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https://www.readbyqxmd.com/read/29777979/a-qualitative-study-of-disengagement-in-disadvantaged-areas-of-the-uk-you-come-through-your-door-and-you-lock-that-door
#1
M Romeo-Velilla, N Ellis, G Hurst, S Grogan, C Gidlow
Health inequalities are a major concern in the UK. Power imbalances are associated with health inequalities and should be challenged through health promotion and empowering strategies, enabling individuals who feel powerless to take control over their own life and act on the determinants of health (Green and Tones, 2010). This study aimed to explore resident expectations of a community engagement programme that intended to empower communities to take action on pre-identified priorities. The programme targeted communities in deprived areas of a mid-sized city in the UK...
May 16, 2018: Health & Place
https://www.readbyqxmd.com/read/29777411/spatial-environmental-risk-evaluation-of-potential-toxic-elements-in-stream-sediments
#2
I M H R Antunes, M T D Albuquerque, N Roque
Potential toxic elements (PTE), in stream sediments, were used as contamination indicators for the definition of high-/low-grade spatial clusters in the Monfortinho area (Central Portugal). A set of 271 stream sediment samples was used for spatial modelling and further definition of rings of enrichment-high and low rings. A three-step multivariate statistical and geostatistical approach was used: (1) principal components analysis for PTE's association evaluation and dimensionality reduction; (2) ordinary kriging as an unbiased interpolator for content inference and construction of a continuous representation of the considered attributes, at any arbitrary spatial location; (3) G clustering algorithm for the definition of high and low significance clusters...
May 18, 2018: Environmental Geochemistry and Health
https://www.readbyqxmd.com/read/29777204/critical-role-of-climate-change-in-plant-selection-and-millet-domestication-in-north-china
#3
Xiaoyan Yang, Wenxiang Wu, Linda Perry, Zhikun Ma, Ofer Bar-Yosef, David J Cohen, Hongbo Zheng, Quansheng Ge
While North China is one of the earliest independent centers for cereal domestication in the world, the earliest stages of the long process of agricultural origins remain unclear. While only millets were eventually domesticated in early sedentary societies there, recent archaeobotanical evidence reported here indicates that grasses from the Paniceae (including millets) and Triticeae tribes were exploited together by foraging groups from the Last Glacial Maximum to the mid-Holocene. Here we explore how and why millets were selected for domestication while Triticeae were abandoned...
May 18, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29775105/phytostabilization-of-polymetallic-contaminated-soil-using-medicago-sativa-l-in-combination-with-powdered-marble-sustainable-rehabilitation
#4
Laila Midhat, Naaila Ouazzani, Abdessamed Hejjaj, Javier Bayo, Laila Mandi
This study uses an ecotoxicology approach to evaluate the effectiveness of combining powdered marble as an amendment, with phytostabilization by Medicago sativa L. on the neutralization of acidic mine tailings, and the stabilization of heavy metals. The mine tailings were collected from an abandoned polymetallic mine in Southern Morocco, and mixed with powdered marble as the following proportions, 25%, 50%, and 75%. Laboratory immobilization/stabilization tests showed that the application of powdered marble in the treatments led to a significant increase in pH, and significant reductions of Cu, Zn (99%), Pb (98%), and Fe (45%)...
July 3, 2018: International Journal of Phytoremediation
https://www.readbyqxmd.com/read/29773473/-base-of-the-skull-meningioma-efficacy-clinical-tolerance-and-radiological-evaluation-after-radiotherapy
#5
Y Brahimi, D Antoni, R Srour, F Proust, H Cebula, A Labani, G Noël
Skull base meningioma leads to functional disturbances, which can significantly alter the quality of life. The optimal management of these lesions, whose goals are neurological preservation and tumour local control, is not yet clearly established. It is widely recognized that the goal of a radical excision should be abandoned despite the advances in the field of microsurgery of skull base lesions. Although less morbid, partial tumour excision would be associated with increased risk of local tumour recurrence...
May 14, 2018: Cancer Radiothérapie: Journal de la Société Française de Radiothérapie Oncologique
https://www.readbyqxmd.com/read/29773279/-non-tuberculous-mycobacterial-cervical-adenitis-in-children-2-cases
#6
N Sigg, S Bailleul, J-M Turmel, G Legrand, S Kettani, L Martin
BACKGROUND: Cervical lymphadenitis is the most common manifestation of infection with nontuberculous mycobacteria (NTM) in immunocompetent children. Nevertheless, it is poorly known by dermatologists. Its incidence, which is currently increasing since the cessation of BCG vaccination in 2007, raises several issues regarding its pathophysiology, diagnosis and management. PATIENTS AND METHODS: We report two cases of NTM adenitis: one in a 2-year-old girl vaccinated with BCG and one in an unvaccinated 22-month-old boy, in whom a misleading presentation led to delayed diagnosis...
