elf FDA commissioner in self-quarantine after exposure to person with COVID-19 By feeds.reuters.com Published On :: Sat, 09 May 2020 00:38:14 -0400 U.S. Food and Drug Administration Commissioner Stephen Hahn is in self-quarantine for a couple of weeks after coming into contact with someone who tested positive for COVID-19, an FDA spokesman told Reuters late on Friday. Full Article topNews
elf Risky Talk review: How to protect yourself from dodgy statistics By www.newscientist.com Published On :: Mon, 02 Mar 2020 10:30:25 +0000 Everything from genetic tests to immigration numbers is full of shaky statistics. David Spiegelhalter's new podcast helps separate the factual from the flaky Full Article
elf Can you really grow enough fruit and veg to be self-sufficient? By www.newscientist.com Published On :: Wed, 15 Apr 2020 18:00:00 +0000 There's been a surge in people wanting to grow fruit and vegetables, but the path to self-sufficiency isn't as easy as some may have you think, writes James Wong Full Article
elf Self-driving cars find use in challenging times By feeds.reuters.com Published On :: Wed, 29 Apr 2020 16:23:35 -0400 After being sidelined as a non-essential business, some self-driving car companies can put their vehicles back on the roads to make food and other deliveries - a win-win scenario that allows them to continue testing their nascent technology. Full Article
elf With just a canary for company, Russian artist self-isolates in gallery By feeds.reuters.com Published On :: Tue, 21 Apr 2020 12:14:50 -0400 When an art gallery in southern Russia closed its doors to help curb the spread of the coronavirus, one artist asked to self-isolate there rather than leave his place of work. Full Article artsNews
elf Who do you think you are? Why your sense of self is an illusion By www.newscientist.com Published On :: Wed, 11 Dec 2019 06:00:00 +0000 Most of us are convinced that we're coherent individuals who are continuous in time. There's just one problem with this sense of self – it can’t exist Full Article
elf The zombie world of viruses could hold the key to evolution itself By www.newscientist.com Published On :: Wed, 08 Jan 2020 18:00:00 +0000 Notorious for making us sick, viruses are weird, undead organisms – but new insights are revealing they may have created life's glorious complexity in the first place Full Article
elf As U.S. states reopen, White House keeps CDC guidance on the shelf By feeds.reuters.com Published On :: Thu, 07 May 2020 20:48:20 -0400 The White House shelved a step-by-step guide prepared by U.S. health officials to help states safely reopen mass transit and businesses closed by the coronavirus pandemic, an administration official said on Thursday. This report produced by Chris Dignam. Full Article
elf Harry Potter himself reads...Harry Potter By feeds.reuters.com Published On :: Wed, 06 May 2020 07:54:20 -0400 Daniel Radcliffe joins a slew of celebrities to read Harry Potter at home during lockdown. Emer McCarthy reports. Full Article
elf As U.S. states reopen, White House keeps CDC guidance on the shelf By www.reuters.com Published On :: Thu, 07 May 2020 20:48:20 -0400 The White House shelved a step-by-step guide prepared by U.S. health officials to help states safely reopen mass transit and businesses closed by the coronavirus pandemic, an administration official said on Thursday. This report produced by Chris Dignam. Full Article
elf As U.S. states reopen, White House keeps CDC guidance on the shelf By www.reuters.com Published On :: Thu, 07 May 2020 20:48:20 -0400 The White House shelved a step-by-step guide prepared by U.S. health officials to help states safely reopen mass transit and businesses closed by the coronavirus pandemic, an administration official said on Thursday. This report produced by Chris Dignam. Full Article
elf Breast Self-Exam Rates Go Up With Counseling By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Breast Self-Exam Rates Go Up With CounselingCategory: Health NewsCreated: 5/1/2009 2:00:00 AMLast Editorial Review: 5/1/2009 12:00:00 AM Full Article
elf ADHD Drug Ritalin Boosted Self-Control in Tests By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: ADHD Drug Ritalin Boosted Self-Control in TestsCategory: Health NewsCreated: 4/25/2014 12:35:00 PMLast Editorial Review: 4/28/2014 12:00:00 AM Full Article
