edu Long-Term Exercise Can Reduce Vets' Muscle Pain By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Long-Term Exercise Can Reduce Vets' Muscle PainCategory: Health NewsCreated: 8/26/2010 6:10:00 PMLast Editorial Review: 8/27/2010 12:00:00 AM Full Article
edu U.S. Nursing Homes Reducing Use of Antipsychotic Drugs By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: U.S. Nursing Homes Reducing Use of Antipsychotic DrugsCategory: Health NewsCreated: 8/27/2013 4:36:00 PMLast Editorial Review: 8/28/2013 12:00:00 AM Full Article
edu Getting Back to School Sleep Schedules By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Getting Back to School Sleep SchedulesCategory: Health NewsCreated: 8/23/2014 9:39:00 AMLast Editorial Review: 8/25/2014 12:00:00 AM Full Article
edu Cosmetic Eye Procedure May Ease Migraines, Small Study Says By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Cosmetic Eye Procedure May Ease Migraines, Small Study SaysCategory: Health NewsCreated: 8/22/2014 12:36:00 PMLast Editorial Review: 8/25/2014 12:00:00 AM Full Article
edu Mandatory Life Jacket Laws Could Reduce Boating Deaths By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Mandatory Life Jacket Laws Could Reduce Boating DeathsCategory: Health NewsCreated: 8/21/2015 12:00:00 AMLast Editorial Review: 8/24/2015 12:00:00 AM Full Article
edu Health Tip: Prepare for Your Child's Dental Procedure By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Health Tip: Prepare for Your Child's Dental ProcedureCategory: Health NewsCreated: 8/31/2017 12:00:00 AMLast Editorial Review: 8/31/2017 12:00:00 AM Full Article
edu Wintertime Smog Tied to Rise in Heart Procedures By www.medicinenet.com Published On :: Mon, 29 Aug 2022 00:00:00 PDT Title: Wintertime Smog Tied to Rise in Heart ProceduresCategory: Health NewsCreated: 8/23/2019 12:00:00 AMLast Editorial Review: 8/26/2019 12:00:00 AM Full Article
edu Here Are the Top 15 Anti-Inflammatory Foods for Your Diet To Reduce Inflammation By www.medicinenet.com Published On :: Fri, 26 Aug 2022 00:00:00 PDT Title: Here Are the Top 15 Anti-Inflammatory Foods for Your Diet To Reduce InflammationCategory: Health and LivingCreated: 8/26/2022 12:00:00 AMLast Editorial Review: 8/26/2022 12:00:00 AM Full Article
edu Here's How the Inflation Reduction Act Will Lower the Cost of Health Care By www.medicinenet.com Published On :: Wed, 17 Aug 2022 00:00:00 PDT Title: Here's How the Inflation Reduction Act Will Lower the Cost of Health CareCategory: Health NewsCreated: 8/17/2022 12:00:00 AMLast Editorial Review: 8/17/2022 12:00:00 AM Full Article
edu Breathing techniques to reduce symptoms in people with serious respiratory illness: a systematic review By err.ersjournals.com Published On :: 2024-10-30T01:30:15-07:00 Background In adults with serious respiratory illness, breathlessness is prevalent and associated with reduced health-related quality of life. The aim of this review was to assess the impact of breathing techniques on breathlessness in adults with serious respiratory illness. Methods Electronic databases were searched to identify randomised controlled trials testing breathing techniques (techniques that aim to alter the respiratory pattern, excluding respiratory muscle training) in people with serious respiratory illness. The primary outcome was breathlessness and secondary outcomes were health-related quality of life and adverse events. Two authors independently screened for inclusion, evaluated risk of bias and extracted data. Results 73 randomised controlled trials were included with 5479 participants, most with COPD or asthma. Breathing exercises (pursed lip and/or diaphragmatic breathing) reduced breathlessness measured by the modified Medical Research Council scale compared to usual care (mean difference (MD) –0.40 points, 95% CI –0.70– –0.11, eight studies, n=323), although the effect did not exceed the minimal important difference. Yoga breathing also improved modified Medical Research Council score compared to usual care (MD –1.05 points, 95% CI –2.45–0.35, three studies, n=175). Breathing techniques consistently improved health-related quality of life in people with COPD and asthma on multiple health-related quality of life measures in comparison to usual care, with effects that generally exceeded the minimal important difference. No adverse events related to breathing techniques were reported. Conclusion Breathing techniques may improve breathlessness, and consistently improve health-related quality of life, in people with serious respiratory illness. These findings support the use of breathing exercises in the care of people with serious respiratory illness. Full Article
