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https://www.readbyqxmd.com/read/28630768/plastic-surgery-inclusion-in-the-undergraduate-medical-curriculum-perception-challenges-and-career-choice-a-comparative-study
#1
M Farid, R Vaughan, S Thomas
OBJECTIVE: The undergraduate medical curriculum has been overcrowded with core learning outcomes with no formal exposure to plastic surgery. The aim of this study was to compare medical students from two educational settings for the basic understanding, preferred learning method, and factors influencing a career choice in plastic surgery. DESIGN AND SETTING: A prospective cohort study based on a web-based anonymous questionnaire sent to final year medical students at Birmingham University (United Kingdom), McGill University (Canada), and a control group (non-medical staff)...
2017: Plastic Surgery International
https://www.readbyqxmd.com/read/28628448/case-control-study-of-risk-factors-for-meningococcal-disease-in-chile
#2
Andrea Olea, Isabel Matute, Claudia González, Iris Delgado, Lucy Poffald, Elena Pedroni, Tania Alfaro, Macarena Hirmas, Manuel Nájera, Ana Gormaz, Darío López, Sergio Loayza, Catterina Ferreccio, Doris Gallegos, Rodrigo Fuentes, Pablo Vial, Ximena Aguilera
An outbreak of meningococcal disease with a case-fatality rate of 30% and caused by predominantly serogroup W of Neisseria meningitidis began in Chile in 2012. This outbreak required a case-control study to assess determinants and risk factors for infection. We identified confirmed cases during January 2012-March 2013 and selected controls by random sampling of the population, matched for age and sex, resulting in 135 case-patients and 618 controls. Sociodemographic variables, habits, and previous illnesses were studied...
July 2017: Emerging Infectious Diseases
https://www.readbyqxmd.com/read/28628318/third-generation-light-driven-symmetric-molecular-motors
#3
Jos C M Kistemaker, Peter Stacko, Diederik Roke, Alexander Thomas Wolters, G Henrieke Heideman, Mu-Chieh Chang, Pieter van der Meulen, Johan Visser, Edwin Otten, Ben L Feringa
Symmetric molecular motors based on two overcrowded alkenes with a notable absence of a stereogenic center show potential to function as novel mechanical systems in the development of more advanced nanomachines and controlled motion over surfaces. Elucidation of the key parameters and limitations of these third generation motors is essential for the design of optimized molecular machines based on light-driven rotary motion. Herein we demonstrate the thermal and photochemical rotational behavior of a series of third generation light-driven molecular motors...
June 19, 2017: Journal of the American Chemical Society
https://www.readbyqxmd.com/read/28624270/implementation-and-evaluation-of-a-navigator-role-to-improve-emergency-department-throughput
#4
Paul Fulbrook, Melanie Jessup, Frances Kinnear
BACKGROUND: Emergency department overcrowding impacts patients, staff, and quality of care, and there is government pressure to optimize throughput and reduce waiting times. One solution for improving patient flow is the emerging 'navigator' role: a nurse that supports staff in care delivery; facilitating efficient and timely patient movement through the emergency department. METHODS: A 20-week project was implemented to evaluate an emergency department nurse navigator role...
June 14, 2017: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/28622990/displacement-effects-of-heavy-human-use-on-coral-reef-predators-within-the-molokini-marine-life-conservation-district
#5
Alexander Filous, Alan M Friedlander, Haruko Koike, Marc Lammers, Adam Wong, Kristy Stone, Russell T Sparks
The impact of marine ecotourism on reef predators is poorly understood and there is growing concern that overcrowding in Marine Protected Areas (MPAs) may disturb the species that these areas were established to protect. To improve our understanding of this issue, we used acoustic telemetry to examine the relationship between human activity at the Molokini Marine Life Conservation District (MLCD) and the habitat use of five reef-associated predators (Caranx melampygus, Caranx ignobilis, Triaenodon obesus, Carcharhinus amblyrhynchos, and Aprion virscens)...
June 13, 2017: Marine Pollution Bulletin
https://www.readbyqxmd.com/read/28619861/geriatrics-and-the-legal-system
#6
Stephanie C Yarnell, Paul D Kirwin, Howard V Zonana
Correctional systems, already struggling to meet the basic and functional requirements of older prisoners, will be further challenged by the increasing medical and psychiatric needs of this population. Mental health and general medical care for older adults requires specific on-site or consultation expertise in geriatric medicine and psychiatry, as well as potential changes in infrastructure, both of which may be prohibitively expensive. However, compassionate and effective treatment of older prisoners requires that prison and legal systems facilitate this expert care...
June 2017: Journal of the American Academy of Psychiatry and the Law
https://www.readbyqxmd.com/read/28615011/lessons-from-implementing-mass-drug-administration-for-soil-transmitted-helminths-among-pre-school-aged-children-during-school-based-deworming-program-at-the-kenyan-coast
#7
Rosemary M Musuva, Elizabeth Matey, Janet Masaku, Gladys Odhiambo, Faith Mwende, Isaac Thuita, Jimmy Kihara, Doris Njomo
BACKGROUND: The 2012 London declaration which committed to "sustaining, expanding and extending drug access programmes to ensure the necessary supply of drugs and other interventions to help control soil-transmitted helminths (STH) by 2020" has seen many countries in Africa roll out mass drug administration (MDA) especially among school age children. In Kenya, however, during the National school-based deworming exercise, pre-school aged children (PSAC) have to access treatment at primary schools as the pre-school teachers are not trained to carry out deworming...
