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Anobel Y Odisho, Ruth Etzioni, John L Gore
BACKGROUND: Safety-net hospitals (SNHs) care for more patients of low socioeconomic status (SES) than non-SNHs and are disproportionately punished under SES-naive Medicare readmission risk-adjustment models. This study was designed to develop a risk-adjustment framework that incorporates SES and to assess the impact on readmission rates. METHODS: California Office of Statewide Health Planning and Development data from 2007 to 2011 were used to identify patients undergoing radical cystectomy (RC) for bladder cancer (n = 3771) or partial nephrectomy (PN; n = 5556) or radical nephrectomy (RN; n = 13,136) for kidney cancer...
June 15, 2018: Cancer
Mari Komperød, Lavrans Skuterud
Ingestion doses between and within countries are expected to vary significantly due to differences in dietary habits and geographical variations in radionuclide concentrations. This paper presents the most comprehensive assessment to date of the effective radiation dose from the Norwegian diet, from natural as well as anthropogenic radionuclides. Ingestion doses to the Norwegian public are calculated using national dietary statistics and the most relevant radionuclide concentration data for the various food products...
June 13, 2018: Health Physics
Laura Baumgartner, Nicole Townsend, Katie Winkelman, Robert MacLaren
Findings indicate that adjunctive low-dose ketamine was safe and provided pain relief. ABSTRACT: Objectives: Traditional analgesic regimens often fail to control the severe pain patients experience during burn wound care, and the drugs are frequently administered at doses that can cause oversedation and respiratory depression. Ketamine may be an ideal agent for adjunctive analgesia in such patients because of its unique mechanism of action and lack of association with respiratory depression...
June 13, 2018: American Journal of Nursing
Joanne Spetz
BACKGROUND: In 2011, the Institute of Medicine recommended that 80% of RNs have a bachelor's degree or higher by 2020. Progress toward this recommendation has been slow. PURPOSE: This paper presents a model that projects whether the 80% recommendation can be met within a 10-year period and estimates the impact of education changes that might accelerate progress. METHODS: A projection model for 2016 to 2026 was created using a "stock-and-flow" approach...
May 3, 2018: Nursing Outlook
Suneil K Aggarwal, Nicola Delahunty Rn, Leon J Menezes, Richard Perry, Bethany Wong, Markus Reinthaler, Muhiddin Ozkor, Michael J Mullen
OBJECTIVES: To evaluate solid embolization during transcatheter aortic valve implantation (TAVI) and correlate this with aortic valve calcification. BACKGROUND: There is a known stroke risk with TAVI, thought partly to be due to dislodgement of native aortic valve particles during implantation. However, to date there is little evidence that aortic valve calcification actually impacts embolic risk. METHODS: Transcranial Doppler (TCD) was performed on consecutive suitable patients undergoing TAVI, using hardware and software enabling differentiation between solid and gaseous emboli...
June 13, 2018: Journal of Interventional Cardiology
Carey S Clark
With the knowledge of psychoneuroimmunological responses and the known high stress levels of nursing students, as caring nurse educators, we have become ethically obligated to revise and re-vision our current nursing educational practices. Nurse educators should be motivated to create innovative and radical caring science curricular approaches, so that our nurses of the future are in turn supported in creating caring- healing sustainable bedside practices. This paper details the outcomes from an upper level yoga elective in an RN- BSN program...
June 13, 2018: International Journal of Nursing Education Scholarship
Federico Paolucci, Giorgio De Simoni, Elia Strambini, Paolo Solinas, Francesco Giazotto
Superconducting field-eect transitor (SuFET) and Josephson field-effect transistor (JoFET) technologies take advantage of electric field induced control of charge carrier concentration in order to modulate the channel superconducting properties. Despite field-effect is believed to be unaffective for superconducting metals, recent experiments showed electric field dependent modulation of the critical current (IC) in a fully metallic transistor. Yet, the grounding mechanism of this phenomenon is not completely under- stood...
