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https://www.readbyqxmd.com/read/28225112/enhanced-thermoelectricity-of-three-dimensionally-mesostructured-bixsb2-xte3-nanoassemblies-from-micro-scaled-open-gaps-to-isolated-sealed-mesopores
#1
Tsung-Han Chen, Ping-Yu Lin, Hsiu-Cheng Chang, Chun-Hua Chen
We describe an innovative interfacial design concept and nanostructuring of novel BixSb2-xTe3 (BST) nanoassembled films comprising unique air-solid interfaces from micro-scaled open gaps to isolated sealed mesopores, and high-quality solid-solid ones including the coherent grain boundaries and specific twins, utilizing pulsed laser deposition (PLD), for potentially activating multiple thermoelectric enhancing mechanisms. The unusual mesopore embedded BST films exhibit the highest power factor of ∼33 μW cm(-1) K(-2), which is comparable to or higher than the previously reported values for BST, and the corresponding relatively low thermal diffusivity in contrast to that for dense pore-less BST films evidently reveals the crucial role of the three-dimensionally and densely arranged air-solid interfaces in significantly arising the phonon scattering...
February 22, 2017: Nanoscale
https://www.readbyqxmd.com/read/28222363/very-short-term-reactive-forecasting-of-the-solar-ultraviolet-index-using-an-extreme-learning-machine-integrated-with-the-solar-zenith-angle
#2
Ravinesh C Deo, Nathan Downs, Alfio V Parisi, Jan F Adamowski, John M Quilty
Exposure to erythemally-effective solar ultraviolet radiation (UVR) that contributes to malignant keratinocyte cancers and associated health-risk is best mitigated through innovative decision-support systems, with global solar UV index (UVI) forecast necessary to inform real-time sun-protection behaviour recommendations. It follows that the UVI forecasting models are useful tools for such decision-making. In this study, a model for computationally-efficient data-driven forecasting of diffuse and global very short-term reactive (VSTR) (10-min lead-time) UVI, enhanced by drawing on the solar zenith angle (θs) data, was developed using an extreme learning machine (ELM) algorithm...
February 18, 2017: Environmental Research
https://www.readbyqxmd.com/read/28218928/innovative-mental-health-clinical-placement-developing-nurses-relationship-skills
#3
Dana Perlman, Ellie Taylor, Lorna Moxham, Chris Patterson, Renee Brighton, Tim Heffernan, Susan Sumskis
Engagement in clinical placements is mandatory for all pre-registration nursing programs. Although clinical placements can be valuable, recent literature illustrates that placements within a mental health setting can vary in their educational development. The aim of the current study was to examine the potential learning benefit of 20 pre-registration nursing students in an innovative, university-accredited mental health clinical placement called Recovery Camp. Recovery Camp is a 5-day immersive clinical placement, grounded in therapeutic recreation, which involves all participants engaging in a variety of activities focused on enhancing personal recovery...
February 1, 2017: Journal of Psychosocial Nursing and Mental Health Services
https://www.readbyqxmd.com/read/28214420/prevention-of-radiotherapy-induced-neurocognitive-dysfunction-in-survivors-of-paediatric-brain-tumours-the-potential-role-of-modern-imaging-and-radiotherapy-techniques
#4
REVIEW
Thankamma Ajithkumar, Stephen Price, Gail Horan, Amos Burke, Sarah Jefferies
Neurocognitive dysfunction is the leading cause of reduced quality of life in long-term survivors of paediatric brain tumours. Radiotherapy is one of the main contributors to neurocognitive sequelae. Current approaches for prevention and reduction of neurocognitive dysfunction include avoidance of radiotherapy in young children and reduction of the radiotherapy dose and volume of brain irradiated. Substantial advances have been made in brain imaging, especially with functional imaging and fibre tracking with the use of diffusion tensor imaging...
February 2017: Lancet Oncology
https://www.readbyqxmd.com/read/28211784/generic-antiretrovirals-for-the-treatment-of-hiv-a-novel-challenge-for-western-countries-%C3%A2
#5
Dario Cattaneo, Massimo Andreoni, Gianpiero Carosi, Roberto Cauda, Adriano Lazzarin, Giuliano Rizzardini
The introduction of generic antiretroviral medications in developing countries has resulted in significant CD4 cell restoration, HIV viral decline, and a noteworthy reduction in the time to initiation of therapy. Projection models have also predicted significant cost saving associated with the extensive diffusion of generic antiretrovirals in developed countries. However, some uncertainties on generics have recently been raised. These concerns mainly relate to the adequacy of the study design for bioequivalence testing, the potential for uncontrolled switching from one generic to another, and the loss of adherence if patients switched from fixed-dose coformulations to single components in order to incorporate the new generic drugs...
