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https://www.readbyqxmd.com/read/27903161/a-call-for-saving-interdisciplinary-pain-management
#1
Xiulu Ruan, Alan David Kaye
Chronic pain is pervasive and costly. In 2011, the Institute of Medicine (IOM) released a landmark report on chronic pain, which estimated that more than 100 million Americans suffer from chronic pain, making pain a major and significant public health problem. The benefits of interdisciplinary pain management programs are undeniable and have been demonstrated for over a half century. Until health care leaders and other stakeholders such as insurers work together to ensure best practices in pain management, we will certainly end up in a lose-lose situation for both the health care teams and patients...
December 2016: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/27874228/dually-ordered-porous-tio2-rgo-composites-with-controllable-light-absorption-properties-for-efficient-solar-energy-conversion
#2
Yu Yang, Quan Jin, Dan Mao, Jian Qi, Yanze Wei, Ranbo Yu, Anran Li, Shuzhou Li, Huijun Zhao, Yanwen Ma, Lianhui Wang, Wenping Hu, Dan Wang
Quadruple layered TiO2 films with controllable macropore size are prepared via a confinement self-assembly method. Inverse opal structure with ordered mesoporous (IOM) presents unique light reflection and scattering ability with different wavelength. Cyan light (400-600 nm) is reflected and scattered by IOM-195, which is in accord with N719 absorption spectra. By manipulating macropore size, different light response is obtained.
November 22, 2016: Advanced Materials
https://www.readbyqxmd.com/read/27872480/association-of-pre-pregnancy-body-mass-index-gestational-weight-gain-with-cesarean-section-in-term-deliveries-of-china
#3
Chao Xiong, Aifen Zhou, Zhongqiang Cao, Yaqi Zhang, Lin Qiu, Cong Yao, Youjie Wang, Bin Zhang
China has one of the highest rates of cesarean sections in the world. However, limited epidemiological studies have evaluated the risk factors for cesarean section among Chinese women. Thus, the aim of this cohort study was to investigate the associations between pre-pregnancy BMI, gestational weight gain (GWG) and the risk of cesarean section in China. A total of 57,891 women with singleton, live-born, term pregnancies were included in this analysis. We found that women who were overweight or obese before pregnancy had an elevated risk of cesarean section...
November 22, 2016: Scientific Reports
https://www.readbyqxmd.com/read/27865259/web-based-survivorship-interventions-for-women-with-breast-cancer-an-integrative-review
#4
REVIEW
Kathryn E Post, Jane Flanagan
PURPOSE: Breast cancer survivors' experience a range of negative sequelae post-treatment including depression, anxiety, physical side effects from treatment, sexuality concerns and decreased quality of life. Survivorship care is recommended by the IOM to meet the post treatment needs of survivors but implementation is variable and barriers to delivery such as time and resource restraints have been identified. Web-based interventions may be a way to overcome some barriers to providing quality survivorship care that is efficacious, cost efficient and convenient...
December 2016: European Journal of Oncology Nursing: the Official Journal of European Oncology Nursing Society
https://www.readbyqxmd.com/read/27792474/comparison-of-coarse-coal-dust-sampling-techniques-in-a-laboratory-simulated-longwall-section
#5
Justin R Patts, Teresa L Barone
Airborne coal dust generated during mining can deposit and accumulate on mine surfaces, presenting a dust explosion hazard. When assessing dust hazard mitigation strategies for airborne dust reduction, sampling is done in high-velocity ventilation air, which is used to purge the mining face and gallery tunnel. In this environment, the sampler inlet velocity should be matched to the air stream velocity (isokinetic sampling) to prevent oversampling of coarse dust at low sampler-to-air velocity ratios. Low velocity ratios are often encountered when using low flow rate, personal sampling pumps approved for use in underground mines...
October 28, 2016: Journal of Occupational and Environmental Hygiene
https://www.readbyqxmd.com/read/27792469/performance-of-prototype-high-flow-inhalable-dust-sampler-in-a-livestock-production-facility
#6
T Renée Anthony, Changjie Cai, John Mehaffy, Darrah Sleeth, John Volckens
A high-flow inhalable sampler, designed for operational flow rates up to 10 L/min using computer simulations and examined in wind tunnel experiments, was evaluated in the field. This prototype sampler was deployed in collocation with an IOM (the benchmark standard sampler) in a swine farrowing building to examine the sampling performance for assessing concentrations of inhalable particulate mass and endotoxin. Paired samplers were deployed for 24-hours on 19 days over a three-month period. On each sampling day, the paired samplers were deployed at three fixed locations and data were analyzed to identify agreement and to examine systematic biases between concentrations measured by these samplers...
