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https://www.readbyqxmd.com/read/28630960/a-new-milling-machine-for-computer-aided-in-office-restorations
#1
Andreas Kurbad
Chairside computer-aided design/computer-aided manufacturing (CAD/CAM) technology requires an effective technical basis to obtain dental restorations with optimal marginal accuracy, esthetics, and longevity in as short a timeframe as possible. This article describes a compact, 5-axis milling machine based on an innovative milling technology (5XT - five-axis turn-milling technique), which is capable of achieving high-precision milling results within a very short processing time. Furthermore, the device's compact dimensioning and state-of-the-art mode of operation facilitate its use in the dental office...
2017: International Journal of Computerized Dentistry
https://www.readbyqxmd.com/read/28628812/modelling-water-and-nutrient-fluxes-in-the-danube-river-basin-with-swat
#2
REVIEW
Anna Malagó, Faycal Bouraoui, Olga Vigiak, Bruna Grizzetti, Marco Pastori
This study provides an innovative process-based modelling approach using the SWAT model and shows its application to support the implementation of the European environmental policies in large river basins. The approach involves several pioneering modelling aspects: the inclusion of current management practices; an innovative calibration and validation methodology of streamflow and water quality; a sequential calibration starting from crop yields, followed by streamflow and nutrients; and the use of concentrations instead of loads in the calibration...
June 16, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28622135/the-case-for-implementing-the-levels-of-prevention-model-opiate-abuse-on-american-college-campuses
#3
Quri Daniels-Witt, Amy Thompson, Tavis Glassman, Sara Federman, Katie Bott
Opiate abuse in the United States (U.S.) is on the rise among the college student population. This public health crisis requires immediate action from professionals and stakeholders whom are committed to addressing the needs of prospective, current, and recovering opiate users using comprehensive prevention methods. Such approaches have been used to deliver primary, secondary, and tertiary intervention to alcohol and other drug users but are underutilized in the case of opiate abuse among college students in the U...
June 16, 2017: Journal of American College Health: J of ACH
https://www.readbyqxmd.com/read/28614525/-the-articulator-of-primary-health-care-program-an-innovative-proposal-for-qualification-of-primary-health-care
#4
Giovanna Cabral Doricci, Carla Guanaes-Lorenzi, Maria José Bistafa Pereira
In 2009, the Secretary of State for Health of Sao Paulo created a Program with a view to qualify the primary care in the state. This proposal includes a new job function, namely the articulator of primary care. Due to the scarcity of information about the practice of these new professionals in the scientific literature, this article seeks to analyze how articulators interpret their function and how they describe their daily routines. Thirteen articulators were interviewed. The interviews were duly analyzed by qualitative delineation...
June 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28603680/society-of-pediatric-psychology-diversity-award-training-underrepresented-minority-students-in-psychology
#5
Monica J Mitchell, Lori E Crosby
Improving diversity, particularly among trainees and professionals from underrepresented ethnic minority backgrounds, has been a long-stated goal for the field of Psychology. Research has provided strategies and best practices, such as ensuring cultural sensitivity and relevance in coursework, clinical and research training, promoting a supportive and inclusive climate, providing access to cultural and community opportunities, and increasing insight and cultural competence among professionals (Rogers & Molina, 2006)...
December 2016: Clinical Practice in Pediatric Psychology
https://www.readbyqxmd.com/read/28599820/towards-reinforcing-telemedicine-adoption-amongst-clinicians-in-nigeria
#6
Kayode I Adenuga, Noorminshah A Iahad, Suraya Miskon
Telemedicine systems have been considered as a necessary measure to alleviate the shortfall in skilled medical specialists in developing countries. However, the obvious challenge is whether clinicians are willing to use this technological innovation, which has aided medical practice globally. One factor which has received little academic attention is the provision of suitable encouragement for clinicians to adopt telemedicine, in the form of rewards, motivation or incentives. A further consideration for telemedicine usage in developing countries, especially sub-Saharan Africa and Nigeria in particular, are to the severe shortage of available practising clinicians...
August 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/28598790/croi-2017-advances-in-antiretroviral-therapy
#7
Joyce Jones, Barbara S Taylor, Hong-Van Tieu, Timothy J Wilkin
The 2017 Conference on Retroviruses and Opportunistic Infections (CROI) featured exciting preclinical data on investigational antiretroviral agents with good in vitro efficacy and long half-lives. Investigational medications, including bictegravir, demonstrated excellent efficacy and tolerability, as did dual-agent therapy with dolutegravir paired with rilpivirine or with lamivudine. Dolutegravir monotherapy proved inadvisable due to virologic failure and resistance. The gap between high- and low-income settings along the HIV care continuum is narrowing, with Zimbabwe, Malawi, and Zambia approaching the 90-90-90 targets established by the joint United Nations Programme on HIV/AIDS (UNAIDS), whereas communities in the Southern United States are falling behind...
