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https://www.readbyqxmd.com/read/29770551/implementing-community-participation-via-interdisciplinary-teams-in-primary-care-an-irish-case-study-in-practice
#1
Edel Tierney, Rachel McEvoy, Ailish Hannigan, Anne E MacFarlane
BACKGROUND: Community participation in primary care is enshrined in international and Irish health policy. However, there is a lack of evidence about how stakeholders work collectively to implement community participation within interdisciplinary teams; community perspectives are rarely captured, and a theoretical underpinning for implementation of community participation in primary care is absent. OBJECTIVE: To conduct a theoretically informed, multiperspectival empirical analysis of the implementation of community participation via primary care teams (PCTs) in Ireland...
May 16, 2018: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://www.readbyqxmd.com/read/29764335/comparative-bioaccumulation-and-effects-of-purified-and-cellular-extract-of-cylindrospermopsin-to-freshwater-fish-hoplias-malabaricus
#2
Rodrigo de Cássio da Silva, Sonia Regina Grötzner, Daniele Dietrich Moura Costa, Juan Ramón Esquivel Garcia, Juan Muelbert, Valéria Freitas de Magalhães, Francisco Filipak Neto, Ciro Alberto de Oliveira Ribeiro
Many tropical freshwater ecosystems are impacted by cyanobacteria blooms increasing the risk of cyanotoxins exposure to aquatic organisms while human populations may be exposed by eating fish, drinking water, or dermal swimming. However, few toxicological data are available on the influence of cyanobacteria blooms in particular, cylindrospermopsin (CYN) on Brazilian neotropical fish. A number of studies demonstrated the ability of CYN to bioaccumulate in freshwater organisms and consequently enter the human food chain...
May 15, 2018: Journal of Toxicology and Environmental Health. Part A
https://www.readbyqxmd.com/read/29764125/analysis-of-three-phase-equilibrium-conditions-for-methane-hydrate-by-isometric-isothermal-molecular-dynamics-simulations
#3
Daisuke Yuhara, Paul E Brumby, David T Wu, Amadeu K Sum, Kenji Yasuoka
To develop prediction methods of three-phase equilibrium (coexistence) conditions of methane hydrate by molecular simulations, we examined the use of NVT (isometric-isothermal) molecular dynamics (MD) simulations. NVT MD simulations of coexisting solid hydrate, liquid water, and vapor methane phases were performed at four different temperatures, namely, 285, 290, 295, and 300 K. NVT simulations do not require complex pressure control schemes in multi-phase systems, and the growth or dissociation of the hydrate phase can lead to significant pressure changes in the approach toward equilibrium conditions...
May 14, 2018: Journal of Chemical Physics
https://www.readbyqxmd.com/read/29761815/probing-the-tricationic-ionic-liquid-vacuum-interface-insights-from-molecular-dynamics-simulations
#4
Elaheh Sedghamiz, Majid Moosavi
The surface properties of three symmetric linear tricationic ionic liquids (LTILs) with the common anion, bis(trifluoromethylsulfonyl)imide ([NTf2]-), were studied using atomistic molecular dynamics simulation and identification of the truly interfacial molecules (ITIM) analysis. A refined version of the CL&P force field with the partial charges based on quantum calculations for isolated ion quartets was used to calculate the number densities, orientation of the cations, charge densities and surface tensions...
May 15, 2018: Physical Chemistry Chemical Physics: PCCP
https://www.readbyqxmd.com/read/29740301/impaired-prefrontal-amygdala-pathway-self-reported-emotion-and-erection-in-psychogenic-erectile-dysfunction-patients-with-normal-nocturnal-erection
#5
Jianhuai Chen, Yun Chen, Qingqiang Gao, Guotao Chen, Yutian Dai, Zhijian Yao, Qing Lu
Background: Neuroimaging studies have demonstrated that the prefrontal cortex and amygdala play an important role in sexual arousal (SA). However, little is known about the interactions between the prefrontal and cortex amygdala, which mediate the cognitive regulation of emotion and SA. Objective: We seek to determine whether nocturnal erection of psychogenic erectile dysfunction (pED) patients are normal and whether there are changes of topological organization in the prefrontal-amygdala pathway of brain network in pED...
