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https://www.readbyqxmd.com/read/29045990/electronic-health-record-impacts-on-family-medicine-teachers-survey-of-third-year-medical-student-clerkship-preceptors-at-an-academic-medical-center
#1
Elizabeth Curry, Tamara K Oser, Sean M Oser
BACKGROUND AND OBJECTIVES: Electronic Health Record (EHR) use in clinical practice has accelerated in recent years. While several aspects of EHR use have been extensively studied, there is little data on EHR impacts on medical student educators, especially those involved in outpatient family medicine. This study evaluated perceived impacts of EHR use on clinician teachers of outpatient family medicine. METHODS: The study used a mixed methods survey of clinicians who teach third-year medical students during the required family and community medicine outpatient clerkship at a Mid-Atlantic medical school...
October 2017: Family Medicine
https://www.readbyqxmd.com/read/29045984/results-of-the-2017-national-resident-matching-program%C3%A2-and-the-american-osteopathic-association-intern-resident-registration-program
#2
Stanley M Kozakowski, Alexandra Travis, Julie P Marcinek, Ashley Bentley, Gerald T Fetter
The purpose of medicine as a profession is to meet the health needs of people and communities. Despite empirical evidence worldwide that an appropriate foundation of primary care in a health care system leads to improved health outcomes, improved experience of health care, a reduction in health disparities, and lower overall cost of care, publicly available data from National Resident Matching Program® (NRMP) and the American Osteopathic Association (AOA) Intern/Resident Registration Program show that PGY-1 family medicine and primary care positions offered in the NRMP Match continue to grow, but are losing ground in comparison to the growth of non-primary care specialties...
October 2017: Family Medicine
https://www.readbyqxmd.com/read/29045670/impact-of-age-related-mitochondrial-dysfunction-and-exercise-on-intestinal-microbiota-composition
#3
David Houghton, Christopher J Stewart, Craig Stamp, Andrew Nelson, Nadim J Ajami, Joseph F Petrosino, Anil Wipat, Michael I Trenell, Douglass M Turnbull, Laura C Greaves
Mitochondrial dysfunction is prevalent in the ageing gastrointestinal tract. We investigated whether mitochondrial function in ageing colonic crypts and exercise influence microbial gut communities in mice. Twelve PolgAmut/mut mice were randomly divided into a sedentary and exercise group at 4 months. Seven aged matched PolgA+/+ mice remained sedentary throughout. Stool samples were collected at 4, 7 and 11 months, and bacterial profiling was achieved through 16S rDNA sequencing profiling. Mitochondrial enzyme activity was assessed in colonic epithelial crypts at 11 months for PolgAmut/mut and PolgA+/+ mice...
October 16, 2017: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
https://www.readbyqxmd.com/read/29045312/validation-of-the-nonlaboratory-based-framingham-cardiovascular-disease-risk-assessment-algorithm-in-the-atherosclerosis-risk-in-communities-dataset
#4
Jacob K Kariuki, Eileen M Stuart-Shor, Suzanne G Leveille, Philimon Gona, Jerry Cromwell, Laura L Hayman
BACKGROUND: Nonlaboratory-based (non-LB) algorithms have been developed to facilitate absolute cardiovascular risk assessment in resource-constrained settings. The non-LB Framingham algorithm, which substitute BMI for lipids in laboratory-based Framingham, exhibits best performance among non-LB algorithms. However, its external validity has not been evaluated. AIM: To examine the validity of non-LB Framingham algorithm in Atherosclerosis Risk in Communities dataset, and contrast performance with the laboratory-based Framingham algorithm...
October 16, 2017: Journal of Cardiovascular Medicine
https://www.readbyqxmd.com/read/29045275/medical-education-in-decentralized-settings-how-medical-students-contribute-to-health-care-in-10-sub-saharan-african-countries
#5
Zohray Talib, Susan van Schalkwyk, Ian Couper, Swaha Pattanaik, Khadija Turay, Atiene S Sagay, Rhona Baingana, Sarah Baird, Bernhard Gaede, Jehu Iputo, Minnie Kibore, Rachel Manongi, Antony Matsika, Mpho Mogodi, Jeremais Ramucesse, Heather Ross, Moses Simuyeba, Damen Haile-Mariam
PURPOSE: African medical schools are expanding, straining resources at tertiary health facilities. Decentralizing clinical training can alleviate this tension. This study assessed the impact of decentralized training and contribution of undergraduate medical students at health facilities. METHOD: Participants were from 11 Medical Education Partnership Initiative-funded medical schools in 10 African countries. Each school identified two clinical training sites-one rural and the other either peri-urban or urban...