edu Simulation in Mechanical Ventilation Training: Integrating Best Practices for Effective Education By rc.rcjournal.com Published On :: 2024-10-25T05:44:13-07:00 Full Article
edu Exploring the Impact of Varied Design Approaches and Materials in Respiratory Therapy Education By rc.rcjournal.com Published On :: 2024-10-25T05:44:13-07:00 Full Article
edu Comparison of Web-Based and On-Site Lung Simulators for Education in Mechanical Ventilation By rc.rcjournal.com Published On :: 2024-10-25T05:44:12-07:00 BACKGROUND:Training in mechanical ventilation is a key goal in critical care fellowship education. Web-based simulators offer a cost-effective and readily available alternative to traditional on-site simulators. However, it is unclear how effective they are as teaching tools. In this study, we evaluated the test scores of fellows who underwent mechanical ventilation training by using a web-based simulator compared with fellows who used an on-site simulator during a mechanical ventilation course.METHODS:This was a nonrandomized controlled trial conducted as part of a mechanical ventilation course that involved 70 first-year critical care fellows. The course was identical except for the simulation technology used. One group of instructors used a traditional on-site simulator, the ASL 5000 Lung Solution (n = 39). The second group was instructed in using a web-based simulator, VentSim (n = 31). Each fellow completed a pre-course test and a post-course test by using a validated, case-based ventilator waveform examination that consisted of 5 questions with a total possible score of 100. The primary outcome was a comparison of the mean scores on the posttest between the 2 groups. The study was designed as a non-inferiority trial with a predetermined margin of 10 points.RESULTS:There was no significant difference in the mean ± SD pretest scores between the web-based and the on-site groups (21.1 ± 12.6 and 26.9 ± 13.6 respectively; P = .11). The mean ± SD posttest scores were 45.6 ± 25.0 for the web-based simulator and 43.4 ± 16.5 for on-site simulator (mean difference 2.2; one-sided 95% CI –7.0 to ∞; Pnon-inferiority = .02 [non-inferiority confirmed]). Changes in mean ± SD scores (posttest – pretest) were 25.9 ± 20.9 for the web-based simulator and 16.5 ± 15.9 for the on-site simulator (mean difference 9.4, one-sided 95% CI 0.9 to ∞; Pnon-inferiority < .001 [non-inferiority confirmed]).CONCLUSIONS:In the education of first-year critical care fellows on mechanical ventilation waveform analysis, a web-based mechanical ventilation simulator was non-inferior to a traditional on-site mechanical ventilation simulator. Full Article
edu Intraprofessional Education Experiences in Dentistry: Dental hygienists’ perceptions of collaboration with dentists By jdh.adha.org Published On :: 2024-10-15T09:18:41-07:00 Purpose Health care professionals (HCPs) working collaboratively can improve patient outcomes and also increase their understanding of each other’s professional roles. This descriptive study aimed to explore dental hygienists’ perceptions of collaboration with dentists and intraprofessional educational (IntraPE) experiences.Methods A convenience sampling method was used to assess DHs perceptions of collaboration with dentists using the Interprofessional Collaboration Scale (ICS), a validated scale that measures perceptions of communication, accommodation, and isolation among HCPs. One open-ended question was added to explore IntraPE. Demographics, work characteristics and responses from the ICS were analyzed using frequency, mean, standard deviation, Pearson’s correlation, t-test, ANOVA, and multivariable regression. Responses from the open-ended question were transcribed, organized, and coded. Themes were identified using the Delve Qualitative Analysis Tool.Results Of the 264 participants, the average age was 38.9, and most identified as female (98.9%). Data analysis revealed that DHs had positive perceptions of collaboration with dentists. Significant relationships were found between ICS factor accommodation and the average number of patients treated per day (rs = −0.242, p<0.001), dentists’ age (rs = −.145, p<0.05). Isolation showed a significant negative correlation with the average number of patients treated per day (rs = −0.156, p<0.05). Most reported having no opportunities for IntraPE education experiences with dentists. Five categories of themes were identified from the open-ended question: shared academic setting, clinic dentist, externships, desire for more shared learning, and shared patient experiences.Conclusion Dental hygienists in this study had an overall more positive than negative perception of collaboration with dentists. Dental and dental hygiene programs should focus on intraprofessional education experiences to continue to enhance collaboration. Full Article
