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https://www.readbyqxmd.com/read/28440926/sources-and-dispersive-modes-of-micro-fibers-in-the-environment
#1
Steve A Carr
Understanding the sources and distribution of microfibers (MFs) in the environment is critical if control and remediation measures are to be effective. Microfibers comprise an overwhelming fraction (>85%) of microplastic debris found on shorelines around the world. Although primary sources have not been fully vetted, until recently it was widely believed that domestic laundry discharges were the major source. It was also thought that synthetic fibers and particles having dimensions <5 mm easily bypassed filtration and other solid separation processes at wastewater treatment plants (WWTPs) and entered oceans and surface waters...
May 2017: Integrated Environmental Assessment and Management
https://www.readbyqxmd.com/read/28439355/using-the-entrustable-professional-activities-framework-in-the-assessment-of-procedural-skills
#2
Debra Pugh, Rodrigo B Cavalcanti, Samantha Halman, Irene W Y Ma, Maria Mylopoulos, David Shanks, Lynfa Stroud
BACKGROUND: The entrustable professional activity (EPA) framework has been identified as a useful approach to assessment in competency-based education. To apply an EPA framework for assessment, essential skills necessary for entrustment to occur must first be identified. OBJECTIVE: Using an EPA framework, our study sought to (1) define the essential skills required for entrustment for 7 bedside procedures expected of graduates of Canadian internal medicine (IM) residency programs, and (2) develop rubrics for the assessment of these procedural skills...
April 2017: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/28435482/state-emergency-department-opioid-guidelines-current-status
#3
Robert I Broida, Tanner Gronowski, Andrew F Kalnow, Andrew G Little, Christopher M Lloyd
INTRODUCTION: The purpose of this study was to evaluate and categorize current state-sponsored opioid guidelines for the practice of emergency medicine (EM). METHODS: We conducted a comprehensive search of EM-specific opioid prescribing guidelines and/or policies in each state to determine current state involvement in EM opioid prescribing, as well as to evaluate some of the specifics of each guideline or policy. The search was conducted using an online query and a follow-up email request to each state chapter of ACEP...
April 2017: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28432252/career-long-support-that-starts-with-new-graduates
#4
Darren Mackintosh
Armed with the knowledge that newly qualified vets want a clinical mentor and surgical support in their first job, Independent Vetcare set up its two-year Graduate Academy. Operations manager Darren Mackintosh describes how it works.
April 22, 2017: Veterinary Record
https://www.readbyqxmd.com/read/28432233/using-motivational-interviewing-can-help-vets-change-client-behaviour
#5
(no author information available yet)
No abstract text is available yet for this article.
April 22, 2017: Veterinary Record
https://www.readbyqxmd.com/read/28421332/the-statin-associated-muscle-symptom-clinical-index-sams-ci-revision-for-clinical-use-content-validation-and-inter-rater-reliability
#6
Robert S Rosenson, Kate Miller, Martha Bayliss, Robert J Sanchez, Marie T Baccara-Dinet, Daniela Chibedi-De-Roche, Beth Taylor, Irfan Khan, Garen Manvelian, Michelle White, Terry A Jacobson
PURPOSE: The Statin-Associated Muscle Symptom Clinical Index (SAMS-CI) is a method for assessing the likelihood that a patient's muscle symptoms (e.g., myalgia or myopathy) were caused or worsened by statin use. The objectives of this study were to prepare the SAMS-CI for clinical use, estimate its inter-rater reliability, and collect feedback from physicians on its practical application. METHODS: For content validity, we conducted structured in-depth interviews with its original authors as well as with a panel of independent physicians...
April 18, 2017: Cardiovascular Drugs and Therapy
https://www.readbyqxmd.com/read/28418507/use-of-bayesian-decision-analysis-to-minimize-harm-in-patient-centered-randomized-clinical-trials-in-oncology
#7
Vahid Montazerhodjat, Shomesh E Chaudhuri, Daniel J Sargent, Andrew W Lo
Importance: Randomized clinical trials (RCTs) currently apply the same statistical threshold of alpha = 2.5% for controlling for false-positive results or type 1 error, regardless of the burden of disease or patient preferences. Is there an objective and systematic framework for designing RCTs that incorporates these considerations on a case-by-case basis? Objective: To apply Bayesian decision analysis (BDA) to cancer therapeutics to choose an alpha and sample size that minimize the potential harm to current and future patients under both null and alternative hypotheses...
April 13, 2017: JAMA Oncology
https://www.readbyqxmd.com/read/28417518/what-outcomes-do-dutch-healthcare-professionals-perceive-as-important-before-participation-in-moral-case-deliberation
#8
Janine de Snoo-Trimp, Guy Widdershoven, Mia Svantesson, Riekie de Vet, Bert Molewijk
BACKGROUND: There has been little attention paid to research on the outcomes of clinical ethics support (CES) or critical reflection on what constitutes a good CES outcome. Understanding how CES users perceive the importance of CES outcomes can contribute to a better understanding, use of and normative reflection on CES outcomes. OBJECTIVE: To describe the perceptions of Dutch healthcare professionals on important outcomes of moral case deliberation (MCD), prior to MCD participation, and to compare results between respondents...
