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https://www.readbyqxmd.com/read/29351907/energy-connections-and-misconnections-across-chemistry-and-biology
#1
Kathryn P Kohn, Sonia M Underwood, Melanie M Cooper
Despite the number of university students who take courses in multiple science disciplines, little is known about how they connect concepts between disciplines. Energy is a concept that underlies all scientific phenomena and, as such, provides an appropriate context in which to investigate student connections and misconnections across disciplines. In this study, university students concurrently enrolled in introductory chemistry and biology were interviewed to explore their perceptions of the integration of energy both within and across the disciplines, and how they attempted to accommodate and reconcile different disciplinary approaches to energy, to inform future, interdisciplinary course reform...
2018: CBE Life Sciences Education
https://www.readbyqxmd.com/read/29350521/facile-and-highly-effective-synthesis-of-controllable-lattice-sulfur-doped-graphene-quantum-dots-via-hydrothermal-treatment-of-durian
#2
Gang Wang, Qinglei Guo, Da Chen, Zhiduo Liu, Xiaohu Zheng, Anli Xu, Siwei Yang, Guqiao Ding
Recently, the biomass "bottom-up" approach for the synthesis of graphene quantum dots have attracted broad interest because of the outstanding features, including low-cost, rapid and environmentally friendly nature. However, the low crystalline quality of products, substitutional doping with heteroatoms in lattice and ambiguous reaction mechanism strongly challenge the further development of this technique. Herein, we proposed a facile and effective strategy to prepare controllable sulfur (S) doping in graphene quantum dots, occurring in a lattice substitution manner, by hydrothermal treatment of durian with platinum catalyst...
January 19, 2018: ACS Applied Materials & Interfaces
https://www.readbyqxmd.com/read/29349215/public-health-and-the-economy-could-be-served-by-reallocating-medical-expenditures-to-social-programs
#3
Linda Diem Tran, Frederick J Zimmerman, Jonathan E Fielding
As much as 30% of US health care spending in the United States does not improve individual or population health. To a large extent this excess spending results from prices that are too high and from administrative waste. In the public sector, and particularly at the state level, where budget constraints are severe and reluctance to raise taxes high, this spending crowds out social, educational, and public-health investments. Over time, as spending on medical care increases, spending on improvements to the social determinants of health are starved...
December 2017: SSM—Population Health
https://www.readbyqxmd.com/read/29345997/trends-in-health-insurance-and-type-among-military-veterans-united-states-2000-2016
#4
Carla E Zelaya, Colleen N Nugent
OBJECTIVES: To describe long-term national trends in health insurance coverage among US veterans from 2000 to 2016 in the context of recent health care reform. METHODS: We used 2000 to 2016 National Health Interview Survey data on veterans aged 18 to 64 years to examine trends in insurance coverage and uninsurance by year, income, and state Medicaid expansion status. We also explored the current proportions of veterans with each type of insurance by age group. RESULTS: The percentage of veterans with private insurance decreased from 70...
January 18, 2018: American Journal of Public Health
https://www.readbyqxmd.com/read/29345128/synthesis-of-%C3%AE-formylated-n-heterocycles-and-their-1-1-diacetates-from-inactivated-cyclic-amines-involving-an-oxidative-ring-contraction
#5
Fang Wang, Yan He, Miaomiao Tian, Xinying Zhang, Xuesen Fan
A novel synthesis of pyrrolidine-2-carbaldehydes or tetrahydropyridine-2-carbaldehydes from the cascade reactions of N-arylpiperidines or N-arylazepanes is presented. Mechanistically, the formation of the title compounds involves an unprecedented oxidative ring contraction of inactivated cyclic amines via Cu(OAc)2/KI/O2-promoted oxidative cleavage and reformation of the C-N bond. Interestingly, when PhI(OAc)2 was used in place of KI, 1,1-diacetates of the corresponding aldehydes were directly obtained with good efficiency...
January 18, 2018: Organic Letters
https://www.readbyqxmd.com/read/29344791/sages-s-advanced-gi-mis-fellowship-curriculum-pilot-project
#6
Joshua J Weis, Matthew Goldblatt, Aurora Pryor, Brian J Dunkin, L Michael Brunt, Daniel B Jones, Daniel J Scott
BACKGROUND: The American health care system faces deficits in quality and quantity of surgeons. SAGES is a major stakeholder in surgical fellowship training and is responsible for defining the curriculum for the Advanced GI/MIS fellowship. SAGES leadership is actively adapting this curriculum. METHODS: The process of reform began in 2014 through a series of iterative meetings and discussions. A working group within the Resident and Fellow Training Committee reviewed case log data from 2012 to 2015...
