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1

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

E-print Network

and again at 12 months, provide infor- mation about: · Hazards of deteriorating lead-based paint in older Lead Poisoning Prevention Roles of Child Health-Care Providers 1. Use and disseminate information from state and local public health agencies. 2. Give anticipatory guidance. 3. Perform routine blood lead

2

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

PubMed Central

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. Children attend school for more days per week—but not for more hours per day—as a result of accessing better healthcare. There are no significant effects on child labor, but the results suggest that time spent in physically strenuous activities such as farming and herding increases. PMID:24353348

Adhvaryu, Achyuta R.; Nyshadham, Anant

2013-01-01

3

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

4

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. Method:…

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

2010-01-01

5

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

6

Inhibiting Factors in the Prevention of Overweight in Infants: An Explorative Qualitative Study among Child Healthcare Practitioners in the Netherlands  

ERIC Educational Resources Information Center

The aim of this study was to explore inhibiting factors in the prevention of overweight in infants younger than one year, among practitioners working for municipal child healthcare organisations in the Netherlands. Twelve in-depth interviews with child healthcare physicians and nurses were conducted. All interviews were tape-recorded, after which…

Dera de Bie, Eveliene; Jansen, Maria; Gerver, Willem Jan

2012-01-01

7

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

PubMed Central

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

2013-01-01

8

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

PubMed

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

Williams, A N

2007-06-01

9

Teaching child health-care concepts to Khmer mothers.  

PubMed

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

Rosenberg, J A; Givens, S S

1986-01-01

10

DH&S: providing a broad array of services to healthcare. Interview by Bill W. Childs.  

PubMed

Deloitte Haskins & Sells (DH&S) is an international professional services firm employing more than 8,700 accountants and consultants in the United States in more than 100 offices. Worldwide, the firm serves clients through a network of 400 offices in 70 countries and employs nearly 26,000 people. DH&S has the reputation of providing high quality services to organizations in all major segments of the economy, including healthcare organizations. Healthcare is one of the firm's primary specialties which has seen rapid growth in the past five years, making it DH&S' fastest growing industry group. And, according to Mike Engelhart, the National Industry director for DH&S' Health Care Services, the firm sincerely believes that the commitments it has made, and continues to make, in providing a broad array of specialized services for the healthcare industry gives those organizations "the competitive edge in healthcare." Recently, U.S. Healthcare Editor/Publisher Bill W. Childs had the opportunity to interview Engelhart and Raeford Bell, who directs DH&S' Health Care Information Systems Practice. PMID:10291012

Englehart, M; Bell, R

1988-10-01

11

Notifications for child safeguarding from an acute hospital in response to presentations to healthcare by parents  

PubMed Central

Background Consideration of child safeguarding is routine within maternity services but less common in other health services for adults. We audited notifications for child safeguarding from an acute general hospital where the policy includes questioning adults presenting with violence, mental health problems or drug or alcohol misuse to any department within the hospital about children at home and notifying to the local authority children's social care services if there are safeguarding concerns. Methods Cross-sectional audit of notifications for child safeguarding, including abuse, neglect or victimization, from all departments in one hospital to the local authority children's social care department during 12 months (2010/11). Results Of 681 notifications (57 per month), 40% (270/681) were triggered by parents' presentation to acute hospital services. Of these, 37% (100/270; 12 teenage mothers) presented for maternity care and 60% (162/270; 8 teenage parents) presented to the emergency department (ED). Of the 60% (411/681) of notifications prompted by children presenting for healthcare, most originated from the ED (358/411; 87%): two-thirds of these presented with injury (250/358; 70%). Conclusion Given a policy to ask adults about children at home, a substantial proportion of children notified for child safeguarding were recognized through presentations to acute healthcare by their parents. Further research and development of this policy needs to ensure that questioning results in effective interventions for the children and their parents. PMID:24635011

Gonzalez-Izquierdo, A; Ward, A; Smith, P; Walford, C; Begent, J; Ioannou, Y; Gilbert, R

2015-01-01

12

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

Microsoft Academic Search

This paper examines the determinants of child nutritional status in China, focusing specifically on those determinants related to health system reform and only-child status. Data are drawn from four waves of the China Health and Nutrition Survey (1991–2000). The empirical relationship between nutritional status, on the one hand, and income, access to quality healthcare and being an only-child, on the

Caryn Bredenkamp

2009-01-01

13

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

14

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

PubMed Central

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

2012-01-01

15

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

PubMed

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

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

2014-10-01

16

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

PubMed Central

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

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

2014-01-01

17

PCH-2 regulates Caenorhabditis elegans lifespan.  

PubMed

Components or downstream targets of many signaling pathways such as Insulin/IGF-1 and TOR, as well as genes involved in cellular metabolism and bioenergetics can extend worm lifespan 20% or more. The C. elegans gene pch-2 and its homologs, including TRIP13 in humans, have been studied for their functions in cell mitosis and meiosis, but have never been implicated in lifespan regulation. Here we show that over-expression of TRIP13 in human fibroblasts confers resistance to environmental stressors such as UV radiation and oxidative stress. Furthermore, pch-2 overexpression in C. elegans extends worm lifespan, and enhances worm survival in response to various stressors. Conversely, reducing pch-2 expression with RNAi shortens worm lifespan. Additional genetic epistasis analysis indicates that the molecular mechanism of pch-2 in worm longevity is tied to functions of the sirtuin family, implying that pch-2 is another chromatin regulator for worm longevity. These findings suggest a novel function of the pch-2 gene involved in lifespan determination. PMID:25635513

Qian, Hong; Xu, Xiangru; Niklason, Laura E

2015-01-01

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

Clinical Features: Similar to other types of pontocerebellar hypoplasias (PCH), subtypes PCH2 (OMIM 277470) and PCH4 (OMIM  

E-print Network

neocortical atrophy, and abnormal mental and motor development. In addition, patients with PCH2 exhibit and olivary nuclei, suggests its importance for the development of these brain areas. Budde et al (2008) sequenced the TSEN54 gene in 58 patients from the Netherlands and other European countries, Brazil

Ober, Carole

20

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

PubMed Central

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

2013-01-01

21

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. PMID:19187045

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

2009-01-01

22

Emerging communities of child-healthcare practice in the management of long-term conditions such as chronic kidney disease: qualitative study of parents’ accounts  

PubMed Central

Background Parents of children and young people with long-term conditions who need to deliver clinical care to their child at home with remote support from hospital-based professionals, often search the internet for care-giving information. However, there is little evidence that the information available online was developed and evaluated with parents or that it acknowledges the communities of practice that exist as parents and healthcare professionals share responsibility for condition management. Methods The data reported here are part of a wider study that developed and tested a condition-specific, online parent information and support application with children and young people with chronic-kidney disease, parents and professionals. Semi-structured interviews were conducted with 19 fathers and 24 mothers who had recently tested the novel application. Data were analysed using Framework Analysis and the Communities of Practice concept. Results Evolving communities of child-healthcare practice were identified comprising three components and several sub components: (1) Experiencing (parents making sense of clinical tasks) through Normalising care, Normalising illness, Acceptance & action, Gaining strength from the affected child and Building relationships to formalise a routine; (2) Doing (Parents executing tasks according to their individual skills) illustrated by Developing coping strategies, Importance of parents’ efficacy of care and Fear of the child’s health failing; and (3) Belonging/Becoming (Parents defining task and group members’ worth and creating a personal identity within the community) consisting of Information sharing, Negotiation with health professionals and Achieving expertise in care. Parents also recalled factors affecting the development of their respective communities of healthcare practice; these included Service transition, Poor parent social life, Psycho-social affects, Family chronic illness, Difficulty in learning new procedures, Shielding and avoidance, and Language and cultural barriers. Health care professionals will benefit from using the communities of child-healthcare practice model when they support parents of children with chronic kidney disease. Conclusions Understanding some of the factors that may influence the development of communities of child-healthcare practice will help professionals to tailor information and support for parents learning to manage their child’s healthcare. Our results are potentially transferrable to professionals managing the care of children and young people with other long-term conditions. PMID:25001236

2014-01-01

23

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

PubMed Central

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

Turner, Kathleen E.; Fuller, Sherrilynne

2011-01-01

24

Serological Findings in a Child with Paroxysmal Cold Haemoglobinuria  

PubMed Central

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

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

2014-01-01

25

Serological findings in a child with paroxysmal cold haemoglobinuria.  

PubMed

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

Salido, Eduardo J; Cabañas, Valentín; Berenguer, Mercedes; Macizo, María I; García-Candel, Faustino; Pérez-López, Raúl; Moraleda, Jose M

2014-01-01

26

Screening women for family violence in the maternal child healthcare setting.  

PubMed

In the United States, a woman is battered in her home every 9 seconds, and up to 4,000 women are beaten to death every year, making family violence one of the most common crimes in the United States today. Family violence has been identified as a national health concern; however, long-standing societal belief, myths regarding family violence, and the lack of training for healthcare professionals have created barriers to identifying and caring for these women. There is no single profile of the victim or perpetrator of family violence. All women should be asked about family violence in a safe, nonthreatening manner at all healthcare visits, including when bringing children for pediatric visits. Family violence begins slowly and increases with time. Goals for caring for the battered woman include decreasing her isolation, increasing her safety, accurate documentation, and appropriate referrals. PMID:11075048

Wyszynski, M E

2000-03-01

27

Use of a Tracheostomy with a Child  

MedlinePLUS

... therapist or other member of your child’s healthcare team can work with you and your child soon after she ... trach while your child is in the hospital. ? Work with your child’s healthcare team for help with feeding and/or talking. ? Have ...

28

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. PMID:19629172

Jamison, Christine; Börner, G. Valentin

2009-01-01

29

Pch2 links chromosome axis remodeling at future crossover sites and crossover distribution during yeast meiosis.  

PubMed

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. pch2Delta 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. PMID:19629172

Joshi, Neeraj; Barot, Aekam; Jamison, Christine; Börner, G Valentin

2009-07-01

30

Center for Healthcare Technologies  

SciTech Connect

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

Carrano, A.V.

1994-03-01

31

Healthcare IT  

Microsoft Academic Search

Adopting information technology for healthcare continues to present new opportunities and challenges as we move into an era of universally accessible electronic medical records and telemedicine. Efforts at healthcare reform have created new incentives for adopting healthcare IT, and work continues to improve access to healthcare and provide new and enhanced services to more areas.

Thomas Jepsen; Sunil Mithas; Chien-Yeh Hsu; George Kraft

2010-01-01

32

Resistance to Oculimacula yallundae and Oculimacula acuformis is conferred by Pch2 in wheat  

E-print Network

Resistance to Oculimacula yallundae and Oculimacula acuformis is conferred by Pch2 in wheat K. L University, Pullman, WA 99164-6430, USA The recent report of a differential response of wheat lines of resistance against both O. yallundae and O. acu- formis under these conditions. Keywords: eyespot of wheat

Murray, Timothy D.

33

Molecular and neuroimaging findings in pontocerebellar hypoplasia type 2 (PCH2): is prenatal diagnosis possible?  

PubMed

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

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

2010-09-01

34

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

PubMed Central

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

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

2010-01-01

35

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

36

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

Microsoft Academic Search

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

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

2012-01-01

37

The development and validation of an assay for the quantification of the P. chrysogenum allergen Pch52.  

PubMed

Penicillium chrysogenum clade 4, is a common mold on damp building materials. A capture ELISA assay for the major allergen from P. chrysogenum Pch52 has been developed and tested in house dust samples and potential cross-reactivity examined. Minimal cross-reactivity with other relevant indoor fungi was observed for the assay following thorough purification of the monoclonal and polyclonal antibodies. The limit of quantification for ELISA analysis of Pch52 in sieved house dust is comparable to other assays of other fungi. The LOQ for Pch52 was 0.31 ng/mL in solution or 110 ng/g dust. The LOQ for Asp f1 and Alt a1 were 2.2 ng/g and 17 ng/g, respectively. These results indicate this assay is suitable for the quantification of Pch52 in sieved house dust. PMID:22455645

Shi, Chunhua; Belisle, Don; Levac, Shari; Miller, J David

2012-01-01

38

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

39

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

PubMed

The cellular system responsible for the transduction of the pigment-concentrating hormone (PCH) signal was investigated in 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 steps of the Ca(2+)-dependent signalling pathway. Additionally, the ability of forskolin to induce pigment dispersion was evaluated. Neomycin sulphate (10(-4) and 10(-3) mol.l-1), trifluoperazine (10(-5) and 10(-4) mol.l-1), 1-(5-isoquinolinesulfonlyl)-2-methylpiperazine (10(-7) and 10(-5) mol.l-1) and okadaic acid (10(-7) mol.l-1) significantly (P < 0.05) decreased the responses to PCH. However, okadaic acid at low concentration (10(-9) mol.l-1) and cyclosporin A (10(-6) and 10(-5) mol.l-1) did not significantly (P > 0.05) affect PCH activity. Forskolin (10(-4) mol.l-1) was able to half-maximally reverse the hormone-induced aggregation. Our results suggest that the pigment-concentrating hormone induces pigment aggregation through a Ca(2+)-dependent pathway with a posteriori phosphatase activation, probably the serine/threonine phosphatase 1. PMID:9404017

Nery, L E; da Silva, M A; Josefsson, L; Castrucci, A M

1997-11-01

40

Improving Healthcare for Children Entering Foster Care  

ERIC Educational Resources Information Center

Despite the fact that children in foster care are, perhaps, the most vulnerable children, healthcare for them has been lacking woefully for many years. A growing body of research has documented the need for such care as well as the failure of child welfare agencies to make major improvements in providing healthcare to foster children. Nonetheless,…

Risley-Curtiss, Christina; Stites, Belva

2007-01-01

41

Curing healthcare  

Microsoft Academic Search

No one running a company, large or small, can ignore the rising costs of healthcare. Yet, for all the attention paid to it, few companies feel that they have a state-of-the-art healthcare system. One company that has made great strides in this direction is Pitney Bowes, whose Executive Chairman Mike Critelli has been a leader on new ways to think

Stuart Crainer

2007-01-01

42

Future Healthcare  

E-print Network

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

Datta, Shoumen

2010-12-15

43

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

Technology Transfer Automated Retrieval System (TEKTRAN)

Wheat is prone to strawbreaker foot rot (eye- spot), a fungal disease caused by Oculimacula yallundae and O. acuformis. The most effective source of genetic resistance is Pch1, a gene derived from Aegilops ventri- cosa. The endopeptidase isozyme marker allele Ep-D1b, linked to Pch1, has been shown t...

44

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

E-print Network

Issue 11 · July-Sept 2011 Mass movements and change · Diplomacy · Leadership · Healthcare in Asia policy primer Spotlight 43 Healthcare financing in Asia revisited 46 The Right to Health: access to primary healthcare - maternal and child health in Southeast Asia 49 China's ailing healthcare system 51

Chaudhuri, Sanjay

45

Healthcare fundamentals.  

PubMed

In order for a trauma surgeon to have an intelligent discussion with hospital administrators, healthcare plans, policymakers, or any other physicians, a basic understanding of the fundamentals of healthcare is paramount. It is truly shocking how many surgeons are unable to describe the difference between Medicare and Medicaid or describe how hospitals and physicians get paid. These topics may seem burdensome but they are vital to all business decision making in the healthcare field. The following chapter provides further insight about what we call "the basics" of providing medical care today. Most of the topics presented can be applied to all specialties of medicine. It is broken down into 5 sections. The first section is a brief overview of government programs, their influence on care delivery and reimbursement, and past and future legislation. Section 2 focuses on the compliance, care provision, and privacy statutes that regulate physicians who care for Medicare/Medicaid patient populations. With a better understanding of these obligations, section 3 discusses avenues by which physicians can stay informed of current and pending health policy and provides ways that they can become involved in shaping future legislation. The fourth section changes gears slightly by explaining how the concepts of trade restraint, libel, antitrust legislation, and indemnity relate to physician practice. The fifth, and final, section ties all of components together by describing how physician-hospital alignment can be mutually beneficial in providing patient care under current healthcare policy legislation. PMID:24918828

Kauk, Justin; Hill, Austin D; Althausen, Peter L

2014-07-01

46

Healthcare innovation.  

PubMed

An online portal to help healthcare innovators, including front line clinicians and service managers, turn ideas into tangible service improvements has been launched by NHS England. Innovation Exchange, at tinyurl.com/nob5hpy , brings together networks, ideas and resources on a single web platform to support the development, implementation and dissemination of ideas in health and care. PMID:25253329

2014-09-25

47

GLOBAL HEALTHCARE TECHNOLOGIES  

E-print Network

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

MacIver, Malcolm A.

48

Clinical Features: Pontocerebellar hypoplasia (PCH) is a group of rare neurodegenerative disorders with a prenatal onset and  

E-print Network

and variable ventriculomegaly. Clinically, most patient's have severe mental retardation, swallowing problems of these brain areas. Budde et al (2008) sequenced the TSEN54 gene in 58 patients from the Netherlands and other]. Molecular Genetics: Ninety percent of patients with well-classified PCH2 are homozygous for the p.A307S

Ober, Carole

49

The Development and Validation of an Assay for the Quantification of the P. chrysogenum allergen Pch52  

Microsoft Academic Search

Penicillium chrysogenum clade 4, is a common mold on damp building materials. A capture ELISA assay for the major allergen from P. chrysogenum Pch52 has been developed and tested in house dust samples and potential cross reactivity examined. Minimal cross reactivity with other relevant indoor fungi was observed for the assay following thorough purification of the monoclonal and polyclonal antibodies.

Chunhua Shi; Don Belisle; Shari Levac; J. David Miller

2012-01-01

50

[Youth Healthcare guideline 'Skin disorders'].  

PubMed

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

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

2012-01-01

51

Emerging Technologies for Healthcare  

Microsoft Academic Search

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

M. Ilyas

2008-01-01

52

Healthcare Financing and Funding  

E-print Network

Healthcare Financing and Funding #12;Objectives Who pays for healthcare How the present healthcare system is shaped by healthcare economic history ReThink Health Core Principles Systems approach, No Mission #12;What makes paying for healthcare different? 1. Need vs. Want 2. Unpredictability of Need

Oklahoma, University of

53

Student Affairs HEALTHCARE SERVICES  

E-print Network

Student Affairs HEALTHCARE SERVICES ON AND OFF CAMPUS BINGHAMTON.EDU/HEALTH The Decker Student Services Center building. Coverage for healthcare services on and off campus can be complicated in the Binghamton community UNITED HEALTHCARE STUDENT RESOURCES -- The

Suzuki, Masatsugu

54

Healthcare Management & Insurance Studies  

E-print Network

Healthcare Management & Insurance Studies MINOR IN The Health Care field is a growth industry 06269 Required · Introduction to Healthcare Management · Health Care Industry Analysis Choose three courses from the below: · Health and Social Insurance · Healthcare Financial and Human Resource Management

Alpay, S. Pamir

55

GE Healthcare Antibody Purification  

E-print Network

GE Healthcare Antibody Purification Handbook GE Healthcare imagination at work agination at work from GE Healthcare #12;Antibody Purification Handbook #12; Handbook 18-1037-46 AD Contents Introduction

Lebendiker, Mario

56

The identification of candidate genes associated with Pch2 eyespot resistance in wheat using cDNA-AFLP.  

PubMed

Eyespot is a fungal disease of the stem base of cereal crops and causes lodging and the premature ripening of grain. Wheat cultivar Cappelle Desprez contains a highly durable eyespot resistance gene, Pch2 on the long arm of chromosome 7A. A cDNA-amplified fragment length polymorphism (AFLP) platform was used to identify genes differentially expressed between the eyespot susceptible variety Chinese Spring (CS) and the CS chromosome substitution line Cappelle Desprez 7A (CS/CD7A) which contains Pch2. Induced and constitutive gene expression was examined to compare differences between non-infected and plants infected with Oculimacula acuformis. Only 34 of approximately 4,700 cDNA-AFLP fragments were differentially expressed between CS and CS/CD7A. Clones were obtained for 29 fragments, of which four had homology to proteins involved with plant defence responses. Fourteen clones mapped to chromosome 7A and three of these mapped in the region of Pch2 making them putative candidates for involvement in eyespot resistance. Of particular importance are two fragments; 4CD7A8 and 19CD7A4, which have homology to an Oryza sativa putative callose synthase protein and a putative cereal cyst nematode NBS-LRR disease resistance protein (RCCN) respectively. Differential expression associated with Pch2 was examined by semi-quantitative RT-PCR. Of those genes tested, only four were differentially expressed at 14 days post inoculation. We therefore suggest that a majority of the differences in the cDNA-AFLP profiles are due to allelic polymorphisms between CS and CD alleles rather than differences in expression. PMID:19183860

Chapman, Natalie H; Burt, Christopher; Nicholson, Paul

2009-04-01

57

Initiation and growth of corrosion-fatigue cracks near stress concentrators in V95pchT2 aluminum alloy  

Microsoft Academic Search

We investigate the kinetics of small fatigue cracks starting from notches in samples of V95pchT2 aluminum alloy in air and\\u000a in a 3.5% NaCl solution. The influence of salt water is manifested in the initiation of pits on the notch surface and subsequent\\u000a accelerated growth of small cracks (2–3 times faster than in the laboratory air). The size of an

O. P. Ostash; E. M. Kostyk; I. R. Makoviichuk

1999-01-01

58

Factors Affecting Mothers' Healthcare-Seeking Behaviour for Childhood Illnesses in a Rural Nigerian Setting  

ERIC Educational Resources Information Center

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…

Abdulraheem, I. S.; Parakoyi, D. B.

2009-01-01

59

Mapping healthcare information technology  

E-print Network

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

Crawford, William Charles Richards

2010-01-01

60

Possibilities for Healthcare Computing  

E-print Network

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

Szolovits, Peter

61

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 ...

62

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

Microsoft Academic Search

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

Jose Salta; Jon Zubieta

1996-01-01

63

Healthcare MBA Prepare to Find Healthcare Management Solutions  

E-print Network

Healthcare MBA onLine #12;Prepare to Find Healthcare Management Solutions Healthcare is changing, and so are the demands on healthcare leaders. The George Washington University Healthcare MBA online prepares ambitious and visionary healthcare providers with advanced knowledge and skills to make sound

Vertes, Akos

64

Fraud Detection in Healthcare  

SciTech Connect

We discuss the problem of fraud detection in healthcare in this chapter. Given the recent scrutiny of the ineciencies in the US healthcare system, identifying fraud has been on the forefront of the eorts towards reducing the healthcare costs. In this chapter we will focus on understanding the issue of healthcare fraud in detail, and review methods that have been proposed in the literature to combat this issue using data driven approach.

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

2015-01-01

65

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

66

Codeon Interactions with Healthcare  

E-print Network

Codeon Interactions with Healthcare Professionals #12;#12;Table of Contents Preamble 1 Basis 7 Speaker Programs and Speaker Training Meetings 8 Healthcare Professionals Who Are Members and healthier lives. Ethical relationships with healthcare professionals are critical to our mission of helping

Chapman, Michael S.

67

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, Sofia I.; Strigazzi, Alfredo

1996-01-01

68

Healthcare information systems: analysis of healthcare software.  

