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https://www.readbyqxmd.com/read/29330239/one-year-of-family-physicians-observations-on-working-with-medical-scribes
#1
Amelia Sattler, Tracy Rydel, Cathina Nguyen, Steven Lin
PURPOSE: The immense clerical burden felt by physicians is one of the leading causes of burnout. Scribes are increasingly being used to help alleviate this burden, yet few published studies investigate how scribes affect physicians' daily work, attitudes and behaviors, and relationships with patients and the workplace. METHODS: Using a longitudinal observational design, data were collected, over 1 year, from 4 physicians working with 2 scribes at a single academic family medicine practice...
January 2018: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/29330232/interventions-must-be-realistic-to-be-useful-and-completed-in-family-medicine
#2
EDITORIAL
Marjorie A Bowman, Dean A Seehusen, Anne Victoria Neale
Being realistic while helping our patients is this issue's theme. Given the volume of tasks required in family medicine, recommendations for improvements in direct care or care measurement cannot just be evidence-based but must also be realistic. On the list of realistic: ordering antipsychotics for symptoms of dementia in the elderly, despite recommendations to not do so; ordering antidepressants without fear that the patient could develop hypertension; mental health care providers in primary care offices; forced choice for opioid management; plus agenda setting for visit efficiency...
January 2018: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/29328622/laser-induced-conversion-of-teflon-into-fluorinated-nanodiamonds-or-fluorinated-graphene
#3
Ruquan Ye, Xiao Han, Dmitry V Kosynkin, Yilun Li, Chenhao Zhang, Bo Jiang, Angel A Marti, James M Tour
Laser-assisted materials fabrication is an advance that has propelled recent carbon synthesis approaches. Direct laser writing on polyimide or lignocellulose materials by a CO2 laser has successfully transformed the substrates into hierarchical graphene. However, formation of other carbon allotropes such as diamond and fullerene remains challenging. Here we report the direct synthesis of fluorinated nanodiamonds or fluorinated graphene by treating polytetrafluoroethylene (Teflon, or PTFE) with a 9.3 μm pulsed CO2 laser under argon; no exogenous fluorine source is needed...
January 12, 2018: ACS Nano
https://www.readbyqxmd.com/read/29305937/of-mice-and-men-traces-of-life-in-the-death-registries-of-the-1630-plague-in-milano
#4
Alfonsina D'Amato, Gleb Zilberstein, Svetlana Zilberstein, Benedetto Luigi Compagnoni, Pier Giorgio Righetti
The death registries of the plague epidemic of 1630, stored at the Archivio di Stato of Milano, have been interrogated via the EVA film technology (ethyl vinyl acetate film studded with crushed strong anion and cation exchangers as well as C8 resins). The EVA diskettes have been left in contact with the lower right margins of 11 different pages pertaining to the peak months of the raging disease (June through end of September) for 60-90min and then the captured material, after elution and digestion, analysed by mass spectrometry...
January 3, 2018: Journal of Proteomics
https://www.readbyqxmd.com/read/29280815/use-of-scribes-for-documentation-assistance-in-rheumatology-and-endocrinology-clinics-impact-on-clinic-workflow-and-patient-and-physician-satisfaction
#5
Maria I Danila, Joshua A Melnick, Jeffrey R Curtis, Nir Menachemi, Kenneth G Saag
BACKGROUND/OBJECTIVE: The aim of this study was to examine the impact of utilizing medical scribes on clinic workflow, physician professional satisfaction, and patient satisfaction in rheumatology and endocrinology clinics. METHODS: We conducted a within-practice pilot study of medical scribes that included a 6-week intervention phase (documentation assistance by medical scribes) followed by a control phase (usual documentation with no assistance) in outpatient rheumatology and endocrinology clinics at an academic medical center...
