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https://www.readbyqxmd.com/read/29457248/duty-hours-restriction-for-our-surgical-trainees-an-ethical-obligation-or-a-bad-idea
#1
REVIEW
Christopher A Adin, Callie A Fogle, Steven L Marks
To ensure patient safety and protect the well-being of interns and residents, the Accreditation Council for Graduate Medical Education (ACGME) issued guidelines in 2003 limiting the working hours of physician trainees. Although many supported the goals of the ACGME, institutions struggled to restructure their programs and hire staff required by this unfunded mandate. Numerous studies have analyzed the effects of duty hours restrictions on patient outcomes and physician training over the past 15 years. Most agree that duty hours restrictions improved well-being of house officers, but these improvements came at the expense of continuity, and patient hand-offs led to medical errors...
February 19, 2018: Veterinary Surgery: VS
https://www.readbyqxmd.com/read/29456171/a-magnetic-resonance-imaging-framework-for-quantifying-intervertebral-disc-deformation-in-vivo-reliability-and-application-to-diurnal-variations-in-lumbar-disc-shape
#2
John T Martin, Alexander B Oldweiler, Charles E Spritzer, Brian J Soher, Melissa M Erickson, Adam P Goode, Louis E DeFrate
Low back pain is a significant socioeconomic burden in the United States and lumbar intervertebral disc degeneration is frequently implicated as a cause. The discs play an important mechanical role in the spine, yet the relationship between disc function and back pain is poorly defined. The objective of this work was to develop a technique using magnetic resonance imaging (MRI) and three-dimensional modeling to measure in vivo disc deformations. Using this method, we found that disc geometry was measurable with precision less than the in-plane dimensions of a voxel (≈100 µm, 10% of the MRI pixel size)...
February 9, 2018: Journal of Biomechanics
https://www.readbyqxmd.com/read/29455923/prevalence-location-and-characteristics-of-chronic-pain-in-intensive-care-survivors
#3
Anne Kathrine Langerud, Tone Rustøen, Cathrine Brunborg, Ulf Kongsgaard, Audun Stubhaug
A growing number of studies have addressed the long-term consequences of intensive care unit (ICU) treatment, but few have studied the prevalence of chronic pain and pain characteristics longitudinally. The goal of the work described here was to investigate the prevalence and characteristics of chronic pain in ICU survivors 3 months and 1 year after ICU discharge and to identify risk factors for chronic pain 1 year after ICU discharge. The design used was an explorative and longitudinal study. The patients in this work had stayed >48 hours in two mixed ICUs in Oslo University Hospital, a tertiary referral hospital...
February 15, 2018: Pain Management Nursing: Official Journal of the American Society of Pain Management Nurses
https://www.readbyqxmd.com/read/29454378/do-employees-benefit-from-collaborations-between-out-of-hours-general-practitioners-and-emergency-departments
#4
Elisabeth Sybilla Johanna van Gils-van Rooij, Sjoerd Michael Broekman, Dingenus Herman de Bakker, Berthold Rudy Meijboom, Christoffel Joris Yzermans
BACKGROUND: In an attempt to redirect patients who are inappropriately attending hospital emergency departments (ED) and in doing so provide the right care at the right place, out-of-hours GP (General Practitioner) services and EDs increasingly collaborate in Urgent Care Collaborations (UCCs). Work satisfaction is an important factor in analysing the impact of this organisational change. The objective of this study is, firstly, to discover if there is a difference in the employee experiences between those working in UCCs and those in traditional out-of-hours services in which EDs and out-of-hours GP services operate separately (i...
February 17, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29454187/investigating-the-time-dependent-zeta-potential-of-wood-surfaces
#5
Livius F Muff, Thomas Luxbacher, Ingo Burgert, Benjamin Michen
This work reports on streaming potential measurements through natural capillaries in wood and investigates the cause of a time-dependent zeta potential measured during the equilibration of wood cell-walls with an electrolyte solution. For the biomaterial, this equilibration phase takes several hours, which is much longer than for many other materials that have been characterized by electrokinetic measurements. During this equilibration phase the zeta potential magnitude is decaying due to two parallel mechanisms: (i) the swelling of the cell-wall which causes a dimensional change reducing the charge density at the capillary interface; (ii) the transport of ions from the electrolyte solution into the permeable cell-wall which alters the electrical potential at the interface by internal charge compensation...
