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1

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

Microsoft Academic Search

BACKGROUND: Considering the high burden of disease of psychosocial problems in children and adolescents, early intervention regarding problem behaviour of young children is very important. The Preventive Child Healthcare (PCH) offers a good setting to detect such problem behaviour and to provide parenting support to the parents concerned. This paper aims to describe the design of an effectiveness study of

Willem Spijkers; Daniëlle EMC Jansen; Gea de Meer; Sijmen A Reijneveld

2010-01-01

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.

Adhvaryu, Achyuta R.; Nyshadham, Anant

2013-01-01

3

Paroxysmal cold hemoglobinuria (PCH)  

MedlinePLUS

... the urine. PCH has been linked to secondary syphilis, tertiary syphilis, and other viral or bacterial infections. Sometimes the ... help. For example, if PCH is caused by syphilis, symptoms may get better when the syphilis is ...

4

[Comprehensiveness in child healthcare teaching in Undergraduate Nursing: perspective of teachers].  

PubMed

This qualitative study analyzed, from the teacher's perspective, if the principle of comprehensiveness is included in child healthcare teaching in nursing education. The participants were 16 teachers involved in teaching child healthcare in eight undergraduate nursing programs. Data collection was performed through interviews that were submitted to thematic content analysis. The theory in teaching incorporates comprehensive care, as it is based on children's epidemiological profile, child healthcare policies and programs, and included interventions for the promotion/prevention/rehabilitation in primary health care, hospitals, daycare centers and preschools. The comprehensive conception of health-disease process allows for understanding the child within his/her family and community. However, a contradiction exists between what is proposed and what is practiced, because the teaching is fragmented, without any integration among disciplines, with theory dissociated from practice, and isolated practical teaching that compromises the incorporation of the principle of comprehensiveness in child healthcare teaching. PMID:24676116

Cursino, Emilia Gallindo; Fujimori, Elizabeth; Gaíva, Maria Aparecida Munhoz

2014-02-01

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

Working for Your Child with Willis-Ekbom Disease / Restless Legs Syndrome in the Healthcare System  

MedlinePLUS

... Working for Your Child with Willis-Ekbom disease/ Restless Legs Syndrome in the Healthcare System When your child or ... diagnosed with WillisEkbom disease (WED), also known as restless legs syndrome (RLS) or WED/RLS, you may find yourself ...

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.

2013-01-01

8

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

ERIC Educational Resources Information Center

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

Peters, Sarika U.; Chu, Hillary

2010-01-01

9

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

PubMed Central

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

2010-01-01

10

Early detection of children at risk for antisocial behaviour using data from routine preventive child healthcare  

PubMed Central

Background Youth antisocial behaviour is highly prevalent. Young people are usually not willing to disclose such behaviour to professionals and parents. Our aim was to assess whether child health professionals (CHP) working in preventive child healthcare could identify pre-adolescents at risk for antisocial behaviour through using data that they obtain in routine practice. Methods CHPs examined a national sample of 974 pre-adolescents aged 8-12 years (response 79.1%), and interviewed parents and children during routine well-child assessments. We obtained data on family background and current health of the child from the CHP; on developmental concerns from parents, and on social and emotional well-being, injuries, and substance use from the children. Antisocial behaviour concerned the adolescent-reported 15 item International Self-Reported Delinquency study questionnaire, among which are 5 items on violence against people. Results The prevalence of 2+acts of any antisocial behaviour was 21.8%, and 33.9% for 1+acts of violence (10.5% for 2+). Children who were male, had a young mother, no parent employed, recent injuries, poor performance at school or who were bored by school, and who had parental concerns more often reported 2+antisocial acts and 1+violence against people. Detection algorithms on the basis of these variables were moderately able to classify outcomes, with Areas-Under-the-Curves ranging from 0.66 to 0.71. Conclusions Data from routine well-child assessment can help CHPs to detect pre-adolescents at risk for antisocial behaviour, but detection algorithms need to be further improved. This could be done by obtaining additional information on factors that are associated with antisocial behaviour.

2012-01-01

11

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

PubMed Central

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.

Williams, A N

2007-01-01

12

Regional Collaborations as a Way Forward for Maternal, Newborn and Child Health: The South Asian Healthcare Professional Workshop  

PubMed Central

This article reviews the importance of regional initiatives in the context of global efforts to achieve the Millennium Development Goal 4 and 5 and describes the action-oriented multi-country healthcare professional association (HCPA) workshops organized by the Partnership for Maternal, Newborn and Child Health. The South Asian HCPA workshop served as a catalyst for strengthening the ability of HCPAs in South Asian countries to organize and coordinate their activities effectively, play a larger role in national planning, and collaborate with other key stakeholders in maternal, newborn and child health.

Toure, Kadidiatou; Bhutta, Zulfiqar; Katz, Imtiaz; Zaidi, Shahida; de Francisco, Andres

2010-01-01

13

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

PubMed Central

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

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

2013-01-01

14

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

PubMed

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

Brinkey, Lori; Manary, Miriam; Santioni, Daniel

2011-01-01

15

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.

2014-01-01

16

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.

Turner, Kathleen E.; Fuller, Sherrilynne

2011-01-01

17

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

National Technical Information Service (NTIS)

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

S. J. Stohs

1992-01-01

18

Case report on a child with paroxysmal cold haemoglobinuria.  

PubMed

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

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

2012-06-01

19

Essential PchG-Dependent Reduction in Pyochelin Biosynthesis of Pseudomonas aeruginosa  

PubMed Central

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

Reimmann, Cornelia; Patel, Hiten M.; Serino, Laura; Barone, Mario; Walsh, Christopher T.; Haas, Dieter

2001-01-01

20

PchC thioesterase optimizes nonribosomal biosynthesis of the peptide siderophore pyochelin in Pseudomonas aeruginosa.  

PubMed

In Pseudomonas aeruginosa, the antibiotic dihydroaeruginoate (Dha) and the siderophore pyochelin are produced from salicylate and cysteine by a thiotemplate mechanism involving the peptide synthetases PchE and PchF. A thioesterase encoded by the pchC gene was found to be necessary for maximal production of both Dha and pyochelin, but it was not required for Dha release from PchE and could not replace the thioesterase function specified by the C-terminal domain of PchF. In vitro, 2-aminobutyrate, a cysteine analog, was adenylated by purified PchE and PchF proteins. In vivo, this analog strongly interfered with Dha and pyochelin formation in a pchC deletion mutant but affected production of these metabolites only slightly in the wild type. Exogenously supplied cysteine overcame the negative effect of a pchC mutation to a large extent, whereas addition of salicylate did not. These data are in agreement with a role for PchC as an editing enzyme that removes wrongly charged molecules from the peptidyl carrier protein domains of PchE and PchF. PMID:15375116

Reimmann, Cornelia; Patel, Hiten M; Walsh, Christopher T; Haas, Dieter

2004-10-01

21

PchC Thioesterase Optimizes Nonribosomal Biosynthesis of the Peptide Siderophore Pyochelin in Pseudomonas aeruginosa  

PubMed Central

In Pseudomonas aeruginosa, the antibiotic dihydroaeruginoate (Dha) and the siderophore pyochelin are produced from salicylate and cysteine by a thiotemplate mechanism involving the peptide synthetases PchE and PchF. A thioesterase encoded by the pchC gene was found to be necessary for maximal production of both Dha and pyochelin, but it was not required for Dha release from PchE and could not replace the thioesterase function specified by the C-terminal domain of PchF. In vitro, 2-aminobutyrate, a cysteine analog, was adenylated by purified PchE and PchF proteins. In vivo, this analog strongly interfered with Dha and pyochelin formation in a pchC deletion mutant but affected production of these metabolites only slightly in the wild type. Exogenously supplied cysteine overcame the negative effect of a pchC mutation to a large extent, whereas addition of salicylate did not. These data are in agreement with a role for PchC as an editing enzyme that removes wrongly charged molecules from the peptidyl carrier protein domains of PchE and PchF.

Reimmann, Cornelia; Patel, Hiten M.; Walsh, Christopher T.; Haas, Dieter

2004-01-01

22

Healthcare provision factors associated with child immunization coverage in a city centre and a rural area in Kabul, Afghanistan  

Microsoft Academic Search

A total of 1327 households were surveyed in Kabul province, Afghanistan to evaluate child immunization coverage and its association with distance to health facilities, attendance at antenatal care, the place of delivery and contact by outreach activity. The proportion of fully immunized children, those who had received at least 1 dose of BCG, 3 doses of DPT, and 1 dose

Shafiqullah Hemat; Takehito Takano; Masashi Kizuki; Taufiq Mashal

2009-01-01

23

Pch2 is a hexameric ring ATPase that remodels the chromosome axis protein Hop1  

PubMed Central

In budding yeast the pachytene checkpoint 2 (Pch2) protein regulates meiotic chromosome axis structure by maintaining the domain-like organization of the synaptonemal complex proteins homolog pairing 1 (Hop1) and molecular zipper 1 (Zip1). Pch2 has also been shown to modulate meiotic double-strand break repair outcomes to favor recombination between homologs, play an important role in the progression of meiotic recombination, and maintain ribosomal DNA stability. Pch2 homologs are present in fruit flies, worms, and mammals, however the molecular mechanism of Pch2 function is unknown. In this study we provide a unique and detailed biochemical analysis of Pch2. We find that purified Pch2 is an AAA+ (ATPases associated with diverse cellular activities) protein that oligomerizes into single hexameric rings in the presence of nucleotides. In addition, we show Pch2 binds to Hop1, a critical axial component of the synaptonemal complex that establishes interhomolog repair bias, in a nucleotide-dependent fashion. Importantly, we demonstrate that Pch2 displaces Hop1 from large DNA substrates and that both ATP binding and hydrolysis by Pch2 are required for Pch2–Hop1 transactions. Based on these and previous cell biological observations, we suggest that Pch2 impacts meiotic chromosome function by directly regulating Hop1 localization.

Chen, Cheng; Jomaa, Ahmad; Ortega, Joaquin; Alani, Eric E.

2014-01-01

24

Pch2 is a hexameric ring ATPase that remodels the chromosome axis protein Hop1.  

PubMed

In budding yeast the pachytene checkpoint 2 (Pch2) protein regulates meiotic chromosome axis structure by maintaining the domain-like organization of the synaptonemal complex proteins homolog pairing 1 (Hop1) and molecular zipper 1 (Zip1). Pch2 has also been shown to modulate meiotic double-strand break repair outcomes to favor recombination between homologs, play an important role in the progression of meiotic recombination, and maintain ribosomal DNA stability. Pch2 homologs are present in fruit flies, worms, and mammals, however the molecular mechanism of Pch2 function is unknown. In this study we provide a unique and detailed biochemical analysis of Pch2. We find that purified Pch2 is an AAA+ (ATPases associated with diverse cellular activities) protein that oligomerizes into single hexameric rings in the presence of nucleotides. In addition, we show Pch2 binds to Hop1, a critical axial component of the synaptonemal complex that establishes interhomolog repair bias, in a nucleotide-dependent fashion. Importantly, we demonstrate that Pch2 displaces Hop1 from large DNA substrates and that both ATP binding and hydrolysis by Pch2 are required for Pch2-Hop1 transactions. Based on these and previous cell biological observations, we suggest that Pch2 impacts meiotic chromosome function by directly regulating Hop1 localization. PMID:24367111

Chen, Cheng; Jomaa, Ahmad; Ortega, Joaquin; Alani, Eric E

2014-01-01

25

LrhA positively controls the expression of the locus of enterocyte effacement genes in enterohemorrhagic Escherichia coli by differential regulation of their master regulators PchA and PchB.  