PubMed

The need to manage medical information in healthcare delivery requires that information technology be optimized in diagnosing disease; in planning and administering treatment; and in monitoring patient outcomes, services, and costs. The goals of this article are twofold: (1) to identify healthcare-specific software that addresses specific parameters set forth by the World Health Organization (WHO) for healthcare information systems and (2) to identify issues that managers should keep in mind when choosing an integrated information systems software package. For our analysis, we gathered, through Internet research, information about more than 400 software products from more than 200 companies. PMID:12698891

Snyder, Kimberlee D; Paulson, Patrick

2002-01-01

69

Eutectic mixture of choline chloride\\/urea as a green solvent in synthesis of a coordination polymer: [Zn(O 3PCH 2CO 2)] · NH 4  

Microsoft Academic Search

A eutectic mixture of choline chloride\\/urea is liquid at ambient temperature and is used as a non-volatile reaction medium for the synthesis and crystallization of a novel coordination polymer, Zn(O3PCH2CO2)·NH4, in which structure-directing ammonium ions are generated in situ from the partial decomposition of urea.

Ju-Hsiou Liao; Pei-Chi Wu; Yi-Hsuan Bai

2005-01-01

70

A Historical Perspective on National Child Mental Health Policy.  

ERIC Educational Resources Information Center

This article traces historical attempts to form a comprehensive child mental health policy in the United States and discusses the latest unsuccessful attempts at the creation of such a policy through the managed behavioral healthcare revolution and the Child and Adolescent Service System Program and Child Mental Health Services initiative.…

Lourie, Ira S.; Hernandez, Mario

2003-01-01

71

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

Federal Register 2010, 2011, 2012, 2013, 2014

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

2011-11-17

72

Measuring Value in Healthcare  

E-print Network

A statistical description and model of individual healthcare expenditures in the US has been developed for measuring value in healthcare. We find evidence that healthcare expenditures are quantifiable as an infusion-diffusion process, which can be thought of intuitively as a steady change in the intensity of treatment superimposed on a random process reflecting variations in the efficiency and effectiveness of treatment. The arithmetic mean represents the net average annual cost of healthcare; and when multiplied by the arithmetic standard deviation, which represents the effective risk, the result is a measure of healthcare cost control. Policymakers, providers, payors, or patients that decrease these parameters are generating value in healthcare. The model has an average absolute prediction error of approximately 10-12% across the range of expenditures which spans 6 orders of magnitude over a nearly 10-year period. For the top 1% of the population with the largest expenditures, representing 20%-30% of total ...

Gardner, Christopher

2008-01-01

73

Metal carbonyls of telluroether formed by the oxygen atom transfer reaction to M(CO) 6 (M = Mo, W) in the presence of ( p-CH 3OC 6H 4) 2TeO and relative kinetic investigation  

Microsoft Academic Search

A new synthetic process is reported for the preparation of two substituted metal carbonyls, (p-CH3OC6H4)2TeM(CO)5 (M = Mo, W). In the presence of (p-CH3OC6H4)2TeO as O atom transfer reagent in tetrahydrofuran solvent, a CO ligand is replaced by telluroether when M(CO)6 (M = Mo, W) is reacted with (p-CH3OC6H4)2TeO under very mild experimental conditions (r.t.). The products were characterized by

Yici Gao; Xiaojuan Yang; Qizhen Shi

1995-01-01

74

Executive MBA for Healthcare Leadership  

E-print Network

for the healthcare sector. Trends in healthcare spending, the politics of healthcare reform, and current developmentsExecutive MBA for Healthcare Leadership A one-year investment. A lifetime of dividends. The Executive MBA (EMBA) for Healthcare Leadership program at the University of Tennessee, Knoxville, equips you

Grissino-Mayer, Henri D.

75

[Clinical ethic dilemmas and difficulties in reporting child abuse].  

PubMed

The number of reported cases of child abuse has been rising steadily in Taiwan. Although child abuse reporting is mandatory for healthcare professionals, Taiwan-specific social norms and traditional cultural values make the decision to report such abuse more complex and difficult. We used Jonsen's four topics method to examine a suspected case of child abuse and to analyze its associated dilemmas and ethical difficulties. We then discussed the identified conflicts among the three aspects of cultural values, legal obligations, and personal values. Findings indicate that healthcare professionals experience dilemmas among these three aspects. Reporting suspected child abuse appears the best resolution after considering and balancing the principles of non-malfeasance, beneficence, fidelity and follow-up care. Once reported, resources can be provided to the affected child and his ÷ her family. This case analysis provides a reference for healthcare professionals to deal with child abuse cases. PMID:22851401

Huang, Tzu-Yi; Chiang, Wan-Lin; Su, Yi-Fei; Feng, Jui-Ying

2012-08-01

76

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

77

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

78

Simulation in Healthcare  

NSDL National Science Digital Library

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

STARS GK-12 Program,

79

Transforming Welsh healthcare.  

PubMed

A fast-track procurement system for Welsh public healthcare projects involving three main project partners "pools" is speeding up the start and completion of hospital building projects, creating a more collaborative, less adversarial working environment, reducing cost and time uncertainties, and driving forward a tranche of schemes aimed at transforming the Welsh healthcare estate by 2015. Jonathan Baillie reports. PMID:19192596

Baillie, Jonathan

2009-01-01

80

Child Development  

MedlinePLUS

Start of Search Controls Search Form Controls Child Development Cancel Submit Search The CDC CDC A-Z ... Start of Search Controls Search Form Controls Child Development Cancel Submit Search The CDC Child Development Note: ...

81

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

82

Healthcare waste management: Current practices in selected healthcare facilities, Botswana  

Microsoft Academic Search

Healthcare waste management continues to present an array of challenges for developing countries, and Botswana is no exception. The possible impact of healthcare waste on public health and the environment has received a lot of attention such that Waste Management dedicated a special issue to the management of healthcare waste (Healthcare Wastes Management, 2005. Waste Management 25(6) 567–665). As the

Bontle Mbongwe; Baagi T. Mmereki; Andrew Magashula

2008-01-01

83

Healthcare Science Is Healthcare Science right for me?  

E-print Network

Healthcare Science Is Healthcare Science right for me? If you are interested in caring for people and want to be able to provide specialised help to those who need it then Healthcare Science is a subject you should strongly consider. The skills you can gain from a degree in Healthcare Science are wide

Harman, Neal.A.

84

Electronics for better healthcare.  

PubMed

Microelectronics and microsystem technology have changed our daily lives considerably in the past 50 years. Countless everyday objects contain microelectronic components. In healthcare up to the present, however, it has not been possible to make major alterations in introducing electronics and information technology that would lead to innovative improvements and greater transparency. This paper describes initial steps in diagnostics and oncological therapy including telematic healthcare systems which can, for example, assist patients with cardiovascular diseases and shows, through these areas, how electronics and microsystems technology can contribute to better healthcare. PMID:23702983

Wolf, Bernhard; Herzog, Karolin

2013-06-01

85

The Greek healthcare system.  

PubMed

Greece is among the OECD countries with the highest healthcare spending as a percentage of Gross Domestic Product (9.1% of GDP in 2006). Despite this, several issues such as high private health expenditure, informal payments, implementation of Electronic Patient Records and an integrated primary healthcare system have not been solved since the establishment of the national healthcare system in 1983. The aim of this paper is to provide a comprehensive picture of the healthcare system in Greece. Thus, general information regarding health status of the population is given, along with a description of the organizational structure of the National Health System as well as the social insurance system. Furthermore, main themes such as health financing and reimbursement, resource allocation and expenditure, pharmaceutical policy and future challenges are presented. PMID:19670523

Siantou, Vassiliki; Athanasakis, Kostas; Kyriopoulos, John

2009-01-01

86

Communicating with Healthcare Professionals  

MedlinePLUS

... 18,2015 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 patient Less ...

87

What the Medical Records Revolution Means to Your Special Child  

ERIC Educational Resources Information Center

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

Dorsett, Tom

2008-01-01

88

Lean Healthcare Songklanagarind Healthcare Production System  

E-print Network

· Medication Error · · · · #12; : Not use staff talent · · · · · #12;#12;#12;DOWNTIMEDOWNTIME D DJust in time (JIT) Jidoka ·Poka-yoke ·Surface error Takt time · · · · One piece flow Std work;Spaghetti diagramSpaghetti diagram #12;Nurse Cell #12;#12;: Defect () healthcare · · M di ti E

Laksanacharoen, Sathaporn

89

Healthcare: state failure  

Microsoft Academic Search

In the search for improved healthcare systems able to cope with rising costs, policy-makers are likely to turn to mixed-economy solutions. The lure of integrating ‘the best of both worlds’ generally leads to a blend of public and private providers, high regulation density as well as legal constraints on consumers based on top-down political prerogatives. The Swiss and Singaporean healthcare

Pierre Bessard

2008-01-01

90

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. PMID:22375265

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

2012-01-01

91

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

92

Healthcare Economics in HIV.  

PubMed

In an era of cost-consciousness in the delivery of medical care, the economics of healthcare delivery for HIV-infected persons has been an area of active interest. Interested parties include the payors of HIV care, particularly public insurers, who are paying for an increasing amount of the overall cost of HIV care in the US; providers of care, many of whom are finding it increasingly difficult to provide HIV care in a capitated market; and those persons who are HIV-infected and increasingly caught in the economic turmoil of the HIV healthcare marketplace. This paper will review the literature published over the past year regarding the economics of healthcare for HIV in the US. PMID:11095880

Moore

2000-08-01

93

Healthcare software assurance.  

PubMed

Software assurance is a rigorous, lifecycle phase-independent set of activities which ensure completeness, safety, and reliability of software processes and products. This is accomplished by guaranteeing conformance to all requirements, standards, procedures, and regulations. These assurance processes are even more important when coupled with healthcare software systems, embedded software in medical instrumentation, and other healthcare-oriented life-critical systems. The current Food and Drug Administration (FDA) regulatory requirements and guidance documentation do not address certain aspects of complete software assurance activities. In addition, the FDA's software oversight processes require enhancement to include increasingly complex healthcare systems such as Hospital Information Systems (HIS). The importance of complete software assurance is introduced, current regulatory requirements and guidance discussed, and the necessity for enhancements to the current processes shall be highlighted. PMID:17238324

Cooper, Jason G; Pauley, Keith A

2006-01-01

94

Healthcare Software Assurance  

PubMed Central

Software assurance is a rigorous, lifecycle phase-independent set of activities which ensure completeness, safety, and reliability of software processes and products. This is accomplished by guaranteeing conformance to all requirements, standards, procedures, and regulations. These assurance processes are even more important when coupled with healthcare software systems, embedded software in medical instrumentation, and other healthcare-oriented life-critical systems. The current Food and Drug Administration (FDA) regulatory requirements and guidance documentation do not address certain aspects of complete software assurance activities. In addition, the FDA’s software oversight processes require enhancement to include increasingly complex healthcare systems such as Hospital Information Systems (HIS). The importance of complete software assurance is introduced, current regulatory requirements and guidance discussed, and the necessity for enhancements to the current processes shall be highlighted. PMID:17238324

Cooper, Jason G.; Pauley, Keith A.

2006-01-01

95

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

96

Child Nutrition  

MedlinePLUS

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

97

Factors influencing healthcare service quality  

PubMed Central

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

Mosadeghrad, Ali Mohammad

2014-01-01

98

Technology: Enabling Healthcare Microsoft and Health IT Public Policy and Healthcare Likeotherbreakthroughsinmedicineoverthelastfewhundredyears,breakthroughsintechnology  

E-print Network

Technology: Enabling Healthcare Microsoft and Health IT Public Policy and Healthcare Likeotherbreakthroughsinmedicineoverthelastfewhundredyears,breakthroughsintechnology have the potential to revolutionize healthcare. Advances in genomics of healthcare costs. Specifically, these technology advances will: · Offer healthcare professionals the data

Narasayya, Vivek

99

Student Healthcare Delivery and Financing Programs: Adapting to Healthcare Reform  

Microsoft Academic Search

College health professionals want to assure the unique healthcare and health education needs of college students will continue to be met under national and state healthcare reform. This may be an “all or nothing” proposition. Either colleges and universities will have exclusive control of healthcare delivery for the college student population or else college health will not be a major

Stephen L. Beckley; Ted W. Grace

1994-01-01

100

Healthcare in everyday life: designing healthcare services for daily life  

Microsoft Academic Search

Today the design of most healthcare technology is driven by the considerations of healthcare professionals and technology companies. This has several benefits, but we argue that there is a need for a supplementary design approach on the basis the citizen and his or her everyday life. An approach where the main focus is to develop healthcare technology that fits the

Stinne Aaløkke Ballegaard; Thomas Riisgaard Hansen; Morten Kyng

2008-01-01

101

Your Heart Failure Healthcare Team  

MedlinePLUS

Your Heart Failure Healthcare Team Updated:Apr 14,2015 Patients with heart failure may work with multiple healthcare professionals. It's ... give support. Join now - it's free and easy. Heart Failure Questions to Ask Your Doctor Use these questions ...

102

Recommended Vaccines for Healthcare Workers  

MedlinePLUS

... Vaccines for Adults Share Compartir Recommended Vaccines for Healthcare Workers On this Page Published Recommendations State Immunization ... for More Information Resources for Those Vaccinating HCWs Healthcare workers (HCWs) are at risk for exposure to ...

103

Will healthcare reform work?  

PubMed

Providers should support efforts to reorganize the healthcare delivery system by undertaking four key market-centric activities: Improve customer service. Develop a deeper understanding of utilization patterns and the health statuses of the populations they serve. Build patient engagement. Help patients understand value in health care. PMID:21061818

Mulvany, Chad

2010-11-01

104

Untangling healthcare competition.  

PubMed

Traditional approaches to competition may be inappropriate for healthcare providers. Neoclassical economics makes the implicit assumption that a single actor embodies consumption, compensation, and benefit from a transaction. In healthcare, this assumption does not hold. Instead, such actions are accomplished by three separate actors--consumers (physicians), customers (third-party payers), and clients (patients). A hospital simultaneously competes in three arenas. Hospitals compete for physicians along a technological dimension. Competition for third-party payers takes on a financial dimension. Hospitals compete for patients along a marketing dimension. Because of the complex marketplace interactions among hospital, patient, physician, and third-party payer, the role of price in controlling behavior is difficult to establish. The dynamics underlying the hospital selection decision--that is, the decision maker's expectations of services and the convenience of accessing services--must also be considered. Healthcare managers must understand the interrelationships involved in the three-pronged competitive perspective for several reasons. This perspective clarifies the multiple facets of competition a hospital faces. It also disentangles the actions previously fulfilled by the traditional single buyer. It illuminates the critical skills underlying the competition for each audience. Finally, it defines the primary criterion each audience uses in sorting among hospitals. Recognition of the multifaceted nature of competition among healthcare providers will help demystify market behavior and thereby improve internal organizational communication systems, managers' ability to focus on appropriate activities, and the hospital's ability to adapt to changing market conditions. PMID:10129792

Harris, I C; McDaniel, R R

1993-11-01

105

Narratives in Healthcare  

Microsoft Academic Search

In this chapter, the narrative is defined and the elements of the narrative are eluci­ dated. Three lenses through which one can view the role of narratives in healthcare are discussed. First, organizational narratives help to foster social capital in the organization and, therefore, contribute to the people aspect of the knowledge man­ agement initiative in the organization. Second, the

Chu Keong Lee; Schubert Foo

106

EMC and wireless healthcare  

Microsoft Academic Search

Electromagnetic compatibility (EMC) is a critical part of addressing the risks related to the effects of electromagnetic interference (EMI) on active medical devices exposed to emissions from wireless technology. In addition, for wireless technology in healthcare to be safe, effective, reliable, and secure specific wireless issues must also be addressed including quality of service, coexistence with other wireless equipment, data

Donald Witters; Seth Seidman; Howard Bassen

2010-01-01

107

Towards home healthcare informatics  

Microsoft Academic Search

The field of information technology and the Internet has developed rapidly in the last few years. The advancements affected eHealth field too, and patient- centered and consumer-centered healthcare systems have become more and more available. However, the patient\\/consumer interactions with his communication environment remain to investigate. We present our contributions devoted to this research field.

Stefano Bonacina; Sara Marceglia; Luca Mazzola; Francesco Pinciroli

2009-01-01

108

Security for pervasive healthcare  

Microsoft Academic Search

Wireless sensor networks are going to allow for ubiquitous health monitoring, improving users' well-being, making the healthcare system more efficient, and helping to quickly react on emergency situations. Meeting the strict security needs of ubiquitous medical applications is a big challenge: safety and privacy of patient data has to be guaranteed all the way from the sensor nodes to the

Oscar Garcia-Morchon; Thomas Falck; Tobias Heer; Klaus Wehrle

2009-01-01

109

Innovative healthcare delivery  

Microsoft Academic Search

Critics of the American healthcare system recite a long list of problems, including rising out-of-pocket costs, inconvenient access, overuse of emergency departments, uncoordinated medical records, and declining numbers of primary care doctors. To address these issues, some new venues have evolved, such as retail and urgent care clinics; however, the emergency department has become the only service provider available to

Leonard L. Berry; Ann M. Mirabito

2010-01-01

110

Intersectoral healthcare delivery  

Microsoft Academic Search

Within a given culture – whether industrialized or more tradition oriented – essentially the same fundamental medical theories, practices, and pharmacopoeia tend to be applied to human and non-human sickness and patients. In modern industrialized societies, however, healthcare services are sharply divided between human and veterinary medicine. There is likewise a sharp division between practitioners in these two health sectors:

Constance M. McCorkle; Edward C. Green

1998-01-01

111

Setting the Healthcare Agenda  

Microsoft Academic Search

In political landscapes around the world, governments have no shortage of healthcare issues to overcome. With the abundance of decisions to be made and the limited time and resources available with which to inform these decisions, governments must carefully choose which issues to overlook, which to merely consider, and which to act upon. Kingdon’s Model of Agenda-setting is a useful

Neil D Dattani

2010-01-01

112

Healthcare Policy Modeling, Simulation, and Analysis: COMPARE  

E-print Network

reform are important issues for the American public, the healthcare industry, policy analystsHealthcare Policy Analysis Modeling, Simulation, and Analysis: COMPARE Challenge Decision and Information Sciences Division Modeling, Simulation, and Visualization Group Healthcare and possible healthcare

113

Trustworthiness of Pervasive Healthcare Folders  

E-print Network

and time constraints to access patient's healthcare folders. Cares provided at home to elderly or disabled. Healthcare information must be safely exchanged among practitioners to improve care coordinationChapter IX Trustworthiness of Pervasive Healthcare Folders Tristan Allard University of Versailles

Paris-Sud XI, Université de

114

Integrated Decision Making in Healthcare  

E-print Network

Integrated Decision Making in Healthcare An Operations Research and Management Science Perspective Peter J.H. Hulshof #12;Integrated Decision Making in Healthcare An Operations Research and Management and Logistics (No. D-172) Industrial Engineering and Business Information Systems Center for Healthcare

Boucherie, Richard J.

115

magination at work GE Healthcare  

E-print Network

magination at work GE Healthcare Life Sciences imagination at work Multimodal Chromatography Handbook #12;Handbooks from GE Healthcare Life Sciences For more information refer to www.gelifesciences.com/handbooks 2-D Electrophoresis Principles and Methods GE Healthcare Life Sciences 2-D Electrophoresis using

Lebendiker, Mario

116

imagination at work GE Healthcare  

E-print Network

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

Lebendiker, Mario

117

imagination at work GE Healthcare  

E-print Network

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

Lebendiker, Mario

118

GE Healthcare Product Guide 2007  

E-print Network

GE Healthcare BioProcess Product Guide 2007 #12;How to contact us Europe www 3272 741 299 F: +7 3272 754 243 Email: vitas@nursat.kz GE Healthcare Bio-Sciences AB Björkgatan 30 SE-751 84 Uppsala Sweden T: +46 (0) 18 612 00 00 F: +46 (0) 18 612 18 00 GE Healthcare Europe Gmb

Lebendiker, Mario

119

Your Lifeline for Healthcare Help  

E-print Network

with eldercare We address senior issues such as Medicare and related healthcare issues facing your parentsYour Lifeline for Healthcare Help Get cost estimates You'll receive comparable costs of common'll also locate the right hospitals, dentists and other leading healthcare providers anywhere

Maranas, Costas

120

Interaction of mercury(II) halides with tertiary phosphine betaines: synthesis and structural characterization of [HgX 2 {Ph 3 P(CH 2 ) 2 CO 2 }] (X=Cl, I) and [HgCl(?-Cl)-{Ph 3 P(CH 2 ) 3 CO 2 }] 2  

Microsoft Academic Search

Three new mercury(II) complexes containing tertiary phosphine betaine ligands Ph3P+(CH2)2CO2\\u000a ? and Ph3P+(CH2)3CO2\\u000a ? have been synthesized and fully characterized by single-crystal X-ray analysis: [HgCl2{Ph3(CH2)2CO2}],1, space groupP21\\/n,a=9.819(2),b=14.966(4),c=14.973(5) Å, ?=105.67(2)° andZ=4; [HgI2{Ph3(CH2)2CO2}],2,P21\\/n,a=10.206(2),b=14.807(3),c=15.557(3) Å, ?=107.11(2)° andZ=4; [HgCl(?-Cl){Ph3P(CH2)3CO2}]2,3,\\u000a $$P\\\\bar 1$$\\u000a ,a=10.813(2),b=11.975(3),c=11.180(2) Å, ?=87.04(2), ?=75.14(1), ?=81.95(1)° andZ=1. The isomorphous complexes1 and2 contain discrete mononuclear molecules in which the mercury(II) atom is unsymmetrically chelated by

Song-Lin Li; Thomas C. W. Mak

1997-01-01

121

Neuro-fuzzy CBR hybridization: Healthcare application  

Microsoft Academic Search

As the total cost of healthcare continues to rise, computerized methods are sought to improve the overall efficiency and effectiveness of healthcare systems. In this application, the focus is on healthcare claim payment processing, which is a major component of administrative healthcare costs. Due to the complexity of healthcare data, current methods require a large amount of healthcare claim payment

Joseph M. Woodside

2008-01-01

122

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

123

Advancing adolescent health and health services in Saudi Arabia: exploring health-care providers’ training, interest, and perceptions of the health-care needs of young people  

PubMed Central

Background Adolescent health is regarded as central to global health goals. Investments made in adolescent health and health services protect the improvements witnessed in child health. Though Saudi Arabia has a large adolescent population, adolescent health-care only began to emerge in recent years, yet widespread uptake has been very limited. Health-care providers are key in addressing and providing the necessary health-care services for adolescents, and so this study was conducted with the aim of identifying opportunities for the advancement of knowledge transfer for adolescent health services in Saudi Arabia. Methods This Web-based, cross-sectional study was carried out at four hospitals in Saudi Arabia. Physicians and nurses were invited to participate in an online survey addressing their contact with adolescent patients, and training, knowledge, and attitudes towards adolescent health-care. Results A total of 232 professionals participated. The majority (82.3%) reported sometimes or always coming into contact with adolescent patients. Less than half (44%), however, had received any sort of training on adolescent health during their undergraduate or postgraduate education, and only 53.9% reported having adequate knowledge about the health-care needs of adolescents. Nurses perceived themselves as having more knowledge in the health-care needs of adolescents and reported feeling more comfortable in communicating with adolescents as compared with physicians. The majority of participants were interested in gaining further skills and knowledge in adolescent health-care and agreed or strongly agreed that adolescents have specific health-care needs that are different than children or adults (82.3% and 84.0%, respectively). With respect to health services, the majority (85.8%) believed that adolescents should be hospitalized in adolescent-specific wards. Only 26.7% of health-care providers believed that patients should be transferred from child to adult health-care services at 12–13 years of age, as is currently practiced in the country. Conclusion A gap exists between the training, knowledge and skills of health-care providers, and the needs to address health-care issues of adolescents in Saudi Arabia. This coupled with the fact that health-care providers are interested in gaining more knowledge and skills and are supportive of changes in the health-care system provides an opportunity for building local capacity and instituting medical and nursing education and health-care reform that can better serve the needs of the country’s young population. PMID:25214805

AlBuhairan, Fadia S; Olsson, Tina M

2014-01-01

124

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

Microsoft Academic Search

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

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

2006-01-01

125

Healthcare and physician leadership.  

