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https://www.readbyqxmd.com/read/28527498/electronic-health-record-transition-considerations
#1
REVIEW
Louis E Penrod
After an initial phase of electronic health record (EHR) solutions for both independent practices and larger health care organizations, we are now entering a period in which transitioning between EHRs is becoming more common. Many of the decisions and implementation processes for an EHR transition are similar to those encountered during the transition from paper records to an EHR. Detailed project planning and management are essential to keep the effort on track and within budget to a successful conclusion...
May 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28509679/the-impact-of-next-generation-sequencing-in-immunogenetics-current-status-and-future-directions
#2
Valia Bravo-Egana, Dimitri Monos
PURPOSE OF REVIEW: Next-generation sequencing (NGS) has now been established, and widely recognized, to be the preferred choice for human leukocyte antigen (HLA) typing. This transformation is based upon the many scientific, operational and economic benefits this technology affords. In this report, we review the major advantages, existing limitations and significant promise derived from adopting this technology in immunogenetics. RECENT FINDINGS: Significant benefits have emerged from the usage of NGS in a relatively short period, whereby we realize that this technology not only helps addressing the technical and operational problems we have had with the legacy methods for HLA typing, but equally important, it also allows for creative applications in stem cell and organ transplantation, new ways to investigate associations of the major histocompatibility complex (MHC) with many diseases and enhance our understanding regarding the MHC and non-MHC genomic interactions...
May 13, 2017: Current Opinion in Organ Transplantation
https://www.readbyqxmd.com/read/28493680/legacy-and-current-use-insecticides-in-agricultural-sediments-from-south-china-the-impact-of-application-pattern-on-the-occurrence-and-risk
#3
Yanli Wei, Huizhen Li, Junjie Zhang, Jingjing Xiong, Xiaoyi Yi, Jing You
Legacy and current-use insecticides were analyzed in sediments collected from a typical rice planting region in South China. Total concentrations of insecticides varied from 1.63 to 775 ng g-1 with mean and median values of 67.0 and 11.5 ng g-1, respectively. Pyrethroids predominated pesticide composition (31.7%), followed by organophosphates (23.0%) and fiproles (20.8%). Sediment risk analysis showed that pyrethroids, fiproles and abamectin posed significant risk to benthic invertebrates in one-third of sediments...
May 11, 2017: Journal of Agricultural and Food Chemistry
https://www.readbyqxmd.com/read/28486928/patterns-of-divergence-in-fish-species-separated-by-the-isthmus-of-panama
#4
Christine E Thacker
BACKGROUND: The Pleistocene closure of Isthmus of Panama, separating the basins of the Eastern Pacific and the Caribbean Sea, created a unique natural experiment that reveals how marine faunas respond to environmental change. To explore how fishes have been affected by this tectonic event, I compare transisthmian patterns in phylogeny and morphology for geminate lineages in two families, Eleotridae (sleepers) and Apogonidae (cardinalfishes). RESULTS: Time-calibrated phylogenies for these families show different diversification patterns...
May 10, 2017: BMC Evolutionary Biology
https://www.readbyqxmd.com/read/28464396/asymmetric-effects-of-cooler-and-warmer-winters-on-beech-phenology-last-beyond-spring
#5
Constant Signarbieux, Ester Toledano, Paula Sanginés de Carcer, Yongshuo H Fu, Rodolphe Schlaepfer, Alexandre Buttler, Yann Vitasse
In temperate trees, the timings of plant growth onset and cessation affect biogeochemical cycles, water and energy balance. Currently, phenological studies largely focus on specific phenophases and on their responses to warming. How differently spring phenology responds to the warming and cooling, and affects the subsequent phases, has not been yet investigated in trees. Here, we exposed saplings of Fagus sylvatica L. to warmer and cooler climate during the winter 2013-2014 by conducting a reciprocal transplant experiment between two elevations (1340 vs...
