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https://www.readbyqxmd.com/read/28342441/building-a-community-of-practice-in-rural-medical-education-growing-our-own-together
#1
Randall L Longenecker, David Schmitz
CONTEXT: This article chronicles the rise, decline, and recent resurgence of rural training track residency programs (RTTs) in the USA over the past 30 years and the emergence of a healthy community of practice in rural medical education. This has occurred during a time in the USA when federal and state funding of graduate medical education has been relatively stagnant and the rules around finance and accreditation of rural programs have been challenging. ISSUE: Many of the early family residency programs developed in the 1970s included a curricular focus on rural practice...
January 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28335689/trends-of-occupational-hygiene-in-finland
#2
Rauno Pääkkönen, Milja Koponen
The aim of this work is to evaluate and describe the current status of, and prospects for, the future of occupational hygiene in Finland. The main sources of information include a seminar held in the annual meeting of Finnish Occupational Hygiene Society, and interviews with different stakeholders. Nanotechnology and other new materials, changing work environments, circular economy including green jobs, new medical methods, and advances of construction methods were recognised as future challenges. Future work opportunities for occupational hygiene experts included exposure assessments in indoor air surveys, private consulting and entrepreneurship in general, international activities, and product safety issues...
March 24, 2017: International Journal of Occupational Safety and Ergonomics: JOSE
https://www.readbyqxmd.com/read/28325238/radiation-oncology-quality-and-safety-considerations-in-low-resource-settings-a-medical-physics-perspective
#3
REVIEW
Jacob Van Dyk, Ahmed Meghzifene
The past few years have seen a significant growth of interest in the global radiation therapy (RT) crisis. Various organizations have quantified the need and are providing aid in support of addressing the shortfalls existing in many low-to-middle income countries. With the tremendous demand for new facilities, equipment, and personnel, it is very important to recognize the quality and safety challenges and to address them directly. An examination of publications on quality and safety in RT indicates a consistency in a number of the recommendations; however, these authoritative reports were generally based on input from high-resourced contexts...
April 2017: Seminars in Radiation Oncology
https://www.readbyqxmd.com/read/28288623/assessment-of-hospital-length-of-stay-and-direct-costs-of-type-2-diabetes-in-hubei-province-china
#4
Dajie Chen, Shuai Liu, Xiaodong Tan, Qihan Zhao
BACKGROUND: The incidence of type 2 diabetes is increasing, creating a huge burden for China's social healthcare system. This study aimed to evaluate hospital length of stay (LOS) based on admission characteristics and direct costs correlated with various types of complications for type 2 diabetic inpatients in Hubei Province, China. METHODS: A total of 1528 inpatients diagnosed with type 2 diabetes discharged between April 1, 2013, and March 31, 2014, were included in this study...
March 14, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28278358/health-seeking-behaviour-and-health-expenditure-in-adults-aged-45-years-and-older-in-china-2011-2013
#5
Jiasen Li, Xing Lin Feng
OBJECTIVES: To provide an assessment of China's progress to universal health care from the perspective of people-centred care. METHODS: We obtained data on 28,103 participants from the China Health and Retirement Longitudinal Study during 2011-2013. Logistic regressions and generalized linear models were used to analyse care-seeking behaviours and medical expenditure. RESULTS: Insurance coverage was 95.5% in 2013. Nearly 60% subjects in need of medical care were self-medicated...
March 9, 2017: Tropical Medicine & International Health: TM & IH
https://www.readbyqxmd.com/read/28271489/the-pyruvate-dehydrogenase-complex-and-related-assemblies-in-health-and-disease
#6
Olwyn Byron, John Gordon Lindsay
The family of 2-oxoacid dehydrogenase complexes (2-OADC), typified by the pyruvate dehydrogenase multi-enzyme complex (PDC) as its most prominent member, are massive molecular machines (Mr, 4-10 million) controlling key steps in glucose homeostasis (PDC), citric acid cycle flux (OGDC, 2-oxoglutarate dehydrogenase) and the metabolism of the branched-chain amino acids, leucine, isoleucine and valine (BCOADC, branched-chain 2-OADC). These highly organised mitochondrial arrays, composed of multiple copies of three separate enzymes, have been widely studied as paradigms for the analysis of enzyme cooperativity, substrate channelling, protein-protein interactions and the regulation of activity by phosphorylation ...
2017: Sub-cellular Biochemistry
https://www.readbyqxmd.com/read/28254998/association-of-centre-volume-and-in-hospital-mortality-in-heart-failure-hospitalisations
#7
Shivank Madan, Daniel Sims, Omar Saeed, Snehal R Patel, Jooyoung J Shin, Ulrich P Jorde
BACKGROUND: Centre volume is an important determinant of outcomes in patients requiring complex medical treatments or surgical procedures. Heart failure hospitalisation (HFH) has become an increasingly complex and resource intensive clinical event. We evaluated the effect of centre volume on mortality and costs in patients with HFH. METHODS: This was a retrospective registry-based analysis of adult patients discharged with a primary diagnosis of HF from hospitals across New York (NY) State over a 5-year period, between January 2009 and December 2013, using the Statewide Planning and Research Cooperative System inpatient discharge files...