PubMed

At a recent social policy conference - Recovering Together? Fiscal Pressures, Federalism and Social Policy, hosted by Queen's International Institute on Social Policy - there was much discussion of "healthcare's crowding out" of others of the determinants of health, education and income security being the predominant examples. I was struck by the loose language, four words/phrases in particular, used to describe reality - healthcare, system, single-payer and publicly funded. Physicians are increasingly moving beyond their already-demanding clinical roles to become chief executive officers (CEOs), chiefs of staff, clinical leaders, board members, deans and directors. Is this a good thing, and should physician leadership be encouraged? Or as Ron Liepert (2009, August), minister of Alberta Health and Wellness, asserts, are physicians better at diagnosing and treating people than running $8 billion organizations? PMID:21301230

Sinclair, Duncan G; Carruthers, Chris; Swettenham, Julie

2011-01-01

126

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.

127

Innovation Concepts in Healthcare  

ScienceCinema

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

None

2011-04-25

128

Innovation Concepts in Healthcare  

SciTech Connect

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

None

2011-01-06

129

Queueing for Healthcare  

Microsoft Academic Search

Patient queues are prevalent in healthcare and wait time is one measure of access to care. We illustrate Queueing Theory—an analytical tool that has provided many insights to service providers when designing new service systems and managing existing\\u000a ones. This established theory helps us to quantify the appropriate service capacity to meet the patient demand, balancing\\u000a system utilization and the

R. Kannapiran Palvannan; Kiok Liang Teow

130

Integrated healthcare information systems.  

PubMed

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

Miller, J

1995-01-01

131

Healthcare Systems and Motivation  

PubMed Central

Despite the fact that most American physicians, at least until around the 1970s, stood in the way of developing a universal healthcare system, most are generally not happy with the current state of healthcare – or its lack thereof – today. The primary reasons for this general unhappiness are that insurance companies and managed care have successfully conspired to remove much of the physician's autonomy (via imposed time constraints, burdensome paperwork, the time-consuming chore of having to defend going against stringent treatment algorithms that are often inappropriate for some patients) and the satisfaction of knowing their patients. Few physicians in managed care organizations (MCOs) are able to practice without constant and blindly algorithmic interference concerning the diagnostic tests and therapeutic interventions they order. As copayments have increased, they often find that patients, even though “covered,” cannot afford the therapy they deem necessary. While physicians expect to earn sufficient to pay back their not insignificant educational debts, provide their children with help through college, and assure retirements sufficient for themselves and their spouses, these should not be considered unreasonable expectations. Most physicians today do favor universal healthcare – to the point of having included such language in their various professional codes of ethics (which, perversely enough, bioethicists as a group have failed to do). Contrary to the claims of our colleagues, Altom and Churchill, physicians seem to be genuinely frustrated as to what else they can do to change the current inequitable system. PMID:17435646

Loewy, Erich H.

2007-01-01

132

Child Development  

MedlinePLUS

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

133

Child's Play.  

ERIC Educational Resources Information Center

Discusses the inclusion of child day centers on college campuses and what it takes to provide safe, successful, and fun places that support students, faculty, and staff needs. Areas addressed include safety and security, class and room size, inclusion of child-size toilets, and interior color schemes. (GR)

Milshtein, Amy

2000-01-01

134

Disobedient Child  

MedlinePLUS

... Screen Can Improve Children’s Behavior Collective Violence and Poverty on the Mexican-U.S. Border Affects Child Mental Health Study Finds Over 4,500 U.S. Children Hospitalized From Child Abuse in One Year, and 300 of Them Died ...

135

Determining a healthcare organization's value.  

PubMed

As the consolidation activity among healthcare providers increases, it becomes more important than ever for healthcare financial managers to understand how to determine a healthcare organization's fair market value. There are many methods of determining an organization's value, but three general methods are the foundation of all others: the market comparable method, the underlying assets method, and the income, or cash flow, method. PMID:10146044

Hahn, W

1994-08-01

136

PPEPR for Enterprise Healthcare Integration  

NASA Astrophysics Data System (ADS)

PPEPR is software to connect healthcare enterprises. Healthcare is a complex domain and any integration system that connects healthcare enterprise applications must facilitate heterogeneous healthcare systems at all levels - data, services, processes, healthcare vendors, standards, legacy systems, and new information systems, all of which must interoperate to provide healthcare services. The lack of interoperability within healthcare standards (e.g. HL7) adds complexity to the interoperability initiatives. HL7’s user base has been growing since the early 2000s. There are many interoperability issues between the widely adopted HL7 v2 and its successor, HL7 v3, in terms of consistency, data/message modeling, precision, and useability. We have proposed an integration platform called PPEPR: (Plug and Play Electronic Patient Records) which is based on a semantic Service-oriented Architecture (sSOA). PPEPR connects HL7 (v2 & v3) compliant healthcare enterprises. Our main goal is to provide seamless integration between healthcare enterprises without imposing any constraint on existing or proposed EPRs.

Fox, Ronan; Sahay, Ratnesh; Hauswirth, Manfred

137

The New England Healthcare Engineers' Society Presents Healthcare Engineering, Taken to New Heights  

E-print Network

The New England Healthcare Engineers' Society Presents Healthcare Engineering, Taken to New Heights Healthcare Engineers' Society is a professional organization whose traditions and continued success are based developments in healthcare facility management, design, operation and maintenance techniques. · To promote

Hayden, Nancy J.

138

UK HealthCare University of Kentucky  

E-print Network

HealthCare construction and facilities news In thIs Issue: UK HealthCare and Norton Healthcare officialsUK HealthCare University of Kentucky 800 Rose St. Lexington KY 40536 RENEWALYour resource for the latest UK HealthCare construction and facilities news WINTER 2011 RENEWALYour resource for the latest UK

MacAdam, Keith

139

Child Care and Child Nutrition  

ERIC Educational Resources Information Center

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

Karolak, Eric

2009-01-01

140

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).

141

How to insulate a reactive site from a perfluoroalkyl group: photoelectron spectroscopy, calorimetric, and computational studies of long-range electronic effects in fluorous phosphines P((CH(2))(m)(CF(2))(7)CF(3))(3).  

PubMed

This study advances strategy and design in catalysts and reagents for fluorous and supercritical CO(2) chemistry by defining the structural requirements for insulating a typical active site from a perfluoroalkyl segment. The vertical ionization potentials of the phosphines P((CH(2))(m)R(f8))(3) (m = 2 (2) to 5 (5)) are measured by photoelectron spectroscopy, and the enthalpies of protonation by calorimetry (CF(3)SO(3)H, CF(3)C(6)H(5)). They undergo progressively more facile (energetically) ionization and protonation (P(CH(2)CH(3))(3) > 5 > 4 approximately equal to P(CH(3))(3) > 3 > 2), as expected from inductive effects. Equilibrations of trans-Rh(CO)(Cl)(L)(2) complexes (L = 2, 3) establish analogous Lewis basicities. Density functional theory is used to calculate the structures, energies, ionization potentials, and gas-phase proton affinities (PA) of the model phosphines P((CH(2))(m)()CF(3))(3) (2'-9'). The ionization potentials of 2'-5' are in good agreement with those of 2-5, and together with PA values and analyses of homodesmotic relationships are used to address the title question. Between 8 and 10 methylene groups are needed to effectively insulate a perfluoroalkyl segment from a phosphorus lone pair, depending upon the criterion employed. Computations also show that the first carbon of a perfluoroalkyl segment exhibits a much greater inductive effect than the second, and that ionization potentials of nonfluorinated phosphines P((CH(2))(m)CH(3))(3) reach a limit at approximately nine carbons (m = 8). PMID:11841323

Jiao, Haijun; Le Stang, Sylvie; Soós, Tibor; Meier, Ralf; Kowski, Klaus; Rademacher, Paul; Jafarpour, Laleh; Hamard, Jean-Benoit; Nolan, Steven P; Gladysz, J A

2002-02-20

142

Rubella immune status among healthcare workers in the Department of Obstetrics and Gynaecology of a regional hospital in Hong Kong: the need for a vaccination policy  

Microsoft Academic Search

Rubella infection in early pregnancy is associated with severe consequences in the developing fetus. In Hong Kong, 8–11% of women of child-bearing age are still susceptible to rubella infection. Therefore, rubella immune status of healthcare workers who may have contact with pregnant women is of particular concern. Rubella immunity of healthcare workers in a Department of Obstetrics and Gynaecology was

P. K. S. Chan; C. Y. Li; J. S. Tam; A. F. Cheng

1999-01-01

143

MOBILE HEALTHCARE INTHE HOME ENVIRONMENT  

Microsoft Academic Search

Abstract: Mobile healthcare provision in the home environment presents many challenges. Patients are becoming more informed about the management,of chronic conditions and the use of technology to support the process is rising. Issues such as system interoperability, cost, security and training all have to be addressed to ensure effective use of mobile devices within the home healthcare arena. An aging

Sheila Price

144

Security Services for Next Generation Healthcare  

E-print Network

Security Services for Next Generation Healthcare Introduction With the passage of the Health electronic healthcare records and online availability of patient information. The HITECH Act provides/HIT). The availability of electronic healthcare information dramatically changes the information security threat

Fisher, Kathleen

145

General Information about MRSA in Healthcare Settings  

MedlinePLUS

... Infections Share Compartir General Information About MRSA in Healthcare Settings In a healthcare setting, such as a ... at Risk, and How is MRSA Spread in Healthcare Settings? MRSA is usually spread by direct contact ...

146

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

147

The Chinese healthcare challenge  

PubMed Central

Investments in the extension of health insurance coverage, the strengthening of public health services, as well as primary care and better hospitals, highlights the emerging role of healthcare as part of China’s new growth regime, based on an expansion of services, and redistributive policies. Such investments, apart from their central role in terms of relief for low-income people, serve to rebalance the Chinese economy away from export-led growth toward the domestic market, particularly in megacity-regions as Shanghai and the Pearl River Delta, which confront the challenge of integrating migrant workers. Based on the paper by Gusmano and colleagues, one would expect improvements in population health for permanent residents of China’s cities. The challenge ahead, however, is how to address the growth of inequalities in income, wealth and the social wage. PMID:25774379

Fabre, Guilhem

2015-01-01

148

Globalization of Healthcare  

PubMed Central

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

2012-01-01

149

Accountability and primary healthcare.  

PubMed

This paper examines the accountability structures within primary healthcare (PHC) in Ontario; in particular, who is accountable for what and to whom, and the policy tools being used. Ontario has implemented a series of incremental reforms, using expenditure policy instruments, enforced through contractual agreements to provide a defined set of publicly financed services that are privately delivered, most often by family physicians. The findings indicate that reporting, funding, evaluation and governance accountability requirements vary across service provider models. Accountability to the funder and patients is most common. Agreements, incentives and compensation tools have been used but may be insufficient to ensure parties are being held responsible for their activities related to stated goals. Clear definitions of various governance structures, a cohesive approach to monitoring critical performance indicators and associated improvement strategies are important elements in operationalizing accountability and determining whether goals are being met. PMID:25305392

Mukhi, Shaheena; Barnsley, Jan; Deber, Raisa B

2014-09-01

150

Burnout among healthcare professionals.  

PubMed

*From many accounts healthcare professionals are at increased risk for professional burnout. Professional burnout is generally described as prolonged stress that impairs one's ability to perform his or her job in demanding situations. *Precursors to professional burnout include, but are not limited to, employee workload, chronic fatigue, compassion fatigue, balance between family and career, sickness absence, and loss of confidence. *Administrators must watch for early signs of professional burnout to improve retention and promote employee morale. To reduce professional burnout, administrators must implement strategies to reduce burnout while also promoting productivity. *When professional burnout occurs, management must consider each employee's generational differences. All generations have differing values, beliefs, and opinions that influence his or her work ethic in regard to employee productivity. PMID:18283973

Wood, Ben D; Killion, Jeffrey B

2007-01-01

151

Healthcare and technology: the doctrine of networkcentric healthcare.  

PubMed

Worldwide costs and the disparity between healthcare in the Western world and the developing countries increase exponentially. Increased involvement of ICT allows, in similarity to the military, a transition from platformcentric to more cohesive and collaborative networkcentric operations. In the information-intensive environment of healthcare, the networkcentric approach allows free and rapid sharing of information and effective knowledge building required for the development of coherent objectives and their rapid attainment. We suggest that the application of the proposed networkcentric doctrine is arguably the best chance of changing the way healthcare is accessed, provided and managed both nationally and across the globe. PMID:18048253

von Lubitz, Dag; Wickramasinghe, Nilmini

2006-01-01

152

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

ERIC Educational Resources Information Center

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

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

2011-01-01

153

Pediatrician–parent–child communication: problem-related or not?  

Microsoft Academic Search

Pediatricians are generally confronted with a variety of health problems. Each of these problems may benefit from another pattern of healthcare communication. It is unknown whether the communication process during pediatric visits actually differs by the nature of the child’s problem. This study first examined whether three formerly identified communication patterns could be distinguished within real-life pediatric outpatient encounters (N=846).

Sandra van Dulmen

2004-01-01

154

Healthcare information portal: a web technology for the healthcare community  

Microsoft Academic Search

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

David C. Chou; Amy Y. Chou

2002-01-01

155

A Randomized Controlled Trial of Consensus-Based Child Abuse Case Management  

ERIC Educational Resources Information Center

Objective: This study evaluates the effects of expert-assisted child abuse and neglect case management in the German child welfare and healthcare system as perceived by the case workers themselves. Methods: Case workers with different professions (social workers, counselors, clinic-based and office-based psychotherapists, and physicians)…

Goldbeck, L.; Laib-Koehnemund, A.; Fegert, J. M.

2007-01-01

156

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 ...

157

[Tuberculosis in healthcare workers].  

PubMed

Tuberculosis (TB) is an occupational risk hazard that explains 5 to 5.361 additional cases of TB per 100.000 individuals among healthcare workers (HCW) in relation to general population in developing countries. For each clinical case a number of additional infections are occurring, that can be detected by tuberculin skin test conversion among non-BCG vaccinated HCW or by interferon-gamma testing. Risk factors for HCW infection include number of TB patients examined, job characteristics and place of work, delay in diagnostic suspicion, patients with multidrug resistant strains, limited access to appropriate ventilation systems, non-compliance with aerosol dissemination precautions, immune suppressed and/or malnourished HCW. Molecular studies suggest that only 32 to 42% of TB cases among HCW are related to occupational exposure. Useful measures to prevent occupational TB acquisition include a number of administrative-, infrastructure- and personal-related measures that have proven to be successful in reducing occurrence of new infections including clinical TB cases among HCW. In Chile, two official government sponsored guidelines are currently available for preventing TB infection among HCW, issued by the national TBC Control Program and by the National Nosocomial infection Control Program. Major differences in recommendations between these guidelines indicate that an update is urgently needed. PMID:18769770

Fica C, Alberto; Cifuentes D, Marcela; Ajenjo H, M Cristina; Jemenao P, M Irene; Zambrano O, Alejandra; Febré V, Naldy; Delpiano M, Luis; Diomedi P, Alexis; Ramonda C, Paulina

2008-08-01

158

Healthcare reform 101.  

PubMed

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

Panning, Rick

2014-01-01

159

Humanizing voice mail in healthcare.  

PubMed

Over the past few years, voice mail has spread rapidly through the corporate environment. Healthcare facilities were slow to adopt this form of telecommunication until it became clear that healthcare was indeed a business, and this innovative technology was becoming a permanent fixture in the business world. Unfortunately, basic two-way communication with compassion, which is so critical to the success of healthcare, became peripheral to computer-mediated technology. While there is debate over the voice mail appropriateness in healthcare, one point of agreement is that voice mail is here to stay. The author examines one hospital's experience with computer-mediated communication, its initiative for improvement without monetary options, and its evolution toward a more compassionate, humanistic system for its internal and external customers. PMID:10029802

Hoban, L

1999-02-01

160

Securing Information Technology in Healthcare  

PubMed Central

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

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

2014-01-01

161

Healthcare information technology and economics  

PubMed Central

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

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

2013-01-01

162

Homebased healthcare : issues and challenges  

E-print Network

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

Nagpure, Prashant

2008-01-01

163

Healthcare teamwork best practices: lessons for industry  

Microsoft Academic Search

Purpose – Since the field of healthcare was a latecomer to the quality movement, knowledge transfer has generally flowed in one direction, from industry to healthcare. However, organisations can also be enriched by healthcare. In particular, this paper aims to show industry that important lessons can be learned regarding how teamwork is generally managed within healthcare. Design\\/methodology\\/approach – To identify

Martín Tanco; Carmen Jaca; Elisabeth Viles; Ricardo Mateo; Javier Santos

2011-01-01

164

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

165

Child abuse.  

PubMed

Child abuse is common in most, if not all, Western nations; it probably occurs worldwide. It may be a major factor in the increase in violence throughout much of the world. Radiologists who treat children should think of the possibility of abuse whenever they diagnose a fracture, intracranial bleed, or visceral injury, especially when the history is not compatible with their findings. Metaphyseal "corner" fractures in infants usually are caused by abuse. Less than 20% of abused children, however, present injuries that can be recognized by radiologic techniques. Consequently normal roentgenograms, nuclear medicine scans, ultrasound studies, and computed tomograms do not exclude child abuse. PMID:6182578

Dorst, J P

1982-08-01

166

Treatment of Child Abuse Reece Robert Hanson Rochelle Sargent John et al Treatment of Child Abuse 392pp £50 Johns Hopkins University Press 9781421412733 142141273X [Formula: see text].  

PubMed

PACKED WITH useful information, this American text will be invaluable for healthcare professionals who work in mental health, children's wards and emergency departments, as well as social workers and lawyers acting as child advocates. PMID:25746880

2015-03-01

167

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. PMID:17435653

Loewy, Roberta Springer; Loewy, Erich H.

2007-01-01

168

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

169

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

170

Healthcare Information Management System in Home Environment  

Microsoft Academic Search

In this paper, we suggested a healthcare information management system for supporting healthcare home services. Our researching\\u000a focus in this paper is how to design system and how to use constructed database on the framework for supporting healthcare\\u000a home services. The healthcare database constructed by using this information for the purpose of healthcare home services is\\u000a divided into the base

Chang-won Jeong; Chung-sub Lee; Su-chong Joo

2007-01-01

171

Child-Centred Nursing: Promoting Critical Thinking Carter Bernie et al Child-Centred Nursing: Promoting Critical Thinking 192pp £22.99 Sage 9781446248607 1446248607 [Formula: see text].  

PubMed

THE AUTHORS undertake an international review of children in the healthcare system, focusing on the UK and New Zealand. The challenge presented is to place the child at the centre of all stages of the healthcare process, such as consulting and informing, providing choice and understanding their experiences of symptoms and illnesses. PMID:25760007

2015-03-01

172

Pediatrician-parent-child communication: problem-related or not?  

Microsoft Academic Search

Pediatricians are generally confronted with a variety of health problems. Each of these problems may benefit from another pattern of healthcare communication. It is unknown whether the communication process during pediatric visits actually differs by the nature of the child's problem. This study first examined whether three formerly identified communication patterns could be distinguished within real-life pediatric outpatient encounters (N

SANDRA VAN DULMEN

173

Child Care Options MSU Child Development Center  

E-print Network

Child Care Options on Campus MSU Child Development Center 105 Herrick Hall / 406-994-5010 The MSU Child Development Center offers a year-round early education program for Bozeman area young children, ages 3 to 5 years. Emphasis is placed on the development of the whole child through playful learning

Dyer, Bill

174

Comprehensibility of universal healthcare symbols for wayfinding in healthcare facilities.  

PubMed

Healthcare facilities are often complex and overwhelming for visitors, and wayfinding in healthcare facilities can be challenging. As there is an increasing number of global citizens who travel to seek medical care in another country, it is critical to make wayfinding easy for visitors who are not familiar with the language in a foreign country. Among many wayfinding aids, symbols are helpful for those visitors who have limited ability to understand written language. This study tested universal healthcare symbols in the United States, South Korea, and Turkey to compare the comprehension of symbols cross-country and identify predictors of the correct comprehension. To explore statistically significant relationships between symbol comprehension and countries, Pearson's Chi-square tests, logistic regression, and ANOVA were conducted. The test results showed that ten symbols among 14 tested have significant relationship with countries. Results of this study demonstrate that symbol comprehension can be varied significantly in different countries. PMID:24290906

Lee, Seunghae; Dazkir, Sibel Seda; Paik, Hae Sun; Coskun, Aykut

2014-07-01

175

Protonation of metal–metal bonds: X-ray crystal structures of the complex salts [Ru 2(CO) 4(?-H)(?-Cl)(?-P t Bu 2)(?-Ph 2PCH 2PPh 2)][BF 4] and [M 2(CO) 4(?-H) 2(?-P t Bu 2)(?-Ph 2PCH 2PPh 2)][BF 4] (M=Fe, Ru)  

Microsoft Academic Search

Addition of tetrafluoroboric acid to the coordinatively unsaturated species [M2(CO)4(?-H)(?-PtBu2)(?-dppm)] (M?M) (M=Fe, 1; M=Ru, 2; dppm=Ph2PCH2PPh2) in diethylether results in rapid protonation of the dimetal vector to give the corresponding complex salts [M2(CO)4(?-H)2(?-PtBu2)(?-dppm)][BF4] (1a and 2a) in nearly quantitative yield. In the same manner [Ru2(CO)4(?-Cl)(?-PtBu2)(?-dppm)] (3) is protonated to yield [Ru2(CO)4(?-H)(?-Cl)(?-PtBu2)(?-dppm)][BF4] (3a). In order to show the acid–base character of

Hans-Christian Böttcher; Marion Graf; Kurt Merzweiler; Christoph Wagner

2001-01-01

176

Clinical engagement: improving healthcare together.  

PubMed

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

Riches, E; Robson, B

2014-02-01

177

Healthcare waste management in Asia  

SciTech Connect

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

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

2010-01-15

178

UNIVERSITY OF ECONOMIC IMPACTS OF HEALTHCARE IN THE  

E-print Network

UNIVERSITY OF FLORIDA ECONOMIC IMPACTS OF HEALTHCARE IN THE RURAL HEALTH NETWORKS OF FLORIDA ..........................................................................................................................1 Healthcare in Regional Economies ........................................................................................................................4 Healthcare Sector Definition

Florida, University of

179

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.

180

Emergency healthcare of the future.  

