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https://www.readbyqxmd.com/read/29164535/multi-criterial-evaluation-of-p-removal-optimization-in-rural-wastewater-treatment-plants-for-a-sub-catchment-of-the-baltic-sea
#1
Michael Cramer, Tatyana Koegst, Jens Traenckner
Rural wastewater treatment plants (WWTP) are recognized as a significant phosphorous (P)-emission source in the German sub-catchments of the Baltic Sea. But enhancement of P-removal is cost intensive especially for small communities. This study proposes a concept to efficiently reduce P-emissions from WWTP by introducing low-cost non-constructional measures and assessing the resulting change of ambient water quality on a river basin scale. As case study, we choose the Warnow catchment in Mecklenburg-Vorpommern (Germany) where 76 % of WWTP-emissions originate from treatment plants without P-discharge limits...
November 21, 2017: Ambio
https://www.readbyqxmd.com/read/29164356/investigating-the-impacts-of-treated-effluent-discharge-on-coastal-water-health-visakhapatnam-sw-coast-of-bay-of-bengal-india
#2
Aziz Ur Rahman Shaik, Haimanti Biswas, N Surendra Babu, N P C Reddy, Z A Ansari
The present study investigated the impacts of treated effluent discharge on physicochemical and biological properties of coastal waters from three pharmaceuticals situated along the coast of Visakhapatnam (SW Bay of Bengal). Seawater samples were collected (during the months of December 2013, March 2014 and April 2014) from different sampling locations (Chippada (CHP), Tikkavanipalem (TKP) and Nakkapalli (NKP)) at 0- and 30-m depths within 2-km radius (0.5 km = inner, 1 km = middle and 2 km = outer sampling circles) from the marine outfall points...
November 21, 2017: Environmental Monitoring and Assessment
https://www.readbyqxmd.com/read/29163423/microbial-community-composition-and-functional-capacity-in-a-terrestrial-ferruginous-sulfate-depleted-mud-volcano
#3
Tzu-Hsuan Tu, Li-Wei Wu, Yu-Shih Lin, Hiroyuki Imachi, Li-Hung Lin, Pei-Ling Wang
Terrestrial mud volcanoes (MVs) are an important natural source of methane emission. The role of microbial processes in methane cycling and organic transformation in such environments remains largely unexplored. In this study, we aim to uncover functional potentials and community assemblages across geochemical transitions in a ferruginous, sulfate-depleted MV of eastern Taiwan. Geochemical profiles combined with 16S rRNA gene abundances indicated that anaerobic oxidation of methane (AOM) mediated by ANME-2a group coincided with iron/manganese reduction by Desulfuromonadales at shallow depths deprived of sulfate...
2017: Frontiers in Microbiology
https://www.readbyqxmd.com/read/29162096/carer-involvement-in-compulsory-out-patient-psychiatric-care-in-england
#4
Jorun Rugkåsa, Krysia Canvin
BACKGROUND: There is an expectation in current heath care policy that family carers are involved in service delivery. This is also the case with compulsory outpatient mental health care, Community Treatment Orders (CTOs) that were introduced in England in 2008. No study has systematically investigated family involvement through the CTO process. METHOD: We conducted qualitative interviews with 24 family carers to ascertain their views and experiences of involvement in CTOs...
November 21, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29162078/a-tailored-counseling-and-home-based-rehabilitation-program-to-increase-physical-activity-and-improve-mobility-among-community-dwelling-older-people-after-hospitalization-protocol-of-a-randomized-controlled-trial
#5
K Turunen, L Aaltonen, J Kumpumäki, E Portegijs, S Keikkala, M-L Kinnunen, T Finni, S Sipilä, R Nikander
BACKGROUND: Physical activity (PA) decreases during hospitalization. In particular, the amount of PA engaged in by older people who are hospitalized following musculoskeletal injury is likely to be limited for months after discharge home. Given the importance of an active lifestyle for their recovery and the prevention of future adverse outcomes, there is clearly a need for interventions to increase PA. This article describes the protocol of a randomized controlled trial set up to investigate the effects of a physical activity oriented home rehabilitation program (ProPA) on PA and the restoration of mobility in community-dwelling older people...
