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https://www.readbyqxmd.com/read/28453824/professional-attitudes-toward-incident-reporting-can-we-measure-and-compare-improvements-in-patient-safety-culture
#1
Pierfrancesco Tricarico, Luigi Castriotta, Claudio Battistella, Fabrizio Bellomo, Giovanni Cattani, Lucrezia Grillone, Stefania Degan, Daniela De Corti, Silvio Brusaferro
Objective: To establish categories of professionals' attitudes toward incident reporting by analyzing the trends in incident reporting while accounting for general risk indicators. Design: The incident reporting system was evaluated over 6 years. Reporting rates, stratified by year and profession, were estimated using the non-mandatory reported events/full-time equivalent (NM-IR/FTE) rate. Other indicators were collected using the hospital's official database. Staff attitudes toward self-reporting were analyzed...
April 1, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/28453720/-seeking-affluent-neighbourhoods-a-time-trend-analysis-of-geographical-distribution-of-hospitals-in-the-megacity-of-tehran
#2
Yousef Chavehpour, Arash Rashidian, Hossein Raghfar, Sara Emamgholipour Sefiddashti, Aiub Maroofi
Objective: Access to hospitals in megacities in low and middle income countries might be hampered by travel barriers and distance. We assessed the 'inverse care law' hypothesis: whether hospitals tended to be built in the relatively better-off areas through the time. Methods: A longitudinal time-series study (1966 to 2011) in Tehran to measure inequality in the distribution of hospital beds. We assessed correlations between the district socioeconomic status and availability of hospital beds via regression analyses, estimated correlation, Gini and concentration indices, and used GIS models to map hospital distributions through time...
June 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28449347/caregiving-for-older-adults-with-obesity-in-the-united-states
#3
Claire K Ankuda, John Harris, Katherine Ornstein, Deborah A Levine, Kenneth M Langa, Amy S Kelley
OBJECTIVES: To determine the difference in receipt of activity of daily living (ADL) assistance between obese and normal-weight older adults. DESIGN: Retrospective cohort study. SETTING: National Health and Aging Trends Study, 2011-2015. PARTICIPANTS: U.S. adults aged 65 and older with ADL disability and a body mass index (BMI) of 18.5 kg/m(2) or greater (N = 5,612) MEASUREMENTS: BMI was classified as normal weight (18...
April 27, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28448617/seagrass-blue-carbon-spatial-patterns-at-the-meadow-scale
#4
Matthew P J Oreska, Karen J McGlathery, John H Porter
Most information on seagrass carbon burial derives from point measurements, which are sometimes scaled by meadow area to estimate carbon stocks; however, sediment organic carbon (Corg) concentrations may vary with distance from the meadow edge, resulting in spatial gradients that affect the accuracy of stock estimates. We mapped sediment Corg concentrations throughout a large (6 km2) restored seagrass meadow to determine whether Corg distribution patterns exist at different spatial scales. The meadow originated from ≤1-acre plots seeded between 2001 and 2004, so we expected Corg to vary spatially according to the known meadow age at sample sites and with proximity to the meadow edge...
2017: PloS One
https://www.readbyqxmd.com/read/28448318/two-state-collaborative-study-of-a-multifaceted-intervention-to-decrease-ventilator-associated-events
#5
Nishi Rawat, Ting Yang, Kisha J Ali, Mary Catanzaro, Mariah D Cohen, Donna O Farley, Lisa H Lubomski, David A Thompson, Bradford D Winters, Sara E Cosgrove, Michael Klompas, Kathleen A Speck, Sean M Berenholtz
OBJECTIVES: Ventilator-associated events are associated with increased mortality, prolonged mechanical ventilation, and longer ICU stay. Given strong national interest in improving ventilated patient care, the National Institute of Health and Agency for Healthcare Research and Quality funded a two-state collaborative to reduce ventilator-associated events. We describe the collaborative's impact on ventilator-associated event rates in 56 ICUs. DESIGN: Longitudinal quasi-experimental study...
