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1

Chater 4 Roles of Child Health-Care Providers Roles of Child Health-Care  

E-print Network

screening, as recommended. 4. Provide family lead education. 5. Provide diagnostic and follow-up testing-up care, child health-care providers should per- form blood lead testing when children have unexplained-Care Providers 2. Give anticiator gbidance. During prenatal care and during preventive care at 3-6 months

2

The Effect of Maternal Healthcare on the Probability of Child Survival in Azerbaijan  

PubMed Central

This study assesses the effects of maternal healthcare on child survival by using nonrandomized data from a cross-sectional survey in Azerbaijan. Using 2SLS and simultaneous equation bivariate probit models, we estimate the effects of delivering in healthcare facility on probability of child survival taking into account self-selection into the treatment. For women who delivered at healthcare facilities, the probability of child survival increases by approximately 18%. Furthermore, if every woman had the opportunity to deliver in healthcare facility, then the probability of child survival in Azerbaijan as a whole would have increased by approximately 16%. PMID:25110673

Fan, Lida

2014-01-01

3

Applying motivational interviewing (MI) in counselling obese and overweight children and parents in Swedish child healthcare  

Microsoft Academic Search

Objective: To evaluate how a motivational interviewing (MI) training course for child healthcare nurses in Sweden affected their work with children’s weight issues and their attitudes to MI.Design: Cross-sectional survey, descriptive design.Setting: Nurses were recruited from 33 different child healthcare centres in Östergötland, Sweden.Method: Seventy-six nurses who had participated in an MI training course (held in 2008) were approached one

Lena L Söderlund; Janna Malmsten; Preben Bendtsen; Per Nilsen

2010-01-01

4

Schooling, Child Labor, and the Returns to Healthcare in Tanzania  

ERIC Educational Resources Information Center

We study the effects of accessing better healthcare on the schooling and labor supply decisions of sick children in Tanzania. Using variation in the cost of formal-sector healthcare to predict treatment choice, we show that accessing better healthcare decreases length of illness and changes children's allocation of time to school and work.…

Adhvaryu, Achyuta R.; Nyshadham, Anant

2012-01-01

5

Mother's home healthcare: emotion work when a child has cancer.  

PubMed

Home healthcare work, involving physical labor, nursing care, medical monitoring, administrative, planning and accounting, advocacy and emotion work, is unpaid and largely invisible. This article, based on focus group interviews with mothers whose children have had cancer, describes one part of their home healthcare labor, their emotion work. Specifically, it examines how mothers: manage the moral imperatives of mothering; think about and try to manage the strong feelings, particularly of fear and uncertainty that they often have when their children are ill with cancer; work to understand and maintain their marital relationships; the strategies that seemed to help; and finally, the self-transformation that many mothers experience. The article concludes with a discussion of the substantive, theoretical, research, and policy implications of emotion work in the provision of home healthcare work. PMID:16557122

Clarke, Juanne N

2006-01-01

6

How do public child healthcare professionals and primary school teachers identify and handle child abuse cases? A qualitative study  

PubMed Central

Background Public child healthcare doctors and nurses, and primary school teachers play a pivotal role in the detection and reporting of child abuse, because they encounter almost all children in the population during their daily work. However, they report relatively few cases of suspected child abuse to child protective agencies. The aim of this qualitative study was to investigate Dutch frontline workers’ child abuse detection and reporting behaviors. Methods Focus group interviews were held among 16 primary school teachers and 17 public health nurses and physicians. The interviews were audio recorded, transcribed, and thematically analyzed according to factors of the Integrated Change model, such as knowledge, attitude, self-efficacy, skills, social influences and barriers influencing detection and reporting of child abuse. Results Findings showed that although both groups of professionals are aware of child abuse signs and risks, they are also lacking specific knowledge. The most salient differences between the two professional groups are related to attitude and (communication) skills. Conclusion The results suggest that frontline workers are in need of supportive tools in the child abuse detection and reporting process. On the basis of our findings, directions for improvement of child abuse detection and reporting are discussed. PMID:24007516

2013-01-01

7

"To observe well ... and thence to make himself rules": John Locke's principles and practice of child healthcare.  

PubMed

It is often forgotten that the philosopher John Locke (1632-1704) was a highly regarded physician with a lifelong interest in medicine and was frequently consulted on medical matters, including the health of children. This child health aspect in Locke's history has been largely ignored, with even modern commentaries on Locke and medicine giving it only a cursory mention. However, it is clear that, in child health, Locke's influence is far more substantial than GF Still's and George Jackson's opinions, which limited Locke solely to Thoughts concerning education (1692/3). That a fundamental reappraisal of Locke's role in child healthcare is necessary and that his place as a pioneer of modern child healthcare needs to be proclaimed are emphasised here. As modern day child healthcare has evolved to embrace advocacy and learning disability, Locke's importance through his influence on paediatrics, child healthcare and human rights becomes more evident. Locke's influence in child healthcare comes not only through his other celebrated philosophical writings, but also through extensive personal correspondence and case records. As well as throwing light onto the 17th century aspects of child healthcare, Locke, through his enquiry and self-evident humility in his correspondence on medical matters, inspires and educates us with his pragmatic approach to the practice of medicine. PMID:23674297

Williams, A N

2007-06-01

8

Teaching child health-care concepts to Khmer mothers.  

PubMed

For a course teaching western child health care to refugee Khmer mothers relocated to the U.S., the class content, process, teaching materials and evaluation are described. An average of 8 women attended each of 4 classes, 2-3 hr long, taught by nurse practitioners and an interpreter. They ranged in age from 27-48, with 2-6 children. Class outlines included: Class 1) taking temperatures, pediatrician visits, immunizations; Class 2) common childhood diseases in U.S., folk remedies, Western treatments including home remedies; Class 3) preventing accidents from burns, falls, cars, poisons, drowning and electricity; Class 4) milestones in growth and development to 5 yr, child stimulation activities. Each class was followed by a question and answer period to evaluate students. So problems included difficulty in reading thermometers, resistance against changing some traditional treatments, unfamiliarity with certain concepts such as specificity of immunizations for given diseases or medical prescription of antibiotics (drugs were available without prescription in Cambodia). Khmer mothers' concepts of child developmental milestones correlated well with western ideas. A cultural characteristic of these women that hampered evaluation was their habit of answering questions in the affirmative: Cambodians do not ask or respond to open-ended or multiple choice questions, for fear of offending the questioner. Another problem was the use of a set curriculum, without sufficiently incorporating students' own cultural health care practices into the discussion. It was felt that Khmer mothers developed a basic understanding of western health care practices. PMID:3637209

Rosenberg, J A; Givens, S S

1986-01-01

9

Consumerism in healthcare can be detrimental to child health: lessons from children with functional abdominal pain  

PubMed Central

Aims: To determine prognostic indicators in children with severe functional abdominal pain (FAP) and to test the hypothesis that "healthcare consumerism" in these families might be deleterious to the child. Methods: Retrospective analysis of a cohort of 23 children aged <16 years fulfilling the Rome II diagnostic criteria for FAP during the period December 1997 to February 2001. Poor outcome was defined as continued pain and failure to return to normal functioning >12 months after onset. Results: Poor outcome was associated with refusal to engage with psychological services, involvement of more than three consultants, lodging of a manipulative complaint with hospital management by the child's family, and lack of development of insight into psychosocial influences on symptoms. Three of four adverse prognostic indicators reflected healthcare consumerism by the families. Conclusions: Actions of families who lack insight into their child's illness may perpetuate FAP in childhood. A culture of parental consumerism in healthcare, however well intentioned, needs to be accompanied by robust systems to protect the interests of the child. PMID:15781917

Lindley, K; Glaser, D; Milla, P

2005-01-01

10

Improving maternal and child healthcare programme using community-participatory interventions in Ebonyi State Nigeria  

PubMed Central

In Nigeria, the government is implementing the Free Maternal and Child Health Care Programme (FMCHCP). The policy is premised on the notion that financial barriers are one of the most important constraints to equitable access and use of skilled maternal and child healthcare. In Ebonyi State, Southeastern Nigeria the FMCHCP is experiencing implementation challenges including: inadequate human resource for health, inadequate funding, out of stock syndrome, inadequate infrastructure, and poor staff remuneration. Furthermore, there is less emphasis on community involvement in the programme implementation. In this policy brief, we recommend policy options that emphasize the implementation of community-based participatory interventions to strengthen the government’s FMCHCP as follows: Option 1: Training community women on prenatal care, life-saving skills in case of emergency, reproductive health, care of the newborn and family planning. Option 2: Sensitizing the community women towards behavioural change, to understand what quality services that respond to their needs are but also to seek and demand for such. Option 3: Implementation packages that provide technical skills to women of childbearing age as well as mothers’ groups, and traditional birth attendants for better home-based maternal and child healthcare. The effectiveness of this approach has been demonstrated in a number of community-based participatory interventions, building on the idea that if community members take part in decision-making and bring local knowledge, experiences and problems to the fore, they are more likely to own and sustain solutions to improve their communities’ health. PMID:25337602

Uneke, Chigozie Jesse; Ndukwe, Chinwendu Daniel; Ezeoha, Abel Abeh; Urochukwu, Henry Chukwuemeka; Ezeonu, Chinonyelum Thecla

2014-01-01

11

Improving maternal and child healthcare programme using community-participatory interventions in Ebonyi State Nigeria.  

PubMed

In Nigeria, the government is implementing the Free Maternal and Child Health Care Programme (FMCHCP). The policy is premised on the notion that financial barriers are one of the most important constraints to equitable access and use of skilled maternal and child healthcare. In Ebonyi State, Southeastern Nigeria the FMCHCP is experiencing implementation challenges including: inadequate human resource for health, inadequate funding, out of stock syndrome, inadequate infrastructure, and poor staff remuneration. Furthermore, there is less emphasis on community involvement in the programme implementation. In this policy brief, we recommend policy options that emphasize the implementation of community-based participatory interventions to strengthen the government's FMCHCP as follows: Option 1: Training community women on prenatal care, life-saving skills in case of emergency, reproductive health, care of the newborn and family planning. Option 2: Sensitizing the community women towards behavioural change, to understand what quality services that respond to their needs are but also to seek and demand for such. Option 3: Implementation packages that provide technical skills to women of childbearing age as well as mothers' groups, and traditional birth attendants for better home-based maternal and child healthcare. The effectiveness of this approach has been demonstrated in a number of community-based participatory interventions, building on the idea that if community members take part in decision-making and bring local knowledge, experiences and problems to the fore, they are more likely to own and sustain solutions to improve their communities' health. PMID:25337602

Uneke, Chigozie Jesse; Ndukwe, Chinwendu Daniel; Ezeoha, Abel Abeh; Urochukwu, Henry Chukwuemeka; Ezeonu, Chinonyelum Thecla

2014-10-01

12

Primary healthcare practitioners' screening practices and attitudes towards women survivors of child abuse  

PubMed Central

Background Child abuse survivors have an increased risk of developing various mental illnesses in adulthood, which may lead survivors to access primary healthcare services, in particular primary care mental health services. Aim To determine the frequency with which different primary care mental health practitioners encounter child abuse survivors in their practice and differences in their views about routine screening, level of importance, confidence and comfort in screening and supporting survivors, a cross-sectional study was conducted with 186 practitioners. Method The sample consisted of general practitioners (13.9%), psychologists (67.9%) and other professions such as psychiatrists, social workers, counsellors, psychotherapists, mental health nurses and other specific mental health practitioners (18.2%). Results Over 91% of practitioners reported that child abuse was a healthcare issue and was a problem for women in their practice. However, only 51.4% believed that women should be routinely screened for child abuse experiences. Significant differences among practitioner groups were found in aspects of screening and responding to survivors. General practitioners were significantly less likely to screen routinely and reported lower levels of confidence and comfort in conducting screening of survivors when compared with psychologists and other practitioners. The majority of practitioners saw it as psychologists' role to routinely screen; however, 57–82% of practitioners within each group reported that they would benefit from further training in areas relating to asking about and supporting survivors. Conclusion Findings highlighted further education as a potential area of need to enhance the knowledge and capacity of different practitioner groups in responding to women survivors of child abuse. PMID:23997824

2012-01-01

13

Policy-related determinants of child nutritional status in China: the effect of only-child status and access to healthcare.  

PubMed

This paper examines the determinants of child nutritional status in China, focusing specifically on those determinants related to health system reform and only-child status. Data are drawn from four waves of the China Health and Nutrition Survey (1991-2000). The empirical relationship between nutritional status, on the one hand, and income, access to quality healthcare and being an only-child, on the other hand, is investigated using ordinary least squares (OLS), random effects (RE), fixed effects (FE) and instrumental variables (IV) models. In the preferred model - a fixed effects model where income is instrumented - we find that being an only-child increases height-for-age z-scores by 0.12 of a standard deviation. By contrast, measures of access to quality healthcare are not found to be significantly associated with improved nutritional status. PMID:19775793

Bredenkamp, Caryn

2009-11-01

14

Four candles. Original perspectives and insights into 18th century hospital child healthcare.  

PubMed

It has only recently been recognised that for more than a century before the opening of Great Ormond Street Hospital for Children (1852) children were treated and even admitted in English Voluntary Hospitals. Among the earliest English 18th century records, that contain the patient's age, are those found at the Northampton General Hospital within an archive dating from its foundation as the Northampton Infirmary in 1744. They afford a fascinating glimpse into both inpatient and outpatient child health. Although there are no medical notes as such, the hospital archive has recently rediscovered 1743 statutes, contemporary patient literature entitled Some Friendly Advice to a Patient (written by the Northampton Infirmary's founding physician Dr (later Sir) James Stonhouse), minute books, contemporary engravings of the outside and inside of the hospital and inpatient menus. Thus we can speculate with a high degree of certainty as to what would be the then current infirmary environment and treatments for illustrative examples of the children seen in the period 1744-45 (two inpatients and two outpatients). Interestingly one of the inpatient cases, Elizabeth Ager, a child with fever, was admitted against the infirmary regulations, suggesting already a stretching of boundaries in favour of paediatric admissions. This paper gives a flavour of 18th century hospital child healthcare in an era before the formal recognition of paediatrics as a medical specialty and preceding by more than a century the construction of specialist provision through the foundation of the first children's hospitals. PMID:17185447

Williams, A N

2007-01-01

15

Does prenatal healthcare improve child birthweight outcomes in Azerbaijan? Results of the national Demographic and Health Survey.  

PubMed

This paper evaluates the effectiveness of prenatal healthcare in Azerbaijan on improving child birthweight using the 2006 Azerbaijan Demographic and Health Survey, a nationally representative survey of reproductive aged women. Two measures of prenatal health utilization are used to measure healthcare input-the number of prenatal visits and the quality index of health care. Endogeneity in prenatal healthcare utilization is controlled by 2SLS regression. Selection bias of probability of child being weighed is controlled by a binomial probit regression. We found that prenatal healthcare does improve child birthweight. The results of the 2SLS suggest that an additional prenatal visit increases birthweight by about 26g, or approximately 0.8% of the raw mean of birthweight in the country. Likewise, a unit increase in quality of prenatal healthcare increases birthweight by 21g or by approximately 1.3% of the birthweight. In general, the magnitude of prenatal care impact in Azerbaijan is comparable with that in other countries. PMID:20851064

Habibov, Nazim N; Fan, Lida

2011-01-01

16

Effectiveness of Primary Care Triple P on child psychosocial problems in preventive child healthcare: a randomized controlled trial  

PubMed Central

Background Psychosocial problems in children have adverse effects on the children, their families, and society, thus early intervention is important. Community pediatric services offer an ideal setting to detect problem behaviour in children and provide support to parents. The objective of this study was to assess the effectiveness of a Primary Care Triple P (PCTP) program compared with care as usual (UC) for parents of children with mild psychosocial problems after an initial, evidence-based screening in routine community pediatric care. Methods We conducted a multicenter, randomized, controlled trial in community pediatric services in the Netherlands, enrolling parents of children with mild psychosocial problems. The population was identified by screening using the Strengths and Difficulties Questionnaire (SDQ) with a cut-off point of 11 or higher (that is, a subclinical score). We compared PCTP with UC, and measured the effects immediately after treatment and after 6 and 12 months. PCTP comprised four individual counseling sessions with the parent of 20 to 30 minutes each. The primary outcome measures were the child psychosocial problems as measured by the SDQ and the Eyberg Child Behaviour Inventory (ECBI). Results In total, 81 families were recruited and randomized, and 67 provided post-intervention data. Both treatment groups improved after treatment, with the PCTP group improving only slightly more than the UC group on most measures. The maximum difference on the SDQ was 1.94 (95% CI?=??0.30 to 4.19, P?=?0.09) and 5.81 (95% CI?=??3.37 to 14.99, P?=?0.21) on the ECBI (n?=?67). None of the differences between PCTP and UC was significant. In the subsidiary analyses, only one of the twenty outcomes (that is, SDQ conduct problems) was significant. Conclusions PCTP did produce a reduction in psychosocial problems in children but had no statistically significant advantage over UC. In general, a few outcomes improved in both groups. Based on this admittedly underpowered study, we cannot conclude that PCTP is more effective than UC in preventive child healthcare. Trial registration Nederlands Trial Register (Dutch Trial Register): NTR1338. PMID:24207163

2013-01-01

17

Mother–Child Interactions and the Associations with Child Healthcare Utilization in Low-Income Urban Families  

Microsoft Academic Search

Studies have demonstrated that low-income families often have disproportionately high utilization of emergency department\\u000a (ED) and hospital services, and low utilization of preventive visits. A possible contributing factor is that some mothers\\u000a may not respond optimally to their infants’ health needs, either due to their own responsiveness or due to the child’s ability\\u000a to send cues. These mother–child interactions are

Margaret L. HollandByung-Kwang; Byung-Kwang Yoo; Harriet Kitzman; Linda Chaudron; Peter G. Szilagyi; Helena Temkin-Greener

18

Serological Findings in a Child with Paroxysmal Cold Haemoglobinuria  

PubMed Central

PCH is a rare autoimmune hemolytic anemia (AIHA) but is one of the most common causes of AIAH in children. For the diagnosis, it is important to perform the appropriate methods of serological investigation and show the typical biphasic reaction. This is a case report of a child who presented with features of haemolysis and was diagnosed with PCH of this way. PMID:25371680

Salido, Eduardo J.; Cabañas, Valentín; Macizo, María I.; García-Candel, Faustino; Pérez-López, Raúl

2014-01-01

19

Patient-Held Maternal and/or Child Health Records: Meeting the Information Needs of Patients and Healthcare Providers in Developing Countries?  

PubMed Central

Though improvements in infant and maternal mortality rates have occurred over time, women and children still die every hour from preventable causes. Various regional, social and economic factors are involved in the ability of women and children to receive adequate care and prevention services. Patient-held maternal and/or child health records have been used for a number of years in many countries to help track health risks, vaccinations and other preventative health measures performed. Though these records are primarily designed to record patient histories and healthcare information and guide healthcare workers providing care, because the records are patient-held, they also allow families a greater ability to track their own health and prevention strategies. A literature search was performed to answer these questions: (1) What are maternal information needs regarding pregnancy, post-natal and infant healthcare, especially in developing countries? (2) What is known about maternal information seeking behavior in developing countries? (3) What is the history and current state of maternal and/or child patient-held healthcare records, do they provide for the information needs of the healthcare provider and what are the effects and outcomes of patient-held records in general and for maternal and/or child health in particular? Specific information needs of pregnant women and mothers are rarely studied. The small numbers of maternal information behavior results available indicate that mothers, in general, prefer to receive health information directly from their healthcare provider as opposed to from other sources (written, etc.) Overall, in developing countries, patient-held maternal and/or child healthcare records have a mostly positive effect for both patient and care provider. Mothers and children with records tend to have better outcomes in healthcare and preventative measures. Further research into the information behaviors of pregnant women and mothers to determine the extent of reliance on interpersonal information seeking is recommended before expending significant resources on enhanced patient-held maternal and/or child healthcare records including storage on mobile devices. In particular, research is needed to explore the utility of providing targeted health messages to mothers regarding their own health and that of their children; this might best be accomplished through mobile technologies. PMID:23569604

Turner, Kathleen E.; Fuller, Sherrilynne

2011-01-01

20

Child healthcare workers in resource-limited areas improve health with innovative low-cost projects.  

PubMed

Most child health workers in resource-limited communities are dedicated, imaginative, innovative practitioners with ideas that would improve the care of children and families. However, they often lack experience in seeking funds and implementing their ideas. In 2006, the Section on International Child Health in the American Academy of Pediatrics launched a program, I-CATCH to fill this gap. The program provides mentors to assist in writing a proposal for the community-conceived and community-driven idea to improve child health, makes a small amount of funds available to the selected proposals, and offers mentors to help with the project's implementation. To date, 29 projects in 20 different non-industrialized countries have been funded. The impressive results achieved by the four completed and three ongoing projects are presented. PMID:21652575

Duncan, Burris; Mandalakas, Anna; Staton, Donna; Anders, Bron; Kurbasic, Mirzada; Nakakeeto, Margaret; Mustafa, Ghulam; Reyes, Alex; Evangelista, Doris

2012-04-01

21

Structure-function Study of PchB, an Isochorismate-Pyruvate Lyase from Pseudomonas aeruginosa  

E-print Network

mutases and the pericyclic reaction they catalyze in the production of prephenate from chorismate. In Pseudomonas aeruginosa a structural homologue of the Escherichia coli chorismate mutase EcCM has been found in the isochorismate-pyruvate lyase Pch...

Ouellette, Andrew Nicholas

2011-07-31

22

Cross-Generational Effects of Discrimination Among Immigrant Mothers: Perceived Discrimination Predicts Child's Healthcare Visits for Illness  

E-print Network

across generations. Indeed, racial and ethnic discrimination has been identified as a risk factor for lowCross-Generational Effects of Discrimination Among Immigrant Mothers: Perceived Discrimination mother's perception of ethnic and language-based discrimination affects the health of her child (indexed

23

MOLECULAR AND NEUROIMAGING FINDINGS IN PONTOCEREBELLAR HYPOPLASIA TYPE 2 (PCH2): IS PRENATAL DIAGNOSIS POSSIBLE?  

PubMed Central

The pontocerebellar hypoplasias (PCH) are a group of early-onset, autosomal recessive disorders resulting in abnormal growth and function of the brainstem and cerebellum. PCH type 2 (PCH2) is characterized by respiratory and feeding difficulties at birth, extrapyramidal dyskinesia, severe developmental impairment, progressive microcephaly and frequent death in childhood. Neuropathologic findings include diffuse cerebral gliosis with white matter changes, hypoplastic pons with depletion of neurons in the pontine nuclei, hypoplastic cerebellar hemispheres due to short cerebellar folia with poor branching, segmental loss of dentate, inferior olivary, and ventral pontine nuclei, and near absence of transverse pontine fibers with preservation of long fiber tracts and spinal anterior horn cells. On brain imaging, the cerebellar hemispheres appear very flat, and are more severely involved than the vermis. Most patients with PCH2 have mutations in TSEN54, with occasional mutations found in TSEN34 or TSEN2, genes that encode subunits of tRNA splicing endonuclease. Although this is a congenital disorder of pontocerebellar dysgenesis with fetal onset of neurodegeneration and symptoms at birth, prenatal imaging is unreliable in diagnosing this disorder in utero. We report on IVF dizygous twins with detailed prenatal imaging that failed to reveal any cerebellar abnormalities. Direct sequence analysis of TSEN54 showed homozygosity for c.919G>T, the common founder mutation in most PCH2 patients, and both parents were heterozygous for this mutation. We found no evidence of cerebellar dysgenesis on prenatal ultrasounds, but MRI tractography showed absence of pontine crossing fibers, a unique feature that might be useful for prenatal diagnosis of this condition. PMID:20803644

Graham, John M.; Spencer, Andrew H.; Grinberg, Inessa; Niesen, Charles E.; Platt, Lawrence D.; Maya, Marcel; Namavar, Yasmin; Baas, Frank; Dobyns, William B.

2010-01-01

24

The impact of primary healthcare in reducing inequalities in child health outcomes, Bogot? - Colombia: an ecological analysis  

PubMed Central

Background Colombia is one of the countries with the widest levels of socioeconomic and health inequalities. Bogotá, its capital, faces serious problems of poverty, social disparities and access to health services. A Primary Health Care (PHC) strategy was implemented in 2004 to improve health care and to address the social determinants of such inequalities. This study aimed to evaluate the contribution of the PHC strategy to reducing inequalities in child health outcomes in Bogotá. Methods An ecological analysis with localities as the unit of analysis was carried out. The variable used to capture the socioeconomic status and living standards was the Quality of Life Index (QLI). Concentration curves and concentration indices for four child health outcomes (infant mortality rate (IMR), under-5 mortality rate, prevalence of acute malnutrition in children under-5, and vaccination coverage for diphtheria, pertussis and tetanus) were calculated to measure socioeconomic inequality. Two periods were used to describe possible changes in the magnitude of the inequalities related with the PHC implementation (2003 year before - 2007 year after implementation). The contribution of the PHC intervention was computed by a decomposition analysis carried out on data from 2007. Results In both 2003 and 2007, concentration curves and indexes of IMR, under-5 mortality rate and acute malnutrition showed inequalities to the disadvantage of localities with lower QLI. Diphtheria, pertussis and tetanus (DPT) vaccinations were more prevalent among localities with higher QLI in 2003 but were higher in localities with lower QLI in 2007. The variation of the concentration index between 2003 and 2007 indicated reductions in inequality for all of the indicators in the period after the PHC implementation. In 2007, PHC was associated with a reduction in the effect of the inequality that affected disadvantaged localities in under-5 mortality (24%), IMR (19%) and acute malnutrition (7%). PHC also contributed approximately 20% to inequality in DPT coverage, favoring the poorer localities. Conclusion The PHC strategy developed in Bogotá appears to be contributing to reductions of the inequality associated with socioeconomic and living conditions in child health outcomes. PMID:23145972

2012-01-01

25

Center for Healthcare Technologies  

SciTech Connect

In the U.S., we now spend about 13% of the gross domestic product (CDP) on healthcare. This figure represents nearly $3000 per year per man, woman, and child. Moreover, this expenditure is projected to grow to about 20% of the GDP by the year 2000. Medical research and development accounts for only about 3% of national healthcare spending, and technology development represents only a small fraction of that 3%. New technologies that are far more cost-effective than previous ones - such as minimally invasive surgical procedures, advanced automated diagnostics, and better information systems - could save the nation billions of dollars per year to say nothing of the potential reductions in pain and suffering. A center is described that will coordinate ongoing Laboratory research aimed at developing more cost-effective tools for use by the healthcare community. The new Center for Healthcare Technologies will have many long-term benefits for the region and the nation.

Carrano, A.V.

1994-03-01

26

Dihydroaeruginoic acid synthetase and pyochelin synthetase, products of the pchEF, are induced by extracellular pyochelin in Pseudornonas aeruginosa  

Microsoft Academic Search

The siderophore pyochelin of Pseudomonas aeruginosa is derived from one molecule of salicylate and two molecules of cysteine. Two cotranscribed genes, pChEF8 encoding peptide synthetases have been identified and characterized. pchE was required for the conversion of salicylate to dihydroaeruginoate (Dha), the condensation product of salicylate and one cysteine residue and pchF was essential for the synthesis of pyochelin from

Cornelia Reimmann; Laura Serino; Markus Beyeler; D. Haa

1998-01-01

27

Maltreatment of Children and Youth with Special Healthcare Needs  

Microsoft Academic Search

\\u000a Children with special healthcare needs have an increased risk for child abuse and neglect (Sullivan & Knutson, 1998; Sullivan\\u000a & Knutson, 2000). The maltreatment of these children and youth is frequently unidentified and unrecognized in healthcare settings.\\u000a Consequently, efforts are needed to inform healthcare providers about the risk factors for child maltreatment among children\\u000a with special healthcare needs. This requires

Patricia M. Sullivan; John F. Knutson; Eleanor J. Ashford

28

The Effect of Parent–Child Function on Physical Activity and Television Viewing among Adolescents with and without Special Healthcare Needs  

Microsoft Academic Search

Using the 2007 National Survey of Children’s Health, the association between parent–child function and physical activity and television viewing was investigated among a national sample of adolescents in the United States. Parent–child function was measured using the National Survey of Children’s Health “Family Function” survey items and confirmatory factor analysis. Multivariable regression described the influence of parent–child function and having

Beth M. McManus; Carmen Gomez Mandic; Adam C. Carle; Stephanie A. Robert

2012-01-01

29

The Effect of Parent-Child Function on Physical Activity and Television Viewing among Adolescents with and without Special Healthcare Needs  

ERIC Educational Resources Information Center

Using the 2007 National Survey of Children's Health, the association between parent-child function and physical activity and television viewing was investigated among a national sample of adolescents in the United States. Parent-child function was measured using the National Survey of Children's Health "Family Function" survey items and…

McManus, Beth M.; Mandic, Carmen Gomez; Carle, Adam C.; Robert, Stephanie A.

2012-01-01

30

Future Healthcare  

E-print Network

Patients want answers, not numbers. Evidence-based medicine must have numbers to generate answers. Therefore, analysis of numbers to provide answers is the Holy Grail of healthcare professionals and its future systems. ...

Datta, Shoumen

2010-12-15

31

GLOBAL HEALTHCARE TECHNOLOGIES  

E-print Network

GLOBAL HEALTHCARE TECHNOLOGIES SOUTH AFRICA International Program Development · Northwestern Technologies (CIGHT). COURSES: ·Healthcare Technology in Resource Poor Environments · Healthcare Technology Assessment and Planning · Healthcare Technology Innovation and Design · Health and Community Development

MacIver, Malcolm A.

32

GLOBAL HEALTHCARE TECHNOLOGIES  

E-print Network

GLOBAL HEALTHCARE TECHNOLOGIES SOUTH AFRICA International Program Development · Northwestern. COURSES: ·Healthcare Technology in Resource Poor Environments · Healthcare Technology Assessment and Planning · Healthcare Technology Innovation and Design · Health and Community Development in South Africa

Shahriar, Selim

33

Addressing healthcare.  

PubMed

Though President Barack Obama has rarely made healthcare references in his State of the Union addresses, health policy experts are hoping he changes that strategy this year. "The question is: Will he say anything? You would hope that he would, given that that was the major issue he started his presidency with," says Dr. James Weinstein, left, of the Dartmouth-Hitchcock health system. PMID:23487896

Daly, Rich

2013-02-11

34

[Youth Healthcare guideline 'Skin disorders'].  

PubMed

There is a high incidence of skin disorders; these are also frequently encountered within Youth Healthcare (YHC). Some skin disorders are caused by an underlying disease, syndrome or child abuse. Therefore, detection of these causes in an early stage is important. Skin disorders can have a huge psychosocial impact on both child and parents. This is one of the reasons why prevention, detection, diagnosis, treatment, referral, and uniform advice and guidance are of great importance. The YHC Guideline examines counselling and advice, criteria for referral to primary or secondary healthcare, and skincare in general. It also describes the disorders that should be actively detected. The Guideline also looks at specific aspects of dark skins and ethnic diversity, and the impact of skin disorders on general wellbeing. The accompanying web-based tool includes argumentation and opinions from experts on more than 75 skin disorders, including illustrations and decision trees, to aid the drawing up of a treatment plan. PMID:23151335

Deurloo, Jacqueline A; van Gameren-Oosterom, Helma B M; Kamphuis, Mascha

2012-01-01

35

Emerging Technologies for Healthcare  

Microsoft Academic Search

The paper discusses integrating of current and emerging technologies with healthcare. These technologies can be used for prevention of diseases, enhancing healthcare access, efficient and accurate diagnostics, effective healthcare delivery, rehabilitation, healthcare information management, improving quality of life at all ages and many other features. In this paper, we discuss several aspects of healthcare and technologies including: ldr development of

M. Ilyas

2008-01-01

36

Lysine221 is the general base residue of the isochorismate synthase from Pseudomonas aeruginosa (PchA) in a reaction that is diffusion limited  

PubMed Central

The isochorismate synthase from Pseudomonas aeruginosa (PchA) catalyzes the conversion of chorismate to isochorismate, which is subsequently converted by a second enzyme (PchB) to salicylate for incorporation into the salicylate-capped siderophore pyochelin. PchA is a member of the MST family of enzymes, which includes the structurally homologous isochorismate synthases from E. coli (EntC and MenF) and salicylate synthases from Yersinia enterocolitica (Irp9) and Mycobacterium tuberculosis (MbtI). The latter enzymes generate isochorismate as an intermediate before generating salicylate and pyruvate. General acid – general base catalysis has been proposed for isochorismate synthesis in all five enzymes, but the residues required for the isomerization are a matter of debate, with both lysine221 and glutamate313 proposed as the general base (PchA numbering). This work includes a classical characterization of PchA with steady state kinetic analysis, solvent kinetic isotope effect analysis and by measuring the effect of viscosogens on catalysis. The results suggest that isochorismate production from chorismate by the MST enzymes is the result of general acid – general base catalysis with a lysine as the base and a glutamic acid as the acid, in reverse protonation states. Chemistry is determined to not be rate limiting, favoring the hypothesis of a conformational or binding step as the slow step. PMID:23942051

Meneely, Kathleen M.; Luo, Qianyi; Dhar, Prajnaparamita; Lamb, Audrey L.

2013-01-01

37

Synthesis and reactions of the cationic seven-coordinate complexes, [MoI(CO) 3(NCR){Ph 2P(CH 2) n PPh 2}][BF 4] (R=Me, n=1, 2 and 3; R=Et, n=1). Crystal structures of [MoI 2(CO) 2(PPh 3){Ph 2P(CH 2)PPh 2}], [MoI(CO) 2{Ph 2P(CH 2)PPh 2} 2][BF 4]·CH 2Cl 2, [MoCl 3O{Ph 2PO(CH 2)OPPh 2}] and [Mo 3(? 3-I) 2{? 2Ph 2P(CH 2)PPh 2} 3]I  

Microsoft Academic Search

Equimolar quantities of [MoI2(CO)3{Ph2P(CH2)nPPh2}] (n=1, 2 or 3) and Ag[BF4] were reacted in acetonitrile at room temperature to give the cationic seven-coordinate complexes, [MoI(CO)3(NCMe){Ph2P(CH2)nPPh2}][BF4], (1–3), in high yield. Reactions of [MoI(CO)3(NCMe){Ph2P(CH2)PPh2}][BF4] (1) with one equivalent of L in CH2Cl2 at room temperature afford either [MoI(CO)3L{Ph2P(CH2)PPh2}][BF4], {L=NCEt 4, P(OMe)35, P(OEt)36} or [MoI(CO)2(NCMe)L{Ph2P(CH2)nPPh2}][BF4] {L=P(OPri)37, P(OPh)38, PPh39}. Complex 9 reacts with NaI to

Paul K Baker; Michael G. B Drew; Deborah S Moore

2002-01-01

38

Lysine221 is the general base residue of the isochorismate synthase from Pseudomonas aeruginosa (PchA) in a reaction that is diffusion limited.  

PubMed

The isochorismate synthase from Pseudomonas aeruginosa (PchA) catalyzes the conversion of chorismate to isochorismate, which is subsequently converted by a second enzyme (PchB) to salicylate for incorporation into the salicylate-capped siderophore pyochelin. PchA is a member of the MST family of enzymes, which includes the structurally homologous isochorismate synthases from Escherichia coli (EntC and MenF) and salicylate synthases from Yersinia enterocolitica (Irp9) and Mycobacterium tuberculosis (MbtI). The latter enzymes generate isochorismate as an intermediate before generating salicylate and pyruvate. General acid-general base catalysis has been proposed for isochorismate synthesis in all five enzymes, but the residues required for the isomerization are a matter of debate, with both lysine221 and glutamate313 proposed as the general base (PchA numbering). This work includes a classical characterization of PchA with steady state kinetic analysis, solvent kinetic isotope effect analysis and by measuring the effect of viscosogens on catalysis. The results suggest that isochorismate production from chorismate by the MST enzymes is the result of general acid-general base catalysis with a lysine as the base and a glutamic acid as the acid, in reverse protonation states. Chemistry is determined to not be rate limiting, favoring the hypothesis of a conformational or binding step as the slow step. PMID:23942051

Meneely, Kathleen M; Luo, Qianyi; Dhar, Prajnaparamita; Lamb, Audrey L

2013-10-01

39

Healthcare Agents: Being One  

MedlinePLUS

Planning Ahead > Advance Directives Advance Directives Download Your State's Advance Directives What are Advance Directives? Healthcare Agents: Four Quick Steps to Naming Someone to Speak4me Healthcare ...

40

Site-selective ligand substitution in CoRu(CO) 7 (?-PPh 2 ) using (Z)Ph 2 PCH=CHPPh 2 and reactivity of DMAD with CoRu(CO) 5 [(Z)Ph 2 PCH=CHPPh 2 ](?-PPh 2 ). X-ray structures of CoRu(CO) 5 [(Z)Ph 2 PCH=CHPPh 2 ](?-PPh 2 ) and CoRu(CO) 3 (?-CO)[(Z)Ph 2 PCH=CHPPh 2 ] [?, ? 3 Ph 2 PC(CO 2 Me)C(CO 2 Me)  

Microsoft Academic Search

The heterometallic complex CoRu(CO)7(?-PPh2) (1) reacts with the diphosphine ligand (Z)-Ph2PCH=CHPPh2 under both thermolysis and Me3NO activation to furnish CoRu(CO)5[(Z)-Ph2PCH=CHPPh2](?-PPh2) (2) in good yield. Treatment of 2 with dimethyl acetylenedicarboxylate (DMAD) at elevated temperature leads to the formal insertion of the DMAD ligand into the Co–phosphido bond and formation of the metallocyclic compound CoRu(CO)3(?-CO)[(Z)-Ph2PCH=CHPPh2][?,?3-Ph2PC(CO2Me)C(CO2Me)] (3) that contains a 5e? alkenylphosphine

William H. Watson; Krzysztof Ejsmont; Jie Liu; Michael G. Richmond

2003-01-01

41

Cloning and sequence analysis of a gene (pchR) encoding an AraC family activator of pyochelin and ferripyochelin receptor synthesis in Pseudomonas aeruginosa.  

PubMed Central

Pseudomonas aeruginosa K372 is deficient in the production of both the 75-kDa ferripyochelin receptor protein and pyochelin. A 1.8-kb EcoRI-SalI fragment which restored production of both the receptor protein and pyochelin was cloned. Nucleotide sequencing of the fragment revealed an open reading frame of 888 bp, designated pchR (pyochelin), capable of encoding a 296-amino-acid protein of a 32,339-Da molecular mass. By using a phage T7-based expression system, a protein of ca. 32 kDa was produced off the 1.8-kb fragment, confirming that this open reading frame was indeed expressed. A region exhibiting homology to the consensus Fur-binding site of Escherichia coli was identified upstream of the pchR coding region overlapping a putative promoter. In addition, the C-terminal 80 amino acid residues of PchR showed approximately 50% homology (identity, 31%; conserved changes, 19%) to the carboxy terminus of AraC, a known transcriptional activator of gene expression in E. coli, Salmonella typhimurium, Citrobacter freundii, and Erwinia chrysanthemi. Within the C-terminal region of PchR, AraC, and a number of other members of the AraC family of transcriptional activators, there exists a highly conserved 17-residue domain where, in fact, two residues are strictly maintained and two others exhibit only conserved changes, suggesting a common functional significance to this region in all of these proteins. These data are consistent with a role for PchR as a transcriptional activator of pyochelin and ferripyochelin receptor synthesis in P. aeruginosa. In agreement with this, a PchR mutant obtained by in vitro mutagenesis and gene replacement was deficient in production of the ferripyochelin receptor and pyochelin. Images PMID:8397186

Heinrichs, D E; Poole, K

1993-01-01

42

Crossed beams and theoretical studies of the O(3P)+CH4-->H+OCH3 reaction excitation function.  