February 7, 2018: Journal of Colloid and Interface Science
https://www.readbyqxmd.com/read/29450241/smartphone-addiction-daily-interruptions-and-self-reported-productivity
#6
Éilish Duke, Christian Montag
The advent of the smartphone has dramatically altered how we communicate, navigate, work and entertain ourselves. While the advantages of this new technology are clear, constant use may also bring negative consequences, such as a loss of productivity due to interruptions in work life. A link between smartphone overuse and loss of productivity has often been hypothesized, but empirical evidence on this question is scarce. The present study addressed this question by collecting self-report data from N = 262 participants, assessing private and work-related smartphone use, smartphone addiction and self-rated productivity...
December 2017: Addictive Behaviors Reports
https://www.readbyqxmd.com/read/29447446/on-line-proteolysis-and-glycopeptide-enrichment-with-thermo-responsive-porous-polymer-membrane-reactors-for-nanoflow-liquid-chromatography-tandem-mass-spectrometry
#7
Joon Seon Yang, Juan Qiao, Jin Yong Kim, Liping Zhao, Li Qi, Myeong Hee Moon
In this paper, we have reported a fully automated on-line method to carry out proteolysis and glycopeptide enrichment in sequence for nanoflow liquid chromatography-tandem mass spectrometry (nLC-ESI-MS/MS) analysis. By implementing two serial thermo-responsive porous polymer membrane reactors (TPPMRs), in which the TPPM could be immobilized either with trypsin for proteolysis or with lectins for glycopeptide enrichment, the entire pre-treatment procedure can be performed on-line in about an hour. The TPPM was fabricated by coating polystyrene-maleic anhydride-N-isopropylacrylamide (PS-MAn-PNIPAm), which was synthesized by reversible addition-fragmentation chain transfer polymerization, on a Nylon sheet...
February 15, 2018: Analytical Chemistry
https://www.readbyqxmd.com/read/29446673/a-systematic-review-of-fatigue-in-radiology-is-it-a-problem
#8
Nadia Stec, Danielle Arje, Alan R Moody, Elizabeth A Krupinski, Pascal N Tyrrell
OBJECTIVE: The purpose of this study was to review current literature regarding radiologist fatigue. MATERIALS AND METHODS: A literature search was performed using PubMed. Key words and Medical Subject Heading terms were used to generate refined queries with inclusion and exclusion criteria, focusing on fatigue and error. Results were selected according to these criteria: examined radiologist fatigue and radiologic error stemming from fatigue; experimental results measured as accuracy, error, or performance; and peer-reviewed publication...
February 15, 2018: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/29444954/invite-your-representative-to-work-change-the-world-here-s-how
#9
Denise J Montell
Today's political climate can seem hostile to science. Alternative facts, climate change denial, and relabeling of actual news as fake news are discouraging phenomena for sure. But these trends make it more important than ever to engage our politicians. Take heart! There is something you can do. You can show your representatives firsthand the amazing things you do, evidence of the economic engine that your activities generate, and the real people behind the discoveries. I did, and it was fun. We invited our congressman to the University of California, Santa Barbara (UCSB), and he accepted! For 2 hours, we explained and demonstrated efforts to cure blindness using stem cells, the medical implications of the discovery that cells can recover from the brink of death, a mosquito lab striving to eliminate insect-borne disease, and an Alzheimer's disease laboratory...
February 15, 2018: Molecular Biology of the Cell
https://www.readbyqxmd.com/read/29443355/precarious-employment-and-occupational-accidents-and-injuries-a-systematic-review
#10
Isa Koranyi, Johanna Jonsson, Torkel Rönnblad, Leo Stockfelt, Theo Bodin
bjectives Precarious employment conditions have become more common in many countries over the last decades, and have been linked to various adverse health outcomes. The objective of this review was to collect and summarize existing scientific research of the relationship between dimensions of precarious employment and the rate of occupational injuries. Methods A protocol was developed in accordance with the PRISMA-P checklist for systematic literature reviews. We searched PubMed, Web of Science and Scopus for articles on observational studies from North America, Europe, Australia and New Zealand published in peer-reviewed journals 1990-2017...