May 14, 2018: Annales de Dermatologie et de Vénéréologie
https://www.readbyqxmd.com/read/29772425/an-innovative-expression-model-of-human-health-risk-based-on-the-quantitative-analysis-of-soil-metals-sources-contribution-in-different-spatial-scales
#7
Yimei Zhang, Shuai Li, Fei Wang, Zhuang Chen, Jie Chen, Liqun Wang
Toxicity of heavy metals from industrialization poses critical concern, and analysis of sources associated with potential human health risks is of unique significance. Assessing human health risk of pollution sources (factored health risk) concurrently in the whole and the sub region can provide more instructive information to protect specific potential victims. In this research, we establish a new expression model of human health risk based on quantitative analysis of sources contribution in different spatial scales...
April 30, 2018: Chemosphere
https://www.readbyqxmd.com/read/29772360/-dear-anesthesiologist-please-don-t-abandon-us-excessive-anesthesia-handovers-and-adverse-perioperative-outcomes-in-neurosurgery
#8
Tobias A Mattei, Christ Ordookhanian, Paul E Kaloostian
No abstract text is available yet for this article.
May 14, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29772019/the-effect-of-abandonment-on-vegetation-composition-and-soil-properties-in-molinion-meadows-sw-poland
#9
Grzegorz Swacha, Zoltán Botta-Dukát, Zygmunt Kącki, Daniel Pruchniewicz, Ludwik Żołnierz
Intermittently wet meadows of the Molinion alliance, as with many other grasslands of high-nature value, have become increasingly exposed to abandonment due to their low economic value. The potential consequences of land abandonment are the decrease in species diversity and environmental alterations. The issue of land-use induced changes in plant species composition and soil physico-chemical parameters have been rarely studied in species-rich intermittently wet grasslands. In this study we attempt to i) to identify determinants of plant species composition patterns and ii) to investigate the effect of cessation of mowing on vegetation composition and soil properties...
2018: PloS One
https://www.readbyqxmd.com/read/29769212/ireland-s-eighth-amendment-i-want-to-care-for-women-not-abandon-them
#10
Mary Higgins
No abstract text is available yet for this article.
May 16, 2018: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/29768613/helplessness-experienced-by-adolescent-mothers-and-pregnant-adolescents-sheltered-in-institutions
#11
Paula Orchiucci Miura, Leila Salomão de La Plata Cury Tardivo, Dora Mariela Salcedo Barrientos
The experience of helplessness or abandonment during pregnancy affects the emotional state of women, hindering their disposition in taking care of themselves and their baby. The aim of this study was to understand the emotional experience arising from intra-family violence experienced by institutionally sheltered adolescent mothers and pregnant adolescents. This study is exploratory, descriptive, clinical and qualitive. Semi-structured interviews were conducted with a psychologist from the institution and with six adolescents in the institution: one pregnant girl and five mothers...
May 2018: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/29768359/case-report-of-gastric-distension-due-to-superior-mesenteric-artery-syndrome-mimicking-hollow-viscus-perforation-considerations-in-critical-care-ultrasound
#12
Yan-Mei Feng, Dong Wan, Rui Guo
RATIONALE: Critical care ultrasound identifies the signs of free intraperitoneal air and echogenic free fluid always indicates hollow viscus perforation (HVP) and needs immediate surgical interventions. However, in rare cases, these classic signs may also mislead proper clinical decisions. We report perforated viscus associated large peritoneal effusion with initial critical care ultrasound findings, whereas computed tomography (CT) examination confirmed a giant stomach due to superior mesenteric artery syndrome (SMAS)...
May 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29767906/use-of-crack-in-pregnancy-repercussions-for-the-newborn
#13
Daiani Modernel Xavier, Giovana Calcagno Gomes, Juliane Portella Ribeiro, Marina Soares Mota, Simone Quadros Alvarez
OBJECTIVES: To know the effects for the newborn of the use of crack in pregnancy. METHODS: This is a qualitative study conducted in a university hospital in southern Brazil, in the first half of 2014. Fifteen mothers crack users and five grandparents participated. The data were produced through semi-structured interviews and later submitted to content analysis. RESULTS: It was found that the use of crack in pregnancy leads to repercussions related to the health of the newborn and repercussions related to family restructuring...
October 2017: Investigación y Educación en Enfermería
https://www.readbyqxmd.com/read/29765656/the-rise-and-fall-of-an-ancient-ad%C3%A3-lie-penguin-supercolony-at-cape-adare-antarctica
#14
Steven D Emslie, Ashley McKenzie, William P Patterson
We report new discoveries and radiocarbon dates on active and abandoned Adélie penguin ( Pygoscelis adeliae ) colonies at Cape Adare, Antarctica. This colony, first established at approximately 2000 BP (calendar years before present, i.e. 1950), is currently the largest for this species with approximately 338 000 breeding pairs, most located on low-lying Ridley Beach. We hypothesize that this colony first formed after fast ice began blocking open-water access by breeding penguins to the Scott Coast in the southern Ross Sea during a cooling period also at approximately 2000 BP...
