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Ams program

Elise H Tatone, Todd F Duffield, Stephen J LeBlanc, Trevor J DeVries, Jessica L Gordon
An observational study of 790 to over 3,000 herds was conducted to estimate the within-herd prevalence and cow-level risk factors for ketosis in dairy cattle in herds that participate in a Dairy Herd Improvement Association (DHIA) program. Ketosis or hyperketolactia (KET) was diagnosed as milk β-hydroxybutyrate ≥0.15 mmol/L at first DHIA test when tested within the first 30 d in milk. Seven hundred ninety-five herds providing at least 61 first milk tests from June 2014 to December 2015 were used to estimate the provincial within-herd prevalence of KET...
February 2017: Journal of Dairy Science
Daniel Asfaw Erku
Background. Community pharmacists are key healthcare professionals for antimicrobial stewardship programs owing to their role in dispensing of antimicrobials. The aim of the present study was to assess the perception and practices of community pharmacists towards antimicrobial stewardship (AMS) in Ethiopia. Methods. A cross-sectional survey was conducted by selecting pharmacy sites through stratified simple random sampling technique. Descriptive and inferential statistics were used to analyze the data. Results...
2016: Interdisciplinary Perspectives on Infectious Diseases
Lauren A O'Donnell, Anthony J Guarascio
With the alarming rise of antibiotic resistance, clinical professionals are called upon to manage antibiotic therapies using the most relevant and recent clinical and laboratory data. To this end, antimicrobial stewardship (AMS) programs aim to reduce unnecessary or suboptimal use of antibiotics while maximizing outcomes for the patient. For AMS programs to succeed, the active participation of clinical professionals at all levels of patient care is required. Although programs exist to train established clinicians in AMS, there is a paucity of literature on how and when to integrate AMS concepts and skills in pre-clinical and clinical coursework...
January 2017: FEMS Microbiology Letters
P Antonioli, M C Manzalini, A Stefanati, B Bonato, A Verzola, A Formaglio, G Gabutti
INTRODUCTION: Healthcare associated infections (HAIs) and misuse of antimicrobials (AMs) represent a growing public health problem. The Point Prevalence Surveys (PPSs) find available information to be used for specific targeted interventions and evaluate their effects. The objective of this study was to estimate the prevalence of HAIs and AM use, to describe types of infections, causative pathogens and to compare data collected through three PPSs in Ferrara University Hospital (FUH), repeated in 3 different years (2011-2013)...
September 2016: Journal of Preventive Medicine and Hygiene
Simon N van Laarhoven, Matthijs Lipperts, Stijn A A N Bolink, Rachel Senden, Ide C Heyligers, Bernd Grimm
BACKGROUND: A growing need in clinical practice of rehabilitation and orthopaedic medicine is for objective outcome tools to estimate physical activity. Current techniques show limited validity or are too demanding for routine clinical use. Accelerometer-based activity monitors (AMs) have shown promise for measuring physical activity in healthy people but lack validity in impaired patients. OBJECTIVES: This study aimed to validate an accelerometer-based AM in impaired, slow-walking, crutch-supported patients after total joint arthroplasty (TJA)...
December 2016: Annals of Physical and Rehabilitation Medicine
June Ross, Kira Westaway, Meg Travers, Michael J Morwood, John Hayward
The recent establishment of a minimum age estimate of 39.9 ka for the origin of rock art in Sulawesi has challenged claims that Western Europe was the locus for the production of the world's earliest art assemblages. Tantalising excavated evidence found across northern Australian suggests that Australia too contains a wealth of ancient art. However, the dating of rock art itself remains the greatest obstacle to be addressed if the significance of Australian assemblages are to be recognised on the world stage...
2016: PloS One
Gillian Sandra Gould, Leah C Stevenson, Yvonne Cadet-James, Alan R Clough
Recently, many programs have been funded to tackle Indigenous Australian smoking. This study assessed what challenges and unexpected responses could occur when developing anti-tobacco messages for Indigenous communities. A cross-sectional telephone survey of organizations involved in making anti-tobacco messages for the target population was conducted in 2012-2013. Open-ended questions explored cultural challenges to message development and unexpected outcomes. Responses were noted and these qualitative data were independently coded by two researchers using an inductive analysis...