May 2017: Bioethics
https://www.readbyqxmd.com/read/28408525/rosie-s-diary
#9
Rosie Perrett
Every month, Vet Record Careers checks in with third-year vet student Rosie Perrett.
April 15, 2017: Veterinary Record
https://www.readbyqxmd.com/read/28408524/developing-tomorrow-s-vets-today
#10
Darren Mackintosh
Darren Mackintosh, operations manager at Independent Vetcare, explains why the group has developed an EMS scheme.
April 15, 2017: Veterinary Record
https://www.readbyqxmd.com/read/28408513/bestbets-for-vets
#11
Bobby Hyde, Marnie Brennan
BestBETs for Vets are generated by the Centre for Evidence-based Veterinary Medicine at the University of Nottingham to help answer specific questions and assist in clinical decision making. Although evidence is often limited, they aim to find, present and draw conclusions from the best available evidence, using a standardised framework. A more detailed description of how BestBETs for Vets are produced was published in a previous issue of Veterinary Record (VR, April 4, 2015, pp 354-356).
April 15, 2017: Veterinary Record
https://www.readbyqxmd.com/read/28408510/vet-students-help-regiments-declare-their-horses-to-be-strangles-free
#12
(no author information available yet)
No abstract text is available yet for this article.
April 15, 2017: Veterinary Record
https://www.readbyqxmd.com/read/28408504/new-president-pledges-support-for-vets-as-individuals-and-professionals
#13
(no author information available yet)
No abstract text is available yet for this article.
April 15, 2017: Veterinary Record
https://www.readbyqxmd.com/read/28408502/mental-health-initiatives-are-encouraging-vets-to-reach-out
#14
(no author information available yet)
No abstract text is available yet for this article.
April 15, 2017: Veterinary Record
https://www.readbyqxmd.com/read/28399232/vets-still-face-challenges-in-receiving-timely-medical-care
#15
Jeff Lyon
No abstract text is available yet for this article.
April 11, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28396196/enhancing-reproducibility-failures-from-reproducibility-initiatives-underline-core-challenges
#16
REVIEW
Kevin Mullane, Michael Williams
Efforts to address reproducibility concerns in biomedical research include: initiatives to improve journal publication standards and peer review; increased attention to publishing methodological details that enable experiments to be reconstructed; guidelines on standards for study design, implementation, analysis and execution; meta-analyses of multiple studies within a field to synthesize a common conclusion and; the formation of consortia to adopt uniform protocols and internally reproduce data. Another approach to addressing reproducibility are Reproducibility Initiatives (RIs), well-intended, high-profile, systematically peer-vetted initiatives that are intended to replace the traditional process of scientific self-correction...
April 7, 2017: Biochemical Pharmacology
https://www.readbyqxmd.com/read/28385743/things-that-vets-wish-their-clients-knew
#17
(no author information available yet)
No abstract text is available yet for this article.
April 8, 2017: Veterinary Record
https://www.readbyqxmd.com/read/28379930/from-inputs-to-impacts-assessing-and-communicating-the-full-value-of-biomedical-research
#18
Ann C Bonham, Philip M Alberti
Assessing and communicating the full value of biomedical research is essential to answer calls from the government and the public demanding accountability for the spending of public funds. In academic settings, however, research success is measured largely in terms of grant funding received or the number of peer-reviewed publications produced. These credible and time-tested metrics miss the full picture of the scientific process, which continues to confer benefits to patients, communities, and the health care system well after an article is published...
April 4, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28376839/a-hybrid-iii-stepped-wedge-cluster-randomized-trial-testing-an-implementation-strategy-to-facilitate-the-use-of-an-evidence-based-practice-in-va-homeless-primary-care-treatment-programs
#19
Molly M Simmons, Sonya Gabrielian, Thomas Byrne, Megan B McCullough, Jeffery L Smith, Thom J Taylor, Tom P O'Toole, Vincent Kane, Vera Yakovchenko, D Keith McInnes, David A Smelson
BACKGROUND: Homeless veterans often have multiple health care and psychosocial needs, including assistance with access to housing and health care, as well as support for ongoing treatment engagement. The Department of Veterans Affairs (VA) developed specialized Homeless Patient Alignment Care Teams (HPACT) with the goal of offering an integrated, "one-stop program" to address housing and health care needs of homeless veterans. However, while 70% of HPACT's veteran enrollees have co-occurring mental health and substance use disorders, HPACT does not have a uniform, embedded treatment protocol for this subpopulation...
April 4, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28370796/harnessing-electronic-healthcare-data-for-wound-care-research-standards-for-reporting-observational-registry-data-obtained-directly-from-electronic-health-records
#20
Caroline E Fife, Kristen A Eckert
The United States Food and Drug Administration will consider the expansion of coverage indications for some drugs and devices based on real-world data. Real-world data accrual in patient registries has historically been via manual data entry from the medical chart at a time distant from patient care, which is fraught with systematic error. The efficient automated transmission of data directly from electronic health records is replacing this labor-intensive paradigm. However, real-world data collection is unfamiliar...
April 1, 2017: Wound Repair and Regeneration
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