October 17, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29044673/modeling-the-effects-of-thiamethoxam-on-midwestern-farm-ponds-and-emergent-wetlands
#6
Steven M Bartell, Shyam K Nair, Shanique Grant, Richard A Brain
Potential toxic effects of thiamethoxam (TMX) on non-target organisms and community structure of a generic Midwestern farm pond and emergent wetland were assessed using two versions of the Comprehensive Aquatic System Model, the CASMGFP - a generic farm pond model, and the CASMGWL - a generic wetland model. The CASMGFP and CASMGWL are integrated bioenergetics-based and habitat quality models that describe the daily biomass values of selected producer and consumer populations representative of generalized Midwestern farm ponds and emergent wetlands...
October 18, 2017: Environmental Toxicology and Chemistry
https://www.readbyqxmd.com/read/29044409/improving-pain-care-with-project-echo-in-community-health-centers
#7
Daren Anderson, Ianita Zlateva, Bennet Davis, Lauren Bifulco, Tierney Giannotti, Emil Coman, Douglas Spegman
Objective: Pain is an extremely common complaint in primary care, and patient outcomes are often suboptimal. This project evaluated the impact of Project ECHO Pain videoconference case-based learning sessions on knowledge and quality of pain care in two Federally Qualified Health Centers. Design: Quasi-experimental, pre-post intervention, with comparison group. Setting: Two large, multisite federally qualified health centers in Connecticut and Arizona...
October 1, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/29044372/should-we-be-treating-animal-schistosomiasis-in-africa-the-need-for-a-one-health-economic-evaluation-of-schistosomiasis-control-in-people-and-their-livestock
#8
Charlotte M Gower, Louise Vince, Joanne P Webster
A One Health economic perspective allows informed decisions to be made regarding control priorities and/or implementation strategies for infectious diseases. Schistosomiasis is a major and highly resilient disease of both humans and livestock. The zoonotic component of transmission in sub-Saharan Africa appears to be more significant than previously assumed, and may thereby affect the recently revised WHO vision to eliminate schistosomiasis as a public health problem by 2025. Moreover, animal schistosomiasis is likely to be a significant cost to affected communities due to its direct and indirect impact on livelihoods...
June 1, 2017: Transactions of the Royal Society of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/29044370/the-ecology-and-epidemiology-of-ross-river-and-murray-valley-encephalitis-viruses-in-western-australia-examples-of-one-health-in-action
#9
John S Mackenzie, Michael D A Lindsay, David W Smith, Allison Imrie
Arboviruses are maintained and transmitted through an alternating biological cycle in arthropods and vertebrates, with largely incidental disease in humans and animals. As such, they provide excellent examples of One Health, as their health impact is inextricably linked to their vertebrate hosts, their arthropod vectors and the environment. Prevention and control requires a comprehensive understanding of these interactions, and how they may be effectively and safely modified. This review concentrates on human disease due to Ross River and Murray Valley encephalitis viruses, the two major arboviral pathogens in Australia...
June 1, 2017: Transactions of the Royal Society of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/29044320/drought-monitoring-in-the-brazilian-semiarid-region
#10
Regina C S Alvalá, Ana Paula M A Cunha, Sheila S B Brito, Marcelo E Seluchi, José A Marengo, Osvaldo L L Moraes, Magog A Carvalho
Drought is a natural and recurrent phenomenon. It is considered 'a natural disaster' whenever it occurs in an intensive manner in highly populated regions, resulting in significant damage (material and human) and loss (socioeconomic). This paper presents the efforts developed to monitor the impact of drought in the semiarid region of Northeast Brazil. In this scope, information from different sources is compiled to support the evaluation and identification of impacted municipalities, with the main objective of supporting emergency actions to mitigate their impact...