April 26, 2017: Critical Care Medicine
https://www.readbyqxmd.com/read/28447899/the-american-college-of-surgeons-minimum-standards-for-hospitals-and-the-provision-of-high-quality-laboratory-services
#6
James R Wright
CONTEXT: - The first major project of the American College of Surgeons (Chicago, Illinois), founded in 1913, was implementing Minimum Standards for Hospitals. The 1918 standard (1) established medical staff organizations in hospitals; (2) restricted membership to licensed practitioners in good standing; (3) mandated that the medical staff work with hospital administration to develop and adopt regulations and policies governing their professional work; (4) required standardized, accessible medical records; and (5) required availability of diagnostic and therapeutic facilities...
May 2017: Archives of Pathology & Laboratory Medicine
https://www.readbyqxmd.com/read/28447852/pressure-ulcers-prevalence-in-the-acute-care-setting-a-systematic-review-2000-2015
#7
Ahmad Tubaishat, Panos Papanikolaou, Denis Anthony, Laila Habiballah
Little is known about the prevalence of pressure ulcer (PrU) in acute care settings. The aim of this study is to determine the prevalence rate of PrU in acute care settings and to assess the methodological quality of the reviewed publications. The Cumulative Index to Nursing and Allied Health Literature, British Nursing Index, MEDLINE, and Cochrane Database of Systematic Reviews were searched using the keywords pressure ulcer or decubitus ulcer or bed sore or pressure sore or pressure injury, with prevalence and acute care, for studies published between January 2000 and December 2015...
April 1, 2017: Clinical Nursing Research
https://www.readbyqxmd.com/read/28447646/a-130-000-year-old-archaeological-site-in-southern-california-usa
#8
Steven R Holen, Thomas A Deméré, Daniel C Fisher, Richard Fullagar, James B Paces, George T Jefferson, Jared M Beeton, Richard A Cerutti, Adam N Rountrey, Lawrence Vescera, Kathleen A Holen
The earliest dispersal of humans into North America is a contentious subject, and proposed early sites are required to meet the following criteria for acceptance: (1) archaeological evidence is found in a clearly defined and undisturbed geologic context; (2) age is determined by reliable radiometric dating; (3) multiple lines of evidence from interdisciplinary studies provide consistent results; and (4) unquestionable artefacts are found in primary context. Here we describe the Cerutti Mastodon (CM) site, an archaeological site from the early late Pleistocene epoch, where in situ hammerstones and stone anvils occur in spatio-temporal association with fragmentary remains of a single mastodon (Mammut americanum)...
April 26, 2017: Nature
https://www.readbyqxmd.com/read/28447640/abrasion-set-limits-on-himalayan-gravel-flux
#9
Elizabeth H Dingle, Mikaël Attal, Hugh D Sinclair
Rivers sourced in the Himalayan mountain range carry some of the largest sediment loads on the planet, yet coarse gravel in these rivers vanishes within approximately 10-40 kilometres on entering the Ganga Plain (the part of the North Indian River Plain containing the Ganges River). Understanding the fate of gravel is important for forecasting the response of rivers to large influxes of sediment triggered by earthquakes or storms. Rapid increase in gravel flux and subsequent channel bed aggradation (that is, sediment deposition by a river) following the 1999 Chi-Chi and 2008 Wenchuan earthquakes reduced channel capacity and increased flood inundation...
April 26, 2017: Nature
https://www.readbyqxmd.com/read/28447184/electromyographic-evaluation-of-high-intensity-elastic-resistance-exercises-for-lower-extremity-muscles-during-bed-rest
#10
Jonas Vinstrup, Sebastian Skals, Joaquin Calatayud, Markus Due Jakobsen, Emil Sundstrup, Matheus Daros Pinto, Mikel Izquierdo, Yuling Wang, Mette K Zebis, Lars Louis Andersen
PURPOSE: Prolonged hospital bed rest after severe injury or disease leads to rapid muscle atrophy and strength loss. Therefore, the main aim of this study was to evaluate the efficacy of lower extremity strengthening exercises using elastic resistance that can be performed while lying in a hospital bed. METHODS: Using a cross-sectional design, 22 healthy individuals performed three consecutive repetitions of 14 different lower extremity exercises using elastic resistance, with a perceived intensity corresponding to 8 on the Borg CR-10 scale...
