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https://www.readbyqxmd.com/read/27910290/radiation-therapy-staffing-model-2014
#1
Leigh J Smith, Rachel Kearvell, Anthony J Arnold, Kevina Choma, Aniko Cooper, Michael R Young, Donna L Matthews, Bronwyn Hilder, Debbie Howson, Katherine Fox, Katheryn Churcher
INTRODUCTION: In 2001, the Radiation Therapy Advisory Panel (RTAP) of the Australian Society of Medical Imaging and Radiation Therapy (ASMIRT) (formerly known as Australian Institute of Radiography) published a model for radiation therapist staffing in Australian radiation oncology departments. Between 2012-2013, the model was reviewed to ensure it reflected current radiation therapy practice, technology, and to facilitate forward planning of the radiation therapy workforce. METHOD: Twenty-four sites from all states participated and provided data on megavoltage simulation, planning and treatment delivery...
December 2016: Journal of Medical Radiation Sciences
https://www.readbyqxmd.com/read/27909087/stand-up-and-be-counted-measuring-and-mapping-the-rheumatology-workforce-in-canada
#2
Claire E H Barber, Lauren Jewett, Elizabeth M Badley, Diane Lacaille, Alfred Cividino, Vandana Ahluwalia, Henry Averns, Cory Baillie, Janet Ellsworth, Janet Pope, Deborah Levy, Christine Charnock, Claire McGowan, J Carter Thorne, Cheryl Barnabe, Michel Zummer, Katie Lundon, Robert S McDougall, John G Thomson, Elaine A Yacyshyn, Dianne Mosher, Julie Brophy, Thanu Nadarajah Ruban, Deborah A Marshall
OBJECTIVE: To characterize the practicing rheumatologist workforce, the Canadian Rheumatology Association (CRA) launched the Stand Up and Be Counted workforce survey in 2015. METHODS: The survey was distributed electronically to 695 individuals, of whom 519 were expected to be practicing rheumatologists. Demographic and practice information were elicited. We estimated the number of full-time equivalent rheumatologists per 75,000 population from the median proportion of time devoted to clinical practice multiplied by provincial rheumatologist numbers from the Canadian Medical Association...
December 1, 2016: Journal of Rheumatology
https://www.readbyqxmd.com/read/27903297/variability-of-staffing-and-staff-mix-across-acute-care-units-in-alberta-canada
#3
Krishna Sharma, Stephanie E Hastings, Esther Suter, Judy Bloom
BACKGROUND: The health workforce has a crucial position in healthcare, and effective distribution of the workforce is one of the critical areas for healthcare improvement. This requires a proper understanding of the allocation of healthcare providers including staffing levels and staffing variability within a healthcare system. High variability may imply significant differences in outcomes and greater opportunity to better distribute staffing and improve patient outcomes. The objective of this study was to examine staffing variation across acute care units in a large and integrated healthcare system...
December 1, 2016: Human Resources for Health
https://www.readbyqxmd.com/read/27902551/do-years-of-experience-with-electronic-health-records-matter-for-productivity-in-community-health-centers
#4
Bianca K Frogner, Xiaoli Wu, Leighton Ku, Patricia Pittman, Leah E Masselink
This study investigated how years of experience with an electronic health record (EHR) related to productivity in community health centers (CHCs). Using data from the 2012 Uniform Data System, we regressed average annual medical visits, weighted for service intensity, as a function of full-time equivalent medical staff controlling for CHC size and location. Physician productivity significantly improved. Although the productivity of all other staff types was not significantly different by years of EHR experience, the trends showed lower productivity among nurses and other medical staff in CHCs with fewer years of EHR experience versus more years of experience...
January 2017: Journal of Ambulatory Care Management
https://www.readbyqxmd.com/read/27902118/nursingstandard-com
#5
(no author information available yet)
1 Hundreds of district nursing posts have been lost since 2014, with more than half of NHS trusts reporting a fall in numbers. Figures show a loss of 460 nurses, and a further 286.46 full-time-equivalent roles. Read more rcni.com/district-nursing-investigation.