October 16, 2017: Anais da Academia Brasileira de Ciências
https://www.readbyqxmd.com/read/29044128/effects-of-vessel-traffic-and-underwater-noise-on-the-movement-behaviour-and-vocalisations-of-bottlenose-dolphins-in-an-urbanised-estuary
#11
Sarah A Marley, Chandra P Salgado Kent, Christine Erbe, Iain M Parnum
The potential disturbance of dolphins from tourism boats has been widely discussed in the literature, in terms of both physical vessel presence and associated underwater noise. However, less attention has been paid to the potential impact of non-tourism vessels, despite these being much more widespread and occurring in greater numbers throughout coastal dolphin habitats. The Indo-Pacific bottlenose dolphin (T. aduncus) community using the Fremantle Inner Harbour, Western Australia, is exposed to high levels of vessel traffic...
October 18, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29043949/arthroscopic-surgery-for-knee-osteoarthritis-impact-of-health-technology-assessment-in-germany
#12
Naomi Fujita-Rohwerder, Alric Rüther, Stefan Sauerland
OBJECTIVES: This study aims to describe how a negative reimbursement decision-based on the health technology assessment (HTA) report of a nondrug intervention-affects healthcare providers in Germany. METHODS: Knee arthroscopy was chosen as an example, because as of April 2016 this procedure is no longer reimbursed for osteoarthritis, but is still covered for other indications, including meniscal lesions. The exclusion followed an HTA report prepared by the Institute for Quality and Efficiency in Health Care (IQWiG)...
October 18, 2017: International Journal of Technology Assessment in Health Care
https://www.readbyqxmd.com/read/29043762/food-deserts-in-winnipeg-canada-a-novel-method-for-measuring-a-complex-and-contested-construct
#13
Joyce Slater, Stefan Epp-Koop, Megan Jakilazek, Chris Green
INTRODUCTION: "Food deserts" have emerged over the past 20 years as spaces of concern for communities, public health authorities and researchers because of their potential negative impact on dietary quality and subsequent health outcomes. Food deserts are residential geographic spaces, typically in urban settings, where low-income residents have limited or no access to retail food establishments with sufficient variety at affordable cost. Research on food deserts presents methodological challenges including retail food store identification and classification, identification of low-income populations, and transportation and proximity metrics...
October 2017: Health Promotion and Chronic Disease Prevention in Canada
https://www.readbyqxmd.com/read/29043571/an-uncertainty-based-framework-to-quantifying-climate-change-impacts-on-coastal-flood-vulnerability-case-study-of-new-york-city
#14
Zahra Zahmatkesh, Mohammad Karamouz
The continued development efforts around the world, growing population, and the increased probability of occurrence of extreme hydrologic events have adversely affected natural and built environments. Flood damages and loss of lives from the devastating storms, such as Irene and Sandy on the East Coast of the USA, are examples of the vulnerability to flooding that even developed countries have to face. The odds of coastal flooding disasters have been increased due to accelerated sea level rise, climate change impacts, and communities' interest to live near the coastlines...
October 17, 2017: Environmental Monitoring and Assessment
https://www.readbyqxmd.com/read/29043493/community-based-intervention-to-promote-physical-activity-in-rheumatoid-arthritis-cippa-ra-a-study-protocol-for-a-pilot-randomised-control-trial
#15
Louise Larkin, Stephen Gallagher, Alexander Fraser, Norelee Kennedy
Rheumatoid arthritis (RA) is a chronic, inflammatory condition which may cause pain, stiffness and fatigue. People who have RA have reduced levels of physical activity due to these symptoms. Interventions targeting physical activity behaviour in this population have had limited efficacy. This paper describes a protocol for a pilot randomised controlled trial (RCT) of a theory-based intervention delivered in a community setting designed to promote physical activity in people who have RA. The aim of the pilot study is to assess the impact of the intervention on moderate-intensity physical activity in people with RA...
October 17, 2017: Rheumatology International
https://www.readbyqxmd.com/read/29043422/guidelines-for-the-use-of-chest-radiographs-in-community-acquired-pneumonia-in-children-and-adolescents
#16
REVIEW
Savvas Andronikou, Elena Lambert, Jarred Halton, Lucy Hilder, Iona Crumley, Mark D Lyttle, Cara Kosack
National guidance from the United Kingdom and the United States on community-acquired pneumonia in children states that chest radiographs are not recommended routinely in uncomplicated cases. The main reason in the ambulatory setting is that there is no evidence of a substantial impact on clinical outcomes. However clinical practice and adherence to guidance is multifactorial and includes the clinical context (developed vs. developing world), the confidence of the attending physician, the changing incidence of complications (according to the success of immunisation programs), the availability of alternative imaging (and its relationship to perceived risks of radiation) and the reliability of the interpretation of imaging...