PubMed

Summary Genes essential for eliciting pathogenicity of enterohemorrhagic Escherichia coli are located within the locus of enterocyte effacement (LEE). Expression of LEE genes is positively regulated by paralogues PchA, PchB and PchC, which are encoded by separate loci of the chromosome. To elucidate the underlying regulatory mechanism, we screened transposon mutants exhibiting reduced expression of pchA, transcription level of which is highest among the pch genes. Here, we report that the LysR-homologue A (LrhA) positively regulated the transcription of pchA and pchB. A deletion in lrhA reduced the transcription levels of pchA and pchB to different degrees, and also reduced the expression of LEE-coded type 3-secreted protein, EspB. Expression of LrhA from a plasmid restored and markedly increased the transcription levels of pchA and pchB respectively, and highly induced EspB expression. Deletion analysis of the regulatory region showed that both promoter-proximal (-195 to +88) and promoter-distal (-418 to -392 for pchA and -391 to -375 for pchB) sequences were required for the LrhA-mediated upregulation of pchA and pchB genes. Purified His(6)-LrhA protein differentially bound to the regulatory regions of pchA/B, suggesting that direct regulation of pchA and pchB genes by LrhA in turn controls the expression of LEE genes. PMID:19889091

Honda, Naoko; Iyoda, Sunao; Yamamoto, Shouji; Terajima, Jun; Watanabe, Haruo

2009-12-01

26

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

27

Lean healthcare.  

PubMed

As healthcare organizations look for new and improved ways to reduce costs and still offer quality healthcare, many are turning to the Toyota Production System of doing business. Rather than focusing on cutting personnel and assets, "lean healthcare" looks to improve patient satisfaction through improved actions and processes. PMID:18615998

Weinstock, Donna

2008-01-01

28

Exploiting co-linearity among grass species to map the Aegilops ventricosa-derived Pch1 eyespot resistance in wheat and establish its relationship to Pch2.  

PubMed

Introgressions into wheat from related species have been widely used as a source of agronomically beneficial traits. One such example is the introduction of the potent eyespot resistance gene Pch1 from the wild relative Aegilops ventricosa onto chromosome 7DL of wheat. In common with genes carried on many other such introgressions, the use of Pch1 in commercial wheat varieties has been hindered by linkage drag with yield-limiting traits. Attempts to break this linkage have been frustrated by a lack of co-dominant PCR markers suitable for identifying heterozygotes in F(2) populations. We developed conserved orthologous sequence (COS) markers, utilising the Brachypodium distachyon (Brachypodium) genome sequence, to provide co-dominant markers in the Pch1 region. These were supplemented with previously developed sequence-tagged site (STS) markers and simple sequence repeat (SSR) markers. Markers were applied to a panel of varieties and to a BC(6) F(2) population, segregating between wheat and Ae. ventricosa over the distal portion of 7DL, to identify recombinants in the region of Pch1. By exploiting co-linearity between wheat chromosome 7D, Brachypodium chromosome 1, rice chromosome 6 and sorghum chromosome 10, Pch1 was located to an interval between the flanking markers Xwg7S and Xcos7-9. Furthermore candidate gene regions were identified in Brachypodium (364 Kb), rice (178 Kb) and sorghum (315 Kb) as a prelude to the map-based cloning of the gene. In addition, using homoeologue transferable markers, we obtained evidence that the eyespot resistances Pch1 and Pch2 on chromosomes 7D and 7A, respectively, are potentially homoeoloci. It is anticipated that the COS marker methodology could be used for the identification of recombinants in other introgressions into wheat from wild relatives. This would assist the mapping of genes of interest and the breaking of deleterious linkages to enable greater use of these introgressions in commercial varieties. PMID:21833553

Burt, C; Nicholson, P

2011-12-01

29

The girl child  

Microsoft Academic Search

The health of the girl child is a concern for obstetrician-gynecologists. Pediatric gynecologic conditions deserve special attention. The obstetric performance of the adult woman depends in large part on the health and healthcare of the girl child. Gender discrimination against the girl child violates her human rights and adversely impacts on her health and her life. The profession has a

M. F Fathalla

2000-01-01

30

Adsorption behaviors of volatile organic compounds (VOCs) on porous clay heterostructures (PCH).  

PubMed

Porous clay heterostructures (PCHs) are capable of adsorbing volatile organic compounds (VOCs). In this study, PCH was synthesized by modifying bentonite (Bent) with cetyltrimethylammonium bromide (CTMAB) and dodecylamine (DDA). Adsorption of six volatile organic compounds (VOCs) including acetone, toluene, ethylbenzene, o-xylene, m-xylene and p-xylene by PCH was investigated. It was observed that adsorption capacities of VOCs were strongly dependent on their properties including cross-sectional area, polarizability, enthalpy of vaporization and critical volume by the multiple linear regression (MLR) approach. Furthermore, PCH had higher adsorption affinity for the aliphatic hydrocarbon compound (acetone) than that for aromatic compounds, which could be attributed to the HOMO energy effects of VOCs. Therefore, PCH could be attractive candidate adsorbents for VOC removal. PMID:19505753

Qu, Fang; Zhu, Lizhong; Yang, Kun

2009-10-15

31

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

32

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

PubMed

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

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

1998-11-01

33

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

34

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

PubMed Central

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

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

1997-01-01

35

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

PubMed

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

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

1997-01-01

36

Genomic instability in regions adjacent to a highly conserved pch prophage in Escherichia coli O157:H7 generates diversity in expression patterns of the LEE pathogenicity island.  

PubMed

The LEE pathogenicity island has been acquired on multiple occasions within the different lineages of enteropathogenic and enterohemorrhagic Escherichia coli. In each lineage, LEE expression is regulated by complex networks of pathways, including core pathways shared by all lineages and lineage-specific pathways. Within the O157:H7 lineage of enterohemorrhagic E. coli, strain-to-strain variation in LEE expression has been observed, implying that expression patterns can diversify even within highly related subpopulations. Using comparative genomics of E. coli O157:H7 subpopulations, we have identified one source of strain-level variation affecting LEE expression. The variation occurs in prophage-dense regions of the genome that lie immediately adjacent to the late regions of the pch prophage carrying pchA, pchB, pchC, and a newly identified pch gene, pchX. Genomic segments extending from the holin S region to the pchA, pchB, pchC, and pchX genes of their respective prophage are highly conserved but are nonetheless embedded within adjacent genomic segments that are extraordinarily variable, termed pch adjacent genomic regions (pch AGR). Despite the remarkable degree of variation, the pattern of variation in pch AGR is highly correlated with the distribution of phylogenetic markers on the backbone of the genome. Quantitative analysis of transcription from the LEE1 promoter further revealed that variation in the pch AGR has substantial effects on absolute levels and patterns of LEE1 transcription. Variation in the pch AGR therefore serves as a mechanism to diversify LEE expression patterns, and the lineage-specific pattern of pch AGR variation could ultimately influence ecological or virulence characteristics of subpopulations within each lineage. PMID:19329643

Yang, Zhijie; Kim, Jaehyoung; Zhang, Chaomei; Zhang, Min; Nietfeldt, Joeseph; Southward, Carolyn M; Surette, Michael G; Kachman, Stephen D; Benson, Andrew K

2009-06-01

37

Genomic Instability in Regions Adjacent to a Highly Conserved pch Prophage in Escherichia coli O157:H7 Generates Diversity in Expression Patterns of the LEE Pathogenicity Island?  

PubMed Central

The LEE pathogenicity island has been acquired on multiple occasions within the different lineages of enteropathogenic and enterohemorrhagic Escherichia coli. In each lineage, LEE expression is regulated by complex networks of pathways, including core pathways shared by all lineages and lineage-specific pathways. Within the O157:H7 lineage of enterohemorrhagic E. coli, strain-to-strain variation in LEE expression has been observed, implying that expression patterns can diversify even within highly related subpopulations. Using comparative genomics of E. coli O157:H7 subpopulations, we have identified one source of strain-level variation affecting LEE expression. The variation occurs in prophage-dense regions of the genome that lie immediately adjacent to the late regions of the pch prophage carrying pchA, pchB, pchC, and a newly identified pch gene, pchX. Genomic segments extending from the holin S region to the pchA, pchB, pchC, and pchX genes of their respective prophage are highly conserved but are nonetheless embedded within adjacent genomic segments that are extraordinarily variable, termed pch adjacent genomic regions (pch AGR). Despite the remarkable degree of variation, the pattern of variation in pch AGR is highly correlated with the distribution of phylogenetic markers on the backbone of the genome. Quantitative analysis of transcription from the LEE1 promoter further revealed that variation in the pch AGR has substantial effects on absolute levels and patterns of LEE1 transcription. Variation in the pch AGR therefore serves as a mechanism to diversify LEE expression patterns, and the lineage-specific pattern of pch AGR variation could ultimately influence ecological or virulence characteristics of subpopulations within each lineage.

Yang, Zhijie; Kim, Jaehyoung; Zhang, Chaomei; Zhang, Min; Nietfeldt, Joeseph; Southward, Carolyn M.; Surette, Michael G.; Kachman, Stephen D.; Benson, Andrew K.

2009-01-01

38

Addressing healthcare.  

PubMed

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

Daly, Rich

2013-02-11

39

[Contribution of humanities and social sciences to the training of healthcare professionals in Africa: an experience in the context of the mother and child Priority Solidarity Fund].  

PubMed

The mother-and-child Priority Solidarity Fund is a programme supported by Coopération Française in the fields of health, higher education and new technologies. It aims to achieve the Millennium Development Goals of reducing maternal and infantile mortality. This programme, focused on the training of trainers, is developing two innovative plans: digital resources and the integration of the humanities and social sciences. This second aspect is decisive: by aligning content, skills, and needs, it can place greater emphasis on preventive care and give a real meaning to the work of trainers. PMID:24451432

Cauli, Marie

2013-01-01

40

Yeast Pch2 promotes domainal axis organization, timely recombination progression, and arrest of defective recombinosomes during meiosis  

PubMed Central

We show that, during budding yeast meiosis, axis ensemble Hop1/Red1 and synaptonemal complex (SC) component Zip1 tend to occur in alternating strongly staining domains. The widely conserved AAA+-ATPase Pch2 mediates this pattern, likely by means of direct intervention along axes. Pch2 also coordinately promotes timely progression of cross-over (CO) and noncross-over (NCO) recombination. Oppositely, in a checkpoint-triggering aberrant situation (zip1?), Pch2 mediates robust arrest of stalled recombination complexes, likely via nucleolar localization. We suggest that, during WT meiosis, Pch2 promotes progression of SC-associated CO and NCO recombination complexes at a regulated early–midpachytene transition that is rate-limiting for later events; in contrast, during defective meiosis, Pch2 ensures that aberrant recombination complexes fail to progress so that intermediates can be harmlessly repaired during eventual return to growth. Positive vs. negative roles of Pch2 in the two situations are analogous to positive vs. negative roles of Mec1/ATR, suggesting that Pch2 might mediate Mec1/ATR activity. We further propose that regulatory surveillance of normal and abnormal interchromosomal interactions in mitotic and meiotic cells may involve “structure-dependent interchromosomal interaction” (SDIX) checkpoints.

Borner, G. Valentin; Barot, Aekam; Kleckner, Nancy

2008-01-01

41

Healthcare utilization and expenditure analysis between individuals with intellectual disabilities and the general population in Taiwan: a population-based nationwide child and adolescent study.  