May 2017: Topics in Antiviral Medicine
https://www.readbyqxmd.com/read/28598789/croi-2017-hiv-epidemic-trends-and-advances-in-prevention
#8
Albert Y Liu, Susan P Buchbinder
At the 2017 Conference on Retroviruses and Opportunistic Infections (CROI), trends in the HIV epidemic were highlighted, with decreasing HIV incidence reported across several countries, although key groups remain underdiagnosed and undertreated. In the United States, men who have sex with men (MSM) continue to comprise the largest number of new and undiagnosed HIV infections, with rising incidence in MSM 25 to 34 years old and Latino MSM. Phylogenetics are being used to identify rapidly growing HIV transmission clusters, which can inform prevention efforts...
May 2017: Topics in Antiviral Medicine
https://www.readbyqxmd.com/read/28595895/understanding-the-dissemination-of-appointment-based-synchronization-models-using-the-cfir-framework
#9
Julie Patterson, David Holdford
BACKGROUND: The appointment based model (ABM) is a innovative model of pharmacy practice that combines medication synchronization with scheduled monthly appointments to improve patient medication adherence and convenience. It is being implemented in many pharmacies across the United States. OBJECTIVE: The purpose of this article is to use the Consolidated Framework for Implementation Research (CFIR) to discuss the barriers and facilitators of ABM implementation in community pharmacies while identifying priorities for additional implementation research...
June 1, 2017: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/28594286/peroxisomes-as-modulators-of-cellular-protein-thiol-oxidation-a-new-model-system
#10
Celien Lismont, Marcus Nordgren, Chantal Brees, Bernard Knoops, Paul P Van Veldhoven, Marc Fransen
<b><i>Aims:</i></b> Peroxisomes are ubiquitous, single membrane-bounded organelles that contain considerable amounts of enzymes involved in the production or breakdown of hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>), a key signaling molecule in multiple biological processes and disease states. Despite this, the role of this organelle in cross-compartmental H<sub>2</sub>O<sub>2</sub> signaling remains largely unclear, mainly because of the difficulty to modulate peroxisomal H<sub>2</sub>O<sub>2</sub> production in a selective manner...
June 8, 2017: Antioxidants & Redox Signaling
https://www.readbyqxmd.com/read/28592479/innovation-and-technology-electronic-intensive-care-unit-diaries
#11
Elizabeth A Scruth, Nazanin Oveisi, Vincent Liu
Hospitalization in the intensive care unit can be a stressful time for patients and their family members. Patients' family members often have difficulty processing all of the information that is given to them. Therefore, an intensive care unit diary can serve as a conduit for synthesizing information, maintaining connection with patients, and maintaining a connection with family members outside the intensive care unit. Paper intensive care unit diaries have been used outside the United States for many years...
2017: AACN Advanced Critical Care
https://www.readbyqxmd.com/read/28590039/emt-present-and-future-in-clinical-oncology
#12
REVIEW
Patricia G Santamaria, Gema Moreno-Bueno, Francisco Portillo, Amparo Cano
Epithelial-mesenchymal transition (EMT) has emerged as a key regulator of metastasis by facilitating tumor cell invasion and dissemination to distant organs. Recent evidences support that the reverse mesenchymal-epithelial transition (MET) is required for metastatic outgrowth; moreover, the existence of hybrid epithelial/mesenchymal (E/M) phenotypes is increasingly being reported in different tumor contexts. The accumulated data strongly support that plasticity between epithelial and mesenchymal states underlies the dissemination and metastatic potential of carcinoma cells...
June 7, 2017: Molecular Oncology
https://www.readbyqxmd.com/read/28586430/national-study-of-excellence-and-innovation-in-physical-therapist-education-part-1-design-method-and-results
#13
Gail M Jensen, Terrence Nordstrom, Elizabeth Mostrom, Laurita M Hack, Janet Gwyer
Background.: The Carnegie Foundation for the Advancement of Teaching commissioned the Preparation for the Professions Program, a qualitative study of professional education in 5 professions: medicine, nursing, law, engineering and clergy. These studies identified curricular structures, instructional practices, assessment approaches and environmental characteristics that support the preparation of professionals and led to educational reforms. The physical therapy profession has not had any in-depth, national investigation of physical therapist education since the Catherine Worthingham studies conducted more than 50 years ago...
June 6, 2017: Physical Therapy
https://www.readbyqxmd.com/read/28577115/the-psychiatry-major-a-curricular-innovation-to-improve-undergraduate-psychiatry-education-in-china
#14
Ling Jing, Wing Chung Chang, Robert Rohrbaugh, Xuan Ouyang, Eric Chen, Zhening Liu, Xinran Hu
OBJECTIVE: In China, a psychiatry major curriculum (PMC) has been implemented in select medical schools to improve the quality of undergraduate psychiatry education (UPE). Our aim was to describe this PMC and compare it with UPE in the standard Chinese clinical medicine curriculum (CMC). We also benchmarked PMC to UPE programs in the Hong Kong Special Administrative Region of China and the United States of America (USA) to determine how well it met standards of well-established programs and to highlight areas for improvement...
