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https://www.readbyqxmd.com/read/28231672/-analysis-on-cancer-deaths-and-cause-eliminated-life-expectancy-among-residents-of-tianjin-2015
#1
Z L Xu, H Zhang, D Z Wang, G D Song, C F Shen, S Zhang, Y Zhang, G H Jiang
Objective: To explore the causes of cancer deaths and cause-eliminated-life-expectancy among residents of Tianjin. Methods: Data from the death registry system of Tianjin residents in 2015 were collected and cancers were grouped according to the classification of Global Burden of Disease. Specific cancer crude death rate and cause eliminated life expectancy (CELE) were calculated. Results: In 2015, 17 641 Tianjin residents died of cancer, with the crude death rate as 171.79 per 100 thousand and the standardized rate according to the Chinese population in 2000 as 86...
February 10, 2017: Zhonghua Liu Xing Bing Xue za Zhi, Zhonghua Liuxingbingxue Zazhi
https://www.readbyqxmd.com/read/28230209/direct-observation-of-the-dynamics-of-single-metal-ions-at-the-interface-with-solids-in-aqueous-solutions
#2
Maria Ricci, William Trewby, Clodomiro Cafolla, Kislon Voïtchovsky
The dynamics of ions adsorbed at the surface of immersed charged solids plays a central role in countless natural and industrial processes such as crystal growth, heterogeneous catalysis, electrochemistry, or biological function. Electrokinetic measurements typically distinguish between a so-called Stern layer of ions and water molecules directly adsorbed on to the solid's surface, and a diffuse layer of ions further away from the surface. Dynamics within the Stern layer remain poorly understood, largely owing to a lack of in-situ atomic-level insights...
February 23, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28224724/economic-and-social-impact-of-diabetes-mellitus-in-a-low-income-country-a-case-control-study-in-sudan
#3
Hind Elrayah-Eliadarous, Claes-Göran Östensson, Mohamed Eltom, Pia Johansson, Vibeke Sparring, Rolf Wahlström
AIMS: Diabetes mellitus accounts for 11% of total health expenditures worldwide, and the majority of all persons with diabetes live in low- and middle-income countries. This study examined the economic and social impact attributed to diabetes in Sudan by calculating out-of-pocket medical expenditures and the health and social impact of the disease for persons with diabetes (n = 375) and their families, compared to a non-diabetic control group (n = 375), matched for age, sex and residence area...
February 22, 2017: Journal of Diabetes
https://www.readbyqxmd.com/read/28219453/a-consult-is-just-a-page-away-a-prospective-observational-study-on-the-impact-of-jinxing-on-call-karma-in-neurosurgery
#4
Holger Joswig, Lauren Zarnett, David A Steven, Martin N Stienen
OBJECTIVE: Our aim was to assess the impact of jinxing on "call karma" in neurosurgery. METHODS: We conducted a prospective observational study on 15 residents on call for the neurosurgery service, recording the total number of admissions, consults, deaths encountered, surgeries performed, hours of sleep and subjective call rating on a numeric rating scale (NRS) of 0-10 in terms of general awfulness. RESULTS: Some 204 on-call nightshifts were analyzed, of which 61 (29...
February 21, 2017: Canadian Journal of Neurological Sciences. le Journal Canadien des Sciences Neurologiques
https://www.readbyqxmd.com/read/28211056/targeted-mass-media-interventions-promoting-healthy-behaviours-to-reduce-risk-of-non-communicable-diseases-in-adult-ethnic-minorities
#5
REVIEW
Annhild Mosdøl, Ingeborg B Lidal, Gyri H Straumann, Gunn E Vist
BACKGROUND: Physical activity, a balanced diet, avoidance of tobacco exposure, and limited alcohol consumption may reduce morbidity and mortality from non-communicable diseases (NCDs). Mass media interventions are commonly used to encourage healthier behaviours in population groups. It is unclear whether targeted mass media interventions for ethnic minority groups are more or less effective in changing behaviours than those developed for the general population. OBJECTIVES: To determine the effects of mass media interventions targeting adult ethnic minorities with messages about physical activity, dietary patterns, tobacco use or alcohol consumption to reduce the risk of NCDs...
February 17, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28209702/primary-care-specialty-career-choice-among-canadian-medical-students-understanding-the-factors-that-influence-their-decisions
#6
Heather Ann Osborn, Jordan T Glicksman, Michael G Brandt, Philip C Doyle, Kevin Fung
OBJECTIVE: To identify which factors influence medical students' decision to choose a career in family medicine and pediatrics, and which factors influence their decision to choose careers in non-front-line specialties. DESIGN: Survey that was created based on a comprehensive literature review to determine which factors are considered important when choosing practice specialty. SETTING: Ontario medical school. PARTICIPANTS: An open cohort of medical students in the graduating classes of 2008 to 2011 (inclusive)...