PubMed

This study examines differences in outpatient-visit frequency and medical expenditures between (1) children and adolescents in Taiwan with intellectual disabilities and (2) children and adolescents in Taiwan's general population. A cross-sectional study was conducted to analyze data from 2007 provided by Taiwan's National Health Insurance program. A total of 236,045 beneficiaries younger than 19 years made use of outpatient services; among them, 35,802 had a principal diagnosis of mental retardation (intellectual disability). The average number of ambulatory visits was 14.9 ± 12.4, which is much higher than in the United States and other developed countries. The mean number of annual visits of the individuals with intellectual disabilities was significantly higher than that of the general population in Taiwan (20.1 ± 20.0 vs. 14.0 ± 12.2); age, gender, urbanization level of residential area, and copayment status affected outpatient visit frequency. The mean annual outpatient costs were NTD6371.3 ± NTD11989.1 for the general population and NTD19724.9 ± NTD40469.9 for those with intellectual disabilities (US $1 equals approximately NTD30). Age, gender, urbanization level of residential area, and copayment status were the determinants that accounted for this difference in cost. Children and adolescents with intellectual disabilities had higher use rates of rehabilitative and psychiatric services than the general population. We conclude that individuals with intellectual disabilities had higher demands than the general population for healthcare services, especially for rehabilitative and psychiatric services. PMID:23751294

Chiang, Po-Huang; Chang, Yu-Chia; Lin, Jin-Ding; Tung, Ho-Jui; Lin, Lan-Ping; Hsu, Shang-Wei

2013-09-01

42

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

43

GbdR Regulates Pseudomonas aeruginosa plcH and pchP Transcription in Response to Choline Catabolites  

Microsoft Academic Search

Pseudomonas aeruginosa hemolytic phospholipase C, PlcH, can degrade phosphatidylcholine (PC) and sphingomyelin in eukaryotic cell membranes and extracellular PC in lung surfactant. Numerous studies implicate PlcH in P. aeruginosa virulence. The phosphorylcholine released by PlcH activity on phospholipids is hydrolyzed by a periplasmic phosphorylcholine phosphatase, PchP. Both plcH gene expression and PchP enzyme activity are positively regulated by phosphorylcholine degradation

Matthew J. Wargo; Tiffany C. Ho; Maegan J. Gross; Laurie A. Whittaker; Deborah A. Hogan

2009-01-01

44

Budding Yeast Pch2, a Widely Conserved Meiotic Protein, Is Involved in the Initiation of Meiotic Recombination  

PubMed Central

Budding yeast Pch2 protein is a widely conserved meiosis-specific protein whose role is implicated in the control of formation and displacement of meiotic crossover events. In contrast to previous studies where the function of Pch2 was implicated in the steps after meiotic double-strand breaks (DSBs) are formed, we present evidence that Pch2 is involved in meiotic DSB formation, the initiation step of meiotic recombination. The reduction of DSB formation caused by the pch2 mutation is most prominent in the sae2 mutant background, whereas the impact remains mild in the rad51 dmc1 double mutant background. The DSB reduction is further pronounced when pch2 is combined with a hypomorphic allele of SPO11. Interestingly, the level of DSB reduction is highly variable between chromosomes, with minimal impact on small chromosomes VI and III. We propose a model in which Pch2 ensures efficient formation of meiotic DSBs which is necessary for igniting the subsequent meiotic checkpoint responses that lead to proper differentiation of meiotic recombinants.

Leung, Wing-Kit; Argunhan, Bilge; Terentyev, Yaroslav; Humphryes, Neil; Toyoizumi, Hiroshi; Tsubouchi, Hideo

2012-01-01

45

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

46

Pch2 Acts through Xrs2 and Tel1/ATM to Modulate Interhomolog Bias and Checkpoint Function during Meiosis  

PubMed Central

Proper segregation of chromosomes during meiosis requires the formation and repair of double-strand breaks (DSBs) to form crossovers. Repair is biased toward using the homolog as a substrate rather than the sister chromatid. Pch2 is a conserved member of the AAA+-ATPase family of proteins and is implicated in a wide range of meiosis-specific processes including the recombination checkpoint, maturation of the chromosome axis, crossover control, and synapsis. We demonstrate a role for Pch2 in promoting and regulating interhomolog bias and the meiotic recombination checkpoint in response to unprocessed DSBs through the activation of axial proteins Hop1 and Mek1 in budding yeast. We show that Pch2 physically interacts with the putative BRCT repeats in the N-terminal region of Xrs2, a member of the MRX complex that acts at sites of unprocessed DSBs. Pch2, Xrs2, and the ATM ortholog Tel1 function in the same pathway leading to the phosphorylation of Hop1, independent of Rad17 and the ATR ortholog Mec1, which respond to the presence of single-stranded DNA. An N-terminal deletion of Xrs2 recapitulates the pch2? phenotypes for signaling unresected breaks. We propose that interaction with Xrs2 may enable Pch2 to remodel chromosome structure adjacent to the site of a DSB and thereby promote accessibility of Hop1 to the Tel1 kinase. In addition, Xrs2, like Pch2, is required for checkpoint-mediated delay conferred by the failure to synapse chromosomes.

Ho, Hsuan-Chung; Burgess, Sean M.

2011-01-01

47

Platinum, iridium and rhodium complexes with substituted bis -(diphenylphosphino)methane ligands Ph 2 PCH(R)PPh 2 (R = Me, Ph or SiMe 3 )  

Microsoft Academic Search

Substituted phosphines of the type Ph2PCH(R)PPh2 and their PtII complexes [PtX2{Ph2PCH(R)PPh2}] (R = Me, Ph or SiMe3; X = halide) were prepared. Treatment of [PtCl2(NCBut)2] with Ph2PCH(SiMe3)-PPh2 gave [PtCl2(Ph2PCH2PPh2)], while treatment with Ph2PCH(Ph)PPh2 gave [Pt{Ph2PCH(Ph)PPh2}2]Cl2. Reaction of p-MeC6H4C?CLi or PhC?CLi with [PtX2{Ph2PCH(Me)PPh2}] gave [Pt(C?CC6H4Me-p)2-{Ph2PCH(Me)PPh2}] (X = I) and [Pt{Ph2PC(Me)PPh2}2](X = Cl),while reaction of p-MeC6H4C?CLi with [Pt{Ph2PCH(Ph)PPh2}2]Cl2 gave [Pt{Ph2PC(Ph)PPh2}2]. The platinum

Lamaan J. Al-Hayaly

1998-01-01

48

Alphabet soup of healthcare.  

PubMed

With an increasingly complex health system, one of the challenges that nurses face today is understanding the alphabet soup of healthcare regulations. State and federal governments and industry regulations heavily govern healthcare and how nurses practice. Considering the healthcare industry's current focus on quality control, corporate compliance and patient confidentiality, understanding regulatory mandates are a must in today's healthcare arena. Here are some of the agencies and other organizations that regulate national health issues and affect how nurses practice. PMID:17444474

Moore, Stacey

2007-01-01

49

Human trafficking and the healthcare professional.  

PubMed

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

Barrows, Jeffrey; Finger, Reginald

2008-05-01

50

Characterization of growth and lipid production by Chlorella sp. PCH90, a microalga native to Quebec.  

PubMed

Microalgae are being investigated as potential candidates for biodiesel production since they can be grown without competition with food production, have an inherently fast growth rate, and can have a high lipid content under different nutrient limiting conditions. However, large scale production will best be carried out with indigenous strains, well adapted to local conditions. This study reports on the characterization of the novel microalga Chlorella sp. PCH90, isolated in Quebec. Its molecular phylogeny was established and lipid production studies as a function of the initial concentrations of nitrate, phosphate, and sodium chloride were carried out using response surface methodology. Under the appropriate conditions this microalga could produce up to 36% lipid and grew well in both synthetic medium and secondary effluent from a wastewater treatment plant at both 22 and 10°C. Thus, this strain is promising for further development as a potential biofuels producer under local climatic conditions. PMID:24472701

Abdelaziz, Ahmed Elsayed Mohamed; Ghosh, Dipankar; Hallenbeck, Patrick C

2014-03-01

51

Quality management in healthcare.  

PubMed

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

Dodwad, Subhash S

2013-01-01

52

Informatics for Healthcare Epidemiology  

Microsoft Academic Search

\\u000a A major effort in healthcare epidemiology is the surveillance of healthcare associated infections (HAIs). Increasingly, HAIs\\u000a are viewed as preventable and as a marker of healthcare quality. The automation of the surveillance of HAIs could have several\\u000a benefits: for institutions, it could allow infection control programs to focus on the prevention, not simply the measurement,\\u000a of infection. For policy makers,

Bala Hota

53

A comparative study of PF 3, PH 3 AND P(CH 3) 3 on clean, k-covered, and Cl-covered Ag(111)  

NASA Astrophysics Data System (ADS)

The adsorption and desorption of PF 3, PH 3 and P(CH 3) 3 on clean, K-covered, and Cl-covered Ag(111) has been studied using temperature programmed desorption (TPD), work function change measurement (??), ultraviolet photoelectron spectroscopy (UPS) and X-ray photoelectron spectroscopy (XPS). All three compounds adsorb molecularly at 105 K, adsorb through their P atoms, and desorb reversibly with no detectable decomposition. The adsorptions are accompanied by a maximum surface work function change of -0.15 eV (PF 3), -1.4 eV (PH 3) and -2.45 eV (P(CH 3) 3). The desorption energies increase in the order PF 3 < PH 3 < P(CH 3) 3. The desorption of PF 3 follows simple first-order kinetics with E d = 7.5 {kcal}/{mol}. For PH 3 and P(CH 3) 3, there appear to be strong repulsive adsorbate-adsorbate interactions. The bonding modes of PH 3 and P(CH 3) 3 only involve ?-donation. For PF 3, ?-donation and ?-back-donation are involved. TPD and ?? measurements indicate that the ?-donation capability follows the order P(CH 3) 3 > PH 3 > PF 3. This order is directly related to the electronegativity of the group attached to the phosphorus. ??, UPS and XPS measurements indicate that there is some structural rearrangement taking place in the multilayer P(CH 3) 3 when the surface temperature is increased. Surface Cl stabilizes adsorbed PF 3, PH 3 and P(CH 3) 3. Surface K also stabilizes PF 3, but destabilizes PH 3 and P(CH 3) 3. We compare our results with the corresponding coordination chemistry.

Zhou, X.-L.; White, J. M.

1989-11-01

54

Healthcare Information Framework.  

PubMed

CEN committee TC 251 Medical Informatics, has set up a project team charged with producing a European pre-standard ENV on Healthcare Information Framework (HIF). The HIF is based on abstraction from a specific information system architecture to a reference architecture and further to a conceptual architectural framework based on serving open, distributed and heterogeneous healthcare enterprises. To specify the suitable healthcare information system architecture modelling of the healthcare enterprise is required. As there is no one method serving all needs, the HIF gives guidance on what aspects to look at in selecting a suitable modelling method. It is expected that the work will be completed by early 1995. PMID:7601549

Saranummi, N; Demeester, M; Fernandez Perez de Talens, A; Harrington, J; Heimly, V; de la Riva Grandal, J M; Taylor, J

1995-04-01

55

Raising a Child with Special Needs  

ERIC Educational Resources Information Center

Families are often taken by complete surprise when they learn that they have or will have a child with special healthcare needs. Such occurrences, for the most part, are neither preventable nor expected. Immediately, the family is faced with major changes in their lives, their finances, and the long-term expectations of their child. In this…

Neff, John M.

2008-01-01

56

Healthcare information framework  

Microsoft Academic Search

CEN committee TC 251 Medical Informatics, has set up a project team charged with producing a European pre-standard ENV on Healthcare Information Framework (HIF). The HIF is based on abstraction from a specific information system architecture to a reference architecture and further to a conceptual architectural framework based on serving open, distributed and heterogeneous healthcare enterprises. To specify the suitable

Niilo Saranummi; Michel Demeester; Antonio Fernandez Perez de Talens; John Harrington; Vigdis Heimly; Jose M. de la Riva Grandal; John Taylor

1995-01-01

57

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

58

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

59

Introducing BREEAM for Healthcare.  

PubMed

Andrew Welfle, sustainability consultant at Faber Maunsell, discusses the recently introduced BREEAM for Healthcare assessment system for health sector buildings, and highlights the key elements of a building's design that contribute to a positive rating. PMID:19297846

Welfle, Andrew

2009-02-01

60

Positive effects of multiple pch genes on expression of the locus of enterocyte effacement genes and adherence of enterohaemorrhagic Escherichia coli O157 : H7 to HEp-2 cells.  

