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https://www.readbyqxmd.com/read/28931118/unpacking-the-enabling-factors-for-hand-cord-and-birth-surface-hygiene-in-zanzibar-maternity-units
#1
Giorgia Gon, Said M Ali, Catriona Towriss, Catherine Kahabuka, Ali O Ali, Sue Cavill, Mohammed Dahoma, Sally Faulkner, Haji S Haji, Ibrahim Kabole, Emma Morrison, Rukaiya M Said, Amour Tajo, Yael Velleman, Susannah L Woodd, And Wendy J Graham
Recent national surveys in The United Republic of Tanzania have revealed poor standards of hygiene at birth in facilities. As more women opt for institutional delivery, improving basic hygiene becomes an essential part of preventative strategies for reducing puerperal and newborn sepsis. Our collaborative research in Zanzibar provides an in-depth picture of the state of hygiene on maternity wards to inform action. Hygiene was assessed in 2014 across all 37 facilities with a maternity unit in Zanzibar. We used a mixed methods approach, including structured and semi-structured interviews, and environmental microbiology...
October 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28930977/fourier-based-diffraction-analysis-of-live-caenorhabditis-elegans
#2
Jenny Magnes, Harold M Hastings, Kathleen M Raley-Susman, Clara Alivisatos, Adam Warner, Miranda Hulsey-Vincent
This manuscript describes how to classify nematodes using temporal far-field diffraction signatures. A single C. elegans is suspended in a water column inside an optical cuvette. A 632 nm continuous wave HeNe laser is directed through the cuvette using front surface mirrors. A significant distance of at least 20-30 cm traveled after the light passes through the cuvette ensures a useful far-field (Fraunhofer) diffraction pattern. The diffraction pattern changes in real time as the nematode swims within the laser beam...
September 13, 2017: Journal of Visualized Experiments: JoVE
https://www.readbyqxmd.com/read/28929925/content-analysis-of-a-participant-directed-intervention-to-optimize-activity-engagement-of-older-adult-cancer-survivors
#3
Kathleen Doyle Lyons, Robin Newman, Anna M Adachi-Mejia, Jessica Whipple, Mark T Hegel
Many older adult cancer survivors reduce their activity level during and after cancer treatment. Occupational therapy interventions need to flexibly address various obstacles to occupational engagement that survivors may face. The aim of this analysis was to describe the content of a participant-directed occupational therapy intervention for older adults with cancer. Content analysis was used to describe the treatment session data from the experimental arm of a pilot randomized controlled trial in terms of activities addressed, obstacles reported, and treatment strategies utilized...
September 1, 2017: OTJR: Occupation, Participation and Health
https://www.readbyqxmd.com/read/28929848/the-leadership-shift-from-directing-people-to-action-to-inspiring-people-to-action
#4
Bruce Harry Swan
The leadership shift from directing people to action to inspiring people to action will focus on the coach approach to leadership and will clearly demonstrate how taking this approach not only gives lasting cultural change but also builds leadership capacity. Current examples of healthcare organizations that have implemented this approach will be shared along with the use of best practices coaching skills that embrace the International Coach Federation core competencies and code of ethics.
September 2017: Healthcare Management Forum
https://www.readbyqxmd.com/read/28929840/leaders-go-first-creating-and-sustaining-a-culture-of-high-performance
#5
Bonnie S Cochrane
The culture of a healthcare organization plays a critically important role in determining whether strategic plans will be executed effectively and organizational goals will be achieved. A culture of high performance serves as a foundation that supports the implementation of healthcare strategies and enables health leaders to evaluate, select, optimize, and sustain a full portfolio of improvement initiatives linked directly to top priorities and mandates. This article argues that a culture of high performance should become an integral part of all strategic planning and, further, that a strong and explicit leadership commitment, beginning with the board and CEO and extending throughout all leadership levels, is required to implement a successful culture transformation...