June 12, 2018: Nano Letters
Dorika Nhongo, Joyce Hendricks, Julie Bradshaw, Kasia Bail
BACKGROUND: Registered nurses (RNs) working in Residential Aged Care Facilities are required to undertake complex management tasks including leading nursing care teams, supervising non-nursing staff, and allocating workloads according to residents' care needs, staff skills and experience. Registered nurses plan, assess, manage medication, evaluate each resident's care, liaise with doctors and allied health professionals and are responsible for evidence-based practice in accordance with the Nursing Standards for Practice (2016)...
June 12, 2018: Journal of Clinical Nursing
Akram Vasighizaker, Saeed Jalili
Disease gene detection is an important stage in the understanding disease processes and treatment. Some candidate disease genes are identified using many machine learning methods Although there are some differences in these methods including feature vector of genes, the method used to selecting reliable negative data (non-disease genes), and the classification method, the lack of negative data is the most significant challenge of them. Recently, candidate disease genes are identified by semi-supervised learning methods based on positive and unlabeled data...
June 1, 2018: Computational Biology and Chemistry
Yongteng Xu, Xiaoming Rong, Weihan Hu, Xiaolong Huang, Yi Li, Dong Zheng, Zhaoxi Cai, Zhiyi Zuo, Yamei Tang
PURPOSE: Studies have shown that addition of bevacizumab to corticosteroids improves outcome against radiation-induced brain necrosis (RN). Here, we aimed to evaluate the effectiveness and safety of bevacizumab monotherapy on RN in nasopharyngeal carcinoma (NPC) patients. METHODS AND MATERIALS: In this multicenter open-label study, patients with RN were randomly assigned (1:1) into a bevacizumab group (5 mg/kg intravenously every 2 weeks, for 4 cycles) or a corticosteroid group (methylprednisolone 500 mg/day intravenously for 3 consecutive days and then gradually tapered, followed by 10 mg/day oral prednisone, for 2 months in total)...
May 2, 2018: International Journal of Radiation Oncology, Biology, Physics
E Hernández-Montes, M Tomás, J M Escalona, J Bota, H Medrano
Respiration processes are well recognized as fundamental for the plant carbon balance, but little attention has been paid to the relationships among respiration rates, environment and genetic variability. This can be of particular interest to understand differences in net carbon balances in crops as grapevines. Night respiration (Rn ) and its associated growth (Rg ) and maintenance (Rm ) components were evaluated during leaf expansion in two grapevine cultivars (Tempranillo cv. and Garnacha cv.) that differ in their plant growth pattern and carbon balance...
June 9, 2018: Physiologia Plantarum
Halim Büyükuslu, F Banu Özdemir, Tuba Özdemir Öge, Halil Gökce
In this study, indoor (air) and tap water Radon (222 Rn) measurements were performed at various campus areas of Giresun University. The measurement and analysis results were compared with the values recommended by international and national organizations and those reported in literature studies. The measured and calculated values were found to be under the recommended limits. Also, annual effective dose values were evaluated to determine the annual radon exposure of an individual working in the measurement area...
May 29, 2018: Applied Radiation and Isotopes
Kathleen L Bobay, Marianne E Weiss, Debra Oswald, Olga Yakusheva
BACKGROUND: Statistical models for predicting readmissions have been published for high-risk patient populations but typically focus on patient characteristics; nurse judgment is rarely considered in a formalized way to supplement prediction models. OBJECTIVES: The purpose of this study was to determine psychometric properties of long and short forms of the Registered Nurse Readiness for Hospital Discharge Scale (RN-RHDS), including reliability, factor structure, and predictive validity...
June 5, 2018: Nursing Research
Christina Dempsey, Mary Jo Assi
To lead others in achieving exemplary outcomes, nurse leaders need to understand the vital and interdependent connection between quality, safety, the patient and RN experience of care, and RN engagement. The triple aim of improving population health, enhancing patient experience, and reducing cost cannot be accomplished without a robust and engaged workforce that finds joy and meaning in its work. This is especially true for the nursing workforce. The vital connection of nurse engagement to the experience of care, and ultimately to nurse and patient outcomes, is clear...