PubMed

Enteropathogenic and enterohaemorrhagic Escherichia coli (EPEC and EHEC, respectively) genomes contain a pathogenicity island, termed the locus of enterocyte effacement (LEE), which encodes genes involved in the formation of attaching and effacing lesions on epithelial cells. To elucidate the regulatory mechanism of the LEE genes in EHEC, an EHEC O157 genomic library was screened for clones which modulated expression of the LEE genes. From more than 5000 clones, a DNA fragment was obtained containing a perC homologue as a positive regulator for the LEE genes. In EPEC, perC is known to be part of the per operon, along with perA and perB, located on the EPEC adherence factor plasmid, which is not found in EHEC. However, the complete genome sequence of EHEC O157 Sakai strain reveals that there are five perC-like sequences, but no perA and perB, on the chromosome. These five perC homologues were characterized, and it was found that three of the homologues (renamed perC homologue pchA, pchB and pchC) encoded 104 aa proteins, and when expressed on a multicopy plasmid enhanced the expression of LEE genes. In contrast, perC homologues encoding proteins of 89 and 90 aa, renamed pchD and pchE, respectively, had no significant effect. Deletion mutants of the pch genes were constructed, and the effect on the expression of LEE-encoded type III effector proteins, such as EspA, B and D, and adhesion phenotype to HEp-2 cells was examined. Deletion of pchA or pchB, but not pchC, decreased the expression of Esp proteins and adhesion to HEp-2 cells. Such effects were more apparent with mutants carrying double deletions of pchA/pchB or pchA/pchC, suggesting that pchA/B/C are all necessary for full expression of the LEE genes and adhesion to HEp-2 cells. Further study demonstrated that the positive effect of pchA/B/C was caused by enhanced transcription of the LEE-encoded regulatory gene, ler. Introduction of a multicopy plasmid carrying each pchA/B/C gene significantly induced microcolony formation by EHEC O157 on HEp-2 cells. These results suggest that the pchABC genes are necessary for full virulence of EHEC O157. PMID:15256577

Iyoda, Sunao; Watanabe, Haruo

2004-07-01

61

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

PubMed

Wheat is prone to strawbreaker foot rot (eyespot), a fungal disease caused by Oculimacula yallundae and O. acuformis. The most effective source of genetic resistance is Pch1, a gene derived from Aegilops ventricosa. The endopeptidase isozyme marker allele Ep-D1b, linked to Pch1, has been shown to be more effective for tracking resistance than DNA-based markers developed to date. Therefore, we sought to identify a candidate gene for Ep-D1 as a basis for a DNA-based marker. Comparative mapping suggested that the endopeptidase loci Ep-D1 (wheat), enp1 (maize), and Enp (rice) were orthologous. Since the product of the maize endopeptidase locus enp1 has been shown to exhibit biochemical properties similar to oligopeptidase B purified from E. coli, we reasoned that Ep-D1 may also encode an oligopeptidase B. Consistent with this hypothesis, a sequence-tagged-site (STS) marker, Xorw1, derived from an oligopeptidase B-encoding wheat expressed-sequence-tag (EST) showed complete linkage with Ep-D1 and Pch1 in a population of 254 recombinant inbred lines (RILs) derived from a cross between wheat cultivars Coda and Brundage. Two other STS markers, Xorw5 and Xorw6, and three microsatellite markers (Xwmc14, Xbarc97, and Xcfd175) were also completely linked to Pch1. On the other hand, Xwmc14, Xbarc97, and Xcfd175 showed recombination in the W7984 x Opata85 RIL population suggesting that recombination near Pch1 is reduced in the Coda/Brundage population. In a panel of 44 wheat varieties with known eyespot reactions, Xorw1, Xorw5, and Xorw6 were 100% accurate in predicting the presence or absence of Pch1 whereas Xwmc14, Xbarc97, and Xcfd175 were less effective. Thus, linkage mapping and a germplasm survey suggest that the STS markers identified here should be useful for indirect selection of Pch1. PMID:17952400

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

2008-01-01

62

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

PubMed

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

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

2013-10-01

63

Can consumers cure healthcare?  

PubMed

The U.S. healthcare delivery system is in crises. Costs are too high and increasingly becoming unaffordable to federal and state governments, employers and consumers. Americans are dissatisfied with the current system and believe it should be fundamentally altered or rebuilt. A solution needs to be found, and it is not the single-payer system espoused by many in Washington and elsewhere. We believe consumers can cure healthcare if (a) professionals, providers and policy experts shift their mindset from treating diseases and conditions to taking a holistic approach to the caring of people, particularly Baby Boomers and their parents; (b) technology becomes widely available to increase engagement, personalize healthcare, share experiences, make better choices and embrace convenience and (c) a cost-effective and reimbursed primary care navigator (coordinator and/or health manager), consistent with the medical home concept espoused by the American Association of Family Practitioners (AAFP) becomes a central component of public policy. PMID:19745473

Gruber, David

2009-01-01

64

Mother-to-child transmission of HIV: developing integration of healthcare programmes with clinical, social and basic research studies. Report of the International Workshop held at Chobe Marina Lodge, Kasane, Botswana, 21-25 January 2003.  

PubMed

Considerable efforts are still needed in the public health sector, as well as in clinical, social and basic research, to improve programmes for HIV-1 MTCT (mother-to-child transmission) prevention and care. Advantage should be taken of the remarkable amount of expertise and resources that have accumulated over the past few years to accelerate the process of integration. Future initiatives should include integrating specialists and people with diverse backgrounds and targeting their scientific and programmatic ideas to address real-world problems in the area of MTCT of HIV-1. PMID:14696857

Menu, E; Scarlatti, G; Barré-Sinoussi, F; Gray, G; Bollinger, B; Ioannidis, J P A; Miotti, P; Osborne, C

2003-11-01

65

Characteristics of healthcare wastes.  

PubMed

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 3.23kg/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 0.65kg/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. PMID:17651963

Diaz, L F; Eggerth, L L; Enkhtsetseg, Sh; Savage, G M

2008-01-01

66

Child Abuse  

MedlinePLUS

... or puts a child at risk of harm. Child abuse can be physical, sexual or emotional. Neglect, or not providing for a child's needs, is also a form of abuse. Most abused children suffer greater emotional than ... or abuse others. Child abuse is a serious problem. If you suspect a ...

67

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

PubMed

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

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

2007-01-01

68

National Healthcare Quality Report, 2013.  

National Technical Information Service (NTIS)

Each year since 2003, the Agency for Healthcare Research and Quality (AHRQ) has reported on progress and opportunities for improving health care quality and reducing health care disparities. As mandated by the U.S. Congress, the National Healthcare Qualit...

2014-01-01

69

Army Healthcare Enterprise Management System.  

National Technical Information Service (NTIS)

Introduction. The audit was performed in response to allegations to the Defense Hotline concerning the procurement of the Army Healthcare Enterprise Management System. The complaint alleged that the Army Healthcare Enterprise Management System was not pro...

2001-01-01

70

Lean six sigma in healthcare.  

PubMed

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

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

2006-01-01

71

Healing, healthcare, missions, the church.  

PubMed

Churches throughout history have modeled ministry on Jesus' life of reaching out, teaching, preaching, and healing. Kampala Baptist Church (KBC) in Uganda is one such church that works to care spiritually and physically for their community. Partnering with local healthcare providers and short- and long-term healthcare missionaries, the church is transforming lives. Read about KBC and explore healthcare missions ministry. PMID:24592600

Jarlsberg, Connie

2014-01-01

72

Migrants' access to healthcare.  

PubMed

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

Norredam, Marie

2011-10-01

73

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

74

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

75

Healthcare avoidance: a critical review.  

PubMed

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

Byrne, Sharon K

2008-01-01

76

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.                                                                                

77

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

78

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

79

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

80

Reproductive and maternal healthcare needs of HIV infected women.  

PubMed

Advances in HIV treatment and prevention of mother to child transmission have effectively reduced mortality and morbidity for women living with HIV and significantly reduced new infections in infants. Women living with HIV require comprehensive, integrated clinical services to address their reproductive and maternal healthcare needs. Guidelines for safer conception counseling with fertile couples recommend discussing fertility and childbearing, addressing contraception with those not wishing to conceive, and clarification of strategies to conceive for those wishing to do so. Services pre-conception to postpartum should emphasize HIV testing for mother, partner and infant, encourage the maintenance of medication adherence and promote engagement and retention in care, and ensure supportive and non-judgmental patient education by healthcare providers. Behavioral, psychosocial and healthcare factors can have profound effects on pregnancy outcomes, and male involvement and enhanced provider involvement throughout the reproductive process has been recommended to reduce transmission and enhance medication adherence and uptake. PMID:23918674

Jones, Deborah; Chakhtoura, Nahida; Cook, Ryan

2013-12-01

81

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.

Loewy, Erich H.

2007-01-01

82

An essential role for trimethylguanosine RNA caps in Saccharomyces cerevisiae meiosis and their requirement for splicing of SAE3 and PCH2 meiotic pre-mRNAs.  

PubMed

Tgs1 is the enzyme that converts m(7)G RNA caps to the 2,2,7-trimethylguanosine (TMG) caps characteristic of spliceosomal snRNAs. Fungi grow vegetatively without TMG caps, thereby raising the question of what cellular transactions, if any, are TMG cap-dependent. Here, we report that Saccharomyces cerevisiae Tgs1 methyltransferase activity is essential for meiosis. tgs1? cells are specifically defective in splicing PCH2 and SAE3 meiotic pre-mRNAs. The TMG requirement for SAE3 splicing is alleviated by two intron mutations: a UAUUAAC to UACUAAC change that restores a consensus branchpoint and disruption of a stem-loop encompassing the branchpoint. The TMG requirement for PCH2 splicing is alleviated by a CACUAAC to UACUAAC change restoring a consensus branchpoint and by shortening the PCH2 5' exon. Placing the SAE3 and PCH2 introns within a HIS3 reporter confers Tgs1-dependent histidine prototrophy, signifying that the respective introns are portable determinants of TMG-dependent gene expression. Analysis of in vitro splicing in extracts of TGS1 versus tgs1? cells showed that SAE3 intron removal was enfeebled without TMG caps, whereas splicing of ACT1 was unaffected. Our findings illuminate a new mode of tunable splicing, a reliance on TMG caps for an essential developmental RNA transaction, and three genetically distinct meiotic splicing regulons in budding yeast. PMID:21398639

Qiu, Zhicheng R; Shuman, Stewart; Schwer, Beate

2011-07-01

83

Conformational Polymorphism of Ni(NCS)2 (P(CH2CH2CN)3)2: A Crystallographic Study of Three Polymorphs.  

National Technical Information Service (NTIS)

Three conformational polymorphs of Ni(NCS)2(P(CH2CH2CN)3)2 have been synthesized and their crystal structures determined by single-crystal X-ray diffraction techniques. All three crystallize in space group P21/c: cell constants for polymorph 1, a = 13.44(...

B. M. Foxman H. Mazurek

1981-01-01

84

CHILD POVERTY  

Microsoft Academic Search

This briefing provides an overview of child poverty in Scotland. The different methods of measuring child poverty are outlined, and figures are provided on the numbers of children living in poverty in Scotland. The causes and effects of child poverty, and the policy responses from the Scottish and UK governments, are discussed. The briefing also highlights some of the recent

SIMON WAKEFIELD

85

Healthcare knowledge management through building and operationalising healthcare enterprise memory.  

PubMed

In this paper we suggest that the healthcare enterprise needs to be more conscious of its vast knowledge resources vis-à-vis the exploitation of knowledge management techniques to efficiently manage its knowledge. The development of healthcare enterprise memory is suggested as a solution, together with a novel approach advocating the operationalisation of healthcare enterprise memories leading to the modelling of healthcare processes for strategic planning. As an example, we present a simulation of Service Delivery Time in a hospital's OPD. PMID:10724990

Cheah, Y N; Abidi, S S

1999-01-01

86

[Economic evaluation in healthcare].  

PubMed

Economics was only recently considered as a dimension of health technology assessment in France. Yet there are always limits in resources that we collectively agree to devote to health. A comparative "economic" appraisal is therefore needed to guide health choices and contribute to price regulation. Methodologies are based on the determination of incremental cost-effectiveness ratios compared with a reference. The interpretation of these ratios is never isolated from the context of the decision. Health economic evaluation is not involved in healthcare rationing, but it contributes to the rationality of decisions in the interest of the overall population. PMID:24939547

Detournay, Bruno

2014-05-01

87

Ethical issues in healthcare financing.  

