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https://www.readbyqxmd.com/read/27909252/nurses-as-antibiotic-brokers-institutionalized-praxis-in-the-hospital
#1
Alex Broom, Jennifer Broom, Emma Kirby, Graham Scambler
We are likely moving rapidly toward a post-antibiotic era, as a result of escalating antimicrobial resistance, rapidly declining antibiotic production and profligate overuse. Hitherto research has almost exclusively focused on doctors' prescribing, with nurses' roles in antibiotic use remaining virtually invisible. Drawing on interviews with 30 nurses, we focus on nurses as brokers of doctors' antibiotic decisions, nursing capacity to challenge doctors' decisions, and, "back stage" strategies for circumnavigating organizational constraints...
November 30, 2016: Qualitative Health Research
https://www.readbyqxmd.com/read/27895578/cognitive-performance-patterns-in-healthy-individuals-with-substantia-nigra-hyperechogenicity-and-early-parkinson-s-disease
#2
Rezzak Yilmaz, Susanne Gräber, Benjamin Roeben, Ulrike Suenkel, Anna-Katharina von Thaler, Sebastian Heinzel, Florian G Metzger, Gerhard W Eschweiler, Walter Maetzler, Daniela Berg, Inga Liepelt-Scarfone
Introduction: Hyperechogenicity of the substantia nigra (SN+) is a risk marker for Parkinson's disease (PD) which can be detected before the diagnosis. In healthy individuals, SN+ has been associated with slight deficits in specific cognitive functions, suggesting cognitive impairment as a possible pre-diagnostic marker for PD. However, the pattern of cognitive deficits associated with SN+ has not yet been compared with those present in PD. Methods: Data of 262 healthy individuals with normal echogenicity (SN-) and 48 healthy individuals with SN+ were compared with 82 early stage PD patients using the "Consortium to Establish a Registry for Alzheimer's disease" test battery...
2016: Frontiers in Aging Neuroscience
https://www.readbyqxmd.com/read/27881073/bilingualism-in-older-mexican-american-immigrants-is-associated-with-higher-scores-on-cognitive-screening
#3
Claudia Padilla, Mario F Mendez, Elvira E Jimenez, Edmond Teng
BACKGROUND: Bilingualism may protect against cognitive aging and delay the onset of dementia. However, studies comparing monolinguals and bilinguals on such metrics have produced inconsistent results complicated by confounding variables and methodological concerns. METHODS: We addressed this issue by comparing cognitive performance in a more culturally homogeneous cohort of older Spanish-speaking monolingual (n = 289) and Spanish-English bilingual (n = 339) Mexican-American immigrants from the Sacramento Longitudinal Study on Aging...
November 24, 2016: BMC Geriatrics
https://www.readbyqxmd.com/read/27873220/examining-how-and-why-to-engage-practitioners-from-across-the-learning-landscape-in-the-research-enterprise-proposal-for-phron%C3%A3%C2%AAtic-research-on-education
#4
Eugene Matusov
Educational practitioners are often reluctant, if not actively resistant, to their participation in production and consumption of educational research. Based on my research experience with educational practitioners, I try to deconstruct this phenomenon using dialogic Bakhtinian and Aristotelian sociocultural frameworks. I consider two major related breakdowns in the educational practice: 1) a lack of self-correcting process in the educational practice, while reliance on accountability policy to achieve the practice quality, and 2) a breakdown between educational research and educational practice...
November 21, 2016: Integrative Psychological & Behavioral Science
https://www.readbyqxmd.com/read/27861718/effect-of-cognitively-stimulating-activities-on-symptom-management-of-delirium-superimposed-on-dementia-a-randomized-controlled-trial
#5
Ann Kolanowski, Donna Fick, Mark Litaker, Paula Mulhall, Linda Clare, Nikki Hill, Jacqueline Mogle, Malaz Boustani, David Gill, Andrea Yevchak-Sillner
OBJECTIVE: To determine whether cognitively stimulating activities would reduce duration and severity of delirium and improve cognitive and physical function to a greater extent than usual care. DESIGN: Single-blind randomized clinical trial. SETTING: Eight post-acute care (PAC) facilities. PARTICIPANTS: Community-dwelling older adults with dementia and delirium (N = 283). INTERVENTION: Research staff provided cognitively stimulating activities daily for up to 30 days...
November 12, 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27859407/empowerment-praxis-community-organizing-to-redress-systemic-health-disparities
#6
Jason A Douglas, Cheryl T Grills, Sandra Villanueva, Andrew M Subica
Social and environmental determinants of childhood obesity present a public health dilemma, particularly in low-income communities of color. Case studies of two community-based organizations participating in the Robert Wood Johnson Foundation's Communities Creating Healthy Environments (CCHE) childhood obesity initiative demonstrate multilevel, culturally situated community organizing strategies to address the root causes of this public health disparity. Informed by a 3-lens prescription-Social Justice, Culture-Place, and Organizational Capacity-contained in the CCHE Change Model and Evaluation Frame, we present examples of individual, organizational, and community empowerment to redress systemic inequities that manifest in poor health outcomes for people of color...
