Culture

In primary care practices, sustainability of performance improvements and ability to deliver continuity of care to patients can be adversely affected by major disruptive events, such as relocations and changes in ownership, clinicians, and key staff. This is according to a recently published study in the Annals of Family Medicine entitled “The Alarming Rate of Major Disruptive Events in Primary Care Practices in Oklahoma,” in which James Mold, MD, MPH, et al, documented the rates of major disruptive events in a cohort of primary care practices in Oklahoma.

In a recently published article in the Annals of Family Medicine, Donna Shelley, MD, MPH, et al, aimed to describe small, independent primary care practices’ performance in meeting the Million Hearts ABCSs (aspirin use, blood pressure control, cholesterol management, and smoking screening and counseling), as well as on a composite measure that captured the extent to which multiple clinical targets are achieved for patients with a history of arteriosclerotic cardiovascular disease. They also explored relationships between practice characteristics and ABCS measures.

In a recently published study in the Annals of Family Medicine, Kamal Henderson, MD, et al, assessed whether a practice’s adaptive reserve and high leadership capability in quality improvement are associated with population blood pressure control.

The dominance of the "windscreen perspective" whereby governments and planners view the world from quite literally the driving seat, has allowed car travel to become the "default choice," argue the authors.

Consequently, investment in road building far exceeds that for active travel--public transport, footpaths, and cycle lanes-- "resulting in an environment that often feels too risky for walking or cycling," they suggest.

TORONTO, April 9, 2018 - Existing gender gaps in academic medicine may have a negative impact on workplace culture and organizational effectiveness, but there are simple, systems-based solutions, suggests a new study.

Published today in BMC Medicine, the study led by Dr. Reena Pattani and Dr. Sharon Straus analyzed interviews conducted with female and male faculty members at the University of Toronto and its six fully-affiliated hospitals. Interviews with frontline staff uncovered that the gender gap in academic medicine has a negative impact.

Scientists have long theorized that blood flow plays an integral role in cancer metastasis. But new research testing this long-held hypothesis in zebrafish and humans confirms that the circulatory blood flow impacts the position where circulating tumor cells ultimately arrest in the vasculature and exit into the body, where they can form a metastasis.

Obesity is a growing issue in many countries, accelerated by easy access to calorie-dense foods that are pleasurable to eat (known as an 'obesogenic environment'). But while it's clear that eating too much leads to weight gain, little is known about the underlying behaviours that lead to overeating.

A protein involved in Alzheimer's disease (AD) may be a promising target for treating neurological disorders in human immunodeficiency virus (HIV) patients, suggests a study published in JNeurosci of rat neurons and brain tissue from deceased humans. The research shows that the two conditions may damage neurons in similar ways.

A key factor in reducing the risk of diabetic ketoacidosis (DKA), a potentially life-threatening complication of type 1 diabetes, in children at diagnosis of type 1 diabetes, is having a regular health care provider, according to a study in CMAJ (Canadian Medical Association Journal).

A new study has isolated a gene controlling shape and size of spikelets in wheat in a breakthrough which could help breeders deliver yield increases in one of the world's most important crops.

The team from the John Innes Centre say the underlying genetic mechanism they have found is also relevant to inflorescence (floral) architecture in a number of other major cereals including corn, barley and rice.

The genetic identification of an agronomically-relevant trait represents a significant milestone in research on wheat; a crop with a notoriously complex genome.

Social gadflies in an organization are the new superheroes of conservation, according to a study in this month's Nature Sustainability.

Conservation globally has received a boost from the United Nation's Sustainable Development Goals, placing new emphasis on, and opportunities for, support for the world's flora and fauna. Yet even as environmental non-governmental organizations (ENGOs) like The Nature Conservancy prepare to rise to the challenge, they face size issues. Specifically, their own size.

Suspensions of live bacteria in a viscous liquid do not act as expected when spun at certain speeds and now a team of researchers know why the bacterial aggregation appears to explode when the spinning stops.

Researchers at Harvard Medical School, the University of California, San Francisco, and the University of Georgia have described how the protein that allows strep and staph bacteria to stick to human cells is prepared and packaged. The research, which could facilitate the development of new antibiotics, will appear in the April 6 issue of the Journal of Biological Chemistry.

A team of chemical and biomedical engineers from the Cockrell School of Engineering at The University of Texas at Austin, in collaboration with researchers from the University of Pennsylvania, have discovered that HIV-infected patients experience a dysfunction in a certain type of immune cell: the follicular helper T (Tfh) cell.

Organic Consumers Association (OCA) is an industry trade group created by Ronnie Cummins, a disciple of anti-science activist Jeremy Rifkin, which funds numerous vassal groups to promote the work of their corporate clients. Two of them are a "lab" called HRI and Regeneration International. Now OCA is putting them together so Fagan, from the Maharishi University of Management in Iowa, can teach real farmers about his alternative vedic plant approach.