PubMed

The excitation function for the reaction, O(3P)+CH4-->H+OCH3, has been measured in a crossed molecular beams experiment and determined with direct dynamics calculations that use the quasiclassical trajectory method in conjunction with a recently developed semiempirical Hamiltonian. Good agreement is found between experiment and theory, enabling us to address two fundamental issues for the O(3P)+CH4 reaction that arise for all O(3P)+saturated hydrocarbon reactions: (1) the importance of triplet excited states that correlate adiabatically to ground-state reactants and products and (2) the importance of intersystem crossing processes involving the lowest singlet surface [corresponding to reaction with O(1D)]. Our results indicate that the first excited triplet surface contributes substantially to the cross section when the collision energy exceeds the reaction barrier (approximately 2 eV) by more than 0.5 eV. Although triplet-singlet crossings may occur at all energies, we have found that their effect on the excitation function is negligible for the collision energies studied-up to 1.5 eV above threshold. PMID:15267908

Troya, Diego; Schatz, George C; Garton, Donna J; Brunsvold, Amy L; Minton, Timothy K

2004-01-01

43

Studies of the oxovanadium-organophosphonate system. The synthesis and crystal structure of (Et 3NH) 2 [(VO) 2(acac) 2(O 3PCH 2PO 3)  

Microsoft Academic Search

The reaction of [VO(acac)2], methylenediphosphonic acid and triethylamine in acetonitrile at 110°C for 60 h yields (Et3NH)2-[(VO)2(acac)2(O3PCH2PO3)] (1). The structure of 1 consists of two {VO(acac)} moieties linked by a methylenediphosphonate group in the bisbidentate bridging mode. The {(VO)2(O3PCH2PO3)} core of 1 provides a fundamental structural motif for one-dimensional oxovanadium methylenediphosphonate phases. Crystal data: C23H48N2O12P2V2: orthorhombic P22121, a = 9.767(2),

Jose Salta; Jon Zubieta

1996-01-01

44

Healthcare compunetics.  

PubMed

Changes in life expectancy, healthy life expectancy and health seeking behaviour are having an impact on the demand for care. Such changes could occur across the whole population, or for specific groups. Changes for specific groups will be particularly affected by policy initiatives, while both these and wider changes will be affected by people's levels of engagement with their health and the health service itself. Levels of education, income and media coverage of health issues are also important. These factors could also encourage an increase in people caring for themselves and their families or community. People are now expecting a patient-centred service with safe high quality treatment, comfortable accommodation services, fast access and an integrated joined-up system. The uptake of integrated Information and Communication technologies (ICT) will be crucial. Healthcare Compunetics, the combination of computing and networking customised for medical and care, will provide the common policy and framework for combined multi-disciplinary research, development, implementation and usage. PMID:15747899

Marsh, Andy; Laxminarayan, Swamy; Bos, Lodewijk

2004-01-01

45

Mapping healthcare information technology  

E-print Network

In this thesis I have developed a map of Healthcare Information Technology applications used in the United States for care delivery, healthcare enterprise management, clinical support, research and patient engagement. No ...

Crawford, William Charles Richards

2010-01-01

46

Possibilities for Healthcare Computing  

E-print Network

Advances in computing technology promise to aid in achieving the goals of healthcare. We review how such changes can support each of the goals of healthcare as identified by the U.S. Institute of Medicine: safety, ...

Szolovits, Peter

47

GE Healthcare Antibody Purification  

E-print Network

GE Healthcare Antibody Purification Handbook GE Healthcare imagination at work agination at work Separation Media Methodology and Applications 18-1115-69 Ion Exchange Chromatography & Chromatofocusing from GE Healthcare #12;Antibody Purification Handbook #12; Handbook 18-1037-46 AD Contents Introduction

Lebendiker, Mario

48

Reactivity of [(?-H)Os 3(CO) 8{Ph 2PCH 2P(Ph)C 6H 4}] with organic heterothiols; X-ray structures of [H(?-H)Os 3(CO) 8(? 2-pyS){Ph 2PCH 2P(Ph)C 6H 4}] and [Os 3(CO) 8(?-? 2-pyS){Ph 2PCH 2P(Ph)C 6H 4}  

Microsoft Academic Search

The reaction of [(?-H)Os3(CO)8{Ph2PCH2P(Ph)C6H4}] (3) with pyridine-2-thiol (pySH, C5H4NSH) at room temperature gave two novel clusters [(?-H)Os3(CO)8(?-pyS)(?-dppm)] (4) and [H(?-H)Os3(CO)8(?2-pyS){Ph2PCH2P(Ph)C6H4}] (5) in 55 and 15% yields, respectively. Compound 4 is formed by simple oxidative addition of pySH and demetallation of the phenyl ring of dppm ligand whereas the 50-electron cluster 5 results from oxidative addition of pySH and coordination of

Shariff E Kabir; K. M Abdul Malik; Elias Molla; M Abdul Mottalib

2000-01-01

49

Human trafficking and the healthcare professional.  

PubMed

Despite the legislation passed in the 19th century outlawing human slavery, it is more widespread today than at the conclusion of the civil war. Modern human slavery, termed human trafficking, comes in several forms. The most common type of human trafficking is sex trafficking, the sale of women and children into prostitution. Labor trafficking is the sale of men, women, and children into hard labor for which they receive little or no compensation. Other forms of trafficking include child soldiering, war brides, and organ removal. Healthcare professionals play a critical role in both finding victims of human trafficking while they are still in captivity, as well as caring for their mental and physical needs upon release. Those working in the healthcare profession need to be educated regarding how a trafficking victim may present, as well as their unique healthcare needs. PMID:18414161

Barrows, Jeffrey; Finger, Reginald

2008-05-01

50

Synthesis and Structure of Cs[(VO) 2(OH)(O 3PCH 2CH 2PO 3)]: A Two-Dimensional Solid with Pillared Layers  

Microsoft Academic Search

The title compound Cs[(VO)2(OH)(O3PCH2CH2PO3)] 1 was synthesized hydrothermally from a mixture of CsVO3, H2O3PCH2CH2PO3H2, and H2O in the mole ratio 1 : 1.22 : 535 and heated to 200°C for 48 hr. Phosphonate 1 is formed in 45% yield and crystallizes in the monoclinic space group P21\\/c witha=11.798(2) Å,b=11.056(2) Å,c=8.682(2) Å,?=104.92(3)°,V=1094.3(4) Å3,Z=4, andR=0.054. The framework consists of complimentary inorganic V\\/P\\/O

Grant H. Bonavia; Robert C. Haushalter; Sichu Lu; Charles J. O'Conner; Jon Zubieta

1997-01-01

51

GE Healthcare Life Sciences  

E-print Network

GE Healthcare Life Sciences imagination at work magination at work Protein Sample Preparation Handbook #12;Handbooks from GE Healthcare GST Gene Fusion System Handbook 18-1157-58 Affinity Chromatography and Chromatofocusing Principles and Methods 11-0004-21 Cell Separation Media Methodology

Lebendiker, Mario

52

Healthcare. State Report  

ERIC Educational Resources Information Center

This report projects education requirements linked to forecasted job growth in healthcare by state and the District of Columbia from 2010 through 2020. It complements a larger national report which projects educational demand for healthcare for the same time period. The national report shows that with or without Obamacare, the United States will…

Carnevale, Anthony P.; Smith, Nicole; Gulish, Artem; Beach, Bennett H.

2012-01-01

53

Simulation in Healthcare  

NSDL National Science Digital Library

Students learn how engineering design is applied to solve healthcare problems by using an engineering tool called simulation. While engineering design is commonly used to study and design everything from bridges, factories, airports to space shuttles, the use of engineering design to study healthcare administration and delivery is a relatively new concept.

STARS GK-12 Program,

54

Issue 11 July-Sept 2011 Mass movements and change Diplomacy Leadership Healthcare in Asia  

E-print Network

to primary healthcare - maternal and child health in Southeast Asia 49 China's ailing healthcare system 51Leaks and the future of diplomacy 23 A British diplomat in Moscow 26 Diplomacy in the New Middle Ages 29 China in 1792, there was zero prospect of King George III meeting the Emperor of China. Even in more recent

Chaudhuri, Sanjay

55

Healthcare Service Use and Costs for Autism Spectrum Disorder: A Comparison between Medicaid and Private Insurance  

ERIC Educational Resources Information Center

Healthcare costs and service use for autism spectrum disorder (ASD) were compared between Medicaid and private insurance, using 2003 insurance claims data in 24 states. In terms of costs and service use per child with ASD, Medicaid had higher total healthcare costs (22,653 vs. 5,254), higher ASD-specific costs (7,438 vs. 928), higher psychotropic…

Wang, Li; Mandell, David S.; Lawer, Lindsay; Cidav, Zuleyha; Leslie, Douglas L.

2013-01-01

56

Turnover among healthcare professionals.  

PubMed

Turnover among healthcare professionals is a costly consequence. The existing body of knowledge on healthcare professional turnover is correlated with job satisfaction levels. A landmark study differentiated 2 areas of job satisfaction categories: satisfiers and dissatisfiers (intrinsic and extrinsic motivators). The aim of this article is to examine existing research on precursors of turnover, such as burnout behaviors experienced by healthcare professionals, job satisfaction levels, employee organizational commitment, health complications which precede turnover, some current strategies to reduce turnover, and some effects CEO turnover has on employee turnover intentions. PMID:21595334

Wood, Ben D

2009-01-01

57

GE Healthcare Ion exchange  

E-print Network

GE Healthcare Ion exchange columns and media Selection Guide imagination at work #12;Principle. Chromatography media selection Select the ion exchange medium according to the objective of the purification step

Lebendiker, Mario

58

Colleges and Student Healthcare  

MedlinePLUS

... the lower right-hand corner of the player. Colleges and Student Healthcare HealthDay October 27, 2014 Related MedlinePlus Pages College Health Coping with Chronic Illness Health Facilities Transcript ...

59

The hydrogenation reaction of [Ru 3(CO) 10(C 6F 5) 2P(CH 2) 2P(C 6F 5) 2]: Migration of a C 6F 5 group from a phosphorus to a ruthenium atom. X-ray crystal structures of [Ru 3(CO) 9(?-H){? 2-(C 6F 5)PCH 2CH 2P(C 6F 5) 2}], [Ru 3(CO) 7(?-H) 3(? 1-C 6F 5){? 3-PCH 2CH 2P(C 6F 5) 2}] and [Ru 3(CO) 8(?-H) 2{? 3-PCH 2CH 2P(C 6F 5) 2}  

Microsoft Academic Search

The reaction of [Ru3(CO)10{(C6F5)2P(CH2)2P(C6F5)2}] (1) with hydrogen in toluene produced four compounds. These compounds were characterized spectroscopically and structurally. Some experiments were carried out to determine the relationship between the different reaction products. The first two compounds (2 and 3) show ?-phosphide groups bridging metal–metal bonds, produced by the rupture of a P–C6F5 bond; 2 also shows a C6F5 ring

Gloria Sánchez-Cabrera; Marco A. Leyva; Francisco J. Zuno-Cruz; María G. Hernández-Cruz; Maria J. Rosales-Hoz

2009-01-01

60

Hydrothermal synthesis and structure of a three-dimensional trimetallic oxide, Na 2[CuV 2O 2(H 2O) 2(O 3PCH 2PO 3) 2  

Microsoft Academic Search

The hydrothermal reaction of Cu(II), Na3VO4, and methylenediphosphonic acid provided a trimetallic hybrid oxide, Na2[CuV2O2(H2O)2(O3PCH2PO3)2] (1). The structure consists of a three-dimensional {CuV2O2(H2O)2(O3PCH2PO3)2}n-2n framework with charge-compensating Na+ cations entrained within the void spaces. The compound is paramagnetic, and the temperature dependence of the magnetic susceptibility was fit to the Curie–Weiss law. The effective magnetic moment of 2.92?B at room temperature

Gundog Yucesan; Vladimir Golub; Charles J. O’Connor; Jon Zubieta

2006-01-01

61

Queueing for healthcare.  

PubMed

Patient queues are prevalent in healthcare and wait time is one measure of access to care. We illustrate Queueing Theory-an analytical tool that has provided many insights to service providers when designing new service systems and managing existing ones. This established theory helps us to quantify the appropriate service capacity to meet the patient demand, balancing system utilization and the patient's wait time. It considers four key factors that affect the patient's wait time: average patient demand, average service rate and the variation in both. We illustrate four basic insights that will be useful for managers and doctors who manage healthcare delivery systems, at hospital or department level. Two examples from local hospitals are shown where we have used queueing models to estimate the service capacity and analyze the impact of capacity configurations, while considering the inherent variation in healthcare. PMID:20703697

Palvannan, R Kannapiran; Teow, Kiok Liang

2012-04-01

62

Factors influencing healthcare service quality  

PubMed Central

Background: The main purpose of this study was to identify factors that influence healthcare quality in the Iranian context. Methods: Exploratory in-depth individual and focus group interviews were conducted with 222 healthcare stakeholders including healthcare providers, managers, policy-makers, and payers to identify factors affecting the quality of healthcare services provided in Iranian healthcare organisations. Results: Quality in healthcare is a production of cooperation between the patient and the healthcare provider in a supportive environment. Personal factors of the provider and the patient, and factors pertaining to the healthcare organisation, healthcare system, and the broader environment affect healthcare service quality. Healthcare quality can be improved by supportive visionary leadership, proper planning, education and training, availability of resources, effective management of resources, employees and processes, and collaboration and cooperation among providers. Conclusion: This article contributes to healthcare theory and practice by developing a conceptual framework that provides policy-makers and managers a practical understanding of factors that affect healthcare service quality. PMID:25114946

Mosadeghrad, Ali Mohammad

2014-01-01

63

GE Healthcare Introduction  

E-print Network

GE Healthcare Introduction HR 16 columns are designed for high resolution liquid chromatography of biomolecules performed at low to medium pressures. The columns are suitable for use with high performance media with other Sepharose media. When you receive your column Please check that your column package contains

Lebendiker, Mario

64

GE Healthcare Life Sciences  

E-print Network

GE Healthcare Life Sciences Instructions 28-9958-80 AC Core beads CaptoTM Core 700 Capto Core 700 and scale up #12;2 28-9958-80 AC Table of contents 1 BioProcessTM Media 1 BioProcessTM Media BioProcess media are developed and supported for production scale

Lebendiker, Mario

65

Norovirus in healthcare settings  

PubMed Central

Purpose of review To provide an overview of the burden of norovirus disease in healthcare settings and the factors responsible for outbreaks in these institutions; to assess progress on interventions aimed at reducing the burden of norovirus disease. Recent findings Norovirus outbreaks in healthcare settings are driven by confluence of viral diversity, the built environment, and host factors. Some of these characteristics may be modifiable and the target of successful interventions. Summary Most norovirus outbreaks in hospital and residential care institutions are associated with a particular genotype, known as GII.4. The persistence of norovirus is associated with strain diversity, which is driven by immune evasion and viral adaptation to interaction with a variety of human histo-blood group antigens. The healthcare environment presents serious challenges for control, both because of the physical structure of the built space and the high levels of contact among patient populations who may have compromised hygiene. Increased vulnerability among the populations in healthcare institutions is likely to be multifactorial and may include the following: nutritional status, immunodeficiency or senescence, chronic inflammation, and microbiome alterations. Current control measures are based on general infection control principles, and treatment is mainly supportive and nonspecific. Vaccines and antiviral agents are being developed with promising results, but none are currently available. PMID:25101555

Iturriza-Gomara, Miren; Lopman, Benjamin

2014-01-01

66

Virtual Reality in Healthcare  

Microsoft Academic Search

In our modern 21st century, daily life would be unthinkable without computers. Multimedia and virtual reality are useful for\\u000a people with special needs. This chapter presents a general overview of the use of virtual reality in medical informatics,\\u000a rehabilitation and assistive & preventive healthcare.

Cecília Sik Lányi

67

Social networking healthcare  

Microsoft Academic Search

The world of “Social Networking”, a cultural phenomenon of recent years, has evolved an application paradigm, Instant Messaging (IM), into a feature rich, highly interactive and context sensitive service delivery environment. Terms such as buddy lists, presence and IM-bots have emerged as building blocks for services that significantly enhance the user experience. Mapping this paradigm to healthcare can deliver a

Leigh Griffin; Eamonn de Leastar

2009-01-01

68

Berkeley SHIP & Healthcare  

E-print Network

Berkeley SHIP & Healthcare Reform: What's Right for You? December 11, 2013 #12;Why are we here? · Help you understand your insurance options · Give you time to ask questions · Talk to Berkeley SHIP. · SHIP's plan meets all ACA requirements. · Reminder: all UC students are required to have health

Walker, Matthew P.

69

What the Medical Records Revolution Means to Your Special Child  

ERIC Educational Resources Information Center

As every exceptional parent knows, the needs of a special child are, simply put, special. For every area of life, an extra amount of thought and care must be taken--whether it is education, traveling considerations, and, especially, healthcare. However, it is in the area of healthcare that parents say they face the most challenge. For years,…

Dorsett, Tom

2008-01-01

70

[Healthcare rights and conditional cash transfers in Latin America].  

PubMed

Conditional cash transfer programs in Latin America impose specific requirements and responsibilities on beneficiary households, in order to upgrade education levels, improve drop-out rates and eliminate child labor, while enhancing health and nutrition indicators. Although counterpart healthcare conditions are common to all these programs, government strategies differ in terms of reaching their goals, at times even undermining improvements in the living conditions of more vulnerable segments of the population. Instead of upholding rights to healthcare, such initiatives may well trigger a new cycle of tightly-focused basic care through provisional programs. PMID:18813487

da Fonseca, Ana Maria Medeiros; Viana, Ana Luiza d'Avila

2007-01-01

71

magination at work GE Healthcare  

E-print Network

Biacore Sensor Surface BR-1005-71 GE Healthcare Life Sciences Cell Separation Media Methodology and applications Cell Separation Media Methodology and Applications 18-1115-69 GE Healthcare Life Sciences Gelmagination at work GE Healthcare Life Sciences imagination at work Multimodal Chromatography

Lebendiker, Mario

72

imagination at work GE Healthcare  

E-print Network

imagination at work GE Healthcare Data File 28-9207-54 AA Custom Designed Media AVB Sepharose High is a trademarks of GE Healthcare Companies. All third party trademarks are the property of their respective owners are sold subject to the terms and conditions of sale of the company within GE Healthcare which supplies

Lebendiker, Mario

73

imagination at work GE Healthcare  

E-print Network

imagination at work GE Healthcare Data File 28-9662-37 AA Custom Designed Media VIIISelect Electric Company. Capto is a trademark of GE Healthcare Companies. All third party trademarks within GE Healthcare which supplies them. A copy of these terms and conditions is available on request

Lebendiker, Mario

74

Executive MBA for Healthcare Leadership  

E-print Network

in healthcare policy are discussed with government officials, public policy experts, and media specialistsExecutive MBA for Healthcare Leadership A one-year investment. A lifetime of dividends. The Executive MBA (EMBA) for Healthcare Leadership program at the University of Tennessee, Knoxville, equips you

Grissino-Mayer, Henri D.

75

High-throughput investigation of inorganic-organic hybrid compounds: Systematic study of the system CdCl 2/(H 2O 3PCH 2) 2N-CH 2C 6H 4-COOH/NaOH  

NASA Astrophysics Data System (ADS)

High-throughput (HT) methods in materials synthesis enable fast and systematic investigations of parameter space - compositional as well as process parameters - while consuming only small amounts of starting materials. We have developed a new work-up tool, a 48-parallel-filtration device, which was integrated into our HT methodology for the investigation of solvothermal reactions. Employing HT methods, we have studied the system CdCl 2/(H 2O 3PCH 2) 2N-CH 2C 6H 4-COOH (H 5L)/NaOH leading to the discovery of four new compounds Cd[(HO 3PCH 2) 2N(H)-CH 2C 6H 4-COOH] 2 ( 1), Cd(H 2O)[H(O 3PCH 2) 2N(H)-CH 2C 6H 4-COOH] ( 2), Cd 2[(O 3PCH 2) 2N-CH 2C 6H 4-COOH]·3H 2O ( 3), and Cd 3(OH)[(O 3PCH 2) 2N-CH 2C 6H 4-COO]·4.5H 2O ( 4). The structures of 1 and 2 could be elucidated from laboratory X-ray powder diffraction data. All four title compounds were characterized using XRD, IR spectroscopy, as well as elemental, EDX, and thermogravimetric analyses. The pH of the starting mixture has a decisive influence on the product formation. Increasing amounts of NaOH lead to a gradual deprotonation of H 5L and therefore an increasing molar ratio of Cd 2+:ligand in the reaction products.

Bauer, Sebastian; Bein, Thomas; Stock, Norbert

2008-07-01

76

Secure Collaboration Technology for Healthcare Enterprises  

Microsoft Academic Search

Healthcare organizations have a legacy of relatively isolated vendor-proprietary departmental systems. The cost of integrating disparate healthcare systems is a significant barrier to collaborative endeavors such as telemedicine. Recent legislative measures for the protection of healthcare information place significant responsibilities on healthcare organizations to ensure that their healthcare systems and information technology practices adequately protect the privacy of healthcare information

Ravi S. Raman; V. Jagannathan; Y. V. Ramana Reddy

1997-01-01

77

Modification of residue 42 of the active site loop with a lysine-mimetic sidechain rescues isochorismate-pyruvate lyase activity in Pseudomonas aeruginosa PchB  

PubMed Central

PchB is an isochorismate-pyruvate lyase from Pseudomonas aeruginosa. A positively charged lysine residue is located in a flexible loop that behaves as a lid to the active site, and the lysine residue is required for efficient production of salicylate. A variant of PchB that lacks the lysine at residue 42 has a reduced catalytic free energy of activation of up to 4.4 kcal/mol. Construction of a lysine isosteric residue bearing a positive charge at the appropriate position leads to the recovery of 2.5–2.7 kcal/mol (about 60%) of the 4.4 kcal/mol by chemical rescue. Exogenous addition of ethylamine to the K42A variant leads to a neglible recovery of activity (0.180 kcal/mol, roughly 7% rescue), whereas addition of propylamine caused an additional modest loss in catalytic power (0.056 kcal/mol, or ?2% loss). This is consistent with the view that (a) the lysine-42 residue is required in a specific conformation to stabilize the transition state and (b) the correct conformation is achieved for a lysine-mimetic sidechain at site 42 in the course of loop closure, as expected for transition-state stabilization by the side chain ammonio-function. That the positive charge is the main effector of transition state stabilization is shown by the construction of a lysine-isosteric residue capable of exerting steric effects and hydrogen bonding but not electrostatic effects, leading to a modest increase of catalytic power (0.267 – 0.505 kcal/mol of catalytic free energy, or roughly 6 – 11% rescue). PMID:22970849

Olucha, José; Meneely, Kathleen M.; Lamb, Audrey L.

2012-01-01

78

Child Abuse  

MedlinePLUS

... suicide or become violent. An older child may use drugs or alcohol, try to run away or abuse others. Child abuse is a serious problem. If you suspect a child is being abused or neglected, call the police or your local child welfare agency.

79

Innovation Concepts in Healthcare  

ScienceCinema

AbstractDemographic change and advances in medical science pose increased challenges to healthcare systems globally: The economic basis is aging and thus health is becoming more and more a productivity factor. At the same time, with today?s new communication possibilities the demand and expectations of effective medical treatment have been increased. This presentation will illustrate the need for the ?industrialization? of healthcare in order to achieve highest results at limited budgets. Thereby, industrialization is not meaning the medical treatment based on the assembly line approach. Rather it is to recognize the cost of medical care as an investment with respective expectations on the return of the investment. Innovations in imaging and pharmaceutical products as well as in processes - that lead to similar medical results, but with lower efforts - are keys in such scenarios.BiographyProf. Dr. Hermann Requardt, 54, is a member of the Managing Board of Siemens AG and Chief Executive Officer of the Healthcare Sector. In addition he is the CTO of Siemens AG and Head of Corporate Technology, the central research department at Siemens.After completing his studies in physics and philosophy at the Darmstadt University of Technology and Johann Wolfgang Goethe University in Frankfurt and receiving a doctorate in biophysics, he worked at the Institute of Aerospace Medicine at the German Aerospace Center.In 1984 he joined the Medical Technology Group of Siemens AG, where he was responsible for projects in the Magnetic Resonance (MR) division. He was appointed head of the division in 1995. From 2001 to 2006, as a member of the Executive Management of the Medical Solutions Group, he was responsible for several areas, including technological development.In 2006 he became a Member of the Siemens? Managing Board and head of Corporate Technology. He was additionally appointed as the Sector Healthcare CEO in 2008.Since 2006 he is an honorary professor in physics of the Johann Wolfgang Goethe University in Frankfurt.                                                                                

None

2011-04-25

80

Integrated healthcare information systems.  

PubMed

When it comes to electronic data processing in healthcare, we offer a guarded, but hopeful, prognosis. To be sure, the age of electronic information processing has hit healthcare. Employers, insurance companies, hospitals, physicians and a host of ancillary service providers are all being ushered into a world of high speed, high tech electronic information. Some are even predicting that the health information business will grow from $20 billion to over $100 billion in a decade. Yet, out industry lags behind other industries in its overall movement to the paperless world. Selecting and installing the most advanced integrated information system isn't a simple task, as we've seen. As in life, compromises can produce less than optimal results. Nevertheless, integrated healthcare systems simply won't achieve their goals without systems designed to support the operation of a continuum of services. That's the reality! It is difficult to read about the wonderful advances in other sectors, while realizing that many trees still fall each year in the name of the health care industry. Yes, there are some outstanding examples of organizations pushing the envelop in a variety of areas. Yet from a very practical standpoint, many (like our physician's office) are still struggling or are on the sidelines wondering what to do. Given the competitive marketplace, organizations without effective systems may not have long to wonder and wait. PMID:10154233

Miller, J

1995-01-01

81

"Cloud" health-care workers.  

PubMed Central

Certain bacteria dispersed by health-care workers can cause hospital infections. Asymptomatic health-care workers colonized rectally, vaginally, or on the skin with group A streptococci have caused outbreaks of surgical site infection by airborne dispersal. Outbreaks have been associated with skin colonization or viral upper respiratory tract infection in a phenomenon of airborne dispersal of Staphylococcus aureus called the "cloud" phenomenon. This review summarizes the data supporting the existence of cloud health-care workers. PMID:11294715

Sherertz, R. J.; Bassetti, S.; Bassetti-Wyss, B.

2001-01-01

82

Pseudomonas aeruginosa in Healthcare Settings  

MedlinePLUS

... Personnel Klebsiella MRSA Mycobacterium abscessus Norovirus Pseudomonas aeruginosa Staphylococcus aureus Tuberculosis VISA / VRSA Vancomycin-resistant Enterococci (VRE) in Healthcare Settings Resources for Patients ...

83

Healthy Child Care America Campaign: You Can Make a Difference in Your Community.  

ERIC Educational Resources Information Center

Child-care and health-care professionals joined efforts in the "Healthy Child Care America" campaign to ensure that children are cared for in environments that are safe and healthy. Goals of the campaign include raising awareness of the importance of quality child care, and involving more people in the nationwide effort to improve quality and…

Huggins, Moniquin

1995-01-01

84

Disobedient Child  

MedlinePLUS

... or resort to violence? What is your usual style of relating to your child, and what forms ... Sledding Safety (Audio) International Adoptions Recommend Testing Foster Parenting Changing Your Child's Behavior Consistent Snoring in Toddlers ...

85

Child Nutrition  

MedlinePLUS

A healthy diet helps children grow and learn. It also helps prevent obesity and weight-related diseases, such as diabetes. To give your child a nutritious diet Make half of what is on your child's ...

86

Concepts in service marketing for healthcare professionals  

Microsoft Academic Search

Patients are becoming increasingly involved in making healthcare choices as their burden of healthcare costs continues to escalate. At the same time, healthcare has entered a tightened market economy. For these reasons, the marketing of healthcare services has become essential for the financial survival of physicians and healthcare organizations. Physicians can successfully use the fundamental service marketing principles proven by

Christopher L Corbin; Scott W Kelley; Richard W Schwartz

2001-01-01

87

Child Development  

MedlinePLUS

Start of Search Controls Search Form Controls Child Development Cancel Submit Search The CDC CDC A-Z Index MENU CDC A-Z SEARCH A B C D E F G H I ... Z # Start of Search Controls Search Form Controls Child Development Cancel Submit Search The CDC Child Development Note: ...

88

Hydrothermal Synthesis, Powder Structural Determination, and Magnetic Study of the Novel Hydrated Iron Diphosphonate [Fe 2(H 2O) 2(O 3P-CH 2-PO 3H) 2](H 2O) 2 or MIL-13  

NASA Astrophysics Data System (ADS)

[Fe 2(H 2O) 2(O 3P-CH 2-PO 3H) 2](H 2O) 2 or MIL-13 was prepared hydrothermally (120 h at 473 K). Its structure was determined by powder X-ray diffraction. This compound crystallizes in the triclinic system ( P-1) with the following cell parameters: a=9.8487(6) Å, b=8.0308(5) Å, c=9.9154(5) Å, ?=99.09(1)°, ?=97.91(1)°, ?=89.38(1)°, V=766.97 Å 3, Z=2. Its bidimensional structure consists of [Fe 2(H 2O) 2 (O 3P-CH 2-PO 3H) 2] sheets, between which are located water molecules. The thermal study indicates that this compound undergoes several phase transitions. Moreover, this new iron diphosphonate shows a 2D antiferromagnetic behavior below 13(1) K, but remains paramagnetic at 4.2 K as shown by Mössbauer spectroscopy.

Riou-Cavellec, M.; Serre, C.; Robino, J.; Noguès, M.; Grenèche, J.-M.; Férey, G.

1999-10-01

89

GE Healthcare imagination at work  

E-print Network

GE Healthcare imagination at work magination at work Strategies for Protein Purification Handbook #12;Handbooks from GE Healthcare GST Gene Fusion System Handbook 18-1157-58 Affinity Chromatography and Chromatofocusing Principles and Methods 11-0004-21 Cell Separation Media Methodology and Applications 18

Lebendiker, Mario

90

imagination at work GE Healthcare  

E-print Network

imagination at work GE Healthcare Data file 28-9755-23 AB Chromatography columns HiScaleTM columns compatibility with modern BioProcessTM media · Axial compression of the gel bed and a plunger mechanism enabling with GE Healthcare's XK columns HiScale columns were developed to provide a range of functional

Lebendiker, Mario

91

Wireless Sensor Networks for Healthcare  

Microsoft Academic Search

Driven by the confluence between the need to collect data about people's physical, physiological, psychological, cognitive, and behavioral processes in spaces ranging from personal to urban and the recent availability of the technologies that enable this data collection, wireless sensor networks for healthcare have emerged in the recent years. In this review, we present some representative applications in the healthcare

JeongGil Ko; Chenyang Lu; Mani B. Srivastava; John A. Stankovic; Andreas Terzis; Matt Welsh

2010-01-01

92

Walking the history of healthcare.  

PubMed

The history of healthcare is complex, confusing and contested. In Walking London's medical history the story of how health services developed from medieval times to the present day is told through seven walks. The book also aims to help preserve our legacy, as increasingly former healthcare buildings are converted to other uses, and to enhance understanding of the current challenges we face in trying to improve healthcare in the 21st century. Each walk has a theme, ranging from the way hospitals merge or move and the development of primary care to how key healthcare trades became professions and the competition between the church, Crown and City for control of healthcare. While recognising the contributions of the 'great men of medicine', the book takes as much interest in the six ambulance stations built by the London County Council (1915) as the grandest teaching hospitals. PMID:18193703

Black, Nick

2007-12-01

93

Globalization of Healthcare  

PubMed Central

Globalization—the increasing transnational circulation of money, goods, people, ideas, and information worldwide—is generally recognized as one of the most powerful forces shaping our current and future history. How is it affecting healthcare, and in that context, what is the purpose and significance of Global Advances in Health and Medicine (GAHM), publisher of this journal? Our goal is not homogenization but rather to provide an opportunity for integration, convergence, and collaboration across cultures. By respecting and conserving the richness and diversity of each new medicine, we embrace globalization. Globalization is of course not new; it began in the Renaissance and particularly with the 15th- and 16th-century voyages of exploration by Columbus, Magellan, and others. Since the beginning of time, there have been interactions and exchanges among different peoples and cultures. However, the current magnitude of globalization is unprecedented and yet still expanding rapidly. PMID:24278809

2012-01-01

94

Developing healthcare support workers.  

PubMed

This article the fifth in a series of seven, describes the measures taken by one health board in Scotland to enhance nursing and midwifery leadership. In NHS Lanarkshire, the Leading Better Care Programme was implemented locally by engaging all members of the nursing and midwifery teams, including healthcare support workers (HCSWs). This article discusses how NHS Lanarkshire is developing its HCSW workforce in response to recommendations in the Final Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry and other relevant national initiatives. HCSWs provide vital care to patients, but are unregulated and, at present, there are no UK-wide agreed standards for training and development. The article includes an overview of a scoping exercise to identify training and development undertaken by HCSWs. PMID:25424111

Brown, Jacqueline; McMurray, Julia

2014-11-26

95

Ruthenium Hydrides Containing the Superhindered Polydentate Polyphosphine Ligand P(CH2CH2P(t)Bu2)3.  

PubMed

The complex RuH2(N2)(P(2)P3(tBu)) (1) containing the extremely bulky PP3-type ligand P(2)P3(tBu) = P(CH2CH2P(t)Bu2)3 was synthesized by reduction of RuCl2(P(2)P3(tBu)) (2) with Na/NH3 under a N2 atmosphere. Like other complexes containing the P(2)P3(tBu) ligand, only three of the four donor phosphines are coordinated, and one of the phosphines remains as a dangling pendant phosphine. Reduction of RuCl2(P(2)P3(tBu)) (2) with a range of the more usual hydride reducing agents afforded the previously unknown ruthenium hydride complexes RuHCl(P(2)P3(tBu)) (3), RuH(BH4)(P(2)P3(tBu)) (6), RuH(AlH4)(P(2)P3(tBu)) (7), and the ruthenium(II) trihydride K[Ru(H)3(P(2)P3(tBu))] (8). The ruthenium tetrahydride containing a coordinated H2 ligand RuH2(H2)(P(2)P3(tBu)) (10) was synthesized by exchange of N2 in 1 by H2. Complexes 1, 3, 6, 7, and 8 were characterized by crystallography and multinuclear NMR spectroscopy. PMID:25390508

Gilbert-Wilson, Ryan; Field, Leslie D; Bhadbhade, Mohan

2014-12-01

96

Information Security Management of Healthcare System.  

E-print Network

??Information security has significant role in Healthcare organizations. The Electronic Health Record (EHR) with patient’s information is considered as very sensitive in Healthcare organization. Sensitive… (more)

Mahmood, Ashrafullah

2010-01-01

97

Healthcare information portal: a web technology for the healthcare community  

Microsoft Academic Search

Telemedicine technology already provides tremendous social benefits. A comprehensive, Web-based healthcare information portal would be a major further advancement. This article discusses the need for developing such a portal, proposes a framework, and analyses its benefits and challenges.

David C. Chou; Amy Y. Chou

2002-01-01

98

Child Development  

MedlinePLUS

As children grow older, they develop in several different ways. Child development includes physical, intellectual, social, and emotional changes. Children grow and mature at very different rates. It's ...

99

Healthcare reform 101.  

PubMed

The intent of the Affordable Care Act is to ensure that all Americans have access to quality, affordable healthcare while significantly reducing the cost burden for this country. It is estimated that an additional 32 million individuals will be covered. The Congressional Budget Office (CBO) estimates this legislation will reduce the deficit by $143 billion in the first 10 years (2011-2020) with an additional $1.2 trillion in savings during the subsequent decade. comprehend and change. That is why it has taken so long to pass any legislation related to this issue. We are almost 50 years post-introduction of Medicare and Medicaid and while there has been much dialogue and a number of infamous attempts to tackle the issue, the ACA is the first successful attempt to pass legislation. History will tell if Congress and the President "got it right" but the alternative of doing nothing was also unacceptable. One might predict that some of what has been legislated and already implemented will stand and result in positive change (i.e. the focus on preventive health and wellness) while other aspects will require change - some minor and some major. We are already seeing changes and timelines that are being modified and delayed. This is a topic that will require an ongoing assessment and look-back to see what was done correctly and what needs to be changed. PMID:25000654

Panning, Rick

2014-01-01

100

Homebased healthcare : issues and challenges  

E-print Network

Healthcare costs in United States are projected to rise to 20% of GDP by 2015. This is a cause of major concern and current political debate. The largest contributor to this cost is the hospital cost accounting for 30 % ...

Nagpure, Prashant

2008-01-01

101

Thriving in a Healthcare Setting  

E-print Network

delivery system in the United States. #12;6 Kaiser Permanente as a Leader "Quality health care in America Niche in Medicine Mission Healthcare Model Technology/Metrics Workstyle Practice Pay for Performance

Puglisi, Joseph

102

Securing Information Technology in Healthcare  

PubMed Central

Dartmouth College’s Institute for Security, Technology, and Society conducted three workshops on securing information technology in healthcare, attended by a diverse range of experts in the field. This article summarizes the three workshops. PMID:25379030

Anthony, Denise; Campbell, Andrew T.; Candon, Thomas; Gettinger, Andrew; Kotz, David; Marsch, Lisa A.; Molina-Markham, Andrés; Page, Karen; Smith, Sean W.; Gunter, Carl A.; Johnson, M. Eric

2014-01-01

103

[Knowledge management and healthcare organizations].  

PubMed

The present scenario is characterized by a high "environmental turbulence". Healthcare professionals and organizations must increase their knowledge, skills and attitudes for choosing wisely. Healthcare organizations are complex adaptive systems which should use integrated governance systems: knowledge management should be a strategic goal. These organizations should become learning organizations: they should build and renovate their knowledge in a systematic, explicit and definite way. PMID:24326705

Favaretti, Carlo

2013-10-01

104

Frameworks and primary healthcare policy.  

PubMed

Healthcare reform in Canada needs to start with primary care reform, putting patients and their caregivers at the centre of the health system. Although the directions are well accepted, primary care reform requires changes to organizational structures (moving toward multidisciplinary practice) and to physician remuneration to be effective. Without action on these system-level enablers, little real action will be able to occur in repositioning the healthcare system. PMID:22842929

Duckett, Stephen

2012-01-01

105

Practical Ways Psychotherapy Can Support Physical Healthcare Experiences for Male Survivors of Childhood Sexual Abuse  

ERIC Educational Resources Information Center

Many survivors of child sexual abuse who engage in psychotherapy also experience physical health problems. This article summarizes the findings of a multiphased qualitative study about survivors' experiences in healthcare settings. The study informed the development of the "Handbook on Sensitive Practice for Health Care Practitioners: Lessons from…

Hovey, Angela; Stalker, Carol A.; Schachter, Candice L.; Teram, Eli; Lasiuk, Gerri

2011-01-01

106

Healthcare Fraud and Abuse  

PubMed Central

In Texas, a supplier of durable medical equipment was found guilty of five counts of healthcare fraud due to submission of false claims to Medicare. The court sentenced the supplier to 120 months of incarceration and restitution of $1.6 million.1 Raritan Bay Medical Center agreed to pay the government $7.5 million to settle allegations that it defrauded the Medicare program, purposely inflating charges for inpatient and outpatient care, artificially obtaining outlier payments from Medicare.2 AmeriGroup Illinois, Inc., fraudulently skewed enrollment into the Medicaid HMO program by refusing to register pregnant women and discouraging registration for individuals with preexisting conditions. Under the False Claims Act and the Illinois Whistleblower Reward and Protection Act, AmeriGroup paid $144 million in damages to Illinois and the U.S. government and $190 million in civil penalties.3 In Florida, a dermatologist was sentenced to 22 years in prison, paid $3.7 million in restitution, forfeited an addition $3.7 million, and paid a $25,000 fine for performing 3,086 medically unnecessary surgeries on 865 Medicare beneficiaries.4 In Florida, a physician was sentenced to 24 months incarceration, ordered to pay $727,000 in restitution for cash payments where the physician signed blank prescriptions and certificates for medical necessity for patients he never saw.5 The U.S. Department of Health and Human Services (HHS) Office of the Inspector General (OIG) found that providers in 8 out of 10 audited states received an estimated total of $27.3 million in Medicaid overpayments for services claimed after beneficiaries' deaths.6 PMID:20169019

Rudman, William J; Eberhardt, John S; Pierce, William; Hart-Hester, Susan

2009-01-01

107

Spleen removal - child - discharge  

MedlinePLUS

Splenectomy - child - discharge; Spleen removal - child - discharge ... Your child's spleen was removed after your child was given general anesthesia (asleep and pain-free). If your child had open ...

