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Direct observation of residents

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https://www.readbyqxmd.com/read/29233952/epidemiological-study-of-mortality-rate-from-alcohol-and-illicit-drug-abuse-in-iran
#1
Seyed Mohammad Sadegh Ghoreishi, Fatemeh Shahbazi, Seyed Davood Mirtorabi, Mohammad Reza Ghadirzadeh, Seyed Saeed Hashemi Nazari
BACKGROUND: The estimate of mortality associated with illicit opiate use provides useful information to those directing and monitoring local, national and international policies and programs. This study investigated the epidemiology of mortality due to the illegal consumption of narcotics and psychotropic substances in the Iran to provide evidence-based public health data for useful programs and actions aimed at preventing drug-related mortality. STUDY DESIGN: A cross-sectional study...
October 14, 2017: Journal of Research in Health Sciences
https://www.readbyqxmd.com/read/29217525/integration-of-mobile-devices-to-facilitate-patient-care-and-teaching-during-family-centered-rounds
#2
Angela S Byrd, Pamela M McMahon, Richard J Vath, Michael Bolton, Melissa Roy
OBJECTIVES: The increasing prevalence of mobile devices in clinical settings has the potential to improve both patient care and education. The benefits are particularly promising in the context of family-centered rounds in inpatient pediatric settings. We aimed to increase mobile device usage by inpatient rounding teams by 50% in 6 months. We hoped to demonstrate that use of mobile devices would improve access to patient care and educational information and to determine if use would improve efficiency and perceptions of clinical teaching...
December 7, 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/29206081/removal-of-organic-matter-of-electrodialysis-reversal-brine-from-a-petroleum-refinery-wastewater-reclamation-plant-by-uv-and-uv-h202-process
#3
Priscila B Moser, Bárbara C Ricci, Clara B Alvim, Ana C F Cerqueira, Míriam C S Amaral
Direct (UV) and hydrogen peroxide-assisted (UV/H2O2) photolysis were investigated in bench-scale for removing the organic compounds present in the electrodialysis reversal (EDR) brine from a refinery wastewater reclamation plant. In the UV/H2O2 experiments, a COD:H2O2 molar ratios of 1:1, 1:2 and 1:3 were tested by recirculating the brine in the UV reactor for 120 min. Results showed a significant reduction in UVA254, whereas no reduction was observed for chemical oxygen demand (COD), in the UV process, suggesting great cleavage but limited mineralization of the organic matter...
December 5, 2017: Journal of Environmental Science and Health. Part A, Toxic/hazardous Substances & Environmental Engineering
https://www.readbyqxmd.com/read/29205422/systematic-review-ileoanal-pouch-microbiota-in-health-and-disease
#4
REVIEW
J P Segal, S Oke, G L Hold, S K Clark, O D Faiz, A L Hart
BACKGROUND: The resident gut microbiota is essential for physiological processes; the disturbance of its balance is linked to intestinal inflammation. The ileoanal pouch is a model for the study of intestinal inflammation, as inflammation of the pouch is common and mostly develops within 12 months following ileostomy closure. This allows the longitudinal study of the microbiota, giving insight into the microbiota changes during transition from a normal to an inflamed pouch. AIM: To explore the literature on the microbiota of the ileoanal pouch in health and disease...
December 5, 2017: Alimentary Pharmacology & Therapeutics
https://www.readbyqxmd.com/read/29202985/surgical-resident-involvement-in-foot-and-ankle-surgery
#5
Christopher E Gross, David Chang, Samuel B Adams, Selene G Parekh, Jordan D Bohnen
BACKGROUND: Surgical resident participation in the operating room is necessary for education and progression toward safe and independent practice. However, the impact of resident involvement on patient outcomes in foot and ankle surgery is unknown. METHODS: The American College of Surgeons-National Surgical Quality Improvement Program (ACS-NSQIP) database (2005-2012) was used to identify common foot and ankle procedures (by Current Procedural Taxonomy (CPT) code) performed by orthopedic surgeons...
