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https://www.readbyqxmd.com/read/28346901/boundary-work-for-implementing-adaptive-management-a-water-sector-application
#1
Blal Adem Esmail, Davide Geneletti, Christian Albert
Boundary work, defined as effort to mediate between knowledge and action, is a promising approach for facilitating knowledge co-production for sustainable development. Here, we investigate a case study of knowledge co-production, to assess the applicability of boundary work as a conceptual framework to support implementing adaptive management in the water sector. We refer to a boundary work classification recently proposed by Clark et al., (2016), based on three types of knowledge uses, i.e. enlightenment, decision-, and negotiation-support, and three types of sources, i...
March 24, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28343111/the-intimate-relationship-as-a-site-of-social-protection-partnerships-between-people-who-inject-drugs
#2
Tim Rhodes, Jake Rance, Suzanne Fraser, Carla Treloar
Public health research treats intimate partnerships as sites of risk management, including in the management of HIV and hepatitis C transmission. This risk-infused biomedical approach tends to undermine appreciation of the emotional and socially situated meanings of care in intimate partnerships. In this article we explore qualitative interview accounts of the care enacted in partnerships between people who inject drugs, drawing on a 2014 study of 34 couples and 12 individuals living in two locations of Australia...
March 10, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28341592/comparison-of-two-cadaveric-acellular-dermal-matrices-for-immediate-breast-reconstruction-a-prospective-randomized-trial
#3
Katharine M Hinchcliff, Hakan Orbay, Brittany K Busse, Heath Charvet, Mankushpreet Kaur, David E Sahar
AlloDerm RTU(®) and AlloMaxTM are two acellular dermal matrices (ADMs) used in implant-based breast reconstruction. In this study, we examined whether different processing methods for the ADMs lead to a disparity in histologic, clinical, and financial outcomes after breast reconstruction. Thirty patients undergoing implant-based breast reconstruction were randomized into AlloMax or AlloDerm arms (n = 15, each). ADM was placed at the time of immediate reconstruction. Patients were evaluated for complications on postoperative days 7, 14, and 30...
March 6, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/28341222/the-science-and-ethics-of-cell-based-therapies-for-parkinson-s-disease
#4
REVIEW
C R Towns
Parkinson's Disease (PD) is an age-related, disabling neurodegenerative disorder. Although sufferers usually respond to dopamine agonists for extended periods, the disease remains progressive and adverse drug effects can compromise effective long term treatment. Cell-based therapies have been the subject of much hype and optimism with regard to PD. Proof of principle was provided in the 1980s with fetal tissue transplantation trials demonstrating successful graft survival. Embryonic stem cells and reprogrammed or transdifferentiated somatic cells may provide alternative sources of tissue with the potential to overcome the material shortages and technical difficulties that have hindered fetal neural transplants...
January 2017: Parkinsonism & related Disorders
https://www.readbyqxmd.com/read/28341016/the-role-of-alcohol-expectancies-in-sexual-risk-behaviors-among-adolescents-and-young-adults-in-the-democratic-republic%C3%A2-of-the%C3%A2-congo
#5
Emily A Hurley, Heena Brahmbhatt, Patrick K Kayembe, Michelle-Alphonsine Fatuma Busangu, Ma-Umba Mabiala, Deanna Kerrigan
PURPOSE: Considering the increased risk of HIV among alcohol users, we explored the role of individual alcohol expectancies in risk behaviors among youth in the Democratic Republic of the Congo. METHODS: We surveyed 1,396 adolescents (ages 15-19) and young adults (ages 20-24) on alcohol and sexual behaviors in May, 2010. We assessed expectancies of alcohol use (1) leading to sex or positive sexual experiences; (2) diminishing one's ability to resist unwanted sex; and (3) diminishing one's ability to use or negotiate use of condoms...
January 2017: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/28340619/operational-and-implementation-research-within-global-fund-to-fight-aids-tuberculosis-and-malaria-grants-a-situation-analysis-in-six-countries
#6
Sabine Kiefer, Astrid M Knoblauch, Peter Steinmann, Tanja Barth-Jaeggi, Mahnaz Vahedi, Dermot Maher, Jürg Utzinger, Kaspar Wyss
BACKGROUND: Operational/implementation research (OR/IR) is a key activity to improve disease control programme performance. We assessed the extent to which malaria and tuberculosis (TB) grants from the Global Fund to Fight AIDS, Tuberculosis and Malaria ("Global Fund") include support for OR/IR, and discuss the implications of the current Global Fund operating mechanisms for OR/IR support. METHODS: The situation analysis focussed on malaria and TB, while HIV was excluded...