elf Teens With History of Self-Poisoning Face Greater Suicide Risk By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Teens With History of Self-Poisoning Face Greater Suicide RiskCategory: Health NewsCreated: 4/25/2015 12:00:00 AMLast Editorial Review: 4/27/2015 12:00:00 AM Full Article
elf Childhood Self-Control Linked to Better Job Prospects Later in Life By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Childhood Self-Control Linked to Better Job Prospects Later in LifeCategory: Health NewsCreated: 4/24/2015 12:00:00 AMLast Editorial Review: 4/27/2015 12:00:00 AM Full Article
elf FDA Proposes Ban on 'Shock' Device Used to Curb Self-Harm By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: FDA Proposes Ban on 'Shock' Device Used to Curb Self-HarmCategory: Health NewsCreated: 4/22/2016 12:00:00 AMLast Editorial Review: 4/25/2016 12:00:00 AM Full Article
elf Some Smart Yet Easy Ways to Shield Yourself From Skin Cancer By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Some Smart Yet Easy Ways to Shield Yourself From Skin CancerCategory: Health NewsCreated: 4/28/2016 12:00:00 AMLast Editorial Review: 4/29/2016 12:00:00 AM Full Article
elf Teen Suicide Thoughts, Self-Harm Cases Double in a Decade By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Teen Suicide Thoughts, Self-Harm Cases Double in a DecadeCategory: Health NewsCreated: 5/4/2017 12:00:00 AMLast Editorial Review: 5/4/2017 12:00:00 AM Full Article
elf Striving for Facebook 'Likes' May Not Boost Your Self-Esteem By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Striving for Facebook 'Likes' May Not Boost Your Self-EsteemCategory: Health NewsCreated: 5/3/2017 12:00:00 AMLast Editorial Review: 5/4/2017 12:00:00 AM Full Article
elf Health Tip: Protect Yourself From Sepsis By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Health Tip: Protect Yourself From SepsisCategory: Health NewsCreated: 4/30/2019 12:00:00 AMLast Editorial Review: 4/30/2019 12:00:00 AM Full Article
elf Money Not a Good Measure of Your Self-Worth By www.medicinenet.com Published On :: Wed, 15 Apr 2020 00:00:00 PDT Title: Money Not a Good Measure of Your Self-WorthCategory: Health NewsCreated: 4/14/2020 12:00:00 AMLast Editorial Review: 4/15/2020 12:00:00 AM Full Article
elf Measuring Oral Health Literacy of Refugees: Associations with Dental Care Utilization and Oral Health Self-Efficacy By jdh.adha.org Published On :: 2020-04-30T12:39:03-07:00 Purpose: The purpose of this study was to analyze associations between the oral health literacy of refugees and two oral health outcomes: dental care utilization and oral health self-efficacy.Methods: A convenience sample of refugees in the greater Los Angeles area attending English as a second language (ESL) classes sponsored by two refugee assistance organizations was used for this cross-sectional, correlational study. Participants responded to a questionnaire using items from the Health Literacy in Dentistry (HeLD) scale, in addition to items concerning dental care utilization and oral health self-efficacy. Descriptive statistics, chi-square and Fisher's Exact tests were used to analyze results.Results: Sixty-two refugees volunteered to participate (n=62). A majority of the respondents were female from Iraq or Syria, and selected the item “with little difficulty” for all oral health literacy tasks. In regards to dental care utilization, more than half of the respondents were considered high utilizers (63%, n=34) meaning they had visited a dental office within the last year; while a little more than one-third (37%, n=20), were low utilizers, indicating they had either never been to a dental office or it had been more than one year since they had dental treatment. Statistical analysis showed associations between oral health literacy and dental care utilization. However, few associations between oral health literacy and oral health self-efficacy were identified (p=0.0045).Conclusions: Results support the provision of easily obtainable and understandable oral health information to increase oral health literacy and dental care utilization among refugee populations. Future research is needed to examine the oral health literacy among refugees resettling in the United States. Full Article