December 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29202742/milestones-based-direct-observation-tools-in-internal-medicine-resident-continuity-clinic
#6
Jonathan P B Berz, Teresa Cheng, Lisa M Quintiliani
BACKGROUND: With milestones-based assessment, there is an increased need for tools to facilitate direct observation of clinical trainees. This study was designed to compare a Mini-CEX tool to new direct observation tools (DOTs) linked to internal medicine milestones. METHODS: A web based survey was used to examine satisfaction and usefulness of DOTs compared to the Mini-CEX. Residents and preceptors were surveyed three times over 6 months with half serving as control (using mini-CEX) compared to those using the DOTs...
December 4, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/29202219/direct-single-molecule-observation-of-mode-and-geometry-of-reca-mediated-homology-search
#7
Andrew James Lee, Masayuki Endo, Jamie Kayne Hobbs, Christoph Walti
Genomic integrity, when compromised by accrued DNA lesions, is maintained through efficient repair via homologous recombination. For this process the ubiquitous Recombinase A (RecA), and its homologues such as the human Rad51, are of central importance, able to align and exchange homologous sequences within single-stranded and double-stranded DNA in order to swap out defective regions. Here, we directly observe the widely debated mechanism of RecA homology searching at a single molecule level using high-speed atomic force microscopy (HS-AFM) in combination with tailored DNA origami frames to present the reaction targets in a way suitable for AFM-imaging...
December 4, 2017: ACS Nano
https://www.readbyqxmd.com/read/29200069/visualization-improves-supraclavicular-access-to-the-subclavian-vein-in-a-mixed-reality-simulator
#8
Joshua Warren Sappenfield, William Brit Smith, Lou Ann Cooper, David Lizdas, Drew B Gonsalves, Nikolaus Gravenstein, Samsun Lampotang, Albert R Robinson
BACKGROUND: We investigated whether visual augmentation (3D, real-time, color visualization) of a procedural simulator improved performance during training in the supraclavicular approach to the subclavian vein, not as widely known or used as its infraclavicular counterpart. METHODS: To train anesthesiology residents to access a central vein, a mixed reality simulator with emulated ultrasound imaging was created using an anatomically authentic, 3D-printed, physical mannequin based on a computed tomographic scan of an actual human...
November 30, 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29185357/when-old-habits-train-a-new-generation-findings-from-a-national-survey-of-internal-medicine-program-directors-on-procedural-training
#9
Daniel N Ricotta, C Christopher Smith, Jakob I McSparron, Saima I Chaudhry, Furman S McDonald, Grace C Huang
Resident physicians routinely perform bedside procedures that pose substantial risk to patients. However, no standard programmatic approach to supervision and procedural competency assessment among residents currently exists. The authors performed a national survey of internal medicine (IM) program directors to examine procedural assessment and supervision practices of IM residency programs. Procedures chosen were those commonly performed by medicine residents at the bedside. Of the 368 IM programs, 226 (61%) completed the survey...
November 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29183649/a-happiness-degree-predictor-using-the-conceptual-data-structure-for-deep-learning-architectures
#10
Francisco Javier Pérez-Benito, Patricia Villacampa-Fernández, J Alberto Conejero, Juan M García-Gómez, Esperanza Navarro-Pardo
BACKGROUND AND OBJECTIVE: Happiness is a universal fundamental human goal. Since the emergence of Positive Psychology, a major focus in psychological research has been to study the role of certain factors in the prediction of happiness. The conventional methodologies are based on linear relationships, such as the commonly used Multivariate Linear Regression (MLR), which may suffer from the lack of representative capacity to the varied psychological features. Using Deep Neural Networks (DNN), we define a Happiness Degree Predictor (H-DP) based on the answers to five psychometric standardized questionnaires...
November 13, 2017: Computer Methods and Programs in Biomedicine
https://www.readbyqxmd.com/read/29180547/the-full-scope-of-family-physicians-work-is-not-reflected-by-current-procedural-terminology-codes
#11
Richard A Young, Sandy Burge, Kaparaboyna Ashok Kumar, Jocelyn Wilson
BACKGROUND: The purpose of this study was to characterize the content of family physician (FP) clinic encounters, and to count the number of visits in which the FPs addressed issues not explicitly reportable by 99211 to 99215 and 99354 Current Procedural Terminology (CPT) codes with current reimbursement methods and based on examples provided in the CPT manual. METHODS: The data collection instrument was modeled on the National Ambulatory Medical Care Survey. Trained assistants directly observed every other FP-patient encounter and recorded every patient concern, issue addressed by the physician (including care barriers related to health care systems and social determinants), and treatment ordered in clinics affiliated with 10 residencies of the Residency Research Network of Texas...