108

Scoliosis surgery - child  

MedlinePLUS

Spinal curvature surgery - child; Kyphoscoliosis surgery - child; Video-assisted thoracoscopic surgery - child; VATS - child ... Before surgery, your child will receive general anesthesia. This will make ... and unable to feel pain during the operation. During ...

109

Ileostomy and your child  

MedlinePLUS

... embarrassment. You may see some changes in your child’s behavior at first. Sometimes teenagers have a harder time ... You being open and natural will help your child’s behavior stay positive. Help your child learn how to ...

110

Child Care and Child Nutrition  

ERIC Educational Resources Information Center

The weak economy is challenging the child care program budget. Fluctuations in enrollment come up against rising costs making every penny count. So for many reasons a federal program that helps defray the costs of snacks and meals in child care programs is particularly important and timely. In this article, the author pushes for the…

Karolak, Eric

2009-01-01

111

[Perforation of the eardrum caused by child abuse].  

PubMed

Munchausen syndrome by proxy (MSBP) is a complex, multifaceted form of child abuse that presents a challenge to all health-care providers. Diagnosis is difficult in cases of MSBP, and it is imperative to recognise the clinical features of MSBP in both the child and the perpetrator. All members of the health-care team must stay objective in the interactions with families where MSBP is suspected and make referrals to the proper agencies. A case is presented to explain the medical and social complexities associated with nursing and diagnosing MSBP. This article also provides a brief review of the definition of MSBP. PMID:21958485

Gindesgaard, Christian Banner; Møller, Troels Reinholdt

2011-09-26

112

Clinical engagement: improving healthcare together.  

PubMed

Clinical engagement can achieve lasting change in the delivery of healthcare. In October 2011, Healthcare Improvement Scotland formulated a clinical engagement strategy to ensure that a progressive and sustainable approach to engaging healthcare professionals is firmly embedded in its health improvement and public assurance activities. The strategy was developed using a 90-day process, combining an evidence base of best practice and feedback from semi-structured interviews and focus groups. The strategy aims to create a culture where clinicians view working with Healthcare Improvement Scotland as a worthwhile venture, which offers a number of positive benefits such as training, career development and research opportunities. The strategy works towards developing a respectful partnership between Healthcare Improvement Scotland, the clinical community and key stakeholders whereby clinicians' contributions are recognised in a non-financial reward system. To do this, the organisation needs a sustainable infrastructure and an efficient, cost-effective approach to clinical engagement. There are a number of obstacles to achieving successful clinical engagement and these must be addressed as key drivers in its implementation. The implementation of the strategy is supported by an action and resource plan, and its impact will be monitored by a measurement plan to ensure the organisation reviews its approaches towards clinical engagement. PMID:24434856

Riches, E; Robson, B

2014-02-01

113

Healthcare waste management in Asia  

SciTech Connect

The risks associated with healthcare waste and its management has gained attention across the world in various events, local and international forums and summits. However, the need for proper healthcare waste management has been gaining recognition slowly due to the substantial disease burdens associated with poor practices, including exposure to infectious agents and toxic substances. Despite the magnitude of the problem, practices, capacities and policies in many countries in dealing with healthcare waste disposal, especially developing nations, is inadequate and requires intensification. This paper looks upon aspects to drive improvements to the existing healthcare waste management situation. The paper places recommendation based on a 12 country study reflecting the current status. The paper does not advocate for any complex technology but calls for changes in mindset of all concerned stakeholders and identifies five important aspects for serious consideration. Understanding the role of governments and healthcare facilities, the paper also outlines three key areas for prioritized action for both parties - budget support, developing policies and legislation and technology and knowledge management.

Prem Ananth, A.; Prashanthini, V. [Environmental Engineering and Management Program, School of Environment, Resources and Development, Asian Institute of Technology, P.O. Box 4, Klong Luang, Pathumthani 12120 (Thailand); Visvanathan, C., E-mail: visu@ait.ac.t [Environmental Engineering and Management Program, School of Environment, Resources and Development, Asian Institute of Technology, P.O. Box 4, Klong Luang, Pathumthani 12120 (Thailand)

2010-01-15

114

Child Pornography  

Microsoft Academic Search

\\u000a Health professionals attending the 1993 UNESCO Conference in Brussels, Belgium, have asserted that child prostitution and\\u000a child pornography are highly organized industries that operate on a national and international scale. At the conference, officials\\u000a from Asia, Europe, and North and South America reported on what they saw as a dramatic increase over the last 10 years in\\u000a the number of

Daniel Linz; Dorothy Imrich

115

Waste, Economists and American Healthcare  

PubMed Central

Twenty-five years ago, Uwe Reinhardt pointed out that sheer bureaucratic waste, particularly in the private sector, accounted for much of the extraordinarily high cost of American health-care. Last year an expert panel of the Institute of Medicine reconfirmed his point, estimating that in 2009, administrative waste accounted for $190 billion out of a total of $765 billion in various forms of waste – 31% of overall American spending on healthcare. Reinhardt recently noted a peculiar schizophrenia among American economists, simultaneously deploring this monumental waste while celebrating the contribution of healthcare, and particularly medical research, to the American economy. The apparent paradox may arise from a confusion between the meanings of “value” in economic and everyday language, and from economists' tendency to create pseudo-aggregates of diverse and non-commensurate entities. PMID:24359713

Evans, Robert G.

2013-01-01

116

Serial murder by healthcare professionals.  

PubMed

The prosecution of Charles Cullen, a nurse who killed at least 40 patients over a 16-year period, highlights the need to better understand the phenomenon of serial murder by healthcare professionals. The authors conducted a LexisNexis search which yielded 90 criminal prosecutions of healthcare providers that met inclusion criteria for serial murder of patients. In addition we reviewed epidemiologic studies, toxicology evidence, and court transcripts, to provide data on healthcare professionals who have been prosecuted between 1970 and 2006. Fifty-four of the 90 have been convicted; 45 for serial murder, four for attempted murder, and five pled guilty to lesser charges. Twenty-four more have been indicted and are either awaiting trial or the outcome has not been published. The other 12 prosecutions had a variety of legal outcomes. Injection was the main method used by healthcare killers followed by suffocation, poisoning, and tampering with equipment. Prosecutions were reported from 20 countries with 40% taking place in the United States. Nursing personnel comprised 86% of the healthcare providers prosecuted; physicians 12%, and 2% were allied health professionals. The number of patient deaths that resulted in a murder conviction is 317 and the number of suspicious patient deaths attributed to the 54 convicted caregivers is 2113. These numbers are disturbing and demand that systemic changes in tracking adverse patient incidents associated with presence of a specific healthcare provider be implemented. Hiring practices must shift away from preventing wrongful discharge or denial of employment lawsuits to protecting patients from employees who kill. PMID:18409454

Yorker, Beatrice Crofts; Kizer, Kenneth W; Lampe, Paula; Forrest, A R W; Lannan, Jacquetta M; Russell, Donna A

2008-01-01

117

Healthcare associated infections (HAI) perspectives.  

PubMed

Healthcare associated infections (HAI) are among the major complications of modern medical therapy. The most important HAIs are those related to invasive devices: central line-associated bloodstream infections (CLABSI), catheter-associated urinary tract infections (CAUTI), ventilator-associated pneumonia (VAP) as well as surgical site infections (SSI). HAIs are associated with significant mortality, morbidities and increasing healthcare cost. The cited case-fatality rate ranges from 2.3% to 14.4% depending on the type of infection. In this mini-review, we shed light on these aspects as well as drivers to decrease HAIs. PMID:24861643

Al-Tawfiq, Jaffar A; Tambyah, Paul A

2014-01-01

118

Safe design of healthcare facilities  

PubMed Central

The physical environment has a significant impact on health and safety; however, hospitals have not been designed with the explicit goal of enhancing patient safety through facility design. In April 2002, St Joseph's Community Hospital of West Bend, a member of SynergyHealth, brought together leaders in healthcare and systems engineering to develop a set of safety?driven facility design recommendations and principles that would guide the design of a new hospital facility focused on patient safety. By introducing safety?driven innovations into the facility design process, environmental designers and healthcare leaders will be able to make significant contributions to patient safety. PMID:17142606

Reiling, J

2006-01-01

119

Healthcare epidemiology: past and future.  

PubMed

Healthcare epidemiology is a robust and adaptable profession with the noble mission of protecting patients and their healthcare providers from infectious diseases and other threats. Change is the constant that links the successes of our field in each decade of our history. Although it is not possible to predict what specific challenges the next decade will bring, the themes of the Sixth Decennial International Conference in 2020 are likely to reflect the most prominent drivers of change that are affecting our profession, including globalization, sustainability, and consumer empowerment. PMID:20929378

Gerberding, Julie Louise

2010-11-01

120

Are Men Healthcare Executives more Successful than Women Healthcare Executives?  

Microsoft Academic Search

The purpose of this study is to collect data from healthcare executives in hospital settings throughout the State of Georgia with a licensed bed capacity of 100 beds and greater in order to determine whether male executives are more successful than their female counterparts. Despite interest in this issue, there is no good answer to the question on how long

Tina Chumley

2009-01-01

121

Nashoba Valley Community Healthcare Fund Scholarship  

E-print Network

Nashoba Valley Community Healthcare Fund Scholarship Working in conjunction with UMass Lowell of the Nashoba Valley Community Healthcare Fund Scholarship, I recognize and authorize that my photograph may of media including miscellaneous promotional use by the Greater Lowell Community Foundation

Massachusetts at Lowell, University of

122

Discussing Diabetes with Your Healthcare Provider  

MedlinePLUS

... of this page please turn Javascript on. Feature: Diabetes Discussing Diabetes with Your Healthcare Provider Past Issues / Fall 2009 Table of Contents Diabetes Medicines—Always Discuss Them with Your Healthcare Provider ...

123

Healthcare Quality and Disparities in Women  

MedlinePLUS

... to Online Store Healthcare Quality and Disparities in Women Selected Findings From the 2011 National Healthcare Quality ... and special health care needs. Return to Contents Women's Health Quality and disparities measures in health care ...

124

2012 National Healthcare Quality and Disparities Reports  

MedlinePLUS

... the National Healthcare Quality and Disparities Report Chapter 1. Introduction and Methods Chapter 2. Effectiveness of Care Chapter ... the National Healthcare Quality and Disparities Reports Chapter 1. Introduction and Methods Chapter 2. Effectiveness of Care Cancer ...

125

imagination at work GE Healthcare  

E-print Network

imagination at work GE Healthcare Data File 11-0034-90 AC Affinity chromatography HiTrap Mab capacity compared with other protein A media · High purity in one step · Convenient, prepacked 1-ml and 5-A ligand used in all three MabSelect media is produced by validated fermentation and downstream processes

Lebendiker, Mario

126

imagination at work GE Healthcare  

E-print Network

imagination at work GE Healthcare Data File 18-1147-36 AC Tricorn empty columns Tricorn Empty High or operated outside its specifications · Locking ring ­ prevents accidental compression of media bed · Separate packing connector ­ allows simple column packing for a broad range of media The columns Tricorn

Lebendiker, Mario

127

Using wireless technologies in healthcare  

Microsoft Academic Search

With an increasingly mobile society and the worldwide deployment of mobile and wireless networks, wireless infrastructure can support many current and emerging healthcare applications. However, before wireless infrastructure can be used in a wide scale, there are several challenges that must be overcome. These include how to best utilise the capabilities of diverse wireless technologies and how to effectively manage

Upkar Varshney

2006-01-01

128

Privacy Technology Lessons from Healthcare  

Microsoft Academic Search

The probability that information will be abused depends both on its value and on the number of people, who have access. The modern trend to ever larger databases increases both of these risk factors at the same time. Compartmented security policies can solve many of the technical issues, and there are applications such as healthcare where they have been developed

Ross J. Anderson

2000-01-01

129

Information Society Technologies in Healthcare  

Microsoft Academic Search

The growing demand for more efficient and effective health- care services, coupled with an implicit requirement for supporting citi- zen mobility and continuity of care, is currently setting the stage for the exploitation of Information and Telecommunications Technologies in the health sector. The current vision comprises affordable wireless access to healthcare resources and services for all citizens, thus making medical

Dimitrios G. Katehakis; Manolis Tsiknakis; Stelios C. Orphanoudakis

2000-01-01

130

Bill Gates eyes healthcare market.  

PubMed

The entrepreneurial spirit is still top in Bill Gates' mind as he look toward healthcare and other growth industries. Microsoft's CEO has not intention of going the way of other large technology companies that became obsolete before they could compete today. PMID:10161163

Dunbar, C

1995-02-01

131

The Agenda of Wearable Healthcare  

Microsoft Academic Search

Driven by cost and quality issues, the health system in the developed countries will undergo a fundamental change in this decade, from a physician-operated and hospital centred health system to consumer operated personal prevention, early risk detection and wellness system. This paper sketches the vision of a 'Personal Health Assistant' PHA, opening up new vistas in patient centred healthcare. The

G. Tröster

2005-01-01

132

Biomaterials and bioengineering tomorrow's healthcare.  

PubMed

Biomaterials are being used for the healthcare applications from ancient times. But subsequent evolution has made them more versatile and has increased their utility. Biomaterials have revolutionized the areas like bioengineering and tissue engineering for the development of novel strategies to combat life threatening diseases. Together with biomaterials, stem cell technology is also being used to improve the existing healthcare facilities. These concepts and technologies are being used for the treatment of different diseases like cardiac failure, fractures, deep skin injuries, etc. Introduction of nanomaterials on the other hand is becoming a big hope for a better and an affordable healthcare. Technological advancements are underway for the development of continuous monitoring and regulating glucose levels by the implantation of sensor chips. Lab-on-a-chip technology is expected to modernize the diagnostics and make it more easy and regulated. Other area which can improve the tomorrow's healthcare is drug delivery. Micro-needles have the potential to overcome the limitations of conventional needles and are being studied for the delivery of drugs at different location in human body. There is a huge advancement in the area of scaffold fabrication which has improved the potentiality of tissue engineering. Most emerging scaffolds for tissue engineering are hydrogels and cryogels. Dynamic hydrogels have huge application in tissue engineering and drug delivery. Furthermore, cryogels being supermacroporous allow the attachment and proliferation of most of the mammalian cell types and have shown application in tissue engineering and bioseparation. With further developments we expect these technologies to hit the market in near future which can immensely improve the healthcare facilities. PMID:23628868

Bhat, Sumrita; Kumar, Ashok

2013-01-01

133

How do healthcare consumers process and evaluate comparative healthcare information? A qualitative study using cognitive interviews  

Microsoft Academic Search

BACKGROUND: To date, online public healthcare reports have not been effectively used by consumers. Therefore, we qualitatively examined how healthcare consumers process and evaluate comparative healthcare information on the Internet. METHODS: Using semi-structured cognitive interviews, interviewees (n = 20) were asked to think aloud and answer questions, as they were prompted with three Dutch web pages providing comparative healthcare information.

Olga C Damman; Michelle Hendriks; Jany Rademakers; Diana MJ Delnoij; Peter P Groenewegen

2009-01-01

134

Collaborative Technology Use by Healthcare Teams  

Microsoft Academic Search

This paper reviews the literature on the use of collaborative technologies by healthcare teams between 1980 and 2003. Multiple databases were searched with explicit inclusion criteria that yielded 17 conceptual and empirical papers. The discussions of these literatures centered on the individual, team, and technological dimensions of collaborative technology use within healthcare teams. Results show that collaborative healthcare technologies can

Mowafa Said Househ; Francis Y. Lau

2005-01-01

135

Healthcare and Listening: A Relationship for Caring  

Microsoft Academic Search

The optimal relationship between healthcare provider and patient is one of trust. This therapeutic relationship is dependent on the ability of the healthcare provider to communicate effectively with the patient. Research indicates that when healthcare providers listen to patients, there is more compliance with medical regimens, patient satisfaction is increased, and physicians are less vulnerable to malpractice lawsuits. Within the

Janis Davis; Amy Foley; Nancy Crigger; Michael C. Brannigan

2008-01-01

136

Child Trends  

NSDL National Science Digital Library

A nonprofit research organization dedicated to improving the lives of children and their families, Child Trends conducts research and evaluation studies in areas including teenage pregnancy and childbearing, the effects of welfare and poverty on children, and parenting issues such as family structure and processes. A "one-stop shop for the latest trends in child and youth well-being," this Web site provides an extensive amount of information on youth issues, including essays and news releases, research briefs, fact sheets, and much more. Additionally, the site also contains a list of its current projects, categorized by research area. Easily navigable, this site is valuable for parents, social workers, teachers, child psychologists, and anyone else interested in youth related issues.

2002-01-01

137

Child Sexual Abuse  

MedlinePLUS

... the child will develop serious problems as an adult. For additional information see Facts for Families : #4 The Depressed Child #5 Child Abuse #10 Teen Suicide #28 Responding to Child Sexual Abuse #62 Talking ...

138

Child's Hearing Loss  

MedlinePLUS

... play in managing your child?s hearing loss. The Audiologist The audiologist is likely to be the first professional you ... initial news regarding your child?s hearing loss. The audiologist will carry out behavioral or objective testing (such ...

139

Child Care Aware  

MedlinePLUS

... learn about high-quality child care. Welcome to Child Care Aware® E-Mail Print Share Tweet Military Child ... 2246 Call TTY#: 1-866-278-9428 Free Child Care Search Please enter your zip code. Your local ...

140

Mandatory reporting of child abuse in South Africa: Legislation explored.  

PubMed

Legislation concerning mandatory reporting of child abuse in South Africa has been in effect since 2010, with the promulgation of amendment 41 of 2007 to the Children's Act of 2005. This article explores mandatory reporting legislation in an attempt to improve the reporting practices of healthcare professionals in South Africa. PMID:25213842

Hendricks, Melany Leonie

2014-08-01

141

Project CHILD.  

ERIC Educational Resources Information Center

This document described Project CHILD, a program of educational change and curriculum development for disadvantaged prekindergarten and kindergarten children. The historical part of this report indicates that the project began in 1966 with a small-scale study of teacher behavior and children's responses in a few classrooms in a Harlem school…

Robison, Helen F.; And Others

142

BATTERED CHILD  

Microsoft Academic Search

Using the meanings of Keaton's nickname ‘Buster’ and long?standing debates about his traumatic childhood as a point of departure, this paper focuses on the comedian's early years as a child star in American vaudeville. Promoted and widely recognized as the main attraction of the family act ‘The Three Keatons’, Keaton performed a physically extremely challenging routine, centring on mock fights

Peter Krämer

2007-01-01

143

Socially-Assigned Race, Healthcare Discrimination and Preventive Healthcare Services  

PubMed Central

Background Race and ethnicity, typically defined as how individuals self-identify, are complex social constructs. Self-identified racial/ethnic minorities are less likely to receive preventive care and more likely to report healthcare discrimination than self-identified non-Hispanic whites. However, beyond self-identification, these outcomes may vary depending on whether racial/ethnic minorities are perceived by others as being minority or white; this perception is referred to as socially-assigned race. Purpose To examine the associations between socially-assigned race and healthcare discrimination and receipt of selected preventive services. Methods Cross-sectional analysis of the 2004 Behavioral Risk Factor Surveillance System “Reactions to Race” module. Respondents from seven states and the District of Columbia were categorized into 3 groups, defined by a composite of self-identified race/socially-assigned race: Minority/Minority (M/M, n?=?6,837), Minority/White (M/W, n?=?929), and White/White (W/W, n?=?25,913). Respondents were 18 years or older, with 61.7% under age 60; 51.8% of respondents were female. Measures included reported healthcare discrimination and receipt of vaccinations and cancer screenings. Results Racial/ethnic minorities who reported being socially-assigned as minority (M/M) were more likely to report healthcare discrimination compared with those who reported being socially-assigned as white (M/W) (8.9% vs. 5.0%, p?=?0.002). Those reporting being socially-assigned as white (M/W and W/W) had similar rates for past-year influenza (73.1% vs. 74.3%) and pneumococcal (69.3% vs. 58.6%) vaccinations; however, rates were significantly lower among M/M respondents (56.2% and 47.6%, respectively, p-values<0.05). There were no significant differences between the M/M and M/W groups in the receipt of cancer screenings. Conclusions Racial/ethnic minorities who reported being socially-assigned as white are more likely to receive preventive vaccinations and less likely to report healthcare discrimination compared with those who are socially-assigned as minority. Socially-assigned race/ethnicity is emerging as an important area for further research in understanding how race/ethnicity influences health outcomes. PMID:23704992

MacIntosh, Tracy; Desai, Mayur M.; Lewis, Tene T.; Jones, Beth A.; Nunez-Smith, Marcella

2013-01-01

144

Equity in health and healthcare in Malawi: analysis of trends  

PubMed Central

Background Growing scientific evidence points to the pervasiveness of inequities in health and health care and the persistence of the inverse care law, that is the availability of good quality healthcare seems to be inversely related to the need for it in developing countries. Achievement of the Millennium Development Goals is likely to be compromised if inequities in health/healthcare are not properly addressed. Objective This study attempts to assess trends in inequities in selected indicators of health status and health service utilization in Malawi using data from the Demographic and Health Surveys of 1992, 2000 and 2004. Methods Data from Demographic and Health Surveys of 1992, 2000 and 2004 are analysed for inequities in health/healthcare using quintile ratios and concentration curves/indices. Results Overall, the findings indicate that in most of the selected indicators there are pro-rich inequities and that they have been widening during the period under consideration. Furthermore, vertical inequities are observed in the use of interventions (treatment of diarrhoea, ARI among under-five children), in that the non-poor who experience less burden from these diseases receive more of the treatment/interventions, whereas the poor who have a greater proportion of the disease burden use less of the interventions. It is also observed that the publicly provided services for some of the selected interventions (e.g. child delivery) benefit the non-poor more than the poor. Conclusion The widening trend in inequities, in particular healthcare utilization for proven cost-effective interventions is likely to jeopardize the achievement of the Millennium Development Goals and other national and regional targets. To counteract the inequities it is recommended that coverage in poor communities be increased through appropriate targeting mechanisms and effective service delivery strategies. There is also a need for studies to identify which service delivery mechanisms are effective in the Malawian context. PMID:17504530

Zere, Eyob; Moeti, Matshidiso; Kirigia, Joses; Mwase, Takondwa; Kataika, Edward

2007-01-01

145

Healthcare professionals and management development  

Microsoft Academic Search

Discusses the impact of a self-governing hospital trust’s accredited management development programme designed for health-care professionals responsible for managing natural clinical groups. The programme was a dual qualification: a level 5 national vocational qualification in management, and a diploma in management. Identifies key issues resulting from this type of programme. Discusses participants’ evaluation of the two different formats for management

John Loan-Clarke

1996-01-01

146

Gang awareness for healthcare professionals.  

PubMed

All healthcare facilities--not just urban ones--need to train their staff and be equipped to handle gangs and gang-related crime and violence, says the author. This article discusses the various aspects of the ongoing training program in gang awareness for Durham Regional Hospital's Security Department--including types of gangs, their mindsets and what motivates them, and how to identify them as well as their graffiti, colors, hand signals, and tattoos. PMID:10557439

Hall-McGee, P

1999-01-01

147

Healthcare technology and technology assessment.  

PubMed

New technology is one of the primary drivers for increased healthcare costs in the United States. Both physician and industry play important roles in the development, adoption, utilization and choice of new technologies. The Federal Drug Administration regulates new drugs and new medical devices, but healthcare technology assessment remains limited. Healthcare technology assessment originated in federal agencies; today it is decentralized with increasing private sector efforts. Innovation is left to free market forces, including direct to consumer marketing and consumer choice. But to be fair to the consumer, he/she must have free knowledge of all the risks and benefits of a new technology in order to make an informed choice. Physicians, institutions and industry need to work together by providing proven, safe, clinically effective and cost effective new technologies, which require valid pre-market clinical trials and post-market continued surveillance with national and international registries allowing full transparency of new products to the consumer--the patient. PMID:17426985

Herndon, James H; Hwang, Raymond; Bozic, K J; Bozic, K H

2007-08-01

148

Workplace Bullying among Healthcare Workers  

PubMed Central

This paper aims to assess consistent predictors through the use of a sample that includes different actors from the healthcare work force to identify certain key elements in a set of job-related organizational contexts. The utilized data were obtained from the 5th European Working Conditions Survey, conducted in 2010 by the European Foundation for the Improvement of Living and Working Conditions. In light of these objectives, we collected a subsample of 284 health professionals, some of them from the International Standard Classification of Occupations—subgroup 22—(ISCO-08). The results indicated that the chance of a healthcare worker referring to him/herself as bullied increases among those who work on a shift schedule, perform monotonous and rotating tasks, suffer from work stress, enjoy little satisfaction from their working conditions, and do not perceive opportunities for promotions in their organizations. The present work summarizes an array of outcomes and proposes within the usual course of events that workplace bullying could be reduced if job demands were limited and job resources were increased. The implications of these findings could assist human resource managers in facilitating, to some extent, good social relationships among healthcare workers. PMID:23887621

Ariza-Montes, Antonio; Muniz, Noel M.; Montero-Simo, Maria Jose; Araque-Padilla, Rafael Angel

2013-01-01

149

Child care and early child wellbeing  

Microsoft Academic Search

Child care has become an important fact of life for the majority of young children in the United States. Clarification of the nature and extent of early child care as a source of variability in child wellbeing is not only a pressing research concern, but also a critical issue for parents and policymakers. This thesis investigates how child care experiences

Duan Peng

2007-01-01

150

Child care subsidies and child development  

Microsoft Academic Search

Child care subsidies are an important part of federal and state efforts to move welfare recipients into employment. One of the criticisms of the current subsidy system, however, is that it overemphasizes work and does little to encourage parents to purchase high-quality child care. Consequently, there are reasons to be concerned about the implications of child care subsidies for child

Chris M. Herbst; Erdal Tekin

2010-01-01

151

Child Care Subsidies and Child Development  

Microsoft Academic Search

Child care subsidies are an important part of federal and state efforts to move welfare recipients into employment. One of the criticisms of the current subsidy system, however, is that it overemphasizes work and does little to encourage parents to purchase high-quality child care. Consequently, there are reasons to be concerned about the implications of child care subsidies for child

Chris Herbst; Erdal Tekin

152

Child Care Subsidies and Child Development  

Microsoft Academic Search

Child care subsidies are an important part of federal and state efforts to move welfare recipients into employment. One of the criticisms of the current subsidy system, however, is that it overemphasizes work and does little to encourage parents to purchase high-quality child care. Consequently, there are reasons to be concerned about the implications of child care subsidies for child

Chris M. Herbst; Erdal Tekin

2008-01-01

153

Mothers' Perception and Healthcare Seeking Behavior of Pneumonia Children in Rural Bangladesh  

PubMed Central

We describe mothers' perception about signs and symptoms, causes of the illness, and healthcare seeking behaviors related to pneumonia and express the major modifiable barriers to seeking timely treatment when their under-5 children had pneumonia in rural Bangladesh. Using focus group discussion, we understood mothers' perception and healthcare seeking behavior of childhood pneumonia. Although mothers described pneumonia as a serious life threatening disease in young children but most of the mothers (n = 24) could not diagnose whether their child had pneumonia or not. Environmental factors such as dust particles, spread from coughing mother, and drinking cold water or playing with water were perceived as the causes for pneumonia. Three common barriers noted were as follows: illness was not perceived as serious enough or distance from healthcare facility or lack of money at household for seeking treatment outside. Most of the rural mothers did not have knowledge about severity of childhood pneumonia. PMID:24967328

Ferdous, Farzana; Dil Farzana, Fahmida; Ahmed, Shahnawaz; Das, Sumon Kumar; Malek, Mohammad Abdul; Das, Jui; Faruque, Abu Syed Golam; Chisti, Mohammod Jobayer

2014-01-01

154

[Factors associated with the report and adolescent abuse in primary healthcare].  

PubMed

This study aimed to analyze factors associated with the reporting of child and adolescent abuse in primary healthcare. It is a cross-sectional study conducted with 381 professionals (physicians, nurses and dental surgeons) from three healthcare regions of the state of Ceara, Brazil. It used a self-administered questionnaire asking for socio-demographic data, vocational education and training, instrumentation and knowledge on the issue, identification and reporting of abuse cases. Bivariate and multivariate analyses using logistic regression were performed. There was a frequency of 17% of abuse reporting by basic healthcare professionals. The multivariate analysis showed that participating in the training on the issue (OR = 2.18; CI95% = 1.05-4.53), being familiar with the reporting form (OR = 3.03; CI95% = 1.47-6.24) and knowing how to refer the case properly (OR = 2.55; CI95% = 1.01-6.43) increased the chance of professionals reporting child and adolescent abuse. The variables identified in the final model showed a direct association between the act of reporting and matters related to knowledge and training on the issue. Investments in the training of healthcare professionals are required in order to favor the qualification of the practice for this public health problem. PMID:25272135

Moreira, Gracyelle Alves Remigio; Vieira, Luiza Jane Eyre de Souza; Deslandes, Suely Ferreira; Pordeus, Maria Augediva Jucá; Gama, Isabelle da Silva; Brilhante, Aline Veras Morais

2014-10-01

155

Hydrothermal synthesis, crystal structure, and magnetic property of a three-dimensional inorganic–organic hybrid material: Mn(H 2O)[HO 3PCH 2NH(CH 2CO 2) 2  

Microsoft Academic Search

A novel three-dimensional inorganic–organic hybrid compound, Mn(H2O)[HO3PCH2NH(CH2CO2)2] from a hydrothermal reaction of Mn (II) ion with N-(phosphonomethyl)iminodiacetic acid (H4PMIDA) was reported. The compound crystallizes in the monoclinic P21\\/n with cell dimensions of a=5.215(5)Å, b=14.111(15)Å, c=12.727(12)Å, ?=93.646(16)°, V=934.6(16)Å3 and Z=4. In this structure each Mn atom is six-coordinated with the carboxylic groups and phosphonic groups to form layers along the bc

Yong Fan; Guanghua Li; Zhan Shi; Dong Zhang; Jianing Xu; Tianyou Song; Shouhua Feng

2004-01-01

156

Pam Pohly's Net Guide: Healthcare Employment Links  

NSDL National Science Digital Library

This comprehensive metasite provides extensive links to current job listings in "the healthcare industry (managed care, hospitals, healthcare systems, companies, physician groups, etc.)." Maintained by Pam Pohly, President of her own healthcare consulting firm and graduate student at University of Colorado-Denver, the site offers links to over a hundred job sites featuring teaching jobs for docs, biotech careers, opportunities for anesthesiologists, and a whole host of others.

Pohly, Pam.

1998-01-01

157

The emergence of a learning healthcare system.  

PubMed

A learning healthcare system has emerged as a means of addressing the need to move evidence to the bedside in a manner that is meaningful and efficacious. The advent of electronic healthcare records has translated to massive quantities of clinical data; a learning healthcare system coupled with locally derived clinical rules will push practice-based evidence to the point of care where its application will mean improved quality and patient outcomes. PMID:23222020

Mason, Alison Rich; Barton, Amy J

2013-01-01

158

Healthcare mergers and acquisitions: strategies for consolidation.  

PubMed

The passage of federal healthcare reform legislation, in combination with other factors, makes it likely that the next few years will be a major period of consolidation for healthcare organizations. This article examines the seven key forces reshaping healthcare delivery--from insurance industry consolidation to cost inflation to the increasing gap between financially strong and struggling providers--and provides advice for organizations on both sides of an acquisition. PMID:21793480

Zuckerman, Alan M

2011-01-01

159

Pervasive Healthcare and Wireless Health Monitoring  

Microsoft Academic Search

Abstract With an increasingly mobile,society and,the worldwide deployment of mobile and wireless networks, the wireless infrastructure can support many,current and emerging,healthcare applications. This could fulfill the vision of “Pervasive Healthcare” or healthcare to anyone, anytime, and anywhere by removing locational, time and other restraints while increasing both the coverage and the quality. In this paper, we present applications and require-

Upkar Varshney

2007-01-01

160

Foundations of Child Psychiatry.  

ERIC Educational Resources Information Center

Twenty-eight papers examine basic theories and clinical methods in child psychiatry. Theories and methods discussed concern child psychiatry and the World Health Organization, pediatrics, child disturbances, observation, the psychodiagnostic approach, longitudinal research in child development, the comparative approach to early child development,…

Miller, Emanuel, Ed.; And Others

161

Child Sexual Abuse  

MedlinePLUS

... Enter ZIP code here Enter ZIP code here Child Sexual Abuse Child Sexual Abuse What is child sexual abuse? Child sexual abuse includes a wide ... be at least five years older. Who commits child sexual abuse? Most often, sexual abusers know the ...

162

Carpet choices for healthcare facilities.  

PubMed

Carpet as a floorcovering choice in healthcare facilities is increasing in popularity. Technological advances have made carpet an appropriate choice not only for common areas and offices, but also for patient rooms. Color options are diverse, and can serve patient care concerns, such as orientation for patients with Alzheimer's disease. Carpet performance is related to its density, construction and fiber/yarn type. Many carpet types have antimicrobial treatments to aid in reducing the propagation and spread of microorganisms. Carpet is also tested for emissions of volatile organic compounds based on industry criteria. Proper maintenance is essential to maintaining carpet appearance and useful life. PMID:10134936

Wise, K O

1994-07-01

163

Diversity in healthcare: time to get REAL!  

PubMed

Cross-cultural healthcare involves three key issues: racial and ethnic disparities in the quality of healthcare provided to minority patients; cross-cultural value differences between immigrant patients and Western medical providers; and providing language access and assistance to limited English proficient (LEP) and disabled persons. Addressing these key issues represents a compelling diversity agenda for a new generation of healthcare executives. This article describes each of these challenges and the cutting-edge strategies that leading healthcare organizations are using to address them. PMID:20364640

Armada, Anthony A; Hubbard, Marilyn F

2010-01-01

164

Reform of the New Zealand healthcare system.  

PubMed

New Zealand's healthcare reform has come in two waves. In 1983, Area Health Boards assumed responsibility for purchasing and providing all secondary healthcare; but a parallel, centralized system of primary healthcare benefits persisted, frustrating attempts to integrate services. In 1991, a new government reorganized public hospitals into "Crown health enterprises," and planned to introduce user fees, competition with the private sector and a list of core benefits. Over the following few years, some of these attempts progressed slowly or were abandoned altogether. They are also attempts to shift risk and expenditure, rather than design a more fair and efficient healthcare system. PMID:10163981

Scott, C

1996-01-01

165

Vancomycin-Resistant Enterococci in Healthcare Settings  

MedlinePLUS

... Personnel Klebsiella MRSA Mycobacterium abscessus Norovirus Pseudomonas aeruginosa Staphylococcus aureus Tuberculosis VISA / VRSA Vancomycin-resistant Enterococci (VRE) in Healthcare Settings Resources for Patients ...

166

Baldrige Performance Excellence Program 2011 Healthcare Application  

E-print Network

Society for Healthcare Human Resources Administration ASMBS: American Society of Medical and Bariatric Surgery AVR: Accelerated Ventricular Rhythm BMV: Bedside Medication Verification BOD: Board of Directors

Magee, Joseph W.

167

INFORMATION SYSTEMS AND HEALTHCARE XX: TOWARD SEAMLESS HEALTHCARE WITH SOFTWARE AGENTS  

Microsoft Academic Search

Healthcare processes are frequently fragmented and often badly supported with IT. Inter- and intra-organizational communication and media frictions complicate the continuous provision of information according to the principle of information logistics. Based on extensive literature review, we present the vision of seamless healthcare with horizontally and vertically integrated healthcare processes enabled by seamless IT support. Its implementation requires the establishment

Andreas Schweiger; Ali Sunyaev; Jan Marco Leimeister; Helmut Krcmar

168

HEALTHCARE ENVIRONMENTAL ASSISTANCE RESOURCES: POLLUTION PREVENTION AND COMPLIANCE ASSISTANCE FOR HEALTHCARE FACILITIES  

EPA Science Inventory

This CD ROM is a result of several healthcare guidance documents coming into existence around the same time and the need for one tool where healthcare facilities could have access to these documents and other valuable healthcare resources regardless of connection to the internet....

169

Transforming healthcare through patient empowerment.  

PubMed

The United States faces tremendous challenges with its healthcare system. By any standard, it is expensive and performs poorly in most measures of health and thus, is in great need of reform. But how do we reform things without making the situation worse? Some of the more fundamental problems arise from the combination of a fee-for-service payment system for physicians with insurance-based financing care. This combination results in conflicts among the interests of patients, physicians and payers. This paper examines this issue from a decision analytic perspective, starting with a definition of the patient-centered view, and an assessment of the practicality of controlling costs by making healthcare more patient-centric. It then illustrates how fee-for-service models corrupt decision-making and other solutions designed to reign in the abuses of the fee-for-service model and also negatively impacts the quality of decision making for individual patients. Whatever the strategies for health reform, the degree of patient-centeredness of care is a benchmark that allows policy makers to understand how far they have had to deviate from optimal to achieve the desired ends of cost control. PMID:20543244

Lenert, Leslie

2010-01-01

170

Cuba: healthcare and the revolution.  

PubMed

This paper depicts Cuba as a relic of the Cold War Its coverage of healthcare demonstrates steadfastness and success in surmounting hurdles of complacency and disregard to socialized medicine - an extension of Soviet patronage and third world alliances. The literature relays a mission of inclusivity underpinned by political ideology and a conviction to humanity. With the aid ofendorsements, it speaks to contrasts and critiques in service and results by reflecting on the delivery offree healthcare for all Cuban citizens and its impression on the eradication of numerous diseases, reduced mortality rate and increased life expectancy. Punished by the longest trade embargo in modern history, the regime is in possession of limited resources to expedite remedy to its subjects. Such, much to the dislike of the authorities, elevates elements of distinction in association with the dispensation of service and drugs demonstrated by an evolving two-tier system for the disenfranchised and privileged clientele while simultaneously impacting the maintenance of facilities and equipment. Consequently, it recognizes harsh ramifications attributed to compliance with ideology and subtle adjustments to withstand external exertion. The Cuban replica is currently a tale of sorts awaiting a comprehensible definition for future generations. PMID:24564047

Binns, L A

2013-03-01

171

NYU Child Study Center  

MedlinePLUS

... the latest issues in child and adolescent mental health. We invite you to Grand Rounds, a forum for the presentation of advances in child & adolescent psychiatry and psychology. © NYU Child Study Center, One Park Avenue, 7th ...

172

Office of Child Care  

MedlinePLUS

... the CCTAN site. > What is the Office of Child Care (OCC)? The Office of Child Care supports low-income working families through child care financial assistance and promotes children's learning by improving ...

173

Your Child's Checkups  

MedlinePLUS

... Vaccines Your Child Needs Educators: Free Health Lessons Social Media: Connect With Us Your Child's Checkups KidsHealth > Parents > Growth & Development > Medical Care > Your Child's Checkups Print A ...

174

Raising an Anxious Child  

MedlinePLUS Videos and Cool Tools

... Child HealthDay August 29, 2014 Related MedlinePlus Pages Anxiety Child Mental Health Parenting Transcript When your child ... shows some reactions may actually make feelings of anxiety worse in the long run. The study out ...

175

[Child in contemporary Croatian society].  