December 27, 2017: Journal of Clinical Rheumatology: Practical Reports on Rheumatic & Musculoskeletal Diseases
https://www.readbyqxmd.com/read/29239230/impact-of-a-scribe-program-on-patient-throughput-physician-productivity-and-patient-satisfaction-in-a-community-based-emergency-department
#6
Waqas Shuaib, John Hilmi, Joshua Caballero, Ijaz Rashid, Hashim Stanazai, Alan Ajanovic, Alex Moshtaghi, Ahmed Amari, Kerolos Tawfeek, Anjit Khurana, Hesham Hasabo, Abdulrehman Baqais, Ahmed A Mattar, Theodore J Gaeta
Previous literature on the impact of scribe programs varies and has mostly been reported from academic institutions or other clinics. We report the implementation of the scribe program in the emergency room of a community hospital and its impact on patient throughput, physician productivity, and patient satisfaction. We performed a quasi-experimental, before-and-after study measuring patient throughput metrics, physician productivity, and patient satisfaction. The intervention measuring the scribe implementation was divided into pre- and post-implementation periods...
March 1, 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/29200258/roll-to-roll-laser-printed-graphene-graphitic-carbon-electrodes-for-high-performance-supercapacitors
#7
Sangmin Kang, Kyungmi Lim, Hyeokjun Park, Jong Bo Park, Seong Chae Park, Sung-Pyo Cho, Kisuk Kang, Byung Hee Hong
Carbon electrodes including graphene and thin graphite films have been utilized for various energy and sensor applications, where the patterning of electrodes is essentially included. Laser scribing in a DVD writer and ink-jet printing were used to pattern the graphene-like materials, but the size and speed of fabrication has been limited for practical applications. In this work, we devise a simple strategy to use conventional laser printer toner materials as precursors for graphitic carbon electrodes. The toner was laser-printed on metal foils, followed by thermal annealing in hydrogen environment, finally resulting in the patterned thin graphitic carbon or graphene electrodes for supercapacitors...
December 4, 2017: ACS Applied Materials & Interfaces
https://www.readbyqxmd.com/read/29148157/novel-ws9326a-derivatives-and-one-novel-annimycin-derivative-with-antimalarial-activity-are-produced-by-streptomyces-asterosporus-dsm-41452-and-its-mutant
#8
Andreas Bechthold, Songya Zhang, Jing Zhu, David Zechel, Claudia Jessen-Trefzer, Richard T Eastman, Thomas Paululat
In this study we report that Streptomyces asterosporus DSM 41452 is a producer of new molecules related to the non-ribosomal cyclodepsipeptide WS9326A and the polyketide Annimycin. S. asterosporus DSM 41452 is shown to produce six cyclodepsipeptides and peptides, WS9326A to G. Notably, the compounds WS9326F and WS9326G have not been de-scribed before. The genome of S. asterosporus DSM 41452 was sequenced and a putative WS9326A gene cluster was iden-tified. Gene deletion experiments confirmed that this cluster is responsible for the biosynthesis of WS9326A to G...
November 17, 2017: Chembiochem: a European Journal of Chemical Biology
https://www.readbyqxmd.com/read/29111702/identification-and-interrogation-of-the-herbicidin-biosynthetic-gene-cluster-first-insight-into-the-biosynthesis-of-a-rare-undecose-nucleoside-antibiotic
#9
Geng-Min Lin, Anthony J Romo, Priscilla H Liem, Zhang Chen, Hung-Wen Liu
Herbicidins are adenosine-based nucleoside antibiotics with an unusual tricyclic undecose core decorated with a (5-hydroxy)tiglyl moiety. Feeding studies are herein reported demonstrating that the tricyclic core is derived from d-glucose and d-ribose, whereas the tiglyl moiety is derived from an intermediate of l-isoleucine catabolism. Identification of the gene cluster for herbicidin A biosynthesis in Streptomyces sp. L-9-10 as well as its verification by heterologous expression in a nonproducing host are described, and the results of in vitro characterization of a carboxyl methyltransferase encoded in the cluster, Her8, are presented...
November 8, 2017: Journal of the American Chemical Society
https://www.readbyqxmd.com/read/29094159/medical-scribes-in-an-academic-dermatology-practice
#10
Vinod E Nambudiri, Alice J Watson, Elizabeth A Buzney, Thomas S Kupper, Mitchell H Rubenstein, Fei-Shiuann Clarissa Yang
No abstract text is available yet for this article.