March 2, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28252618/-the-progressive-models-of-educational-activities-as-a-basis-for-the-training-of-forensic-medical-experts-of-the-new-generation
#8
S A Smirnova, O A Yastrebov
The authors interpret forensic expertology as a synthetic science and propose the models for the training of professionals in the field of forensic medical expertise. They provide a rationale for the realization of such systematic training in the framework of the model of the three-level system based at the educational institutions of higher professional education. Characteristic features of the existing standards of professional training in the sphere of forensic medical expertise are considered with special reference to the organization of education of future forensic medical experts based at the many-level programs adopted in the Russian University of People's Friendship...
2017: Sudebno-meditsinskaia Ekspertiza
https://www.readbyqxmd.com/read/28242434/rural-general-surgery-a-38-year-experience-with-a-regional-network-established-by-an-integrated-health-system-in-the-midwestern-united%C3%A2-states
#9
Thomas H Cogbill, Marilu Bintz
BACKGROUND: General surgeon (GS) workforce shortages are predicted to worsen, particularly in rural areas. We report on a sustainable model for delivery of GS services within a large rural region that includes an integrated health system. STUDY DESIGN: We conducted a longitudinal study of a rural GS network from 1978 to 2016. Employment data and rural GS survey results were reviewed to document methods of recruitment, retention, and case-volume development. RESULTS: During the 38-year study period, 19 rural GSs were employed by the health system...
February 24, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28241301/battle-of-the-bulge-aortic-aneurysm-management-from-early-modernity-to-the-present
#10
Justin Barr
For centuries, physicians have recognized aortic aneurysms as an acute threat to life. Therapeutic approaches to the disease began in the 18th century when leading physicians, such as René Laennec and Antonio Valsalva, applied research on circulation and blood coagulation to devise whole-body fasting and bleeding regimens to prevent rupture. After John Hunter's success in ligating arteries to treat peripheral aneurysms, surgeons attempted analogous operations on the aorta, but even the renowned Sir Astley Cooper and William Halsted met with disastrous results...
February 21, 2017: Annals of Internal Medicine
https://www.readbyqxmd.com/read/28201843/regression-of-liver-fibrosis
#11
Lara Campana, John P Iredale
Liver fibrosis is the final common pathway of chronic or iterative liver damage. Advanced chronic fibrosis is described as cirrhosis with a loss of architecture and attendant functional failure and the development of life-threatening complications. However, compelling evidence from rodent models and human studies indicates that if the injury is removed liver fibrosis is reversible. Hepatocytes, activated hepatic stellate cells, endothelial and immune cells, particularly macrophages, cooperate in the establishment and resolution of liver fibrosis...
February 2017: Seminars in Liver Disease
https://www.readbyqxmd.com/read/28197662/-trends-in-medical-rehabilitation-supply-structure-and-target-groups
#12
Rolf Buschmann-Steinhage
Medical rehabilitation in Germany has been changing continuously since its inception following the Bismarck Legislation. This article describes its development in past years and discusses quantitative and qualitative changes. Central quantitative changes are discussed using the examples of rehabilitation utilisation, spectrum of diseases, setting and follow-up rehabilitation. Important qualitative changes in medical rehabilitation pertain to multiple morbidities, the emphasis on work-related problems in rehabilitative concepts and their implementation, more flexible forms of rehabilitation, prevention, rehabilitation for people from other countries, mobile rehabilitation and rehabilitation after-care (also with new media)...
February 14, 2017: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
https://www.readbyqxmd.com/read/28165011/mtorc1-independent-tfeb-activation-via-akt-inhibition-promotes-cellular-clearance-in-neurodegenerative-storage-diseases
#13
Michela Palmieri, Rituraj Pal, Hemanth R Nelvagal, Parisa Lotfi, Gary R Stinnett, Michelle L Seymour, Arindam Chaudhury, Lakshya Bajaj, Vitaliy V Bondar, Laura Bremner, Usama Saleem, Dennis Y Tse, Deepthi Sanagasetti, Samuel M Wu, Joel R Neilson, Fred A Pereira, Robia G Pautler, George G Rodney, Jonathan D Cooper, Marco Sardiello
Neurodegenerative diseases characterized by aberrant accumulation of undigested cellular components represent unmet medical conditions for which the identification of actionable targets is urgently needed. Here we identify a pharmacologically actionable pathway that controls cellular clearance via Akt modulation of transcription factor EB (TFEB), a master regulator of lysosomal pathways. We show that Akt phosphorylates TFEB at Ser467 and represses TFEB nuclear translocation independently of mechanistic target of rapamycin complex 1 (mTORC1), a known TFEB inhibitor...
