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https://www.readbyqxmd.com/read/27902703/sleep-apnea-sleep-debt-and-daytime-sleepiness-are-independently-associated-with-road-accidents-a-cross-sectional-study-on-truck-drivers
#1
Sergio Garbarino, Paolo Durando, Ottavia Guglielmi, Guglielmo Dini, Francesca Bersi, Stefania Fornarino, Alessandra Toletone, Carlo Chiorri, Nicola Magnavita
BACKGROUND: Recent research has found evidence of an association between motor vehicle accidents (MVAs) or near miss accidents (NMAs), and excessive daytime sleepiness (EDS) or its main medical cause, Obstructive Sleep Apnea (OSA). However, EDS can also be due to non-medical factors, such as sleep debt (SD), which is common among professional truck drivers. On the opposite side, rest breaks and naps are known to protect against accidents. STUDY OBJECTIVES: To investigate the association of OSA, SD, EDS, rest breaks and naps, with the occurrence of MVAs and NMAs in a large sample of truck drivers...
2016: PloS One
https://www.readbyqxmd.com/read/27897780/student-life-facing-money-woes-head-on
#2
Lynne Pearce
Debt solutions are wide and variable, ranging from cutting interest costs and budgeting to obtaining free expert help.
November 16, 2016: Nursing Standard
https://www.readbyqxmd.com/read/27893775/extinction-debt-and-colonizer-credit-on-a-habitat-perturbed-fishing-bank
#3
Daniel E Duplisea, Michael G Frisk, Verena M Trenkel
Temporal changes in occupancy of the Georges Bank (NE USA) fish and invertebrate community were examined and interpreted in the context of systems ecological theory of extinction debt (EDT). EDT posits that in a closed system with a mix of competitor and colonizer species and experiencing habitat fragmentation and loss, the competitor species will show a gradual decline in fitness (occupancy) eventually leading to their extinction (extirpation) over multiple generations. A corollary of this is a colonizer credit, where colonizer species occupancy may increase with fragmentation because the disturbance gives that life history a transient relative competitive advantage...
2016: PloS One
https://www.readbyqxmd.com/read/27890467/use-of-hyperbaric-oxygen-therapy-and-pegylated-carboxyhemoglobin-bovine-in-a-jehovah-s-witness-with-life-threatening-anemia-following-postpartum-hemorrhage
#4
K Thenuwara, J Thomas, M Ibsen, U Ituk, K Choi, E Nickel, M J Goodheart
We present a case of a Jehovah's Witness patient who refused blood products, with the exception of albumin and clotting factors, and underwent cesarean section under spinal anesthesia complicated by postpartum hemorrhage. She was fluid resuscitated and treated with multiple uterotonics and internal iliac artery embolization. Because of agitation she required emergency tracheal intubation. Her hemoglobin concentration dropped from a preoperative value of 12mg/dL to 3mg/dL on postoperative day one. She was acidotic, requiring vasopressors for hemodynamic stability and remained ventilated and sedated...
October 24, 2016: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/27878836/social-comparison-personal-relative-deprivation-and-materialism
#5
Hyunji Kim, Mitchell J Callan, Ana I Gheorghiu, William J Matthews
Across five studies, we found consistent evidence for the idea that personal relative deprivation (PRD), which refers to resentment stemming from the belief that one is deprived of deserved outcomes compared to others, uniquely contributes to materialism. In Study 1, self-reports of PRD positively predicted materialistic values over and above socioeconomic status, personal power, self-esteem, and emotional uncertainty. The experience of PRD starts with social comparison, and Studies 2 and 3 found that PRD mediated the positive relation between a tendency to make social comparisons of abilities and materialism...
November 23, 2016: British Journal of Social Psychology
https://www.readbyqxmd.com/read/27875650/military-genitourinary-trauma-policies-implications-and-ethics
#6
Wendy K Dean, Arthur L Caplan, Brendan Parent
The men and women who serve in the armed forces, in the words of Major General Joseph Caravalho, "sign a blank check, co-signed by their families, payable to the Army, Navy, Air Force, or Marines, up to and including their lives." It is human nature to consider such a pact in polarized terms; the pact concludes in either a celebratory homecoming or funereal mourning. But in reality, surviving catastrophic injury may incur the greatest debt. The small but real possibility of losing the ability to bear biological children due to genitourinary combat injury has been a topic of discussion in hushed tones, behind closed doors...
November 2016: Hastings Center Report
https://www.readbyqxmd.com/read/27869931/-descriptive-study-of-the-profiles-of-victims-of-firearm-projectile-injuries-and-healthcare-costs-in-a-hospital-in-the-viva-sentinela-network
#7
Paulo Roberto Maciel, Marta Rovery de Souza, Claci Fátima Weirich Rosso
OBJECTIVE: to describe the profile of victims with injuries caused by firearm projectiles and the cost of treatment at a referral hospital in Midwestern Brazil belonging to the Viva Sentinela Network. METHODS: a descriptive study with convenience samplie was conducted from January to March 2013; data sources were interviews, patients' medical records, and the hospital statistics department. RESULTS: the 150 victims who participated were predominantly male (94...