November 9, 2016: American Journal of Community Psychology
https://www.readbyqxmd.com/read/27858255/cerebellum-from-j-e-purkyn%C3%A4-up-to-contemporary-research
#7
REVIEW
František Vožeh
Jan. Evangelista Purkyně, the most famous among Czech physiologists, was the first who identified and described the largest nerve cells in the cerebellum. The most distinguished researchers of the nervous system then recommended naming these neurons Purkinje cells in his honor. Through experiments by Purkinje and his followers, the function of the cerebellum was properly attributed to the precision of motor movements and skills. This traditional concept was valid until early 1990s, when it was readjusted and replenished with new and important findings...
November 17, 2016: Cerebellum
https://www.readbyqxmd.com/read/27847706/reliability-and-validity-of-korean-version-of-apraxia-screen-of-tulia-k-ast
#8
Soo Jin Kim, You-Na Yang, Jong Won Lee, Jin-Youn Lee, Eunhwa Jeong, Bo-Ram Kim, Jongmin Lee
OBJECTIVE: To evaluate the reliability and validity of Korean version of AST (K-AST) as a bedside screening test of apraxia in patients with stroke for early and reliable detection. METHODS: AST was translated into Korean, and the translated version received authorization from the author of AST. The performances of K-AST in 26 patients (21 males, 5 females; mean age 65.42±17.31 years) with stroke (23 ischemic, 3 hemorrhagic) were videotaped. To test the reliability and validity of K-AST, the recorded performances were assessed by two physiatrists and two occupational therapists twice at a 1-week interval...
October 2016: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/27822098/the-danish-multiple-sclerosis-treatment-register
#9
REVIEW
Melinda Magyari, Nils Koch-Henriksen, Per Soelberg Sørensen
AIM OF THE DATABASE: The Danish Multiple Sclerosis Treatment Register (DMSTR) serves as a clinical quality register, enabling the health authorities to monitor the quality of the disease-modifying treatment, and it is an important data source for epidemiological research. STUDY POPULATION: The DMSTR includes all patients with multiple sclerosis who had been treated with disease-modifying drugs since 1996. At present, more than 8,400 patients have been registered in this database...
2016: Clinical Epidemiology
https://www.readbyqxmd.com/read/27821948/the-correlation-between-proprioception-and-handwriting-legibility-in-children
#10
So Young Hong, Nam-Hae Jung, Kyeong Mi Kim
[Purpose] This study investigated the association between proprioception, including joint position sense and kinetic sense, and handwriting legibility in healthy children. [Subjects and Methods] Assessment of joint position sense, kinetic sense, and handwriting legibility was conducted for 19 healthy children. Joint position sense was assessed by asking the children to flex their right elbow between 30° to 110° while blindfolded. The range of elbow movement was analyzed with Compact Measuring System 10 for 3D motion Analysis...
October 2016: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/27818055/a-promising-magnetic-sers-immunosensor-for-sensitive-detection-of-avian-influenza-virus
#11
Yang Sun, Li Xu, Fengdi Zhang, Zhigang Song, Yunwen Hu, Yongjia Ji, Jiayin Shen, Ben Li, Hongzhou Lu, Haifeng Yang
Avian influenza viruses infect a great number of global populations every year and can lead to severe epidemics with high morbidity and mortality. Facile, rapid and sensitive detection of viruses is very crucial to control the viral spread at its early stage. In this work, we developed a novel magnetic immunosensor based on surface enhanced Raman scattering (SERS) spectroscopy to detect intact but inactivated influenza virus H3N2 (A/Shanghai/4084T/2012) by constructing a sandwich complex consisting of SERS tags, target influenza viruses and highly SERS-active magnetic supporting substrates...
September 29, 2016: Biosensors & Bioelectronics
https://www.readbyqxmd.com/read/27798438/emancipatory-nursing-praxis-a-theory-of-social-justice-in-nursing
#12
Robin R Walter
Emancipatory nursing praxis (ENP) is a middle-range nursing theory of social justice developed from an international, grounded theory study of the critical factors influencing nurses' perceptions of their role in social justice. The ENPs implementing processes (becoming, awakening, engaging, and transforming) and 2 conditional contexts (relational and reflexive) provide an in-depth understanding of the transformative learning process that determines nurse engagement in social justice. Interpretive findings include the voice of Privilege primarily informed ENP theory, the lack of nursing educational and organizational support in social justice role development, and the advocate role should expand to include the role of an ally...
October 28, 2016: ANS. Advances in Nursing Science
https://www.readbyqxmd.com/read/27780162/-entscheidungsfindung-f%C3%A3-r-die-klinische-praxis-aktuelle-konzepte-und-behandlungsalgorithmen-mit-immun-checkpoint-inhibitoren-beim-melanom
#13
Dirk Schadendorf
No abstract text is available yet for this article.
