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https://www.readbyqxmd.com/read/28812801/four-challenges-that-global-health-networks-face
#1
EDITORIAL
Jeremy Shiffman
Global health networks, webs of individuals and organizations with a shared concern for a particular condition, have proliferated over the past quarter century. They differ in their effectiveness, a factor that may help explain why resource allocations vary across health conditions and do not correspond closely with disease burden. Drawing on findings from recently concluded studies of eight global health networks-addressing alcohol harm, early childhood development (ECD), maternal mortality, neonatal mortality, pneumonia, surgically-treatable conditions, tobacco use, and tuberculosis-I identify four challenges that networks face in generating attention and resources for the conditions that concern them...
February 8, 2017: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/28811566/injectable-phosphorescence-based-oxygen-biosensors-identify-post-ischemic-reactive-hyperoxia
#2
Jennifer S Chien, Mahmoud Mohammed, Hysem Eldik, Mohamed M Ibrahim, Jeremy Martinez, Scott P Nichols, Natalie Wisniewski, Bruce Klitzman
Novel injectable biosensors were used to measure interstitial oxygenation before, during, and after transient ischemia. It is well known that reactive hyperemia occurs following a period of ischemia. However, increased blood flow does not necessarily mean increased oxygen tension in the tissue. Therefore, the purpose of this study was to test the hypothesis that tissue reactive hyperoxia occurs following release of hind-limb tourniquet occlusions. Rats were injected with bilateral hind-limb biosensors and were simultaneously subjected to a unilateral femoral vessel ligation...
August 15, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28811350/defining-the-dna-binding-site-recognized-by-the-fission-yeast-zn2cys6-transcription-factor-pho7-and-its-role-in-phosphate-homeostasis
#3
Beate Schwer, Ana M Sanchez, Angad Garg, Debashree Chatterjee, Stewart Shuman
Fission yeast phosphate homeostasis entails transcriptional induction of genes encoding phosphate-mobilizing proteins under conditions of phosphate starvation. Transcription factor Pho7, a member of the Zn2Cys6 family of fungal transcription regulators, is the central player in the starvation response. The DNA binding sites in the promoters of phosphate-responsive genes have not been defined, nor have any structure-function relationships been established for the Pho7 protein. Here we narrow this knowledge gap by (i) delineating an autonomous DNA-binding domain (DBD) within Pho7 that includes the Zn2Cys6 module, (ii) deploying recombinant Pho7 DBD in DNase I footprinting and electrophoretic mobility shift assays (EMSAs) to map the Pho7 recognition sites in the promoters of the phosphate-regulated pho1 and tgp1 genes to a 12-nucleotide sequence motif [5'-TCG(G/C)(A/T)xxTTxAA], (iii) independently identifying the same motif as a Pho7 recognition element via in silico analysis of available genome-wide ChIP-seq data, (iv) affirming that mutations in the two Pho7 recognition sites in the pho1 promoter efface pho1 expression in vivo, and (v) establishing that the zinc-binding cysteines and a pair of conserved arginines in the DBD are essential for Pho7 activity in vivoIMPORTANCE Fungi respond to phosphate starvation by inducing the transcription of a set of phosphate acquisition genes that comprise a phosphate regulon...
August 15, 2017: MBio
https://www.readbyqxmd.com/read/28811270/developing-and-evaluating-jiapp-acceptability-and-usability-of-a-smartphone-app-system-to-improve-self-management-in-young-people-with-juvenile-idiopathic-arthritis
#4
Ran A Cai, Dominik Beste, Hema Chaplin, Socrates Varakliotis, Linda Suffield, Francesca Josephs, Debajit Sen, Lucy R Wedderburn, Yiannakis Ioannou, Stephen Hailes, Despina Eleftheriou
BACKGROUND: Flare-ups in juvenile idiopathic arthritis (JIA) are characterized by joint pain and swelling and often accompanied with fatigue, negative emotions, and reduced participation in activities. To minimize the impact of JIA on the physical and psychosocial development and well-being of young people (YP), it is essential to regularly monitor disease activity and side effects, as well as to support self-management such as adherence to treatment plans and engagement in general health-promoting behaviors...
