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https://www.readbyqxmd.com/read/28526590/scribes-re-writing-the-story-on-patient-and-provider-experience
#1
Kyle Morawski, Jennifer Childs-Roshak, Alan Weitberg
No abstract text is available yet for this article.
May 16, 2017: Healthcare
https://www.readbyqxmd.com/read/28524191/thermal-scribing-to-prototype-plastic-microfluidic-devices-applied-to-study-the-formation-of-neutrophil-extracellular-traps
#2
Arvind Chandrasekaran, Nikita Kalashnikov, Roni Rayes, Claire Wang, Jonathan Spicer, Christopher Moraes
Innovation in microfluidics-based biological research has been aided by the growing accessibility of versatile microscale fabrication techniques, particularly in rapid prototyping of elastomeric polydimethylsiloxane (PDMS) based devices. However, the use of PDMS presents considerable and often unexpected limitations, particularly in interpreting and validating biological data. To rapidly prototype microfluidic culture systems in conventional plastics commonly used in cell culture, we developed 'thermal scribing', a one-step micromachining technique in which thermoplastics are locally patterned by a heated tip, moving in user-controlled patterns...
May 19, 2017: Lab on a Chip
https://www.readbyqxmd.com/read/28505708/decomposition-of-strongly-charged-topological-defects
#3
Samo Kralj, Bryce S Murray, Charles Rosenblatt
We study decomposition of geometrically enforced nematic topological defects bearing relatively large defect strengths m in effectively two-dimensional planar systems. Theoretically, defect cores are analyzed within the mesoscopic Landau-de Gennes approach in terms of the tensor nematic order parameter. We demonstrate a robust tendency of defect decomposition into elementary units where two qualitatively different scenarios imposing total defect strengths on a nematic region are employed. Some theoretical predictions are verified experimentally, where arrays of defects bearing charges m=±1 and even m=±2 are enforced within a plane-parallel nematic cell using an atomic force microscopy scribing method...
April 2017: Physical Review. E
https://www.readbyqxmd.com/read/28488266/qt-interval-prolongation-in-opioid-agonist-treatment-analysis-of-continuous-12-lead-electrocardiogram-recordings
#4
Geoffrey K Isbister, Amanda L Brown, Anthony Gill, Alexander J Scott, Leonie Calver, Adrian J Dunlop
BACKGROUND: Methadone is a widely used opioid agonist treatment associated with QT prolongation and torsades des pointes. We investigated the QT interval in patients treated with methadone or buprenorphine using continuous 12-lead holter recordings. METHODS: We prospectively recorded 24 h holters in patients prescribed methadone or buprenorphine, compared to controls. After their normal dose a continuous 12-lead holter recorder was attached for 24 h. Digital electrocardiograms were extracted hourly from the holter recordings...
May 9, 2017: British Journal of Clinical Pharmacology
https://www.readbyqxmd.com/read/28438104/impact-of-a-scribe-program-on-patient-throughput-physician-productivity-and-patient-satisfaction-in-a-community-based-emergency-department
#5
Waqas Shuaib, John Hilmi, Joshua Caballero, Ijaz Rashid, Hashim Stanazai, Kerolos Tawfeek, Ahmed Amari, Alan Ajanovic, Alex Moshtaghi, Anjit Khurana, Hesham Hasabo, Abdulrehman Baqais, Arthur J Szczerba, 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...
April 1, 2017: Health Informatics Journal
https://www.readbyqxmd.com/read/28406026/multiple-color-generating-cu-in-ga-s-se-2-thin-film-solar-cells-via-dichroic-film-incorporation-for-power-generating-window-applications
#6
Gang Yeol Yoo, Jae-Seung Jeong, Soyoung Lee, Youngki Lee, Hee Chang Yoon, Van Ben Chu, Gi Soon Park, Yun Jeong Hwang, Woong Kim, Byoung Koun Min, Young Rag Do
There are four prerequisites when applying all types of thin-film solar cells to power-generating window photovoltaics (PVs): high power-generation efficiency, longevity and high durability, semitransparency or partial-light transmittance, and colorful and aesthetic value. Solid-type thin-film Cu(In,Ga)S2 (CIGS) or Cu(In,Ga)(S,Se)2 (CIGSSe) PVs nearly meet the first two criteria, making them promising candidates for power-generating window applications if they can transmit light to some degree and generate color with good aesthetic value...
