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1

Effectiveness of a parenting programme in a public health setting: a randomised controlled trial of the positive parenting programme (Triple P) level 3 versus care as usual provided by the preventive child healthcare (PCH)  

PubMed Central

Background Considering the high burden of disease of psychosocial problems in children and adolescents, early intervention regarding problem behaviour of young children is very important. The Preventive Child Healthcare (PCH) offers a good setting to detect such problem behaviour and to provide parenting support to the parents concerned. This paper aims to describe the design of an effectiveness study of a parenting programme for parents of children with mild psychosocial problems after an initial, evidence based screening in routine PCH. Methods/Design The effects of the intervention will be studied in a randomised controlled trial. Prior to a routine PCH health examination, parents complete a screening questionnaire on psychosocial problems. Parents of children with increased but still subclinical levels of psychosocial problems will be assigned at random to the experimental group (Triple P, level 3) or to the control group (care as usual). Outcome measures, such as problem behaviour in the child and parenting behaviour, will be assessed before, directly after and 6 and 12 months after the intervention. Discussion Parenting support may be an effective intervention to reduce psychosocial problems in children but evidence-based parenting programmes that fit the needs of the PCH are not available as yet. Although the Triple P programme seems promising and suitable for a universal population approach, evidence on its effectiveness in routine PCH still lacks. Trial registration NTR1338

2010-01-01

2

Child Healthcare in Two Farmworker Populations  

Microsoft Academic Search

Children in farmworker families are medically underserved. Little research has documented the healthcare of these children.\\u000a This analysis uses data collected from two populations of Latino farmworker families, one located in western North Carolina\\u000a and western Virginia, and the other located in eastern North Carolina, to describe and compare child healthcare utilization\\u000a and mothers’ satisfaction with their children’s healthcare. Child,

Kimberly Gentry; Sara A. Quandt; Stephen W. Davis; Joseph G. Grzywacz; Ann E. Hiott; Thomas A. Arcury

2007-01-01

3

Demand for child healthcare in Nigeria.  

PubMed

Nigeria with an estimated $350 per capital annually still ranks near the bottom 158 out of 177 countries in the UN Human Capital Development Index in terms of per capita income, with more than half of the population living in poverty. Over the past decade U5MR is estimated to be 201 deaths/1000 lives births,the high rates of child mortality especially the 0-5 years shows the total breakdown of social and economic well-being of the country .This paper examined child health care demand in Nigeria using the Nested Multinomial Logit Model estimation technique.The study used parents' education as a proxy for child education,while the decision to make a choice of the health facilities was also assumed to be that of the House-Hold head. The study found out that female child has a higher probability of seeking health care facility ahead of their male counterpart. Also, the household head educational level was found to be a determinant of health care seeking behavior of the child. Empirical evidence also revealed that that the probability of seeking healthcare increases with household size and that demand for child health care in Nigeria is non linear in nature.Based on this, the paper recommends the need to show greater commitment to child health care and that government should reduce the problems militating against effective performance of the health sector such as, inefficiency, wasteful use of resources, low quality of service and poor enabling environment. PMID:23121749

Olaniyan, Olanrewaju; Sunkanmi, Odubunmi Ayoola

2012-09-19

4

Research Trends in Mother–Child Healthcare, 1966–1995  

Microsoft Academic Search

Objective: To explore trends in mother–child healthcare (MCHC) research over the past 30 years. Methods: Classifications of Medline articles were made at 5-year intervals using Medical Subject Headings (MeSH) as classifiers. Papers were classified in mutually and non-mutually exclusive categories by subject (mother and four age groups of children) and type of research (clinical, basic, epidemiologic, and unclassified) and its

Alvar Loria; Pedro Arroyo

2000-01-01

5

Applying Motivational Interviewing (MI) in Counselling Obese and Overweight Children and Parents in Swedish Child Healthcare  

ERIC Educational Resources Information Center

|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 Ostergotland, Sweden.…

Soderlund, Lena L.; Malmsten, Janna; Bendtsen, Preben; Nilsen, Per

2010-01-01

6

Child injury surveillance that guides interventions: the Beijing primary healthcare experience  

Microsoft Academic Search

ObjectivesTo provide feedback to guide injury prevention interventions and to test the feasibility of integrating injury surveillance into the existing primary healthcare service for children under 6 years of age.DesignThis surveillance system was integrated into existing primary healthcare services at the community primary healthcare centre (PHC) and community kindergartens. Parents reported injury incidents during their child's routine health services at

Huan Linnan; Jianhua Duan; Xinxin Chen; Shujuan Yan

2010-01-01

7

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

8

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

9

Healthcare  

MedlinePLUS

... Other Hazards Standards/Enforcement Related Industries: Dentistry Home Healthcare Laboratories Nursing Homes and Personal Care What is healthcare? Healthcare is involved, directly or indirectly, with the ...

10

What Do I Do Now? Seeking Healthcare and Therapeutic Services for Your Child with Special Needs  

ERIC Educational Resources Information Center

Nationwide, more than 13.5 million children have special healthcare needs and with increases in the prevalence and diagnosis of development disabilities, this number can be expected to increase in the coming years. For any child with special needs, it is very important that they have a medical home from which all services can be coordinated. The…

Peters, Sarika U.; Chu, Hillary

2010-01-01

11

What Do I Do Now? Seeking Healthcare and Therapeutic Services for Your Child with Special Needs  

ERIC Educational Resources Information Center

|Nationwide, more than 13.5 million children have special healthcare needs and with increases in the prevalence and diagnosis of development disabilities, this number can be expected to increase in the coming years. For any child with special needs, it is very important that they have a medical home from which all services can be coordinated. The…

Peters, Sarika U.; Chu, Hillary

2010-01-01

12

Joint working relationships: children, parents and child healthcare nurses at work.  

PubMed

In child healthcare children's development is examined and assessed. The main aim of this article is to explore the different ways in which a child health nurse establishes joint working relationships with children and parents. Few studies in child healthcare include nonverbal interaction. It was found that a child often responds to the actions of the nurse and the parent by physical and bodily actions and by the direction of his/her gaze. The nurse has to be able to shift between several different interactional modes using various nonverbal communicative means. She uses her body to shift positions together with shifts in gaze in order to establish an interactional focus and a relationship with the child. The nurse also uses different artifacts in the room as well as the child's spontaneous activities during the assessment of the child's development. In addition, she uses the parents' relationships with their children in order to gain their support and to encourage their children in performing tasks. An important methodological consequence of this study is that it is necessary to use video-recorded data when interactions of this kind are analyzed. PMID:16808690

Hydén, Lars-Christer; Baggens, Christina

2004-01-01

13

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.

Lindley, K; Glaser, D; Milla, P

2005-01-01

14

Do women with higher autonomy seek more maternal and child health-care? Evidence from Ethiopia and Eritrea  

Microsoft Academic Search

Current research and policy on maternal and child health-care in Eritrea and Ethiopia focus primarily on female education and employment, while little attention is placed on women’s decision-making autonomy. However, the role of women’s decision-making in reproductive health cannot be overemphasized. In this paper, different dimensions of women’s decision-making autonomy and their relationship to maternal and child health-care utilization are

Gebremariam Woldemicael

2007-01-01

15

Application of smart phone in "Better Border Healthcare Program": A module for mother and child care  

PubMed Central

Background To assess the application of cell phone integrating into the healthcare system to improve antenatal care (ANC) and expanded programme on immunization (EPI) services for the under-served population in border area. Methods A module combining web-based and mobile technology was developed to generate ANC/EPI visit schedule dates in which the healthcare personnel can cross-check, identify and update the mother's ANC and child's EPI status at the healthcare facility or at the household location when performing home visit; with additional feature of sending appointment reminder directly to the scheduled mother in the community. Results The module improved ANC/EPI coverage in the study area along the country border including for both Thai and non-Thai mothers and children who were either permanent resident or migrants; numbers of ANC and EPI visit on-time as per schedule significantly increased; there was less delay of antenatal visits and immunizations. Conclusions The module integrated and functioned successfully as part of the healthcare system; it is proved for its feasibility and the extent to which community healthcare personnel in the low resource setting could efficiently utilize it to perform their duties.

2010-01-01

16

Healthcare  

ERIC Educational Resources Information Center

|This report, provides detailed analyses and projections of occupations in healthcare fields, and wages earned. In addition, the important skills and work values associated with workers in those fields of healthcare are discussed. Finally, the authors analyze the implications of research findings for the racial, ethnic, and class diversity of the…

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

2012-01-01

17

Predictors of Children???s Healthcare Use: The Value of Child versus Parental Perspectives on Healthcare Needs  

Microsoft Academic Search

Objective: The objective of this study was to examine the relation- ship between healthcare use and children's healthcare needs as assessed from the perspectives of children themselves, parents, and healthcare practitioners. Research Design: We conducted a prospective cohort study in which service use was monitored for the 12 months before and after administration of a health survey. Subjects: We studied

Christopher B. Forrest; Anne W. Riley; Patrick M. Vivier; Nancy P. Gordon; Barbara Starfield

2004-01-01

18

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

19

The maternal and child healthcare needs of new immigrants in Taipei.  

PubMed

The primary aim of this study was to evaluate the maternal and child healthcare needs of new immigrants in Taiwan. Results will be used to reflect upon the services which the government is currently providing, and to determine if further investigation may be required to establish whether or not the health care quality currently provided by public health nurses succeeds in meeting the needs of new immigrants. Face-to-face interviews were undertaken by public health nurses on 1,068 women from Mainland China, and a further 1,068 women from other Southeast Asian countries, all of whom were randomly selected from the 12 administrative districts of Taipei. Information on the healthcare information needs of mothers and children (10 items), psychological distress variables, health status and socio-demographic variables of both the new immigrants and their Taiwanese spouses were collected via a structured questionnaire, of which a total of 1,829 completed copies were returned. Chi-square tests were performed to examine differences in both healthcare needs and psychological distress levels amongst different new immigrant ethnic groups. Logistic regressions were subsequently performed with the adjusted odds ratios (ORs) then being calculated to examine the differential effects of the healthcare needs of the different ethnic groups of new immigrants. The needs of the Vietnamese immigrants were found to be significantly different from those of the Mainland Chinese immigrants in all items, with the former needing Chinese communication assistance particularly at those times when they received medical treatment (p < .001) and assistance from local health centers (p < .001). Amongst the group of new Indonesian immigrants, the need for Chinese communication assistance when receiving medical treatment (p < .001) was the only item significantly different from the group of Mainland Chinese immigrants. Cultural competence in public health nursing education should not be deemphasized in Taiwan. Within the public sector, there is a clear need to create and implement partnerships between the public and private sectors on the overall issue of new immigrants within the community. Results strongly suggest that public health nurses should be aware of how to meet the healthcare needs of different new immigrant ethnic groups in order to help them integrate into Taipei society. PMID:19061177

Chen, Mei-Ju; Tang, Chao-Hsiun; Jeng, Huey-Mei; Chiu, Allen Wen-Hsiang

2008-12-01

20

The health-care environment through the eyes of a child--does it soothe or provoke anxiety?  

PubMed

Health-care environments can be intimidating and scary places especially in the eyes of a child. When attempting to create spaces that are engaging to children, how do we know what works and are the needs the same across the age groups? In a 2011 comprehensive systematic review, a total of 20 studies were reviewed to answer the question: Can the health-care environment have an impact on children's anxiety? The results of the review showed that the built environment can support and enhance the coping strategies utilized by children, however further research is needed. The aim of this article is to summarize the findings of the review highlighting simple design strategies of minimal cost to large construction projects warranting extensive resources. Careful evaluation of space incorporating end-user input can result in age appropriate environments that support safe, quality care and enhance a positive health-care experience for all. PMID:22257325

Norton-Westwood, Deborah

2012-02-01

21

A Brief Educational Intervention to Improve Healthcare Providers' Awareness of Child Passenger Safety  

PubMed Central

Introduction. Motor vehicle crashes are the leading cause of death among US children aged 4–14 years. In theory, health provider counseling about Child Passenger Safety (CPS) could be a useful deterrent. The data about the effectiveness of CPS dissemination is sparse, but existing results suggest that providers are not well informed. Moreover, there is insufficient evidence to determine whether provider counseling about CPS is effective. Methods. We therefore assessed CPS best practice knowledge among 217 healthcare workers at hospitals in seven cities throughout the USA and evaluated the impact of a brief, lunch and learn educational intervention with a five-item questionnaire. Attendees were comprised of physicians, nurses, social workers, pediatric residents, and pediatric trauma response teams. Results. Pre-post survey completion was nearly 100% (216 of 217 attendees). Participation was fairly evenly distributed according to age (18–29, 30–44, and 45+ years). More than 80% of attendees were women. Before intervention, only 4% of respondents (9/216) answered all five questions correctly; this rose to 77% (167/216) (P < 0.001, using a Wilcoxon signed-rank test) after intervention. Conclusion. Future research should consider implementation and controlled testing of comparable educational programs to determine if they improve dissemination of CPS best practice recommendations in the long term.

Ekundayo, O. James; Jones, Gennifer; Brown, Angela; Aliyu, Muktar; Levine, Robert; Goldzweig, Irwin

2013-01-01

22

The development of PCR-based markers for the selection of eyespot resistance genes Pch1 and Pch2  

Microsoft Academic Search

Two eyespot resistance genes (Pch1 and Pch2) have been characterised in wheat. The potent resistance gene Pch1, transferred from Aegilops ventricosa, is located on the distal end of the long arm of chromosome 7D (7DL). Pch2 derives from the variety Cappelle Desprez and is located at the distal end of chromosome 7AL. The RFLP marker Xpsr121 and the endopeptidase isozyme

N. H. Chapman; C. Burt; H. Dong; P. Nicholson

2008-01-01

23

Development of an alternative five-point restraint harness to accommodate children with special healthcare needs in child safety seats.  

PubMed

Commercial automotive child restraint systems (CRSs) do not accommodate all children with special healthcare needs. This study developed an alternative harness for a commercial CRS to meet the needs of children for whom a five-point harness cannot be positioned over medically involved areas and/or children whose conditions require the harness belts to be threaded through medical devices. After initial design work and a series of frontal sled-impact tests, one of two prototype designs was chosen for fit testing on children with and without healthcare conditions. After a minor modification, additional sled-impact testing was conducted to determine compliance of the system to federal standards. The CRS with alternate harness provides good fit to children with a variety of healthcare needs and complies with all performance criteria of FMVSS 213, with the exception of peak forward head excursion using the Hybrid III 6-year-old crash-test dummy. It is expected that all performance criteria will be met using the newly-issued federal allowance to conduct CRS frontal-impact tests using an earlier version of the dummy. The new harness shows promise as a low-cost solution for achieving a safer level of transportation for children who may otherwise travel unrestrained or with a severely misused CRS harness. PMID:22430625

Brinkey, Lori; Manary, Miriam; Santioni, Daniel

2011-01-01

24

Pch2 Links Chromatin Silencing to Meiotic Checkpoint Control  

Microsoft Academic Search

The PCH2 gene of Saccharomyces cerevisiae is required for the meiotic checkpoint that prevents chromosome segregation when recombination and chromosome synapsis are defective. Mutation of PCH2 relieves the checkpoint-induced pachytene arrest of the zip1, zip2, and dmc1 mutants, resulting in chromosome missegregation and low spore viability. Most of the Pch2 protein localizes to the nucleolus, where it represses meiotic interhomolog

Pedro A. San-Segundo; G. Shirleen Roeder

1999-01-01

25

Healthcare provider-child-parent communication in the preoperative surgical setting  

PubMed Central

Summary Objectives: Although preoperative preparation programs were once common, most children currently undergoing outpatient surgery are first exposed to the hospital on the day of the procedure. It is advocated that these outpatient children undergo the preparation just prior to surgery. Aim: To assess the amount of time that healthcare providers spend with children and families on the day of surgery in the preoperative area. Materials and Methods: The study used video infrastructure in the preoperative holding area of Yale New Haven Children's Hospital to record all interactions between children, families, and healthcare providers. Videotapes were coded to characterize and quantify behaviors of healthcare professionals. Results: On the day of surgery, healthcare providers spent medians of 2.75–4.81 min interacting with children and parents in the preoperative area. Families spent a median of 46.5 min in the preoperative area. Healthcare professionals spent the most time in medical talk (averages of 42.5–48.2% of time spent with family) and little time was spent in nonmedical talk (range of 6.2–6.9% of time spent with family). Anesthesiologists and surgeons spent 28% and 18% of the interview in talk to children; admitting nurses spent more of the interview talking to children (43%). Conclusions: Families interact with healthcare providers for only a small proportion of the time they spent in the preoperative area. This is likely to be a result of increased production pressure in the perioperative settings and has implications for providing preparation for surgery on the morning of the procedure.

KAIN, ZEEV N.; MACLAREN, JILL E.; HAMMELL, CARRIE; NOVOA, CRISTINA; FORTIER, MICHELLE A.; HUSZTI, HEATHER; MAYES, LINDA

2009-01-01

26

Abdominal adiposity and caregiver recall of healthcare provider identification of child overweight in the United States, 2001-2010.  

PubMed

Abstract Background: A minority of overweight or obese children are identified as such by a healthcare provider (HCP). The aim of this study was to examine characteristics of caregiver-reported HCP identification of overweight or obesity and whether it is associated with children's waist circumference (WC). Methods: This was an observational study using a nationally representative sample of 14,694 children (2-15 years of age) from the 2001-2010 National Health and Nutrition Examination Survey. Proxy respondents (i.e., caregivers) for 4906 overweight or obese (BMI?85th percentile) children reported whether an HCP had ever told them that their child was overweight. Multi-variable logistic regression analyses were used to examine associations between reported HCP identification of overweight and child sociodemographic and anthropometric characteristics. Results: Over 75% of caregivers of overweight or obese children did not recall being notified of their child's weight status by an HCP, though this proportion has decreased over the past decade. A significant WC by weight status interaction indicated abdominal adiposity was positively associated with reported HCP identification for obese children, but not for overweight children. Conclusions: Lower levels of reported HCP identification were observed for overweight children, compared to obese children; among obese children, those with lower levels of abdominal adiposity were less likely to be identified as overweight by an HCP, according to caregivers. Reasons for this finding remain unclear. Providers may be relying on a child's appearance, rather than universally screening all patients for overweight. Additionally, a variety of parent and provider characteristics may influence weight-related communications and caregiver recall of such information. PMID:24028562

Rossen, Lauren M; Tarasenko, Yelena N; Branum, Amy M; Simon, Alan E; Schoendorf, Kenneth C

2013-09-12

27

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

2011-06-06

28

Production of Reactive Oxygen Species by Polyhalogenated Cyclic Hydrocarbons (PCH).  

National Technical Information Service (NTIS)

The results of this research strongly support the hypothesis that polyhalogenated cyclic hydrocarbons (PCH) induce production of reactive oxygen species which may contribute to many of the toxic manifestations associated with these xenobiotics. A non-inva...

S. J. Stohs

1992-01-01

29

Case report on a child with paroxysmal cold haemoglobinuria.  

PubMed

PCH is one of the most common causes of acute AIHA in young children, although it affects patients of all ages. In children it is commonly seen following a viral illness or after immunization. Donath Landsteiner test is the diagnostic test. This is a case report of a child who presented with features of haemolysis and was diagnosed as PCH. PMID:23730019

Gunawardena, Dammika; Velu, Manodharshini; Senaviratne, Sumudu Nimale

2011-07-31

30

Essential PchG-dependent reduction in pyochelin biosynthesis of Pseudomonas aeruginosa.  

PubMed

The biosynthetic genes pchDCBA and pchEF, which are known to be required for the formation of the siderophore pyochelin and its precursors salicylate and dihydroaeruginoate (Dha), are clustered with the pchR regulatory gene on the chromosome of Pseudomonas aeruginosa. The 4.6-kb region located downstream of the pchEF genes was found to contain three additional, contiguous genes, pchG, pchH, and pchI, probably forming a pchEFGHI operon. The deduced amino acid sequences of PchH and PchI are similar to those of ATP binding cassette transport proteins with an export function. PchG is a homolog of the Yersinia pestis and Y. enterocolitica proteins YbtU and Irp3, which are involved in the biosynthesis of yersiniabactin. A null mutation in pchG abolished pyochelin formation, whereas mutations in pchH and pchI did not affect the amounts of salicylate, Dha, and pyochelin produced. The pyochelin biosynthetic genes were expressed from a vector promoter, uncoupling them from Fur-mediated repression by iron and PchR-dependent induction by pyochelin. In a P. aeruginosa mutant lacking the entire pyochelin biosynthetic gene cluster, the expressed pchDCBA and pchEFG genes were sufficient for salicylate, Dha, and pyochelin production. Pyochelin formation was also obtained in the heterologous host Escherichia coli expressing pchDCBA and pchEFG together with the E. coli entD gene, which provides a phosphopantetheinyl transferase necessary for PchE and PchF activation. The PchG protein was purified and used in combination with PchD and phosphopantetheinylated PchE and PchF in vitro to produce pyochelin from salicylate, L-cysteine, ATP, NADPH, and S-adenosylmethionine. Based on this assay, a reductase function was attributed to PchG. In summary, this study completes the identification of the biosynthetic genes required for pyochelin formation from chorismate in P. aeruginosa. PMID:11208777

Reimmann, C; Patel, H M; Serino, L; Barone, M; Walsh, C T; Haas, D

2001-02-01

31

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.

2012-01-01

32

[The evolution of maternal and child healthcare and birth weight in the State of Pernambuco in 1997 and 2006].  

PubMed

The scope of this paper was to assess the evolution and influence of maternal and child care on birth weight variation in the state of Pernambuco. The study used data from two cross-sectional population-based household surveys conducted with under-five children in the state of Pernambuco in 1997 (n = 1906) and 2006 (n = 1555). The sample was calculated to ensure the representativeness of two geo-economic strata: urban and rural areas. The variables studied were prenatal, delivery care and birth weight. The x(2) test was used to compare the categorical variables and mean difference in birth weight was calculated between the years studied with the respective 95% confidence interval. A marked improvement was seen in prenatal care and an increase in the frequency of caesarean section. In the rural area there was a significant 112 g decrease in mean birth weight. In 2006, access to at least one prenatal care appointment occurred irrespective of maternal schooling, however, in 1997 and 2006 access to adequate prenatal care was higher among mothers with better schooling. In spite of the improvement in prenatal and delivery care, poor access, excess of medical interventions and the increase in newborn survival may be influencing the variations in mean birth weight in the State of Pernambuco. PMID:23099761

Noronha, Gisele Almeida de; Lima, Marília de Carvalho; Lira, Pedro Israel Cabral de; Veras, Ana Amélia Corrêa de Araújo; Gonçalves, Fabiana Cristina Lima da Silva Pastich; Batista Filho, Malaquias

2012-10-01

33

Fathers' Involvement in their Children's Healthcare  

Microsoft Academic Search

Fathers' involvement in the routine healthcare of young children was investigated, and fathers' relative participation in two tasks, staying home with a sick child and taking the child to the doctor or dentist, was assessed. The relationships between fathers' involvement in healthcare and several other measures, including mothers' employment status, fathers' attitudes toward women's rights and roles, the amount of

William T. Bailey

1991-01-01

34

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

PubMed

The siderophore pyochelin of Pseudomonas aeruginosa is derived from one molecule of salicylate and two molecules of cysteine. Two cotranscribed genes, pchEF, 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 Dha. The deduced PchE (156 kDa) and PchF (197 kDa) proteins had adenylation, thiolation and condensation/cyclization motifs arranged as modules which are typical of those peptide synthetases forming thiazoline rings. The pchEF genes were coregulated with the pchDCBA operon, which provides enzymes for the synthesis (PchBA) and activation (PchD) of salicylate as well as a putative thioesterase (PchC). Expression of a translational pchE'-'lacZ fusion was strictly dependent on the PchR regulator and was induced by extracellular pyochelin, the end product of the pathway. Iron replete conditions led to Fur (ferric uptake regulator)-dependent repression of the pchE'-'lacZ fusion. A translational pchD'-'lacZ fusion was also positively regulated by PchR and pyochelin and repressed by Fur and iron. Thus, autoinduction by pyochelin (or ferric pyochelin) and repression by iron ensure a sensitive control of the pyochelin pathway in P. aeruginosa. PMID:9846750

Reimmann, C; Serino, L; Beyeler, M; Haas, D

1998-11-01

35

Pch2 Links Chromosome Axis Remodeling at Future Crossover Sites and Crossover Distribution during Yeast Meiosis  

PubMed Central

Segregation of homologous chromosomes during meiosis I depends on appropriately positioned crossovers/chiasmata. Crossover assurance ensures at least one crossover per homolog pair, while interference reduces double crossovers. Here, we have investigated the interplay between chromosome axis morphogenesis and non-random crossover placement. We demonstrate that chromosome axes are structurally modified at future crossover sites as indicated by correspondence between crossover designation marker Zip3 and domains enriched for axis ensemble Hop1/Red1. This association is first detected at the zygotene stage, persists until double Holliday junction resolution, and is controlled by the conserved AAA+ ATPase Pch2. Pch2 further mediates crossover interference, although it is dispensable for crossover formation at normal levels. Thus, interference appears to be superimposed on underlying mechanisms of crossover formation. When recombination-initiating DSBs are reduced, Pch2 is also required for viable spore formation, consistent with further functions in chiasma formation. pch2? mutant defects in crossover interference and spore viability at reduced DSB levels are oppositely modulated by temperature, suggesting contributions of two separable pathways to crossover control. Roles of Pch2 in controlling both chromosome axis morphogenesis and crossover placement suggest linkage between these processes. Pch2 is proposed to reorganize chromosome axes into a tiling array of long-range crossover control modules, resulting in chiasma formation at minimum levels and with maximum spacing.

Jamison, Christine; Borner, G. Valentin

2009-01-01

36

The pch2? Mutation in Baker's Yeast Alters Meiotic Crossover Levels and Confers a Defect in Crossover Interference  

PubMed Central

Pch2 is a widely conserved protein that is required in baker's yeast for the organization of meiotic chromosome axes into specific domains. We provide four lines of evidence suggesting that it regulates the formation and distribution of crossover events required to promote chromosome segregation at Meiosis I. First, pch2? mutants display wild-type crossover levels on a small (III) chromosome, but increased levels on larger (VII, VIII, XV) chromosomes. Second, pch2? mutants show defects in crossover interference. Third, crossovers observed in pch2? require both Msh4-Msh5 and Mms4-Mus81 functions. Lastly, the pch2? mutation decreases spore viability and disrupts crossover interference in spo11 hypomorph strains that have reduced levels of meiosis-induced double-strand breaks. Based on these and previous observations, we propose a model in which Pch2 functions at an early step in crossover control to ensure that every homolog pair receives an obligate crossover.

Zanders, Sarah; Alani, Eric

2009-01-01

37

Pervasive Healthcare  

Microsoft Academic Search

The US healthcare industry is confronting a number of challenges, including skyrocketing costs, a growing incidence of medical errors, inadequate staffing, and lack of coverage in rural and underserved urban areas. Healthcare workers are under increasing pressure to provide better services to more people using limited financial and human resources. One proposed solution to the current crisis is pervasive healthcare.

Upkar Varshney

2003-01-01

38

Biosynthesis of pyochelin and dihydroaeruginoic acid requires the iron-regulated pchDCBA operon in Pseudomonas aeruginosa.  

PubMed

The high-affinity siderophore salicylate is an intermediate in the biosynthetic pathway of pyochelin, another siderophore and chelator of transition metal ions, in Pseudomonas aeruginosa. The 2.5-kb region upstream of the salicylate biosynthetic genes pchBA was sequenced and found to contain two additional, contiguous genes, pchD and pchC, having the same orientation. The deduced amino acid sequence of the 60-kDa PchD protein was similar to those of the EntE protein (2,3-dihydroxybenzoate-AMP ligase) of Escherichia coli and other adenylate-forming enzymes, suggesting that salicylate might be adenylated at the carboxyl group by PchD. The 28-kDa PchC protein showed similarities to thioesterases of prokaryotic and eukaryotic origin and might participate in the release of the product(s) formed from activated salicylate. One potential product, dihydroaeruginoate (Dha), was identified in culture supernatants of iron-limited P. aeruginosa cells. The antifungal antibiotic Dha is thought to arise from the reaction of salicylate with cysteine, followed by cyclization of cysteine. Inactivation of the chromosomal pchD gene by insertion of the transcription and translation stop element omega Sm/Sp abolished the production of Dha and pyochelin, implying that PchD-mediated activation of salicylate may be a common first step in the synthesis of both metabolites. Furthermore, the pchD::omega Sm/Sp mutation had a strong polar effect on the expression of the pchBA genes, i.e., on salicylate synthesis, indicating that the pchDCBA genes constitute a transcriptional unit. A full-length pchDCBA transcript of ca. 4.4 kb could be detected in iron-deprived, growing cells of P. aeruginosa. Transcription of pchD started at tandemly arranged promoters, which overlapped with two Fur boxes (binding sites for the ferric uptake regulator) and the promoter of the divergently transcribed pchR gene encoding an activator of pyochelin biosynthesis. This promoter arrangement allows tight iron-mediated repression of the pchDCBA operon. PMID:8982005

Serino, L; Reimmann, C; Visca, P; Beyeler, M; Chiesa, V D; Haas, D

1997-01-01

39

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

40

P-ch and N-ch IGBTs for push-pull circuit in driver ICs  

Microsoft Academic Search

P-ch and N-ch IGBTs (insulated-gate bipolar transistors) have been developed for high-side and low-side switches, respectively, in a push-pull circuit. These devices are of a collector-short type in order to utilize their parasitic diodes. The P-ch IGBT has two P-buffers and a deep N-base to increase not only latch-up current, but also on-state avalanche breakdown voltage. The N-ch IGBT is

K. Tsuchiya

1991-01-01

41

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.

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

42

[Healthcare expenditure].  

PubMed

Healthcare expenditure is divided between medical infrastructure and individual patient management. Total healthcare costs in France amount to roughly 175 billion euros, financed through public health insurance (77%), private insurance (14%), and individual expenditure (9%). The principal expenditures are for hospitalization (44%), community medical, dental and paramedical care (28%), drugs (20%) and miscellaneous resources (8%). The main factors of rising costs are medical progress and aging. More controllable costs include healthcare provision, the level of reimbursement, public education and information, and physician training. France devotes 9.2% of its gross national product to healthcare, compared to 7-8% in Sweden, Germany and the United Kingdom, representing a diference of about 18 billion euros. In France there is a chronic imbalance between resources and expenditure, creating a cumulative budget deficit of about 100 billlion euros. Major efforts must be made to improve efficiency, and it will be necessary to choose between preserving our healthcare system or our financial system. If the latter is prioritized, healthcare will inevitably deteriorate. PMID:23815025

Huguier, Michel

2012-10-01

43

Results of Debris Avoidance Maneuvers and Forward Foil Broaches in Calm Water Performed by the Hydrofoil Ship PCH 1.  