February 2017: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/28209518/evidence-based-policies-on-school-nutrition-and-physical-education-associations-with-state-level-collaboration-obesity-and-socio-economic-indicators
#7
Jennifer E Pelletier, Melissa N Laska, Richard MacLehose, Toben F Nelson, Marilyn S Nanney
Despite calls for more cross-sector collaboration on obesity prevention, little is known about the role of collaborative partnerships, or groups of organizations from different sectors working together toward a shared goal, in state policy activities. This study examined associations between competitive food/beverage and physical education policies and state-level collaboration and state characteristics (obesity, socioeconomic indicators, public health funding levels) for all 50 states and the District of Columbia, USA, in 2012...
February 13, 2017: Preventive Medicine
https://www.readbyqxmd.com/read/28207893/career-interest-and-perceptions-of-nephrology-a-repeated-cross-sectional-survey-of-internal-medicine-residents
#8
Michael N Daniels, Sharon Maynard, Ivan Porter, Hope Kincaid, Deepika Jain, Nabeel Aslam
BACKGROUND: Interest in nephrology careers among internal medicine residents in the United States is declining. Our objective was to assess the impact of the presence of a nephrology fellowship training program on perceptions and career interest in nephrology among internal medicine residents. A secondary objective was to identify commonly endorsed negative perceptions of nephrology among internal medicine residents. METHODS: This was a repeated cross-sectional survey of internal medicine residents before (Group 1) and 3 years after (Group 2) the establishment of nephrology fellowship programs at two institutions...
2017: PloS One
https://www.readbyqxmd.com/read/28198724/engaging-learners-to-advance-medical-education
#9
Jesse Burk-Rafel, R Logan Jones, Janice L Farlow
Learners are a pillar of academic medicine, yet their voice is seldom heard in national and international scholarly conversations on medical education. However, learners are eager to contribute: in response to a recent open call from Academic Medicine, medical students and residents representing 98 institutions across 11 countries submitted 224 Letters to the Editor on wide-ranging topics. In this Invited Commentary, the authors-three medical students serving in national leadership roles-contextualize several themes discussed in these learner-authored letters...
February 14, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28182515/acute-health-effects-after-the-elk-river-chemical-spill-west-virginia-january-2014
#10
Erica D Thomasson, Elizabeth Scharman, Ethan Fechter-Leggett, Danae Bixler, Sheri'f Ibrahim, Mary Anne Duncan, Joy Hsu, Melissa Scott, Suzanne Wilson, Loretta Haddy, Anthony Pizon, Sherry Burrer, Amy Wolkin, Lauren Lewis
OBJECTIVES: On January 9, 2014, approximately 10 000 gallons of a mixture of 4-methylcyclohexanemethanol and propylene glycol phenyl ether spilled into West Virginia's Elk River, contaminating the potable water supply of about 300 000 West Virginia residents. This study sought to describe acute health effects after the chemical spill. METHODS: We conducted a descriptive analysis using 3 complementary data sources: (1) medical records of patients who visited an emergency department during January 9-23, 2014, with illness potentially related to the spill; (2) West Virginia Poison Center caller records coded as "contaminated water" during January 9-23, 2014; and (3) answers to household surveys about health effects from a Community Assessment for Public Health Emergency Response (CASPER) questionnaire administered 3 months after the spill...
January 1, 2017: Public Health Reports
https://www.readbyqxmd.com/read/28177958/feedback-for-learners-in-medical-education-what-is-known-a-scoping-review
#11
Robert Bing-You, Victoria Hayes, Kalli Varaklis, Robert Trowbridge, Heather Kemp, Dina McKelvy
PURPOSE: To conduct a scoping review of the literature on feedback for learners in medical education. METHOD: In 2015-2016, the authors searched the Ovid MEDLINE, ERIC, CINAHL, ProQuest Dissertations and Theses Global, Web of Science, and Scopus databases and seven medical education journals (via OvidSP) for articles published January 1980-December 2015. Two reviewers screened articles for eligibility with inclusion criteria. All authors extracted key data and analyzed data descriptively...
February 7, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28173807/harm-reduction-through-housing-first-an-assessment-of-the-emergency-warming-centre-in-inuvik-canada
#12
Michael G Young, Kathleen Manion
BACKGROUND: This research examines the effectiveness of an Emergency Warming Centre (EWC) in Inuvik, Canada, at reducing rates of morbidity and mortality for homeless persons with concurrent disorders (mental health problems and addictions). Inuvik is a small town of approximately 3500 residents, with over 65% being Aboriginal. The town is situated on the Beaufort Delta in the Western Canadian Arctic and is subject to oil and gas extraction-based boom and bust economic cycles. The centre provided food and accommodation for those under the influence of alcohol or drugs who had no other place to stay...
February 7, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28168941/the-biometric-imaginary-dis-trust-in-a-policy-vacuum
#13
Kristrún Gunnarsdóttir, Kjetil Rommetveit
The decision in Europe to implement biometric passports, visas and residence permits was made at the highest levels without much consultation, checks and balances. Council regulation came into force relatively unnoticed in January 2005, as part of wider securitization policies urging systems interoperability and data sharing across borders. This article examines the biometric imaginary that characterizes this European Union decision, dictated by executive powers in the policy vacuum after 9/11 - a depiction of mobility governance, technological necessity and whom/what to trust or distrust, calling upon phantom publics to justify decisions rather than test their grounding...
