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https://www.readbyqxmd.com/read/28318321/social-jet-lag-sleep-corrected-formula
#1
Konrad S Jankowski
Social jet lag is a term describing misalignment between social and biological times. In this article, it is argued that the currently used formula for social jet lag captures not only this misalignment, but also sleep debt resulting from sleep deprivation during workdays. It is proposed to adopt the sleep-corrected formula for social jet lag, which takes the form of the difference between the sleep onset on free days and workdays in the case of subjects with longer sleep and later (or equal) sleep onset on free days compared to workdays; it takes the form of the difference between the sleep offset on free days and workdays for subjects with longer sleep and earlier (or equal) sleep offset on workdays compared to free days...
March 20, 2017: Chronobiology International
https://www.readbyqxmd.com/read/28300200/evidence-and-mapping-of-extinction-debts-for-global-forest-dwelling-reptiles-amphibians-and-mammals
#2
Youhua Chen, Shushi Peng
Evidence of extinction debts for the global distributions of forest-dwelling reptiles, mammals and amphibians was tested and the debt magnitude was estimated and mapped. By using different correlation tests and variable importance analysis, the results showed that spatial richness patterns for the three forest-dwelling terrestrial vertebrate groups had significant and stronger correlations with past forest cover area and other variables in the 1500 s, implying the evidence for extinction debts. Moreover, it was likely that the extinction debts have been partially paid, given that their global richness patterns were also significantly correlated with contemporary forest variables in the 2000 s (but the absolute magnitudes of the correlation coefficients were usually smaller than those calculated for historical forest variables)...
March 16, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28295831/factors-influencing-resident-choice-of-prosthodontic-residency-program
#3
Pandora Keala Lee Wojnarwsky, Yan Wang, Kumar Shah, Sreenivas Koka
PURPOSE: The decision by prosthodontic residency program directors to employ the Match process highlights the need to understand applicant priorities that influence their choice of which programs to rank highly. The purpose of this study is to determine the factors that were most important to residents when choosing from among nonmilitary based prosthodontics dental residency programs in the United States. MATERIALS AND METHODS: Following completion of a pilot study, all currently enrolled prosthodontic residents at nonmilitary residency programs were invited to participate via the internet...
March 11, 2017: Journal of Prosthodontics: Official Journal of the American College of Prosthodontists
https://www.readbyqxmd.com/read/28280872/interventions-to-mitigate-the-effects-of-poverty-and-inequality-on-mental-health
#4
REVIEW
Kristian Wahlbeck, Johanna Cresswell-Smith, Peija Haaramo, Johannes Parkkonen
PURPOSE: To review psychosocial and policy interventions which mitigate the effects of poverty and inequality on mental health. METHODS: Systematic reviews, controlled trials and realist evaluations of the last 10 years are reviewed, without age or geographical restrictions. RESULTS: Effective psychosocial interventions on individual and family level, such as parenting support programmes, exist. The evidence for mental health impact of broader community-based interventions, e...
March 9, 2017: Social Psychiatry and Psychiatric Epidemiology
https://www.readbyqxmd.com/read/28279640/care-following-stillbirth-in-high-resource-settings-latest-evidence-guidelines-and-best-practice-points
#5
REVIEW
Danya Bakhbakhi, Christy Burden, Claire Storey, Dimitrios Siassakos
Third-trimester stillbirth affects approximately 2.6 million women worldwide each year. Although most stillbirths (98%) occur in low- and middle-income countries, most of the research on the impact of stillbirth and bereavement care has come from high-income countries. The impact of stillbirth ranges from stigma to disenfranchised grief, broken relationships, clinical depression, chronic pain, substance use, increased use of health services, employment difficulties, and debt. Appropriate bereavement care following a stillbirth is essential to minimise the negative socio-economic impact on parents and their families...
