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T-Y Liu, J Li, X-H Wen, H Zhang, Q Gui
OBJECTIVE: To analyze the efficacy of open nephron-sparing surgery (NSS) in the treatment of complex renal cell carcinoma. PATIENTS AND METHODS: A total of 118 patients with complex renal cell carcinoma (T1N0M0, clear cell carcinoma) were included in this study, and assigned into open radical nephrectomy (RN) group (35 patients), open NSS group (45 patients) and laparoscopic NSS group (38 patients). After 3 years of follow-up, the clinical efficacy was analyzed...
October 2016: European Review for Medical and Pharmacological Sciences
Xichao Duan, Sanling Yuan, Kaifa Wang
In this paper, we propose and investigate an age-structured hepatitis B virus (HBV) model with saturating incidence and spatial diffusion where the viral contamination process is described by the age-since-infection. We first analyze the well-posedness of the initial-boundary values problem of the model in the bounded domain Ω ⊂ Rn and obtain an explicit formula for the basic reproductive number R0 of the model. Then we investigate the global behavior of the model in terms of R0: if R0 ≤ 1, then the uninfected steady state is globally asymptotically stable, whereas if R0 > 1, then the infected steady state is globally asymptotically stable...
October 1, 2016: Mathematical Biosciences and Engineering: MBE
Joseph W Rossano, Anne I Dipchand, Leah B Edwards, Samuel Goldfarb, Anna Y Kucheryavaya, Bronwyn J Levvey Rn, Lars H Lund, Bruno Meiser, Roger D Yusen, Josef Stehlik
No abstract text is available yet for this article.
October 2016: Journal of Heart and Lung Transplantation
Anna Pol-Pons Rn Ibclc, Mercè Aubanell-Serra ScB, Mireia Vidal Rn, Imma Ojeda-Ciurana Rn, Ruth Martí-Lluch PhD, Anna Ponjoan PhD
BACKGROUND: validated and reliable tools measuring the level of competence about breastfeeding amongst health professionals who attend mothers in primary care are scarce. OBJECTIVE: to develop and validate a self-administered online questionnaire to assess basic competence about breastfeeding in the full range of health professionals attending lactating mothers in primary care. DESIGN: methodological study. SETTINGS: the study was conducted in 33 primary care centers administered by the Catalan Health Institute (Institut Català de la Salut) in the Girona Region (northeast Spain)...
October 1, 2016: Midwifery
Adrienne Schleisman
I would like to thank Marcia Gruber-Page, MSN, MS, RN, for highlighting the value of mentorships for the profession of nursing (Gruber-Page, 2016). As she emphasized, mentorships in the workplace contribute to the professional success of the mentor and mentee. Another population that is in need of sound guidance during a critical stage of professional development is undergraduate student nurses. 
November 1, 2016: Oncology Nursing Forum
Changliang Shao, Jiquan Chen, Linghao Li, Gang Dong, Juanjuan Han, Michael Abraha, Ranjeet John
Quantifying the surface energy fluxes of grazed and ungrazed steppes is essential to understand the roles of grasslands in local and global climate and in land use change. We used paired eddy-covariance towers to investigate the effects of grazing on energy balance (EB) components: net radiation (Rn ), latent heat (LE), sensible heat (H), and soil heat (G) fluxes on adjacent grazed and ungrazed areas in a desert steppe of the Mongolian Plateau for a two-year period (2010-2012). Near 95% of Rn was partitioned as LE and H, whereas the contributions of G and other components of the EB were 5% at an annual scale...
October 20, 2016: Ecological Applications: a Publication of the Ecological Society of America
Zhibin Wang, Xiao-Guang Luo, Chao Gao
In the clinic, the diagnosis of Parkinson's disease (PD) largely depends on clinicians' experience. When the diagnosis is made, approximately 80% of dopaminergic cells in the substantia nigra (SN) have been lost. Additionally, it is rather challenging to differentiate PD from atypical parkinsonian disorders (APD). Clinially-available 3T conventional MRI contributes little to solve these problems. The pathologic alterations of parkinsonism show abnormal brain iron deposition, and therefore susceptibility-weighted imaging (SWI), which is sensitive to iron concentration, has been applied to find iron-related lesions for the diagnosis and differentiation of PD in recent decades...
