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https://www.readbyqxmd.com/read/29684836/ambulatory-care-education-preparing-nurses-for-the-future-of-healthcare
#1
EDITORIAL
Caroline Varner Coburn, Deena Gilland, Melissa Owen, Angela Amar
In the current healthcare environment, ambulatory care nursing is increasingly recognized as an efficient and effective way of collaborating with clients to improve health outcomes and to focus on prevention. Nursing skills in ambulatory care are both valuable and necessary. However, few undergraduate nursing programs provide content on ambulatory care or significant clinical experience outside the context of an acute care setting. To meet this gap in education, a baccalaureate undergraduate course in ambulatory care nursing was created to address the growing need for RNs in this field...
March 24, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29684787/the-body-electric-2-0-recent-advances-in-developmental-bioelectricity-for-regenerative-and-synthetic-bioengineering
#2
REVIEW
Juanita Mathews, Michael Levin
Breakthroughs in biomedicine and synthetic bioengineering require predictive, rational control over anatomical structure and function. Recent successes in manipulating cellular and molecular hardware have not been matched by progress in understanding the patterning software implemented during embryogenesis and regeneration. A fundamental capability gap is driving desired changes in growth and form to address birth defects and traumatic injury. Here we review new tools, results, and conceptual advances in an exciting emerging field: endogenous non-neural bioelectric signaling, which enables cellular collectives to make global decisions and implement large-scale pattern homeostasis...
April 20, 2018: Current Opinion in Biotechnology
https://www.readbyqxmd.com/read/29684746/the-bioenergetics-mechanisms-and-applications-of-sulfate-reducing-bacteria-in-remediation-of-pollutants-in-drainage-a-review
#3
REVIEW
Xin Li, Shi-Ming Lan, Zhong-Ping Zhu, Chang Zhang, Guang-Ming Zeng, Yun-Guo Liu, Wei-Cheng Cao, Biao Song, Hong Yang, Sheng-Fan Wang, Shao-Hua Wu
Sulfate-reducing bacteria (SRB), a group of anaerobic prokaryotes, can use sulfur species as a terminal electron acceptor for the oxidation of organic compounds. They not only have significant ecological functions, but also play an important role in bioremediation of contaminated sites. Although numerous studies on metabolism and applications of SRB have been conducted, they still remain incompletely understood and even controversial. Fully understanding the metabolism of SRB paves the way for allowing the microorganisms to provide more beneficial services in bioremediation...
April 20, 2018: Ecotoxicology and Environmental Safety
https://www.readbyqxmd.com/read/29684671/public-health-and-multiple-phase-mortality-decline-evidence-from-industrializing-japan
#4
Kota Ogasawara, Yukitoshi Matsushita
A growing body of literature shows the mitigating effects of water-supply systems on the mortality rates in large cities, yet the heterogeneities in the effects have been understudied. This study fills in the gap in existing knowledge by providing evidence for non-linearity in the effects of clean water using semiparametric fixed effects approach with city-level nationwide longitudinal dataset between 1922 and 1940, which covers 91% of total city population. According to our baseline estimate, the clean water accounts for approximately 27% of the decrease in the crude death rate in this period...
April 7, 2018: Economics and Human Biology
https://www.readbyqxmd.com/read/29684661/effects-of-vitamin-d-supplementation-on-adherence-to-and-persistence-with-long-term-statin-therapy-secondary-analysis-from-the-randomized-double-blind-placebo-controlled-vida-study
#5
Zhenqiang Wu, Carlos A Camargo, Kay-Tee Khaw, Debbie Waayer, Carlene M M Lawes, Les Toop, Robert Scragg
BACKGROUND AND AIMS: Long-term statin use increases survival. However, the adherence to and persistence with statin use are challenging and this influences the success of statin treatment. Our aim was to explore if monthly vitamin D supplementation (100,000-IU) improves the adherence to and persistence with long-term statin use in older adults. METHODS: We conducted a secondary analysis of a trial comparing data on dispensed statin prescriptions, between participants allocated to vitamin D supplementation or placebo, for those taking statin therapy...