edu Functional Characterization of Reduced Folate Carrier and Protein-Coupled Folate Transporter for Antifolates Accumulation in Non-Small Cell Lung Cancer Cells [Articles] By dmd.aspetjournals.org Published On :: 2024-10-16T09:02:03-07:00 Antifolates are important for chemotherapy in non–small cell lung cancer (NSCLC). They mainly rely on reduced folate carrier (RFC) and proton-coupled folate transporter (PCFT) to enter cells. PCFT is supposed to be the dominant transporter of the two in tumors, as it operates optimally at acidic pH and has limited transport activity at physiological pH, whereas RFC operates optimally at neutral pH. In this study, we found RFC showed a slightly pH-dependent uptake of antifolates, with similar affinity values at pH 7.4 and 6.5. PCFT showed a highly pH-dependent uptake of antifolates, with an optimum pH of 6.0 for pemetrexed and 5.5 for methotrexate. The Michaelis-Menten constant (Km) value of PCFT for pemetrexed at pH 7.4 was more than 10 times higher than that at pH 6.5. Interestingly, we found that antifolate accumulations mediated by PCFT at acidic pH were significantly affected by the efflux transporter, breast cancer resistance protein (BCRP). The highest pemetrexed concentration was observed at pH 7.0–7.4 after a 60-minute accumulation in PCFT-expressing cells, which was further evidenced by the cytotoxicity of pemetrexed, with the IC50 value of pemetrexed at pH 7.4 being one-third of that at pH 6.5. In addition, the in vivo study indicated that increasing PCFT and RFC expression significantly enhanced the antitumor efficacy of pemetrexed despite the high expression of BCRP. These results suggest that both RFC and PCFT are important for antifolates accumulation in NSCLC, although there is an acidic microenvironment and high BCRP expression in tumors. SIGNIFICANCE STATEMENT Evaluating the role of reduced folate carrier (RFC) and proton-coupled folate transporter (PCFT) on antifolates accumulation in non–small cell lung cancer (NSCLC) is necessary for new drug designs. By using cell models, we found both RFC and PCFT were important for antifolates accumulation in NSCLC. Breast cancer resistance protein (BCRP) significantly affected PCFT-mediated antifolates accumulation at acidic pH but not RFC-mediated pemetrexed accumulation at physiological pH. High expression of PCFT or RFC enhanced the cytotoxicity and antitumor effect of pemetrexed. Full Article
edu NeuroMix with MRA: A Fast MR Protocol to Reduce Head and Neck CTA for Patients with Acute Neurologic Presentations [RESEARCH] By www.ajnr.org Published On :: 2024-11-07T15:14:12-08:00 BACKGROUND AND PURPOSE: Overuse of CT-based cerebrovascular imaging in the emergency department and inpatient settings, notably CTA of the head and neck for minor and nonfocal neurologic presentations, stresses imaging services and exposes patients to radiation and contrast. Furthermore, such CT-based imaging is often insufficient for definitive diagnosis, necessitating additional MR imaging. Recent advances in fast MRI may allow timely assessment and a reduced need for head and neck CTA in select populations. MATERIALS AND METHODS: We identified inpatients or patients in the emergency department who underwent CTAHN (including noncontrast and postcontrast head CT, with or without CTP imaging) followed within 24 hours by a 3T MRI study that included a 2.5-minute unenhanced multicontrast sequence (NeuroMix) and a 5-minute intracranial time of flight MRA) during a 9-month period (April to December 2022). Cases were classified by 4 radiologists in consensus as to whether NeuroMix and NeuroMix + MRA detected equivalent findings, detected unique findings, or missed findings relative to CTAHN. RESULTS: One hundred seventy-four cases (mean age, 67 [SD, 16] years; 56% female) met the inclusion criteria. NeuroMix alone and NeuroMix + MRA protocols were determined to be equivalent or better compared with