November 30, 2016: Nursing Standard
https://www.readbyqxmd.com/read/27900658/fixed-combination-gels-of-adapalene-and-benzoyl-peroxide-provide-optimal-percutaneous-absorption-compared-to-monad-formulations-of-these-compounds-results-from-two-in-vitro-studies
#6
Hanan Osman-Ponchet, Karine Sevin, Alexandre Gaborit, Nathalie Wagner, Michel Poncet
INTRODUCTION: Adapalene 0.1%/benzoyl peroxide 2.5% (0.1% A/BPO) and adapalene 0.3%/BPO 2.5% (0.3% A/BPO) gels are fixed-combination options for the topical treatment of acne. However, the active compounds of these combinations are also available as monads, to be used in association or as monotherapy. These two in vitro studies determined the effect of different treatment regimens on the percutaneous absorption of adapalene (0.1% and 0.3%) gels and BPO 2.5% gel in ex vivo human skin. METHODS: In vitro percutaneous absorption studies were conducted using full-thickness human skin from six donors...
November 30, 2016: Dermatology and Therapy
https://www.readbyqxmd.com/read/27884186/general-practitioners-in-german-metropolitan-areas-distribution-patterns-and-their-relationship-with-area-level-measures-of-the-socioeconomic-status
#7
Jan Bauer, Doerthe Brueggmann, Daniela Ohlendorf, David A Groneberg
BACKGROUND: Geographical variation of the general practitioner (GP) workforce is known between rural and urban areas. However, data about the variation between and within urban areas are lacking. METHOD: We analyzed distribution patterns of GP full time equivalents (FTE) in German cities with a population size of more than 500,000. We correlated their distribution with area measures of social deprivation in order to analyze preferences within neighborhood characteristics...
November 25, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27881187/class-solutions-for-sabr-vmat-for-high-risk-prostate-cancer-with-and-without-elective-nodal-irradiation
#8
Sarah O S Osman, Prakash Jeevanandam, Nithya Kanakavelu, Denise M Irvine, Ciara A Lyons, Suneil Jain, Alan R Hounsell, Conor K McGarry
BACKGROUND: The purpose of this study is to find the optimal planning settings for prostate SABR-VMAT for high-risk prostate cancer patients irradiated to prostate only (PO) or prostate and pelvic lymph nodes (PPLN). METHODS: For 10 patients, plans using 6MV flattened, flattening-filter-free (FFF) 6MV (6 F) and FFF 10MV (10 F) photon beams with full and partial arc arrangements were generated and compared. The prescribed dose was 40Gy to the prostate with 25Gy to the PLN in 5 fractions...
November 24, 2016: Radiation Oncology
https://www.readbyqxmd.com/read/27875566/labor-market-integration-of-people-with-disabilities-results-from-the-swiss-spinal-cord-injury-cohort-study
#9
Jan D Reinhardt, Marcel W M Post, Christine Fekete, Bruno Trezzini, Martin W G Brinkhof
OBJECTIVES: We aimed to describe labor market participation (LMP) of persons with spinal cord injury (SCI) in Switzerland, to examine potential determinants of LMP, and to compare LMP between SCI and the general population. METHODS: We analyzed data from 1458 participants of employable age from the cross-sectional community survey of the Swiss Spinal Cord Injury Cohort Study. Data on LMP of the Swiss general population were obtained from the Swiss Federal Statistical Office...
2016: PloS One
https://www.readbyqxmd.com/read/27871321/biochemical-characterization-and-synergism-of-cellulolytic-enzyme-system-from-chaetomium-globosum-on-rice-straw-saccharification
#10
Wanwitoo Wanmolee, Warasirin Sornlake, Nakul Rattanaphan, Surisa Suwannarangsee, Navadol Laosiripojana, Verawat Champreda
BACKGROUND: Efficient hydrolysis of lignocellulosic materials to sugars for conversion to biofuels and chemicals is a key step in biorefinery. Designing an active saccharifying enzyme system with synergy among their components is considered a promising approach. RESULTS: In this study, a lignocellulose-degrading enzyme system of Chaetomium globosum BCC5776 (CG-Cel) was characterized for its activity and proteomic profiles, and synergism with accessory enzymes. The highest cellulase productivity of 0...