October 2017: Pediatric Radiology
https://www.readbyqxmd.com/read/29043281/predictors-of-post-traumatic-stress-disorder-among-victims-of-serious-motor-vehicle-accidents
#17
Naema Khodadadi-Hassankiadeh, Nahid Dehghan Nayeri, Hooman Shahsavari, Shahrokh Yousefzadeh-Chabok, Hamid Haghani
BACKGROUND: Compelling evidence has shown that motor vehicle accidents have an enormous impact on mental health. Post-traumatic Stress Disorder (PTSD) is one of the most common psychological consequences in adult survivors of accidents, so it is important to understand the prevalence and predictors of this issue since delay causes damage to crucial daily functioning. This study aimed at investigating the prevalence and predictors of PTSD after motor vehicle accident. METHODS: This cross-sectional study was conducted on 528 injured patients six weeks to six months after motor vehicle accident in Imam Reza Clinic of Poursina hospital, Rasht in 2015...
October 2017: International Journal of Community Based Nursing and Midwifery
https://www.readbyqxmd.com/read/29043062/the-future-of-metabolomics-in-elixir
#18
Merlijn van Rijswijk, Charlie Beirnaert, Christophe Caron, Marta Cascante, Victoria Dominguez, Warwick B Dunn, Timothy M D Ebbels, Franck Giacomoni, Alejandra Gonzalez-Beltran, Thomas Hankemeier, Kenneth Haug, Jose L Izquierdo-Garcia, Rafael C Jimenez, Fabien Jourdan, Namrata Kale, Maria I Klapa, Oliver Kohlbacher, Kairi Koort, Kim Kultima, Gildas Le Corguillé, Nicholas K Moschonas, Steffen Neumann, Claire O'Donovan, Martin Reczko, Philippe Rocca-Serra, Antonio Rosato, Reza M Salek, Susanna-Assunta Sansone, Venkata Satagopam, Daniel Schober, Ruth Shimmo, Rachel A Spicer, Ola Spjuth, Etienne A Thévenot, Mark R Viant, Ralf J M Weber, Egon L Willighagen, Gianluigi Zanetti, Christoph Steinbeck
Metabolomics, the youngest of the major omics technologies, is supported by an active community of researchers and infrastructure developers across Europe. To coordinate and focus efforts around infrastructure building for metabolomics within Europe, a workshop on the "Future of metabolomics in ELIXIR" was organised at Frankfurt Airport in Germany. This one-day strategic workshop involved representatives of ELIXIR Nodes, members of the PhenoMeNal consortium developing an e-infrastructure that supports workflow-based metabolomics analysis pipelines, and experts from the international metabolomics community...
2017: F1000Research
https://www.readbyqxmd.com/read/29043041/riverine-fish-diversity-varies-according-to-geographical-isolation-and-land-use-modification
#19
Elizabeth Nicol, Jamie R Stevens, Susan Jobling
Understanding the environmental factors driving species-genetic diversity correlations (SGDCs) is critical for designing appropriate conservation and management strategies to protect biodiversity. Yet, few studies have explored the impact of changing land use patterns on SGDCs specifically in aquatic communities. This study examined patterns of genetic diversity in roach (Rutilus rutilus L.) together with fish species composition across 19 locations in a large river catchment, spanning a gradient in land use...
October 2017: Ecology and Evolution
https://www.readbyqxmd.com/read/29043020/secondary-invasion-when-invasion-success-is-contingent-on-other-invaders-altering-the-properties-of-recipient-ecosystems
#20
REVIEW
Luke S O'Loughlin, Peter T Green
Positive interactions between exotic species may increase ecosystem-level impacts and potentially facilitate the entry and spread of other exotic species. Invader-facilitated invasion success-"secondary invasion"-is a key conceptual aspect of the well-known invasional meltdown hypothesis, but remains poorly defined and empirically underexplored. Drawing from heuristic models and published empirical studies, we explore this form of "secondary invasion" and discuss the phenomenon within the recognized conceptual framework of the determinants of invasion success...
October 2017: Ecology and Evolution
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