elf Structural Basis of Ca2+-Dependent Self-Processing Activity of Repeat-in-Toxin Proteins By mbio.asm.org Published On :: 2020-03-17T01:30:14-07:00 ABSTRACT The posttranslational Ca2+-dependent "clip-and-link" activity of large repeat-in-toxin (RTX) proteins starts by Ca2+-dependent structural rearrangement of a highly conserved self-processing module (SPM). Subsequently, an internal aspartate-proline (Asp-Pro) peptide bond at the N-terminal end of SPM breaks, and the liberated C-terminal aspartyl residue can react with a free -amino group of an adjacent lysine residue to form a new isopeptide bond. Here, we report a solution structure of the calcium-loaded SPM (Ca-SPM) derived from the FrpC protein of Neisseria meningitidis. The Ca-SPM structure defines a unique protein architecture and provides structural insight into the autocatalytic cleavage of the Asp-Pro peptide bond through a "twisted-amide" activation. Furthermore, in-frame deletion of the SPM domain from the ApxIVA protein of Actinobacillus pleuropneumoniae attenuated the virulence of this porcine pathogen in a pig respiratory challenge model. We hypothesize that the Ca2+-dependent clip-and-link activity represents an unconventional strategy for Gram-negative pathogens to adhere to the host target cell surface. IMPORTANCE The Ca2+-dependent clip-and-link activity of large repeat-in-toxin (RTX) proteins is an exceptional posttranslational process in which an internal domain called a self-processing module (SPM) mediates Ca2+-dependent processing of a highly specific aspartate-proline (Asp-Pro) peptide bond and covalent linkage of the released aspartyl to an adjacent lysine residue through an isopeptide bond. Here, we report the solution structures of the Ca2+-loaded SPM (Ca-SPM) defining the mechanism of the autocatalytic cleavage of the Asp414-Pro415 peptide bond of the Neisseria meningitidis FrpC exoprotein. Moreover, deletion of the SPM domain in the ApxIVA protein, the FrpC homolog of Actinobacillus pleuropneumoniae, resulted in attenuation of virulence of the bacterium in a pig infection model, indicating that the Ca2+-dependent clip-and-link activity plays a role in the virulence of Gram-negative pathogens. Full Article
elf Gathering Trauma Narratives: A Qualitative Study on the Impact of Self-Identified Traumas on People Living with HIV (PLWH) By www.ncmedicaljournal.com Published On :: 2020-05-04T06:50:30-07:00 BACKGROUND Trauma—emotional, physical, and psychological—is common and associated with increased risk behaviors, low rates of care engagement and viral suppression, and overall poor health outcomes for people living with HIV (PLWH). This article presents the results of 15 in-depth, semi-structured interviews with PLWH in the Southeastern United States in which participants identified a trauma and described its long-lasting impact on their lives. Participants' trauma narratives described a wide range of traumas, including childhood sexual abuse, the loss of a loved one, and their HIV diagnosis. METHODS Systematic qualitative analysis was used to delineate beliefs about causes, symptoms, treatments, quality of life, and health implications of trauma. RESULTS: Fifteen participants completed semi-structured interviews that lasted on average 32 minutes. Participants described a wide spectrum of personal trauma that occurred both prior and subsequent to their HIV diagnosis. The types of trauma identified included physical, sexual, and psychological abuse inflicted by intimate partners, family members, and/or strangers. LIMITATIONS A chief limitation of this study is selection bias. Additionally, the participant selection and content of the trauma narratives might have been affected by the surrounding context of the parent study centered on HIV, aging, and psychosocial stress. It is also difficult to interpret the distinction between discrete trauma experiences and the diagnosis of HIV, leading to potential information bias. CONCLUSION This study highlights the importance of social support in coping with trauma and the effect of trauma on health-related behaviors. It also illustrates the need for additional research on the topic of trauma and trauma-informed care for PLWH. Understanding how different types of trauma affect individuals' lives is necessary to inform recommendations to provide better care for PLWH. Full Article