March 24, 2017: Globalization and Health
https://www.readbyqxmd.com/read/28333272/family-building-using-embryo-adoption-relationships-and-contact-arrangements-between-provider-and-recipient-families-a-mixed-methods-study
#7
Lucy Frith, Eric Blyth, Steve Lui
STUDY QUESTION: What contact arrangements are established between providers and recipients of embryos using Snowflakes® Embryo Adoption Program? SUMMARY ANSWER: Contact arrangements varied considerably and were generally positively described, although some challenges were acknowledged. WHAT IS KNOWN ALREADY: Reproductive technologies create new and diverse family forms, and the ways in which families created by embryo adoption are negotiated in practice have not been extensively investigated...
March 8, 2017: Human Reproduction
https://www.readbyqxmd.com/read/28332610/multiparty-quantum-key-agreement-based-on-quantum-search-algorithm
#8
Hao Cao, Wenping Ma
Quantum key agreement is an important topic that the shared key must be negotiated equally by all participants, and any nontrivial subset of participants cannot fully determine the shared key. To date, the embed modes of subkey in all the previously proposed quantum key agreement protocols are based on either BB84 or entangled states. The research of the quantum key agreement protocol based on quantum search algorithms is still blank. In this paper, on the basis of investigating the properties of quantum search algorithms, we propose the first quantum key agreement protocol whose embed mode of subkey is based on a quantum search algorithm known as Grover's algorithm...
March 23, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28326556/digital-atmospheres-affective-practices-of-care-in-elefriends
#9
Ian M Tucker, Lewis Goodings
This article develops the concept of digital atmosphere to analyse the affective power of social media to shape practices of care and support for people living with mental distress. Using contemporary accounts of affective atmospheres, the article focuses on feelings of distress, support and care that unfold through digital atmospheres. The power of social media intersects with people's support and care-seeking practices in multiple ways and not in a straightforward model of 'accessing or providing support'...
March 22, 2017: Sociology of Health & Illness
https://www.readbyqxmd.com/read/28324144/participatory-planning-monitoring-and-evaluation-of-multi-stakeholder-platforms-in-integrated-landscape-initiatives
#10
Koen Kusters, Louise Buck, Maartje de Graaf, Peter Minang, Cora van Oosten, Roderick Zagt
Integrated landscape initiatives typically aim to strengthen landscape governance by developing and facilitating multi-stakeholder platforms. These are institutional coordination mechanisms that enable discussions, negotiations, and joint planning between stak4eholders from various sectors in a given landscape. Multi-stakeholder platforms tend to involve complex processes with diverse actors, whose objectives and focus may be subjected to periodic re-evaluation, revision or reform. In this article we propose a participatory method to aid planning, monitoring, and evaluation of such platforms, and we report on experiences from piloting the method in Ghana and Indonesia...
March 21, 2017: Environmental Management
https://www.readbyqxmd.com/read/28323318/if-at-first-you-don-39-t-succeed
#11
Amy Lynn Sorrel
New Texas Medical Association data show physicians' passion and persistence are paying off as they attempt to negotiate the terms of their health plan contracts. And when they do, physicians often are successful at getting some of the changes they want.
March 1, 2017: Texas Medicine
https://www.readbyqxmd.com/read/28322629/promoting-the-wellbeing-of-lesbian-gay-bisexual-and-transgender-forced-migrants-in-canada-providers-perspectives
#12
Sarilee Kahn, Edward Alessi, Leah Woolner, Hanna Kim, Christina Olivieri
Researchers are beginning to document the experiences of lesbian, gay, bisexual and transgender (LGBT) forced migrants in settlement. However, studies exploring the perceptions of service providers working with this vulnerable population are limited. These may shed light on the challenges of meeting the needs of LGBT forced migrants, especially mental health issues and problems. This qualitative study elicited the views of 22 Canadian service providers, including advocates, lawyers and mental health practitioners, who serve LGBT forced migrants...
March 21, 2017: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/28302377/stair-negotiation-as-a-rehabilitation-intervention-for-enhancing-recovery-following-total-hip-and-knee-replacement-surgery
#13
REVIEW
James P Gavin, Tikki Immins, Thomas Wainwright
BACKGROUND: Total hip replacement (THR) and total knee replacement (TKR) are common orthopaedic procedures. However, an optimal programme for post-operative rehabilitation has yet to be established. Stair negotiation is a challenging, habitual task, regularly used as a post-operative functional outcome measure; yet as a physical rehabilitation intervention it appears to be rarely used. AIM: The review purpose was to investigate the effectiveness of stair climbing as a rehabilitation intervention for THR and TKR patients...
October 20, 2016: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/28301684/economic-evaluation-of-nivolumab-as-a-second-line-treatment-for-advanced-renal-cell-carcinoma-from-us-and-chinese-perspectives
#14
Xiao Min Wan, Liu Bao Peng, Jin An Ma, Yuan Jian Li
BACKGROUND: Nivolumab is a new standard of care for patients with metastatic renal cell carcinoma (mRCC) and provides an overall survival benefit of 5.40 months in comparison with everolimus. This study evaluated the cost-effectiveness of nivolumab for the second-line treatment of mRCC from the perspective of US payers and identified the range of drug costs for which the addition of nivolumab to standard therapy could be considered cost-effective from a Chinese perspective. METHODS: A partitioned survival model was constructed to estimate lifetime costs, life-years, and quality-adjusted life-years (QALYs)...
