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https://www.readbyqxmd.com/read/26720985/understanding-u-s-physician-satisfaction-state-of-the-evidence-and-future-directions
#1
REVIEW
Timothy Hoff, Gary Young, Elaine Xiang, Eli Raver
Physician satisfaction is an important issue, yet we know less about it than we should. This narrative review updates our knowledge about U.S. physician satisfaction and proposes new foci for understanding and studying the topic that align better with the evolving U.S. healthcare delivery system, physicians' everyday work situations, and medicine's internal demographic changes. Using the PubMed database of empirical studies published between 2008 and 2013 that examine U.S. physician job, career, or work satisfaction, we compare our review findings with a review covering studies published between 1970 and 2007...
November 2015: Journal of Healthcare Management / American College of Healthcare Executives
https://www.readbyqxmd.com/read/26685751/the-nature-of-the-silicaphilic-fluorescence-of-pdmpo
#2
Mithun Parambath, Quentin S Hanley, Francisco J Martin-Martinez, Tristan Giesa, Markus J Buehler, Carole C Perry
PDMPO (2-(4-pyridyl)-5-((4-(2-dimethylaminoethylaminocarbamoyl)methoxy)phenyl)oxazole), has unique silica specific fluorescence and is used in biology to understand biosilicification. This 'silicaphilic' fluorescence is not well understood nor is the response to local environmental variables like solvent and pH. We investigated PDMPO in a range of environments: using UV-vis and fluorescence spectroscopy supported by computational data, (SPARC, molecular dynamics simulations, density functional theory calculations), dynamic light scattering and zeta potential measurements to understand the PDMPO-silica interaction...
February 17, 2016: Physical Chemistry Chemical Physics: PCCP
https://www.readbyqxmd.com/read/26679982/hearing-is-believing-birds-learn-fear
#3
Christopher B Sturdy, Darren S Proppe
Although it is known that animals attend to the vocalizations of others (referred to as eavesdropping), what has been missing, or at least left experimentally unproven, until now is whether animals can learn new associations between a signal and a threat. Here Magrath and colleagues (Current Biology, 25(15), 2047-2050, 2015) have for the first time conducted a field experiment that demonstrates just this: superb fairy-wrens learned to associate a novel vocalization with a predator.
September 2016: Learning & Behavior
https://www.readbyqxmd.com/read/26677969/new-drug-approvals-in-acute-myeloid-leukemia-what-s-the-best-end-point
#4
EDITORIAL
E Estey, M Othus, S J Lee, F R Appelbaum, R P Gale
No abstract text is available yet for this article.
March 2016: Leukemia: Official Journal of the Leukemia Society of America, Leukemia Research Fund, U.K
https://www.readbyqxmd.com/read/26673374/shattered-suffering-and-silenced-sharon-s-story
#5
Michaela R Shafer
This chapter presents a case study of a 30-year-old female news reporter in Albuquerque, New Mexico, named Sharon Fullilove. The case is presented as a personal narrative by her mother, who is a critical care nurse, former chief nurse, Level I trauma unit commander, and colonel in the U.S. Air Force. The narrative is followed by excerpts from Sharon's chart that confirm a series of decisions made by both the hospital and the providers. The subsequent narrative is meant to give the reader an opportunity to reflect on the variety of clinical ethics questions that emerge when a patient enters into a contract with a physician and hospital for care...
2016: Annual Review of Nursing Research
https://www.readbyqxmd.com/read/26672831/the-evolution-of-early-appendectomy-as-standard-treatment-from-appendicitis-what-we-can-learn-from-the-past-in-adopting-new-medical-therapies
#6
William S Richardson
Dr. Reginald Fitz popularized early appendectomy for the treatment of appendicitis with his treatise, "Perforating Inflammation of the Vermiform Appendix," published in 1886 while he worked at the Massachusetts General Hospital along with Dr. Maurice Howe Richardson, the inventor of the Richardson retractor. Their collaboration over the ensuing years led to improvement in outcomes for patients with appendicitis. This historical article describes the importance of this collaboration with information from operative reports, letters, and manuscripts and echoes the discussion today of safely adopting new medical technologies...
February 2015: American Surgeon
https://www.readbyqxmd.com/read/26663558/understanding-continuous-professional-development-participation-and-choice-of-mid-career-general-dental-practitioners
#7
T Brown, H S Wassif
OBJECTIVE: Participating in continuing professional development (CPD) activities is a requirement for dental practitioners to keep their skills and knowledge up to date. Understanding the ways dental practitioners engage with professional development and the impact on practice is not fully known (Eaton et al. 2011, http://www.gdc-uk.org/Aboutus/policy/Documents/Impact%20Of%20CPD%20In%20Dentistry.pdf). The aim of this study was to gain insights into the ways that dentists reflect on their professional development and what may be influencing their choices...