February 17, 2017: International Journal of Clinical Pharmacology and Therapeutics
https://www.readbyqxmd.com/read/28206814/biomarkers-in-tumor-microenvironment-upregulation-of-fibroblast-activation-protein-%C3%AE-correlates-with-gastric-cancer-progression-and-poor-prognosis
#6
Mengmou Hu, Chengjia Qian, Ziwei Hu, Bojian Fei, Haibo Zhou
Gastric cancer is the third leading cause of cancer-related mortality worldwide. Recent evidence points to importance of cross talk between cancer cells and the surrounding stroma on gastric cancer progression. Tumor microenvironment biomarkers thus represent a new opportunity for diagnostics innovation. Reactive stromal fibroblasts selectively express the fibroblast activation protein alpha (FAP-α), a homodimeric integral membrane gelatinase that belongs to the serine protease family. We report here that FAP-α expression is significantly elevated in gastric cancer samples by more than fivefold (p < 0...
January 2017: Omics: a Journal of Integrative Biology
https://www.readbyqxmd.com/read/28204476/the-kansas-peak-2-0-program-facilitates-the-diffusion-of-culture-change-innovation-to-unlikely-adopters
#7
Linda Hermer, Laci Cornelison, Migette L Kaup, Judith L Poey, Robyn Stone, Gayle Doll
No abstract text is available yet for this article.
February 13, 2017: Gerontologist
https://www.readbyqxmd.com/read/28171684/socially-transmitted-diffusion-of-a-novel-behavior-from-subordinate-chimpanzees
#8
Stuart K Watson, Lisa A Reamer, Mary Catherine Mareno, Gillian Vale, Rachel A Harrison, Susan P Lambeth, Steven J Schapiro, Andrew Whiten
Chimpanzees (Pan troglodytes) demonstrate much cultural diversity in the wild, yet a majority of novel behaviors do not become group-wide traditions. Since many such novel behaviors are introduced by low-ranking individuals, a bias toward copying dominant individuals ("rank-bias") has been proposed as an explanation for their limited diffusion. Previous experimental work showed that chimpanzees (Pan troglodytes) preferentially copy dominant over low-rank models. We investigated whether low ranking individuals may nevertheless successfully seed a beneficial behavior as a tradition if there are no "competing" models...
February 7, 2017: American Journal of Primatology
https://www.readbyqxmd.com/read/28170304/hiv-pre-exposure-prophylaxis-and-postexposure-prophylaxis-in-japan-context-of-use-and-directions-for-future-research-and-action
#9
Anthony S DiStefano, Makiko Takeda
Biomedical HIV prevention strategies are playing an increasingly prominent role in addressing HIV epidemics globally, but little is known about their use in Japan, where persistent HIV disparities and a recently stable, but not declining, national epidemic indicate the need for evolving approaches. We conducted an ethnographic study to determine the context of pre-exposure prophylaxis (PrEP) and postexposure prophylaxis (PEP) use and to identify directions for future research and action in Japan. We used data from observational fieldwork in the Kansai region and Tokyo Metropolitan Area (n = 178 persons observed), qualitative interviews (n = 32), documents and web-based data sources (n = 321), and email correspondences (n = 9) in the period 2013-2016...
February 2017: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/28166776/implementation-and-maintenance-of-patient-navigation-programs-linking-primary-care-with-community-based-health-and-social-services-a-scoping-literature-review
#10
Ruta K Valaitis, Nancy Carter, Annie Lam, Jennifer Nicholl, Janice Feather, Laura Cleghorn
BACKGROUND: Since the early 90s, patient navigation programs were introduced in the United States to address inequitable access to cancer care. Programs have since expanded internationally and in scope. The goals of patient navigation programs are to: a) link patients and families to primary care services, specialist care, and community-based health and social services (CBHSS); b) provide more holistic patient-centred care; and, c) identify and resolve patient barriers to care. This paper fills a gap in knowledge to reveal what is known about motivators and factors influencing implementation and maintenance of patient navigation programs in primary care that link patients to CBHSS...