November 21, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29162022/confronting-the-challenge-of-beta-lactam-allergies-a-quasi-experimental-study-assessing-impact-of-pharmacy-led-interventions
#6
Steven C Krey, Jeff Waise, Lee P Skrupky
OBJECTIVE: To improve allergy history documentation and increase the use of beta-lactams when appropriate in patients with a reported beta-lactam allergy. METHODS: This pre-post study was conducted at a 167-bed tertiary care community hospital and evaluated multidisciplinary interventions on allergy documentation and antibiotic selection. Interventions included education, creation of local practice guidelines, and modified practices for pharmacists and pharmacy technicians...
January 1, 2017: Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/29161680/prediction-of-violent-crime-on-discharge-from-secure-psychiatric-hospitals-a-clinical-prediction-rule-fovox
#7
A Wolf, T R Fanshawe, A Sariaslan, R Cornish, H Larsson, S Fazel
BACKGROUND: Current approaches to assess violence risk in secure hospitals are resource intensive, limited by accuracy and authorship bias and may have reached a performance ceiling. This study seeks to develop scalable predictive models for violent offending following discharge from secure psychiatric hospitals. METHODS: We identified all patients discharged from secure hospitals in Sweden between January 1, 1992 and December 31, 2013. Using multiple Cox regression, pre-specified criminal, sociodemographic, and clinical risk factors were included in a model that was tested for discrimination and calibration in the prediction of violent crime at 12 and 24 months post-discharge...
August 4, 2017: European Psychiatry: the Journal of the Association of European Psychiatrists
https://www.readbyqxmd.com/read/29161530/family-centered-breastfeeding-education-to-promote-primiparas-exclusive-breastfeeding-in-china
#8
Jian Ke, Yan-Qiong Ouyang, Sharon R Redding
BACKGROUND: Few breastfeeding education programs focus on primiparas and the importance of family members on exclusive breastfeeding in China. Research aim: This study aimed to explore the influence of a family-centered breastfeeding education program in promoting exclusive breastfeeding up to 6 months postpartum and to improve women's attitude and knowledge, family members' knowledge, and family support. METHODS: This was a two-group quasi-experimental design with multiple comparisons...
November 1, 2017: Journal of Human Lactation: Official Journal of International Lactation Consultant Association
https://www.readbyqxmd.com/read/29161170/examining-the-implementation-of-collaborative-competencies-in-a-critical-care-setting-key-challenges-for-enacting-competency-based-education
#9
Joanne Goldman, Simon Kitto, Scott Reeves
Interprofessional collaboration is recognised as an important factor in improving patient care in intensive care units (ICUs). Competency frameworks, and more specifically interprofessional competency frameworks, are a key strategy being used to support the development of attitudes, knowledge, skills, and behaviours needed for an interprofessional approach to care. However, evidence for the application of competencies is limited. This study aimed to extend our empirically based understanding of the significance of interprofessional competencies to actual clinical practice in an ICU...
November 21, 2017: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29155665/cholera-mortality-during-urban-epidemic-dar-es-salaam-tanzania-august-16-2015-january-16-2016-1
#10
Lindsey S McCrickard, Amani Elibariki Massay, Rupa Narra, Janneth Mghamba, Ahmed Abade Mohamed, Rogath Saika Kishimba, Loveness John Urio, Neema Rusibayamila, Grace Magembe, Muhammud Bakari, James J Gibson, Rachel Barwick Eidex, Robert E Quick
In 2015, a cholera epidemic occurred in Tanzania; most cases and deaths occurred in Dar es Salaam early in the outbreak. We evaluated cholera mortality through passive surveillance, burial permits, and interviews conducted with decedents' caretakers. Active case finding identified 101 suspected cholera deaths. Routine surveillance had captured only 48 (48%) of all cholera deaths, and burial permit assessments captured the remainder. We interviewed caregivers of 56 decedents to assess cholera management behaviors...
