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https://www.readbyqxmd.com/read/29908449/embracing-diversity-and-transcultural-society-through-community-health-practicum-among-college-nursing-students
#1
Luna Chang, Shu-Chuan Chen, Shu-Ling Hung
Based on 2015 annual report of foreign spouse populations were above 507,266 people in Taiwan. Most of them (68%) came from Mainland China, 29% from south-east Asia. 92% of foreign spouses were female (2015). Therefore, a challenge arises for nursing students to provide care to clients with multiple cultural variations in Taiwan. The study objectives were to explore the related factors of cultural care competence and estimate the effects of a short-term reinforced cultural course. The study used a quasi-experimental design...
May 19, 2018: Nurse Education in Practice
https://www.readbyqxmd.com/read/29908128/swedish-adaptation-of-the-general-medical-council-s-multisource-feedback-questionnaires-a-qualitative-study
#2
Jan-Eric Olsson, Solvig Ekblad, Bo Christer Bertilson, Eva Toth-Pal
Objectives: to explore potential users' opinions of a translated and culturally adapted Swedish version of the General Medical Council's MultiSource Feedback Questionnaires. Methods: In this qualitative study, we used content analysis on semi-structured interviews from 44 resident doctors, 29 medical colleagues and 28 patients to analyse their opinions of the Swedish adapted version, created through translation and expert review. Transcribed interview data concerning the informants' general thoughts about the tool were coded manually by three independent coders into categories, compiled as themes, and exemplified by citations...
June 15, 2018: International Journal of Medical Education
https://www.readbyqxmd.com/read/29908080/genotypes-phenotypes-and-treatment-with-immunomodulators-in-the-rheumatic-diseases
#3
REVIEW
Ronald F van Vollenhoven
The autoimmune rheumatological diseases rheumatoid arthritis (RA), spondyloarthritis (SpA) and systemic lupus erythematosus (SLE) are treated with conventional immunosuppressive agents and with modern biological immunomodulators. The latter group of medications have brought about a major change in our ability to control RA and SpA, with more modest results for SLE. The biologicals are very specific in their mechanisms of action, targeting one specific cytokine or one particular cellular marker. Because of this, their efficacy can readily be linked to a single immunomodulatory mechanism...
June 16, 2018: Journal of Internal Medicine
https://www.readbyqxmd.com/read/29907988/self-reassurance-not-self-esteem-serves-as-a-buffer-between-self-criticism-and-depressive-symptoms
#4
Nicola Petrocchi, Francesco Dentale, Paul Gilbert
OBJECTIVES: Several studies suggest that self-criticism and self-reassurance operate through different mechanisms and might interact with each other. This study examined the hypothesis that self-reassurance serves as a buffer between self-criticism and depressive symptoms in a way that self-esteem, which is rooted in a different motivational system, may not. DESIGN: We hypothesized that self-criticism would be correlated with high levels of depressive symptoms, but that this association would be weaker at higher levels of self-reassurance abilities...
June 15, 2018: Psychology and Psychotherapy
https://www.readbyqxmd.com/read/29907668/longterm-outcomes-of-188-japanese-patients-with-eosinophilic-granulomatosis-with-polyangiitis
#5
Aiko Saku, Shunsuke Furuta, Masaki Hiraguri, Kei Ikeda, Yoshihisa Kobayashi, Shin-Ichiro Kagami, Kazuhiro Kurasawa, Ryutaro Matsumura, Daiki Nakagomi, Takao Sugiyama, Takeshi Umibe, Norihiko Watanabe, Hiroshi Nakajima
OBJECTIVE: Patients with eosinophilic granulomatosis with polyangiitis (EGPA) frequently experience relapses, which lead to cumulative organ damage. In this retrospective observational study, we aimed to reveal the risk factors for relapse in EGPA. METHODS: A total of 188 Japanese patients with EGPA diagnosed between 1996 and 2015 were identified from medical records in 10 hospitals. The diagnosis was based on the American College of Rheumatology 1990 criteria or Lanham's criteria...
