised-controlled-trial
#7
Maria Bjerk, Therese Brovold, Dawn A Skelton, Astrid Bergland
BACKGROUND: Falls and fall-related injuries in older adults are associated with great burdens, both for the individuals, the health care system and the society. Previous research has shown evidence for the efficiency of exercise as falls prevention. An understudied group are older adults receiving home help services, and the effect of a falls prevention programme on health-related quality of life is unclear. The primary aim of this randomised controlled trial is to examine the effect of a falls prevention programme on quality of life, physical function and falls efficacy in older adults receiving home help services...
August 14, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28803713/a-review-of-the-key-factors-to-improve-adult-immunization-coverage-rates-what-can-the-clinician-do
#8
Litjen L J Tan
Adult immunization coverage rates remain low in the United States and internationally, despite obvious benefits to vaccinating and maintaining a well-vaccinated adult population. Broad policy changes are required to identify and address gaps in financing, in immunization infrastructure, and patient and provider awareness and knowledge to improve the protection of our adult and aging population from vaccine-preventable diseases. There is good evidence that efforts are now underway both within the United States and across the world to advance these policy changes...
August 10, 2017: Vaccine
https://www.readbyqxmd.com/read/28801031/substitution-of-doctors-with-physiotherapists-in-the-management-of-common-musculoskeletal-disorders-a-systematic-review
#9
REVIEW
Darryn Marks, Tracy Comans, Leanne Bisset, Paul A Scuffham
BACKGROUND: There is large variation in models-of-care involving the professional substitution of doctors with physiotherapists. OBJECTIVE: To establish the impact upon patients and health services, of substituting doctors with physiotherapists in the management of common musculoskeletal disorders. DATA SOURCES: Medline, CINAHL and ABI Complete databases, and hand-searching of related studies. STUDY SELECTION: Randomised and non-randomised clinical trials, inter-rater reliability and comparative studies comparing the outcomes of usual care from doctors, with outcomes when the doctor was substituted with a physiotherapist...
November 28, 2016: Physiotherapy
https://www.readbyqxmd.com/read/28798863/pollination-success-following-loss-of-a-frequent-pollinator-the-role-of-compensatory-visitation-by-other-effective-pollinators
#10
Allysa C Hallett, Randall J Mitchell, Evan R Chamberlain, Jeffrey D Karron
Pollinator abundance is declining worldwide and may lower the quantity and quality of pollination services to flowering plant populations. Loss of an important pollinator is often assumed to reduce the amount of pollen received by stigmas of a focal species (pollination success), yet this assumption has rarely been tested experimentally. The magnitude of the effect, if any, may depend on the relative efficiency of the remaining pollinators, and on whether the loss of one pollinator leads to changes in visitation patterns by other pollinators...
May 2017: AoB Plants
https://www.readbyqxmd.com/read/28793315/home-is-best-why-women-in-rural-zimbabwe-deliver-in-the-community
#11
Munyaradzi Kenneth Dodzo, Marvellous Mhloyi
Maternal mortality in Zimbabwe has unprecedentedly risen over the last two and half decades although a decline has been noted recently. Many reasons have been advanced for the rising trend, including deliveries without skilled care, in places without appropriate or adequate facilities to handle complications. The recent decline has been attributed to health systems strengthening through a multi-donor pooled funding mechanism. On the other hand, the proportion of community deliveries has also been growing steadily over the years and in this study we investigate why...
2017: PloS One
https://www.readbyqxmd.com/read/28789726/disaster-coverage-predication-for-the-emerging-tethered-balloon-technology-capability-for-preparedness-detection-mitigation-and-response
#12
Saeed H Alsamhi, Mohd Samar Ansari, Navin S Rajput
OBJECTIVE: A disaster is a consequence of natural hazards and terrorist acts, which have significant potential to disrupt the entire wireless communication infrastructure. Therefore, the essential rescue squads and recovery operations during a catastrophic event will be severely debilitated. To provide efficient communication services, and to reduce casualty mortality and morbidity during the catastrophic events, we proposed the Tethered Balloon technology for disaster preparedness, detection, mitigation, and recovery assessment...
August 9, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28783783/yield-and-water-quality-impacts-of-field-scale-integration-of-willow-into-a-continuous-corn-rotation-system
#13
Colleen Zumpf, Herbert Ssegane, Maria Cristina Negri, Patty Campbell, Julian Cacho
Agricultural landscape design has gained recognition by the international environmental and development community as a strategy to address multiple goals in land, water, and ecosystem service management; however, field research is needed to quantify impacts on specific local environments. The production of bioenergy crops in specific landscape positions within a grain-crop field can serve the dual purpose of producing cellulosic biomass (nutrient recovery) while also providing regulating ecosystem services to improve water quality (nutrient reduction)...
