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https://www.readbyqxmd.com/read/28329709/potential-impacts-of-changing-supply-water-quality-on-drinking-water-distribution-a-review
#1
REVIEW
Gang Liu, Ya Zhang, Willem-Jan Knibbe, Cuijie Feng, Wentso Liu, Gertjan Medema, Walter van der Meer
Driven by the development of water purification technologies and water quality regulations, the use of better source water and/or upgraded water treatment processes to improve drinking water quality have become common practices worldwide. However, even though these elements lead to improved water quality, the water quality may be impacted during its distribution through piped networks due to the processes such as pipe material release, biofilm formation and detachment, accumulation and resuspension of loose deposits...
March 19, 2017: Water Research
https://www.readbyqxmd.com/read/28329497/unique-clinical-presentations-of-pityriasis-rosea-aphthous-ulcers-vesicles-and-inverse-distribution-of-lesions
#2
Naeha Gupta, Jacob O Levitt
Pityriasis Rosea (PR) is a common skin disorderencountered in daily practice. Although its etiologyhas not been established, there has been widespreadresearch into possibilities. The lack of its characteristicmanifestations, specifically the herald patch andtruncal involvement, can lead to pitfalls in diagnosis.Whereas other conditions in the differential diagnosisshould be considered, PR can at times also manifest inan atypical manner. We wish to illustrate three casesof PR including those that presented with aphthousulcers, vesicles, and an inverse pattern...
February 15, 2017: Dermatology Online Journal
https://www.readbyqxmd.com/read/28329463/current-practices-in-the-timing-of-stage-2-palliation
#3
James M Meza, Robert D B Jaquiss, Brett R Anderson, Michael-Alice Moga, James K Kirklin, George Sarris, William G Williams, Brian W McCrindle
BACKGROUND: Mortality through single-ventricle palliation remains high and the effect of the timing of stage 2 palliation (S2P) is not well understood. We investigated current practice patterns in the timing of S2P across two professional societies and compared them to actual practice patterns from two databases of patients who underwent S2P. METHODS: A ten-question survey was distributed to the members of the Congenital Heart Surgeons' Society (CHSS) and the European Congenital Heart Surgeons' Association (ECHSA)...
March 2017: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/28329431/an-analytical-method-for-groundwater-inflow-into-a-drained-circular-tunnel
#4
Kai Su, Yafeng Zhou, Hegao Wu, Changzheng Shi, Li Zhou
Groundwater inflow estimation is essential for the design and construction of tunnel and the assessment of the environmental impacts. Analytical solutions used in current engineering practice do not adequately account for the effect of the excavation-induced drawdown, which leads to significant change in pore water pressure distribution and reductions of the water level beyond tunnel. Based on the numerical analysis results, this article proposes semianalytical method to predict the height of lowered water level and groundwater tunnel inflow...
March 22, 2017: Ground Water
https://www.readbyqxmd.com/read/28328645/relationship-of-wound-ostomy-and-continence-certified-nurses-and-healthcare-acquired-conditions-in-acute-care-hospitals
#5
Diane K Boyle, Sandra Bergquist-Beringer, Emily Cramer
PURPOSE: The purpose of this study was to describe the (a) number and types of employed WOC certified nurses in acute care hospitals, (b) rates of hospital-acquired pressure injury (HAPI) and catheter-associated urinary tract infection (CAUTI), and (c) effectiveness of WOC certified nurses with respect to lowering HAPI and CAUTI occurrences. DESIGN: Retrospective analysis of data from National Database of Nursing Quality Indicators. SUBJECTS AND SETTINGS: The sample comprised 928 National Database of Nursing Quality Indicators (NDNQI) hospitals that participated in the 2012 NDNQI RN Survey (source of specialty certification data) and collected HAPI, CAUTI, and nurse staffing data during the years 2012 to 2013...
