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https://www.readbyqxmd.com/read/27910267/the-impact-of-patient-characteristics-on-nurse-practitioners-assessment-and-management-of-adolescent-concussion
#1
Janessa M Graves, Tracy A Klein
BACKGROUND AND PURPOSE: To evaluate the effect of patient sex and type of activity on concussion assessment and management recommendations. METHODS: We administered a web-based survey to all nurse practitioners (NPs) actively licensed in Washington and Oregon. Participants were randomized to view one of four standardized patient scenario videos of an adolescent seeking care for a concussion, portraying the same symptomology but differing by sex and activity (soccer/hiking)...
December 2, 2016: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/27902732/predictors-of-current-and-longer-term-patterns-of-abundance-of-american-pikas-ochotona-princeps-across-a-leading-edge-protected-area
#2
Lucas Moyer-Horner, Erik A Beever, Douglas H Johnson, Mark Biel, Jami Belt
American pikas (Ochotona princeps) have been heralded as indicators of montane-mammal response to contemporary climate change. Pikas no longer occupy the driest and lowest-elevation sites in numerous parts of their geographic range. Conversely, pikas have exhibited higher rates of occupancy and persistence in Rocky Mountain and Sierra Nevada montane 'mainlands'. Research and monitoring efforts on pikas across the western USA have collectively shown the nuance and complexity with which climate will often act on species in diverse topographic and climatic contexts...
2016: PloS One
https://www.readbyqxmd.com/read/27832952/cross-slope-and-level-walking-strategies-during-swing-in-individuals-with-a-lower-limb-amputation
#3
Coralie Villa, Isabelle Loiret, Karine Langlois, Xavier Bonnet, François Lavaste, Pascale Fodé, Hélène Pillet
OBJECTIVE: The aim of this study was to quantitatively analyze prosthetic limb swing phase gait strategies used to adapt to cross-slopes compared to level walking. DESIGN: Cross-sectional study SETTING: Gait laboratory PARTICIPANTS: A volunteer sample of seventeen individuals with a transfemoral amputation, fifteen individuals with a transtibial amputation and seventeen able-bodied subjects. INTERVENTIONS: Participants walked on level and 6° (10%) cross slope surfaces at a self-selected walking speed...
November 7, 2016: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/27803871/analysis-on-sports-and-recreation-activity-related-eye-injuries-presenting-to-the-emergency-department
#4
Sungbae Moon, Hyun Wook Ryoo, Jae Yun Ahn, Jung Bae Park, Kang Suk Seo, Sang Do Shin, Kyoung Jun Song, Kang Hyun Lee, In Sool Yoo, Jin Seong Cho, Hyun Ho Ryu, Tae Oh Jeong, Seok Ran Yeom, Young Taek Kim, Sung Ok Hong
AIM: To investigate the incidence and general characteristics of sports-related eye injuries in patients visiting the Emergency Department. METHODS: A cross-sectional, multi-center, observational study. Patients with an injured eye who visited the Emergency Department at one of nine hospitals in Korea were enrolled. All data were prospectively collected between March and September 2010 using a questionnaire. Eye injuries that occurred during risky sports were examined by gender and age...
2016: International Journal of Ophthalmology
https://www.readbyqxmd.com/read/27802935/competition-authority-will-investigate-price-hikes-of-generic-drugs
#5
Nigel Hawkes
No abstract text is available yet for this article.
November 1, 2016: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/27799693/a-study-on-macronutrient-self-selection-after-acute-aerobic-exercise-in-college-females
#6
Tae-Young Kim, Min-Jeong Kim, Ik-Rae Cho, Yu-Mi Won, Mi-Kyung Han, Kon-Nym Jung, Sang-Ho Lee, Jae-Hee Lee, Ji-Hyoung Chin, Jae-Hun Roh, Seung-Hi Min, Taek-Kyun Lee, Hyo-Joo Park, Kwon Jang, Se-Jeong Kwon, Suh-Jung Kang, Mi-Ae Shin, Hu-Nyun Kim, Jae-Seung Hong, Eun-Hi Choi, Nam-Il An, Ji-Hyuk Kim, Mi-Suk Kim
[Purpose] This study was conducted to determine whether acute aerobic exercise (climbing) is associated with changes in the dietary intake pattern. [Subjects and Methods] Food intake and physical activity data for 15 female college students were sampled for 3 days and categorized according to routine activity or high-intensity activity such as hiking. Nutrient intake based on the data was analyzed using a nutrition program. [Results] Carbohydrate and protein intake was significantly decreased after exercise compared to before acute aerobic exercise, but lipid intake showed no significant difference...