CTAHN in 71% and 95% of patients, respectively. NeuroMix always provided equivalent or better assessment of the brain parenchyma, with unique findings on NeuroMix and NeuroMix + MRA in 35% and 36% of cases, respectively, most commonly acute infarction or multiple microhemorrhages. In 8/174 cases (5%), CTAHN identified vascular abnormalities not seen on the NeuroMix + MRA protocol due to the wider coverage of the cervical arteries by CTAHN. CONCLUSIONS: A fast MR imaging protocol consisting of NeuroMix + MRA provided equivalent or better information compared with CTAHN in 95% of cases in our population of patients with an acute neurologic presentation. The findings provide a deeper understanding of the benefits and challenges of a fast unenhanced MR-first approach with NeuroMix + MRA, which could be used to design prospective trials in select patient groups, with the potential to reduce radiation dose, mitigate adverse contrast-related patient and environmental effects, and lessen the burden on radiologists and health care systems. Full Article
edu Predictors and Outcomes of Periprocedural Intracranial Hemorrhage after Stenting for Symptomatic Intracranial Atherosclerotic Stenosis [CLINICAL PRACTICE] By www.ajnr.org Published On :: 2024-11-07T15:14:12-08:00 BACKGROUND AND PURPOSE: Periprocedural intracranial hemorrhage is one of common complications after stent placement for symptomatic intracranial atherosclerotic stenosis. This study was conducted to demonstrate predictors and long-term outcomes of periprocedural intracranial hemorrhage after stent placement for symptomatic intracranial atherosclerotic stenosis. MATERIALS AND METHODS: We retrospectively analyzed patients with symptomatic intracranial atherosclerotic stenosis stent placement in a prospective cohort at a high-volume stroke center. Clinical, radiologic, and periprocedural characteristics and long-term outcomes were reviewed. Periprocedural intracranial hemorrhage was classified as procedure-related hemorrhage (PRH) and non-procedure-related hemorrhage (NPRH). The long-term outcomes were compared between patients with PRH and NPRH, and the predictors of NPRH were explored. RESULTS: Among 1849 patients, 24 (1.3%) had periprocedural intracranial hemorrhage, including PRH (4) and NPRH (20). The postprocedural 30-day mRS was 0–2 in 9 (37.5%) cases, 3–5 in 5 (20.8%) cases, and 6 in 10 (41.7%) cases. For the 14 survivors, the long-term (median of 78 months) mRS were 0–2 in 10 (76.9%) cases and 3–5 in 3 (23.1%) cases. The proportion of poor long-term outcomes (mRS ≥3) in patients with NPRH was significantly higher than those with PRH (68.4% versus 0%, P = .024). Anterior circulation (P = .002), high preprocedural stenosis rate (P < .001), and cerebral infarction within 30 days (P = .006) were independent predictors of NPRH after stent placement. CONCLUSIONS: Patients with NPRH had worse outcomes than those with PRH after stent placement for symptomatic ICAS. Anterior circulation, severe preprocedural stenosis, and recent infarction are independent predictors of NPRH. Full Article
edu Deep Learning-Based Reconstruction of 3D T1 SPACE Vessel Wall Imaging Provides Improved Image Quality with Reduced Scan Times: A Preliminary Study [ARTIFICIAL INTELLIGENCE] By www.ajnr.org Published On :: 2024-11-07T15:14:12-08:00 BACKGROUND AND PURPOSE: Intracranial vessel wall imaging is technically challenging to implement, given the simultaneous requirements of high spatial resolution, excellent blood and CSF signal suppression, and clinically acceptable gradient times. Herein, we present our preliminary findings on the evaluation of a deep learning–optimized sequence using T1-weighted imaging. MATERIALS AND METHODS: Clinical and optimized deep learning–based image reconstruction T1 3D Sampling Perfection with Application optimized Contrast using different flip angle Evolution (SPACE) were evaluated, comparing noncontrast sequences in 10 healthy controls and postcontrast sequences in 5 consecutive patients. Images were reviewed on a Likert-like scale by 4 fellowship-trained neuroradiologists. Scores (range, 1–4) were separately assigned for 11 vessel segments in terms of vessel wall and lumen delineation. Additionally, images were evaluated in terms of overall background noise, image sharpness, and homogeneous CSF signal. Segment-wise scores were compared using paired samples t tests. RESULTS: The scan time for the clinical and deep learning–based image reconstruction