National Technical Information Service (NTIS)

Calm water trials were conducted using the hydrofoil ship USS HIGH POINT (PCH 1) to determine the effect on foil system loads of both debris avoidance maneuvers and forward foil broaches with symmetric water reentry. Continuous video recordings were made ...

W. H. Buckley

1985-01-01

44

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

45

76 FR 71345 - Patient Safety Organizations: Voluntary Relinquishment From Child Health Patient Safety...  

Federal Register 2010, 2011, 2012, 2013

...Healthcare Research and Quality Patient Safety Organizations: Voluntary Relinquishment From Child Health Patient Safety Organization, Inc. AGENCY...relinquishment from Child Health Patient Safety Organization, Inc. of its...

2011-11-17

46

Cellular signalling of PCH-induced pigment aggregation in the crustacean Macrobrachium potiuna erythrophores  

Microsoft Academic Search

The cellular system responsible for the transduction of the pigment-concentrating hormone (PCH) signal was investigated in\\u000a erythrophores of the freshwater shrimp, Macrobrachium potiuna. Dose-response curves to the hormone were determined in the absence and in the presence of several drugs that affect sequential\\u000a steps of the Ca2+-dependent signalling pathway. Additionally, the ability of forskolin to induce pigment dispersion was evaluated.

Luiz Eduardo Maia Nery; Marcelo Alves da Silva; Lars Josefsson; Ana Maria Lauro Castrucci

1997-01-01

47

Odd-even effects and dipole-dipole correlations in the PCH homologous series  

NASA Astrophysics Data System (ADS)

Static electric permittivities of the homologous series of p-cyano-p'- alkylphenylcyclohexanes (PCH) have been measured as a function of temperature in isotropic and nematic phases. The mean square effective dipole moment components along the principal directions of a liquid crystal have been determined. The Kirkwood correlation factors g(i), obtained from Maier and Meier equations, exhibit the odd-even alteration within the studied series. The g-factors values have been interpreted in terms of an anti-parallel association.

Kedziora, Przemyslaw; Jadzyn, Jan

1993-10-01

48

FDA Drug Safety Podcast for Healthcare Professionals: Death ...  

Center for Drug Evaluation (CDER)

... Dispense benzonatate in child-resistant containers. ... FDA is committed to keeping healthcare professionals informed of the latest safety information. ... More results from www.fda.gov/drugs/drugsafety/drugsafetypodcasts

49

Medical Training in Child Maltreatment  

Microsoft Academic Search

Training of medical professionals about child maltreatment may provide useful insights into the means of incorporating violence detection and prevention into healthcare practice. Despite major progress since Caffey and Kempe identified child abuse as a medical issue, more needs to be done to ensure that proper recognition, diagnostic, and reporting strategies are used when faced with the possible abuse and

Robert M. Reece; Carole Jenny

2005-01-01

50

Aminophosphine ligands R(2)P(CH(2))(n)NH(2) and ruthenium hydrogenation catalysts RuCl(2)(R(2)P(CH(2))(n)NH(2))(2).  

PubMed

The aminophosphine ligands R(2)P(CH(2))(2)NH(2) and R(2)P(CH(2))(3)NH(2) (R = Ph, (i)Pr, (t)Bu) were isolated in good to excellent yields from the reaction of LiPR(2) with Cl(CH(2))(2)N(TMS)(2) and Cl(CH(2))(3)N(TMS)(2), respectively, followed by hydrolysis. This approach allows fine tuning of the ligands' stereoelectronic properties through the variation of the substituents on the phosphine. The aminophosphine ligands were used to prepare the ruthenium complexes RuCl(2)(R(2)P(CH(2))(2)NH(2))(2) and RuCl(2)(R(2)P(CH(2))(3)NH(2))(2) by reacting a 2:1 mixture of the respective ligand and [RuCl(2)(cod)](n) in an appropriate solvent. The resulting complexes were found to be excellent catalysts for the hydrogenation of ketones and imines. PMID:19789782

Jia, Wenli; Chen, Xuanhua; Guo, Rongwei; Sui-Seng, Christine; Amoroso, Dino; Lough, Alan J; Abdur-Rashid, Kamaluddin

2009-08-12

51

Child dental expenditures: 1996  

Microsoft Academic Search

Purpose: Because little has been reported about child dental expenditures, federal data were used to estimate dental care expenditures for U.S. children by age, sex, ethnic\\/ racial background, family income, parental education and parental employment. Methods: Parentally reported data on dental expenditures and sources of expenditures were extracted from the most recent available federal healthcare expenditures studies, the 1996 federal

Burton L. Edelstein; Richard J. Manski; John F. Moeller

52

Severe, fetal-onset form of olivopontocerebellar hypoplasia in three sibs: PCH type 5?  

PubMed

We present three siblings with a precise onset of fetal seizure-like activity who had severe olivopontocerebellar hypoplasia (OPCH) and degeneration. Autopsies at 20, 27, and 37 weeks gestation showed diffuse central nervous system volume loss that was most marked for the cerebellum and brain stem structures. Neuropathological abnormalities included dysplastic, C-shaped inferior olivary nuclei, absent or immature dentate nuclei, and cell paucity more marked for the cerebellar vermis than the hemispheres. Delayed development was seen in layer 2 of the cerebral cortex and in Purkinje cells of the cerebellum. Prenatal monitoring defined a developmental window of 16-18 weeks gestation when ultrasonic assessment of cerebellar width was used for prenatal diagnosis. We discuss our findings in the context of the differential diagnosis for infantile (O)PCH and propose a classification scheme for the pontocerebellar hypoplasias. These patients represent the earliest reported with OPCH and provide unique information regarding the developmental neuropathology of this condition. PMID:16470708

Patel, Millan S; Becker, Laurence E; Toi, Ants; Armstrong, Dawna L; Chitayat, David

2006-03-15

53

Pervasive and Trustworthy Healthcare  

Microsoft Academic Search

Healthcare is an information intensive industry. Pervasive computing, as the third wave of computing technology and when applied to healthcare systems, could potentially revolutionize next generation medical applications and significantly improve the quality of healthcare services. Healthcare information is very sensitive and security, privacy, and trust have been critical issues in health care and medical information systems. Due to the

Kai Wang; Yan Sui; Xukai Zou; Arjan Durresi; Shiaofen Fang

2008-01-01

54

Identification of a candidate gene for the wheat endopeptidase Ep-D1 locus and two other STS markers linked to the eyespot resistance gene Pch1  

Microsoft Academic Search

Wheat is prone to strawbreaker foot rot (eyespot), a fungal disease caused by Oculimacula yallundae and O. acuformis. The most effective source of genetic resistance is Pch1, a gene derived from Aegilops ventricosa. The endopeptidase isozyme marker allele Ep-D1b, linked to Pch1, has been shown to be more effective for tracking resistance than DNA-based markers developed to date. Therefore, we

Jeffrey M. Leonard; Christy J. W. Watson; Arron H. Carter; Jennifer L. Hansen; Robert S. Zemetra; Dipak K. Santra; Kimberly G. Campbell; Oscar Riera-Lizarazu

2008-01-01

55

Literacy & Learning in Healthcare  

Center for Biologics Evaluation and Research (CBER)

Text VersionPage 1. Literacy & Learning in Healthcare Michael S. Wolf, PhD MPH ... Help patients and families: ? Understand their health & healthcare ... More results from www.fda.gov/downloads/advisorycommittees/committeesmeetingmaterials

56

Communicating with Healthcare Professionals  

MedlinePLUS

Communicating with Healthcare Professionals Updated:Feb 23,2012 Adapted from the National Family Caregivers Association A lot can be gained by improving communication between family caregivers and healthcare professionals. Positive outcomes include: Better care for the ...

57

Healthcare Agents: Being One  

MedlinePLUS

... Preparing Your Advance Directives Storing Your Advance Directives Healthcare Agents: Being One Advocating for your loved one ... will be to communicate with your loved ones healthcare providers to ensure your loved ones wishes are ...

58

Constructing Healthcare Knowledge  

Microsoft Academic Search

Healthcare knowledge is social constructs and the management of it is essentially context specific, constructive processes via which concerned actors interact with each other so as to accomplish socio-cognitive changes. Critical factors shaping these processes include social structure, institutional logic, and political action. The socio-cognitive construction of healthcare knowledge underlies broad ranges of healthcare phenomena, issues, and programs, from designing

Zhichang Zhu

59

Healthcare. Executive Summary  

ERIC Educational Resources Information Center

This executive summary highlights several findings about healthcare. These are: (1) Healthcare is 18 percent of the U.S. economy, twice as high as in other countries; (2) There are two labor markets in healthcare: high-skill, high-wage professional and technical jobs and low-skill, low-wage support jobs; (3) Demand for postsecondary education in…

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

2012-01-01

60

A comparison of four scoring methods based on the parent-rated Strengths and Difficulties Questionnaire as used in the Dutch preventive child health care system  

PubMed Central

Background Validated questionnaires can support the identification of psychosocial problems by the Preventive Child Health Care (PCH) system. This study assesses the validity and added value of four scoring methods used with the Strengths and Difficulties Questionnaire (SDQ) for the identification of psychosocial problems among children aged 7–12 by the PCH. Methods We included 711 (of 814) children (response: 87%) aged 7–12 undergoing routine health assessments in nine PCH services across the Netherlands. Child health professionals interviewed and examined children and parents. Prior to the interview, parents completed the SDQ and the Child Behaviour Checklist (CBCL), which were not shown to the professionals. The CBCL and data about the child's current treatment status were used as criteria for the validity of the SDQ. We used four SDQ scoring approaches: an elevated SDQ Total Difficulties Score (TDS), parent-defined difficulties, an elevated score for emotional symptoms, conduct problems or hyperactivity in combination with a high impairment score, and a combined score: an elevated score for any of these three methods. Results The Cohen's Kappa ranged from 0.33 to 0.64 for the four scoring methods with the CBCL scores and treatment status, generally indicating a moderate to good agreement. All four methods added significantly to the identification of problems by the PCH. Classification based on the TDS yielded results similar to more complicated methods. Conclusion The SDQ is a valid tool for the identification of psychosocial problems by PCH. As a first step, the use of a simple classification based on the SDQ TDS is recommended.

Crone, Mathilde R; Vogels, Anton GC; Hoekstra, Femke; Treffers, Philip DA; Reijneveld, Sijmen A

2008-01-01

61

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

62

Quality management in healthcare.  

PubMed

Clinical governance and better human resource management practices are important planks in the current health policies emphasizing quality of patient care. There are numerous reasons why it is important to improve quality of healthcare, including enhancing the accountability of health practitioners and managers, resource efficiency, identifying, and minimizing medical errors while maximizing the use of effective care and improving outcomes, and aligning care to what users/patients want in addition to what they need. "Quality in health is doing the right things for the right people at the right time, and doing them right first time and every time." Quality can also refer to the technical quality of care, to nontechnical aspects of service delivery such as clients' waiting time and staff's attitudes, and to programmatic elements such as policies, infrastructure, access, and management. In this oration/article quality initiatives like Reproductive and Child Health (RCH) and National Rural Health Mission (NRHM) of Government of India (GOI), which concentrate on improving the quality of infrastructure of vast rural health facilities including sub-center, primary health center, and community health center has been taken into account with focus on improving quality of health services also. United Nation Population Fund (UNFPA) in collaboration with the GOI has proposed introducing quality assurance program for accessing and improving the quality of services at public sector health facilities. It is felt that improving the quality of health services in public sector will attract the client belonging to low economic strata, and surely will help in achieving the goal of the NRHM, that is, "Reaching the enriched with quality of health services." PMID:24125927

Dodwad, Subhash S

63

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

2013-08-11

64

Healthcare Professional Sheets  

Center for Drug Evaluation (CDER)

... Healthcare Professional Sheets. As of January 29, 2010, FDA has transitioned to using one safety communication to provide ... More results from www.fda.gov/drugs/drugsafety/postmarketdrugsafetyinformationforpatientsandproviders

65

Electro-Optic Kerr Relaxation Studiesin a Nematic Liquid Crystal 4-(Trans-4'-n-Pentylcyclohexyl)Benzonitrile (PCH-5)  

NASA Astrophysics Data System (ADS)

In this paper we report the variation of the Electro-optic Kerrrelaxation time (?) with temperature at and above thenematic to isotropic phase transition (T NI) in a polarnematic Liquid crystal 4-(trans-4'-n Pentylcyclohexyl)Benzonitrile (PCH-5). The measurements of ? and theElectro-optic Kerr constant (B) have been made using anindigeneously built square pulse generator with a fall time of45 nanoseconds. The variations of B and ? withtemperature have been found to follow the predictions of theLandau-de Gennes theory for pretransitional behaviour in Liquidcrystals.

Usha, R.; Prasadarao, T.

1995-10-01

66

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

67

Healthcare information systems outsourcing  

Microsoft Academic Search

Information systems (IS) outsourcing is a major decision for health care organizations. Analysis of outsourcing costs and benefits have to be made for the departmental or function-specific application of each system. Limited empirical studies have examined healthcare information managers preferences for IS outsourcing. In this paper we report findings from a national survey of more than 16,000 healthcare information managers

Daniel P. Lorence; Amanda Spink

2004-01-01

68

Personal Healthcare Devices  

Microsoft Academic Search

This chapter gives an overview on state-of-the-art devices for personal healthcare. Due to the expected large impact on health economy and on the biomedical engineering device industry, a discussion of the ongoing demographic changes that will presumably push the future development of personal healthcare devices is included. Finally, some trends in ongoing research and suggestions for open problems are presented.

Steffen Leonhardt

69

Healthcare Industry Study.  

National Technical Information Service (NTIS)

Our nation's healthcare system affects not only the well being of our citizens, but the strength of our society as a whole. Healthcare is a critical pillar of the national security framework that affects not only individual health, but also economic effic...

A. Ba Omar T. Brown M. Campagnone G. Chasteen T. Dee

2003-01-01

70

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.

USF STARS (GK-12 Program),

71

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

72

Factors affecting mothers’ healthcare?seeking behaviour for childhood illnesses in a rural Nigerian setting  

Microsoft Academic Search

Appropriate healthcare?seeking behaviour could prevent a significant number of child deaths and complications due to ill health. Improving mothers’ care?seeking behaviour could also contribute in reducing a large number of child morbidity and mortality in developing countries. This article aims to determine factors affecting healthcare?seeking behaviour for childhood illnesses. Cluster sampling technique was used with a number of clusters proportional

I. S. Abdulraheem; D. B. Parakoyi

2009-01-01

73

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

74

Template synthesis of [(Mo(V)2O4)(O3PCH2PO3)]n clusters (n = 3, 4, 10): solid state and solution studies.  

PubMed

The influence of three exogenous ligands (acetate, formate and carbonate) on the condensation process of the [Mo2O4]2+ dioxocation with the [O3PCH2PO3](4-) group has been investigated. Four cyclic or bicyclic compounds have been isolated and characterized by X-ray diffraction studies. Two closely related acetato and formato ovoidal duodecanuclear compounds, Na24[Na4(H2O)6[(Mo2O4)10(O3PCH2PO3)10(CH3COO)8(H2O)4

du Peloux, Charlotte; Dolbecq, Anne; Mialane, Pierre; Marrot, Jérôme; Sécheresse, Francis

2004-03-19

75

In-plane bidimensional stripes in thin films of CCH-PCH mixtures: possible nucleation of a tilted smectic phase  

NASA Astrophysics Data System (ADS)

Spontaneous in-plane bidimensional stripes are predicted to appear in thin films of tilted smectic liquid crystals, due to flexopolarization, provided the flexoelectric coefficients are great enough, as in several smectic C's. The two periodicities arise in orthogonal directions. In the presence of free ions, the charge distributions becomes also modulated in-plane, partially masking the direct flexopolarization influence. Both effective periods are of the order of 10 micrometers . The optical observations were performed on mixtures of trans-4-(trans-4'-n- amylcyclohexyl) cyclohexanecarboxylic acid (CCH) and of 4-(trans-4'-n-amylcyclohexyl) benzoic acid (PCH). Both pure compounds exhibit only a nematic phase, the first between 224 degree(s)C and 243 degree(s)C, and the second one between 180 degree(s)C and 265 degree(s)C. The experimental data are consistent with the present model, suggesting that, for certain CCH/PCH ratios less than 30%, a tilted smectic phase is nucleated close to the melting point.

Pikin, Sergei A.; Torgova, Sonja I.; Strigazzi, Alfredo

1996-01-01

76

Child Abuse  

MedlinePLUS

... become depressed. He or she may withdraw, think of 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.

77

Joint Healthcare Manpower Standards.  

National Technical Information Service (NTIS)

The purpose of the Standard is to ensure that the peacetime staffing requirements of the Military Health Services System (MHSS) provide quality medical care in a productive environment. The Joint Healthcare Manpower Standards (JHMS) provide the Department...

V. Melidosian

1989-01-01

78

Culturally competent healthcare systems  

Microsoft Academic Search

OverviewCulturally competent healthcare systems—those that provide culturally and linguistically appropriate services—have the potential to reduce racial and ethnic health disparities. When clients do not understand what their healthcare providers are telling them, and providers either do not speak the client’s language or are insensitive to cultural differences, the quality of health care can be compromised. We reviewed five interventions to

Laurie M Anderson; Susan C Scrimshaw; Mindy T Fullilove; Jonathan E Fielding; Jacques Normand

2003-01-01

79

Child Maltreatment  

PubMed Central

Child maltreatment (CM) is common worldwide, and can take many forms. It may even endanger the child’s life, especially when younger children are the victims. CM affects the child’s quality of life and consequently leads to long term issues to be dealt with by the child, family and community. This case series discusses six children who have been subjected to CM, and diagnosed by the child protection team of the departments of Child Health and Behavioural Medicine at Sultan Qaboos University Hospital (SQUH), Oman. The aim of this case series is to increase the level of awareness of CM among Oman’s medical professionals and to highlight the difficulties encountered in diagnosing and providing optimal care for these children. Although treatment is provided in Oman’s health care system, it is clear that there are gaps in the existing system which affect the quality of child protection services provided to the children and their families.

Al-Saadoon, Muna; Al-Sharbati, Marwan; Nour, Ibtisam El; Al-Said, Basma

2012-01-01

80

Communicating with Children in Healthcare Settings.  

PubMed

Children are vulnerable to experiencing stress during clinic visits and hospitalization. Children process information differently than adults due to their cognitive abilities and communication skills. There is paucity of literature on the subject of communicating with children in pediatric settings in India. This article highlights the developmental and theoretical principles which underscore the need for communicating directly with children about their healthcare experiences. Understanding the ongoing interactional influences of developmental perceptions, stress, coping, information processing, parental role, psychological preparation, and the child rights perspective may reinforce the necessity for pediatric caregivers to develop attitudes and skills to communicate with children and their family members in an inclusive and supportive manner. A brief overview of elements influencing the communication process is provided. Practical recommendations for developmentally appropriate, child friendly communication techniques while respecting children's right to participation and expression are highlighted. Collaborating with parents and child development professionals, as well as using relevant educational programs could facilitate clearer child focused communication. Incorporating effective communication practices in pediatric settings could improve the focus on children's holistic health and wellbeing. PMID:23378054

Desai, Priti P; Pandya, Satish V

2013-02-01

81

Area deprivation and child psychosocial problems  

Microsoft Academic Search

Background We examined the association of area deprivation with the occurrence of psychosocial problems among children aged 4–16 in a representative national sample of children based on standardised measures of parent-reported problems and diagnoses made by doctors and nurses working in child healthcare (child health professionals, CHPs). Methods The study comprised 4480 children aged 4–16 years, eligible for a routine

Sijmen A. Reijneveld; Emily Brugman; Frank C. Verhulst; S. Pauline Verloove-Vanhorick

2005-01-01

82

Characteristics of healthcare wastes  

SciTech Connect

A comprehensive understanding of the quantities and characteristics of the material that needs to be managed is one of the most basic steps in the development of a plan for solid waste management. In this case, the material under consideration is the solid waste generated in healthcare facilities, also known as healthcare waste. Unfortunately, limited reliable information is available in the open literature on the quantities and characteristics of the various types of wastes that are generated in healthcare facilities. Thus, sound management of these wastes, particularly in developing countries, often is problematic. This article provides information on the quantities and properties of healthcare wastes in various types of facilities located in developing countries, as well as in some industrialized countries. Most of the information has been obtained from the open literature, although some information has been collected by the authors and from reports available to the authors. Only data collected within approximately the last 15 years and using prescribed methodologies are presented. The range of hospital waste generation (both infectious and mixed solid waste fractions) varies from 0.016 to 3.23 kg/bed-day. The relatively wide variation is due to the fact that some of the facilities surveyed in Ulaanbaatar include out-patient services and district health clinics; these facilities essentially provide very basic services and thus the quantities of waste generated are relatively small. On the other hand, the reported amount of infectious (clinical, yellow bag) waste varied from 0.01 to 0.65 kg/bed-day. The characteristics of the components of healthcare wastes, such as the bulk density and the calorific value, have substantial variability. This literature review and the associated attempt at a comparative analysis point to the need for worldwide consensus on the terms and characteristics that describe wastes from healthcare facilities. Such a consensus would greatly facilitate comparative analyses among different facilities, studies and countries.

Diaz, L.F. [CalRecovery, Inc., Concord, California (United States)], E-mail: ludiaz@calrecovery.com; Eggerth, L.L. [CalRecovery, Inc., Concord, California (United States); Enkhtsetseg, Sh. [Ministry of Health, Ulaanbaatar (Mongolia); Savage, G.M. [CalRecovery, Inc., Concord, California (United States)

2008-07-01

83

Healthcare and the environment.  

PubMed

There are many reasons why you should be concerned about the environment, particularly if you are a healthcare professional. Every environmental pollutant is also associated with a human health risk. So improving the environment will mean better healthcare. In addition we should make sure all our actions are such as not to impair the development of future generations. National governments and, in particular, the European Commission have recognised this public concern and have generated a large amount of environmental legislation in order to change the way we behave. A summary of this legislation is provided along with more detailed discussions on waste legislation. PMID:7633052

Greaves, J

1994-06-01

84

Exemplary healthcare facilities.  

PubMed

Symposium attendees had the opportunity to choose from 13 different tours designed to meet their diverse needs. Each tour consisted of one or more facilities grouped together to show innovative solutions to the problems in healthcare design today. Tours were of exemplary healthcare facilities throughout the Boston area, some of which were presented as case studies in the program. Facility types included medical centers with special services, ambulatory care centers, long term care facilities, pediatric hospitals, a school and center for the blind, a hospice, research and educational facilities, a community health center, an AIDS respite project, and a Ronald McDonald house. PMID:10183786

1992-01-01

85

Expect the Best for Your Child's Dental Home  

ERIC Educational Resources Information Center

|Too many parents of children with special healthcare needs come upon dental care for their child out of necessity or urgency. In order to make the relationship most beneficial, the preferred way is to establish a Dental Home during the child's infancy. The Dental Home is the oral health corollary of the Medical Home concept that the American…

Casamassimo, Paul

2007-01-01

86

Expect the Best for Your Child's Dental Home  

ERIC Educational Resources Information Center

Too many parents of children with special healthcare needs come upon dental care for their child out of necessity or urgency. In order to make the relationship most beneficial, the preferred way is to establish a Dental Home during the child's infancy. The Dental Home is the oral health corollary of the Medical Home concept that the American…

Casamassimo, Paul

2007-01-01

87

Robots in healthcare  

Microsoft Academic Search

Purpose – This paper aims to review of the use of robots in two healthcare applications: surgery and prosthetics. Design\\/methodology\\/approach – Following a brief introduction, this paper first considers robotic surgery and discusses a selection of commercial products, applications and recent technological advances. It then considers recent developments in robotic prosthetics. Findings – It is shown that surgical robots are

Robert Bogue

2011-01-01

88

Lean six sigma in healthcare.  

PubMed

Healthcare, as with any other service operation, requires systematic innovation efforts to remain competitive, cost efficient, and up-to-date. This article outlines a methodology and presents examples to illustrate how principles of Lean Thinking and Six Sigma can be combined to provide an effective framework for producing systematic innovation efforts in healthcare. Controlling healthcare cost increases, improving quality, and providing better healthcare are some of the benefits of this approach. PMID:16749293

de Koning, Henk; Verver, John P S; van den Heuvel, Jaap; Bisgaard, Soren; Does, Ronald J M M

89

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

90

Migrants' access to healthcare.  

PubMed

There are strong pragmatic and moral reasons for receiving societies to address access to healthcare for migrants. Receiving societies have a pragmatic interest in sustaining migrants' health to facilitate integration; they also have a moral obligation to ensure migrants' access to healthcare according to international human rights principles. The intention of this thesis is to increase the understanding of migrants' access to healthcare by exploring two study aims: 1) Are there differences in migrants' access to healthcare compared to that of non-migrants? (substudy I and II); and 2) Why are there possible differences in migrants' access to healthcare compared to that of non-migrants? (substudy III and IV). The thesis builds on different methodological approaches using both register-based retrospective cohort design, cross-sectional design and survey methods. Two different measures of access were used to explore differences: 1) cancer stage at diagnosis as a clinical outcome and 2) emergency room (ER) contacts as a utilisation measure. Both informal and formal barriers to access were studied to explore why possible differences existed including: 1) motivation for using ER; and 2) asylum seekers' healthcare entitlements. Different definitions of migration and ethnicity were investigated including: country of birth and residence status. Substudy I showed a tendency towards more advanced stage at diagnosis or unknown stage among most subgroups of migrant women with a history of cancer compared to non-migrant women. Sub-study II found that some migrants (those born in Somalia, Turkey and Ex-Yugoslavia) use ER services more frequently than do non-migrants whereas others have the same or lower utilisation levels. As a consequence, substudy III was undertaken, which documented that more migrant within all subgroups had considered contacting a primary caregiver before visiting the ER compared to non-migrants, but that migrants experienced communication problems herein. Additionally, more migrants had irrelevant ER visits as evaluated by caregivers. Substudy IV addressed formal and informal barriers to access and screening. According to the law asylum seekers are entitled to emergency care only in 10 out of 24 countries. Medical screening was carried out in all but one of the 24 EU countries; however, the content and extent of screening programmes vary. The thesis aimed to explore if there are differences in migrants' access to healthcare compared to that of non-migrants. Differences in utilisation and clinical outcome were identified between migrants and non-migrants. Reasons why disparities exist were also identified in relation to communication with primary care and on policy level. The thesis shows that various perspectives and scientific problems are important to get a full understanding of the process of access to healthcare for different migrant groups. Moreover, various complementary methodological approaches are needed when studying problems of migrants' access to healthcare. PMID:21975158

Norredam, Marie

2011-10-01

91

Les éléments nécessaires pour la gestion d'un projet de microcentrale hydroélectrique Etude de cas d'une PCH en Grèce  

Microsoft Academic Search

The present paper is about the necessary elements for the management of Small Hydro-Electric (Petites Centrales Hydrauliques - PCH) projects. Hydro-electric systems, in general, are a mature technology, since the exploitation of hydrodynamic energy has been competitive for many years. On the other hand, the potential available from small hydro-electric projects remains significant, since only a small part of the

Dimitrios A. Géorgakèllos

92

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

93

Healthcare avoidance: a critical review.  

PubMed

The purpose of this study is to provide a critical review and synthesis of theoretical and research literature documenting the impact of avoidance on healthcare behaviors, identify the factors that influence healthcare avoidance and delay in the adult population, and propose a direction for future research. The Theory of Reasoned Action, Theory of Planned Behavior, Theory of Care-Seeking Behavior, the Transtheoretical Model, and the Behavioral Model of Health Services Use/Utilization are utilized to elaborate on the context within which individual intention to engage in healthcare behaviors occurs. Research literature on the concept of healthcare avoidance obtained by using computerized searches of CINAHL, MEDLINE, PSYCH INFO, and HAPI databases, from 1995 to 2007, were reviewed. Studies were organized by professional disciplines. Healthcare avoidance is a common and highly variable experience. Multiple administrative, demographic, personal, and provider factors are related to healthcare avoidance, for example, distrust of providers and/or the science community, health beliefs, insurance status, or socioeconomic/income level. Although the concept is recognized by multiple disciplines, limited research studies address its impact on healthcare decision making. More systematic research is needed to determine correlates of healthcare avoidance. Such studies will help investigators identify patients at risk for avoidant behaviors and provide the basis for health-promoting interventions. Methodological challenges include identification of characteristics of individuals and environments that hinder healthcare behaviors, as well as, the complexity of measuring healthcare avoidance. Studies need to systematically explore the influence of avoidance behaviors on specific healthcare populations at risk. PMID:18758277

Byrne, Sharon K

94

Achoo Gateway to Healthcare  

NSDL National Science Digital Library

Achoo, provided by MNI Systems Corporation, aims to be a comprehensive catalog of healthcare sites. It is organized in a subject hierarchy beginning with human life, practice of medicine, and business of health, and continues with many sub-hierarchies. Each site contains a brief annotation. The directory is searchable. At present Achoo contains thousands of sites. Achoo resembles Yahoo! in construction, and navigation is similar.

1996-01-01

95

Entropic and enthalpic components of catalysis in the mutase and lyase activities of Pseudomonas aeruginosa PchB  

PubMed Central

The isochorismate-pyruvate lyase from Pseudomonas aeruginosa (PchB) catalyzes two pericyclic reactions, demonstrating the eponymous activity and also chorismate mutase activity. The thermodynamic parameters for these enzyme-catalyzed activities, as well as the uncatalyzed isochorismate decomposition, are reported from temperature dependence of kcat and kuncat data. The entropic effects do not contribute to enzyme catalysis as expected from previously reported chorismate mutase data. Indeed, an entropic penalty for the enzyme-catalyzed mutase reaction (?S‡ = -12.1 ± 0.6 cal/molK) is comparable to that of the previously reported uncatalyzed reaction, whereas that of the enzyme-catalyzed lyase reaction (?S‡ = -24.3 ± 0.6 cal/molK) is larger than that of the uncatalyzed lyase reaction (-15.77 ± 0.02 cal/molK) documented here. With the assumption that chemistry is rate-limiting, we propose that a reactive substrate conformation is formed upon loop closure of the active site and that ordering of the loop contributes to the entropic penalty for converting the enzyme substrate complex to the transition state.