February 6, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28151532/-transcatheter-aortic-valve-implantation-versus-aortic-valve-replacement-cost-analysis-from-the-regional-health-service-and-hospital-perspectives
#11
Elena Berti, Daniela Fortuna, Simona Bartoli, Cristina Ciuca, Anna Orlando, Salvatore Scondotto, Nera Agabiti, Stefano Salizzoni, Tiziana Claudia Aranzulla, Caterina Gandolfo, Rossana De Palma, Francesco Saia
BACKGROUND: The aim of this study was to estimate the cost of transcatheter aortic valve implantation (TAVI) and surgical aortic valve replacement (AVR) procedures, together with the cost of the first-year hospitalizations following the index ones, in 4 Italian regions where diffusion level of TAVI and coverage decisions are different. METHODS: The cost analysis was performed evaluating 372 patients enrolled consecutively from December 1, 2012 to September 30, 2015...
December 2016: Giornale Italiano di Cardiologia
https://www.readbyqxmd.com/read/28142254/learning-effect-and-diffusion-of-innovative-medical-devices-the-case-of-transcatheter-aortic-valve-implantation-in-italy
#12
Giuditta Callea, Maria Caterina Cavallo, Rosanna Tarricone, Aleksandra Torbica
AIM: We investigated the diffusion of transcatheter aortic valve implantation (TAVI) since its introduction into the Italian market aimed at identifying the potential drivers of uptake and diffusion at hospital and regional levels. MATERIALS & METHODS: We estimated the determinants of TAVI diffusion in Italy from 2007 to 2015 with a regression analysis based on registry data. RESULTS: Since 2007, TAVI has shown significant diffusion rates in Italy...
February 1, 2017: Journal of Comparative Effectiveness Research
https://www.readbyqxmd.com/read/28139086/key-recommendations-from-the-medtechta-project
#13
Rosanna Tarricone, Aleksandra Torbica, Michael Drummond
There are particular characteristics of Medical Devices, such as the device-user interaction, the incremental nature of innovation and the broader organizational impact that lead to additional challenges for health technology assessment (HTA). The project explored key aspects of the conduct and methods of HTA for MDs. Systematic reviews and original research studies were conducted to determine improvements in processes and methods that could enhance the potential for HTA and optimize the diffusion of MDs. Regulatory processes for MDs should be more closely aligned, the HTA evaluative framework should be harmonized and processes for conditional coverage and evidence development should be used...
February 2017: Health Economics
https://www.readbyqxmd.com/read/28138516/discovery-of-true-electrochemical-reactions-for-ultrahigh-catalyst-mass-activity-in-water-splitting
#14
Jingke Mo, Zhenye Kang, Scott T Retterer, David A Cullen, Todd J Toops, Johney B Green, Matthew M Mench, Feng-Yuan Zhang
Better understanding of true electrochemical reaction behaviors in electrochemical energy devices has long been desired. It has been assumed so far that the reactions occur across the entire catalyst layer (CL), which is designed and fabricated uniformly with catalysts, conductors of protons and electrons, and pathways for reactants and products. By introducing a state-of-the-art characterization system, a thin, highly tunable liquid/gas diffusion layer (LGDL), and an innovative design of electrochemical proton exchange membrane electrolyzer cells (PEMECs), the electrochemical reactions on both microspatial and microtemporal scales are revealed for the first time...
November 2016: Science Advances
https://www.readbyqxmd.com/read/28115139/an-innovative-wood-chip-framework-substrate-used-as-slow-release-carbon-source-to-treat-high-strength-nitrogen-wastewater
#15
Huai Li, Zifang Chi, Baixing Yan, Long Cheng, Jianzheng Li
Removal of nitrogen in wastewater before discharge into receiving water courses is an important consideration in treatment systems. However, nitrogen removal efficiency is usually limited due to the low carbon/nitrogen (C/N) ratio. A common solution is to add external carbon sources, but amount of liquid is difficult to determine. Therefore, a combined wood-chip-framework substrate (with wood, slag and gravel) as a slow-release carbon source was constructed in baffled subsurface-flow constructed wetlands to overcome the problem...
