Healing Medicine's Future: Prioritizing Physician Trainee Mental Health.

In this article, we discuss current perceptions of the model physician and how these perceptions conflict with stressful realities of training environments and contribute to the staggering rates of burnout and depression faced by medical students and residents. We suggest a multi-tiered interventional approach to address these problems, with innovations for individual trainees, programs, institutions, and the health care system. Finally, we discuss the medical community's ethical obligations to ensure that it is appropriately and thoughtfully investing in the wellness of medicine's next generations of practitioners.

Early pancreatic islet fate and maturation is controlled through RBP-Jκ.

Notch signaling is known to control early pancreatic differentiation through Ngn3 repression. In later stages, downstream of Notch, the Presenilins are still required to maintain the endocrine fate allocation. Amongst their multiple targets, it remains unclear which one actually controls the maintenance of the fate of the early islets.

Factors Affecting Quality of Life for Korean American Cancer Survivors: An Integrative Review.

Problem Identification: Understanding of Korean American cancer survivors' quality of life (QOL) within a cultural context is limited. This article examines factors associated with the QOL of Korean American cancer survivors.
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Noninvasive in vivo imaging of embryonic β-cell development in the anterior chamber of the eye.

The fetal environment plays a decisive role in modifying the risk for developing diabetes later in life. Developing novel methodology for noninvasive imaging of β-cell development in vivo under the controlled physiological conditions of the host can serve to understand how this environment affects β-cell growth and differentiation. A number of culture models have been designed for pancreatic rudiment but none match the complexity of the in utero or even normal physiological environment.

Assessment of Cognitive Impairment and Complaints in Individuals With Colorectal Cancer.

Purpose/objectives: To assess cognitive function in individuals with colorectal cancer (CRC) and identify factors associated with cognitive effects.


Design: Cross-sectional, comparative design.
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Early Medicaid Expansion In Connecticut Stemmed The Growth In Hospital Uncompensated Care.

As states continue to debate whether or not to expand Medicaid under the Affordable Care Act (ACA), a key consideration is the impact of expansion on the financial position of hospitals, including their burden of uncompensated care. Conclusive evidence from coverage expansions that occurred in 2014 is several years away. In the meantime, we analyzed the experience of hospitals in Connecticut, which expanded Medicaid coverage to a large number of childless adults in April 2010 under the ACA.

Effect of a Nurse-Led Psychoeducational Intervention on Healthcare Service Utilization Among Adults With Advanced Cancer.

Purpose/objectives: To examine differences in healthcare service utilization among patients with advanced cancer participating in a nurse-led psychoeducational intervention.

Design: Secondary analysis of trial data.

Setting: Four Michigan cancer centers.

Sleep Patterns During Hospitalization Following Hematopoietic Stem Cell Transplantation.

Purpose/objectives: To characterize patient-reported and objective sleep assessments and provide a preliminary examination of the relationships among sleep, quality of life, and demographic or treatment factors.

Design: A secondary data analysis using a descriptive-correlational design.

Setting: University of Illinois Hospital and Health Sciences System.

Water, Human Rights, and Reproductive Justice: Implications for Women in Detroit and Monrovia.

Access to safe water and adequate living standards are recognized as basic health requisites and human rights worldwide. Nevertheless, socially marginalized women across the globe are currently facing threats to safe water access, which has dire implications for their health and that of their children. The City of Detroit, Michigan has recently shut off water services to over 50,000 residences, with low-income and racially marginalized women and their families disproportionately affected.

History, policy and nursing practice implications of the plan b(®) emergency contraceptive.

Numerous policy changes have expanded access to emergency contraception, such as Plan B®, in recent years. Plan B® is a progesterone-based medication that prevents pregnancy from occurring up to 120 hours after unprotected intercourse by preventing ovulation and tubal transport. Increased access to Plan B® allows women to make independent decisions regarding reproductive health.

Nursing knowledge, practice patterns, and learning preferences regarding chemotherapy-induced peripheral neuropathy.

Purpose/objectives: To explore nurses' practice patterns, knowledge, and barriers related to chemotherapy-induced peripheral neuropathy (CIPN).

Design: Descriptive, cross-sectional.

Setting: The United States.

Lost opportunities...the challenges of "missed nursing care".

Learn how to define, identify, and ultimately avoid missed nursing care within your organization.

Osteopathic approach to sacroiliac dysfunction in a patient with steroid myopathy: case report and literature review.

Long-term steroid use has a well-documented risk of myopathy that imposes functional limitations for patients and challenges for health care providers. Proximal weakness from steroid myopathy affects support structures around the pelvic girdle and likely predisposes patients to somatic dysfunction. To the authors' knowledge, there are no prior reports in the literature that describe an osteopathic manipulative medicine (OMM) approach for patients with steroid myopathy.

Racial and ethnic variation in partner perspectives about the breast cancer treatment decision-making experience.

Purpose/objectives: To characterize the perspectives of partners (husbands or significant others) of patients with breast cancer in the treatment decision-making process and to evaluate racial and ethnic differences in decision outcomes.

Design: A cross-sectional survey.

Setting: Los Angeles, CA, and Detroit, MI.

Current methods for the assessment and management of taxane-related neuropathy.

Taxane-induced peripheral neuropathy (TIPN) affects a number of patients with breast cancer. To properly manage these patients, nurses must be able to identify and assess TIPN, as well as educate patients on TIPN as a side effect of taxane therapy. This article provides practical suggestions regarding how nurses can incorporate clinically feasible measurement approaches into practice and includes examples of grading TIPN that illustrate the limitations of the current tools and techniques for assessment.

How to read a clinical trial paper: a lesson in basic trial statistics.

While the number of clinical trials performed yearly is increasing, the application of these results to individual patients is quite difficult. This article reviews key portions of the process of applying research results to clinical practice. The first step involves defining the study population and determining whether these patients are similar to the patients seen in clinical practice in terms of demographics, disease type, and disease severity.

Practice environments of nurses employed in ambulatory oncology settings: measure refinement.

Purpose/objectives: To examine the reliability and validity of modified items from the Practice Environment Scale of the Nursing Work Index (PES-NWI) for use in the understudied ambulatory oncology setting.

Design: Cross-sectional mailed survey using a modified Dillman method.

Setting: Southeastern United States.