elf Induction of Protective Antiplague Immune Responses by Self-Adjuvanting Bionanoparticles Derived from Engineered Yersinia pestis [Microbial Immunity and Vaccines] By iai.asm.org Published On :: 2020-04-20T08:00:38-07:00 A Yersinia pestis mutant synthesizing an adjuvant form of lipid A (monophosphoryl lipid A, MPLA) displayed increased biogenesis of bacterial outer membrane vesicles (OMVs). To enhance the immunogenicity of the OMVs, we constructed an Asd-based balanced-lethal host-vector system that oversynthesized the LcrV antigen of Y. pestis, raised the amounts of LcrV enclosed in OMVs by the type II secretion system, and eliminated harmful factors like plasminogen activator (Pla) and murine toxin from the OMVs. Vaccination with OMVs containing MPLA and increased amounts of LcrV with diminished toxicity afforded complete protection in mice against subcutaneous challenge with 8 x 105 CFU (80,000 50% lethal dose [LD50]) and intranasal challenge with 5 x 103 CFU (50 LD50) of virulent Y. pestis. This protection was significantly superior to that resulting from vaccination with LcrV/alhydrogel or rF1-V/alhydrogel. At week 4 postimmunization, the OMV-immunized mice showed more robust titers of antibodies against LcrV, Y. pestis whole-cell lysate (YPL), and F1 antigen and more balanced IgG1:IgG2a/IgG2b-derived Th1 and Th2 responses than LcrV-immunized mice. Moreover, potent adaptive and innate immune responses were stimulated in the OMV-immunized mice. Our findings demonstrate that self-adjuvanting Y. pestis OMVs provide a novel plague vaccine candidate and that the rational design of OMVs could serve as a robust approach for vaccine development. Full Article
elf Emergence of self-organized multivortex states in flocks of active rollers [Applied Physical Sciences] By www.pnas.org Published On :: 2020-05-05T10:31:24-07:00 Active matter, both synthetic and biological, demonstrates complex spatiotemporal self-organization and the emergence of collective behavior. A coherent rotational motion, the vortex phase, is of great interest because of its ability to orchestrate well-organized motion of self-propelled particles over large distances. However, its generation without geometrical confinement has been a... Full Article
elf Effect of Low-Sodium versus Conventional Sodium Dialysate on Left Ventricular Mass in Home and Self-Care Satellite Facility Hemodialysis Patients: A Randomized Clinical Trial By jasn.asnjournals.org Published On :: 2020-04-30T10:00:30-07:00 Background Fluid overload in patients undergoing hemodialysis contributes to cardiovascular morbidity and mortality. There is a global trend to lower dialysate sodium with the goal of reducing fluid overload. Methods To investigate whether lower dialysate sodium during hemodialysis reduces left ventricular mass, we conducted a randomized trial in which patients received either low-sodium dialysate (135 mM) or conventional dialysate (140 mM) for 12 months. We included participants who were aged >18 years old, had a predialysis serum sodium ≥135 mM, and were receiving hemodialysis at home or a self-care satellite facility. Exclusion criteria included hemodialysis frequency >3.5 times per week and use of sodium profiling or hemodiafiltration. The main outcome was left ventricular mass index by cardiac magnetic resonance imaging. Results The 99 participants had a median age of 51 years old; 67 were men, 31 had diabetes mellitus, and 59 had left ventricular hypertrophy. Over 12 months of follow-up, relative to control, a dialysate sodium concentration of 135 mmol/L did not change the left ventricular mass index, despite significant reductions at 6 and 12 months in interdialytic weight gain, in extracellular fluid volume, and in plasma B-type natriuretic peptide concentration (ratio of intervention to control). The intervention increased intradialytic hypotension (odds ratio [OR], 7.5; 95% confidence interval [95% CI], 1.1 to 49.8 at 6 months and OR, 3.6; 95% CI, 0.5 to 28.8 at 12 months). Five participants in the intervention arm could not complete the trial because of hypotension. We found no effect on health-related quality of life measures, perceived thirst or xerostomia, or dietary sodium intake. Conclusions Dialysate sodium of 135 mmol/L did not reduce left ventricular mass relative to control, despite improving fluid status. Clinical Trial registry name and registration number: The Australian New Zealand Clinical Trials Registry, ACTRN12611000975998. Full Article