sequences were 7:26 minutes and 5:23 minutes respectively. Deep learning–based image reconstruction images showed consistently higher wall signal and lumen visualization scores, with the differences being statistically significant in most vessel segments on both pre- and postcontrast images. Deep learning–based image reconstruction had lower background noise, higher image sharpness, and uniform CSF signal. Depiction of intracranial pathologies was better or similar on the deep learning–based image reconstruction. CONCLUSIONS: Our preliminary findings suggest that deep learning–based image reconstruction–optimized intracranial vessel wall imaging sequences may be helpful in achieving shorter gradient times with improved vessel wall visualization and overall image quality. These improvements may help with wider adoption of intracranial vessel wall imaging in clinical practice and should be further validated on a larger cohort. Full Article
edu Cardiovascular disease — risk assessment and reduction: NICE 2023 update for GPs By bjgp.org Published On :: 2024-10-31T16:05:26-07:00 Full Article
edu Correction to "Opioid-related emergency department visits and deaths after a harm-reduction intervention: a retrospective observational cohort time series analysis" By www.cmajopen.ca Published On :: 2024-06-18T06:21:04-07:00 Full Article
edu Large-scale education in respiratory medicine: content versus delivery By breathe.ersjournals.com Published On :: 2024-10-01T10:05:24-07:00 The respiratory literature, both written and in online formats, is growing exponentially. Capturing quality content, to meet the learning needs of those working in all fields of respiratory medicine and delivering it in a palatable, accessible format is challenging but paramount. In this article we discuss ways to determine the information content and review different methods of delivering this content to those who need it. Full Article
edu Artificial Intelligence can cause fake education By rabble.ca Published On :: Fri, 03 Nov 2023 14:00:08 +0000 A new report by the global union Education International shows that AI can degrade the quality of education, worsen working conditions for teachers and provide inferior schooling for students. The post Artificial Intelligence can cause fake education appeared first on rabble.ca. Full Article Education Labour ai
edu Cold war spy satellites and AI detect ancient underground aqueducts By www.newscientist.com Published On :: Mon, 16 Sep 2024 22:27:42 +0100 Archaeologists are using AI and US spy satellite imagery from the cold war to find ancient underground aqueducts that helped humans survive in the desert Full Article
edu Emma Raducanu adds event to schedule after Wimbledon talks as financial boost secured By www.express.co.uk Published On :: Tue, 12 Nov 2024 17:58:00 +0000 Emma Raducanu struck a deal to return to one of her favourite tournaments. Full Article Tennis
edu Electric vehicles could save thousands of lives by reducing pollution, new study finds By www.cbc.ca Published On :: Fri, 15 Sep 2023 15:24:33 EDT Researchers calculated that if 30 per cent of vehicles in Chicago currently running on combustion engines were converted to electric, the reduction in pollution would save billions in health care costs every year. Full Article Radio/Quirks & Quarks
edu Isle of Man TT 2023: Race schedule, results and how to watch on TV By www.telegraph.co.uk Published On :: Sat, 10 Jun 2023 14:22:13 GMT Full Article topics:places/isle-of-man storytype:standard
edu Intestinal parasites may reduce covid-19 vaccine effectiveness By www.newscientist.com Published On :: Wed, 21 Aug 2024 20:00:55 +0100 Around 25 per cent of the world’s population has intestinal parasite infections – these could hinder the effectiveness of covid-19 vaccines, according to research in mice Full Article
edu How the healing powers of botany can reduce anxiety and boost health By www.newscientist.com Published On :: Mon, 26 Aug 2024 19:00:00 +0100 Surrounding ourselves with greenery can do wonders for our physical and mental wellbeing. Kathy Willis reveals just what kinds of plants are best for our brains and bodies, and why Full Article
edu Betsy DeVos joins Trump’s call to 'disband' the Department of Education and 're-empower' families By www.foxnews.com Published On :: Tue, 12 Nov 2024 20:40:40 -0500 Former Education Secretary Betsy DeVos discusses what a second Trump term could mean for U.S. education on "The Story with Martha MacCallum." Full Article 2426f898-56cb-51b3-9650-47f0ef4cf50e fnc Fox News fox-news/media fox-news/topic/fox-news-flash fox-news/us/education/dept-of-education fox-news/politics/elections/presidential/trump-transition fox-news/shows/v-full-ep-the-story fox-news/media article
