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https://www.readbyqxmd.com/read/28432853/an-evidence-based-approach-to-reducing-cardiac-telemetry-alarm-fatigue
#1
Ekta Srinivasa, Jaspreet Mankoo, Charles Kerr
BACKGROUND: It is estimated that between 80% and 99% of alarms in the clinical areas are in actionable alarms (Gross, Dahl, & Nielson). Alarm management is one of the Joint Commission's National Patient Safety Goals (2014) because sentinel events have directly been linked to the devices generating these alarms. PURPOSE: At an acute care facility in Boston, a multidisciplinary team consisting of Nursing, Biomedical Engineers, Patient Safety and Providers was formed to conduct a pilot study on the state of telemetry alarms on a surgical floor...
April 22, 2017: Worldviews on Evidence-based Nursing
https://www.readbyqxmd.com/read/28432624/delivering-environmental-benefit-from-the-use-of-environmental-quality-standards-why-we-need-to-focus-on-implementation
#2
Graham Merrington, Adam Peters, Paul Whitehouse, Robin Clarke, Dan Merckel
The UK has adopted a broader approach to the introduction of Environmental Quality Standard (EQS) for the aquatic environment than many other jurisdictions around the world, with a greater focus on the implementation of scientifically derived standards. This follows the publication of a report by the Royal Commission on Environmental Pollution in 1998 which drew attention to the need to recognise that whilst an EQS is often just viewed as a numerical value, it also has other important characteristics that need to be recognised if it is to be a practical and effective regulatory tool...
April 21, 2017: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/28431998/european-college-of-orthodontics-commission-of-affiliation-and-titularization
#3
Sophie Mercier
Date of birth: 12/10/1987; sex: female. A. PRETREATMENT RECORDS: 24 years 8 months; 16/06/2011. DIAGNOSIS: Skeletal and dental Class I, maxillary endognathia, anterior vertical excess with open bite; teeth missing prior to treatment: 18, 28, 38, 48. TREATMENT PLAN: Appliances and devices: single-stage surgical-orthodontic treatment using pretorqued and preangled bimaxillary multibracket appliances with 0.022×0.028″ archwire, along with an expander during the surgical phase and then a transpalatal arch to stabilize the transverse correction...
April 18, 2017: International Orthodontics
https://www.readbyqxmd.com/read/28431874/regional-disparities-in-the-quality-of-stroke-care
#4
Seth Seabury, Katalin Bognar, Yaping Xu, Caroline Huber, S Renee Commerford, Darren Tayama
BACKGROUND AND PURPOSE: There is widespread geographic variation in healthcare quality, but we often lack clear strategies for improving quality in underserved areas. This study characterized geographic disparities in stroke care quality to assess whether improved access to neurological services has the potential to bridge the care quality gap, particularly in terms of alteplase (rt-PA) administration. METHODS: This was a retrospective study using quality performance data from the 2015 Hospital Compare database linked to information on certification status from the Joint Commission and information on local access to neurological services from the Area Health Resources File...
March 19, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28431336/beam-induced-back-streaming-electron-suppression-analysis-for-an-accelerator-type-neutron-generator-designed-for-40-ar-39-ar-geochronology
#5
Cory Waltz, Mauricio Ayllon, Tim Becker, Lee Bernstein, Ka-Ngo Leung, Leo Kirsch, Paul Renne, Karl Van Bibber
A facility based on a next-generation, high-flux D-D neutron generator has been commissioned and it is now operational at the University of California, Berkeley. The current generator designed for (40)Ar/(39)Ar dating of geological materials produces nearly monoenergetic 2.45MeV neutrons at outputs of 10(8)n/s. The narrow energy range is advantageous relative to the (235)U fission spectrum neutrons due to (i) reduced (39)Ar recoil energy, (ii) minimized production of interfering argon isotopes from K, Ca, and Cl, and (iii) reduced total activity for radiological safety and waste generation...