PubMed

Emergency healthcare is a high profile component of modern healthcare systems, which over the past three decades has fundamentally transformed in many countries. However, despite this rapid development, and associated investments in service standards, there is a high level of concern with the performance of emergency health services relating principally to system wide congestion. The factors driving this problem are complex but relate largely to the combined impact of growing demand, expanded scope of care and blocked access to inpatient beds. These factors are unlikely to disappear in the medium term despite the National Emergency Access Target. The aim of this article is to stimulate a conversation about the future design and functioning of emergency healthcare systems; examining what we understand about the problem and proposing a rationale that may underpin future strategic approaches. This is also an invitation to join the conversation. PMID:24894321

FitzGerald, Gerry; Toloo, Ghasem Sam; Romeo, Michele

2014-06-01

181

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

182

Serial murder by healthcare professionals.  

PubMed

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

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

2008-01-01

183

Serial murder by healthcare professionals.  

PubMed

The prosecution of Charles Cullen, a nurse who killed at least 40 patients over a 16-year period, highlights the need to better understand the phenomenon of serial murder by healthcare professionals. The authors conducted a LexisNexis search which yielded 90 criminal prosecutions of healthcare providers that met inclusion criteria for serial murder of patients. In addition we reviewed epidemiologic studies, toxicology evidence, and court transcripts, to provide data on healthcare professionals who have been prosecuted between 1970 and 2006. Fifty-four of the 90 have been convicted; 45 for serial murder, four for attempted murder, and five pled guilty to lesser charges. Twenty-four more have been indicted and are either awaiting trial or the outcome has not been published. The other 12 prosecutions had a variety of legal outcomes. Injection was the main method used by healthcare killers followed by suffocation, poisoning, and tampering with equipment. Prosecutions were reported from 20 countries with 40% taking place in the United States. Nursing personnel comprised 86% of the healthcare providers prosecuted; physicians 12%, and 2% were allied health professionals. The number of patient deaths that resulted in a murder conviction is 317 and the number of suspicious patient deaths attributed to the 54 convicted caregivers is 2113. These numbers are disturbing and demand that systemic changes in tracking adverse patient incidents associated with presence of a specific healthcare provider be implemented. Hiring practices must shift away from preventing wrongful discharge or denial of employment lawsuits to protecting patients from employees who kill. PMID:17199622

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

2006-11-01

184

The Burden of Disaster: Part II. Applying Interventions Across the Child’s Social Ecology  

PubMed Central

This second of two articles describes the application of disaster mental health interventions within the context of the child’s social ecology consisting of (he Micro-, Meso-, Exo-, and Macrosystems. Microsystem interventions involving parents, siblings, and close friends include family preparedness planning and practice, psychoeducation, role modeling, emotional support, and redirection. Mesosystem interventions provided by schools and faith-based organizations include safety and support, assessment, referral, and counseling. Exosystem interventions include those provided through community-based mental health programs, healthcare organizations, the workplace, the media, local volunteer disaster organizations, and other local organizations. Efforts to build community resilience to disasters are likely to have influence through the Exosystem. The Macrosystem – including the laws, history, cultural and subcultural characteristics, and economic and social conditions that underlie the other systems – affects the child indirectly through public policies and disaster programs and services that become available in the child’s Exosystem in the aftermath of a disaster. The social ecology paradigm, described more fully in a companion article (Noffsinger, Pfefferbaum, Pfefferbaum, Sherrieb, & Norris,2012), emphasizes relationships among systems and can guide the development and delivery of services embedded in naturally-occurring structures in the child’s environment. PMID:23894798

Pfefferbaum, Rose L.; Pfefferbaum, Betty; Jacobs, Anne K.; Noffsinger, Mary A.; Sherrieb, Kathleen; Norris, Fran H.

2014-01-01

185

Healthcare associated infections (HAI) perspectives.  

PubMed

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

Al-Tawfiq, Jaffar A; Tambyah, Paul A

2014-01-01

186

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 ...

187

SECURITY CHALLENGES IN A MOBILE HEALTHCARE ENVIRONMENT  

E-print Network

, confidentiality, and integrity of sensitive patient information. Furthermore, security becomes even more criticalSECURITY CHALLENGES IN A MOBILE HEALTHCARE ENVIRONMENT Eliana Stavrou, Andreas Pitsillides@ucy.ac.cy,Andreas.Pitsillides@ucy.ac.cy Keywords: Mobile security, Healthcare security, Mobile

Pitsillides, Andreas

188

Job satisfaction in health-care organizations  

PubMed Central

Job satisfaction among health-care professionals acquires significance for the purpose of maximization of human resource potential. This article is aimed at emphasizing importance of studying various aspects of job satisfaction in health-care organizations. PMID:23766585

Bhatnagar, Kavita; Srivastava, Kalpana

2012-01-01

189

[Fostering LGBT-friendly healthcare services].  

PubMed

LGBT (lesbian, gay, bisexual, transgender) patients suffer from stigma and discrimination when seeking healthcare. A large LGBT healthcare survey revealed that 56% of gay patients and 70% of transgender patients suffered some type of discrimination while seeking healthcare in 2014. The fostering of LGBT-friendly healthcare services is not just an advanced step of gender mainstreaming but also a fulfillment of health equality and equity. Additionally, LGBT-friendly healthcare services are expected to provide new opportunities for healthcare workers. Therefore, proactive government policies, education, research, and clinical practice should all encourage the development of these healthcare services. We look forward to a well-developed LGBT-friendly healthcare system in Taiwan. PMID:25631181

Wei, Han-Ting; Chen, Mu-Hong; Ku, Wen-Wei

2015-02-01

190

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 ...

191

Child Sexual Abuse  

MedlinePLUS

... print a PDF version of this document . Child sexual abuse has been reported up to 80,000 ... professional help . The long-term emotional damage of sexual abuse can be devastating to the child. Child ...

192

Privacy Technology Lessons from Healthcare  

Microsoft Academic Search

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

Ross J. Anderson

2000-01-01

193

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

194

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

195

[Healthcare aspects of domestic abuse].  

PubMed

The paper reviews the forms of domestic abuse, its causes, prevalence and possible consequences. British and Hungarian Law, guidelines and the roles and responsibilities of healthcare professionals in relation to dealing with domestic abuse in their practice is also addressed within the paper. Orv. Hetil., 2015, 156(10), 383-392. PMID:25726766

Kórász, Krisztián

2015-03-01

196

Lean Healthcare (product/service)  

E-print Network

· Medication Error · · · · #12; : Not use staff talent · · · · · #12;#12;DOWNTIMEDOWNTIME D D f; · · · · · · #12;#12; · · set · #12; · · · · #12;Nurse Cell #12; healthcare · · M di ti E

Laksanacharoen, Sathaporn

197

POST-QUALIFICATION FOR HEALTHCARE  

E-print Network

directly with students from our medical school and health related sciences. Top partnerships with world Health Sciences Centre, which integrates world-class research, teaching and clinical practice. OurPOST-QUALIFICATION DIRECTORY FOR HEALTHCARE PROFESSIONALS 2014-15 Florence Nightingale Faculty

Kühn, Reimer

198

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

199

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

2013-01-01

200

Customer Driven Mental Healthcare and the Role of the Mental Healthcare Consultant  

Microsoft Academic Search

Healthcare, including mental healthcare, is in the midst of revolutionary change. The simultaneous demands for increasing quality and constraining costs have necessitated the search for a new service delivery paradigm. The Total Quality Management (TQM) model has been introduced into healthcare under the term Continuous Quality Improvement (CQI). In order to meet the demands being placed upon it, mental healthcare

Gregory D. Chowanec; Donald N. Neunaber; Mary M. Krajl

1994-01-01

201

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

202

Postdoctoral Scholar position Area: HEALTHCARE OPERATIONS MANAGEMENT  

E-print Network

innovative, implementable and effective systems and processes for improved patient access to healthcarePostdoctoral Scholar position Area: HEALTHCARE OPERATIONS MANAGEMENT Duration: ONE OR TWO YEARS at the University of Calgary is accepting applications for a Postdoctoral Fellow in HEALTHCARE OPERATIONS MANAGEMENT

de Leon, Alex R.

203

University of California, Davis Center for Healthcare  

E-print Network

, speakers were solicited to participate in a special "Healthcare Reform Series," which included importantUniversity of California, Davis Center for Healthcare Policy and Research 2009-2010 Annual Report #12;7/5/20112 University of California Davis Center for Healthcare Policy and Research ANNUAL REPORT

Carmichael, Owen

204

Doing the right thing in healthcare.  

PubMed

Healthcare in America is at stake based on the pretense of doing the right thing. The current situation leaves many Americans without quality healthcare. By identifying and recognizing some of these issues perhaps healthcare professionals may begin to offer solutions and stand up for patients. PMID:22753570

Karnick, Paula M

2012-07-01

205

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

206

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...

207

Collaborative Technology Use by Healthcare Teams  

Microsoft Academic Search

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

Mowafa Said Househ; Francis Y. Lau

2005-01-01

208

MODELING PATIENT FLOWS THROUGH THE HEALTHCARE SYSTEM  

E-print Network

Chapter 1 MODELING PATIENT FLOWS THROUGH THE HEALTHCARE SYSTEM Randolph Hall, David Belson, Pavan/University of Southern California Hospital. Key words: Process charts, performance measurement, healthcare systems 1. Due to aging of the population and increased costs of medical delivery, health-care costs

Dessouky, Maged

209

Multidisciplinary Assessment of Technology Centre for Healthcare  

E-print Network

Multidisciplinary Assessment of Technology Centre for Healthcare Year 7 Annual Report www of device users, the medical device industry, regulators and reimbursement agencies and healthcare providers healthcare users really need: more effective and efficient service, based on better technology that has been

Oakley, Jeremy

210

Communication Issues in Pervasive Healthcare Systems and  

E-print Network

Chapter 10 Communication Issues in Pervasive Healthcare Systems and Applications Demosthenes provides a systematic analysis of the communication technologies used in healthcare and homecare, their applications and the utilization of the mobile technologies in the healthcare sector by using in addition case

Vouyioukas, Demosthenes

211

Grounding Information Security in Healthcare Ana Ferreiraacd  

E-print Network

the healthcare practice. These barriers can be grouped in terms of: time/cost, relational issues and educational1 Grounding Information Security in Healthcare Ana Ferreiraacd , Ricardo Correiabd , David (GT), together with mixed methods, can be used to involve healthcare professionals in the design

Kent, University of

212

Wise purchasing under healthcare reform.  

PubMed

Group Health Cooperative of Puget Sound (Seattle, WA) believes that wise purchasing practices contribute both to cost efficiency and high quality healthcare delivery. At Group Health Cooperative, we came by this belief through a variety of forces all pushing for healthcare reform--legislative-, market-, and consumer-driven forces. At nearly fifty years of age, Group Health Cooperative of Puget Sound is the oldest health maintenance organizations (HMO) in the country. As in the beginning, Group Health is still a consumer-governed cooperative that has grown to over 400,000 enrollees, 44,000 of whom are seniors. The Co-op has a mixed staff/group/network physician model. Its 1994 budget was over $1 billion, with Medicare revenue accounting for about 30% of the budget. For nearly its first four decades, Group Health was just about the only show in town. If you wanted prepaid healthcare or independent consumer oversight for quality of care, you joined Group Health. But by the mid-1980s, there were over twenty other managed care competitors. Some were local health plans with a sideline managed-care business, but, increasingly, competitors included huge, national, for-profit corporations. In addition, two other streams of change pressured healthcare in the Seattle area and elsewhere--legislative and market reform. In Washington, legislative reform started in 1989 with the Basic Health Plan, a program to aid the working poor by subsidizing their healthcare insurance premiums based on financial need.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:10144861

Nudelman, P; Andrews, L

1995-08-01

213

Your Child's Immunizations  

MedlinePLUS

... Ideas for Kids Tips for Treating the Flu Pregnancy Precautions Checkups: What to Expect Your Child's Immunizations KidsHealth > Parents > Infections > Immunizations > Your Child's Immunizations Print ...

214

Explaining household socio-economic related child health inequalities using multiple methods in three diverse settings in South Africa  

Microsoft Academic Search

Background  Despite free healthcare to pregnant women and children under the age of six, access to healthcare has failed to secure better\\u000a child health outcomes amongst all children of the country. There is growing evidence of socioeconomic gradient on child health\\u000a outcomes\\u000a \\u000a \\u000a \\u000a \\u000a Methods  The objectives of this study were to measure inequalities in child mortality, HIV transmission and vaccination coverage within\\u000a a

Lungiswa L Nkonki; Mickey Chopra; Tanya M Doherty; Debra Jackson; Bjarne Robberstad

2011-01-01

215

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

216

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

PubMed Central

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

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

2014-01-01

217

La1-xLnxH(O3PCH3)2 (Ln = Tb, Eu; 0 < x ? 1): an organic-inorganic hybrid with lanthanide chains and tunable luminescence properties.  

PubMed

The organic/inorganic La1-xLnxH(O3PCH3)2 (Ln = Eu, Tb) hybrids have been synthesized by hydrothermal synthesis. The crystal structure of LaH(O3PCH3)2 consists of chains of edge-sharing LaO8 polyhedra linked through PO3C tetrahedra. Photoluminescence of Eu(3+), Tb(3+) and Eu(3+)/Tb(3+) co-doped materials have been investigated. The Eu and Tb hybrids show no concentration quenching versus doping rate suggesting energy migration through a percolation model. The Eu hybrids exhibit a red emission while the Tb ones exhibit, with the Tb rate increasing, a blue to green emission under a 378 nm excitation wavelength and a cyan to green emission under a 262 nm excitation wavelength. The doping rate dependent red shift results from a cross relaxation phenomenon between closed Tb(3+) ions. The blue to cyan shift observed for the slightly doped materials, when excitation wavelength shifts from 378 nm to 262 nm, is due to different relaxation phenomena, from the (5)D3 level for a 378 nm excitation wavelength and from the (5)D4 level via the 4f5d level for a 262 nm excitation wavelength. Under a 378 nm wavelength, the co-doped La0.93Eu0.03Tb0.04H(O3PCH3)2 hybrid exhibits a white/cyan emission with CIE coordinates equal to x = 0.29, y = 0.37. PMID:25412907

Mutelet, B; Boudin, S; Pérez, O; Rueff, J M; Labbé, C; Jaffrès, P A

2015-01-21

218

Healthcare disparities in pain management.  

PubMed

Despite efforts targeted at physicians for improving the way in which they manage pain, discrepancies still abound in how they treat certain patients for this condition. Special populations of patients such as racial minorities, women, and substance abusers are victims of deficiencies in pain management and suffer needlessly. Healthcare providers need to be aware of disparities that may not be readily apparent. To provide appropriate care, physicians need to follow pain management guidelines; however, they receive contradictory information on how to treat patients in pain, and they may be apprehensive about prescribing opioids. Recognizing that pain is one of the most frequent reasons a patient may see a physician, it is important to recognize the healthcare disparities in managing pain as well as the barriers to providing appropriate treatment for pain. Only when physicians acknowledge disparities and barriers can they begin to evaluate and improve on their own practices of pain management. PMID:16118357

Paulson, Margaret; Dekker, Anthony H

2005-06-01

219

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

PubMed

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

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

2014-10-01

220

Development of BMI values of German children and their healthcare costs.  

PubMed

The aim of this study is to assess the association between different patterns of Body Mass Index (BMI) development from birth on and later healthcare utilisation and costs in children aged about 10 years based on two birth cohort studies: the GINIplus study (3287 respondents) and the LISAplus study (1762 respondents). Direct costs were estimated using information on healthcare utilisation given by parents in the 10-year follow-up. To meet this aim, we (i) estimate BMI-standard deviation score (BMIZ) trajectories using latent growth mixture models and (ii) examine the correlation between these trajectories and utilisation of healthcare services and resulting costs at the 10-year follow-up. We identified three BMI-trajectories: a normative BMIZ growth class (BMI development almost as in the WHO growth standards), a rapid BMIZ growth up to age 2 years class (with a higher BMI in the first two years of life as proposed by the WHO growth standards) and a persistent rapid BMIZ growth up to age 5 years class (with a higher BMI in the first five years of life as proposed by the WHO growth standards). Annual total direct medical costs of healthcare use are estimated to be on average €368 per child. These costs are doubled, i.e. on average €722 per child, in the group with the most pronounced growth (persistent rapid BMIZ growth up to age 5 years class). PMID:24051086

Batscheider, Ariane; Rzehak, Peter; Teuner, Christina M; Wolfenstetter, Silke B; Leidl, Reiner; von Berg, Andrea; Berdel, Dietrich; Hoffmann, Barbara; Heinrich, Joachim

2014-01-01

221

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

222

The changing face of healthcare.  

PubMed

There seems to be a theme in many publications, books, and media channels lately, and that theme is change. There are changes in global markets, economic factors, and healthcare reform, to name a few, and change.gov is a government Web site. Much discussion has taken place in the past year or so about embracing change, leading change, and overcoming change through resilience. As I look forward into 2012, I am indeed thinking about change. PMID:22359257

Hoppes, Michelle

2012-01-01

223

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

224

Multicultural healthcare: a transatlantic project.  

PubMed

Healthcare is increasingly multicultural, posing a challenge for nurse educators in both Europe and the United States. Nursing education faculties are responding to the challenge of internationalization, for instance, by participating in international student exchange projects to foster students' intercultural competence. The authors describe an educational model constructed during a transatlantic project between European and American universities. The benefits of the project from the Finnish partner's perspective are also reported. PMID:17496825

Koskinen, Liisa; Jokinen, Pirkko

2007-01-01

225

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

226

THE DIFFICULT CHILD.  

ERIC Educational Resources Information Center

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

ROUCEK, JOSEPH S.

227

Application SJSU Child Development  

E-print Network

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

Su, Xiao

228

Child Abuse: Definition.  

ERIC Educational Resources Information Center

The purpose of this paper was to elaborate on the definitions of child abuse in order to improve the understanding of child abuse. The definitions given by the U.S. House Joint Committee on Child Abuse in the Child Abuse Prevention and Treatment Act, and in research by Holden (1984), are cited. These definitions refer to the nature of abusive acts…

Wilson, Timothy L.-Y.

229

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

230

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

231

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

232

Maternal and Child nutrition  

E-print Network

Maternal and Child nutrition Earn an advanced degree in a highly specialized field Taught #12;Courses: Nutrition During Pregnancy Lactation and Infant Nutrition Child and Adolescent Nutrition Applied Research Methods in Maternal and Child Nutrition Topics in Epidemiology of Maternal and Child

Schladow, S. Geoffrey

233

Child Support Report, 2002.  

ERIC Educational Resources Information Center

This document comprises the 12 issues for 2002 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.

2002-01-01

234

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

235

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

2013-08-01

236

Workplace Bullying among Healthcare Workers  

PubMed Central

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

Ariza-Montes, Antonio; Muniz, Noel M.; Montero-Simó, María José; Araque-Padilla, Rafael Angel

2013-01-01

237

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

238

Climate change, water resources and child health.  

PubMed

Climate change is occurring and has tremendous consequences for children's health worldwide. This article describes how the rise in temperature, precipitation, droughts, floods, glacier melt and sea levels resulting from human-induced climate change is affecting the quantity, quality and flow of water resources worldwide and impacting child health through dangerous effects on water supply and sanitation, food production and human migration. It argues that paediatricians and healthcare professionals have a critical leadership role to play in motivating and sustaining efforts for policy change and programme implementation at the local, national and international level. PMID:20403822

Kistin, Elizabeth J; Fogarty, John; Pokrasso, Ryan Shaening; McCally, Michael; McCornick, Peter G

2010-07-01

239

Child Abuse and Neglect  

Microsoft Academic Search

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

Cathy Spatz Widom

240

Child Maltreatment in DSM-5 and ICD-11.  

PubMed

Child maltreatment is widespread and has a tremendous impact on child victims and their families. Over the past decade, definitions of child maltreatment have been developed that are operationalized, face valid, and can be reliably applied in clinical settings. These definitions have informed the revised Diagnostic and Statistical Manual (American Psychiatric Association, 2013) and are being considered for the International Classification of Disease-11 (World Health Organization). Now that these definitions are available in major diagnostic systems, primary healthcare providers and clinicians who see children and families are poised to help screen for, identify, prevent, and treat child maltreatment. This article reviews the definitions of maltreatment in these diagnostic systems, along with assessment and screening tools, and empirically supported prevention and intervention approaches. PMID:25615555

Slep, Amy M Smith; Heyman, Richard E; Foran, Heather M

2015-03-01

241

Longitudinal outcomes for victims of child abuse.  

PubMed

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

Buckingham, E Taylor; Daniolos, Peter

2013-02-01

242

Information analytics for healthcare service discovery.  

PubMed

The concept of being 'patient-centric' is a challenge to many existing healthcare service provision practices. This paper focuses on the issue of referrals, where multiple stakeholders, such as General Practitioners (GPs) and patients, are encouraged to make a consensual decision based on patients' needs. In this paper, we present an ontology-enabled healthcare service provision, which facilitates both patients and GPs in jointly deciding upon the referral decision. In the healthcare service provision model, we define three types of profiles which represent different stakeholders' requirements. This model also comprises a set of healthcare service discovery processes: articulating a service need, matching the need with the healthcare service offerings, and deciding on a best-fit service for acceptance. As a result, the healthcare service provision can carry out coherent analysis using personalised information and iterative processes that deal with requirements which change over time. PMID:25516128

Sun, Lily; Yamin, Mohammad; Mushi, Cleopa; Liu, Kecheng; Alsaigh, Mohammed; Chen, Fabian

2014-01-01

243

Healthcare mergers and acquisitions: strategies for consolidation.  

PubMed

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

Zuckerman, Alan M

2011-01-01

244

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

245

Health Coaching: Adding Value in Healthcare Reform  

PubMed Central

During the last decade, debate about the nation's ailing healthcare system has moved to the forefront. In 2010, the Patient Protection and Affordable Care Act (PPACA) was signed into law. This groundbreaking piece of legislation impacts every aspect of the health industry, affecting everyone from doctors and health-care facilities to insurers and benefits consultants to business owners and patients. The ultimate goal of PPACA is to decrease the number of uninsured Americans and reduce the overall costs of healthcare. PMID:24416677

Russell, Craig S.

2013-01-01

246

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

247

Healthcare  

MedlinePLUS

... and biological hazards, potential chemical and drug exposures, waste anesthetic gas exposures, respiratory hazards, ergonomic hazards from lifting and repetitive tasks, laser hazards, workplace violence, hazards associated with laboratories, and radioactive material and x-ray hazards. Some of the ...

248

Health-care reform and school-based health care.  

PubMed

There is growing recognition that health and health care at school can significantly impact children's health. From childhood obesity interventions to new immunization mandates, schools are at the forefront of child health discussions. The 2008 presidential campaign and the renewed focus on health-care reform raise the possibility that in 2009 school health will play a larger role in health policy conversations than previously. This article explores the proposition that both school health and national health policy will benefit from closer attention to the role of school health within the U.S. health system. It offers a Maryland case study to suggest both the opportunities and operational challenges of linking school health to the larger community health system. PMID:19711651

Lear, Julia Graham; Barnwell, Elizabeth A; Behrens, Donna

2008-01-01

249

Influenza vaccination of healthcare personnel.  

PubMed

The thought is terrifying--you are admitted to the hospital and you die of a nosocomial infection. What sounds like a horror scenario, happens every day in hospitals all over the world. Nosocomial influenza is associated with considerable morbidity and mortality among patients with underlying diseases (especially immunocompromised patients), the elderly, and neonates. Although vaccination of healthcare personnel (HCP) is the main measure for preventing nosocomial influenza and is consistently recommended by public-health authorities, vaccine uptake among HCP remains low. (1.) PMID:25483507

Wicker, Sabine; Marckmann, Georg

2014-01-01

250

[Phosphine poisoning in healthcare workers].  