September 2016: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/27774247/off-patent-drugs-at-brand-name-prices-a-puzzle-for-policymakers
#7
Naren P Tallapragada
In August 2015, Turing Pharmaceuticals acquired the marketing rights to Daraprim (pyrimethamine), a drug used to treat parasitic infections like malaria and toxoplasmosis. Soon after, Turing caused an uproar when it announced that it would raise the price per tablet of Daraprim from [Formula: see text], a 5500% price hike for a drug that has been on the market for over 60 years and off patent since the 1970s. Old, off-patent drugs are becoming increasingly expensive; Daraprim is the archetypal example. Turing had the power to set a high price for Daraprim because the drug's limited patient population, the absence of competing manufacturers, and a lack of therapeutic alternatives all created an effective monopoly...
April 2016: Journal of Law and the Biosciences
https://www.readbyqxmd.com/read/27769777/improvised-cricothyrotomy-on-a-mountain-using-hiking-gear
#8
Clare A Johnson, Diana S Goodwine, Ingrid Passier
We present a case of a 57-year-old man who fell while climbing a mountain in California and sustained severe facial trauma. Three firefighters and 2 emergency physicians witnessed the fall and resuscitated the patient. The patient ultimately required a surgical cricothyrotomy performed with a pocket knife and Platypus hydration pack. The physicians made a makeshift positive pressure airway device using the Platypus hydration pack. We believe this is the first case report describing an improvised cricothyrotomy performed in the wilderness using only hiking gear...
December 2016: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/27748227/hyperspora-aquatica-n-gn-n-sp-microsporidia-hyperparasitic-in-marteilia-cochillia-paramyxida-is-closely-related-to-crustacean-infecting-microspordian-taxa
#9
G D Stentiford, A Ramilo, E Abollo, R Kerr, K S Bateman, S W Feist, D Bass, A Villalba
The Paramyxida, closely related to haplosporidians, paradinids, and mikrocytids, is an obscure order of parasitic protists within the class Ascetosporea. All characterized ascetosporeans are parasites of invertebrate hosts, including molluscs, crustaceans and polychaetes. Representatives of the genus Marteilia are the best studied paramyxids, largely due to their impact on cultured oyster stocks, and their listing in international legislative frameworks. Although several examples of microsporidian hyperparasitism of paramyxids have been reported, phylogenetic data for these taxa are lacking...
October 17, 2016: Parasitology
https://www.readbyqxmd.com/read/27734958/lwd-tcp-complex-activates-the-morning-gene-cca1-in-arabidopsis
#10
Jing-Fen Wu, Huang-Lung Tsai, Ignasius Joanito, Yi-Chen Wu, Chin-Wen Chang, Yi-Hang Li, Ying Wang, Jong Chan Hong, Jhih-Wei Chu, Chao-Ping Hsu, Shu-Hsing Wu
A double-negative feedback loop formed by the morning genes CIRCADIAN CLOCK ASSOCIATED1 (CCA1)/LATE ELONGATED HYPOCOTYL (LHY) and the evening gene TIMING OF CAB EXPRESSION1 (TOC1) contributes to regulation of the circadian clock in Arabidopsis. A 24-h circadian cycle starts with the peak expression of CCA1 at dawn. Although CCA1 is targeted by multiple transcriptional repressors, including PSEUDO-RESPONSE REGULATOR9 (PRR9), PRR7, PRR5 and CCA1 HIKING EXPEDITION (CHE), activators of CCA1 remain elusive. Here we use mathematical modelling to infer a co-activator role for LIGHT-REGULATED WD1 (LWD1) in CCA1 expression...
October 13, 2016: Nature Communications
https://www.readbyqxmd.com/read/27731301/time-bound-promotions-in-indian-medical-institutes-a-mirage
#11
Anupama Sukhlecha
Incentives, pay hikes and timely promotions enhance the job performance of an employee. In medical institutes, too, satisfied teachers would train students in a better way leading to better equipped doctors and ultimately, greater patient satisfaction. A study in Malaysia links high levels of satisfaction of employees with good salary, promotions, and incentives.
October 2016: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/27697949/comparing-projected-impacts-of-cigarette-floor-price-and-excise-tax-policies-on-socioeconomic-disparities-in-smoking
#12
Shelley D Golden, Matthew C Farrelly, Douglas A Luke, Kurt M Ribisl
BACKGROUND: About half of all US states have cigarette minimum price laws (MPLs) that require a per cent mark-up on prices, but research suggests they may not be very effective in raising prices. An alternative type of MPL sets a floor price below which packs cannot be sold, and may be more promising. This new type of MPL policy has only been implemented in 1 city, therefore its benefits relative to excise taxes is difficult to assess. METHODS: We constructed a set of possible state floor price MPL options, and matched them to possible state excise tax hikes designed to produce similar average price increases...
October 2016: Tobacco Control
https://www.readbyqxmd.com/read/27673458/epipen-price-hike-comes-under-scrutiny
#13
Rita Rubin
No abstract text is available yet for this article.