October 28, 2016: Journal of Occupational and Environmental Hygiene
https://www.readbyqxmd.com/read/27743029/calculation-of-optimal-gestation-weight-gain-in-pre-pregnancy-underweight-women-due-to-body-mass-index-change-in-relation-to-mother-s-height
#7
Zoran Meštrović, Damir Roje, Marko Vulić, Mirela Zec
BACKGROUND: Optimal gestational weight gain has not yet been clearly defined and remains one of the most controversial issues in modern perinatology. The role of optimal weight gain during pregnancy is critical, as it has a strong effect on perinatal outcomes. PURPOSE: In this study, gestational body mass index (BMI) change, accounting for maternal height, was investigated as a new criterion for gestational weight gain determination, in the context of fetal growth assessment...
October 14, 2016: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/27738479/optimal-weight-gain-during-pregnancy-in-japanese-women
#8
Shunji Suzuki
BACKGROUND: In order to examine the optimal weight gain during pregnancy in Japanese women, we analyzed the perinatal outcomes in Japanese women with the optimal range of weight gain during pregnancy according to the Japanese (the Japanese Ministry of Health, Labour and Welfare: JMHLW and the Japan Society for the Study of Obesity: JASSO) guidelines compared with those according to the USA (the Institute of Medicine: IOM) guideline. METHODS: We compared the obstetric outcomes in two groups of gestational weight gain within the optimal range based on the IOM and Japanese guidelines in women of pre-pregnancy body mass index (BMI) categories of underweight, normal, overweight and obese...
November 2016: Journal of Clinical Medicine Research
https://www.readbyqxmd.com/read/27702724/pre-pregnancy-body-mass-index-and-gestational-weight-gain-in-thai-pregnant-women-as-risks-for-low-birth-weight-and-macrosomia
#9
Tippawan Pongcharoen, Sueppong Gowachirapant, Purisa Wecharak, Natnaree Sangket, Pattanee Winichagoon
BACKGROUND AND OBJECTIVES: Maternal pre-pregnancy body mass index (BMI) and gestational weight gain (GWG) have been reported to be associated with pregnancy outcomes. Due to the nutrition transition in Thailand, the double burden of malnutrition is increasing and this may have negative consequences on birth outcomes. This study aimed to investigate the relationship between pre-pregnancy BMI and GWG with the risks of low birth weight and macrosomia. METHODS AND STUDY DESIGN: We performed a secondary analysis of data obtained from an iodine supplementation trial in mildly iodine-deficient Thai pregnant women...
December 2016: Asia Pacific Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/27696001/perioperative-stroke-after-carotid-endarterectomy-etiology-and-implications
#10
Nicolas K Khattar, Robert M Friedlander, Rabih A Chaer, Efthymios D Avgerinos, Eric S Kretz, Jeffrey R Balzer, Donald J Crammond, Miguel H Habeych, Parthasarathy D Thirumala
BACKGROUND: Carotid endarterectomy (CEA) is the procedure of choice for reducing the risk of stroke in both symptomatic and asymptomatic carotid artery stenoses. Stroke is associated with significant morbidity and mortality peri-operatively (2-3 %). Our primary aim is to evaluate the etiology of these strokes after CEA and their impact on morbidity by comparing the length of stay in the hospital. METHODS: A total of 584 patients with documented neurological status evaluations who underwent CEAs were included in the study...