elf Structural and stratigraphic evolution of the Mid North Sea High region of the UK Continental Shelf By pg.lyellcollection.org Published On :: 2020-05-01T00:30:41-07:00 Interpretation of newly acquired seismic and legacy well data has led to a greater understanding of the Upper Paleozoic–Recent geological evolution of the Mid North Sea High (MNSH), an under-explored region of the North Sea. The position of granite-cored blocks controlled the distribution of Devono-Carboniferous highs and basins before Variscan uplift led to peneplanation and the creation of the Base Permian Unconformity. The MNSH became the dominant feature during the Permian when it formed a west–east-striking ridge between the Southern and Northern Permian basins. Following a period of non-deposition, sedimentation was renewed in the Late Permian–Triassic before Middle Jurassic doming caused uplift to the NE. Subsequent Late Jurassic North Sea rifting transected the MNSH to create the Western Platform between the Central Graben and Moray Firth rift arms. Following Cretaceous post-rift deposition, the area experienced a significant easterly tilt in the Cenozoic that led to the demise of the MNSH as a prominent topographical feature. The tectonic and stratigraphic evolution exerts a strong control over reservoir facies distribution, source-rock deposition and maturation. However, the area is not barren of petroleum potential. Despite the lack of Upper Carboniferous source rocks over large areas, hydrocarbon potential is evident through shows in legacy wells, indicating the Lower Carboniferous as a potential source rock. Cenozoic uplift to the west imparted a regional tilt, the effects of which remains key to unlocking the area's prospectivity since it reconfigured structures and formed remigration pathways from Lower Carboniferous and Jurassic source rocks. Thematic collection: This article is part of the Under-explored plays and frontier basins of the UK continental shelf collection available at: https://www.lyellcollection.org/cc/under-explored-plays-and-frontier-basins-of-the-uk-continental-shelf Full Article
elf Under-explored plays and frontier basins of the UK continental shelf (UKCS) By pg.lyellcollection.org Published On :: 2020-05-01T00:30:41-07:00 Thematic collection: This article is part of the Under-explored plays and frontier basins of the UK continental shelf collection available at: https://www.lyellcollection.org/cc/under-explored-plays-and-frontier-basins-of-the-uk-continental-shelf Full Article
elf Risk of MS relapse after yellow fever vaccination: A self-controlled case series By nn.neurology.org Published On :: 2020-05-01T12:45:10-07:00 Objective To determine whether live-attenuated yellow fever vaccine (YFV) was associated with MS relapse, we evaluated the clinical courses of 23 patients in the year before and the year after immunization at the university hospital of Geneva, Switzerland. Methods This self-controlled retrospective cohort included adult patients with MS receiving YFV between 2014 and 2018 and defined the year before vaccination, the 3 months thereafter, and the 9 months following as the pre-exposure (PEP), exposure-risk (ERP), and postrisk (PRP) periods, respectively. The primary outcome was the relative incidence of relapse in the ERP vs the PEP. Secondary end points included the presence of new T2-weighted (T2) or T1-weighted gadolinium-positive (T1Gd+) MRI lesions. Results Of 23 patients with MS receiving YFV (20 relapsing MS and 3 primary progressive MS), 17 (74%) were women; mean age was 34 years (SD ±10); and 10 of 23 (40%) were treated with disease-modifying therapies (DMTs). Although 9 patients experienced 12 relapses in the PEP, only one experienced a relapse in the ERP; 3 other patients experienced one relapse each in the PRP. None of the 8 patients receiving natalizumab at the time of vaccination experienced relapse thereafter. In the PEP, ERP, and PRP, 18, 2, and 9 patients had new brain and/or spinal cord lesions on T2 or T1Gd + MRI, respectively. Conclusions In this cohort, YF vaccination was associated with neither an increase in MS relapse nor emergence of brain and/or spinal lesions. Further studies are warranted to confirm these findings. Classification of evidence This study provides Class IV evidence that for persons with MS, YFV may not increase relapse risk. Full Article