PubMed

The four goals of good healthcare are to relieve symptoms, cure disease, prolong life and improve quality of life. Access to healthcare has been a perpetual challenge to healthcare providers who must take into account important factors such as equity, efficiency and effectiveness in designing healthcare systems to meet the four goals of good healthcare. The underlying philosophy may designate health as being a basic human right, an investment, a commodity to be bought and sold, a political demand or an expenditure. The design, policies and operational arrangements will usually reflect which of the above philosophies underpin the healthcare system, and consequently, access. Mechanisms for funding include fee-for-service, cost sharing (insurance, either private or government sponsored) free-of-fee at point of delivery (payments being made through general taxes, health levies, etc) or cost-recovery. For each of these methods of financial access to healthcare services, there are ethical issues which can compromise the four principles of ethical practices in healthcare, viz beneficence, non-maleficence, autonomy and justice. In times of economic recession, providing adequate healthcare will require governments, with support from external agencies, to focus on poverty reduction strategies through provision of preventive services such as immunization and nutrition, delivered at primary care facilities. To maximize the effect of such policies, it will be necessary to integrate policies to fashion an intersectoral approach. PMID:22097685

Maharaj, S R; Paul, T J

2011-07-01

88

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

89

ASIS healthcare security benchmarking study.  

PubMed

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

2001-01-01

90

Wireless Sensor Networks for Healthcare  

Microsoft Academic Search

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

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

2010-01-01

91

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 ...

92

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.

2012-01-01

93

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

94

High resolution ArrayCGH and expression profiling identifies PTPRD and PCDH17/PCH68 as tumor suppressor gene candidates in laryngeal squamous cell carcinoma.  

PubMed

Many classical tumor suppressor genes (TSG) were identified by delineation of bi-allelic losses called homozygous deletions. To identify systematically homozygous deletions in laryngeal squamous cell carcinoma (LSCC) and to unravel novel putative tumor suppressor genes, we screened 10 LSCC cell lines using high resolution array comparative genomic hybridization (arrayCGH) and array based expression analysis. ArrayCGH identified altogether 113 regions harboring protein coding genes that showed strong reduction in copy number indicating a potential homozygous deletion. Out of the 113 candidate regions, 22 novel homozygous deletions that affected the coding sequences of 15 genes were confirmed by multiplexPCR. Three genes were homozygously lost in two cell lines: PCDH17/PCH68, PRR20, and PTPRD. For the 15 homozygously deleted genes, four showed statistically significant downregulation of expression in LSCC cell lines as compared with normal human laryngeal controls. These were ATG7 (1/10 cell line), ZMYND11 (BS69) (1/10 cell line), PCDH17/PCH68 (9/10 cell lines), and PTPRD (7/10 cell lines). Quantitative real-time PCR was used to confirm the downregulation of the candidate genes in 10 expression array-studied cell lines and an additional cohort of cell lines; statistical significant downregulation of PCDH17/PCH68 and PTPRD was observed. In line with this also Western blot analyses demonstrated a complete absence of the PCDH17 and PTPRD proteins. Thus, expression profiling confirmed recurrent alterations of two genes identified primarily by delineation of homozygous deletions. These were PCDH17/PCH68, the protocadherin gene, and the STAT3 inhibiting receptor protein tyrosine phosphatase gene PTPRD. These genes are good candidates for novel TSG in LSCC. PMID:21213369

Giefing, Maciej; Zemke, Natalia; Brauze, Damian; Kostrzewska-Poczekaj, Magdalena; Luczak, Magdalena; Szaumkessel, Marcin; Pelinska, Kinga; Kiwerska, Katarzyna; Tönnies, Holger; Grenman, Reidar; Figlerowicz, Marek; Siebert, Reiner; Szyfter, Krzysztof; Jarmuz, Malgorzata

2011-03-01

95

Spleen removal - child - discharge  

MedlinePLUS

... of falling. Your child also should not go bicycling, skateboarding, roller skating, play contact sports, or lift ... child’s doctor know if your child will be traveling out of the country. Your child may need ...

96

Scoliosis surgery - child  

MedlinePLUS

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

97

Healthcare information portal: a web technology for the healthcare community  

Microsoft Academic Search

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

David C. Chou; Amy Y. Chou

2002-01-01

98

Iron Complexes Containing the Tripodal Tetraphosphine Ligand P(CH(2)CH(2)PMe(2))(3).  

PubMed

The preparation and characterization of iron(II) complexes containing the tripodal tetraphosphine ligand tris[2-(dimethylphosphino)ethyl]phosphine, P(CH(2)CH(2)PMe(2))(3) (PP(3), 1), are reported. The complex FeCl(2)(PP(3)) (2) was formed by the reaction of PP(3) with anhydrous iron(II) chloride. The complexes FeHCl(PP(3)) (3) and FeH(2)(PP(3)) (4) were formed by the reaction of 2 with lithium aluminum hydride. Likewise, the complexes FeMeCl(PP(3)) (5) and FeMe(2)(PP(3)) (6) were formed by the reaction of 2 with methyllithium or dimethylmagnesium. Reaction of 2 with CO afforded a mixture of isomeric carbonyl chloride complexes [Fe(CO)Cl(PP(3))](+) (7 and 8). Reaction of 2 with PPh(3) afforded [Fe(PPh(3))Cl(PP(3))](+) (9). The air-sensitive complexes 2-9 were characterized by multinuclear NMR spectroscopy, and 9 was characterized by X-ray crystallography. Crystals of 9 (BPh(4) salt), C(54)H(65)BClFeP(5), M 971.09, are monoclinic, space group P2(1)/c, a = 13.246(3) Å, b = 30.314(2) Å, c = 14.338(2) Å, beta = 100.92(2) degrees, Z = 4; R = 0.058. PMID:11669927

Field, Leslie D.; Messerle, Barbara A.; Smernik, Ronald J.; Hambley, Trevor W.; Turner, Peter

1997-06-18

99

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

100

[Healthcare associated pneumonia].  

PubMed

Healthcare associated pneumonia (HCAP) is a different entity from community-acquired pneumonia and nosocomial pneumonia. There exist several risk factors that lead to it. Different features, severity and pathogens are described and there is controversy about the initial empirical treatment. The aim of this work was to analyze the etiology, clinical characteristics and evolution of the HCAP. It is a prospective and observational study that includes 60 patients; 32 had previous hospitalization during the last 90 days, 9 were under hemodialysis, 12 residents in nursing homes and 7 received outpatient intravenous therapy. The mean age was 63 years and the severity index was high. The most frequent comorbidities were cardiac. The radiological compromise was more than one lobe in 42% of cases and 18% had pleural effusion. Germ isolation was obtained in 30% of patients where the most isolated germ was Streptococcus pneumoniae (9 cases). There was only one case of multidrug-resistance. The mean length hospital stay was 11 days, six patients had complications and mortality was 5%. Complications but not mortality were significantly higher in the group of patients on hemodialysis (p value = 0.011 and 0.056 respectively). The antibiotic-resistance found do not justify a change in the antibiotic treatment commonly used for community acquired pneumonia. PMID:24561835

Ceccato, Adrián; González, Alejandra; Heres, Marcela; Peluffo, Graciela; Monteverde, Alfredo

2014-01-01

101

Healthcare financing in Yemen.  

PubMed

Yemen is a low-middle-income country where more than half of the population live in rural areas and lack access to the most basic health care. At US$40 per capita, Yemen's annual total health expenditure (THE) is among the lowest worldwide. This study analyses the preconditions and options for implementing basic social health protection in Yemen. It reveals a four-tiered healthcare system characterised by high geographic and financial access barriers mainly for the poor. Out-of-pocket payments constitute 55% of THE, and cost-sharing exemption schemes are not well organised. Resource-allocation practices are inequitable because about 30% of THE gets spent on treatment abroad for a small number of patients, mainly from better-off families. Against the background of a lack of social health protection, a series of small-scale and often informal solidarity schemes have developed, and a number of public and private companies have set up health benefit schemes for their employees. Employment-based schemes usually provide reasonable health care at an average annual cost of YR44 000 (US$200) per employee. In contrast, civil servants contribute to a mandatory health-insurance scheme without receiving any additional health benefits in return. A number of options for initiating a pathway towards a universal health-insurance system are discussed. PMID:22532485

Holst, Jens; Gericke, Christian A

2012-01-01

102

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.

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

103

Healthcare vulnerabilities to electromagnetic pulse.  

PubMed

The U.S. healthcare system is particularly vulnerable to the effects of electromagnetic pulse (EMP) attack because of the system's technological sophistication, but while national defense planners prepare for the considerable threat that EMP poses, there has been little or no recognition of this threat within the US healthcare community, and neither has there been any significant healthcare planning to deal with such an eventuality. Recognition of the risk presented by EMP, and advance institution of appropriate strategies to mitigate its effects on the healthcare system, could enable the preservation of much of that system's function in the face of EMP-related disruptions, and will greatly further all-hazards disaster preparations. PMID:19202885

Ross, Lenard H; Mihelic, F Matthew

2008-01-01

104

Recommended Vaccines for Healthcare Workers  

MedlinePLUS

... Añadir en... Favorites Delicious Digg Google Bookmarks Recommended Vaccines for Healthcare Workers On this Page Published Recommendations ... that could spread infection, you should get appropriate vaccines to reduce the chance that you will get ...

105

Business process modeling in healthcare.  

PubMed

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

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

2012-01-01

106

[Knowledge management and healthcare organizations].  

PubMed

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

Favaretti, Carlo

2013-10-01

107

Alcohol use by healthcare professionals  

Microsoft Academic Search

Background: This study investigated alcohol use, misuse and abuse in a sample of dentists, nurses, pharmacists and physicians. Previous studies have lacked cross healthcare group comparisons and have rarely included dentists. Methods: As part of a larger mail survey, 479 healthcare professionals (68.7% response) completed self-report items on patterns of alcohol use, monthly drinking, heavy episodic drinking, alcohol-related dysfunction and

George A Kenna; Mark D Wood

2004-01-01

108

Countdown continues to Healthcare Estates.  

PubMed

Healthcare Estates is now only two months away, and potential delegates to the IHEEM Conference who would like to take advantage of the early booking discount need to act promptly. Delegates booking before 7 September 2007 will receive a significant saving on places at the IHEEM Conference, which, with its associated exhibition, forms Healthcare Estates (16-17 October 2007 at the Harrogate International Centre). PMID:17847873

2007-08-01

109

Healthcare transparency: opportunity or mirage  

Microsoft Academic Search

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

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

2006-01-01

110

Home Telehealth Reduces Healthcare Costs  

Microsoft Academic Search

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

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

2004-01-01

111

75 FR 38611 - Child Support Enforcement Program; Intergovernmental Child Support  

Federal Register 2010, 2011, 2012, 2013

...Child Support Enforcement Program; Intergovernmental Child...0970-AC-37 Child Support Enforcement Program; Intergovernmental Child...AGENCY: Office of Child Support Enforcement (OCSE), Administration...

2010-07-02

112

Healthcare Fraud and Abuse  

PubMed Central

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

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

2009-01-01

113

Experimental and theoretical studies of rate coefficients for the reaction O(3P)+CH3OH at high temperatures  

NASA Astrophysics Data System (ADS)

Rate coefficients of the reaction O(3P)+CH3OH in the temperature range of 835-1777 K were determined using a diaphragmless shock tube. O atoms were generated by photolysis of SO2 with a KrF excimer laser at 248 nm or an ArF excimer laser at 193 nm their concentrations were monitored via atomic resonance absorption excited by emission from a microwave-discharged mixture of O2 and He. The rate coefficients determined for the temperature range can be represented by the Arrhenius equation, k(T)=(2.29+/-0.18)×10-10 exp[-(4210+/-100)/T] cm3 molecule-1 s-1 unless otherwise noted, all the listed errors represent one standard deviation in fitting. Combination of these and previous data at lower temperature shows a non-Arrhenius behavior described as the three-parameter equation, k(T)=(2.74+/-0.07)×10-18T2.25+/-0.13 exp[-(1500+/-90)/T] cm3molecule-1 s-1. Theoretical calculations at the Becke-3-Lee-Yang-Parr (B3LYP)/6-311+G(3df,2p) level locate three transition states. Based on the energies computed with coupled clusters singles, doubles (triples) [CCSD(T)]/6-311+G(3df,2p)//B3LYP/6-311+G(3df,2p), the rate coefficients predicted with canonical variational transition state theory with small curvature tunneling corrections agree satisfactorily with the experimental observations. The branching ratios of two accessible reaction channels forming OH+CH2OH (1a) and OH+CH3O (1b) are predicted to vary strongly with temperature. At 300 K, reaction (1a) dominates, whereas reaction (1b) becomes more important than reaction (1a) above 1700 K.