March 22, 2017: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/28328564/variation-in-national-acgme-case-log-data-for-pediatric-orthopaedic-fellowships-are-fellow-coding-practices-responsible
#6
Philip K McClure, Marcella Woiczik, Lori Karol, Wudbhav N Sankar
BACKGROUND: The introduction of the 80-hour work week for Accreditation Council for Graduate Medical Education (ACGME) accredited fellowship programs initiated many efforts to optimize surgical training. One particular area of interest is on recording and tracking surgical experiences. The current standard is logging cases based on Current Procedural Terminology codes, which are primarily designed for billing. Proposed guidelines from the ACGME regarding logging exist, but their implementation is unknown, as is the variation in case volume across fellowship programs...
March 21, 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/28328291/evaluation-of-multi-parameter-test-statistics-for-multiple-imputation
#7
Yu Liu, Craig K Enders
In Ordinary Least Square regression, researchers often are interested in knowing whether a set of parameters is different from zero. With complete data, this could be achieved using the gain in prediction test, hierarchical multiple regression, or an omnibus F test. However, in substantive research scenarios, missing data often exist. In the context of multiple imputation, one of the current state-of-art missing data strategies, there are several different analogous multi-parameter tests of the joint significance of a set of parameters, and these multi-parameter test statistics can be referenced to various distributions to make statistical inferences...
March 22, 2017: Multivariate Behavioral Research
https://www.readbyqxmd.com/read/28326885/a-matter-of-attachment-how-adoptive-parents-foster-post-institutionalized-children-s-social-and-emotional-adjustment
#8
Lavinia Barone, Francesca Lionetti, Jonathan Green
The current study investigates the contribution of children's age at adoption (M = 46.52 months, SD = 11.52 months) and parents' attachment on post-institutionalized children's attachment and social-emotional adjustment. A total of 132 subjects, 48 post-institutionalized children aged 3-5 years, and their adoptive parents, took part in the study. One year from adoption, children's attachment distribution was as follows: 31% secure, 42% disorganized, and 27% insecure. Parents' secure attachment increased children's probability of presenting a secure attachment pattern; specifically, mothers' attachment patterns were most strongly associated with those of their adopted children, with fathers' making an additional contribution...
March 22, 2017: Attachment & Human Development
https://www.readbyqxmd.com/read/28326663/a-morphometric-study-of-the-canine-skull-and-periorbita-and-its-implications-for-regional-ocular-anesthesia
#9
Paulo Roberto Klaumann, Juan Carlos Duque Moreno, Fabiano Montiani-Ferreira
OBJECTIVE: A hypothetical relationship between canine cranial length and the length of the periorbita could be used for intraconal anesthetic volume estimation. STUDY SUBJECTS: Forty-one canine cadaver heads and one macerated dog skull. PROCEDURES: Inion and nasion points were recognized in the macerated skull and used as landmarks for cranial length measure. Thirty cadavers classified as dolichocephalic, mesaticephalic and brachycephalic were distributed in three study groups...
March 22, 2017: Veterinary Ophthalmology
https://www.readbyqxmd.com/read/28325973/building-a-database-for-long-term-monitoring-of-benthic-macrofauna-in-the-pertuis-charentais-2004-2014
#10
Anne S Philippe, Christine Plumejeaud-Perreau, Jérôme Jourde, Philippe Pineau, Nicolas Lachaussée, Emmanuel Joyeux, Frédéric Corre, Philippe Delaporte, Pierrick Bocher
BACKGROUND: Long-term benthic monitoring is rewarding in terms of science, but labour-intensive, whether in the field, the laboratory, or behind the computer. Building and managing databases require multiple skills, including consistency over time as well as organisation via a systematic approach. Here, we introduce and share our spatially explicit benthic database, comprising 11 years of benthic data. It is the result of intensive benthic sampling that has been conducted on a regular grid (259 stations) covering the intertidal mudflats of the Pertuis-Charentais (Marennes-Oléron Bay and Aiguillon Bay)...
2017: Biodiversity Data Journal
https://www.readbyqxmd.com/read/28325632/current-optometric-practices-and-attitudes-in-keratoconus-patient-management
#11
Sara Ortiz-Toquero, Raul Martin
PURPOSE: To compare the current optometric practices and attitudes in the management of keratoconus patients in the UK and Spain. METHODS: An online survey (adapted to optometric practices) was distributed via a newsletter emailed by various professional organizations in the UK and Spain. RESULTS: Four hundred and sixty-four practitioners (126 in the UK; 338 in Spain) who prescribed gas permeable GP contact lenses (CLs) more than once per month (54...