September 2017: Healthcare Management Forum
https://www.readbyqxmd.com/read/28929591/cobalt-catalyzed-cross-dehydrogenative-c-sp2-c-sp3-coupling-of-oxazole-thiazole-with-ether-or-cycloalkane
#6
Xiaojiao Wang, Bowen Lei, Lifang Ma, Lisi Zhu, Xinyue Zhang, Hao Zuo, Dailin Zhuang, Ziyuan Li
Direct C5-alkylation of oxazole/thiazole with ether or cycloalkane has been achieved through a cobalt-catalyzed cross-dehydrogenative couling (CDC) process in moderate to good yields. This transformation represents the first C(sp2)-C(sp3) cross-coupling at the C5-position of azole via double C-H bond cleavages. Various functional groups on oxazole/thiazole substrates, as well as water and air, are well-tolerated with this concise and practical protocol, constituting straightforward access to heterocycles with great medicinal significance...
September 19, 2017: Chemistry, An Asian Journal
https://www.readbyqxmd.com/read/28929588/bioactive-compounds-of-shuang-huang-lian-prescription-and-an-insight-into-its-binding-mechanism-by-%C3%AE-2-adrenoceptor-chromatography-coupled-with-site-directed-molecular-docking
#7
Jing Wang, Fengwu Li, Kaizhu Zeng, Qian Li, Xinfeng Zhao, Xiaohui Zheng
Owing to the promising clinical efficacy and relatively simple composition, Shuang-Huang-Lian prescription is widely prescribed for the treatment of acute upper respiratory tract infection and acute bronchitis in practice. This necessitates the understanding of the bioactive compounds of the prescription and their binding mechanism to β2-adrenoceptor, which mediates the aforementioned ailments. In this work, a column containing immobilized β2-adrenoceptor was prepared using a diazonium salt reaction. The bioactive compound collected from the β2-adrenoceptor column was identified as chlorogenic acid by using high-performance liquid chromatography coupled with ion trap mass spectrometry...
September 20, 2017: Journal of Separation Science
https://www.readbyqxmd.com/read/28929454/antihypertensive-therapies-and-left-ventricular-hypertrophy
#8
REVIEW
Elsayed Z Soliman, Ronald J Prineas
PURPOSE OF REVIEW: It is widely accepted that successful lowering of blood pressure (BP) in patients with hypertension leads to regression of left ventricular hypertrophy (LVH). However, whether differences exist among pharmacological BP-lowering therapies is debated. In this report, we discuss these differences in light of recent literature and the position of extant practice guidelines. RECENT FINDINGS: Studies comparing the effects of antihypertensive classes on LVH regression reached different conclusions, but the overall direction which is reflected in current society guidelines is that successful lowering of BP is more important than selection of an individual antihypertensive class...
September 19, 2017: Current Hypertension Reports
https://www.readbyqxmd.com/read/28929429/segregation-of-a-binary-granular-mixture-in-a-vibrating-sawtooth-base-container
#9
Shahin Mobarakabadi, Neda Adrang, Mehdi Habibi, Ehsan Nedaaee Oskoee
A granular mixture of identical particles of different densities can be segregated when the system is shaken. We present an efficient method of continuously segregating a flow of randomly mixed identical spherical particles of different densities by shaking them in a quasi-two-dimensional container with a sawtooth-shaped base. Using numerical simulation we study the effect of direction of shaking (horizontal/vertical), geometry of the sawtooth, and the friction coefficient between the grains and the container walls on the segregation quality...
September 2017: European Physical Journal. E, Soft Matter
https://www.readbyqxmd.com/read/28929384/roles-of-dietary-glycine-proline-and-hydroxyproline-in-collagen-synthesis-and-animal-growth
#10
REVIEW
Peng Li, Guoyao Wu
Glycine, proline, and hydroxyproline (Hyp) contribute to 57% of total amino acids (AAs) in collagen, which accounts for one-third of proteins in animals. As the most abundant protein in the body, collagen is essential to maintain the normal structure and strength of connective tissue, such as bones, skin, cartilage, and blood vessels. Mammals, birds, and fish can synthesize: (1) glycine from threonine, serine, choline, and Hyp; (2) proline from arginine; and (3) Hyp from proline residues in collagen, in a cell- and tissue-specific manner...