December 10, 2015: European Journal of Dental Education: Official Journal of the Association for Dental Education in Europe
https://www.readbyqxmd.com/read/26661575/pandora-s-box-eosinophilic-granuloma-at-the-cerebellopontine-angle-should-we-open-it
#8
Ahmet Öğrenci, Osman Ersegun Batçık, Murat Şakir Ekşi, Orkun Koban
BACKGROUND: Langerhans cell histiocytosis (LCH) is a disorder of immature LCH cells, eosinophils, macrophages, lymphocytes, and multinucleated giant cells. Eosinophilic granuloma (EG) is a focal form of LCH that presents mostly in the skull, femur, vertebrae, pelvis, mandible, and ribs. Intracranial presentation of EG is very rare in the literature. CASE DESCRIPTION: A 17-year-old boy visited our clinic with headache, dizziness, and tinnitus that were present for 2 months...
August 2016: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/26659922/rings-reconcile-genotypic-and-phenotypic-evolution-within-the-proteobacteria
#9
James A Lake, Joseph Larsen, Brooke Sarna, Rafael R de la Haba, Yiyi Pu, HyunMin Koo, Jun Zhao, Janet S Sinsheimer
Although prokaryotes are usually classified using molecular phylogenies instead of phenotypes after the advent of gene sequencing, neither of these methods is satisfactory because the phenotypes cannot explain the molecular trees and the trees do not fit the phenotypes. This scientific crisis still exists and the profound disconnection between these two pillars of evolutionary biology--genotypes and phenotypes--grows larger. We use rings and a genomic form of goods thinking to resolve this conundrum (McInerney JO, Cummins C, Haggerty L...
December 10, 2015: Genome Biology and Evolution
https://www.readbyqxmd.com/read/26659260/the-moral-reasoning-of-u-s-evangelical-and-mainline-protestant-children-adolescents-and-adults-a-cultural-developmental-study
#10
Lene Arnett Jensen, Jessica McKenzie
This cultural-developmental interview study examined moral reasoning in relation to religious culture (evangelical, mainline Protestants), age (children, adolescents, adults), and moral issue (public, private; N = 120). Compared to adolescents and adults, children used more Ethic of Autonomy and less Ethic of Community reasoning. With age, differences between religious cultures became pronounced. Mainline adults invoked an Ethic of Divinity for private issues. Evangelical adolescents and adults used this ethic frequently, but more for public than private issues...
March 2016: Child Development
https://www.readbyqxmd.com/read/26659233/heller-myotomy-with-esophageal-diverticulectomy-an-operation-in-need-of-improvement
#11
Ty A Bowman, Benjamin D Sadowitz, Sharona B Ross, Andrew Boland, Kenneth Luberice, Alexander S Rosemurgy
BACKGROUND: This study was undertaken to evaluate the outcomes after laparoscopic Heller myotomy with anterior fundoplication and diverticulectomy for patients with achalasia and esophageal diverticula. METHODS: 634 patients undergoing laparoscopic Heller myotomy and anterior fundoplication from 1992 to 2015 are prospectively followed up; patients were stratified for those undergoing concomitant diverticulectomy. Patients graded symptom frequency and severity before and after myotomy, using a Likert scale (0 = never/not bothersome to 10 = always/very bothersome)...
August 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/26647159/integrating-environmental-management-of-asthma-into-pediatric-health-care-what-worked-and-what-still-needs-improvement
#12
James R Roberts, Nicholas Newman, Leyla E McCurdy, Jane S Chang, Mauro A Salas, Bernard Eskridge, Lisa De Ybarrondo, Megan Sandel, Lynnette Mazur, Catherine J Karr
The National Environmental Education Foundation (NEEF) launched an initiative in 2005 to integrate environmental management of asthma into pediatric health care. This study, a follow-up to a 2013 study, evaluated the program's impact and assessed training results by 5 new faculty champions. We surveyed attendees at training sessions to measure knowledge and the likelihood of asking about and managing environmental triggers of asthma. To conduct the program evaluation, a workshop was held with the faculty champions and NEEF staff in which we identified major program benefits, as well as challenges and suggestions for the future...
December 8, 2015: Clinical Pediatrics
https://www.readbyqxmd.com/read/26646009/helicobacter-pylori-resists-the-antimicrobial-activity-of-calprotectin-via-lipid-a-modification-and-associated-biofilm-formation
#13
Jennifer A Gaddy, Jana N Radin, Thomas W Cullen, Walter J Chazin, Eric P Skaar, M Stephen Trent, Holly M S Algood
UNLABELLED: Helicobacter pylori is one of several pathogens that persist within the host despite a robust immune response. H. pylori elicits a proinflammatory response from host epithelia, resulting in the recruitment of immune cells which manifests as gastritis. Relatively little is known about how H. pylori survives antimicrobials, including calprotectin (CP), which is present during the inflammatory response. The data presented here suggest that one way H. pylori survives the nutrient sequestration by CP is through alteration of its outer membrane...
December 8, 2015: MBio
https://www.readbyqxmd.com/read/26640833/interaction-detection-with-depth-sensing-and-body-tracking-cameras-in-physical-rehabilitation
#14
L Omelina, B Jansen, B Bonnechère, M Oravec, P Jarmila, S Van Sint Jan
INTRODUCTION: This article is part of the Focus Theme of Methods of Information in Medicine on "Methodologies, Models and Algorithms for Patients Rehabilitation". OBJECTIVES: This paper presents a camera based method for identifying the patient and detecting interactions between the patient and the therapist during therapy. Detecting interactions helps to discriminate between active and passive motion of the patient as well as to estimate the accuracy of the skeletal data...