April 13, 2017: Applied Radiation and Isotopes
https://www.readbyqxmd.com/read/28429177/learning-from-one-s-own-errors-and-those-of-others
#6
Janet Metcalfe, Judy Xu
Three experiments investigated the effects of making errors oneself, as compared to just hearing the correct answer without error generation, hearing another person make an error, or being "on-the-hook," that is, possibly but not necessarily being the person who would be "called-on" to give a response. In all three experiments, generating either an error of commission or generating the correct response, oneself, out loud, compared to being a person who heard another's commission errors (or correct responses), was beneficial for later recall of the correct answer...
April 20, 2017: Psychonomic Bulletin & Review
https://www.readbyqxmd.com/read/28427952/anti-bullying-policies-and-disparities-in-bullying-a-state-level-analysis
#7
Mark L Hatzenbuehler, Javier E Flores, Joseph E Cavanaugh, Angela Onwuachi-Willig, Marizen R Ramirez
INTRODUCTION: Recent research suggests that anti-bullying laws may be effective in reducing risk of bullying victimization among youth, but no research has determined whether these laws are also effective in reducing disparities in bullying. The aim of this paper was to evaluate the effectiveness of anti-bullying legislation in reducing disparities in sex- and weight-based bullying and cyberbullying victimization. METHODS: Data on anti-bullying legislation were obtained from the U...
April 17, 2017: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/28426521/a-history-of-the-western-institute-of-nursing-and-its-communicating-nursing-research-conferences
#8
Paula A McNeil, Carol A Lindeman
BACKGROUND: The Western Institute of Nursing (WIN) celebrated its 60th anniversary and the 50th Annual Communicating Nursing Research Conference in April 2017. PURPOSE: The purpose of this article is to provide a brief history of the origin, development, and accomplishments of WIN and its Communicating Nursing Research conferences. APPROACH: Historical documents and conference proceedings were reviewed. SUMMARY: WIN was created in 1957 as the Western Council on Higher Education for Nursing under the auspices of the Western Interstate Commission for Higher Education...
April 20, 2017: Nursing Research
https://www.readbyqxmd.com/read/28425430/dose-assessment-from-chronic-exposure-to-industrial-norm-in-iron-ore-processing
#9
Franck Dal-Molin, Raymond Fisher, David Frost, David R Anderson, David Read
Radiological exposures due to naturally occurring radioactive material (NORM) can occur during a wide range of work-related activities in the mineral processing and chemical industries. However, evaluation of such exposures in industrial settings remains a difficult exercise owing inter alia to the large number of personnel, operations and plants affected; assumptions that often have to be made concerning the actual duration and frequency of exposures; the complex chemistry and radioactive disequilibria involved and typically, the paucity of historical data...
April 20, 2017: Journal of Radiological Protection: Official Journal of the Society for Radiological Protection
https://www.readbyqxmd.com/read/28424776/socially-responsible-surgery-building-recognition-and-coalition
#10
Tyler D Robinson, Thiago M Oliveira, Theresa R Timmes, Jacqueline M Mills, Nichole Starr, Matthew Fleming, Megan Janeway, Diane Haddad, Feroze Sidhwa, Ryan D Macht, Douglas F Kauffman, Tracey A Dechert
IMPORTANCE: Socially responsible surgery (SRS) integrates surgery and public health, providing a framework for research, advocacy, education, and clinical practice to address the social barriers of health that decrease surgical access and worsen surgical outcomes in underserved patient populations. These patients face disparities in both health and in health care, which can be effectively addressed by surgeons in collaboration with allied health professionals. OBJECTIVE: We reviewed the current state of surgical access and outcomes of underserved populations in American rural communities, American urban communities, and in low- and middle-income countries...
