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https://www.readbyqxmd.com/read/28937512/obstetricians-and-gynecologists-of-the-future-a-survey-of-medical-students-applying-to-residency
#1
Meredith J Alston, Amy Meg Autry, Sarah A Wagner, Abigail Winkel, Amanda A Allshouse, Alyssa Stephenson-Famy
OBJECTIVE: To understand the characteristics and career goals of medical students selecting a career in obstetrics and gynecology. METHODS: In 2015-2016, medical students invited for interviews for obstetrics and gynecology residency at the University of Colorado, University of Washington, University of California San Francisco, Loyola University, and New York University received a voluntary 20-item electronic survey regarding factors influencing their choice of medical specialty...
October 2017: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28931795/examination-of-factors-that-influence-the-operation-income-and-expenditure-balance-difference-rate-of-20-educational-foundation-universities
#2
Hisato Nakajima, Kouya Yano, Kaoko Nagasawa, Satoka Katou, Kuninobu Yokota
OBJECTIVES: The objective of this study is to examine the factors that influence the operation income and expenditure balance ratio of school corporations running university hospitals by multiple regression analysis. METHODS: 1. We conducted cluster analysis of the financial ratio and classified the school corporations into those running colleges and universities.2. We conducted multiple regression analysis using the operation income and expenditure balance ratio of the colleges as the variables and the Diagnosis Procedure Combination data as the explaining variables...
2017: Nihon Eiseigaku Zasshi. Japanese Journal of Hygiene
https://www.readbyqxmd.com/read/28930761/factors-associated-with-medical-school-graduates-intention-to-work-with-underserved-populations-policy-implications-for-advancing-workforce-diversity
#3
Andrea N Garcia, Tony Kuo, Lisa Arangua, Eliseo J Pérez-Stable
PURPOSE: Given projected U.S. physician shortages across all specialties that will likely impact underserved areas disproportionately, the authors sought to explore factors most correlated with medical school graduates' intention to work with underserved populations (IWUP). METHOD: Data from the 2010-2012 Association of American Medical Colleges Medical School Graduation Questionnaire (n = 40,846) were analyzed. Variables (demographics, career preference, debt burden, intention to enter loan forgiveness programs) were examined using chi-square tests and logistic regression models...
September 14, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28918678/the-affordable-care-act-medicaid-expansions-and-personal-finance
#4
Kyle J Caswell, Timothy A Waidmann
Using a novel data set from a major credit bureau, we examine the early effects of the Affordable Care Act Medicaid expansions on personal finance. We analyze less common events such as personal bankruptcy, and more common occurrences such as medical collection balances, and change in credit scores. We estimate triple-difference models that compare individual outcomes across counties that expanded Medicaid versus counties that did not, and across expansion counties that had more uninsured residents versus those with fewer...
September 1, 2017: Medical Care Research and Review: MCRR
https://www.readbyqxmd.com/read/28899110/unpleasant-business-rat-jew-payment-and-covenant-in-freud-s-rat-man
#5
Annie Atura
Freud's repression of Judaism and its cultural markers from the published "Rat Man" case history has been noted but never satisfactorily explained. This elision can be interpreted using Freud's suggestion that the paradigmatic "rat" represents (among other things) a circumcised penis marking an intergenerational, covenantal exchange. When read against the case study as originally published, Freud's process notes for the Rat Man's treatment (the only set of such notes on a published case that Freud didn't destroy) suggest that Freud chose to sanitize the published version of explicitly Jewish content, thus repeating a pattern of absence as a marker of debt...
April 2017: Journal of the American Psychoanalytic Association
https://www.readbyqxmd.com/read/28894004/waiting-can-be-an-optimal-conservation-strategy-even-in-a-crisis-discipline
#6
Gwenllian D Iacona, Hugh P Possingham, Michael Bode
Biodiversity conservation projects confront immediate and escalating threats with limited funding. Conservation theory suggests that the best response to the species extinction crisis is to spend money as soon as it becomes available, and this is often an explicit constraint placed on funding. We use a general dynamic model of a conservation landscape to show that this decision to "front-load" project spending can be suboptimal if a delay allows managers to use resources more strategically. Our model demonstrates the existence of temporal efficiencies in conservation management, which parallel the spatial efficiencies identified by systematic conservation planning...
September 11, 2017: Proceedings of the National Academy of Sciences of the United States of America
https://www.readbyqxmd.com/read/28887343/population-health-and-medicine-policy-and-financial-drivers
#7
Jill E Lavigne, Jack Brown, Gary R Matzke
PURPOSE: The financial and policy levers of population health and potential opportunities for pharmacists are described. SUMMARY: Three long-standing problems drive the focus on population health: (1) the United States suffers far worse population health outcomes compared with those of other developed nations that spend significantly less on healthcare, (2) the U.S. healthcare system's focus on "sick care" fails to address upstream prevention and population health improvement, and (3) financial incentives for healthcare delivery are poorly aligned with improvements in population health outcomes...