February 14, 2018: Scandinavian Journal of Work, Environment & Health
https://www.readbyqxmd.com/read/29442739/one-pot-strategy-to-bi%C3%A2-s%C3%A2-biocl-heterojunction-with-enhanced-photocatalytic-activity
#11
Ji-Yao Tao, Qiao-Feng Han, Xiao-Qin Huang, Wei-Teng Ma
Bi2S3/BiOCl (denoted as BS-BC) heterojunction photocatalyst has been reported to be able to increase light absorption, promote charge separation and consequently enhance photocatalytic efficiency in comparison with single BiOCl. However, the heterojunction was usually prepared by a two-step method, i.e., BiOCl was firstly prepared and then to BS-BC heterojunction through an ion exchange strategy. In this work, BS-BC was prepared by a one-pot room temperature route, where Bi(NO3)3 dissolved in aqueous urea solution could homogeneously react with a mixture solution of NaCl and thiacetamide (TAA) to form BS-BC heterojunction...
June 1, 2018: Journal of Nanoscience and Nanotechnology
https://www.readbyqxmd.com/read/29442303/economic-impact-of-mirabegron-versus-antimuscarinics-for-the-treatment-of-overactive-bladder-in-the-uk
#12
Jameel Nazir, Malin Berling, Charles McCrea, Francis Fatoye, Sally Bowditch, Zalmai Hakimi, Adrian Wagg
PURPOSE: Our objective was to estimate the economic outcomes of using mirabegron versus antimuscarinics in the treatment of patients with overactive bladder (OAB) from a societal perspective in the UK. MATERIALS AND METHODS: A Markov model was developed using Microsoft Excel ® . The time horizon and cycle length are 12 and 1 months, respectively; and the hypothetical cohort size 100 patients. Antimuscarinic comparators are fesoterodine, oxybutynin extended release (ER) and immediate release (IR), solifenacin, tolterodine ER/IR, trospium ER/IR, darifenacin and flavoxate...
March 2017: PharmacoEconomics Open
https://www.readbyqxmd.com/read/29441284/infected-renal-hematoma-in-a-healthy-adolescent-with-no-renal-structural-anomaly
#13
Sabrina Huq, Sherry Pejka, Dilip R Patel
Renal abscesses are uncommon in otherwise healthy children and adolescents who have no underlying renal structural anomalies. A previously healthy, immunocompetent, 14-year-old male without a history of abdominal trauma or urinary tract infection (UTI) was found to have a renal hematoma that became infected and developed into a renal abscess. He presented with a 2-day history of nausea, vomiting, fever and 1-day history of abdominal pain that radiated to the right flank. Clinical examination, blood work, and initial imaging indicated likely infection; however, findings were normal on urinalysis and urine culture had no growth...
January 2018: Translational Pediatrics
https://www.readbyqxmd.com/read/29439377/recovery-work-life-balance-and-work-experiences-important-to-self-rated-health-a-questionnaire-study-on-salutogenic-work-factors-among-swedish-primary-health-care-employees
#14
Lina Ejlertsson, Bodil Heijbel, Göran Ejlertsson, Ingemar Andersson
BACKGROUND: There is a lack of information on positive work factors among health care workers. OBJECTIVE: To explore salutogenic work-related factors among primary health care employees. METHOD: Questionnaire to all employees (n = 599) from different professions in public and private primary health care centers in one health care district in Sweden. The questionnaire, which had a salutogenic perspective, included information on self-rated health from the previously validated SHIS (Salutogenic Health Indicator Scale), psychosocial work environment and experiences, recovery, leadership, social climate, reflection and work-life balance...
2018: Work: a Journal of Prevention, Assessment, and Rehabilitation
https://www.readbyqxmd.com/read/29439374/important-exposure-controls-for-protection-against-antineoplastic-agents-highlights-for-oncology-health-care-workers
#15
Maryam Alehashem, Shadi Baniasadi
BACKGROUND: A great number of antineoplastic drugs (ANPDs) are used globally in cancer treatment. Due to their adverse health effects, occupational exposure to ANPDs is considered a potential health risk to health care workers. OBJECTIVE: The current study aimed to evaluate safe-handling practices of ANPDs, exposure controls, and adverse health implications for health care providers exposed to ANDPs. METHODS: Prevention measures, including engineering, administrative, and work practice controls, as well as personal protective equipment (PPE), were recorded daily through a questionnaire for six weeks...
