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A model of care redesign within rheumatology: A mixed methods approach integrating nurse practitioners and physician assistants.

J Am Assoc Nurse Pract

January 2025

Division of Cardiology, Department of Medicine, Duke Health Integrated Practice, Duke University Health System, Durham, North Carolina.

Background: Increasing patient demand and clinician burnout in rheumatology practices have highlighted the need for more efficient models of care (MOC). Interprofessional collaboration is essential for improving patient outcomes and clinician satisfaction.

Local Problem: Our current MOC lacks standardization and formal integration of Nurse Practitioners (NPs) and Physician Assistants (PAs), resulting in reduced clinician satisfaction and limited patient access.

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Retrosynthesis is a strategy to analyze the synthetic routes for target molecules in medicinal chemistry. However, traditional retrosynthesis predictions performed by chemists and rule-based expert systems struggle to adapt to the vast chemical space of real-world scenarios. Artificial intelligence (AI) has revolutionized retrosynthesis prediction in recent decades, significantly increasing the accuracy and diversity of predictions for target compounds.

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Impairments in mentalizing, the capacity to understand the self and others in terms of intentional mental states, are proposed to play an important role in the emergence of borderline personality disorder (BPD) in adolescence. Although mentalizing problems in adults with BPD have been amply demonstrated, research in adolescence lags behind in terms of both the normative development of mentalizing in adolescence and the relation between different dimensions of mentalizing and adolescent BPD. Therefore, the current study investigated developmental trends and sex-related differences related to different mentalizing dimensions and the associations between mentalizing dimensions and BPD features in a large group of adolescents ( = 456, = 15.

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Defense guard: strategies of plants in the fight against Cadmium stress.

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State Key Laboratory of Biocontrol, Guangdong Provincial Key Laboratory of Plant Stress Biology, School of Agriculture and Biotechnology, Shenzhen Campus of Sun Yat-Sen University, Sun Yat-Sen University, Shenzhen City, 518107, China.

Soil Cadmium (Cd) contamination is a worldwide problem with negative impacts on human health. Cultivating the Cd-Pollution Safety Cultivar (Cd-PSC) with lower Cd accumulation in edible parts of plants is an environmentally friendly approach to ensure food security with wide application prospects. Specialized mechanisms have been addressed for Cd accumulation in crops.

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