February 2017: Public Understanding of Science
https://www.readbyqxmd.com/read/28166767/microparticles-shed-from-multidrug-resistant-breast-cancer-cells-provide-a-parallel-survival-pathway-through-immune-evasion
#14
Ritu Jaiswal, Michael S Johnson, Deep Pokharel, S Rajeev Krishnan, Mary Bebawy
BACKGROUND: Breast cancer is the most frequently diagnosed cancer in women. Resident macrophages at distant sites provide a highly responsive and immunologically dynamic innate immune response against foreign infiltrates. Despite extensive characterization of the role of macrophages and other immune cells in malignant tissues, there is very little known about the mechanisms which facilitate metastatic breast cancer spread to distant sites of immunological integrity. The mechanisms by which a key healthy defense mechanism fails to protect distant sites from infiltration by metastatic cells in cancer patients remain undefined...
February 6, 2017: BMC Cancer
https://www.readbyqxmd.com/read/28159949/practice-based-learning-and-improvement-pbli-in-postgraduate-medical-training-milestones-instructional-and-assessment-strategies
#15
Rajiv Mahajan, - Anshu, Piyush Gupta, Tejinder Singh
Patient-safety and quality-improvement are high-priority issues. One of the ways by which this can be implemented is by training residents to gather and appraise scientific evidence, as well as to evaluate their own patient-care practices. This competency is called Practice-based Learning and Improvement (PBLI). Training in PBLI provides residents with skills and knowledge necessary to reflect on their own strengths and deficiencies, identify their own learning needs, and engage in learning for improvement...
February 2, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28149979/a-look-at-the-burden-of-opioid-management-in-primary-care
#16
Morteza Khodaee, Brandy Deffenbacher
PURPOSE: Pain management with opioids in primary care is challenging. The objective of this study was to identify the number of opioid-related tasks in our clinics and determine whether opioid-related tasks occur more often in a residency setting. METHODS: This was a retrospective observational review of an electronic health record (EHR) system to evaluate tasks related to the use of opioids and other controlled substances. Tasks are created in the EHR when patients call the clinic; the task-box system is a means of communication within the EHR...
December 2016: Journal of Family Practice
https://www.readbyqxmd.com/read/28149500/pragmatic-trials-may-help-to-identify-effective-strategies-to-reduce-nursing-home-antipsychotic-medication-use
#17
EDITORIAL
Rosa R Baier, Vincent Mor
Despite widespread agreement that nursing homes' use of antipsychotic medications for residents without specific psychiatric diagnoses is a marker of poor quality of care, prevalence remains high. Additionally, variation suggests continued opportunity to improve care even in countries, like the United States, that have long-standing policies designed to decrease antipsychotic medication use. In a recent Israel Journal of Health Policy Research article, Frankenthal et al. presented results linking increased antipsychotic medication use prevalence in Tel Aviv nursing homes with facility characteristics, including some that "undermine quality of care," and called for increased national focus on this area...
2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/28145987/factors-related-to-depression-symptoms-among-working-women-in-menoufia-egypt
#18
Zeinab A Kasemy, Amal A Salama, Mahmoud E Abo Salem, Noha Negm
BACKGROUND: Lifetime prevalence rates for any psychological disorder are higher than previously thought. Depression in the workplace may lower work productivity and increase maladjustment in daily professional life. AIM OF THE STUDY: The study aimed to investigate the prevalence of depression symptoms and the work-related risk factors in Egyptian working women. PATIENTS AND METHODS: A cross-sectional study was carried out on 600 working women in family health facilities in Tala district, Menoufia governorate in 2015...
December 2016: Journal of the Egyptian Public Health Association
https://www.readbyqxmd.com/read/28145734/-fellow-of-the-day-a-novel-trainee-role-to-improve-fellows-outpatient-continuity-clinics
#19
Diana J Kelm, Joseph Skalski, Kannan Ramar
RATIONALE: The implementation of team-based care models in residency programs is one method to improve patient and provider outpatient satisfaction. However, to our knowledge, this has not yet been studied in fellowship programs. OBJECTIVES: We instituted a pilot project to test a team-based model of care in our Pulmonary and Critical Care Medicine (PCCM) fellows' clinic by creating a new outpatient role called the "Fellow of the Day" with the goal of reducing clinical disruption for the fellows, provide more educational value for medical students, and improve patient care...
February 1, 2017: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/28130051/attending-radiologist-variability-and-its-effect-on-radiology-resident-discrepancy-rates
#20
Joseph C Wildenberg, Po-Hao Chen, Mary H Scanlon, Tessa S Cook
RATIONALE AND OBJECTIVES: Discrepancy rates for interpretations produced in a call situation are one metric to evaluate residents during training. Current benchmarks, reported in previous studies, do not consider the effects of practice pattern variability among attending radiologists. This study aims to investigate the impact of attending variability on resident discrepancy rates to determine if the current benchmarks are an accurate measure of resident performance and, if necessary, update discrepancy benchmarks to accurately identify residents performing below expectations...
January 24, 2017: Academic Radiology
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