PubMed

The symposium on the topic "Child in contemporary Croatian society", organized by Croatian Pediatric Society, Croatian Academy of Sciences and Arts, Ministry of health and social welfare and UNICEF Croatia Office, was held in Zagreb on December 12, 2009. The lecturers have shown important information on difficulties the children in Croatia are exposed to. Namely, diseases of the so called "new morbidity", which are becoming more and more frequent in the contemporary world, demand a new approach of work from all who participate in healthcare for children, including additional education. These diseases are not part of a practitioner's routine activity. Due to variety of problems children are exposed to, the approach can be only multidisciplinary. Basic national interest of every country (basic interest of every human society) should be to direct more attention and financial resources to the healthcare of children, which would ensure the existence and healthy future of the society. This approach requires a national consensus and clear political decision of all responsible official services. PMID:21261030

Mestrovi?, Julije; Brali?, Irena; Flander, Gordana Buljan; Jelavi?, Mila; Oreb, Ines Jokovi?; Konstantopoulos, Andreas; Kuzman, Marina; Malovi?, Stjepan; Miljevi?-Ridicki, Renata; Miskulin, Maja; Mujki?, Aida; Radoni?, Marija; Rudan, Vlasta; Seso-Simi?, Durdica; Simi?, Goran

2010-01-01

176

Healthcare use and costs associated with children's behavior problems.  

PubMed

The objective of the study was to investigate associations between severity of behavior problems, specific symptom domains with healthcare use and costs in school-aged children. A cross-sectional study using data from the 10-year follow-up of two population-based birth cohorts was conducted on four rural and urban communities in Germany. There were 3,579 participants [1,834 boys (51%), 1,745 girls (49%)] on average aged 10.4 years. The severity levels (normal, at risk, abnormal) and symptom domains of behavioral problems were assessed by parent-reported strengths and difficulties questionnaire (SDQ).The outcomes were medical use categories (physicians, therapists, hospital, and rehabilitation), medical costs categories and total direct medical use and costs (calculated from parent-reported utilization of healthcare services during the last 12 months). Total direct medical costs showed a graded relationship with severity level (adjusted p < 0.0001). Average annual cost difference in total direct medical costs between at risk and normal total difficulties was Euro () 271 (SD 858), and 1,237 (SD 2,528) between abnormal and normal total difficulties. A significant increase in physician costs showed between children with normal and at risk total difficulties (1.30), and between normal and abnormal total difficulties (1.29; p < 0.0001). Between specific symptom domains, children with emotional symptoms showed highest costs for physicians, psychotherapist, and hospitalization as well as total direct medical costs. Children with hyperactivity/inattention showed highest costs for therapists and emergency room costs. Healthcare use and costs are related to the severity of child behavior problems. In general, children's costs for psychotherapy treatments have been low relative to general medical treatments which may indicate that some children with behavioral problems did not get appropriate care. To some degree, medical conditions may be attributable to some of the high hospitalization costs found in children with emotional symptom. PMID:24327267

Kohlboeck, Gabriele; Romanos, Marcel; Teuner, Christina M; Holle, Rolf; Tiesler, Carla M T; Hoffmann, Barbara; Schaaf, Beate; Lehmann, Irina; Herbarth, Olf; Koletzko, Sibylle; Bauer, Carl-Peter; von Berg, Andrea; Berdel, Dietrich; Heinrich, Joachim

2014-08-01

177

Right to healthcare: the way forward.  

PubMed

From the Bhore Committee Report of 1946 to the present Universal Health Coverage (UHC) 2011, nothing much has changed in terms of health status in India. The overall health status continues to be dismal and disappointing. One factor that is mainly responsible for this state of affairs is that healthcare has not been realized as a right. If healthcare becomes a right, the state will become responsible and accountable to the people, for enhancing their health. If people are invoked into a sense of belonging to the health system and made to look at healthcare as their right, there is a strong possibility of a positive change in the overall health status of the people. The article looks at healthcare from the rights perspective and explores the methods in which it can be translated into reality. It tries to look at the moral basis of the right to healthcare. For healthcare to be achieved as a right, the state can no longer be a mute spectator of the predominant market forces dictating the healthcare delivery system. The article argues that translation of healthcare as a right is only possible if the state takes full responsibility to improve the health status of the people. PMID:24479035

Peer, Rafia F

2013-01-01

178

GE Healthcare Applications that meet your needs  

E-print Network

GE Healthcare Applications that meet your needs Protein purification #12;2 Contents Histidine proteins, the Protein Separations specialists at GE Healthcare are ready to help you gain real competitive protein. A high binding capacity saves you time and reduces consumption of purification media and buffers

Lebendiker, Mario

179

Delivery of Online Learning for Healthcare Consumers  

Microsoft Academic Search

Well-informed healthcare consumers are better able to make decisions and become active participants in the process of care. Providing adequate information that is personally meaningful is a major challenge for healthcare providers. It is important that we understand how informatics can best be used to support the process of online consumer health education. Chapter 4 describes the design and evaluation

Deborah Lewis

180

Nashoba Valley Community Healthcare Fund Scholarship  

E-print Network

Nashoba Valley Community Healthcare Fund Scholarship Working in conjunction with UMass Lowell selected as the recipient of the Nashoba Valley Community Healthcare Fund Scholarship, I recognize, television, and other forms of media including miscellaneous promotional use by the Greater Lowell Community

Massachusetts at Lowell, University of

181

SECURITY CHALLENGES IN A MOBILE HEALTHCARE ENVIRONMENT  

E-print Network

wireless networks) and face the mobile health care problem from a variety of angles. #12;Although allSECURITY CHALLENGES IN A MOBILE HEALTHCARE ENVIRONMENT Eliana Stavrou, Andreas Pitsillides@ucy.ac.cy,Andreas.Pitsillides@ucy.ac.cy Keywords: Mobile security, Healthcare security, Mobile

Pitsillides, Andreas

182

RFID Technology: Implications for Healthcare Organizations  

Microsoft Academic Search

The primary purpose of this paper is to investigate the healthcare organization’s intention to use radio frequency identification (RFID) technology for improving efficiency. This paper also intends to identify various factors that influence the adoption of RFID in the healthcare organization. This paper develops and tests seven different hypotheses. These hypotheses are tested using structural equation modeling. Our results provide

Amelia S. Carr; Man Zhang; Inge Klopping; Hokey Min

2010-01-01

183

Is Semantic Web technology ready for Healthcare?  

Microsoft Academic Search

Healthcare IT systems must manipulate semantically rich and highly structured clinical data in a distributed environment. To address this, the healthcare sector has developed standards for medical vocabulary (SNOMED-CT) and message information models (HL7 Version 3) that carry many of the features present in Semantic Web standards such as the Web Ontology Language (OWL). In this paper we examine this

Chris Wroe

184

ElizabethDeadman, CommunicationsManager(Healthcare)  

E-print Network

-practice in healthcare technology assessment and user needs analysis. Joining the scheme will help you focus moreElizabethDeadman, CommunicationsManager(Healthcare) RoomSJ012, BrunelUniversity, Kingston as an Innovative Manufacturing Research Centre (IMRC). MATCH helps improve decision-making for technology suppliers

Oakley, Jeremy

185

Impact of Technology Sustainability on Healthcare Governance  

Microsoft Academic Search

Healthcare technology investments must be borne by charity, government subsidy, or patient reimbursement. Such investments can be expensive and require partnerships of public and private institutions. This paper explores the relationship between technology sustainability and healthcare governance of multi- institutional technology partnerships. A technology is assumed to be sustainable if the initial investment is paid and the operating costs are

Thomas Lee Rodgers; Evan E. Anderson; Ming Yuan; Timothy Manning

2003-01-01

186

Home healthcare via wireless biomedical sensor network  

Microsoft Academic Search

Fast information retrieval is pivot of medical breakthrough to provide quality medical services. There were a number of attempts to develop clinical information system (CIS) which is reliable, affordable and accessible over the entire hospital and beyond. Today's home healthcare progression is becoming a predominant form of healthcare delivery. Although there have been many recent advances in biomedical sensors, low-power

Rozeha A. Rashid; S. Arifin; M. Rahim; M. A. Sarijari; N. H. Mahalin

2008-01-01

187

Intercultural communication competence in the healthcare context  

Microsoft Academic Search

This study examined the intercultural communication competence of medical providers at a healthcare organization, including patient perceptions of the medical provider's ability to communicate with a diverse patient population. Surveys were given to medical providers and patients at a large healthcare organization. One survey asked medical providers to rate their own ability to communicate across cultures, and the other survey

DeWan Gibson; Mei Zhong

2005-01-01

188

Integrating Healthcare Ethical Issues into IS Education  

ERIC Educational Resources Information Center

Federal initiatives are encouraging the increase of IS graduates to work in the healthcare environment because they possess knowledge of datasets and dataset management that are key to effective management of electronic health records (EHRs) and health information technology (IT). IS graduates will be members of the healthcare team, and as such,…

Cellucci, Leigh W.; Layman, Elizabeth J.; Campbell, Robert; Zeng, Xiaoming

2011-01-01

189

University of California, Davis Center for Healthcare  

E-print Network

and their families. Communication: The CHPR website and newsletter were revamped to create a more attractiveUniversity of California, Davis Center for Healthcare Policy and Research 2009-2010 Annual Report #12;7/5/20112 University of California Davis Center for Healthcare Policy and Research ANNUAL REPORT

Carmichael, Owen

190

Architecture Capabilities to Improve Healthcare Environments  

PubMed Central

Background The physical environment of healthcare buildings has great importance in issues such as patient safety, functional efficiency, user satisfaction, healthcare outcomes, and energy and resources consumption. Objectives The present study assesses physical environments of Iranian healthcare buildings. Materials and Methods This study was performed using a descriptive-analytical method. Data collection was carried out via a written questionnaire. Results Based on the findings of this study, "functional efficiency", "user satisfaction", "environmental issues", "patient safety”, “accountability in incidents and disasters", and "flexibility" are regarded as the most issues in the country's hospitals. Also, none of the parameters is "without any problem" and has a "desirable status". Conclusions According to the responses, all of the healthcare buildings in this research had flaws in their physical environment, which require attention. Thus, it is necessary to review and pay more attention to the architecture of the country's healthcare buildings. PMID:24350145

Ebrahimi, Ali; Mardomi, Karim; Hassanpour Rahimabad, Kasra

2013-01-01

191

Health insurance coverage, income distribution and healthcare quality in local healthcare markets.  

PubMed

We develop a theoretical model of a local healthcare system in which consumers, health insurance companies, and healthcare providers interact with each other in markets for health insurance and healthcare services. When income and health status are heterogeneous, and healthcare quality is associated with fixed costs, the market equilibrium level of healthcare quality will be underprovided. Thus, healthcare reform provisions and proposals to cover the uninsured can be interpreted as an attempt to correct this market failure. We illustrate with a numerical example that if consumers at the local level clearly understand the linkages between health insurance coverage and the quality of local healthcare services, health insurance coverage proposals are more likely to enjoy public support. PMID:23080285

Damianov, Damian S; Pagán, José A

2013-08-01

192

Abuses of the girl child in some African societies: implications for nurse practitioners.  

PubMed

The definition of a child in African societies varies. From the moment the girl child can talk and walk, she is allocated responsibilities within the family. Westernized cultures view such responsibilities as forms of abuse. Thus, various reports had been written about girl children and had been critical of African societies without acknowledging that Africa is a very large continent. This paper sets out to identify, explore, and present potential areas of abuse of the girl child, for example, female circumcision, child slaves, rape survivors, child soldiers, child prostitution, teenage pregnancy, and arranged marriages. This paper suggests strategies that healthcare professionals could initiate in situations where a girl child is being abused. PMID:16512869

Khalil, Doris Deedei

2006-01-01

193

Nordic privatization and private healthcare.  

PubMed

The role of the private sector in public healthcare systems is much debated, but there is little research to inform the debate. In the Nordic countries the extent and type of private sector involvement is largely unknown and the changes and the consequences have not been studied. This paper presents a conceptual framework and some limited data about the changing private-public mix and privatization in the Nordic countries between 1985 and 2000. The data suggest a small increase in both private financing and provision which has accelerated in recent years, especially in specific healthcare fields such as diagnostic centres, dentistry, primary medical care and care for older people. The overall increase is small, but large in certain sectors. Differences between the countries can only be understood in relation to their historical, financial, economic and political context, even though there are many commonalities. Impact also is context dependent, but the findings do show a cross-country pattern of a willingness to experiment and a change in underlying assumptions. The findings show a more extensive interpenetration of private and public than previously recognized but more research is required, especially about changes in recent years about which data are scarce. The paper considers the factors driving these trends, the likely larger changes in the next 10 years and the possible consequences for patients, professionals, managers and governments. It notes the different ways governments can control or influence finance and provision. It proposes that the Nordic and other governments improve regulation and data collection about the private sector and consider influencing private providers through partnership arrangements, rather than leaving the developments to be shaped by growing consumer demands or market logic alone. PMID:12968800

Ovretveit, John

2003-01-01

194

Improving the quality of healthcare for children: implementing the results of the AHSR research agenda conference.  

PubMed Central

OBJECTIVE: To describe the rationale, development, content, and results of the AHSR-sponsored conference on developing a research agenda focused on improving the quality of care for children. DATA SOURCES AND METHODS: Planning documents, background papers, and conference proceedings. PRINCIPAL FINDINGS: The conference developed the research agenda focused on (1) monitoring the health of children; (2) evaluating the efficacy and effectiveness of health services for children; (3) assessing the quality of healthcare provided to children; (4) improving the quality of healthcare within health systems; (5) assessing the performance of community systems for children; (6) exploring the impact of different financial incentives on the provision of pediatric healthcare; and (7) developing and disseminating clinical practice guidelines and other information to physicians, families, and consumers. Specific issues and research questions in each area are also presented. Strategies for implementing the research agenda are presented and include: (1) expanding the child health services research workforce; (2) developing child healthcare quality improvement research centers; (3) conducting research in specific high-priority areas; (4) focusing research on improving the health of vulnerable populations; (5) improving child health data and collection systems at the national level; (6) developing better community health monitoring for children; (7) building and supporting research networks and a consortium of research users; and (8) developing a coordinated interagency federal effort to advance this agenda and to provide accountability for its completion. CONCLUSION: The proposed research agenda should be a national priority so that all Americans can be assured that children are receiving the best quality of care that the United States can provide. PMID:9776945

Halfon, N; Schuster, M; Valentine, W; McGlynn, E

1998-01-01

195

THE DIFFICULT CHILD.  

ERIC Educational Resources Information Center

THIS BOOK CONSISTS OF 16 ESSAYS BY SPECIALISTS ON PROBLEMS WHICH MAY MAKE A CHILD DIFFICULT. EACH AUTHOR DISCUSSES ETIOLOGICAL FACTORS, CHARACTERISTICS, AND HOW DIFFICULTIES MAY BE REDUCED. THE FOLLOWING TOPICS ARE CONSIDERED--(1) "THE CREATIVE CHILD" BY E.P. TORRANCE, (2) "THE INATTENTIVE CHILD" BY I.W. SCHERER, (3) "THE CHILD WITH LANGUAGE…

ROUCEK, JOSEPH S.

196

Child Support Report, 1999.  

ERIC Educational Resources Information Center

This document comprises the 12 issues for 1999 of the "Child Support Report," which explores problems related to child support enforcement, reports on federal and state government child support enforcement initiatives, and summarizes research related to child support. Editorials and information on events and conferences of interest and funding…

Sharman, Phil, Ed.

1999-01-01

197

Child Support Report, 1998.  

ERIC Educational Resources Information Center

This document is comprised of the 12 monthly issues of the 1998 "Child Support Report," which explores problems related to child support enforcement, reports on federal and state government child support enforcement initiatives, and summarizes research related to child support. Editorials and information on events and conferences of interest and…

Sharman, Phil, Ed.

1998-01-01

198

Child Support Report, 1997.  

ERIC Educational Resources Information Center

This document consists of the twelve issues of "Child Support Report" newsletter published during 1997. Monthly issues typically explore problems related to child support enforcement, report on federal and state government child support enforcement initiatives, and summarize research related to child support. Editorials and information on events…

Sharman, Phil, Ed.

1997-01-01

199

Application SJSU Child Development  

E-print Network

Application SJSU Child Development Laboratory Preschool Child's name Birth date Home address Street Campbell at (408) 924-3725. Send application to: Toni Campbell Child Development San José State University. Circle the program you prefer for your child. Toddlers (two yrs.) Mon/Wed 9:00 - 11:00 Toddlers (two yrs

Su, Xiao

200

Child Care Center APPLICATION  

E-print Network

Child Care Center APPLICATION Child's name:_______________________Date of birth/Expected due date payroll deduction Community #12;Child Care Center Application Process To apply for enrollment at the LSU Child Care Center, this application form must be completed, signed and received with the $45

Harms, Kyle E.

201

American Child Care Today  

Microsoft Academic Search

Child care has 2 purposes: mothers’ employment and children's development. These are conflicting goals, because the first focuses on the quantity and affordability of child care whereas the second favors expensive quality services. Affordable child care fosters maternal employment and gender equality. With welfare reform demanding more child-care places to move mothers from welfare to work, the pressure for larger

Sandra Scarr

1998-01-01

202

Knowledge Discovery from Massive Healthcare Claims Data  

SciTech Connect

The role of big data in addressing the needs of the present healthcare system in US and rest of the world has been echoed by government, private, and academic sectors. There has been a growing emphasis to explore the promise of big data analytics in tapping the potential of the massive healthcare data emanating from private and government health insurance providers. While the domain implications of such collaboration are well known, this type of data has been explored to a limited extent in the data mining community. The objective of this paper is two fold: first, we introduce the emerging domain of big"healthcare claims data to the KDD community, and second, we describe the success and challenges that we encountered in analyzing this data using state of art analytics for massive data. Specically, we translate the problem of analyzing healthcare data into some of the most well-known analysis problems in the data mining community, social network analysis, text mining, and temporal analysis and higher order feature construction, and describe how advances within each of these areas can be leveraged to understand the domain of healthcare. Each case study illustrates a unique intersection of data mining and healthcare with a common objective of improving the cost-care ratio by mining for opportunities to improve healthcare operations and reducing hat seems to fall under fraud, waste,and abuse.

Chandola, Varun [ORNL] [ORNL; Sukumar, Sreenivas R [ORNL] [ORNL; Schryver, Jack C [ORNL] [ORNL

2013-01-01

203

Tuberculosis in Healthcare Workers and Infection Control Measures at Primary Healthcare Facilities in South Africa  

PubMed Central

Background Challenges exist regarding TB infection control and TB in hospital-based healthcare workers in South Africa. However, few studies report on TB in non-hospital based healthcare workers such as primary or community healthcare workers. Our objectives were to investigate the implementation of TB infection control measures at primary healthcare facilities, the smear positive TB incidence rate amongst primary healthcare workers and the association between TB infection control measures and all types of TB in healthcare workers. Methods One hundred and thirty three primary healthcare facilities were visited in five provinces of South Africa in 2009. At each facility, a TB infection control audit and facility questionnaire were completed. The number of healthcare workers who had had TB during the past three years was obtained. Results The standardised incidence ratio of smear positive TB in primary healthcare workers indicated an incidence rate of more than double that of the general population. In a univariable logistic regression, the infection control audit score was significantly associated with reported cases of TB in healthcare workers (OR=1.04, 95%CI 1.01-1.08, p=0.02) as was the number of staff (OR=3.78, 95%CI 1.77-8.08). In the multivariable analysis, the number of staff remained significantly associated with TB in healthcare workers (OR=3.33, 95%CI 1.37-8.08). Conclusion The high rate of TB in healthcare workers suggests a substantial nosocomial transmission risk, but the infection control audit tool which was used did not perform adequately as a measure of this risk. Infection control measures should be monitored by validated tools developed and tested locally. Different strategies, such as routine surveillance systems, could be used to evaluate the burden of TB in healthcare workers in order to calculate TB incidence, monitor trends and implement interventions to decrease occupational TB. PMID:24098461

Claassens, Mareli M.; van Schalkwyk, Cari; du Toit, Elizabeth; Roest, Eline; Lombard, Carl J.; Enarson, Donald A.; Beyers, Nulda; Borgdorff, Martien W.

2013-01-01

204

Healthcare law in France: towards healthcare emancipation for minors.  

PubMed

In France, since 1974 the rights of minors have been gaining ground. The first provisions to this end concerned medical acts in relation to the minor's sexuality (contraceptives and pregnancy termination). The law dated March 4, 2002, relating to patients' rights, gave more scope to this movement, by widening minors' rights so that they could demand confidentiality with regard to their parents. The minor's exercising of these rights can pose a lot of problems. In French law, parental authority is the main representation of the minor. The medical doctor treating a minor must obtain parental authorization. However, the public healthcare code provides that the doctor can override parental wishes during some situations (emergency; parents refuse). But these situations are exceptional. Since 2002, the legislator has gone further, by allowing the doctor to grant requests for care by the minor without parental authorization. However, parental authority remains the normal framework for the protection of a minor. The doctor will have to judge the reasoning and motives of a minor requesting confidentiality regarding their parents in order to decide whether he should grant or refuse care in such conditions. PMID:17345886

Rougé-Maillart, C; Jousset, N; Penneau, M

2007-01-01

205

Longitudinal outcomes for victims of child abuse.  

PubMed

Childhood abuse and neglect (child maltreatment) represent a common and significant public health burden. The consequences of maltreatment can be seen immediately, in the short term and in the long term. Determination of the exact prevalence of childhood maltreatment is difficult, as many cases go unreported; however in reported cases there is an estimated $124 billion annual burden on the US health-care system. The evaluation of potential maltreatment is difficult as many of the initial symptoms are subtle and can be explained with alternative illnesses or injuries. Potential immediate and short-term effects include brain injury, shaken baby syndrome and behavioral regression. The potential long-term sequelae of child maltreatment are explored in detail here and include increased risks of the development of mental health disorders, substance use disorders and chronic physical complaints during development and adulthood. Lastly, the review provides an overview of current treatment approaches for victims of childhood maltreatment. PMID:23307564

Buckingham, E Taylor; Daniolos, Peter

2013-02-01

206

Potential barriers to healthcare in Malawi for under-five children with cough and fever: a national household survey.  

PubMed

Failure to access healthcare is an important contributor to child mortality in many developing countries. In a national household survey in Malawi, we explored demographic and socioeconomic barriers to healthcare for childhood illnesses and assessed the direct and indirect costs of seeking care. Using a cluster-sample design, we selected 2,697 households and interviewed 1,669 caretakers. The main reason for households not being surveyed was the absence of a primary caretaker in the household. Among 2,077 children aged less than five years, 504 episodes of cough and fever during the previous two weeks were reported. A trained healthcare provider was visited for 48.0% of illness episodes. A multivariate regression model showed that children from the poorest households (p = 0.02) and children aged > 12 months (p = 0.02) were less likely to seek care when ill compared to those living in wealthier households and children of higher age-group respectively. Families from rural households spent more time travelling compared to urban households (68.9 vs 14.1 minutes; p < 0.001). In addition, visiting a trained healthcare provider was associated with longer travel time (p < 0.001) and higher direct costs (p < 0.001) compared to visiting an untrained provider. Thus, several barriers to accessing healthcare in Malawi for childhood illnesses exist. Continued efforts to reduce these barriers are needed to narrow the gap in the health and healthcare equity in Malawi. PMID:24847595

Ustrup, Marte; Ngwira, Bagrey; Stockman, Lauren J; Deming, Michael; Nyasulu, Peter; Bowie, Cameron; Msyamboza, Kelias; Meyrowitsch, Dan W; Cunliffe, Nigel A; Bresee, Joseph; Fischer, Thea K

2014-03-01

207

Child Abuse and Neglect  

Microsoft Academic Search

\\u000a Child abuse and neglect represent complex social problems confronting our society today. From 1976, when the first national\\u000a figures for child maltreatment were generated, to the most recent period, child maltreatment reports have been increasing\\u000a steadily. In 1992, child protective service agencies received an estimated 1.9 million reports of child abuse and neglect\\u000a involving an estimated 2.9 million children. Maltreatment

Cathy Spatz Widom

208

Child labor: a forgotten focus for child welfare.  

PubMed

Child labor is driven by child and family impoverishment, market forces, and political apathy concerning the rights of the child. Although a fundamental concern of the early 20th century child welfare system, today child labor is often seen as outside the scope of child welfare and child protective services. Making child labor a focus of child advocacy activity once again could do much to better the lives of children. PMID:11678418

Otis, J; Pasztor, E M; McFadden, E J

2001-01-01

209

Quality indicators and quality assessment in child health  

PubMed Central

Quality indicators are systematically developed statements that can be used to assess the appropriateness of specific healthcare decisions, services and outcomes. In this review, we highlight the range and type of indicators that have been developed for children in the UK and US by prominent governmental agencies and private organizations. We also classify these indicators in an effort to identify areas of child health that may lack quality measurement activity. We review the current state of health information technology in both countries since these systems are vital to quality efforts. Finally, we propose several recommendations to advance the quality indicator development agenda for children. The convergence of quality measurement and indicator development, a growing scientific evidence base and integrated information systems in healthcare may lead to substantial improvements for child health in the 21st century. PMID:19307196

Kavanagh, Patricia L.; Adams, William G.; Wang, C. Jason

2009-01-01

210

The Healthcare Administrator's Associate: an experiment in distributed healthcare information systems.  

PubMed Central

The Healthcare Administrator's Associate is a collection of portable tools designed to support analysis of data retrieved via the Internet from diverse distributed healthcare information systems by means of the InfoSleuth system of distributed software agents. Development of these tools is part of an effort to enhance access to diverse and geographically distributed healthcare data in order to improve the basis upon which administrative and clinical decisions are made. PMID:9357686

Fowler, J.; Martin, G.

1997-01-01

211

Design and Implementation of Web-Based Healthcare Management System for Home Healthcare  

Microsoft Academic Search

For safe and effective home healthcare, a network system monitoring one’s vital signs and evaluating one’s health conditions\\u000a is highly desirable. In our laboratory, we have developed a vital sensing system for home healthcare. The purpose of this\\u000a study is to design and implement a prototype web-based healthcare management system (WBHMS) to make effective use of the data\\u000a that are

S. Tsujimura; N. Shiraishi; A. Saito; H. Koba; S. Oshima; T. Sato; F. Ichihashi; Y. Sankai

212

Managing cultural diversity in healthcare partnerships  

E-print Network

funding, Organizational culture, National Health Service, United Kingdom, Partnership, Strategic alliancesManaging cultural diversity in healthcare partnerships: the case of LIFT Russell Mannion Health Abstract Purpose ­ The National Health Service (NHS) Local Improvement Finance Trust (LIFT) programme

Birmingham, University of

213

Architecting the Healthcare System for Stakeholder Value  

E-print Network

The healthcare industry is a complex socio technical system comprised of multiple stakeholders driven by incentives, which often times are not aligned with one another, and with compromised ability to deliver to the patient ...

Fradinho Oliveira, Jorge

2009-01-21

214

Making existing technology safer in healthcare  

E-print Network

Background: Technology, equipment and medical devices are vital for effective healthcare throughout the world but are associated with risks. These risks include device failure, inappropriate use, insufficient user-training ...

Akiyama, Masanori

215

Globalization, global health, and access to healthcare.  

PubMed

It is now commonly realized that the globalization of the world economy is shaping the patterns of global health, and that associated morbidity and mortality is affecting countries' ability to achieve economic growth. The globalization of public health has important implications for access to essential healthcare. The rise of inequalities among and within countries negatively affects access to healthcare. Poor people use healthcare services less frequently when sick than do the rich. The negative impact of globalization on access to healthcare is particularly well demonstrated in countries of transitional economies. No longer protected by a centralized health sector that provided free universal access to services for everyone, large segments of the populations in the transition period found themselves denied even the most basic medical services. Only countries where regulatory institutions are strong, domestic markets are competitive and social safety nets are in place, have a good chance to enjoy the health benefits of globalization. PMID:12841150

Collins, Téa

2003-01-01

216

FUNDAMENTALS OF HEALTHCARE FINANCE LOUIS C. GAPENSKI  

E-print Network

are applied within public health settings, primarily local health departments. MHA students are encouraged) healthcare finance course for MHA students and the sole required finance course for MPH (Management

Kane, Andrew S.

217

Interventional Radiology healthcare.utah.edu/radiology  

E-print Network

Interventional Radiology healthcare.utah.edu/radiology Radiology What is Interventional Radiology? Interventional radiology involves radiologists treating disease with minimally invasive surgery. These surgeries are performed using radiologic images to guide small catheters. Because many of these procedures are safer

Feschotte, Cedric

218

Questions to Ask My Healthcare Team  

MedlinePLUS

... Best Care? Understanding Treatment Options Clinical Trials New Treatment Directions Side Effect Management Questions to Ask My Healthcare Team ©2014, Lung Cancer Alliance HelpLine: 800-298-2436 (US only); 202- ...

219

Device Data Protection in Mobile Healthcare Applications  

NASA Astrophysics Data System (ADS)

The rapid growth in mobile technology makes the delivery of healthcare data and services on mobile phones a reality. However, the healthcare data is very sensitive and has to be protected against unauthorized access. While most of the development work on security of mobile healthcare today focuses on the data encryption and secure authentication in remote servers, protection of data on the mobile device itself has gained very little attention. This paper analyses the requirements and the architecture for a secure mobile capsule, specially designed to protect the data that is already on the device. The capsule is a downloadable software agent with additional functionalities to enable secure external communication with healthcare service providers, network operators and other relevant communication parties.

Weerasinghe, Dasun; Rajarajan, Muttukrishnan; Rakocevic, Veselin

220

"Intelligent systems for healthcare and robotics"  

E-print Network

"Intelligent systems for healthcare and robotics" Laura Barnes Assistant Professor lbarnes, and robotics. We are interested in problems such as computationally modeling group behavior and interactions and clinicians. Robotics & Multiagent Systems Research in this area is specifically focused on multiagent

Acton, Scott

221

Diversion of Benzodiazepines through Healthcare Sources  

PubMed Central

Background Benzodiazepines (BZ) are often diverted from legal sources to illicit markets at various points in the distribution process which begins with a pharmaceutical manufacturer, followed by distribution to healthcare providers, and finally, to the intended users. Little is known about the extent of BZ diversion involving distribution points directly related to healthcare sources (e.g., a script doctor) as opposed to points further down the distribution chain (e.g., street dealers). The present study examines the scope of BZ diversion via mechanisms directly related to a healthcare source. It examines the association between BZ dependence and the direct utilization of particular healthcare-related diversion sources among a diverse sample of prescription drug abusers in South Florida. Method Cross-sectional data were collected from five different groups of drug users: methadone-maintenance clients (n = 247), street drug users (n = 238), public-pay treatment clients (n = 246), private-pay treatment clients (n = 228), and stimulant using men who have sex with men (MSM; n = 248). Results Findings suggest that those ages 26 to 35 years old, non-Hispanic White participants, private-pay treatment clients, those who are insured, and those with higher incomes had higher odds of utilizing healthcare diversion sources. Participants utilized a pharmacy as a diversion source more than other healthcare sources of diversion, and the highest number of BZs were obtained from doctor shopping compared to other diversion sources. Those who reported BZ dependence also had 2.5 times greater odds of using a healthcare source to obtain BZs than those who did not meet criteria for dependence. Discussion Prevention of BZ diversion through healthcare sources should include strategies to reduce doctor shopping and diversion from pharmacies. PMID:23662331

Ibañez, Gladys E.; Levi-Minzi, Maria A.; Rigg, Khary K.; Mooss, Angela D.

2013-01-01

222

Using Internet technology to streamline healthcare recruiting.  

PubMed

The staffing shortages currently facing healthcare organizations may become more severe in the future. Using the Internet to facilitate the process of identifying, interviewing, and hiring candidates for healthcare positions can result in cost-effective, appropriate hiring decisions and reduce the amount of time human resources personnel must spend performing administrative tasks relating to hiring. In addition, this technology contributes to improved satisfaction of current employees by identifying those who are most eligible for promotion. PMID:12061051

Marzulli, Tony

2002-06-01

223

[The ethics of the healthcare manager].  

PubMed

I After having become disassociated from the religious influence, management ethics has become caught up in the concept of management. Nowadays, healthcare managers, as such, must remain the kingpin, working midway between managing human relations and administering healthcare. They draw on their personal values to structure their professional position. As part of a nursing collective, managers' ethics are anchored in the care-giving practice. PMID:21574317

Durand, Jean-Pierre

2011-04-01

224

New directions in HIV healthcare.  

PubMed

The Canadian Association for HIV Research (CAHR) is the professional organization for HIV and AIDS research in Canada or by Canadians. The theme of CAHR 2011 was "Honoring our history, embracing our diversity", and highlighted the strengths that our diverse communities bring to the fight against HIV/AIDS, and more specifically, the important research data presented that reflect the new direction in which HIV research is focused: to regularize the daily life of the HIV-infected patients. Clinical research in the field of HIV has evolved from developing medication to ensure the patients' survival, to the present where survival is assumed and life events are investigated. This article will cover the research presented in the clinical track and will focus on two issues that are going to impact the future of HIV-infected individuals: cognitive health and child conception. PMID:21810049

Potter, Martin; Lebouche, Bertrand

2011-07-01

225

Presence of Medical Home and School Attendance: An Analysis of the 2005-2006 National Survey of Children With Special Healthcare Needs  

ERIC Educational Resources Information Center

Background: Children with special healthcare needs (CSHCN) tend to miss more school because of illness. Medical homes are a model of primary health care that coordinate services to better meet the needs of the child. The purpose of this study was to examine the association between presence of medical home and missed school days among CSHCN.…

Willits, Kathryn A.; Troutman-Jordan, Meredith L.; Nies, Mary A.; Racine, Elizabeth F.; Platonova, Elena; Harris, Henry L.

2013-01-01

226

Hydrothermal synthesis and structure determination from powder data of new three-dimensional titanium(IV) diphosphonates Ti(O(3)P-(CH(2))(n)-PO(3)) or MIL-25(n) (n = 2, 3).  

PubMed

Ti(O(3)P-(CH(2))(n)-PO(3)) or MIL-25(n) (n = 2, 3) were prepared under hydrothermal conditions (4 days, 463 K, autogenous pressure). Their structures were determined ab initio from X-ray diffraction powder data. MIL-25(2) is triclinic (space group P-1 (no. 2)), with a = 5.033(1), b = 5.092(1), c = 6.859(1) A, alpha = 95.860(1) degrees, beta = 99.994(1) degrees, gamma = 118.217(1) degrees, and Z = 2. MIL-25(3) exhibits an orthorhombic symmetry (space group Cm2m (no. 38)), with a = 5.230(1), b = 8.451(1), c = 17.400(2) A, and Z = 4. Their three-dimensional structures are built up from TiO(6) titanium(IV) octahedra linked together via diphosphonate groups. This leads to pillared structures whose inorganic sheets are closely related to those of the alphaTiP titanium phosphate structure. PMID:11578178

Serre, C; Férey, G

2001-10-01

227

Prisoners right to healthcare, a European perspective.  

PubMed

The right to healthcare applies regardless of a person's legal status. Prisoners have a right to a healthcare equivalent to the one in the community at large: access to medical care and preventive measures of good quality and costs covered. States have a positive duty to provide for appropriate healthcare in prison, including harm reduction policies (for instance health screening, vaccination and needle exchange). Denial of access to appropriate health facilities to prisoners and other detainees is likely to result in bodily harm, unnecessary morbidity and avoidable death. Essential elements of the social right to care for the health of prisoners are protected through the positive obligations individual human rights impose on States (e.g., the right to life, the prohibition of torture, degrading treatment and punishment, the right to liberty and the right to private life). Health related human rights standards for prison healthcare have been formulated over worldwide and in Europe. The Council of Europe's Committee of Prevention of Torture monitors the situation of prisoners in Member States. Still, healthcare for prisoners falls short of what is required. Prison healthcare is an essential part of public health. A major involvement of the Minister of Health is indispensable. PMID:23544314

Abbing, Henriette Roscam

2013-03-01

228

Global healthcare and the flux of technology.  

PubMed

For Medinfo '98, as an exercise in technological forecasting and analysis, we volunteered to project the direction of healthcare informatics into the next century. This paper is an extended discussion of that presentation. We open with the observation that healthcare informatics is merely one of the many endeavors that is following a turbulent but nearly inescapable path into a digital future. Our objective is to describe as best we can the overall geography of the general path we appear to be on, to anticipate some of our future checkpoints along the way, to identify some of the roughest transitional passages as they apply to healthcare, and to present this as one guide among many to those who have offered to do the steering into this exciting, electronic unknown. Emphasis is placed on the growing importance of information networks, the particular nature of complexity as applied to healthcare communications and healthcare itself, and the impact of the rising costs of what is medically possible in a technological age. Certain evident recent changes in computing technology are singled out for their present and expected importance. The whole is considered from a broader organizational perspective to better understand the turbulence of present times, and what medical informatics might address to ameliorate the most onerous healthcare issues. PMID:10193890

Lincoln, T L; Builder, C

1999-01-01

229

Applications of Business Analytics in Healthcare  

PubMed Central

The American healthcare system is at a crossroads, and analytics, as an organizational skill, figures to play a pivotal role in its future. As more healthcare systems capture information electronically and as they begin to collect more novel forms of data, such as human DNA, how will we leverage these resources and use them to improve human health at a manageable cost? In this article, we argue that analytics will play a fundamental role in the transformation of the American healthcare system. However, there are numerous challenges to the application and use of analytics, namely the lack of data standards, barriers to the collection of high-quality data, and a shortage of qualified personnel to conduct such analyses. There are also multiple managerial issues, such as how to get end users of electronic data to employ it consistently for improving healthcare delivery, and how to manage the public reporting and sharing of data. In this article, we explore applications of analytics in healthcare, barriers and facilitators to its widespread adoption, and how analytics can help us achieve the goals of the modern healthcare system: high-quality, responsive, affordable, and efficient care.

Ward, Michael J.; Marsolo, Keith A.

2014-01-01

230

Bioterror events: preemptive strategies for healthcare executives.  

PubMed

Today's healthcare executives face challenges that their predecessors have never known: bioterror events. To prepare their organizations to cope with new and emerging strategic threats of bioterrorism, these executives must consider preemptive strategies. The authors present courses of action to assist executives' internal, external, and cross-sectional organizational preparedness. For example, stakeholder groups, internal resources, and competencies that combine and align efforts efficiently are identified. Twelve preemptive strategies are provided to guide healthcare executives in meeting these formidable and unprecedented challenges. The reputation of the healthcare organization (HCO) is at risk if a bioterror event is not properly handled, resulting in severe disadvantages for future operations. Justifiably, healthcare executives are contemplating the value of prioritizing bioterror preparedness, taking into account the immediate realities of decreasing reimbursement, increasing numbers of uninsured patients, and staffing shortages. Resources must be focused on the most valid concerns and must maximize the return on investment. Healthcare organizations can reap the benefits of a win-win approach by optimizing available resources, planning, and training. Bioterror preparedness will transcend the boundaries of bioterrorism and prepare for myriad mass healthcare incidents such as the looming potential for an avian (bird) influenza pandemic. PMID:16294675

Zinkovich, Lisa; Malvey, Donna; Hamby, Eileen; Fottler, Myron

2005-01-01

231

Healthcare Service Use and Costs for Autism Spectrum Disorder: A Comparison Between Medicaid and Private Insurance  

PubMed Central

Healthcare costs and service use for autism spectrum disorder (ASD) were compared between Medicaid and private insurance, using 2003 insurance claims data in 24 states. In terms of costs and service use per child with ASD, Medicaid had higher total healthcare costs ($22,653 vs. $5,254), higher ASD-specific costs ($7,438 vs. $928), higher psychotropic medication costs($1,468 vs. $875), more speech therapy visits (13.0 vs. 3.6 visits), more occupational/physical therapy visits (6.4 vs. 0.9 visits), and more behavior modification/social skills visits (3.8 vs. 1.1 visits) than private insurance (all p<0.0001). In multivariate analysis, being enrolled in Medicaid had the largest effect on costs, after controlling for other variables. The findings emphasize the need for continued efforts to improve private insurance coverage of autism. PMID:22965299

Wang, Li; Mandell, David S.; Lawer, Lindsay; Cidav, Zuleyha; Leslie, Douglas L.

