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https://www.readbyqxmd.com/read/28445647/how-will-copper-contamination-constrain-future-global-steel-recycling
#1
Katrin Ellen Daehn, Andre Cabrera Serrenho, Julian M Allwood
Copper in steel causes metallurgical problems, but is pervasive in end-of-life scrap and cannot currently be removed commercially once in the melt. Contamination can be managed to an extent by globally trading scrap for use in tolerant applications and dilution with primary iron sources. However, the viability of long-term strategies can only be evaluated with a complete characterization of copper in the global steel system and this is presented in this paper. The copper concentration of flows along the 2008 steel supply chain is estimated from a survey of literature data and compared with estimates of the maximum concentration that can be tolerated in steel products...
April 26, 2017: Environmental Science & Technology
https://www.readbyqxmd.com/read/28445624/the-role-of-publicly-funded-family-planning-sites-in-health-insurance-enrollment
#2
Jennifer Yarger, Sara Daniel, M Antonia Biggs, Jan Malvin, Claire D Brindis
CONTEXT: Publicly funded family planning providers are well positioned to help uninsured individuals learn about health insurance coverage options and effectively navigate the enrollment process. Understanding how these providers are engaged in enrollment assistance and the challenges they face in providing assistance is important for maximizing their role in health insurance outreach and enrollment. METHODS: In 2014, some 684 sites participating in California's family planning program were surveyed about their involvement in helping clients enroll in health insurance...
April 26, 2017: Perspectives on Sexual and Reproductive Health
https://www.readbyqxmd.com/read/28445471/a-randomized-trial-comparing-concise-and-standard-consent-forms-in-the-start-trial
#3
Christine Grady, Giota Touloumi, A Sarah Walker, Mary Smolskis, Shweta Sharma, Abdel G Babiker, Nikos Pantazis, Jorge Tavel, Eric Florence, Adriana Sanchez, Fleur Hudson, Antonios Papadopoulos, Ezekiel Emanuel, Megan Clewett, David Munroe, Eileen Denning
BACKGROUND: Improving the effectiveness and efficiency of research informed consent is a high priority. Some express concern about longer, more complex, written consent forms creating barriers to participant understanding. A recent meta-analysis concluded that randomized comparisons were needed. METHODS: We conducted a cluster-randomized non-inferiority comparison of a standard versus concise consent form within a multinational trial studying the timing of starting antiretroviral therapy in HIV+ adults (START)...
2017: PloS One
https://www.readbyqxmd.com/read/28445196/the-use-of-a-fresh-tissue-cadaver-model-for-the-instruction-of-dermatological-procedures-a-laboratory-study-for-training-medical-students
#4
Jose A Cervantes, Collin M Costello, Melody Maarouf, Hilary C McCrary, Nathalie C Zeitouni
BACKGROUND: A realistic model for the instruction of basic dermatologic procedural skills was developed, while simultaneously increasing medical student exposure to the field of dermatology. OBJECTIVE: The primary purpose of the authors' study was to evaluate the utilization of a fresh-tissue cadaver model (FTCM) as a method for the instruction of common dermatologic procedures. The authors' secondary aim was to assess students' perceived clinical skills and overall perception of the field of dermatology after the lab...
April 24, 2017: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://www.readbyqxmd.com/read/28444317/undocumented-and-documented-migrants-with-chronic-diseases-in-family-practice-in-the-netherlands
#5
Jonathan S O van de Sande, Maria E T C van den Muijsenbergh
Background.: Undocumented migrants (UM) face many barriers in accessing healthcare. It is unknown how these affect the care of UM with chronic diseases in general practices. In the Netherlands, a General practitioner (GP) is the gatekeeper to the healthcare system and primary care provider for UM. Objective.: To get insight into GP care for chronic diseases in UM compared with documented migrants (DM). Methods.: A survey study of medical records of UM and DM in five general practices in the Netherlands with extensive experience in caring for UM...
April 21, 2017: Family Practice
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
#6
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/28443338/child-passenger-safety-technician-consultation-in-the-pediatric-primary-care-setting
#7
Dina Burstein, Mark R Zonfrillo, Janette Baird, Michael J Mello
Correct use of a child safety seat (CSS) can reduce the risk of fatal motor vehicle crash-related injury by up to 71%; however, misuse rates for CSS are as high as 70%. We recruited 189 caregivers at 2 large suburban pediatric office practices; 94 in the intervention group and 95 in the control group. All participants completed a baseline survey and received a CSS safety brochure. Intervention participants had their CSS installation checked at enrollment by a certified child passenger safety (CPS) technician...