June 15, 2018: Journal of Rheumatology
https://www.readbyqxmd.com/read/29907577/dementia-and-advance-directives-some-empirical-and-normative-concerns
#6
Karin R Jongsma, Marijke C Kars, Johannes J M van Delden
The authors of the paper 'Advance euthanasia directives: a controversial case and its ethical implications' articulate concerns and reasons with regard to the conduct of euthanasia in persons with dementia based on advance directives. While we agree on the conclusion that there needs to be more attention for such directives in the preparation phase, we disagree with the reasons provided by the authors to support their conclusions. We will outline two concerns with their reasoning by drawing on empirical research and by providing reasons that contradict their assumptions about competence of people with dementia and the (un)importance of happiness in reasoning about advance directives of people with dementia...
June 15, 2018: Journal of Medical Ethics
https://www.readbyqxmd.com/read/29906925/continuous-condensation-in-nanogrooves
#7
Alexandr Malijevský
We consider condensation in a capillary groove of width L and depth D, formed by walls that are completely wet (contact angle θ=0), which is in a contact with a gas reservoir of the chemical potential μ. On a mesoscopic level, the condensation process can be described in terms of the midpoint height ℓ of a meniscus formed at the liquid-gas interface. For macroscopically deep grooves (D→∞), and in the presence of long-range (dispersion) forces, the condensation corresponds to a second-order phase transition, such that ℓ∼(μ_{cc}-μ)^{-1/4} as μ→μ_{cc}^{-} where μ_{cc} is the chemical potential pertinent to capillary condensation in a slit pore of width L...
May 2018: Physical Review. E
https://www.readbyqxmd.com/read/29906632/youtube-for-millennial-nursing-students-using-internet-technology-to-support-student-engagement-with-bioscience
#8
Amy Nb Johnston, Matthew J Barton, Grant A Williams-Pritchard, Michael Todorovic
Undergraduate nursing programs typically include students with limited 'on-campus' time who need learning resources that are flexible, technologically appropriate, remotely-accessible (mobile smart devices), and above all, engaging. This has presented academics with challenges surrounding institutional security firewalls, password-access requirements, intellectual property/ownership and staff/student privacy. To overcome these challenges a collection of evidence-based YouTube videos, posted on the Biological Sciences YouTube Channel, supported by the Biosciences in Nurse Education, and underpinned by Benner's pedagogical framework, were developed with the intention of moving students from novice to competent clinical bioscience users...
June 9, 2018: Nurse Education in Practice
https://www.readbyqxmd.com/read/29906574/do-different-salience-cues-compete-for-dominance-in-memory-over-a-daytime-nap
#9
Sara E Alger, Shirley Chen, Jessica D Payne
Information that is the most salient and important for future use is preferentially preserved through active processing during sleep. Emotional salience is a biologically adaptive cue that influences episodic memory processing through interactions between amygdalar and hippocampal activity. However, other cues that influence the importance of information, such as the explicit direction to remember or forget, interact with the inherent salience of information to determine its fate in memory. It is unknown how sleep-based processes selectively consolidate this complex information...
June 12, 2018: Neurobiology of Learning and Memory
https://www.readbyqxmd.com/read/29906551/lateral-inhibition-is-a-neural-mechanism-underlying-mismatch-negativity
#10
Feng Gu, Lena Wong, Fei Chen, Wan-Ting Huang, Lei Wang, A-Xu Hu
The human auditory change detection response known as mismatch negativity (MMN) is an auditory event-related potential that has been extensively used to investigate various aspects of human brain function and dysfunction. However, two competing views of the neural mechanism that underlie MMN have been a subject of debate for decades. The sensory memory hypothesis claims that the MMN reflects sensory memory-based change detection. The adaptation hypothesis argues that neural adaptation and lateral inhibition can fully explain the MMN...
June 12, 2018: Neuroscience
https://www.readbyqxmd.com/read/29906198/an-audit-of-chronic-oedema-within-the-care-home-setting
#11
Jackie Stephen-Haynes, Rosie Callaghan
This articles outlines the important issue of chronic oedema, its definition and the physiology of the three main categories. The care delivered in the care home (nursing) sector was the subject of a printed questionnaire and the results are presented here. They are discussed and the implications for practice and an evidenced-based approach to care delivery are considered. Several conclusions can be drawn from this study but would be strengthened by a larger study. Care for patients with chronic oedema could be enhanced and this would improve clinical outcomes; significantly fewer patients would need to be referred for GP management if an appropriate and timely first-line treatment was agreed and provided by nursing staff...
