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https://www.readbyqxmd.com/read/28420933/gestational-diabetes-mellitus-berlin-and-beyond
#1
(no author information available yet)
The Berlin Declaration is a landmark call to action, which encourages policy makers to take early action to halt the type 2 diabetes epidemic. It emphasizes the need for prevention, early detection, early control, and early access to the right interventions. We believe these four pillars of early action in type 2 diabetes are as relevant to gestational diabetes mellitus (GDM) and action in the latter will impact on the former. Therefore this statement, authored by 21 experts from 14 countries calls for early action in GDM...
April 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/28398134/-i-told-her-this-is-your-life-relationship-dynamics-partner-support-and-adherence-to-antiretroviral-therapy-among-south-african-couples
#2
Amy Conroy, Anna Leddy, Mallory Johnson, Thulani Ngubane, Heidi van Rooyen, Lynae Darbes
Despite the important role of social relationships for health and wellbeing, little is known about how primary partners affect adherence to HIV care and treatment. We qualitatively explored how relationship dynamics and partner support influence adherence among couples from KwaZulu-Natal, South Africa. Twenty-four heterosexual couples with at least one HIV-positive partner completed semi-structured interviews on topics including relationship dynamics (intimacy or emotional closeness, communication, violence), experiences with HIV care and treatment and HIV-related social support...
April 11, 2017: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/28388829/evidence-based-practice-beliefs-and-implementation-in-doctor-of-nursing-practice-students
#3
Joanne K Singleton
BACKGROUND: Doctors of Nursing Practice focus on leadership in evidence-based practice (EBP). EBP is influenced by one's beliefs in and implementation of EBP. Little is known to date about the EBP beliefs and implementation of Doctor of Nursing Practice students and outcomes of Doctor of Nursing Practice education. AIMS: Guided by the Advancing Research and Clinical practice through close Collaboration (ARCC) Model, the Evidence-Based Practice Beliefs (EBPB) and Implementation (EBPI) tools were used to assess the impact of EBP as a program pillar, curricular thread, and content area on EBPB and EBPI of Doctor of Nursing Practice-Family Nurse Practitioner students...
April 7, 2017: Worldviews on Evidence-based Nursing
https://www.readbyqxmd.com/read/28338086/halo-free-phase-contrast-microscopy
#4
Tan H Nguyen, Mikhail Kandel, Haadi M Shakir, Catherine Best-Popescu, Jyothi Arikkath, Minh N Do, Gabriel Popescu
We present a new approach for retrieving halo-free phase contrast microscopy (hfPC) images by upgrading the conventional PC microscope with an external interferometric module, which generates sufficient data for reversing the halo artifact. Acquiring four independent intensity images, our approach first measures haloed phase maps of the sample. We solve for the halo-free sample transmission function by using a physical model of the image formation under partial spatial coherence. Using this halo-free sample transmission, we can numerically generate artifact-free PC images...
March 24, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28332834/multicomponent-platinum-ii-cages-with-tunable-emission-and-amino-acid-sensing
#5
Mingming Zhang, Manik Lal Saha, Ming Wang, Zhixuan Zhou, Bo Song, Chenjie Lu, Xuzhou Yan, Xiaopeng Li, Feihe Huang, Shouchun Yin, Peter J Stang
The syntheses, characterization, and emission properties of three tetragonal prismatic cages, 4a-4c, constructed from eight 90° Pt(II) acceptors, four linear dipyridyl ligands, and two tetraphenylethene (TPE)-based sodium benzoate ligands, are described. These cages are emissive in dilute solutions due to the metal-coordination-induced partial restriction of intramolecular rotation of their TPE units, while the dipyridyl moieties, which act as the pillars as well as the solvents, strongly influence these emissions...
March 31, 2017: Journal of the American Chemical Society
https://www.readbyqxmd.com/read/28289126/putting-the-four-pillars-for-primary-care-physician-workforce-into-practice-locally
#6
Philip M Diller, Amanda Weidner, Michelle Roett, Allan Wilke, Ardis Davis
No abstract text is available yet for this article.