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

2011-01-01

96

Swedish healthcare under pressure.  

PubMed

Swedish health care, run by local governments at both the regional (county) and the municipal levels, has been under pressure during the last 15 years, following increased scrutiny of performance and demand for cost-containment. Health-care expenditures per capita and levels of resource inputs have grown, but more slowly than in other EU countries. At the same time, the number of elderly people has increased, as have options for medical treatment. In the late 1980s, several local governments referred to long waiting-lists for elective treatment and anecdotal evidence of inefficiency and poor responsiveness when arguing for market-oriented reforms. A purchaser-provider split followed, and so did changes in the payment systems for health-care providers. According to the available evidence, these reforms yielded an increased volume of services in the short run; but traditional hierarchical management soon replaced the new incentives. Moreover, evidence suggests that changes introduced by the national government, and the deteriorating funding conditions together with a continued use of new medical technology, have had more far-reaching effects on health-care output and outcome than local-government reforms. PMID:16161198

Anell, Anders

2005-09-01

97

Military Healthcare Battlefield Immunity.  

PubMed

The combatant soldier on the battlefield remains protected from any claim in negligence by the doctrine of combat immunity for any negligent act or omission they may make when fighting. In other words, the combatant soldier does not owe a fellow soldier a duty of care on the battlefield, as the duty of care is non-justiciable. However, the non-combatant Military Healthcare Professional, although sometimes operating in the same hostile circumstances as the fighting soldier, is unlikely to benefit from combat immunity for any clinical negligence on the battlefield. This is because they continue to owe their patient a duty of care, although this has not been tested in the courts. This paper considers if any military healthcare professional could ever benefit from combat immunity, which is unlikely due to their non-combatant status. Instead, this paper suggests that a modified form of immunity; namely, Military Healthcare Battlefield Immunity could be a new, unique and viable doctrine, however, this could only be granted in rare circumstances and to a much lesser degree than combat immunity. PMID:23402067

Kelly, J C

2012-12-01

98

Data mining applications in healthcare.  

PubMed

Data mining has been used intensively and extensively by many organizations. In healthcare, data mining is becoming increasingly popular, if not increasingly essential. Data mining applications can greatly benefit all parties involved in the healthcare industry. For example, data mining can help healthcare insurers detect fraud and abuse, healthcare organizations make customer relationship management decisions, physicians identify effective treatments and best practices, and patients receive better and more affordable healthcare services. The huge amounts of data generated by healthcare transactions are too complex and voluminous to be processed and analyzed by traditional methods. Data mining provides the methodology and technology to transform these mounds of data into useful information for decision making. This article explores data mining applications in healthcare. In particular, it discusses data mining and its applications within healthcare in major areas such as the evaluation of treatment effectiveness, management of healthcare, customer relationship management, and the detection of fraud and abuse. It also gives an illustrative example of a healthcare data mining application involving the identification of risk factors associated with the onset of diabetes. Finally, the article highlights the limitations of data mining and discusses some future directions. PMID:15869215

Koh, Hian Chye; Tan, Gerald

2005-01-01

99

Child Care  

MedlinePLUS

Children's healthy development depends on safe and positive experiences when they are very young. If you work or go to school, you want to know that your child is in good hands while you are away. You may choose in-home care, where the caregiver comes to your home. Or your child ...

100

[Reality of healthcare access for migrant children in Mayotte].  

PubMed

The implementation of the social security system in 2005 in Mayotte has resulted in the end of free healthcare for all non-affiliated residents, primarily Comorians, due to the absence of the State Medical Aid (AME) in this department. Doctors of the World France opened a paediatric clinic in December 2009. The sociomedical data were collected during 5286 consultations in 2010. Analysis of these data demonstrates a link between access to healthcare for children and the residential status of their parents. The analysis concerns 2,350 patients met during consultations held by Doctors of the World France in Mayotte in 2010. The data have been electronically recorded and analysed by the Sphinx software. The results show that there are several obstacles to healthcare resulting in non-attendance. This situation is made worse if one of the parents has an irregular residential status and all the more so if both the parents have an irregular status. Affiliation to the social security system, however, improves the situation. The results show a delay in accessing healthcare, a poor vaccination programme and disturbing data on severe acute malnutrition. The specific healthcare measures in Mayotte do not respect the International Convention on the Rights of the Child. Direct affiliation to the social security system for children would entail a reduction in health insecurity for the children of parents with irregular residential status. It would also be necessary to reduce the factors that provoke fear of displacement, which would facilitate physical access to consultations. PMID:22383116

Baillot, J; Luminet, B; Drouot, N; Corty, J F

2012-03-01

101

Information for Healthcare Professionals: Angiotensin ...  

Center for Drug Evaluation (CDER)

... Information for Healthcare Professionals: Angiotensin-Converting Enzyme Inhibitor (ACE inhibitor) Drugs and Pregnancy. ... More results from www.fda.gov/drugs/drugsafety/postmarketdrugsafetyinformationforpatientsandproviders

102

Information for Healthcare Professionals: Crestor ...  

Center for Drug Evaluation (CDER)

... Information for Healthcare Professionals: Crestor (Rosuvastatin Calcium). ... Rosuvastatin Calcium (marketed as Crestor) Information. -. Contact FDA. ... More results from www.fda.gov/drugs/drugsafety/postmarketdrugsafetyinformationforpatientsandproviders

103

Information for Healthcare Professionals: Mycophenolate ...  

Center for Drug Evaluation (CDER)

... Information for Healthcare Professionals: Mycophenolate Mofetil (marketed as CellCept) and Mycophenolic Acid (marketed as Myfortic). ... More results from www.fda.gov/drugs/drugsafety/postmarketdrugsafetyinformationforpatientsandproviders

104

Information for Healthcare Professionals Methadone ...  

Center for Drug Evaluation (CDER)

... Information for Healthcare Professionals Methadone Hydrochloride text version. The issues described in this communication ... More results from www.fda.gov/drugs/drugsafety/postmarketdrugsafetyinformationforpatientsandproviders

105

Information for Healthcare Professionals: Fluvoxamine ...  

Center for Drug Evaluation (CDER)

... Information for Healthcare Professionals: Fluvoxamine - Selective Serotonin Reuptake Inhibitors (SSRIs). Update: The issues ... More results from www.fda.gov/drugs/drugsafety/postmarketdrugsafetyinformationforpatientsandproviders

106

Information Technology and Healthcare  

NSDL National Science Digital Library

In July 2004, the U.S. Department of Health and Human Services (HHS) launched its initiative to develop a National Health Information Infrastructure. The ultimate goal of this initiative is to create an electronic health record (EHR) for every American so that health records can be securely shared among health care providers. This Topic in Depth explores developments in electronic health records and technology.This first website (1) is the official site for the National Health Information Infrastructure 2004: Cornerstones for Electronic Healthcare. Some current ideas for how to share medical records, such as secured online postings or saving data on flash disks are discussed in this article from PC World (2). This next article (3) discusses another development in information technology, implantable electronic identification chips. The fourth website (4) presents findings from a recent Medical Records Institute survey of health providers on their current uses, future hopes and perceived barriers to electronic health record systems. One challenge for the initiative is interoperability, which is explained generally on this website (5). The issue of interoperability, as well as privacy and fragmentation in the health industry are addressed in the Preliminary Roadmap for Achieving Electronic Connectivity in Healthcare released by Connecting for Health (6). For more on current research on technology supporting the use of electronic records see this website from The Electronic Record Development and Implementation Programme (ERDIP) (7).

107

Syndicating surgical data in a healthcare environment  

US Patent & Trademark Office Database

Disclosed herein are systems and methods for syndication and management of structured and unstructured data to assist institutional healthcare delivery, healthcare providers' practices, healthcare providers' group practices, collaborative academic research and decision making in healthcare, including through the utilization of medical devices and healthcare pools.

Moore; James F. (Lincoln, MA)

2013-10-22

108

Healthcare information standards: comparison of the approaches  

Microsoft Academic Search

Electronic transfer of healthcare record information between heterogeneous systems raises the need for healthcare information standards. Such standards improve the level of quality that healthcare organizations offer and also control the expenditure on healthcare services provided by these organizations. There are a large number of healthcare related applications that effectively support specific needs but are isolated or incompatible. There is

S. S. Spyrou; P. Bamidis; I. Chouvarda; G. Gogou; S. M. Tryfon; N. Maglaveras

2002-01-01

109

Dos and Don'ts of Giving OTC Cough and Cold Medicines to Your Child  

MedlinePLUS

... things you can do to help your child sleep better. Funding and support for this material have been provided by the Consumer Healthcare Products Association. Written by familydoctor.org editorial ...

110

Designing better healthcare environments: interprofessional competencies in healthcare design.  

PubMed

There has been considerable interest in bridging educational programs in the United States across healthcare, architecture, industrial design, and human computing disciplines to design more effective and safer healthcare environments. New combinations of professionals including those outside the traditional healthcare disciplines are coming together to solve quality and safety problems and to re-envision the physical and social design of healthcare organizations. Little is known about the knowledge and skills essential to integrate these diverse perspectives and pose innovative solutions. A set of seven interprofessional competencies were identified through review of the literature, interviews of faculty and leaders in the field, and experience of the authors teaching interprofessional courses in healthcare design. The relevance and feasibility of these competencies were assessed through expert review by faculty and consultants and implementation in multiple courses. PMID:20196650

Lamb, Gerri; Zimring, Craig; Chuzi, Joshua; Dutcher, Diane

2010-07-01

111

Promoting father-friendly healthcare.  

PubMed

Fathers are taking a more active role in their children's lives and healthcare; consequently, healthcare providers need to be more aware of and attentive to fathers in clinical encounters. The literature on healthcare provider inclusion of fathers is sparse. The focus has been mainly on exhortations to include fathers, or has documented treatment of fathers as invisible in healthcare settings. While not overtly hostile to fathers, healthcare providers occasionally marginalize or ignore them. The purpose of this article is to help healthcare providers: (1) become aware of and assess their interactions with fathers and (2) be more intentional in their interactions with them. To that end, this article includes a self-assessment of one's practice, including the following components: introductions, body language, eye contact, obtaining/giving information, and beliefs about the role of fathers. Intentional interactions for developing more father-friendly healthcare are discussed including both small and large changes, guided by the PLISSIT model. Finally, best practices, challenges, issues, and resources related to father inclusion in healthcare are described. The major issue for providers is to no longer question whether to include fathers, but how. PMID:14597825

Tiedje, Linda Beth; Darling-Fisher, Cynthia

112

Model driven healthcare: Disconnected practices  

Microsoft Academic Search

Over the past decades simulation has been recognized as a vital tool for solving problems within the healthcare sector, almost catching up with other areas. It is evident that healthcare systems are rapidly evolving into complex and dynamic environments whilst bearing a multitude of stakeholders. Simulation has originally emerged from military and manufacturing applications that mainly follow sequential processing with

Tillal Eldabi; Gyuchan T. Jun; John Clarkson; Con Connell; Jonathan H. Klein

2010-01-01

113

The healthcare technologies management program  

Microsoft Academic Search

Developing an engineer's awareness of factors that affect the cost of healthcare technology is discussed. It is concluded that the Healthcare Technologies Management Program offered by Marquette University and the Medical College of Wisconsin is a unique program that meets the unique needs of engineers and their employers. The program prepares new graduate engineers to work in hospitals, medical device

JAY R. GOLDBERG

2003-01-01

114

ASIS healthcare security benchmarking study.  

PubMed

Effective security has aligned itself into the everyday operations of a healthcare organization. This is evident in every regional market segment, regardless of size, location, and provider clinical expertise or organizational growth. This research addresses key security issues from an acute care provider to freestanding facilities, from rural hospitals and community hospitals to large urban teaching hospitals. Security issues and concerns are identified and addressed daily by senior and middle management. As provider campuses become larger and more diverse, the hospitals surveyed have identified critical changes and improvements that are proposed or pending. Mitigating liabilities and improving patient, visitor, and/or employee safety are consequential to the performance and viability of all healthcare providers. Healthcare organizations have identified the requirement to compete for patient volume and revenue. The facility that can deliver high-quality healthcare in a comfortable, safe, secure, and efficient atmosphere will have a significant competitive advantage over a facility where patient or visitor security and safety is deficient. Continuing changes in healthcare organizations' operating structure and healthcare geographic layout mean changes in leadership and direction. These changes have led to higher levels of corporate responsibility. As a result, each organization participating in this benchmark study has added value and will derive value for the overall benefit of the healthcare providers throughout the nation. This study provides a better understanding of how the fundamental security needs of security in healthcare organizations are being addressed and its solutions identified and implemented. PMID:11602980

2001-01-01

115

Tools to cure healthcare ills.  

PubMed

How can healthcare staff at diverse and remote off-site locations be protected? The right security technologies balanced with human resources, says the author, can help security professionals find cost-effective ways to handle the difficult challenges of the healthcare environment. PMID:11382993

Boxerbaum, E

116

Strategies to improve healthcare websites  

Microsoft Academic Search

Healthcare websites that are influential in healthcare decision-making must be evaluated for accuracy, readability and understandability by the average population. Most existing frameworks for designing and evaluating interactive websites focus on the utility and usability of the site. Although these are significant to the design of the basic site, they are not sufficient. We have developed an iterative framework that

Constance Johnson; Susan K Peterson; James P Turley; Joe Ensor; Christopher Amos; Margaret Spitz; Bernard Levin; Donald Berry

2006-01-01

117

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

118

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

119

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…

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

2011-01-01

120

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

Microsoft Academic Search

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 Adult Survivors of Childhood Sexual Abuse (Schachter, Stalker, Teram, Lasiuk, & Danilkewich,

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

2011-01-01

121

CHARACTERIZATION OF [?-BIS(DIPHENYLPHOSPHINO)ALKANE] BIS[N,N-DIALKYLDITHIOCARBAMATO)GOLD(I)] COMPLEXES: X-RAY CRYSTAL STRUCTURE OF [(Ph2P(CH2)2PPh2)(AuS2CNEt2)2  

Microsoft Academic Search

The preparation and spectroscopic characterization of six compounds of general formula [(Ph2P(CH2)nPPh2)(AuS2CNR2)2], n = 1, 2 or 3 and R = Et or c-hexyl, is reported. The spectroscopic data suggests monodentate modes of coordination for the dithiocarbamate ligands and this has been confirmed by a crystal structure determination of one derivative, namely [(Ph2P(CH2)2PPh2)(AuS2CNEt2)2] (1). The phosphine ligand in 1 adopts

John W. Faamau; Edward R. T. Tiekink

1994-01-01

122

The PCH Family Member Proline-Serine-Threonine Phosphatase-interacting Protein 1 Targets to the Leukocyte Uropod and Regulates Directed Cell Migration  

PubMed Central

Pombe Cdc15 homology (PCH) family members have emerged as important regulators of membrane–cytoskeletal interactions. Here we show that PSTPIP1, a PCH family member expressed in hematopoietic cells, regulates the motility of neutrophil-like cells and is a novel component of the leukocyte uropod where it colocalizes with other uropod components, such as type I PIPKI?. Furthermore, we show that PSTPIP1 association with the regulator of endocytosis, dynamin 2, and PSTPIP1 expression impairs transferrin uptake and endocytosis. We also show that PSTPIP1 localizes at the rear of neutrophils with a subpopulation of F-actin that is specifically detected by the binding of an F-actin probe that detects a more stable population of actin. Finally, we show that actin polymerization, but not the microtubule network, is necessary for the polarized distribution of PSTPIP1 toward the rear of the cell. Together, our findings demonstrate that PSTPIP1 is a novel component of the leukocyte uropod that regulates endocytosis and cell migration.

Cooper, Kate M.; Bennin, David A.

2008-01-01

123

Your Child's Immunizations  

MedlinePLUS

... Us: Social Media Pregnant? Your Baby's Growth Your Child's Immunizations KidsHealth > Parents > Infections > Immunizations > Your Child's Immunizations ... of shots a child receives. What Vaccines Your Child Needs The following vaccinations and schedules are recommended ...

124

Child Sexual Abuse  

MedlinePLUS

... ABOUT US PTSD Awareness Month Child Sexual Abuse Child Sexual Abuse Share this page Search PTSD Site Choose Section Enter Term and Search Advanced Search What is child sexual abuse? Child sexual abuse includes a wide range of ...

125

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 ...

126

Business process modeling in healthcare.  

PubMed

The importance of the process point of view is not restricted to a specific enterprise sector. In the field of health, as a result of the nature of the service offered, health institutions' processes are also the basis for decision making which is focused on achieving their objective of providing quality medical assistance. In this chapter the application of business process modelling - using the Business Process Modelling Notation (BPMN) standard is described. Main challenges of business process modelling in healthcare are the definition of healthcare processes, the multi-disciplinary nature of healthcare, the flexibility and variability of the activities involved in health care processes, the need of interoperability between multiple information systems, and the continuous updating of scientific knowledge in healthcare. PMID:22925789

Ruiz, Francisco; Garcia, Felix; Calahorra, Luis; Llorente, César; Gonçalves, Luis; Daniel, Christel; Blobel, Bernd

2012-01-01

127

Healthcare information technology and economics.  

PubMed

At the 2011 American College of Medical Informatics (ACMI) Winter Symposium we studied the overlap between health IT and economics and what leading healthcare delivery organizations are achieving today using IT that might offer paths for the nation to follow for using health IT in healthcare reform. We recognized that health IT by itself can improve health value, but its main contribution to health value may be that it can make possible new care delivery models to achieve much larger value. Health IT is a critically important enabler to fundamental healthcare system changes that may be a way out of our current, severe problem of rising costs and national deficit. We review the current state of healthcare costs, federal health IT stimulus programs, and experiences of several leading organizations, and offer a model for how health IT fits into our health economic future. PMID:22781191

Payne, Thomas H; Bates, David W; Berner, Eta S; Bernstam, Elmer V; Covvey, H Dominic; Frisse, Mark E; Graf, Thomas; Greenes, Robert A; Hoffer, Edward P; Kuperman, Gil; Lehmann, Harold P; Liang, Louise; Middleton, Blackford; Omenn, Gilbert S; Ozbolt, Judy

2012-07-10

128

Securities backed by healthcare receivables.  

PubMed

Prudential Securities has placed $40 million in medium-term, taxable notes believed to be the first AAA-rated securities backed by healthcare receivables. Standard & Poor's Corp. rated the three-year notes, which were issued by NPF III, an Ohio company created to buy receivables from cash-strapped providers, and are backed by the Medicare, Medicaid and insurance receivables of 21 hospitals and healthcare providers nationwide. PMID:10120386

Pallarito, K

1992-09-14

129

Healthcare and the Hospital Chaplain  

PubMed Central

Many chaplains and most chaplaincy programs in the United States – with encouragement from their accrediting organization, the Association for Clinical Pastoral Education (ACPE) – have begun to assume a more proactive stance toward patients, healthcare professionals, and healthcare facilities. Some chaplains and chaplaincy programs have begun to engage in activities that have ranged from initiating conversations with and perusing the medical records of patients who have not requested their services to proposing that they be permitted to do “spiritual assessments” on patients – in some instances whether these patients have been explicitly informed and have agreed to this beforehand. Moreover, many chaplains and chaplaincy programs have begun to assume that chaplains are full-fledged members of the healthcare team, complete with access to patients' medical records both to gather information and to make notations of their own. It would appear that such novel activities are being justified by a questionable set of claims and assumptions that includes: (1) the claim that chaplains have a spiritual – as opposed to purely religious – expertise that entitles them to interact with patients and/or significant others (even those who have not requested a chaplain) – presumably without in the least compromising patient autonomy or the confidentiality of the patient/healthcare professional relationship; (2) the assumption that the terms “spirituality” and “religiosity” mutually entail one another; (3) the claim that the Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) mandates “spiritual assessments” (which it does not); (4) the assumption that chaplains are full-fledged members of the healthcare team; and (5) the claim that chaplains must, therefore, be permitted access to patients and patients' medical records both to gather information and to make notations of their own. We consider such claims and assumptions disquieting, and suggest that it is high time we revisit the terms “chaplaincy,” “healthcare professional,” and “member of the healthcare team” in reassessing what our professional commitments to respect and protect the bio-psycho-social integrity of patients require.

Loewy, Roberta Springer; Loewy, Erich H.

2007-01-01

130

Healthcare transparency: opportunity or mirage  

Microsoft Academic Search

Purpose – Healthcare is an ever-growing segment of the American economy. Transparency facilitates better decision-making and better outcomes measures. The purpose of this paper is to present the human and economic results of increasing transparency. Design\\/methodology\\/approach – The ASIMP Working Group on Healthcare Transparency represents a diverse yet conscilient group of practitioners, researchers, regulators, economists, and academics. Given the need

Russell Jaffe; Robert A. Nash; Richard Ash; Norman Schwartz; Robert Corish; Tammy Born; Harold Lazarus

2006-01-01

131

Healthcare waste management in India  

Microsoft Academic Search

Health-care waste management in India is receiving greater attention due to recent regulations (the Biomedical Wastes (Management & Handling) Rules, 1998). The prevailing situation is analysed covering various issues like quantities and proportion of different constituents of wastes, handling, treatment and disposal methods in various health-care units (HCUs). The waste generation rate ranges between 0·5 and 2·0kg bed?1day?1. It is

A. D. Patil; A. V. Shekdar

2001-01-01

132

Trust and Privacy in Healthcare  

NASA Astrophysics Data System (ADS)

This paper considers issues of trust and privacy in healthcare around increased data-sharing through Electronic Health Records (EHRs). It uses a model structured around different aspects of trust in the healthcare organisation’s reasons for greater data-sharing and their ability to execute EHR projects, particularly any associated confidentiality controls. It reflects the individual’s personal circumstances and attitude to use of health records.

Singleton, Peter; Kalra, Dipak

133

Home Telehealth Reduces Healthcare Costs  

Microsoft Academic Search

The aim of this study was to determine whether home telehealth, when integrated with the health facility's electronic medical record system, reduces healthcare costs and improves qual- ity-of-life outcomes relative to usual home healthcare services for elderly high resource users with complex co-morbidities. Study patients were identified through the medical center's database. Intervention patients received home telehealth units that used

Helen C. Noel; Donna C. Vogel; Joseph J. Erdos; David Cornwall; Forrest Levin

2004-01-01

134

Strategies to Improve Healthcare Websites  

PubMed Central

Healthcare websites that are influential in healthcare decision-making must be evaluated for accuracy, readability and understandability by the average population. Most existing frameworks for designing and evaluating interactive websites focus on the utility and usability of the site. Although these are significant to the design of the basic site, they are not sufficient. We have developed an iterative framework that considers additional attributes.

Johnson, Constance; Peterson, Susan K.; Turley, James P.; Ensor, Joe; Amos, Christopher; Spitz, Margaret; Levin, Bernard; Berry, Donald

2006-01-01

135

IT Support for Healthcare Processes  

Microsoft Academic Search

\\u000a Patient treatment processes require the cooperation of different organizational units and medical disciplines. In such an\\u000a environment an optimal process support becomes crucial. Though healthcare processes frequently change, and therefore the separation\\u000a of the flow logic from the application code seems to be promising, workflow management technology has not yet been broadly\\u000a used in healthcare environments. In this paper we

Richard Lenz; Manfred Reichert

2005-01-01

136

Innovation in healthcare: Issues and future trends  

Microsoft Academic Search

Despite the fact that there has been significant improvement in the healthcare industry, inefficiency still exists and little accomplished in understanding how to overcome those inefficiencies using innovation in healthcare. This study seeks to answer the following research questions. How do executives and practitioners define the term innovation in healthcare? How do healthcare organizations come up with innovative ideas and

Ramendra Thakur; Sonya H. Y. Hsu; Gwen Fontenot

2012-01-01

137

Security and Confidentiality in Healthcare Informatics  

Microsoft Academic Search

In order to provide secure healthcare informatics systems, three different security levels need to be considered: 1) secure healthcare applications to provide user authentication and access control mechanism to healthcare applications, components, and objects.; 2) secure database to provide the protection of the database against unauthorized disclosure, alteration, or distinction of healthcare information by legal personnel; and 3) secure communication

Yahya Y. Al-salqan

1998-01-01

138

Designing the future of healthcare.  

PubMed

This paper describes the application of a holistic design process to a variety of problems plaguing current healthcare systems. A design process for addressing complex, multifaceted problems is contrasted with the piecemeal application of technological solutions to specific medical or administrative problems. The goal of this design process is the ideal customer experience, specifically the ideal experience for patients, healthcare providers, and caregivers within a healthcare system. Holistic design is shown to be less expensive and wasteful in the long run because it avoids solving one problem within a complex system at the cost of creating other problems within that system. The article applies this approach to the maintenance of good health throughout life; to the creation of an ideal experience when a person does need medical care; to the maintenance of personal independence as one ages; and to the enjoyment of a comfortable and dignified death. Virginia Mason Medical Center is discussed as an example of a healthcare institution attempting to create ideal patient and caregiver experiences, in this case by applying the principles of the Toyota Production System ("lean manufacturing") to healthcare. The article concludes that healthcare is inherently dedicated to an ideal, that science and technology have brought it closer to that ideal, and that design can bring it closer still. PMID:19745471

Fidsa, Gianfranco Zaccai

2009-01-01

139

Child Development  

Microsoft Academic Search

This paper presents a theory of child development which integrates race, class, gender and culture as central factors that structure this development in fundamental ways. Human development evolves within the context of our social roles, which are fundamentally organized and bounded by our position within the class, gender, racial and cultural structure of society. This theory can be used to

Rhea V. Almeida; Rosemary Woods; Theresa Messineo

1998-01-01

140

Limping Child  

MedlinePLUS

... will examine your child's joints, such as the hip and knee, for pain, swelling, and loss of range of motion. Decreased ... of areas of the body where there is pain, swelling, or loss of range of ... different angles, such as the front, side, and back. X-ray images of your ...

141

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

142

Child's Play  

ERIC Educational Resources Information Center

|Emerging digital technologies enable teachers and students to access and manipulate sights and sounds in their school environments. The challenge is to systematically include these new media in academic environments, and to include adults who are ill prepared in technical issues as primary guides in this effort. This article suggests that child's…

Woolsey, Kristina; Woolsey, Matthew

2008-01-01

143

Child's Play  

Microsoft Academic Search

Emerging digital technologies enable teachers and students to access and manipulate sights and sounds in their school environments. The challenge is to systematically include these new media in academic environments, and to include adults who are ill prepared in technical issues as primary guides in this effort. This article suggests that child's play should be the focus of these efforts,

Kristina Woolsey; Matthew Woolsey

2008-01-01

144

Consumer Sovereignty in Healthcare: Fact or Fiction?  

Microsoft Academic Search

We pose the question: Is consumer sovereignty in the healthcare market fact or fiction? Consumer sovereignty in healthcare\\u000a implies that society benefits at large when healthcare organizations compete to develop high quality healthcare products while\\u000a reducing the cost of doing business (reflected in low prices), and when consumers choose wisely among healthcare products\\u000a by purchasing those high quality products at

M. Joseph Sirgy; Dong-Jin Lee; Grace B. Yu

2011-01-01

145

Child Abuse Issues for Child Care Providers.  

ERIC Educational Resources Information Center

|Written for child caregivers, this booklet provides very basic information about child abuse and neglect, discusses early warnings that signal when a family is in trouble or when a child is at risk, and indicates how caregivers can helpfully intervene. Also suggested are ways caregivers might protect themselves against the charge of child abuse.…

Bates, Marlys; Koskie, Beth

146

Child Sexual Abuse: Community Concerns in Urban Tanzania  

Microsoft Academic Search

The aim of this study was to explore community perceptions about child sexual abuse in Tanzania. Thirteen focus group discussions were conducted with adult community members. The core category, children's rights challenged by lack of agency, was supported by eight categories. Aware but distressed portrayed feelings of hopelessness, lack of trust in the healthcare and legal systems reflected perceived malpractice,

Felix Kisanga; Lennarth Nystrom; Nora Hogan; Maria Emmelin

2011-01-01

147

Healthcare waste management in Asia.  

PubMed

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. PMID:19726174

Ananth, A Prem; Prashanthini, V; Visvanathan, C

2009-09-01

148

Child Syndrome  

Microsoft Academic Search

\\u000a CHILD syndrome (OMIM # 308050) is an acronym designation for Congenital Hemidysplasia with Ichthyosiform nevus and Limb Defects. This X-linked\\u000a dominant, male-lethal trait is characterized by: (1) congenital unilateral inflammatory erythematous patches often covered\\u000a in dry yellowish scales which usually undergo spontaneous partial regression during childhood; (2) psoriasiform epidermal\\u000a hyperplasia with marked hyperkeratosis and parakeratosis, with sparse perivascular lymphocytic infiltrates

Ramón Ruiz-Maldonado; Luz Orozco-Covarrubias; Carola Duran-McKinster; Marimar Saez-De-Ocariz

149

Child Trends  

NSDL National Science Digital Library

Child Trends is a non-profit, non-partisan research center, and is the "nation's only independent research and policy center focused exclusively on improving outcomes for children." Child Trends has twelve areas of research, listed across the top of any page. Some of the topics include "Child Poverty," "Fatherhood & Parenting," "Youth Development," and "Health." In each section, the research focus on that topic is explained in a brief introduction, followed by resources that include research briefs, executive summaries and full reports, fact sheets, and a publications archive of materials over three years old. A feature that visitors shouldn't miss is "What Works/LINKS," which can be accessed via the left side menu. The data in this section is about "programs that work -or don't- to enhance children's development". There are effectiveness charts, "Lifecourse Interventions that Work," and a continually updated database on programs that work (or don't). Visitors who are "Program Providers" in policy, education, or the media will find the "Information for..." heading on the left side of the homepage useful for fulfilling their specific needs.

150

Synthesis and Structure of Na2[(HO3PCH2)3NH]1.5H2O: The First Alkaline Triphosphonate  

NASA Astrophysics Data System (ADS)

Sodium nitrilotris(methylenephosphonate), Na2[(HO3PCH2)3 NH]1.5H2O, has been synthesized as single crystals and as bulk polycrystalline single phase. This compound is triclinic, space group P1, a=7.398(1) Å, b=8.446(1) Å, c=10.086(1) Å, ?=81.39(1)°, ?=89.29(1)°, ?=81.18(1)°, Z=2 and the structure was solved from single-crystal data. The crystal structure was used to refine the powder diffraction data by the Rietveld method. The structure contains Na4O16 tetramers, with the sodiums cations in distorted oxygen octahedral environments, and molecular units of the acid triphosphonate with protonated nitrogen atom. The framework is three-dimensional with small channels where two types of water molecules are located. This material has also been characterized by thermal analysis, including a thermodiffractometric study, and infrared spectroscopy.