September 24, 2016: Lancet
https://www.readbyqxmd.com/read/27602191/trends-in-ct-request-and-related-outcomes-in-a-pediatric-emergency-department
#14
S M Saiful Islam, Amir Fattah Abru, Saeed Al Obaidani, Saud Al Shabibi, Sami Al Farsi
OBJECTIVES: To study and to establish the overall trends of computed tomography (CT) use and associated outcomes in the pediatric emergency department (PED) at Royal Hospital, Oman, from 2010 to 2014. METHODS: The hospital electronic medical record was retrospectively searched to find children (from birth to 12 years old) who had visited the PED and the number of CT requests between 1 January 2010 and 31 December 2014. The types of CT examinations ordered were analyzed according to anatomical location and were as follows; head, abdomen/pelvis, chest, cervical spine/neck, and others...
September 2016: Oman Medical Journal
https://www.readbyqxmd.com/read/27597322/stygofauna-enhance-prokaryotic-transport-in-groundwater-ecosystems
#15
Renee J Smith, James S Paterson, Elise Launer, Shanan S Tobe, Eliesa Morello, Remko Leijs, Shashikanth Marri, James G Mitchell
More than 97% of the world's freshwater reserves are found in aquifers, making groundwater one of the most important resources on the planet. Prokaryotic communities in groundwater underpin the turnover of energy and matter while also maintaining groundwater purity. Thus, knowledge of microbial transport in the subsurface is crucial for maintaining groundwater health. Here, we describe for the first time the importance of stygofauna as vectors for prokaryotes. The "hitch-hiking" prokaryotes associated with stygofauna may be up to 5 orders of magnitude higher in abundance and transported up to 34× faster than bulk groundwater flow...
2016: Scientific Reports
https://www.readbyqxmd.com/read/27591889/exercise-induced-vasculitis-a-review-with-illustrated-cases
#16
REVIEW
Olivier Espitia, Brigitte Dréno, Elisabeth Cassagnau, Quentin Didier, Thibaut Quillard, Christelle Nicol, Yann Le Bouch, Bernard Planchon, Marc-Antoine Pistorius
Although exercise-induced vasculitis (EIV) is usually misdiagnosed, it is not uncommon. Occurring mostly after prolonged exercise, especially in hot weather, EIV is an isolated cutaneous vasculitis with stereotypical presentation. This article reviews the clinical characteristics, treatments, and outcomes of EIV based on the published literature. We report 99 patients who developed EIV after walking, dancing, swimming, or hiking especially during hot weather, including the records of 16 patients with EIV treated at our hospital from 2007 to 2015...
December 2016: American Journal of Clinical Dermatology
https://www.readbyqxmd.com/read/27585447/the-effects-of-a-3-month-controlled-hiking-programme-on-the-functional-abilities-of-patients-following-total-knee-arthroplasty-a-prospective-randomized-trial
#17
Caroline Hepperger, Peter Gföller, Christian Hoser, Hanno Ulmer, Felix Fischer, Wolfgang Schobersberger, Christian Fink
PURPOSE AND HYPOTHESIS: Improvements in pain, function and sports activity are the main goals of patients following total knee arthroplasty (TKA). Participation in sports has become an increasingly important contributor to patients' quality of life (QoL). Hiking is one of the most popular summer activities among elderly people in alpine regions. Consequently, this randomized controlled trial investigates the impact of a 3-month guided hiking programme on patients' functional abilities and QoL following TKA...
September 1, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27581862/-the-tobacco-free-generation
#18
W de Kanter
In the Netherlands, every day some 100 adolescents become addicted to cigarettes. These new smokers fill the gap left by the 25% of smokers who die before reaching retirement age. The State Secretary for Health, Welfare and Sport in the Netherlands, the Royal Dutch Medical Association (KNMG), and the Dutch Cancer Society, Lung Foundation and Heart Foundation all support the concept of a tobacco-free generation. The concept is that, by applying public health interventions and restriction of tobacco accessibility through price hikes, in the near future none of the children in the Netherlands born in 2017 and beyond will take up smoking...
2016: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/27581663/epinephrine-pen-maker-offers-discounts-after-alleged-price-hiking
#19
Michael McCarthy
No abstract text is available yet for this article.
2016: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/27550168/analysing-cytochrome-c-aggregation-and-fibrillation-upon-interaction-with-acetonitrile-an-in-vitro-study
#20
Mohammad Furkan, Naveed Ahmad Fazili, Mohammad Afsar, Aabgeena Naeem
The propensity of native state to form aggregated and fibrillar assemblies is a hallmark of amyloidosis. Our study was focused at analyzing the aggregation and fibrillation tendency of cytochrome c in presence of an organic solvent i.e. acetonitrile. In vitro analysis revealed that the interaction of cytochrome c with acetonitrile facilitated the oligomerization of cytochrome c via the passage through an intermediate state which was obtained at 20 % v/v concentration of acetonitrile featured by a sharp hike in the ANS fluorescence intensity with a blue shift of 20 nm compared to the native state...
August 22, 2016: Journal of Fluorescence
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