2012-01-01

232

Parents’ perceptions of their child’s resilience and competencies  

Microsoft Academic Search

This study examined parental views of their child’s educability through the parents’ perceptions of their child’s resilience.\\u000a The purposes of the study were: (1) to examine psychometric properties of the rating scale created to measure parental views\\u000a of their child’s educational and psychological resilience, (2) to explore whether the parents’ views of the child’s resilience\\u000a were related to their notions

Riitta Kärkkäinen; Hannu Räty; Kati Kasanen

2009-01-01

233

The influence of community violence and protective factors on asthma morbidity and healthcare utilization in high-risk children.  

PubMed

We examined the longitudinal effects of community risk and protective factors on asthma morbidity and healthcare utilization. Three hundred urban caregivers of children with poorly controlled asthma were enrolled in a randomized controlled trial testing the effectiveness of a behavioral/educational intervention and completed measures of exposure to community violence (ECV), social cohesion (SC), informal social control (ISC), child asthma control, child asthma symptom days/nights, and healthcare utilization. Latent growth curve modeling examined the direct and interaction effects of ECV, SC, and ISC on the asthma outcomes over 12 months. Caregivers were primarily the biological mother (92 %), single (70 %), and poor (50 % earned less than $10,000). Children were African American (96 %) and young (mean age?=?5.5 years, SD?=?2.2). ECV at baseline was high, with 24.7 % of caregivers reporting more than two exposures to violence in the previous 6 months (M?=?1.45, SD?=?1.61). Caregiver ECV-predicted asthma-related healthcare utilization at baseline (b?=?0.19, SE?=?0.07, p?=?0.003) and 2 months (b?=?0.12, s.e.?=?0.05, p?=?0.04). ISC and SC moderated the effect of ECV on healthcare utilization. Our findings suggest that multifaceted interventions that include strategies to curb violence and foster feelings of cohesion among low-income urban residents may be needed to reduce asthma-related emergency services. PMID:24889008

Bellin, Melissa; Osteen, Philip; Collins, Kathryn; Butz, Arlene; Land, Cassie; Kub, Joan

2014-08-01

234

Your Child's Immunization Record  

MedlinePLUS

... from the American Academy of Pediatrics. Your Child’s Immunization Record It’s important to keep up-to-date ... vaccination by filling in the date. Record of Immunizations Date Given: Where Given: Reaction: Hepatitis B Rotavirus ...

235

Child Behavior Disorders  

MedlinePLUS

... a death in the family may cause a child to act out. Behavior disorders are more serious. ... The behavior is also not appropriate for the child's age. Warning signs can include Harming or threatening ...

236

FAQ: Child Sexual Exploitation  

MedlinePLUS

... the age of 18. Is child pornography a crime? It is a federal crime to knowingly possess, manufacture, distribute or access with ... lasting harms from the permanent memorialization of the crimes committed against them. Studies indicate that child victims ...

237

Surviving Your Child's Hospitalization.  

ERIC Educational Resources Information Center

The parent of a young child who required major open heart surgery shares his suggestions for coping with a young child's hospitalization including parent visitation, relating to the hospital staff, getting answers to questions, and utilizing available services. (DB)

Cohen, David A.

1988-01-01

238

Well-child visits  

MedlinePLUS

... The health care provider will record your child's height, weight, and other important information. Hearing, vision, and other ... the child is meeting normal developmental milestones. The height, weight, and head circumference are recorded on a growth ...

239

Managing today's complex healthcare business enterprise: reflections on distinctive requirements of healthcare management education.  

PubMed

In early 2001, the community of educational programs offering master's-level education in healthcare management began an odyssey to modernize its approach to the organization and delivery of healthcare management education. The community recognized that cumulative long-term changes within healthcare management practice required a careful examination of healthcare management context and manpower requirements. This article suggests an evidence-based rationale for defining the distinctive elements of healthcare management, thus suggesting a basis for review and transformation of master's-level healthcare management curricula. It also suggests ways to modernize these curricula in a manner that recognizes the distinctiveness of the healthcare business enterprise as well as the changing management roles and careers within these complex organizations and systems. Through such efforts, the healthcare management master's-level education community would be better prepared to meet current and future challenges, to increase its relevance to the management practice community, and to allocate scarce faculty and program resources more effectively. PMID:15495737

Welton, William E

2004-01-01

240

The Handicapped Child and Child Abuse.  

ERIC Educational Resources Information Center

Experience with 37 children with cerebral palsy who have been maltreated, coupled with review of the literature revealed four problems: (1) abuse that causes handicaps, (2) abuse that occurs to the handicapped child, (3) compromises in care when the handicapped child becomes involved with the medical and legal systems, and (4) arrangements for…

Jaudes, Paula Kienberger; Diamond, Linda J.

1985-01-01

241

Holocaust Child Survivors and Child Sexual Abuse  

ERIC Educational Resources Information Center

This study utilized a qualitative analysis of child survivors of the Holocaust who were sexually abused during World War II. The research study aimed to give this specific group of survivors a voice and to explore the impact of multiple extreme traumas, the Holocaust and childhood sexual abuse, on the survivors. Twenty-two child survivors of the…

Lev-Wiesel, Rachel; Amir, Marianne

2005-01-01

242

Child Care Subsidies and Child Development  

ERIC Educational Resources Information Center

Child care subsidies are an important part of federal and state efforts to move welfare recipients into employment. One of the criticisms of the current subsidy system, however, is that it overemphasizes work and does little to encourage parents to purchase high-quality child care. Consequently, there are reasons to be concerned about the…

Herbst, Chris M.; Tekin, Erdal

2010-01-01

243

Child Physical Abuse  

Microsoft Academic Search

\\u000a This bookhighlights the dynamic nature of Parent-Child Interaction Therapy (PCIT) and the robust findings demonstrating its\\u000a effectiveness in enhancing the quality of parent-child relationships and reducing child behavior problems. These qualities\\u000a have led clinicians and researchers to consider the use of PCIT with other clinical populations including families with a\\u000a history of child physical abuse (CPA). Looking back, we can

Cheryl Bodiford McNeil; Toni L. Hembree-Kigin

244

Exploring parents' memories of their child's death related sensory experiences as a dimension of grieving  

Microsoft Academic Search

Little is known about how dying children and their parents experience death. Dying children have reported death related sensory experiences (DRSEs), defined as seeing or hearing someone or something not visible or audible to others, associated with dying. Although parents report that they and the dying child benefit from these experiences, healthcare providers often unknowingly dismiss them. The aims of

Angela M Ethier

2007-01-01

245

Prevalence and Predictors of Change in Adult-Child Primary Caregivers  

ERIC Educational Resources Information Center

Family caregiving research is increasingly contextual and dynamic, but few studies have examined prevalence and predictors of change in primary caregivers, those with the most frequent contact with healthcare professionals. We identified prevalence and predictors of 2-year change in primary adult-child caregivers. Data pooled from the 1992-2000…

Szinovacz, Maximiliane E.; Davey, Adam

2013-01-01

246

Child Care Design Guide.  

ERIC Educational Resources Information Center

This book provides architects, interior designers, developers, and child-care professionals with detailed information on the planning and design of child care centers. Part 1 examines the current state of child care in the United States and offers an overall philosophical concert--the spirit of place--as the framework for all center design. Part 2…

Olds, Anita Rui

247

My Child Is Stealing  

MedlinePLUS

... with a friend's bracelet and it's clear the child took it without the friend's permission, the parent should talk to the child about how it would feel if a friend took something without asking first. The parent should encourage the child to call the friend to apologize, explain what ...

248

Child Care Update: 1987.  

ERIC Educational Resources Information Center

This paper provides information on child care needs, existing services, and special topics related to child care in Dane County, Wisconsin. Section I describes and compares needs and services; indicates locations of current full-day services; and offers specific recommendations for expanding child care. Section II concerns cost and affordability…

Levy, Vic; And Others

249

Introduction CHILD BEHAVIORS  

E-print Network

Introduction Methods Results Discussion CHILD BEHAVIORS · Children who present early disruptive · Due to the multifaceted nature of child behavior, different methods of assessment can be used. TEACHER-REPORT MEASURES · The Child Behavior Checklist -Teacher Rating Form (CBCL-TRF; Achenbach

Farritor, Shane

250

Child prostitution in Thailand  

Microsoft Academic Search

Child prostitution is an old, global and complex phenomenon, which deprives children of their childhood, human rights and dignity. Child prostitution can be seen as the commercial sexual exploitation of children involving an element of forced labour, and thus can be considered as a contemporary form of slavery. Globally, child prostitution is reported to be a common problem in Central

Carmen Lau

2008-01-01

251

Conversations in Child Care  

MedlinePLUS

Conversations in Child Care Health & Safety Notes One of the measures of excellence in child care is the quality of the conversations ... listened to and respected. To encourage conversation in child care: • Ask open-ended questions: Ask questions that require ...

252

Child Nutrition. Beginnings Workshop.  

ERIC Educational Resources Information Center

Four workshops focus on nutrition for infants and children in child care settings. Articles are: (1) "Nutrition and Child Development: Global Perspectives" (Jacqueline Hayden); (2) "Working with Families around Nutritional Issues" (Wayne Eastman); (3) "Breastfeeding Promotion in Child Care" (Laura Dutil Aird); and (4) "Food as Shared…

Hayden, Jacqueline; Eastman, Wayne; Aird, Laura Dutil; McCrea, Nadine L.

2002-01-01

253

Managing the Difficult Child.  

ERIC Educational Resources Information Center

This newsletter issue focuses on ways parents can manage the difficult child with special needs. Characteristics of the difficult child are listed including poor listening skills, irritableness, impulsivity, and tendency to have tantrums. Typical reactions to the difficult child by parents, siblings, other relatives, neighbors, the school, and…

Murphy, Linda; Della Corte, Suzanne

1990-01-01

254

Child labor handbook  

Microsoft Academic Search

This paper surveys many aspects and issues of child labor, including its causes and effects as well as policies associated with it. Child labor has come to be considered an expression of poverty, both a cause and an effect of underdevelopment. Child labor cannot be viewed in isolation from educational, health, fertility, and technological issues; and is not necessarily an

Alessandro Cigno; Furio C. Rosati; Zafiris Tzannatos

2002-01-01

255

Technology developments applied to healthcare/nursing.  

PubMed

Future technology developments as applied to healthcare and particularly nursing were discussed. Emerging technologies such as genetics, small unobtrusive monitoring devices, use of information and communication technologies are as tools to not only facilitate but also promote communication among all parties of the healthcare process. These emerging technologies can be used for ubiquitous healthcare (u-health). The role of nursing in the u-health is fundamental and required for success and growth. Nursing's role will evolve as nurses become 'information-mediators' in a broader-sense than current role. All technologies will ultimately focus on the consumer through 'behind-the-scenes' data collection, which in turn will also allow nurses to analyze these data to improve care. We need to acknowledge an increased presence and or pervasiveness of information technologies as key components of quality healthcare. This sort of acknowledgment will help propel nursing, and healthcare, to increase use of these tools. To develop nurses with these types of skills the nursing education process will require a fundamental change to integrate these technology-sorts of tools as necessary elements for success. PMID:17901625

Øyri, Karl; Newbold, Susan; Park, Hyeoun-Ae; Honey, Michelle; Coenen, Amy; Ensio, Anneli; Jesus, Elvio

2007-01-01

256

Healthcare @ the speed of thought.  

PubMed

It is daunting to realize that we have just touched the surface of health-related Internet web sites. The use of the Internet as a vital patient care tool is a very real prospect on the near horizon. Yet most hospital systems and physicians groups today just use the Net to post "billboards.'' In the rest of America, the Internet has been much more than a billboard. It has changed the way business is conducted. There's e-mail. There's e-trading for those who invest. On mother's day moms receive e-cards, and there is e-commerce which includes buying and selling online, and also collecting and organizing data that will help a business serve customers better, building that relationship. The Internet is a transaction tool. The latest survey indicates that the volume of commerce on the Net has grown 300% this year over last. According to a survey sponsored by Cisco Systems. Net sales volume accounts for $200 billion and is doubling every 6 months. And, the search for health information is among the top three reasons people use the web. The surveys indicate that people would like better communication with their physicians and most would like to communicate by e-mail. Yet, very few physicians are interested. As part of the research for this article we reviewed dozens of web sites for hospitals and medical groups. While some of these sites are attractive, most simply don't do anything more than provide maps and telephone numbers. People might as well look in the Yellow Pages for the information they can find on th web. Meanwhile, a number of well-funded health sites have sprung up just in the past few months. We searched the web to find sites that would actually allow people to interact in ways that went beyond just finding information. Clearly there is movement toward the ability to conduct transactions over the Net, i.e, patient monitoring, checking on status of claims, ask-a-doc, etc. But, we are just at the front end of this movement and physicians and hospitals have an opportunity to play a leadership role. A number of the sites reviewed for this article, for example, offer the patient the ability to develop his or her own health record and maintain it on the web. It is not conceivable that a healthcare system, along with its affiliated physician, might develop a secure web site that included a combined inpatient and outpatient rcord, accessible electronically by patients and authorized providers from any telephone in the world. It is clear that armed with Internet data, consumers will play an increasingly important role in their own care. Employers are acquiescing to their demands for increasing choice. Copayments are also going up and employees are likely to vote with their feet in selecting providers. Companies like WebMd, Physicians Online, Planetrx.com, drugstore.com, Yahoo and the other mentioned above are filling a need. It should be a wakeup call for healthcare systems and physicians. According to the latest data from Medimetrix, (see medimetrix.com), the most frequently visited health sites on the web today are Intelihealth.com (Johns Hopkins), Mayohealth.org, and OnHealth.com. These sites provide a highly interactive experience for consumers and tons of news and information. They are compelling and traffic-building, have fresh news that is frequently updated and many are transaction. That's what people want. There are so many potential uses of the Internet for physicians and hospitals that it is difficult to properly cover them in this article. Why shouldn't a patient be able to check the status of their account? Has the insurance paid? Is there a patient balance? Consumers can check their bank balances on the Internet. Why not their hospital or medical office accounts? Why not let them pay their balances online? As noted above, some the the HMOs are providing account status information to patients already. Why not the hospitals and physicians? Web sites are multiplying like rabbits. It's going to take a lot of effort to PMID:10557655

Cochrane, J D

1999-05-01

257

Vanderbilt Child Care Centers The Vanderbilt Child Care Centers are based on the child development model  

E-print Network

needs of each child. ADMISSIONS The Vanderbilt Child Care Centers provide a quality child developmentVanderbilt Child Care Centers PHILOSOPHY The Vanderbilt Child Care Centers are based on the child development model which incorporates the theories of Piaget, Montessori, Erikson, and others. Learning through

Bordenstein, Seth

258

SARS in Healthcare Facilities, Toronto and Taiwan  

PubMed Central

The healthcare setting was important in the early spread of severe acute respiratory syndrome (SARS) in both Toronto and Taiwan. Healthcare workers, patients, and visitors were at increased risk for infection. Nonetheless, the ability of individual SARS patients to transmit disease was quite variable. Unrecognized SARS case-patients were a primary source of transmission and early detection and intervention were important to limit spread. Strict adherence to infection control precautions was essential in containing outbreaks. In addition, grouping patients into cohorts and limiting access to SARS patients minimized exposure opportunities. Given the difficulty in implementing several of these measures, controls were frequently adapted to the acuity of SARS care and level of transmission within facilities. Although these conclusions are based only on a retrospective analysis of events, applying the experiences of Toronto and Taiwan to SARS preparedness planning efforts will likely minimize future transmission within healthcare facilities. PMID:15200808

Simor, Andrew E.; Su, Ih-Jen; Maloney, Susan; Ofner, Marianna; Chen, Kow-Tong; Lando, James F.; McGeer, Allison; Lee, Min-Ling; Jernigan, Daniel B.

2004-01-01

259

Improvement, trust, and the healthcare workforce  

PubMed Central

Although major defects in the performance of healthcare systems are well documented, progress toward remedy remains slow. Accelerating improvement will require large shifts in attitudes toward and strategies for developing the healthcare workforce. At present, prevailing strategies rely largely on outmoded theories of control and standardisation of work. More modern, and much more effective, theories of production seek to harness the imagination and participation of the workforce in reinventing the system. This requires a workforce capable of setting bold aims, measuring progress, finding alternative designs for the work itself, and testing changes rapidly and informatively. It also requires a high degree of trust in many forms, a bias toward teamwork, and a predilection toward shouldering the burden of improvement, rather than blaming external factors. A new healthcare workforce strategy, founded on these principles, will yield much faster improvement than at present. PMID:14645740

Berwick, D

2003-01-01

260

Overview of healthcare system in the Czech Republic  

PubMed Central

The healthcare system in the Czech Republic underwent and still is undergoing dramatic changes since the Velvet revolution in 1989. History of the Czech healthcare system, main healthcare laws, and the current status of healthcare documented in the main healthcare indicators is described based on the several main sources as well as delivery of health services and the role of the main actors in healthcare system. The material is based mainly on Czech Health Statistics 2009, and HiT Summary, Health Care Systems in Translation, 2005, public information of Ministry of Health CR. PMID:22738178

2012-01-01

261

Structuring a sound securitization of healthcare receivables.  

PubMed

Securitization of receivables allows healthcare providers to obtain an additional funding source by selling their accounts receivables to investors. A double-lock-box structure allows providers to securitize Medicare and Medicaid receivables without violating federal laws. A 2001 revision to the Uniform Commercial Code facilitates providers' securitization of private healthcare insurance receivables by underscoring rights of a purchaser of those receivables. HIPAA privacy standards appear to permit the use and disclosure of protected health information in crafting a securitization program. The securitization should be structured to shield the value of the receivables to be transferred from the potential backruptcies of the originator and the purchaser. PMID:12602313

Spradling, Mark

2003-02-01

262

Healthcare workers as vectors of infectious diseases.  

PubMed

Nosocomial infections cause considerable morbidity and mortality. Healthcare workers (HCWs) may serve as vectors of many infectious diseases, many of which are not often primarily considered as healthcare-associated. The probability of pathogen transmission to patients depends on several factors, such as the characteristics of a pathogen, HCW and patient. Pathogens with high transmission potential from HCWs to patients include norovirus, respiratory infections, measles and influenza. In contrast, human immunodeficiency virus (HIV) and viral hepatitis are unlikely to be transferred. The prevention of HCW-associated transmission of pathogens include systematic vaccinations towards preventable diseases, continuous education, hand hygiene surveillance, active feedback and adequate staff resources. PMID:24798250

Huttunen, R; Syrjänen, J

2014-09-01

263

Healthcare provides many opportunities for card technologies.  

PubMed

Smart cards and optical memory cards are among the fastest growing technologies today. Though their use in healthcare is not yet widespread, they promise great potential benefits in several areas of healthcare delivery. Both cards are credit card-sized plastic devices that can store information. Embedded in smart cards are one or more computer chips which store and process information, and some cards provide as much computer power as a PC. Optical memory cards use laser technology to store and read information. PMID:10120739

Amoroso, L A; Pollokoff, A M

1990-12-01

264

Networkcentric healthcare: applying the tools, techniques and strategies of knowledge management to create superior healthcare operations.  

PubMed

The proliferation of Information Computer and Communication Technologies (IC2T) throughout the business environment has led to exponentially increasing amounts of data and information. Although these technologies were implemented to enhance and facilitate superior decision-making, the reality is information overload. Knowledge Management (KM) is a recent management technique designed to make sense of this information chaos. Critical to knowledge management is the application of IC2T. This paper discusses how effective and efficient healthcare operations can ensue through the adoption of a networkcentric healthcare perspective that is grounded in process-oriented knowledge generation and enabled through World Healthcare Information Grid (WHIG). PMID:18048258

von Lubitz, Dag; Wickramasinghe, Nilmini

2006-01-01

265

Effects of prenatal care on child health at age 5.  

PubMed

The broad goal of contemporary prenatal care is to promote the health of the mother, child, and family through the pregnancy, delivery, and the child's development. Although the vast majority of mothers giving birth in developed countries receive prenatal care, past research has not found compelling evidence that early or adequate prenatal care has favorable effects on birth outcomes. It is possible that prenatal care confers health benefits to the child that do not become apparent until after the perinatal period. Using data from a national urban birth cohort study in the US, we estimate the effects of prenatal care on four markers of child health at age 5-maternal-reported health status, asthma diagnosis, overweight, and height. Prenatal care, defined a number of different ways, does not appear to have any effect on the outcomes examined. The findings are robust and suggest that routine health care encounters during the prenatal period could potentially be used more effectively to enhance children's health trajectories. However, future research is needed to explore the effects of prenatal care on additional child health and developmental outcomes as well as the effects of preconceptional and maternal lifetime healthcare on child health. PMID:22374319

Noonan, Kelly; Corman, Hope; Schwartz-Soicher, Ofira; Reichman, Nancy E

2013-02-01

266

Child health in complex emergencies.  

PubMed Central

Coordinated and effective interventions are critical for relief efforts to be successful in addressing the health needs of children in situations of armed conflict, population displacement, and/or food insecurity. We reviewed published literature and surveyed international relief organizations engaged in child health activities in complex emergencies. Our aim was to identify research needs and improve guidelines for the care of children. Much of the literature details the burden of disease and the causes of morbidity and mortality; few interventional studies have been published. Surveys of international relief organizations showed that most use World Health Organization (WHO), United Nations Children's Fund (UNICEF), and ministry of health guidelines designed for use in stable situations. Organizations were least likely to have formal guidelines on the management of asphyxia, prematurity, and infection in neonates; diagnosis and management of children with human immunodeficiency virus (HIV) infection; active case-finding and treatment of tuberculosis; paediatric trauma; and the diagnosis and management of mental-health problems in children. Guidelines often are not adapted to the different types of health-care workers who provide care in complex emergencies. Evidence-based, locally adapted guidelines for the care of children in complex emergencies should be adopted by ministries of health, supported by WHO and UNICEF, and disseminated to international relief organizations to ensure appropriate, effective, and uniform care. PMID:16501716

Moss, William J.; Ramakrishnan, Meenakshi; Storms, Dory; Henderson Siegle, Anne; Weiss, William M.; Lejnev, Ivan; Muhe, Lulu

2006-01-01

267

Child care, women's employment, and child outcomes  

Microsoft Academic Search

.   This paper reviews the evidence on the impact of child care and maternal employment in the pre-school years on child outcomes.\\u000a This topic has long been of interest to economists, developmental psychologists, and scholars from other disciplines, and\\u000a has been the focus of increased attention in recent years, as research has provided additional evidence about the processes\\u000a of development

Jane Waldfogel

2002-01-01

268

Child Labor Coalition  

NSDL National Science Digital Library

Formed in 1989, the Child Labor Coalition is a provider of informational and educational outreach about child labor in the public and private sectors. On their website, visitors will find sections on "Child Labor in the U.S." and "Child Labor Around the World", as well as a "Photo Gallery and Media Library". The Child Labor in the U.S. section provides history, causes, and results of child labor in the U.S. Visitors will also find a link to the report "Fields of Peril - Child Labor in U.S. Agriculture", which addresses the lack of rights of child farmworkers on commercial farms. Visitors with teenagers will be interested in the "Parents' Primer: When Your Teen Works" report that emphasizes the hours of employment governed by child labor laws, and provides information on how these laws "restrict teens from working in hazardous occupations or operating dangerous machinery." The photo gallery contains several albums, including heartrending stills from the documentary "Stolen Childhoods". Visitors will see a child working at a brick kiln in India, and a Kenyan coffee plantation where children work without protective gear from pesticides or the sharp spines of the coffee plant. [KMG

269

75 FR 63844 - Healthcare Infection Control Practices Advisory Committee (HICPAC)  

Federal Register 2010, 2011, 2012, 2013

...HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Healthcare Infection Control Practices Advisory Committee (HICPAC) In...regarding the practice of healthcare infection control and strategies for surveillance,...

2010-10-18

270

Transition to cloud computing in healthcare information systems  

E-print Network

This thesis is a study on the adoption of cloud computing in healthcare information technology industry. It provides a guideline for people who are trying to bring cloud computing into healthcare information systems through ...

Ren, Haiying, S.M. Massachusetts Institute of Technology

2012-01-01

271

Observing Healthcare Interior Environments and the Effect on Patient Behavior  

E-print Network

Healthcare facilities are recognizable as organized, clean, and functional environments that enable health practices to be carried out easily. However, most healthcare facilities do not take into account how design may affect patient welfare...

Rice, Courtney R.

2010-07-14

272

Child And Family Studies Department Of Child And Family Studies  

E-print Network

of specialization: (a) Early Child Development, (b) Youth and Family Development, (c) Early Childhood Education (4+1), (d) Child Life Specialist. Core courses focus on child and youth development (i.e., infancy, play development, parent education, child care, and parent-child relations in different cultures. FACILITIES

Mather, Patrick T.

273

Can healthcare go from good to great?  

PubMed

Healthcare's improvement efforts have focused on the point of care, targeting specific processes such as preventing central line infections, while paying relatively less attention to the larger issues of organizational structure and leadership. Interestingly, the business community has long recognized that poor management and structure can thwart improvement efforts. Perhaps the corporate world's best-known study of these issues is found in the book Good to Great, which identifies top-performing corporations, compares them to carefully selected organizations that failed to achieve similar levels of performance, and gleans lessons from these analyses. In this article, we analyze the feasibility of carefully applying Good to Great's methods for analyzing organizational structure and leadership to healthcare. While a few studies in healthcare have come close to emulating Good to Great's methodology, none have matched its rigor. These shortcomings highlight key information and measurement gaps that must be addressed to facilitate unbiased, rigorous studies of the organizational and leadership predictors of institutional excellence in healthcare. Journal of Hospital Medicine 2011; © 2011 Society of Hospital Medicine. PMID:21997854

Driver, Todd H; Wachter, Robert M

2011-10-13

274

Grief among Healthcare Workers: A Comparative Study.  

ERIC Educational Resources Information Center

Examined the prevalence and nature of grief in response to patient suffering, loss, or death among healthcare workers. Skilled nursing facility personnel remembered experiencing bereavement in response to crises of their geriatric patients. Mourning occurred among virtually all general hospital personnel who usually serve younger patients. (Author)

Lerea, L. Eliezer; LiMauro, Barbara F.

1982-01-01

275

A low-cost community healthcare kiosk  

Microsoft Academic Search

This paper proposes a low-cost, compact and extendable healthcare kiosk which is available for applications based on community. This system mainly resolves the problem of biodata gathering and preprocessing at public place. It’s an extension of hospital function, and acts as a supplementary approach of daily physical examination for the public. By measuring ECG, blood oxygen saturation, weight, temperature and

Guiqin Sun; Shenyi Tao; Yongqiang Lu; Yu Chen; Yuanchun Shi; Ni Rong; Rui Wang; Xiaojuan Lu

2011-01-01

276

GE Healthcare Ni Sepharose and IMAC Sepharose  

E-print Network

GE Healthcare Ni Sepharose and IMAC Sepharose Total solutions for preparation of histidine Batch Spin column Gravity- flow column Syringe Precharged Ni Sepharose media Contains Ni Sepharose High requirements ? IMAC Sepharose 6 Fast Flow Uncharged IMAC Sepharose media >100 mg HiPrep IMAC FF 16/10 IMAC

Lebendiker, Mario

277

Language Generation for Multimedia Healthcare Briefings  

Microsoft Academic Search

This paper identifies issues for language generation that arose in developing a multimedia interface to healthcare data that includes coordinated speech, text and graphics. In order to produce brief speech for time-pressured caregivers, the system both combines related informa- tion into a single sentence and uses ab- breviated references in speech when an unambiguous textual reference is also used. Finally,

Kathleen Mckeown; Desmond A. Jordan; Shimei Pan; James Shaw; Barry A. Allen

1997-01-01

278

Improving public understanding of healthcare ethics  

Microsoft Academic Search

Healthcare delivery in the UK faces many problems which often raise questions of an ethical nature. In general, the only access to any ethics 'education' available to the public is through media commentary, television soaps and dramas. These commentaries may range from high quality to sensationalist; rather than educate they merely worry and confuse the layperson. This article proposes that

Louise M. Terry

2003-01-01

279

Focus on quality in healthcare in Ireland  

Microsoft Academic Search

Purpose – The purpose of this paper is to summarise the recent debates and issues on the healthcare system in Ireland, which have come to the fore through media exposure. The implications for these debates on quality are suggested and questions are raised to stimulate further debate. Design\\/methodology\\/approach – Recent reports and media opinion articles are reviewed in the light

Chris G. Collins; Pauline Joyce

2008-01-01

280

Healthcare Learning Community and Student Retention  

ERIC Educational Resources Information Center

Teaching, learning, and retention processes have evolved historically to include multifaceted techniques beyond the traditional lecture. This article presents related results of a study using a healthcare learning community in a southwest Georgia university. The value of novel techniques and tools in promoting student learning and retention…

Johnson, Sherryl W.

2014-01-01

281

Bioterror Events: Preemptive Strategies for Healthcare Executives  

Microsoft Academic Search

Today's healthcare executives face challenges that their predecessors have never known: bioterror events. To prepare their organizations to cope with new and emerging strategic threats of bioterrorism, these executives must consider preemptive strategies. The authors present courses of action to assist executives' internal, external, and cross-sectional organizational preparedness. For example, stake-holder groups, internal resources, and competencies that combine and align

Lisa Zinkovich; Donna Malvey; Eileen Hamby; Myron Fottler

2005-01-01

282

10 ways to improve healthcare cost management.  

PubMed

As a healthcare CFO, you know that effective financial control has enormous impact on a hospital's bottom line. But how do you maintain that financial control? Well, a few simple improvements in cost management techniques-assigning accountability, adopting useful monitoring and reporting methods, and reducing resource consumption, among others--can reap significant benefits. PMID:15372813

Berger, Steven H

2004-08-01

283

A Conference for Alzheimer's Caregivers & Healthcare Professionals  

E-print Network

4th Annual A Conference for Alzheimer's Caregivers & Healthcare Professionals Keynote Sponsor's Journey" #12;Caregiver's Journey ­ --Rhode Island 12:45-1:30 PM Update on the State Plan on Alzheimer. Alzheimer's Association Rhode Island Chapter Presents "Caregiver's Journey" A Conference for Alzheimer

Rhode Island, University of

284

Individualized Healthcare Plans for the School Nurse  

ERIC Educational Resources Information Center

This resource sets the standard for school nurses concerning the formulation of individualized healthcare plans designed to fit the unique health needs of students. Eighteen chapters focus on special issues and school nursing concepts. Computer software, which accompanies the manual, assists in the development and creation of individualized…

American School Health Association (NJ3), 2005

2005-01-01

285

Security Services for Next Generation Healthcare  

E-print Network

Security Services for Next Generation Healthcare Introduction With the passage of the Health Information Technology for Economic and Clinical Health Act (HITECH) as part of the economic stimulus package incentives to assist with efforts required to modernize health information technology (Health IT

Fisher, Kathleen

286

Emerging technologies for healthcare and aging  

Microsoft Academic Search

The aging population is growing rapidly and technology has great potential to meet older adults' healthcare needs. However, the technologies being developed must take into account older adults' needs and related interaction issues. This workshop explores interaction issues such as accepting, integrating, efficacy, sharing, and privacy for emerging health technologies, including tablets, ambient systems, robotics, electronic medical records, mobile systems,

Tracy Mitzner; Marita O'Brien; Wendy Rogers

2012-01-01

287

Lillian Rstad Access Control in Healthcare  

E-print Network

Lillian Røstad Access Control in Healthcare Information Systems Thesis for the degree of Philosophiae Doctor (PhD) Trondheim, January 2009 Norwegian University of Science and Technology Faculty of Information Technology, Mathematics and Electrical Engineering Department of Computer and Information Science

Langseth, Helge

288

[Territorial and social healthcare inequalities in France].  

PubMed

Geographic analyses of health-related issues have a long tradition in France, and have often consisted of observational studies conducted by practitioners themselves. Such geographic approaches were gradually abandoned during the 20th century as the pace of clinical progress increased. The few healthcare studies conducted by geographers have had little impact among the medical community. However, our studies show that geographic inequalities in health still persist. During the last 10 years or so, the social and economic crisis has dangerously accentuated health inequalities at every level In France, where equality is supposed to be the watchword of the entire healthcare system, this situation is particularly regrettable. Access to care decreases with distance from medical services. With the increasing urban and suburban concentration of the population, public healthcare policy must focus on finding solutions for people living in remote areas or too poor to access medical care. Geographic analyses of healthcare organization can help to make medical care available for all, especially those who need it most. PMID:23550454

Vigneron, Emmanuel

2012-01-01

289

Track D: Healthcare and sustainable living  

Microsoft Academic Search

eHealth, Telemedicine, and Bio-System Research Systems all describe approaches to improving the capacity of healthcare systems through fundamental and applied research, technology, and services. Researchers and companies are, for example, exploring the use of sensor devices, human-system interfaces, and medical record systems in order to provide radically new solutions for helping patients.

Remi Bastide; Matthew Smith

2012-01-01

290

Tailor-made quality systems in healthcare.  

PubMed

At present many healthcare organizations are being pressed by national governments or client groups to develop and implement quality systems. Unfortunately, not much is known about the development and implementation of these systems in healthcare organizations. There still are definition questions to be answered and it is not clear in which way a quality system can be outlined and which outline is most effective in a particular situation. In practice, many healthcare organizations adopt ideas from industrial quality management and develop ISO 9000 based quality systems, which are only useful in relatively stable situations. In this paper a typology of healthcare processes is developed on the basis of input and throughput characteristics, following the literature on professional quality systems and service systems. The typology is tested and illustrated by a few case studies. From this typology, on the basis of logic, suggestions have been deduced for tailor-made quality systems in a general hospital setting. The main point of these systems is an examination, treatment and nursing plan with a timescale. Control is executed on the basis of performance indicators for groups of patients. PMID:10807022

van der Bij, J D; Broekhuis, H

2000-02-01

291

Multidisciplinary Assessment of Technology Centre for Healthcare  

E-print Network

viewpoint where pathway changes are required to accommodate disruptive technology. MATCH identifiedMultidisciplinary Assessment of Technology Centre for Healthcare Annual Report 2010-11 www service based on better technology that has been selected and developed through value-based choices. #12

Oakley, Jeremy

292

Healthcare joint venture requires mammoth resources.  

PubMed

AT&T and the Bowman Gray School of Medicine of Wake Forest University/Baptist Hospital are undertaking a massive research project. This endeavor will bring together many advanced development and testing facilities with a major goal in mind--advancing communications technology within healthcare by improving image compression/transmittal to remote areas and connecting diverse systems. PMID:10285975

Quittel, F

1988-03-01

293

Health, Disease and Healthcare in Africa  

Microsoft Academic Search

This editorial introduction to `Health, disease and healthcare in Africa' addresses some of the key issues for health psychology in the continent. African populations face a health crisis driven by a double burden of disease, a nutrition transition, war and conflict, and poverty. Health systems are under-funded and underresourced. Research suggests that the most prevalent diseases in Africa are preventable

Ama De-Graft Aikins; David F. Marks

2007-01-01

294

Does Outdoor Behavioral Healthcare Really Work?  

ERIC Educational Resources Information Center

Outdoor behavioral healthcare (OBH), using wilderness therapy and related outdoor programming, is an emerging treatment for adolescents with behavioral, psychological, and substance abuse disorders. A literature review examining OBH outcomes related to self-concept, interpersonal skills, substance abuse, criminal recidivism, and behavioral and…

Russell, Keith C.

2002-01-01

295

A conceptual model for healthcare facility design.  

PubMed

A conceptual model for healthcare facility design provides nurse leaders a framework for measuring the effect of specific or more global design features on patient, provider, and organizational outcomes. The model can help to explain relationships among variables of interest in facility design and be used to guide research studies or measures of change or improvement. PMID:24853794

Stichler, Jaynelle F

2014-06-01

296

Virtue Ethics and Rural Professional Healthcare Roles  

ERIC Educational Resources Information Center

Because rural populations are at risk not only for clinically disparate care but also ethically disparate care, there is a need to enhance scholarship, research, and teaching about rural health care ethics. In this paper an argument for the applicability of a virtue ethics framework for professionals in rural healthcare is outlined. The argument…

Crowden, Andrew

2010-01-01

297

What's right SHIP & Healthcare Reform Forum  

E-print Network

&Health Reform What's right for you SHIP & Healthcare Reform Forum: What's Right for You Berkeley SHIP compares with the plans available on Covered California health benefit exchange and * offer a Q & A session featuring representatives from Berkeley SHIP and Covered California at the end

Walker, Matthew P.

298

ADVANCED TECHNOLOGY PROGRAM INFORMATION INFRASTRUCTURE FOR HEALTHCARE  

E-print Network

. In addition, it was an explicit goal of the researchers to provide intelligence to the Advanced TechnologyADVANCED TECHNOLOGY PROGRAM INFORMATION INFRASTRUCTURE FOR HEALTHCARE: Case Studies from a Focused. We also thank a number of reviewers within and outside the Advanced Technology Program, including BJ

299

Analysis on energy efficiency in healthcare buildings.  

PubMed

The aim of this paper is to analyze and quantify the average healthcare centres' energy behavior and estimate the possibilities of savings through the use of concrete measures to reduce their energy demand in Extremadura, Spain. It provides the average energy consumption of 55 healthcare centres sized between 500 and 3,500 m2. The analysis evaluated data of electricity and fossil fuel energy consumption as well as water use and other energy-consuming devices. The energy solutions proposed to improve the efficiency are quantified and listed. The average annual energy consumption of a healthcare centre is 86.01 kWh/m2, with a standard deviation of 16.8 kWh/m2. The results show that an annual savings of €4.77/m2 is possible. The potential to reduce the energy consumption of a healthcare centre of size 1,000 m2 is 10,801 kWh by making an average investment of €11,601, thus saving €2,961/year with an average payback of 3.92 years. PMID:25193373

García-Sanz-Calcedo, Justo

2014-01-01

300

Preventing Child Abuse and Neglect in Saudi Arabia: Are We Ready?  

PubMed Central

Although child abuse and neglect (CAN) have been recognized by medical professionals for the last 20 years, child protection services and child maltreatment prevention programs are still emerging in Saudi Arabia. This paper will review the progress made in the country in terms of recognition and implementation of child protection services. Furthermore, it will draw attention to the essential steps required to start child maltreatment prevention programs, as CAN prevention is currently viewed as a global healthcare priority with an emphasis on evidence-based interventions. In addition, this paper will assess Saudi Arabia's readiness to prevent CAN and the challenges that will be faced by the professionals in implementing evidence-based CAN prevention programs. PMID:22048511

Almuneef, Maha; Al-Eissa, Majid

2011-01-01

301

Progression of strategies used by a healthcare system preparing for healthcare reform: past and present.  

PubMed

Strategies used by CaroMont Health to improve quality, decrease cost, and increase operational efficiency have ultimately aligned our system to address the present and future challenges confronting healthcare. Beginning with To Err is Human (Institute of Medicine 1999) and continuing with the healthcare reform bill of 2010, CaroMont Health has responded to challenges by striving to provide excellent patient care in a cost-effective manner. In this journey, CaroMont has discovered several key success factors essential in navigating this transformation. Our strategies reinforce the fact that improved quality and patient outcomes will ultimately reduce overall healthcare costs. In an ongoing collaboration with the Premier healthcare alliance, CaroMont Health has evolved from focusing on process metrics to delivering value-based care. CaroMont is now positioned to enter the new world of value-based delivery leading to accountability for community health. PMID:21090213

Rutledge, Valinda; Huber, David; Mathews, Jan

2010-01-01

302

Resource based view: a promising new theory for healthcare organizations  

PubMed Central

This commentary reviews a recent piece by Burton and Rycroft-Malone on the use of Resource Based View (RBV) in healthcare organizations. It first outlines the core content of their piece. It then discusses their attempts to extend RBV to the analysis of large scale quality improvement efforts in healthcare. Some critique is elaborated. The broader question of why RBV seems to be migrating into healthcare management research is considered. They conclude RBV is a promising new theory for healthcare organizations.