January 17, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29343681/oral-health-in-china-from-vision-to-action
#7
REVIEW
Xuedong Zhou, Xin Xu, Jiyao Li, Deyu Hu, Tao Hu, Wei Yin, Yujiang Fan, Xingdong Zhang
Chinese president Xi Jinping made clear at the National Health and Wellness Conference that health is the prerequisite for people's all-around development and a precondition for the sustainable development of China. Oral health is an indispensable component of overall health in humans. However, the long neglect of oral health in overall health agendas has made oral diseases an increasing concern. With this perspective, we described the global challenges of oral diseases, with an emphasis on the challenges faced by China...
January 17, 2018: International Journal of Oral Science
https://www.readbyqxmd.com/read/29340568/maryland-s-all-payer-health-reform-a-promising-work-in-progress
#8
Joshua M Sharfstein, Elizabeth A Stuart, Joseph Antos
No abstract text is available yet for this article.
January 16, 2018: JAMA Internal Medicine
https://www.readbyqxmd.com/read/29340441/-theoretical-reflections-regarding-subjects-of-praxis-and-subjects-of-antithesis-in-brazilian-health-reform
#9
Jairnilson Silva Paim
The Brazilian Health Reform has been recognized as a project that transcends the sectoral dimension in that it considers an expanded concept of health and social determination, which distinguishes it from other health system reforms of the twentieth century. This article aims to contribute to the construction of the concepts subjects of praxis and subjects of antithesis by discussing certain challenges of praxis in the Brazilian Health Reform, the constitution of social subjects and the emergence of subjects of antithesis...
October 2017: Salud Colectiva
https://www.readbyqxmd.com/read/29338994/both-patients-and-maternity-care-providers-can-benefit-from-payment-reform-four-steps-to-prepare
#10
Malini A Nijagal, Neel T Shah, Jeff Levin-Scherz
Many Medicaid programs and private health plans are implementing new models of maternity care reimbursement, and clinicians face mounting pressure to demonstrate high quality care at lower cost. Clinicians will be better prepared to meet these challenges with a fuller understanding of new payment models and the opportunities they present. We describe the structure of maternity care "episode payments" and recommend four ways that clinicians can prepare for success as value-based payment models are implemented: identify opportunities to improve outcomes and experience, measure quality, reduce waste and work in teams across settings...
January 12, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29338836/systems-levers-for-commissioning-primary-mental-healthcare-a-rapid-review
#11
Carla Meurk, Meredith Harris, Eryn Wright, Nicola Reavley, Roman Scheurer, Bridget Bassilios, Caroline Salom, Jane Pirkis
Primary Health Networks (PHNs) are a new institution for health systems management in the Australian healthcare system. PHNs will play a key role in mental health reform through planning and commissioning primary mental health services at a regional level, specifically adopting a stepped care approach. Selected PHNs are also trialling a healthcare homes approach. Little is known about the systems levers that could be applied by PHNs to achieve these aims. A rapid review of academic and grey literature published between 2006 and 2016 was undertaken to describe the use of systems levers in commissioning primary care services...
January 17, 2018: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/29338038/does-the-leading-pharmaceutical-reform-in-china-really-solve-the-issue-of-overly-expensive-healthcare-services-evidence-from-an-empirical-study
#12
Yunzhen He, Guanshen Dou, Qiaoyun Huang, Xinyu Zhang, Yingfeng Ye, Mengcen Qian, Xiaohua Ying
BACKGROUND: Healthcare system reform of Sanming city has become a leading healthcare reform model in China. It has developed a rigorous pharmaceutical reform consisted of the Zero Mark-up Drug Policy and the Centralized Procurement of Medicine Policy to bring down drug expenses and total health expenditures. However, despite the credit and much attention have been given to Sanming's pharmaceutical reform, its impact still remains unclear. Therefore, the purpose of this study was to explore the impact of the pharmaceutical reform of Sanming on both drug and total health expenditures...
2018: PloS One
https://www.readbyqxmd.com/read/29337593/active-december-caps-historic-year-for-reform
#13
Timothy Stoltzfus Jost
The month brought the repeal of the individual mandate's penalties, but also 2018 enrollment numbers rivaling those of 2017.
January 16, 2018: Health Affairs
https://www.readbyqxmd.com/read/29337143/the-role-of-hedgehog-responsive-fibroblasts-in-facial-nerve-regeneration
#14
Gabriela L Bobarnac Dogaru, Subhash C Juneja, Alireza Shokrani, Roseanne Y Hui, Yang Chai, Jon-Paul Pepper
BACKGROUND: Facial nerve paralysis is a significant cause of morbidity, affecting facial appearance, emotional expression, speech, oral competence, and vision. A more complete understanding of the complex cellular events required for successful nerve regeneration may reveal new therapeutic targets. The role of fibroblasts in regeneration, and the process by which the nerve reforms its three-dimensional structure after a transection injury, are not fully understood. The Hedgehog signaling pathway has been shown to mediate nerve sheath formation during development...