January 2017: Journal of Environmental Sciences (China)
https://www.readbyqxmd.com/read/28115018/mixed-methods-evaluation-of-the-getting-it-right-first-time-programme-improvements-to-nhs-orthopaedic-care-in-england-study-protocol
#16
Helen Barratt, Simon Turner, Andrew Hutchings, Elena Pizzo, Emma Hudson, Tim Briggs, Rob Hurd, Jamie Day, Rachel Yates, Panagiotis Gikas, Stephen Morris, Naomi J Fulop, Rosalind Raine
BACKGROUND: Orthopaedic procedures, such as total hip replacement and total knee replacement, are among the commonest surgical procedures in England. The Getting it Right First Time project (GIRFT) aims to deliver improvements in quality and reductions in the cost of NHS orthopaedic care across the country. We will examine whether the planned changes have delivered improvements in the quality of care and patient outcomes. We will also study the processes involved in developing and implementing changes to care, and professional and organisational factors influencing these processes...
January 23, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28107712/innovative-solidification-stabilization-of-lead-contaminated-soil-using-incineration-sewage-sludge-ash
#17
Jiangshan Li, Chi Sun Poon
The proper treatment of lead (Pb) contaminated soils and incinerated sewage sludge ash (ISSA) has become an environmental concern. In this study, ordinary Portland cement (OPC) and blended OPC containing incinerated sewage sludge ash (ISSA) were used to solidify/stabilize (S/S) soils contaminated with different concentrations of Pb. After curing for 7 and 28 d, the S/S soils were subjected to a series of strength, leaching and microscopic tests. The results showed that replacement of OPC by ISSA significantly reduced the unconfined compressive strength (UCS) of S/S soils and leached Pb...
January 12, 2017: Chemosphere
https://www.readbyqxmd.com/read/28107482/a-circulating-microrna-signature-predicts-age-based-development-of-lymphoma
#18
Afshin Beheshti, Charles Vanderburg, J Tyson McDonald, Charusheila Ramkumar, Tatenda Kadungure, Hong Zhang, Ronald B Gartenhaus, Andrew M Evens
Extensive epidemiological data have demonstrated an exponential rise in the incidence of non-Hodgkin lymphoma (NHL) that is associated with increasing age. The molecular etiology of this remains largely unknown, which impacts the effectiveness of treatment for patients. We proposed that age-dependent circulating microRNA (miRNA) signatures in the host influence diffuse large B cell lymphoma (DLBCL) development. Our objective was to examine tumor development in an age-based DLBCL system using an inventive systems biology approach...
2017: PloS One
https://www.readbyqxmd.com/read/28094919/synthesis-of-three-dimensional-nanoporous-li-rich-layered-cathode-oxides-for-high-volumetric-and-power-energy-density-lithium-ion-batteries
#19
Bao Qiu, Chong Yin, Yonggao Xia, Zhaoping Liu
As rechargeable Li-ion batteries have expanded their applications into on-board energy storage for electric vehicles, the energy and power must be increased to meet the new demands. Li-rich layered oxides are one of the most promising candidate materials; however, it is very difficult to make them compatible with high volumetric energy density and power density. Here, we develop an innovative approach to synthesize three-dimensional (3D) nanoporous Li-rich layered oxides Li[Li0.144Ni0.136Co0.136Mn0.544]O2, directly occurring at deep chemical delithiation with carbon dioxide...
February 1, 2017: ACS Applied Materials & Interfaces
https://www.readbyqxmd.com/read/28092022/relevance-of-neuroimaging-for-neurocognitive-and-behavioral-outcome-after-pediatric-traumatic-brain-injury
#20
Marsh Königs, Petra Jw Pouwels, L W Ernest van Heurn, Roel Bakx, R Jeroen Vermeulen, J Carel Goslings, Bwee Tien Poll-The, Marleen van der Wees, Coriene E Catsman-Berrevoets, Jaap Oosterlaan
This study aims to (1) investigate the neuropathology of mild to severe pediatric TBI and (2) elucidate the predictive value of conventional and innovative neuroimaging for functional outcome. Children aged 8-14 years with trauma control (TC) injury (n = 27) were compared to children with mild TBI and risk factors for complicated TBI (mild(RF+), n = 20) or moderate/severe TBI (n = 17) at 2.8 years post-injury. Neuroimaging measures included: acute computed tomography (CT), volumetric analysis on post-acute conventional T1-weighted magnetic resonance imaging (MRI) and post-acute diffusion tensor imaging (DTI, analyzed using tract-based spatial statistics and voxel-wise regression)...
January 14, 2017: Brain Imaging and Behavior
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