March 6, 2017: Seminars in Fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/28278752/the-impact-of-debt-relief-on-under-five-mortality-rate-in-sub-saharan-africa
#6
John Bosco Oryema, Kwabena Gyimah-Brempong, Gabriel Picone
This paper examines the impact of the Highly Indebted Poor Countries (HIPC) Initiative on under five mortality rate (U5MR) in Sub-Saharan Africa. The HIPC Initiative involves debt forgiveness and the redirection of funds that were meant to service external debt towards the provision of social services and poverty reduction in eligible countries. The Initiative is akin to a natural experiment since some countries benefited while some did not, and the timing of debt forgiveness varied across countries. We exploit these variations to identify the impact of HIPC Initiative on child mortality using a dynamic panel data estimator...
February 10, 2017: Global Public Health
https://www.readbyqxmd.com/read/28263656/therapists-in-training-experiences-of-working-with-transfer-clients-one-relationship-terminates-and-another-begins
#7
Cheri L Marmarosh, Barbara Thompson, Clara Hill, Suzanne Hollman, Monica Megivern
Data from interviews with 12 graduate-level trainees about their experiences of working with clients who had been transferred to them from another therapist were analyzed using consensual qualitative research. Trainees reported a range of helpful and hindering aspects about the transfer experience related to the client (e.g., client had experienced a prior termination and transfer, client had severe character pathology), the prior therapist (e.g., prior therapist prepared client for transfer, prior therapists did not process their termination with client), themselves (e...
March 2017: Psychotherapy
https://www.readbyqxmd.com/read/28253879/seeking-help-in-times-of-economic-hardship-access-experiences-of-services-and-unmet-need
#8
M C Barnes, J L Donovan, C Wilson, J Chatwin, R Davies, J Potokar, N Kapur, K Hawton, R O'Connor, D Gunnell
BACKGROUND: Economic recessions are often accompanied by increased levels of psychological distress and suicidal behaviour in affected populations. Little is known about the experiences of people seeking help for employment, financial and benefit-related difficulties during recessions. We investigated the experiences of people struggling financially in the aftermath of the Great Recession (2008-9) - including some who had self-harmed - and of the frontline support staff providing assistance...
March 3, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28243875/location-location-location-where-we-teach-primary-care-makes-all-the-difference
#9
Christine Cassel, Michael Wilkes
Creating a new model to train a high-quality primary care workforce is of great interest to American health care stakeholders. There is consensus that effective educational approaches need to be combined with a rewarding work environment, emphasize a good work/life balance, and a focus on achieving meaningful outcomes that center on patients and the public. Still, significant barriers limit the numbers of clinicians interested in pursuing careers in primary care, including low earning potential, heavy medical school debt, lack of respect from physician colleagues, and enormous burdens of record keeping...
February 27, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28231239/surveillance-for-health-care-access-and-health-services-use-adults-aged-18-64-years-behavioral-risk-factor-surveillance-system-united-states-2014
#10
Catherine A Okoro, Guixiang Zhao, Jared B Fox, Paul I Eke, Kurt J Greenlund, Machell Town
PROBLEM/CONDITION: As a result of the 2010 Patient Protection and Affordable Care Act, millions of U.S. adults attained health insurance coverage. However, millions of adults remain uninsured or underinsured. Compared with adults without barriers to health care, adults who lack health insurance coverage, have coverage gaps, or skip or delay care because of limited personal finances might face increased risk for poor physical and mental health and premature mortality. PERIOD COVERED: 2014...
February 24, 2017: MMWR. Surveillance Summaries: Morbidity and Mortality Weekly Report. Surveillance Summaries
https://www.readbyqxmd.com/read/28221319/analysis-of-2011-physician-assistant-education-debt-load
#11
Miranda A Moore, Megan Coffman, James F Cawley, Diana Crowley, Anthony Miller, Kathleen Klink
This study seeks to investigate how physician assistants (PAs) finance their education and to characterize the educational debt of PA students. Data from the 2011 American Academy of PAs (AAPA)-Physician Assistant Education Association Graduating Student Survey were used to explore the educational debt of PA students. The median total educational debt of a PA student graduating in 2011 was $80,000. Little financial assistance, other than student loans, is available to PA students. Eighty-five percent of PA students report owing some PA education debt amount, with 23% owing at least $100,000...