September 30, 2016: Acta Neurochirurgica
https://www.readbyqxmd.com/read/27690466/catalytic-asymmetric-conjugate-addition-of-carboxylic-acids-via-oxa-michael-reaction-of-peroxy-hemiacetals-followed-by-kornblum-delamare-fragmentation
#11
Biswajit Parhi, Sanjay Maity, Prasanta Ghorai
Disclosed herein an overall methodology constitutes an equivalent to the long sought after enantioselective intramolecular oxa-Michael (IOM) reaction of carboxylic acids. An organocatalyzed IOM reaction of in situ formed peroxy hemiacetals followed by a Kornblum DeLaMare type rearrangement cascade provides a broad class of chiral lactones in good yields and with excellent enatioselectvities. Remarkably, the pure chiral lactones are obtained without any silica gel column chromatography, and in many cases, the enantioselectivity is further increased by a simple hexane wash of the isolated solid products...
October 3, 2016: Organic Letters
https://www.readbyqxmd.com/read/27673509/peer-feedback-learning-and-improvement-answering-the-call-of-the-institute-of-medicine-report-on-diagnostic-error
#12
David B Larson, Lane F Donnelly, Daniel J Podberesky, Arnold C Merrow, Richard E Sharpe, Jonathan B Kruskal
In September 2015, the Institute of Medicine (IOM) published a report titled "Improving Diagnosis in Health Care," in which it was recommended that "health care organizations should adopt policies and practices that promote a nonpunitive culture that values open discussion and feedback on diagnostic performance." It may seem counterintuitive that a report addressing a highly technical skill such as medical diagnosis would be focused on organizational culture. The wisdom becomes clearer, however, when examined in the light of recent advances in the understanding of human error and individual and organizational performance...
September 27, 2016: Radiology
https://www.readbyqxmd.com/read/27632776/maternal-excess-gestational-weight-gain-and-infant-waist-circumference-a-2-y-observational-study
#13
Sara F Michaliszyn, Lindsey A Sjaarda, Christina Scifres, Hyagriv Simhan, Silva A Arslanian
BACKGROUND: The purpose of this study was to examine the effects of gestational weight gain (GWG) and infant feeding practices on infant growth parameters in infants from 6 to 24 mo of age. METHODS: Forty mother-infant pairs were recruited after delivery and followed up to 24 mo postpartum. GWG was calculated as prepregnancy weight subtracted from weight at delivery. Infant weight velocity was calculated as the change in weight between consecutive visits divided by the intervening time...
October 5, 2016: Pediatric Research
https://www.readbyqxmd.com/read/27626435/pre-pregnancy-maternal-exposure-to-persistent-organic-pollutants-and-gestational-weight-gain-a-prospective-cohort-study
#14
Lindsay M Jaacks, Dana Boyd Barr, Rajeshwari Sundaram, Jagteshwar Grewal, Cuilin Zhang, Germaine M Buck Louis
Persistent organic pollutants (POPs) have been implicated in the development of obesity in non-pregnant adults. However, few studies have explored the association of POPs with gestational weight gain (GWG), an important predictor of future risk of obesity in both the mother and offspring. We estimated the association of maternal pre-pregnancy levels of 63 POPs with GWG. Data are from women (18-40 years; n = 218) participating in a prospective cohort study. POPs were assessed using established protocols in pre-pregnancy, non-fasting blood samples...
2016: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/27623831/-determination-of-thoracic-and-inhalable-fraction-of-sulfuric-acid-vi-in-workplace-air
#15
Małgorzata Szewczyńska, Małgorzata Pośniak, Emilia Pągowska
BACKGROUND: The article presents the results of the determination of the inhalable and thoracic fraction of sulfuric acid(VI) in 3 workplaces producing or processing this chemical. MATERIAL AND METHODS: To collect thoracic fractions of sulfuric acid(VI) Parallel Particle Impactor (PPI) was used. To isolate inhalable fraction of sulfuric acid(VI) from the air we used a sampler developed at the Institute of Occupational Medicine (IOM), United Kingdom. Parallel Particle Impactor and IOM samplers worked with pumps at a flow of 2 l/min...
2016: Medycyna Pracy
https://www.readbyqxmd.com/read/27614911/determining-exhaust-fumes-exposure-in-chainsaw-operations
#16
F Neri, C Foderi, A Laschi, F Fabiano, M Cambi, G Sciarra, M C Aprea, A Cenni, E Marchi
The objective of this study was to investigate the inhalation exposure of forest operators to polycyclic aromatic hydrocarbons (PAHs) and BTEX (benzene, toluene, ethylbenzene and total xylenes) contained in the exhaust fumes released from chainsaws and to suggest possible countermeasures. The study was carried out in four silvicultural treatments (coppice clearcut, conifer thinning, conifer pruning, and sanitary cut), using three types of chainsaw fuel (normal two-stroke petrol mix and two alkylate fuels). Eighty personal air samples were collected; IOM samplers combined with Amberlite XAD-2 sorbent tubes were used for collecting PAHs and Radiello(®) samplers were used for BTEX...