PubMed

Phosphine gas constitutes a potential and serious little-known cause of poisoning of professional nature of the medical staff and nursing care of patients who voluntarily swallow phosphides rodenticides purposes suicide. The objective of this paper is to inform to healthcare workers from urgencies, forensic and occupational health services on this occupational hazard. We present the case of a nurse who suffered from poisoning by gas phosphine confirmed through an environmental monitoring of gases in an emergency department carried out by the government service of civil protection of the State of Jalisco. PMID:21894233

Arredondo Trujillo, Francisco; Hurtado Pérez, Martha Patricia; Castañeda Borrayo, Yaocihuatl

2011-01-01

251

Organizational change strategies within healthcare.  

PubMed

This study explores ways in which healthcare organizations can improve their organizational fitness for change using Beer and Nohria's framework of Theory E (concentrating on the economic value of change) and Theory O (concentrating on the organization's long-term capabilities for change). Data were collected from senior leaders/medical directors from health regions in Alberta. The results show that even though there is a tendency for reliance on Theory E change strategies, the respondents demonstrated other preferred approaches to change. PMID:24409580

Steinke, Claudia; Dastmalchian, Ali; Blyton, Paul; Hasselback, Paul

2013-01-01

252

Information Management in Distributed Healthcare Networks  

Microsoft Academic Search

\\u000a Providing healthcare increasingly changes from isolated treatment episodes towards a continuous treatment process involving\\u000a multiple healthcare professionals and various institutions. Information management plays a crucial role in this interdisciplinary\\u000a process. By using information technology (IT) different goals are in the focus: To decrease overall costs for healthcare,\\u000a to improve healthcare quality, and to consolidate patient-related information from different sources.\\u000a \\u000a \\u000a Consolidation

Richard Lenz

2005-01-01

253

National Healthcare in the United States: What Counselors Should Know.  

ERIC Educational Resources Information Center

Few articles in the professional counseling literature address the healthcare crisis. This paper examines the current state of the United States healthcare affairs. Topics discussed include the problems in healthcare, including an inspection of the uninsured, the underinsured, rising healthcare costs, and the growing inequality in the healthcare

Hannon, J. Wade

254

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

255

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....

256

Educating mothers: the wisconsin bureau of maternal and child health  

Microsoft Academic Search

Health-care providers, social reformers, educators, and politicians were joined in a concerted effort to improve maternal and child health in the USA in the inter-war period. Identifying the critical role of mothers in this endeavor, their campaigns were designed to educate women in ‘modern,’ appropriate childcare practices predicated on middle-class standards for urban families with the financial and medical resources

Rima D. Apple

2003-01-01

257

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

PubMed Central

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

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

1998-01-01

258

Cuba: healthcare and the revolution.  

PubMed

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

Binns, L A

2013-03-01

259

Prevent Child Heatstroke in Cars  

MedlinePLUS

... Confusion or strange behavior Prevent Child Heatstroke in Cars Even great parents can forget a child in ... important rules to prevent child heatstroke in your car: Never Leave a Child Alone in a Car ...

260

UNIVERSITY REPORTING PROTOCOLS: CHILD ABUSE, SEXUAL ASSAULT, AND CHILD PORNOGRAPHY  

E-print Network

UNIVERSITY REPORTING PROTOCOLS: CHILD ABUSE, SEXUAL ASSAULT, AND CHILD PORNOGRAPHY I. Background with respect to child abuse, sexual assault, and child pornography. II. Applicability These protocols apply. B. Child Abuse: Harm or threatened harm to a child's health or welfare that occurs through non

261

ReRe--engineering U.S. Healthengineering U.S. Health Care with HealthcareCare with Healthcare  

E-print Network

, and quality issues vex US Healthcare 18% of medical errors are estimated to be due to inadequate availabilityReRe--engineering U.S. Healthengineering U.S. Health Care with HealthcareCare with Healthcare In HealthcareInformation Systems In Healthcare Three Dilemmas: Provider, Purchaser, Patient US Health IT Policy

Gabrieli, John

262

Child's Hearing Loss  

MedlinePLUS

... will have many questions and concerns regarding the nature of this problem, its effects on your child?s ... physician?s initial role is to determine the specific nature of the underlying problem that may be at ...

263

Normal Child Behavior  

MedlinePLUS

... age. Development can be uneven, too, with a child's social development lagging behind his intellectual growth, or vice ... preferences, resulting in differing parenting styles that will influence a child's behavior and development. When There Is No Response ...

264

Surviving Your Child's Suicide  

MedlinePLUS

... result of cultural and religious interpretations causes some families to be reluctant to talk openly about the cause of their child’s death. Keeping the cause of death a secret can deprive you of the joy of speaking ...

265

Child Behavior Disorders  

MedlinePLUS

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

266

Ileostomy and your child  

MedlinePLUS

... of waste (stool, feces, or poop). Now your child has an opening called a stoma in their belly. Waste will pass through the stoma into a pouch that collects it. You and your child will need to take ...

267

Child Dental Health  

MedlinePLUS

Healthy teeth are important to your child's overall health. From the time your child is born, there are things you can do to promote healthy teeth and prevent cavities. For babies, you should clean ...

268

Telepsychiatry and Your Child  

MedlinePLUS

... by the American Academy of Child and Adolescent Psychiatry and by the American Telemedicine Association. Will my ... that there are no available child and adolescent psychiatry resources in the area, and that telepsychiatry is ...

269

Child Health USA 2013  

MedlinePLUS

... Services Utilization Programs and Policies Child Health USA 2013 This Web site has been produced as an ... version of the data book, Child Health USA 2013, published by the U.S. Department of Health and ...

270

Your Child's Immunization Record  

MedlinePLUS

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

271

FAQ: Child Sexual Exploitation  

MedlinePLUS

... Law Enforcement Training Victim & Family Support FAQ: Child Sexual Exploitation What is child pornography? Federal law (18 ... in graphic bestiality, sadistic or masochistic abuse or sexual intercourse, including genital-genital, oral-genital, anal-genital ...

272

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

273

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

274

Information privacy compliance in the healthcare industry  

Microsoft Academic Search

Purpose – The Health Insurance Portability and Accountability Act (HIPAA) is US legislation aimed at protecting patient information privacy, but it imposes a significant burden on healthcare employees, especially since the privacy provisions are still evolving and healthcare organizations are still struggling to meet compliance criteria. This study seeks to illuminate characteristics of both the environment (organization) and the individual

Allen C. Johnston; Merrill Warkentin

2008-01-01

275

Award Recipient Sharp HealthCare  

E-print Network

health care delivery system, serving greater than 27 percent of the county's 3 million plus residents enables Sharp to offer a full spectrum of health care services, from emergency, hospice, and mental health2007 Award Recipient Sharp HealthCare Sharp HealthCare is San Diego County's largest integrated

276

Preventing occupational stress in healthcare workers  

Microsoft Academic Search

Background Healthcare workers can suffer from occupational stress which may lead to serious mental and physical health problems. Objectives To evaluate the effectiveness of work and person-directed interventions in preventing stress at work in healthcare workers. Search strategy We searched the Cochrane Depression Anxiety and Neurosis Group trials Specialised Register, MEDLINE, PsychInfo and Cochrane Occupational Health Field database. Selection criteria

A. Marine; J. Ruotsalainen; C. Serra; J. H. A. M. Verbeek

2006-01-01

277

Right to Healthcare: The Way Forward  

PubMed Central

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

Peer, Rafia F.

2013-01-01

278

TASERS in healthcare: myths and merits.  

PubMed

The author, who has trained thousands of police and civilians in use-of-force, tackles the controversy over the use of CEW technology (TASERS) in healthcare settings. In this article he provides the latest technical developments for such weapons, dispels three common myths about them, and provides fresh perspective for further discussion and consideration of their use in healthcare security. PMID:24707752

Bastianelli, Brian T

2014-01-01

279

UNDERSTANDING HEALTHCARE COST DRIVERS: CONCEPTUAL DEVELOPMENT  

Microsoft Academic Search

The US healthcare system is plagued by high costs and concerns over access and quality. This paper explores the many challenges facing healthcare through a supply chain lens. It discusses how to: (1) improve facility and equipment utilization, (2) align incentives for doctors and patients for prevention and wellness, (3) design an insurance\\/administration system that eliminates bureaucracy, waste, and delays

Mark Vonderembse; David Dobrzykowski; Thomas Gutteridge

280

Healthcare reforms in the Czech Republic  

Microsoft Academic Search

Health-care reform is everywhere. Although different countries are moving at different speeds, using somewhat different means and different routes, they are all trying to arrive at the same place. The place is called “better value for money in health care”. Presents details of the health-care reforms taking place in the Czech Republic, identifying and discussing the main strands of Czech

Alan Earl-Slater

1996-01-01

281

To: Healthcare Reform Educational Task Force Members  

Microsoft Academic Search

Although the full impact will not be known until much further down the road, with the passage of the landmark healthcare reform bill, signed into law by President Barack Obama on March 23, 2010, it is quickly becoming apparent that national and state level reform are inextricably intertwined. This is particularly true with Medicaid, a healthcare program for the poor,

Robert Kessler; Katherine Keefe; Julie Barnes; Claire Miley; Richard Sanders; Rupa S. Lloyd

2010-01-01

282

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

283

Intercultural communication competence in the healthcare context  

Microsoft Academic Search

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

DeWan Gibson; Mei Zhong

2005-01-01

284

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

285

Is Semantic Web technology ready for Healthcare?  

Microsoft Academic Search

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

Chris Wroe

286

Impact of Technology Sustainability on Healthcare Governance  

Microsoft Academic Search

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

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

2003-01-01

287

RFID Technology: Implications for Healthcare Organizations  

Microsoft Academic Search

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

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

2010-01-01

288

Mobile Healthcare in the Home Environment  

Microsoft Academic Search

Mobile healthcare provision in the home environment presents many challenges. Patients are becoming more informed about the management of chronic conditions and the use of technology to support the process is rising. Issues such as system interoperability, cost, security and training all have to be addressed to ensure effective use of mobile devices within the home healthcare arena. An aging

S. Price; R. Summers

2006-01-01

289

Home healthcare via wireless biomedical sensor network  

Microsoft Academic Search

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

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

2008-01-01

290

Regulating Exceptions in Healthcare using Policy Spaces  

E-print Network

nature of traditional access control systems with the prioritization of care delivery. 1 Introduction that healthcare systems adopt for protecting medical data. Traditional access control models and policies in healthcare systems an important requirement is that "nothing interferes with the delivery of care" [12

Samarati, Pierangela

291

An interoperable security framework for connected healthcare  

Microsoft Academic Search

Connected and interoperable healthcare system promises to reduce the cost of healthcare delivery, increase its efficiency and enable consumers to better engage with clinicians and manage their care. However at the same time it introduces new risks towards security and privacy of personal health information, which are considered to be prominent impediments towards the realization of full benefits of connected

Muhammad Asim; Milan Petkovic; Mike Qu; Changjie Wang

2011-01-01

292

Planning for the Baby Boomers' Healthcare Needs  

Microsoft Academic Search

Will the impact of baby boomers, as they age, be a bonanza or a bust for the healthcare system? A range of perspectives prevail, from increasing in-patient admissions capacity to accommodate the sheer numbers, to the creation of a variety of healthcare services and delivery channels that address their unique requirements. This case study presents a top 100, regional hospital's

Terri C. Albert; Edward Johnson; Daniel Gasperino; Pinar Tokatli

2004-01-01

293

A review of current healthcare funding models.  

PubMed

As healthcare expenses grow, concern about how government and private agencies decide to allocate funds for healthcare resources and services also grows. Decisions for healthcare funding are not made arbitrarily but are based on sound ethical principles and practical considerations. This article is a review of 5 ethically based healthcare funding models discussed in the literature that are currently used to justify funding choices. If healthcare professionals and managers are better informed about the ethical reasoning behind funding choices, they could better determine which resource allocation alternatives to support. But where should we spend our resources? Although healthcare professionals have a duty to advocate for all healthcare recipients to receive a fair share of resources, the author concludes that our greater duty as a profession is to the good of society as a whole. Balancing allocation decisions by considering all of the competing healthcare funding models and the ethical bases for them is suggested rather than to advocate too strongly for favored models. PMID:15586083

Crigger, Nancy J

2004-01-01

294

A Wireless Internet Application for Healthcare  

Microsoft Academic Search

The use of the Internet in daily healthcare business processes is still minimal compared to other industries. Healthcare information is inherently “mobile”, i.e. it travels with the patient - and therefore, the need for information to be ubiquitously available is key to efficient and improved diagnostic accuracy, reliable care and reduced medical errors. This paper describes an elegant and intuitive

Krishnan Seshadri; Lance A. Liotta; Rakesh Gopal; Ty Liotta

2001-01-01

295

CURAC/ARUCC Discussion Paper on Healthcare  

E-print Network

1 CURAC/ARUCC Discussion Paper on Healthcare December, 2012 CURAC/ARUCC (College and University mutual assistance, and speak publicly on issues of concern to the over fifteen thousand individual college and university retirees across Canada. Forward Healthcare is always a continuing concern

deYoung, Brad

296

Global healthcare and the flux of technology  

Microsoft Academic Search

For Medinfo ‘98, as an exercise in technological forecasting and analysis, we volunteered to project the direction of healthcare informatics into the next century. This paper is an extended discussion of that presentation. We open with the observation that healthcare informatics is merely one of the many endeavors that is following a turbulent but nearly inescapable path into a digital

Thomas L Lincoln; Carl Builder

1999-01-01

297

78 FR 61362 - Agency for Healthcare Research and Quality  

Federal Register 2010, 2011, 2012, 2013, 2014

...to the public in accordance with...meetings: 1. Healthcare Effectiveness...meeting) 4. Healthcare Safety and Quality...meeting) 5. Healthcare Information Technology Research (HITR...INFORMATION: In accordance...

2013-10-03

298

IT support for healthcare processes premises, challenges, perspectives  

E-print Network

IT support for healthcare processes ­ premises, challenges, perspectives Richard Lenz *, Manfred in revised form 11 April 2006; accepted 11 April 2006 Available online 24 May 2006 Abstract Healthcare- ronment optimal process support becomes crucial. Though healthcare processes frequently change

Pfeifer, Holger

299

Safety Science & Solutions Integrating Human Factors in Healthcare  

E-print Network

Safety Science & Solutions Integrating Human Factors in Healthcare Tuesday 2nd December 2014 entitled "Integrating Human Factors in Healthcare" is coming to London. The conference will be held safety, quality and productivity in healthcare. Showcasing enduring solutions to patient safety

Levi, Ran

300

Helping Your Overweight Child  

MedlinePLUS

... child's overall health and tell you if weight management may be helpful. Don't put your child on a weight-loss diet unless your health care provider tells you to. top ? How can I help my child develop healthy habits? Parents and other caregivers ...

301

Child Care Design Guide.  

ERIC Educational Resources Information Center

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

Olds, Anita Rui

302

Child Care: Who Benefits?  

Microsoft Academic Search

• Arguments for the public funding of child care rest on the claim that it is a public good—that it provides benefits for the individual and for society, and that investment in child care will reap social and economic payoffs. Perhaps the most abiding and persuasive claim, and the focus of this paper, is that good child care is beneficial

Jennifer Buckingham

303

Supporting Each Child's Spirit  

ERIC Educational Resources Information Center

In using developmentally appropriate practices, teachers should intentionally address all aspects of a child's being, the spiritual along with the physical and the cognitive. Because spirituality is a vital part of human nature, a whole-child teaching approach must include the part of the child some call spirituality. Many have attempted to…

Baumgartner, Jennifer J.; Buchanan, Teresa

2010-01-01

304

Telehealth: the backbone of healthcare financing.  

PubMed

Malaysia, like many other countries faces major challenges in meeting increasing demands with limited resources. Changes in demography, life-style diseases, increasing consumer expectations, new medical technologies and rapid economic growth all fuel demand for more healthcare services. There are problems related to the distribution and delivery of healthcare services, and there is inadequate integration of healthcare delivery and continuity of care is a major concern. Resources tend to be concentrated in the very expensive hospital sector, although services would be cost-effectively and conveniently delivered at primary care level. There is no ideal healthcare system, and how healthcare is supported and organized for service delivery influences the country's social, economic and political well-being. Like many other countries, Malaysia is undergoing health reform in meeting these challenges, and is becoming more reliant on telemedicine and telehealth. PMID:15747978

Suleiman, Abu Bakar

2004-01-01

305

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. PMID:19024223

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

2010-01-01

306

Technology and the Future of Healthcare  

PubMed Central

Healthcare changes dramatically because of technological developments, from anesthetics and antibiotics to magnetic resonance imaging scanners and radiotherapy. Future technological innovation is going to keep transforming healthcare, yet while technologies (new drugs and treatments, new devices, new social media support for healthcare, etc) will drive innovation, human factors will remain one of the stable limitations of breakthroughs. No predictions can satisfy everybody; instead, this article explores fragments of the future to see how to think more clearly about how to get where we want to go. Significance for public health Technology drives healthcare more than any other force, and in the future it will continue to develop in dramatic ways. While we can glimpse and debate the details of future trends in healthcare, we need to be clear about the drivers so we can align with them and actively work to ensure the best outcomes for society as a whole. PMID:25170499

Thimbleby, Harold

2013-01-01

307

The characteristics of Chinese healthcare facilities.  

PubMed

The Chinese healthcare system has been the focus of a great deal of attention from international companies who are interested in entering the world's largest healthcare marketplace. It is generally acknowledged that Chinese healthcare facilities, on the whole, do not conform to international standards; however, the specific areas in which there are differences are not well known or appreciated. An understanding of these differences is a critical aspect of the investment analysis and market assessment associated with a healthcare-based business in China. This article will delineate the major differences between the international model for the provision of healthcare and that found in mainland China. These differences include the physical characteristics, organizational structure issues, operational issues and financial management issues of Chinese hospitals, clinics and medical care providers. PMID:16512057

Wood, David; Zhang, Sarah

2005-01-01

308

Architecture Capabilities to Improve Healthcare Environments  

PubMed Central

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

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

2013-01-01

309

Where families and healthcare meet.  

PubMed

Recent developments in professional healthcare pose moral problems that standard bioethics cannot even identify as problems, but that are fully visible when redefined as problems in the ethics of families. Here, we add to the growing body of work that began in the 1990 s by demonstrating the need for a distinctive ethics of families. First, we discuss what 'family' means and why families can matter so deeply to the lives of those within them. Then, we briefly sketch how, according to an ethics of families, responsibilities must be negotiated against the backdrop of family relationships, treatment decisions must be made in the light of these negotiated responsibilities and justice must be served, both between families and society more generally and within families themselves. PMID:25210197

Verkerk, M A; Lindemann, Hilde; McLaughlin, Janice; Scully, Jackie Leach; Kihlbom, Ulrik; Nelson, Jamie; Chin, Jacqueline

2015-02-01

310

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

E-print Network

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

Bordenstein, Seth

311

Potential Barriers to Healthcare in Malawi for Under-five Children with Cough and Fever: A National Household Survey  

PubMed Central

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

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

2014-01-01

312

Prevalence and Predictors of Change in Adult-Child Primary Caregivers  

ERIC Educational Resources Information Center

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

Szinovacz, Maximiliane E.; Davey, Adam

2013-01-01

313

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

ERIC Educational Resources Information Center

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

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

2013-01-01

314

A Novel Web-enabled Healthcare Solution on HealthVault System  

E-print Network

the patient oriented Web-enabled healthcare service application as the new trend to delivery healthcare from Electronic healthcare (e-Healthcare) systems have been evolved for decades with the traditional healthcare-centric healthcare model, our traditional healthcare facilities are focused on how to meet healthcare providers

Chen, Min

315

Macroergonomics in Healthcare Quality and Patient Safety  

PubMed Central

The US Institute of Medicine and healthcare experts have called for new approaches to manage healthcare quality problems. In this chapter, we focus on macroergonomics, a branch of human factors and ergonomics that is based on the systems approach and considers the organizational and sociotechnical context of work activities and processes. Selected macroergonomic approaches to healthcare quality and patient safety are described such as the SEIPS model of work system and patient safety and the model of healthcare professional performance. Focused reviews on job stress and burnout, workload, interruptions, patient-centered care, health IT and medical devices, violations, and care coordination provide examples of macroergonomics contributions to healthcare quality and patient safety. Healthcare systems and processes clearly need to be systematically redesigned; examples of macroergonomic approaches, principles and methods for healthcare system redesign are described. Further research linking macroergonomics and care processes/patient outcomes is needed. Other needs for macroergonomics research are highlighted, including understanding the link between worker outcomes (e.g., safety and well-being) and patient outcomes (e.g., patient safety), and macroergonomics of patient-centered care and care coordination. PMID:24729777

Carayon, Pascale; Karsh, Ben-Tzion; Gurses, Ayse P.; Holden, Richard; Hoonakker, Peter; Hundt, Ann Schoofs; Montague, Enid; Rodriguez, Joy; Wetterneck, Tosha B.

2014-01-01

316

Knowledge Discovery from Massive Healthcare Claims Data  

SciTech Connect

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

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

2013-01-01

317

The value of information technology in healthcare.  

PubMed

Not only will healthcare investments in information technology (IT) continue, they are sure to increase. Just as other industries learned over time how to extract more value from IT investments, so too will the healthcare industry, and for the same reason: because they must. This article explores the types of business value IT has generated in other industries, what value it can generate in healthcare, and some of the barriers encountered in achieving that value. The article ends with management principles for IT investment. PMID:12645778

Skinner, Richard I

2003-01-01

318

Unhealthy incentives: healthcare's basic dilemma(s).  

PubMed

The topic of an existing healthcare crisis has resounded in articles, papers, and the media for years. Amidst the ongoing healthcare crisis, several other global and economic crises have arisen to further complicate the focus for resolve. This article takes a basic look at the foundation of U.S. healthcare and evaluates the inappropriate incentives that currently drive the industry and prevent meaningful change. The commentary identifies causes of administrative and fiscal waste while proposing alternative concepts for consideration and further discussion. PMID:19663362

May, Jonathan R

2009-01-01

319

The US healthcare workforce and the labor market effect on healthcare spending and health outcomes.  