edu Report: Women Stockpile Abortion Pills, Men Schedule Vasectomies After Election By www.breitbart.com Published On :: Tue, 12 Nov 2024 19:11:50 +0000 Liberal women are stockpiling abortion pills and "morning after" pills and men are scheduling vasectomies at greater rates. The post Report: Women Stockpile Abortion Pills, Men Schedule Vasectomies After Election appeared first on Breitbart. Full Article 2024 Election Health Politics 2024 Presidential Election Abortion abortion pill abortion restrictions Birth Control vasectomies
edu Young relying on porn for 'sex education'... By www.news.com.au Published On :: 2024-11-13T06:19:36Z Young relying on porn for 'sex education'... (First column, 16th story, link) Full Article
edu What Education Looked Like for These 5 Ancient Societies By www.discovermagazine.com Published On :: Tue, 12 Nov 2024 16:00:00 GMT There is not a ton of evidence of what education looked like in ancient society, but we do know it existed - although not for everyone. Full Article The Sciences
edu Honor Veterans by Improving the Benefits of Military Service — and Reducing the Risks By www.nationalreview.com Published On :: Mon, 11 Nov 2024 20:45:48 +0000 Private ownership, consumer choice, and competition would deliver better benefits to veterans — and force policy-makers to confront the costs of military engagements. Full Article
edu MSMEs in confusion as govt is keeping mum on demand for extending implementation of revised Schedule M By www.pharmabiz.com Published On :: Monday, November 11, 2024 08:00 IST Whilst the timeline set for adhering to the revised Schedule M of the Drugs and Cosmetics Act ends on December 31 for pharmaceutical companies with a turnover of less than Rs. 250 crore, the union ministry's Full Article
edu How the 2024 Election Could Change Access to Education in the U.S. and Influence Global Climate Change Decisions By www.scientificamerican.com Published On :: Mon, 04 Nov 2024 11:00:00 +0000 The outcome of the 2024 U.S. presidential election could set the climate agenda, reshape public education and shift the dynamics of global science collaboration. Full Article
edu REMOTE Redux: DTP trials are still hard By www.placebocontrol.com Published On :: Tue, 23 May 2017 17:44:00 +0000 Maybe those pesky sites are good for something after all. It's been six years since Pfizer boldly announced the launch of its "clinical trial in a box". The REMOTE trial was designed to be entirely online, and involved no research sites: study information and consent was delivered via the web, and medications and diaries were shipped directly to patients' homes. Despite the initial fanfare, within a month REMOTE's registration on ClinicalTrials.gov was quietly reduced from 600 to 283. The smaller trial ended not with a bang but a whimper, having randomized only 18 patients in over a year of recruiting. Still, the allure of direct to patient clinical trials remains strong, due to a confluence of two factors. First, a frenzy of interest in running "patient centric clinical trials". Sponsors are scrambling to show they are doing something – anything – to show they have shifted to a patient-centered mindset. We cannot seem to agree what this means (as a great illustration of this, a recent article in Forbes on "How Patients Are Changing Clinical Trials" contained no specific examples of actual trials that had been changed by patients), but running a trial that directly engages patients wherever they are seems like it could work. The less-openly-discussed other factor leading to interest in these DIY trials is sponsors' continuing willingness to heap almost all of the blame for slow-moving studies onto their research sites. If it’s all the sites’ fault – the reasoning goes – then cutting them out of the process should result in trials that are both faster and cheaper. (There are reasons to be skeptical about this, as I have discussed in the past, but the desire to drop all those pesky sites is palpable.) However, while a few proof-of-concept studies have been done, there really doesn't seem to have been another trial to attempt a full-blown direct-to-patient clinical trial. Other pilots have been more successful, but had fairly lightweight