March 2017: Annals of Family Medicine
https://www.readbyqxmd.com/read/28278774/sustainability-of-cement-kiln-co-processing-of-wastes-in-india-a-pilot-study
#7
Rahul Baidya, Sadhan Kumar Ghosh, Ulhas V Parlikar
Co-processing in cement kiln achieves effective utilization of the material and energy value present in the wastes, thereby conserving the natural resources by reducing the use of virgin material. In India, a number of multifolded initiatives have been taken that take into account the potential and volume of waste generation. This paper studies the factors which might influence the sustainability of co-processing of waste in cement kilns as a business model, considering the issues and challenges in the supply chain framework in India in view of the four canonical pillars of sustainability...
February 28, 2017: Environmental Technology
https://www.readbyqxmd.com/read/28261793/a-case-of-insect-colonization-before-the-death
#8
Stefano Vanin, Manuela Bonizzoli, Maria Luisa Migliaccio, Laura Tadini Buoninsegni, Valentina Bugelli, Vilma Pinchi, Martina Focardi
Forensic entomology is a branch of forensic science in which insects are used as evidence in legal investigations relating to humans, domestic animals and wildlife. One of the theoretical pillars on which the discipline is based concerns the fact that flies colonize a body after death. However in cases of myiasis, maggots are present before death, with consequences in the correct estimation of the minimum postmortem interval (mPMI). We report here the case of a woman, largely colonized by fly larvae, who has lain alive in her garden for four days prior to being rescued...
March 6, 2017: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/28166113/using-a-mixed-methods-approach-to-examine-practice-characteristics-associated-with-implementation-of-an-adult-immunization-intervention-using-the-4-pillars-practice-transformation-program
#9
Mary Hawk, Mary Patricia Nowalk, Krissy K Moehling, Valory Pavlik, Jonathan M Raviotta, Anthony E Brown, Richard K Zimmerman, Edmund M Ricci
Adult immunization rates are consistently suboptimal, exacting significant human and financial burden of preventable disease. Practice-level interventions to improve immunization rates have produced mixed results. The context of change critically affects implementation of evidence-based interventions. We conducted a randomized controlled cluster trial of the 4 Pillars Practice Transformation Program to increase adult vaccination rates in primary care practices and used qualitative methods to test intervention effects and understand practice characteristics associated with implementation success...
January 11, 2017: Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality
https://www.readbyqxmd.com/read/28149689/polymorphism-in-the-major-histocompatibility-complex-mhc-class-ii-b-genes-of-the-rufous-backed-bunting-emberiza-jankowskii
#10
Dan Li, Keping Sun, Yunjiao Zhao, Aiqing Lin, Shi Li, Yunlei Jiang, Jiang Feng
Genetic diversity is one of the pillars of conservation biology research. High genetic diversity and abundant genetic variation in an organism may be suggestive of capacity to adapt to various environmental changes. The major histocompatibility complex (MHC) is known to be highly polymorphic and plays an important role in immune function. It is also considered an ideal model system to investigate genetic diversity in wildlife populations. The Rufous-backed Bunting (Emberiza jankowskii) is an endangered species that has experienced a sharp decline in both population and habitat size...
2017: PeerJ
https://www.readbyqxmd.com/read/28149224/delayed-surgical-debridement-and-use-of-semiocclusive-dressings-for-salvage-of-fingers-after-purpura-fulminans
#11
Paula A Pino, Javier A Román, Felipe Fernández
Background: Purpura fulminans is a condition characterized by rapidly evolving skin necrosis and disseminated intravascular coagulation. Early recognition and aggressive supportive management has led to a decrease in its mortality rate, but most of these patients must undergo extensive soft tissue debridement and partial or total limb amputation. There is controversial evidence about the timing of surgery, suggesting that some patients may benefit from delayed debridement with limb preservation. Methods: We present a case of an 86-year-old patient who developed skin necrosis of his four limbs after infectious purpura fulminans...