PubMed

The healthcare sector was one of the few sectors of the US economy that created new positions in spite of the recent economic downturn. Economic contractions are associated with worsening morbidity and mortality, declining private health insurance coverage, and budgetary pressure on public health programs. This study examines the causes of healthcare employment growth and workforce composition in the US and evaluates the labor market's impact on healthcare spending and health outcomes. Data are collected for 50 states and the District of Columbia from 1999-2009. Labor market and healthcare workforce data are obtained from the Bureau of Labor Statistics. Mortality and health status data are collected from the Centers for Disease Control and Prevention's Vital Statistics program and Behavioral Risk Factor Surveillance System. Healthcare spending data are derived from the Centers for Medicare and Medicaid Services. Dynamic panel data regression models, with instrumental variables, are used to examine the effect of the labor market on healthcare spending, morbidity, and mortality. Regression analysis is also performed to model the effects of healthcare spending on the healthcare workforce composition. All statistical tests are based on a two-sided [Formula: see text] significance of [Formula: see text] .05. Analyses are performed with STATA and SAS. The labor force participation rate shows a more robust effect on healthcare spending, morbidity, and mortality than the unemployment rate. Study results also show that declining labor force participation negatively impacts overall health status ([Formula: see text] .01), and mortality for males ([Formula: see text] .05) and females ([Formula: see text] .001), aged 16-64. Further, the Medicaid and Medicare spending share increases as labor force participation declines ([Formula: see text] .001); whereas, the private healthcare spending share decreases ([Formula: see text] .001). Public and private healthcare spending also has a differing effect on healthcare occupational employment per 100,000 people. Private healthcare spending positively impacts primary care physician employment ([Formula: see text] .001); whereas, Medicare spending drives up employment of physician assistants, registered nurses, and personal care attendants ([Formula: see text] .001). Medicaid and Medicare spending has a negative effect on surgeon employment ([Formula: see text] .05); the effect of private healthcare spending is positive but not statistically significant. Labor force participation, as opposed to unemployment, is a better proxy for measuring the effect of the economic environment on healthcare spending and health outcomes. Further, during economic contractions, Medicaid and Medicare's share of overall healthcare spending increases with meaningful effects on the configuration of state healthcare workforces and subsequently, provision of care for populations at-risk for worsening morbidity and mortality. PMID:24652416

Pellegrini, Lawrence C; Rodriguez-Monguio, Rosa; Qian, Jing

2014-06-01

320

Child And Family Studies Department Of Child And Family Studies  

E-print Network

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

Mather, Patrick T.

321

Parents' Child-Rearing Style and Child's Sociometric Status  

Microsoft Academic Search

This study examined relationships between parents' child-rearing style, the child's prosocial behavior, and the child's sociometric status. The sample consisted of 112 children (6–11 years of age) and both their parents. Parental behavior in the interaction with the child was observed at home when parents and child worked together in 2 structured tasks. Factor analyses of parental behavior revealed that

Maja Dekovi?; Jan M. A. M. Janssens

1992-01-01

322

Child Labor Coalition  

NSDL National Science Digital Library

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

323

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

PubMed Central

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

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

2012-01-01

324

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

Microsoft Academic Search

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

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

325

Child health in complex emergencies.  

PubMed Central

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

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

2006-01-01

326

Evaluating CRM Implementation in Healthcare Organization  

E-print Network

Recently, many healthcare organizations are adopting CRM as a strategy, which involves using technology to organize, automate, and coordinate business processes, in managing interactions with their patients. CRM with the Web technology provides healthcare providers the ability to broaden their services beyond usual practices, and thus offers suitable environment using latest technology to achieve superb patient care. This paper discusses and demonstrates how a new approach in CRM based on Web 2.0 will help the healthcare providers improving their customer support, avoiding conflict, and promoting better health to patient. With this new approach patients will benefit from the customized personal service with full information access to perform self managed their own health. It also helps healthcare providers retaining the right customer. A conceptual framework of the new approach will be discussed.

Anshari, Muhammad

2012-01-01

327

Leading ladies: women in healthcare leadership.  

PubMed

Women represent an overwhelming majority of the healthcare workforce, yet they are significantly underrepresented in leadership positions, particularly at the executive and board levels. However, women are uniquely positioned to leverage traits such as compassion, transparency, and the ability to foster teamwork to lead organizations into the next phase of contemporary healthcare delivery. In the future, the pace with which women gain access to the C-suite will accelerate as organizations embrace diversity and select the best qualified leaders in terms of both experience and leadership style that supports organizational culture. While the future for women in healthcare leadership looks bright, many women are currently struggling to reach the executive office, facing glass ceilings, competing priorities, and lack of access to support and guidance. In this article I discuss the role of women in healthcare leadership and offer practical suggestions on how women can reach the top echelon and achieve their goals and aspirations. PMID:22787907

Fontenot, Teri

2012-01-01

328

Making existing technology safer in healthcare  

E-print Network

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

Akiyama, Masanori

329

Will Swedish healthcare reforms affect equity?  

Microsoft Academic Search

Sweden is introducing large scale market reforms, patient choice, and privatisation into its healthcare system. It is unclear whether it can also maintain its good record on social equity, says Bo Burstrom

Bo Burstrom

2009-01-01

330

"Intelligent systems for healthcare and robotics"  

E-print Network

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

Acton, Scott

331

Interventional Radiology healthcare.utah.edu/radiology  

E-print Network

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

Feschotte, Cedric

332

Healthcare-Wide Hazards: Surgical Suite  

MedlinePLUS

... Haines. "Hands-free technique: preventing occupational exposure during surgery." Journal of Perioperative Practice 16.10(2006, October): 495. International Healthcare Worker Safety Center . The University of Virginia. For additional information, see ...

333

Emergency preparedness for home healthcare providers.  

PubMed

Unfortunately, disasters occur. We cannot always know the effects ahead of time, but we do know that lives can be lost, property damaged, and public health and home care agencies may not be able to provide the normal standard of care. Studies have shown that disaster preparedness content is limited in U.S. nursing programs (). Given the magnitude of recent natural disasters, such as the Japanese earthquake and tsunami in 2011, these findings are alarming. The increasing demands on healthcare providers in response to emergencies force home healthcare clinicians to identify their roles and responsibilities in emergency preparedness. This article discusses 1 model of disaster response and the role of the home healthcare provider at each stage. It further guides home healthcare nurses in creating a personal and professional plan, enabling them to understand how to minimize the impact of disasters and address the needs of their patients and those close to them. PMID:21987023

Ruder, Shirley

2012-06-01

334

Architecting the Healthcare System for Stakeholder Value  

E-print Network

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

Fradinho Oliveira, Jorge

2009-01-21

335

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

336

Seamless Access to Healthcare Folders with Strong Privacy Guarantees  

E-print Network

in "International Journal of Healthcare Delivery Reform Initiatives 1, 4 (2009) 82-107" #12;EHR systems aimSeamless Access to Healthcare Folders with Strong Privacy Guarantees Tristan Allard, University. Pervasive healthcare aims itself at making healthcare information securely available anywhere and anytime

Paris-Sud XI, Université de

337

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

338

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

339

Healthcare waste management in Algeria and Mostaganem department  

Microsoft Academic Search

Algeria as other developing countries faces an array of challenges for healthcare waste management. The management of healthcare waste is of major importance due to its public health risks and potential environmental hazards. Many efforts have been made by the government authorities in order to better manage the waste from healthcare facilities. However most healthcare facilities do not comply with

Z. Bendjoudi; F. Taleb; F. Abdelmalek; A. Addou

2009-01-01

340

Be a part of something bigger than yourself GE Healthcare  

E-print Network

Be a part of something bigger than yourself GE Healthcare Position: Mechanical Engineer elongation. ElgemsMoked@ge.com-CV www.gehealthcare.com We are GE Healthcare, a $17 billion division of General Electric Company. GE Healthcare's broad range of products and services enable healthcare providers

Rimon, Elon

341

InjectingaHealthyDoseofSecurity Healthcare breach statistics  

E-print Network

InjectingaHealthyDoseofSecurity Healthcare breach statistics © 2014 AT&T Intellectual Property. All Breaches Climb 138%." Healthcare IT News (February 6, 2014). McCann, Erin. "Healthcare's Slack Security Costs $1.6B." Healthcare IT News (February 3, 2014). U.S. Department of Health and Human Services: "Data

Fisher, Kathleen

342

Behavior-Based Access Control for Distributed Healthcare Systems  

E-print Network

Behavior-Based Access Control for Distributed Healthcare Systems Mohammad H. Yarmand, Kamran healthcare systems. The amalgamation of new information tech- nology with traditional healthcare workflows requirements. In this paper we present a novel access control model compliant with healthcare standards based

Sartipi, Kamran

343

Modelling a Sustainable Cooperative Healthcare: An Interoperability-driven Approach  

E-print Network

.panetto@univ-lorraine.fr Abstract. Modern healthcare is confronted with serious issues that are threatening its viabilityModelling a Sustainable Cooperative Healthcare: An Interoperability-driven Approach Ovidiu Noran1 of the healthcare quandary. In this context, effective interoperability of the participants in the healthcare effort

Paris-Sud XI, Université de

344

Healthcare 2015: Win-win or lose-lose?  

E-print Network

Healthcare 2015: Win-win or lose-lose? IBM Global Business Services Healthcare A portrait-industry issues. This executive brief is based on an in-depth study by the Institute's research team. It is part information. #12;Healthcare 205: Win-win or lose-lose? Healthcare 2015: Win-win or lose-lose? A portrait

345

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

346

Choosing a Child Care Center  

MedlinePLUS

... many names—child care center, preschool, nursery school, child development program, or learning center. Center-based care also ... is important to your child's health, safety, and development. Additional Resources: AAP Healthy Child Care America Early Education and Child Care Initiatives ...

347

Just healthcare? The moral failure of single-tier basic healthcare.  

PubMed

This article sets out the moral failure of single-tier basic healthcare. Single-tier basic healthcare has been advocated on the grounds that the provision of healthcare should be divorced from ability to pay and unequal access to basic healthcare is morally intolerable. However, single-tier basic healthcare encounters a host of catastrophic moral failings. Given the fact of human pluralism it is impossible to objectively define "basic" healthcare. Attempts to provide single-tier healthcare therefore become political processes in which interest groups compete for control of scarce resources with the most privileged possessing an inherent advantage. The focus on outputs in arguments for single-tier provision neglects the question of justice between individuals when some people provide resources for others without reciprocal benefits. The principle that only healthcare that can be provided to everyone should be provided at all leads to a leveling-down problem in which advocates of single-tier provision must prefer a situation where some individuals are made worse-off without any individual being made better-off compared to plausible multi-tier alternatives. Contemporary single-tier systems require the exclusion of noncitizens, meaning that their universalism is a myth. In the light of these pathologies, it is judged that multi-tier healthcare is morally required. PMID:25663683

Meadowcroft, John

2015-04-01

348

Resilience in healthcare and clinical handover  

Microsoft Academic Search

Background:Understanding and applying human factors in healthcare provides significant opportunities for improving patient safety. A key human factors concept is “resilience,” which investigates how individuals, teams and organisations monitor, adapt to and act on failures in high-risk situations. Although it is a new concept to healthcare, it is well accepted in other high-risk industries. Resilience moves the focus away from

S A Jeffcott; J E Ibrahim; P A Cameron

2009-01-01

349

Crew resource management: applications in healthcare organizations.  

PubMed

Healthcare organizations continue their struggle to establish a culture of open communication and collaboration. Lessons are learned from the aviation industry, which long ago acknowledged that most errors were the result of poor communication and coordination rather than individual mistakes. The author presents a review of how some healthcare organizations have successfully adopted aviation's curriculum called Crew Resource Management, which promotes and reinforces the conscious, learned team behaviors of cooperation, coordination, and sharing. PMID:16969251

Oriol, Mary David

2006-09-01

350

New Directions in HealthCare Reform  

Microsoft Academic Search

Managed health care, health maintenance organizations, and other cost containment measures driven by the private sector in conjunction with Congressionally funded initiatives are serving as the guiding forces in health-care reform in the United States. Within this move toward restructuring health-care services, the role of nurse practitioners is expanding and evolving. Nurse practitioners provide high-quality, cost-effective, and comprehensive primary care

Jeanette Lancaster; Wade Lancaster; Lisa L Onega

2000-01-01

351

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

352

Dementia and the home healthcare clinician.  

PubMed

As record number of individuals move into their retirement years, home healthcare clinicians are witnessing an increase in the number of patients and families struggling to cope with the complex symptoms of dementia. Unlike other terminal conditions such as cancer, the course of this terminal and debilitating disease can span several decades. Home healthcare clinicians will be caring for greater numbers of these patients and their families in the community. PMID:25738273

Marshall, Katherine A

2015-03-01

353

Diversion of Benzodiazepines through Healthcare Sources  

PubMed Central

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

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

2013-01-01

354

Patient Standardization Identification as a Healthcare Issue  

Microsoft Academic Search

Healthcare organizations use information systems with several different types of data and user interfaces. The lack of standardization\\u000a means loss of efficiency and effectiveness. It limits the expected quality of Healthcare services. Some difficulties for this\\u000a standardization are known. However there are models that can respond to the complexity of this area of science and evolve\\u000a with the development of

Mario Macedo; Pedro T. Isaías

2009-01-01

355

Implications for healthcare knowledge management systems: a case study.  

PubMed

The notion of incorporating knowledge management (KM) in the healthcare sector has recently witnessed a lot of interest, both from healthcare practitioners and scholars. Because KM for healthcare has just started to appear on the radar of healthcare stakeholders, there exists very limited research (particularly empirical data) to guide healthcare stakeholders, both from an academic and organizational perspective. This paper attempts to contribute to the adoption of KM in the clinical and healthcare sectors by collecting and analyzing data on technological, organizational and managerial perspectives on KM in these sectors. This paper provides an analysis of a case study which looks at current practices towards healthcare information management. PMID:17281542

Dwivedi, A N; Bali, R K; Naguib, R N G

2005-01-01

356

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

357

Asthma Outcomes: Healthcare Utilization and Costs  

PubMed Central

Background Measures of healthcare utilization and indirect impact of asthma morbidity are used to assess clinical interventions and estimate cost. Objective National Institutes of Health (NIH) institutes and other federal agencies convened an expert group to propose standardized measurement, collection, analysis, and reporting of healthcare utilization and cost outcomes in future asthma studies. Methods We used comprehensive literature reviews and expert opinion to compile a list of asthma healthcare utilization outcomes that we classified as core (required in future studies), supplemental (used according to study aims and standardized) and emerging (requiring validation and standardization). We also have identified methodology to assign cost to these outcomes. This work was discussed at an NIH-organized workshop in March 2010 and finalized in September 2011. Results We identified 3 ways to promote comparability across clinical trials for measures of healthcare utilization, resource use, and cost: (1) specify the study perspective (patient, clinician, payer, society), (2) standardize the measurement period (ideally, 12 months), and (3) use standard units to measure healthcare utilization and other asthma-related events. Conclusions Large clinical trials and observational studies should collect and report detailed information on healthcare utilization, intervention resources, and indirect impact of asthma, so that costs can be calculated and cost-effectiveness analyses can be conducted across several studies. Additional research is needed to develop standard, validated survey instruments for collection of provider-reported and participant-reported data regarding asthma-related health care. PMID:22386509

Akinbami, Lara J.; Sullivan, Sean D.; Campbell, Jonathan D.; Grundmeier, Robert W.; Hartert, Tina V.; Lee, Todd A.; Smith, Robert A.

2014-01-01

358

Applications of Business Analytics in Healthcare  

PubMed Central

The American healthcare system is at a crossroads, and analytics, as an organizational skill, figures to play a pivotal role in its future. As more healthcare systems capture information electronically and as they begin to collect more novel forms of data, such as human DNA, how will we leverage these resources and use them to improve human health at a manageable cost? In this article, we argue that analytics will play a fundamental role in the transformation of the American healthcare system. However, there are numerous challenges to the application and use of analytics, namely the lack of data standards, barriers to the collection of high-quality data, and a shortage of qualified personnel to conduct such analyses. There are also multiple managerial issues, such as how to get end users of electronic data to employ it consistently for improving healthcare delivery, and how to manage the public reporting and sharing of data. In this article, we explore applications of analytics in healthcare, barriers and facilitators to its widespread adoption, and how analytics can help us achieve the goals of the modern healthcare system: high-quality, responsive, affordable, and efficient care. PMID:25429161

Ward, Michael J.; Marsolo, Keith A.

2014-01-01

359

Adolescents and child maltreatment.  

PubMed

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

Beard, Joyce W

2014-03-01

360

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

361

Well-child visits  

MedlinePLUS

... and development: Infant - newborn development Toddler development Preschooler development School-age child development Adolescent development Developmental milestones Developmental milestones record - ...

362

Course Objective 1 1a,1c,1e Describe the unique features of pediatric healthcare compared to adult healthcare  

E-print Network

features of pediatric healthcare compared to adult healthcare 2 1a,1b Describe how of processes of care and healthcare costs 7 1e Explain the connectionbetween systeoms of care to excellence in healthcare delivery 8 1b,1c List the typical components

Myers, Lawrence C.

363

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

E-print Network

US Healthcare Issues in the Political DebateUS Healthcare Issues in the Political Debate i iEngineering · Healthcare Issues in the Political Debate ­ The Sound Bites Behind the Sound Bites Presentation to the Farm Policy Study Group #12;Objectivesj · Overview of the Regenstrief Center for Healthcare

364

Loss of a child - resources  

MedlinePLUS

Child death - resources; Resources - loss of a child ... The following organizations are good resources for information on the loss of a child: The Compassionate Friends - www.compassionatefriends.org Bereaved Parents of the USA - www.bereavedparentsusa. ...

365

Child Care for Older Kids  

MedlinePLUS

... Child Care for Older Kids Family Life Listen Child Care for Older Kids Article Body During middle childhood, ... are and what they are doing. When evaluating child care options, determine whether other family members can handle ...

366

CDC Vital Signs: Child Injury  

MedlinePLUS

... CDC.gov . Vital Signs Share Compartir Child Injury April 2012 1 Child Every hour, one child dies ... Print Updates Subscribe Listen Download Page last reviewed: April 16, 2012 Page last updated: April 16, 2012 ...

367

Child Abuse: The Hidden Bruises  

MedlinePLUS

... 20090. The American Academy of Child and Adolescent Psychiatry (AACAP) represents over 8,700 child and adolescent ... school in general (adult) and child and adolescent psychiatry. Facts for Families © information sheets are developed, owned ...

368

Research Engagement and Attitudes to Teaching Research to Healthcare Students: A Questionnaire Study of Healthcare Educators  

ERIC Educational Resources Information Center

The evidence-based practice agenda in many healthcare professions has increased the importance of teaching research skills to students in these professions. However, concern exists that many healthcare educators may be reluctant to teach research. This study investigated potential barriers to their adoption of this role. A questionnaire was…

Ning, Mair; Murphy, Philip; Jinks, Annette Mary

2010-01-01

369

Child Safety Curriculum Standards.  

ERIC Educational Resources Information Center

This document presents a set of child safety curriculum guidelines intended to help prevent child victimization and to promote safer living and learning environments for children and adolescents across America. These guidelines were developed to help educators, law enforcement personnel, and members of other youth-serving agencies teach children…

National School Safety Center, Malibu, CA.

370

Child Psychology Experiences Program.  

ERIC Educational Resources Information Center

Recognizing the need for trained teachers to enter the classroom with confidence and professional capacity, Walla Walla College introduced a Child Psychology Experience program. Personnel from several departments contribute to this program. In connection with the child psychology courses, the project features a laboratory/demonstration center…

Walla Walla Coll., WA.

371

Protecting the Hoosier Child.  

ERIC Educational Resources Information Center

Presented are proceedings of a conference designed to provide a statewide forum for the exploration of the issues of child abuse and neglect, to maximize interdisciplinary communication as well as communication between the professional and lay communities of Indiana concerned with child protection, and to develop strategies for future coordinated…

Education Commission of the States, Denver, CO.

372

Disciplining Your Child  

MedlinePLUS

... Game’ and Other Risky Behaviors Collective Violence and Poverty on the Mexican-U.S. Border Affects Child Mental Health Study Finds Over 4,500 U.S. Children Hospitalized From Child Abuse in One Year, and 300 of Them Died ...

373

Unemployment and Child Abuse.  

ERIC Educational Resources Information Center

To explore the correlation between unemployment and child abuse rates, a literature review was conducted and the phenomenon was examined in a rural Inland Northwest county (X County) of 9,800 population which derived its main income from lumber and agriculture. Monthly substantiated child abuse cases were tallied from the Department of Health and…

Pare, Joan

374

Divorce Child Custody Disputes.  

ERIC Educational Resources Information Center

Examines ethical issues in making policy decisions regarding divorce child custody disputes. Suggests dilemma occurs when legislator must decide between discretionary standard promoting best interest of child and nondiscretionary arbitrary assignment of custody. Advocates normative analysis of various types of dispute-settling processes and…

Houlgate, Laurence D.

1987-01-01

375

Every Child, Every Day  

ERIC Educational Resources Information Center

We know more now than we ever did before about how to make every child a successful reader, write Allington and Gabriel in this research review. Yet, few students regularly receive the best reading instruction we know how to give. The authors present research supporting their recommendation that every child, every day, should (1) read something he…

Allington, Richard L.; Gabriel, Rachael E.

2012-01-01

376

Child welfare outcomes revisited  

Microsoft Academic Search

The use of outcome measures in child welfare has been part of agency and academic discussions for at least two decades. In 1989, McDonald, Lieberman, Poertner and Hornby contributed to the implementation of an outcome focus through the publication of “Child Welfare Standards for Success.” That paper presented the results of a comprehensive review of published and unpublished research that

Cyndie Murray; Thomas P. McDonald

2000-01-01

377

Child Povertyy Prevention Council  

E-print Network

Child Povertyy Prevention Council for Louisianafor Louisiana Implementation Plan February 2009eb ua y 009 Submitted for Approval to the Louisiana Legislature Joint Committee on Health and Welfare In response to ACT 559 of the 2008 Regular Session of the Louisiana Legislature #12;Child Poverty Prevention

378

Child sex rings  

Microsoft Academic Search

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

N J Wild; J M Wynne

1986-01-01

379

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...

380

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

381

Headstart for Every Child.  

ERIC Educational Resources Information Center

An early learning kit provides a booklet of ten articles on educational head starts for children along with an activity packet for classroom use. The articles deal with: the crucial early school years; emotional preparation of the child; broadening a child's background; selecting toys and games; reading readiness; mathematical skills; learning to…

Butler, Annie L.

382

Fathers with Child Custody.  

ERIC Educational Resources Information Center

Since recent laws prescribe equal rights for both parents, more fathers will be receiving custody of their children. Counseling psychology must prepare these fathers for their new parental roles. Ten suggestions are listed, including professional training in child custody and the encouragement of father-mother and father-child relationships. (LPG)

Woody, Robert H.

1978-01-01

383

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

384

Weaning Your Child  

MedlinePLUS

... intimate activity that fosters a strong bond between mother and child — and some women find it difficult to let that go. As you go through this process, expect a wide range of emotions and understand that your child may have them, ...

385

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

386

[Child Abuse: 1979 Report].  

ERIC Educational Resources Information Center

As mandated by Pennsylvania's Child Protective Services Law (Act 124), the document presents the Department of Public Welfare's 1979 report on child abuse. Following an introductory section is a brief section on the nature and scope of the problem. Section III outlines the past year's activities of the Department of Public Welfare's Office of…

Pennsylvania State Dept. of Public Welfare, Harrisburg.

387

Child Development and Playgrounds.  

ERIC Educational Resources Information Center

Four major issues are explored in this study of child development research and its implications for children's playgrounds: (1) theories and philosophies of play; (2) the historical evolution of playgrounds; (3) research on child development, play, and playgrounds; and (4) creating playgrounds that meet children's developmental needs. Discussion…

Frost, Joe L.

388

Asthma - child - discharge  

MedlinePLUS

... of the plan include: Your child's teacher The school nurse The school office Gym teachers and coaches Your child should ... to take asthma medicines at school when needed. School staff should ... another location to get away from asthma triggers, if needed.

389

[The importance of waste from healthcare services for teachers, students and graduates of the healthcare sector].  