November 2017: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/29161008/mapping-the-functional-tortuosity-and-spatio-temporal-heterogeneity-of-porous-polymer-membranes-with-super-resolution-nanoparticle-tracking
#12
Yu Cai, Daniel K Schwartz
As particles flow through porous media, they follow complex pathways and experience heterogeneous environments that are challenging to characterize. Tortuosity is often used as a parameter to characterize the complexity of pathways in porous materials and is useful in understanding hindered mass transport in industrial filtration and mass separation processes. However, conventional calculations of tortuosity provide only average values under static conditions; they are insensitive to the intrinsic heterogeneity of porous media and do not account for potential effects of operating conditions...
November 21, 2017: ACS Applied Materials & Interfaces
https://www.readbyqxmd.com/read/29160434/brazilian-health-survey-2013-relation-between-alcohol-use-and-sociodemographic-characteristics-by-sex-in-brazil
#13
Ísis Eloah Machado, Maristela Goldnadel Monteiro, Deborah Carvalho Malta, Francisco Carlos Félix Lana
OBJECTIVE: To analyze sociodemographic factors associated with alcohol use according to gender in Brazil. METHODS: Cross-sectional study using data from 2013 Brazilian Health Survey about 60,202 adults. We analyzed recent alcohol use and heavy episodic drinking in the 30 days prior to the research stratified by gender. The covariates were: age, educational level, skin color, marital status, and place of residence. RESULTS: The prevalence of recent alcohol use was 26...
July 2017: Revista Brasileira de Epidemiologia, Brazilian Journal of Epidemiology
https://www.readbyqxmd.com/read/29157753/validit%C3%A3-et-reproductibilit%C3%A3-de-deux-grilles-d%C3%A2-observation-des-comp%C3%A3-tences-cliniques-des-internes-en-des-de-m%C3%A3-decine-interne
#14
P Pottier, F Cohen Aubart, O Steichen, M Desprets, M Pha, A Espitia, S Georgin-Lavialle, A Morel, J B Hardouin
INTRODUCTION: The revision of the French medical studies' third cycle ought to be competency-based. In internal medicine, theoretical and practical knowledge will be assessed online with e-learning and e-portfolio. In parallel, a reflection about clinical skills assessment forms is currently ongoing. In this context, our aim was to assess the reproducibility and validity of two assessment forms based on direct clinical observation. METHOD: A prospective and multicentric study has been conducted from November 2015 to October 2016 aiming at evaluating the French translations of the MINI-Clinical Examination Exercice (MINI-CEX) and the Standardized Patient Satisfaction Questionnaire (SPSQ)...
November 17, 2017: La Revue de Médecine Interne
https://www.readbyqxmd.com/read/29151873/evolutionary-responses-to-crude-oil-from-the-deepwater-horizon-oil-spill-by-the-copepod-eurytemora-affinis
#15
Carol Eunmi Lee, Jane Louise Remfert, Taylor Opgenorth, Kristin M Lee, Elizabeth Stanford, Joseph William Connolly, Jinwoo Kim, Sarah Tomke
The BP Deepwater Horizon Oil Disaster was the most catastrophic offshore oil spill in U.S. history, yet we still have a poor understanding of how organisms could evolve in response to the toxic effects of crude oil. This study offers a rare analysis of how fitness-related traits could evolve rapidly in response to crude oil toxicity. We examined evolutionary responses of populations of the common copepod Eurytemora affinis residing in the Gulf of Mexico, by comparing crude oil tolerance of populations collected before versus after the Deepwater Horizon oil spill of 2010...