May 2, 2017: Global Change Biology
https://www.readbyqxmd.com/read/28423918/expanding-the-palliative-care-domains-to-meet-the-needs-of-a-community-based-supportive-care-model
#6
Eric W Anderson, Monica S Frazer, Sandra E Schellinger
BACKGROUND: Whole person care is appropriate for seriously ill persons. The current framework of palliative care domains in the National Consensus Project (NCP) Guidelines for Quality Palliative Care offers an opportunity to reassess the domains of care delivered at home, earlier in the course of illness. OBJECTIVE: This qualitative study was used to test the applicability of a proposed, expanded set of domains. The results were used to inform a home-based, upstream model of supportive care for serious illness...
January 1, 2017: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/28408134/norm-contaminated-area-identification-using-radionuclides-activity-concentration-pattern-in-a-soil-profile
#7
Bogusław Michalik
According to the requirements set by European BSS the exposure of humans and biota to ionizing radiation originating from natural radionuclides but under anthropogenically changed conditions should be managed within the same regulatory framework as other practices. Such situation creates the strong needs to have a reliable method to distinguish whether the particular case of natural radioactivity occurrence has resulted from human activity or it is pure natural phenomenon. In case of current activity of particular NORM industry there are no doubts however, in case of a legacy site, such question becomes crucial...
July 2017: Journal of Environmental Radioactivity
https://www.readbyqxmd.com/read/28406389/the-informational-turn-in-food-politics-the-us-fda-s-nutrition-label-as-information-infrastructure
#8
Xaq Frohlich
This article traces the history of the US FDA regulation of nutrition labeling, identifying an 'informational turn' in the evolving politics of food, diet and health in America. Before nutrition labeling was introduced, regulators actively sought to segregate food markets from drug markets by largely prohibiting health information on food labels, believing such information would 'confuse' the ordinary food consumer. Nutrition labeling's emergence, first in the 1970s as consumer empowerment and then later in the 1990s as a solution to information overload, reflected the belief that it was better to manage markets indirectly through consumer information than directly through command-and-control regulatory architecture...
April 2017: Social Studies of Science
https://www.readbyqxmd.com/read/28398809/tagging-of-test-tubes-with-electronic-p-chips-for-use-in-biorepositories
#9
Wlodek Mandecki, Wesley M Kopacka, Ziye Qian, Von Ertwine, Katie Gedzberg, Maryann Gruda, David Reinhardt, Efrain Rodriguez
A system has been developed to electronically tag and track test tubes used in biorepositories. The system is based on a light-activated microtransponder, also known as a "p-Chip." One of the pressing problems with storing and retrieving biological samples at low temperatures is the difficulty of reliably reading the identification (ID) number that links each storage tube with the database containing sample details. Commonly used barcodes are not always reliable at low temperatures because of poor adhesion of the label to the test tube and problems with reading under conditions of frost and ice accumulation...
February 23, 2017: Biopreservation and Biobanking
https://www.readbyqxmd.com/read/28398195/mass-fainting-in-garment-factories-in-cambodia
#10
Maurice Eisenbruch
This paper reports an ethnographic study of mass fainting among garment factory workers in Cambodia. Research was undertaken in 2010-2015 in 48 factories in Phnom Penh and 8 provinces. Data were collected in Khmer using nonprobability sampling. In participant observation with monks, factory managers, health workers, and affected women, cultural understandings were explored. One or more episodes of mass fainting occurred at 34 factories, of which 9 were triggered by spirit possession. Informants viewed the causes in the domains of ill-health/toxins and supernatural activities...