March 18, 2017: Contact Lens & Anterior Eye: the Journal of the British Contact Lens Association
https://www.readbyqxmd.com/read/28325494/modelling-h5n1-in-bangladesh-across-spatial-scales-model-complexity-and-zoonotic-transmission-risk
#12
Edward M Hill, Thomas House, Madhur S Dhingra, Wantanee Kalpravidh, Subhash Morzaria, Muzaffar G Osmani, Mat Yamage, Xiangming Xiao, Marius Gilbert, Michael J Tildesley
Highly pathogenic avian influenza H5N1 remains a persistent public health threat, capable of causing infection in humans with a high mortality rate while simultaneously negatively impacting the livestock industry. A central question is to determine regions that are likely sources of newly emerging influenza strains with pandemic causing potential. A suitable candidate is Bangladesh, being one of the most densely populated countries in the world and having an intensifying farming system. It is therefore vital to establish the key factors, specific to Bangladesh, that enable both continued transmission within poultry and spillover across the human-animal interface...
February 21, 2017: Epidemics
https://www.readbyqxmd.com/read/28324913/tests-for-informative-cluster-size-using-a-novel-balanced-bootstrap-scheme
#13
Jaakko Nevalainen, Hannu Oja, Somnath Datta
Clustered data are often encountered in biomedical studies, and to date, a number of approaches have been proposed to analyze such data. However, the phenomenon of informative cluster size (ICS) is a challenging problem, and its presence has an impact on the choice of a correct analysis methodology. For example, Dutta and Datta (2015, Biometrics) presented a number of marginal distributions that could be tested. Depending on the nature and degree of informativeness of the cluster size, these marginal distributions may differ, as do the choices of the appropriate test...
March 21, 2017: Statistics in Medicine
https://www.readbyqxmd.com/read/28324836/pahs-behavior-in-surface-water-and-groundwater-of-the-yellow-river-estuary-evidence-from-isotopes-and-hydrochemistry
#14
Jing Li, Fadong Li, Qiang Liu
Large-scale irrigation projects have impacted the regional surface-groundwater interactions in the North China Plain (NCP). Given this concern, the aim of this study is to evaluate levels of PAH pollution, identify the sources of the PAHs, analyze the influence of surface-groundwater interactions on PAH distribution, and propose urgent management strategies for PAHs in China's agricultural areas. PAH concentrations, hydrochemical indicators and stable isotopic compositions (δ(18)O and δ(2)H) were determined for surface water (SW) and groundwater (GW) samples...
March 18, 2017: Chemosphere
https://www.readbyqxmd.com/read/28324226/tobacco-cessation-counseling-attitudes-and-practices-among-yemeni-dental-professionals
#15
Sadeq Ali Al-Maweri, Walid A Al-Soneidar, Amer AlMaqtari, Abdulrahman Hunaish, Ghadah Al-Sufyani, Esam Halboub
Tobacco use is a significant health problem in Yemen and worldwide. Dental practitioners can play a pivotal role in educating their patients on the risk of smoking and motivating them to quit. This study aimed to assess the attitudes towards and practices of tobacco cessation counseling (TCC) among Yemeni dental professionals and to evaluate whether such attitudes and practices are associated with gender, smoking status, and years since graduation. In this cross-sectional study, a self-administered questionnaire containing questions regarding the practice and attitudes towards TCC in dental clinic was used...
March 21, 2017: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
https://www.readbyqxmd.com/read/28323721/registered-nurses-in-primary-care-emerging-new-roles-and-contributions-to-team-based-care-in-high-performing-practices
#16
Margaret Flinter, Clarissa Hsu, DeAnn Cromp, MaryJoan D Ladden, Edward H Wagner
The years since the passage of the Affordable Care Act have seen substantial changes in the organization and delivery of primary care. These changes have emphasized greater team involvement in care and expansion of the roles of each team member including registered nurses (RNs). This study examined the roles of RNs in 30 exemplary primary care practices. We identified the emergence of new roles and activities for RNs characterized by greater involvement in face-to-face patient care and care management, their own daily schedule of patient visits and contacts, and considerable autonomy in the care of their patients...
