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Marc L Martel, Brian H Imdieke, Kayla M Holm, Sara Poplau, William G Heegaard, Jon L Pryor, Mark Linzer
BACKGROUND: Medical scribes are frequently incorporated into the patient care model to improve provider efficiency and enable providers to refocus their attention to the patient rather than the electronic health record (EHR). The medical scribe program was based on four pillars (objectives): (1) provider satisfaction, (2) standardized documentation, (3) documentation components for risk adjustment, and (4) revenue enhancement. METHODS: The medical scribe program was deployed in nine non-resident-supported clinics (internal medicine, ophthalmology, orthopedics, hematology/oncology, urology), with the medical scribes (who have no clinical duties) supporting both physicians and advanced practice providers (nurse practitioners and physician assistants)...
May 2018: Joint Commission Journal on Quality and Patient Safety
Shannon Sauer-Zavala, Clair Cassiello-Robbins, Amantia A Ametaj, Julianne G Wilner, Danyelle Pagan
Most patients in community practice attend significantly fewer sessions than are recommended by treatment protocols that have demonstrated efficacy in addressing emotional disorders. Personalized interventions that target the core processes thought to maintain a wide range of disorders may serve to increase treatment efficiency, addressing this gap. This study sought to evaluate the feasibility and acceptability of the personalized delivery of a mechanistically transdiagnostic intervention, the Unified Protocol (UP) for Transdiagnostic Treatment of Emotional Disorders...
May 1, 2018: Behavior Modification
Zhen-Zhen Lyu, Nian-Zhen Liu, Qun-Gang Qian, Xiao-Jiang Zhou
This study aims at making full use of microbial resources, and screening the active endophytic fungi of anti-rheumatoid arthritis from Zanthoxylum simulans. The endophytic fungi were cultured and isolated by tissue culture and scribing method, and the active strain of inhibiting the proliferation of human rheumatoid arthritis synovial fibroblasts (HFLS-RA) was screened by MTT method. Morphological characteristics and rDNA ITS1-5.8S-ITS2 sequences were applied for the taxonomy of endophytic fungi. Strains were isolated from Z...
April 2018: Zhongguo Zhong Yao za Zhi, Zhongguo Zhongyao Zazhi, China Journal of Chinese Materia Medica
Tinde Van Andel, Ariane Scholman, Mieke Beumer
ETHNOPHARMACOLOGICAL RELEVANCE: From 1640-1796, the Dutch East India Company (VOC) occupied the island of Ceylon (now Sri Lanka). Several VOC officers had a keen interest in the medicinal application of the local flora. The Leiden University Library holds a two-piece codex entitled: Icones Plantarum Malabaricarum, adscriptis nominibus et viribus, Vol. I. & II. (Illustrations of Plants from the Malabar, assigned names and strength). This manuscript contains 262 watercolour drawings of medicinal plants from Sri Lanka, with handwritten descriptions of local names, habitus, medicinal properties and therapeutic applications...
April 27, 2018: Journal of Ethnopharmacology
Jiao Yang Lu, Xin Xing Zhang, Qiu Yan Zhu, Fu Rui Zhang, Wei Tao Huang, Xue Zhi Ding, Li Qiu Xia, Hong Qun Luo, Nian Bing Li
Patterning graphene allows to precisely tune its properties to manufacture flexible functional materials or miniaturized devices for electronic and biomedical applications. However, conventional lithographic techniques are cumbersome for scalable producing time- and cost-effective graphene patterns, thus greatly impeding their practical applications. Here we present a simple scalable fabrication of wafer-scale 3D graphene micropatterns by direct laser tuning expansion and reduction of graphene oxide using a standard LightScribe DVD burner...
April 27, 2018: ACS Applied Materials & Interfaces
Anastasia Pozdnyakova, Neda Laiteerapong, Anna Volerman, Lauren D Feld, Wen Wan, Deborah L Burnet, Wei Wei Lee
BACKGROUND: Use of electronic health records (EHRs) is associated with physician stress and burnout. While emergency departments and subspecialists have used scribes to address this issue, little is known about the impact of scribes in academic primary care. OBJECTIVE: Assess the impact of a scribe on physician and patient satisfaction at an academic general internal medicine (GIM) clinic. DESIGN: Prospective, pre-post-pilot study. During the 3-month pilot, physicians had clinic sessions with and without a scribe...
April 26, 2018: Journal of General Internal Medicine
Diana C Vanegas, Laksmi Patiño, Connie Mendez, Daniela Alves de Oliveira, Alba M Torres, Carmen L Gomes, Eric S McLamore
In foods, high levels of biogenic amines (BA) are the result of microbial metabolism that could be affected by temperatures and storage conditions. Thus, the level of BA is commonly used as an indicator of food safety and quality. This manuscript outlines the development of laser scribed graphene electrodes, with locally sourced materials, for reagent-free food safety biosensing. To fabricate the biosensors, the graphene surface was functionalized with copper microparticles and diamine oxidase, purchased from a local supermarket; and then compared to biosensors fabricated with analytical grade materials...