August 22, 2016: Health Promotion International
Martin Faulhaber, Elena Pocecco, Hannes Gatterer, Martin Niedermeier, Maike Huth, Tobias Dünnwald, Verena Menz, Luciano Bernardi, Martin Burtscher
PURPOSE: The present study evaluated the effects of a pre-acclimatization program comprising 7 passive 1-hour exposures to 4,500 m normobaric hypoxia on the prevalence and severity of acute mountain sickness (AMS) during a subsequent exposure to real high altitude in persons susceptible to AMS. METHODS: The project was designed as a randomized controlled trial including 32 healthy female and male participants with known susceptibility to AMS symptoms. After baseline measurements participants were randomly assigned to the hypoxia or the control group to receive the pre-acclimatization program (7 passive 1-hour exposures within 7 days to normobaric hypoxia or sham hypoxia)...
July 12, 2016: Medicine and Science in Sports and Exercise
Sanjeev Sockalingam, David Wiljer, Shira Yufe, Matthew K Knox, Mark Fefergrad, Ivan Silver, Ilene Harris, Ara Tekian
PURPOSE: To examine the relationship between lifelong learning (LLL) and academic motivation for residents in a psychiatry residency program, trainee factors that influence LLL, and psychiatry residents' LLL practices. METHOD: Between December 2014 and February 2015, 105 of 173 (61%) eligible psychiatry residents from the Department of Psychiatry, University of Toronto, completed a questionnaire with three study instruments: an LLL needs assessment survey, the Jefferson Scale of Physician Lifelong Learning (JeffSPLL), and the Academic Motivation Scale (AMS)...
June 14, 2016: Academic Medicine: Journal of the Association of American Medical Colleges
Junya Tsurukiri, Shoichi Ohta, Shiro Mishima, Hiroshi Homma, Eitaro Okumura, Itsuro Akamine, Masahito Ueno, Jun Oda, Tetsuo Yukioka
INTRODUCTION: Comprehensive treatment of a patient in acute medicine and surgery requires the use of both surgical techniques and other treatment methods. Recently, acute vascular interventional radiology techniques (AVIRTs) have become increasingly popular, enabling adequately trained in-house experts to improve the quality of on-site care. METHODS: After obtaining approval from our institutional ethics committee, we conducted a retrospective study of AVIRT procedures performed by acute care specialists trained in acute medicine and surgery over a 1-year period, including those conducted out of hours...
January 2017: Journal of Trauma and Acute Care Surgery
Piet Swart, Frederic Lozac'h, Marjorie Simon, Esther van Duijn, Wouter H J Vaes
Modern accelerator mass spectrometry (AMS) methods enable the routine application of this technology in drug development. By the administration of a (14)C-labelled microdose or microtrace, pharmacokinetic (PK) data, such as mass balance, metabolite profiling, and absolute bioavailability (AB) data, can be generated easier, faster, and at lower costs. Here, we emphasize the advances and impact of this technology for pharmaceutical companies. The availability of accurate intravenous (iv) PK and human absorption, distribution, metabolism, and excretion (ADME) information, even before or during Phase I trials, can improve the clinical development plan...
June 2016: Drug Discovery Today
Mohammadvahid Jorat, Mohammadhossein Nikoo
INTRODUCTION: Cardiac resynchronization devices are part of modern heart failure management. After implantation, we analyze and program devices in an attempt to ensure their success. Biventricular pacing should be 98% or more for the lowest mortality and best symptom improvement. CASE PRESENTATION: In this case series, we present a combination of far field sensing and automatic mode switching (AMS) in six patients. It is found that this combination causes ventricular sensing (VS) episodes with wide QRS and no synchronization...