2018: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/29730685/the-microvascular-and-morphostructural-changes-of-nails-in-psoriatic-patients-with-nail-disease-a-link-between-ultrasound-and-videocapillaroscopy-findings-in-the-nailfold
#6
Sibel Bakirci Ureyen, Rabia Oztas Kara, Zeynep Erturk, Mahizer Yaldiz
OBJECTIVE: The objective of this study is to evaluate the link between nail fold vessel resistive index (NVRI) measured by ultrasound (US) and capillary loops diameters measured using nailfold videocapillarascopy (NVC), and to assess the morphological appearance of the nail bed in patients with psoriatic nail disease (PND) as compared with healthy controls (HCs). MATERIAL AND METHODS: This study was conducted in patients with PND and HCs. General demographic data were collected and clinical assessments were performed for all subjects...
May 2, 2018: Medical Ultrasonography
https://www.readbyqxmd.com/read/29726662/-value-of-the-serum-free-testosterone-level-in-detecting-erectile-dysfunction
#7
Zi-Bin Lin, Jun-Hong Deng, Liang-Liang Huang, Hua Shi, Jian-Ming Liu, Bin Ou-Yang, Jing-Xuan Xie
Objective: To investigate the values of serum calculated free testosterone (cFT), testosterone secretion index (TSI), and free testosterone index (FTI) in the diagnosis of ED with androgen deficiency by observing their changes in the patient. METHODS: We conducted this study among 185 men complaining of ED and 35 20-40 years old healthy males presenting at the clinic for premarital medical checkup. We asked them about their medical history, to fill in the International Index of Erectile Function (IIEF-5) Questionnaire, and to complete the nocturnal penile tumescence (NPT) test...
September 2017: Zhonghua Nan Ke Xue, National Journal of Andrology
https://www.readbyqxmd.com/read/29704733/evaluation-of-the-national-laboratory-based-surveillance-system-for-respiratory-syncytial-virus-in-sweden-2015-2016
#8
Heli Harvala, AnnaSara Carnahan, Sarah Axelsson, Maria Brytting
BACKGROUND: Most laboratories use RSV PCR but near-patient tests (NPT) performed at paediatric clinics are believed to be increasingly used. Anonymised data on RSV infections has been collected since 1990 in Sweden. No evaluation of Swedish RSV surveillance or use of laboratory testing had previously been performed. OBJECTIVES: Swedish RSV data and methods used for RSV laboratory testing and reporting were evaluated in order to improve RSV surveillance in a forthcoming vaccine era...
April 10, 2018: Journal of Clinical Virology: the Official Publication of the Pan American Society for Clinical Virology
https://www.readbyqxmd.com/read/29668763/a-case-study-of-polypharmacy-management-in-nine-european-countries-implications-for-change-management-and-implementation
#9
Jennifer McIntosh, Albert Alonso, Katie MacLure, Derek Stewart, Thomas Kempen, Alpana Mair, Margarida Castel-Branco, Carles Codina, Fernando Fernandez-Llimos, Glenda Fleming, Dimitra Gennimata, Ulrika Gillespie, Cathy Harrison, Maddalena Illario, Ulrike Junius-Walker, Christos F Kampolis, Przemyslaw Kardas, Pawel Lewek, João Malva, Enrica Menditto, Claire Scullin, Birgitt Wiese
BACKGROUND: Multimorbidity and its associated polypharmacy contribute to an increase in adverse drug events, hospitalizations, and healthcare spending. This study aimed to address: what exists regarding polypharmacy management in the European Union (EU); why programs were, or were not, developed; and, how identified initiatives were developed, implemented, and sustained. METHODS: Change management principles (Kotter) and normalization process theory (NPT) informed data collection and analysis...
2018: PloS One
https://www.readbyqxmd.com/read/29668717/using-the-normalization-process-theory-to-qualitatively-explore-sense-making-in-implementation-of-the-enhanced-recovery-after-surgery-programme-it-s-not-rocket-science
#10
Eileen Sutton, Georgia Herbert, Sorrel Burden, Stephen Lewis, Steve Thomas, Andy Ness, Charlotte Atkinson
INTRODUCTION: The Enhanced Recovery After Surgery programme (ERAS) is an approach to the perioperative care of patients encompassing multiple interventions and involving a wide range of different actors. It can thus be defined as a complex intervention. Despite the strength of the evidence-base in its support, the implementation of ERAS has been slow. This paper specifically explores the utility of Normalization Process Theory (NPT) as a methodological framework to aid exploration of ERAS implementation, with a focus on the core NPT construct coherence...