September 2017: Evolutionary Applications
https://www.readbyqxmd.com/read/29150933/design-of-a-novel-continuous-flow-reactor-for-low-ph-viral-inactivation
#16
Stephanie A Parker, Linus Amarikwa, Kevin Vehar, Raquel Orozco, Scott Godfrey, Jon Coffman, Parviz Shamlou, Cameron L Bardliving
Insufficient mixing in laminar flow reactors due to diffusion-dominated flow limits their use in applications where narrow residence time distribution (RTD) is required. The aim of this study was to design and characterize a laminar flow (Re 187.7-375.5) tubular reactor for low pH viral inactivation with enhanced radial mixing via the incorporation of curvature and flow inversions. Towards this aim, the reactor described here, Jig in a Box (JIB), was designed with a flow path consisting of alternating 270° degree turns...
November 18, 2017: Biotechnology and Bioengineering
https://www.readbyqxmd.com/read/29140293/the-trends-in-cardiovascular-diseases-and-respiratory-diseases-mortality-in-urban-and-rural-china-1990-2015
#17
Weiwei Sun, Yun Zhou, Zhuang Zhang, Limin Cao, Weihong Chen
With the rapid development of the economy over the past 20 years, the mortality rates from cardiovascular diseases (CVDs) and respiratory diseases (RDs) have changed in China. This study aimed to analyze the trends of mortality rates and years of life lost (YLLs) from CVDs and RDs in the rural and urban population from 1990 to 2015. Using data from Chinese yearbooks, joinpoint regression analysis was employed to estimate the annual percent change (APC) of mortality rates from CVDs and RDs. YLLs due to CVDs and RDs were calculated by a standard method, adopting recommended standard life expectancy at birth values of 80 years for men and 82...
November 15, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29133588/quantitative-analysis-of-multilayer-organization-of-proteins-and-rna-in-nuclear-speckles-at-super-resolution
#18
Jingyi Fei, Mahdieh Jadaliha, Tyler S Harmon, Isaac T S Li, Boyang Hua, Qinyu Hao, Alex S Holehouse, Matthew Reyer, Qinyu Sun, Susan M Freier, Rohit V Pappu, Kannanganattu V Prasanth, Taekjip Ha
Nuclear speckles are self-assembled organelles composed of RNAs and proteins. They are proposed to act as structural domains that control distinct steps in gene expression, including transcription, splicing, and mRNA export. Earlier studies identified differential localization of a few components within the speckles. It was speculated that the spatial organization of speckle components might contribute directly to the order of operations that coordinate distinct processes. By performing multi-color structured illumination microscopy, we characterized the multilayer organization of speckles at a higher resolution...
November 13, 2017: Journal of Cell Science
https://www.readbyqxmd.com/read/29129316/functional-consequences-of-chrna7-copy-number-alterations-in-induced-pluripotent-stem-cells-and-neural-progenitor-cells
#19
Madelyn A Gillentine, Jiani Yin, Aleksandar Bajic, Ping Zhang, Steven Cummock, Jean J Kim, Christian P Schaaf
Copy-number variants (CNVs) of chromosome 15q13.3 manifest clinically as neuropsychiatric disorders with variable expressivity. CHRNA7, encoding for the α7 nicotinic acetylcholine receptor (nAChR), has been suggested as a candidate gene for the phenotypes observed. Here, we used induced pluripotent stem cells (iPSCs) and neural progenitor cells (NPCs) derived from individuals with heterozygous 15q13.3 deletions and heterozygous 15q13.3 duplications to investigate the CHRNA7-dependent molecular consequences of the respective CNVs...
November 4, 2017: American Journal of Human Genetics
https://www.readbyqxmd.com/read/29129074/from-type-ii-triply-degenerate-nodal-points-and-three-band-nodal-rings-to-type-ii-dirac-points-in-centrosymmetric-zirconium-oxide
#20
Ting-Ting Zhang, Zhi-Ming Yu, Wei Guo, Dongxia Shi, Guangyu Zhang, Yugui Yao
Using first-principles calculations, we report that ZrO is a topological material with the coexistence of three pairs of type-II triply degenerate nodal points (TNPs) and three nodal rings (NRs), when spin-orbit coupling (SOC) is ignored. Noticeably, the TNPs reside around Fermi energy with large linear energy range along tilt direction (> 1 eV) and the NRs are formed by three strongly entangled bands. Under symmetry-preserving strain, each NR would evolve into four droplet-shaped NRs before fading away, producing distinct evolution compared with that in usual two-band NR...
November 12, 2017: Journal of Physical Chemistry Letters
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