elf Associations Between Racial and Ethnic Groups and Foot Self-Inspection in People With Diabetes By care.diabetesjournals.org Published On :: 2020-04-20T12:00:32-07:00 OBJECTIVE Daily foot self-inspection may permit earlier detection and treatment of a foot lesion, reducing the risk of infection and lower-limb amputation (LLA). Though race and ethnicity are strongly associated with LLA risk, with higher risk seen in African Americans (AA), American Indians/Alaska Natives (AI/AN), and Native Hawaiians/Pacific Islanders (NH/PI), associations between foot self-inspection and racial and ethnic groups are inconsistent. We aimed to assess differences in foot self-inspection among people with diabetes by race/ethnicity. RESEARCH DESIGN AND METHODS Using national, cross-sectional data from the 2015–2017 Behavioral Risk Factor Surveillance System surveys and including 88,424 individuals with diabetes, we estimated prevalence ratios (PRs) and associated 95% CIs of daily foot checking for sores or irritation by racial and ethnic groups using log-binomial linear regression models, after accounting for survey weights. RESULTS Compared with whites (who had a weighted prevalence [P] of daily foot self-inspection of 57%), AA (P 67%, PR 1.18 [95% CI 1.14, 1.23]), AI/AN (P 66%, PR 1.15 [95% CI 1.07, 1.25]), and NH/PI (P 71%, PR 1.25 [95% CI 1.03, 1.52]) had higher prevalences of daily foot self-inspection. The prevalence of daily foot inspection was significantly lower among Asians (P 35%, PR 0.62 [95% CI 0.48, 0.81]) and Hispanics (P 53%, PR 0.93 [95% CI 0.88, 0.99]) compared with whites. Associations did not vary importantly by insulin use, years since diabetes diagnosis, or having received diabetes self-management education. CONCLUSIONS The higher frequency of foot self-inspection in racial and ethnic groups at elevated risk of diabetes-related LLA is not sufficient to eliminate LLA disparities; additional interventions are needed to achieve this aim. Full Article
elf Role of Proinsulin Self-Association in Mutant INS Gene-Induced Diabetes of Youth By diabetes.diabetesjournals.org Published On :: 2020-04-20T12:00:34-07:00 Abnormal interactions between misfolded mutant and wild-type (WT) proinsulin (PI) in the endoplasmic reticulum (ER) drive the molecular pathogenesis of mutant INS gene–induced diabetes of youth (MIDY). How these abnormal interactions are initiated remains unknown. Normally, PI-WT dimerizes in the ER. Here, we suggest that the normal PI-PI contact surface, involving the B-chain, contributes to dominant-negative effects of misfolded MIDY mutants. Specifically, we find that PI B-chain tyrosine-16 (Tyr-B16), which is a key residue in normal PI dimerization, helps confer dominant-negative behavior of MIDY mutant PI-C(A7)Y. Substitutions of Tyr-B16 with either Ala, Asp, or Pro in PI-C(A7)Y decrease the abnormal interactions between the MIDY mutant and PI-WT, rescuing PI-WT export, limiting ER stress, and increasing insulin production in β-cells and human islets. This study reveals the first evidence indicating that noncovalent PI-PI contact initiates dominant-negative behavior of misfolded PI, pointing to a novel therapeutic target to enhance PI-WT export and increase insulin production. Full Article
elf Role of the GP in the management of patients with self-harm behaviour: a systematic review By bjgp.org Published On :: 2020-04-30T16:04:41-07:00 BackgroundSelf-harm is a serious risk factor for suicide, a major public health concern, and a significant burden on the NHS. Rates of self-harm presentation in primary care are rising and GPs interact with patients both before and after they have self-harmed. There is significant public and political interest in reducing rates of self-harm, but there has been no robust synthesis of the existing literature on the role of GPs in the management of patients who self-harm.AimThis study aimed to explore the role of the GP in the management of patients with self-harm behaviour.Design and settingA systematic review and narrative synthesis of primary care literature.MethodThis systematic review was conducted and is reported in line with PRISMA guidance. Electronic databases systematically searched were MEDLINE, PsycINFO, EMBASE, CINAHL, Web of Science, and AMED. Two independent reviewers conducted study screening and selection, data extraction, and quality appraisal of all included studies. Thematic analysis was conducted.ResultsFrom 6976 unique citations, 12 studies met eligibility criteria and were included. These 12 studies, published from 1997–2016, of 789 GPs/family medicine physicians from Europe, the US, and Australia were of good methodological quality. Five themes were identified for facilitating GP management of self-harm: GP training, improved communication, service provision, clinical guidelines, and young people. Four barriers for GP management of self-harm were identified: assessment, service provision, local, and systemic factors.ConclusionGPs recognise self-harm as a serious risk factor for suicide, but some feel unprepared for managing self-harm. The role of the GP is multidimensional and includes frontline assessment and treatment, referral to specialist care, and the provision of ongoing support. Full Article