November 21, 2016: BMC Biotechnology
https://www.readbyqxmd.com/read/27796670/effect-of-uncorrection-versus-full-correction-on-myopia-progression-in-12-year-old-children
#11
Yun-Yun Sun, Shi-Ming Li, Si-Yuan Li, Meng-Tian Kang, Luo-Ru Liu, Bo Meng, Feng-Ju Zhang, Michel Millodot, Ningli Wang
PURPOSE: To investigate the effects of no correction versus full correction on myopia progression in Chinese children over a period of 2 years. METHODS: Myopia was defined as cycloplegic spherical equivalent (SE) of ≤ -0.50 D. Uncorrection was defined as no spectacles worn, and full correction was defined as when the value of SE subtracted from the dioptric power of the child's current spectacles was less than 0.5 D. Ocular examinations included visual acuity, cycloplegic autorefraction, axial length and vertometer measurements...
October 29, 2016: Graefe's Archive for Clinical and Experimental Ophthalmology
https://www.readbyqxmd.com/read/27789460/the-changing-uk-paediatric-consultant-workforce-report-from-the-royal-college-of-paediatrics-and-child-health
#12
Martin McColgan, Rachel Winch, Simon J Clark, Carol Ewing, Neena Modi, Anne Greenough
OBJECTIVES: To determine if there had been changes in the size of the UK paediatric workforce and working patterns between 1999 and 2013. DESIGN: Analysis of prospectively collected datasets. SETTING: UK consultant paediatricians. INTERVENTIONS: Data from the Royal College of Paediatrics and Child Health's workforce census from 1999 to 2013 and the annual surveys of new paediatric Certificate of Completion of Training (CCT) and Certificate of Equivalence of Specialist Registration (CESR) holders between 2010 and 2013...
October 27, 2016: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/27788042/local-probiotic-therapy-with-lactobacillus-plantarum-mitigates-scar-formation-in-rabbits-after-burn-injury-and-infection
#13
Latha Satish, Phillip H Gallo, Sandra Johnson, Cecelia C Yates, Sandeep Kathju
BACKGROUND: Infection is the most common complication in burn-injured patients and is believed to contribute to the hypertrophic scarring frequently observed in such injury. Pseudomonas aeruginosa is a common pathogen in burn wound infection. We examined the effect of local probiotic therapy with Lactobacillus plantarum on the severity of the scarring following burn wounding and infection with P. aeruginosa in a rabbit model. METHODS: Full-thickness burn wounds were inoculated with control vehicle or L...
October 27, 2016: Surgical Infections
https://www.readbyqxmd.com/read/27778048/optimality-and-stability-of-intentional-and-unintentional-actions-ii-motor-equivalence-and-structure-of-variance
#14
Behnoosh Parsa, Vladimir M Zatsiorsky, Mark L Latash
We address the nature of unintentional changes in performance in two papers. This second paper tested hypotheses related to stability of task-specific performance variables estimated using the framework of the uncontrolled manifold (UCM) hypothesis. Our first hypothesis was that selective stability of performance variables would be observed even when the magnitudes of those variables drifted unintentionally because of the lack of visual feedback. Our second hypothesis was that stability of a variable would depend on the number of explicit task constraints...
October 24, 2016: Experimental Brain Research. Experimentelle Hirnforschung. Expérimentation Cérébrale
https://www.readbyqxmd.com/read/27770457/autocalibrated-wave-caipi-reconstruction-joint-optimization-of-k-space-trajectory-and-parallel-imaging-reconstruction
#15
Stephen F Cauley, Kawin Setsompop, Berkin Bilgic, Himanshu Bhat, Borjan Gagoski, Lawrence L Wald
PURPOSE: Fast MRI acquisitions often rely on efficient traversal of k-space and hardware limitations, or other physical effects can cause the k-space trajectory to deviate from a theoretical path in a manner dependent on the image prescription and protocol parameters. Additional measurements or generalized calibrations are typically needed to characterize the discrepancies. We propose an autocalibrated technique to determine these discrepancies. METHODS: A joint optimization is used to estimate the trajectory simultaneously with the parallel imaging reconstruction, without the need for additional measurements...