April 2017: Transcultural Psychiatry
https://www.readbyqxmd.com/read/28377805/no-such-thing-as-mental-illness-critical-reflections-on-the-major-ideas-and-legacy-of-thomas-szasz
#11
EDITORIAL
Tony B Benning
Enfant terrible of psychiatry and widely known as one of its most indefatigable as well as iconoclastic critics, Thomas Szasz (1961-2012) had a prolific writing career that extended some 51 years beyond the publication of his first book, The Myth of Mental Illness, in 1961. This editorial identifies and critically discusses three major themes in Szasz's writings: his contention that there is no such thing as mental illness, his contention that individual responsibility is never compromised in those suffering from what is generally considered as mental illness, and his perennial interest in calling attention to the political nature of psychiatric diagnosis...
December 2016: BJPsych Bulletin
https://www.readbyqxmd.com/read/28373653/clinical-praxis-and-the-place-of-the-analyst-a-chilean-perspective
#12
Juan Flores
Since its inception, psychoanalytic theory has considered that, conceptually, it is impossible to maintain the division between the individual and society and that the constitution of one necessarily involves the other. Despite this clear legacy of Freudian thought, followed by most of the first and second generations of psychoanalysts, analytic clinical practice started to change almost exclusively into private practice by later generations of psychoanalysts. As a result, a space for information, data gathering, and theoretical production has been gradually configured that is structured in a slanted way...
April 3, 2017: American Journal of Psychoanalysis
https://www.readbyqxmd.com/read/28372820/air-water-exchange-of-pahs-and-opahs-at-a-superfund-mega-site
#13
Lane G Tidwell, L Blair Paulik, Kim A Anderson
Chemical fate is a concern at environmentally contaminated sites, but characterizing that fate can be difficult. Identifying and quantifying the movement of chemicals at the air-water interface are important steps in characterizing chemical fate. Superfund sites are often suspected sources of air pollution due to legacy sediment and water contamination. A quantitative assessment of polycyclic aromatic hydrocarbons (PAHs) and oxygenated PAH (OPAHs) diffusive flux in a river system that contains a Superfund Mega-site, and passes through residential, urban and agricultural land, has not been reported before...
March 31, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28367483/the-pesticide-dieldrin-disrupts-proteins-related-to-oxidative-respiration-and-mitochondrial-stress-in-the-central-nervous-system
#14
Andrew M Cowie, Kathleena I Sarty, Angella Mercer, Jin Koh, Karen A Kidd, Christopher J Martyniuk
Quantitative proteins analysis was carried out in the hypothalamus of zebrafish following dietary exposure to the legacy pesticide dieldrin. Data were collected using iTRAQ labeling methodology and data were acquired using a hybrid quadrupole Orbitrap (Q Exactive) MS system (Thermo Fisher Scientific, Bremen, Germany). There were 3941 proteins identified in the hypothalamus of zebrafish, and these proteins comprised 23 unique expression patterns for proteins based on the three doses of dieldrin. There were 226 proteins that were regulated in one or more doses of dieldrin and 3715 proteins that were not affected...
April 2017: Data in Brief
https://www.readbyqxmd.com/read/28365960/the-nouvelle-vague-of-surgeons-in-pancreatic-surgery-can-they-rise-to-the-legacy-of-current-surgeons
#15
Alexandros Papalampros, Demetrios Moris, Mohammad Fard-Aghaie, Gregor A Stavrou, Evangelos Felekouras, Klaus Niehaus, Karl Oldhafer
PURPOSE: Pancreatic surgery is still thought as a challenging field even for experienced hepatobilliary (HPB) surgeons and high volume tertiary centers. The purpose of this study was to present the results (mortality and morbidity) of pancreatic surgery in a high volume center, in operations performed solely by inexperienced surgeons (two 6th year residents and a HPB fellow) under the supervision of expert surgeons on the field. METHODS: Forty-one consecutive patients who underwent curative-intent pancreatic resection with a modified pancreaticojejunostomy between January 2010 and December 2014 at Asklepios Hospital Barmbek, Germany, were identified from our institutional computer-based database...