elf Self-care strategies for asthma By bjgp.org Published On :: 2020-04-30T16:04:41-07:00 Full Article
elf Flash Continuous Home Glucose Monitoring to Improve Adherence to Self-Monitoring of Blood Glucose and Self-Efficacy in Adolescents With Type 1 Diabetes By clinical.diabetesjournals.org Published On :: 2020-04-15T12:00:21-07:00 Adolescents with type 1 diabetes face self-management challenges that make it difficult for them to achieve good glycemic control. In our population of adolescents with poorly controlled type 1 diabetes, the use of continuous glucose monitoring (CGM) improved patients’ glycemic time in range (TIR) and identified hypoglycemia more frequently than with intermittent self-monitoring of blood glucose throughout a 4-week interval. However, the adolescents were unable to synthesize this information to problem-solve or reduce the frequency of hypoglycemic events. Setting SMART (specific, measurable, achievable, relevant, and time-bound) diabetes management goals and providing intensive diabetes education and support could increase adolescents’ TIR and prevent hypoglycemia. Full Article
elf Accuracy of Self-reported Colonic Polyps: Results from the Prostate, Lung, Colorectal, and Ovarian Screening Trial Study of Colonoscopy Utilization By cebp.aacrjournals.org Published On :: 2020-05-01T00:05:36-07:00 Background: Colonoscopy follow-up recommendations depend on the presence or absence of polyps, and if found, their number, size, and histology. Patients may be responsible for conveying results between primary and specialty care or providing medical information to family members; thus, accurate reporting is critical. This analysis assessed the accuracy of self-reported colonoscopy findings. Methods: 3,986 participants from the Study of Colonoscopy Utilization, an ancillary study nested within the Prostate, Lung, Colorectal, and Ovarian Screening Trial, were included. Self-reports of polyp and adenoma were compared to medical records, and measures of sensitivity and specificity were calculated. Correlates of accurate self-report of polyp were assessed using logistic regression and weighted to account for study sampling. Results: The sensitivity and specificity of self-reported polyp findings were 88% and 85%, respectively, and for adenoma 11% and 99%, respectively. Among participants with a polyp, older age was associated with lower likelihood while polyp severity and non-white race were associated with increased likelihood of accurate recall. Among participants without a polyp, having multiple colonoscopies was associated with lower likelihood while family history of colorectal cancer was associated with increased likelihood of accurate recall. Among both groups, longer time since colonoscopy was associated with lower likelihood of accurate recall. Conclusions: Participants recalled with reasonable accuracy whether they had a prior polyp; however, recall of histology, specifically adenoma, was much less accurate. Impact: Identification of strategies to increase accurate self-report of colonic polyps are needed, particularly for patient–provider communications and patient reporting of results to family members. Full Article
elf 6 important questions to ask yourself before buying a home By batdongsan.com.vn Published On :: 12:02 29/11/2018 In order to find the right accommodation, asking questions and answering them are essential. According to BankBazaar, you definitely need to answer the following 6 important questions before buying a home. Full Article
elf 4 ways to value a property by yourself By batdongsan.com.vn Published On :: 17:40 04/09/2019 If you do not want to pay appraisal fee to the third party nor incur losses, here are 4 ways to determine value of a property yourself before entering a transaction. Full Article
elf 20 questions to ask yourself before buying a condo By batdongsan.com.vn Published On :: 19:49 25/10/2019 Condo projects are now mushrooming across the country, becoming the favorite choice of most urban residents. However, to choose the right one which will make you satisfy, you need to find answers to the following 20 questions. Full Article