May 2016: Research in Cardiovascular Medicine
Joos Meyer, Karim Johnson, Joshua Bowyer, Josephine Muir, Angus Turner
Issue addressed Indigenous Australians are 14 times more likely than non-Indigenous Australians to develop diabetic retinopathy (DR). Blindness can be prevented in 98% of cases if DR is identified and treated early. While the National Health and Medical Research Council recommend annual screening for Indigenous Australians, screening attendance rates remain low. The objective of this study was to evaluate whether a targeted health promotion intervention improved patient compliance and screening rates. Methods Bad Sugars, Bad Eyes - a culturally appropriate video targeting DR awareness and the importance of screening among Indigenous Australians - was developed at the Lions Eye Institute, Western Australia...
April 2016: Health Promotion Journal of Australia
Alex Broom, Stefanie Plage, Jennifer Broom, Emma Kirby, Jon Adams
BACKGROUND: Antibiotic treatment options for common infections are diminishing due to the proliferation of antimicrobial resistance (AMR). The impact of Antimicrobial Stewardship (AMS) programs seeking to preserve viable antibiotic drugs by governing their use in hospitals has hitherto been limited. Pharmacists have been delegated a critical role in antibiotic governance in AMS teams within hospitals but the experience of pharmacists in influencing antibiotic use has received limited attention...
2016: BMC Health Services Research
Dave L Dixon, Steven P Dunn, Michael S Kelly, Timothy R McLlarky, Roy E Brown
Amiodarone remains the mostly frequently used antiarrhythmic in clinical practice and is most often used to maintain normal sinus rhythm in patients with atrial fibrillation who have failed a rate control strategy. Amiodarone has superior efficacy over other antiarrhythmics, a lower risk of torsade de pointes, and a better cardiovascular safety profile in patients with structural heart disease. However, amiodarone is associated with notable noncardiac toxicities affecting the thyroid, lungs, eyes, liver, and central nervous system...
February 2016: Pharmacotherapy
Breanna Jedrzejewski, Dale Ritter
OBJECTIVE: To examine and characterize the occupational histories of individuals who donated their whole bodies to the Anatomical Gift Program at Warren Alpert Medical School (AMS) from the academic years 2003-2004 to 2013-2014. DESIGN AND METHODS: A retrospective chart review of 491 individuals who donated their whole bodies to Alpert Medical School was conducted upon IRB approval from Brown University. Demographic, social, and occupational histories were abstracted for analysis and review...
February 1, 2016: Rhode Island Medical Journal
Myo Nyein Aung, Juraiporn Somboonwong, Vorapol Jaroonvanichkul, Pongsak Wannakrairot
BACKGROUND: Medical students' motivation is an important driving factor for academic performance, and therefore medical teachers and educators are often highly interested in this topic. This study evaluated the impact of an academic affair program upon preclinical year medical students' motivation to study. DESIGN AND METHODS: An intervention study was conducted using a pretest-posttest study design. A total of 296 preclinical year medical students who had just passed their first year and were about to attend their second year at the Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand, participated in the study...
2015: International Journal of General Medicine
Vineet Kumar, Takumi Yamada, Harish Doppalapudi
No abstract text is available yet for this article.
April 2016: Pacing and Clinical Electrophysiology: PACE
Natasha Ams Flack, Helen D Nicholson
Is anatomy a dying discipline? This article explores the history and current state of human anatomy in Australasia, and considers the changing nature of the discipline, and possibilities for the future. A web-based search of all tertiary institutions in Australasia was performed to identify which taught anatomy. Those identified were invited to provide further information about postgraduate student numbers, external courses and public outreach. Forty-one institutions across Australasia teach anatomy. There are seven identifiable anatomy departments and nine disciplines of anatomy...
January 2016: Clinical Anatomy
T J Ognibene, A T Thomas, P F Daley, G Bench, K W Turteltaub
We describe the moving wire interface attached to the 1-MV AMS system at LLNL's Center for Accelerator Mass Spectrometry for the analysis of nonvolatile liquid samples as either discrete drops or from the direct output of biochemical separatory instrumentation, such as high-performance liquid chromatography. Discrete samples containing at least a few 10s of nanograms of carbon and as little as 50 zmol (14)C can be measured with a 3-5% precision in a few minutes. The dynamic range of our system spans approximately 3 orders in magnitude...
October 15, 2015: Nuclear Instruments & Methods in Physics Research. Section B, Beam Interactions with Materials and Atoms
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