April 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/28442493/characteristics-and-outcomes-of-canadian-md-phd-program-graduates-a-cross-sectional-survey
#8
Michael A Skinnider, Jordan W Squair, David D W Twa, Jennifer X Ji, Alexandra Kuzyk, Xin Wang, Patrick E Steadman, Kirill Zaslavsky, Ayan K Dey, Mark J Eisenberg, Ève-Reine Gagné, Kent T HayGlass, James F Lewis, Peter J Margetts, D Alan Underhill, Norman D Rosenblum, Lynn A Raymond
BACKGROUND: Combined MD/PhD programs provide a structured path for physician-scientist training, but assessment of their success within Canada is limited by a lack of quantitative data. We collected outcomes data for graduates of Canadian MD/PhD programs. METHODS: We developed and implemented a Web-based survey consisting of 41 questions designed to collect outcomes data for Canadian MD/PhD program alumni from 8 Canadian universities who had graduated before September 2015...
April 25, 2017: CMAJ Open
https://www.readbyqxmd.com/read/28442281/determinants-of-knowledge-and-attitudes-regarding-pain-among-nurses-in-a-university-hospital-a-cross-sectional-study
#9
Elfa Gretarsdottir, Sigridur Zoëga, Gunnar Tomasson, Herdis Sveinsdottir, Sigridur Gunnarsdottir
The aim of this cross-sectional study was to evaluate the primary determinants of knowledge and attitudes regarding pain among nurses in a hospital setting. All registered nurses employed at participating units at a university hospital were invited to participate. Information on work experience, education, and hospital unit was evaluated using a questionnaire. The Knowledge and Attitude Survey Regarding Pain instrument was used to assess knowledge on pain management. The difference in knowledge between nurses with different levels of education was assessed with analysis of variance...
April 23, 2017: Pain Management Nursing: Official Journal of the American Society of Pain Management Nurses
https://www.readbyqxmd.com/read/28442229/changing-attitudes-to-childhood-immunisation-in-english-parents
#10
Helen Campbell, Angela Edwards, Louise Letley, Helen Bedford, Mary Ramsay, Joanne Yarwood
OBJECTIVES: We undertook a national survey of parental attitudes to childhood vaccinations and compared results with those in earlier comparable surveys covering a 10year period. METHODS: We randomly selected 275 nationally representative sampling locations in England. Interviewers identified eligible primary care givers (referred to as parents) of children aged from 2months to <5years and conducted home-based interviews between January and April 2015. We aimed to recruit 1000 parents of children aged 0-2years and 1000 of children aged 3-4years...
April 17, 2017: Vaccine
https://www.readbyqxmd.com/read/28442056/corrigendum-to-socioeconomic-status-as-a-factor-in-indigenous-and-non-indigenous-children-with-hearing-loss-analysis-of-national-survey-data
#11
Andrea Simpson, Joanne C Enticott, Jacinta Douglas
In this paper, the association between socioeconomic status and speech, language and communication outcomes for primary-school-going children with hearing loss using population survey data was analysed. The dataset used for analysis consisted of 289973 children in total, of which 3174 children had hearing loss. For all children, higher socioeconomic status was positively correlated with better speech, language and communication outcomes. A hearing loss was indicated for 1% of non-Indigenous children and 4.3% of Indigenous children...
April 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28442035/manufactured-home-villages-in-australia-a-melting-pot-of-chronic-disease
#12
Karin Robinson, Abhijeet Ghosh, Elizabeth Halcomb
Manufactured home villages (MHVs) are an increasingly popular housing option for older Australians. This paper reports a cross-sectional survey that sought to describe the health status and health service access of MHV residents. The survey tool comprised demographic and health status items, primary healthcare access perceptions and the World Health Organization Quality of Life tool (WHOQOL-BREF). One-hundred-eighty-six MHV residents from regional NSW completed the survey. Hypertension (54.8%) and arthritis (46...
April 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28441685/stagnant-physical-therapy-referral-rates-alongside-rising-opioid-prescription-rates-in-patients-with-low-back-pain-in-the-united-states-1997-2010
#13
Patricia Zheng, Ming-Chih Kao, Nicholas V Karayannis, Matthew Smuck
STUDY DESIGN: A cross-sectional observational study utilizing the National Ambulatory and National Hospital Ambulatory Medical Care Surveys between 1997 and 2010. OBJECTIVE: The aim of this study was to characterize national physical therapy (PT) referral trends during primary care provider (PCP) visits in the United States. SUMMARY OF BACKGROUND DATA: Despite guidelines recommending PT for the initial management of low back pain (LBP), national PT referral rates remain low...
May 1, 2017: Spine
https://www.readbyqxmd.com/read/28441678/the-addiction-recovery-clinic-a-novel-primary-care-based-approach-to-teaching-addiction-medicine
#14
Stephen R Holt, Nora Segar, Dana A Cavallo, Jeanette M Tetrault
PROBLEM: Substance use is highly prevalent in the United States, but little time in the curriculum is devoted to training internal medicine residents in addiction medicine. APPROACH: In 2014, the authors developed and launched the Addiction Recovery Clinic (ARC) to address this educational gap while also providing outpatient clinical services to patients with substance use disorders. The ARC is embedded within the residency primary care practice and is staffed by three to four internal medicine residents, two board-certified addiction medicine specialists, one chief resident, and one psychologist...