April 7, 2018: Atherosclerosis
https://www.readbyqxmd.com/read/29684634/interactive-electronic-decision-trees-for-the-integrated-primary-care-management-of-febrile-children-in-low-resource-settings-review-of-existing-tools
#6
REVIEW
Kristina Keitel, Valérie D'Acremont
BACKGROUND: The lack of effective, integrated diagnostic tools pose a major challenge to the primary care management of febrile childhood illnesses. These limitations are especially evident in low-resource settings and are often inappropriately compensated by antimicrobial over-prescription. Interactive electronic decision trees (IEDTs) have the potential to close these gaps: guiding antibiotic use and better identifying serious disease. AIMS: This narrative review summarizes existing IEDTs, to provide an overview of their degree of validation, as well as to identify gaps in current knowledge and prospects for future innovation...
April 20, 2018: Clinical Microbiology and Infection
https://www.readbyqxmd.com/read/29684590/a-synthetic-snake-venom-based-tripeptide-glu-val-trp-protects-pc12-cells-from-mpp-toxicity-by-activating-the-ngf-signaling-pathway
#7
Carolina P Bernardes, Neife A G Santos, Flavia M Sisti, Rafaela Scalco Ferreira, Norival A Santos-Filho, Adélia C O Cintra, Eduardo M Cilli, Suely V Sampaio, Antonio C Santos
Venom small peptides that target neurotrophin receptors might be beneficial in neurodegeneration, including Parkinsońs disease (PD). Their small size, ease of synthesis, structural stability and target selectivity make them important tools to overcome the limitations of endogenous neurotrophins as therapeutic agents. Additionally, they might be optimized to improve resistance to enzymatic degradation, bioavailability, potency and, mainly, lipophilicity, important to cross the blood brain barrier (BBB). Here, we evaluated the neuroprotective effects and mechanisms of the synthetic snake-venom-based peptide p-BTX-I (Glu-Val-Trp) in PC12 cells treated with MPP+ (1-methyl-4-phenylpyridinium), a dopaminergic neurotoxin that induces Parkinsonism in vivo...
April 20, 2018: Peptides
https://www.readbyqxmd.com/read/29684270/plasmonic-resonance-enhanced-polarization-sensitive-photodetection-by-black-phosphorus-in-near-infrared
#8
Prabhu K Venuthurumilli, Peide D Ye, Xianfan Xu
Black phosphorus, a recently intensely investigated two dimensional material, is promising for electronic and optoelectronic applications due to its higher mobility and thickness dependent direct band gap. With its low direct band gap and anisotropic properties in nature, black phosphorus is also suitable for near infrared polarization sensitive photodetection. To enhance photoresponsivity of black phosphorus based photodetector, we demonstrate two designs of plasmonic structures. In the first design, plasmonic bowtie antennas are used to increase the photocurrent, particularly in the armchair direction where the optical absorption is higher than that in the zigzag direction...
April 23, 2018: ACS Nano
https://www.readbyqxmd.com/read/29684250/electronic-medication-administration-records-in-long-term-care-facilities-a-scoping-review
#9
REVIEW
Andrew E C Fuller, Lisa M Guirguis, Cheryl A Sadowski, Mark J Makowsky
OBJECTIVES: To map the extent, range, and nature of research on the effectiveness, level of use, and perceptions about electronic medication administration records (eMARs) in long-term care facilities (LTCFs) and identify gaps in current knowledge and priority areas for future research. DESIGN: Scoping review of quantitative and qualitative literature. SETTING: Literature review. PARTICIPANTS: Original research relating to eMAR in LTCF was eligible for inclusion...
April 23, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29684232/immune-checkpoint-inhibitor-therapy-in-patients-with-autoimmune-disease
#10
Douglas B Johnson, Kathryn E Beckermann, Daniel Y Wang
Immune checkpoint inhibitors have demonstrated efficacy across many cancer types in numerous clinical trials. However, because patients with preexisting autoimmune disease were excluded from these seminal trials, there are serious gaps in knowledge regarding the efficacy-and in particular the safety-of these transformative agents in patients with autoimmune disease. The safety of immune checkpoint inhibitors in this population has been an important concern, since these agents unleash immune activation, a potentially dangerous situation for patients with already heightened and aberrant immune function...