July 2016: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
https://www.readbyqxmd.com/read/27856065/associations-of-medical-student-empathy-with-clinical-competence
#8
Rachel S Casas, Ziming Xuan, Angela H Jackson, Lorraine E Stanfield, Nanette C Harvey, Daniel C Chen
OBJECTIVE: Empathy is a crucial skill for medical students that can be difficult to evaluate. We examined if self-reported empathy in medical students was associated with clinical competence. METHODS: This study combined cross-sectional data from four consecutive years of medical students (N=590) from the Boston University School of Medicine. We used regression analysis to evaluate if self-reported empathy (Jefferson Scale of Physician Empathy (JSPE)) predicted scores in clinical clerkships, United States Medical Licensing Examinations, and OBJECTIVE: Structured Clinical Examinations (OSCEs)...
November 10, 2016: Patient Education and Counseling
https://www.readbyqxmd.com/read/27849910/268-blood-redox-potential-reflects-oxygen-debt-accrual-and-acts-as-resuscitation-marker-in-swine-shock
#9
Rodney Daniels, Hyesun Jun, Mohamad Tiba, Pilar Herrera-Fierro, Kevin Ward
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27828667/development-and-validation-of-the-gambling-follow-up-scale-self-report-version-an-outcome-measure-in-the-treatment-of-pathological-gambling
#10
Ana M Galetti, Hermano Tavares
Objective: To validate the Gambling Follow-up Scale, Self-Report version (GFS-SR), a 10-item scale designed to assess gambling frequency, time and money spent on gambling, gambling craving, debts, emotional distress, family relationships, autonomy, and frequency of and satisfaction with leisure activities in individuals diagnosed with gambling disorder according to the DSM-5 criteria. Methods: One hundred and twenty treatment-seeking gamblers were evaluated, 84 of whom proceeded to treatment...
November 7, 2016: Revista Brasileira de Psiquiatria
https://www.readbyqxmd.com/read/27807245/my-last-lecture
#11
EDITORIAL
Michael P O'Donnell
In celebration of my final comments as editor in chief of the American Journal of Health Promotion, I offer reflections on the importance of workplace health promotion, the impact of financial incentives on program effectiveness and financial sustainability, return on investment (ROI) analysis, reducing the federal debt by improving health, balancing high technology approaches with human touch, focusing on passions and sense of purpose, and nurturing a loving and caring community of professionals.
November 2016: American Journal of Health Promotion: AJHP
https://www.readbyqxmd.com/read/27806964/phosphodiesterase-inhibitor-based-vasodilation-improves-oxygen-delivery-and-clinical-outcomes-following-stage-1-palliation
#12
Kimberly I Mills, Aditya K Kaza, Brian K Walsh, Hilary C Bond, Mackenzie Ford, David Wypij, Ravi R Thiagarajan, Melvin C Almodovar, Luis G Quinonez, Christopher W Baird, Sitaram E Emani, Frank A Pigula, James A DiNardo, John N Kheir
BACKGROUND: Systemic vasodilation using α-receptor blockade has been shown to decrease the incidence of postoperative cardiac arrest following stage 1 palliation (S1P), primarily when utilizing the modified Blalock-Taussig shunt. We studied the effects of a protocol in which milrinone was primarily used to lower systemic vascular resistance (SVR) following S1P using the right ventricular to pulmonary artery shunt, measuring its effects on oxygen delivery (DO2) profiles and clinical outcomes...
November 2, 2016: Journal of the American Heart Association
https://www.readbyqxmd.com/read/27805950/three-year-md-programs-perspectives-from-the-consortium-of-accelerated-medical-pathway-programs-campp
#13
Joan Cangiarella, Tonya Fancher, Betsy Jones, Lisa Dodson, Shou Ling Leong, Matthew Hunsaker, Robert Pallay, Robert Whyte, Amy Holthouser, Steven B Abramson
In the last decade, there has been renewed interest in three-year MD pathway programs. In 2015, with support from the Josiah Macy Jr., Foundation, eight North American medical schools with three-year accelerated medical pathway programs formed the Consortium of Accelerated Medical Pathway Programs (CAMPP). The schools are two campuses of the Medical College of Wisconsin; McMaster University Michael G. DeGroote School of Medicine; Mercer University School of Medicine; New York University School of Medicine; Penn State College of Medicine; Texas Tech University Health Sciences Center School of Medicine; University of California, Davis School of Medicine; and University of Louisville School of Medicine...
November 1, 2016: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/27803293/physical-therapist-student-loan-debt
#14
Diane U Jette
No abstract text is available yet for this article.