April 26, 2017: European Journal of Applied Physiology
https://www.readbyqxmd.com/read/28445941/palliative-radiotherapy-for-gastric-cancer-a-systematic-review-and-meta-analysis
#11
REVIEW
Jeremy Tey, Yu Yang Soon, Wee Yao Koh, Cheng Nang Leong, Bok Ai Choo, Francis Ho, Balamurugan Vellayappan, Keith Lim, Ivan Wk Tham
BACKGROUND/PURPOSE: To review the efficacy and toxicity of palliative radiotherapy (RT) for symptomatic locally advanced gastric cancer (GC) and to determine the optimal RT schedule for symptom palliation. METHODS: We searched MEDLINE and CENTRAL for eligible studies published from 1995 to 2015. Outcomes of interest were relief of bleeding, pain and obstruction. RESULTS: Seven non-comparative observational studies were included. There were large variations in RT dose and fractionation...
April 11, 2017: Oncotarget
https://www.readbyqxmd.com/read/28445765/in-line-monitoring-and-optimization-of-powder-flow-in-a-simulated-continuous-process-using-transmission-near-infrared-spectroscopy
#12
Md Anik Alam, Zhenqi Shi, James K Drennen, Carl A Anderson
In-line monitoring of continuous powder flow is an integral part of the continuous manufacturing process of solid oral dosage forms in the pharmaceutical industry. Specifically, monitoring downstream from loss-in-weight (LIW) feeders and/or continuous mixers provides important data about the state of the process. Such measurements support control of the process and thereby enhance product quality. Near Infrared Spectroscopy (NIRS) is a potential PAT tool to monitor the homogeneity of a continuous powder flow stream in pharmaceutical manufacturing...
April 23, 2017: International Journal of Pharmaceutics
https://www.readbyqxmd.com/read/28445642/the-predictive-power-of-clean-bed-filtration-theory-for-fecal-indicator-bacteria-removal-in-stormwater-biofilters
#13
Emily Parker, Megan A Rippy, Andrew Mehring, Brandon Winfrey, Richard F Ambrose, Lisa A Levin, Stanley B Grant
Green infrastructure (also referred to as low impact development, or LID) has the potential to transform urban stormwater runoff from an environmental threat to a valuable water resource. In this paper we focus on the removal of fecal indicator bacteria (FIB, a pollutant responsible for runoff-associated inland and coastal beach closures) in stormwater biofilters (a common type of green infrastructure). Drawing on a combination of previously published and new laboratory studies of FIB removal in biofilters, we find that 66% of the variance in FIB removal rates can be explained by clean bed filtration theory (CBFT, 31%), antecedent dry period (14%), study effect (8%), biofilter age (7%), and the presence or absence of shrubs (6%)...
April 26, 2017: Environmental Science & Technology
https://www.readbyqxmd.com/read/28445581/definition-of-close-margin-in-oral-cancer-surgery-and-association-of-margin-distance-with-local-recurrence-rate
#14
Kendall K Tasche, Marisa R Buchakjian, Nitin A Pagedar, Steven M Sperry
Importance: There is a lack of consistency in the literature regarding the definition of "close" resection margins in the surgical treatment of oral cavity squamous cell carcinoma (OCSCC), and the relationship between local recurrence (LR) rates and different distances of invasive tumor from surgical margin is not well characterized. Objective: To analyze the association between specific distances from invasive tumor to surgical margin and LR in patients with OCSCC...
April 26, 2017: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/28445518/use-of-human-fat-grafting-in-the-prevention-of-perineural-adherence-experimental-study-in-athymic-mouse
#15
Mario Cherubino, Igor Pellegatta, Alessandro Crosio, Luigi Valdatta, Stefano Geuna, Rosalba Gornati, Pierluigi Tos
Perineural adherences represent a problem after surgery involving peripheral neural system. Fat-grafting with adipose derived stem cells (ASCs) with their pro-regenerative characteristics can be important to prevent the neural damage or to facilitate the neural regeneration. Our idea was to use the fat-grafting as an anti-adherence device and test its efficacy on a postsurgical scar animal model and comparing to an antiadhesive gel. 32 athymic mice were operated under magnification, we exposed both sciatic nerves...