2016: Oncology Research and Treatment
https://www.readbyqxmd.com/read/27770298/ko-t%C3%A4-ngonge-te-wai-indigenous-and-technical-data-come-together-in-restoration-efforts
#14
Wendy Henwood, Helen Moewaka Barnes, Troy Brockbank, Waikarere Gregory, Kaio Hooper, Tim McCreanor
In Aotearoa New Zealand, Māori aspirations around land and water conflict with settler interests. As indigenous people, Māori struggle to enact agency over resources, despite Treaty (Treaty of Waitangi/Te Tiriti o Waitangi is an 1840 agreement between Maori and the crown) settlement processes returning some lands. Returns are complex since changes wrought by dispossession may be extreme, requiring multiple stakeholder engagements. Tāngonge, a heavily modified wetland, in northern Aotearoa New Zealand has been the subject of iwi (tribe or tribes) claims since the 1890s...
October 21, 2016: EcoHealth
https://www.readbyqxmd.com/read/27770274/let-s-cut-it-short-italian-standardization-of-the-mmspe-mini-mental-state-pediatric-examination-a-brief-cognitive-screening-tool-for-school-age-children
#15
P Scarpa, A Toraldo, Valeria Peviani, G Bottini
A pediatric cognitive screening tool has been shaped in three versions according to school class to assess spatial and temporal orientation, language, reading, writing, drawing, number knowledge, memory, praxis and executive functions in children aged 6-13. It has been standardized on an Italian sample of 807 children. Raw scores were adjusted for critical variables (child's age and parents' education) and a cut-off for the resulting global cognitive score was made available for clinical practice. In line with previous research, adapting the Mini-Mental State Examination to pediatric neuropsychological assessment turned out to be useful in estimating global cognitive functioning in children...
October 21, 2016: Neurological Sciences
https://www.readbyqxmd.com/read/27769020/between-two-roles-experiences-of-newly-trained-nurse-practitioners-in-surgical-care-in-sweden-a-qualitative-study-using-repeated-interviews
#16
Eva Jangland, Pia Yngman Uhlin, Erebouni Arakelian
The position of Nurse Practitioner is a new role in Nordic countries. The transition from a registered nurse to the Nurse Practitioner role has been reported to be a personal challenge. This study, guided by the Nordic theoretical model for use in the education of advanced practice nurses, represents a unique opportunity to describe this transition for newly graduated Nurse Practitioners in an interprofessional surgical care team in Sweden. The aim was to explore how the first Nurse Practitioners in surgical care experienced the transition into a new role and what competences they used in the team...
November 2016: Nurse Education in Practice
https://www.readbyqxmd.com/read/27761907/introduction-to-alfred-lorenzer-s-paper-language-life-praxis-and-scenic-understanding-in-psychoanalytic-therapy
#17
Werner Bohleber
No abstract text is available yet for this article.
October 2016: International Journal of Psycho-analysis
https://www.readbyqxmd.com/read/27761904/language-life-praxis-and-scenic-understanding-in-psychoanalytic-therapy
#18
Alfred Lorenzer
Freud held that the repressed unconscious arose from the separation of thing-presentations from word-presentations. The author divests these terms of the implication that they are objectively existing entities by citing some of Freud's other texts. Thing-presentations are memory-traces of (as yet) non-language-based interactions - that is, precipitates of actions that have been experienced and models of future actions. Scenic understanding, which, on the basis of participation by the therapist in the patient's play, treats all material presented by the patient by an approach analogous to the interpretation of dreams, is therefore the royal road to the unconscious...
October 2016: International Journal of Psycho-analysis
https://www.readbyqxmd.com/read/27760819/optimizing-computer-models-of-corticospinal-neurons-to-replicate-in-vitro-dynamics
#19
Samuel A Neymotin, Benjamin A Suter, Salvador Dura-Bernal, Gordon M G Shepherd, Michele Migliore, William W Lytton
Corticospinal neurons (SPI), thick-tufted pyramidal neurons in motor cortex layer 5B that project caudally via the medullary pyramids, display distinct class-specific electrophysiological properties in vitro: strong sag with hyperpolarization, lack of adaptation, and a nearly linear frequency-current (FI) relationship. We used our electrophysiological data to produce a pair of large archives of SPI neuron computer models in two model classes: 1. Detailed models with full reconstruction; 2. Simplified models with 6 compartments...
October 19, 2016: Journal of Neurophysiology
https://www.readbyqxmd.com/read/27757128/thalamic-shape-and-cognitive-performance-in-amnestic-mild-cognitive-impairment
#20
Changtae Hahn, Chang-Uk Lee, Wang Yeon Won, Soo-Hyun Joo, Hyun Kook Lim
OBJECTIVE: This study aimed to investigate thalamic shape alterations and their relationships with various episodic memory impairments in subjects with amnestic mild cognitive impairment (aMCI). METHODS: We compared volumes and morphological alterations of the thalamus between aMCI subjects and healthy controls. In addition, we investigated the correlation between thalamic deformations and various memory impairments in aMCI subjects using a comprehensive neuropsychological battery...
September 2016: Psychiatry Investigation
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