November 2016: Physical Therapy
https://www.readbyqxmd.com/read/27783763/spondias-tuberosa-arruda-anacardiaceae-a-threatened-tree-of-the-brazilian-caatinga
#15
J Mertens, J Germer, J A Siqueira, J Sauerborn
Spondias tuberosa Arr., a fructiferous tree endemic to the northeast Brazilian tropical dry forest called Caatinga, accounts for numerous benefits for its ecosystem as well as for the dwellers of the Caatinga. The tree serves as feed for pollinators and dispersers as well as fodder for domestic ruminants, and is a source of additional income for local smallholders and their families. Despite its vantages, it is facing several man-made and natural threats, and it is suspected that S. tuberosa could become extinct...
October 24, 2016: Brazilian Journal of Biology, Revista Brasleira de Biologia
https://www.readbyqxmd.com/read/27778418/causes-of-homelessness-prevalence-the-relationship-between-homelessness-and-disability
#16
Akihiro Nishio, Ryo Horita, Tadahiro Sado, Seiko Mizutani, Takahiro Watanabe, Ryosuke Uehara, Mayumi Yamamoto
AIMS: Many studies have reported that the prevalence of mental illness and cognitive disability is higher among homeless individuals compared to the general population, and the rates of mental illness among the homeless population have recently increased. This study compared causes of homelessness or barriers to escaping homelessness for people with/without mental illness/cognitive disability, revealed problems with the Japanese homeless policy, and proposed an effective and necessary support system...
October 24, 2016: Psychiatry and Clinical Neurosciences
https://www.readbyqxmd.com/read/27775095/estimating-individual-optimal-sleep-duration-and-potential-sleep-debt
#17
Shingo Kitamura, Yasuko Katayose, Kyoko Nakazaki, Yuki Motomura, Kentaro Oba, Ruri Katsunuma, Yuri Terasawa, Minori Enomoto, Yoshiya Moriguchi, Akiko Hida, Kazuo Mishima
In this study, we hypothesized that dynamics of sleep time obtained over consecutive days of extended sleep in a laboratory reflect an individual's optimal sleep duration (OSD) and that the difference between OSD and habitual sleep duration (HSD) at home represents potential sleep debt (PSD). We found that OSD varies among individuals and PSD showed stronger correlation with subjective/objective sleepiness than actual sleep time, interacting with individual's vulnerability of sleep loss. Furthermore, only 1 h of PSD takes four days to recover to their optimal level...
October 24, 2016: Scientific Reports
https://www.readbyqxmd.com/read/27774501/in-which-neighborhoods-are-older-adult-populations-expanding-sociodemographic-and-built-environment-characteristics-across-neighborhood-trajectory-classes-of-older-adult-populations-in-four-u-s-cities-over-30-years
#18
Pasquale E Rummo, Jana A Hirsch, Annie Green Howard, Penny Gordon-Larsen
OBJECTIVES: We sought to examine characteristics of neighborhoods with changing older adult populations. METHODS: We used 30 years (1980-2011) of data from four U.S. cities (n=392 neighborhoods; Birmingham, AL; Chicago, IL; Minneapolis, MN; Oakland, CA) and finite mixture modeling to identify trajectory classes: neighborhoods with "stable", declining, or increasing older adult populations (≥65 years). We then compared mean baseline and change in their characteristics...
January 2016: Gerontology & Geriatric Medicine
https://www.readbyqxmd.com/read/27767152/a-survey-of-undergraduate-orthodontic-teaching-and-factors-affecting-pursuit-of-postgraduate-training
#19
P Jauhar, P A Mossey, H Popat, J Seehra, P S Fleming
Background Undergraduate orthodontic teaching has been focused on developing an understanding of occlusal development in an effort to equip practitioners to make appropriate referrals for specialist-delivered care. However, there is a growing interest among general dentists in delivering more specialised treatments, including short-term orthodontic alignment. This study aimed to assess the levels of knowledge of occlusal problems among final year undergraduate dental students, as well as their interest in various orthodontics techniques and training...
October 21, 2016: British Dental Journal
https://www.readbyqxmd.com/read/27758010/morningness-eveningness-and-daytime-functioning-in-university-students-the-mediating-role-of-sleep-characteristics
#20
Marija Bakotic, Biserka Radosevic-Vidacek, Adrijana Koscec Bjelajac
The aim of this study was to explore the mediating role of sleep characteristics in the relationship between morningness-eveningness and three different aspects of daytime functioning: daytime sleepiness, depressive mood and substance use in university students. A multiple mediator model was proposed with sleep debt, poor sleep quality and bedtime delay at weekends as parallel mediators in these relationships. We analysed the data of 1052 university students aged 18-25 years who completed a modified version of the School Sleep Habits Survey, which included questions on sleep and the Composite Scale of Morningness, Sleepiness Scale, Depressive Mood Scale and Substance Use Scale...
October 19, 2016: Journal of Sleep Research
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