August 15, 2017: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/28806969/pharmacokinetic-and-urinary-profiling-reveals-the-prednisolone-cortisol-ratio-as-a-valid-biomarker-for-prednisolone-administration
#5
Lieven Van Meulebroek, Nathalie De Clercq, Julie Vanden Bussche, Mathias Devreese, Eric Fichant, Philippe Delahaut, Siska Croubels, Lynn Vanhaecke
BACKGROUND: In Europe, synthetic corticosteroids are not allowed in animal breeding for growth-promoting purposes. Nevertheless, a high prevalence of non-compliant urine samples was recently reported for prednisolone, however, without any indication of unauthorized use. Within this context, 20β-dihydroprednisolone and the prednisolone/cortisol ratio have been suggested as potential tools to discriminate between exogenous and endogenous urinary prednisolone. In this study, the validity of these strategies was verified by investigating the plasma pharmacokinetic and urinary excretion profiles of relevant glucocorticoids in bovines, subjected to exogenous prednisolone treatment or tetracosactide hexaacetate administration to induce endogenous prednisolone formation...
August 14, 2017: BMC Veterinary Research
https://www.readbyqxmd.com/read/28804642/e-learning-for-medical-imaging-specialists-introducing-blended-learning-in-a-nuclear-medicine-specialist-course
#6
Torjan Haslerud, Andreas Julius Tulipan, Robert M Gray, Martin Biermann
BACKGROUND: While e-learning has become an important tool in teaching medical students, the training of specialists in medical imaging is still dominated by lecture-based courses. PURPOSE: To assess the potential of e-learning in specialist education in medical imaging. MATERIAL AND METHODS: An existing lecture-based five-day course in Clinical Nuclear Medicine (NM) was enhanced by e-learning resources and activities, including practical exercises...
July 2017: Acta Radiologica Open
https://www.readbyqxmd.com/read/28801398/hiv-prevalence-and-factors-associated-with-hiv-infection-among-transgender-women-in-cambodia-results-from-a-national-integrated-biological-and-behavioral-survey
#7
Srean Chhim, Chanrith Ngin, Pheak Chhoun, Sovannary Tuot, Cheaty Ly, Phalkun Mun, Khondyla Pal, John Macom, Jean-Philippe Dousset, Gitau Mburu, Siyan Yi
OBJECTIVE: To examine factors associated with HIV infection among transgender women in Cambodia. DESIGN: Cross-sectional study. SETTINGS: HIV high-burden sites including the capital city and 12 provinces. PARTICIPANTS: This study included 1375 sexually active transgender women with a mean age of 25.9 years (SD 7.1), recruited by using respondent-driven sampling for structured questionnaire interviews and rapid finger-prick HIV testing...
August 11, 2017: BMJ Open
https://www.readbyqxmd.com/read/28801392/can-promoting-awareness-of-fetal-movements-and-focusing-interventions-reduce-fetal-mortality-a-stepped-wedge-cluster-randomised-trial-affirm
#8
Alexander E P Heazell, Christopher J Weir, Sarah J E Stock, Catherine J Calderwood, Sarah Cunningham Burley, J Frederik Froen, Michael Geary, Alyson Hunter, Fionnuala M McAuliffe, Edile Murdoch, Aryelly Rodriguez, Mary Ross-Davie, Janet Scott, Sonia Whyte, Jane E Norman
BACKGROUND: In 2013, the stillbirth rate in the UK was 4.2 per 1000 live births, ranking 24th out of 49 high-income countries, with an annual rate of reduction of only 1.4% per year. The majority of stillbirths occur in normally formed infants, with (retrospective) evidence of placental insufficiency the most common clinical finding. Maternal perception of reduced fetal movements (RFM) is associated with placental insufficiency and increased risk of subsequent stillbirth.This study will test the hypothesis that the introduction of a package of care to increase women's awareness of the need for prompt reporting of RFM and standardised management to identify fetal compromise with timely delivery in confirmed cases, will reduce the rate of stillbirth...
August 11, 2017: BMJ Open
https://www.readbyqxmd.com/read/28798016/bayesian-analysis-a-practical-approach-to-interpret-clinical-trials-and-create-clinical-practice-guidelines
#9
John A Bittl, Yulei He
Bayesian analysis is firmly grounded in the science of probability and has been increasingly supplementing or replacing traditional approaches based on P values. In this review, we present gradually more complex examples, along with programming code and data sets, to show how Bayesian analysis takes evidence from randomized clinical trials to update what is already known about specific treatments in cardiovascular medicine. In the example of revascularization choices for diabetic patients who have multivessel coronary artery disease, we combine the results of the FREEDOM trial (Future Revascularization Evaluation in Patients with Diabetes Mellitus: Optimal Management of Multivessel Disease) with prior probability distributions to show how strongly we should believe in the new Class I recommendation ("should be done") for a preference of bypass surgery over percutaneous coronary intervention...