November 2016: Environmental Pollution
https://www.readbyqxmd.com/read/27609723/defining-excellence-next-steps-for-practicing-clinicians-seeking-to-prevent-diagnostic-error
#17
Paul N Foster, Julie R Klein
The Institute of Medicine (IOM) released its report on diagnostic errors in September, 2015. The report highlights the urgency of reducing errors and calls for system-level intervention and changes in our basic clinical interactions. Using the report's controversial definition of diagnostic error as a starting point, we introduce the issues and the potential impact on practicing physicians. We report a case used to illustrate this in an academic conference. Finally, we turn to the challenge of integrating these ideas into the traditional peer-review process...
2016: Journal of Community Hospital Internal Medicine Perspectives
https://www.readbyqxmd.com/read/27607133/notes-from-the-field-splenomegaly-of-unknown-etiology-in-congolese-refugees-applying-for-resettlement-to-the-united-states-uganda-2015
#18
Matthew Goers, Maurice O Ope, Aaron Samuels, Natalia Gitu, Saul Akandwanaho, Gladys Nabwami, Raymond Nyoka, Martin S Cetron, Warren Dalal, Andrea L Conroy, Paul Cantey, Chandy John, Marwan Naoum, Michelle Weinberg, Nina Marano, William Stauffer
Approximately 70,000-90,000 refugees are resettled to the United States each year, and during the next 5 years, 50,000 Congolese refugees are expected to arrive in the United States. The International Organization for Migration (IOM) performs refugee medical examinations overseas for the U.S. Refugee Resettlement Program. In 2014, IOM reported that a large number of U.S.-bound Congolese refugees from Uganda had spleens that were enlarged on examination. During two evaluations of refugee populations in western Uganda in March and July 2015, refugees with splenomegaly on physical examination were offered additional assessment and treatment, including abdominal ultrasonography and laboratory testing...
2016: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/27590385/pregestational-body-mass-index-gestational-weight-gain-and-risks-for-adverse-pregnancy-outcomes-among-taiwanese-women-a-retrospective-cohort-study
#19
Tai-Ho Hung, T'sang-T'ang Hsieh
OBJECTIVE: To investigate the associations between maternal pregestational body mass index (BMI), gestational weight gain (GWG), and adverse pregnancy outcomes among Taiwanese women. MATERIALS AND METHODS: A retrospective cohort study was conducted among all singletons without fetal anomalies delivered to women at Taipei Chang Gung Memorial Hospital between 2009 and 2015. Two study cohorts were selected for analysis: all deliveries after 24 0/7 weeks of gestation (Cohort 1, n=12,064) and all live births after 37 0/7 weeks of gestation excluding maternal overt diabetes mellitus and chronic hypertension (Cohort 2, n=10,973)...
August 2016: Taiwanese Journal of Obstetrics & Gynecology
https://www.readbyqxmd.com/read/27586244/neurophysiological-intraoperative-monitoring-during-an-optic-nerve-schwannoma-removal
#20
Daniel San-Juan, Manuel Escanio Cortés, Martha Tena-Suck, Adolfo Josué Orozco Garduño, Jesús Alejandro López Pizano, Jonathan Villanueva Domínguez, Maricarmen Fernández Gónzalez-Aragón, Juan Luis Gómez-Amador
This paper reports the case of a patient with optic nerve schwannoma and the first use of neurophysiological intraoperative monitoring of visual evoked potentials during the removal of such tumor with no postoperative visual damage. Schwannomas are benign neoplasms of the peripheral nervous system arising from the neural crest-derived Schwann cells, these tumors are rarely located in the optic nerve and the treatment consists on surgical removal leading to high risk of damage to the visual pathway. Case report of a thirty-year-old woman with an optic nerve schwannoma...
September 1, 2016: Journal of Clinical Monitoring and Computing
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