March 2017: JAAPA: Official Journal of the American Academy of Physician Assistants
https://www.readbyqxmd.com/read/28216861/poverty-reduction-in-india-through-palliative-care-a-pilot-project
#12
Cathy Ratcliff, Ann Thyle, Savita Duomai, Manju Manak
INTRODUCTION: EMMS International and Emmanuel Hospital Association (EHA) implemented a pilot project, poverty reduction in India through palliative care (PRIPCare). A total of 129 interviews with patients and family enrolled in palliative care at three EHA hospitals (in Fatehpur, Lalitpur and Utraula) and staff discussions established that 66% of palliative care patients had lost livelihoods due to illness, 26% of patients' families had members who had lost livelihoods due to the illness, 98% of enrolled households had debts, 59% had loans for which they had sold assets, 69% of households took out debt after their family member fell ill, many patients do not know about government benefits and lack necessary documents, many village headmen require bribes to give people access to benefits, and many bereaved women and children lose everything...
January 2017: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/28211053/q10-measures-of-metabolic-performance-and-critical-swimming-speed-in-king-george-whiting-sillaginodes-punctatus
#13
N Mazloumi, J L Johansen, Z A Doubleday, B M Gillanders
This study examined thermally driven changes in swimming performance and aerobic metabolism (Q10 and aerobic scope of activity) of adult King George whiting Sillaginodes punctatus to the coldest (16° C) and the warmest (26° C) temperature encountered by this species. Compensation of aerobic scope, higher maximal swimming speeds and a maintained capacity to repay oxygen debt indicate that this species is capable of thermal acclimation to conditions expected under global warming.
February 16, 2017: Journal of Fish Biology
https://www.readbyqxmd.com/read/28209168/the-impact-of-preterm-birth-37%C3%A2-weeks-on-parents-and-families-a-cross-sectional-study-in-the-2%C3%A2-years-after-discharge-from-the-neonatal-intensive-care-unit
#14
Ashwini Lakshmanan, Meghana Agni, Tracy Lieu, Eric Fleegler, Michele Kipke, Philippe S Friedlich, Marie C McCormick, Mandy B Belfort
BACKGROUND: Little is known about the quality of life of parents and families of preterm infants after discharge from the neonatal intensive care unit (NICU). Our aims were (1) to describe the impact of preterm birth on parents and families and (2) and to identify potentially modifiable determinants of parent and family impact. METHODS: We surveyed 196 parents of preterm infants <24 months corrected age in 3 specialty clinics (82% response rate). Primary outcomes were: (1) the Impact on Family Scale total score; and (2) the Infant Toddler Quality of Life parent emotion and (3) time limitations scores...
February 16, 2017: Health and Quality of Life Outcomes
https://www.readbyqxmd.com/read/28207807/how-much-is-a-child-worth-providers-and-patients-views-and-responses-concerning-ethical-and-policy-challenges-in-paying-for-art
#15
Robert Klitzman
Infertility treatments remain expensive and in many countries are covered by little, if any, insurance, raising critical questions concerning how patients and providers view and make decisions regarding these challenges. In-depth semi-structured interviews of approximately 1 hour were conducted with 37 IVF providers and 10 patients (17 physicians, 10 other providers and 10 patients), and were systematically analyzed. These data suggest current insurance policies and legislation pose critical ethical and logistical challenges for both patients and providers...