June 2, 2017: Academic Psychiatry
https://www.readbyqxmd.com/read/28576958/the-north-carolina-experiment-active-research-in-the-development-and-assessment-of-new-practice-models
#15
Joel F Farley, Stefanie P Ferreri, Jon C Easter, Mary Roth McClurg
Improving the quality of health care requires innovative approaches to addressing the misuse, overuse, and underuse of medication in the United States. Strategies must be patient-centered, collaborative, and aligned with the move toward value-based care. We highlight research in North Carolina aimed at achieving these goals.
May 2017: North Carolina Medical Journal
https://www.readbyqxmd.com/read/28574726/failing-states-as-epidemiologic-risk-zones-implications-for-global-health-security
#16
Katherine Hirschfeld
Failed states commonly experience health and mortality crises that include outbreaks of infectious disease, violent conflict, reductions in life expectancy, and increased infant and maternal mortality. This article draws from recent research in political science, security studies, and international relations to explore how the process of state failure generates health declines and outbreaks of infectious disease. The key innovation of this model is a revised definition of "the state" as a geographically dynamic rather than static political space...
May 2017: Health Security
https://www.readbyqxmd.com/read/28574336/early-infant-diagnosis-of-hiv-in-myanmar-call-for-innovative-interventions-to-improve-uptake-and-reduce-turnaround-time
#17
Soe Thiha, Hemant Deepak Shewade, Sairu Philip, Thet Ko Aung, Nang Thu Thu Kyaw, Myo Minn Oo, Khine Wut Yee Kyaw, May Wint War, Htun Nyunt Oo
BACKGROUND: In collaboration with the national AIDS program, early infant diagnosis (EID) is implemented by Integrated HIV Care (IHC) program through its anti-retroviral therapy (ART) centers across 10 cities in five states and regions of Myanmar. Blood samples from the ART centers are sent using public transport to a centralized PCR facility. OBJECTIVES: Among HIV-exposed babies <9 months at enrolment into IHC program (2013-15), to describe the EID cascade (enrolment, sample collection for PCR, result receipt by mother, HIV diagnosis and ART initiation) and factors associated with delayed (>8 weeks of age) or no blood sample collection for EID...
2017: Global Health Action
https://www.readbyqxmd.com/read/28561660/the-oncology-care-model-perspectives-from-the-centers-for-medicare-amp-medicaid-services-and-participating-oncology-practices-in-academia-and-the-community
#18
Ron Kline, Kerin Adelson, Jeffrey J Kirshner, Larissa M Strawbridge, Marsha Devita, Naralys Sinanis, Patrick H Conway, Ethan Basch
Cancer care delivery in the United States is often fragmented and inefficient, imposing substantial burdens on patients. Costs of cancer care are rising more rapidly than other specialties, with substantial regional differences in quality and cost. The Centers for Medicare & Medicaid Services (CMS) Innovation Center (CMMIS) recently launched the Oncology Care Model (OCM), which uses payment incentives and practice redesign requirements toward the goal of improving quality while controlling costs. As of March 2017, 190 practices were participating, with approximately 3,200 oncologists providing care for approximately 150,000 unique beneficiaries per year (approximately 20% of the Medicare Fee-for-Service population receiving chemotherapy for cancer)...
2017: American Society of Clinical Oncology Educational Book
https://www.readbyqxmd.com/read/28560949/a-conceptual-model-redesigning-how-we-provide-palliative-care-for-patients-with-chronic-obstructive-pulmonary-disease
#19
Jennifer Philip, Gregory Crawford, Caroline Brand, Michelle Gold, Belinda Miller, Peter Hudson, Natasha Smallwood, Rosalind Lau, Vijaya Sundararajan
BACKGROUND: Despite significant needs, patients with chronic obstructive pulmonary disease (COPD) make limited use of palliative care, in part because the current models of palliative care do not address their key concerns. OBJECTIVE: Our aim was to develop a tailored model of palliative care for patients with COPD and their family caregivers. METHOD: Based on information gathered within a program of studies (qualitative research exploring experiences, a cohort study examining service use), an expert advisory committee evaluated and integrated data, developed responses, formulated principles to inform care, and made recommendations for practice...
May 31, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28559004/the-impact-of-self-and-physician-administered-cancer-treatment-on-work-productivity-and-healthcare-utilization
#20
Seth A Seabury, Melissa A Frasco, Emma van Eijndhoven, Steve Sison, Christopher Zacker
BACKGROUND: Lost productivity in the workplace represents a significant portion of the economic burden of cancer in the United States. Cancer treatments have historically been physician-administered, while recent innovations have led to the development of self-administered, usually oral, agents. Self-administered treatments have the potential to reduce healthcare utilization and time away from work, but the magnitude of these effects is unknown. OBJECTIVE: To compare the effects of self- and physician-administered cancer treatment on work productivity and health care utilization...
May 22, 2017: Research in Social & Administrative Pharmacy: RSAP
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