2016: Translational Neurodegeneration
Jianghua He, Vincent S Staggs, Sandra Bergquist-Beringer, Nancy Dunton
BACKGROUND: Time trends and seasonal patterns have been observed in nurse staffing and nursing-sensitive patient outcomes in recent years. It is unknown whether these changes were associated. METHODS: Quarterly unit-level nursing data in 2004-2012 were extracted from the National Database of Nursing Quality Indicators® (NDNQI®). Units were divided into groups based on patterns of missing data. All variables were aggregated across units within these groups and analyses were conducted at the group level...
2016: BMC Nursing
Miguel Hernández-Cerón, Juan Carlos Martínez-Lazcano, Carmen Rubio, Verónica Custodio, Edith González-Guevara, Carlos Castillo-Pérez, Carlos Paz
Lesions of the cerebellar dentate nucleus (DN) reduce the after-discharge duration induced by repetitive kindling stimulation and decrease seizures to a lower rank according to Racine's scale. The DN sends cholinergic and glutamatergic fibers to the red nucleus (RN), which is composed of glutamatergic and GABAergic cells. To test the participation of these neurotransmitters in seizures, we compared the levels of glutamate and gamma-aminobutyric acid (GABA) at the RN in a control condition, a kindled stage, and a kindled stage followed by DN lesions...
October 18, 2016: Journal of Neuroscience Research
Derenda Lovelace, Diane Hancock, Sabrina S Hughes, Phyllis R Wyche, Claire Jenkins, Cindy Logan
BACKGROUND: In 2011, the Hunter Holmes McGuire Veterans Administration Medical Center (VAMC) in Richmond, VA, had a cumulative readmission rate and emergency department (ED) revisits for discharged Veterans of 1 in 5. In 2012, a transitional care program (TCP) was implemented to improve care coordination and outcomes among Veterans, with an emphasis on geriatric patients with chronic disease. This TCP was created with an interdisciplinary approach using intensive case management interventions, with a goal of reducing Veteran ED and hospital revisits by 30%...
November 2016: Professional Case Management
Yoko Yamaguchi, Makoto Shiota, Motohiro Munakata, Shohei Kasugai, Masahiko Ozeki
BACKGROUND: Primary stability following implant placement is essential for osseointegration and is affected by both implant design and bone density. The aim of this study was to compare the relationships between torque-time curves and implant designs in a poor bone quality model. METHODS: Nine implant designs, with five implants in each category, were compared. A total of 90 implants (Straumann: Standard RN, Bone Level RC, Tapered Effect RN; Nobel Biocare: Brånemark MKIII, MKIV) were placed in type IV artificial bone...
December 2015: Int J Implant Dent
Mengqi Gong, Zhiwei Zhang, Nikolaos Fragakis, Panagiotis Korantzopoulos, Konstantinos P Letsas, Guangping Li, Gan-Xin Yan, Tong Liu
BACKGROUND: Randomized controlled trials (RCTs) regarding use of ranolazine (RN) for the prevention and cardioversion of atrial fibrillation (AF) have yielded conflicting results. OBJECTIVE: we conducted a meta-analysis of RCTs to examine the potential role of RN in the prevention and cardioversion of AF. METHODS: PubMed and EMBASE were searched until June 2016. Of 484 initially identified studies, eight RCTs were finally analyzed. RESULTS: The analysis of RCTs showed that RN significantly reduced the incidence of AF compared to the control group in various clinical settings as following cardiac surgery, in acute coronary syndromes, and post electrical cardioversion of AF (RR = 0...
