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https://www.readbyqxmd.com/read/28644980/making-power-visible-doing-theatre-based-status-work-with-nursing-students
#1
Steven S Taylor, Rosemary A Taylor
As part of a senior leadership class in an undergraduate baccalaureate nursing program in the northeastern United States, we conducted an experiential, theater-based workshop designed to increase student awareness of the micro-dynamics of power and the enactment of status in their day-to-day lives. These exercises allowed student participants to embody status and power and understand it in ways that they did not after simply completing assigned readings. At the conclusion of the workshop the participants were asked to reflect on their status habits and the consequences of these habits in a single hand-written page...
June 15, 2017: Nurse Education in Practice
https://www.readbyqxmd.com/read/28644781/teaching-clinical-ethics-at-the-bedside-william-osler-and-the-essential-role-of-the-hospitalist
#2
Matthew William McCarthy, Joseph J Fins
As the field of hospital medicine celebrates its twenty-first anniversary, we believe it is time to expand its mission to play an even greater role in medical education. Given hospitalists' proximity to students and clinical material, members of this growing cohort of physicians are uniquely positioned to teach normative reasoning, professionalism, communication, and medical ethics in real time to trainees on the wards. But, to do so, we must reimagine the role of the hospitalist in graduate and postgraduate medical education...
June 1, 2017: AMA Journal of Ethics
https://www.readbyqxmd.com/read/28642108/investing-in-new-technology-in-pulmonary-medicine-navigating-the-tortuous-path-to-success
#3
REVIEW
Robert Kruklitis, Kim French, Michael Joseph Cangelosi, Kevin L Kovitz
The introduction of new technologies offer the promise to advance medicine. This occurs alongside improved efforts to control costs of healthcare by hospital administrators, Center for Medicare and Medicaid Services' (CMS) pivot to value programs, and commercial payers' efforts to reduce reimbursement. These trends present a challenge for the pulmonologist, among others, who must navigate increasingly complex and highly scrutinized evaluation processes used to secure new technologies. Healthcare providers are turning toward value assessments, while simultaneously tasked with a mission of offering state-of-the art technologies and services...
June 19, 2017: Chest
https://www.readbyqxmd.com/read/28641681/the-effects-of-training-on-anxiety-and-task-performance-in-simulated-suborbital-spaceflight
#4
Rebecca S Blue, Frederick Bonato, Kimberly Seaton, Andrea Bubka, Johnené L Vardiman, Charles Mathers, Tarah L Castleberry, James M Vanderploeg
INTRODUCTION: In commercial spaceflight, anxiety could become mission-impacting, causing negative experiences or endangering the flight itself. We studied layperson response to four varied-length training programs (ranging from 1 h-2 d of preparation) prior to centrifuge simulation of launch and re-entry acceleration profiles expected during suborbital spaceflight. We examined subject task execution, evaluating performance in high-stress conditions. We sought to identify any trends in demographics, hemodynamics, or similar factors in subjects with the highest anxiety or poorest tolerance of the experience...
July 1, 2017: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/28640801/hollywood-raising-awareness-of-smoking-related-diseases-can-it-proactively-counteract-the-impact-of-smoking-in-movies-the-final-mission-of-star-trek-s-mr-spock
#5
Job Fm van Boven, Alan G Kaplan
This corrects the article DOI: 10.1038/npjpcrm.2016.52.
June 22, 2017: NPJ Primary Care Respiratory Medicine
https://www.readbyqxmd.com/read/28640566/-the-scientific-commission-of-the-swiss-cigarette-manufacturers-association-a-historical-overview
#6
Jacques Olivier, Jacques Cornuz, Carole Clair
The Scientific Commission (SC) of the Swiss Cigarette Manufacturers Association (SCMA) has been active between 1962 and the end of the 1990s. The commission fulfilled multiple tasks in the service of the tobacco industry : planning of external joint research, public relations work, lobbying, and collaboration with public authorities as well as organisations with a similar mission as the SC itself. In addition, it monitored research on smoking and health, reviewed studies that were detrimental to the cigarette manufacturers' interest and organized pro-tobacco scientific meetings...