2016: Methods of Information in Medicine
https://www.readbyqxmd.com/read/26633944/mental-health-outcomes-of-drug-conflict-among-university-students-at-the-u-s-mexico-border
#15
Kathleen O'Connor, Maricarmen Vizcaino, Nora A Benavides
The purpose of this cross-sectional study was to investigate to what extent young adults with close ties to Mexico were at greater risk for self-reported negative mental health outcomes than comparison groups during drug-related armed conflict from 2008 through 2012, and the effect of type and number of traumatic events on mental health outcomes. Using the Harvard Trauma Questionnaire and the Hopkins Symptom Checklist, 202 university students living in the El Paso-Ciudad Juárez border region were surveyed for symptoms of depression, anxiety, and posttraumatic stress...
June 2015: Traumatology
https://www.readbyqxmd.com/read/26629844/what-medical-doctors-and-medical-students-know-about-physical-medicine-and-rehabilitation-a-survey-from-central-europe
#16
Piotr Tederko, Marek Krasuski, Zoltan Denes, Sasa Moslavac, Igor Likarevic
BACKGROUND: Physical and rehabilitation medicine (PRM) is a relatively new and dynamically developing branch of the contemporary medicine. The unique role of PRM is bridging pure clinical outcomes with overall functional improvement. The concepts of disability and rehabilitation may be difficult to comprehend by medical students (MS) and Non-PRM specialists (NPRMS). AIM: The aim of this study was to assess the level of knowledge of NPRMS and MS regarding the role of PRM in health care systems in Poland, Hungary and Croatia...
October 2016: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/26627826/the-sensorless-pore-module-of-voltage-gated-k-channel-family-7-embodies-the-target-site-for-the-anticonvulsant-retigabine
#17
Ruhma Syeda, Jose S Santos, Mauricio Montal
KCNQ (voltage-gated K(+) channel family 7 (Kv7)) channels control cellular excitability and underlie the K(+) current sensitive to muscarinic receptor signaling (the M current) in sympathetic neurons. Here we show that the novel anti-epileptic drug retigabine (RTG) modulates channel function of pore-only modules (PMs) of the human Kv7.2 and Kv7.3 homomeric channels and of Kv7.2/3 heteromeric channels by prolonging the residence time in the open state. In addition, the Kv7 channel PMs are shown to recapitulate the single-channel permeation and pharmacological specificity characteristics of the corresponding full-length proteins in their native cellular context...
February 5, 2016: Journal of Biological Chemistry
https://www.readbyqxmd.com/read/26618990/the-capability-set-for-work-development-and-validation-of-a-new-questionnaire
#18
Femke I Abma, Sandra Brouwer, Haitze J de Vries, Iris Arends, Suzan J W Robroek, Maarten P J Cuijpers, Gert Jan van der Wilt, Ute Bültmann, Jac J L van der Klink
OBJECTIVES: The aim of this study was to develop a questionnaire to measure work capabilities based on Amartya Sen's capability approach and evaluate its validity. METHODS: The development of the questionnaire was based on a combination of qualitative and quantitative methods: interviews, literature study, and an expert meeting. Additionally, in a survey, the validity was evaluated by means of hypotheses testing (using correlations and regression analyses). RESULTS: The questionnaire consists of a set of seven capability aspects for work...
January 2016: Scandinavian Journal of Work, Environment & Health
https://www.readbyqxmd.com/read/26618442/developing-evidence-that-is-fit-for-purpose-a-framework-for-payer-and-research-dialogue
#19
Rajeev K Sabharwal, Jennifer S Graff, Erin Holve, Robert W Dubois
OBJECTIVES: Matching the supply and demand of evidence requires an understanding of when more evidence is needed, as well as the type of evidence that will meet this need. This article describes efforts to develop and refine a decision-making framework that considers payers' perspectives on the utility of evidence generated by different types of research methods, including real-world evidence. STUDY DESIGN: Conceptual framework development with subsequent testing during a roundtable dialogue...
September 2015: American Journal of Managed Care
https://www.readbyqxmd.com/read/26617204/breast-cancer-risk-assessment-moving-beyond-brca-1-and-2
#20
REVIEW
Jennifer Scalia-Wilbur, Bradley L Colins, Richard T Penson, Don S Dizon
The National Cancer Institute estimates that 12.3% of all women (about 1 in 8) would be diagnosed with breast cancer throughout their lifetime. In 2015, a projected 231,840 new cases are expected in the United States, accompanied by 40,290 deaths. Presently, breast cancer is responsible for 6.8% of all cancer deaths, and roughly 30% of all cancers in women. Since the discovery of the BRCA gene in 1994, efforts have been made to develop effective screening methods for breast cancer detection. Although the BRCA gene certainly opened the door to breast cancer genetics, a wide variety of new genes have recently been linked to breast cancer risk, and the tools to screen for genes beyond just BRCA1 and BRCA2 are available...
January 2016: Seminars in Radiation Oncology
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