July 2018: Nursing Administration Quarterly
Dianne Hartgerink, Britt van der Heijden, Dirk De Ruysscher, Alida Postma, Linda Ackermans, Ann Hoeben, Monique Anten, Philippe Lambin, Karin Terhaag, Arthur Jochems, Andre Dekker, Janna Schoenmaekers, Lizza Hendriks, Jaap Zindler
Brain metastases (BM) frequently occur in non-small cell lung cancer (NSCLC) patients. Most patients with BM have a limited life expectancy, measured in months. Selected patients may experience a very long progression-free survival, for example, patients with a targetable driver mutation. Traditionally, whole-brain radiotherapy (WBRT) has been the cornerstone of the treatment, but its indication is a matter of debate. A randomized trial has shown that for patients with a poor prognosis, WBRT does not add quality of life (QoL) nor survival over the best supportive care...
2018: Frontiers in Oncology
Verônica Kristina Cândido Dantas, Joice da Silva Soares, Lázaro Batista de Azevedo Medeiros, Aquiles Sales Craveiro Sarmento, Thaiza Teixeira Xavier Nobre, Fábia Barbosa de Andrade, Josivan Gomes de Lima, Julliane Tamara Araújo de Melo Campos
Berardinelli-Seip Congenital Lipodystrophy (BSCL) is a rare autosomal recessive disease characterized by the almost complete absence of adipose tissue. Due to a strong founder effect that resulted in a higher prevalence of BSCL in Rio Grande do Norte (RN), a state in northeastern Brazil, it has been essential that health professionals develop knowledge about this disease. Nurses are often the first point of contact with patients during health care assistance. The purpose of this study was to investigate the knowledge of these professionals about BSCL in two main hospitals in RN state...
2018: PloS One
Eduardo De Miguel, Fernando Barrio-Parra, Javier Elío, Miguel Izquierdo-Díaz, Jerónimo Emilio García-González, Luis Felipe Mazadiego, Rafael Medina
The applicability of radon (222 Rn) measurements to delineate non-aqueous phase liquids (NAPL) contamination in subsoil is discussed at a site with lithological discontinuities through a blind test. Three alpha spectroscopy monitors were used to measure radon in soil air in a 25,000-m2 area, following a regular sampling design with a 20-m2 grid. Repeatability and reproducibility of the results were assessed by means of duplicate measurements in six sampling positions. Furthermore, three points not affected by oil spills were sampled to estimate radon background concentration in soil air...
June 2, 2018: Environmental Science and Pollution Research International
Charlene Ingwell-Spolan
Chief Nursing Officers (CNOs) have a demanding, complex role that commands accountability in leading the nursing profession and achieving quality patient outcomes. The purpose of this study was to understand the CNO's view of meeting the needs of the Registered Nurse (RN) at point of care and how this could affect quality patient outcomes. In two qualitative studies twenty-five CNOs were individually interviewed in eight states including: Florida, Tennessee, Kentucky, Maine, New Hampshire, Vermont, Massachusetts, and New Jersey...
May 31, 2018: Healthcare (Basel, Switzerland)
Beverly W Dabney, Mary Linton, Chelsea Duncan, Jamie Koonmen
With the nursing profession requiring a more educated workforce, RN-to-BSN program enrollment has increased. Therefore, many nursing schools have expanded these programs and incorporated online learning components. The purpose of this study was to explore student expectations and perceptions of a Midwestern university's RN-to-BSN program. A modified SERVQUAL tool was used to measure student perceptions of six quality dimensions: empathy, assurance, responsiveness, reliability, website content, and e-learning quality...
May 30, 2018: Nursing Education Perspectives
HariOm Singh, Dharmesh Samani, Vijay Nema, Manisha V Ghate, R R Gangakhedkar
The severity of hepatic injury depends upon cytokines. Previous studies associated IL-1RN allele 2 with IL-1β production. Hence, we examined the association of IL-1 RN and IL-1β polymorphisms with ARV-associated hepatotoxicity. Genotyping of IL-1RN (VNTR), IL-1β (-511C/T) polymorphisms was done in 162 HIV-infected patients, 34 with ARV hepatotoxicity, 128 without hepatotoxicity, and 152 healthy controls using PCR and PCR-RFLP method. The haplotypes 1T and 2C enhanced the risk for severe hepatotoxicity (OR = 1...
2018: Mediators of Inflammation
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