Silvia Martínez-Tapia, H.; Cabeza, Aurelio; Bruque, Sebastián; Pertierra, Pilar; García-Granda, Santiago; Aranda, Miguel A. G.

2000-04-01

151

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).

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

2012-01-01

152

Healthcare technology and technology assessment  

PubMed Central

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.

Hwang, Raymond; Bozic, K. H.

2007-01-01

153

Healthcare without conscience--unconscionable!  

PubMed

The American public and government response to media reports of pharmacists refusing to fill prescriptions due to moral objections could fundamentally alter health care. Denying one group of citizens the right to act on their conscience puts each citizen in jeopardy of losing First Amendment rights. Denying healthcare professionals the right to act on their conscience puts patients at risk of being cared for by those who are less than professional, those whose character attributes essential to quality care are compromised. We can define better solutions for access to legal prescriptions and therapies without demanding that healthcare professionals become complicit in activities they deem immoral. PMID:17940123

Rudd, Gene

2007-10-16

154

A comparison of healthcare access, healthcare utilization and asthma self-management for Hispanic children in border and non-border regions of Texas  

Microsoft Academic Search

The purpose of this culminating experience was to investigate the relationships between healthcare utilization, insurance coverage, and socioeconomic characteristics of children with asthma along the Texas-Mexico Border. A secondary data analysis was conducted on cross-sectional data from the Texas Child Asthma Call-back Survey, a follow-up survey to the random digit dialed Behavior Risk Factor Surveillance Study (BRFSS) conducted between 2006-2009

Maudie Roberts

2011-01-01

155

Child with NF1  

MedlinePLUS

... cult to know what to expect for a young child who only has café-au-lait spots. It ... as these can be signs of malignancy. The child’s learning and cognitive development should be monitored and discussed ...

156

Child Custody in Transition.  

ERIC Educational Resources Information Center

Describes the transitional nature of child custody decisions in current legal decisions, and the shifting emhasis from parental to child's rights. The legal structure of joint custody is based on the child's right and need for conjoint parental accessibility. (Author)

Franklin, Robin L.; Hibbs, B.

1980-01-01

157

Concussion - child - discharge  

MedlinePLUS

... hard play at recess, being overly active, and physical education class. Ask the doctor when your child can ... their normal activities. Make sure your child’s teacher, physical education teacher, coaches, and school nurse are aware of ...

158

Babysitters and Child Care  

MedlinePLUS

... information in Spanish ( en español ) Babysitters and child care Related information Child care provider checklist (PDF, 197 ... proofing Return to top Choosing and using child care Many moms go back to work after having ...

159

Office of Child Care  

MedlinePLUS

... visit usa.gov 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 ...

160

Healthcare responsibilities and conscientious objection  

Microsoft Academic Search

The Constitutional Court of Colombia has issued a decision of international significance clarifying legal duties of providers, hospitals, and healthcare systems when conscientious objection is made to conducting lawful abortion. The decision establishes objecting providers' duties to refer patients to non-objecting providers, and that hospitals, clinics, and other institutions have no rights of conscientious objection. Their professional and legal duties

Rebecca J. Cook; Mónica Arango Olaya; Bernard M. Dickens

2009-01-01

161

8?Leadership Research in Healthcare  

Microsoft Academic Search

This chapter's purpose is to advance leadership research in the healthcare field in particular and in organizational studies more broadly. Based on a review of 60 empirical papers, we conclude that leadership is positively and significantly associated with individual work satisfaction, turnover, and performance. Despite these important results, however, we argue that researchers are missing opportunities to develop general leadership

Mattia J. Gilmartin; Thomas A. DAunno

2007-01-01

162

Telemedicine can make healthcare greener.  

PubMed

The American healthcare industry is generally lacking environmentally sustainable practices. The environmental impact of healthcare practices in the country has been largely disregarded due to ambivalence, ignorance, and fears of additional costs and regulations. The current practices continue to pollute the environment by requiring large amounts of travel and paperwork by both the patient and the clinician. Telemedicine and health information technology help save time, energy, raw materials (such as paper and plastic), and fuel, thereby lowering the carbon footprint of the health industry. By implementing green practices, for instance, by engaging in carbon credit programs, the health industry could benefit financially as well as reduce its negative impact on the health of our planet. Companies that reduce their carbon emissions by implementing energy-saving practices can sell their carbon credits to companies that emit more carbon than permissible by their legally binding commitment. These carbon profits can then be used for healthcare research or to provide healthcare to the underserved. Alternatively, the savings could be used for green purchasing and to implement other carbon-reducing activities. This report reviews the numerous possible options for the American health industry to become greener and lower its carbon footprint while at the same time becoming more time- and cost efficient. PMID:20156125

Yellowlees, Peter M; Chorba, Kathy; Burke Parish, Michelle; Wynn-Jones, Hannah; Nafiz, Najia

2010-03-01

163

Visualizing desirable patient healthcare experiences.  

PubMed

High healthcare cost has drawn much attention and healthcare service providers (HSPs) are expected to deliver high-quality and consistent care. Therefore, an intimate understanding of the most desirable experience from a patient's and/or family's perspective as well as effective mapping and communication of such findings should facilitate HSPs' efforts in attaining sustainable competitive advantage in an increasingly discerning environment. This study describes (a) the critical quality attributes (CQAs) of the experience desired by patients and (b) the application of two visualization tools that are relatively new to the healthcare sector, namely the "spider-web diagram" and "promotion and detraction matrix." The visualization tools are tested with primary data collected from telephone surveys of 1,800 patients who had received care during calendar year 2005 at 6 of 61 hospitals within St. Louis, Missouri-based, Ascension Health. Five CQAs were found by factor analysis. The spider-web diagram illustrates that communication and empowerment and compassionate and respectful care are the most important CQAs, and accordingly, the promotion and detraction matrix shows those attributes that have the greatest effect for creating promoters, preventing detractors, and improving consumer's likelihood to recommend the healthcare provider. PMID:20155554

Liu, Sandra S; Kim, Hyung T; Chen, Jie; An, Lingling

2010-01-01

164

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

165

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

166

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

167

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 ...

168

Healthcare Workforce Report, 2011. (South Dakota).  

National Technical Information Service (NTIS)

Recognizing the importance of a highly trained and available health care workforce, the South Dakota Department of Health established the Healthcare Workforce Center to help address the healthcare workforce needs of the State. The purpose of the Center is...

2011-01-01

169

Home Healthcare Medical Devices: A Checklist  

MedlinePLUS

... not using it. Contact your doctor and home healthcare team often to review your health condition. * Check ... assurance of their safety and effectiveness. A home healthcare medical device is any product or equipment used ...

170

Text Classification for Healthcare Information Support  

Microsoft Academic Search

Healthcare information support (HIS) is essential in managing, gathering, and disseminating information for healthcare decision\\u000a support through the Internet. To support HIS, text classification (TC) is a key kernel. Upon receiving a text of healthcare\\u000a need (e.g. symptom description from patients) or healthcare information (e.g. information from medical literature and news),\\u000a a text classifier may determine its corresponding categories (e.g.

Rey-long Liu

2007-01-01

171

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.

Bhat, Sumrita; Kumar, Ashok

2013-01-01

172

Healthcare information systems and older employees' training  

Microsoft Academic Search

Purpose – The purpose of this paper is to examine a model that supports the management, design and delivery of Healthcare Information Systems (HIS) training activities for older healthcare employees. Design\\/methodology\\/approach – The study is carried out by means of a quantitative study. Findings – The paper investigated older employees training management in Healthcare Information Systems and proposed a novel

Vasiliki Mantzana; Marinos Themistocleous; Vincenzo Morabito

2010-01-01

173

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

174

Trends and approaches in lean healthcare  

Microsoft Academic Search

Purpose – The aim of this paper is to provide a review of the existing literature on lean healthcare. It seeks to describe how this concept has being applied and to assess how trends and methods of approach in lean healthcare have evolved over the years. Design\\/methodology\\/approach – The paper surveys the applications of lean healthcare in the current literature

Luciano Brandao de Souza

2009-01-01

175

Healthcare and Listening: A Relationship for Caring  

ERIC Educational Resources Information Center

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…

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

2008-01-01

176

Healthcare and Listening: A Relationship for Caring  

ERIC Educational Resources Information Center

|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…

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

2008-01-01

177

HEALTHCARE COST AND UTILIZATION PROJECT (HCUP)  

EPA Science Inventory

The Healthcare Cost and Utilization Project (HCUP) is a family of healthcare databases and related software tools and products developed through a Federal-State-industry partnership and sponsored by the Agency for Healthcare Research and Quality (AHRQ). HCUP databases bring toget...

178

Health care transition for adolescents with special healthcare needs: Where is nursing?  

PubMed

The population of adolescents with special healthcare needs (ASHCN) surviving into adulthood has increased dramatically over the past two decades. Approximately, nine of every 10 children diagnosed with a chronic condition are expected to reach adulthood. Experts estimate nearly 750,000 ASHCN enter into adulthood each year. Advances in medical treatments, new technologies and scientific discoveries have all contributed to the increases in ASHCN life expectancies. As a result, new demands for services have emerged to address their clear needs for long-term services and supports. Foremost among the ASHCN service needs are healthcare transition services. Healthcare transition is recognized as a needed area of practice to facilitate ASHCN transfer of care from pediatric to adult healthcare and to support the acquisition of the developmental competencies needed to successfully transition to adulthood. Yet, few evidence-based and exemplary models of care exist. Healthcare transition research is in the early stages of development. The medical community has provided the leadership with the development of healthcare transition policy, practice, and research. As a result, policymaking, practice issues, and research have a prominent medically related focus. In contrast, the influence of nursing as it pertains to these areas of professional practice is limited. Opportunities exist for pediatric and child health nursing leaders to provide direction for greater involvement in this emerging and growing field of specialty practice. PMID:23036691

Betz, Cecily L

2012-10-01

179

New Jersey Children's Behavioral Healthcare System: Cross service delivery planning for transitional population of youth (ages 16 and 18+ years)  

Microsoft Academic Search

The continued need for improvement within a ‘system of care’ is essential as the need for mental health services by those ‘youth’ within the child welfare system continually grows. This article outlines the statewide reform of New Jersey's Children's Behavioral Healthcare System, which began in 2000, as well as including the recommendations of the University of South Florida as part

Kenneth McGill; Scott A. McGill

2011-01-01

180

The status of TQM in healthcare.  

PubMed

The face of the healthcare industry has changed dramatically over the last few years. This study examines the literature related to Total Quality Management (TQM) and Benchmarking (BM) applications in healthcare. Recommendations for healthcare managers and administrators, as they chart operational and strategic directions for their organization, are provided. In this context, a conceptual framework which stresses the significance of viewing the healthcare organization as an open system is provided. The framework underscores the fact that TQM and BM efforts should not be viewed in isolation. Rather, these efforts should be viewed as an integral part of the operational and strategic facets of the healthcare organization. PMID:10181447

Yasin, M M; Meacham, K A; Alavi, J

1998-01-01

181

A framework for cohesive healthcare coalition formation.  

PubMed

The mobilisation of cohesive and effective groups of healthcare human resource is important in ensuring the success of healthcare organisations. However, forming the right team or coalition in healthcare organisations is not always straightforward due to various human factors. Traditional coalition formation approaches have been perceived as 'materialistic' or focusing too much on competency or pay-off. Therefore, to put prominence on the human aspects of working together, we present a cohesiveness-focused healthcare coalition formation methodology and framework that explores the possibilities of social networks, i.e. the relationship between various healthcare human resources, and adaptive resonance theory. PMID:17108579

Cheah, Yu-N; Chong, Yong Han; Neoh, Siew Lan

2006-01-01

182

A proposed rural healthcare ethics agenda.  

PubMed

The unique context of the rural setting provides special challenges to furnishing ethical healthcare to its approximately 62 million inhabitants. Although rural communities are widely diverse, most have the following common features: limited economic resources, shared values, reduced health status, limited availability of and accessibility to healthcare services, overlapping professional-patient relationships and care giver stress. These rural features shape common healthcare ethical issues, including threats to confidentiality, boundary issues, professional-patient relationship and allocation of resources. To date, there exists a limited focus on rural healthcare ethics shown by the scarcity of rural healthcare ethics literature, rural ethics committees, rural focused ethics training and research on rural ethics issues. An interdisciplinary group of rural healthcare ethicists with backgrounds in medicine, nursing and philosophy was convened to explore the need for a rural healthcare ethics agenda. At the meeting, the Coalition for Rural Health Care Ethics agreed to a definition of rural healthcare ethics and a broad-ranging rural ethics agenda with the ultimate goal of enhancing the quality of patient care in rural America. The proposed agenda calls for increasing awareness and understanding of rural healthcare ethics through the development of evidence--informed, rural-attuned research, scholarship and education in collaboration with rural healthcare professionals, healthcare institutions and the diverse rural population. PMID:17329381

Nelson, W; Pomerantz, A; Howard, K; Bushy, A

2007-03-01

183

How may clinical research improve healthcare outcomes?  

PubMed

Healthcare outcomes such as overall survival or quality of life are the end results of a complex interaction between the patient, treatment and the healthcare system. Research may identify superior interventions but their dissemination and changing the behaviour of healthcare providers is challenging. Demonstrating and measuring the benefits of clinical research on healthcare outcomes is an important issue but there is remarkably little empiric work to date in this area. In this chapter we explore benefits that may arise in healthcare from contributing to clinical research, and consider the mechanisms which may be relevant. Improvements in infrastructure, the processes of care and workforces are important. Complex adaptive systems theory provides a framework for considering the many feedback loops that relate research, health outcomes and the behaviour of healthcare providers. Given the costs of research, additional studies to examine the impact of research on healthcare outcomes and to explore the mechanisms are justified and highly desirable. PMID:22039138

Krzyzanowska, M K; Kaplan, R; Sullivan, R

2011-11-01

184

Public policy and healthcare systems.  

PubMed

Public policy in healthcare affects physician and patient choices. In many ways it may limit choices. These choices present conflicts that are discussed here. Some issues depend on the laws enacted to enable either a single-payer system or that mixed with a private-payer system. In each case, the systems attain some cost controls through means such as gatekeepers, long wait lists, authorization processes, national fee schedules, complex coding schemes, or placing physicians on salary. National health systems are compared here. No one system has proven completely satisfactory, and each has its advantages. There are many factors that contribute to the escalating costs of care that lead to many healthcare public policies to constrain costs. Initiatives to incentivize preventive actions are a more positive step, but ones that are difficult to define in detail. PMID:24182385

Nuwer, Marc R

2013-01-01

185

Cost-Effectiveness Analysis of Proposed Inpatient Child and Adolescent Psychiatric Units at Eisenhower Army Medical Center (Final Report, July 1991-July 1992).  

National Technical Information Service (NTIS)

Child and adolescent psychiatric expenses comprise the largest portion of psychiatric disbursements made by the Civilian Health and Medical Program for the Uniformed Services (CHAMPUS). The Army Medical Department (AMEDD) and its subordinate healthcare fa...

J. F. Jessop

1992-01-01

186

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

187

Safe design of healthcare facilities  

Microsoft Academic Search

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

J Reiling

2006-01-01

188

Bed bugs in healthcare settings.  

PubMed

Infestations caused by bed bugs have resurfaced during the past decade across all continents. Even though bed bugs primarily cause skin manifestations in humans, a major stigma is placed upon people or institutions found to carry them. It is important for healthcare facilities to be prepared for this pest by implementing policies, carefully selecting materials used for hospital furniture, and educating providers on early identification and control. PMID:23041813

Munoz-Price, L Silvia; Safdar, Nasia; Beier, John C; Doggett, Stephen L

2012-09-21

189

Healthcare Energy Metering Guidance (Brochure)  

SciTech Connect

This brochure is intended to help facility and energy managers plan and prioritize investments in energy metering. It offers healthcare-specific examples of metering applications, benefits, and steps that other health systems can reproduce. It reflects collaborative input from the U.S. Department of Energy national laboratories and the health system members of the DOE Hospital Energy Alliance's Benchmarking and Measurement Project Team.

Not Available

2011-07-01

190

Gynecological Aspects of Transgender Healthcare  

Microsoft Academic Search

The role of gynecology for transgender healthcare has traditionally been limited to hysterectomy and oophorectomy in female-to-male transsexuals (FtM). But much more health issues within the broad spectrum of gynecology are relevant for transsexuals of both sexes. From procreation to cancer prevention, from genital health maintenance to pelvic floor disorders, from dyspareunia to libido loss, gynecology may play a major

Michael A. A. van Trotsenburg

2009-01-01

191

Healthcare system simulation using Witness  

NASA Astrophysics Data System (ADS)

Simulation techniques have a proven track record in manufacturing industry as well as other areas such as healthcare system improvement. In this study, simulation model of a health center in Malaysia is developed through the application of WITNESS simulation software which has shown its flexibility and capability in manufacturing industry. Modelling procedure is started through process mapping and data collection and continued with model development, verification, validation and experimentation. At the end, final results and possible future improvements are demonstrated.

Khakdaman, Masoud; Zeinahvazi, Milad; Zohoori, Bahareh; Nasiri, Fardokht; Yew Wong, Kuan

2013-02-01

192

Primary healthcare costs associated with sleep problems up to age 7 years: Australian population-based study  

PubMed Central

Objectives In Australian 0–7-year olds with and without sleep problems, to compare (1) type and costs to government of non-hospital healthcare services and prescription medication in each year of age and (2) the cumulative costs according to persistence of the sleep problem. Design Cross-sectional and longitudinal data from a longitudinal population study. Setting Data from two cohorts participating in the first two waves of the nationally representative Longitudinal Study of Australian Children. Participants Baby cohort at ages 0–1 and 2–3 (n=5107, 4606) and Kindergarten cohort at ages 4–5 and 6–7 (n=4983, 4460). Measurements Federal Government expenditure on healthcare attendances and prescription medication from birth to 8?years, calculated via linkage to Australian Medicare data, were compared according to parent report of child sleep problems at each of the surveys. Results At both waves and in both cohorts, over 92% of children had both sleep and Medicare data. The average additional healthcare costs for children with sleep problems ranged from $141 (age 5) to $43 (age 7), falling to $98 (age 5) to $18 (age 7) per child per annum once family socioeconomic position, child gender, global health and special healthcare needs were taken into account. This equates to an estimated additional $27.5 million (95% CI $9.2 to $46.8 million) cost to the Australian federal government every year for all children aged between 0 and 7?years. In both cohorts, costs were higher for persistent than transient sleep problems. Conclusions Higher healthcare costs were sustained by infants and children with sleep problems. This supports ongoing economic evaluations of early prevention and intervention services for sleep problems considering impacts not only on the child and family but also on the healthcare system.

Quach, J; Gold, L; Hiscock, H; Mensah, F K; Lucas, N; Nicholson, J M; Wake, M

2013-01-01

193

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

194

Child Support Report, 2001.  

ERIC Educational Resources Information Center

|This document comprises the 12 issues for 2001 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. Featured regularly are editorials and information on events of interest and…

Sharman, Phil, Ed.

2001-01-01

195

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

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

Spleen removal - child - discharge  

MedlinePLUS

... to the touch, or have a thick, yellow, green, or milky drainage. Your child has pain that is not helped by pain medicines. It is hard for your child to breathe. Your child has a cough that does not go away. Your child cannot drink or eat. Your ...

198

Child Support Report, 2000.  

ERIC Educational Resources Information Center

|This document comprises the 12 issues for 2000 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. Featured regularly are editorials and information on events of interest and…

Sharman, Phil, Ed.

2000-01-01

199

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

200

Conflict resolution in healthcare management.  

PubMed

Conflict causes decided tension in the workplace and often produces poor professional outcomes. A manager dealing with conflict can experience a crisis of confidence and often ends up second-guessing himself or herself, regardless of how a situation has been handled. In some organizations, conflict is not viewed positively or as an opportunity for improvement. In these organizations, most individuals will see conflict as being unproductive, unpleasant, and a waste of time and energy. Yet, conflict provides employees with critical feedback on how things are going. When viewed in a positive context, even personality conflicts may provide information to the healthcare manager about what is not working in the organization. If conflict is not directed and controlled, it can have damaging effects in the workplace, stifling the growth of departments and deflating employee morale. Our job as healthcare managers is to deal with conflict so that it does not decrease productivity or detract from the provision of patient-centered care. There are 4 general sources for interpersonal conflict: personal differences, informational deficiency, role incompatibility, and environmental stress. There are 5 common responses used in dealing with conflict: forcing, accommodating, avoiding, compromising, and collaborating. Healthcare managers should become comfortable with using all of these approaches. PMID:15259690

Lipcamon, James D; Mainwaring, Brian A

201

Workplace bullying among healthcare workers.  

PubMed

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-Simó, María José; Araque-Padilla, Rafael Angel

2013-07-24

202

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.

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

2013-01-01

203

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

2007-04-11

204

Inorganic-organic hybrid compounds: hydrothermal synthesis and characterization of a new three-dimensional metal tetraphosphonate Mn[(HO3PCH2)N(H)(CH2)4(H)N(CH2PO3H)2  

NASA Astrophysics Data System (ADS)

The new manganese tetraphosphonate, Mn[(HO3PCH2)2N(H)(CH2)4(H)N(CH2PO3)2] (1) was hydrothermally synthesized from MnCl2 and N,N,N',N'-tetrametylphosphono-1,4-diaminobutane, (H2O3PCH2)2N-(CH2)4-N(CH2PO3H2)2. The structure was determined from single-crystal X-ray diffraction data (Mn[(HO3PCH2)2N(H)(CH2)4(H)N(CH2PO3)2], monoclinic, P21/a, with a=9.6663(1), b=9.2249(2), c=10.5452(1)pm, ?=105.676(1)°, V=905.35(3)×106pm, Z=2, R1=0.051, wR2=0.109 (all data). The structure contains the zwitter ions [(HO3PCH2)2N(H)-(CH2)4-(H)N(CH2PO3)2]2- and is built from alternating corner-linked [MnO6] and [PO3C] polyhedra forming a two-dimensional net of eight-rings. These layers are connected to a pillared structure by the diaminobutane groups. Magnetic susceptibility data confirms the presence of Mn2+ ions. Thermogravimetric measurements show a stability of 1 up to ~290°C. Between 290°C and 345°C a one-step loss of ~7.0% is observed, and above 345°C the continuous decomposition of the organic part of the structures takes place.

Stock, Norbert; Rauscher, Max; Bein, Thomas

2004-03-01

205

Inorganic-Organic Hybrid Materials: Hydrothermal Synthesis and Characterization of the Metal Diphosphonates M2(O3PCH2C6H4CH2PO3).2H2O (M=Mn, Ni, Cd)  

NASA Astrophysics Data System (ADS)

The three isostructural transition metal diphosphonates M2(O3PCH2C6H4CH2PO3).2H2O (M=Mn, Ni, Cd) were hydrothermally synthesized using p-xylenediphosphonic acid and the corresponding metal salts. The structures were refined in the orthorhombic space group Pca21 from X-ray powder diffraction data: Mn2(O3PCH2C6H4CH2PO3).2H2O (1): a=983.71(7), b=582.72(4), c=2173.5(2) pm, V=1245.8(1) 106 pm, Z=4, wRp=0.079, Rp=0.062, RF=0.081; Ni2(O3PCH2C6H4CH2PO3).2H2O (2): a=951.18(3), b=562.31(2), c=2178.47(6) pm, V=1165.2(1) 106 pm, Z=4, wRp=0.072, Rp=0.054, RF= 0.095; Cd2(O3PCH2C6H4CH2PO3).2H2O (3): a=1005.19(3), b=594.37(2), c=2186.08(8), V=1304.3(1) 106 pm, Z=4, wRp=0.067, Rp=0.052, RF=0.059. The structures are built up from corner-linked [MO6] polyhedra (M=Mn, Ni, Cd) forming inorganic metal oxide layers. These layers are linked by the organic diphosphonic acids acting as pillars. Magnetization measurements of 1 confirm the presence of divalent ions and indicate antiferromagnetic ordering at low temperatures. Thermogravimetric as well as IR spectroscopic studies are also presented.

Stock, N.; Bein, T.

2002-09-01

206

Homogeneous C O hydrogenation and transfer hydrogenation catalyzed by ruthenium(II) complexes containing optically active Ph 2PCH(Ph)CH(Me)NH 2 and 1,2-C 5H 8(PPh 2) 2 ligands  

Microsoft Academic Search

Combination of (1S,2S)-cyclopentanediylbis(diphenylphosphine) with [Ru(?4-C8H12){?3-(CH2)2CMe}2] afforded the chelate complex [Ru{?3-(CH2)2CMe}2{(1S,2S)-C5H8(PPh2)2}] (1), which gave (OC-6-13)-[RuCl2{(1S,2S)-C5H8(PPh2)2}{(1S,2S)-Ph2PCH(Ph)CH(Me)NH2}] (2) upon reaction with methanolic HCl in acetone, followed by the addition of the ?-aminophosphine in DMF. The (P?N)2-chelated complexes (OC-6-13)-[RuCl2{(1S,2S)-Ph2PCH(Ph)CH(Me)NH2}2] (3) and (OC-6-13)-[RuCl2{(1R,2S)-Ph2PCH(Ph)CH(Me)NH2}2] (4) resulted from RuCl3·3H2O and the P,N ligands under reducing conditions. The crystal structures of 3 and 4 were determined by single-crystal

Lutz Dahlenburg; Christian Kühnlein

2008-01-01

207

Strategic learning in healthcare organizations.  

PubMed

There is no definitive blueprint for the healthcare organization involved in strategic learning. However, what distinguishes strategic learning institutions is their acknowledgment that they must discover their own paths and solutions rather than blindly follow a detailed strategic mandate from administration. Answers to their most critical implementation and adaptive questions will not flow down ready-made from above, but will be tailored to meet the requirements of their own particular situation. Strategic learning organizations have certain attributes in common in developing their own answers: They continuously experiment rather than seek final solutions. They favor improvisation over forecasts. They formulate new actions rather than defend past ones. They nurture change rather than permanence. They encourage creative conflict rather than tranquillity. They encourage questioning rather than compliance. They expose contradictions rather than hide them (Weick 1977). Most importantly, strategic learning organizations realize that successful strategic change is best undertaken as a process of learning (O'Sullivan 1999). Healthcare organizations can no longer afford the illusion of traditional strategic planning, with its emphasis on bureaucratic controls from the top to the bottom. They must embrace the fundamental truth that most change occurs through processes of learning that occur in many locations simultaneously throughout the organization. The initial step in discovering ways to improve the capability of healthcare organizations is to adapt continuously while fulfilling their mission. Healthcare leaders must create a shared vision of where an institution is heading rather than what the final destination will be, nurture a spirit of experimentation and discovery rather than close supervision and unbending control, and recognize that plans have to be continuously changed and adjusted. To learn means to face the unknown: to recognize that we do not possess all the answers; to concede that we do not always know what to do; to admit that past actions and solutions may no longer be appropriate, in fact may have been the incubators of today's problems; to question basic assumptions long held about running the institution; and to make ourselves vulnerable to the political dynamics prevalent in all organizations. Hospitals and other healthcare organizations must seek to develop and maintain a continuing state of readiness in which everyone in the organization, from front-line clinician to senior management, is poised to act in anticipation of and in response to unforeseen changes in the environment and to learn from their own experiences in confronting the future. PMID:10787685

O'Sullivan, M J

1999-01-01

208

Health-e-Child: An Integrated Biomedical Platform for Grid-Based Paediatric Applications  

Microsoft Academic Search

There is a compelling demand for the integration and exploitation of heterogeneous biomedical information for improved clinical practice, medical research, and personalised healthcare across the EU. The Health-e-Child project aims at developing an integrated healthcare platform for European Paediatrics, providing seamless integration of traditional and emerging sources of biomedical information. The long-term goal of the project is to provide uninhibited

Edwin MORLEY-FLETCHERb; Maat GKnowledge

209

Health-e-Child : An Integrated Biomedical Platform for Grid-Based Paediatric Applications  

Microsoft Academic Search

There is a compelling demand for the integration and exploitation of\\u000aheterogeneous biomedical information for improved clinical practice, medical\\u000aresearch, and personalised healthcare across the EU. The Health-e-Child project\\u000aaims at developing an integrated healthcare platform for European Paediatrics,\\u000aproviding seamless integration of traditional and emerging sources of\\u000abiomedical information. The long-term goal of the project is to provide\\u000auninhibited

Joerg Freund; Dorin Comaniciu; Yannis Ioannis; Peiya Liu; Richard McClatchey; Edwin Morley-Fletcher; Xavier Pennec; Giacomo Pongiglione; Xiang Zhou

2006-01-01

210

Health-e-Child : An Integrated Biomedical Platform for Grid-Based Paediatrics  

Microsoft Academic Search

There is a compelling demand for the integration and exploitation of heterogeneous biomedical information for improved clinical practice, medical research, and personalised healthcare across the EU. The Health-e-Child project aims at developing an integrated healthcare platform for European Paediatrics, providing seamless integration of traditional and emerging sources of biomedical information. The long-term goal of the project is to provide uninhibited

Edwin MORLEY-FLETCHER

211

Sustainable Healthcare: how to assess and improve healthcare structures' sustainability.  

PubMed

Background: Sustainability is a broad and debated subject, often difficult to be defined and applied into real projects, especially when dealing with a complex scenario as the one of healthcare. Many research studies and evaluation systems have handled this topic from different perspectives, but many limits and criticalities still have to be overcome to properly cope with actual needs. Methods: The Sustainable Healthcare project has been developed through three main phases: a deep study of the state of the art, unraveling pros and cons of available sustainability scoring systems; an accurate analysis of the stakeholders network and their needs; the realization of an objective evaluation framework, through scientific methods, as the ANP. Results: The newly developed evaluation system takes into consideration all the three pillars of sustainability, analyzing social, environmental and economic sustainability through a set of criteria, specified by measurable indicators. So the system identifies both global sustainability and specific critical areas, pointing out possible strategic solutions to improve sustainability. The evaluation is achieved through technical analyses and qualitative surveys, which eventually allow to quantitatively assess sustainability, through a sound scoring method. Conclusions: This study proposes an innovative evaluation method to determine the sustainability of a hospital, already existing or in the design phase, within the European context. The Sustainable Healthcare system overcomes some of the current evaluation systems' limits by establishing a multidisciplinary approach and being an easy-to-use tool. This protocol is intended to be of support in the identification of the main hospital's weaknesses and in setting priorities for implementation of the solutions. PMID:24048179

Buffoli, M; Capolongo, S; Bottero, M; Cavagliato, E; Speranza, S; Volpatti, L

212

How to Find Affordable Healthcare  

MedlinePLUS

... child's health care needs are taken care of. Most uninsured kids are eligible for programs that provide free or reduced-cost care, even if their parents are working. If you don't know where to start, contact your local community ...