elf Isolating finds himself on a haunted night-drive in ‘But Please’ By www.factmag.com Published On :: Fri, 08 May 2020 09:00:00 +0000 Found footage from many hours of trawling through night-drive ghost sighting videos on YouTube while on lockdown. The Golden Filter’s Stephen Hindman takes us on a haunted night-drive in the video for ‘But Please’, a new track released under his Isolating alias. ‘But Please’ appears on his new EP for Optimo Music Digital Danceforce, System. […] The post Isolating finds himself on a haunted night-drive in ‘But Please’ appeared first on FACT Magazine. Full Article Video The Golden Filter Optimo Music Stephen Hindman Isolating
elf How Self-Driving Telescopes Could Transform Astronomy By feedproxy.google.com Published On :: Fri, 08 May 2020 11:00:43 +0000 Perhaps astronomers need help from something that thinks a bit less like a human. Full Article
elf Soft Self-Healing Materials for Robots That Cannot Be Destroyed By feedproxy.google.com Published On :: Thu, 05 Sep 2019 21:35:00 GMT It'll take more than having its fingers chopped off to stop this robot hand Full Article robotics robotics/robotics-hardware
elf Quaranstream: Free events and services to watch online while self-quarantining By news.yahoo.com Published On :: Sat, 09 May 2020 07:09:00 -0400 As novel coronavirus spreads throughout the United States, millions of Americans are spending more time at home.MORE: Here's everything coming to Disney+ in AprilBut whether you're doing so because of a job loss, working from home situation or otherwise taking part in the mass effort to stay safe, chances are you've been bored once or twice while living under quarantine.Thankfully, some very talented people have been creating extra-special performances and experiences that you can enjoy to help you cope with the new normal and that don't break any social distancing rules. ... Full Article
elf Search for self-improvement leads to joga By www.winnipegfreepress.com Published On :: Wed, 6 May 2020 06:29:18 CDT Jodian Self is hanging out with some of the biggest names in pro sports these days — all from the comfort of her south Winnipeg home. The 52-year-old former physical education ... Full Article
elf FDA commissioner in self-quarantine after exposure to person with COVID-19 By feeds.reuters.com Published On :: Sat, 09 May 2020 00:38:14 -0400 U.S. Food and Drug Administration Commissioner Stephen Hahn is in self-quarantine for a couple of weeks after coming into contact with someone who tested positive for COVID-19, an FDA spokesman told Reuters late on Friday. Full Article domesticNews
elf Greta Thunberg says she may have had covid-19 and has self-isolated By www.newscientist.com Published On :: Tue, 24 Mar 2020 15:33:26 +0000 Greta Thunberg says she and her father, Swedish actor Svante Thunberg, appear to have been infected by the coronavirus, though they have not been tested as their native Sweden is only doing so for severe cases Full Article
elf Neymar Jr Trolls Kylian Mbappe as French Footballer Posts Picture of Himself Playing Basketball By in.news.yahoo.com Published On :: Sat, 09 May 2020 07:55:27 -0500 Kylian Mbappe and Neymar Jr's friendship is not limited to Paris Saint Germain but also off the field. The recent example of the same could be the French footballer's recent post on social media. Mbappe posted a picture of himself on social media where he was seen playing basketball. This was quite an ideal opportunity for Neymar Jr to pull his teammate's leg and he hilariously trolled the footballer with a funny comment. Full Article
elf 'He always p*ssed himself with fear' - Melo & Balotelli hit back at 'disrespectful' Chiellini comments By in.news.yahoo.com Published On :: Sat, 09 May 2020 08:50:41 -0500 The Juventus defender took aim at the pair in his upcoming autobiography but is now finding himself on the receiving end Full Article
elf Virat & Anushka Donate Rs 5 Lakh Each For Welfare of Mumbai Police By in.news.yahoo.com Published On :: Sat, 09 May 2020 09:57:48 -0500 Virat Kohli and Anushka Sharma have contributed Rs 5 lakh each for police welfare as the world battles coronavirus. Full Article
elf New York now grappling with larger Covid-19 outbreak than any country bar the US itself By www.standard.co.uk Published On :: 2020-04-10T07:09:00Z Read our live updates on coronavirus HERE Coronavirus: The symptoms Full Article