Lu, Chih-Wei; Chou, Shen-Long; Lee, Yuan-Pern; Xu, Shucheng; Xu, Z. F.; Lin, M. C.

2005-06-01

114

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

115

Unravelling complexities involved in parenting a child with cystic fibrosis: An interpretative phenomenological analysis  

Microsoft Academic Search

We conducted a qualitative study with caregivers for a contemporary understanding of the challenge of caring for a child with cystic fibrosis (CF). A single case is presented that details one woman’s experience from her unique perspective of both, ‘mother to a child with CF’ and ‘CF healthcare provider’ using an interpretative phenomenological analysis. Emergent themes include: ‘trying to keep

Claire Glasscoe; Jonathan A. Smith

2011-01-01

116

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

117

Career patterns of healthcare executives.  

PubMed

This research examines the job and career changes of healthcare executives and managers working in different segments of the healthcare industry in the western United States. The results suggest that the job and career patterns in the healthcare delivery sector are undergoing significant transformation. One third of the respondents reports that at least one of their last four job changes was involuntary or unplanned. One half of those attempted to make a career change. This study identifies four different executive and management career patterns. The most common was one of multiple career changes. The second pattern was that of a single career change, followed by a 'traditional' career in which one did not seek a career change. The final pattern was characterized as a movement back and forth between two different segments of the healthcare industry. Age, gender, marital status and education were not associated with any specific career pattern. The need to achieve results early in the respondent's career had a strong influence on career patterns. This study confirms the fluidity of career movement and the changing permeability between the various segments of the healthcare industry. It also suggests that career success increasingly will require broad management experience in those different segments. PMID:11246780

Fahey, D F; Myrtle, R C

2001-02-01

118

Healthcare waste management in Asia.  

PubMed

The risks associated with healthcare waste and its management has gained attention across the world in various events, local and international forums and summits. However, the need for proper healthcare waste management has been gaining recognition slowly due to the substantial disease burdens associated with poor practices, including exposure to infectious agents and toxic substances. Despite the magnitude of the problem, practices, capacities and policies in many countries in dealing with healthcare waste disposal, especially developing nations, is inadequate and requires intensification. This paper looks upon aspects to drive improvements to the existing healthcare waste management situation. The paper places recommendation based on a 12 country study reflecting the current status. The paper does not advocate for any complex technology but calls for changes in mindset of all concerned stakeholders and identifies five important aspects for serious consideration. Understanding the role of governments and healthcare facilities, the paper also outlines three key areas for prioritized action for both parties - budget support, developing policies and legislation and technology and knowledge management. PMID:19726174

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

2010-01-01

119

Perpetual transitions in Romanian healthcare.  

PubMed

Although Romania has a long-lasting tradition in organized medical healthcare, in the last two decades the Romanian healthcare system has been undergoing a perpetual transition with negative effects on all parties involved. The lack of long-term strategic vision, the implementation of initiatives without any impact studies, hence the constant short-term approach from the policy makers, combined with the "inherited" low allocation from GDP to the healthcare system have contributed significantly to its current evolution. Currently, most measures taken are of the "fire-fighting" type, rather than looking to the broader, long time perspective. There should be no wonder then, that predictive and preventive services do not get the proper attention and support. Patient and physicians should step in and take action in regulating a system that was originally designed for them. But until this happens, the organizations with leadership skills and vision need to take action-and this has already started. PMID:23199172

Spiru, Luiza; Tra?cu, R?zvan Ioan; Turcu, Ileana; M?rzan, Mircea

2011-12-01

120

Waste, economists and American healthcare.  

PubMed

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

Evans, Robert G

2013-11-01

121

Healthcare technology and technology assessment  

PubMed Central

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

Hwang, Raymond; Bozic, K. H.

2007-01-01

122

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

123

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 ...

124

Factors influencing healthcare utilization among children with pneumonia in Muntinlupa City, the Philippines.  

PubMed

We evaluated the factors influencing healthcare utilization among children aged < 5 years with pneumonia symptoms in Muntinlupa City, the Philippines. We interviewed 1,330 caregivers from 190 households per district in seven districts from March to April, 2009 using a standardized questionnaire to obtain information about demographic characteristics, access to healthcare facilities, and potential barriers to healthcare utilization. The mean age of the children was 32 months; 54.7% were boys. Seventy-four point three percents (n = 972) of caregivers stated when their child had pneumonia symptoms they brought them to a government health center, 14.1% (n = 184) went to a private clinic, 8.0% (n = 104) went to a hospital, 3% (n = 40) were treated at home and 0.5% (n = 7) received traditional medicine from a local healer. Caregivers required an average of 12 minutes to reach a healthcare facility. Reasons given by caregivers for their choice of healthcare facility were low cost (47.5%), availability and accessibility to transportation (29.6%) and perceived good quality of care (16.5%). In conclusion, nearly three quarters of caregivers interviewed brought their child with pneumonia symptoms to a government health center for treatment. Cost was the main factor influencing choice, followed by transportation availability and quality of care. PMID:24974657

Kim, Soon Ae; Capeding, Maria Rosario Z; Kilgore, Paul E

2014-05-01

125

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

126

Safe design of healthcare facilities  

PubMed Central

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

Reiling, J

2006-01-01

127

Home health-care bibliography.  

PubMed

A home health-care bibliography is presented. The bibliography includes a selection of references to descriptive reports, research papers, editorials, letters, and commentaries on home health-care (HHC) services. This bibliography represents important literature from the past 12 years on program planning, marketing, trends, and reimbursement for HHC services as well as specific types of home therapy. The bibliography can be helpful to pharmacy administrators and clinicians who are interested in designing HHC programs or becoming involved in the provision of home therapy. PMID:3085486

Harris, W L; Mellott, P J

1986-03-01

128

Ab initio study of luminescent chalcogenido silver(I) clusters [Ag 4(?-H 2PCH 2PH 2) 4(? 4-E)] 2+  

NASA Astrophysics Data System (ADS)

Ab initio calculations have been performed on the chalcogenido silver(I) model complexes [Ag 4(?-H 2PCH 2PH 2)4(? 4-E)] 2+ and their cores [Ag 4(? 4-E)] 2+ (E = S, Se and Te) at the RHF/3-21G level. The results reveal a chalcogenido-based HOMO and metal-based LUMO. It is envisaged that the excited states of luminescent silver(I) clusters [Ag 4-(?-dppm) 4-(? 4-E)] 2+ bear a high parentage of ligand-to-metal charge-transfer LMCT (E 2- ? Ag 4) character, mixed with a metal-centred MC (ds/dp) state.

Wang, Chun-Ru; Lo, Kenneth Kam-Wing; Yam, Vivian Wing-Wah

1996-11-01

129

Child Care Notebook. Revised.  

ERIC Educational Resources Information Center

In six sections, this child care notebook provides basic information concerning (1) child care in general; (2) day care centers; (3) family day care; (4) employers, parents, and child care; (5) school-age child care; and (6) group care for infants and toddlers. Section I focuses on types of child care programs, sources of information about child

Spedding, Polly; And Others

130

Healthcare workers and the brain drain.  

PubMed

The brain drain of health workers occurs mostly from low- and low/middle-income countries to resource-rich countries and from rural to urban areas. Shortage and uneven distribution of healthcare workers aggravated by the brain drain from Africa, Asia, and Pacific countries has contributed to impaired reproductive and sexual health services and the high rate of maternal and newborn mortality and morbidity in these counties. Brain drain impedes maternal, neonatal, and child health and the fight against HIV/AIDS, and translates into loss of potential employers, teachers, and role models. Source countries spend US$ 500 million each year to educate health workers who leave their home countries for North America, Western Europe, and South Asia. A code of practice on international recruitment of health personnel is needed. Improving the health workforce database, wages, health resources and working conditions, task shifting, pay-back from recipient countries and migrant health professionals, securing additional investment in the health workforce, and the development of locally relevant medical training and research are useful measures to combat this problem. PMID:19535068

Serour, Gamal I

2009-08-01

131

Child Sexual Abuse: Community Concerns in Urban Tanzania  

Microsoft Academic Search

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

Felix Kisanga; Lennarth Nystrom; Nora Hogan; Maria Emmelin

2011-01-01

132

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.

Bhatnagar, Kavita; Srivastava, Kalpana

2012-01-01

133

Child Safety  

MedlinePLUS

... right child safety seat in your car Teach children how to cross the street safely Make sure they wear the right gear and equipment for sports Install and test smoke alarms Store medicines, cleaners and other dangerous ... your home Don't leave small children unattended

134

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

135

8?Leadership Research in Healthcare  

Microsoft Academic Search

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

Mattia J. Gilmartin; Thomas A. DAunno

2007-01-01

136

Telemedicine can make healthcare greener.  

PubMed

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

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

2010-03-01

137

Helping Healthcare Consumers Understand: An \\  

Microsoft Academic Search

Healthcare consumers need to find, comprehend, and interpret health information before making informed decisions. Recent work by others and our own work suggest that mismatches in representations of health information used by consumers and professionals occur at different levels of knowledge representa- tion, such as terminology (i.e., form or surface structure and concept or meaning) and semantic relationships. A challenge

Dagobert Soergel; Tony Tse; Laura Slaughter; Lister Hill

2004-01-01

138

Biomaterials and bioengineering tomorrow's healthcare  

PubMed Central

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

Bhat, Sumrita; Kumar, Ashok

2013-01-01

139

Biomaterials and bioengineering tomorrow's healthcare.  

PubMed

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

Bhat, Sumrita; Kumar, Ashok

2013-01-01

140

Modeling and Simulation of Healthcare Systems for Homeland Security Applications.  

National Technical Information Service (NTIS)

Healthcare System models and simulations may be used to support analysis, planning, and training needs for the healthcare institutions, epidemics, and other healthcare-related emergencies. Simulation models may be used to understand healthcare systems, in...

C. Hutchings C. McLean S. Jain Y. T. Lee

2011-01-01

141

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...

142

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

143

Interprofessional Empathy in an Acute Healthcare Setting  

Microsoft Academic Search

Interprofessional collaboration is emerging as a key factor in reshaping healthcare practices in Canada over the last eight years. Collaboration in healthcare necessarily implies health providers sharing responsibility and partnering with each other in order to provide comprehensive patient care. A review of the empirical literature on teamwork in healthcare settings suggests that relationships between service providers remain conflictual and

Keith Adamson

2011-01-01

144

Recruitment of P-TEFb (Cdk9-Pch1) to chromatin by the cap-methyl transferase Pcm1 in fission yeast.  

PubMed

Capping of nascent pre-mRNAs is thought to be a prerequisite for productive elongation and associated serine 2 phosphorylation of the C-terminal domain (CTD) of RNA polymerase II (PolII). The mechanism mediating this link is unknown, but is likely to include the capping machinery and P-TEPb. We report that the fission yeast P-TEFb (Cdk9-Pch1) forms a complex with the cap-methyltransferase Pcm1 and these proteins colocalise on chromatin. Ablation of Cdk9 function through chemical genetics causes growth arrest and abolishes serine 2 phosphorylation on the PolII CTD. Strikingly, depletion of Pcm1 also leads to a dramatic decrease of phospho-serine 2. Chromatin immunoprecipitations show a severe decrease of chromatin-bound Cdk9-Pch1 when Pcm1 is depleted. On the contrary, Cdk9 is not required for association of Pcm1 with chromatin. Furthermore, compromising Cdk9 activity leads to a promoter-proximal PolII stalling and sensitivity to 6-azauracil, reflecting elongation defects. The in vivo data presented here strongly support the existence of a molecular mechanism where the cap-methyltransferase recruits P-TEFb to chromatin, thereby ensuring that only properly capped transcripts are elongated. PMID:17332744

Guiguen, Allan; Soutourina, Julie; Dewez, Monique; Tafforeau, Lionel; Dieu, Marc; Raes, Martine; Vandenhaute, Jean; Werner, Michel; Hermand, Damien

2007-03-21

145

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

PubMed Central

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

Cooper, Kate M.; Bennin, David A.