213

Natural Language Generation in Healthcare: Brief Review  

Microsoft Academic Search

Good communication is vital in healthcare, both among healthcare\\u000aprofessionals, and between healthcare professionals and their patients. And\\u000awell-written documents, describing and\\/or explaining the information in\\u000astructured databases may be easier to comprehend, more edifying and even more\\u000aconvincing, than the structured data, even when presented in tabular or graphic\\u000aform. Documents may be automatically generated from structured data, using

Alison J. Cawsey; Bonnie L. Webber; Ray B. Jones

1997-01-01

214

Healthcare stocks expected to remain strong.  

PubMed

While healthcare stocks are likely to remain at the top of Wall Street's list of favorites, healthcare analysts and money managers say they don't expect to see the same quality of healthcare companies issuing stock the rest of the year. They say that in the coming months, more companies of lesser quality will sell stock at inflated prices, compared with their earnings. PMID:10110753

Pallarito, K

1991-05-27

215

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

216

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

217

Complexity science and leadership in healthcare.  

PubMed

The emerging field of complexity science offers an alternative leadership strategy for the chaotic, complex healthcare environment. A survey revealed that healthcare leaders intuitively support principles of complexity science. Leadership that uses complexity principles offers opportunities in the chaotic healthcare environment to focus less on prediction and control and more on fostering relationships and creating conditions in which complex adaptive systems can evolve to produce creative outcomes. PMID:11676217

Burns, J P

2001-10-01

218

FDA Drug Safety Podcast for Healthcare Professionals ...  

Center for Drug Evaluation (CDER)

... for Healthcare Professionals: Updated information about the drug interaction between methylene blue and serotonergic psychiatric medications. ... More results from www.fda.gov/drugs/drugsafety/drugsafetypodcasts

219

Information for Healthcare Professionals: Adderall and ...  

Center for Drug Evaluation (CDER)

... Information for Healthcare Professionals: Adderall and Adderall XR (amphetamine). ... Suspect drug: Adderall or Adderall XR. ... More results from www.fda.gov/drugs/drugsafety/postmarketdrugsafetyinformationforpatientsandproviders

220

FDA Drug Safety Podcast for Healthcare Professionals ...  

Center for Drug Evaluation (CDER)

... FDA Drug Safety Podcast for Healthcare Professionals: Seizure risk for multiple sclerosis patients who take Ampyra (dalfampridine). ... More results from www.fda.gov/drugs/drugsafety/drugsafetypodcasts

221

Nimodipine (marketed as Nimotop) - Healthcare Professional ...  

Center for Drug Evaluation (CDER)

... Nimodipine (marketed as Nimotop) - Healthcare Professional Sheet text version. The issues described in this communication ... More results from www.fda.gov/drugs/drugsafety/postmarketdrugsafetyinformationforpatientsandproviders

222

Information for Healthcare Professionals: Tumor Necrosis ...  

Center for Drug Evaluation (CDER)

... Information for Healthcare Professionals: Tumor Necrosis Factor (TNF) Blockers (marketed ... Although there were other contributory factors, the role ... More results from www.fda.gov/drugs/drugsafety/postmarketdrugsafetyinformationforpatientsandproviders

223

Strategies for navigating the healthcare credit market.  

PubMed

Not-for-profit healthcare organizations are experiencing a tightened credit market due to financial stresses on the healthcare industry such as declining payments, effects of the Balanced Budget Act of 1997, and the shift to outpatient care. In the future, healthcare organizations wanting to access the capital market will be expected to preserve cash as an "insurance policy," offer greater security and stricter covenants, and report financial information on a quarterly basis. To meet these requirements and navigate today's tighter credit market, healthcare financial managers will need to focus on the organization's most reliably profitable areas of business, link strategic and financial issues, and carefully monitor the balance sheet. PMID:11300003

Wareham, T L

2001-04-01

224

Drug Safety Information for Healthcare Professionals  

Center for Drug Evaluation (CDER)

... Drug Safety Information for Healthcare Professionals. As of January ... archived safety communications. Types of Safety Announcements. ... More results from www.fda.gov/drugs/drugsafety/postmarketdrugsafetyinformationforpatientsandproviders

225

Letters to Industry, Healthcare Providers, and Clinical ...  

Center for Drug Evaluation (CDER)

... Overview; Biosimilars. -. Letters to Industry, Healthcare Providers, and Clinical Investigators. Therapeutic Biological Products. ... More results from www.fda.gov/drugs/developmentapprovalprocess/howdrugsaredevelopedandapproved

226

Leading Lean: a Canadian healthcare leader's guide.  

PubMed

Canadian healthcare organizations are increasingly asked to do more with less, and too often this has resulted in demands on staff to simply work harder and longer. Lean methodologies, originating from Japanese industrial organizations and most notably Toyota, offer an alternative - tried and tested approaches to working smarter. Lean, with its systematic approaches to reducing waste, has found its way to Canadian healthcare organizations with promising results. This article reports on a study of five Canadian healthcare providers that have recently implemented Lean. We offer stories of success but also identify potential obstacles and ways by which they may be surmounted to provide better value for our healthcare investments. PMID:19553764

Fine, Benjamin A; Golden, Brian; Hannam, Rosemary; Morra, Dante

2009-01-01

227

An NMR spectroscopic study of the binding of alkali metal cations and methanol by cis-Mo(CO) 4{Ph 2P(CH 2CH 2O) n CH 2CH 2PPh 2-P,P?} ( n = 4,5) metallacrown ethers. The X-ray crystal structures of cis-Mo(CO) 4{Ph 2P(CH 2CH 2O) 4CH 2CH 2PPh 2-P,P?}·MeOH and cis-Mo(CO) 4{Ph 2P(CH 2CH 2) 4CH 2CH 2PPh 2-P,P?}·H 2O  

Microsoft Academic Search

The equilibrium constants for the binding of Li+ and Na+ by the cis-Mo(CO)4{Ph2P(CH2CH2O)nCH2CH2PPh2-P,P?} (n = 4 (1), 5 (2)) metallacrown ethers have been determined by fitting the NMR data from titrations to a one-to-one binding model using non-linear least squares techniques. These show that 1 has an approximately equal affinity for Li+ and Na+ but that 2 has a much

Gary M. Gray; Frederick P. Fish; Christina H. Duffey

1996-01-01

228

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....

229

Innovative Biomedical Information Technologies for Low-cost Healthcare  

Microsoft Academic Search

Meeting the long-term healthcare needs of the growing elderly population and escalating healthcare expenditure in China pose a grim challenge to the current healthcare system and the solvency of state budgets. Therefore, there is a great need of advanced technologies for more effective and low-cost healthcare to alleviate the burden of the current healthcare system. Based on the development of

Y. T. Zhang; C. C. Y. Poon

2007-01-01

230

BANip: Enabling Remote Healthcare Monitoring with Body Area Networks  

Microsoft Academic Search

This paper presents a Java service platform for mobile healthcare that enables remote health monitoring using 2.5\\/3G public wireless networks. The platform complies with today's healthcare delivery models, in particular it incorporates some functionality of a healthcare call center, a healthportal for patients that aggregates healthcare services from collaborative care centers. Our service platform simplifies the development of mobile healthcare

Nikolay Dokovsky; Aart Van Halteren; Ing Widya

2003-01-01

231

Child neglect and psychological abuse  

MedlinePLUS

... also called psychological abuse) is a form of child abuse that occurs when someone intentionally does not provide ... disregard for the child's well being See also: Child abuse - physical Child abuse - sexual

232

Communication for Child Survival,  

National Technical Information Service (NTIS)

The manual presents a systematic public health communication methodology for child survival programs. It is meant for health and communication professionals who wish to use communication strategies to improve child health in the developing world. The manu...

M. R. Rasmuson R. E. Seidel W. A. Smith E. M. Booth

1988-01-01

233

Child Mental Health  

MedlinePLUS

... your child has a fever. A child's mental health problem may be harder to identify, but you ... or hurting or destroying things. Some common mental health problems in children are Depression Anxiety Behavior disorders ...

234

Recognizing the child in child poverty  

Microsoft Academic Search

In the past few decades, a particular need for a child-centered perspective has emerged, based on evidence that children are more susceptible to environmental and social risks, and that they have different needs than adults do. This article examines issues affecting children in existing measurements and presents conceptual considerations for future work toward defining and measuring child poverty. Current definitions

Sebastián J. Lipina; Jennifer Simonds; M. Soledad Segretin

2011-01-01

235

Child Poverty and Changes in Child Poverty  

PubMed Central

This article offers a cross-country overview of child poverty, changes in child poverty, and the impact of public policy in North America and Europe. Levels and changes in child poverty rates in 12 Organisation for Economic Co-operation and Development (OECD) countries during the 1990s are documented using data from the Luxembourg Income Study project, and a decomposition analysis is used to uncover the relative role of demographic factors, labor markets, and income transfers from the state in determining the magnitude and direction of the changes. Child poverty rates fell noticeably in only three countries and rose in three others. In no country were demographic factors a force for higher child poverty rates, but these factors were also limited in their ability to cushion children from adverse shocks originating in the labor market or the government sector. Increases in the labor market engagement of mothers consistently lowered child poverty rates, while decreases in the employment rates and earnings of fathers were a force for higher rates. Finally, there is no single road to lower child poverty rates. Reforms to income transfers intended to increase labor supply may or may not end up lowering the child poverty rate.

CHEN, WEN-HAO; CORAK, MILES

2008-01-01

236

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

237

FDA Drug Safety Podcast for Healthcare Professionals ...  

Center for Drug Evaluation (CDER)

... If a child comes in direct contact with the arm where Evamist was sprayed, wash the child's skin with soap and water as soon as possible. ... More results from www.fda.gov/drugs/drugsafety/drugsafetypodcasts

238

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…

Olds, Anita Rui

239

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

240

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 ...

241

Individualized Healthcare Plans (IHP). Position Statement. Revised  

ERIC Educational Resources Information Center

It is the position of the National Association of School Nurses (NASN) that students whose healthcare needs affect or have the potential to affect safe and optimal school attendance and academic performance require the professional school nurse to write an Individualized Healthcare Plan (IHP), in collaboration with the student, family, educators,…

National Association of School Nurses (NJ1), 2008

2008-01-01

242

Intelligent techniques for business intelligence in healthcare  

Microsoft Academic Search

Business intelligence is a new methodology to maximize the benefits for healthcare organization Business intelligence provides an integrated view of data that can be used to monitor, key performance indicators, identify hidden patterns in diagnosis and identify variations in cost factors. Intelligent techniques provide an effective computational methods and robust environment for business intelligence in the healthcare domain. From the

Maria Antonina Mach; Abdel-Badeeh M. Salem

2010-01-01

243

Medical and HealthCare Robotics  

Microsoft Academic Search

The aim of this article is to propose some of the most important capabilities and technical achievements of medical and health-care robotics needed to improve human health and well-being. The paper describes application areas, societal drivers, motivating scenarios, desired system capabilities, and fundamental research areas that should be considered in the design of medical and health-care robots.

ALLISON M. OKAMURA; MAJA J. MATARIC; HENRIK I. CHRISTENSEN

2010-01-01

244

Educating Healthcare Ethics Committees: The Evaluation Results.  

ERIC Educational Resources Information Center

|This demonstration project provided specialized training to members of newly constituted healthcare ethics committees (HECs) across the United States. Between 1992 and 1996, 25 faculty with experience in healthcare ethics provided on-site training at hospitals and health centers in 54 communities in 32 states. Sixty training modules were…

Lusky, Richard A.; Spicker, Stuart F.

245

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

246

Healthcare reform wars. Somebody could get hurt.  

PubMed

What's wrong with the current healthcare system, and who's to blame? How can government-run healthcare be avoided? Dr Moffit, from The Heritage Foundation in Washington, DC, analyzes the problems of the current system, explains the pitfalls of proposed reforms, and offers a solution for saving the traditional private practice system. PMID:7971618

Moffit, R E

1994-11-15

247

Lean healthcare: Rhetoric, ritual and resistance  

Microsoft Academic Search

This paper presents an ethnographic account of the implementation of Lean service redesign methodologies in one UK NHS hospital operating department. It is suggested that this popular management ‘technology’, with its emphasis on creating value streams and reducing waste, has the potential to transform the social organisation of healthcare work. The paper locates Lean healthcare within wider debates related to

Justin J. Waring; Simon Bishop

2010-01-01

248

Filling the healthcare IT gap by 2015.  

PubMed

Healthcare organizations have been slow to adopt health IT. However, the government stimulus package and impending fines for hospitals that have not implemented HIT by 2015 will motivate adoption. Issues confronting healthcare executives include selection of vendors, command of privacy and security issues, and implementation of industry standards. PMID:19526817

Bigalke, John T

2009-06-01

249

INFORMATION LOGISTICS, E-HEALTHCARE AND TRUST  

Microsoft Academic Search

Information and communication technology has influenced nearly every area of social life - even the healthcare system. Healthcare organizations use innovative information technologies in order to optimize internal communication and information processes and workflows as well as external relationships to other parties, e.g. patients. We introduce the information logistics concept and demonstrate the possibilities and advantages of a demand-driven and

Kerstin Heuwinkel; Wolfgang Deiters

250

Impact of ICT on Home Healthcare  

Microsoft Academic Search

Innovation in information and communication technology has a great potential to create large impact on modern healthcare. However, for the new technologies to be adopted, the innovations have to be meaningful and timely, taking into account user needs and addressing societal and ethical concerns. In this paper, we focus on ICT innovations related to home healthcare domain, in which patient

Sokratis Vavilis; Nicola Zannone

251

Challenges in healthcare and welfare intercloud  

Microsoft Academic Search

In this paper, we introduce healthcare and welfare provisioning intercloud on an example of Aging in Place platform. We relate it to earlier work both in healthcare and intercloud domain. We describe goals and architecture of the platform and demonstrate benefits of applying Cloud Computing solutions to previously identified challenges. Subsequently, we list and analyze challenges that seem to be

Tomasz Wiktor Wlodarczyk; Chunming Rong; Dagfinn Waage

2011-01-01

252

Understanding Team Learning in a Healthcare Setting  

Microsoft Academic Search

The aim of this program of research was to determine how workplace team- learning activities are manifested as specific examples of knowledge management and learning among healthcare team members in the multiprofessional context of an academic healthcare organization. Background A learning organization, as described by Senge (1990), has the promise of holding an advantage over other organizations because of its

Carole Chatalalsingh; Glenn Regehr

253

MedModel: healthcare specific simulation software  

Microsoft Academic Search

Since its release in 1993, MedModel has continued to make substantial strides in the evolution of healthcare simulation software. Until its arrival, the complex interdependencies and extreme number of variable outcomes exhibited by the ordinary healthcare system restricted the use of simulation to large forecasting or trend analysis models. MedModel was specifically designed to be simple to use and tailorable

Jeffrey B. Schulz

1995-01-01

254

MedModel-healthcare specific simulation software  

Microsoft Academic Search

Since its release in 1993, MedModel has continued to make substantial strides in the evolution of healthcare simulation software. Until its arrival, the complex interdependencies and extreme number of variable outcomes exhibited by the ordinary healthcare system restricted the use of simulation to large forecasting or trend analysis models. MedModel was specifically designed to be simple to use and tailorable

J. B. Schulz

1995-01-01

255

Communities, obligations and health-care  

Microsoft Academic Search

This paper examines the notion that, in the modern world, a just community will find it necessary to supply a decent minimum of health-care as well as a decent minimum of other basic needs to its members. The argument that health-care is an obligation of the just community is made by examining concepts of health, and the natural lottery as

Erich H. Loewy

1987-01-01

256

Consumer Trust - Challenge for E-healthcare  

Microsoft Academic Search

The evolution of Internet within the last years and the continuous advances in electronic commerce and communication provide exciting opportunities to implement a powerful framework of resources, tools and applications that revolutionize the way in which healthcare institutions interact with their patients, as well as deliver and manage medical services. Internet-based healthcare is the application of information and communication technologies

Justyna Matysiewicz; Slawomir Smyczek

2009-01-01

257

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

258

Improvement, trust, and the healthcare workforce  

Microsoft Academic Search

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

D M Berwick

2003-01-01

259

Discourse Analysis of Encouragement in Healthcare Manga  

ERIC Educational Resources Information Center

|This article examines how healthcare professionals use encouragement. Focusing on GAMBARU ["to try hard"], forty-one scenes were collected from healthcare manga. Each scene of encouragement was analyzed from three perspectives; the contextual background of the communication, the relationship with the patients and the patients' response to the…

Matsuoka, Rieko; Smith, Ian; Uchimura, Mari

2011-01-01

260

Agent-based ambient intelligence for healthcare  

Microsoft Academic Search

Healthcare professionals, working in hospitals experience a high level of mobility due to their need for accessing patients' clinical records, medical devices distributed throughout the premises, and colleagues with whom they collaborate. In this paper, we present how autonomous agents provide capabilities of intelligence and proactivity to healthcare environments furnished with ubiquitous computing and medical devices, resulting thus, in an

Marcela D. Rodríguez; Jesús Favela; Alfredo Preciado; Aurora Vizcaíno

2005-01-01

261

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

262

Skin Protection in the Healthcare Setting  

Microsoft Academic Search

Professions of the healthcare setting are at high risk for occupational skin diseases. Irritant and allergic contact dermatitis of the hands frequently occurs, whereas contact urticaria and hospital-acquired infections are less common. Wet work and irritant exposure are frequent due to hand hygiene which is indispensable with regard to prevention of crossinfections. In the healthcare setting, protection gloves are frequently

V. Mahler

2007-01-01

263

Reliability Versus Resilience: What Does Healthcare Need?  

Microsoft Academic Search

System performance in healthcare pivots on the ability to match demand for care with the resources that are needed to provide it. High reliability is desirable in organizations that perform inherently hazardous, highly technical tasks. However, healthcare's high variability, diversity, partition between workers and managers, and production pressure make it difficult to employ essential aspects of high reliability organizations (HROs)

Christopher Nemeth; Richard Cook

264

Healthcare violence. A nursing administration perspective.  

PubMed

Healthcare administrators are held responsible for providing a safe work environment for their employees. Yet crime and violence is occurring increasingly in healthcare facilities. The author describes the significance of violence to nursing administrators and suggests various management strategies for combating violence. PMID:8601829

Claravall, L

1996-02-01

265

A personalised Healthcare Information Delivery System: pushing customised healthcare information over the WWW.  

PubMed

Easier and focused access to healthcare information can empower individuals to make 'informed' choices and judgements about personal health maintenance. To achieve 'optimum' patient empowerment, we need to re-evaluate and potentially re-design the processes of healthcare information delivery. Our suggestion is that healthcare information should be personalised according to each individual's healthcare needs and it should be pro-actively delivered, i.e. pushed towards the individual. We present an intelligent Personalised Healthcare Information Delivery Systems that aims to enhance patient empowerment by pro-actively pushing customised, based on one's Electronic Medical Record, health maintenance information via the WWW. PMID:11187636

Abidi, S S; Goh, A

2000-01-01

266

Guest editorial. Integrated healthcare information systems.  

PubMed

The use of integrated information systems for healthcare has been started more than a decade ago. In recent years, rapid advances in information integration methods have spurred tremendous growth in the use of integrated information systems in healthcare delivery. Various techniques have been used for probing such integrated systems. These techniques include service-oriented architecture (SOA), EAI, workflow management, grid computing, and others. Many applications require a combination of these techniques, which gives rise to the emergence of enterprise systems in healthcare. Development of the techniques originated from different disciplines has the potential to significantly improve the performance of enterprise systems in healthcare. This editorial paper briefly introduces the enterprise systems in the perspective of healthcare informatics. PMID:22760931

Li, Ling; Ge, Ri-Li; Zhou, Shang-Ming; Valerdi, Ricardo

2012-07-01

267

[Healthcare of imprisoned juveniles: new regulations].  

PubMed

Several new French regulations have come into effect to regulate the healthcare of juvenile offenders in prison with the creation of French Young Offender Institutions. They complete the French prison healthcare methodological guide. This article presents the new developments in the healthcare of juveniles in prison. It specifies the limitations placed on the healthcare team's interventions on imprisoned juveniles. Promoting an individualized prisoner program, as is done in the school context, outlining parental involvement in this program, and withdrawing from the healthcare methodological guide the tasks that are not within the realm of the physician caring for the minor would be measures to ensure good ethical medical practices in prison. These could be applied to French secure training centers and secure children's homes. PMID:20018495

Sannier, O; Nappez, S; Manaouil, C

2009-12-16

268

Patient Centeredness, Cultural Competence and Healthcare Quality  

PubMed Central

Cultural competence and patient centeredness are approaches to improving healthcare quality that have been promoted extensively in recent years. In this paper, we explore the historical evolution of both cultural competence and patient centeredness. In doing so, we demonstrate that early conceptual models of cultural competence and patient centeredness focused on how healthcare providers and patients might interact at the interpersonal level and that later conceptual models were expanded to consider how patients might be treated by the healthcare system as a whole. We then compare conceptual models for both cultural competence and patient centeredness at both the interpersonal and healthcare system levels to demonstrate similarities and differences. We conclude that, although the concepts have had different histories and foci, many of the core features of cultural competence and patient centeredness are the same. Each approach holds promise for improving the quality of healthcare for individual patients, communities and populations.

Saha, Somnath; Beach, Mary Catherine; Cooper, Lisa A.

2010-01-01

269

32 CFR 105.11 - Healthcare provider procedures.  

Code of Federal Regulations, 2013 CFR

...2013-07-01 2013-07-01 false Healthcare provider procedures. 105.11 Section...RESPONSE PROGRAM PROCEDURES § 105.11 Healthcare provider procedures. This section...timely, accessible, and comprehensive healthcare for victims of sexual...

2013-07-01

270

76 FR 63622 - Healthcare Infection Control Practices Advisory Committee, (HICPAC)  

Federal Register 2010, 2011, 2012, 2013

...Control and Prevention Healthcare Infection Control Practices Advisory Committee...The practice of healthcare infection control; (2) strategies for surveillance...NICU), draft guideline for infection control in healthcare personnel,...

2011-10-13

271

75 FR 29772 - Healthcare Infection Control Practices Advisory Committee, (HICPAC)  

Federal Register 2010, 2011, 2012, 2013

...Control and Prevention Healthcare Infection Control Practices Advisory Committee...The practice of healthcare infection control; (2) strategies for surveillance...the draft guideline for Infection Control in Healthcare Personnel;...

2010-05-27

272

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

Federal Register 2010, 2011, 2012, 2013

...Control and Prevention Healthcare Infection Control Practices Advisory Committee...regarding the practice of healthcare infection control and strategies for surveillance...NICU); draft guideline for Infection Control in Healthcare Personnel;...

2010-10-18

273

76 FR 29756 - Healthcare Infection Control Practices Advisory Committee (HICPAC)  

Federal Register 2010, 2011, 2012, 2013

...Control and Prevention Healthcare Infection Control Practices Advisory Committee...The practice of healthcare infection control; (2) strategies for surveillance...NICU); draft guidelines for infection control in healthcare personnel;...

2011-05-23

274

77 FR 4820 - Healthcare Infection Control Practices Advisory Committee (HICPAC)  

Federal Register 2010, 2011, 2012, 2013

...Control and Prevention Healthcare Infection Control Practices Advisory Committee...the practice of healthcare infection control; (2) strategies for surveillance...NICU), draft guideline for infection control in healthcare personnel,...

2012-01-31

275

Comparison of Physical Child Abusers, Intrafamilial Sexual Child Abusers, and Child Neglecters  

Microsoft Academic Search

One hundred and fifty subjects, including 30 physical child abusers, 15 intrafamilial sexual child abusers, 30 child neglecters, and three matched comparison groups were compared on levels of distress, unhappiness, loneliness, rigidity, negative concept of child and self, child problems, and problems from family and others. All child maltreatment groups reported elevated levels of personal distress, unhappiness, loneliness, and rigidity.

JOEL S. MILNER; KEVIN R. ROBERTSON

1990-01-01

276

Recall of Amicus Apheresis Kits-Baxter Healthcare ...  

Center for Biologics Evaluation and Research (CBER)

... Recall of Amicus Apheresis Kits-Baxter Healthcare Corporation. DATE RECALL INITIATED: ... Baxter Healthcare Corporation Deerfield, IL. REASON: ... More results from www.fda.gov/biologicsbloodvaccines/safetyavailability/recalls

277

78 FR 6329 - Healthcare Infection Control Practices Advisory Committee (HICPAC)  

Federal Register 2010, 2011, 2012, 2013

...and Prevention Healthcare Infection Control Practices Advisory Committee...The practice of healthcare infection prevention and control; (2) strategies for surveillance, prevention, and control of infections, antimicrobial...

2013-01-30

278

Stereoelectronic properties of the sulfinyl-substituted phosphine ligands: synthesis and X-ray structure of the stable complex [PdCl 2{Ph 2PCH 2S(O)Me}{MeOH}  

Microsoft Academic Search

The square-planar complex trans-[PdCl2{Ph2PCH2S(O)Me}{MeOH}] has been prepared. The compound crystallizes as orange-red prisms in the monoclinic space group P21\\/n, with a = 9.446(2), b = 14.858(3), c = 13.578(3) A?, ? = 105.08(2)° and Z = 4. The structure was determined by direct methods and refined to R = 0.027 and Rw = 0.041. All atoms including hydrogens were located

G. H. Quek; Pak-Hing Leung; K. F. Mok

1995-01-01

279

Prevention of mother-to-child transmission of HIV in a refugee camp setting in Tanzania  

Microsoft Academic Search

The objective of this article is to describe the results of a 2-year pilot programme implementing prevention of mother to child HIV transmission (PMTCT) in a refugee camp setting. Interventions used were: community sensitization, trainings of healthcare workers, voluntary counselling and HIV testing (VCT), infant feeding, counselling, and administration of Nevirapine. Main outcome measures include: HIV testing acceptance rates, percentage

E. Rutta; R. Gongo; A. Mwansasu; D. Mutasingwa; V. Rwegasira; S. Kishumbu; J. Tabayi; T. Masini; H. Ramadhani

2008-01-01

280

Lowering Child Mortality in Poor Countries: The Power of Knowledgeable Parents  

Microsoft Academic Search

Why do over 20% of children die in some poor countries, while in others only 2% die? We examine this question using survey data covering 278,000 children in 45 low-income countries. We find that parents' education and a mother's propensity to seek out modern healthcare are empirically important when explaining child survival, while the prevalence of common diseases, along with

Peter Boone; Zhaoguo Zhan

2006-01-01

281

A Multi-Agent Medical System for Indian Rural Infant and Child Care  

Microsoft Academic Search

In this paper, a Multi-agent System (MAS) is presented for providing clinical decision support to healthcare practitioners in rural or remote areas of India for young infants or children up to the age of 5 years. The government is unable to appoint child specialists in rural areas because of inadequate number of available pediatricians. It leads to a high Infant

Vijay Kumar Mago; M. Syamala Devi

2007-01-01

282

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.

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

283

Mother-child planning and child compliance.  

PubMed

This study investigated child compliance and maternal instruction during planning. Based on the Child Behavior Checklist and free-play observations, 40 mothers and their 4- to 5-year-old children were assigned to a group with children who behaved within the normal range of compliance (n = 20) or a group with children with high rates of noncompliance for this age (n = 20). Mothers in the noncompliant group provided more low-level, directive, and negative instruction; requested more compliance; and shared less task responsibility with children. Mothers in both groups responded to child compliance by increasing or maintaining the level of instruction. Results are discussed in relation to the role of child compliance in regulating opportunities for cognitive development in social context. PMID:18489426

Gauvain, Mary; Perez, Susan M

284

[Consumer health-care information technology].  

PubMed

Consumer health-care information technology is intended to improve patients' opportunities to gather information about their own health. Ideally, this will be achieved through an improved involvement of existing data bases and an improved communication of information to patients and to care providers, if desired by patients. Additionally, further interconnection of existing and new systems and pervasive system design may be used. All consumer health-care information technology services are optional and leave patients in control of their medical data at all times. This article reflects the current status of consumer health-care information technology research and suggests further research areas that should be addressed. PMID:23695812

Sunyaev, A

2013-05-21

285

Healthcare economics for the emergency physician.  

PubMed

Although the principles of healthcare economics are not usually part of the fundamental education of emergency physicians, an understanding of these elements will enhance our ability to contribute to improved health-care value. This article introduces the practical aspects of microeconomics, insurance, the supply-and-demand relationship, competition, and costs as they affect the practice of medicine on a daily basis. Being cognizant of how these elements create a dynamic interplay in the health-care industry will allow physicians to better understand the expanded role they need to assume in the ongoing cost and quality debate. PMID:12563583

Propp, Douglas A; Krubert, Christopher; Sasson, Andres

2003-01-01

286

The chemistry and catalytic activity of new cationic ruthenium(II) complexes in the hydrogenation of cyclohexene. Crystal structure of [RuH(CO)(PPh 3)(P(OMe) 3)(Ph 2PCH 2CH 2AsPh 2)]ClO 4·n?C 5H 12  

Microsoft Academic Search

Interaction of neutral ruthenium(II) complexes of the type [RuHCl(CO)(PPh3) (L-L?)] [where L-L? = Ph2PCH2CH2PPh2 (dppe), 1; Ph2PCH2CH2CH2PPh2 (dppp), 2; Ph2PCH2CH2AsPh2 (arphos), 3] with AgClO4 in the presence of L? [L? = P(OMe)3 or PME3] yielded the new cationic ruthenium(II) complexes [RuH(CO)(PPh3)(L?)(L-L?)]ClO4 [where L-L? = dppe, 4; dppp, 5 arphos, 6; L? = PMe3, 4; P(OMe)3, 5 and 6]. All the

Dongmok Whang; Kimoon Kim

1996-01-01

287

Building a Computer Program to Support Children, Parents, and Distraction during Healthcare Procedures  

PubMed Central

This secondary data analysis used data mining methods to develop predictive models of child risk for distress during a healthcare procedure. Data used came from a study that predicted factors associated with children’s responses to an intravenous catheter insertion while parents provided distraction coaching. From the 255 items used in the primary study, 44 predictive items were identified through automatic feature selection and used to build support vector machine regression models. Models were validated using multiple cross-validation tests and by comparing variables identified as explanatory in the traditional versus support vector machine regression. Rule-based approaches were applied to the model outputs to identify overall risk for distress. A decision tree was then applied to evidence-based instructions for tailoring distraction to characteristics and preferences of the parent and child. The resulting decision support computer application, the Children, Parents and Distraction (CPaD), is being used in research. Future use will support practitioners in deciding the level and type of distraction intervention needed by a child undergoing a healthcare procedure.