November 1, 2017: JAMA Dermatology
https://www.readbyqxmd.com/read/28984020/single-step-reagentless-laser-scribing-fabrication-of-electrochemical-paper-based-analytical-devices
#11
William R de Araujo, Carolina M R Frasson, Wilson A Ameku, José R Silva, Lúcio Angnes, Thiago R L C Paixão
A single-step laser scribing process is used to pattern nanostructured electrodes on paper-based devices. The facile and low-cost technique eliminates the need for chemical reagents or controlled conditions. This process involves the use of a CO2 laser to pyrolyze the surface of the paperboard, producing a conductive porous non-graphitizing carbon material composed of graphene sheets and composites with aluminosilicate nanoparticles. The new electrode material was extensively characterized, and it exhibits high conductivity and an enhanced active/geometric area ratio; it is thus well-suited for electrochemical purposes...
October 5, 2017: Angewandte Chemie
https://www.readbyqxmd.com/read/28971848/emergency-consultants-value-medical-scribes-and-most-prefer-to-work-with-them-a-few-would-rather-not-a-qualitative-australian-study
#12
Timothy Luke Cowan, William A Dunlop, Michael Ben-Meir, Margaret Staples, Ainsley Treadwell, Eliza Gardner-Brunton, Katherine Justice Walker
OBJECTIVE: The utilisation of medical scribes in the USA has enabled productivity gains for emergency consultants, though their personal experiences have not been widely documented. We aimed to evaluate the consultant experience of working with scribes in an Australian ED. METHODS: Emergency consultants working with scribes and those who declined to work with scribes were invited to participate in individual interviews (structured and semistructured questions) about scribes, scribe work and the scribe program in October 2016...
January 2018: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/28956888/the-9-item-physician-documentation-quality-instrument-pdqi-9-score-is-not-useful-in-evaluating-emr-scribe-note-quality-in-emergency-medicine
#13
Katherine J Walker, Andrew Wang, William Dunlop, Hamish Rodda, Michael Ben-Meir, Margaret Staples
BACKGROUND: Scribes are assisting Emergency Physicians by writing their electronic clinical notes at the bedside during consultations. They increase physician productivity and improve their working conditions. The quality of Emergency scribe notes is unevaluated and important to determine. OBJECTIVE: The primary objective of the study was to determine if the quality of Emergency Department scribe notes was equivalent to physician only notes, using the Physician Documentation Quality Instrument, Nine-item tool (PDQI-9)...
September 26, 2017: Applied Clinical Informatics
https://www.readbyqxmd.com/read/28931497/use-of-simulation-based-on-an-electronic-health-records-environment-to-evaluate-the-structure-and-accuracy-of-notes-generated-by-medical-scribes-proof-of-concept-study
#14
Robert Pranaat, Vishnu Mohan, Megan O'Reilly, Maxwell Hirsh, Karess McGrath, Gretchen Scholl, Deborah Woodcock, Jeffrey A Gold
BACKGROUND: The increasing adoption of electronic health records (EHRs) has been associated with a number of unintended negative consequences with provider efficiency and job satisfaction. To address this, there has been a dramatic increase in the use of medical scribes to perform many of the required EHR functions. Despite this rapid growth, little has been published on the training or assessment tools to appraise the safety and efficacy of scribe-related EHR activities. Given the number of reports documenting that other professional groups suffer from a number of performance errors in EHR interface and data gathering, scribes likely face similar challenges...
September 20, 2017: JMIR Medical Informatics
https://www.readbyqxmd.com/read/28893812/impact-of-scribes-on-physician-satisfaction-patient-satisfaction-and-charting-efficiency-a-randomized-controlled-trial
#15
Risha Gidwani, Cathina Nguyen, Alexis Kofoed, Catherine Carragee, Tracy Rydel, Ian Nelligan, Amelia Sattler, Megan Mahoney, Steven Lin
PURPOSE: Scribes are increasingly being used in clinical practice despite a lack of high-quality evidence regarding their effects. Our objective was to evaluate the effect of medical scribes on physician satisfaction, patient satisfaction, and charting efficiency. METHODS: We conducted a randomized controlled trial in which physicians in an academic family medicine clinic were randomized to 1 week with a scribe then 1 week without a scribe for the course of 1 year...