December 2016: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28076583/-social-factors-associated-with-use-of-prenatal-care-in-ecuador
#12
Amaya Sánchez-Gómez, William Cevallos, Mario J Grijalva, Luis C Silva-Ayçaguer, Susana Tamayo, Jerry O Jacobson, Jaime A Costales, Rodrigo Jiménez-Garcia, Valentín Hernández-Barrera, Suzanne Serruya, Celia Riera
Objectives: Prenatal care is a pillar of public health, enabling access to interventions including prevention of mother-to-child transmission of HIV and congenital syphilis. This paper describes social factors related to use of prenatal care in Ecuador. Methods: In 2011 and 2012, participant clinical history and interview information was analyzed from a national probability sample of 5 998 women presenting for delivery or miscarriage services in 15 healthcare facilities in Ecuador, to estimate prevalence of HIV, syphilis, and Chagas disease, and prenatal care coverage...
November 2016: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28072934/aetiology-of-preoperative-anaemia-in-patients-undergoing-elective-cardiac-surgery-the-challenge-of-pillar-one-of-patient-blood-management
#13
J Abraham, R Sinha, K Robinson, V Scotland, D Cardone
Preoperative anaemia is common in patients undergoing cardiac surgery. Whilst there is a strong association with increased morbidity and mortality, it is currently unclear whether treatment of anaemia leads to patient benefit. This retrospective study aimed to determine the aetiology of preoperative anaemia in a cohort of patients undergoing elective cardiac surgery over two years at a tertiary hospital. Laboratory data obtained at the preoperative assessment clinic visit were assessed to stratify patients into four groups-iron deficiency anaemia (IDA), possible IDA, anaemia of chronic disease (ACD) and non-anaemic patients with low ferritin according to the 'Preoperative haemoglobin assessment and optimisation template' of the Australian Patient Blood Management (PBM) Guidelines...
January 2017: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/28062811/moving-upstream-health-extension-and-primary-care
#14
Lyle J Fagnan
Health extension programs represent an opportunity for practice-based research networks (PBRNs) and primary care practices to develop collaborations reaching beyond the clinic walls to address the upstream social determinants of health and engage in community-based research. The Health Extension Regional Officers (HEROs) program at the University of New Mexico described in this issue of the JABFM is an innovative model with a bidirectional approach to linking academic health centers to community-based practices and organizations...
January 2017: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/28009249/manipulating-memories-the-ethics-of-yesterday-s-science-fiction-and-today-s-reality
#15
Julie M Robillard, Judy Illes
The paper addresses recent advances in memory manipulation from the perspective of the four key pillars of neuroethics: the self, social policy, neurotechnology, and education and outreach. We provide examples for each pillar, assess their neuroethical implications, and conclude with a call for an ethics framework that is specifically tailored for the ethical challenges of memory manipulation.
December 1, 2016: AMA Journal of Ethics
https://www.readbyqxmd.com/read/27890677/time-course-of-organ-of-corti-degeneration-after-noise-exposure
#16
Barbara A Bohne, Melissa Kimlinger, Gary W Harding
From our permanent collection of plastic-embedded flat preparations of chinchilla cochleae, 22 controls and 199 ears from noise-exposed animals were used to determine when, postexposure, hair cell (HC) and supporting cell (SC) degeneration were completed. The exposed ears were divided into four groups based on exposure parameters: 0.5- or 4-kHz octave band of noise at moderate (M) or high (H) intensities. Postexposure survival ranged from <1 h to 2.5 y. Ears fixed ≤ 0-12 h postexposure were called 'acute'...
November 24, 2016: Hearing Research
https://www.readbyqxmd.com/read/27847335/patterns-of-inner-chorion-structure-in-anastrepha-diptera-tephritidae-eggs
#17
Julia V A Figueiredo, André L P Perondini, Denise Selivon
The inner chorion structure of Anastrepha eggs from 16 species of various infrageneric taxonomic groups is described by scanning and transmission electron microscopy. The layers of the chorion, the outer egg membrane, are structurally similar. Furthermore, an additional trabecular layer (ATL) that exists in some species, together with other characteristics, facilitates the recognition of four patterns of chorion structuring: Pattern I, in which the ATL layer is absent, is found in Anastrepha amita, the Anastrepha fraterculus complex, Anastrepha obliqua, Anastrepha sororcula, Anastrepha suspensa and Anastrepha zenildae (fraterculus group), and Anastrepha bistrigata and Anastrepha striata (striata group); Pattern II in Anastrepha serpentina (serpentina group), Anastrepha grandis (grandis group) and Anastrepha pseudoparallela (pseudoparallela group), in which the ATL presents large open spaces with pillars; Pattern III, found in Anastrepha consobrina (pseudoparallela group), in which the ATL is composed of round cavities; and Pattern IV, found in Anastrepha alveata and Anastrepha pickeli (spatulata group), where the large ATL cavities are reticulated...