2018: PloS One
https://www.readbyqxmd.com/read/29661061/correlation-of-nasal-eosinophilia-and-response-after-nasal-provocation-test-in-patients-with-nonallergic-rhinitis
#11
Ki-Ik Park, Tae Young Jang, Seung-Chan Yang, Hyung Sun Hong, Young Hyo Kim
Objectives We aimed to evaluate the relationship between nasal eosinophilia and nasal hyperresponsiveness to allergen extract. Study Design Retrospective chart review. Setting Academic tertiary rhinologic practice. Subjects and Methods We performed allergy tests (skin prick test and multiple allergosorbent test) and nasal cytology for 194 patients with rhinitis symptoms (76 males and 118 females; age, 11-69 years). According to the results, they were classified into 4 groups: group A (allergic rhinitis with eosinophilia, n = 26), group B (allergic rhinitis without eosinophilia, n = 77), group C (nonallergic rhinitis with eosinophilia syndrome, n = 20), and group D (nonallergic rhinitis without eosinophilia, n = 71)...
April 1, 2018: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/29660281/grand-canonical-investigation-of-the-quasi-liquid-layer-of-ice-is-it-liquid
#12
Ignacio Pickering, Martin Paleico, Yamila A Perez Sirkin, Damian A Scherlis, Matias H Factorovich
In this study, the solid-vapor equilibrium and the quasi liquid layer (QLL) of ice Ih exposing the basal and primary prismatic faces were explored by means of grand canonical molecular dynamics simulations with the monoatomic mW potential. For this model, the solid-vapor equilibrium was found to follow the Clausius Clapeyron relation in the range examined, from 250 K to 270 K, with a ΔHsub of 50 kJ/mol in excellent agreement with the experimental value. The analysis of the crystallization dynamics during condensation and evaporation revealed that, for the basal face, both processes are highly activated, and in particular cubic ice is formed during condensation, producing stacking-disordered ice...
April 16, 2018: Journal of Physical Chemistry. B
https://www.readbyqxmd.com/read/29608672/-it-opened-my-eyes-examining-the-impact-of-a-multifaceted-chlamydia-testing-intervention-on-general-practitioners-using-normalization-process-theory
#13
Anna Yeung, Jane Hocking, Rebecca Guy, Christopher K Fairley, Kirsty Smith, Alaina Vaisey, Basil Donovan, John Imrie, Jane Gunn, Meredith Temple-Smith
Background: Chlamydia is the most common notifiable sexually transmissible infection in Australia. Left untreated, it can develop into pelvic inflammatory disease and infertility. The majority of notifications come from general practice and it is ideally situated to test young Australians. Objectives: The Australian Chlamydia Control Effectiveness Pilot (ACCEPt) was a multifaceted intervention that aimed to reduce chlamydia prevalence by increasing testing in 16- to 29-year-olds attending general practice...
March 28, 2018: Family Practice
https://www.readbyqxmd.com/read/29589956/associations-of-early-treatments-for-low-back-pain-with-military-readiness-outcomes
#14
Mary Jo Larson, Rachel Sayko Adams, Grant A Ritter, Andrea Linton, Thomas V Williams, Mayada Saadoun, Mark R Bauer
BACKGROUND: Chronic low-back pain (LBP) is a frequent cause of work absence and disability, and is frequently associated with long-term use of opioids. OBJECTIVE: To describe military readiness-related outcomes at follow-up in soldiers with LBP grouped by the type of early treatment received for their LBP. Treatment groups were based on receipt of opioid or tramadol prescription and receipt of nonpharmacologic treatment modalities (NPT). Design, Subjects, Measures: A retrospective longitudinal analysis of U...
March 28, 2018: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
https://www.readbyqxmd.com/read/29566673/implementation-of-grip-strength-measurement-in-medicine-for-older-people-wards-as-part-of-routine-admission-assessment-identifying-facilitators-and-barriers-using-a-theory-led-intervention
#15
Kinda Ibrahim, Carl R May, Harnish P Patel, Mark Baxter, Avan A Sayer, Helen C Roberts
BACKGROUND: Low grip strength in older inpatients is associated with poor healthcare outcomes including longer length of stay and mortality. Measuring grip strength is simple and inexpensive. However, it is not routinely used in clinical practice. We aimed to evaluate the implementation of grip strength measurement into routine clinical practice. METHODS: This implementation study was a mixed methods study based in five acute medical wards for older people in one UK hospital...