April 1, 2018: British Journal of Community Nursing
https://www.readbyqxmd.com/read/29904172/phase-diagrams-and-multistep-condensations-of-spin-1-bosonic-gases-in-optical-lattices
#12
Xiaolei Zan, Jing Liu, Jinsen Han, Jianhua Wu, Yongqiang Li
Motivated by recent experimental processes, we systemically investigate strongly correlated spin-1 ultracold bosons trapped in a three-dimensional optical lattice in the presence of an external magnetic field. Based on a recently developed bosonic dynamical mean-field theory (BDMFT), we map out complete phase diagrams of the system for both antiferromagnetic and ferromagnetic interactions, where various phases are found as a result of the interplay of spin-dependent interaction and quadratic Zeeman energy. For antiferromagnetic interactions, the system demonstrates competing magnetic orders, including nematic, spin-singlet and ferromagnetic insulating phase, depending on longitudinal magnetization, whereas, for ferromagnetic case, a ferromagnetic-to-nematic-insulating phase transition is observed for small quadratic Zeeman energy, and the insulating phase demonstrates the nematic order for large Zeeman energy...
June 14, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29904044/cardiorespiratory-adaptation-in-a-6-minute-walk-test-by-fibrotic-idiopathic-interstitial-pneumonia-patients-who-did-or-did-not-respond-to-pulmonary-rehabilitation
#13
Baptiste Chéhère, Valérie Bougault, Cécile Chenivesse, Jean-Marie Grosbois, Benoit Wallaert
BACKGROUND: Pulmonary rehabilitation (PR) improves performance in the 6-min walk test (6MWT) in a subset of patients with fibrotic idiopathic interstitial pneumonia (f-IIP); however, a large proportion of patients do not respond to PR. AIM: To investigate the effects of a PR program on cardiorespiratory responses during a 6MWT and to identify the characteristics of patients who do not show improved performance after PR. DESIGN: An observational study...
June 14, 2018: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29903912/molecular-principles-for-heparin-oligosaccharide-based-inhibition-of-neutrophil-elastase-in-cystic-fibrosis
#14
Apparao B Kummarapurugu, Daniel K Afosah, Nehru Viji Sankaranarayanan, Rahaman Navaz Gangji, Shuo Zheng, Thomas P Kennedy, Bruce K Rubin, Judith A Voynow, Umesh R Desai
Cystic fibrosis (CF)1 is a multi-factorial disease in which dysfunction of protease-antiprotease balance plays a key role. The current CF therapy relies on dornase alfa, low dose macrolide antibiotics, hypertonic saline and antibiotics, and does not address the high neutrophil elastase (NE) activity observed in the lung and sputum of CF patients. Our hypothesis is that variants of heparin, which potently inhibit NE but are not anticoagulant, would help restore the protease-antiprotease balance in CF. To realize this concept, we studied molecular principles governing the effectiveness of different heparins, especially 2-O,3-O-desulfated heparin (ODSH), in the presence of sputum components and therapeutic agents...
June 14, 2018: Journal of Biological Chemistry
https://www.readbyqxmd.com/read/29902964/australian-standards-of-care-and-treatment-guidelines-for-transgender-and-gender-diverse-children-and-adolescents
#15
Michelle M Telfer, Michelle A Tollit, Carmen C Pace, Ken C Pang
The Australian standards of care and treatment guidelines aim to maximise quality care provision to transgender and gender diverse (TGD) children and adolescents across Australia, while recognising the unique circumstances of providing such care to this population. Recommendations are made based on available empirical evidence and clinician consensus, and have been developed in consultation with Australian professionals from multiple disciplines working with the TGD population, TGD support organisations, as well as TGD children and adolescents and their families...
June 18, 2018: Medical Journal of Australia
https://www.readbyqxmd.com/read/29902768/real-time-recognition-of-explosophorous-group-and-explosive-material-using-laser-induced-photoacoustic-spectroscopy-associated-with-novel-algorithm-for-time-and-frequency-domain-analysis
#16
Yasser H El-Sharkawy, Sherif Elbasuney
Energy-rich bonds such as nitrates (NO3 - ) and percholorates (ClO4 - ) have an explosive nature; they are frequently encountered in high energy materials. These bonds encompass two highly electronegative atoms competing for electrons. Common explosive materials including urea nitrate, ammonium nitrate, and ammonium percholorates were subjected to photoacoustic spectroscopy. The captured signal was processed using novel digital algorithm designed for time and frequency domain analysis. Frequency domain analysis offered not only characteristic frequencies for NO3 - and ClO4 - groups; but also characteristic fingerprint spectra (based on thermal, acoustical, and optical properties) for different materials...
