SciCombinator

Discover the most talked about and latest scientific content & concepts.

Concept: Disaster film

0

To discuss the need for revision of the “core set” of domains to be included for assessment in psoriatic arthritis (PsA) randomized controlled trials and longitudinal observational studies, review work undertaken since the 2012 meeting of Outcome Measures for Rheumatology 11 (OMERACT 11) to include patient perspectives in this revision, and reassess proposed composite measures in the context of new research data and the OMERACT Filter 2.0 framework.

Concepts: Experimental design, Randomized controlled trial, Rheumatoid arthritis, Rheumatology, Arthritis, Psoriatic arthritis, Etanercept, Disaster film

0

Preventive Child Health Care (PCHC) services are delivered to all children in the Netherlands by approximately 5500 doctors, nurses and doctor’s assistants. In 1996, The Dutch Ministry of Health, Welfare and Sports asked for the development of evidence-based PCHC guidelines. Since 1998, twenty-five guidelines have been published. Levels of implementation affect outcomes and so implementation and evaluation of the actual use of guidelines are essential. At the outset, there was a national implementation plan with six main activities: a) determinant analysis before the implementation of a guideline, b) innovation strategies tailored to the determinants, c) dissemination to all professionals, d) ongoing evaluation of the awareness and use of the guidelines, e) trained implementation coordinator(s) in each PCHC organization and f) a national help desk. The awareness and use of the guidelines in random samples of doctors, nurses and doctor’s assistants were surveyed using questionnaires. The respondents stated (on a 7-point scale) the proportion of all children they had exposed to given core elements in a guideline. The aim is for at least 90% of the professionals to be aware of the guideline and for 80% to perform the core elements for all (or nearly all) children. The six main activities, with the exception of ongoing evaluation, were gradually put into place, albeit only gradually, between 1998 and 2015 for all guidelines. In 2012, the use of individual core elements in all guidelines, dating from before 2012, varied from 28% to 100%. One guideline met both criteria of 90% awareness and 80% use, and three guidelines nearly met these criteria. Looking back on fifteen years of PCHC guidelines, we may conclude that the guidelines produced recently are implemented in accordance with the national implementation plan. Unfortunately, the evaluation of guideline use continues to be a difficulty.

Concepts: Health care, Child, Implementation, Netherlands, Awareness, The Core, Doctor, Disaster film

0

Selecting an interbody cage with appropriate height is one of the key steps in lumbar interbody fusion, and has an important impact on clinical efficacy. How to choose the appropriate height of the cage becomes one of the core problems of lumbar interbody fusion for spine surgeons. However, studies about objective selection criteria on interbody cage height was rare.

Concepts: Disaster film

0

Posttraumatic growth (PTG), psychological growth as a result of personal struggle with trauma, is hypothesized to occur when a highly stressful life event, such as a natural disaster, forces people to reexamine their core beliefs. To the authors' knoweldge, the present study is the first investigation in Japanese people examining the role of core beliefs, intrusive rumination, and deliberate rumination in PTG. Hypotheses that the level of reexamination of core beliefs, intrusive rumination, and deliberate rumination correlate with the seismicity of an earthquake and that the challenge to core beliefs is the major determinant of PTG were tested. Japanese undergraduate students who experienced the Great East Japan Earthquake on March 11, 2011 (N = 314) participated in this study and completed the Japanese version of the Core Beliefs Inventory (CBI), the Event-Related Rumination Inventory (ERRI), and the Posttraumatic Growth Inventory (PTGI). Results indicated that core beliefs were less likely to be challenged and that ruminations were less likely to be activated in Japanese people who were in the southern area with an approximate Richter magnitude of 4 or lower. PTG was more likely to occur when core beliefs were reexamined following the earthquake. Also, younger participants and those who recalled having engaged in both deliberate and intrusive rumination reported more PTG. Future studies should investigate which aspects of trauma can trigger or suppress the reexamination of one’s core beliefs, for they are likely to be the major determinants of PTG, and should look at change longitudinally. (PsycINFO Database Record

Concepts: English-language films, Japan, Earthquake, Richter magnitude scale, Moment magnitude scale, United States patent law, Disaster film, Reexamination

0

A Global Programme to Eliminate Lymphatic Filariasis was launched in 2000, with mass drug administration (MDA) as the core strategy of the programme. After completing 13 years of operations through 2012 and with MDA in place in 55 of 73 endemic countries, the impact of the MDA programme on microfilaraemia, hydrocele and lymphedema is in need of being assessed.

Concepts: Malaria, Filariasis, Disaster film

0

After coating 20 Yb/2 Er:NaGdF4 core nanocrystals with a NaYbF4 shell, upconversion emission of the rare earth ions weakens. So far, the exact reason for this phenomenon is still unclear due to lack of the direct evidence. In this report, a core@shell@shell sandwich-like structure is designed and fabricated to investigate this phenomenon. We find that high Yb(3+) concentration in the shell has mainly two adverse impacts: it promotes not only the deleterious back energy transfer from Er(3+) in the core to Yb(3+) in the shell but also the energy transfer from Yb(3+) in the core to Yb(3+) in the shell. To obtain nanocrystals with high upconversion efficency, appropriate Yb(3+) concentration should be introduced into the shell or the transition layer.

Concepts: Avicenna, Logic, The Core, Disaster film

0

The Core Outcome Measures in Effectiveness Trials (COMET) Initiative database is an international repository of studies relevant to the development of core outcome sets. By the end of 2013, it included a unique collection of 306 studies. The website is increasingly being used, with more than 12,000 visits in 2013 (a 55% increase over 2012), 8,369 unique visitors (a 53% increase) and 6,844 new visitors (a 48% increase). There has been a rise in visits from outside the United Kingdom, with 2,405 such visits in 2013 (30% of all visits). By December 2013, a total of 4,205 searches had been completed, with 2,139 in 2013 alone.

Concepts: United Kingdom, Disaster film

0

The effect of aryl substitution on various aspects of the interconversion of ortho-hydroxychalcones and flavanones has been studied using multiple spectroscopic techniques. Derivatization of the core scaffold predictably alters the midpoint pH of this equilibration process suggesting its viability for application as a functional colorimetric molecular switch.

Concepts: Spectroscopy, The Core, Disaster film

0

This paper describes Health Level 7 (HL7) V.3 Care Transfer, Care Record Query, and Care Record messages. This is the core of the Care Provision Domain in the HL7 standard which became normative at the end of 2012 and is an American National Standards Institute (ANSI)-approved HL7 standard.

Concepts: Health Level 7, Standards organizations, Disaster film, ANSI standards

0

Paired-pulse transcranial magnetic stimulation (ppTMS) is a well-established method for non-invasive measurement of cortical excitability, alterations of which are the core background of epilepsy. For the past 20 years this technique has been extensively used to assess patients with epilepsy. We present here a critical overview of these studies, with emphasis on their translation to the clinical practice.

Concepts: Medical terms, English-language films, Transcranial magnetic stimulation, The Core, Disaster film, Alfre Woodard