McCarthy, Ann Marie; Kleiber, Charmaine; Ataman, Kaan; Street, W. Nick; Zimmerman, M. Bridget; Ersig, Anne L.

2012-01-01

288

European security framework for healthcare.  

PubMed

eHealth and telemedicine services are promising business areas in Europe. It is clear that eHealth products and services will be sold and ordered from a distance and over national borderlines in the future. However, there are many barriers to overcome. For both national and pan-European eHealth and telemedicine applications a common security framework is needed. These frameworks set security requirements needed for cross-border eHealth services. The next step is to build a security infrastructure which is independent of technical platforms. Most of the European eHealth platforms are regional or territorial. Some countries are looking for a Public Key Infrastructure, but no large scale solutions do exist in healthcare. There is no clear candidate solution for European-wide interoperable eHealth platform. Gross-platform integration seems to be the most practical integration method at a European level in the short run. The use of Internet as a European integration platform is a promising solution in the long run. PMID:15061534

Ruotsalainen, Pekka; Pohjonen, Hanna

2003-01-01

289

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

290

Fatal child neglect.  

PubMed

Child neglect results from either acts of omission or of commission. Fatalities from neglect account for 30% to 40% of deaths caused by child maltreatment. Deaths may occur from failure to provide the basic needs of infancy such as food or medical care. Medical care may also be withheld because of parental religious beliefs. Inadequate supervision may contribute to a child's injury or death through adverse events involving drowning, fires, and firearms. Recognizing the factors contributing to a child's death is facilitated by the action of multidisciplinary child death review teams. As with other forms of child maltreatment, prevention and early intervention strategies are needed to minimize the risk of injury and death to children. PMID:11480762

Berkowitz, C D

2001-01-01

291

Podcast for Healthcare Professionals: Serious Liver Disorder ...  

Center for Drug Evaluation (CDER)

... Podcast for Healthcare Professionals: Serious Liver Disorder Associated with the Use of Videx/Videx EC. ... Liver transplantation in 3 patients. ... More results from www.fda.gov/drugs/drugsafety/drugsafetypodcasts

292

Information for Healthcare Professionals: Oral Sodium ...  

Center for Drug Evaluation (CDER)

... The occurrence of these events was previously described in an Information for Healthcare Professionals sheet and an FDA Science Paper issued ... More results from www.fda.gov/drugs/drugsafety/postmarketdrugsafetyinformationforpatientsandproviders

293

Information for Healthcare Professionals: Sertraline (marketed ...  

Center for Drug Evaluation (CDER)

... 14 infants with PPHN and 6 healthy control infants had been exposed to an ... Healthcare providers should keep in mind that triptans are often used ... More results from www.fda.gov/drugs/drugsafety/postmarketdrugsafetyinformationforpatientsandproviders

294

Podcast for Healthcare Professionals: Possible increased risk ...  

Center for Drug Evaluation (CDER)

... Podcast for Healthcare Professionals: Possible increased risk of fractures of the hip, wrist, and spine with the use of proton pump inhibitors. ... More results from www.fda.gov/drugs/drugsafety/drugsafetypodcasts

295

FDA Drug Safety Podcast for Healthcare Professionals ...  

Center for Drug Evaluation (CDER)

... Podcast for Healthcare Professionals: Updated information about the FDA-funded study on risk of blood clots in women taking birth control pills ... More results from www.fda.gov/drugs/drugsafety/drugsafetypodcasts

296

FDA Drug Safety Podcast for Healthcare Professionals ...  

Center for Drug Evaluation (CDER)

... Guest Speaker: On November 4, 2011, the Food and Drug Administration issued a Drug Safety Communication reminding healthcare providers ... More results from www.fda.gov/drugs/drugsafety/drugsafetypodcasts

297

FDA Drug Safety Communication: FDA alerts healthcare ...  

Center for Drug Evaluation (CDER)

... FDA alerts healthcare professionals to stop performing heart scans with CardioGen-82 due to potential for increased radiation exposure in patients. ... More results from www.fda.gov/drugs/drugsafety

298

FDA Drug Safety Podcasts for Healthcare Professionals ...  

Center for Drug Evaluation (CDER)

... Podcasts for Healthcare Professionals: Safety Review Update of Medications used to treat Attention-Deficit/Hyperactivity Disorder (ADHD) in adults. ... More results from www.fda.gov/drugs/drugsafety/drugsafetypodcasts

299

Use of Joint Healthcare Manpower Standards (JHMS).  

National Technical Information Service (NTIS)

The Directive establishes policy and assigns responsibilities for determining peacetime healthcare manpower in fixed medical treatment facilities (MTFs) under Secretary of Defense Memorandum, June 18, 1985. The Directive authorizes the issuance of Departm...

K. Cox

1989-01-01

300

Linking the healthcare continuum with technology  

Microsoft Academic Search

Looks at healthcare and technology and how home care service is coming more to the fore. Discusses IT and how it will further improve both cost and clinical procedures without losing the human contact part of it.

Neil Russon

1997-01-01

301

Diseases and Organisms in Healthcare Settings  

MedlinePLUS

... visit: Norovirus in Healthcare Settings Top of page Pseudomonas aeruginosa Pseudomonas infection is caused by strains of bacteria ... common type causing infections in humans is called Pseudomonas aeruginosa . Serious Pseudomonas infections usually occur in people in ...

302

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.

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

2006-01-01

303

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

304

Child Care Project. Annual Report.  

ERIC Educational Resources Information Center

The Child Care Coalition has been monitoring the number of high-quality, safe, accessible, and affordable child care spaces in Pasadena, California, since 1989. In addition, the Coalition has worked to expand the availability of child care through such programs as the Northwest Child Care Trust Fund Loan Program, which offers loans to child care…

Broussard, Anne M.

305

Early Child Care in India.  

ERIC Educational Resources Information Center

|This monograph focuses on aspects of early child care in India. Conceptions of child care and child rearing, socialization processes, types of child care programs available, and research relating to the young child are among the major topics of discussion. (CM)|

Khalakdina, Margaret

1979-01-01

306

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

307

Healthcare service use and costs for autism spectrum disorder: a comparison between medicaid and private insurance.  

PubMed

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

2013-05-01

308

The four critical drivers of healthcare reform.  

PubMed

With the constitutionality of the Affordable Care Act no longer in dispute, it is essential to their continued viability for healthcare providers to adapt successfully to a healthcare system transforming from a fee-for-service payment model to one of value-based purchasing. This article will discuss the four critical drivers of the value-based payment model and examples of the metrics used to measure them in the Affordable Care Act. PMID:23373152

Cassatly, Michael G

309

Combating employee theft in the healthcare industry.  

PubMed

The healthcare industry is especially susceptible to internal fraud and employee theft, the author's research has found. He presents details of 14 costly healthcare embezzlements that took place in three months and gives insight into schemes employed on the most common types of embezzlement. He also describes proactive steps which can be taken to prevent, detect and respond to this phenomenon as well as providing a primer on conducting an internal theft investigation. PMID:21916289

Marquet, Christopher T

2011-01-01

310

Seasonal flu vaccination for healthcare workers?  

PubMed

In the UK, the Department of Health (DH) recommends annual immunisation of healthcare workers against influenza to reduce the likelihood of nosocomial influenza transmission, particularly to vulnerable patients. However, although vaccination services to meet this need are available and provided free of charge to the recipient, uptake is often poor. Here we review the evidence for reduced influenza transmission and other benefits with seasonal vaccination of healthcare workers, and examine what influences vaccine uptake. PMID:21057031

2010-11-01

311

Wicked problems in designing healthcare facilities.  

PubMed

The design process for new healthcare facilities presents many wicked problems for nurse leaders with a number of stakeholders, a myriad of opinions, and numerous options to consider. This bimonthly department expands nurse leaders' knowledge and competencies in health facility design and enables them to lead in design efforts. In this article, the concept of wicked problems is explored with application to the healthcare design situation using examples of design decisions frequently challenging nurse leaders. PMID:19820520

Stichler, Jaynelle F

2009-10-01

312

[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

313

Health-Care Reform for Childbirth  

PubMed Central

In this column, the editor of The Journal of Perinatal Education discusses the current health-care crisis and the need for health-care reform to promote, support, and protect natural, safe, and healthy childbirth. The editor also describes the contents of this issue, which offer a broad range of resources, research, and inspiration for childbirth educators in their efforts to promote normal birth.

Budin, Wendy C.

2010-01-01

314

Health-care reform for childbirth.  

PubMed

In this column, the editor of The Journal of Perinatal Education discusses the current health-care crisis and the need for health-care reform to promote, support, and protect natural, safe, and healthy childbirth. The editor also describes the contents of this issue, which offer a broad range of resources, research, and inspiration for childbirth educators in their efforts to promote normal birth. PMID:20174489

Budin, Wendy C

2010-01-01

315

PERSONALIZED HEALTHCARE COMMUNICATION IN INTERNET OF THINGS  

Microsoft Academic Search

Personalized healthcare is a challenge because supports the sustainability of care. Internet of Things is a paradigm promising to manage the digital identity, so the personalization of care services. Different equipment is used in extra-wall healthcare and assistive services, requiring different sorts of objects to communicate and to make the ubiquitous system-of-system. Extended entities and mixed roles are becoming inter-operable.

Mikhail Simonov; Riccardo Zich; Flavia Mazzitelli

316

Towards a National Healthcare Information Infrastructure  

Microsoft Academic Search

Many countries around the world have placed an increased focus on the need to modernize their healthcare information infrastructure.\\u000a This is particularly challenging in the United States. The U.S. healthcare industry is by far the largest in the world in\\u000a both absolute dollars and in percentage of GDP (>$1.7T – 15% of GDP). It is also quite fragmented and complex.

Sarah E. Knoop

2006-01-01

317

Teleinformatics: The Future of Healthcare Quality Management  

Microsoft Academic Search

\\u000a The history of recorded healthcare quality management (QM) dates back 5000 years. Doctors have long been accountable for healthcare\\u000a outcomes. As early as 3000 BC, in the legal statutes of the Egyptians, heads of state generously rewarded physicians for exceptional\\u000a medical outcomes. For example, the accomplishments of Imhoptep (2686–2613 BC), who was the physician for King Zoser, won him\\u000a such

John W. Williamson

318

Child Care Challenges  

NSDL National Science Digital Library

_Child Care Challenges_, a recent report published by the Child Care and Development Division of the Children's Defense Fund, is a state-by-state analysis of the latest data "on [annual] child care costs, and supply and affordability problems facing America's low-income working families." The report is divided into 50 chapters, one for each state. Each chapter summarizes state-level data, describes the problems surrounding the availability of affordable, high-quality child care, and highlights the need for "increased state and federal investments, and greater involvement from other sectors." Chapters are between fifteen and twenty pages and are presented in .pdf format only.

1998-01-01

319

Ergonomics concerns and the impact of healthcare information technology  

Microsoft Academic Search

The US healthcare industry is poised on the verge of a massive expansion of its information technology infrastructure. Healthcare information technology (IT) is permeating numerous areas of healthcare delivery and fundamentally changing the nature of many healthcare jobs. When a comparable expansion in HIT use occurred in the office environment in the 1980s, little attention was paid to ergonomic design

Alan Hedge; Tamara James; Sonja Pavlovic-Veselinovic

2011-01-01

320

Minitrack: IT Adoption, Implementation, Use and Evaluation in Healthcare  

Microsoft Academic Search

This minitrack focuses on the role of adoption, implementation, use and evaluation factors and the interaction of these factors at various levels for healthcare system success. Successful innovation with information technology (IT) in healthcare continues to challenge research and practice. Information Technology is seen as an enabler of change in healthcare organizations but (information) technology adoption decisions in healthcare are

Ton A. M. Spil; Kenneth J. Trimmer; Cynthia Lerouge; Carla Wiggins

2007-01-01

321

Modeling and estimating the spatial distribution of healthcare workers  

Microsoft Academic Search

This paper describes a spatial model for healthcare workers' location in a large hospital facility. Such models have many applications in healthcare, such as supporting time-and- motion efficiency studies to improve healthcare delivery, or modeling the spread of hospital-acquired infections. We use our model to estimate spatial distributions for healthcare workers in The University of Iowa Hospitals and Clinics (UIHC),

Donald Ephraim Curtis; Christopher S. Hlady; Sriram V. Pemmaraju; Philip M. Polgreen; Alberto Maria Segre

2010-01-01

322

Risk, Uncertainty, and Gender Stereotypes in Healthcare Decisions  

Microsoft Academic Search

Disparities in healthcare access, treatment, and outcomes are widely prevalent for women and minorities. At the same time, healthcare choices have become increasingly intricate and correspondingly uncertain. We review contemporary issues in healthcare for women, with emphasis on access to care and on healthcare disparities. In the belief that forewarned is forearmed, we review the role of sexism and the

Cheryl B. Travis; Dawn M. Howerton; Dawn M. Szymanski

2012-01-01

323

Customer privacy on UK healthcare websites.  

PubMed

Privacy has been and continues to be one of the key challenges of an age devoted to the accumulation, processing, and mining of electronic information. In particular, privacy of healthcare-related information is seen as a key issue as health organizations move towards the electronic provision of services. The aim of the research detailed in this paper has been to analyse privacy policies on popular UK healthcare-related websites to determine the extent to which consumer privacy is protected. The author has combined approaches (such as approaches focused on usability, policy content, and policy quality) used in studies by other researchers on e-commerce and US healthcare websites to provide a comprehensive analysis of UK healthcare privacy policies. The author identifies a wide range of issues related to the protection of consumer privacy through his research analysis using quantitative results. The main outcomes from the author's research are that only 61% of healthcare-related websites in their sample group posted privacy policies. In addition, most of the posted privacy policies had poor readability standards and included a variety of privacy vulnerability statements. Overall, the author's findings represent significant current issues in relation to healthcare information protection on the Internet. The hope is that raising awareness of these results will drive forward changes in the industry, similar to those experienced with information quality. PMID:16954055

Mundy, Darren P

2006-09-01

324

Advanced networks and computing in healthcare  

PubMed Central

As computing and network capabilities continue to rise, it becomes increasingly important to understand the varied applications for using them to provide healthcare. The objective of this review is to identify key characteristics and attributes of healthcare applications involving the use of advanced computing and communication technologies, drawing upon 45 research and development projects in telemedicine and other aspects of healthcare funded by the National Library of Medicine over the past 12?years. Only projects publishing in the professional literature were included in the review. Four projects did not publish beyond their final reports. In addition, the authors drew on their first-hand experience as project officers, reviewers and monitors of the work. Major themes in the corpus of work were identified, characterizing key attributes of advanced computing and network applications in healthcare. Advanced computing and network applications are relevant to a range of healthcare settings and specialties, but they are most appropriate for solving a narrower range of problems in each. Healthcare projects undertaken primarily to explore potential have also demonstrated effectiveness and depend on the quality of network service as much as bandwidth. Many applications are enabling, making it possible to provide service or conduct research that previously was not possible or to achieve outcomes in addition to those for which projects were undertaken. Most notable are advances in imaging and visualization, collaboration and sense of presence, and mobility in communication and information-resource use.

Ackerman, Michael

2011-01-01

325

Solid Medical Waste Management in Healthcare Centers in Palestine  

Microsoft Academic Search

\\u000a This chapter discusses the current situation of solid waste management in healthcare centers in Palestine. The monthly estimated\\u000a quantity of solid waste produced by the healthcare centers in Palestine was 472.9 tons. There is very little separation of\\u000a solid waste in primary healthcare centers (38.1%) as compared to secondary healthcare centers (71%). Only 17.3% of the healthcare\\u000a centers in Palestine

Issam A. Al-Khatib; Mohamed Abu-Dayah; Hussein Hajjeh; Tayseer Al-Shanbleh

326

Quality standards for child and adolescent mental health in primary care  

PubMed Central

Background Child and adolescent mental health problems are common in primary healthcare settings. However, few parents of children with mental health problems express concerns about these problems during consultations. Based on parental views, we aimed to create quality of care measures for child and adolescent mental health in primary care and develop consensus about the importance of these quality standards within primary care. Methods Quality Standards were developed using an iterative approach involving four phases: 1) 34 parents with concerns about their child’s emotional health or behaviour were recruited from a range of community settings including primary care practices to participate in focus group discussions, followed by validation groups or interviews. 2) Preliminary Quality Standards were generated that fully represented the parents’ experiences and were refined following feedback from an expert parent nominal group. 3) 55 experts, including parents and representatives from voluntary organisations, across five panels participated in a modified two-stage Delphi study to develop consensus on the importance of the Quality Standards. The panels comprised general practitioners, other community-based professionals, child and adolescent psychiatrists, other child and adolescent mental health professionals and public health and policy specialists. 4) The final set of Quality Standards was piloted with 52 parents in primary care. Results In the Delphi process, all five panels agreed that 10 of 31 Quality Standards were important. Although four panels rated 25–27 statements as important, the general practitioner panel rated 12 as important. The final 10 Quality Standards reflected healthcare domains involving access, confidentiality for young people, practitioner knowledge, communication, continuity of care, and referral to other services. Parents in primary care agreed that all 10 statements were important. Conclusions It is feasible to develop a set of Quality Standards to assess mental healthcare provision for children and adolescents seen within primary healthcare services. Primary care practitioners should be aware of parental perspectives about quality of care as these may influence help-seeking behaviours.

2012-01-01

327

Indian Child Welfare  

Microsoft Academic Search

This paper reports descriptive characteristics of Indian child welfare programs organized to deal with new tribal responsibilities following passage of the Indian Child Welfare Act of 1978. Most programs consist of one to five staff with an administrator whose responsibilities also include casework. Program continuity is uncertain since funding comes from competitive grants. Although more than one-third of respondents report

Dale M. Wares; Kenneth R. Wedel; James A. Rosenthal; Antonia Dobrec

1994-01-01

328

Dateline Child Care.  

ERIC Educational Resources Information Center

|Reports on developments and trends affecting child care programs. Considered are mass media coverage of the issues surrounding child care, notably the Galinsky-Belsky debate on television's TODAY show, and cover story articles in NATION'S BUSINESS and FORTUNE. (Author/BB)|

Child Care Information Exchange, 1987

1987-01-01

329

Child Care Resource Materials.  

ERIC Educational Resources Information Center

|"Child Care Resource Materials" is an annotated bibliography of books, films, and filmstrips on various topics related to the education and development of young children. Categories include: learning activities for children; caring for children - infants through adolescents and children with special needs; parent-child relationships; day care -…

Webb, Jeanne, Comp.; Pennington, Marnee, Comp.

330

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

331

Child Poverty & Public Policy.  

ERIC Educational Resources Information Center

|This collection documents how far we still are in the United States from putting our knowledge about child well being and policy into practice. It provides an overview of the changing nature of child poverty in the United States through the contributions of authors who use a number of qualitative and quantitative approaches to look at children in…

Chafel, Judith A., Ed.

332

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

333

Defining Child Abuse.  

ERIC Educational Resources Information Center

|In seeking to clarify the meaning of the terms "child abuse" and "child neglect" it has been assumed that, like other forms of social deviance, they are socially defined phenomena. Interviews were conducted with those professionals (lawyers, pediatricians, police officers, and social workers) who daily handle the problems of abuse and neglect for…

Giovannoni, Jeanne M.; Becerra, Rosina M.

334

Supervising Child Protective Workers.  

National Technical Information Service (NTIS)

The Child Protective Service (CPS) unit, as part of the public social service agency, is the key agency in each community's child abuse and neglect response system. There are certain basic functions that supervisors must perform in any setting. All of the...

J. R. Ballew M. K. Salus S. Winett

1979-01-01

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

Child Development: Workshop I.  

ERIC Educational Resources Information Center

|Workshops on child development explored the cognitive development of children, mass media and its effects on children, parenting, the emotional and personality development of children, and educating the exceptional child, including the gifted. The discussion of cognitive development focused on the need to collect information about cognitive…

Ismail, Maznah; And Others

337

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

338

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

339

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

340

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

341

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

342

CHILD HEALTH USA 2002  

EPA Science Inventory

Child Health USA 2002, the thirteenth annual report on the health status and service needs of America's children is presented by the Health Resources and Services Administration's Maternal and Child Health Bureau (MCHB). To assess the bureau's progress toward achieving its vision...

343

Child prostitution in Thailand.  

PubMed

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 and South America and Asia. Of all the south-east Asian nations, the problem is most prolific in Thailand. In Thailand, there appears to be a long history of child prostitution, and this article explores the factors that underpin the Thai child sex industry and the lessons and implications that can be drawn for health care and nursing around the world. PMID:18469298

Lau, Carmen

2008-06-01

344

Primary Care Interventions to Prevent Child Maltreatment  

MedlinePLUS

... from harm. What is child maltreatment? Facts About Child Abuse and Neglect Child abuse and neglect affects hundreds ... Prevent Child Maltreatment Primary Care Interventions to Prevent Child Abuse and Neglect Health care professionals are trained to ...

345

From child health surveillance to child health promotion, and onwards: a tale of babies and bathwater.  

PubMed

Child health surveillance (CHS) has evolved greatly over the past 30 years from a proactive screening process by health professionals to a more passive approach of child health promotion (CHP), which places the main responsibility for detection of developmental problems on carers. The impetus for this change came from the Hall Report (1989), which reported a lack of evidence for CHS. Although research on developmental screening is sparse, some data show that use of structured methods for identifying deviations from normal increases the pick-up rate of abnormalities, compared with informal or parent-initiated methods. The majority of countries recommend a universal 'CHS' type of programme, in contrast to the UK and some other European countries. Alternatives to universal CHS include 'targeting' which, however, has been criticised for including too many 'normal' children and missing those who are most in need. CHS and CHP are basically primary care activities but require essential support from secondary paediatric services. There are concerns about the competence and numbers of general practitioners and health visitors who deliver child healthcare. Both these professional groups are under great pressure because of continuing reorganisations of the National Health Service in the UK. Politically driven agendae complicate the fundamental aim of enhancing child health at the primary level and it is vital to keep the focus on providing high-quality services to the most needy children. CHS has evolved beyond CHP to a Healthy Child Programme (HCP). Hopefully this is not an 'emperor's new clothes' situation and will improve outcomes. A major problem is the 'inverse care law', and reliance on carers runs the risk of excluding those children who need most input. Inequality is currently a headline problem and the change from CHS to HCP may not have helped. More research is urgently needed to resolve uncertainty about the application of these fundamental procedures for secondary preventive of childhood disability. PMID:21460403

Bellman, Martin; Vijeratnam, Selvarajan

2011-04-03

346

[History of the French healthcare insurance system].  

PubMed

At a time when the French healthcare system was going through its most serious crisis, in terms of both organisation and funding, the board of governors of the National Academy of Medicine decided, at its meeting of May 26, 2003, to set up a workgroup on the future of the health insurance system. The workgroup revisited the concept of health insurance, taking economic constraints into account. Medical care covered by the national health insurance system is considered as "'free" by both national insurance contributors (patients) and doctors, who are the primary "spenders". The Academy was the first organization to examine the reasons for the budget deficit, which is largely due to State with nothings. In 2008, the Academy created a healthcare insurance committee. Deficits piled up, amplifying the debt, which eventually may spiral out of control. The French population finally became concerned at the situation. In 2010, France's social security budget deficit will reach some 30.5 billion euros, including 14.5 billion for healthcare insurance alone, a figure which is increasing by 5 billion euros each year. The French President recently announced the creation of a workgroup to examine healthcare expenditure. The Academy's healthcare insurance committee is convinced that reform is necessary and feasible, while preserving the underlying principles of our present system, namely humanism, freedom of choice, responsibility and solidarity. PMID:21513141

Milhaud, Gérard; Lagrave, Michel

2010-06-01

347

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

348

The Child Dream and the Child Transference  

Microsoft Academic Search

This paper explores the symbolic meaning of dreams in which children appear with special attention to the way children in dreams symbolize the self, particularly the dependent and developing self. It is suggested that patients' growth in analysis can be monitored by observing what happens to the children in their dreams. This paper also explores the vicissitudes of the child

Don De Francisco

1986-01-01

349

The child in family services: expanding child abuse prevention  

Microsoft Academic Search

Child welfare concerns have drifted to an inappropriate focus on crisis intervention and a punitive approach to child protection intervention at the expense of community-based preventive child welfare programs. Recent attempts to divert cases from the child protection system through differentiated response mechanisms have been criticised for failing to provide access to relevant services or preventing vulnerable families from re-entering

Sarah Wise

2003-01-01

350

Child Death Review Teams: A Vital Component of Child Protection  

Microsoft Academic Search

The alarming number of children killed and seriously injured as a result of child nialtreatment and neglect has led to increased calls for action. In response, interdisci- plinary and multiagency child death review teams have emerged as an important component of child protection. Paradoxically, child death review teams are among the least visible and understood elements in efforts to protect

Neil J. Hochstadt

2006-01-01

351

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.

Berwick, D

2003-01-01

352

Barriers to healthcare among Asian Americans.  

PubMed

The myth of the well-adjusted Asian American resulted from sample-biased research studies that concluded that Asian Americans are physically healthier and financially better off than Caucasians. The myth has been perpetuated by researchers who have often categorized Asian Americans as a single, undifferentiated group rather than as distinct ethnic groups. Consequently, data analysis techniques do not reveal distinctions that may exist had the researchers controlled for ethnic group variation. The authors discussed four major barriers-language and culture, health literacy, health insurance, and immigrant status-to healthcare that may influence within-group disparities among Asian Americans that may go unreported. The authors argue that healthcare policy makers and researchers should consider Asian Americans as members of discrete ethnic groups with unique healthcare needs. Recommendations for health policies and future research are provided. PMID:20446176

Kim, Wooksoo; Keefe, Robert H

2010-05-01

353

Private health insurance and access to healthcare.  

PubMed

The health insurance business in India has seen a growth of over 25% per annum in the last few years with the expansion of the private health insurance sector. The premium incomes of health insurance have crossed the Rs 8,000 crore mark with the share of private companies increasing to over 41%. This is despite the fact that from the perspective of patients, health insurance is not a good deal, especially when they need it most. This raises a number of ethical issues regarding how the health insurance business runs and how medical practice adjusts to it for profiteering. This article uses the personal experience of the author to argue that health insurance in an unregulated environment can only lead to unethical practices, further victimising the patient. Further, publicly financed healthcare which operates in an environment regulating both public and private healthcare provisioning is the only way to assure access to ethical and equitable healthcare to people. PMID:22106595

Duggal, Ravi

354

Managing healthcare services in the global marketplace.  

PubMed

The world is getting "flatter"; people, information, technology, and ideas are increasingly crossing national borders. U.S. healthcare is not immune from the forces of globalization. Competition from medical tourism and the rapid growth in the number of undocumented aliens requiring care represent just two challenges healthcare organizations face. An international workforce requires leaders to confront the legal, financial, and ethical implications of using foreign-trained personnel. Cross-border institutional arrangements are emerging, drawing players motivated by social responsibility, globalization of competitors, growth opportunities, or an awareness of vulnerability to the forces of globalization. Forward-thinking healthcare leaders will begin to identify global strategies that address global pressures, explore the opportunities, and take practical steps to prepare for a flatter world. PMID:18220174

Fried, Bruce J; Harris, Dean M

2007-01-01

355

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.

2012-01-01

356

Injury prevention in child death review: child pedestrian fatalities  

Microsoft Academic Search

ObjectiveThis article describes the epidemiology of child pedestrian fatalities in British Columbia using data generated by the province's Child Death Review Unit, to demonstrate the unique capacity of child death review to provide an ecological understanding of child mortality and catalyse evidence based, multi-level prevention strategies.MethodsAll child pedestrian fatalities in British Columbia from 1 January 1 2003 to 31 December

Ediriweera Desapriya; Meridith Sones; Tansey Ramanzin; Sara Weinstein; Giulia Scime; Ian Pike

2011-01-01

357

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

Nicol, A. R.

1989-01-01

358

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

359

[The conception of healthcare in Confucianism].  

PubMed

As the founder of Confucianism, Confucius lead a life of frustration and experienced all difficulties. Interestingly, he enjoyed a long life of over seventy years old. Naturally, his viewpoint on healthcare aroused the interests of late-comers He first emphasized the morality, claiming that those kind people can live long, advocated the doctrine of the mean, open-minded and optimism, exercise of the body and mind, dietary hygiene, avoidance of ghost, and taking care of medication. As the important integral part of Chinese traditional culture, Confucianism also yields profound influence on the development of healthcare in China. PMID:12921594

Bao, Xiao-Dong

2003-01-01

360

The normalization of deviance in healthcare delivery  

PubMed Central

Many serious medical errors result from violations of recognized standards of practice. Over time, even egregious violations of standards of practice may become “normalized” in healthcare delivery systems. This article describes what leads to this normalization and explains why flagrant practice deviations can persist for years, despite the importance of the standards at issue. This article also provides recommendations to aid healthcare organizations in identifying and managing unsafe practice deviations before they become normalized and pose genuine risks to patient safety, quality care, and employee morale.

Banja, John

2009-01-01

361

Intergroup relationships and quality improvement in healthcare  

PubMed Central

Background Intergroup problems among physicians, nurses and administrators in healthcare settings sometimes retard such settings' ability to foster enhanced quality of care. Without knowledge of the social dynamics that generate the difficulties, it is impossible to address some crucial issues that may affect quality initiatives. Methods This paper reviews three types of dynamics, social identity, communities of practice and socialisation into particular professional identities that affect relationships among professional groups in healthcare settings. Recommendations A suggestion is made for the creation of cross-boundary communities of practice, socialisation into them and dual, superordinate identities as a means to foster more effective intergroup dynamics and, thus, contribute to a greater quality of care.

2011-01-01

362

Why healthcare facilities are vulnerable to crime.  

PubMed

Although the public's view of healthcare facilities is that they are inherently safe and secure, administrators and staff members in hospitals are very aware that they could be vulnerable to an episode of violence at any time, according to the author. Today, crimes, including homicide, are an ever-present reality in healthcare facilities, they report, citing recent studies which attempt to explain why this is so. The article is based on the introduction to the IAHSS and IHSS Foundation 2012 Crime and Security Trends Survey. The complete survey is accessible to members in the Reference Section of the IAHSS web page. PMID:24020317

Mikow-Porto, Victoria A; Smith, Thomas

2013-01-01

363

76 FR 68189 - Healthcare Technology Holdings, Inc.; Analysis of Proposed Agreement Containing Consent Orders To...  

Federal Register 2010, 2011, 2012, 2013

...TRADE COMMISSION [File No. 111 0097] Healthcare Technology Holdings, Inc.; Analysis of Proposed...Commission'') has accepted from Healthcare Technology Holdings, Inc. (``Healthcare Technology''), subject to final...