June 14, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28612397/understanding-and-treating-offenders-with-serious-mental-illness-in-public-sector-mental-health
#8
H Richard Lamb, Linda E Weinberger
This article begins with the history of the rise and fall of the state hospitals and subsequent criminalization of persons with serious mental illness (SMI). Currently, there is a belief among many that incarceration has not been as successful as hoped in reducing crime and drug use, both for those with and those without SMI. Moreover, overcrowding in correctional facilities has become a serious problem necessitating a solution. Consequently, persons with SMI in the criminal justice system are now being released in large numbers to the community and hopefully treated by public sector mental health...
June 14, 2017: Behavioral Sciences & the Law
https://www.readbyqxmd.com/read/28611174/geriatric-monitoring-units-could-provide-solution-to-icu-overcrowding-and-improve-survival-in-older-hospitalised-patients
#9
Cynthia J Brown
No abstract text is available yet for this article.
June 13, 2017: Evidence-based Nursing
https://www.readbyqxmd.com/read/28591502/-factors-associated-with-physical-activity-and-body-mass-index-among-schoolchildren-from-arandas-jalisco-mexico
#10
Lizette Miranda-Ríos, Edgar M Vásquez-Garibay, Enrique Romero-Velarde, María Eugenia Nuño-Cosío, Liliana Campos-Barrera, Erika A Caro-Sabido, Joanie Ramírez-Díaz
BACKGROUND: In 2015, Mexico was the top country for childhood obesity. The objective was to identify the association between physical activity and sedentary lifestyle with the social and demographic characteristics of families of schoolchildren in Arandas, Jalisco, Mexico. METHODS: In a cross-sectional study, 192 schoolchildren were randomly selected. Body mass index (BMI), active and sedentary behaviors, and socio-demographic characteristics of families were obtained...
July 2017: Revista Médica del Instituto Mexicano del Seguro Social
https://www.readbyqxmd.com/read/28589561/computer-assisted-orthopaedic-surgery
#11
REVIEW
David Hernandez, Roja Garimella, Adam E M Eltorai, Alan H Daniels
Nowadays, operating rooms can be inefficient and overcrowded. Patient data and images are at times not well integrated and displayed in a timely fashion. This lack of coordination may cause further reductions in efficiency, jeopardize patient safety, and increase costs. Fortunately, technology has much to offer the surgical disciplines and the ongoing and recent operating room innovations have advanced preoperative planning and surgical procedures by providing visual, navigational, and mechanical computerized assistance...
June 7, 2017: Orthopaedic Surgery
https://www.readbyqxmd.com/read/28588976/the-how-project-understanding-contextual-challenges-to-global-surgical-care-provision-in-low-resource-settings
#12
Nakul P Raykar, Rachel R Yorlets, Charles Liu, Roberta Goldman, Sarah L M Greenberg, Meera Kotagal, Paul E Farmer, John G Meara, Nobhojit Roy, Rowan D Gillies
INTRODUCTION: 5 billion people around the world do not have access to safe, affordable, timely surgical care. This series of qualitative interviews was launched by The Lancet Commission on Global Surgery (LCoGS) with the aim of understanding the contextual challenges-the specific circumstances-faced by surgical care providers in low-resource settings who care for impoverished patients, and how those providers overcome these challenges. METHODS: From January 2014 to February 2015, 20 LCoGS collaborators conducted semistructured interviews with 148 surgical providers in low-resource settings in 21 countries...
November 2016: BMJ Global Health
https://www.readbyqxmd.com/read/28582464/total-control-of-fat-cells-from-adipogenesis-to-apoptosis-using-a-xanthene-analog
#13
Ching-Hsuan Tung, Myung Shin Han, Jianjun Qi
Overcrowded adipocytes secrete excess adipokines and cytokines under stress, which results in a deregulated metabolism. This negative response to stress increases the possibility of obesity and several of its associated diseases, such as cancer and atherosclerosis. Therefore, a reduction in the number of adipocytes may be a rational strategy to relieve the undesired expansion of adipose tissue. A newly synthesized xanthene analog, MI-401, was found to have two distinct effects on the regulation of the adipocyte's life cycle...
2017: PloS One
https://www.readbyqxmd.com/read/28577286/management-of-older-adults-with-hip-fractures-in-india-a-mixed-methods-study-of-current-practice-barriers-and-facilitators-with-recommendations-to-improve-care-pathways
#14
Santosh Rath, Lalit Yadav, Abha Tewari, Tracey Chantler, Mark Woodward, Prakash Kotwal, Anil Jain, Aparajit Dey, Bhavuk Garg, Rajesh Malhotra, Ashish Goel, Kamran Farooque, Vijay Sharma, Premila Webster, Robyn Norton
Evidence-based management can reduce deaths and suffering of older adults with hip fractures. This study investigates the evidence-practice gaps in hip fracture care in three major hospitals in Delhi, potential barriers and facilitators to improving care, and consequently, identifies contextually appropriate interventions for implementing best practice for management of older adults with hip fractures in India. PURPOSE: Hip fracture in older adults is a significant public health issue in India...