August 2017: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/28795828/trans-and-gender-nonconforming-children-and-their-caregivers-gender-presentations-peer-relations-and-well-being-at-baseline
#10
Katherine A Kuvalanka, Judith L Weiner, Cat Munroe, Abbie E Goldberg, Molly Gardner
This study, involving a community-based sample of 45 predominantly white primary caregivers of 45 trans and gender-nonconforming (TGNC) children between 6 and 12 years of age, provides descriptive data on children's gender presentations, peer relations, and well-being. Most (n = 31; 69%) of the children were cross-gender identified (CGI). That is, 17 of 28 children assigned male at birth explicitly and consistently identified as girls, and 14 of 17 children assigned female at birth explicitly and consistently identified as boys...
August 10, 2017: Journal of Family Psychology: JFP
https://www.readbyqxmd.com/read/28795506/oral-apolipoprotein-a-i-mimetic-d-4f-lowers-hdl-inflammatory-index-in-high-risk-patients-a-first-in-human-multiple-dose-randomized-controlled-trial
#11
Richard L Dunbar, Rajesh Movva, LeAnne T Bloedon, Danielle Duffy, Robert B Norris, Mohamad Navab, Alan M Fogelman, Daniel J Rader
A single dose of the apolipoprotein (apo)A-I mimetic peptide D-4F rendered high-density lipoprotein (HDL) less inflammatory, motivating the first multiple-dose study. We aimed to assess safety/tolerability, pharmacokinetics, and pharmacodynamics of daily, orally administered D-4F. High-risk coronary heart disease (CHD) subjects added double-blinded placebo or D-4F to statin for 13 days, randomly assigned 1:3 to ascending cohorts of 100, 300, then 500 mg (n = 62; 46 men/16 women). D-4F was safe and well-tolerated...
August 9, 2017: Clinical and Translational Science
https://www.readbyqxmd.com/read/28793127/development-and-validation-of-the-hospitality-axiological-scale-for-humanization-of-nursing-care
#12
José María Galán González-Serna, Soledad Ferreras-Mencia, Juan Manuel Arribas-Marín
Objective: to develop and validate a scale to evaluate nursing attitudes in relation to hospitality for the humanization of nursing care. Participants: the sample consisted of 499 nursing professionals and undergraduate students of the final two years of the Bachelor of Science in Nursing program. Method: the instrument has been developed and validated to evaluate the ethical values related to hospitality using a methodological approach. Subsequently, a model was developed to measure the dimensions forming the construct hospitality...
August 3, 2017: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/28793126/scale-of-attitudes-toward-alcohol-spanish-version-evidences-of-validity-and-reliability
#13
Erika Gisseth León Ramírez, Divane de Vargas
Objective: validate the Scale of attitudes toward alcohol, alcoholism and individuals with alcohol use disorders in its Spanish version. Method: methodological study, involving 300 Colombian nurses. Adopting the classical theory, confirmatory factor analysis was applied without prior examination, based on the strong historical evidence of the factorial structure of the original scale to determine the construct validity of this Spanish version. To assess the reliability, Cronbach's Alpha and Mc Donalid's Omega coefficients were used...
August 3, 2017: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/28791768/unconventionally-layered-cote2-and-nite2-as-electrocatalysts-for-hydrogen-evolution
#14
Xinyi Chia, Zdeněk Sofer, Jan Luxa, Martin Pumera
Two members of the transition metal ditelluride family, CoTe2 and NiTe2 , exist in multiple structures encompassing marcasite-, pyrite- and CdI2 related structures. The allotrope modification is influenced by weak changes in stoichiometry and synthesis. It is crucial to emphasize that the CdI2 structure type is manifested by NiTe2 while the CoTe2 adopts a related structure for a non-stoichiometric composition with ratio below 1:1.8. The obtained structure is based on LiTiS2 which is derived from CdI2 structure, however contains a polymeric cobalt network...