2017: PloS One
https://www.readbyqxmd.com/read/28444400/effects-of-insufficient-sleep-on-pituitary-adrenocortical-response-to-crh-stimulation-in-healthy-men
#16
Aurore Guyon, Lisa L Morselli, Marcella L Balbo, Esra Tasali, Rachel Leproult, Mireille L'Hermite-Baleriaux, Eve Van Cauter, Karine Spiegel
Study Objectives: Severe sleep restriction results in elevated evening cortisol levels. We examined whether this relative hypercortisolism is associated with alterations in the pituitary-adrenocortical response to evening corticotropin-releasing hormone (CRH) stimulation. Methods: Eleven subjects participated in 2 sessions (2 nights of 10h versus 4h in bed) in randomized order. Sleep was polygraphically recorded. After the second night of each session, blood was sampled at 20-min intervals from 09:00 to 24:00 for adrenocorticotropic hormone (ACTH) and cortisol measurements, and perceived stress was assessed hourly...
April 21, 2017: Sleep
https://www.readbyqxmd.com/read/28444348/how-physically-active-are-people-following-stroke-systematic-review-and-quantitative-synthesis
#17
Natalie A Fini, Anne E Holland, Jenny Keating, Jacinta Simek, Julie Bernhardt
Background: : Mobility limitations are common following stroke and frequently lead to poor participation in physical activity (PA). Purpose: : To describe PA across the various stages following stroke (acute, subacute and chronic). Data Sources: : Searches were conducted in five databases. Study Selection: : Eligible studies included participants with stroke whose PA was quantitatively measured for at least four hours in a single session...
April 21, 2017: Physical Therapy
https://www.readbyqxmd.com/read/28444302/draft-genome-of-the-lined-seahorse-hippocampus-erectus
#18
Qiang Lin, Ying Qiu, Ruobo Gu, Meng Xu, Jia Li, Chao Bian, Huixian Zhang, Geng Qin, Yanhong Zhang, Wei Luo, Jieming Chen, Xinxin You, Mingjun Fan, Min Sun, Pao Xu, Byrappa Venkatesh, Junming Xu, Hongtuo Fu, Qiong Shi
Background: The lined seahorse, Hippocampus erectus , is an Atlantic species and mainly inhabits shallow sea-beds or coral reefs. It has become very popular in China for its wide use in traditional Chinese medicine. In order to improve the aquaculture yield of this valuable fish species, we are trying to develop genomic resources for assistant selection in genetic breeding. Here, we provide whole genome sequencing, assembly and gene annotation of the lined seahorse, which can enrich genome resource and further application for its molecular breeding...
April 22, 2017: GigaScience
https://www.readbyqxmd.com/read/28444184/can-school-based-distribution-be-used-to-maintain-coverage-of-long-lasting-insecticide-treated-bed-nets-evidence-from-a-large-scale-programme-in-southern-tanzania
#19
Logan Stuck, Angelina Lutambi, Frank Chacky, Paul Schaettle, Karen Kramer, Renata Mandike, Rose Nathan, Joshua Yukich
Many sub-Saharan African countries have achieved substantial gains in insecticide treated bednet coverage since 2005. The Tanzania National Malaria Control Programme identified school-based net distribution as one potential 'keep-up' strategy for the purpose of maintaining long-lasting insecticidal net (LLIN) coverage after a nationwide mass campaign in 2011. The School Net Programme (SNP) was implemented in three regions of southern Tanzania and distributed one LLIN to each enrolled child attending schools in primary grades (standards) 1, 3, 5 and 7, and secondary grades (forms) 2 and 4 in 2013 and again with slightly modified eligibility criteria in 2014 and 2015...
April 22, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28444128/low-dose-ionizing-radiation-induces-therapeutic-neovascularization-in-a-pre-clinical-model-of-hindlimb-ischemia
#20
Augusto Ministro, Paula de Oliveira, Raquel J Nunes, André Dos Santos Rocha, Adriana Correia, Tânia Carvalho, José Rino, Pedro Faísca, Jorg D Becker, J Goyri-O'Neill, Filomena Pina, Esmeralda Poli, Bruno Silva-Santos, Fausto Pinto, Marc Mareel, Karine Serre, Susana Constantino Rosa Santos
We have previously shown that low-dose ionizing radiation (LDIR) induces angiogenesis but there is no evidence that they induce neovascularization in the setting of peripheral arterial disease. Here, we investigated the use of LDIR as an innovative and non-invasive strategy to stimulate therapeutic neovascularization using a model of experimentally induced hindlimb ischemia (HLI). Methods and results: After surgical induction of unilateral HLI, both hindlimbs of female C57BL/6 mice were sham-irradiated or irradiated with four daily fractions of 0...
April 19, 2017: Cardiovascular Research
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