PubMed

This study aimed to explore the perception healthcare sector teachers, students and graduates from two institutions of higher learning in Rio Grande do Sul, on the generation of waste from healthcare services. It used a qualitative research approach, performed with 13 teachers, 18 students and 12 healthcare professionals, who were collected through a focus group. The main results showed there is a perception toward the importance of proper segregation and disposal of Healthcare Service Waste, also there is a lack of concern for the reduction of these wastes. Therefore, the issue requires a broader understanding of the environment, with a view of planetary sustainability, exposing needs to provide the healthcare professionals with knowledge and awareness of the importance of handling these types of waste. PMID:25158456

Moreschi, Claudete; Rempel, Claudete; Backes, Dirce Stein; Carreno, Ioná; de Siqueira, Daiana Foggiato; Marina, Bruna

2014-06-01

390

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

391

Foundation for Child Development  

NSDL National Science Digital Library

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

392

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

PubMed Central

Objectives: To describe the clinical history of a child with aggressive behavior and recurring death-theme speech, and report the experience of the team of authors, who proposed an alternative to medication through the establishment of a protection network and the inter-sector implementation of the circle of security concept. Case description: A 5-year-old child has a violent and aggressive behavior at the daycare. The child was diagnosed by the healthcare center with depressive disorder and behavioral disorder, and was medicated with sertraline and risperidone. Side effects were observed, and the medications were discontinued. Despite several actions, such as talks, teamwork, psychological and psychiatric follow-up, the child's behavior remained unchanged. Remarks: A unique therapeutic project was developed by Universidade Estadual de Campinas' Medical School students in order to establish a connection between the entities responsible for the child's care (daycare center, healthcare center, and family). Thus, the team was able to develop a basic care protection network. The implementation of the inter-sector circle of security, as well as the communication and cooperation among the teams, produced very favorable results in this case. This initiative was shown to be a feasible and effective alternative to the use of medication for this child. PMID:25479857

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

2014-01-01

393

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 ...

394

Substance abuse among oral healthcare workers.  

PubMed

The abuse of both licit and illicit substances by the general population affects at least one in ten people. Research shows that the oral healthcare worker has at least the same prevalence of substance abuse, perhaps even higher. The emergence of prescription drug abuse is one of the most worrying and dangerous aspects for the healthcare worker, due to ease of access to such drugs. According to the United Nations, prescription drug abuse is amongst the top three practices of substance abuse. We have an obligation to incorporate the evidence of substance abuse among oral healthcare professionals in our undergraduate dental curricula in order to combat this phenomenon. As the stress of daily survival in single practitioner practices increase, so will the danger of substance abuse. This may lead to impairment of the healthcare worker and ultimately loss of registration. It will take a combined effort from organised dentistry and academic institutions to establish a national strategy to ensure we address this important issue at undergraduate level and provide support at practitioner level. This paper will deal with substance abuse and the implications of impairment it holds for the oral healthcare worker. PMID:24984387

Marnewick, J C; van Zyl, A W

2014-05-01

395

Research on integrative healthcare: context and priorities.  

PubMed

It is important that integrative healthcare research be conducted to optimize the effectiveness, safety, costs, and social and economic impact of prospective, personalized, patient-centered, comprehensive, and holistic healthcare that focuses on well-being as well as disease management, and that the research itself be well understood. The scope of this research extends beyond evaluation of specific therapies, to include evaluations of multimodality whole system intervention, practitioner-patient relationships, patient goals and priorities, promoting self-care and resilience, personalized diagnostic and therapeutic measures, practitioner well-being, the comparative effectiveness of different educational and outreach strategies in improving health and healthcare, and the environmental/social causes and consequence of health and healthcare. In this paper, we describe the state of the science of research on integrative healthcare, research needs, and opportunities offered by cutting-edge research tools. We propose a framework for setting priorities in integrative health research, list areas for discussion, and pose a few questions on a future research agenda. PMID:20451148

Deng, Gary; Weber, Wendy; Sood, Amit; Kemper, Kathi J

2010-01-01

396

A wireless trust model for healthcare.  

PubMed

In today's context of escalating costs, managed care, regulations such as the Health Insurance Portability and Accountability Act (HIPAA) and a technology savvy patient, the healthcare industry can no longer be complacent regarding embracing technologies to enable better, more effective and efficient practice management. In such an environment, many healthcare organisations are turning to m-commerce or wireless solutions. These solutions, in particular the mobile electronic patient record, have many advantages over their wired counterparts, including significant cost advantages, higher levels of physician acceptance, more functionalities as well as enabling easy accessibility to healthcare in remote geographic regions, however, they also bring with them challenges of their own. One such major challenge is security. To date, few models exist that help establish an appropriate framework, in the context of wireless in healthcare, in which to understand and evaluate all the security issues let alone facilitate the development of systematic and robust solutions. Our paper addresses this need by outlining an appropriate mobile trust model for such a scenario in healthcare organisations. PMID:18048204

Wickramasinghe, Nilmini; Misra, Santosh K

2004-01-01

397

Geographical accessibility to healthcare and malnutrition in Rwanda.  

PubMed

The prevalence of stunting in children less than five years of age is elevated in Rwanda. It is one of the main health challenges upon which the government is struggling to achieve progress. Health centers and district hospitals in Rwanda are expected to provide a package of health services including nutrition related activities, nutritional rehabilitation, education, and growth monitoring. They can hence play a potent role in alleviating malnutrition and stunting in Rwanda. This study tested whether travel time from household clusters to the nearest health center was significantly and negatively associated with the distribution of height-for-age z-scores of younger than five year old children in the eastern province of Rwanda. Data for 974 children was extracted from the Rwanda Demographic and Health Survey (DHS) database. However, since DHS does not contain any information on travel time to health centers, the latter was simulated using AccessMod 4.0, an extension to ArcGIS 9.3.1 that simulates health facilities' catchment areas and travel times to health facilities. Travel time was found to be negatively associated with height-for-age z-scores at the 5% level in a stepwise regression analysis that controlled for wealth index, mother's primary and secondary education, sex of the child, preceding birth interval, and birth order of the child. Field measurements are needed to validate travel time. If validated, results point to the importance of improved access to healthcare facilities as a potential pathway in reducing stunting in Rwanda. PMID:25697636

Aoun, Nael; Matsuda, Hirotaka; Sekiyama, Makiko

2015-04-01

398

Healthcare @ the speed of thought.  

PubMed

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

Cochrane, J D

1999-05-01

399

Behavioral Disposition of Child and Caretaker-Child Interaction  

ERIC Educational Resources Information Center

To assess relations between behaviors in a particular circumscribed caretaker-child interaction setting and child behavioral dispositions assessed by more extensive observation, caretaker-child interaction data was collected for 40 children across several days in a nursery school free-play setting. These data were related to child behavioral…

Inoff, Gale E.; Halverson, Charles F., Jr.

1977-01-01

400

Child And Family Studies Department Of Child And Family Studies  

E-print Network

of four tracks of specialization: (a) Early Child Development, (b) Youth and Family Development, (c) Early Childhood Education (4+1), (d) Child Life Specialist. Core courses focus on child and youth development (i. The department has a strong reputation for its pioneering work in infant development, parent education, child

Raina, Ramesh

401

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

ERIC Educational Resources Information Center

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

Werner, David

1983-01-01

402

Child Labor: A Forgotten Focus for Child Welfare.  

ERIC Educational Resources Information Center

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

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

2001-01-01

403

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

Federal Register 2010, 2011, 2012, 2013, 2014

...Inc. (``Healthcare Technology''), subject to final...anticompetitive effects of Healthcare Technology's proposed acquisition...Consent Agreement, Healthcare Technology would be required, among other things, to divest SDI's...

2011-11-03

404

Overview of healthcare system in the Czech Republic  

PubMed Central

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

2012-01-01

405

Improvement, trust, and the healthcare workforce.  

PubMed

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

Berwick, D M

2003-12-01

406

Improvement, trust, and the healthcare workforce.  

PubMed

Although major defects in the performance of healthcare systems are well documented, progress toward remedy remains slow. Accelerating improvement will require large shifts in attitudes toward and strategies for developing the healthcare workforce. At present, prevailing strategies rely largely on outmoded theories of control and standardisation of work. More modern, and much more effective, theories of production seek to harness the imagination and participation of the workforce in reinventing the system. This requires a workforce capable of setting bold aims, measuring progress, finding alternative designs for the work itself, and testing changes rapidly and informatively. It also requires a high degree of trust in many forms, a bias toward teamwork, and a predilection toward shouldering the burden of improvement, rather than blaming external factors. A new healthcare workforce strategy, founded on these principles, will yield much faster improvement than at present. PMID:14645761

Berwick, D M

2003-12-01

407

Patient rights and healthcare-associated infection.  

PubMed

The Universal Declaration of Human Rights was adopted by the United Nations in 1948, and since that time, human rights have become widely recognized and legally enforceable in many countries. Patient rights are now included in healthcare constitutions, such as that of the English National Health Service, and in professional codes of practice. Patient rights have a number of implications for the control of healthcare-associated infections (HCAI), including: (1) justification for infection control over and above economic benefit; (2) focus and emphasis on the individual patient experience; (3) identification of some of the actions taken to control infection as breaches of rights; (4) bridging professional, infection control and public health ethics; (5) a requirement to specify the conditions under which rights can be breached; and (6) grounds for those seeking compensation for HCAI. Assuring patient rights has the potential to improve the patient experience, and in so doing, improve public confidence in healthcare provision and providers. PMID:21798627

Millar, M

2011-10-01

408

Integrating anatomical pathology to the healthcare enterprise.  

PubMed

For medical decisions, healthcare professionals need that all required information is both correct and easily available. We address the issue of integrating anatomical pathology department to the healthcare enterprise. The pathology workflow from order to report, including specimen process and image acquisition was modeled. Corresponding integration profiles were addressed by expansion of the IHE (Integrating the Healthcare Enterprise) initiative. Implementation using respectively DICOM Structured Report (SR) and DICOM Slide-Coordinate Microscopy (SM) was tested. The two main integration profiles--pathology general workflow and pathology image workflow--rely on 13 transactions based on HL7 or DICOM standard. We propose a model of the case in anatomical pathology and of other information entities (orders, image folders and reports) and real-world objects (specimen, tissue samples, slides, etc). Cases representation in XML schemas, based on DICOM specification, allows producing DICOM image files and reports to be stored into a PACS (Picture Archiving and Communication System. PMID:17108550

Daniel-Le Bozec, Christel; Henin, Dominique; Fabiani, Bettina; Bourquard, Karima; Ouagne, David; Degoulet, Patrice; Jaulent, Marie-Christine

2006-01-01

409

Child maltreatment in India.  

PubMed

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

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

2013-11-01

410

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

411

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

PubMed Central

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

Nicol, A. R.

1989-01-01

412

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. PMID:20161685

Banja, John

2009-01-01

413

Cyber child sexual exploitation.  

PubMed

A 2-year review of 285 child cyber crime cases reported in the newspaper revealed how the Internet offenders were apprehended, the content of child pornography, and crime classification. A subsample of 100 cases with data on offender occupation revealed 73% of cases involved people in positions of authority. The dynamics of child cyber crime cases direct the implications for nursing practice in terms of evidence-based suspicion for reporting, categorizing the content of Internet images, referral of children for counseling, and treatment of offenders. PMID:18822999

Burgess, Ann Wolbert; Mahoney, Meghan; Visk, Julie; Morgenbesser, Leonard

2008-09-01

414

Trends in Family Child Care  

ERIC Educational Resources Information Center

The author presents insights from various readers of "ExchangeEveryDay" regarding trends in the world of family child care. Kathleen Reticker of Acre Family Child Care in Lowell, Massachusetts thinks an increasing trend in Family Child Care is the pressure to emulate a Center, instead of seeing family child care as a different model. Over the…

Neugebauer, Roger

2011-01-01

415

Genetic Epidemiology and Preventive Healthcare in Multiethnic Societies: The Hemoglobinopathies  

PubMed Central

Healthy carriers of severe Hemoglobinopathies are usually asymptomatic and only efficiently detected through screening campaigns. Based upon epidemiological data, screenings have been offered for decades to populations of endemic Southern Europe for primary prevention of Thalassemia Major, while for many populations of the highly endemic African and Asian countries prevention for Sickle Cell Disease and Thalassemia Major is mainly unavailable. The massive migrations of the last decades have brought many healthy carriers of these diseases to live and reproduce in non-endemic immigration areas changing the epidemiological pattern of the local recessive diseases and bringing an urgent need for treatment and primary prevention in welfare countries. Nonetheless, no screening for an informed reproductive choice is actively offered by the healthcare systems of most of these welfare countries. As a consequence more children affected with severe Hemoglobinopathies are born today in the immigration countries of Northern Europe than in the endemic Southern European area. Following the Mediterranean example, some countries like the UK and The Netherlands have been offering early pregnancy carrier screening at different levels and/or in specific areas but more accessible measures need to be taken at the national level in all immigration countries. Identification of carriers using simple and inexpensive methods should be included in the Rhesus and infectious diseases screening which is offered early in pregnancy in most developed countries. This would allow identification of couples at risk in time for an informed choice and for prenatal diagnosis if required before the first affected child is born. PMID:24921462

Giordano, Piero C.; Harteveld, Cornelis L.; Bakker, Egbert

2014-01-01

416

Your Child's Cough  

MedlinePLUS

... that happens when the child inhales (breathes in). Whooping Cough Whooping cough is another name for pertussis, an infection of ... or the Flu? Common Cold Croup Chronic Hoarseness Whooping Cough (Pertussis) A to Z: Bronchiectasis Asthma Center The ...

417

Child safety (image)  

MedlinePLUS

Keep cleaning fluids, bug poisons, and other chemicals well out of a child's reach. Avoid storing toxic substances in unmarked or inappropriate containers (such as food containers). If you suspect poisoning or have questions, call 1-800- ...

418

Child abuse - sexual  

MedlinePLUS

... child sexual abuse occurs, because it is more secret than physical abuse. Children are often scared to ... Prevention involves teaching children never to keep secrets and ... begin this work at home. Most schools now have programs to teach ...

419

Iron and Your Child  

MedlinePLUS

... the Flu Pregnancy Precautions Checkups: What to Expect Iron and Your Child KidsHealth > Parents > Growth & Development > Feeding & ... enough iron in their daily diets. How Much Iron Do Kids Need? Kids require different amounts of ...

420

Your Child Has Hydronephrosis  

MedlinePLUS

... Newsroom Contact Us You are here Home » Your Child Has Hydronephrosis In recent years, better ultrasound machines ... are surgeons specially trained in the care of children's urinary and genital tracts. Pediatric nephrologists also care ...

421

Child CPR Video Demonstration  

MedlinePLUS Videos and Cool Tools

Child CPR Video Demonstration Video demonstration of standard CPR for children. RETURN TO MAIN PAGE These Videos Are For Educational Use Only And Are Not Authorized for Commercial Use. © 1998 - 2011 ...

422

FPG Child Development Institute  

MedlinePLUS

... Education International Initiative Physical and Social Health Professional Development Public Policy and Evaluation Featured Projects Evaluation of ... March 22, 2015 More Frank Porter Graham Child Development Institute The University of North Carolina at Chapel ...

423

Child Sexual Abuse  

MedlinePLUS

... respect. Some children believe the abuse is their fault somehow. They may think the abuser chose them ... the child that what happened is not her fault, that you believe her, that you are proud ...

424

Fiber and Your Child  

MedlinePLUS

... fluid intake, fiber helps move food through the digestive system and can help relieve and prevent constipation. It ... Aid: Constipation Healthy Food Shopping Your Child's Weight Digestive System Constipation Organic and Other Environmentally Friendly Foods Figuring ...

425

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.

426

Child with NF1  

MedlinePLUS

... child has NF1 on the basis of new mutation of the gene, it is natural to ask, “How did this happen?” The cause of mutations in the NF1 gene is unknown. Again, no environmental exposure has yet ...

427

Scoliosis surgery - child  

MedlinePLUS

... spine that needs straightening. Your child may go home in about 5 days and may return to school in about 3 weeks. The Texas Scottish-Rite Hospital (TSRH) operation is similar to the Cotrel-Dubousset procedure. During ...

428

Choosing Child Care  

MedlinePLUS

... 5. Back Continue At the End of the Day After all your research, interviewing, and observing, you ... still have doubts, daily reports about your child's day or frequent visits to the care facility can ...

429

PRUS notes Child Poverty  

E-print Network

children are crucial for the economic, social and political development of all of our countries. Yet child poverty is a serious problem in many, developed and developing countries. Transmission of poverty from parents to children is also common and may have effects that go beyond childhood and early adulthood. A child born into a poor family, or one that becomes poor is more likely to be poor when he or she reaches adulthood. Some dimensions of child poverty cannot be easily reversed, if at all: low education attainment as a child often results in poorer opportunities in adulthood; malnutrition in childhood can lead to stunting in later life. These factors, combined with their dependency on adults for providing their

unknown authors

430

A wearable context aware system for ubiquitous healthcare.  

PubMed

Recent developments of information technologies are leading the advent of the era of ubiquitous healthcare, which means healthcare services at any time and at any places. The ubiquitous healthcare service needs a wearable system for more continual measurement of biological signals of a user, which gives information of the user from wearable sensors. In this paper, we propose a wearable context aware system for ubiquitous healthcare, and its systematic design process of a ubiquitous healthcare service. Some wearable sensor systems are introduced with Zigbee communication. We develop a context aware framework to send information from wearable sensors to healthcare service entities as a middleware to solve the interoperability problem between sensor makers and healthcare service providers. And, we propose a systematic process of design of ubiquitous healthcare services with the context aware framework. In order to show the feasibility of the proposed system, some application examples are given, which are applied to remote monitoring, and a self check service. PMID:17947132

Kang, Dong-Oh; Lee, Hyung-Jik; Ko, Eun-Jung; Kang, Kyuchang; Lee, Jeunwoo

2006-01-01

431

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

Federal Register 2010, 2011, 2012, 2013, 2014

...Control and Prevention Healthcare Infection Control Practices Advisory Committee...1) The practice of healthcare infection control; (2) strategies for surveillance, prevention, and control of infections (e.g., nosocomial...

2011-10-13

432

77 FR 58397 - Healthcare Infection Control Practices Advisory Committee (HICPAC)  

Federal Register 2010, 2011, 2012, 2013, 2014

...Disease Control and Prevention Healthcare Infection Control Practices Advisory Committee...CDC, regarding (1) the practice of infection control; (2) strategies for surveillance...and control of healthcare-associated infections (e.g., nosocomial infections)...

2012-09-20

433

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

Federal Register 2010, 2011, 2012, 2013, 2014

...will include updates on CDC's activities for healthcare-associated infections; the draft guideline for the Prevention of Norovirus Gastroenteritis Outbreaks in Healthcare Settings; draft guideline for prevention of infections among patients in...

2010-10-18

434

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

Federal Register 2010, 2011, 2012, 2013, 2014

...will include: Updates on CDC's activities for healthcare associated infections; the draft guideline for the Prevention of Norovirus Gastroenteritis Outbreaks in Healthcare Settings; the draft guideline for prevention of infections among patients in...

2010-05-27

435

Transition to cloud computing in healthcare information systems  

E-print Network

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

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

2012-01-01

436

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 ...

437

BANip: enabling remote healthcare monitoring with Body Area Networks1  

E-print Network

for patients that aggregates healthcare services from collaborative care centers. Our service platform Area Network (BAN) to remote healthcare center. Introduction Information and Communication Technology processes. ICT in emergency services for example enables trauma teams at hospitals to diagnose remotely

Widya, Ing

438

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

439

Your child is dead  

Microsoft Academic Search

OBJECTIVE--To determine parent's views on how death of their children should have been handled. DESIGN--Retrospective questionnaire survey of parents who had experienced death of their child. SETTING--Charitable organisation of bereaved parents. SUBJECTS--150 bereaved parents, all members of the organisation, of whom 120 (80%) participated voluntarily in the study. MAIN OUTCOME MEASURES--Child's age; date and cause of death; details of person

I Finlay; D Dallimore

1991-01-01

440

Multidisciplinary Assessment of Technology Centre for Healthcare  

E-print Network

Multidisciplinary Assessment of Technology Centre for Healthcare Annual Report 2010-11 www.match.ac.uk ® #12; MATCH Team 2010/2011 Dr Matthew Allsop Anastasia Anagnostou Dr Julie Barnett Hiran Basnayake Summary 5 Commercial Mobilisation and Impact 6 The Centre 8 Tools and Training 9 Economic Evaluation 11

Oakley, Jeremy

441

Analysis on energy efficiency in healthcare buildings.  

PubMed

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

García-Sanz-Calcedo, Justo

2014-01-01

442

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

443

Measles in health-care settings.  

PubMed

Despite the availability of an effective and safe vaccine for almost half a century, measles is re-emerging in several developed countries because of the insufficient vaccination coverage among specific subpopulations, the emerging anti-vaccination movement, and the increasing movement of humans across borders. In this context, health-care settings play a critical role in the transmission of infection and generation of numerous cases. Health-care-associated outbreaks may be associated with severe morbidity and mortality among specific groups of patients, disruption of health-care services, and considerable costs. Misdiagnosis or delayed diagnosis of a measles case and inadequate implementation of infection control measures are common in almost all events of nosocomial spread. Measles vaccination of health-care workers is an effective means of prevention of nosocomial measles outbreaks. Eliminating measles by 2010 has not been accomplished. Stronger recommendations and higher vaccination coverage against measles in health-care workers could contribute to eliminate measles in the general population. PMID:23352075

Maltezou, Helena C; Wicker, Sabine

2013-07-01

444

Lean in healthcare: the unfilled promise?  

PubMed

In an effort to improve operational efficiency, healthcare services around the world have adopted process improvement methodologies from the manufacturing sector, such as Lean Production. In this paper we report on four multi-level case studies of the implementation of Lean in the English NHS. Our results show that this generally involves the application of specific Lean 'tools', such as 'kaizen blitz' and 'rapid improvement events', which tend to produce small-scale and localised productivity gains. Although this suggests that Lean might not currently deliver the efficiency improvements desired in policy, the evolution of Lean in the manufacturing sector also reveals this initial focus on the 'tool level'. In moving to a more system-wide approach, however, we identify significant contextual differences between healthcare and manufacturing that result in two critical breaches of the assumptions behind Lean. First, the customer and commissioner in the private sector are the one and the same, which is essential in determining 'customer value' that drives process improvement activities. Second, healthcare is predominantly designed to be capacity-led, and hence there is limited ability to influence demand or make full use of freed-up resources. What is different about this research is that these breaches can be regarded as not being primarily 'professional' in origin but actually more 'organisational' and 'managerial' and, if not addressed could severely constrain Lean's impact on healthcare productivity at the systems level. PMID:21414703

Radnor, Zoe J; Holweg, Matthias; Waring, Justin

2012-02-01

445

Global implications of China's healthcare reform.  