September 20, 2017: Amino Acids
https://www.readbyqxmd.com/read/28929298/chronic-kidney-disease-and-anticoagulation-from-vitamin-k-antagonists-and-heparins-to-direct-oral-anticoagulant-agents
#11
REVIEW
Savino Sciascia, Massimo Radin, Karen Schreiber, Roberta Fenoglio, Simone Baldovino, Dario Roccatello
Anticoagulation in patients with impaired kidney function can be challenging since drugs' pharmacokinetics and bioavailability are altered in this setting. Patients with chronic kidney disease (CKD) treated with conventional anticoagulant agents [vitamin K antagonist (VKA), low-molecular weight heparin (LMWH) or unfractionated heparin (UFH)] are at high risk of bleeding events (both non-major and major clinically relevant bleeding). While anticoagulation reduces the risk of thromboembolic events, the co-existing bleeding risk and the fact that the most commonly used anticoagulation agents are eliminated via the kidneys pose additional challenges...
September 19, 2017: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/28929291/evaluation-of-an-advance-care-planning-web-based-resource-applicability-for-cancer-treatment-patients
#12
Martha A Cresswell, Carole A Robinson, Gillian Fyles, Joan L Bottorff, Rebecca Sudore
PURPOSE: The purpose of this study was to explore the acceptability, applicability, and understandability of a promising advance care planning (ACP) web-based resource for use with oncology patients, and determine whether revisions to the website would be necessary before implementation into oncology care. The resource is called PREPARE ( www.prepareforyourcare.org ) and it had not been tested for use within oncology, but had previously been shown to influence the readiness of older, community-dwelling adults to engage in ACP behaviors...
September 19, 2017: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/28928756/prioritizing-crop-management-to-increase-nitrogen-use-efficiency-in-australian-sugarcane-crops
#13
Peter J Thorburn, Jody S Biggs, Jeda Palmer, Elizabeth A Meier, Kirsten Verburg, Danielle M Skocaj
Sugarcane production relies on the application of large amounts of nitrogen (N) fertilizer. However, application of N in excess of crop needs can lead to loss of N to the environment, which can negatively impact ecosystems. This is of particular concern in Australia where the majority of sugarcane is grown within catchments that drain directly into the World Heritage listed Great Barrier Reef Marine Park. Multiple factors that impact crop yield and N inputs of sugarcane production systems can affect N use efficiency (NUE), yet the efficacy many of these factors have not been examined in detail...
2017: Frontiers in Plant Science
https://www.readbyqxmd.com/read/28928402/core-shell-heterostructured-multiwalled-carbon-nanotubes-reduced-graphene-oxide-nanoribbons-chitosan-a-robust-nanobiocomposite-for-enzymatic-biosensing-of-hydrogen-peroxide-and-nitrite
#14
Veerappan Mani, Mani Govindasamy, Shen-Ming Chen, Tse-Wei Chen, Annamalai Senthil Kumar, Sheng-Tung Huang
A robust nanobiocomposite based on core-shell heterostructured multiwalled carbon nanotubes@reduced graphene oxide nanoribbons (MWCNTs@rGONRs)/chitosan (CHIT) was described for the fabrication of sensitive, selective, reproducible and durable biosensor for hydrogen peroxide (H2O2) and nitrite (NO2(-)). The excellent physicochemical properties of MWCNTs@rGONRs such as, presence of abundant oxygen functionalities, higher area-normalized edge-plane structures and chemically active sites in combination with excellent biocompatibility of CHIT resulting in the versatile immobilization matrix for myoglobin (Mb)...
September 19, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28928112/influenzanet-citizens-among-10-countries-collaborating-to-monitor-influenza-in-europe
#15
Carl E Koppeschaar, Vittoria Colizza, Caroline Guerrisi, Clément Turbelin, Jim Duggan, W John Edmunds, Charlotte Kjelsø, Ricardo Mexia, Yamir Moreno, Sandro Meloni, Daniela Paolotti, Daniela Perrotta, Edward van Straten, Ana O Franco
BACKGROUND: The wide availability of the Internet and the growth of digital communication technologies have become an important tool for epidemiological studies and health surveillance. Influenzanet is a participatory surveillance system monitoring the incidence of influenza-like illness (ILI) in Europe since 2003. It is based on data provided by volunteers who self-report their symptoms via the Internet throughout the influenza season and currently involves 10 countries. OBJECTIVE: In this paper, we describe the Influenzanet system and provide an overview of results from several analyses that have been performed with the collected data, which include participant representativeness analyses, data validation (comparing ILI incidence rates between Influenzanet and sentinel medical practice networks), identification of ILI risk factors, and influenza vaccine effectiveness (VE) studies previously published...