September 15, 2017: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/28886935/examination-of-nondesignated-preliminary-surgery-residents-recruited-since-the-inception-of-supplementary-offer-and-acceptance-program-lessons-learned-from-a-large-academic-program
#8
Maria Albuja-Cruz, Claire Travis, Michael Benge, Barbara Caufield, Mark Nehler
PURPOSE: The majority of surgery programs roster non-designated preliminary (NDP) residents. We and others have reported on the success of NDP resident mentoring with regard to categorical position placement. Lacking is a focus on the candidates themselves and differences based on initial career of choice. METHODS: NDP residents' files since the institution of SOAP were reviewed for demographics, initial career choice, financial burden, region of medical school of origin, application and interview history, and pre-screen interview candidate score (high score of 22 - data includes USMLE scores, major clerkship grades, and AOA) used for categorical recruitment...
September 5, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28880049/sleep-and-glycemic-control-in-adolescents-with-type-1-diabetes
#9
Julia von Schnurbein, Claudia Boettcher, Stephanie Brandt, Beate Karges, Desiree Dunstheimer, Angela Galler, Christian Denzer, Friederike Denzer, Heike Vollbach, Martin Wabitsch, Till Roenneberg, Celine Vetter
BACKGROUND: Increasing evidence link sleep curtailment and circadian misalignment with adverse metabolic outcome. Adolescents might be most affected, given their late sleep timing and early school and work start times. OBJECTIVE: Our aim was to examine the impact of poor sleeping habits on glycemic control in adolescents with type 1 diabetes. SUBJECTS AND METHODS: This was a non-interventional multicenter study across Germany recruiting pubertally mature adolescents with type 1 diabetes...
June 14, 2017: Pediatric Diabetes
https://www.readbyqxmd.com/read/28876139/taxes-bankruptcy-costs-and-capital-structure-in-for-profit-and-not-for-profit-hospitals
#10
Sean S Huang, Jie Yang, Nathan Carroll
About 60% of the US hospitals are not-for-profit and it is not clear how traditional theories of capital structure should be adapted to understand the borrowing behavior of not-for-profit hospitals. This paper identifies important determinants of capital structure taken from theories describing for-profit firms as well as prior literature on not-for-profit hospitals. We examine the differential effects these factors have on the capital structure of for-profit and not-for-profit hospitals. Specifically, we use a difference-in-differences regression framework to study how differences in leverage between for-profit and not-for-profit hospitals change in response to key explanatory variables (i...
January 1, 2017: Health Services Management Research
https://www.readbyqxmd.com/read/28873133/distribution-of-medical-education-debt-by-specialty-2010-2016
#11
Justin Grischkan, Benjamin P George, Krisda Chaiyachati, Ari B Friedman, E Ray Dorsey, David A Asch
No abstract text is available yet for this article.
September 5, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28860003/sleep-restriction-induced-energy-methylation-and-lipogenesis-metabolic-switches-in-rat-liver
#12
Arjun Sengupta, Seth D Rhoades, Eun Ji Kim, Soumyashant Nayak, Gregory R Grant, Peter Meerlo, Aalim M Weljie
Sleep curtailment is ubiquitous in modern day society. Sleep debt is associated with maladaptive physiological changes that can lead to cardiometabolic and neuropsychiatric pathologies. Recent literature has shown the effects of sleep restriction (SR) on systemic metabolic profiles in biofluids, implying that tissue-specific metabolomes are impacted by SR. To test this hypothesis, we assessed hepatic metabolic profiles of rats after 5days of SR using UPLC-MS based metabolomics analysis and gene expression analysis...
August 28, 2017: International Journal of Biochemistry & Cell Biology
https://www.readbyqxmd.com/read/28859995/glymphatic-system-disruption-as-a-mediator-of-brain-trauma-and-chronic-traumatic-encephalopathy
#13
REVIEW
Molly J Sullan, Breton M Asken, Michael S Jaffee, Steven T DeKosky, Russell M Bauer
Traumatic brain injury (TBI) is an increasingly important issue among veterans, athletes and the general public. Difficulties with sleep onset and maintenance are among the most commonly reported symptoms following injury, and sleep debt is associated with increased accumulation of beta amyloid (Aβ) and phosphorylated tau (p-tau) in the interstitial space. Recent research into the glymphatic system, a lymphatic-like metabolic clearance mechanism in the central nervous system (CNS) which relies on cerebrospinal fluid (CSF), interstitial fluid (ISF), and astrocytic processes, shows that clearance is potentiated during sleep...