April 20, 2017: ACS Applied Materials & Interfaces
https://www.readbyqxmd.com/read/28401243/two-shell-structured-pmaa-ceo2-nanocontainers-loaded-with-2-mercaptobenzothiazole-for-corrosion-protection-of-damaged-epoxy-coated-aa-2024-t3
#7
A C Balaskas, T Hashimoto, M Curioni, G E Thompson
In this work, novel two-shell structured inhibitor-loaded poly(methacrylic acid)@cerium oxide (PMAA@CeO2) nanocontainers were synthesised and characterized. The purpose of the nanocontainers is to increase the corrosion protection provided by an epoxy coating applied to an aerospace alloy (AA 2024-T3). The (PMAA@CeO2) nanocontainers with diameters of 550 nm were synthesised by a four-step process with the method of distillation precipitation polymerization for the synthesis of the inner PMAA layer, and the sol-gel method for the development of the outer CeO2 layer...
May 4, 2017: Nanoscale
https://www.readbyqxmd.com/read/28379818/building-a-sustainable-primary-care-workforce-where-do-we-go-from-here
#8
Mark Linzer, Sara Poplau
The article by Puffer et al in this month's JABFM confirms a high burnout rate (25%) among family physicians renewing their credentials, with a higher rate among young and female doctors. Recent reports confirm high burnout rates among general internists. Thus, mechanisms to monitor and improve worklife in primary care are urgently needed. We describe the Mini Z (for "zero burnout program") measure, designed for these purposes, and suggest interventions that might improve satisfaction and sustainability in primary care, including longer visits, clinician control of work schedules, scribe support for electronic medical record work, team-based care, and an explicit emphasis on work-home balance...
March 2017: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/28375393/can-scribes-boost-fps-efficiency-and-job-satisfaction
#9
Stephen T Earls, Judith A Savageau, Susan Begley, Barry G Saver, Kate Sullivan, Alan Chuman
Purpose: Research in other medical specialties has shown that the addition of medical scribes to the clinical team enhances physicians' practice experience and increases productivity. To date, literature on the implementation of scribes in primary care is limited. To determine the feasibility and benefits of implementing scribes in family medicine, we undertook a pilot mixed- method quality improvement (QI) study. Methods: In 2014, we incorporated 4 parttime scribes into an academic family medicine practice consisting of 7 physicians...
April 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28361924/bioinspired-fractal-electrodes-for-solar-energy-storages
#10
Litty V Thekkekara, Min Gu
Solar energy storage is an emerging technology which can promote the solar energy as the primary source of electricity. Recent development of laser scribed graphene electrodes exhibiting a high electrical conductivity have enabled a green technology platform for supercapacitor-based energy storage, resulting in cost-effective, environment-friendly features, and consequent readiness for on-chip integration. Due to the limitation of the ion-accessible active porous surface area, the energy densities of these supercapacitors are restricted below ~3 × 10(-3) Whcm(-3)...
March 31, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28355527/feasibility-evaluation-of-a-pilot-scribe-training-program-in-an-australian-emergency-department
#11
Katherine Walker, Matthew Johnson, William Dunlop, Margaret Staples, Hamish Rodda, Ian Turner, Michael Ben-Meir
Objective Medical scribes have an emerging and expanding role in health, particularly in Emergency Medicine in the US. Scribes assist physicians with documentation and clerical tasks at the bedside while the physician consults with his or her patient. Scribes increase medical productivity. The aim of the present study was to examine the feasibility of a pilot hospital-administered scribe-training program in Australia and to evaluate the ability of an American training course (Medical Scribe Training Systems) to prepare trainee scribes for clinical training in an emergency department in Australia...