2011-11-03

364

78 FR 6328 - Healthcare Infection Control Practices Advisory Committee: Notice of Charter Renewal  

Federal Register 2010, 2011, 2012, 2013

...Control and Prevention Healthcare Infection Control Practices Advisory Committee...1972, that the Healthcare Infection Control Practices Advisory Committee...Executive Secretary, Healthcare Infection Control Practices Advisory...

2013-01-30

365

76 FR 9577 - Healthcare Infection Control Practices Advisory Committee: Notice of Charter Renewal  

Federal Register 2010, 2011, 2012, 2013

...Control and Prevention Healthcare Infection Control Practices Advisory Committee...1972, that the Healthcare Infection Control Practices Advisory Committee...Executive Secretary, Healthcare Infection Control Practices Advisory...

2011-02-18

366

Epidemiology of Child Maltreatment Recurrences  

Microsoft Academic Search

The recurrence of child maltreatment following a report to Child Protective Services is one index of the effectiveness of the public child welfare system. This article reports on the analysis of the patterns and frequency of recurrences of substantiated instances of maltreatment in an urban child welfare system. Results from survival analyses indicated that risk of recurrence was greatest during

Diane DePanfilis; Susan J. Zuravin

1999-01-01

367

Mandatory Child Abuse Reporting Laws  

Microsoft Academic Search

Legislation which requires professionals to report suspected child abuse constitutes a major facet of social policy directed at addressing child maltreatment. Mental health professionals in general, and professionals who treat offenders in particular, are frequently made aware of situations of child abuse which are required to be reported to child protection agencies. The present paper reviews the literature relevant to

Seth C. Kalichman; Cheryl L. Brosig; Moira O. Kalichman

1994-01-01

368

Child Pornography. An Exploratory Study.  

National Technical Information Service (NTIS)

This study seeks to explore the world of child pornography. Despite a wealth of literature on the topics of pornography and child sexual abuse, very little information exists on the specific subject of child pornography. The deleterious effects of child p...

J. M. McBrien

1990-01-01

369

Hydrothermal synthesis, crystal structure, and magnetic property of a three-dimensional inorganic-organic hybrid material: Mn(H2O)[HO3PCH2NH(CH2CO2)2  

NASA Astrophysics Data System (ADS)

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 plane. These layers are further connected with the organic moieties of H2PMIDA, resulting in a complicated three-dimensional network structure. Thermogravimetric analysis, IR spectrum and magnetic susceptibility of this compound are given.

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

2004-11-01

370

Inorganic-organic hybrid materials: synthesis and crystal structure determination from powder diffraction data of Pb2(O3PCH2C6H4CH2PO3)  

NASA Astrophysics Data System (ADS)

A new lead diphosphonate, Pb2(O3PCH2C6H4CH2PO3) was hydrothermally synthesized from tetraethyl /?,/?'-p-xylenediphos-phonate and Pb(NO3)2. The structure was solved and refined using X-ray powder diffraction data. It crystallizes in the monoclinic space group P21/c, with /a = 467.84(2), /b = 2007.98(9), /c = 639.10(2) pm, /? = 101.020(3)°, /V = 589.31(4) 106pm, /Z=2, wRp=0.034, Rp=0.027, RF2=0.061, RF=0.036. The structure is built from corner-linked [PbO4] polyhedra, containing a lone pair of electrons. These polyhedra are connected to layers by phosphonate groups, RPO32- and through the organic diphosphonic acid to a three-dimensional structure. Thermogravimetric as well as IR spectroscopic studies are also presented.

Irran, Elisabeth; Bein, Thomas; Stock, Norbert

2003-07-01

371

Structure and magnetic properties of a novel copper diphosphonate with pillared layered structure:. Cu2(H2O)2{O3PCH2N(C2H4)2NCH2PO3}  

NASA Astrophysics Data System (ADS)

Compound Cu2(H2O)2{O3PCH2N(C2H4)2NCH2PO3} (1) has a pillared layered structure in which the organic groups of N,N'-piperazinebis(methylenephosphonate) are sandwiched between the inorganic layers. Compared with other copper phosphonates with layered or pillared layered structures, the inorganic layer in 1 is unique in that each {CPO3} tetrahedron is corner-shared with three {CuO4N} square pyramids through three oxygen donors. Ferromagnetic interactions are mediated between the metal centers. Crystal data: Pbca, a=10.0830(16)Å, b=9.4517(15)Å, c=13.218(2)Å, V=1259.7(3)Å3, Z=4.

Wang, Ying; Bao, Song-Song; Xu, Wei; Chen, Jiesheng; Gao, Song; Zheng, Li-Min

2004-04-01

372

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.

373

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 ...

374

Child safety seats  

MedlinePLUS

... booster alone, so that the car's lap and seat belts correctly fit the child. BOOSTER SEAT A booster ... secured into your vehicle using either the car's seat belts or the LATCH system. LATCH stands for lower ...

375

Child and Adolescent Suicide.  

National Technical Information Service (NTIS)

The National Clearinghouse for Mental Health Information (NCMHI) literature survey series contain reference to the literature on subjects of current interest. This survey on Child and Adolescent Suicide covers the years 1978-1980. The references are part ...

1981-01-01

376

[The disruptive child].  

PubMed

Beware not to confuse talk about children with children's talk: this should be the golden rule for childhood professionals. Agitation and somatization disrupt the functioning of what is called the functional spheres. The child eats poorly, sleeps poorly, and has problems controlling his sphincters. He presents symptoms that the growing importance of education in today's modern world can no longer neglect. The diversity of the circumstances in which the child is recognized as "disruptive" shows just how much the borders between children and adults are permeable. The disruptive child is also a child disturbed by the adult world in which he is evolving. The author supports his hypotheses with several examples from his practice as a psychoanalyst. PMID:19419849

Brun, D

2009-05-05

377

Federal Child Pornography Offenses.  

National Technical Information Service (NTIS)

This report is the result of a multi-year process in which the United States Sentencing Commission (the Commission) examined cases of offenders sentenced under the federal sentencing guidelines and corresponding penal statutes concerning child pornography...

2012-01-01

378

The child in hospital*  

PubMed Central

In 1951 the WHO Regional Office for Europe as a part of its long-term activities in child health initiated plans for a meeting between paediatricians and child psychiatrists, at which they could discuss their respective roles and the co-ordination of their work. Early in 1953 an ad hoc committee was called together to discuss the possibility of holding a conference which would delineate the role of the paediatrician in the management of psychosomatic and behaviour disorders in young children. This committee, consisting of leading specialists in paediatrics and child psychiatry, under the chairmanship of Professor R. Debré (France), felt that any wider conference should be devoted to considering more fully the inter-relation of somatic and psychological processes in sick children, the respective roles of paediatricians and child psychiatrists in their treatment, and the working relations between the different disciplines responsible for the care of children. In order to avoid diffusion of effort, and to arrive as far as possible at practical conclusions, the study group that was subsequently convened in Stockholm concentrated on one important aspect of child care—the child in hospital.

1955-01-01

379

How does politics affect electronic healthcare adoption  

Microsoft Academic Search

In the 21 century, the term e-healthcare has become the common buzzword in the world. Its popularity is directly related to the rate of its adoption and benefits that it offers to individuals and governments. Among the common benefits include reduction in medical errors, improvements on physician efficiency, improvement in physician-patient relationship and an increase in the quality of care

Zanifa Omary; Fredrick Mtenzi; Bing Wu

2009-01-01

380

Augmented processes: a case study in healthcare  

Microsoft Academic Search

A fundamental transformation of services is underway. The public and private services are recognized as the new source of productivity growth and dynamism in economy. Modern economies are soon 90% based on services. Information and Communication technologies (ICT) are a key factor in this development. We explore how ICT can be used to improve healthcare processes by using the research

Petri Pulli; Olli Martikainen; Ye Zhang; Valeriy Naumov; Zeeshan Asghar; Antti Pitkänen

2011-01-01

381

Indicators of quality in primary healthcare  

Microsoft Academic Search

Background: GPs play a pivotal role in the Dutch healthcare system. Since GPs have a so-called gatekeeper-function, the overwhelming majority of medical problems is served by GPs. The Inspectorate of Health Care (IHC) is charged with the supervision of public health, including the quality of care provided by GPs. Since it is not possible to visit every surgery on a

M. J. van den Berg; D. H. de Bakker

2004-01-01

382

Expectations for medical and healthcare robotics  

Microsoft Academic Search

It is no exaggeration to say that we are up against an inordinate lack of hospital staff, with a shortage of labour in non-medical as well as in specialized medical fields in Japan. For these reasons, the necessity for medical and healthcare robotics is examined in this study in order to qualitatively improve medical treatment. In addition, clinical applications of

Takatoshi Ide; Najam A. Siddiqi; Noriya Akamatsu

1992-01-01

383

Transformations in the healthcare system in China  

Microsoft Academic Search

In April 2009, the Chinese government announced comprehensive reforms to the health system following more than a decade of piecemeal reform efforts. Popular complaints about high healthcare costs and access difficulties eventually received political attention following the government administration change of 2002 and the SARS outbreak of 2003. However, policy differences between ministries resulted in several years of vigorous and

Vivian Lin

2012-01-01

384

Wireless Remote Healthcare Monitoring with Motes  

Microsoft Academic Search

As the world's aged population grows many governments are looking to remote healthcare monitoring solutions. It is certainly cheaper to keep the elderly and infirm in their own homes rather than in aged-care facilities. However will these remote and wireless monitoring devices deliver what they promise? The medical profession will need strong evidence before they embrace such techniques. In this

Einstein Lubrin; Elaine Lawrence; Karla Felix Navarro

2005-01-01

385

Project Control for Healthcare Information Systems Initiatives  

Microsoft Academic Search

If left unchecked, trends in healthcare will overwhelm our tax base. Information and communication technologies (ICTs) have the potential to improve quality of care and lower costs. They also have the potential to deliver new forms of care that will save money in the long term. The problem is that information technology projects are difficult to implement. This paper uses

Lorne D. Booker; H. Trabulsi

2009-01-01

386

Healthcare Providers' Treatment of College Smokers  

ERIC Educational Resources Information Center

|About 28% of college students smoke tobacco, and many will continue smoking into adulthood. Although little is known about how to help college students quit smoking. I promising strategy is healthcare providers' advice. To estimate their lifetime receipt of brief advice and to identify characteristics that predict who may receive that advice, 348…

Koontz, Jennifer Scott; Harris, Kari Jo; Okuyemi, Kolawole S.; Mosier, Michael C.; Grobe, James; Nazir, Niaman; Ahluwalia, Jasjit S.

2004-01-01

387

Transforming healthcare: a study in practical wisdom  

Microsoft Academic Search

Purpose – Ascension Health has developed a leadership formation program and decision-making process specifically designed to tap into the inner spiritual strengths of its religiously pluralistic workforce in order to foster leadership that is more effective in initiating organizational cultural changes necessary for making successful quality improvements vital for the transformation of healthcare. This paper aims to focus on this

Bill Brinkmann; Dan OBrien

2010-01-01

388

Interdisciplinary collisions: bringing healthcare professionals together.  

PubMed

Since the publication of its reports, Health professions education: A bridge to quality (2003) and To err is human: Building a safer health system (2000), the Institute of Medicine has continued to emphasize interprofessional education (IPE), founded on quality improvement and informatics, as a better way to prepare healthcare professionals for practice. As this trend continues, healthcare education will need to implement administrative and educational processes that encourage different professions to collaborate and share resources. With greater numbers of students enrolled in health professional programs, combined with ethical imperatives for learning and reduced access to quality clinical experiences, medical and nursing education increasingly rely on simulation education to implement interdisciplinary patient safety initiatives. In this article, the authors describe one approach, based on the Core Competencies for Interprofessional Collaborative Practice released by the Interprofessional Education Collaborative (2011), toward providing IPE to an audience of diverse healthcare professionals in academia and clinical practice. This approach combines professional standards with the authors' practical experience serving on a key operations committee, comprising members from a school of medicine, a school of nursing, and a large healthcare system, to design and implement a new state-of-the-art simulation center and its IPE-centered curriculum. PMID:23101349

Engum, Scott A; Jeffries, Pamela R

2012-01-01

389

Infection control: behavioural issues for healthcare workers  

Microsoft Academic Search

Purpose – The purpose of this research is to explore healthcare workers' infection control practices from a behavioural viewpoint. Major behavioural theories are explored. Findings from a study which drew heavily from the PRECEDE theoretical framework are presented. The main purpose of this quasi-experimental study was to observe health care workers' behavioural compliance with hand hygiene guidelines during patient care

Sile A. Creedon

2006-01-01

390

GE Healthcare launches multiphase advertising effort.  

PubMed

GE Healthcare has launched a multi-phase marketing campaign aimed at promoting the technological breakthroughs and state-of-the-art equipment that it provides hospitals and health systems to ensure that patients are given the best care possible. The campaign boasts four new commercials and an interactive Web site designed to illustrate healthy living on a global scale. PMID:16813348

391

Modeling Risk in Distributed Healthcare Information Systems  

Microsoft Academic Search

This paper presents a modeling approach for performing a risk analysis study of networked healthcare information systems. The proposed method is based on CRAMM for studying the assets, threats and vulnerabilities of the distributed information system, and models their interrelationships using Bayesian networks. The most critical events are identified and prioritized, based on \\

Ilias Maglogiannis; Elias Zafiropoulos

2006-01-01

392

An i-mode portable healthcare monitor  

Microsoft Academic Search

A portable monitor for ambulatory healthcare using an i-mode cellular phone is proposed. This monitor consists of tiny unit and a cellular phone with Java platform. The unit includes a common module and a functional module. The common module provides a shared interface (analog to digital conversion, signal processing and data communication protocol conversion and etc.) for diversity of the

W. Chen; D. Wei; T. Kobayashi; Y. Teshigawara; J. Yang

2002-01-01

393

Changing healthcare organisations to change clinical performance  

Microsoft Academic Search

A FUNDAMENTAL QUESTION is currently being asked by many individuals and organisations: how can healthcare organisations or systems change to increase uptake of the beneficial forms of care identified as evidence-based practice and remove harmful or ineffective practices? There is a multiplicity of constraints, not least of which is the unique culture of each institution. It is critical for hospitals

Jeffrey S Robinson; Deborah A Turnbull

2004-01-01

394

Special Issue: CSCW and Dependable Healthcare Systems  

Microsoft Academic Search

The starting point for this special issue on CSCW and Dependable Healthcare systems is the recognition of ‘dependability as an essential and under-researched, CSCW problem. Self-evidently, societys dependence on computer-based systems continues to increase, while the systems themselves – embracing humans, computers and engineered systems – become ever more complex. These trends coincide with pressure for systems to be brought

Rob Procter; Mark Rouncefield; Ellen Balka; Marc Berg

2006-01-01

395

Virtual Video Prototyping of Pervasive Healthcare Systems  

Microsoft Academic Search

Virtual studio technology enables the mixing of physical and digital 3D objects and thus expands the way of representing design ideas in terms of virtual video prototypes, which offers new possibilities for designers by combining elements of prototypes, mock-ups, scenarios, and conventional video. In this article we report our initial experience in the domain of pervasive healthcare with producing virtual

Andreas Lykke-Olesen?; Kim Halskov

396

Virtual video prototyping of pervasive healthcare systems  

Microsoft Academic Search

Virtual studio technology enables the mixing of physical and digital 3D objects and thus expands the way of representing design ideas in terms of virtual video prototypes, which offers new possibilities for designers by combining elements of prototypes, mock-ups, scenarios, and conventional video. In this article we report our initial experience in the domain of pervasive healthcare with producing virtual

Jakob Bardram; Claus Bossen; Andreas Lykke-Olesen; Rune Nielsen; Kim Halskov Madsen

2002-01-01

397

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

398

SMOOTHING THE PATIENT FLOW WITHIN HEALTHCARE SYSTEM  

Microsoft Academic Search

Recently, the healthcare systems in the United States have experienced a realization that obstacles in the patient flow are not attributed to the Emergency Department alone, but they are caused by the system itself. There are collaborative efforts underway to improve or smooth out the flow of patients throughout the system. However, one of the major challenges faced by the

Ji Hyon Mun; David Levin; Virginia Bogue; Terry McKenna; Jay Vergara

399

Healthcare reform and bankruptcy: evidence from Massachusetts  

Microsoft Academic Search

Previous research claims that medical expenses are a leading cause of bankruptcy in the United States. Using data from the 50 states and the District of Columbia from 2001 to 2010, this article examines the relationship between Massachusetts' 2006 health-care reform and bankruptcy filings. After including state- and year-fixed effects and other covariates, the results indicate that, contrary to expectations,

Kayla D. Badding; E. Frank Stephenson; Melissa M. Yeoh

2012-01-01

400

Valuing Health, Healthcare and Health Equality  

Microsoft Academic Search

How should health services best be allocated between citizens in different health conditions and with different socio-economic characteristics? This note contrasts answers to this question based upon a utilitarian conception of the value of healthcare with those derivable from broader pluralist conceptions of value. It seeks to show that only the latter can do justice to our considered intuitions regarding

Donald Franklin

401

Supply chain dynamics in healthcare services  

Microsoft Academic Search

Purpose – The purpose of this paper is to analyse health service supply chain systems. A great deal of literature is available on supply chain management in finished goods inventory situations; however, little research exists on managing service capacity when finished goods inventories are absent. Design\\/methodology\\/approach – System dynamics models for a typical service-oriented supply chain such as healthcare processes

Cherian Samuel; Kasiviswanadh Gonapa; P. K. Chaudhary; Ananya Mishra

2010-01-01

402

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

403

[Healthcare and culture, between diversity and universality].  

PubMed

Interrelations exist between people's behaviour and the reasons for it as explained by culture. The healthcare theory put forward by the American nurse Madeleine Leininger, at the end of the 1970s, integrates anthropology Identifying and understanding the patient's culture enables nursing care to be adapted to the patient's own view of his/her disease. PMID:20799484

Debout, Christophe

404

Healthcare Needs of the Transgender Homeless Population  

Microsoft Academic Search

This is the first of three articles in this issue of The Journal of Gay and Lesbian Mental Health documenting the proceedings of the workshop “The Psychiatric Needs of the Transgender Homeless Population” at the 2009 American Psychiatric Association's Institute on Psychiatric Services Conference in New York City. This article describes some of the healthcare needs of the transgender homeless

Shane S. Spicer

2010-01-01

405

Healthcare employees' progression through disability benefits.  

PubMed

Progression of Disability Benefits (PODB) refers to the migration of workers with work-limiting disabilities through a system of economic disability benefits that result in their ultimate placement into the Social Security Disability Insurance (SSDI) system [16]. Specifically, this migration involves a "progression" from short-term disability (STD) to long-term disability (LTD) to SSDI income. This project uses Chi-squared Automatic Interaction (CHAID) Technique to study the Healthcare industry, the largest industry in the United States, and its PODB experience. The first part of the study analyzes if claimant demographic (age, gender, disability type) and PODB data (movement from STD to LTD to SSDI) can be used to predict employer industry (dependent variable). Gender was the most significant predictor, while men working outside of Healthcare had the greatest amount of progression to advanced disability levels. The second part of the study assesses if the PODB experience could be predicted through claimant demographics and the sub-set industry within Healthcare in which claimants' were employed. The resulting dendogram reveals that disability type was the strongest predictor of claimant movement through disability benefits levels. Age was the second strongest predictor for all but 1 category of disability type, in which the Healthcare sector was the strongest predictor. PMID:19923676

Hawley, Carolyn E; Diaz, Sebastian; Reid, Christine

2009-01-01

406

For an ethnomethodology of healthcare ethics.  

PubMed

This paper considers the utility of Ethnomethodology (EM) for the study of healthcare ethics as part of the empirical turn in Bioethics. I give a brief introduction to EM through its respecification of sociology, the specific view on the social world this generates and EM's posture of 'indifference'. I then take a number of EM concepts and articulate each in the context of an EM study of healthcare ethics in professional practice. Having given an overview of the relationship and perspective EM might bring to the professional practice of healthcare ethics I consider whether and how such an approach could be deployed. Whilst an ethnographic study might be problematic I suggest a number of alternative methods through which such EM research could be accomplished. I conclude with the suggestion that, as a particular approach to sociological research, EM offers good deal of potential for the empirical study of healthcare ethics in practice which could result in an improved reflexive understanding of professional ethical practices in bioethics. PMID:22367525

Emmerich, Nathan

2013-12-01

407

Review of handheld applications for healthcare  

Microsoft Academic Search

Handhelds and smart Personal Digital Assistants' (PDAs) use and applications have been growing exponentially. Their mobility and increasing computing power have made them attractive for use in daily life. Many electronic applications on such devices have been developed for healthcare and life sciences. Educational use for medical and health profession students have been suggested [1]. The goal of this paper

Dari AlHuwail

2009-01-01

408

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

409

Energy conservation in health-care facilities  

Microsoft Academic Search

As energy expenditures continue their dramatic rise in the health-care industry, they absorb a larger portion of hospital budgets and prompt managers to seek ways to conserve energy and reduce consumption. Hospital managers, however, may be forced by capital constraints to choose between medical and energy conservation investments. The author examines some of the issues (including fairness, legal and financial

Hunt

1983-01-01

410

Maternal healthcare in migrants: a systematic review.  

PubMed

Pregnancy is a period of increased vulnerability for migrant women, and access to healthcare, use and quality of care provided during this period are important aspects to characterize the support provided to this population. A systematic review of the scientific literature contained in the MEDLINE and SCOPUS databases was carried out, searching for population based studies published between 1990 and 2012 and reporting on maternal healthcare in immigrant populations. A total of 854 articles were retrieved and 30 publications met the inclusion criteria, being included in the final evaluation. The majority of studies point to a higher health risk profile in immigrants, with an increased incidence of co-morbidity in some populations, reduced access to health facilities particularly in illegal immigrants, poor communication between women and caregivers, a lower rate of obstetrical interventions, a higher incidence of stillbirth and early neonatal death, an increased risk of maternal death, and a higher incidence of postpartum depression. Incidences vary widely among different population groups. Some migrant populations are at a higher risk of serious complications during pregnancy, for reasons that include reduced access and use of healthcare facilities, as well as less optimal care, resulting in a higher incidence of adverse outcomes. Tackling these problems and achieving equality of care for all is a challenging aim for public healthcare services. PMID:23334357

Almeida, Lígia Moreira; Caldas, José; Ayres-de-Campos, Diogo; Salcedo-Barrientos, Dora; Dias, Sónia

2013-10-01

411

Economics and resourcing of complex healthcare systems.  

PubMed

With rapid increases in healthcare spending over recent years, health economic evaluation might be thought to be increasing in importance to decision-makers. Such evaluations are designed to inform the efficient management of healthcare resources. However, research into health policy decisions often report, at best, moderate use of economic evaluation information, especially at the local level of administration. Little attention seems to have been given to the question of why economic evaluations have been underused and why they may yield different results in different contexts. There are many barriers to applying economic evaluations in situations which combine complexity with uncertainty. These barriers call for innovative and creative responses to economic evaluation of healthcare interventions. One response is to view economic evaluations in the context of complex adaptive systems theory. Such theory offers a conceptual framework that takes into account contextual factors, multiple input and output, multiple perspectives and uncertainty involved in healthcare interventions. This article illustrates how complexity theory can enrich and broaden policy-makers' understanding of why economic evaluations have not always been as successful as health economists would have hoped. It argues for health economists to emphasise contextual knowledge and relativist understanding of decision contexts rather than seeking more technically sound evidence-based reviews including economic evaluations. PMID:22958896

Baghbanian, Abdolvahab; Torkfar, Ghazal

2012-11-01

412

An Introduction to Computational Intelligence in Healthcare: New Directions  

Microsoft Academic Search

Computational intelligence paradigms offer tremendous advantages in many areas including healthcare, engineering, science\\u000a and management. This chapter presents a brief introduction to computational intelligence in healthcare.

M. Sordo; S. Vaidya; L. Jain

413

TIDE: an intelligent home-based healthcare information & diagnostic environment.  

PubMed

The 21st century promises to usher in an era of Internet based healthcare services--Tele-Healthcare. Such services augur well with the on-going paradigm shift in healthcare delivery patterns, i.e. patient centred services as opposed to provider centred services and wellness maintenance as opposed to illness management. This paper presents a Tele-Healthcare info-structure TIDE--an 'intelligent' wellness-oriented healthcare delivery environment. TIDE incorporates two WWW-based healthcare systems: (1) AIMS (Automated Health Monitoring System) for wellness maintenance and (2) IDEAS (Illness Diagnostic & Advisory System) for illness management. Our proposal comes from an attempt to rethink the sources of possible leverage in improving healthcare; vis-à-vis the provision of a continuum of personalised home-based healthcare services that emphasise the role of the individual in self health maintenance. PMID:10724989

Abidi, S S

1999-01-01

414

Picture archiving and communications systems for integrated healthcare information solutions  

NASA Astrophysics Data System (ADS)

The rapid and dramatic shifts within the US healthcare industry have created unprecedented needs to implement changes in the delivery systems. These changes must not only address the access to healthcare, but the costs of delivery, and outcomes reporting. The resulting vision to address these needs has been called the Integrated Healthcare Solution whose core is the Electronic Patient Record. The integration of information by itself is not the issue, nor will it address the challenges in front of the healthcare providers. The process and business of healthcare delivery must adopt, apply and expand its use of technology which can assist in re-engineering the tools for healthcare. Imaging is becoming a larger part of the practice of healthcare both as a recorder of health status and as a defensive record for gatekeepers of healthcare. It is thus imperative that imaging specialists adopt technology which competitively integrates them into the process, reduces the risk, and positively effects the outcome.

Goldburgh, Mitchell M.; Glicksman, Robert A.; Wilson, Dennis L.

1997-05-01

415

NIOSH Hazard Review: Occupational Hazards in Home Healthcare.  

National Technical Information Service (NTIS)

An aging population and rising hospital costs have created new and increasing demand for innovative healthcare delivery systems in the United States. Home healthcare provides vital medical assistance to ill, elderly, convalescent, or disabled persons who ...

B. Malit H. Nagy K. Parsons L. Hodson N. Swanson P. Schulte T. Galinsky T. Waters

2010-01-01

416

Home Healthcare Workers: How to Prevent Latex Allergies  

MedlinePLUS

... can help prevent allergic reactions for both home healthcare workers and their clients. LATEX EXPOSURE REACTIONS Three ... being used). • Inform your employer and your personal healthcare professionals that you have latex allergy. • Wear a ...

417

77 FR 28392 - Healthcare Infection Control Practices Advisory Committee (HICPAC)  

Federal Register 2010, 2011, 2012, 2013

...Control and Prevention Healthcare Infection Control Practices Advisory Committee...the practice of healthcare infection control; 2) strategies for surveillance, prevention, and control of infections (e.g., nosocomial...

2012-05-14

418

Healthcare Inspection: Alleged Telemetry Unit Deficiencies VA New York Harbor Healthcare System, New York, New York.  

National Technical Information Service (NTIS)

The Department of Veterans Affairs Office of Inspector General Office of Healthcare Inspections completed an evaluation of Veterans Health Administration (VHA) medical facilities quality management (QM) programs. The purposes of the evaluation were to det...

2012-01-01

419

Reforming payments to healthcare providers: the key to slowing healthcare cost growth while improving quality?  

PubMed

This paper focuses on a broad movement toward a fundamentally different way of paying healthcare providers. The approach reaches beyond the old dichotomies about whether healthcare providers are reimbursed on a fee-for-service or a "capitated" or per-person payment. Instead, these reforms seek to create direct linkages between payments to healthcare providers and measures of the quality and efficiency of care. After an overview of payment reforms for healthcare providers and their welfare implications, this paper discusses a range of empirical studies. These often small-scale studies suggest that provider payment reforms in conjunction with greater attention to improving measurements of care quality and outcomes can have a significant impact on quality of care and, in some cases, resource use and costs of care. PMID:21595326

McClellan, Mark

2011-01-01

420

A mashup based framework for multi level healthcare interoperability  

Microsoft Academic Search

Healthcare delivery is evolving from disease-centered to patient-centered care delivery where patients are active participants\\u000a in their healthcare delivery. This calls for more communication and collaboration among all healthcare actors. There is also\\u000a an increasing demand for personalized healthcare systems that provide effective information management, facilitate communication\\u000a and collaboration, and support applications to meet user requirements. To address these challenges,

Payam Sadeghi; Morad Benyoucef; Craig E. Kuziemsky

421

Distributed Data Mining in a Ubiquitous Healthcare Framework  

Microsoft Academic Search

Ubiquitous Healthcare (u-healthcare) which focuses on automated applications that can provide healthcare to citizens anywhere\\/anytime\\u000a using wired and wireless mobile technologies is becoming increasingly important. Ubiquitous healthcare data provides a mine\\u000a of hidden knowledge which can be exploited in preventive care and “wellness” recommendations. Data mining is therefore a significant\\u000a aspect of such systems. Distributed Data mining (DDM) techniques for

Murlikrishna Viswanathan; H. John Heinz

2007-01-01

422

Health-care quality promotion through infection prevention: beyond 2000.  

PubMed Central

Health-care value purchasing, complex health-care systems, and information technology are the three most important change drivers influencing the interrelated themes of the 4th decennial conference: accountability, quality promotion through infection prevention across the health-care delivery system, and medical informatics. Among the change drivers influencing themes of future conferences may be a societal mandate for health promotion and health-care access for all.

Gerberding, J. L.

2001-01-01

423

Guideline for hand hygiene in health-care settings  

Microsoft Academic Search

SummaryThe Guideline for Hand Hygiene in Health-Care Settings provides health-care workers (HCWs) with a review of data regarding handwashing and hand antisepsis in health-care settings. In addition, it provides specific recommendations to promote improved hand-hygiene practices and reduce transmission of pathogenic microorganisms to patients and personnel in health-care settings. This report reviews studies published since the 1985 CDC guideline (Garner

John M. Boyce; Didier Pittet

2002-01-01

424

Comparing child-care values in Japan and China among parents with infants.  