September 19, 2017: JMIR Public Health and Surveillance
https://www.readbyqxmd.com/read/28928046/new-directions-for-ambulatory-monitoring-following-2017-hrs-ishne-expert-consensus
#16
Emanuela T Locati
The main role of ambulatory electrocardiography (AECG) in clinical practice is to detect and characterize the behavior of cardiac electrical activity during ordinary daily life activities. Because certain rhythm abnormalities may be infrequent and paroxysmal, and may occur only during sleep or in association with mental, emotional, or exercise-induced perturbation in cardiac function, AECG needs to be recorded over a long period of time, originally lasting 24h and now expanding up to several weeks and even to months...
August 12, 2017: Journal of Electrocardiology
https://www.readbyqxmd.com/read/28928025/development-implementation-and-use-of-a-process-to-promote-knowledge-translation-in-rehabilitation
#17
Jennifer L Moore, Julia Carpenter, Anne Marie Doyle, Laura Doyle, Piper Hansen, Bridget Hahn, T George Hornby, Heidi R Roth, Susan Spoeri, Rachel Tappan, Krista Van Der Laan
OBJECTIVE: To examine the use and impact of the BRAIN on evidence-based practice (EBP) over 6 years. DESIGN: A successive independent samples study. SETTING: A large rehabilitation system. PARTICIPANTS: Successive samples of allied health clinicians in 2009 (n=136), 2012 (n=115), and 2015 (n=121). INTERVENTIONS: The BRAIN includes two components: 1) a process to synthesize, adapt and make recommendations about the application of evidence; and 2) a process to implement the recommended practices in 3 levels of care...
September 16, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28927965/optimal-marine-mammal-welfare-under-human-care-current-efforts-and-future-directions
#18
Sabrina Brando, Donald M Broom, Cristina Acasuso-Rivero, Fay Clark
Marine mammals include cetaceans, pinnipeds, sirenians, sea otters and polar bears, many of which are charismatic and popular species commonly kept under human care in zoos and aquaria. However, in comparison with their fully terrestrial counterparts their welfare has been less intensively studied, and their partial or full reliance on the aquatic environment leads to unique welfare challenges. In this paper we attempt to collate and review the research undertaken thus far on marine mammal welfare, and identify the most important gaps in knowledge...
September 16, 2017: Behavioural Processes
https://www.readbyqxmd.com/read/28927304/initial-outcomes-of-a-participatory-based-competency-building-approach-to-increasing-physical-education-teachers-physical-activity-promotion-and-students-physical-activity-a-pilot-study
#19
R Glenn Weaver, Collin A Webster, Michael W Beets, Keith Brazendale, Jessica Chandler, Lauren Schisler, Mazen Aziz
This study examined the initial effects of a participatory-based, competency-/skill-building professional development workshop for physical education (PE) teachers on the use of physical activity (PA) promotion practices (e.g., eliminating lines, small-sided games) and students' moderate-to-vigorous physical activity (MVPA). A total of 823 students (52.8% boys) wore accelerometers at baseline (fall 2015) and outcome (spring 2016) on PE and non-PE days. The System for Observing Fitness Instruction Time+ measured changes in PA promotion practices...
September 1, 2017: Health Education & Behavior: the Official Publication of the Society for Public Health Education
https://www.readbyqxmd.com/read/28926964/poverty-dynamics-and-academic-trajectories-of-children-of-immigrants
#20
Liwei Zhang, Wen-Jui Han
Using Early Childhood Longitudinal Study, Kindergarten Class of 1998-1999 (ECLS-K), we investigated the relationship between poverty and academic trajectories for children in immigrant families in the United States. We used family socioeconomic status (SES) which considers parental education, parental occupation, and family income to define poverty in correspondence with the U.S. federal poverty threshold. Three dimensions of poverty were examined including depth (i.e., not-poor, near-poor, poor or extreme poor), stability (i...
September 16, 2017: International Journal of Environmental Research and Public Health
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