March 16, 2017: Cancer
https://www.readbyqxmd.com/read/28301363/the-plastic-surgeon-as-employee-a-pilot-survey-of-the-california-society-of-plastic-surgeons
#15
Nirav Bipin Patel, Demetrius M Coombs, Mena Arsalai, Chin-Shang Li, Yu Liu, Thomas R Stevenson, Lee L Q Pu
INTRODUCTION: Plastic surgeons endure years of training yet remain poorly equipped to negotiate first employment contracts. Our aims were to evaluate typical plastic surgeon employment contracts and assess contract comprehensiveness. We sought elements that should be included to better preserve varied interests. METHODS: A brief, anonymous, e-mailed survey was sent to California Society of Plastic Surgeons members and responses collected over 2 months. We collected information such as years in practice, geographic area, types of practices and number of surgeons within them, and legal standing of partnerships...
March 16, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28301001/-specialized-outpatient-care-in-the-unified-health-system-how-to-fill-a-void
#16
Charles Dalcanale Tesser, Paulo Poli
The structuring of specialized outpatient care is a bottleneck in the operation of the Unified Health System. Based on a brief discussion about this void in an organizational model, we propose the federal induction of a format of specialized services from the experiences of Centers of Support for Family Health (NASF). They adapted matrix operations and constitute an excellent prototype for the organization of specialized outpatient care. It allows for equal access and maximum proximity to the specialized care of the reality of primary care users, the personal relationship and the close relationship between the family health teams and medical and non-medical specialists, enabling mutual lifelong learning, negotiated regulation and increased efficacy of primary care...
March 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28300989/analysis-of-the-performance-of-contractualization-primary-health-care-indicators-in-the-period-2009-2015-in-lisbon-and-tagus-valley
#17
Baltazar Ricardo Monteiro, Fátima Candoso, Magda Reis, Sónia Bastos
Reforms started in 1996 intended that Regional Health Administrations (ARS) should play a relevant role in the process of transforming an integrated model towards a contractual health care model. The essential tool of this transformation would be the Contractualization Agency, established in each ARS. Its role in the new contractualization culture was to negotiate prospective budgets with health care institutions, which included Primary Health Care (PHC). This paper is a longitudinal analysis of the development of a set of nine PHC contractualization indicators in three Health Center Clusters (ACeS) of the Regional Health Administration of Lisbon and Tagus Valley (ARSLVT)...
March 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28299535/the-self-in-movement-being-identified-and-identifying-oneself-in-the-process-of-migration-and-asylum-seeking
#18
Meike Watzlawik, Ignacio Brescó de Luna
How migration influences the processes of identity development has been under longstanding scrutiny in the social sciences. Usually, stage models have been suggested, and different strategies for acculturation (e.g., integration, assimilation, separation, and marginalization) have been considered as ways to make sense of the psychological transformations of migrants as a group. On an individual level, however, identity development is a more complex endeavor: Identity does not just develop by itself, but is constructed as an ongoing process...
March 15, 2017: Integrative Psychological & Behavioral Science
https://www.readbyqxmd.com/read/28297177/kinematics-of-the-pelvis-torso-and-lower-limb-during-obstacle-negotiation-while-under-temporal-constraints
#19
Jesse C Christensen, Christopher R Wilson, Andrew S Merryweather, K Bo Foreman
Biomechanics of unobstructed locomotion consists of synchronized complex movements of the pelvis, torso, and lower limbs. These movement patterns become more complex as individuals encounter obstacles or negotiate uneven terrain. To date, limited research has explored how specifically the pelvis, torso, and lower limb segments relate to obstacle negotiation of varying sized objects combined with temporal constraints to perform the task. Understanding pelvis and adjoining segment movements during object negotiation will provide necessary information in identifying abnormal mechanics and potential fall risk characteristics in balance compromised patient populations...
April 2017: Anatomical Record: Advances in Integrative Anatomy and Evolutionary Biology
https://www.readbyqxmd.com/read/28296002/game-of-hospitals
#20
Ruvini Vithanage, Benita Knox, Anna Ryan
BACKGROUND: Systems of health care is a key learning area in medical curricula. An understanding of the health care system with regards to reducing medical errors, improving efficiency in the provision of care and cost containment is recognised as being difficult to teach. CONTEXT: A game-based session was designed and executed as part of a medical student conference. This session incorporated numerous aspects of systems of health care, including teamwork, the efficient and equitable allocation of resources, safety, quality, medical errors, structure of health care systems and political influences in the delivery of health care...
March 13, 2017: Clinical Teacher
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