2017: PloS One
https://www.readbyqxmd.com/read/28193862/differential-modulation-of-global-and-local-neural-oscillations-in-rem-sleep-by-homeostatic-sleep-regulation
#16
Bowon Kim, Bernat Kocsis, Eunjin Hwang, Youngsoo Kim, Robert E Strecker, Robert W McCarley, Jee Hyun Choi
Homeostatic rebound in rapid eye movement (REM) sleep normally occurs after acute sleep deprivation, but REM sleep rebound settles on a persistently elevated level despite continued accumulation of REM sleep debt during chronic sleep restriction (CSR). Using high-density EEG in mice, we studied how this pattern of global regulation is implemented in cortical regions with different functions and network architectures. We found that across all areas, slow oscillations repeated the behavioral pattern of persistent enhancement during CSR, whereas high-frequency oscillations showed progressive increases...
February 28, 2017: Proceedings of the National Academy of Sciences of the United States of America
https://www.readbyqxmd.com/read/28166673/predictors-of-surgeons-efficiency-in-the-operating-rooms
#17
Yoshinori Nakata, Yuichi Watanabe, Hiroto Narimatsu, Tatsuya Yoshimura, Hiroshi Otake, Tomohiro Sawa
The sustainability of the Japanese healthcare system is questionable because of a huge fiscal debt. One of the solutions is to improve the efficiency of healthcare. The purpose of this study is to determine what factors are predictive of surgeons' efficiency scores. The authors collected data from all the surgical procedures performed at Teikyo University Hospital from April 1 through September 30 in 2013-2015. Output-oriented Charnes-Cooper-Rhodes model of data envelopment analysis was employed to calculate each surgeon's efficiency score...
February 2017: Health Services Management Research
https://www.readbyqxmd.com/read/28165882/role-of-combined-post-operative-venous-lactate-and-48-hours-c-reactive-protein-values-on-the-etiology-and-predictive-capacity-of-organ-space-surgical-site-infection-after-elective-colorectal-operation
#18
Montserrat Juvany, Xavier Guirao, Joan Carles Oliva, Jose M Badía Pérez
BACKGROUND: C-reactive protein (CRP) has been assessed to detect organ-space surgical site infection (OSI). Nevertheless, data about peri-operative oxygen debt and surgical stress-elicited biologic markers to explain and allow for the early detection of OSI are lacking. We analyzed immediate post-operative venous lactate, early CRP levels, and intra-operative hemodynamic values on the capacity to predict OSI after elective colorectal operation. PATIENTS AND METHODS: Patients undergoing an elective colorectal surgical procedure with anastomosis between March 2013 and August 2014 were included and assessed prospectively...
February 6, 2017: Surgical Infections
https://www.readbyqxmd.com/read/28164441/practice-transition-in-graduate-medical-education
#19
Robyn Shaffer, Nancy Piro, Laurence Katznelson, Melanie Hayden Gephart
BACKGROUND: Debt repayment, professional negotiation and practice management skills are vital to a successful medical practice, yet are undervalued and seldom taught in graduate medical education. Medical residents need additional training to confidently transition to independent practice, requiring the development of novel curricula. Medical residents need additional training to confidently transition to independent practice METHODS: We developed a trial practice management curriculum to educate senior residents and fellows through voluntary workshops...
February 6, 2017: Clinical Teacher
https://www.readbyqxmd.com/read/28163395/is-there-a-ricardian-vice-and-what-is-its-relationship-with-economic-policy-ad-vice
#20
Heinz D Kurz
Schumpeter chastised Ricardo for his alleged "vice" - the so-called "Ricardian Vice" - of drawing far reaching policy conclusions from utterly simplistic models, which, moreover, were underdetermined. The paper first argues that Schumpeter saw Ricardo's approach to the theory of value and distribution through a marginalist lens and therefore arrived at a distorted picture of the latter. Several of the criticisms he levelled at Ricardo cannot be sustained. The paper then has a closer look at Schumpeter's pronouncements on economic policy issues and shows that in a number of respects his views did not differ that much from Ricardo's and in some respects were remarkably similar...
2017: J Evol Econ
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