2008-01-01

146

Reaction of hydrogen chloride with the rhodium(I) complex [RhCO(Ph{sub 2}PCH{sub 2}CH{sub 2}CN){sub 2}Cl  

SciTech Connect

The reaction of an excess of dry hydrogen chloride with a benzene solution of [RhCO(Ph{sub 2}PCH{sub 2}CH{sub 2}CN){sub 2}Cl] results in the quantitative formation of [RhCO(Ph{sub 2}PCH{sub 2}CH{sub 2}CN){sub 2}Cl{sub 3}]. In a water-benzene mixture the nitrile group is coordinated diphenyl(2-cyanoethyl)phosphine undergoes hydrolysis with the formation of products, whose character depends on whether HCl is present in the solution.

Iretskii, A.V.; Rosyanova, T.S.; Danilina, L.I. [St. Petersburg Technological Institute (Russian Federation)

1994-05-01

147

Socially-Assigned Race, Healthcare Discrimination and Preventive Healthcare Services  

PubMed Central

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

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

2013-01-01

148

Personalized healthcare through intelligent gadgets.  

PubMed

An intelligent gadget is a wearable platform which is reconfigurable, scalable, and component-based and which can be equipped, carried as a personal accessory, or in a certain case, implanted internally into a body. Various kinds of personal information can be gathered with intelligent gadgets, and that information is used to provide specially personalized services to people in the ubiquitous computing environment. In this paper, we show a personalized healthcare service through intelligent gadgets. A service based on intelligent gadgets can be built intuitively and easily with a context representation language, called the intelligent gadget markup language (IGML) based on the event-condition-action (ECA) rule. The inherent nature of extensibility, not only environmental information but also physiological information can be specified as a context in IGML and can be dealt with an intelligent gadget with ease. It enables intelligent gadgets to be adopted to many different kinds of personalized healthcare services. PMID:19163415

Jang, Hyeju; Kim, Sanghyun; Bae, Changseok

2008-01-01

149

Public policy and healthcare systems.  

PubMed

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

Nuwer, Marc R

2013-01-01

150

Technologies' impact on healthcare facilities.  

PubMed

Technologies common to other industries are gradually being utilized in healthcare. Heavily led by information technology, providers are using technology to increase efficiency, improve customer service and better integrate and streamline business and clinical processes. These changes are gradually making many hospitals' physical facilities obsolete, requiring substantial changes or upgrades. Eight examples are illustrated where technology is changing the requirements in facility utilization, design and construction. PMID:10169861

Knowles, E W

1997-01-01

151

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

152

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

153

What Do Healthcare Providers Advise Women with Multiple Sclerosis Regarding Pregnancy?  

PubMed Central

Pregnancy in multiple sclerosis (MS) is considered safe for both the woman and the child. Nevertheless, pregnancy issues in MS are complex both from a patient's and a provider's perspective. In an anonymous survey, 28 healthcare providers in the United States reported on the management of multiple sclerosis (MS) during pregnancy. Participants were asked about their recommendations to patients about the use of disease modifying therapies during pregnancy and breastfeeding and general recommendations about MS and pregnancy. Healthcare providers were also asked about sources from which they receive information about the management of patients with MS. Results suggested that healthcare providers do not discourage pregnancy for women with MS, recommend that women not use disease modifying therapies while pregnant, and have a positive view of breastfeeding for women with MS. Results also indicated the need for guidelines on patient management for pregnant women with MS.

Pebdani, Roxanna N.; Amtmann, Dagmar

2014-01-01

154

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.

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

155

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

156

Workplace Bullying among Healthcare Workers  

PubMed Central

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

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

2013-01-01

157

Training Children with Autism and Pervasive Developmental Disorders to Comply with Healthcare Procedures: Theory and Research  

Microsoft Academic Search

\\u000a All children should have scheduled visits to various healthcare providers. The American Academy of Pediatrics recommends 12\\u000a scheduled well-child care visits between 3–5 days of age and age 3, and yearly visits thereafter (Mozingo, 2009). General\\u000a developmental surveillance should occur during these visits, as well as developmental screening, when indicated. The American\\u000a Academy of Pediatrics (2010) also recommended an immunization

Anthony J. Cuvo

158

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

MedlinePLUS

... CHILD'S ACADEMIC SUCCESS Helping Your Child Through Early Adolescence -- Helping Your Child Series PDF (1 MB) For ... Acknowledgements Tips to Help Your Child through Early Adolescence No Child Left Behind < Previous page | ^ Top ^ | Next ...

159

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

NASA Astrophysics Data System (ADS)

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

Bauer, Sebastian; Bein, Thomas; Stock, Norbert

2008-07-01

160

Security leadership in a changing healthcare world.  

PubMed

In the next few years, the healthcare industry will experience rapid change, the author says. In this article, he describes how this changing healthcare landscape will provide many opportunities for the healthcare security leader willing to think about and provide security on a different scale by focusing on six key areas--mission and culture, goal alignment, value and metrics, relationships, technology, and professionalism. PMID:24707748

Smith, Thomas A

2014-01-01

161

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.

Russell, Craig S.

2013-01-01

162

Reducing violence in healthcare facilities.  

PubMed

Looking behind the statistics on increases in healthcare violence incidents, the author finds that these incidents directly impact a small percentage of employees. However he sees an opportunity for administrators and security professionals to use this heightened awareness to collaborate on comprehensive plans to manage workplace violence, not only to reduce the direct impact of workplace violence incidents, but also to mitigate the indirect impacts such as employee morale degradation, fear of workplace violence, and costs of workplace violence. In this article he provides the elements of an effective workplace violence management plan. PMID:24707751

Vellani, Karim H

2014-01-01

163

Carpet choices for healthcare facilities.  

PubMed

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

Wise, K O

1994-07-01

164

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

PubMed

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

Khalil, Doris Deedei

2006-01-01

165

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

166

Web-based Service Portal in Healthcare  

NASA Astrophysics Data System (ADS)

Information delivery is one the most important task in healthcare. The growing sector of electronic healthcare has an important impact on the information delivery. There are two basic approaches towards information delivering. The first is web portal and second is touch-screen terminal. The aim of this paper is to investigate the web-based service portal. The most important advantage of web-based portal in the field of healthcare is an independent access for patients. This paper deals with the conditions and frameworks for healthcare portals

Silhavy, Petr; Silhavy, Radek; Prokopova, Zdenka

167

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

168

Research engagement and attitudes to teaching research to healthcare students: a questionnaire study of healthcare educators  

Microsoft Academic Search

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 distributed to 111 healthcare educators within the Faculty of Health of a

Mair Ning; Philip Murphy; Annette Mary Jinks

2010-01-01

169

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

170

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.

171

Keeping Your Child Active  

MedlinePLUS

... than sitting still, it’s best to limit these video games when you limit your child’s screen time. Encourage your child to dance, bowl, ... sports in real life, not just in a video game. Another way to include physical ... time is to encourage your child to be active while watching a TV show ...

172

Child Care Bulletin, 1995.  

ERIC Educational Resources Information Center

This document consists of the 1995 issues of the Child Care Bulletin, a bimonthly publication of the National Child Care Information Center. The January-February issue focuses on child health and safety. Topics discussed include promoting health and safety in child care, and the earned income tax credit. The March-April issue focuses on school-age…

McGhee, Marilyn, Ed.

1995-01-01

173

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

174

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

175

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

176

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

177

Educating Healthcare Ethics Committees: The Evaluation Results.  

ERIC Educational Resources Information Center

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

Lusky, Richard A.; Spicker, Stuart F.

178

Healthcare Identifiers legislation: a whiff of fourberie.  

PubMed

The Healthcare Identifiers Bill 2010 (Cth), which will establish "the national e-health Healthcare Identifiers Service to provide that patients, healthcare providers and provider organisations can be consistently identified", is in the process of being enacted by the Australian Federal Parliament. The legislation will enable the government to assign to each "healthcare recipient" a 26-digit electronic "Healthcare Identifier", which will be accessible, with or without the recipient's consent, to a broad range of health care service providers as well as other entities. The individual Healthcare Identifier file will initially contain such identifying information as, where applicable, the Medicare number and/or the Veterans' Affairs number; name; address; gender; date of birth; and "the date of birth accuracy indicator" presumably birth certificate. However, since each "service" provided by a health care provider to a health care recipient will be automatically recorded on each individual's Healthcare Identifier file, in time these electronic files should contain a full record of such services or contacts. Moreover, the Healthcare Identifiers are considered a "key" to, or a "foundation stone" for, the implementation of the shared electronic health records scheme, because they will enable linkage with and retrieval of each patient's clinical records throughout the health care service system. However, there has been virtually no discussion about the legal, ethical and social implications of this legislation. PMID:20552931

Mendelson, Danuta

2010-05-01

179

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

180

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

181

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

182

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

183

Healthcare service quality perception in Japan  

Microsoft Academic Search

Purpose – This study aims to assess Japanese patients' healthcare service quality perceptions and to shed light on the most meaningful service features. It follows-up a study published in IJHCQA Vol. 21 No. 7. Design\\/methodology\\/approach – Through a non-linear approach, the study relied on the scatter model to detect healthcare service features' importance in forming overall quality judgment. Findings –

Amira ep Koubaa Eleuch

2011-01-01

184

A quality improvement model for healthcare terminologies  

Microsoft Academic Search

A number of controlled healthcare terminologies and classification systems have been developed for specific purposes, resulting in variations in content, structure, process management, and quality. A terminology quality improvement (TQI) model or framework would be useful for various stakeholders to guide terminology selection, to assess the quality of healthcare terminologies and to make improvements according to an agreed standard. A

Tae Youn Kim; Amy Coenen; Nicholas R. Hardiker

2010-01-01

185

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

186

Understanding Team Learning in a Healthcare Setting  

Microsoft Academic Search

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

Carole Chatalalsingh; Glenn Regehr

187

Alerts for Healthcare Process and Data Integration  

Microsoft Academic Search

In healthcare chain workflow management, urgent re- quests and critical messages in these systems (referred to as alerts) have to be delivered and handled timely. Pres- ently, most systems cannot address urgency and alerts are often handled in an ad-hoc manner. In this paper, we pro- pose a sophisticated alert management system (AMS) for effective healthcare chain workflow management under

Dickson K. W. Chiu; Benny W. C. Kwok; Ray L. S. Wong; Shing-chi Cheung; Eleanna Kafeza; Marina Kafeza

2004-01-01

188

Can MSAs help reduce healthcare costs?  

PubMed

Medical savings accounts (MSAs) have been proposed as one possible solution to the problem of escalating healthcare costs. Because MSAs allow consumers to shop for healthcare services and negotiate the cost, MSAs have the potential to restrain the rise in medical costs. This article compares MSAs to traditional insurance plans, highlighting the advantages and disadvantages of MSA. PMID:10156595

Bond, M T

1996-04-01

189

Accounting practice diversity in the healthcare industry.  

PubMed

A recent study examining accounting practices currently being used to prepare annual hospital financial statements indicates relatively little diversity, regardless of organizational type or size. The study's findings should interest those concerned with healthcare accounting and financial reporting issues, especially healthcare administrators and members of standards setting boards who participate in accounting policy deliberations. PMID:10145801

Robbins, W A; Turpin, R

1993-05-01

190

Changing Healthcare Networks - Orchestrating Needed but Impossible?  

Microsoft Academic Search

This paper discusses the coordination of change in healthcare networks. Drawing from research on the marketization of the Finnish healthcare syst em, we present that a) there is a clear need for orchestration and b) orchestration seems very chall enging due to the institutional environment, rivers of activity and cognitive limitations. An ex tension of the discussion to the manageability

Petri Parvinen; Pirjo Lukkari

2007-01-01

191

Reliability Versus Resilience: What Does Healthcare Need?  

Microsoft Academic Search

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

Christopher Nemeth; Richard Cook

192

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.

Peer, Rafia F.

2013-01-01

193

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

194

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

195

Unemployment and health: the healthcare system's role.  