June 7, 2018: Spectrochimica Acta. Part A, Molecular and Biomolecular Spectroscopy
https://www.readbyqxmd.com/read/29902727/live-attenuated-bivalent-measles-virus-derived-vaccines-targeting-middle-east-respiratory-syndrome-coronavirus-induce-robust-and-multifunctional-t-cell-responses-against-both-viruses-in-an-appropriate-mouse-model
#17
Bianca S Bodmer, Anna H Fiedler, Jan R H Hanauer, Steffen Prüfer, Michael D Mühlebach
Cases of Middle East respiratory syndrome coronavirus (MERS-CoV) continue to occur, making it one of the WHO´s targets for accelerated vaccine development. One vaccine candidate is based on live-attenuated measles virus (MV) vaccine encoding the MERS-CoV spike glycoprotein (MERS-S). MVvac2 -MERS-S(H) induces robust humoral and cellular immunity against MERS-S mediating protection. Here, the induction and nature of immunity after vaccination with MVvac2 -MERS-S(H) or novel MVvac2 -MERS-N were further characterized...
June 11, 2018: Virology
https://www.readbyqxmd.com/read/29902028/an-analysis-of-the-canadian-cognitive-psychology-job-market-2006-2016
#18
Gordon Pennycook, Valerie A Thompson
How accomplished does one need to be to compete in the Canadian cognitive psychology job market? We looked at the publication record of everyone who was hired as an assistant professor in Canadian cognitive psychology divisions with PhD programs between 2006 and 2016 (N = 64). Individuals who were hired from 2006 to 2011 averaged 10 journal-article publications up to and including the year they were hired. However, this number increased by 57% to 18 publications between 2012 and 2016. Notably, this increase (a) occurred despite an increase in the number of positions since 2010, (b) was not restricted to top-ranked institutions, (c) did not come at the cost of decreasing quality in research (based on citations), and (d) was not driven by longer postdoctoral fellowships...
June 2018: Canadian Journal of Experimental Psychology, Revue Canadienne de Psychologie Expérimentale
https://www.readbyqxmd.com/read/29901841/thermal-niche-evolution-of-functional-traits-in-a-tropical-marine-phototroph
#19
Kirralee G Baker, Dale T Radford, Christian Evenhuis, Unnikrishnan Kuzhiumparam, Peter J Ralph, Martina A Doblin
Land-based plants and ocean-dwelling microbial phototrophs known as phytoplankton, are together responsible for almost all global primary production. Habitat warming associated with anthropogenic climate change has detrimentally impacted marine primary production, with the effects observed on regional and global scales. In contrast to slower-growing higher plants, there is considerable potential for phytoplankton to evolve rapidly with changing environmental conditions. The energetic constraints associated with adaptation in phytoplankton are not yet understood, but are central to forecasting how global biogeochemical cycles respond to contemporary ocean change...
June 14, 2018: Journal of Phycology
https://www.readbyqxmd.com/read/29901657/the-changing-face-of-hiv-care-expanding-hiv-training-in-internal-medicine-residency-program
#20
Lydia Aoun Barakat, Dana W Dunne, Jeanette M Tetrault, Sarita Soares, David Chia, Onyema E Ogbuagu, John P Moriarty, Stephen J Huot, Michael L Green
PROBLEM: HIV-infected patients are living longer and are at increased risk of comorbidities. A qualified physician workforce is needed to care for this growing HIV population. APPROACH: This report describes the first 5 years of the development and implementation of a novel 3-year HIV Training Track (HIV TT) within the Primary Care Residency Program from 2012 to 2017. It outlines the process of building the infrastructure of the HIV TT, describes the curriculum development based on HIV-specific Entrustable Professional Activities (EPA), and provides the results of the program evaluation in the 5 year period OUTCOMES:: The program enrolled a cohort of 11 trainees with 5 graduates...
June 12, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
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