March 20, 2017: Journal of Ambulatory Care Management
https://www.readbyqxmd.com/read/28323662/hvad-flow-waveform-morphologies-theoretical-foundation-and-implications-for-clinical-practice
#17
Jonathan D Rich, Daniel Burkhoff
Continuous flow ventricular assist device (cfVAD) performance and patient hemodynamic conditions are intimately interrelated and dynamic, changing frequently with alterations in physiologic conditions, particularly pre- and after-loading conditions. The Heartware cfVAD (HVAD) provides a unique feature among currently approved VADs of providing an estimated instantaneous flow waveform, the characteristics of which can provide significant insights into patient and device properties. Despite being readily available, HVAD waveforms are poorly understood, underutilized and insufficiently leveraged, even by clinicians who regularly manage HVAD patients...
March 16, 2017: ASAIO Journal: a Peer-reviewed Journal of the American Society for Artificial Internal Organs
https://www.readbyqxmd.com/read/28322637/nurse-satisfaction-with-opportunities-to-engage-in-research
#18
Joseph Hagan
Nurses should be able to participate in research and integrate evidence from research into practice; however, studies investigating factors related to nurse satisfaction with opportunities to engage in research are lacking. A questionnaire was distributed to nurses employed at two sites: a hospital and a nursing school. Only 16% of nurses reported being satisfied with opportunities to engage in research. In multivariate analysis, degree of belief that resources are a barrier to research was inversely proportional to satisfaction with nursing research opportunities (adjusted odds ratio = 0...
December 1, 2016: Western Journal of Nursing Research
https://www.readbyqxmd.com/read/28322513/site-of-metabolism-prediction-based-on-ab-initio-derived-atom-representations
#19
Arndt R Finkelmann, Andreas H Göller, Gisbert Schneider
Machine learning models for site of metabolism (SoM) prediction offer the ability to identify metabolic soft spots in low molecular weight drug molecules at low computational cost and enable data-based reactivity prediction. SoM prediction is an atom classification problem. Successful construction of machine learning models requires atom representations that capture the reactivity-determining features of a potential reaction site. We have developed a descriptor scheme that characterizes an atom's steric and electronic environment and its relative location in the molecular structure...
March 21, 2017: ChemMedChem
https://www.readbyqxmd.com/read/28322476/optimizing-exposure-based-cbt-for-anxiety-disorders-via-enhanced-extinction-design-and-methods-of-a-multicentre-randomized-clinical-trial
#20
Ingmar Heinig, Andre Pittig, Jan Richter, Katrin Hummel, Isabel Alt, Kristina Dickhöver, Jennifer Gamer, Maike Hollandt, Katja Koelkebeck, Anne Maenz, Sophia Tennie, Christina Totzeck, Yunbo Yang, Volker Arolt, Jürgen Deckert, Katharina Domschke, Thomas Fydrich, Alfons Hamm, Jürgen Hoyer, Tilo Kircher, Ulrike Lueken, Jürgen Margraf, Peter Neudeck, Paul Pauli, Winfried Rief, Silvia Schneider, Benjamin Straube, Andreas Ströhle, Hans-Ulrich Wittchen
Exposure-based psychological interventions currently represent the empirically best established first line form of cognitive-behavioural therapy for all types of anxiety disorders. Although shown to be highly effective in both randomized clinical and other studies, there are important deficits: (1) the core mechanisms of action are still under debate, (2) it is not known whether such treatments work equally well in all forms of anxiety disorders, including comorbid diagnoses like depression, (3) it is not known whether an intensified treatment with more frequent sessions in a shorter period of time provides better outcome than distributed sessions over longer time intervals...
March 21, 2017: International Journal of Methods in Psychiatric Research
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