October 21, 2016: Magnetic Resonance in Medicine: Official Journal of the Society of Magnetic Resonance in Medicine
https://www.readbyqxmd.com/read/27770330/education-as-a-predictor-of-antidepressant-and-anxiolytic-medication-use-after-bereavement-a-population-based-record-linkage-study
#16
Aideen Maguire, John Moriarty, Dermot O'Reilly, Mark McCann
PURPOSE: Educational attainment has been shown to be positively associated with mental health and a potential buffer to stressful events. One stressful life event likely to affect everyone in their lifetime is bereavement. This paper assesses the effect of educational attainment on mental health post-bereavement. METHODS: By utilising large administrative datasets, linking Census returns to death records and prescribed medication data, we analysed the bereavement exposure of 208,332 individuals aged 25-74 years...
October 21, 2016: Quality of Life Research
https://www.readbyqxmd.com/read/27765003/determinants-in-the-number-of-staff-in-hospitals-maintenance-departments-a-multivariate-regression-analysis-approach
#17
Antonio Miguel Cruz, Mayra R Guarín
To date, there are no broadly accepted or accurate models to determine appropriate staffing [levels] for clinical engineering departments (CEDs). The purpose of this study is to determine what the determinants of the staffing levels are (total number of full time equivalents (FTEs)) in CEDs in healthcare organisations. In doing so, we used a cross-sectional exploratory approach by using a multivariate regression model over a secondary source of data information from the AAMI Benchmarking Solutions-Healthcare Technology Management database...
February 2017: Journal of Medical Engineering & Technology
https://www.readbyqxmd.com/read/27746275/intracellular-trafficking-of-a-ph-responsive-drug-metal-complex
#18
Azadeh Kheirolomoom, Elizabeth S Ingham, Joel Commisso, Neveen Abushaban, Katherine W Ferrara
We previously developed a pH-responsive copper-doxorubicin (CuDox) cargo in lysolipid-based temperature-sensitive liposomes (LTSLs). The CuDox complex is released from the particle by elevated temperature; however, full release of doxorubicin from CuDox requires a reduced pH, such as that expected in lysosomes. The primary goal of this study is to evaluate the cellular uptake and intracellular trafficking of the drug-metal complex in comparison with intact liposomes and free drug. We found that the CuDox complex was efficiently internalized by mammary carcinoma cells after release from LTSLs...
October 13, 2016: Journal of Controlled Release: Official Journal of the Controlled Release Society
https://www.readbyqxmd.com/read/27735787/the-ankle-injury-management-aim-trial-a-pragmatic-multicentre-equivalence-randomised-controlled-trial-and-economic-evaluation-comparing-close-contact-casting-with-open-surgical-reduction-and-internal-fixation-in-the-treatment-of-unstable-ankle-fractures-in
#19
David J Keene, Dipesh Mistry, Julian Nam, Elizabeth Tutton, Robert Handley, Lesley Morgan, Emma Roberts, Bridget Gray, Andrew Briggs, Ranjit Lall, Tim Js Chesser, Ian Pallister, Sarah E Lamb, Keith Willett
BACKGROUND: Close contact casting (CCC) may offer an alternative to open reduction and internal fixation (ORIF) surgery for unstable ankle fractures in older adults. OBJECTIVES: We aimed to (1) determine if CCC for unstable ankle fractures in adults aged over 60 years resulted in equivalent clinical outcome compared with ORIF, (2) estimate cost-effectiveness to the NHS and society and (3) explore participant experiences. DESIGN: A pragmatic, multicentre, equivalence randomised controlled trial incorporating health economic evaluation and qualitative study...
October 2016: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/27723104/systematic-evaluation-of-the-impact-of-stimulation-intensity-on-neuroplastic-after-effects-induced-by-transcranial-direct-current-stimulation
#20
Asif Jamil, Giorgi Batsikadze, Hsiao-I Kuo, Ludovica Labruna, Alkomiet Hasan, Walter Paulus, Michael A Nitsche
KEY POINTS: Applications of transcranial direct current stimulation to modulate human neuroplasticity have increased in research and clinical settings. However, the need for longer-lasting effects, combined with marked inter-individual variability, necessitates a deeper understanding of the relationship between stimulation parameters and physiological effects. We systematically investigated the full DC intensity range (0.5-2.0 mA) for both anodal and cathodal tDCS in a sham-controlled repeated measures design, monitoring changes in motor-cortical excitability via transcranial magnetic stimulation up to 2 h after stimulation...
October 10, 2016: Journal of Physiology
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