April 24, 2018: Biosensors
Hanhui Liu, Mengping Li, Richard B Kaner, Songyan Chen, Qibing Pei
Owing to the need for portable and sustainable energy sources and the development trend for microminiaturization and multifunctionalization in the electronic components, the study of integrated self-charging power packs has attracted increasing attention. A new self-charging power pack consisting of a silicon nanowire array/poly(3,4-ethylenedioxythiophene):polystyrenesulfonate (PEDOT:PSS) hybrid solar cell and a laser-scribed graphene (LSG) supercapacitor has been fabricated. The Si nanowire array/PEDOT:PSS hybrid solar cell structure exhibited a high power conversion efficiency (PCE) of 12...
April 25, 2018: ACS Applied Materials & Interfaces
Mohammad Nooraiepour, Hossein Fazeli, Rohaldin Miri, Helge Hellevang
Fracture networks inside the caprock for CO2 storage reservoirs may serve as leakage pathways. Fluid flow through fractured caprocks and bypass conduits, however, can be restrained or diminished by mineral precipitations. This study investigates precipitation of salt crystals in an artificial fracture network as a function of pressure-temperature conditions and CO2 phase states. The impact of CO2 flow rate on salt precipitation was also studied. The primary research objective was to examine whether salt precipitation can block potential CO2 leakage pathways...
April 23, 2018: Environmental Science & Technology
Julia Hafer, Xibin Wu, Steven Lin
BACKGROUND AND OBJECTIVES: Medical scribes are an increasingly popular strategy for reducing clerical burden, but little is known about their effect on medical student education. We aimed to evaluate the impact of scribes on medical students' self-reported learning experience. METHODS: We conducted a mixed-methods pilot study. Participants were medical students (third and fourth years) on a family medicine clerkship who worked with an attending physician who practiced with a scribe...
April 2018: Family Medicine
Arsalan Manzoor Mughal, Sirajul Haque Shaikh
Objective: Collaborative Problem Solving Empirical Progressions from the Assessment and Teaching of 21st Century Skills (ATC21S) framework were used to determine the level of collaborative problem solving skills (CPS) in first, second and third year MBBS students at Ziauddin College of Medicine during Problem-Based Learning (PBL) sessions. Variations based on gender and roles were studied. Methods: It is an analytical comparative cross-sectional study in which seven PBL groups were selected per year by non-probability convenient sampling...
January 2018: Pakistan Journal of Medical Sciences Quarterly
Ruirui Gu, Karolina Flidrova, Jean-Marie Lehn
Fast and reversible dynamic covalent C═C/C═N exchange takes place without catalyst in nonpolar solvents between barbiturate-derived Knoevenagel (Kn) compounds and imines. A detailed study of the reaction indicates that it proceeds by an associative organo-metathesis mechanism involving the formation of a four-membered ring azetidine intermediate by addition of the imine C═N group to the C═C bond of the Kn compound. This intermediate could be generated cleanly and stabilized at low temperature by condensation of the o,p-dinitrophenyl Kn derivative with the cyclic imine 1-azacyclohexene...
April 25, 2018: Journal of the American Chemical Society
Songyue Lin, Wendou Feng, Xiaofei Miao, Xiangxin Zhang, Sujing Chen, Yuanqiang Chen, Wei Wang, Yining Zhang
Flexible and implantable glucose biosensors are emerging technologies for continuous monitoring of blood-glucose of diabetes. Developing a flexible conductive substrates with high active surface area is critical for advancing the technology. Here, we successfully fabricate a flexible and highly sensitive nonenzymatic glucose by using DVD-laser scribed graphene (LSG) as a flexible conductively substrate. Copper nanoparticles (Cu-NPs) are electrodeposited as the catalyst. The LSG/Cu-NPs sensor demonstrates excellent catalytic activity toward glucose oxidation and exhibits a linear glucose detection range from 1 μM to 4...
July 1, 2018: Biosensors & Bioelectronics
Yaping Xiang, Jianyun Lu, Feifeng Li, Jian Huang, Caifeng Yang, Zhibing Fu, Lihua Gao
To explore a new method for detecting the bactericidal effect of oiling agent in vitro, and to determine the disinfectant effecacy of ozonated camellia oil on Staphylococcus aureus.