May 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28441600/microplastics-in-the-antarctic-marine-system-an-emerging-area-of-research
#15
REVIEW
Catherine L Waller, Huw J Griffiths, Claire M Waluda, Sally E Thorpe, Iván Loaiza, Bernabé Moreno, Cesar O Pacherres, Kevin A Hughes
It was thought that the Southern Ocean was relatively free of microplastic contamination; however, recent studies and citizen science projects in the Southern Ocean have reported microplastics in deep-sea sediments and surface waters. Here we reviewed available information on microplastics (including macroplastics as a source of microplastics) in the Southern Ocean. We estimated primary microplastic concentrations from personal care products and laundry, and identified potential sources and routes of transmission into the region...
April 22, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28441226/patient-satisfaction-with-pas-in-the-netherlands
#16
Koos Meijer, Luppo Kuilman
Physician assistants (PAs) were introduced in the Netherlands in 2002 and are now widely deployed. However, little is known about patient satisfaction with Dutch PAs. A comparative study of patient satisfaction was undertaken in the primary care setting. Patients seen by general practitioners (GPs) and PAs were surveyed using the Consumer Quality Index, a European quality survey instrument. Quality of performance indicators included patient satisfaction, effectiveness of treatment, and safety of treatment. The results found that few differences emerged, and Dutch patients appear to be as satisfied with the care received by PAs as with GPs...
May 2017: JAAPA: Official Journal of the American Academy of Physician Assistants
https://www.readbyqxmd.com/read/28440751/validation-in-daily-clinical-situations-of-diascope-%C3%A2-a-software-developed-to-help-healthcare-professionals-individualize-antidiabetic-treatment-in-type-2-diabetes
#17
Francisco Javier Ampudia-Blasco, Francisco Javier García-Soidán, Manuela Rubio Sánchez, Tra-Mi Phan
INTRODUCTION: DiaScope(®) is a software to help in individualized prescription of antidiabetic treatment in type 2 diabetes. This study assessed its value and acceptability by different professionals. MATERIAL AND METHODS: DiaScope(®) was developed based on the ADA-EASD 2012 algorithm and on the recommendation of 12 international diabetes experts using the RAND/UCLA appropriateness method. The current study was performed at a single session. In the first phase, 5 clinical scenarios were evaluated, selecting the most appropriated therapeutic option among 4 possibilities (initial test)...
March 2017: Endocrinol Diabetes Nutr
https://www.readbyqxmd.com/read/28440678/involvement-of-primary-care-physicians-in-the-decision-making-and-care-of-patients-with-breast-cancer
#18
Lauren P Wallner, Paul Abrahamse, Jaspreet K Uppal, Christopher R Friese, Ann S Hamilton, Kevin C Ward, Steven J Katz, Sarah T Hawley
Purpose Collaborative care between cancer specialists and primary care providers (PCPs) may improve the delivery of high-quality cancer care. Yet, patient perspectives about how involved the PCPs were in their breast cancer care and treatment decisions remain unknown. Patients and Methods A weighted random sample of women newly diagnosed with breast cancer in 2013 to 2014, as reported to the SEER registries in Los Angeles, California, and Georgia, were sent a survey approximately 6 months after diagnosis (N = 2,279, 71% response rate)...
November 20, 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28440560/parental-perception-of-child-s-body-mass-index-and-health-within-primary-care
#19
Imelda Reyes, Melinda Higgins
BACKGROUND AND PURPOSE: Overweight and obesity are sensitive issues to address with pediatric patients during any visit. Patients and families may not recognize that their child is overweight or obese and may not be ready to make change. The goals for this study were to collect overall statistics on the clinic in regards to weight status of children presenting for well child visits and to capture parental perception of the child's weight status in relation to child's age. METHODS: A consecutive sample of parents and caregivers with a child aged 2-18 completed the survey and consented for the study on the day of the survey during a well child visit...
April 25, 2017: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/28439609/primary-care-physicians-knowledge-of-sleep-medicine-and-barriers-to-transfer-of-patients-with-sleep-disorders-a-cross-sectional-study
#20
Ahmed H Saleem, Faisal A Al Rashed, Ghassan A Alkharboush, Othman M Almazyed, Awad H Olaish, Aljohara S Almeneessier, Ahmed S BaHammam
To assess primary care physicians' (PCPs) knowledge and attitudes toward sleep disorders.  Methods: In this cross-sectional quantitative study, we surveyed 88 primary care centers under the Ministry of Health during 2015 in Riyadh, Saudi Arabia, using a combination of pre-designed validated questionnaires. Knowledge was assessed using the Assessment of Sleep Knowledge in Medical Education (ASKME) questionnaire, and attitude was assessed using a pre-designed survey. For numerical variables, t-test was used, and for categorical variables, Chi-square test was used...
May 2017: Saudi Medical Journal
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