March 7, 2017: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/28222261/enhanced-release-of-molecules-upon-uv-light-irradiation-from-photoresponsive-hydrogels-prepared-from-bifunctional-azobenzene-and-four-arm-poly-ethylene-glycol
#12
Shiva Kumar Rastogi, Hailee E Anderson, Joseph Lamas, Scott L Barrett, Travis Cantu, Stefan Zauscher, William J Brittain, Tania Betancourt
Advances in biosensors and drug delivery depend on hydrogels that respond to external stimuli. In this work we de-scribe the preparation and characterization of photoresponsive hydrogels prepared by crosslinking of di-NHS ester of azobenzoic acid and four-armed, amine-terminated poly(ethylene glycol). The porous structure and composition of the hydrogels were confirmed by scanning electron microscopy and Fourier transform infrared (FTIR) spectroscopy. The reversible photoisomerization of the azobenzene-containing hydrogel crosslinkers in the gels was confirmed by ab-sorption spectroscopy...
February 21, 2017: ACS Applied Materials & Interfaces
https://www.readbyqxmd.com/read/28198196/isolating-the-unique-effects-of-the-unified-protocol-treatment-modules-using-single-case-experimental-design
#13
Shannon Sauer-Zavala, Clair Cassiello-Robbins, Laren R Conklin, Jacqueline R Bullis, Johanna Thompson-Hollands, Katherine A Kennedy
The Unified Protocol (UP) for the Transdiagnostic Treatment of Emotional Disorders is a cognitive-behavioral intervention designed to treat the range of anxiety, depressive, and related disorders. Thus far, the UP treatment modules have only been studied when they are delivered in their entirety and presented in a standard sequence. To personalize the presentation of the UP modules for a given patient's presentation (e.g., providing the modules in a varied order, dropping irrelevant modules), it is first necessary to establish that each module leads to change in the skill it is designed to promote, and that these changes can occur in the absence of the other modules...
March 2017: Behavior Modification
https://www.readbyqxmd.com/read/28192657/durable-and-hydrophobic-organic-inorganic-hybrid-coatings-via-fluoride-rearrangement-of-phenyl-t12-silsesquioxane-and-siloxanes
#14
David J Krug, Richard M Laine
There have been many successful efforts to enhance the water shedding properties of hydrophobic and superhydrophobic coatings, but durability is often a secondary concern. Here, we describe durable and hydrophobic coatings prepared via fluoride catalyzed rearrangement reaction of dodecaphenylsilsesquioxane [PhSiO1.5]12 (DDPS) with octamethylcyclotetrasiloxane (D4). Hydrophobic properties and wear resistance are maximized by incorporating both low surface energy moieties and cross-linkable moieties into the siloxane network...
February 21, 2017: ACS Applied Materials & Interfaces
https://www.readbyqxmd.com/read/28186072/the-evolving-role-of-medical-scribe-variation-and-implications-for-organizational-effectiveness-and-safety
#15
Deborah V Woodcock, Robert Pranaat, Karess McGrath, Joan S Ash
Increasing use of medical scribes is an unintended consequence of electronic health record adoption in the U.S. The role of scribe is not universally defined, leading to variations in scribe training and operations, as well as questions about scribe efficiency, effectiveness, and safety. Studies published since 2009 have primarily focused on the financial aspects of scribe use, but no published studies have taken an organizational view of this phenomenon. This paper describes stakeholder perspectives on scribes working in outpatient settings within an urban tertiary academic medical center...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28169473/fluorescence-detection-of-microcapsule-type-self-healing-based-on-aggregation-induced-emission
#16
Young Kyu Song, Beomjin Kim, Tae Hee Lee, Jin Chul Kim, Joon Hyun Nam, Seung Man Noh, Young Il Park
An extrinsic self-healing coating system containing tetraphenylethylene (TPE) in microcapsules was monitored by measuring aggregation-induced emission (AIE). The core healing agent comprised of methacryloxypropyl-terminated polydimethylsiloxane, styrene, benzoin isobutyl ether, and TPE was encapsulated in a urea-formaldehyde shell. The photoluminescence of the healing agent in the microcapsules was measured that the blue emission intensity dramatically increased and the storage modulus also increased up to 10(5) Pa after the photocuring...