April 2018: Royal Society Open Science
https://www.readbyqxmd.com/read/29765354/pituitary-directed-therapies-for-cushing-s-disease
#15
REVIEW
Fabienne Langlois, Jennifer Chu, Maria Fleseriu
Cushing's disease (CD) is caused by a pituitary corticotroph neuroendocrine tumor inducing uncontrolled hypercortisolism. Transsphenoidal surgery is the first-line treatment in most cases. Nonetheless, some patients will not achieve cure even in expert hands, others may not be surgical candidates and a significant percentage will experience recurrence. Many patients will thus require medical therapy to achieve disease control. Pharmacologic options to treat CD have increased in recent years, with an explosion in knowledge related to pathophysiology at the molecular level...
2018: Frontiers in Endocrinology
https://www.readbyqxmd.com/read/29764673/comparison-between-thromboelastography-and-conventional-coagulation-test-should-we-abandon-conventional-coagulation-tests-in-polytrauma-patients
#16
Jaume Tur Martínez, Patrizio Petrone, Alexander Axelrad, Corrado P Marini
INTRODUCTION: TEG provides an in-vivo assessment of viscoelastic clot strength in whole blood compared with CCT, which may not reflect the influence of platelets. The aim of this study was to compare TEG vs. CCT in trauma patients stratified by mechanism of injury (MOI) and pre-existing coagulation status. METHODS: A retrospective, observational study of 230 polytrauma patients admitted to a University Hospital Level 1 Trauma Center, with TEG and CCT on admission stratified by MOI: multiple trauma (MT), isolated traumatic brain injury (TBI) or MT+TBI...
May 12, 2018: Cirugía Española
https://www.readbyqxmd.com/read/29764462/empirical-and-conceptual-investigation-of-de-implementation-of-low-value-care-from-professional-and-health-care-system-perspectives-a-study-protocol
#17
Henna Hasson, Per Nilsen, Hanna Augustsson, Ulrica von Thiele Schwarz
BACKGROUND: A considerable proportion of interventions provided to patients lacks evidence of their effectiveness. This implies that patients may receive ineffective, unnecessary, or even harmful care. Thus, in addition to implementing evidence-based practices, there is also a need to abandon interventions that are not based on best evidence, i.e., low-value care. However, research on de-implementation is limited, and there is a lack of knowledge about how effective de-implementation processes should be carried out...
May 15, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29763410/health-care-s-forth-and-back-while-medical-progress-marches-forward-prescriptions-get-abandoned
#18
Jeremy Schafer
The breast cancer mortality rate in 2012 declined 49% compared with the expected baseline, and 63% of that reduction was from treatment drugs. You'd think that patients would take their cancer medicines no matter what. But when cost sharing reached between $100 and $500, the abandonment rate soared to 32%.
May 2018: Managed Care
https://www.readbyqxmd.com/read/29760026/care-transitions-from-patient-and-caregiver-perspectives
#19
Suzanne E Mitchell, Vivian Laurens, Gabriela M Weigel, Karen B Hirschman, Allison M Scott, Huong Q Nguyen, Jessica Martin Howard, Lance Laird, Carol Levine, Terry C Davis, Brianna Gass, Elizabeth Shaid, Jing Li, Mark V Williams, Brian W Jack
PURPOSE: Despite concerted actions to streamline care transitions, the journey from hospital to home remains hazardous for patients and caregivers. Remarkably little is known about the patient and caregiver experience during care transitions, the services they need, or the outcomes they value. The aims of this study were to (1) describe patient and caregiver experiences during care transitions and (2) characterize patient and caregiver desired outcomes of care transitions and the health services associated with them...
May 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/29758912/evaluation-of-soil-quality-along-two-revegetation-chronosequences-on-the-loess-hilly-region-of-china
#20
Shujuan Guo, Xinhui Han, Hui Li, Tao Wang, Xiaogang Tong, Guangxin Ren, Yongzhong Feng, Gaihe Yang
Vegetation restoration has been widely implemented to control soil degradation, reduce soil erosion, and improve soil quality. It is vital to understand the mechanisms affecting soil quality in soil restoration processes and to determine an appropriate recover pattern for soil restoration. Thus, a soil quality index was developed using integrated approach to assess soil quality after vegetation restoration in this study. Soil samples were collected from two restoration pathways (afforestation by Robinia pseudoacacia L...
August 15, 2018: Science of the Total Environment
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