June 7, 2017: Revue Médicale Suisse
https://www.readbyqxmd.com/read/28639218/ecogeographic-variability-and-genetic-diversity-associated-with-seed-albumins-globulins-and-prolamins-patterns-in-vicia-taxa-from-algeria
#7
Sakina Bechkri, Imane Medoukali, Douadi Khelifi
Genetic variability was studied in 78 populations of locally collected Vicia L. taxa for seed albumins, globulins and prolamins patterns by sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE) along with an ecogeographic characterization of sites investigated. 131, 119 and 98 bands were respectively used for albumin, globulin and prolamin cluster analysis. Dendrograms based on the Jaccard index and the UPGMA method were generated and the degree of genetic diversity between and within taxa was evaluated...
December 2017: Botanical Studies (Taipei, Taiwan)
https://www.readbyqxmd.com/read/28639040/mobile-gastrointestinal-and-endoscopic-surgery-in-rural-ecuador-20%C3%A2-years-experience-of-cinterandes
#8
H T Shalabi, M D Price, S T Shalabi, E B Rodas, A L Vicuña, B Guzhñay, R R Price, E Rodas
INTRODUCTION: Five billion people worldwide do not have timely access to surgical care. Cinterandes is one of the only mobile surgical units in low- and middle-income countries. This paper examines the methodology that Cinterandes uses to deliver mobile surgery. METHODS: Founding and core staff were interviewed, four missions were participated in, and internal documents and records were analysed between 1 May and 1 July 2014. RESULTS: Cinterandes performed 7641 operations over the last 20 years (60% gastrointestinal/laparoscopic), travelling 300,000 km to remote areas of Ecuador...
June 21, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28637558/travel-time-influences-readmission-risk-geospatial-mapping-of-surgical-readmissions
#9
Florence E Turrentine, Patrick J Buckley, Min-Woong Sohn, Michael D Williams
The University of Virginia (UVA) has recently become an Accountable Care Organization (ACO), intensifying efforts to provide better care for individuals. UVA's ACO population resides across the entire Commonwealth, with a large percentage of patients living in rural areas. To provide better health for this population, the central tenet of the ACO mission, we identified geographic risk factors influencing hospital readmission. We analyzed the relationship between the distance of patients' residence to the nearest hospital and 30-day readmission in general surgery patients...
June 1, 2017: American Surgeon
https://www.readbyqxmd.com/read/28636625/comparison-study-of-exhaust-plume-impingement-effects-of-small-mono-and-bipropellant-thrusters-using-parallelized-dsmc-method
#10
Kyun Ho Lee
A space propulsion system is important for the normal mission operations of a spacecraft by adjusting its attitude and maneuver. Generally, a mono- and a bipropellant thruster have been mainly used for low thrust liquid rocket engines. But as the plume gas expelled from these small thrusters diffuses freely in a vacuum space along all directions, unwanted effects due to the plume collision onto the spacecraft surfaces can dramatically cause a deterioration of the function and performance of a spacecraft. Thus, aim of the present study is to investigate and compare the major differences of the plume gas impingement effects quantitatively between the small mono- and bipropellant thrusters using the computational fluid dynamics (CFD)...
2017: PloS One
https://www.readbyqxmd.com/read/28634399/terrestrial-water-load-and-groundwater-fluctuation-in-the-bengal-basin
#11
W G Burgess, M Shamsudduha, R G Taylor, A Zahid, K M Ahmed, A Mukherjee, D J Lapworth, V F Bense
Groundwater-level fluctuations represent hydraulic responses to changes in groundwater storage due to aquifer recharge and drainage as well as to changes in stress that include water mass loading and unloading above the aquifer surface. The latter 'poroelastic' response of confined aquifers is a well-established phenomenon which has been demonstrated in diverse hydrogeological environments but is frequently ignored in assessments of groundwater resources. Here we present high-frequency groundwater measurements over a twelve-month period from the tropical, fluvio-deltaic Bengal Aquifer System (BAS), the largest aquifer in south Asia...