PubMed

The ongoing healthcare reform in China has a powerful spillover effect beyond the health sector and the borders of China. A successful completion of the Chinese reform will offer a new model for social justice development, shift the global economy toward sustainability and create a new hub for science and technology in medical and health science. However, reforming the healthcare system in the most populated country is a daunting task. China will not live up to its promise, and all the potentials may end with hype not hope if coherent national strategies are not constructed and state-of-the-art navigation is not achieved with staggering domestic and global challenges. The cost of failure will be immensely high, socioeconomic costs for Chinese and an opportunity cost for the world as a whole. A full appreciation of the global implications of China's healthcare reform is crucial in keeping China receptive toward good practices evidence-approved elsewhere and open minded to fulfill its international obligations. More critically, the appreciation yields constructive engagements from global community toward a joint development and global prosperity. The current report provides a multiple disciplinary assessment on the global implications of the healthcare reform in China. Copyright © 2014 John Wiley & Sons, Ltd. PMID:24890392

Yan, Fei; Tang, Shenglan; Zhang, Jian

2014-05-29

446

TOMORROW'S HEALTHCARE STARTS HERE THE MEDICAL COLLEGE  

E-print Network

physicians who are highly effective patient care providers, innovative pioneers in medical research in these communities. HIGHLY EFFECTIVE PATIENT CARE PROVIDERS INNOVATIVE PIONEERS IN MEDICAL RESEARCH RESPECTED LEADERSTOMORROW'S HEALTHCARE STARTS HERE #12;THE MEDICAL COLLEGE OF WISCONSIN IS MORE THAN A MEDICAL

447

Healthcare Learning Community and Student Retention  

ERIC Educational Resources Information Center

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

Johnson, Sherryl W.

2014-01-01

448

ADAPTATION OF LEAN METHODOLOGIES FOR HEALTHCARE APPLICATIONS  

Microsoft Academic Search

Lean and Six Sigma quality concepts and terminology have been applied in the manufacturing arena since the late 1980’s and early 1990’s. It has only been in recent years that healthcare administrators have identified these methods as being adaptable to their organizations so that they may realize organizational improvements for continuing success and delighting customers. Unfortunately, this is not an

Heather Hagg; Deanna Suskovich; Jamie Workman-Germann; Susan Scachitti; Brian Hudson; Joseph Swartz; Chris Vanni

2007-01-01

449

Does Outdoor Behavioral Healthcare Really Work?  

ERIC Educational Resources Information Center

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

Russell, Keith C.

2002-01-01

450

HEALTH CLAIM TRANSMITTAL UnitedHealthcare  

E-print Network

UCI UCI HEALTH CLAIM TRANSMITTAL UnitedHealthcare P.O. Box 740809 Atlanta, GA 30374 1: Policy Number: Employer Name: ANY PERSON WHO KNOWINGLY FILES A STATEMENT OF CLAIM CONTAINING ANY. · Make sure all bills indicate a diagnosis code, procedure code, date of service and cost. · Submit all

Fuerschbach, Phillip

451

Making existing technology safer in healthcare  

Microsoft Academic Search

BackgroundTechnology, equipment and medical devices are vital for effective healthcare throughout the world but are associated with risks. These risks include device failure, inappropriate use, insufficient user-training and inadequate inspection and maintenance. Further risks within the developing world include challenging conditions of temperature and humidity, poor infrastructure, poorly trained service providers, limited resources and supervision, and inappropriately complex equipment being

Richard C Newton; Oliver T Mytton; Rajesh Aggarwal; William B Runciman; Michael Free; Bjorn Fahlgren; Masanori Akiyama; Barbara Farlow; Sara Yaron; Gerad Locke; Stuart Whittaker

2010-01-01

452

Lillian Rstad Access Control in Healthcare  

E-print Network

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

Langseth, Helge

453

Character, Leadership, and the Healthcare Professions  

ERIC Educational Resources Information Center

The presentation by Elizabeth Holmes, PhD, summarized the integration of character and leadership development in the education of healthcare professionals. Citing the mission, vision, values, graduate attributes, and various examples of current programs and initiatives from both the United States Naval Academy and the University of Botswana, the…

Holmes, Elizabeth

2010-01-01

454

Emerging technologies for healthcare and aging  

Microsoft Academic Search

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

Tracy Mitzner; Marita O'Brien; Wendy Rogers

2012-01-01

455

Identity theft prevention in the healthcare setting.  

PubMed

How a healthcare security department has undertaken a program to prevent employees, patients, and visitors from becoming victims of Identity Theft as well as providing help for victims of this crime in mitigating their losses. An Identity Theft affidavit for ID theft victims is illustrated. PMID:16535940

Warren, Bryan

2005-01-01

456

Personal Assistants for Healthcare Treatment at Home  

Microsoft Academic Search

ABSTRACT This paper ,describes ,the research plans ,in the SuperAssist projehct, introducing personal assistants in the care of diabetes patients, assisting the patients themselves, the medical specialists looking after the patients' healthcare, and the technical specialists responsible for ,maintaining the health of the devices involved. The paper ,discusses the issues of trust and cooperation as the ,critical success factors within

Geert De Haan; Olivier Blanson Henkemans; Amyaluw Alia; Clinical Informatics

457

School of Healthcare Sciences Undergraduate Degree Programmes  

E-print Network

9 Midwifery 10 Adult Nursing 11 Children's Nursing 12 Mental Health Nursing 13 Occupational Therapy is a new School, made up of the former Schools of Nursing and Midwifery and Healthcare Studies. As such.com/CUHealthSci This brochure will provide you with more details of our programmes. We hope that they will give you more than

Martin, Ralph R.

458

Bioprofiling over Grid for eHealthcare  

Microsoft Academic Search

A trend in modern medicine is towards individualization of healthcare and, potentially, grid computing can play an important role in this by allowing sharing of resources and expertise to improve the quality of care. In this paper, we present a new test bed, the BIOPATTERN Grid, which aims to fulfil this role in the long term. The main objectives in

L. SUN; P. HU; C. GOH; B. HAMADICHAREF; E. IFEACHOR; I. BARBOUNAKIS; M. ZERVAKIS; N. NURMINEN; K. CERBIONI; E. PALANCA; A. STARITA

459

Social Considerations in Ambient Healthcare Awareness  

Microsoft Academic Search

Sharing health information with a social network is increasingly recognized as an important motivator in home healthcare. A look at the history of behavioral medicine - smoking cessation, treatment of alcoholism, and weight loss- show the success of social interaction and the formation of a community with shared treatment goals. Weight Watchers, Alcoholics Anonymous, and support groups for all kinds

David Rose; Ben Resner; Joseph' Jofish' Kaye; Ambient Devices

460

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

461

Healthcare for Adolescents with Turner Syndrome  

Microsoft Academic Search

This review paper highlights important healthcare issues for adolescents with Turner Syndrome. Turner Syndrome potentially affects multiple organ systems including: cardiovascular, renal, endocrine, neurologic, gastrointestinal, skin, skeletal, auditory, and reproductive systems. Congenital and acquired cardiac defects remain the most significant health problem faced by women with Turner Syndrome.

Shahryar K. Kavoussi; Gregory M. Christman; Yolanda R. Smith

2006-01-01

462

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. PMID:14364192

1955-01-01

463

Privacy and Security in E-Healthcare Information Management  

Microsoft Academic Search

The E-healthcare operating environment is defined as a cybernetic medical setting where healthcare or medical information is processed, manipulated, transmitted, or distributed in electronic forms via computer-based systems, networks, or the Internet. E-technology has changed healthcare in the management of how care is delivered and in the transformation of the infrastructure that supports the healthcare delivery system. The traditional paradigm

H. Joseph Wen; J. Michael Tarn

2001-01-01

464

Mandatory HIV testing for healthcare workers: is it ethical?  

PubMed

The AIDS epidemic has caused hysteria among the public and concern to many healthcare workers in the past 12 years. Currently, legislation exists for mandatory AIDS testing in some populations. The questions remain: Should healthcare workers be routinely tested? If so, is mandatory testing ethical? The author explores the incidence and prevalence of AIDS among healthcare workers, discusses why mandatory testing for healthcare workers is an issue, and examines the legal and ethical principles involved in mandatory testing. PMID:1335144

Beck, D M

1992-01-01

465

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

Federal Register 2010, 2011, 2012, 2013, 2014

...HUMAN SERVICES Agency for Healthcare Research and Quality Meeting of the National Advisory Council on Healthcare Research and Quality Subcommittee on Quality...Healthcare AGENCY: Agency for Healthcare Research and Quality, HHS. ACTION:...

2012-08-10

466

Securing Mobile Healthcare Systems based on Information Classification: DITIS Case Study  

E-print Network

require special attention regarding security issues since healthcare is associated with mission critical, this paper discusses a number of issues that are raised in the healthcare environment: privacy satisfaction. Healthcare applications require special attention regarding security issues since healthcare

Pitsillides, Andreas

467

[Efficiency-based healthcare. General concepts on economic evaluation of healthcare interventions].  

PubMed

This article aims to introduce some of the key concepts in health economics and economic evaluation, with a view to facilitating proper understanding of certain frequently used economic techniques so that readers, decision makers and professionals, mainly from the healthcare context (e.g. clinicians, nurses, managers), can adopt an evaluation culture to support their routine practice. Economic evaluation compares alternative courses of action in terms of costs and health outcomes. The main methods are cost-minimization analysis, cost-effectiveness analysis, cost-utility analysis, and cost-benefit analysis. In the current context of scarce resources, economic evaluation is a fundamental component of healthcare decision-making processes. Increasing the use of economic evaluation in the context of future healthcare strategies could minimize arbitrary decision-making, providing guidance in addressing and assuring quality and evidence-based healthcare. PMID:19233020

Catalá-López, Ferrán

2009-01-01

468

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

PubMed

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

Rutledge, Valinda; Huber, David; Mathews, Jan

2010-01-01

469

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

470

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

471

The IBM Health Integration Framework: Accelerating solutions for smarter healthcare  

E-print Network

providers, healthcare plans and life sciences enterprises to improve safety and quality of care, process provider edition IBM Healthcare Solutions To support your organization's objectives Healthcare #12 in improving health- care access, cost, quality of care and patient satisfaction. But progress can take many

472

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

473

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

474

Enable Pervasive Healthcare through Continuous Remote Health Monitoring  

E-print Network

to enable high-quality pervasive healthcare services to users with low delivery delay and reduced costs. We will be approximately 50 [2]. A rise in global aging demands an increased focus on preparing a pervasive healthcare1 Enable Pervasive Healthcare through Continuous Remote Health Monitoring Xiaohui Liang, Xu Li

Shen, Xuemin "Sherman"

475

IBM Center for Applied Insights Smarter Healthcare Capturing Value from  

E-print Network

compelling examples of how healthcare leaders have used patient data to address the challenges of costIBM Center for Applied Insights Smarter Healthcare Capturing Value from Patient-Centered Care How and other healthcare provider organizations. In this paper, we examine leading practices employed

476

Health Care Reform Challenge: Creating a High Performance Healthcare System  

E-print Network

Health Care Reform Challenge: Creating a High Performance Healthcare System Tom Simmer, MD Chief Medical Officer, BCBSM February 6, 2013 #12;Affordable Care Act · Expands healthcare coverage, increasing market pressure to lower healthcare cost. · Lowers Medicare per-case payments to facilities, and (likely

Finley Jr., Russell L.

477

Potential Usage of Smartphone Inertial Sensors in Healthcare Applications  

E-print Network

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

LuÂ?trek, Mitja

478

Asthma Intervention Program Prevents Readmissions in High Healthcare Users  

Microsoft Academic Search

The largest portion of the cost for asthma healthcare is due to hospitalizations. Improved methods of healthcare delivery for pa- tients with asthma are needed to prevent readmissions. From 1996 to 1999, 96 adult subjects (predominantly young African American women) hospitalized with an asthma exacerbation, who had a his- tory of frequent healthcare use, were randomized to an asthma nurse

Mario Castro; Nina A. Zimmermann; Sue Crocker; Joseph Bradley; Charles Leven; Kenneth B. Schechtman

2003-01-01

479

Calculating the return on investment of mobile healthcare  

Microsoft Academic Search

BACKGROUND: Mobile health clinics provide an alternative portal into the healthcare system for the medically disenfranchised, that is, people who are underinsured, uninsured or who are otherwise outside of mainstream healthcare due to issues of trust, language, immigration status or simply location. Mobile health clinics as providers of last resort are an essential component of the healthcare safety net providing

Nancy E Oriol; Paul J Cote; Anthony P Vavasis; Jennifer Bennet; Darien DeLorenzo; Philip Blanc; Isaac Kohane

2009-01-01

480

Bionanoscience for Innovative Global Healthcare Research & Technology Luke P. Lee  

E-print Network

Bionanoscience for Innovative Global Healthcare Research & Technology (BIGHEART) Luke P. Lee the problems of current qualitative biology and medicine, as well as low-cost healthcare system. In the first, molecular diagnostics, and integrative healthcare systems. Prof. Luke P. Lee is Arnold and Barbara Silverman

Yoo, S. J. Ben

481

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

482

Advancing healthcare technology through insight, innovation, and leadership  

E-print Network

Advancing healthcare technology through insight, innovation, and leadership Master of Translational for healthcare technology. Those in related fields and/or with additional advanced degrees (MD, PhD, RN, JD, etc medical technologies and improving healthcare delivery? Successful medical innovation requires more than

Soloveichik, David

483

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

484

New innovations in healthcare delivery and laparoscopic surgery in Pakistan  

Microsoft Academic Search

Summary form only given. Pakistan is a densely populated country with major rural urban disparity in healthcare delivery. Use of Information Technology to improve the efficiency of existing healthcare services of Pakistan in the form of Telemedicine has proved its role beyond any doubts. Its advantages include better utilization of healthcare resources, early intervention, provision of expert advice at remote

A. Zafar

2009-01-01

485

Cardiff School of Healthcare Studies Undergraduate Pre-Registration Programmes  

E-print Network

Cardiff School of Healthcare Studies Undergraduate Pre-Registration Programmes www #12;An Introduction to Cardiff School of Healthcare Studies 1www.cardiff.ac.uk/sohcs Excellent Teaching Cardiff School of Healthcare Studies has an international reputation in learning and teaching

Davies, Christopher

486

HEALTHCARE VOLUNTEERS Scholarship Application Academic Year 2014-2015  

E-print Network

HEALTHCARE VOLUNTEERS Scholarship Application ­ Academic Year 2014-2015 Deadline to Apply: Application must be postmarked by Feb. 21, 2014 The St. David's Medical Center Healthcare Volunteers award scholarships to students pursuing healthcare related fields within Texas colleges and universities. Eligibility

Glowinski, Roland

487

ORIGINAL PAPER A Novel Web-enabled Healthcare Solution  

E-print Network

ORIGINAL PAPER A Novel Web-enabled Healthcare Solution on HealthVault System Lingxia Liao & Min-enabled Health- care Solution, which is normally provided by an independent healthcare giver with limited HealthVault System used as the back-end platform of a Web-enabled healthcare application

Chen, Min

488

Annual Chamber Healthcare Summit DATE: Friday, October 21  

E-print Network

Annual Chamber Healthcare Summit DATE: Friday, October 21 TIME: 7am registration/7:30am breakfast/8 your tickets today! The Chamber's Healthcare Legislative Committee and the Small Business Council join and The Chamber's Healthcare Legislative Committee at the Four Points Hotel (3400 Airport Road, Allentown, PA

Snyder, Larry

489

High Performance Healthcare Buildings: A Roadmap to Improved Energy  

E-print Network

LBNL-2737E High Performance Healthcare Buildings: A Roadmap to Improved Energy Efficiency Brett C Performance Healthcare Buildings: A Roadmap to Improved Energy Efficiency Brett C. Singer and William F of hospitals and other healthcare facilities. The report compiles input from a broad array of experts

490

Healthcare Process Support: Achievements, Challenges, Current Research Richard Lenz1  

E-print Network

Healthcare Process Support: Achievements, Challenges, Current Research Richard Lenz1 , Mor Peleg2, Haifa, Israel 3 University of Ulm, Germany ABSTRACT Healthcare organizations are facing the challenge guidelines. At the same time, business process management (BPM) enables IT support for healthcare processes

Ulm, Universität

491

Access Control: how can it improve patients' healthcare?  

E-print Network

. Educational issues relate to the fact that healthcare professionals need to learn how to use and adapt what are the main issues regarding healthcare professionals' needs in terms of access controlAccess Control: how can it improve patients' healthcare? Ana FERREIRAabd , Ricardo CRUZ

Kent, University of

492

Security Models and Requirements for Healthcare Application Clouds  

E-print Network

an EHR security reference model for managing security issues in healthcare clouds, which highlights three computing. B. Security and Privacy Issues in Healthcare Research on the various security issues surroundingSecurity Models and Requirements for Healthcare Application Clouds Rui Zhang 1,2 and Ling Liu 1 1

Liu, Ling

493

Be a part of something bigger than yourself GE Healthcare  

E-print Network

Be a part of something bigger than yourself GE Healthcare Position: Mechanical Engineer Job that provide innovative solutions to engineering and customer issues. Accountable to developing design Healthcare, a $17 billion division of General Electric Company. GE Healthcare's broad range of products

Rimon, Elon

494

Healthcare 2015 and U.S. health plans  

E-print Network

and access issues are not new in the U.S., we believe today's healthcare environment has funda- mentallyHealthcare 2015 and U.S. health plans New roles, new competencies Healthcare IBM Institute executives around critical public and private sector issues. This executive brief is based on an in

495

Healthcare 2015: Win-win or lose-lose?  

E-print Network

Healthcare 2015: Win-win or lose-lose? IBM Global Business Services Healthcare A portrait of the full report, please visit ibm.com/healthcare/hc2015 #12;IBM Institute for Business Value IBM Global for senior business executives around critical industry-specific and cross-industry issues. This executive

496

Common competencies for all healthcare managers: the Healthcare Leadership Alliance model.  

PubMed

Today's healthcare executives and leaders must have management talent sophisticated enough to match the increased complexity of the healthcare environment. Executives are expected to demonstrate measurable outcomes and effectiveness and to practice evidence-based management. At the same time, academic and professional programs are emphasizing the attainment of competencies related to workplace effectiveness. The shift to evidence-based management has led to numerous efforts to define the competencies most appropriate for healthcare. The Healthcare Leadership Alliance (HLA), a consortium of six major professional membership organizations, used the research from and experience with their individual credentialing processes to posit five competency domains common among all practicing healthcare managers: (1) communication and relationship management, (2) professionalism, (3) leadership, (4) knowledge of the healthcare system, and (5) business skills and knowledge. The HLA engaged in a formal process to delineate the knowledge, skills, and abilities within each domain and to determine which of these competencies were core or common among the membership of all HLA associations and which were specialty or specific to the members of one or more HLA organizations. This process produced 300 competency statements, which were then organized into the Competency Directory, a unique and interactive database that can be used for assessing individual and organizational competencies. Overall, this work helps to unify the field of healthcare management and provides a lexicon and a basis for collaboration among different types of healthcare executives. This article discusses the steps that the HLA followed. It also presents the HLA Competency Directory; its application and relevance to the practitioner and academic communities; and its strengths, limitations, and potential. PMID:19070332

Stefl, Mary E

2008-01-01

497

Understanding and coping with diversity in healthcare.  

PubMed

In the healthcare sector, race, ethnicity and religion have become an increasingly important factor in terms of patient care due to an increasingly diverse population. Health agencies at a national and local level produce a number of guides to raise awareness of cultural issues among healthcare professionals and hospitals may implement additional non-medical services, such as the provision of specific types of food and dress to patients or the hiring of chaplains, to accommodate the needs of patients with religious requirements. However, in an attempt to address the spiritual, cultural and religious needs of patients healthcare providers often assume that ethnic minority groups are homogenous blocks of people with similar needs and fail to recognize that a diverse range of views and practices exist within specific groups themselves. This paper describes the example of the Sikh community and the provision of palliative care in hospitals and hospices. Although, the majority of patients classifying themselves as Sikhs have a shared language and history, they can also be divided on a number of lines such as caste affiliation, degree of assimilation in the west, educational level and whether baptized or not, all of which influence their beliefs and practices and hence impact on their needs from a health provider. Given that it is unfeasible for health providers to have knowledge of the multitude of views within specific religious and ethnic communities and accounting for the tight fiscal constraints of healthcare budgets, this paper concludes by raising the question whether healthcare providers should step away from catering for religious and cultural needs that do not directly affect treatment outcomes, and instead put the onus on individual communities to provide resources to meet spiritual, cultural and religious needs of patients. PMID:23719755

Jhutti-Johal, J

2013-09-01

498

Healthcare Information Technology Infrastructures in Turkey  

PubMed Central

Summary Objectives The objective of this paper is to describe some of the major healthcare information technology (IT) infrastructures in Turkey, namely, Sa?l?k-Net (Turkish for “Health-Net”), the Centralized Hospital Appointment System, the Basic Health Statistics Module, the Core Resources Management System, and the e-prescription system of the Social Security Institution. International collaboration projects that are integrated with Sa?l?k-Net are also briefly summarized. Methods The authors provide a survey of the some of the major healthcare IT infrastructures in Turkey. Results Sa?l?k-Net has two main components: the National Health Information System (NHIS) and the Family Medicine Information System (FMIS). The NHIS is a nation-wide infrastructure for sharing patients’ Electronic Health Records (EHRs). So far, EHRs of 78.9 million people have been created in the NHIS. Similarly, family medicine is operational in the whole country via FMIS. Centralized Hospital Appointment System enables the citizens to easily make appointments in healthcare providers. Basic Health Statistics Module is used for collecting information about the health status, risks and indicators across the country. Core Resources Management System speeds up the flow of information between the headquarters and Provincial Health Directorates. The e-prescription system is linked with Sa?l?k-Net and seamlessly integrated with the healthcare provider information systems. Finally, Turkey is involved in several international projects for experience sharing and disseminating national developments. Conclusion With the introduction of the “Health Transformation Program” in 2003, a number of successful healthcare IT infrastructures have been developed in Turkey. Currently, work is going on to enhance and further improve their functionality. PMID:24853036

Yuksel, M.; Ertürkmen, G. L.; Kabak, Y.; Namli, T.; Y?ld?z, M. H.; Ay, Y.; Ceyhan, B.; Hülür, Ü.; Öztürk, H.; Atbakan, E.

2014-01-01

499

Biomaterials and bioengineering tomorrow’s healthcare  

PubMed Central

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

Bhat, Sumrita; Kumar, Ashok

2013-01-01

500

Child malnutrition and the Millennium Development Goals: much haste but less speed?  

PubMed

The Millennium Development Goals (MDGs) provide a framework for measuring the progress of nations. Several of these goals relate to child malnutrition, which remains an important contributor to child morbidity and mortality, accounting for approximately 45% of child deaths globally. A high proportion of undernourished children still live in Africa and parts of Asia, and the uneven rate of reduction in the prevalence of various types of child malnutrition among different income groups worldwide is worrying. Attempts to reduce child malnutrition should therefore begin from the grassroots by improving primary healthcare services in developing countries with particular focus on basic requirements. Adequate nutrition should be provided from birth, through infancy, preschool and early childhood to adolescence. The overall strategy should be one of careful and meticulous planning involving all development sectors with an emphasis on a bottom-up approach within a stable and disciplined polity; the MDGs will be only be useful if they are seen not as narrow objectives with unidirectional interventions but as multifaceted and co-ordinated. The setting of deadlines, whether 2015 or 2035, should not be emphasised so as to avoid hasty decision making. The top priority should be the implementation of the essential social services of basic education, primary healthcare, nutrition, reproductive health care, water and sanitation in partnership with the developed economies. PMID:25613961

Oruamabo, Raphael S

2015-02-01