Ferlie, Ewan

2014-01-01

303

New graduate nurses' transition to home healthcare: an integrative review.  

PubMed

This article is a review of relevant literature exploring the factors that contribute to new graduate nurses' transition to home healthcare nursing. The results revealed themes that include introducing the nurse to home healthcare nursing, knowledge and confidence, and developing the professional role. The review findings suggest that home healthcare leaders should consider recruiting new graduate nurses to home healthcare nursing and provide a structured orientation program in a supportive and welcoming work environment. PMID:23314203

Foley, Andrea

2013-03-01

304

The issues surrounding social network sites and healthcare professionals.  

PubMed

This article discusses issues surrounding online social networking, and the implications of the use of these sites by healthcare professionals. The article provides guidance to healthcare professionals, as the increased use of sites like Facebook and Twitter have the potential to bring risks to healthcare. Use of these websites can be a very grey area, and boundaries need to be clearly set to ensure protection of service users and healthcare staff alike. PMID:24279039

Azizi, Taraneh

2013-10-01

305

Race and healthcare disparities: overcoming vulnerablity.  

PubMed

The paper summarizes recently published data and recommendations about healthcare disparities experienced by African Americans who have Medicare or other healthcare coverage. Against this background the paper addresses the ethics of such disparities and how disadvantages of vulnerable populations like African Americans are typically maintained in decision making about how to respond to such disparities. Considering how to respond to disparities reveals much that vulnerable populations would bring to the policy-making table, if they can also be heard when they get there. The paper argues that vulnerable populations like African Americans need fair representation in bodies deciding what to do about such disparities and that fairness requires proportional representation at all levels of decisions that affect healthcare--a radical change. In this decision setting, how to provide adequate protection of minorities needs much further attention. The most attractive decision-making model is deliberative democracy. The paper shows that in deliberation, fair representation requires not only having a voice in decisions, but a fair hearing of those voices. Achieving a fair hearing requires changes in norms of communication and training of all to give importance to greetings and other measures of civility and trust building, and to be open to diverse forms of expression. Decisions about how to respond to healthcare disparities would include what programs to initiate for whom, how to evaluate the programs, and what to do in response to such evaluations. Conclusions are that achieving such goals will take a sea change in how healthcare institutions and providers do their business, and that social activism at every level will be needed to effect these changes. The discussion highlights many ethical issues that need much greater attention. PMID:12546167

Stone, John

2002-01-01

306

Biomaterials and bioengineering tomorrow’s healthcare  

PubMed Central

Biomaterials are being used for the healthcare applications from ancient times. But subsequent evolution has made them more versatile and has increased their utility. Biomaterials have revolutionized the areas like bioengineering and tissue engineering for the development of novel strategies to combat life threatening diseases. Together with biomaterials, stem cell technology is also being used to improve the existing healthcare facilities. These concepts and technologies are being used for the treatment of different diseases like cardiac failure, fractures, deep skin injuries, etc. Introduction of nanomaterials on the other hand is becoming a big hope for a better and an affordable healthcare. Technological advancements are underway for the development of continuous monitoring and regulating glucose levels by the implantation of sensor chips. Lab-on-a-chip technology is expected to modernize the diagnostics and make it more easy and regulated. Other area which can improve the tomorrow’s healthcare is drug delivery. Micro-needles have the potential to overcome the limitations of conventional needles and are being studied for the delivery of drugs at different location in human body. There is a huge advancement in the area of scaffold fabrication which has improved the potentiality of tissue engineering. Most emerging scaffolds for tissue engineering are hydrogels and cryogels. Dynamic hydrogels have huge application in tissue engineering and drug delivery. Furthermore, cryogels being supermacroporous allow the attachment and proliferation of most of the mammalian cell types and have shown application in tissue engineering and bioseparation. With further developments we expect these technologies to hit the market in near future which can immensely improve the healthcare facilities. PMID:23628868

Bhat, Sumrita; Kumar, Ashok

2013-01-01

307

PACS as a driver for integrating healthcare systems  

Microsoft Academic Search

In industrialized nations, it is a worldwide goal to link together the systems of different partners and organisations in the country-wise different healthcare systems. As healthcare is an issue that is closely related to the people, it is often organized with regional but at least national peculiarities, especially in Europe. The question to be discussed is how can Healthcare systems

Werner Leodolter; Karl Kocever

2003-01-01

308

Evaluation of Healthcare IT Applications: The User Acceptance Perspective  

Microsoft Academic Search

As healthcare costs continue to spiral upward, healthcare institutions are under enormous pressure to create cost efficient systems without risking quality of care. Healthcare IT applications provide considerable promises for achieving this multifaceted goal through managing inofrmation, reducing costs, and facilitating total quality management and continuous quality improvement programs. However, the desired outcome can not be achieved if these applications

Kai Zheng; Rema Padman; Michael P. Johnson; Herbert S. Diamond

2007-01-01

309

Towards Improved Privacy Policy Coverage in Healthcare Using Policy Refinement  

Microsoft Academic Search

It is now mandatory for healthcare organizations to specify and publish their privacy policies. This has made privacy management initiatives in the healthcare sector increasingly important. However, sev- eral recent reports in the public media and the research community about healthcare privacy (1,2) indicate that the use of privacy policies is not necessarily a strong indication of adequate privacy protection

Rafae Bhatti; Tyrone Grandison

2007-01-01

310

Encouraging consumer searching behavior on healthcare web sites  

Microsoft Academic Search

Purpose – Commercial healthcare and hospital-based web sites appear to exhibit distinctive formats. This paper aims to compare two award winning medical web sites with two top commercial healthcare web sites in an effort to determine significant predictors of positive attitudes toward the web sites when actively searching for healthcare information. Design\\/methodology\\/approach – Three linear regressions were utilized to test

B. Andrew Cudmore; Paula E. Bobrowski; Tinatin Kiguradze

2011-01-01

311

Information infrastructure for an integrated healthcare services network  

Microsoft Academic Search

The growing demand for more efficient and effective healthcare services, coupled with an implicit requirement for supporting citizen mobility and continuity of care, is currently setting the stage for the exploitation of information and communications technologies, also known as information society technologies, in the healthcare sector. The current vision comprises affordable access to healthcare resources and services for all citizens,

Manolis Tsiknakis; Dimitrios G. Katehakis; Stelios C. Orphanoudakis

2000-01-01

312

Design and Implementation of a Secure Healthcare Social Cloud System  

Microsoft Academic Search

Two cutting edge technologies are cloud computing and social media. Healthcare is a promising application of these technologies. In this paper, we describe our design and prototype implementation of a social healthcare network over the cloud. The system is secured with a trust-aware role-based access control. Our work addresses an unmet need in social healthcare networking -- emotional support, and

Ryan Wooten; Roger Klink; Frank Sinek; Yan Bai; Meeta Sharma

2012-01-01

313

Potential Usage of Smartphone Inertial Sensors in Healthcare Applications  

E-print Network

Potential Usage of Smartphone Inertial Sensors in Healthcare Applications Hristijan Gjoreski1 of the smartphones on one hand and the necessity to improve healthcare on the other hand, are encouraging the development of smartphone healthcare applications. In this paper an idea of transforming the smartphone

LuÂ?trek, Mitja

314

Applying Agent Technology to Healthcare: The GruSMA Experience  

Microsoft Academic Search

The Multiagent Systems Group is part of the Research Group on Artificial Intelligence at Spain's University Rovira i Virgili. Over the past five years, GruSMA has designed and developed many agent applications to address healthcare problems, including that highlight the close fit between intelligent agent properties and healthcare problems--matching agent reactivity, flexibility, proactivity, mobility, autonomy, coordination, and communication with healthcare's

Antonio Moreno; Aïda Valls; David Isern; David Sánchez

2006-01-01

315

On the Use of Wireless Network Technologies in Healthcare Environments  

E-print Network

On the Use of Wireless Network Technologies in Healthcare Environments Nicolas Chevrollier Nada-- In this article, we investigate the suitability of wire- less technologies in healthcare/hospital environments. We developing guidelines for using wireless technologies for medical device communications in various healthcare

316

HDL 2005 the 3rd Healthcare Digital Libraries Workshop  

E-print Network

integration of healthcare resources. In addition, he discussed how the potential of up-to-date DL technology-based technology for the on- demand, distributed-process execution of healthcare service delivery to patientsHDL 2005 ­ the 3rd Healthcare Digital Libraries Workshop Held in conjunction with the ECDL 2005

Blandford, Ann

317

An Analysis of Knowledge Management Mechanisms in Healthcare Portals  

ERIC Educational Resources Information Center

Healthcare portals are becoming increasingly popular with Internet users since they play an important role in supporting interaction between individuals and healthcare organizations with a Web presence. Additionally, many of these organizations make use of knowledge management mechanisms on their healthcare portals to manage the abundance of…

Lee, Chei Sian; Goh, Dion Hoe-Lian; Chua, Alton Y. K.

2010-01-01

318

The effect of healthcare environments on a pandemic influenza outbreak.  

SciTech Connect

The objectives of this presentation are: (1) To determine if healthcare settings serve as intensive transmission environments for influenza epidemics, increasing effects on communities; (2) To determine which mitigation strategies are best for use in healthcare settings and in communities to limit influenza epidemic effects; and (3) To determine which mitigation strategies are best to prevent illness in healthcare workers.

Cannon, Daniel C.; Davey, Victoria J. (Department of Veterans Affairs); Glass, Robert John, Jr.

2010-12-01

319

Health Advisor An Online Game for Managing Healthcare Delivery  

E-print Network

focused on assessing the impact of information on healthcare delivery strategies and, consequently, health through the healthcare system with a goal of maximizing the value of outcomes ­ the average health stateHealth Advisor An Online Game for Managing Healthcare Delivery Tennenbaum Institute Georgia

320

The impacts of health insurance coverage on access to healthcare in children entering kindergarten.  

PubMed

To examine access to healthcare and health outcomes for kindergartners as they relate to insurance status and type. For the 2008, 2009, and 2010 school years, surveys were distributed to parents with a child entering kindergarten in the state of Nevada. Surveys asked parents to provide information about their child concerning their insurance status, routine medical care, medical conditions, and health behaviors. Compared to their insured peers, uninsured kindergartners were less likely to have had a check-up in the previous 12 months (p < .001; OR 6.14; 95 % CI 5.77-6.53), have a primary physician (p < .001; OR 14.32; 95 % CI 13.49-15.20), or have seen a dentist (p < .001; OR 3.93; 95 % CI 3.70-4.16), and were more likely to have a reported unmet medical need (p < .001; OR 2.60; 95 % CI 2.19-3.07). Additionally, compared to children with private insurance, those children with public insurance were less likely to have had a check-up (p < .001; OR 1.73; 95 % CI 1.59-1.89), have a primary care provider (p < .001; OR 3.87; 95 % CI 3.55-4.21), and were more likely to have unmet medical needs (p < .001; OR 2.27; 95 % CI 1.83-2.81). For children in early development-a deeply critical period-insurance status and type are predictors of important access to healthcare variables. PMID:24352626

Haboush-Deloye, Amanda; Hensley, Spencer; Teramoto, Masaru; Phebus, Tara; Tanata-Ashby, Denise

2014-09-01

321

Maternal attributions and child abuse  

Microsoft Academic Search

30 mothers with a prior history of child abuse, child neglect, or with no known previous history of child maltreatment responded to a standardized sequence of photographic stimuli of their own child and another child. These photographs depicted children in 6 interpersonal situations in which children transgressed or were transgressed upon, toys were broken, walls were crayoned, and skill and

Deborah T. Larrance; Craig T. Twentyman

1983-01-01

322

Early Mother-Child Interaction.  

ERIC Educational Resources Information Center

This journal issue presents an overview of mother-child interaction during the first year of the child's life. Contents of the first section, which concern the development of the mother-child relationship, focus on the concept of the maternal instinct, mother and child during intrauterine life, birth of the child, the postnatal period (including…

d'Agostino, Micheline

1986-01-01

323

Child Care Cost and Quality  

Microsoft Academic Search

This article summarizes what is known about the cost and quality of full-time child care in centers and family child care homes, and about parents' attention to quality in mak- ing child care choices. It relies primarily upon two recent studies which are among the first to collect detailed information about child care operating costs: the Cost, Quality, and Child

Suzanne W. Helburn; Carollee Howes

324

Adolescents and child maltreatment.  

PubMed

Child maltreatment is a very complex medical and social problem. Many children have died as a result of child maltreatment; others are depressed, engaging in risky behaviors and substance abuse and running away from home. The purpose of this article is to provide an overview of child maltreatment in the United States. Characteristics and contributing factors of maltreatment are described, and health and behavior problems associated with maltreated adolescents will be reviewed. Additionally the role of the school nurse will be discussed. It is imperative that school nurses are aware of the significance of the problem and the effects that child maltreatment has on children as they mature into early adulthood. PMID:24707655

Beard, Joyce W

2014-03-01

325

Health is wealth: considerations to european healthcare.  

PubMed

(Full text is available at http://www.manu.edu.mk/prilozi). European Healthcare is a duty, imbedded in our European culture, to help people in sickness, to promote a healthy society through education and the prevention of diseases. Human Life is our highest value; the concept of Health is fundamental to Life and leads to the creation of Wealth. Health is the result of a common European cultural endeavour. The provision of Healthcare in Europe is highly diverse and must be understood in the light of different geographical and cultural development perspectives. In the 21st century Health is becoming a matter of general European interest and will be an increasingly important priority within the enlarged European Union. Healthcare Systems must enshrine the principal of Health for All as their ultimate goal. Healthcare, essential to life, is enormously complex and dependent on: -the needs of the population and its demographic structures; -progress in all aspects of medical practice; -financing models. Healthcare provision is developing from a National to a European endeavour as a European Healthcare Market (EHCM) serving its people, legitimised by the European Convention, which sets out the principals of a socio-market economy, competition and self-responsibility (Fig. 1). The component parts of the EHCM are the Patient, Medical Arts and Sciences, Medical Providers, Medical Organisation and all stakeholders. The Medical Arts and Sciences together with the Medical Organization are to be entirely reshaped as strategic European tasks, while the stakeholder, financing, monitoring and controlling are subsidiary tasks for the national authorities. The Convention provides a unique opportunity to create a European Market for Health. Greater European cooperation enables effective use of resources, access and quality of care (2512th Council meeting, EU, June 2003). The EHCM serves the patients and creates the conditions for continuing wealth creation. To achieve sustainable effects, the main component in structuring medicine is the clinical leadership. Demographics and Healthcare financing issues are the most sensible areas to tackle as a priority. This requires reconciling national health policies with European obligations. In the spirit of the Lisbon Council conclusions and the European Convention the EHCM provides: -Health for all; -Provision based on evidence and effectiveness; -Control of costs. The European Institute of Medicine sees this as a great opportunity to consolidate the different National models and inherited systems in an EHCM and consequently to stimulate clinical leadership to achieve sustainable reforms. The common concern is the increasing cost of provision. Stabilizing costs in an environment of a decreasing working population is very challenging. By modernizing systems there is potential for controlling costs, the processes for which have to be identified. Most national reforms have failed due to massive political influence especially where Healthcare together with Welfare is operated as a state-monopoly. This Strategic Vision has four mutually dependent parts: the patient is in the centre, and surrounded by clusters representing the Medical Arts, the Medical Organization and Financing. This Strategic Vision is structured in 4 segments, which are the cornerstones for establishing systems for the EHCM: A. The Patient There is a change in today's paradigm: The patient becomes the focal point. The patient of today is increasingly well informed and motivated. The patient is at the centre of all efforts, and all healthcare provisions are constructed around the patient. The patient is both a consumer and a contributor to the EHCM. B. Cluster I: Medical Arts The optimisation of Medical Arts and Sciences is an essential prere-quisite of the Strategic Visions. This cluster focuses on the basics of diagnosis, therapy and prevention. Conservative, invasive and prophylactic principles cover the whole range of possibilities including the prediction and prevention of diseases. To use Outcome Related Medicine (ORM) as a measure

Unger, F

2012-07-01

326

US Healthcare Issues in the Political DebateUS Healthcare Issues in the Political Debate Presentation to the  

E-print Network

Quality · Indiana Patient Safety Center · Using evidenced based guidelines· Using evidenced-based guidelines #12US Healthcare Issues in the Political DebateUS Healthcare Issues in the Political Debate i iEngineering · Healthcare Issues in the Political Debate ­ The Sound Bites Behind the Sound Bites

327

Integrated Environment for Ubiquitous Healthcare and Mobile IPv6 Networks  

NASA Astrophysics Data System (ADS)

The development of Internet technologies based on the IPv6 protocol will allow real-time monitoring of people with health deficiencies and improve the independence of elderly people. This paper proposed a ubiquitous healthcare system for the personalized healthcare services with the support of mobile IPv6 networks. Specifically, this paper discusses the integration of ubiquitous healthcare and wireless networks and its functional requirements. This allow an integrated environment where heterogeneous devices such a mobile devices and body sensors can continuously monitor patient status and communicate remotely with healthcare servers, physicians, and family members to effectively deliver healthcare services.

Cagalaban, Giovanni; Kim, Seoksoo

328

Child protection network and the intersector implementation of the circle of security as alternatives to medication?  

PubMed Central

Objectives: To describe the clinical history of a child with aggressive behavior and recurring death-theme speech, and report the experience of the team of authors, who proposed an alternative to medication through the establishment of a protection network and the inter-sector implementation of the circle of security concept. Case description: A 5-year-old child has a violent and aggressive behavior at the daycare. The child was diagnosed by the healthcare center with depressive disorder and behavioral disorder, and was medicated with sertraline and risperidone. Side effects were observed, and the medications were discontinued. Despite several actions, such as talks, teamwork, psychological and psychiatric follow-up, the child's behavior remained unchanged. Remarks: A unique therapeutic project was developed by Universidade Estadual de Campinas' Medical School students in order to establish a connection between the entities responsible for the child's care (daycare center, healthcare center, and family). Thus, the team was able to develop a basic care protection network. The implementation of the inter-sector circle of security, as well as the communication and cooperation among the teams, produced very favorable results in this case. This initiative was shown to be a feasible and effective alternative to the use of medication for this child.

Becker, Ana Laura Martins M.M.; de Souza, Paulo Haddad; de Oliveira, Mônica Martins; Paraguay, Nestor Luiz Bruzzi B.

2014-01-01

329

Introduction: Understanding Child Labour.  

ERIC Educational Resources Information Center

Explores contributions from the Urban Childhood Conference for the purpose of developing the child-labor discourse further and indicating the implications of the new understandings for further research and policy development. Highlights the nine articles in this issue, which address child labor at the international level, children's viewpoints,…

Miljeteig, Per

1999-01-01

330

Lauren M. Childs Information  

E-print Network

-011-9637-5. 3. L. M. Childs, N. Held, M. Young, R. Whittaker, and J. Weitz, (2012) Multi-scale Model of CRISPR. Held, L. M. Childs, M. Davison, J. S. Weitz, R. J. Whitaker, and D. Bhaya, (2012) CRISPR-Cas systems. Weitz, Exploring the dynamics of CRISPR length: How much can a prokaryote remember about phages

Weitz, Joshua S.

331

Normal Child Behavior  

MedlinePLUS

... preferences, resulting in differing parenting styles that will influence a child's behavior and development. When There Is No Response ... and Teens Caring for Your Baby and Young Child CyberSafe Food Fights ... Media Work & Play Getting Involved in Your Community Privacy ...

332

Child Wellness and Happiness  

ERIC Educational Resources Information Center

Wellness and happiness should be considered in the clinical treatment of child and adolescent psychiatry, in addition with thinking about illness. Meanwhile, various studies on child and adolescent psychiatry,which includes an article from the "Journal of Happiness Studies," are discussed.

Rettew, David C.

2009-01-01

333

Child Care in Canada  

ERIC Educational Resources Information Center

In this article, the author describes early learning and care arrangements in Canada and how the country faced the challenges in the development of a National Child Care System. While the provincial/territorial governments are responsible for early learning and care, the federal government has formed health and social programs including some child

Graham, Kathy

2005-01-01

334

Tutoring Your Child.  

ERIC Educational Resources Information Center

The parents' role as teacher is important to a child's learning process. Parents tutoring their children are advised to remain positive and patient, be aware of the child's feelings, keep the tutoring time short, select a quiet place away from distractions, use games and manipulative objects rather than more abstract experiences, etc. Informal…

Cohn, Joanne

335

Child Soldier Reintegration Training  

Microsoft Academic Search

This training was intended to create awareness of the reality of child soldiers in the world. The training was designed to help participants such as those who work in communities as NGO workers, teachers, and leaders to look at the challenges faced by child soldier attempting to reintegrate back into society.

Souleye Diallo; Jason Hoke; Jhorna Hochstedler

2001-01-01

336

The Only Child.  

ERIC Educational Resources Information Center

This review of the literature on the "only child" indicates that the single child is likely to be oriented more toward adults than towards peers, to be subjected more to an adult culture, to be an achiever who strikes out on his own, and to have a heightened sense of responsibility compared with children who have siblings. Statistics show only…

Allen, Marcia Ellen McGuire

337

The Normalized Child.  

ERIC Educational Resources Information Center

Describes characteristics of the normalized child, the ultimate goal of Montessori education. First outlines children's basic needs, then describes traits of the normalized child, including love of order, work, silence and working alone; mutual aid and cooperation; profound spontaneous concentration; obedience; independence and initiative;…

Futrell, Kathleen H.

1997-01-01

338

Ethical Child Welfare Practice.  

ERIC Educational Resources Information Center

Noting that child welfare professionals can improve the quality and integrity of the services they provide if they develop ethical decision making skills, this book provides child welfare administrators and caseworkers with a framework for assessing ethical dilemmas, making sound ethical decisions, and delivering services with integrity to…

Leever, Martin G.; DeCiani, Gina; Mulaney, Ellen; Hasslinger, Heather; Gambrill, Eileen

339

Bullying and Your Child  

ERIC Educational Resources Information Center

Bullying happens every day in classrooms and on playgrounds all over the world. Parents, when faced with the fact that their child has become the target of a bully, experience a stream of emotions: anger, fear, the need to protect, and the realization that the child must go back to school or out to play and face the bully again the next day. Many…

McGee, Christy D.

2011-01-01

340

Child sex rings  

Microsoft Academic Search

Details of 11 child sex rings identified in one working class community were obtained by interviewing investigating police officers and examining health and social services records. The rings contained 14 adult male perpetrators and 175 children aged 6-15 years. Most perpetrators used child ringleaders to recruit victims; others became a \\

N J Wild; J M Wynne

1986-01-01

341

Berea College Child Development  

E-print Network

.berea.edu/childdevelopmentlab Meal time The CDL has two fenced playgrounds and all entrances have a keypad system and camera. All.Children enjoying being creative at the Annual CDL Art Show held during NAEYC's Week of the Young Child "A child

Baltisberger, Jay H.

342

Child Povertyy Prevention Council  

E-print Network

poverty discussion is a long one: education, work skills, health ca In response to ACT 559 of the 2008 Regular Session of the Louisiana Legislature #12;Child Poverty Prevention Council for Louisiana Implementation Plan ­ 2009 #12;Child Poverty Prevention Council for Louisiana 3

343

Child Trafficking in India  

Microsoft Academic Search

The fact that the issue of child trafficking needs to be addressed urgently has been acknowledged for some time now. Efforts are also being made to combat it. But the role of adoption agencies in poor countries as facilitators of child trafficking needs to be examined more carefully. The onus for the safety of the children lies with both the

Mayeda Jamal

344

Buying Out Child Labor?  

Microsoft Academic Search

In this paper we view child labor as a negative externality exerted by some poor countries on richer nations. The practice of child labor can thus be used by the poor to extract some form of compensation over time. We build a two-country growth model with international externality. We then calibrate our model to the United States and a poor

Stephane Pallage; Christian Zimmermann

2000-01-01

345

Buying out child labor  

Microsoft Academic Search

In this paper we view child labor as a negative externality exerted by some poor countries on richer nations. We inquire into the feasibility of international transfers as a way of addressing this externality. We build a two-country growth model with human capital and child labor. We then calibrate our model to the United States and a poor country, solve

Stéphane Pallage; Christian Zimmermann

2007-01-01

346

Measuring Child Care Quality.  

ERIC Educational Resources Information Center

Child care quality is not a single dimension, but rather a multidimensional characteristic of programs that support the family in its child-rearing role and programs in which children thrive developmentally, socially, cognitively, physically, and emotionally. At the regulatory and accreditation level, approaches to quality focus on group size,…

Fiene, Richard

347

INFECTION CONTROL IN ALTERNATIVE HEALTHCARE SETTINGS  

PubMed Central

SYNOPSIS With the changing healthcare delivery, patients receive care at various settings including acute care hospitals, skilled nursing facilities, outpatient primary care and specialty clinics, as well as at home, exposing them to pathogens in various settings. Various healthcare settings face unique challenges requiring individualized infection control programs. Infection control programs in skilled nursing facilities should address: surveillance for infections and antimicrobial resistance, outbreak investigation and control plan for epidemics, isolation precautions, hand hygiene, staff education, and employee and resident health programs. Infection control programs in ambulatory clinics should address: Triage and standard – transmission based precautions, cleaning, disinfection and sterilization principles, surveillance in surgical clinics, safe injection practices, and bioterrorism and disaster planning for ambulatory clinics. PMID:21316005

Flanagan, Elaine; Chopra, Teena; Mody, Lona

2011-01-01

348

E-commerce for healthcare supply procurement.  

PubMed

The total investment of the more than fifty e-commerce startups that entered healthcare supply chain management in the past three years has surpassed $500 million. However, none of these early entrants has delivered on the initial promise of restructuring the entire supply chain, replacing the traditional intermediaries, or at least achieving substantial revenue. This article offers a new business-to-business (B2B) e-commerce solution classification paradigm and uses it to analyze the functional requirements for an effective and, efficient healthcare supply chain marketplace. The analysis exposes several fundamental B2B market complexities that prevent the early entrants from creating a solid customer base and reaching desired liquidity goals. It also identifies several technological solutions to the problems mentioned. These new technologies create a comprehensive and symmetric order-matching engine that is capable of aggregating buy orders, requesting quotes from multiple vendors simultaneously, and negotiating along multiple criteria. PMID:11338910

Arbietman, D; Lirov, E; Lirov, R; Lirov, Y

2001-01-01

349

Vaccination policies for healthcare workers in Europe.  

PubMed

Health-care workers (HCWs) are at increased risk for acquisition of vaccine-preventable diseases (VPDs) and vaccination is justified in order to protect them from occupational exposure and to prevent the spread of VPDs that pose a threat to susceptible patients. Review of European vaccination policies for HCWs revealed significant differences between countries in terms of recommended vaccines, implementation frame (mandatory or recommendation), target HCW groups and health-care settings. Further, the few published studies available identified indicate significant immunity gaps among HCWs against VPDs in Europe. In order to achieve higher vaccination coverage against VPDs stronger recommendations are needed. The issue of mandatory vaccination should be considered for diseases that can be transmitted to susceptible patients (influenza, measles, mumps, rubella, hepatitis B, pertussis, varicella). The acceptance of vaccinations and of mandatory vaccinations by HCWs is a challenge and appears to be VPD-specific. PMID:24161573

Maltezou, Helena C; Poland, Gregory A

2014-08-27

350

Medical Tourism: Globalization of the Healthcare Marketplace  

PubMed Central

The citizens of many countries have long traveled to the United States and to the developed countries of Europe to seek the expertise and advanced technology available in leading medical centers. In the recent past, a trend known as medical tourism has emerged wherein citizens of highly developed countries choose to bypass care offered in their own communities and travel to less developed areas of the world to receive a wide variety of medical services. Medical tourism is becoming increasingly popular, and it is projected that as many as 750,000 Americans will seek offshore medical care in 2007. This phenomenon is driven by marketplace forces and occurs outside of the view and control of the organized healthcare system. Medical tourism presents important concerns and challenges as well as potential opportunities. This trend will have increasing impact on the healthcare landscape in industrialized and developing countries around the world. PMID:18311383

Horowitz, Michael D.; Rosensweig, Jeffrey A.; Jones, Christopher A.

2007-01-01

351

[Considering body ethics in the healthcare profession].  

PubMed

This article uses the theory of body phenomenology and Watson's caring theory to develop and apply body ethics to the clinical healthcare profession. This attempt is meant to facilitate deep, humanistic experiences for healthcare personnel. The analysis of body phenomenology reveals that the soul is banished from her familiar and comfortable "at-home" status when illness and pain invade the body. In such situations, the body becomes an external object that is self-alienated. This experience induces experiences such as solitude and violence. However, it also holds the potential to expose the original morality of the body. Additionally, this article discusses popular tools used in clinical ethics such as principalism and virtual-based ethics, which are based on moral reasoning and moral feeling. In contrast to these, body ethics seek a more profound and humble level of sensibility that is able to implant authenticity into the ethics. Finally, we offer some suggestions related to Watson's caring theory. PMID:25271027

Wang, Shin-Yun

2014-10-01

352

Modeling the impact of healthcare reform.  

PubMed

To succeed in today's changing environment, hospitals and health systems must gain new competencies in the areas of physician integration, care management, information systems, service distribution, payer relationships, and scale/market essentiality. Organizations should model the potential impacts of healthcare reform and market forces on volume, capacity, payment, and other variables likely to change. They also should thoroughly examine the cumulative projected impact of strategic initiatives and reform-related changes. PMID:21351709

Kim, Charles; Majka, Daniel; Sussman, Jason H

2011-01-01

353

[Application of root cause analysis in healthcare].  

PubMed

The main purpose of this study was to explore various aspects of root cause analysis (RCA), including its definition, rationale concept, main objective, implementation procedures, most common analysis methodology (fault tree analysis, FTA), and advantages and methodologic limitations in regard to healthcare. Several adverse events that occurred at a certain hospital were also analyzed by the author using FTA as part of this study. RCA is a process employed to identify basic and contributing causal factors underlying performance variations associated with adverse events. The rationale concept of RCA offers a systemic approach to improving patient safety that does not assign blame or liability to individuals. The four-step process involved in conducting an RCA includes: RCA preparation, proximate cause identification, root cause identification, and recommendation generation and implementation. FTA is a logical, structured process that can help identify potential causes of system failure before actual failures occur. Some advantages and significant methodologic limitations of RCA were discussed. Finally, we emphasized that errors stem principally from faults attributable to system design, practice guidelines, work conditions, and other human factors, which induce health professionals to make negligence or mistakes with regard to healthcare. We must explore the root causes of medical errors to eliminate potential RCA system failure factors. Also, a systemic approach is needed to resolve medical errors and move beyond a current culture centered on assigning fault to individuals. In constructing a real environment of patient-centered safety healthcare, we can help encourage clients to accept state-of-the-art healthcare services. PMID:18098113

Hsu, Tsung-Fu

2007-12-01

354

Clinical Decision Support at Intermountain Healthcare  

Microsoft Academic Search

Decision support technologies are becoming increasingly available to medical practitioners. A variety of programs designed\\u000a to assist with drug dosing, health maintenance, diagnosis, and other clinically relevant healthcare decisions have been developed\\u000a for the medical workplace. Increasing ease of access to personal computers is partially responsible for this growth. More\\u000a important, however, is the growing dependency on computers to maintain

Peter J. Haug; Reed M. Gardner; R. Scott Evans; Beatriz H. Rocha; Roberto A. Rocha

355

A strategic approach to healthcare transformation.  

PubMed

Transforming the care model is a necessary first step to succeeding under value-based payment models where payment is linked to outcomes. To maintain acceptable margins while improving quality of care and reducing costs, healthcare executives should develop strategies for: Managing care across the continuum. Reducing readmissions for all diagnoses. Building and supporting the patient-centered medical home model. Achieving clinical integration. PMID:24757877

Jacquin, Laura

2014-04-01

356

Foundation for Child Development  

NSDL National Science Digital Library

The Foundation for Child Development \\"is a national, private philanthropy dedicated to the principle that all families should have the social and material resources to raise their children to be healthy, educated and productive members of their communities.\\" The Foundation seeks to help the disadvantaged especially, and works with families, schools, other non-profits, businesses and government. On the site, those interested in Child Development will find links to Public Policy at both the state and national level. Information about immigrant children as well as their own Child Well-Being Index. Also on the site are the archives of their in house publication \\"Learning Curve\\" where users can find articles on a plethora of topics ranging from \\"Fighting Fade-Out by advancing PK-3 Alignment\\" and \\"PK-3 Indicators available on Child Trends DataBank\\". Overall, a useful tool for students, instructors and professionals involved in Child Development.

2006-12-19

357

Upper limb musculoskeletal disorders in healthcare personnel.  

PubMed

The literature on upper limb musculoskeletal disorders (UL-MSD) in different groups of healthcare workers was reviewed: 65 relevant studies were collected. In dentists, the neck was the most frequently affected segment, with prevalences up to 73% and exceeding 50% in 7 out of 12 studies. In dental hygienists and in laboratory technicians, the hand/wrist had the highest prevalence in the majority of the studies. In nurses, the most seriously affected anatomic sites were the neck and shoulders. Physiotherapists had the lowest prevalence of UL-MSD. A high prevalence of upper limb disease, mainly carpal tunnel syndrome, was reported in dentists, dental hygienists, anesthesia nurses and endoscopists. The high prevalence of upper limb disorders/diseases reported in health personnel supports the hypothesis of a significant risk in these workers. However, the possible role of biomechanical overload, as much as that of stress or other personal factors, cannot be currently assessed. Practitioner Summary: Published studies support the hypothesis of a significant risk of upper limb musculoskeletal disorders in healthcare activities. The neck was the most frequently affected segment in dentists, the hand/wrist in dental hygienists and in laboratory technicians, and the neck and shoulders in nurses. Lower prevalence was reported in physiotherapists. A high prevalence of carpal tunnel syndrome was also observed in various healthcare activities. PMID:24840049

Occhionero, Vincenzo; Korpinen, Leena; Gobba, Fabriziomaria

2014-08-01

358

[Competition in healthcare--political intentions].  

PubMed

Over the last 20 years strategies introducing regulated competition have gradually been implemented in the corporatistically structured German healthcare system. In particular, this applies to the structure of health insurance organisation where the corporatively organised allocation system has deliberately been transformed to ensure health insurance choice. Accordingly, the laws governing membership, health insurance premiums and health benefits have been adapted and new rules for public finance including a risk structure compensation scheme encompassing the different kinds of health insurances have been established. The options for competition arising in the area of health service provision do not only affect the health insurance companies themselves, but also the relations to the providers of healthcare as well as their relationship with each other. This holds especially true of the role and function of the (regional) physicians' associations. The relation between collective agreements and individual contracts is still unclear. With the further development of strategies introducing regulated competition the possibilities and limitations of competition will have to be explored and many details--such as, for example, the implementation of the responsibility for ensuring the provision of healthcare services--need to be resolved. PMID:20120188

Knieps, Franz

2009-01-01

359

Racial Healthcare Disparities: A Social Psychological Analysis  

PubMed Central

Around the world, members of racial/ethnic minority groups typically experience poorer health than members of racial/ethnic majority groups. The core premise of this article is that thoughts, feelings, and behaviors related to race and ethnicity play a critical role in healthcare disparities. Social psychological theories of the origins and consequences of these thoughts, feelings, and behaviors offer critical insights into the processes responsible for these disparities and suggest interventions to address them. We present a multilevel model that explains how societal, intrapersonal, and interpersonal factors can influence ethnic/racial health disparities. We focus our literature review, including our own research, and conceptual analysis at the intrapersonal (the race-related thoughts and feelings of minority patients and non-minority physicians) and interpersonal levels (intergroup processes that affect medical interactions between minority patients and non-minority physicians). At both levels of analysis, we use theories of social categorization, social identity, contemporary forms of racial bias, stereotype activation, stigma, and other social psychological processes to identify and understand potential causes and processes of health and healthcare disparities. In the final section, we identify theory-based interventions that might reduce ethnic/racial disparities in health and healthcare.

Penner, Louis A.; Hagiwara, Nao; Eggly, Susan; Gaertner, Samuel L.; Albrecht, Terrance L.; Dovidio, John F.

2014-01-01

360

Take Care of Your Child's Teeth  

MedlinePLUS

... times a day. Protect your child’s teeth with fluoride (“FLOOR-ide”). Give your child healthy, low-sugar ... a day. Start brushing your child’s teeth with fluoride toothpaste at age 2 (or sooner if a ...

361

Child care for preschoolers: Differences by child’s age  

Microsoft Academic Search

Because of the high rates of employment of mothers, a large and increasing number of preschool children receive regular care\\u000a from someone else. This article develops and tests hypotheses about the choice of child care arrangements for younger and\\u000a older preschool children, using data from the National Longitudinal Survey of Young Women. We argue that appropriate care\\u000a depends on the

Arleen Leibowitz; Linda J. Waite; Christina Witsberger

1988-01-01

362

Child Care Options MSU Child Development Center  

E-print Network

leave, annual leave, and leave without pay, and may be eligible for FMLA. Parental Leave: Birth fathers qualify for FMLA. Leave Without Pay: This leave may be request- ed by parents who 1) are not eligible Child Development Center offers a year-round early education program for Bozeman area young children

Dyer, Bill

363

Child Care Options MSU Child Development Center  

E-print Network

, and leave without pay, and may be eligible for FMLA. Parental Leave: Birth fathers or adoptive parents may for FMLA. Leave Without Pay: This leave may be request- ed by parents who 1) are not eligible for sick Child Development Center offers a year-round early education program for Bozeman area young children

Maxwell, Bruce D.

364

Child Labor: A Forgotten Focus for Child Welfare.  

ERIC Educational Resources Information Center

Discusses the worldwide problem of child labor and efforts to advocate for the welfare of these impoverished children. Considers factors that contribute to the continued use of child labor and the resistance of these labor practices to reform. Discusses child labor in the United States, and urges public advocacy for labor reform within child

Otis, Jack; Pasztor, Eileen Mayers; McFadden, Emily Jean

2001-01-01

365

CHILD-to-Child Trial Program. Ajoya, Sinaloa, Mexico.  

ERIC Educational Resources Information Center

The CHILD-to-Child program is based on the recognition that older siblings often influence their younger family members. Activities of the CHILD-to-Child Program in Ajoya, Sinaloa, Mexico, relating to teaching about diarrhea and breast-feeding, are described. (CJ)

Werner, David

1983-01-01

366

Child Advocacy: Today's Answer for Child Abuse Prevention.  

ERIC Educational Resources Information Center

This document examines the sociological, psychological, and biological aspects of child abuse. It provides definitions of child abuse and historical perspectives of child abuse, the juvenile court system, and child sexual abuse. The psychology of the victim and of the offender is discussed, bibliotherapy is presented as one way of helping children…

McNees, Penny A.

367

Uncovering middle managers' role in healthcare innovation implementation  

PubMed Central

Background Middle managers have received little attention in extant health services research, yet they may have a key role in healthcare innovation implementation. The gap between evidence of effective care and practice may be attributed in part to poor healthcare innovation implementation. Investigating middle managers' role in healthcare innovation implementation may reveal an opportunity for improvement. In this paper, we present a theory of middle managers' role in healthcare innovation implementation to fill the gap in the literature and to stimulate research that empirically examines middle managers' influence on innovation implementation in healthcare organizations. Discussion Extant healthcare innovation implementation research has primarily focused on the roles of physicians and top managers. Largely overlooked is the role of middle managers. We suggest that middle managers influence healthcare innovation implementation by diffusing information, synthesizing information, mediating between strategy and day-to-day activities, and selling innovation implementation. Summary Teamwork designs have become popular in healthcare organizations. Because middle managers oversee these team initiatives, their potential to influence innovation implementation has grown. Future research should investigate middle managers' role in healthcare innovation implementation. Findings may aid top managers in leveraging middle managers' influence to improve the effectiveness of healthcare innovation implementation. PMID:22472001

2012-01-01

368

Child maltreatment in India.  