October 13, 2016: Heart Rhythm: the Official Journal of the Heart Rhythm Society
Oscar Wambuguh, Monika Eckfield, Lynn Van Hofwegen
Baccalaureate nursing programs select students likely to graduate, become licensed, and contribute to a diverse workforce, and admissions criteria need to support those goals. This study assessed five criteria: pre-admit science GPA; TEAS score; healthcare experience; previous baccalaureate degree; and pre-admission university enrollment vs. college transfer as predictors of three desired outcomes: graduation; nursing program GPA; and passing NCLEX-RN. Results found TEAS and pre-admit science GPA predicted nursing program outcomes...
September 20, 2016: International Journal of Nursing Education Scholarship
Tonia Crawford, Peter Roger, Sally Candlin
OBJECTIVE: Patient education is an important part of nurses' roles; however the inconsistent quality of communication skills, including those of registered nurses (RNs) from culturally and linguistically diverse (CALD) backgrounds, risk patient safety. Empowerment in patient education has been found to influence patients' self-efficacy and participation in decision-making. Discourse analysis of a whole interaction is used in this paper to trace the consequences of patient education where empowering discourse is displayed by an RN from a CALD background...
September 22, 2016: Patient Education and Counseling
Jacob A Miller, Elizabeth E Bennett, Roy Xiao, Rupesh Kotecha, Samuel T Chao, Michael A Vogelbaum, Gene H Barnett, Lilyana Angelov, Erin S Murphy, Jennifer S Yu, Manmeet S Ahluwalia, John H Suh, Alireza M Mohammadi
BACKGROUND: The primary dose-limiting toxicity of stereotactic radiosurgery (SRS) is radiation necrosis (RN), which occurs after approximately 5% to 10% of treatments. This adverse event may worsen neurologic deficits, increase the frequency and cost of imaging, and necessitate prolonged treatment with steroids or antiangiogenic agents. Previous investigations have primarily identified lesion size and dosimetric constraints as risk factors for RN in small populations. We hypothesized that disease histology, receptor status, and mutational status are associated with RN...
September 1, 2016: International Journal of Radiation Oncology, Biology, Physics
Janet A Levey
AIM: The purpose of the study was to examine the characteristics and relationships of nurse educators' teaching practices, knowledge, support, and willingness to adopt inclusive teaching strategies (WillAdITS). BACKGROUND: Adopting more inclusive teaching strategies based on universal design for instruction is an innovative way for educators to reach today's diverse student body. However, the pedagogy has not diffused into nursing education. METHOD: Descriptive statistics and hierarchical multiple regression were used for analyzing data from 311 nurse educators in prelicensure and RN to BSN programs...
July 2016: Nursing Education Perspectives
Xingming Hao, Weihong Li, Haijun Deng
This study revealed the influence of the oasis effect on summer temperatures based on MODIS Land Surface Temperature (LST) and meteorological data. The results showed that the oasis effect occurs primarily in the summer. For a single oasis, the maximum oasis cold island intensity based on LST (OCILST) was 3.82 °C and the minimum value was 2.32 °C. In terms of the annual change in OCILST, the mean value of all oases ranged from 2.47 °C to 3.56 °C from 2001 to 2013. Net radiation (Rn) can be used as a key predictor of OCILST and OCItemperature (OCI based on air temperature)...
October 14, 2016: Scientific Reports
Divakar A, Banerjee S, Pai R, Sharma Rn
No abstract text is available yet for this article.
January 2016: Journal of the Association of Physicians of India
Ahmed As, Bhat Cr, Gowda Rn, Chirag G, Kandula Sgnsv
No abstract text is available yet for this article.
January 2016: Journal of the Association of Physicians of India
Elizabeth Fiske
Despite program completion, not all graduates are successful on the National Council Licensure Examination for Registered Nurses (NCLEX-RN). Contemplative practices such as meditation and guided imagery were added to an NCLEX-RN preparatory course. The difference between self-efficacy scores at the beginning and end of the course was statistically significant. Students reported that the contemplative activities were beneficial, and they would use these activities again in the future.
October 4, 2016: Nurse Educator
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