September 2017: Annals of Family Medicine
https://www.readbyqxmd.com/read/28796453/sociology-as-a-love-story-confessions-of-a-movement-scribe
#16
Judith Taylor
No abstract text is available yet for this article.
August 2017: Canadian Review of Sociology, Revue Canadienne de Sociologie
https://www.readbyqxmd.com/read/28737226/laser-induced-graphene-formation-on-wood
#17
Ruquan Ye, Yieu Chyan, Jibo Zhang, Yilun Li, Xiao Han, Carter Kittrell, James M Tour
Wood as a renewable naturally occurring resource has been the focus of much research and commercial interests in applications ranging from building construction to chemicals production. Here, a facile approach is reported to transform wood into hierarchical porous graphene using CO2 laser scribing. Studies reveal that the crosslinked lignocellulose structure inherent in wood with higher lignin content is more favorable for the generation of high-quality graphene than wood with lower lignin content. Because of its high electrical conductivity (≈10 Ω per square), graphene patterned on wood surfaces can be readily fabricated into various high-performance devices, such as hydrogen evolution and oxygen evolution electrodes for overall water splitting with high reaction rates at low overpotentials, and supercapacitors for energy storage with high capacitance...
July 24, 2017: Advanced Materials
https://www.readbyqxmd.com/read/28723173/laser-scribed-graphene-electrodes-for-aptamer-based-biosensing
#18
Christoph Fenzl, Pranati Nayak, Thomas Hirsch, Otto S Wolfbeis, Husam N Alshareef, Antje J Baeumner
Graphene as a transducer material has produced some of the best-performing sensing approaches to date opening the door toward integrated miniaturized all-carbon point-of-care devices. Addressing this opportunity, laser-scribed graphene (LSG) electrodes are demonstrated here as highly sensitive and reliable biosensor transducers in blood serum analysis. These flexible electrodes with large electrochemical surface areas were fabricated using a direct-write laser process on polyimide foils. A universal immobilization approach is established by anchoring 1-pyrenebutyric acid to the graphene and subsequently covalently attaching an aptamer against the coagulation factor thrombin as an exemplary bioreceptor to the carboxyl groups...
May 26, 2017: ACS Sensors
https://www.readbyqxmd.com/read/28712608/a-custom-developed-emergency-department-provider-electronic-documentation-system-reduces-operational-efficiency
#19
Joshua Feblowitz, Sukhjit S Takhar, Michael J Ward, Ryan Ribeira, Adam B Landman
STUDY OBJECTIVE: Electronic health record implementation can improve care, but may also adversely affect emergency department (ED) efficiency. We examine how a custom, ED provider, electronic documentation system (eDoc), which replaced paper documentation, affects operational performance. METHODS: We analyzed retrospective operational data for 1-year periods before and after eDoc implementation in a single ED. We computed daily operational statistics, reflecting 60,870 pre- and 59,337 postimplementation patient encounters...
November 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28705266/a-new-method-for-blood-nt-probnp-determination-based-on-a-near-infrared-point-of-care-testing-device-with-high-sensitivity-and-wide-scope
#20
Xiao Guang Zhang, Yao Gen Shu, Ju Gao, Xuan Wang, Li Peng Liu, Meng Wang, Yu Xi Cao, Yi Zeng
OBJECTIVE: To develop a rapid, highly sensitive, and quantitative method for the detection of NT-proBNP levels based on a near-infrared point-of-care diagnostic (POCT) device with wide scope. METHODS: The lateral flow assay (LFA) strip of NT-proBNP was first prepared to achieve rapid detection. Then, the antibody pairs for NT-proBNP were screened and labeled with the near-infrared fluorescent dye Dylight-800. The capture antibody was fixed on a nitrocellulose membrane by a scribing device...
June 2017: Biomedical and Environmental Sciences: BES
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