December 2017: Emerging Infectious Diseases
https://www.readbyqxmd.com/read/29152842/cross-sectional-survey-of-patients-need-for-information-and-support-with-medicines-after-discharge-from-hospital
#11
Adam J Mackridge, Ruth Rodgers, Dan Lee, Charles W Morecroft, Janet Krska
BACKGROUND: Most patients experience changes to prescribed medicines during a hospital stay. Ensuring they understand such changes is important for preventing adverse events post-discharge and optimising patient understanding. However, little work has explored the information that patients receive about medicines or their perceived needs for information and support after discharge. OBJECTIVES: To determine information that hospital inpatients who experience medicine changes receive about their medicines during admission and their needs and preferences for, and use of, post-discharge support...
November 20, 2017: International Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/29151044/mortality-among-referrals-to-a-community-based-intermediate-care-team
#12
Bharath Lakkappa, Sanjay Shah, Stephen Rogers, Leanne Helen Holman
OBJECTIVES: Intermediate care services have been introduced to help mitigate unnecessary hospital demand and premature placement in long-term residential care. Many patients are elderly and/or with complex comorbidities, but little consideration has been given to the palliative care needs of patients referred to intermediate care services. The objective of this study is to determine the proportion of patients referred to a community-based intermediate care team who died during care and up to 24 months after discharge and so to help inform the development of supportive and palliative care in this setting...
November 18, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/29147982/opportunity-mapping-of-natural-flood-management-measures-a-case-study-from-the-headwaters-of-the-warwickshire-avon
#13
Tom Lavers, Susanne Charlesworth
The use of natural flood management (NFM) measures to address severe flooding received considerable public attention during December 2015-January 2016 storms. Within the Warwickshire-Avon Catchment, UK, high arable and improved grassland land cover with small, isolated communities at risk, lead to the exploration of novel techniques that use farmland high up in flood-prone catchments to hold water and reduce outflow discharge. This paper will discuss the methodology used to identify areas in the Warwickshire-Avon, which could be used to install NFM measures to attenuate the storm peak and provide wider ecosystem services, principally addressing total phosphate and sediment entering the receiving watercourse...
November 16, 2017: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/29147474/new-onset-of-insomnia-in-hospitalized-patients-in-general-medical-wards-incidence-causes-and-resolution-rate
#14
An Ho, Bronson Raja, Richard Waldhorn, Valentina Baez, Idiris Mohammed
Background: Insomnia is common in hospitalized patients. However, no study has examined new onset of insomnia in patients without a prior history of insomnia. Objectives: Incidence of new onset of insomnia in inpatients, associated factors and resolution rate after 2 weeks. Method: This is a prospective observational study conducted at a community hospital. We used the Insomnia Severity Index questionnaire to screen for insomnia in all patients located in the general medical floors from day 3 to day 5 of their hospital stay...
2017: Journal of Community Hospital Internal Medicine Perspectives
https://www.readbyqxmd.com/read/29141590/health-nutrition-and-development-of-children-born-preterm-and-low-birth-weight-in-rural-rwanda-a-cross-sectional-study
#15
Catherine M Kirk, Jean Claude Uwamungu, Kim Wilson, Bethany L Hedt-Gauthier, Neo Tapela, Peter Niyigena, Christian Rusangwa, Merab Nyishime, Evrard Nahimana, Fulgence Nkikabahizi, Christine Mutaganzwa, Eric Ngabireyimana, Francis Mutabazi, Hema Magge
BACKGROUND: As care for preterm and low birth weight (LBW) infants improves in resource-limited settings, more infants are surviving the neonatal period. Preterm and (LBW) infants are at high-risk of nutritional and medical comorbidities, yet little is known about their developmental outcomes in low-income countries. This study evaluated the health, nutritional, and developmental status of preterm/LBW children at ages 1-3 years in Rwanda. METHODS: Cross-sectional study of preterm/LBW infants discharged between October 2011 and October 2013 from a hospital neonatal unit in rural Rwanda...