2017: Frontiers in Surgery
https://www.readbyqxmd.com/read/28422753/steroid-metabolome-analysis-reveals-prevalent-glucocorticoid-excess-in-primary-aldosteronism
#11
Wiebke Arlt, Katharina Lang, Alice J Sitch, Anna S Dietz, Yara Rhayem, Irina Bancos, Annette Feuchtinger, Vasileios Chortis, Lorna C Gilligan, Philippe Ludwig, Anna Riester, Evelyn Asbach, Beverly A Hughes, Donna M O'Neil, Martin Bidlingmaier, Jeremy W Tomlinson, Zaki K Hassan-Smith, D Aled Rees, Christian Adolf, Stefanie Hahner, Marcus Quinkler, Tanja Dekkers, Jaap Deinum, Michael Biehl, Brian G Keevil, Cedric H L Shackleton, Jonathan J Deeks, Axel K Walch, Felix Beuschlein, Martin Reincke
BACKGROUND: Adrenal aldosterone excess is the most common cause of secondary hypertension and is associated with increased cardiovascular morbidity. However, adverse metabolic risk in primary aldosteronism extends beyond hypertension, with increased rates of insulin resistance, type 2 diabetes, and osteoporosis, which cannot be easily explained by aldosterone excess. METHODS: We performed mass spectrometry-based analysis of a 24-hour urine steroid metabolome in 174 newly diagnosed patients with primary aldosteronism (103 unilateral adenomas, 71 bilateral adrenal hyperplasias) in comparison to 162 healthy controls, 56 patients with endocrine inactive adrenal adenoma, 104 patients with mild subclinical, and 47 with clinically overt adrenal cortisol excess...
April 20, 2017: JCI Insight
https://www.readbyqxmd.com/read/28422435/blue-organic-light-emitting-diodes-based-on-fluorene-bridged-quinazoline-and-quinoxaline-derivatives
#12
Dong Young Kim, Jisu Kang, Song Eun Lee, Young Kwan Kim, Seung Soo Yoon
Two blue emitters based on fluorene-bridged quinazoline and quinoxaline derivatives were prepared via the Suzuki reaction. Their photoluminescent properties were investigated. Furthermore, theoretical studies on these materials using the density functional theory calculation were conducted. To explore their electroluminescent properties, multilayered organic light-emitting diodes were fabricated with the following device structure: indium-tin-oxide (180 nm)/4,4'-bis(N-(1-naphthyl)-N-phenylamino)biphenyl (50 nm)/blue emitting materials (1 and 2) (30 nm)/bathophenanthroline (35 nm)/8-hydroxy-quinolinato lithium (2 nm)/Al (100 nm)...
April 19, 2017: Luminescence: the Journal of Biological and Chemical Luminescence
https://www.readbyqxmd.com/read/28422406/comparability-of-three-output-prediction-models-for-a-compact-passively-double-scattered-proton-therapy-system
#13
Sven Ferguson, Yong Chen, Clara Ferreira, Mohammad Islam, Vance P Keeling, Andy Lau, Salahuddin Ahmad, Hosang Jin
The purpose of this study was to investigate comparability of three output prediction models for a compact double-scattered proton therapy system. Two published output prediction models are commissioned for our Mevion S250 proton therapy system. Model A is a correction-based model (Sahoo et al., Med Phys, 2008;35(11):5088-5097) and model B is an analytical model which employs a function of r = (R'-M')/M' (Kooy et al., Phys Med Biol, 2005;50:5487-5456) where R' is defined as depth of distal 100% dose with straggling and M' is the width between distal 100% dose and proximal 100% dose with straggling instead of the theoretical definition due to more accurate output prediction...
April 19, 2017: Journal of Applied Clinical Medical Physics
https://www.readbyqxmd.com/read/28422381/comparison-of-multi-institutional-varian-probeam-pencil-beam-scanning-proton-beam-commissioning-data
#14
Ulrich W Langner, John G Eley, Lei Dong, Katja Langen
PURPOSE: Commissioning beam data for proton spot scanning beams are compared for the first two Varian ProBeam sites in the United States, at the Maryland Proton Treatment Center (MPTC) and Scripps Proton Therapy Center (SPTC). In addition, the extent to which beams can be matched between gantry rooms at MPTC is investigated. METHOD: Beam data for the two sites were acquired with independent dosimetry systems and compared. Integrated depth dose curves (IDDs) were acquired with Bragg peak ion chambers in a 3D water tank for pencil beams at both sites...