July 2017: Journal of Environmental Quality
https://www.readbyqxmd.com/read/28774786/family-caregiving-a-vision-for-the-future
#14
Richard Schulz, Sara J Czaja
The authors of this review both served on the National Academy of Science, Engineering, and Medicine Committee that produced the report, "Caring for an Aging America". In this commentary we summarize key findings and recommendations most relevant to clinicians and researchers in geriatric psychiatry and related disciplines. The report notes the growing prevalence of family caregiving in the United States, especially those caring for high-need patients with multiple chronic conditions, disability, and/or cognitive impairment...
July 4, 2017: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/28770387/data-to-decisions-creating-a-culture-of-model-driven-drug-discovery
#15
Frank K Brown, Farida Kopti, Charlie Zhenyu Chang, Scott A Johnson, Meir Glick, Chris L Waller
Merck & Co., Inc., Kenilworth, NJ, USA, is undergoing a transformation in the way that it prosecutes R&D programs. Through the adoption of a "model-driven" culture, enhanced R&D productivity is anticipated, both in the form of decreased attrition at each stage of the process and by providing a rational framework for understanding and learning from the data generated along the way. This new approach focuses on the concept of a "Design Cycle" that makes use of all the data possible, internally and externally, to drive decision-making...
August 2, 2017: AAPS Journal
https://www.readbyqxmd.com/read/28765126/cost-utility-and-budget-impact-analyses-of-the-use-of-nepa-for-chemotherapy-induced-nausea-and-vomiting-prophylaxis-in-italy
#16
Umberto Restelli, Gabriella Saibene, Patrizia Nardulli, Roberta Di Turi, Erminio Bonizzoni, Francesca Scolari, Tania Perrone, Davide Croce, Luigi Celio
OBJECTIVE: To evaluate the efficiency of resources allocation and sustainability of the use of netupitant+palonosetron (NEPA) for chemotherapy-induced nausea and vomiting (CINV) prophylaxis assuming the Italian National Health Service (NHS) perspective. A published Markov model was adapted to assess the incremental cost-utility ratio of NEPA compared with aprepitant (APR) + palonosetron (PALO), fosaprepitant (fAPR) + PALO, APR + ondansetron (ONDA), fAPR + ONDA in patients receiving a highly emetogenic chemotherapy (HEC) and with APR + PALO and fAPR + PALO in patients receiving a moderately emetogenic chemotherapy (MEC)...
August 1, 2017: BMJ Open
https://www.readbyqxmd.com/read/28763180/-improving-operating-room-efficiency-an-observational-and-multidimensional-approach-in-the-san-camillo-forlanini-hospital-rome
#17
Lucia Mitello, Fabrizio D'Alba, Francesca Milito, Cinzia Monaco, Daniela Orazi, Daniela Battilana, Anna Rita Marucci, Angelo Longo, Roberto Latina
AIM: The management of operating rooms (ORs) is a complex process which requires an effective organizational scheme. In order to amore convinient allocation of resources a rigorous monitoring plan is needed to ensure operating rooms performances. All the necessary actions should be taken to improve the quality of the planning and scheduling procedure. METHODS: Between April-December, 2016 an organizational analysis has been carried out on the performances of the A...
April 2017: Professioni Infermieristiche
https://www.readbyqxmd.com/read/28762623/clinical-and-economic-evaluation-of-a-case-management-service-for-patients-with-back-pain
#18
Judith Smith, Gillian Yeowell, Francis Fatoye
AIM: To evaluate the clinical-effectiveness and resource use associated with Case Management Services in a UK private sector DESIGN: An observational cohort study based on prospective data collection of patient reported outcome measures and data collection from an existing administrative health database. SETTING: A United Kingdom (UK) private healthcare provider PARTICIPANTS: Consecutive referrals into the Case Management Service over a three-month period. INTERVENTIONS: Participants were managed within the Case Management Service in accordance with usual pathways...
August 1, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28762220/-the-development-of-an-intelligent-long-term-care-services-system-that-integrates-innovative-information-and-communication-technologies
#19
Ean-Wen Huang, Shwu-Fen Chiou, Mei-Lien Pan, Hua-Huan Wu, Jia-Rong Jiang, Yi-De Lu
Rapid progress in information and communication technologies and the increasing popularity of healthcare-related applications has increased interest in the topic of intelligent medical care. This topic emphasizes the use of information and communication technologies to collect and analyze a variety of data in order to provide physicians and other healthcare professionals with clinical decision support. At present, so-called smart hospitals are the focal point of most intelligent-systems development activity, with little attention currently being focused on long-term care needs...
August 2017: Hu Li za Zhi the Journal of Nursing
https://www.readbyqxmd.com/read/28761033/perception-of-hospital-accreditation-among-health-professionals-in-saudi-arabia
#20
Hussein Algahtani, Ahmad Aldarmahi, Juan Manlangit Jr, Bader Shirah
BACKGROUND: Hospital accreditation assesses hospital performance against explicit standards. Studies of the efficacy of accreditation are limited, but suggest that Joint Commission International (JCI) accreditation is efficient in improving the safety and quality of care in accredited hospitals. OBJECTIVES: This study aimed to assess the perceptions of health professionals on the impact of JCI accreditation and implementation of change towards the delivery of quality patient care...
July 2017: Annals of Saudi Medicine
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