June 20, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28634375/sea-level-projections-representing-the-deeply-uncertain-contribution-of-the-west-antarctic-ice-sheet
#12
Alexander M R Bakker, Tony E Wong, Kelsey L Ruckert, Klaus Keller
There is a growing awareness that uncertainties surrounding future sea-level projections may be much larger than typically perceived. Recently published projections appear widely divergent and highly sensitive to non-trivial model choices. Moreover, the West Antarctic ice sheet (WAIS) may be much less stable than previous believed, enabling a rapid disintegration. Here, we present a set of probabilistic sea-level projections that approximates the deeply uncertain WAIS contributions. The projections aim to inform robust decisions by clarifying the sensitivity to non-trivial or controversial assumptions...
June 20, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28633669/impact-of-exercise-programs-among-helicopter-pilots-with-transient-lbp
#13
Knut Andersen, Roald Baardsen, Ingvild Dalen, Jan Petter Larsen
BACKGROUND: Flight related low back pain (LBP) among helicopter pilots is frequent and may influence flight performance. Prolonged confined sitting during flights seems to weaken lumbar trunk (LT) muscles with associated secondary transient pain. Aim of the study was to investigate if structured training could improve muscular function and thus improve LBP related to flying. METHODS: 39 helicopter pilots (35 men and 4 women), who reported flying related LBP on at least 1 of 3 missions last month, were allocated to two training programs over a 3-month period...
June 20, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28632012/medical-school-outcomes-primary-care-specialty-choice-and-practice-in-medically-underserved-areas-by-physician-alumni-of-medprep-a-postbaccalaureate-premedical-program-for-underrepresented-and-disadvantaged-students
#14
Anneke M Metz
PROBLEM: Minorities continue to be underrepresented as physicians in medicine, and the United States currently has a number of medically underserved communities. MEDPREP, a postbaccalaureate medical school preparatory program for socioeconomically disadvantaged or underrepresented in medicine students, has a stated mission to increase the numbers of physicians from minority or disadvantaged backgrounds and physicians working with underserved populations. This study aims to determine how MEDPREP enhances U...
March 2, 2017: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/28629204/paternal-risk-factors-for-oral-clefts-in-northern-africans-southeast-asians-and-central-americans
#15
Stephanie Ly, Madeleine L Burg, Ugonna Ihenacho, Frederick Brindopke, Allyn Auslander, Kathleen S Magee, Pedro A Sanchez-Lara, Thi-Hai-Duc Nguyen, Viet Nguyen, Maria Irene Tangco, Angela Rose Hernandez, Melissa Giron, Fouzia J Mahmoudi, Yves A DeClerck, William P Magee Iii, Jane C Figueiredo
While several studies have investigated maternal exposures as risk factors for oral clefts, few have examined paternal factors. We conducted an international multi-centered case-control study to better understand paternal risk exposures for oral clefts (cases = 392 and controls = 234). Participants were recruited from local hospitals and oral cleft repair surgical missions in Vietnam, the Philippines, Honduras, and Morocco. Questionnaires were administered to fathers and mothers separately to elicit risk factor and family history data...
June 19, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28626258/formative-research-for-the-nationwide-promotion-of-a-multidisciplinary-community-based-educational-program-on-end-of-life-care
#16
Yoshihisa Hirakawa, Chifa Chiang, Esayas Haregot Hilawe, Hideaki Andoh, Kazumasa Uemura, Atsuko Aoyama
Although one of the most important missions of end-of-life education is to ensure proper inter-professional education (IPE), in Japan, end-of-life care IPE has not been given enough attention especially in community settings. This study aims at developing an effective workshop facilitator training program on end-of-life care IPE and acquiring the know-how to set up and efficiently run administrative offices. We first developed a tentative facilitation training program and conducted it in five cities nationwide...