PubMed

The purpose of this project was to identify parental child-care values in Japan and China. Participants were 667 parents (432 Japanese and 235 Chinese) of newborn babies. A questionnaire, the Child-care Value Scale, was used to collect the data. Japanese parents' mean scores were significantly higher (indicating more agreement) for parental responsibilities listed in the subscale 'Views about parental role' than those for Chinese parents. The mean scores for 'Negative impressions of child-care' and 'Need for support from others in the parents' environment' subscales for Japanese fathers were significantly lower than for Chinese fathers. Japanese parents believed that mothers were responsible for taking care of their children. This was an obstacle to getting support from people outside the family. Chinese couples believed that parents should share housekeeping and child-care, and obtained public and private support from their community. Findings suggest that parents of infants need community and health-care support. PMID:22776529

Mori, Emi; Liu, Chunyan; Otsuki, Eliko; Mochizuki, Yoshimi; Kashiwabara, Eiko

2012-07-01

425

From Regional Healthcare Information Organizations to a National Healthcare Information Infrastructure  

Microsoft Academic Search

Recently there has been increased focus on the need to modernize the healthcare information infrastructure in the United States.1-4 The U.S. healthcare industry is by far the largest in the world in both absolute dollars and in percentage of GDP (more than $1.5 trillion, or 15 percent of GDP). It is also fragmented and complex. These difficulties, coupled with an

J. H. Kaufman; I. Eiron; G. Deen; D. A. Ford; E. Smith; S. Knoop; H. Nelken; T. Kol; Y. Mesika; K. Witting; K. Julier; C. Bennett; Bill Rapp; B. Carmeli; S. Cohen

426

A personalized healthcare service on aged stroke-precaution  

Microsoft Academic Search

Stroke is one of the most deadly illnesses for the aged in Taiwan. The population of senior citizens has increased due to advanced medical technology developments, but it also brings the urgent needs of healthcare assistant for the aged. This paper presents a personalized healthcare service for the aged on stroke-precaution, followed by its implementation and evaluation. The healthcare service

Yuan-Chu Hwang; Weng-Ting Lin

2010-01-01

427

Using Logic Programming to Detect Activities in Pervasive Healthcare  

Microsoft Academic Search

In this experience paper we present a case study in using logic pro- gramming in a pervasive computing project in the healthcare domain. An expert system is used to detect healthcare activities in a pervasive hospital environment where positions of people and things are tracked. Based on detected activities an activity-driven computing infrastructure provides computational assistance to healthcare staff on

Henrik Bærbak Christensen

2002-01-01

428

Telemedicine: a new frontier for effective healthcare services  

Microsoft Academic Search

Telemedicine: a new frontier for effective healthcare services. S. Scalvini, M.Vitacca, L. Paletta, A. Giordano, B. Balbi. Telemedicine can be defined as the delivery of healthcare services, where distance is a critical factor, by all healthcare professionals using information and communication tech- nologies for the exchange of valid information for diagnosis, treatment and prevention of disease and injuries, research and

S. Scalvini; M. Vitacca; L. Paletta; A. Giordano; B. Balbi

429

High Performance Healthcare Buildings: A Roadmap to Improved Energy Efficiency  

Microsoft Academic Search

This document presents a road map for improving the energy efficiency of hospitals and other healthcare facilities. The report compiles input from a broad array of experts in healthcare facility design and operations. The initial section lists challenges and barriers to efficiency improvements in healthcare. Opportunities are organized around the following ten themes: understanding and benchmarking energy use; best practices

Brett C. Singer; William F. Tschudi

2009-01-01

430

A Novel Collaborative Grid Framework for Distributed Healthcare  

Microsoft Academic Search

The increasing ageing population around the world presents an unprecedented challenge in developing economically viable healthcare systems for our societies. To overcome this challenge and maintain a decent level of healthcare, further innovation and deployment of information technologies in the field of healthcare are the keys. Our earlier work puts forward \\

Hoang M. Phung; Doan B. Hoang; Elaine Lawrence

2009-01-01

431

Providing relevant health information to patient-centered healthcare  

Microsoft Academic Search

Patient-centric healthcare is an emerging healthcare model that optimizes the healthcare system to focus on patient experience and outcomes for better health and well-being. It requires that patients as well as physicians should have the ability to obtain and understand health information, and make appropriate health decisions. A problem is how such health information should be gathered from a variety

J. Puustjarvi; L. Puustjarvi

2010-01-01

432

Monitoring patients via a secure and mobile healthcare system  

Microsoft Academic Search

Patient monitoring provides flexible and powerful patient surveillance through wearable devices at any time and anywhere. The increasing feasibility and convenience of mobile healthcare has already introduced several significant challenges for healthcare providers, policy makers, hospitals, and patients. A major challenge is to provide round-the-clock healthcare services to those patients who require it via wearable wireless medical devices. Furthermore, many

Yonglin Ren; R. W. N. Pazzi; A. Boukerche

2010-01-01

433

Markets and Healthcare Services in Malaysia: Critical Issues  

Microsoft Academic Search

This paper examines the critical issues facing healthcare in Malaysia. It starts by reviewing the dominant arguments on ownership and healthcare provision, viz., neoclassical, evolutionary and heterodox and the politics of interest groups. Given the imperfections and asymmetries associated with healthcare, as well as its properties as a social good that should reach everyone, the paper adopts evolutionary and heterodox

Rajah Rasiah; Nik Rosnah Wan Abdullah; Makmor Tumin

2011-01-01

434

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

435

Design and development of secured m-healthcare system  

Microsoft Academic Search

Healthcare is the preservation of mental and physical health by preventing or treating illness through services offered by the health profession. Many methods are available but the growing technology and current trends make them inefficient. In order to make this Healthcare as a pervasive one we introduce an efficient method, Mobile health care system. This Mobile Healthcare is the “Emerging

2012-01-01

436

Examining quality and efficiency of the US healthcare system  

Microsoft Academic Search

Purpose – The fundamental concern of this research study is to learn the quality and efficiency of US healthcare services. It seeks to examine the impact of quality and efficiency on various stakeholders to achieve the best value for each dollar spent for healthcare. The study aims to offer insights on quality reformation efforts, contemporary healthcare policy and a forthcoming

Sameer Kumar; Neha S. Ghildayal; Ronak N. Shah

2011-01-01

437

Aggregating Public Preferences for Healthcare: Putting Theory into Practice  

Microsoft Academic Search

The aim of this study was to investigate alternative methods for aggregating public preferences that may then be used to guide priority-setting decisions in healthcare. This involved asking members of the Australian public to assume the role of a healthcare planner and to allocate an additional (but fixed) amount of healthcare resources across three sets of options: medical\\/surgical procedures, public

Virginia Wiseman

2004-01-01

438

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

439

Engineering a Policy-Based System for Federated Healthcare Databases  

Microsoft Academic Search

Policy-based management for federated healthcare systems has recently gained increasing attention due to strict privacy and disclosure rules. Although the work on privacy languages and enforcement mechanisms, such as Hippocratic databases, has advanced our understanding of designing privacy-preserving policies for healthcare databases, the need to integrate these policies in a practical healthcare framework is becoming acute. Additionally, although most work

Rafae Bhatti; Arjmand Samuel; Mohamed Y. Eltabakh; Haseeb Amjad; Arif Ghafoor

2007-01-01

440

Towards Restraining Cost in Healthcare Domain: A Multiagent Approach  

Microsoft Academic Search

The proliferating cost with-in the healthcare domain is forcing the researchers and practitioners alike to revisit healthcare logistics domain again and again in order to control the cost. However, controlling healthcare cost requires that limits be placed either on prices, quantities of services or both. As prices can be easily controlled by effectively focusing on the mechanism rather then involving

Saadat M. Alhashmi

2008-01-01

441

IT support for healthcare processes - premises, challenges, perspectives  

Microsoft Academic Search

Healthcare processes require the cooperation of different organizational units and medical disciplines. In such an envi- ronment optimal process support becomes crucial. Though healthcare processes frequently change, and therefore the sep- aration of the flow logic from the application code seems to be promising, workflow technology has not yet been broadly used in healthcare environments. In this paper we elaborate

Richard Lenz; Manfred Reichert

2007-01-01

442

Healthcare utilization of patients accessing an African national treatment program  

Microsoft Academic Search

BACKGROUND: The roll-out of antiretroviral therapy (ART) in Africa will have significant resource implications arising from its impact on demand for healthcare services. Existing studies of healthcare utilization on HAART have been conducted in the developed world, where HAART is commenced when HIV illness is less advanced. METHODS: This paper describes healthcare utilization from program entry by treatment-naïve patients in

Guy Harling; Catherine Orrell; Robin Wood

2007-01-01

443

A typology to support HIS design for collaborative healthcare delivery  

Microsoft Academic Search

Although healthcare delivery is increasingly being provided by collaborative teams there are few health informatics applications that are designed to support team based healthcare delivery. Before we can design health information systems to support teams we need a detailed understanding of the process and information requirements of teams. We must also consider the unique contexts of each healthcare setting. This

Craig E. Kuziemsky; Elizabeth M. Borycki; Anne Brasset-Latulippe

2010-01-01

444

A novel graduate program in Healthcare Technologies Management  

Microsoft Academic Search

Marquette University and the Medical College of Wisconsin have developed a novel graduate program combining business, biomedical engineering, and healthcare technology management courses. This new program, leading to a Master of Science degree in Healthcare Technologies Management, is designed to prepare students to work in hospitals, medical device companies, and healthcare consulting firms

J. R. Goldberg

1999-01-01

445

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

446

A Review of Healthcare, Public Health, and Syndromic Surveillance  

Microsoft Academic Search

Due to the ongoing desire for healthcare performance improvement, the latest outbreaks of the avian influenza, and the continuing bioterrorism threat, there is an urgent need for research in healthcare and disease surveillance. In this article we present an overview and review of the general issues involved in healthcare, public health, and syndromic surveillance. In particular, we review existing data

Kwok-Leung Tsui; Wenchi Chiu; Peter Gierlich; David Goldsman; Xuyuan Liu; Thomas Maschek

2008-01-01

447

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

448

The effect of healthcare environments on a pandemic influenza outbreak  

Microsoft Academic Search

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.

Daniel C. Cannon; Victoria J. Davey; Glass Robert John Jr

2010-01-01

449

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

450

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

Federal Register 2010, 2011, 2012, 2013

...HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Meeting of the National Advisory Council on Healthcare Research and Quality Subcommittee on Quality Measures for Children's Healthcare AGENCY: Agency for Healthcare...

2012-08-10

451

Chronic discharging ear in a child: are we missing something?  

PubMed

Chronic discharging ear, mostly due to middle or external ear infection, is one of the leading causes for seeking healthcare among the paediatric population in a developing country. However, a long-standing forgotten middle ear foreign body forms a rare cause for such presentation demanding a high index of suspicion from the clinicians. Most of them are iatrogenic or accidental, and are removed by conventional permeatal approach; need for tympanotomy is rarely documented in the recent literature. We report the first case where a large stone was introduced into the middle ear through a pre-existing tympanic membrane perforation by the child himself, and only the second documentation of removal of a middle ear foreign body by tympanotomy in a child. PMID:24145273

Mainak, D; Soumya, G; Gautam, B

2013-08-01

452

Attitudes towards vaccination against seasonal influenza of health-care workers in primary health-care settings in Greece  

Microsoft Academic Search

Vaccination of health-care workers (HCWs) against seasonal influenza has been consistently recommended worldwide in order to prevent nosocomial transmission and ensure delivery of health-care services during outbreaks. We describe the effects of a nationwide campaign to promote influenza vaccination among HCWs working in primary health-care centers in Greece. During 2008–2009 the mean vaccination rate among HCWs in primary health-care centers

Xanthi Dedoukou; Georgios Nikolopoulos; Antonios Maragos; Sophia Giannoulidou; Helena C. Maltezou

2010-01-01

453

Economic Evaluations of Healthcare Programmes and Decision Making: The Influence of Economic Evaluations on Different Healthcare Decision-Making Levels  

Microsoft Academic Search

Given the potential role of economic information in healthcare decision making, it is of interest to assess its influence on decisions at a national or regional level (macro level), at a healthcare facility level (meso level) and at the healthcare provider level (micro level). This literature review summarises 36 empirical studies that examined the influence of economic evaluations on these

Marieke E. van Velden; Johan L. Severens; Annoesjka Novak

2005-01-01

454

Helping Your Child through Early Adolescence -- Helping Your Child Series  

MedlinePLUS

... Printable view Last Modified: 12/27/2012 Student loans, forgiveness Pell grants College accreditation Grants No Child ... Video Newsletters Blog How do I find... Student loans, forgiveness Pell grants College accreditation Grants No Child ...

455

Human factors systems approach to healthcare quality and patient safety.  

PubMed

Human factors systems approaches are critical for improving healthcare quality and patient safety. The SEIPS (Systems Engineering Initiative for Patient Safety) model of work system and patient safety is a human factors systems approach that has been successfully applied in healthcare research and practice. Several research and practical applications of the SEIPS model are described. Important implications of the SEIPS model for healthcare system and process redesign are highlighted. Principles for redesigning healthcare systems using the SEIPS model are described. Balancing the work system and encouraging the active and adaptive role of workers are key principles for improving healthcare quality and patient safety. PMID:23845724

Carayon, Pascale; Wetterneck, Tosha B; Rivera-Rodriguez, A Joy; Hundt, Ann Schoofs; Hoonakker, Peter; Holden, Richard; Gurses, Ayse P

2013-07-08

456

Child sex rings.  

PubMed Central

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 "family friend" or obtained a position of authority over children. Secrecy was encouraged and bribery, threats, and peer pressure used to induce participation in sexual activities. Offences reported included fondling, masturbation, pornography, and oral, vaginal, and anal intercourse. Eleven perpetrators were successfully prosecuted; all but one received a sentence of three years or less. Behavioural problems were common among those children who had participated for a long time. Child sex rings are difficult to detect and may be common. Many children are seriously abused as a consequence of them.

Wild, N J; Wynne, J M

1986-01-01

457

Equitable Child Health Interventions  

PubMed Central

Today, many of the 10 million childhood deaths each year are caused by diseases of poverty—diarrhea and pneumonia, for example, which were previously major causes of childhood death in many European countries. Specific analyses of the historical decline of child mortality may shed light on the potential equity impact of interventions to reduce child mortality. In our study of the impact of improved water and sanitation in Stockholm from 1878 to 1925, we examined the decline in overall and diarrhea mortality among children, both in general and by socioeconomic group. We report a decline in overall mortality and of diarrhea mortality and a leveling out of socioeconomic differences in child mortality due to diarrheal diseases, but not of overall mortality. The contribution of general and targeted policies is discussed.

Burstrom, Bo; Macassa, Gloria; Oberg, Lisa; Bernhardt, Eva; Smedman, Lars

2005-01-01

458

Child sex rings.  

PubMed

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 "family friend" or obtained a position of authority over children. Secrecy was encouraged and bribery, threats, and peer pressure used to induce participation in sexual activities. Offences reported included fondling, masturbation, pornography, and oral, vaginal, and anal intercourse. Eleven perpetrators were successfully prosecuted; all but one received a sentence of three years or less. Behavioural problems were common among those children who had participated for a long time. Child sex rings are difficult to detect and may be common. Many children are seriously abused as a consequence of them. PMID:3730803

Wild, N J; Wynne, J M

1986-07-19

459

Essentials of research ethics for healthcare professionals.  

PubMed

Whether conducted in a university or the healthcare field, research with human subjects gives rise to a multitude of ethical questions for healthcare professionals. While engaging in ongoing professional development on how to conduct research ethically, both clinicians and scientists need to expand their knowledge to provide answers to the following questions: Which ethical theories serve as a foundation for ethical principles in research ethics? What ethical principles should a researcher respect when conducting research with human subjects? What does it mean to conduct research ethically? What ethical dilemmas are encountered by a researcher in conducting research? This paper provides a review of ethical theories, and the ethical basis of guidelines developed and used to guide human subject research. Ethical behaviors and the personal responsibility of the researcher conducting research with human subjects are discussed along with the ethical considerations in research designs and methods. PMID:15877688

Aita, Marilyn; Richer, Marie-Claire

2005-06-01

460

Overview of healthcare in the UK.  

PubMed

The National Health System in the UK has evolved to become one of the largest healthcare systems in the world. At the time of writing of this review (August 2010) the UK government in its 2010 White Paper "Equity and excellence: Liberating the NHS" has announced a strategy on how it will "create a more responsive, patient-centred NHS which achieves outcomes that are among the best in the world". This review article presents an overview of the UK healthcare system as it currently stands, with emphasis on Predictive, Preventive and Personalised Medicine elements. It aims to serve as the basis for future EPMA articles to expand on and present the changes that will be implemented within the NHS in the forthcoming months. PMID:23199107

Grosios, Konstantina; Gahan, Peter B; Burbidge, Jane

2010-10-25

461

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

462

Prevention of anaphylaxis in healthcare settings.  

PubMed

In this paper, we review recent evidence on preventing anaphylaxis in healthcare settings and contexts where the risk of developing anaphylaxis is known to be increased. These include investigation units in which patients are undergoing challenge testing, outpatient clinics undertaking immunotherapy and vaccination, inpatient settings in which patients receive antibiotics, non-steroidal anti-inflammatory drugs, opiates and biological agents and operating theatres in which patients receive general anesthetics. Anaphylaxis may however develop unpredictably in any patient exposed to a wide range of drugs, food and other triggers (e.g., latex, iodinated contrast media and exercise), so it is important that all healthcare professionals and systems have effective, well-rehearsed protocols for risk assessment and management of this allergic emergency. Where available, we consider evidence for the effectiveness of interventions aiming to reduce the risk of developing anaphylaxis. PMID:24070049

Worth, Allison; Sheikh, Aziz

2013-09-01

463

Workforce diversity and cultural competence in healthcare.  

PubMed

This paper presents a discussion of workforce diversity in healthcare and its attendant requisite of cultural competency. The first section of the paper argues that self-assessments and diversity training are integral to workforce diversity management. This paper maintains that diversity training should be a part of overall strategic goals, and that the development of management goals should be based on self-assessments. The second section of the review offers a framework of cultural competency in healthcare delivery based on the relationship between patient and provider, and the community and health system. For this relationship to be successful, this review argues that health systems should foster providers that can also be cultural brokers. The cultural broker role is seen as core to achieving cultural competency. PMID:10196937

Shaw-Taylor, Y; Benesch, B

1998-01-01

464

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 ...

465

Death of a Special Needs Child  

MedlinePLUS

... com Compassionate Friends Credit Card Contact Us Donate Death of a Special Needs Child When a child ... Needs Child Dies The grief that follows the death of a special-needs child comes not only ...

466

CPR - child (1 to 8 years old)  

MedlinePLUS

Rescue breathing and chest compressions - child; Resuscitation - cardiopulmonary - child; Cardiopulmonary resuscitation - child ... take care of children should learn infant and child CPR if they haven't already. See www. ...

467

Interactive Tools to Track Child Development  

MedlinePLUS

... Delicious Digg Google Bookmarks Interactive Tools to Track Child Development Watch for and record your child's developmental milestones. ... Do if I Suspect a Problem with My Child's Development? Talk with your child's doctor. If you or ...

468

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

469

Interactions between child and parent temperament and child behavior problems  

Microsoft Academic Search

ObjectiveFew studies of temperament have tested goodness-of-fit theories of child behavior problems. In this study, we test the hypothesis that interactions between child and parent temperament dimensions predict levels of child psychopathology after controlling for the effects of these dimensions individually.

David C. Rettew; Catherine Stanger; Laura McKee; Alicia Doyle; James J. Hudziak

2006-01-01

470

Abstracts on Child Play Areas and Child Support Facilities.  

National Technical Information Service (NTIS)

The purpose of this document is to present some of the more important literature on the topic area of child-environment interactions which is relevant to the planning and design of child-support facilities (infant centers, child-care centers, early childh...

A. B. Hill C. G. Lane U. Cohen G. T. Moore T. McGinty

1978-01-01

471

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

472

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

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

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

475

Interactions between child and parent temperament and child behavior problems  

PubMed Central

Objective Few studies of temperament have tested goodness-of-fit theories of child behavior problems. In this study, we test the hypothesis that interactions between child and parent temperament dimensions predict levels of child psychopathology after controlling for the effects of these dimensions individually. Methods Temperament and psychopathology were assessed in a total of 175 children (97 boys, 78 girls; mean age, 10.99 years; SD, 3.66 years) using composite scores from multiple informants of the Junior Temperament and Character Inventory and the Achenbach System of Empirically Based Assessment. Parent temperament was assessed using the adult version of the Temperament and Character Inventory. Statistical analyses included multiple regression procedures to assess the contribution of child-parent temperament interactions after controlling for demographic variables, other types of child psychopathology, and the individual Temperament and Character Inventory and Junior Temperament and Character Inventory dimensions. Results Interactions between child and parent temperament dimensions predicted higher levels of externalizing, internalizing, and attention problems over and above the effects of these dimensions alone. Among others, the combination of high child novelty seeking with high maternal novelty was associated with child attention problems, whereas the combination of high child harm avoidance and high father harm avoidance was associated with increased child internalizing problems. Many child temperament dimensions also exerted significant effects independently. Conclusions The association between a child temperament trait and psychopathology can be dependent upon the temperament of parents. These data lend support to previous theories of the importance of goodness-of-fit.

Rettew, David C.; Stanger, Catherine; McKee, Laura; Doyle, Alicia; Hudziak, James J.

2012-01-01

476

The visually impaired child.  

PubMed

This article discusses the causes of childhood blindness and how the primary care provider may begin the appropriate steps toward diagnosing and managing the visually impaired child. Community resources (see Box 3) and low-vision programs in schools should be used so that parents do not need to reinvent strategies to raise a blind child. Worldwide, childhood blindness, which places is a tremendous burden on families and communities of the third world, is mostly preventable with improved hygiene, diet, and immunization. PMID:12713115

Thompson, Lisa; Kaufman, Lawrence M

2003-02-01

477

Overview of healthcare in the UK  

Microsoft Academic Search

The National Health System in the UK has evolved to become one of the largest healthcare systems in the world. At the time\\u000a of writing of this review (August 2010) the UK government in its 2010 White Paper “Equity and excellence: Liberating the NHS”\\u000a has announced a strategy on how it will “create a more responsive, patient-centred NHS which achieves

Konstantina Grosios; Peter B. Gahan; Jane Burbidge

2010-01-01

478

Process-Driven Data Communication in Healthcare  

Microsoft Academic Search

Along with the development of medical technique, workflow management becomes more and more important and workflow-based system is increasingly becoming the next generation of medical information system. Traditional systems are data-driven and medical processes are realized through data exchange; while workflow-based systems are Process-Driven, data communication is controlled by process. In this paper, the Process-Driven data communication in healthcare environment

Jinyan Zhang; Xudong Lu; Huilong Duan; Hongchao Nie

2009-01-01

479

Reducing workplace bullying in healthcare organisations.  

PubMed

Workplace bullying in the NHS is an important issue that is growing in significance as it becomes clear that bullying is not just a personal matter but also an organisational one. It may be that healthcare organisations, such as the NHS, foster or sustain workplace bullying. This article provides an overview of the key issues in workplace bullying and suggests individual, team and organisational solutions to reduce its incidence. PMID:17319580

Randle, Jacqueline; Stevenson, Keith; Grayling, Ian

480

Gender and HealthCare Utilization  

Microsoft Academic Search

\\u000a There are three compelling reasons to understand the utilization of health care. First, understanding the full range of factors\\u000a that shape the utilization of health care is important for determining the health-care needs of individuals, for developing\\u000a health resources and the training of care providers, as well as for planning programs aimed at the prevention, promotion,\\u000a or protection of health.

Cheryl Brown Travis; Andrea L. Meltzer; Dawn M. Howerton

481

Race and Healthcare Disparities: Overcoming Vulnerability  

Microsoft Academic Search

The paper summarizes recently published dataand recommendations about healthcaredisparities experienced by African Americanswho have Medicare or other healthcare coverage.Against this background the paper addresses theethics of such disparities and howdisadvantages of vulnerable populations likeAfrican Americans are typically maintained indecision making about how to respond to suchdisparities. Considering how to respond todisparities reveals much that vulnerablepopulations would bring to the policy-makingtable,

John Stone

2002-01-01

482

[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

483

Varicella vaccination of health-care workers  

Microsoft Academic Search

The objective of this open study was to evaluate the response of non-immune health-care workers to two doses of live attenuated varicella vaccine given two months apart. One hundred subjects (58 females; aged 17–49 yr, mean 22.8 yr) received two doses of varicella vaccine. Blood samples for antibody estimation were taken before vaccination, 2 months after the first dose and

Margaret A Burgess; Yvonne E Cossart; T. Douglas Wilkins; Sue Botham; Grace Fearns; Kerim Chitour

1999-01-01

484

Correlates of Child Restraint Use.  

National Technical Information Service (NTIS)

The study combined direct observation of child restraint use with interview and mail questionnaire methods to measure prevalence of incorrect restraint practices and factors related to use of child restraint devices and seat belts for children under the a...

A. C. Wagenaar K. L. Businski L. H. Margolis L. J. Molnar

1986-01-01

485

Enteral nutrition - child - managing problems  

MedlinePLUS

... tube placement. If your child has diarrhea and cramping: Make sure the formula is mixed properly and ... if you notice your child has: Fever Diarrhea, cramping, or bloating that does not go away Excessive ...

486

Child Abuse: The Hidden Bruises  

MedlinePLUS

... version of this document . The statistics on physical child abuse are alarming. It is estimated hundreds of thousands ... Physical abuse is not the only kind of child abuse. Many children are also victims of neglect, or ...

487

Coverage wars. As reform takes effect, insurers drop child-only policies and threaten more cuts.  

PubMed

As the first provisions of the healthcare reform law kick in, insurers are signaling they'll simply abandon business lines that are troublesome, such as child-only policies. America's Health Insurance Plans defends the moves as necessary in the wake of additional, mandated benefits. AHIP's "math doesn't make sense," says J. James Rohack, left, immediate past president of the American Medical Association. PMID:20929188

Blesch, Gregg

2010-09-27

488

Multiple role relationships in healthcare education.  

PubMed

Healthcare training environments, particularly in multidisciplinary training settings, present unique ethical dilemmas as a result of the multiple relationships faculty must balance while working with trainees. The historical and current perspectives on multiple roles in training environments will first be summarized. Evidence of a gap between the extant discipline specific guidelines and the realities of situations that occur in healthcare training will then be revealed, as illustrated in a case example. Primary care medicine training environments are highly nuanced, potentially leading to an infinite number of ambiguous situations that require a generalizable model for managing multiple roles. Rather than recommend specific modifications to existing ethical guidelines, a new model emphasizing role awareness and decision making when challenges in healthcare training settings arise is proposed. Recommendations for the case example using the model are offered. All professionals are prone to boundary transgressions; explicit training about and the maintenance of appropriate role balance will help to ensure high-functioning relationships and maximize the quality of patient care, resident education, faculty and resident satisfaction, and modeling of professional behavior to improve competencies as clinicians and educators. PMID:23566134

Reitz, Randall; Simmons, Paul D; Runyan, Christine; Hodgson, Jennifer; Carter-Henry, Stephanie

2013-03-01

489

[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

490

Infant and child feeding index  

Microsoft Academic Search

Traditional indicators of child feeding practices are widely used and appear to be useful, although the validity and reliability\\u000a of those related to complementary feeding have not been established. Composite child feeding indices have the potential to\\u000a address some of the methodological constraints, related to the quantitative measurement of child feeding practices. They can\\u000a address the multi-dimensionality of child feeding

N. Srivastava; A. Sandhu

2006-01-01

491

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

492

Young advisors to the Ombudsman as co-operators of child psychiatry.  

PubMed

In Slovakia, Legislation regulates the rights of individuals with mental disorders. Observance of these regulations is monitored by a designated Ombudsman or Public Defender of Rights which was created with the adoption of the Constitutional Act No. 90/2001. The Public Defender of Rights pays special attention toward the young generation including mentally handicapped children which since 2002 serves as the basis for collaboration with Child Ombudsmen who also act in prevention of Child Abuse and Neglect Syndrome (CAN). Problematic children receive little attention not only in Slovakia. Such children can be found in many other countries and this is where the Child Ombudsman could act with beneficial effect. Since December 2008, Slovak school children have selected from their ranks a "Child Ombudsman" who is willing to defend the rights of every classmate, including those with mental problems. The Child Ombudsmen become assistants in Pedopsychiatry. An international network of Child Ombudspersons aimed at preventing development of mental and physical damage has been developed. Functioning in 22 European countries within The European Network of Ombudspersons for Children was implemented on a greater scale in April 2010. The Child Ombudspersons should be included in all public healthcare system. PMID:22167153

Skodacek, Igor

2011-01-01

493

Child Care: A Level III Review.  

ERIC Educational Resources Information Center

This report describes the state-mandated review of Florida's child care programs. Florida's community colleges offer a total of six different degree or certificate programs in child care: Child Development and Education; Child Care Center Management; Child Development Early Intervention; Child Care Provider (discontinued in 98-99); Early Childhood…

Florida State Board of Community Colleges, Tallahassee.

494

CRASH AND SLED TESTS USING CHILD DUMMIES  

Microsoft Academic Search

The child restraint designs used in Australia have been shown to provide exceptional protection to child occupants in severe crashes. Cases of serious injury are likely to involve misuse of the child restraint. Dynamic tests of child restraints using sleds are conducted for Australian Standard compliance and the Child Restraint Evaluation Program. Child restraints are now included in new vehicle

Michael Paine; Julie Brown

495

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

496

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

497

Correlates of child abuse potential  

Microsoft Academic Search

Coercion theory provided the theoretical rationale for the present study. The hypothesis was that mothers' reports of child behavior problems and mothers' reports of external locus of control would be related to abuse potential. A total of 95 mother-child pairs were screened for child abuse potential during visits to a hospital-based pediatrie clinic. Following brief interviews, mothers completed three measures:

Sharon A. Stringer; Annette M. La Greca

1985-01-01

498

What Works in Child Welfare.  

ERIC Educational Resources Information Center

Noting the importance of identifying the effectiveness of child welfare programs for future policy planning, this book examines features of successful programs. The book is presented in six sections: family preservation and family support services, child protective services, out-of-home care, adoption, child care, and adolescent services. Each…

Kluger, Miriam P., Ed.; Alexander, Gina, Ed.; Curtis, Patrick A., Ed.

499

Social Structure and Child Poverty  

ERIC Educational Resources Information Center

Child poverty, as a critical indicator of the QOL, is intricately related to the social structure of the community. This hypothesis is explored for the 159 counties of Georgia for the year 2000. The influence of demographic, economic, family and health factors upon child poverty are explored through models of total, black and white child poverty.…

Ferriss, Abbott L.

2006-01-01

500

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