 Methods: Suspension of Staphylococcus aureus was prepared and innoculated on the LB plate by plate scribing method. After culture overnight, 21 bacterial monoclones with the same diameter were selected and divided into 3 groups: A negative control group, a baseoil (camellia oil) group and an ozonated camellia oil group. We used a ring to isolate the single clone and added oil inside the ring, cultured the whole plate over night, picked out each single clone (with gel) to 5 mL LB medium and cultured it for 12 h...
February 28, 2018: Zhong Nan da Xue Xue Bao. Yi Xue Ban, Journal of Central South University. Medical Sciences
Jeffrey Bruffaerts, Alexandre Vasseur, Sukhdev Singh, Ahmad Masarwa, Dorian Didier, Liron Oskar, Lionel Perrin, Odile Eisenstein, Ilan Marek
Several approaches using organozirconocene species for the remote cleavage of strained three-membered ring carbocycles are described. ω-Ene polysubstituted cyclopropanes, alkylidenecyclopropanes, ω-ene spiro[2.2]pentanes, and ω-ene cyclopropyl methyl ethers were successfully transformed into stereodefined organometallic intermediates, allowing an easy access to highly stereoenriched acyclic scaffolds in good yields and, in most cases, excellent selectivities. DFT calculations and isotopic labeling experiments were performed to delineate the origin of the obtained chemo- and stereoselectivities, demonstrating the importance of microreversibility...
April 6, 2018: Journal of Organic Chemistry
Christian Maurer, Jonathan Baré, Jolanta Kusmierczyk-Michulec, Alice Crawford, Paul W Eslinger, Petra Seibert, Blake Orr, Anne Philipp, Ole Ross, Sylvia Generoso, Pascal Achim, Michael Schoeppner, Alain Malo, Anders Ringbom, Olivier Saunier, Denis Quèlo, Anne Mathieu, Yuichi Kijima, Ariel Stein, Tianfeng Chai, Fong Ngan, Susan J Leadbetter, Pieter De Meutter, Andy Delcloo, Rich Britton, Ashley Davies, Lee G Glascoe, Donald D Lucas, Matthew D Simpson, Phil Vogt, Martin Kalinowski, Theodore W Bowyer
After performing a first multi-model exercise in 2015 a comprehensive and technically more demanding atmospheric transport modelling challenge was organized in 2016. Release data were provided by the Australian Nuclear Science and Technology Organization radiopharmaceutical facility in Sydney (Australia) for a one month period. Measured samples for the same time frame were gathered from six International Monitoring System stations in the Southern Hemisphere with distances to the source ranging between 680 (Melbourne) and about 17,000 km (Tristan da Cunha)...
March 8, 2018: Journal of Environmental Radioactivity
Vinod E Nambudiri, Alice J Watson, Mitchell H Rubenstein, Thomas S Kupper, Fei-Shiuann Clarissa Yang
No abstract text is available yet for this article.
April 1, 2018: JAMA Dermatology
Corrado Campochiaro, Lauren V Host, Voon H Ong, Christopher P Denton
OBJECTIVES: Systemic sclerosis (SSc) is a chronic, autoimmune connective tissue disease with a female predominance. The reason for the female predilection in SSc may relate to the difference in hormones between the genders. There are no current data on the influence male-to-female sex transition may have in the development of SSc. We report three patients who developed SSc after initiating the transgender process, and review current literature in regards to transgender patients with connective tissue disease (CTD)...
February 19, 2018: Clinical and Experimental Rheumatology
Ofor Ewelukwa, Roque Perez, Lee Ellen Carter, Alyka Fernandez, Sarah Glover
Background: Electronic health records (EHRs), despite their positive attributes, increase physician workload and decrease efficiency. The aim of this study was to evaluate the impact of scribes in the Inflammatory Bowel Disease Clinic on improvement of the physician-patient relationship, physician productivity, clinical efficiency, and achievement of some Physician Quality Reporting System (PQRS) metrics. Methods: We analyzed of pre- and postscribe data between fiscal years 2015 (FY15) and 2016 (FY16) using data from patients at the Inflammatory Bowel Clinic at the University of Florida...
February 15, 2018: Inflammatory Bowel Diseases
Guangyuan Xu, Zahraa A Jarjes, Valentin Desprez, Paul A Kilmartin, Jadranka Travas-Sejdic
The fabrication of a novel, and highly selective electrochemical sensor based on a poly(3,4-ethylenedioxythiophene) (PEDOT) modified laser scribed graphene (LSG), and detection of dopamine (DA) in the presence of ascorbic acid (AA) and uric acid (UA) is described. LSG electrodes were produced with a 3-dimensional macro-porous network and large electrochemically-active surface area via direct laser writing on polyimide sheets. PEDOT was electrodeposited on the LSG electrode, and the physical properties of the obtained films were characterized by scanning electron microscopy (SEM) and energy dispersive X-ray diffraction microanalysis (EDAX)...
June 1, 2018: Biosensors & Bioelectronics
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