December 2017: Archives of Osteoporosis
https://www.readbyqxmd.com/read/28575307/identified-transmission-dynamics-of-middle-east-respiratory-syndrome-coronavirus-infection-during-an-outbreak-implications-of-an-overcrowded-emergency-department
#15
Thamer H Alenazi, Hussain Al Arbash, Aiman El-Saed, Majid M Alshamrani, Henry Baffoe-Bonnie, Yaseen M Arabi, Sameera M Al Johani, Ra'ed Hijazi, Adel Alothman, Hanan H Balkhy
A total 130 cases of Middle East respiratory syndrome coronavirus were identified during a large hospital outbreak in Saudi Arabia; 87 patients and 43 healthcare workers. The majority (80%) of transmission was healthcare-acquired (HAI) infection, with 4 generations of HAI transmission. The emergency department was the main location of exposure.
May 31, 2017: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/28571105/visualising-emergency-department-capacity-in-an-emergency-department-capacity-clock-a-novel-tool-to-assess-and-communicate-overcrowding-and-access-block
#16
Ohad Dar, Jacques Loubser
Hospital-wide engagement is required to alleviate the problem of ED crowding and its associated adverse effects. To this end, the article describes a novel visualisation termed 'the ED Capacity Clock', which can be formatted using business intelligence software. This radial diagram represents ED capacity and its consumption in a format that can be understood intuitively and at a glance. The ED Capacity Clock is designed to promote common understanding and discussion between relevant hospital services and also acts as an auditing tool to monitor processes implemented to alleviate ED crowding...
June 1, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28559684/hiv-hepatitis-c-tb-harm-reduction-and-persons-deprived-of-liberty-what-standards-does-international-human-rights-law-establish
#17
Gen Sander, Rick Lines
HIV, hepatitis C virus (HCV), and TB in prisons and other places of detention are serious public health concerns, with prevalence and incidence considerably higher than in the general community because of the overrepresentation of risky behavior, substandard conditions, overcrowding, people who inject drugs, and the wholly inadequate prevention, care, and treatment of these conditions, including the denial of harm reduction services. This is not only a severe public health crisis but also a serious human rights concern...
December 2016: Health and Human Rights
https://www.readbyqxmd.com/read/28557729/early-prediction-model-of-patient-hospitalization-from-the-pediatric-emergency-department
#18
Yuval Barak-Corren, Andrew M Fine, Ben Y Reis
BACKGROUND AND OBJECTIVES: Emergency departments (EDs) in the United States are overcrowded and nearing a breaking point. Alongside ever-increasing demand, one of the leading causes of ED overcrowding is the boarding of hospitalized patients in the ED as they await bed placement. We sought to develop a model for early prediction of hospitalizations, thus enabling an earlier start for the placement process and shorter boarding times. METHODS: We conducted a retrospective cohort analysis of all visits to the Boston Children's Hospital ED from July 1, 2014 to June 30, 2015...
May 2017: Pediatrics
https://www.readbyqxmd.com/read/28556402/cold-snapshot-of-a-molecular-rotary-motor-captured-by-high-resolution-rotational-spectroscopy
#19
Sérgio R Domingos, Arjen Cnossen, Wybren Jan Buma, Wesley L Browne, Ben L Feringa, Melanie Schnell
We present the first high-resolution rotational spectrum of an ar- tificial molecular rotary motor. By combining chirped-pulse Fourier transform microwave spectroscopy and supersonic expansions we capture the vibronic ground state conformation of a second-generation motor based on chiral overcrowded alkenes. The rotational constants have been accurately determined by fitting more than two hundred rotational transitions in the 2-4 GHz frequency range. Evidence for dissociation products allows for the unambiguous identification and characterisation of the isolated rotor components...
May 29, 2017: Angewandte Chemie
https://www.readbyqxmd.com/read/28554341/crowd-simulations-and-determining-the-critical-density-point-of-emergency-situations
#20
Gholamreza Khademipour, Nouzar Nakhaee, Seyed Mohammad Saberi Anari, Maryam Sadeghi, Hojjat Ebrahimnejad, Hojjat Sheikhbardsiri
OBJECTIVE: In modern societies, crowds and mass gatherings are recurrent. A combination of inadequate facilities and inefficient population management can lead to injury and death. Simulating people's behavior in crowds and mass gatherings can assist in the planning and management of gatherings, especially in emergency situations. METHODS: We aimed to determine the crowd pattern and the critical density point in the grand bazaar of Kerman in Iran. We collected data by use of a census method with a questionnaire...
May 30, 2017: Disaster Medicine and Public Health Preparedness
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