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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
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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 Anastrephaamita, the Anastrepha fraterculus complex, Anastrepha obliqua, Anastrepha sororcula, Anastrephasuspensa and Anastrephazenildae (fraterculus group), and Anastrephabistrigata and Anastrephastriata (striata group); Pattern II in Anastrephaserpentina (serpentina group), Anastrephagrandis (grandis group) and Anastrephapseudoparallela (pseudoparallela group), in which the ATL presents large open spaces with pillars; Pattern III, found in Anastrephaconsobrina (pseudoparallela group), in which the ATL is composed of round cavities; and Pattern IV, found in Anastrephaalveata and Anastrephapickeli (spatulata group), where the large ATL cavities are reticulated...
December 22, 2016: Arthropod Structure & Development
https://www.readbyqxmd.com/read/27805681/two-dimensional-lattice-solitons-in-polariton-condensates-with-spin-orbit-coupling
#10
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
#11
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
#12
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
https://www.readbyqxmd.com/read/27685981/effects-of-high-latitude-protected-areas-on-bird-communities-under-rapid-climate-change
#13
Andrea Santangeli, Ari Rajasärkkä, Aleksi Lehikoinen
Anthropogenic climate change is rapidly becoming one of the main threats to biodiversity, along with other threats triggered by human-driven land-use change. Species are already responding to climate change by shifting their distributions polewards. This shift may create a spatial mismatch between dynamic species distributions and static protected areas (PAs). As protected areas represent one of the main pillars for preserving biodiversity today and in the future, it is important to assess their contribution in sheltering the biodiversity communities, they were designated to protect...
September 29, 2016: Global Change Biology
https://www.readbyqxmd.com/read/27638824/-igg4-associated-diseases-state-of-the-art
#14
A Kleger, T Seufferlein
CLINICAL ISSUE: IgG4-related diseases are rare but the incidence is continuously increasing. The pathophysiology is only incompletely understood. Multiorgan involvement correlates with high relapse rates, high serum IgG4 levels and an aggressive disease course, which is why diagnostics and therapy must be carried out rapidly and efficiently according to international guidelines despite all the difficulties. STANDARD TREATMENT: Currently the therapeutic standard is initial therapy (induction therapy) with glucocorticosteroids over a longer period of time and if necessary followed by low-dose maintenance therapy...
December 2016: Der Radiologe
https://www.readbyqxmd.com/read/27611118/simultaneous-improvement-and-worsening-of-vitiligo-lesions-during-the-course-of-nb-uvb-phototherapy-vitiligo-may-not-act-as-one-unit
#15
Tag Anbar, Amal Abdel-Rahman, Rehab Hegazy, Mohamed El-Khayyat, Maha Ragaie
Re-pigmentation and stabilization are the two ultimate goals of any re-pigmenting plan designed for vitiligo management. Furthermore, whether the improvement of some vitiligo lesions could be considered a guarantee for a similar response and/or stabilization of the rest of the lesions or not, remains to be clarified. To evaluate the behavior of non-segmental vitiligo (NSV), while on narrow band-ultraviolet B (NB-UVB) phototherapy. 25 patients with stable generalized NSV were included and received NB-UVB twice weekly...
January 2017: Dermatologic Therapy
https://www.readbyqxmd.com/read/27581521/distance-learning-ects-and-flipped-classroom-in-the-anatomy-learning-comparative-study-of-the-use-of-augmented-reality-video-and-notes
#16
Javier Ferrer-Torregrosa, Miguel Ángel Jiménez-Rodríguez, Javier Torralba-Estelles, Fernanda Garzón-Farinós, Marcelo Pérez-Bermejo, Nadia Fernández-Ehrling
BACKGROUND: The establishment of the ECTS (European Credit Transfer System) is one of the pillars of the European Space of Higher Education. This way of accounting for the time spent in training has two essential parts, classroom teaching (work with the professor) and distance learning (work without the professor, whether in an individual or collective way). Much has been published on the distance learning part, but less on the classroom teaching section. In this work, the authors investigate didactic strategies and associated aids for distance learning work in a concept based on flipped classroom where transmitting information is carried out with aids that the professor prepares, so that the student works in an independent way before the classes, thus being able to dedicate the classroom teaching time to more complex learning and being able to count on the professor's help...
September 1, 2016: BMC Medical Education
https://www.readbyqxmd.com/read/27563348/interventions-geared-towards-strengthening-the-health-system-of-namibia-through-the-integration-of-palliative-care
#17
Rachel Freeman, Emmanuel Bk Luyirika, Eve Namisango, Fatia Kiyange
The high burden of non-communicable diseases and communicable diseases in Africa characterised by late presentation and diagnosis makes the need for palliative care a priority from the point of diagnosis to death and through bereavement. Palliative care is an intervention that requires a multidisciplinary team to address the multifaceted needs of the patient and family. Thus, its development takes a broad approach that involves engaging all key stakeholders ranging from policy makers, care providers, educators, the public, patients, and families...
2016: Ecancermedicalscience
https://www.readbyqxmd.com/read/27527684/tunable-nanosupramolecular-aggregates-mediated-by-host-guest-complexation
#18
Wen Zhang, Ying-Ming Zhang, Sheng-Hua Li, Yong-Liang Cui, Jie Yu, Yu Liu
Nanosupramolecular assemblies with controlled topological features have inventive applications in fundamental studies and material manufacturing. Herein, a variety of morphologically interesting aggregates have been constructed using the supramolecular modulation with bipyridinium-modified diphenylalanine derivative (BP-FF). Benefiting from the high binding affinity of bipyridinium group with four different macrocyclic receptors, namely cucurbit[7]uril, cucurbit[8]uril, pillar[5]arene, and tetrasulfonated crown ether, we have succeeded in tuning the topological aggregates of BP-FF from fine nanofibers to nanorods, octahedron-like nanostructure, helical nanowires, and rectangular nanosheets without any tedious chemical modification...
September 12, 2016: Angewandte Chemie
https://www.readbyqxmd.com/read/27524725/al-intercalated-acid-activated-bentonite-beads-for-the-removal-of-aqueous-phosphate
#19
Radheshyam R Pawar, Prabuddha Gupta, Lalhmunsiama, Hari C Bajaj, Seung-Mok Lee
The separation of fine spent sorbents from treated water after remediation is a major difficulty associated with phosphate wastewater treatment technology. In this study, a novel aluminium-pillared acid activated bentonite powder (Al-ABn) and alginate immobilized aluminium-pillared acid activated bentonite beads (Al-ABn-AB) were synthesized and used for the removal of aqueous phosphate. The phosphate removal behaviour of adsorbents were evaluated by batch experiments as a function of various parameters such as pH, initial concentration, contact time, temperature, adsorbent dose and presence of coexisting ions...
August 11, 2016: Science of the Total Environment
https://www.readbyqxmd.com/read/27508296/grape-cultivar-and-sap-culture-conditions-affect-the-development-of-xylella-fastidiosa-phenotypes-associated-with-pierce-s-disease
#20
Lingyun Hao, Paulo A Zaini, Harvey C Hoch, Thomas J Burr, Patricia Mowery
Xylella fastidiosa is a xylem-limited bacterium in plant hosts and causes Pierce's disease (PD) of grapevines, which differ in susceptibility according to the Vitis species (spp.). In this work we compared X. fastidiosa biofilm formation and population dynamics when cultured in xylem saps from PD-susceptible and -resistant Vitis spp. under different conditions. Behaviors in a closed-culture system were compared to those in different sap-renewal cultures that would more closely mimic the physicochemical environment encountered in planta...
2016: PloS One
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