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The elephant in the room

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https://www.readbyqxmd.com/read/28180119/nonemergent-patients-in-the-emergency-department-an-ethnographic-study
#1
Amir Mirhaghi, Abbas Heydari, Mohsen Ebrahimi, Mohsen Noghani Dokht Bahmani
BACKGROUND: Triage in the interactive atmosphere of the emergency department (ED) has been described as complex and challenging. Nonemergent ED visits have been accompanied by ethical and legal conflicts. OBJECTIVES: The aim of this study was to gain an understanding of ED nurses' practice regarding triage of nonemergent patients. PATIENTS AND METHODS: Focused micro-ethnography based on Spradley's developmental research sequence (DRS) was used...
September 2016: Trauma Monthly
https://www.readbyqxmd.com/read/28156552/the-elephant-in-the-room-facilitating-conversations-about-advanced-cancer-between-patients-and-their-spouses
#2
Laura FIsh, Hope Elizabeth Uronis, Yousuf Zafar, Karen E Steinhauser
: 233 Background: Interventions to enhance couples' communication about cancer-related issues can lead to benefits for patients, spouses, and their relationships. We recently conducted a pilot study testing a couples communication skills training (CCST) intervention targeted to couples in which one partner had advanced GI cancer, a population who may need particular help addressing difficult and emotionally-laden topics related to life-limiting illness. Results of quantitative analyses suggested that the intervention was effective in improving relationship satisfaction for these couples...
October 9, 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28139063/lignin-depolymerisation-and-lignocellulose-fractionation-by-solvated-electrons-in-liquid-ammonia
#3
Pepijn Prinsen, Anand Narani, Gadi Rothenberg
We explored the depolymerisation of several lignins in liquid ammonia at relatively high temperatures and pressures (120 °C and 88 bar). Five different lignins were tested: Indulin AT kraft, Protobind 1000 soda, wheat straw organosolv, poplar organosolv and elephant grass-milled wood lignin (EG MWL). In pure liquid ammonia, all lignins underwent slow incorporation of nitrogen into their structure, resulting in higher molecular weight and polydispersity index. Subsequently, we show a reductive depolymerisation by solvated electrons at room temperature by adding sodium metal to the liquid ammonia without any external hydrogen donor...
January 31, 2017: ChemSusChem
https://www.readbyqxmd.com/read/28130318/commentary-on-protect-our-children-the-elephant-in-the-room
#4
Jane E Ferrie
No abstract text is available yet for this article.
January 27, 2017: International Journal of Epidemiology
https://www.readbyqxmd.com/read/27992095/faecal-occult-blood-testing-screening-for-colorectal-cancer-and-missed-interval-cancers-are-we-ignoring-the-elephant-in-the-room-results-of-a-multicentre-study
#5
A T George, S Aggarwal, S Dharmavaram, A Menon, M Dube, M Vogler, A Field
AIM: Biennial faecal occult testing (FOBT) is used to screen for colorectal cancer throughout the United Kingdom (UK). Interval cancers are tumours that develop in patients between screening rounds who have had a negative FOBT. Through a multicentre study, we compared demographics of patients with interval cancers, FOBT screen detected cancers and cancers that developed in patients who chose not to participate in the screening programme. METHOD: Five hundred and sixteen colorectal cancers were detected in the screening age group (60-74 years) population in three United Kingdom NHS Hospitals over two years...
December 19, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/27893911/retraining-the-elephants-in-the-room
#6
EDITORIAL
Patricia S Yoder-Wise
No abstract text is available yet for this article.
December 1, 2016: Journal of Continuing Education in Nursing
https://www.readbyqxmd.com/read/27852612/the-elephant-in-the-room-using-nutritional-biomarker-cutoffs-to-assess-status
#7
Amanda J MacFarlane
No abstract text is available yet for this article.
December 2016: American Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/27842686/aortic-root-surgery-for-young-patients-the-elephant-in-the-room
#8
EDITORIAL
John R Doty
No abstract text is available yet for this article.
December 2016: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/27817088/the-elephant-in-the-room-talking-race-in-medical-education
#9
Malika Sharma, Ayelet Kuper
The deaths of black men and women while in police custody, rising anti-immigrant sentiment and rhetoric in high-income countries, and the continued health disparities experienced by Indigenous communities globally have brought race and racism to the forefront of public discourse in recent years. In a context where academic health science centres are increasingly called to be "socially accountable," ignoring the larger social context of race and racism is something that medical education institutions can little afford to do...
November 5, 2016: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/27777181/home-visits-are-needed-to-address-asthma-health-disparities-in-adults
#10
Tyra Bryant-Stephens, Shakira Reed-Wells, Maryori Canales, Luzmercy Perez, Marisa Rogers, A Russell Localio, Andrea J Apter
Research on asthma frequently recruits patients from clinics because the ready pool of patients leads to easy access to patients in office waiting areas, emergency departments, or hospital wards. Patients with other chronic conditions, and with mobility problems, face exposures at home that are not easily identified at the clinic. In this article, we describe the perspective of the community health workers and the challenges they encountered when making home visits while implementing a research intervention in a cohort of low-income, minority patients...