February 6, 2017: Nature Communications
https://www.readbyqxmd.com/read/28158440/the-inequity-of-inpatient-services-in-rural-areas-and-the-new-type-rural-cooperative-medical-system-nrcms-in-china-repeated-cross-sectional-analysis
#14
Bingbing Pan, Samuel D Towne, Yuxing Chen, ZhaoKang Yuan
No abstract text is available yet for this article.
February 3, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28125930/from-coastal-to-global-the-transnational-flow-of-ayurveda-and-its-relevance-for-indo-african-linkages
#15
Caroline Meier Zu Biesen
Driven by long-standing ties with India, and intertwined with global market interests, a growing influx of materia medica from South Asia is currently emerging in East Africa. To compete at a global level and framed within the language of 'South-South cooperation for mutual benefit', India presents itself as an appropriate exporter of medical products suitable for African clientele. The expansion of India's medical sector into Africa is particularly relevant for Ayurvedic pharmaceuticals. Ayurveda's diaspora into Africa exemplifies the emergence of new health interventions and medical assemblages in a transnationally interconnected world and implies innovative coalitions involved in the complex promotion of local/Global Health industries...
January 26, 2017: Global Public Health
https://www.readbyqxmd.com/read/28121261/occupational-injuries-and-exposures-among-emergency-medical-services-workers
#16
Audrey A Reichard, Suzanne M Marsh, Theresa R Tonozzi, Srinivas Konda, Mirinda A Gormley
OBJECTIVE: Emergency medical services (EMS) workers incur occupational injuries at a higher rate than the general worker population. This study describes the circumstances of occupational injuries and exposures among EMS workers to guide injury prevention efforts. METHODS: The National Institute for Occupational Safety and Health collaborated with the National Highway Traffic Safety Administration to conduct a follow-back survey of injured EMS workers identified from a national sample of hospital emergency departments (EDs) from July 2010 through June 2014...
January 25, 2017: Prehospital Emergency Care
https://www.readbyqxmd.com/read/28109347/how-is-physician-work-valued
#17
Jeffrey P Jacobs, Stephen J Lahey, Francis C Nichols, James M Levett, George Gilbert Johnston, Richard K Freeman, James D St Louis, Julie Painter, Courtney Yohe, Cameron D Wright, Kirk R Kanter, John E Mayer, Keith S Naunheim, Jeffrey B Rich, Joseph E Bavaria
Strategies to value physician work continue to evolve. The Society of Thoracic Surgeons and The Society of Thoracic Surgeons National Database have an increasingly important role in this evolution. An understanding of the Current Procedural Terminology (CPT) system (American Medical Association [AMA], Chicago, IL) and the Relative Value Scale Update Committee (RUC) is necessary to comprehend how physician work is valued. In 1965, with the dawn of increasingly complex medical care, immense innovation, and the rollout of Medicare, the need for a common language describing medical services and procedures was recognized as being of critical importance...
February 2017: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/28099481/correction-comparing-maternal-services-utilization-and-expense-reimbursement-before-and-after-the-adjustment-of-the-new-rural-cooperative-medical-scheme-policy-in-rural-china
#18
Hua You, Hai Gu, Weiqing Ning, Hua Zhou, Hengjin Dong
[This corrects the article DOI: 10.1371/journal.pone.0158473.].
2017: PloS One
https://www.readbyqxmd.com/read/28092617/supplementation-of-pigs-diet-with-zinc-and-copper-as-alternative-to-conventional-antimicrobials
#19
REVIEW
B Dębski
Modern commercial pig farming systems inflict increased stress in animals, which often leads to various negative changes in the gastro-intestinal tract, especially in the case of piglets. Ban of antibiotics, used as growth promoters, has caused a need for alternatives to conventional antimicrobials in swine diets. Use of pre-/or probiotics, organic acids and plant extracts is often recommended, but it seems that zinc oxide and cooper salts, which were traditionally included in high doses to piglets diet, possess the highest efficacy...
December 1, 2016: Polish Journal of Veterinary Sciences
https://www.readbyqxmd.com/read/28062578/gmp-synthase-is-required-for-virulence-factor-production-and-infection-by-cryptococcus-neoformans
#20
Jessica L Chitty, Tayla L Tatzenko, Simon J Williams, Y Q Andre E Koh, Elizabeth C Corfield, Mark S Butler, Avril A B Robertson, Matthew A Cooper, Ulrike Kappler, Bostjan Kobe, James A Fraser
Over the last four decades the HIV pandemic and advances in medical treatments that also cause immunosuppression have produced an ever-growing cohort of individuals susceptible to opportunistic pathogens. Of these, AIDS patients are particularly vulnerable to infection by the encapsulated yeast Cryptococcus neoformans Most commonly found in the environment in purine-rich bird guano, C. neoformans experiences a drastic change in nutrient availability during host infection, ultimately disseminating to colonize the purine-poor central nervous system...
February 17, 2017: Journal of Biological Chemistry
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