November 15, 2017: BMC Pediatrics
https://www.readbyqxmd.com/read/29139216/patterns-and-drivers-of-fish-extirpations-in-rivers-of-the-american-southwest-and-southeast
#16
John S Kominoski, Albert Ruhí, Megan M Hagler, Kelly Petersen, John L Sabo, Tushar Sinha, Arumugam Sankarasubramanian, Julian D Olden
Effective conservation of freshwater biodiversity requires spatially explicit investigations of how dams and hydroclimatic alterations among climate regions may interact to drive species to extinction. We investigated how dams and hydroclimatic alterations interact with species ecological and life history traits to influence past extirpation probabilities of native freshwater fishes in the Upper and Lower Colorado River (CR), Alabama-Coosa-Tallapoosa (ACT), and Apalachicola-Chattahoochee-Flint (ACF) basins...
November 15, 2017: Global Change Biology
https://www.readbyqxmd.com/read/29135621/efficacy-of-implementation-of-a-chest-pain-center-at-a-community-hospital
#17
Alexandra Davis, Jason Chiu, Stanley K Lau, Yih Jen Kok, Jonathan Y H Wu
INTRODUCTION: Chest pain is the second leading cause for emergency department (ED) visits in the United States; however, <20% of the patients have acute coronary syndrome that require immediate attention. The HEART score is designed for rapid risk stratification of ED chest pain patients using the following criteria: history, electrocardiogram, age, risk factors, and troponin. It has been shown to be superior in identifying patients with low (HEART score 0-3) and high (7-10) risk of major adverse cardiac events, who can then be rapidly discharged or admitted for intervention...
December 2017: Critical Pathways in Cardiology
https://www.readbyqxmd.com/read/29135316/final-visual-outcomes-and-treatment-received-for-children-referred-from-a-uk-primary-school-visual-screening-program-a-comparison-of-an-orthoptic-led-program-with-orthoptic-delivered-services
#18
Tess Garretty
There is little published evidence relating to the final visual acuity of children who are identified as having reduced vision at a school screening program. The school vision screening program in Leeds (led by an orthoptist but delivered by health care support workers within the school nursing team) is examined. RESULTS: 7807 children were screened in school between November 1, 2013, and September 1, 2014. Of these, 319 (4%) failed the screen and were referred to the general optometry service and 547 (7%) were referred to the Children's Community Eye Service (CCES)...
November 14, 2017: Strabismus
https://www.readbyqxmd.com/read/29134630/successful-community-discharge-following-postacute-rehabilitation-for-medicare-beneficiaries-analysis-of-a-patient-centered-quality-measure
#19
Michael P Cary, Janet Prvu Bettger, Jessica M Jarvis, Kenneth J Ottenbacher, James E Graham
OBJECTIVE: To determine the sociodemographic and clinical characteristics as well as health services use associated with successful community discharge. DATA SOURCE: Inpatient Rehabilitation Facility-Patient Assessment Instrument and Medicare Provider Analysis and Review files. STUDY DESIGN: We retrospectively examined 167,664 Medicare beneficiaries discharged from inpatient rehabilitation facilities (IRFs) in 2013 to determine the sociodemographic and clinical characteristics as well as health services use associated with successful community discharge...
November 13, 2017: Health Services Research
https://www.readbyqxmd.com/read/29132500/-falls-not-a-priority-insights-on-discharging-older-people-admitted-to-hospital-for-a-fall-back-to-the-community
#20
Claudia Meyer, Emma Renehan, Frances Batchelor, Catherine Said, Terry Haines, Rohan Elliott, Dianne Goeman
Falls are common among older people and a leading cause of injury-related hospitalisation. The immediate post-hospitalisation period is a risky time for further falls. This paper explores discharge strategies from the perspectives of older people hospitalised for a fall and liaison nurses assisting people to return home. Exploratory mixed methods were used. Semi-structured interviews with older people were conducted regarding their experience of the fall and discharge strategies. Quality of life, falls risk and functional capacity were measured by questionnaire...
November 14, 2017: Australian Journal of Primary Health
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