2018: Work: a Journal of Prevention, Assessment, and Rehabilitation
https://www.readbyqxmd.com/read/29439328/impact-of-total-knee-arthroplasty-with-general-anesthesia-on-brain-networks-cognitive-efficiency-and-ventricular-volume-predict-functional-connectivity-decline-in-older-adults
#16
Haiqing Huang, Jared Tanner, Hari Parvataneni, Mark Rice, Ann Horgas, Mingzhou Ding, Catherine Price
 Using resting state functional magnetic resonance imaging (RS-fMRI), we explored: 1) pre- to post-operative changes in functional connectivity in default mode, salience, and central executive networks after total knee arthroplasty (TKA) with general anesthesia, and 2) the contribution of cognitive/brain reserve metrics these resting state functional declines. Individuals age 60 and older electing unilateral total knee arthroplasty (TKA; n = 48) and non-surgery peers with osteoarthritis (n = 45) completed baseline cognitive testing and baseline and post-surgery (post-baseline, 48-h post-surgery) brain MRI...
2018: Journal of Alzheimer's Disease: JAD
https://www.readbyqxmd.com/read/29438616/polymer-assembly-encapsulation-of-lanthanide-nanoparticles-as-contrast-agents-for-in-vivo-micro-ct
#17
Charmainne Cruje, Joy Dunmore-Buyze, Jarret P MacDonald, David W Holdsworth, Maria Drangova, Elizabeth R Gillies
Despite recent technological advancements in microcomputed tomography (micro-CT) and contrast agent development, pre-clinical contrast agents are still predominantly iodine-based. Higher contrast can be achieved when using elements with higher atomic numbers, such as lanthanides; lanthanides also have x-ray attenuation properties that are ideal for spectral CT. However, the formulation of lanthanide-based contrast agents at the high concentrations required for vascular imaging presents a significant challenge...
February 13, 2018: Biomacromolecules
https://www.readbyqxmd.com/read/29438413/spatial-overlap-links-seemingly-unconnected-genotype-matched-tb-cases-in-rural-uganda
#18
Gabriel Chamie, Midori Kato-Maeda, Devy M Emperador, Bonnie Wandera, Olive Mugagga, John Crandall, Michael Janes, Carina Marquez, Moses R Kamya, Edwin D Charlebois, Diane V Havlir
INTRODUCTION: Incomplete understanding of TB transmission dynamics in high HIV prevalence settings remains an obstacle for prevention. Understanding where transmission occurs could provide a platform for case finding and interrupting transmission. METHODS: From 2012-2015, we sought to recruit all adults starting TB treatment in a Ugandan community. Participants underwent household (HH) contact investigation, and provided names of social contacts, sites of work, healthcare and socializing, and two sputum samples...
2018: PloS One
https://www.readbyqxmd.com/read/29437756/pre-post-mixed-methods-feasibility-study-of-the-workingwell-mobile-support-tool-for-individuals-with-serious-mental-illness-in-the-usa-a-pilot-study-protocol
#19
Joanne Nicholson, Spenser M Wright, Alyssa M Carlisle
INTRODUCTION: Successful competitive employment has been found to be related to enhanced self-esteem, higher quality of life and reduced mental health service use for individuals living with serious mental illnesses (SMIs) including schizophrenia, bipolar disorder and major depression. The effectiveness of the individual placement and support model has been demonstrated in multiple randomised controlled trials in many countries. The management of stress, depression and anxiety in the workplace may be effectively enhanced through digital mental health interventions...
February 6, 2018: BMJ Open
https://www.readbyqxmd.com/read/29436894/encountering-ambivalence-a-qualitative-study-of-mental-health-nurses-experiences-with-dual-relationships
#20
Jeanette Varpen Unhjem, Marit Helene Hem, Solfrid Vatne
Nurses are obliged to set professional boundaries in nurse-patient relationships. Relationships with patients that are pursued outside of working hours (dual relationships) are commonly prohibited by legislation and professional codes of ethics, but some nurses still engage in them. A thematic analysis of qualitative interviews revealed that the nurses experienced ambivalence regarding how they see the patients, their assessment of the dual relationships and how people around the nurses react to the relationships...
February 13, 2018: Issues in Mental Health Nursing
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