protocols. For all its problems, REMOTE was a seriously ambitious project that attempted to package a full-blown interventional clinical trial, not an observational study. In this context, it's great to see published results of the TAPIR Trial in vasculitis, which as far as I can tell is the first real attempt to run a DIY trial of a similar magnitude to REMOTE. TAPIR was actually two parallel trials, identical in every respect except for their sites: one trial used a traditional group of 8 sites, while the other was virtual and recruited patients from anywhere in the country. So this was a real-time, head-to-head assessment of site performance. And the results after a full two years of active enrollment? Traditional sites: 49 enrolled Patient centric: 10 enrolled Even though we’re six years later, and online/mobile communications are even more ubiquitous, we still see the exact same struggle to enroll patients. Maybe it’s time to stop blaming the sites? To be fair, they didn’t exactly set the world on fire – and I’m guessing the total cost of activating the 8 sites significantly exceeded the costs of setting up the virtual recruitment and patient logistics. But still, the site-less, “patient centric” approach once again came up astonishingly short. Krischer J, Cronholm PF, Burroughs C, McAlear CA, Borchin R, Easley E, Davis T, Kullman J, Carette S, Khalidi N, Koening C, Langford CA, Monach P, Moreland L, Pagnoux C, Specks U, Sreih AG, Ytterberg S, Merkel PA, & Vasculitis Clinical Research Consortium. (2017). Experience With Direct-to-Patient Recruitment for Enrollment Into a Clinical Trial in a Rare Disease: A Web-Based Study. Journal of medical Internet research, 19 (2) PMID: 28246067 Full Article direct to patient DTP patient recruitment research sites site relationship management trial delays
edu Pew Applauds Michigan for Enacting Bipartisan Legislation to Safely Reduce Jail Populations By www.pewtrusts.org Published On :: Thu, 14 Jan 2021 15:00:29 -0500 The Pew Charitable Trusts today commended Michigan Governor Gretchen Whitmer (D), state Senate Majority Leader Mike Shirkey (R), and Lee Chatfield (R)—whose term as state House Speaker ended last month—for passing and signing a bipartisan package of bills aimed at protecting public safety while reducing the number of people in county jails. Full Article
edu Tips and Strategies for Mixed Modeling with SAS/STAT Procedures By support.sas.com Published On :: 2016-09-01T12:00:00Z This paper provides recommendations for circumventing memory problems and reducing execution times for your mixed-modeling analyses, as well as showing the new HPMIXED procedure can be beneficial for certain situations, as with large sparse mixed models. Full Article
edu Education, Research, and Innovation in Africa: Forging Strategic Linkages for Economic Transformation By www.belfercenter.org Published On :: Feb 8, 2016 Feb 8, 2016 Africa is a youthful continent: nearly 41% of its population is under the age of 18. To address the unique challenges of this demographic structure, the African Union (AU) hopes to reposition the continent as a strategic player in the global economy through improved education and application of science and technology in development. The paper proposes the creation of “Innovation Universities” that combine research, teaching, community service and commercialization in their missions and operations. They would depart from the common practice where teaching is carried out in universities that do little research, and where research is done in national research institutes that do not undertake teaching. Under this model, there is little connection with productive sectors. The idea therefore is not just to create linkages between those activities but to pursue them in a coordinated way under the same university structure. Innovation universities can be created in diverse fields such as agriculture, health, industry, services, and environment to advance sustainable development and inclusive growth. Full Article
edu Salata Institute Launches Initiative to Reduce Global Methane Emissions By www.belfercenter.org Published On :: Jul 10, 2023 Jul 10, 2023 The Salata Institute for Climate and Sustainability at Harvard University launched today a major research and outreach initiative to reduce global methane emissions. The initiative seeks meaningful and sustained progress in global methane-emissions reductions through research and effective engagement with government policymakers — and with key stakeholders in business, nongovernmental organizations, and international institutions. Full Article