December 2016: Journal of Allergy and Clinical Immunology
https://www.readbyqxmd.com/read/27766285/acknowledging-the-elephant-in-the-room-how-stressful-environmental-contexts-shape-relationship-dynamics
#11
Lisa A Neff, Benjamin R Karney
Compared to affluent marriages, lower income marriages develop within a context filled with negative stressors that may prove quite toxic for marital stability. The current paper argues that stressful contexts may undermine marital well-being through two routes. First, external stressors create additional problems within the marriage by diverting time and attention away from activities that promote intimacy between partners. Second, external stress may render spouses ill-equipped to cope with this increase in problems by draining spouses of the energy and resources necessary for responding to marital challenges in a constructive manner...
February 2017: Current Opinion in Psychology
https://www.readbyqxmd.com/read/27723888/congenital-cytomegalovirus-infection-the-elephant-in-our-living-room
#12
Gail J Demmler-Harrison
No abstract text is available yet for this article.
December 1, 2016: JAMA Pediatrics
https://www.readbyqxmd.com/read/27720399/becoming-a-sexual-being-the-elephant-in-the-room-of-adolescent-brain-development
#13
REVIEW
Ahna Ballonoff Suleiman, Adriana Galván, K Paige Harden, Ronald E Dahl
The onset of adolescence is a time of profound changes in motivation, cognition, behavior, and social relationships. Existing neurodevelopmental models have integrated our current understanding of adolescent brain development; however, there has been surprisingly little focus on the importance of adolescence as a sensitive period for romantic and sexual development. As young people enter adolescence, one of their primary tasks is to gain knowledge and experience that will allow them to take on the social roles of adults, including engaging in romantic and sexual relationships...
September 29, 2016: Developmental Cognitive Neuroscience
https://www.readbyqxmd.com/read/27622083/for-vascularized-composite-allografts-the-elephant-in-the-room
#14
Sanja Sljivic, Zoe M MacIsaac, Ernest K Manders
No abstract text is available yet for this article.
August 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27593186/in-the-midst-of-zika-pregnancy-advisories-termination-of-pregnancy-is-the-elephant-in-the-room
#15
Ara Aiken, C E Aiken, J Trussell
No abstract text is available yet for this article.
March 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/27560194/adult-neurogenesis-lessons-from-crayfish-and-the-elephant-in-the-room
#16
Barbara S Beltz, Georg Brenneis, Jeanne L Benton
The 1st-generation neural precursors in the crustacean brain are functionally analogous to neural stem cells in mammals. Their slow cycling, migration of their progeny, and differentiation of their descendants into neurons over several weeks are features of the neural precursor lineage in crayfish that also characterize adult neurogenesis in mammals. However, the 1st-generation precursors in crayfish do not self-renew, contrasting with conventional wisdom that proposes the long-term self-renewal of adult neural stem cells...
August 24, 2016: Brain, Behavior and Evolution
https://www.readbyqxmd.com/read/27497455/the-elephant-in-the-room-dialogues-about-race-within-cross-cultural-supervisory-relationships
#17
Tanya White-Davis, Emma Stein, Alison Karasz
OBJECTIVES: For centuries, the concept of race, a uniquely pervasive social construct, has often complicated dialogue and interactions between groups of people. This study assessed perceptions and attitudes of faculty and trainees with varied racial backgrounds within graduate medical and psychology programs. Self-reported responses addressed potential barriers and facilitating factors required for meaningful conversations about race. METHODS: A brief 18-question survey was developed and administered electronically to three professional and academic Listservs within a large metropolitan city in northeast United States...
May 2016: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/27473284/latitude-in-sample-handling-and-storage-for-infant-faecal-microbiota-studies-the-elephant-in-the-room
#18
Alexander G Shaw, Kathleen Sim, Elizabeth Powell, Emma Cornwell, Teresa Cramer, Zoë E McClure, Ming-Shi Li, J Simon Kroll
BACKGROUND: In this manuscript, we investigate the "stones best left unturned" of sample storage and preparation and their implications for the next-generation sequencing of infant faecal microbial communities by the 16S ribosomal ribonucleic acid (rRNA) gene. We present a number of experiments that investigate the potential effects of often overlooked methodology factors, establishing a "normal" degree of variation expected between replica sequenced samples. Sources of excess variation are then identified, as measured by observation of alpha diversity, taxonomic group counts and beta diversity magnitudes between microbial communities...
July 30, 2016: Microbiome
https://www.readbyqxmd.com/read/27386774/the-hfpef-obesity-phenotype-the-elephant-in-the-room
#19
EDITORIAL
Dalane W Kitzman, Sanjiv J Shah
No abstract text is available yet for this article.
July 12, 2016: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/27357935/paying-more-attention-to-the-elephant-in-the-room
#20
Ron Borland
This commentary argues that a nicotine reduction strategy for tobacco control is a secondary strategy to the wider availability of low toxin forms of nicotine to give smokers a viable alternative to cigarettes. Failure to confront the likely reality of continued nicotine use and to make it as low in harm as possible may prolong the tobacco epidemic.
June 29, 2016: Tobacco Control
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