April 19, 2017: Journal of Applied Clinical Medical Physics
https://www.readbyqxmd.com/read/28420267/promoting-health-through-policy-and-systems-change-public-health-students-and-mentors-on-the-value-of-policy-advocacy-experience-in-academic-internships
#15
Daniela Marquez, Dylan Pell, Sue Forster-Cox, Evelyn Garcia, Sophia Ornelas, Brenna Bandstra, Holly Mata
Emerging professionals and new Certified Health Education Specialists often lack academic training in and actual experience in National Commission for Health Education Credentialing Area of Responsibility VII: Communicate, Promote, and Advocate for Health, Health Education/Promotion, and the Profession. For undergraduate and graduate students who have an opportunity to complete an internship or practicum experience, gaining experience in Competencies 7.2: Engage in advocacy for health and health education/promotion and 7...
May 2017: Health Promotion Practice
https://www.readbyqxmd.com/read/28419482/fmea-of-manual-and-automated-methods-for-commissioning-a-radiotherapy-treatment-planning-system
#16
Amy Wexler, Bruce Gu, Sreekrishna Goddu, Maya Mutic, Sridhar Yaddanapudi, Lindsey Olsen, Taylor Harry, Camille Noel, Todd Pawlicki, Sasa Mutic, Bin Cai
PURPOSE: To evaluate the level of risk involved in treatment planning system (TPS) commissioning using a manual test procedure, and to compare the associated process-based risk to that of an automated commissioning process (ACP) by performing an in-depth failure modes and effects analysis (FMEA). METHODS: The authors collaborated to determine the potential failure modes of the TPS commissioning process using 1) approaches involving manual data measurement, modeling, and validation tests HYPERLINK \l "Fra98" 1, HYPERLINK \l "Smi15" 2 and 2) an automated process utilizing application programming interface (API) scripting, pre-loaded and pre-modeled standard radiation beam data, digital heterogeneous phantom, and an automated commissioning test suite (ACTS)...
April 17, 2017: Medical Physics
https://www.readbyqxmd.com/read/28418762/challenges-persist-under-americans-with-disabilities-act-amendments-act-how-can-oncology-providers-help
#17
Michael Feuerstein, Amanda K Gehrke, Brian T McMahon, Megan C McMahon
PURPOSE: To determine whether the Amendments to the hallmark Americans with Disabilities Act (ADA; effective January 2009), which provide increased access to the antidiscrimination laws for many with chronic illness, are related to changes in workplace discrimination allegations in individuals with a history of cancer. METHODS: Information collected by the Equal Employment Opportunities Commission was used to compare allegations of discrimination and their merit before (2001 to 2008) and after (2009 to 2011) implementation of the Amendments Act...
April 18, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28418758/inhaled-heparin-therapeutic-efficacy-and-recent-formulations
#18
Ayca Yildiz-Pekoz, Yildiz Ozsoy
Heparin is well known for its anticoagulant and anti-inflammatory properties. Inhaled heparin regimens are increasingly being used to manage lung disease. It has been used to treat cystic fibrosis, thromboembolism, and pulmonary fibrosis, as well as bronchial asthma and asthma-induced airway hypersensitivity. Several preclinical studies attained some useful effects of heparin-administered, parenterally and through inhalation, treatment of lung disease. Besides, recent clinical trials suggest that inhaled heparin for lung diseases is beneficial and safe, but such data remain to be limited...
April 18, 2017: Journal of Aerosol Medicine and Pulmonary Drug Delivery
https://www.readbyqxmd.com/read/28417571/a-health-commission-for-regional-rural-and-remote-australia
#19
EDITORIAL
Russell Roberts
No abstract text is available yet for this article.
April 2017: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/28417229/a-research-agenda-for-the-european-association-for-endoscopic-surgeons-eaes
#20
Nader Francis, Airazat M Kazaryan, Andrea Pietrabissa, David Goitein, Eugenia Yiannakopoulou, Ferdinando Agresta, Igor Khatkov, Svend Schulze, Tan Arulampalam, Victor Tomulescu, Young-Woo Kim, Eduardo Mª Targarona, Giovanni Zaninotto
INTRODUCTION: The European Association of Endoscopic Surgeons (EAES) conducted this study aiming to identify the top research questions which are relevant to surgeons in Minimal Access Surgery (MAS). This is in order to promote and link research questions to the current clinical practice in MAS in Europe. METHODS: Using a systematic methodology, (modified Delphi), the EAES members and leadership teams were surveyed to obtain consensus on the top research priorities in MAS...
April 17, 2017: Surgical Endoscopy
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