August 9, 2017: Chemistry: a European Journal
https://www.readbyqxmd.com/read/28780520/bone-microarchitecture-and-estimated-bone-strength-in-men-with-active-acromegaly
#15
Paula Pb Silva, Fatemeh Ghazanfari Amlashi, Elaine W Yu, Karen J Pulaski-Liebert, Anu Gerweck, Pouneh Fazeli, Elizabeth A Lawson, Lisa B Nachtigall, Beverly M K Biller, Karen K Miller, Anne Klibanski, M Bouxsein, Nicholas A Tritos
CONTEXT: Both acromegaly and adult growth hormone deficiency (GHD) are associated with increased fracture risk. Sufficient data are lacking regarding cortical bone microarchitecture and bone strength, as assessed by micro-finite element analysis (µFEA). OBJECTIVE: To elucidate both cortical and trabecular bone microarchitecture and estimated bone strength in men with active acromegaly or GHD compared to healthy controls. DESIGN AND SUBJECTS: Cross-sectional study at a clinical research center, including 48 men (16 with acromegaly, 16 with GHD and 16 healthy controls)...
August 5, 2017: European Journal of Endocrinology
https://www.readbyqxmd.com/read/28776771/efficacious-holidays-the-therapeutic-dimensions-of-pleasure-and-discipline-in-czech-respiratory-spas
#16
Susanna Trnka
As evidence-based medicine has increasingly become the standard for assessing the efficacy of health care, the Czech Republic finds itself in a dilemma, with centuries of sanatorium-style spa treatments resisting easy categorization. Despite some critics' contentions that spas are "pointless holidays" and reductions in government funding of health spas, in 2014 Czech courts affirmed every Czech citizen's right to spa treatments if their health status merits it. Drawing on research in two children's respiratory spas, this article considers the experiences of patients aged two-15 and their accompanying parents or guardians (mainly mothers) to suggest that in addition to the range of therapeutic procedures highlighted within spa cures, more amorphous aspects-such as pleasure and discipline-may be just as central to spas' successes...
August 4, 2017: Medical Anthropology Quarterly
https://www.readbyqxmd.com/read/28773218/output-based-structural-damage-detection-by-using-correlation-analysis-together-with-transmissibility
#17
Yun-Lai Zhou, Hongyou Cao, Quanmin Liu, Magd Abdel Wahab
Output-based structural damage detection is becoming increasingly appealing due to its potential in real engineering applications without any restriction regarding excitation measurements. A new transmissibility-based damage detection approach is presented in this study by combining transmissibility with correlation analysis in order to strengthen its performance in discriminating damaged from undamaged scenarios. From this perspective, damage detection strategies are hereafter established by constructing damage-sensitive indicators from a derived transmissibility...
July 27, 2017: Materials
https://www.readbyqxmd.com/read/28771947/roles-and-functions-of-enrolled-nurses-in-australia-perspectives-of-enrolled-nurses-and-registered-nurses
#18
Ruth Endacott, Margaret O'Connor, Allison Williams, Pamela Wood, Lisa McKenna, Debra Griffiths, Cheryle Moss, Phillip Della, Wendy Cross
AIMS: The aims of the study were: To determine, from the perspectives of Enrolled Nurses (ENs) and Registered Nurses (RNs), the current scope of EN practice and To identify the activities that most ENs frequently performed in their workplace. BACKGROUND: Enrolled Nurse scope of practice in Australia has evolved and expanded over the past decade. However, the unclear role, function and competency differentiation between EN and RN leads to role confusion and ongoing professional debate...
August 3, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28771690/caring-for-transgender-patients-with-epilepsy
#19
REVIEW
Emily L Johnson, Peter W Kaplan
OBJECTIVE: Approximately 25 million individuals older than age 15 identify as transgender, representing about 0.3-0.9% of the world's population. The aim of this paper is to identify and describe important medical and social considerations facing transgender persons with epilepsy. METHODS: We performed literature searches on the following terms: transgender AND epilepsy, transgender AND neurology, gender dysphoria AND epilepsy, gender dysphoria AND neurology. We also performed literature searches for common feminizing or masculinizing treatment regimens, and searched for interactions of those treatment regimens with antiepileptic drugs (AEDs) and with seizures...
August 3, 2017: Epilepsia
https://www.readbyqxmd.com/read/28766972/-coming-out-with-a-mental-disorder-in-japan-how-self-stigma-and-empowerment-affect-this-decision
#20
Kuniyoshi Nagai, Etsuko Kajita
When persons with mental disorders attempt to live independently in the community, they face situations where they must decide whether to disclose their disorder (i.e., "come out"), which will affect self-concept, self-stigma, and empowerment. We conducted a self-reported questionnaire among users of psychiatric daycare facilities (N = 150) to gather correlational data on these variables among others. Sixty-one percent had positive intentions to come out, which was influenced by affirmativeness and self-efficacy...
August 2, 2017: Issues in Mental Health Nursing
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