August 28, 2017: Neuroscience and Biobehavioral Reviews
https://www.readbyqxmd.com/read/28852970/exploring-barriers-to-the-receipt-of-necessary-medical-care-among-cancer-survivors-under-age-65%C3%A2-years
#14
Matthew P Banegas, John F Dickerson, Erin E Kent, Janet S de Moor, Katherine S Virgo, Gery P Guy, Donatus U Ekwueme, Zhiyuan Zheng, Stephanie Nutt, Loyce Pace, Alexandra Varga, Lisa Waiwaiole, Jennifer Schneider, K Robin Yabroff
PURPOSE: With increasing cancer care costs and greater patient cost-sharing in the USA, understanding access to medical care among cancer survivors is imperative. This study aims to identify financial, psychosocial, and cancer-related barriers to the receipt of medical care, tests, or treatments deemed necessary by the doctor or patient for cancer among cancer survivors age < 65 years. METHODS: We used data on 4321 cancer survivors aged 18-64 years who completed the 2012 LIVESTRONG Survey...
August 29, 2017: Journal of Cancer Survivorship: Research and Practice
https://www.readbyqxmd.com/read/28843498/the-relationship-between-education-debt-and-career-choices-in-professional-programs-the-case-of-dentistry
#15
Kamyar Nasseh, Marko Vujicic
BACKGROUND: The authors examined the relationship between education debt and career choice, particularly dentists' decisions to specialize, participate in public health insurance programs, and join dental management service organizations (DMSOs). METHODS: The authors used data from the American Dental Association 2015 office database, which contains dentist demographic information and identifies dentists who participate in public health insurance programs for pediatric dental care services...
August 12, 2017: Journal of the American Dental Association
https://www.readbyqxmd.com/read/28832611/a-degradation-debt-large-scale-shifts-in-community-composition-and-loss-of-biomass-in-a-tropical-forest-fragment-after-40-years-of-isolation
#16
Rakan A Zahawi, Federico Oviedo-Brenes, Chris J Peterson
Habitat loss and fragmentation are among the biggest threats to tropical biodiversity and associated ecosystem services. We examined forest dynamics in a mid-elevation 365-ha fragment in southern Costa Rica. The fragment was isolated in the mid-1970s and belongs to the Las Cruces Biological Station. A 2.25-ha permanent plot was established in the center of the old-growth forest (>400 m to nearest edge boundary) and all plants >5 cm DBH were censused, mapped, and identified to species in two surveys taken ~5-6 years apart (>3,000 stems/survey)...
2017: PloS One
https://www.readbyqxmd.com/read/28831880/don-t-make-an-expensive-mistake-with-tuition-fees-and-loans
#17
Alison Moore
What will student tuition fees mean for nurses? From August, new nursing and midwifery students - and those entering most allied healthcare professions - no longer receive NHS bursaries and will have to pay tuition fees for their courses at English universities. They will have access to the student loans system available to other students. With yearly tuition costs of up to £9,250, plus means-tested maintenance loans, many nurses will start their careers with debts of £40,000 or more.
August 23, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28827323/soil-carbon-debt-of-12-000-years-of-human-land-use
#18
Jonathan Sanderman, Tomislav Hengl, Gregory J Fiske
Human appropriation of land for agriculture has greatly altered the terrestrial carbon balance, creating a large but uncertain carbon debt in soils. Estimating the size and spatial distribution of soil organic carbon (SOC) loss due to land use and land cover change has been difficult but is a critical step in understanding whether SOC sequestration can be an effective climate mitigation strategy. In this study, a machine learning-based model was fitted using a global compilation of SOC data and the History Database of the Global Environment (HYDE) land use data in combination with climatic, landform and lithology covariates...
August 21, 2017: Proceedings of the National Academy of Sciences of the United States of America
https://www.readbyqxmd.com/read/28812485/the-sharp-descent-into-poverty
#19
Erin Dean
When breast cancer treatment stopped mental health nurse Kath Clayson from working for six months, she quickly found herself sliding into debt.
August 16, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28810978/factors-associated-with-medical-school-entrants-interest-in-military-financial-assistance-in-exchange-for-a-service-obligation-the-michigan-state-university-college-of-human-medicine-cohort
#20
Dean G Sienko, Kathleen Oberst
INTRODUCTION: The U.S. military offers comprehensive scholarships to medical students to help offset costs in exchange for either reserve or active duty service commitments. Our goal was to describe to what degree newly admitted students to Michigan State University's College of Human Medicine were aware of and interested in these opportunities. MATERIALS AND METHODS: We surveyed 176 newly admitted students at the beginning and immediately following a presentation on military medicine opportunities...
July 2017: Military Medicine
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