March 2017: Macromolecular Rapid Communications
https://www.readbyqxmd.com/read/28001271/validation-of-risk-indicators-for-the-constitution-of-the-reader-scribe
#17
Janaina de Albuquerque Venezian, Regina Maria Freire
Purpose: To evaluate risk factors for the constitution of the reader/scribe. Methods: This is an exploratory study in which a retrospective questionnaire about the child before entering elementary school, based on preliminary indicators for the constitution of the subject reader/scribe, was applied to a population of 293 parents of elementary school students from a public school in São Paulo. The findings were crossed with the diagnostic survey of writing of students from the 1st to the 5th grade and with the evaluation of text production of students from the 3rd to the 5th grade...
November 2016: CoDAS
https://www.readbyqxmd.com/read/27988262/impact-of-scribes-on-billed-relative-value-units-in-an-academic-emergency-department
#18
Heather A Heaton, David M Nestler, Derick D Jones, Rachelen S Varghese, Christine M Lohse, Eric S Williamson, Annie T Sadosty
BACKGROUND: Scribe use throughout health care is becoming more common. There is limited peer-reviewed literature supporting this emerging role in health care despite rapid uptake of the role. OBJECTIVES: Our study assesses impact of scribes on relative value units (RVUs) in adult and pediatric emergency departments (EDs). METHODS: A prospective cohort study was developed in a tertiary academic ED. Charts were coded by an external billing and coding company, then returned and mapped by International Classification of Diseases, 9th revision diagnostic codes...
March 2017: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27924913/thermal-alternating-polymer-nanocomposite-tapnc-coating-designed-to-prevent-aerodynamic-insect-fouling
#19
Ilker S Bayer, K Ghokulla Krishnan, Robert Robison, Eric Loth, Douglas H Berry, Thomas E Farrell, Jeffrey D Crouch
Insect residue adhesion to moving surfaces such as turbine blades and aircraft not only causes surface contamination problems but also increases drag on these surfaces. Insect fouling during takeoff, climb and landing can result in increased drag and fuel consumption for aircraft with laminar-flow surfaces. Hence, certain topographical and chemical features of non-wettable surfaces need to be designed properly for preventing insect residue accumulation on surfaces. In this work, we developed a superhydrophobic coating that is able to maintain negligible levels of insect residue after 100 high speed (50 m/s) insect impact events produced in a wind tunnel...
December 7, 2016: Scientific Reports
https://www.readbyqxmd.com/read/27910922/the-influence-of-laser-scribing-on-magnetic-domain-formation-in-grain-oriented-electrical-steel-visualized-by-directional-neutron-dark-field-imaging
#20
P Rauscher, B Betz, J Hauptmann, A Wetzig, E Beyer, C Grünzweig
The performance and degree of efficiency of transformers are directly determined by the bulk magnetic properties of grain oriented electrical steel laminations. The core losses can be improved by post manufacturing methods, so-called domain refinement techniques. All these methods induce mechanical or thermal stress that refines the domain structure. The most commonly used technique is laser scribing due to the no-contact nature and the ease of integration in existing production systems. Here we show how directional neutron dark-field imaging allows visualizing the impact of laser scribing on the bulk and supplementary domain structure...
December 2, 2016: Scientific Reports
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