April 15, 2018: Oncology (Williston Park, NY)
https://www.readbyqxmd.com/read/29684219/challenges-and-controversies-of-complex-interventions-in-osteoarthritis-management-recognizing-inappropriate-and-discordant-care
#11
Krysia S Dziedzic, Kelli D Allen
A number of controversies and challenges exist for the management of OA in health care. This paper describes the challenges and gaps in OA care, particularly in relation to population health management, complex interventions and outcomes. It sets this in the context of competing health priorities and multimorbidity, access to high quality conservative care, non-pharmacological therapies, resource limitations and models of care. The overuse of some therapies and neglect of others are discussed, as well as the potential for self-management...
May 1, 2018: Rheumatology
https://www.readbyqxmd.com/read/29684135/on-the-usefulness-of-narratives-an-interdisciplinary-review-and-theoretical-model
#12
Victoria A Shaffer, Elizabeth S Focella, Andrew Hathaway, Laura D Scherer, Brian J Zikmund-Fisher
Background: How can we use stories from other people to promote better health experiences, improve judgments about health, and increase the quality of medical decisions without introducing bias, systematically persuading the listeners to change their attitudes, or altering behaviors in nonoptimal ways? More practically, should narratives be used in health education, promotion, or behavior change interventions? Method: In this article, we address these questions by conducting a narrative review of a diverse body of literature on narratives from several disciplines to gain a better understanding about what narratives do, including their role in communication, engagement, recall, persuasion, and health behavior change...
April 19, 2018: Annals of Behavioral Medicine: a Publication of the Society of Behavioral Medicine
https://www.readbyqxmd.com/read/29684042/bridging-the-gap-between-informatics-and-medicine-upon-medical-school-entry-implementing-a-course-on-the-applicative-use-of-ict
#13
Natasa M Milic, Nikola Ilic, Dejana M Stanisavljevic, Andja M Cirkovic, Jelena S Milin, Zoran M Bukumiric, Nikola V Milic, Marko D Savic, Sara M Ristic, Goran Z Trajkovic
Education is undergoing profound changes due to permanent technological innovations. This paper reports the results of a pilot study aimed at developing, implementing and evaluating the course, "Applicative Use of Information and Communication Technologies (ICT) in Medicine," upon medical school entry. The Faculty of Medicine, University of Belgrade, introduced a curriculum reform in 2014 that included the implementation of the course, "Applicative Use of ICT in Medicine" for first year medical students...
2018: PloS One
https://www.readbyqxmd.com/read/29683922/a-review-of-accelerometer-based-activity-monitoring-in-cancer-survivorship-research
#14
Carolyn J Peddle-McIntyre, Vinicius Cavalheri, Terry Boyle, Joanne A McVeigh, Emily Jeffery, Brigid M Lynch, Jeff K Vallance
BACKGROUND: In the cancer survivorship context, physical activity and sedentary behaviour have been measured using different methods and tools. PURPOSE: To conduct a narrative review of published research in cancer survivor populations to summarise the quality and identify gaps in reporting on accelerometer data collection, data processing, and outcome measures in cancer survivors. METHODS: An initial PubMed® search of papers published in English was conducted in January 2017, and a final search was conducted in May 2017...
April 21, 2018: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/29683782/impact-of-an-early-exposure-geriatrics-curriculum-in-an-accelerated-baccalaureate-md-program
#15
Yuya Hagiwara, Juan Pagan-Ferrer, Sandra Sanchez-Reilly
Current standard geriatric curricula and exposure of students to the elderly may be insufficient to influence students' interest in geriatric medicine. We developed an innovative curriculum to address this gap. This study aimed to identify knowledge, skill, and attitude changes of first-year students in an accelerated baccalaureate-MD program toward geriatrics after participation in an early-exposure geriatrics curriculum (GC). The GC consisted of fifteen 3-hr interactive teaching sessions facilitated by various health professionals...