edu HPCA Hosts COP 28 Side Event on the Challenges and Opportunities of Reducing Global Methane Emissions By www.belfercenter.org Published On :: Dec 13, 2023 Dec 13, 2023 The Harvard Project on Climate Agreements (HPCA) assembled a panel of leading academics and government officials to discuss strategies for achieving significant methane emissions reductions at relatively low costs at an official COP 28 Side Event last Wednesday (Dec. 6). The event, titled “Reducing Global Methane Emissions: Imperatives, Opportunities, and Challenges,” was moderated by HPCA Director Robert Stavins. Full Article
edu German energy-intensive industry reduces output By www.argusmedia.com Published On :: 07 Nov 2024 17:41 GMT Full Article Natural gas Germany Netherlands Macroeconomics Industry Demand Energy policy Climate change
edu Event Debrief: Why the Inflation Reduction Act Passed By www.belfercenter.org Published On :: Jun 5, 2024 Jun 5, 2024 Harvard Kennedy School hosted Leah Stokes, Anton Conk Associate Professor of Environmental Politics at UC Santa Barbara, to discuss how the historic Inflation Reduction Act succeeded where so many previous climate bills failed. Full Article
edu Reducing Nuclear Dangers By www.belfercenter.org Published On :: Jun 20, 2024 Jun 20, 2024 Matthew Bunn argues that governments need help from scientists and engineers both in understanding the dangers that nuclear weapons continue to pose and in finding paths to reduce them. Full Article
edu Event Debrief: Advancing Equitable Clean Technology Investment Through the Greenhouse Gas Reduction Fund By www.belfercenter.org Published On :: Mar 18, 2024 Mar 18, 2024 Harvard Kennedy School hosted Jahi Wise, Senior Adviser to the Administrator of the U.S. Environmental Protection Agency, to discuss the design and implementation of the Greenhouse Gas Reduction Fund, a historic investment in American clean energy technology finance. Full Article
edu Leveraging Charging Strategies to Reduce Grid Impacts of Electric Vehicles By www.belfercenter.org Published On :: May 8, 2024 May 8, 2024 Electric vehicles (EVs) can challenge or support electricity systems depending on how they are charged. Controlled charging that combines technical solutions with heterogenous EV user behaviors can reduce peak demand to avoid grid constraints and support the integration of renewable energy. Full Article
edu McGruff and FINRA Investor Education Foundation: Tax Season Tips - No Bones About It By www.multivu.com Published On :: 16 Apr 2015 08:56:00 EDT No Bones About It Full Article Banking Financial Services New Products Services Broadcast Feed Announcements Investment opinions MultiVu Video
edu IV Eurasian Higher Education Leaders Forum - IV Eurasian Higher Education Leaders Forum Astana, Kazakhstan By www.multivu.com Published On :: 17 Jun 2015 14:15:00 EDT IV Eurasian Higher Education Leaders Forum, Astana, Kazakhstan Full Article Education Higher Education Workforce Management Human Resources Economic news trends analysis Trade show news Foreign policy International affairs MultiVu Video
edu Ready for Blast-Off: Lockheed Martin Launches Educational Program to Prepare America's Students for Deep Space Exploration - Students Travel to Mars By www.multivu.com Published On :: 15 Apr 2016 12:40:00 EDT These students think they are boarding an ordinary school bus, but when they depart, a virtual reality experience �transports� them to the surface of Mars. Full Article Aerospace Defense Education New Products Services Children-related News Broadcast Feed Announcements MultiVu Video
edu President George H.W. Bush Joins Recreational Boating & Fishing Foundation (RBFF) to Present First-Ever George H.W. Bush Vamos A Pescar™ Education Fund Grants - Broll footage and soundbites from a Recreational Boating & Fishing Foundat By www.multivu.com Published On :: 18 Apr 2016 14:35:00 EDT Broll footage and soundbites from a Recreational Boating & Fishing Foundation (RBFF) event at the George Bush Presidential Library on Thursday, April 14, 2016, in College Station, Texas. RBFF is a nonprofit organization whose mission is to increase participation in recreational angling and boating, thereby protecting and restoring the nation�s aquatic natural resources. Full Article Education Sports New Products Services Hispanic-oriented News Broadcast Feed Announcements MultiVu Video