March 22, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/29566649/contextualising-health-screening-risk-assessments-in-police-custody-suites-qualitative-evaluation-from-the-help-pc-study-in-london-uk
#16
Iain McKinnon, Tracy Finch
BACKGROUND: In the UK, police custody officers have a responsibility to screen for health morbidity and vulnerability among detainees. This study aimed to develop an understanding of the barriers to performing effective health screening in police custody suites, understand the impact of screening tools on practice within the custody suite, and to identify factors that could hinder or facilitate the future implementation of a new screening intervention in this environment. METHODS: A qualitative study was conducted alongside a quantitative evaluation of a novel screening tool...
March 22, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29566510/the-coexistence-temperature-of-hydrogen-clathrates-a-molecular-dynamics-study
#17
D P Luis, I E Romero-Ramirez, A González-Calderón, J López-Lemus
Extensive molecular dynamics simulations in the equilibrium isobaric-isothermal (NPT) ensemble were developed to determine the coexistence temperatures of the water hydrogen mixture using the direct coexistence method. The water molecules were modeled using the four-site TIP4P/Ice analytical potential, and the hydrogen molecules were described using a three-site potential. The simulations were performed at different pressures (p = 900, 1500, 3000, and 4000 bars). At each pressure, a series of simulations were developed at different temperatures (from 230 to 270 K)...
March 21, 2018: Journal of Chemical Physics
https://www.readbyqxmd.com/read/29554713/-anastomotic-leakage-in-the-gastrointestinal-tract-surgical-versus-nonoperative-management
#18
Guido Woeste
Most procedures in gastrointestinal (GI) surgery require reconstruction with an anastomosis. Depending on the location within the GI tract, the perfusion and comorbidities of the patients there is a risk for anastomotic leakage. In case of peritonitis with sepsis usually a surgical treatment is required. A stable patient can be treated nonoperatively. In the following overview different treatment options of anastomotic leakage after surgery of the GI tract are described. In case of a leakage of an esophagojejunal or esophagogastric anastomosis after resection of the esophagus or stomach endoscopic treatment can be successful using either clip or stent or negative pressure therapy (NPT)...
March 2018: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://www.readbyqxmd.com/read/29544293/equations-of-state-for-the-fully-flexible-wca-chains-in-the-fluid-and-solid-phases-based-on-wertheims-tpt2
#19
Ali Mirzaeinia, Farzaneh Feyzi, Seyed Majid Hashemianzadeh
Based on Wertheim's second order thermodynamic perturbation theory (TPT2), equations of state (EOSs) are presented for the fluid and solid phases of tangent, freely jointed spheres. It is considered that the spheres interact with each other through the Weeks-Chandler-Anderson (WCA) potential. The developed TPT2 EOS is the sum of a monomeric reference term and a perturbation contribution due to bonding. MC NVT simulations are performed to determine the structural properties of the reference system in the reduced temperature range of 0...
March 14, 2018: Journal of Chemical Physics
https://www.readbyqxmd.com/read/29544185/some-adverse-actions-of-chlorothalonil-at-sublethal-levels-in-rat-thymic-lymphocytes-its-relation-to-zn-2
#20
Mizuki Ikeda, Junji Deguchi, Shota Fukushima, Ai Qingyu, Norihiro Katayama, Hajime Miura, Yasuo Oyama
Chlorothalonil, a polychlorinated aromatic fungicide, is considered non-toxic to small mammals. However, chlorothalonil inactivates sulfhydryl enzymes and depletes cellular glutathione. Chlorothalonil increases intracellular Zn2+ concentration ([Zn2+ ]i) in mammalian cells possibly because intracellular Zn2+ is released via zinc-thiol/disulfide interchange. The effects of chlorothalonil at sublethal concentrations on the cellular content of nonprotein thiols ([NPT]i) and [Zn2+ ]i were examined using flow cytometry in rat thymocytes...
March 8, 2018: Environmental Toxicology and Pharmacology
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