March 2017: Arthropod Structure & Development
https://www.readbyqxmd.com/read/27805681/two-dimensional-lattice-solitons-in-polariton-condensates-with-spin-orbit-coupling
#18
Yaroslav V Kartashov, Dmitry V Skryabin
We study two-dimensional fundamental and vortex solitons in polariton condensates with spin-orbit coupling and Zeeman splitting evolving in square arrays of microcavity pillars. Due to the repulsive excitonic nonlinearity, such states are encountered in finite gaps in the spectrum of the periodic array. Spin-orbit coupling between two polarization components stemming from the TE-TM energy splitting of the cavity photons acting together with Zeeman splitting lifts the degeneracy between vortex solitons with opposite topological charges and makes their density profiles different for a fixed energy...
November 1, 2016: Optics Letters
https://www.readbyqxmd.com/read/27778379/controlling-the-bet-surface-area-of-porous-carbon-by-using-the-cd-c-ratio-of-a-cd-mof-precursor-and-enhancing-the-capacitance-by-activation-with-koh
#19
Zuo-Xi Li, Xue Zhang, Yi-Chen Liu, Kang-Yu Zou, Man-Li Yue
Herein, four new cadmium metal-organic frameworks (Cd-MOFs), [Cd(bib)(bdc)]∞ (1), [Cd(bbib)(bdc)(H2 O)]∞ (2), [Cd(bibp)(bdc)]∞ (3), and [Cd2 (bbibp)2 (bdc)2 (H2 O)]∞ (4), have been constructed from the reaction of Cd(NO3 )2 ⋅4 H2 O with 1,4-benzenedicarboxylate (H2 bdc) and structure-related bis(imidazole) ligands (1,4-bis(imidazol-1-yl)benzene (bib), 1,4-bis(benzoimidazol-1-yl)benzene (bbib), 4,4'-bis(imidazol-1-yl)biphenyl (bibp), and 4,4'-bis(benzoimidazol-1-yl)biphenyl (bbibp)) under solvothermal conditions...
October 25, 2016: Chemistry: a European Journal
https://www.readbyqxmd.com/read/27686945/induction-chemotherapy-plus-concurrent-chemoradiotherapy-versus-concurrent-chemoradiotherapy-alone-in-locoregionally-advanced-nasopharyngeal-carcinoma-a-phase-3-multicentre-randomised-controlled-trial
#20
Ying Sun, Wen-Fei Li, Nian-Yong Chen, Ning Zhang, Guo-Qing Hu, Fang-Yun Xie, Yan Sun, Xiao-Zhong Chen, Jin-Gao Li, Xiao-Dong Zhu, Chao-Su Hu, Xiang-Ying Xu, Yuan-Yuan Chen, Wei-Han Hu, Ling Guo, Hao-Yuan Mo, Lei Chen, Yan-Ping Mao, Rui Sun, Ping Ai, Shao-Bo Liang, Guo-Xian Long, Bao-Min Zheng, Xing-Lai Feng, Xiao-Chang Gong, Ling Li, Chun-Ying Shen, Jian-Yu Xu, Ying Guo, Yu-Ming Chen, Fan Zhang, Li Lin, Ling-Long Tang, Meng-Zhong Liu, Jun Ma
BACKGROUND: The value of adding cisplatin, fluorouracil, and docetaxel (TPF) induction chemotherapy to concurrent chemoradiotherapy in locoregionally advanced nasopharyngeal carcinoma is unclear. We aimed to compare TPF induction chemotherapy plus concurrent chemoradiotherapy with concurrent chemoradiotherapy alone in a suitably powered trial. METHODS: We did an open-label, phase 3, multicentre, randomised controlled trial at ten institutions in China. Patients with previously untreated, stage III-IVB (except T3-4N0) nasopharyngeal carcinoma, aged 18-59 years without severe comorbidities were enrolled...
November 2016: Lancet Oncology
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