April 23, 2018: Gerontology & Geriatrics Education
https://www.readbyqxmd.com/read/29683676/mechanistic-regimes-of-vibronic-transport-in-a-heterodimer-and-the-design-principle-of-incoherent-vibronic-transport-in-phycobiliproteins
#16
Doran I G Bennett, Pavel Maly, Christoph Kreisbeck, Rienk van Grondelle, Alán Aspuru-Guzik
Following the observation of coherent oscillations in non-linear spectra of photosynthetic pigment protein complexes, particularly phycobilliproteins such as PC645, coherent vibronic transport has been suggested as a design principle for novel light harvesting materials. Vibronic transport between energetically remote pigments is coherent when the presence of a vibration resonant with the electronic energy gap supports transient delocalization between the electronic excited states. Here, we establish the mechanism of vibronic transport for a model heterodimer across a wide range of molecular parameter values...
April 23, 2018: Journal of Physical Chemistry Letters
https://www.readbyqxmd.com/read/29683643/quasi-two-dimensional-quasi-2d-halide-perovskite-single-crystal-photodetector
#17
Kai Wang, Congcong Wu, Dong Yang, Yuanyuan Jiang, Shashank Priya
The robust material stability of the quasi-two-dimensional (quasi-2D) metal halide perovskite has opened the possibility for their usage instead of three-dimensional (3D) perovskite. Further, devices based on large area single crystal membrane have shown increasing promise for photoelectronic applications. However, growing inch-scale quasi-2D perovskite single crystal membrane (quasi-2D PSCM) has been fundamentally challenging. Here we report a fast-synthetic method for synthesizing inch-scale quasi-2D PSCM, namely (C4 H9 NH3 )n (CH3 NH3 )n-1 Pbn I3n+1 (index n=1, 2, 3, 4, and ∞), and demonstrate their applications in single-crystal photodetector...
April 23, 2018: ACS Nano
https://www.readbyqxmd.com/read/29683638/a-novel-potassium-ion-hybrid-capacitor-based-on-an-anode-of-k2ti6o13-micro-scaffolds
#18
Shengyang Dong, Zhifei Li, Zhenyu Xing, Xianyong Wu, Xiulei Ji, Xiaogang Zhang
To fill the gap between batteries and supercapacitors requires integration of the following features in a single system: energy density well above that of supercapacitors, cycle life much longer than Li-ion batteries, and low cost. Along this line, we report a novel non-aqueous potassium-ion hybrid capacitor (KIC) that employs an anode of K2Ti6O13 (KTO) micro-scaffolds constructed by nanorods and a cathode of N-doped nanoporous graphenic carbon (NGC). K2Ti6O13 micro-scaffolds are studied for potential applications as the anode material in potassium-ion storage for the first time...
April 23, 2018: ACS Applied Materials & Interfaces
https://www.readbyqxmd.com/read/29683637/applications-of-graphdiyne-on-optoelectronic-devices
#19
Tao Lin, Jizheng Wang
Graphdiyne (GD) is a novel two-dimensional carbon material composed of sp and sp2 -hybridized carbon atoms. This kind of carbon allotrope has attracted more and more attention not only because of the distinctive porous structure but also because of its intriguing electronic properties such as high mobility and conductivity, good field emission properties, and tunable natural band gap. In this review, some representative applications of GD on a variety of optoelectronic devices are described. Starting from the methods of introducing GD into the devices, we analyze the interactions between GD and other device components, summarize the general mechanism of how GD improves performance of the devices, and provide a glimpse into the future of GD at the end...
April 23, 2018: ACS Applied Materials & Interfaces
https://www.readbyqxmd.com/read/29683555/clinical-obesity-services-in-public-hospitals-in-australia-a-position-statement-based-on-expert-consensus
#20
E Atlantis, N Kormas, K Samaras, P Fahey, P Sumithran, S Glastras, G Wittert, K Fusco, R Bishay, T Markovic, L Ding, K Williams, I Caterson, V Chikani, P Dugdale, J Dixon
We aimed to describe the current state of specialist obesity services for adults with clinically severe obesity in public hospitals in Australia, and to analyse the gap in resources based on expert consensus. We conducted two surveys to collect information about current and required specialist obesity services and resources using open-ended questionnaires. Organizational level data were sought from clinician expert representatives of specialist obesity services across Australia in 2017. Fifteen of 16 representatives of current services in New South Wales (n = 8), Queensland (n = 1), Victoria (n = 2), South Australia (n = 3), and the Australian Capital Territory (n = 1) provided data...
April 23, 2018: Clinical Obesity
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