PubMed

Child maltreatment is a global problem but is more difficult to assess and manage in developing countries such as India where one-fifth of the world's total child population resides. Certain forms of maltreatment such as feticide, infanticide, abandonment, child labour, street-begging, corporal punishment and battered babies are particularly prevalent in India. Most physicians still need to be sensitized in order to suspect child abuse on the basis of unexplained trauma, multiple fractures, parental conflict and other corroborative evidence. This article summarizes the various aspects of this major problem in resource-poor settings in the hope that it will assist in the planning of services addressing child physical and sexual abuse and neglect in India and in other developing countries. A culture of non-violence towards children needs to be built into communities in order to provide an environment conducive to the overall development of the child. Rehabilitation of abused children and their families requires a multi-disciplinary service including paediatricians, child psychologists and social workers, and the training of police forces in how to tackle the problem. PMID:24070123

Singhi, Pratibha; Saini, Arushi Gahlot; Malhi, Prabhjot

2013-11-01

369

Patient-centredness in integrated healthcare delivery systems - needs, expectations and priorities for organised healthcare systems  

PubMed Central

Introduction Patient-centred healthcare is becoming a more significant success factor in the design of integrated healthcare systems. The objective of this study is to structure a patient-relevant hierarchy of needs and expectations for the design of organised healthcare delivery systems. Methods A questionnaire with 84 items was conducted with N = 254 healthcare experts and N = 670 patients. Factor analyses were performed using SPSS©18. The number of factors retained was controlled by Kaiser's criterion, validation of screeplots and interpretability of the items. Cronbach's ? was used to assess the internal consistency of the subscales. Results Exploratory factor analysis led to 24 factors in the expert sample and 20 in the patient sample. After analysing the screeplots, confirmatory factor analyses were computed for 7-factor solutions accounting for 42.963% of the total variance and Kaiser–Meyer–Olkin of 0.914 for the patients (experts: 38.427%, Kaiser–Meyer–Olkin = 0.797). Cronbach's ? ranged between 0.899 and 0.756. Based on the analysis, coordinated care could be differentiated into seven dimensions: access, data and information, service and infrastructure, professional care, interpersonal care, individualised care, continuity and coordination. Conclusion and Discussion The study provides insight into patient and experts expectations towards the organisation of integrated healthcare delivery systems. If providers and payers can take into account patient needs and expectations while implementing innovative healthcare delivery systems, greater acceptance and satisfaction will be achieved. In the best case, this will lead to better adherence resulting in better clinical outcomes. PMID:24363639

Juhnke, Christin; Muhlbacher, Axel C.

2013-01-01

370

Child universes UV regularization?  

E-print Network

It is argued that high energy density excitations, responsible for UV divergences in quantum field theories, including quantum gravity, are likely to be the source of child universes which carry them out of the original space time. This decoupling prevents these high UV excitations from having any influence on physical amplitudes. Child universe production could therefore be responsible for UV regularization in quantum field theories which takes into account gravitational effects. Also child universe production in the last stages of black hole evaporation, the prediction of absence of tranplanckian primordial perturbations, connection to the minimum length hypothesis and in particular connection to the maximal curvature hypothesis are discussed.

E. I. Guendelman

2007-03-21

371

[New parenting education in maternal child nursing].  

PubMed

Taiwan society is today typified by low birth rates amongst Taiwanese and a rising number of children born to immigrant and trans-cultural marriage families. Unhealthy behavior and anxiety on the part of pregnant women increase postpartum depression and complications and negatively affect neonatal heath. Such may further negatively impact upon romantic feelings between the new parents and the nascent parent-child relationship. New parenting education is a proactive and innovative strategy that may be used to improve maternal and child health. Therefore, it is worthy to explore how best to achieve cost-effective education interventions. First, the importance of new parenting education and its influence factors must be understood. Factors of women's health and nursing responsibilities potentially addressed by new parenting education include pregnancy complications, fetal death and malformation, accidents and traumas during childhood and adolescence, childhood obesity, and pediatric health-care delivery systems. It is the responsibility of nursing professionals to collect and interpret information on health promotion, disease prevention and childcare in cooperation with other disciplines. Nurses are also responsible to participate in family education and services that target new parents. Therefore, nursing professionals participate in planning and intervention actions related to health promotion, develop support group and counseling centers, collect and organize relevant information, and develop family education and health promotion models. Achieving preventive health service goals while maintaining family competencies and empowerment is an essential aspect of the parenthood mission and vision. PMID:19953451

Chen, Jih-Yuan

2009-12-01

372

ABC of child abuse. Role of the child psychiatry team.  

PubMed Central

In summary, a child psychiatrist can make an important contribution to the management of child abuse. At least one child psychiatrist in each district should take an interest in this work and should be given the time to do so. As for other professionals, child abuse is an aspect of the work of child psychiatrists that is particularly harrowing and time consuming. Images p452-a PMID:2507011

Nicol, A. R.

1989-01-01

373

Early Child Care in Poland  

ERIC Educational Resources Information Center

This monograph reviews current views on the child and its development, the nature of the compact between family and society, general planning, the family, specific programs, training of professional personnel, dissemination of information on child rearing, research on the infant and preschool child, and future prospects as they relate to child

Ziemska, Maria

1978-01-01

374

A Psychodynamic Child Rating Scale.  

ERIC Educational Resources Information Center

Research showing psychodynamic child therapy to be less effective than other forms of child treatment have used outcome measures focusing on symptomatic and behavioral change rather than on psychodynamic processes. A child therapy assessment procedure than measures the psychological functioning of the child in a psychodynamically meaningful way is…

Szapocznik, Jose; And Others

375

Application for Child Care Subsidy  

E-print Network

Application for Child Care Subsidy FIRST ELIGIBLE CHILD'S NAME: AGE: SEMESTER AND YEAR OF FIRST, as well as proof of child care-related expenses. ADDITIONAL INFORMATION OR COMMENTS: Please return.M.A. candidates in a program in the Arts and Sciences are eligible to receive a $1,000 subsidy for each child who

Adams, Mark

376

The Economics of Child Trafficking  

Microsoft Academic Search

In this paper, we highlight the economic effects of the existence of child trafficking. We show that the risk of child trafficking on the labor market acts as a deterrent to supply child labor, unless household survival is at stake. An imperfectly enforceable legislation aiming at fighting child trafficking, by raising the expected gains parents derive from sending their children

Sylvain E. Dessy; Stéphane Pallage

2003-01-01

377

Caregiver Asthma Knowledge, Aptitude, and Practice in High Healthcare Utilizing Children: Effect of an Educational Intervention  

PubMed Central

Factors underlying high healthcare utilization among Hispanic and African American (AA) children with asthma are not well known. We hypothesized that low parental knowledge and suboptimal practices are associated with high healthcare utlization and sought to elucidate these factors and identify ethnicity-specific differences. We also hypothesized that a targeted educational intervention will decrease emergency department (ED) visits and hospitalizations. A 57-item questionnaire investigating asthma knowledge, aptitude, and practice was administered during a hospitalization to 268 caregivers (158 Hispanic and 110 AA) of high healthcare utilizer children. Responses were compared between ethnicities. Participants were randomized into an education group and a control group to investigate the impact of an in-hospital educational intervention on future ED visits and hospitalizations. More than 80% of caregivers knew that asthma is associated with muscle constriction and mucus production. Overall, 66.7%–86.9% of caregivers found preventive steps including allergen avoidance, regular primary care physician (PCP) follow–up, and medication adherence helpful, but only 45.2% reported adherence to controller medications. Similarly, caregivers found management steps, including albuterol use, avoidance of ineffective medications, and need to contact PCP helpful but 33% Hispanic caregivers contacted their child's PCP at the time of the exacerbation leading the current hospitalization, compared with 17% AA caregivers (P=0.006). Moreover, 40% and 30% Hispanic and 27% and 18% AA caregivers felt stressed and helpless, respectively, about their child's asthma. Despite high baseline levels of knowledge, there were fewer ED visits in the education group (1.56±1.94) compared with the control group (2.05±2.32) (P=0.02) 2 years after the intervention. Although Hispanic and AA caregivers of children with high healthcare utilization were knowledgeable of asthma pathophysiology, and preventive and management steps, they reported being stressed and helpless and were unable to implement the steps at the time of an exacerbation, seeking care at the ED rather than contacting their PCP. The high health utilizers who underwent a targeted educational intervention had fewer ED visits 2 years following the intervention. PMID:24066262

Madhok, Neha; Kipperman, Stacy

2013-01-01

378

Addressing maternal and child health in post-conflict Afghanistan: the way forward.  

PubMed

Afghanistan's maternal and child mortality rates are among the highest in the world. The country faces challenges to meet the Millennium Development Goals set for 2015 which can be attributed to multiple causes related to accessibility, affordability and availability of health-care services. This report addresses the challenges in strengthening maternal and child health care in Afghanistan, as well discussing the areas to be prioritized. In order to ensure sound maternal and child health care in Afghanistan, policy-makers must prioritize monitoring and surveillance systems, integrating maternal and child health care with rights-based family planning methods, building human resources, offering incentives (such as the provision of a conditional cash transfer to women) and promoting action-oriented, community-based interventions. On a wider scale, the focus must be to improve the health infrastructure, organizing international collaboration and expanding sources of funding. PMID:24313047

Singh, P K; Rai, R K; Alagarajan, M

2013-09-01

379

The Child's World.  

ERIC Educational Resources Information Center

Proposes a method for rectifying deficiencies in the widening horizons approach to organizing the elementary social studies curriculum. This method, referred to as "The Child's World," is intended to add relevance, coherence, and flexibility. (RM)

Joyce, William W.; Alleman-Brooks, Janet E.

1982-01-01

380

Child Maltreatment Prevention  

MedlinePLUS

... carried out by the University of New Hampshire's Crimes against Children Research Center. Research bulletins out of this partnership are available at the Office of Juvenile Justice and Delinquency Prevention (OJJDP) website Child Maltreatment: ...

381

Cholesterol and Your Child  

MedlinePLUS

... child's risk of developing heart disease later. About Cholesterol Cholesterol is a waxy substance produced by the ... cheese, and ice cream) Continue Good vs. Bad Cholesterol Cholesterol doesn't move through the body on ...

382

Your Child's Growth  

MedlinePLUS

... the first year. But no child continues the rate of growth experienced during infancy. After age 1, ... in height usually continues at a fairly steady rate of approximately 2½ inches (6 centimeters) per year ...

383

Toilet Teaching Your Child  

MedlinePLUS

... the process easier. Back Continue Tips for Toilet Teaching Even before your child is ready to try ... potty, you can prepare your little one by teaching about the process: Use words to express the ...

384

Feeding Your Child Athlete  

MedlinePLUS

... day, add a water bottle or sports drink. Meal and Snack Suggestions A good breakfast for young ... fruit. It's important to feed your child healthy meals and snacks consistently, even during the off-season. ...

385

Dental care - child  

MedlinePLUS

... dental exams, and getting necessary treatments such as fluoride, extractions, fillings, or braces and other orthodontics. ... provider if your infant needs to take oral fluoride . THE FIRST TRIP TO THE DENTIST Your child's ...

386

Stop Child Poverty  

NSDL National Science Digital Library

A number of international organizations are committed to helping end child poverty, and one of the best known of their number is the Global Volunteer Network. Through their advocacy work and the Stop Child Poverty campaign, they are dedicated to the proposition that child poverty can be completed eradicated. Through sections titled "Learn It", "Live It", and "Pass it On", visitors to this site will learn about the "big picture" of child poverty and how they can become directly involved in any number of volunteer projects. The "Pass It On" area is quite fine in this regard, as visitors can look over a message board where they can discuss the campaign, and then use a zip-code search engine to find volunteer opportunities in their area.

387

Wormholes and Child Universes  

E-print Network

Evidence to the case that classical gravitation provides the clue to make sense out of quantum gravity is presented. The key observation is the existence in classical gravitation of child universe solutions or "almost" solutions, "almost" because of some singularity problems. The difficulties of these child universe solutions due to their generic singularity problems will be very likely be cured by quantum effects, just like for example "almost" instanton solutions are made relevant in gauge theories with breaking of conformal invariance. Some well motivated modifcations of General Relativity where these singularity problems are absent even at the classical level are discussed. High energy density excitations, responsible for UV divergences in quantum field theories, including quantum gravity, are likely to be the source of child universes which carry them out of the original space time. This decoupling could prevent these high UV excitations from having any influence on physical amplitudes. Child universe pr...

Guendelman, E I

2010-01-01

388

Estimating lifetime healthcare costs with morbidity data  

PubMed Central

Background In many developed countries, the economic crisis started in 2008 producing a serious contraction of the financial resources spent on healthcare. Identifying which individuals will require more resources and the moment in their lives these resources have to be allocated becomes essential. It is well known that a small number of individuals with complex healthcare needs consume a high percentage of health expenditures. Conversely, little is known on how morbidity evolves throughout life. The aim of this study is to introduce a longitudinal perspective to chronic disease management. Methods Data used relate to the population of the county of Baix Empordà in Catalonia for the period 2004–2007 (average population was N?=?88,858). The database included individual information on morbidity, resource consumption, costs and activity records. The population was classified using the Clinical Risk Groups (CRG) model. Future morbidity evolution was simulated under different assumptions using a stationary Markov chain. We obtained morbidity patterns for the lifetime and the distribution function of the random variable lifetime costs. Individual information on acute episodes, chronic conditions and multimorbidity patterns were included in the model. Results The probability of having a specific health status in the future (healthy, acute process or different combinations of chronic illness) and the distribution function of healthcare costs for the individual lifetime were obtained for the sample population. The mean lifetime cost for women was €111,936, a third higher than for men, at €81,566 (all amounts calculated in 2007 Euros). Healthy life expectancy at birth for females was 46.99, lower than for males (50.22). Females also spent 28.41 years of life suffering from some type of chronic disease, a longer period than men (21.9). Conclusions Future morbidity and whole population costs can be reasonably predicted, combining stochastic microsimulation with a morbidity classification system. Potential ways of efficiency arose by introducing a time perspective to chronic disease management. PMID:24156613

2013-01-01

389

The multidimensional role of social media in healthcare  

Microsoft Academic Search

Dana Lewis is a leading voice and an active participant in the use of social media in healthcare. As the founder and moderator of #hcsm, the fast-growing and fast-paced Sunday-night healthcare chat on Twitter, she has regular interactions with a diverse network of stakeholders in the healthcare social media ecosystem---from patients to providers, from instigators to administrators. Dana kindly accepted

Dana Lewis

2011-01-01

390

The Chinese healthcare system: structure, problems and challenges.  

PubMed

We describe the structure and present situation of the Chinese healthcare system and discuss its primary problems and challenges. We discuss problems with inefficient burden sharing, adverse provider incentives and huge inequities, and seek explanations in the structural features of the Chinese healthcare system. The current situation will be further challenged in the future by an aging population, an increasing need for privatization and growing expectations about quality of healthcare. PMID:21174479

Hougaard, Jens Leth; Osterdal, Lars Peter; Yu, Yi

2011-01-01

391

Balancing influence between actors in healthcare decision making  

Microsoft Academic Search

Background  Healthcare costs in most developed countries are not clearly linked to better patient and public health outcomes, but are\\u000a rather associated with service delivery orientation. In the U.S. this has resulted in large variation in healthcare availability\\u000a and use, increased cost, reduced employer participation in health insurance programs, and reduced overall population health\\u000a outcomes. Recent U.S. healthcare reform legislation addresses

Robert M Kaplan; Yair M Babad

2011-01-01

392

Social Features in Online Communities for Healthcare Consumers - A Review  

Microsoft Academic Search

This review provides a snapshot of the literature in online communities for healthcare consumers. It summarizes the features\\u000a commonly used by healthcare consumers in online communities: seeking and sharing personal experiences, opinions and answers,\\u000a and exchanging social support. This review also identifies behaviors that are commonly practiced by healthcare consumers but\\u000a are not readily supported in current online communities. These

Annie Y. S. Lau; Trevor M. Y. Kwok

2009-01-01

393

Building a Distributed E-Healthcare System Using SOA  

Microsoft Academic Search

This article describes a distributed e-healthcare system that uses the service-oriented architecture as a means of designing, implementing, and managing healthcare services. Medical monitoring devices worn by the patient, and frequent electronic communication between the patient and a nurse, can ensure that the prescribed treatment is being followed and that the patient is making good progress. The e-healthcare system described

Firat Kart; Louise E. Moser; P. Michael Melliar-smith

2008-01-01

394

Child Labor and Globalization  

Microsoft Academic Search

The paper embeds child labor in a standard two-sector general-equilibrium model of a small open economy facing perfectly competitive markets, efficiency wages, and free-trade. The modern sector produces a homogeneous good using skilled adult labor and capital, and offers effort-based efficiency wages. The agrarian (traditional) sector produces a homogeneous good using unskilled (child and adult) labor and skilled adult labor,

Elias Dinopoulos; Laixun Zhao

2006-01-01

395

Supervision by the Dutch Healthcare Inspectorate.  

PubMed

The Dutch Healthcare Inspectorate's (Inspectie voor de Gezondheidszorg) supervisory activities are based on proportional use of the instruments. The primary instruments it uses are advice and encouragement. If these do not achieve the desired result, it can implement corrective action by, for example, enhancing its supervision or through agreements limiting the ability to practise a profession. Recourse to disciplinary or administrative measures can be sought, if necessary. There is a tendency to use statutory instruments, which means greater equality before the law and greater legal certainty. It is important in this respect for the Inspectorate to make its considerations more uniform, transparent and predictable. PMID:20873515

Hout, F A G; Nienhuis, E D; Robben, P B M; Frederiks, B J M; Legemaate, J

2010-09-01

396

Virtual Reality and Serious Games in Healthcare  

Microsoft Academic Search

\\u000a This chapter discusses the applications and solutions of emerging Virtual Reality (VR) and video games technologies in the\\u000a healthcare sector, e.g. physical therapy for motor rehabilitation, exposure therapy for psychological phobias, and pain relief.\\u000a Section 2 reviews state-of-the-art interactive devices used in current VR systems and high-end games such as sensor-based\\u000a and camera-based tracking devices, data gloves, and haptic force

Minhua Ma; Huiru Zheng

397

Writing for publication: science and healthcare journals.  

PubMed

This article is designed to help authors write scholarly articles for publication in science and healthcare journals. A comprehensive model based on 11 steps and detailing the structure expected for a journal is suggested for the writing of a range of papers. This is in keeping with the recognised style of a number of academic journals. The article encourages authors to submit their papers for publication with the intention of enhancing the quality and safety of care provided to patients, clients and service users. PMID:24037401

Alan Glasper, Edward; Peate, Ian

398

A universal exchange language for healthcare.  

PubMed

We have defined a Universal Exchange Language (UEL) for healthcare that takes a green field approach to the development of a novel "XML-like" language. We consider here what given a free hand might mean: a UEL that incorporates an advanced mathematical foundation that uses Dirac's notation and algebra. For consented and public information, it allows probabilistic inference from UEL semantic web triplet tags. But also it is possible to use similar thinking to maximize the security and analytic characteristics of private health data by disaggregating or "shredding" it. Both are scalable to millions of records that could be spread across the Internet. PMID:23920723

Robson, Barry; Caruso, Thomas P

2013-01-01

399

Challenges facing child protection.  

PubMed

The challenges facing children in the 21st century are immense and will need to be faced if we are to achieve the goal of child protection for all. Three specific constraints on child protection are examined in this article, namely poverty, HIV/AIDS infection, and war. The authors use their experience in Africa to raise issues of resilience and adaptation, dangers to child protection programs, and possible solutions. Poverty can be both financial and psychological, and this affects the effect of prevention programs. In many African and Asian countries, the AIDS pandemic has changed the social structure of society with AIDS orphans and children infected and affected by HIV/AIDS becoming more common. The impact has devastating effects on the way we view child protection and in particular child sexual abuse. The consequences of post-traumatic stress resulting from war needs to be addressed, and the development of programs that place children in the center of relief programs to foster a culture of child protection is essential. Finally, the article notes that the picture is not overly pessimistic and the examines the achievements in the field of children's rights which underpin all programs aimed at protecting children and the future need to consolidate successes achieved. PMID:12201157

Lachman, Peter; Poblete, Ximena; Ebigbo, Peter O; Nyandiya-Bundy, Sally; Bundy, Robert P; Killian, Bev; Doek, Jaap

2002-06-01

400

Wormholes and Child Universes  

E-print Network

Evidence to the case that classical gravitation provides the clue to make sense out of quantum gravity is presented. The key observation is the existence in classical gravitation of child universe solutions or "almost" solutions, "almost" because of some singularity problems. The difficulties of these child universe solutions due to their generic singularity problems will be very likely be cured by quantum effects, just like for example "almost" instanton solutions are made relevant in gauge theories with breaking of conformal invariance. Some well motivated modifcations of General Relativity where these singularity problems are absent even at the classical level are discussed. High energy density excitations, responsible for UV divergences in quantum field theories, including quantum gravity, are likely to be the source of child universes which carry them out of the original space time. This decoupling could prevent these high UV excitations from having any influence on physical amplitudes. Child universe production could therefore be responsible for UV regularization in quantum field theories which take into account semiclassically gravitational effects. Child universe production in the last stages of black hole evaporation, the prediction of absence of tranplanckian primordial perturbations, connection to the minimum length hypothesis and in particular the connection to the maximal curvature hypothesis are discussed. Some discussion of superexcited states in the case these states are Kaluza Klein excitations is carried out. Finally, the posibility of obtaining "string like" effects from the wormholes associated with the child universes is discussed.

E. I. Guendelman

2010-03-21

401

An Integrated Healthcare Enterprise Information Portal and Healthcare Information System Framework  

Microsoft Academic Search

The paper presents an integrated, distributed healthcare enterprise information portal (HEIP) and hospital information systems (HIS) framework over wireless\\/wired infrastructure at National Taiwan University Hospital (NTUH). A single sign-on solution for the hospital customer relationship management (CRM) in HEIP has been established. The outcomes of the newly developed outpatient information systems (OIS) in HIS are discussed. The future HEIP blueprints

S. L. Hsieh; Feipei Lai; P. H. Cheng; J. L. Chen; H. H. Lee; W. N. Tsai; Y. C. Weng; S. H. Hsieh; K. P. Hsu; L. F. Ko; T. H. Yang; C. H. Chen

2006-01-01

402

Organizational Culture andOrganizational Culture and Human Factors in HealthcareHuman Factors in Healthcare  

E-print Network

Organizational Culture andOrganizational Culture and Human Factors in HealthcareHuman Factors;TEAMWORK!TEAMWORK! #12;OverviewOverview ·· Organizational culture and adaptationOrganizational culture culturesorganizational cultures ·· Define the features of a culture of safetyDefine the features of a culture of safety

403

Safety and Accountability in Healthcare From Past to Present  

SciTech Connect

Healthcare is transitioning into a new era-an era of accountability. This era demands heightened awareness of the quality, cost, and safety of healthcare, with value (quality/cost) and safety being the watchwords of accountability. Many factors are driving this transition, and it is affecting all healthcare disciplines, including radiation oncology. The transition is accompanied by the transformation of healthcare from a craft-based culture to an information-age culture in which patient needs and information are given top priority. These changes call for new measures to quantify and document the value and safety of procedures in radiation oncology.

Hendee, William R. [Departments of Radiology, Radiation Oncology, Biophysics, and Community and Public Health, Medical College of Wisconsin, Whitefish Bay, WI (United States)], E-mail: whendee@mcw.edu

2008-05-01

404

E-commerce in healthcare: changing the traditional landscape.  

PubMed

The healthcare industry, with more than one trillion dollars in revenue, accounts for about one-seventh of the U.S. economy. A significant portion of this revenue is lost to escalating healthcare system costs. This article examines the shortcomings of the traditional healthcare delivery system in terms of information flow, communication standards, case collections, and IT spending. It makes the case that e-commerce has the ability to transact some healthcare business more efficiently and cost-effectively. With the Internet as a delivery platform, several models offer improvement over the status quo. PMID:11338906

Aggarwal, A K; Travers, S

2001-01-01

405

Pitfalls in Health Communication: Healthcare Policy, Institution, Structure, & Process  

PubMed Central

The state of health communication for a given population is a function of several tiers of structure and process: government policy, healthcare directives, healthcare structure and process, and the ethnosocial realities of a multicultural society. Common yet specific to these tiers of health communication is the interpersonal and intergroup use of language in all its forms. Language is the most common behavior exhibited by humankind. Its use at all tiers determines quality of healthcare and quality of life for healthcare consumers: patients and their families. Of note, at the consumer end, mounting evidence demonstrates that barriers to health communication contribute to poorer access to care, quality of care, and health outcomes. The lack of comprehensible and usable written and spoken language is a major barrier to health communication targeting primary and secondary disease prevention and is a major contributor to the misuse of healthcare, patient noncompliance, rising healthcare costs. In this paper, we cursorily examine the relationship among government policy, institutional directives, and healthcare structure and process and its influence on the public health, especially vulnerable populations. We conclude that limited health communication in the context of changing healthcare environments and diverse populations is an important underpinning of rising healthcare costs and sustained health disparities. More research is needed to improve communication about health at all tiers and to develop health communication interventions that are usable by all population groups. PMID:15208522

Calderon, Jose L; Beltran, Robert A

2004-01-01

406

Advancing the state of the art in healthcare strategic planning.  

PubMed

A recent survey of the state of strategic planning among healthcare organizations indicates that planners and executives believe that healthcare strategic planning practices are effective and provide the appropriate focus and direction for their organizations. When compared to strategic planning practices employed outside of the healthcare field, however, most healthcare strategic planning processes have not evolved to the more advanced, state-of-the-art levels of planning being used successfully outside of healthcare. While organizations that operate in stable markets may be able to survive using basic strategic planning practices, the volatile healthcare market demands that providers be nimble competitors with advanced, ongoing planning processes that drive growth and organizational effectiveness. What should healthcare organizations do to increase the rigor and sophistication of their strategic planning practices? This article identifies ten current healthcare strategic planning best practices and recommends five additional innovative approaches from pathbreaking companies outside of healthcare that have used advanced strategic planning practices to attain high levels of organizational success. PMID:17310806

Zuckerman, Alan M

2006-01-01

407

Parallel payers, privatization and two-tier healthcare in Canada.  

PubMed

The commissioning of care by Workers' Compensation Boards alongside provincial healthcare insurance plans functions in Canada in much the same way as parallel private insurance functions in countries like England and Australia. Parallel payers introduce policy conflict, undermine equity and promote privatization. WCB demands for expedited care for injured workers create challenges for the efficiency and fairness of the healthcare system. Unfortunately, the legitimate policy of goals of WCB and universal healthcare insurance are difficult to reconcile in the real world of Canadian healthcare policy. PMID:18493171

Davidson, Alan

2008-01-01

408

Healthcare Knowledge Management: Incorporating the Tools Technologies Strategies and Process of KM to Effect Superior Healthcare Delivery  

Microsoft Academic Search

\\u000a As medical science advances and the applications of information and communications technologies (ICTs) to healthcare operations\\u000a diffuse more and more data and information begin to permeate healthcare databases and repositories. However, given the voluminous\\u000a nature of these disparate data assets, it is no longer possible for healthcare providers to process these data without the\\u000a aid of sophisticated tools and technologies.

Nilmini Wickramasinghe

409

Perfect Match? Generation Y as Change Agents for Information Communication Technology Implementation in Healthcare  

Microsoft Academic Search

T he current healthcare delivery model will not meet future healthcare demands. T he only sustainable healthcare future is one that best leverages advances in technology to improve productivity and efficiency. Information communication technology (ICT ) has, therefore, been touted as the panacea of future healthcare challenges. Many ICT projects in healthcare, however, fail to deliver on their promises totr

Kwang Chien Yee; Erin Miils; Caroline Airey

2008-01-01

410

Setting Directions in Healthcare Policy Development for People with Intellectual Disabilities in Taiwan  

Microsoft Academic Search

Background: Intellectual disability (ID) represents an important concern in Taiwanese society, because the healthcare needs of this group of people are neglected both by current healthcare policy and by the healthcare system. The goals of this study were to define the gaps between the healthcare needs of and existing provision for people with ID and to make recommendations for healthcare

Jin-Ding Lin; Miao-Ju Chwo; Chia-Feng Yen; Jia-Ling Wu; Cordia Chu

411

Implementation of pregnancy weight management and obesity guidelines: a meta-synthesis of healthcare professionals' barriers and facilitators using the Theoretical Domains Framework.  

PubMed

Obesity in pregnancy is rising and is associated with severe health consequences for both the mother and the child. There is an increasing international focus on guidelines to manage the clinical risks of maternal obesity, and for pregnancy weight management. However, passive dissemination of guidelines is not effective and more active strategies are required for effective guideline implementation into practice. Implementation of guidelines is a form of healthcare professional behaviour change, and therefore implementation strategies should be based on appropriate behaviour change theory. This systematic review aimed to identify the determinants of healthcare professionals' behaviours in relation to maternal obesity and weight management. Twenty-five studies were included. Data synthesis of the existing international qualitative and quantitative evidence base used the Theoretical Domains Framework to identify the barriers and facilitators to healthcare professionals' maternal obesity and weight management practice. The domains most frequently identified included 'knowledge', 'beliefs about consequences' and 'environmental context and resources'. Healthcare professionals' weight management practice had the most barriers compared with any other area of maternal obesity practice. The results of this review will be used to inform the development of an intervention to support healthcare professional behaviour change. PMID:24629076

Heslehurst, N; Newham, J; Maniatopoulos, G; Fleetwood, C; Robalino, S; Rankin, J

2014-06-01

412

Pharmacy and the health-care environment.  

PubMed

The current revolution in the delivery of health care is examined, possibilities for the future are considered, and preparations for meeting the challenges of the future are discussed. The main elements in the revolution involve changes in the economic, business, and technological aspects of health-care delivery. The economic influences have included diagnosis-related groups (DRGs) and the Gramm-Rudman-Hollings legislation as it affects Medicare. Hospitals and hospital pharmacists have had to look closely at their own involvement and take measures to cut costs. The care of the elderly and the indigent and the issue of malpractice will require particular attention. Diversification and incorporation have brought many changes. Among them are the blurring of the traditional roles of pharmacy practice, as evidenced, for example, in the area of home health care. The changes made possible by technology are inseparable from the other current trends, and they add another dimension to health-care considerations--that of moral choices. Furthermore, pharmacy practitioner organizations will have to develop strategies for controlling the destiny of the profession in a corporate atmosphere. Pharmacists can achieve their full potential as society's drug therapy experts if they are flexible and creative enough to apply, in this new environment, the basic principles for which the profession has long stood. PMID:3728477

Oddis, J A

1986-06-01

413

Citizen empowerment using healthcare and welfare cards.  

PubMed

Cards are used in health and welfare to establish the identity of the person presenting the card; to prove their entitlement to a welfare or healthcare service; to store data needed within the care process; and to store data to use in the administration process. There is a desire to empower citizens - to give them greater control over their lives, their health and wellbeing. How can a healthcare and welfare card support this aim? Does having a card empower the citizen? What can a citizen do more easily, reliably, securely or cost-effectively because they have a card? A number of possibilities include: Choice of service provider; Mobility across regional and national boundaries; Privacy; and Anonymity. But in all of these possibilities a card is just one component of a total system and process, and there may be other solutions--technological and manual. There are risks and problems from relying on a card; and issues of Inclusion for people who are unable use a card. The article concludes that: cards need to be viewed in the context of the whole solution; cards are not the only technological mechanism; cards are not the best mechanism in all circumstances; but cards are very convenient method in very many situations. PMID:17095830

Cheshire, Paul

2006-01-01

414

Developing forensic mental healthcare in kosovo.  

PubMed

In many economically struggling societies, forensic psychiatry is still in its initial developmental stages and thus forensic patients pose an ongoing challenge for the healthcare and juridical systems. In this article, we present the various issues and problems that arose when establishing the first forensic psychiatric institute in Kosovo - a country whose population has constantly been reported as suffering from a high psychiatric morbidity due to long-lasting traumatic experiences during the war of 1999. The implementation of a new forensic psychiatric institute in the developing mental healthcare system of Kosovo, still characterized by considerable shortages, required substantial effort on various levels. On the policy and financial level, it was made possible by a clear intent and coordinated commitment of all responsible national stakeholders and authorities, such as the Ministries of Health and Justice, and by the financial contribution of the European Commission. Most decisive in terms of the success of the project was capacity building in human resources, i.e., the recruitment and training of motivated staff. Training included essential clinical and theoretical issues as well as clearly defined standard operation procedures, guidelines, and checklists to aid daily routine work and the management of challenging situations. PMID:24779004

Salize, Hans Joachim; Lavikainen, Juha; Seppänen, Allan; Gjocaj, Milazim

2014-01-01

415

Developing Forensic Mental Healthcare in Kosovo  

PubMed Central

In many economically struggling societies, forensic psychiatry is still in its initial developmental stages and thus forensic patients pose an ongoing challenge for the healthcare and juridical systems. In this article, we present the various issues and problems that arose when establishing the first forensic psychiatric institute in Kosovo – a country whose population has constantly been reported as suffering from a high psychiatric morbidity due to long-lasting traumatic experiences during the war of 1999. The implementation of a new forensic psychiatric institute in the developing mental healthcare system of Kosovo, still characterized by considerable shortages, required substantial effort on various levels. On the policy and financial level, it was made possible by a clear intent and coordinated commitment of all responsible national stakeholders and authorities, such as the Ministries of Health and Justice, and by the financial contribution of the European Commission. Most decisive in terms of the success of the project was capacity building in human resources, i.e., the recruitment and training of motivated staff. Training included essential clinical and theoretical issues as well as clearly defined standard operation procedures, guidelines, and checklists to aid daily routine work and the management of challenging situations. PMID:24779004

Salize, Hans Joachim; Lavikainen, Juha; Seppanen, Allan; Gjocaj, Milazim

2014-01-01

416

Fully Integrated Biochip Platforms for Advanced Healthcare  

PubMed Central

Recent advances in microelectronics and biosensors are enabling developments of innovative biochips for advanced healthcare by providing fully integrated platforms for continuous monitoring of a large set of human disease biomarkers. Continuous monitoring of several human metabolites can be addressed by using fully integrated and minimally invasive devices located in the sub-cutis, typically in the peritoneal region. This extends the techniques of continuous monitoring of glucose currently being pursued with diabetic patients. However, several issues have to be considered in order to succeed in developing fully integrated and minimally invasive implantable devices. These innovative devices require a high-degree of integration, minimal invasive surgery, long-term biocompatibility, security and privacy in data transmission, high reliability, high reproducibility, high specificity, low detection limit and high sensitivity. Recent advances in the field have already proposed possible solutions for several of these issues. The aim of the present paper is to present a broad spectrum of recent results and to propose future directions of development in order to obtain fully implantable systems for the continuous monitoring of the human metabolism in advanced healthcare applications. PMID:23112644

Carrara, Sandro; Ghoreishizadeh, Sara; Olivo, Jacopo; Taurino, Irene; Baj-Rossi, Camilla; Cavallini, Andrea; de Beeck, Maaike Op; Dehollain, Catherine; Burleson, Wayne; Moussy, Francis Gabriel; Guiseppi-Elie, Anthony; De Micheli, Giovanni

2012-01-01

417

Contradictions of the health-care system in India and a strategy for health-care for all.  

PubMed

The contradiction between the socialized nature of the modern health-care system (inclusive of both clinical and social medicine) versus the narrow control over it is obvious in private health-care. However, this contradiction is present to some extent, in its own way, even in the public health facilities in India. To formulate a program for health-care for all in India, it is necessary to grasp these contradictions in both private and public health-care and accordingly conceptualize a strategy to overcome, resolve these contradictions. PMID:24351384

Phadke, Anant

2013-01-01

418

Views on child life specialist training.  

E-print Network

??The present study examined course work requirements, academic degrees, application to child life internship sites, difficulty attaining child life practica and internships, child life practica… (more)

Gerber, Gwendolyn

2012-01-01

419

Reforms in Pakistan: Decisive Times for Improving Maternal and Child Health  

PubMed Central

Pakistan is a struggling economy with poor maternal and child health indicators that have affected attainment of the United Nations Millennium Development Goals 4 and 5 (under-five child and maternal mortality). Recent health reforms have abolished the federal Ministry of Health and devolved administrative and financial powers to the provinces. Ideally, devolution tends to simplify a healthcare system's management structure and ensure more efficient delivery of health services to underserved populations, in this case women and children. In this time of transition, it is appropriate to outline prerequisites for the efficient management of maternal and child health (MCH) services. This paper examines the six building blocks of health systems in order to improve the utilization of MCH services in rural Pakistan. The targeted outcomes of recent reforms are devolved participatory decision-making regarding distribution of MCH-related services, improved deployment of the healthcare workforce, prioritization of pro-poor strategies for health financing and integration of various health information systems. Given this window of opportunity, the provinces need to guarantee fairness and equity through their stewardship of the healthcare system so as to protect vulnerable mothers and their children, especially in rural, remote and disadvantaged areas of Pakistan. PMID:23968601

Mazhar, Arslan; Shaikh, Babar Tasneem

2012-01-01

420

Child life services.  

PubMed

Child life programs are an important component of pediatric hospital-based care to address the psychosocial concerns that accompany hospitalization and other health care experiences. Child life specialists focus on the optimal development and well-being of infants, children, adolescents, and young adults while promoting coping skills and minimizing the adverse effects of hospitalization, health care, and/or other potentially stressful experiences. Using therapeutic play, expressive modalities, and psychological preparation as primary tools, in collaboration with the entire health care team and family, child life interventions facilitate coping and adjustment at times and under circumstances that might otherwise prove overwhelming for the child. Play and developmentally appropriate communication are used to: (1) promote optimal development; (2) educate children and families about health conditions; (3) prepare children and families for medical events or procedures; (4) plan and rehearse useful coping and pain management strategies; (5) help children work through feelings about past or impending experiences; and (6) establish therapeutic relationships with patients, siblings, and parents to support family involvement in each child's care. PMID:24777212

2014-05-01

421

Reflections on the influenza vaccination of healthcare workers  

Microsoft Academic Search

Despite all that is known about the dangers of nosocomial transmission of influenza to the vulnerable patient populations in our healthcare facilities, and the benefits of the influenza vaccination, the low rates of influenza vaccination among healthcare workers (HCWs) internationally shows no sign of significant improvement. With the current voluntary ‘opt-in’ programmes clearly failing to adequately address this issue, the

Stuart McLennan; Sabine Wicker

2010-01-01

422

Solutions for the healthcare industry To support your business objectives  

E-print Network

Solutions for the healthcare industry To support your business objectives data across your, and stored on heterogeneous media. You can use Tivoli storage management software to: · Simplify the storage software for healthcare facilities, consider a composite example that represents the experiences of several

423

Telemedicine: a process enabler for enhanced healthcare delivery systems  

Microsoft Academic Search

Purpose – The purpose of this paper is to provide a conceptual framework along with underlying propositions for the design and deployment of telemedicine projects which provide healthcare organizations with strategic benefits. Design\\/methodology\\/approach – Field research conducted at four healthcare organizations along with academic literature in the areas of telemedicine and process management form the basis for the conceptual framework

Archie Lockamy III; Douglas L. Smith

2009-01-01

424

Users' consumption of healthcare videos on hospital web sites  

Microsoft Academic Search

Purpose – While hospitals have done much over the last five years to push new media marketing, little research has been done to find out whether such endeavors are justified by users' healthcare online information consumption. This study attempts to find evidence for or against such endeavors. Design\\/methodology\\/approach – Using the Delphi technique, this study investigated both users' healthcare video

Edgar Huang; Davide Bolchini; Josette F. Jones

2011-01-01

425

Mundanely Miraculous: The Robot in Healthcare Norman Makoto Su  

E-print Network

Mundanely Miraculous: The Robot in Healthcare Norman Makoto Su , Leslie S. Liu , and Amanda Lazar, robots have played prominent roles in media such as films and books. Now, robots are no longer hidden part of our everyday encounters in environments such as healthcare set- tings. In this paper, we

Su, Norman Makoto

426

ORIGINAL PAPER A Novel Web-enabled Healthcare Solution  

E-print Network

ORIGINAL PAPER A Novel Web-enabled Healthcare Solution on HealthVault System Lingxia Liao & Min # Springer Science+Business Media, LLC 2010 Abstract Complicated Electronic Medical Records (EMR) systems-enabled Health- care Solution, which is normally provided by an independent healthcare giver with limited

Chen, Min

427

Indoor air quality & airborne disease control in healthcare facilities  

SciTech Connect

This article is concerned with indoor air quality (IAQ) in the context of healthcare facilities. It defines what is meant by IAQ, lists health outcomes of poor IAQ, addresses specific healthcare IAQ issues, discusses solutions by means of HVAC systems, and covers relevant regulations and standards.