February 2017: Nagoya Journal of Medical Science
https://www.readbyqxmd.com/read/28622408/creation-of-the-quebrada-arriba-community-and-academic-partnership-an-effective-coalition-for-addressing-health-disparities-in-older-puerto-ricans
#17
Elsa M Orellano-Colón, Yolanda González-Laboy, Amarelis De Jesús-Rosario
OBJECTIVE: The objective of this project was to develop a community-academic coalition partnership to conduct community-based participatory research (CBPR) to address health disparities in older adults with chronic conditions living in the Quebrada Arriba community. METHODS: We used the 'Developing and Sustaining CPPR Partnerships: A Skill-Building Curriculum', to create the Quebrada Arriba Community-Academic Partnership (QACAP). We assessed the meetings effectiveness and the CBPR experiences of the coalition members in the community-academic partnership...
June 2017: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/28611667/dammarane-sapogenins-ameliorates-neurocognitive-functional-impairment-induced-by-simulated-long-duration-spaceflight
#18
Xiaorui Wu, Dong Li, Junlian Liu, Lihong Diao, Shukuan Ling, Yuheng Li, Jianyi Gao, Quanchun Fan, Weijia Sun, Qi Li, Dingsheng Zhao, Guohui Zhong, Dengchao Cao, Min Liu, Jiaping Wang, Shuang Zhao, Yu Liu, Guie Bai, Hongzhi Shi, Zi Xu, Jing Wang, Chunmei Xue, Xiaoyan Jin, Xinxin Yuan, Hongxing Li, Caizhi Liu, Huiyuan Sun, Jianwei Li, Yongzhi Li, Yingxian Li
Increasing evidence indicates the occurrence of cognitive impairment in astronauts under spaceflight compound conditions, but the underlying mechanisms and countermeasures need to be explored. In this study, we found that learning and memory abilities were significantly reduced in rats under a simulated long-duration spaceflight environment (SLSE), which includes microgravity, isolation confinement, noises, and altered circadian rhythms. Dammarane sapogenins (DS), alkaline hydrolyzed products of ginsenosides, can enhance cognition function by regulating brain neurotransmitter levels and inhibiting SLSE-induced neuronal injury...
2017: Frontiers in Pharmacology
https://www.readbyqxmd.com/read/28609643/training-techniques-for-visual-search-in-complex-task-environments
#19
Svyatoslav Guznov, Gerald Matthews, Joel S Warm, Marc Pfahler
OBJECTIVE: The goal for this study was to evaluate several visual search training techniques in an unmanned aerial vehicle (UAV) simulated task environment. BACKGROUND: Operators controlling remote unmanned vehicles often must perform complex visual search tasks (e.g., target search). These tasks may pose substantial demands on the operator due to various environmental factors. Visual search training may reduce errors and mitigate stress, but the most effective form of training has not been determined...
June 1, 2017: Human Factors
https://www.readbyqxmd.com/read/28608018/surgical-human-resources-according-to-types-of-health-care-facility-an-assessment-in-low-and-middle-income-countries
#20
Shirwa Sheik Ali, Zahra Jaffry, Meena N Cherian, Teena Kunjumen, Annette M Nkwowane, Andrew J M Leather, Hernan Montenegro Von Muhlenbrock, Edward Kelley, James Campbell
BACKGROUND: A robust health care system providing safe surgical care to a population can only be achieved in conjunction with access to competent surgical personnel. It has been reported that 5 billion people do not have access to safe, affordable surgical and anaesthesia care when needed. This study aims to fill the existing gap in evidence by quantifying shortfalls in trained personnel delivering safe surgical and anaesthetic care in low- and middle-income countries (LMICs) according to the type of health care facility...
June 12, 2017: World Journal of Surgery
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