January 11, 2018: Experimental Neurology
https://www.readbyqxmd.com/read/29336031/experiences-of-case-management-with-chronic-illnesses-a-qualitative-systematic-review
#15
REVIEW
J Y Joo, M F Liu
AIM: This qualitative systematic review aimed to identify and synthesize recent qualitative studies to improve understanding of the experiences and perceptions of case management interventions that individuals with chronic illnesses and their caregivers have. BACKGROUND/INTRODUCTION: Case management has been shown to be effective at improving quality of care and lowering costs for individuals with chronic illnesses. However, no qualitative review has been synthesized with recent qualitative studies about case management experiences by individual with chronic illnesses...
January 15, 2018: International Nursing Review
https://www.readbyqxmd.com/read/29335037/is-freedom-still-therapy-the-40th-anniversary-of-the-italian-mental-health-care-reform
#16
A Fioritti
On 13 May 1978, the Italian Parliament approved Law 180, universally known as 'Basaglia Law' after the name of the leader of the anti-institutional movement which promoted this radical community mental health care reform. Forty years later, Italian psychiatry still runs a community care system, albeit with degrees of solidity and quality very varied along the peninsula. Mental health care is still an integral part of the National Health System, with liberal regulations on coercion and a lowest number of general hospital and residential facilities beds...
January 16, 2018: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/29334523/not-a-straight-line-patient-s-experiences-of-prostate-cancer-and-their-journey-through-the-healthcare-system
#17
Kristina Schildmeijer, Oscar Frykholm, Åsa Kneck, Mirjam Ekstedt
BACKGROUND: Cancer and its treatment can severely impact quality of life, giving rise to complex needs with respect to follow-up care. To support patient needs and increase efficiency of care with limited resources, the Swedish government has launched national reforms to redesign cancer care pathways. OBJECTIVE: The aim of this study was to explore how prostate cancer patients experience their journey through the healthcare system when their care is provided according to the standardized care pathway, as described in healthcare policy documents...
January 12, 2018: Cancer Nursing
https://www.readbyqxmd.com/read/29332523/challenging-narratives-of-the-anti-rape-movement-s-decline
#18
Carrie N Baker, Maria Bevacqua
A recent trend in scholarship characterizes the anti-rape movement as founded with radical goals and achieving success at reforming rape laws, but then declining because of co-optation by the state. This article challenges narratives of decline in light of the history of the anti-rape movement and current anti-rape activism. By focusing their critique on criminal justice and therapeutic approaches to sexual violence, and failing to account for the diversity of the anti-rape movement, advocates for narratives of decline ignore parts of the movement that challenge the state and other parts that use broader cultural and community-based strategies to end rape...
March 1, 2017: Violence Against Women
https://www.readbyqxmd.com/read/29332509/sexual-scripts-and-criminal-statutes-gender-restrictions-spousal-allowances-and-victim-accountability-after-rape-law-reform
#19
Ethan Czuy Levine
The author provides a mixed-methods assessment of U.S. rape statutes to assess progress in reform. Contemporary statutes offer restrictive frameworks for distinguishing criminal from noncriminal sexual violence, many of which are grounded in gendered and heterosexist assumptions. Fourteen states retain gender restrictions in rape statutes. Twenty maintain marital distinctions that limit accountability for spousal rape. Furthermore, whereas explicit resistance requirements have been eliminated nationwide, implicit resistance expectations manifest through emphasis on physical force and involuntary intoxication...
February 1, 2017: Violence Against Women
https://www.readbyqxmd.com/read/29329140/slit-lamp-needling-of-the-anterior-capsule-for-aqeuous-misdirection-post-hyaloido-zonulectomy-and-iridectomy
#20
Pierre G Mardelli, Marc E Mardelli
INTRODUCTION: We present a case of persistent aqueous misdirection post Ahmed glaucoma valve despite undergoing an anterior vitrectomy with hyaloido-zonulectomy, and iridectomy. CASE REPORT: A 73 year old female 4 months post phaco-trabeculectomy was referred with persistent high IOP. Post-operatively, she developed aqueous misdirection with a flat anterior chamber (AC) but with an IOP of 15▒mm Hg. On presentation her AC was shallow with peripheral iris-cornea touch and IOP was 39▒mm Hg...
January 11, 2018: Journal of Glaucoma
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