Turner, S.

1997-06-01

428

Security in Wireless Mobile Technology for Healthcare Systems  

Microsoft Academic Search

The healthcare providers are always on the move, and they need to have real-time access to the patient information, to stay at the pulse of the medical technology. The wireless mobile technology provides the care giver with the critical patient information which must be more secure and reliable for patient diagnosis and treatment procedures. As a result, the healthcare organizations

W. D. Yu; V. Jothiram

2007-01-01

429

Mobile technology and healthcare: the adoption issues and systemic problems  

Microsoft Academic Search

Although the benefits that are associated with mobile technology have been recognised as offering great potential in the healthcare sector, its widespread adoption has been lagging. We propose that fundamental systemic issues are likely to be the main barriers to adoption. We explain that the fragmented nature of the conservative healthcare system, the contradictory incentives and improper outcome measures conspire

Craig Standing

2008-01-01

430

The Application of Assembly and Automation Technologies to Healthcare Products  

Microsoft Academic Search

This keynote paper identifies some of the present and future opportunities and technical challenges for the application of assembly, process control and automation technologies in healthcare including the manufacture of current and emerging medical devices and pharmaceuticals. While healthcare is one of the fastest growing western markets, it has characteristics that differentiate it from other, more conventional markets and presents

D. J. Williams; S. Ratchev; A. Chandra; H. Hirani

2006-01-01

431

Five Constants of Information Technology Adoption in Healthcare  

Microsoft Academic Search

The healthcare industry has developed a dependence on information technology (IT) for maintaining and improving both clinical and business operations. Whether IT is used for office automation or for reducing medical errors, there are five constants that routinely influence the successful integration of IT in healthcare. These constants are the proper use and maintenance of the IT budget, the role

Mariel L. Bernstein; Tamuchin McCreless; Murray J. Côté

2007-01-01

432

International Conference on Big Data and Analytics in Healthcare  

E-print Network

International Conference on Big Data and Analytics in Healthcare 2014 Centre for Health Informatics SPONSOR KIT #12;2 3 DrivingInnovations withDataInsights Big Data Analytics is already making large impacts tobracethemselvesfortheoncomingdatadeluge. The International Conference on Big Data and Analytics in Healthcare 2014 (BDAH) provides

Chaudhuri, Sanjay

433

Safety Science & Solutions Integrating Human Factors in Healthcare  

E-print Network

Safety Science & Solutions Integrating Human Factors in Healthcare Tuesday 2nd December 2014 members, medical and nursing staff to gain insights that will positively impact their role in promoting safety, quality and productivity in healthcare. Showcasing enduring solutions to patient safety

Levi, Ran

434

BANip: enabling remote healthcare monitoring with Body Area Networks1  

E-print Network

of 2.5/3G wireless technology even takes healthcare further to mobile healthcare (m-health) which enables ambulatory patients to lead a normal daily life. For example, the pregnant women m-health trial Dokovsky, Aart van Halteren, Ing Widya This paper presents a Java service platform for m-health

Widya, Ing

435

Levels of Job Satisfaction among Healthcare Providers in CGHS Dispensaries  

Microsoft Academic Search

In the labour-intensive health sector industry the quality of services is ultimately linked to the skills, motivation and satisfaction of the workers providing the healthcare services. Thus in order to study the job satisfaction level of the healthcare providers, so as to suggest measures to enhance it, the present study was carried out at CGHS which is one of the

Priyanka Bhandari; Rajni Bagga; Deoki Nandan

2010-01-01

436

IBM Center for Applied Insights Smarter Healthcare Capturing Value from  

E-print Network

IBM Center for Applied Insights Smarter Healthcare Capturing Value from Patient-Centered Care How to exploit technology and drive better outcomes in a patient-centered care environment. Difficult challenges, it is estimated that 1 out of every 10 patients is affected by healthcare-related infections.4 Further, to make

437

Healthcare regulation as a tool for public accountability.  

PubMed

The increasing costs of healthcare delivery led to different political and administrative approaches trying to preserve the core values of the welfare state. This approach has well documented weaknesses namely with regard to healthcare rationing. The objective of this paper is to evaluate if independent healthcare regulation is an important tool with regard to the construction of fair processes for setting limits to healthcare. Methodologically the authors depart from Norman Daniels' and James Sabin's theory of accountability for reasonableness and try to determine if new regulatory models-namely independent agencies-perform better with regard to the public disclosure of the reasons and rationales of healthcare rationing. In publicly financed healthcare systems independent regulation is an important tool to assure fair and reasonable procedures of prioritising services. In accordance with the principle of public accountability, independent regulatory agencies are particularly well suited to assure publicity of the decision-making processes, relevance of the rationale involved and particularly mechanisms for challenge and dispute resolution regarding limit setting decisions. It follows that independent healthcare regulation could be regarded not only as an instrument for performance improvement but also as a tool of social justice. The authors conclude by stating that accountability for reasonableness should be regarded as a landmark of any healthcare reform. And therefore regulators have the social task of assuring that the rationales for limit-setting decisions are clearly accessible to the public. PMID:19137451

Nunes, Rui; Rego, Guilhermina; Brandão, Cristina

2009-08-01

438

Patients and Loved Ones: Information about MRSA in Healthcare Settings  

MedlinePLUS

... MRSA infections, doctors, nurses, and other healthcare providers: Clean their hands with soap and water or an alcohol-based hand rub before and ... that all doctors, nurses, and other healthcare providers clean their hands with soap and water or an alcohol-based hand rub before and ...

439

Systems Engineering Positions New England Healthcare Engineering Partnership  

E-print Network

Systems Engineering Positions New England Healthcare Engineering Partnership (NEHCEP) An exciting, resource utilization and cost savings. The New England Healthcare Engineering Partnership (NEHCEP. There will also be opportunities to assist and consult at all facilities In our New England region: 8 medical care

de Weck, Olivier L.

440

Medication-Nutrient Interactions and Individuals with Special Healthcare Needs  

ERIC Educational Resources Information Center

Many children and adults with special healthcare needs receive one or more medications on a regular basis. Parents and healthcare professionals who care for these individuals should be aware of each medication and potential interactions with foods/nutrients. Those who require long term or multiple medications are at highest risk for drug-nutrient…

Brizee, Lori S.

2008-01-01

441

Sharps injuries in healthcare waste handlers.  

PubMed

Clinical waste disposal carries with it a risk of serious and possibly life-threatening infection. Combining confidential questionnaires and structured interviews with discrete observation, the attitudes and approach to safe handling of bulk clinical wastes by staff in a specialist waste treatment facility were assessed. With particular attention to glove use and hand hygiene, observations were supplemented by review of group-wide accident and incident records, with emphasis on sharps injuries and related blood and bloodstained body fluid exposures. Deficiencies in glove selection and use, and in hand hygiene, were noted despite extensive and on-going training and supervision of waste handlers. Though ballistic puncture-resistant gloves protect against sharps injury, these were uncomfortable in use and were sometimes rejected by waste handlers who preferred thin-walled nitrile gloves that were more comfortable in use though provide no resistance to penetrating injury. Among the waste handlers working for a single specialist waste disposal company, sharps injuries (n = 40) occurred at a rate of approximately 1 per 29 000 man hours. Injuries were caused by hypodermic needles from improperly closed or overfilled sharps boxes (n = 6) or from sharps incorrectly discarded into thin-walled plastic sacks intended only for soft wastes (n = 34). Most injuries occurred to the fingers or hands. No seroconversions occurred, though two individuals suffered anxiety/stress disorder necessitating prolonged leave of absence with professional counselling and support. Glove use and hand hygiene must feature prominently in the on-going training of waste handlers. Though ballistic gloves afford protection against sharps injury, the initial segregation and safe disposal of clinical wastes by healthcare professionals must provide the primary control measure. Despite robust and unambiguous legislation and good practice guidelines, serious errors by healthcare staff that result in the disposal of hypodermic needles and other sharps to thin-walled plastic waste sacks places waste handlers at risk of bloodborne virus infection. Further improvement in the standards of waste segregation and disposal by healthcare professionals are still required to protect ancillary and support staff and waste handlers working in the disposal sector. PMID:18448444

Blenkharn, J I; Odd, C

2008-06-01

442

Infant and Child Development Inf. Child Dev. 17: 4353 (2008)  

E-print Network

Infant and Child Development Inf. Child Dev. 17: 43­53 (2008) Published online in Wiley Inter on the robot's control structure might prove counterproductive as they strive towards more adaptive robots

Meeden, Lisa A.

443

Helping Your Foster Child Transition to Your Adopted Child  

MedlinePLUS

... Training Workforce Systemwide Systemwide Home Assessment Courts Cultural Competence Domestic Violence Immigration and Child Welfare Laws & Policies ... System reform Training Workforce Systemwide Assessment Courts Cultural competence Domestic violence Immigration and Child Welfare Laws & policies ...

444

78 FR 59366 - Multifamily, Healthcare Facilities, and Hospital Mortgage Insurance Premiums for Fiscal Year (FY...  

Federal Register 2010, 2011, 2012, 2013

...Multifamily, Healthcare Facilities, and Hospital Mortgage Insurance Premiums for Fiscal...Multifamily, Healthcare Facilities, and Hospital mortgage insurance programs that have...Multifamily, Healthcare Facilities, and Hospital mortgage insurance programs. This...

2013-09-26

445

77 FR 47847 - Meeting of the National Advisory Council on Healthcare Research and Quality Subcommittee on...  

Federal Register 2010, 2011, 2012, 2013

...Advisory Council for Healthcare Research and Quality (NAC) was established...Director, Agency for Healthcare Research and Quality (AHRQ), on matters related to AHRQ's conduct...priorities for healthcare research, (B) the field of...

2012-08-10

446

TECHNOLOGY IN HEALTHCARE : MEDICAL DEVICES AND USER EXPERIENCES Understanding the effects of medical devices on their  

E-print Network

TECHNOLOGY IN HEALTHCARE : MEDICAL DEVICES AND USER EXPERIENCES Understanding the effects. Craven and Sarah Sharples Multidisciplinary Assessment of Technology Centre for Healthcare (MATCH of medical devices on their users, whether it be healthcare professionals or patients, is an important

Oakley, Jeremy

447

38 CFR 17.91 - Protection of health-care eligibility.  

...2014-07-01 false Protection of health-care eligibility. 17.91 Section 17...MEDICAL Vocational Training and Health-Care Eligibility Protection for Pension Recipients § 17.91 Protection of health-care eligibility. Any veteran...

2014-07-01

448

76 FR 4725 - Apria Healthcare Customer Service Department; Fourteen Locations in Missouri Cameron, Cape...  

Federal Register 2010, 2011, 2012, 2013

...Missouri location of Apria Healthcare, Customer Service Department...Missouri location of Apria Healthcare, Customer Service Department...All workers of Apria Healthcare, Customer Service Department...locations: Birmingham and Mobile, Alabama (TA-W-...

2011-01-26

449

48 CFR 873.109 - General requirements for acquisition of health-care resources.  

Code of Federal Regulations, 2010 CFR

...requirements for acquisition of health-care resources. 873...Regulations System DEPARTMENT OF VETERANS AFFAIRS DEPARTMENT SUPPLEMENTARY...ACQUISITION PROCEDURES FOR HEALTH-CARE RESOURCES 873.109...requirements for acquisition of health-care resources....

2010-10-01

450

48 CFR 873.111 - Acquisition strategies for health-care resources.  

Code of Federal Regulations, 2011 CFR

... Acquisition strategies for health-care resources. 873...Regulations System DEPARTMENT OF VETERANS AFFAIRS DEPARTMENT SUPPLEMENTARY...SIMPLIFIED ACQUISITION PROCEDURES FOR HEALTH-CARE RESOURCES 873.111 Acquisition strategies for health-care...

2011-10-01

451

48 CFR 873.111 - Acquisition strategies for health-care resources.  

Code of Federal Regulations, 2010 CFR

... Acquisition strategies for health-care resources. 873...Regulations System DEPARTMENT OF VETERANS AFFAIRS DEPARTMENT SUPPLEMENTARY...SIMPLIFIED ACQUISITION PROCEDURES FOR HEALTH-CARE RESOURCES 873.111 Acquisition strategies for health-care...

2010-10-01

452

48 CFR 873.111 - Acquisition strategies for health-care resources.  

Code of Federal Regulations, 2012 CFR

... Acquisition strategies for health-care resources. 873...Regulations System DEPARTMENT OF VETERANS AFFAIRS DEPARTMENT SUPPLEMENTARY...SIMPLIFIED ACQUISITION PROCEDURES FOR HEALTH-CARE RESOURCES 873.111 Acquisition strategies for health-care...

2012-10-01

453

48 CFR 873.109 - General requirements for acquisition of health-care resources.  

Code of Federal Regulations, 2011 CFR

...requirements for acquisition of health-care resources. 873...Regulations System DEPARTMENT OF VETERANS AFFAIRS DEPARTMENT SUPPLEMENTARY...ACQUISITION PROCEDURES FOR HEALTH-CARE RESOURCES 873.109...requirements for acquisition of health-care resources....

2011-10-01

454

48 CFR 873.111 - Acquisition strategies for health-care resources.  

Code of Federal Regulations, 2013 CFR

... Acquisition strategies for health-care resources. 873...Regulations System DEPARTMENT OF VETERANS AFFAIRS DEPARTMENT SUPPLEMENTARY...SIMPLIFIED ACQUISITION PROCEDURES FOR HEALTH-CARE RESOURCES 873.111 Acquisition strategies for health-care...

2013-10-01

455

48 CFR 873.109 - General requirements for acquisition of health-care resources.  

Code of Federal Regulations, 2012 CFR

...requirements for acquisition of health-care resources. 873...Regulations System DEPARTMENT OF VETERANS AFFAIRS DEPARTMENT SUPPLEMENTARY...ACQUISITION PROCEDURES FOR HEALTH-CARE RESOURCES 873.109...requirements for acquisition of health-care resources....

2012-10-01

456

48 CFR 873.109 - General requirements for acquisition of health-care resources.  

Code of Federal Regulations, 2013 CFR

...requirements for acquisition of health-care resources. 873...Regulations System DEPARTMENT OF VETERANS AFFAIRS DEPARTMENT SUPPLEMENTARY...ACQUISITION PROCEDURES FOR HEALTH-CARE RESOURCES 873.109...requirements for acquisition of health-care resources....

2013-10-01

457

A Lexical-Ontological Resource for Consumer Healthcare  

NASA Astrophysics Data System (ADS)

In Consumer Healthcare Informatics it is still difficult for laypeople to find, understand and act on health information, due to the persistent communication gap between specialized medical terminology and that used by healthcare consumers. Furthermore, existing clinically-oriented terminologies cannot provide sufficient support when integrated into consumer-oriented applications, so there is a need to create consumer-friendly terminologies reflecting the different ways healthcare consumers express and think about health topics. Following this direction, this work suggests a way to support the design of an ontology-based system that mitigates this gap, using knowledge engineering and semantic web technologies. The system is based on the development of a consumer-oriented medical terminology that will be integrated with other medical domain ontologies and terminologies into a medical ontology repository. This will support consumer-oriented healthcare systems, such as Personal Health Records, by providing many knowledge services to help users in accessing and managing their healthcare data.

Cardillo, Elena; Serafini, Luciano; Tamilin, Andrei

458

Nurse manager perceptions of healthcare executive behaviors during organizational change.  

PubMed

Nurse managers have a large responsibility in implementing healthcare organizational change. To be effective, they need support from healthcare executives. The authors report on a study in which nurse managers described behaviors that facilitated the quality of their work life. Nurse managers in a large (700+ bed) hospital undergoing organizational change were asked to rank behavior of healthcare executives perceived as supportive to a successful transition process and related to maintaining quality of work life. The nurse managers in this study ranked frequent communication about the goals and progression of the organizational change by healthcare executives as most important during a time of organizational change. High visibility and verbalized commitment to the organizational change being implemented were indicated as important by the managers responsible for the operation and realization of the desired vision and goals. Behaviors exhibited by healthcare executives during a time of organizational change may be supportive to nurse managers. PMID:9372806

Knox, S; Irving, J A

1997-11-01

459

Architectural approach for quality and safety aware healthcare social networks.  

PubMed

Quality of information and privacy and safety issues are frequently identified as main limitations to make most benefit from social media in healthcare. The objective of the paper is to contribute to the analysis of healthcare social networks (SN), and online healthcare social network services (SNS) by proposing a formal architectural analysis of healthcare SN and SNS, considering the complexity of both systems, but stressing on quality, safety and usability aspects. Quality policies are necessary to control the quality of content published by experts and consumers. Privacy and safety policies protect against inappropriate use of information and users responsibility for sharing information. After the policies are established and documented, a proof of concept online SNS supporting primary healthcare promotion is presented in the paper. PMID:22874301

López, Diego M; Blobel, Bernd; González, Carolina

2012-01-01

460

INDIANA DEPARTMENT OF CHILD SERVICES CHILD WELFARE MANUAL  

E-print Network

POLICY [REVISED] The Indiana Department of Child Services (DCS) will facilitate pre-placement visits between the child, the current caregiver, and the prospective adoptive family. DCS will provide an opportunity for the pre-adoptive family and child to bond with one another and initiate the child’s integration into the prospective adoptive family. The purpose of pre-placement visits is to: 1. [REVISED] Diminish the child’s and prospective adoptive family’s fears and worries of the unknown; 2. Encourage the child to form new attachments; 3. Help the child through the grieving process; and 4. [REVISED] Promote healthy interaction between the current caregiver, child, and prospective adoptive family. [REVISED] DCS will ensure the child and prospective adoptive family have as many preplacement visits as necessary. These visits will progress to include overnight and weekend visits based upon the age and the needs of the child. [REVISED] DCS will pay the prospective adoptive parent, who is licensed for foster care, for travel expenses incurred when the prospective adoptive parent travels at least one (1) mile for pre-placement visits with a child when overnight visits are not included. Mileage will be paid starting at mile one (1). [REVISED] DCS will pay the prospective adoptive parent, who is licensed for foster care, a per diem for each overnight pre-placement visit with a child. In addition, DCS will also pay properly claimed mileage incurred if the child’s foster parent travels over 162 miles for the visits. [NEW] Note: Pre-placement expenses for a prospective adoptive parent would be paid through a global services referral in KidTraks.

unknown authors

461

Capacitive Measurement of ECG for Ubiquitous Healthcare.  

PubMed

The technology for measuring ECG using capacitive electrodes and its applications are reviewed. Capacitive electrodes are built with a high-input-impedance preamplifier and a shield on their rear side. Guarding and driving ground are used to reduce noise. An analysis of the intrinsic noise shows that the thermal noise caused by the resistance in the preamplifier is the dominant factor of the intrinsic noise. A fully non-contact capacitive measurement has been developed using capacitive grounding and applied to a non-intrusive ECG measurement in daily life. Many ongoing studies are examining how to enhance the quality and ease of applying electrodes, thus extending their applications in ubiquitous healthcare from attached-on-object measurements to wearable or EEG measurements. PMID:25052344

Lim, Yong Gyu; Lee, Jeong Su; Lee, Seung Min; Lee, Hong Ji; Park, Kwang Suk

2014-11-01

462

Agency for Healthcare Research and Quality  

NSDL National Science Digital Library

The Agency for Healthcare Research and Quality (AHRQ) was originally created in December 1989, with the directive to "support research designed to improve the quality, safety, efficiency, and effectiveness of health care for all Americans." With a budget of close to $270 million, the AHRQ disburses 80 percent of those monies as grants and contracts to researchers at universities and other research institutions across the United States. Some of the AHRQ's clients include clinical decision makers, health care systems, and public policy decisionmakers. Visitors can learn about the agency's most recent work on the site, much of which is divided into sections such as Evidence-based Practice, Technology Assessment, and Preventive Services. These various areas present some of the AHRQ's recent work that takes a critical assessment of various treatments and technologies that may be used in the future. Visitors will also want to look at the online newsletter, Research Activities, which offers brief summaries of recent findings and investigations.

463

Health in China. The healthcare market.  

PubMed

It is now about 15 years since the introduction of the market into health care in China. This produced fundamental changes in the way that health care is financed and resulted in the disappearance of universal free basic health care. Responsibility for provision of health services has been devolved to the provincial and county governments, and healthcare providers have been given considerable financial independence. A fee for service system has been introduced, and several different payment mechanisms are now in operation. The new financing and pricing structures are responsible for greater inequity of access to services and more inefficient use of resources. These problems are widely acknowledged, and a range of solutions is being developed and tested. Since the introduction of the reforms the measurable health status of the population has not declined, probably as a result of overall improved socioeconomic conditions and a continued emphasis on prevention. PMID:9186178

Hesketh, T; Zhu, W X

1997-05-31

464

The future of PACS in healthcare enterprises.  

PubMed

Picture Archiving and Communication System (PACS), which was originally designed as a tool for facilitating radiologists in interpreting images more efficiently, is evolving into a hospital-integrated system storing diagnostic imaging information that often reaches far beyond Radiology. The continuous evolution of PACS technology has led to a gradual broadening of its applications, ranging from teleradiology to CAD (Computer-Assisted Diagnosis) and multidimensional imaging, and is moving into the direction of providing access to image data outside the Radiology department, so to reach all the branches of the healthcare enterprise. New perspectives have been created thanks to new technologies (such as holographic media and GRID computing) that are likely due to expand PACS-based applications even further, improving patient care and enhancing overall productivity. PMID:20634012

Faggioni, Lorenzo; Neri, Emanuele; Castellana, Carlo; Caramella, Davide; Bartolozzi, Carlo

2011-05-01

465

Personalized biomedical devices & systems for healthcare applications  

NASA Astrophysics Data System (ADS)

With the advancement in micro- and nanotechnology, electromechanical components and systems are getting smaller and smaller and gradually can be applied to the human as portable, mobile and even wearable devices. Healthcare industry have started to benefit from this technology trend by providing more and more miniature biomedical devices for personalized medical treatments in order to obtain better and more accurate outcome. This article introduces some recent development in non-intrusive and intrusive biomedical devices resulted from the advancement of niche miniature sensors and actuators, namely, wearable biomedical sensors, wearable haptic devices, and ingestible medical capsules. The development of these devices requires carful integration of knowledge and people from many different disciplines like medicine, electronics, mechanics, and design. Furthermore, designing affordable devices and systems to benefit all mankind is a great challenge ahead. The multi-disciplinary nature of the R&D effort in this area provides a new perspective for the future mechanical engineers.

Chen, I.-Ming; Phee, Soo Jay; Luo, Zhiqiang; Lim, Chee Kian

2011-03-01

466

Healthcare and the information revolution: re-configuring the healthcare service encounter.  

PubMed

Utilisation of internet-derived information by patients within the healthcare service encounter is increasing. Encompassing both the use of unidirectional information sites as well as bidirectional computer-mediated communities, this is manifest in the growth of consumerist expectations on the part of patients. Based on interviews with patients, professionals and internet site managers, this paper examines the role of the internet as a source of patient information and support, and in particular the effect on the relationship between 'informed' consumers and professionals involved in the delivery of healthcare services. The core challenge for informed consumers is to develop frameworks that facilitate robust dialogue, exchange of information and emotional support to complement their rising authority. The parallel challenge is for the established medical profession to recognize the consequences of this evolving dialogue and develop approaches to service delivery that effectively engage with consumers on the basis of this increasing authority. PMID:15285827

Laing, A; Hogg, G; Winkelman, D

2004-08-01

467

Sick Child Care Book for Parents and Child Care Providers.  

ERIC Educational Resources Information Center

Intended for use by parents and child care providers, this short booklet offers practical information about many common childhood illnesses, providing suggestions for making decisions which concern the sick child. Information is given relating to how parents (especially working parents) can be prepared for their child's illnesses, specific…

Bananas, Inc., Oakland, CA.

468

Kindergarten Child Care Experiences and Child Achievement and Socioemotional Skills  

ERIC Educational Resources Information Center

Young children's experiences outside of both home and school are important for their development. As women have entered the labor force, child care has become an increasingly important context for child development. Child care experiences prior to school entry have been well-documented as important influences on children's academic and…

Claessens, Amy

2012-01-01

469

Structural Predictors of Child Care Quality in Child Care Homes.  

ERIC Educational Resources Information Center

Used data from a family child care study and a licensing study to identify dimensions best predicting global day care quality in over 300 child care homes. Found that caregiver training most consistently predicted global quality. Found no reliable association between care quality and child-caregiver ratio or age-weighted group size recommendations…

Burchinal, Margaret; Howes, Carollee; Kontos, Susan

2002-01-01

470

Mother-Child Agreement on the Child's Past Food Exposure  

ERIC Educational Resources Information Center

Objective: To assess mother-child agreement on the child's past food exposure, and factors affecting response discrepancy. Methods: Twelve- to 14-year-old children and their mothers (n = 78) in an urban community, a rural community, and 2 orthodontic clinics completed a 69-item food questionnaire to determine mother-child level of agreement on the…

Thongudomporn, Udom; Chongsuvivatwong, Virasakdi; Geater, Alan F.

2010-01-01

471

Understanding Child Outcomes: An Application to Child Abuse and Neglect  

Microsoft Academic Search

Recently, there have been several empirical studies exploring the effects of abortion on child outcome by correlating the availability of abortion to a mother at the time of a child's birth. This paper presents a model that helps explain the process, as well as establish that the incidence of child neglect is also reduced by access to abortion. It argues

Carlos Seiglie

2004-01-01

472

Do market wages influence child labor and child schooling?  

Microsoft Academic Search

Thispaper provides empirical evidence on the joint determinants of child labor, and child schooling, using individual level data from Egypt. The main findings are as follows: 1) A ten percent increase in the illiterate male market wage decreases the probability of child labor by 21.5 percent for boys, and 13.1 percent for girls. 2) Higher local regional income inequality increases

Jackline Wahba

2000-01-01

473

Child Care Subsidy Use and Child Development: Potential Causal Mechanisms  

ERIC Educational Resources Information Center

Research using an experimental design is needed to provide firm causal evidence on the impacts of child care subsidy use on child development, and on underlying causal mechanisms since subsidies can affect child development only indirectly via changes they cause in children's early experiences. However, before costly experimental research is…

Hawkinson, Laura E.

2011-01-01

474

Child And Family Studies Department Of Child And Family Studies  

E-print Network

law, counseling, health care, and education as well as child and family studies. GRADUATE Robert P and across diverse family and cultural settings. Supervised participation in early childhood education care, and parent-child relations in different cultures. FACILITIES The Bernice M. Wright Child

Raina, Ramesh

475

The Role of Child Care Providers in Child Abuse Prevention  

ERIC Educational Resources Information Center

Child care providers are likely to be the professionals who most frequently interact with families with young children. Thus, infant and toddler child care providers are uniquely positioned to recognize and respond to families' needs for information and support. This article describes knowledge, skills, and strategies that support child care…

Seibel, Nancy L.; Gillespie, Linda G.; Temple, Tabitha

2008-01-01

476

Why Have Child Maltreatment and Child Victimization Declined?  

Microsoft Academic Search

Various forms of child maltreatment and child victimization declined as much as 40-70% from 1993 until 2004, including sexual abuse, physical abuse, sexual assault, homicide, aggravated assault, robbery, and larceny. Other child welfare indicators also improved during the same period, including teen pregnancy, teen suicide, and children living in poverty. This article reviews a wide variety of pos- sible explanations

David Finkelhor; Lisa Jones

2006-01-01

477

Child Guidance Techniques.  

E-print Network

to handle a situation in a better way. Translating the "DON'Ts" into "DO's" shows a child a more acceptable way to act. DON'Ts Translated into DOs Don't throw the ball Roll the ball on the floor Don't squeeze the kitten Hold the kitty gently Quit... to handle a situation in a better way. Translating the "DON'Ts" into "DO's" shows a child a more acceptable way to act. DON'Ts Translated into DOs Don't throw the ball Roll the ball on the floor Don't squeeze the kitten Hold the kitty gently Quit...

Fraiser, Roberta C.

1982-01-01

478

Your Child's Development 12 to 15 Months  

MedlinePLUS

... That’s a garbage truck taking our trash. Play games that involve following directions: Throw the ball to ... child’s lead. Let him choose what toys or games to play. Join in your child’s play. If ...

479

CPR - child (1 to 8 years old)  

MedlinePLUS

Rescue breathing and chest compressions - child; Resuscitation - cardiopulmonary - child; Cardiopulmonary resuscitation - child ... All parents and those who take care of children should learn infant and child CPR if they ...

480

The Rockefeller University Child and Family Center  

E-print Network

\\Grade__________ Previous Child Care or School Experience ____________________________________________ I understandThe Rockefeller University Child and Family Center Application for Admission Name of Child_____________________________________________________________________ Telephone Number_____________________ Other Address _______________________________ Child's Primary Language

481

Examining Latino Differences in Mental Healthcare Use: The Roles of Acculturation and Attitudes Towards Healthcare  

Microsoft Academic Search

Latinos are less likely to use mental health services compared to non-Latino whites, but little research has examined the\\u000a relative contribution of acculturation and attitudes towards healthcare. In the current study, we analyze data from a nationally\\u000a representative sample of Mexicans, Cubans, Puerto Ricans and non-Latino whites from the 2002–2003 Medical Expenditure Panel\\u000a Survey (n = 30,234). Findings show different utilization patterns

Terceira A. Berdahl; Rosalie A. Torres Stone

2009-01-01

482

Engaging the public in healthcare decision-making: quantifying preferences for healthcare through citizens' juries  

PubMed Central

Introduction The optimal approach to engage the public in healthcare decision-making is unclear. Approaches range from deliberative citizens’ juries to large population surveys using discrete choice experiments. This study promotes public engagement and quantifies preferences in two key areas of relevance to the industry partners to identify which approach is most informative for informing healthcare policy. Methods and analysis The key areas identified are optimising appropriate use of emergency care and prioritising patients for bariatric surgery. Three citizens’ juries will be undertaken—two in Queensland to address each key issue and one in Adelaide to repeat the bariatric surgery deliberations with a different sample. Jurors will be given a choice experiment before the jury, immediately following the jury and at approximately 1?month following the jury. Control groups for each jury will be given the choice experiment at the same time points to test for convergence. Samples of healthcare decision-makers will be given the choice experiment as will two large samples of the population. Jury and control group participants will be recruited from the Queensland electoral roll and newspaper advertisements in Adelaide. Population samples will be recruited from a large research panel. Jury processes will be analysed qualitatively and choice experiments will be analysed using multinomial logit models and its more generalised forms. Comparisons between preferences across jurors predeliberation and postdeliberation, control participants, healthcare decision-makers and the general public will be undertaken for each key issue. Ethics and dissemination The study is approved by Griffith University Human Research Ethics Committee (MED/10/12/HREC). Findings of the juries and the choice experiments will be reported at a workshop of stakeholders to be held in 2015, in reports and in peer reviewed journals. PMID:24793259

Scuffham, Paul A; Ratcliffe, Julie; Kendall, Elizabeth; Burton, Paul; Wilson, Andrew; Chalkidou, Kalipso; Littlejohns, Peter; Whitty, Jennifer A

2014-01-01

483

Child Writers in Children's Literature.  

ERIC Educational Resources Information Center

Examines the way the writing activities of child writers are portrayed in novels by Louisa May Alcott, Carol Ryrie Brink, Eleanor Cameron, and Maud Hart Lovelace; notes that these characters establish excellent models for child writers. (ET)

Smith, Louisa A.

1980-01-01

484

Preventing Child Abuse and Neglect  

MedlinePLUS

... Training Workforce Systemwide Systemwide Home Assessment Courts Cultural Competence Domestic Violence Immigration and Child Welfare Laws & Policies ... System reform Training Workforce Systemwide Assessment Courts Cultural competence Domestic violence Immigration and Child Welfare Laws & policies ...

485

Communication in Healthcare: Opportunities for information technology and concerns for patient safety.  

E-print Network

??abstractUnderstanding healthcare workflow is fundamental for design and implementation of information systems. Communication and information exchange between healthcare professionals plays a pivotal role in developing… (more)

H. Pirnejad (Habibollah)

2008-01-01

486

Prevention of Child Physical Abuse  

Microsoft Academic Search

\\u000a In the US over 900,000 children are victims of child maltreatment each year, resulting in physical and non-physical injuries,\\u000a which can be both acute and long lasting. In over 80% of these cases, the perpetrator is one or both of the child’s parents.\\u000a Theories on the etiology of child abuse have evolved significantly over the past three decades. The causes

Christopher S. Greeley

487

Introduction: Child Abuse and Neglect  

Microsoft Academic Search

\\u000a \\u000a Child abuse and neglect, child maltreatment, and child victimization are interchangeable terms that refer to a major public health problem confronting children and families. Abuse manifests\\u000a when the child or adolescent’s caregiver fails to provide for the youth’s health and well-being either by causing an injury\\u000a or, as in neglect, by not meeting a basic need. Because of the multifaceted

Angelo P. Giardino; Michelle A. Lyn; Eileen R. Giardino

488

Shaping healthcare-seeking processes during fatal illness in resource-poor settings. A study in Lao PDR  

PubMed Central

Background There are profound social meanings attached to bearing children that affect the experience of losing a child, which is akin to the loss of a mother in the household. The objective of this study is to comprehend the broader processes that shape household healthcare-seeking during fatal illness episodes or reproductive health emergencies in resource-poor communities. Methods The study was conducted in six purposively selected poor, rural communities in Lao PDR, located in two districts that represent communities with different access to health facilities and contain diverse ethnic groups. Households having experienced fatal cases were first identified in focus group discussions with community members, which lead to the identification of 26 deaths in eleven households through caregiver and spouse interviews. The interviews used an open-ended anthropological approach and followed a three-delay framework. Interpretive description was used in the data analysis. Results The healthcare-seeking behavior reported by caregivers revealed a broad range of providers, reflecting the mix of public, private, informal and traditional health services in Lao PDR. Most caregivers had experienced multiple constraints in healthcare-seeking prior to death. Decisions regarding care-seeking were characterized as social rather than individual actions. They were constrained by medical costs, low expectations of recovery and worries about normative expectations from healthcare workers on how patients and caregivers should behave at health facilities to qualify for treatment. Caregivers raised the difficulties in determining the severity of the state of the child/mother. Delays in reaching care related to lack of physical access and to risks associated with taking a sick family member out of the local community. Delays in receiving care were affected by the perceived low quality of care provided at the health facilities. Conclusions Care-seeking is influenced by family- and community-based relations, which are integrated parts of people’s everyday life. The medical and normative responses from health providers affect the behavior of care-seekers. An anthropological approach to capture the experience of caregivers in relation to deciding, seeking and reaching care reveals the complexity and socio-cultural context surrounding maternal and child mortality and has implications for how future mortality data should be developed and interpreted. PMID:23259434

2012-01-01

489

The "Discovery" of Child Abuse  

ERIC Educational Resources Information Center

Surveys the history of social reaction to child abuse, discusses the cultural values promoting the protection of children, points out how much pediatric radiology benefited from its "discovery" of "the battered child syndrome" in the early sixties, and concludes that the labeling of child abusers as "sick" has shielded them from criminal…

Pfohl, Stephen J.

1977-01-01

490

Child Development and Behavior Branch  

E-print Network

Child Development and Behavior Branch NICHD Report to the NACHHD Council September 2004 U.S. Department of Health and Human Services National Institutes of Health National Institute of Child Health........................................................................................ 3 SOCIAL AND AFFECTIVE PROCESSES IN CHILD AND FAMILY DEVELOPMENT PROGRAM.............. 3 Program

Rau, Don C.

491

Child Care Health Connections, 2002.  

ERIC Educational Resources Information Center

This document is comprised of the six 2002 issues of a bimonthly newsletter on children's health for California's child care professionals. The newsletter provides information on current and emerging health and safety issues relevant to child care providers and links the health, safety, and child care communities. Regular features include columns…

Guralnick, Eva, Ed.; Zamani, Rahman, Ed.; Evinger, Sara, Ed.; Dailey, Lyn, Ed.; Sherman, Marsha, Ed.; Oku, Cheryl, Ed.; Kunitz, Judith, Ed.

2002-01-01

492

Parent-Child Interaction Therapy  

Microsoft Academic Search

This paper describes Parent-Child Interaction Therapy, a behavioral family therapy approach for the psychological treatment of preschool children and their parents. This approach emphasizes the integration of traditional child play therapy techniques within a behavioral framework of parent-child therapy. Implications for the treatment of a broad range of childhood problems are discussed.

Sheila Eyberg

1988-01-01

493

Child Care and the Economy  

ERIC Educational Resources Information Center

Unemployment has topped 7% nationally and economists predict it will approach 10% by 2010. Child care programs experience a trickle-down effect: when businesses cut back hours or lay people off, parents cut back child care hours or pull children from programs. "We're seeing more and more families lose their child care assistance and have nowhere…

Karolak, Eric

2009-01-01

494

Parents as child care consumers  

Microsoft Academic Search

The child care related values and quality assessments of parents as child care consumers were examined. Seven hundred and twenty-seven parents of infants\\/ toddlers and 2,407 parents of preschoolers responded to questionnaires, providing both importance and quality ratings for aspects of child care. Quality ratings for these same aspects of care were completed by trained data collectors. Parents gave high

Debby Cryer; Margaret Burchinal

1997-01-01

495

The Child Care Labor Market  

Microsoft Academic Search

This study provides the first systematic analysis of the labor market behavior and characteristics of child care workers in the United States. A nationally representative sample of over 4,000 child care workers from the 1977-87 March Current Population Surveys is used to provide an analysis of the characteristics of child care workers and to estimate a model of wages. The

David M. Blau

1992-01-01

496

The Economics of Child Labor  

Microsoft Academic Search

If child labor as a mass phenomenon occurs not because of parental selfishness but because of the parents' concern for the household's survival, the popular argument for banning child labor loses much of its force. However, this assumption about parental decision making, coupled with the assumption of substitutability in production between child and adult labor, could result in multiple equilibria

Kaushik Basu; Pham Hoang Van

1998-01-01

497

Whats Inside: Child Labor Laws  

E-print Network

Whats Inside: Child Labor Laws Annual Performance Review BDS Reminders All International Part- Time are under the age of eighteen (18). The Oklahoma Department of Labor has specific child labor laws work up to eight hours a day, 40 hours in any one week, and only between the hours of CHILD LABOR LAWS

Veiga, Pedro Manuel Barbosa

498

Whats Inside: Child Labor Laws  

E-print Network

Whats Inside: · Child Labor Laws · Computer Training Update · Annual Performance Review · Meet the age of eighteen (18). The Oklahoma Department of Labor has specific child labor laws that apply. Below) 744-5373. CHILD LABOR LAWS ANNUAL PERFORMANCE REVIEW Policy and Procedures 3-0741, Performance

Veiga, Pedro Manuel Barbosa

499

What's Inside: Child Labor Laws  

E-print Network

What's Inside: · Child Labor Laws · Attachments to Online Job Announcements · Hiring Officials child labor laws that apply. Below is a brief overview. 14 and 15 year olds: Departments must keep-year age groupmayworkatanytimeforunlimitedhoursinany non-hazardousposition. CHILD LABOR LAWS

Veiga, Pedro Manuel Barbosa

500

Child Care as Welfare Prevention.  

ERIC Educational Resources Information Center

Part of a series from the Child Care Law Center, this issue of "Working for Change" discusses the need for quality, affordable child care as a support for working parents trying to break out of welfare dependency. This report details the current realities of poor parents who struggle to find and pay for child care while they work and those who…

Working for Change, 1995

1995-01-01