January 2017: Journal of B.U.ON.: Official Journal of the Balkan Union of Oncology
https://www.readbyqxmd.com/read/28361157/integration-of-hospital-information-and-clinical-decision-support-systems-to-enable-the-reuse-of-electronic-health-record-data
#16
Georgy Kopanitsa
BACKGROUND: The efficiency and acceptance of clinical decision support systems (CDSS) can increase if they reuse medical data captured during health care delivery. High heterogeneity of the existing legacy data formats has become the main barrier for the reuse of data. Thus, we need to apply data modeling mechanisms that provide standardization, transformation, accumulation and querying medical data to allow its reuse. OBJECTIVES: In this paper, we focus on the interoperability issues of the hospital information systems (HIS) and CDSS data integration...
March 31, 2017: Methods of Information in Medicine
https://www.readbyqxmd.com/read/28353686/genetic-structure-and-invasion-history-of-the-house-mouse-mus-musculus-domesticus-in-senegal-west-africa-a-legacy-of-colonial-and-contemporary-times
#17
C Lippens, A Estoup, M K Hima, A Loiseau, C Tatard, A Dalecky, K Bâ, M Kane, M Diallo, A Sow, Y Niang, S Piry, K Berthier, R Leblois, J-M Duplantier, C Brouat
Knowledge of the genetic make-up and demographic history of invasive populations is critical to understand invasion mechanisms. Commensal rodents are ideal models to study whether complex invasion histories are typical of introductions involving human activities. The house mouse Mus musculus domesticus is a major invasive synanthropic rodent originating from South-West Asia. It has been largely studied in Europe and on several remote islands, but the genetic structure and invasion history of this taxon have been little investigated in several continental areas, including West Africa...
March 29, 2017: Heredity
https://www.readbyqxmd.com/read/28326442/long-term-follow-up-of-a-non-randomised-prospective-cohort-of-one-hundred-and-ninety-two-total-knee-arthroplasties-using-the-nexgen-implant
#18
Alfredo Schiavone Panni, Franceso Falez, Rocco D'Apolito, Katia Corona, Carlo Perisano, Michele Vasso
PURPOSE: The purpose of this study was to retrospectively analyse the clinical, functional and radiological outcomes, and the long-term survivorship of the NexGen Legacy Posterior Stabilised (LPS) knee prosthesis (Zimmer Biomet, Warsaw, IN, USA). METHODS: Between 1996 and 2001, 197 primary NexGen LPS total knee arthroplasties (TKAs) were implanted by a single surgeon; 132 prostheses in 124 patients with a minimum follow-up of 15 years were included in the study...
March 22, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28325241/radiation-oncology-in-the-developing-economies-of-central-and-eastern-europe
#19
REVIEW
Natia Esiashvili
Eastern Europe is represented by 22 countries of significant variability in population density and degree of economic development. They have been affected by past geopolitical isolation due to their association with the "Soviet Block." Currently, all Eastern European countries except Slovenia are low- or middle-income level and 10 of them are part of European Union. Health care systems in Central and Eastern Europe have been influenced by the legacy of centralized soviet-era governance; however, most countries, particularly in European Union zone, have gone through health care reforms directed toward modernizing infrastructure and staffing...
April 2017: Seminars in Radiation Oncology
https://www.readbyqxmd.com/read/28317630/oliver-cromwell-s-fatal-ague
#20
EDITORIAL
Sanjay Saint, Thomas Cogswell, Eliot Siegel, Philip A Mackowiak
Although many people recognize Oliver Cromwell by name, few know more than the barest details of his life or his legacy, and fewer still of the "ague" that ended his brief reign as Lord Protector of the Commonwealth of England, Scotland and Ireland and one of Britain׳s greatest generals. He died suddenly at age 59. Cromwell was the "terror of Europe" during that period. His physicians diagnosed his fatal disorder as "bastard tertian ague." A contemporary analysis of his clinical record, including one with the aid of the U...
April 2017: American Journal of the Medical Sciences
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