PubMed

Experts from the South Western Sydney Area Health Service and the University of New South Wales say there are few reports of healthcare interventions to address the impact of unemployment on health. They outline possible strategies, which include providing accessible and appropriate healthcare; developing the healthcare system's capacity to deal with the health problems of unemployed people; collaborating with other agencies and sectors working on this issue; acting as an advocate for unemployed people; undertaking research; and providing training, work experience and employment opportunities within the healthcare system. Long term solutions lie in increasing employment and training opportunities. Nevertheless, there is a clear role for the healthcare system in reducing the health impacts of unemployment and ensuring that poor health does not act as a barrier to returning to work. PMID:9549538

Harris, E; Webster, I W; Harris, M F; Lee, P J

1998-03-16

196

Patient Centeredness, Cultural Competence and Healthcare Quality  

PubMed Central

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

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

2010-01-01

197

[Cartography of healthcare for pregnant women].  

PubMed

This work uses cartography as a method for mapping the trajectory of primary healthcare provided to pregnant women. The scope of the study comprises 9 Basic Healthcare Units located in the city of Juazeiro do Norte in the State of Ceará. In all, fifteen women in the 37th to 39th week of pregnancy were selected. Interviews were conducted with these women during the period from January to June 2010. The cartographic findings were depicted in stages in the flowchart, which exposed lacunas in prenatal healthcare, such as the low number of oncotic cytology exams conducted and the lack of educational counseling. Nevertheless, in the interviews, a significant number of pregnant women expressed satisfaction with the prenatal care provided. The good relationships developed between the healthcare professionals and the pregnant women were the main reason that led them to continue the treatment. This fact reinforces the importance of dialogue between these two actors for the success of prenatal healthcare. PMID:22450404

Silva, Raimunda Magalhães da; Costa, Milena Silva; Matsue, Regina Yoshie; Sousa, Girliani Silva de; Catrib, Ana Maria Fontenelle; Vieira, Luiza Jane Eyre de Souza

2012-03-01

198

Guest editorial. Integrated healthcare information systems.  

PubMed

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

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

2012-07-01

199

[Women-and Child-Friendly Institutional Strategies with an integral approach in Colombia].  

PubMed

It is uncommon to implement and document a maternal and child healthcare strategy on a territorial and institutional level is infrequent. Therefore, we aimed to describe the experience of a consulting team composed of two physicians, two nurses and two nutritionists, whose purpose was to support the introduction of the Women- and Child-Friendly Institutional Strategy with an integral approach in 25 healthcare institutions in three Colombian departments (Cauca, Huila and Nariño), according to unmet basic needs. The Women- and Child-Friendly Institutional Strategy, considered a senior management strategy, promotes a specific method that allows monitoring of institutions during the implementation of a health and nutritional care strategy for women and children, and offers them the possibility of voluntarily becoming accredited as a Women- and Child-Friendly Institutions. PMID:24679488

Farías-Jiménez, Patricia; Arocha-Zuluaga, Gina Paola; Trujillo-Ramírez, Kenny Margarita; Botero-Uribe, Inés

2014-01-01

200

Applying principles from safety science to improve child protection.  

PubMed

Child Protective Services Agencies (CPSAs) share many characteristics with other organizations operating in high-risk, high-profile industries. Over the past 50 years, industries as diverse as aviation, nuclear power, and healthcare have applied principles from safety science to improve practice. The current paper describes the rationale, characteristics, and challenges of applying concepts from the safety culture literature to CPSAs. Preliminary efforts to apply key principles aimed at improving child safety and well-being in two states are also presented. PMID:24199329

Cull, Michael J; Rzepnicki, Tina L; O'Day, Kathryn; Epstein, Richard A

2013-01-01

201

Quality indicators and quality assessment in child health.  

PubMed

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

Kavanagh, P L; Adams, W G; Wang, C J

2009-06-01

202

Knowledge Discovery from Massive Healthcare Claims Data  

SciTech Connect

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

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

2013-01-01

203

Healthcare law in France: towards healthcare emancipation for minors.  

PubMed

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

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

2007-01-01

204

Parents’ perceptions of their child’s resilience and competencies  

Microsoft Academic Search

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

Riitta Kärkkäinen; Hannu Räty; Kati Kasanen

2009-01-01

205

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

206

Inorganic-organic hybrid compounds: hydrothermal synthesis and characterization of a new three-dimensional metal tetraphosphonate Mn[(HO 3PCH 2)N(H)(CH 2) 4(H)N(CH 2PO 3H) 2  

NASA Astrophysics Data System (ADS)

The new manganese tetraphosphonate, Mn[(HO 3PCH 2) 2N(H)(CH 2) 4(H)N(CH 2PO 3) 2] ( 1) was hydrothermally synthesized from MnCl 2 and N, N, N', N'-tetrametylphosphono-1,4-diaminobutane, (H 2O 3PCH 2) 2N-(CH 2) 4-N(CH 2PO 3H 2) 2. The structure was determined from single-crystal X-ray diffraction data (Mn[(HO 3PCH 2) 2N(H)(CH 2) 4(H)N(CH 2PO 3) 2], monoclinic, P2 1/a, with a=9.6663(1), b=9.2249(2), c=10.5452(1) pm, ?=105.676(1)°, V=905.35(3)×10 6 pm, Z=2, R1=0.051, w R2=0.109 (all data). The structure contains the zwitter ions [(HO 3PCH 2) 2N(H)-(CH 2) 4-(H)N(CH 2PO 3) 2] 2- and is built from alternating corner-linked [MnO 6] and [PO 3C] polyhedra forming a two-dimensional net of eight-rings. These layers are connected to a pillared structure by the diaminobutane groups. Magnetic susceptibility data confirms the presence of Mn 2+ ions. Thermogravimetric measurements show a stability of 1 up to ˜290°C. Between 290°C and 345°C a one-step loss of ˜7.0% is observed, and above 345°C the continuous decomposition of the organic part of the structures takes place.

Stock, Norbert; Rauscher, Max; Bein, Thomas

2004-03-01

207

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

208

Directory of Child-to-Child Activities Worldwide.  

ERIC Educational Resources Information Center

Child-to-Child ideas and activities represent an approach to health education. Not an alternative program but instead a component of other programs, Child-to-Child emphasizes the role of children as partners within families and communities in promoting better health practices and promotes Child-to-Child activities. This booklet describes…

Child-to-Child Trust, London (England). Inst. of Education.

209

Anticancer Potential of (Pentamethylcyclopentadienyl)chloridoiridium(III) Complexes Bearing ?P and ?P,?S-Coordinated Ph2 PCH2 CH2 CH2 S(O)x Ph (x=0-2) Ligands.  

PubMed

Iridium(III) complexes of the type [Ir(?(5) -C5 Me5 )Cl2 {Ph2 PCH2 CH2 CH2 S(O)x Ph-?P}] (x=0-2; 1-3) and [Ir(?(5) -C5 Me5 )Cl{Ph2 PCH2 CH2 CH2 S(O)x Ph-?P,?S}][PF6 ] (x=0-1; 4 and 5) with 3-(diphenylphosphino)propyl phenyl sulfide, sulfoxide, and sulfone ligands Ph2 PCH2 CH2 CH2 S(O)x Ph were designed, synthesized, and characterized fully, including X-ray diffraction analyses for complexes 3 and 4. In vitro studies against human thyroid carcinoma (8505C), submandibular carcinoma (A253), breast adenocarcinoma (MCF-7), colon adenocarcinoma (SW480), and melanoma (518A2) cell lines provided evidence for the high biological potential of the neutral and cationic iridium(III) complexes. Neutral iridium(III) complex 5 proved to be the most active, with IC50 values up to about 0.1??M, representing activities of up to one order of magnitude higher than cisplatin. Using 8505C cells, apoptosis was shown to be the main mechanism through which complex 5 exerts its tumoricidal action. The described iridium(III) complexes represent potential leads in the search for novel metal-based anticancer agents. PMID:24470190

Ludwig, Gerd; Ran?elovi?, Ivan; Maksimovi?-Ivani?, Danijela; Mijatovi?, Sanja; Bulatovi?, Mirna Z; Miljkovi?, Djordje; Korb, Marcus; Lang, Heinrich; Steinborn, Dirk; Kalu?erovi?, Goran N

2014-07-01

210

Championship management for healthcare organizations.  

PubMed

Stakeholders will put increasing pressure on integrated health systems (IHS) for measured performance, demanding data on quality and patient satisfaction, while simultaneously pressing for lower cost. The changes to Joint Commission on Accreditation of Healthcare Organizations (Joint Commission) and the growing importance of the National Committee on Quality Assurance (NCQA) are simply forerunners of an intensifying trend. Quality of care in particular will face increasing scrutiny. Achieving competitive targets in these areas will also require measures addressing demand and worker satisfaction. "Balanced scorecard" approaches will allow IHS and their accountable work groups to track performance on several dimensions and establish integrated goals or targets. Those with consistently good scores will be labeled "champions." Champions will support the multidimensional measures with improved decision processes. About eight major processes will be central--governance/strategic management, clinical quality, clinical organization, financial planning, planning and marketing, information services, human resources, and plant services. It is possible to map these processes to the criteria of the Joint Commission, NCQA, and Malcolm Baldrige Quality Award. The processes themselves can be measured and common weaknesses identified and corrected. Champions share some common characteristics that seem to arise from the combination of processes and measures. Among these characteristics are service line orientation, extensive partnering with other organizations, and the possibility of outsourcing organizational components. PMID:11066948

Griffith, J R

2000-01-01

211

Surviving Your Child's Suicide  

MedlinePLUS

... Credit Card Contact Us Donate Surviving Your Child's Suicide The suicide of a child of any age ... whose children have taken their own lives. After Suicide Feelings of shock, denial, guilt, anger and depression ...

212

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 ...

213

FPG Child Development Institute  

MedlinePLUS

... 2014 FPG Works to Improve Child Addiction and Mental Health Outcomes in Canada June 26, 2014 Project CONNECT ... Porter Graham Child Development Institute The University of North Carolina at Chapel Hill CB 8180, ...

214

Child Health USA 2013  

MedlinePLUS

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

215

Child Care Center Operations.  

National Technical Information Service (NTIS)

Purpose. To provide policy and guidance for the operation of all child care programs in order to ensure a healthy, safe environment and to promote quality child care on naval installations. Summary of Revisions: (a) Provides guidance in developing program...

1984-01-01

216

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 ...

217

Child Maltreatment, 2011.  

National Technical Information Service (NTIS)

All 50 States, the District of Columbia, and the U.S. Territories have mandatory child abuse and neglect reporting laws that require certain professionals and institutions to report suspected maltreatment to a child protective services (CPS) agency. Each ...

2011-01-01

218

Child Maltreatment, 2010.  

National Technical Information Service (NTIS)

All 50 States, the District of Columbia, and the U.S. Territories have mandatory child abuse and neglect reporting laws that require certain professionals and institutions to report suspected maltreatment to a child protective services (CPS) agency. Each ...

2010-01-01

219

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

PubMed Central

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

Fowler, J.; Martin, G.

1997-01-01

220

Mother-Child Planning and Child Compliance  

ERIC Educational Resources Information Center

This study investigated child compliance and maternal instruction during planning. Based on the Child Behavior Checklist and free-play observations, 40 mothers and their 4- to 5-year-old children were assigned to a group with children who behaved within the normal range of compliance (n = 20) or a group with children with high rates of…

Gauvain, Mary; Perez, Susan M.

2008-01-01

221

Child-to-Child programme in Malaysia.  

PubMed

Even though Malaysia is a relatively prosperous country amongst the developing nations, it is still be set by problems of a rapidly increasing population. The economic cake is also unevenly distributed and there are pockets of poverty in the slums surrounding the towns as well as in the rural areas. Added to that is the problem of ignorance and superstition especially amongst its adult population. It is due to these problems that the Child-to-Child programme has found special application in Malaysia. The Child-to-Child has been introduced through either the government agencies or the voluntary organizations. Through the Ministry of Education, the concept has found its ways through the schools and the state department of education. The Ministry of Information and Broadcasting has also introduced the concept of Child-to-Child in the media. The voluntary organizations have also introduced the concept of Child-to-Child in their projects. The Sang Kancil project has to some extent used the idea in the running of its activities. The Health and Nutrition Education House have found that by applying the concept and using older children to help in running its activities, its over all objective which is the improvement of the health of the children in the slums could be reached more easily. PMID:7163857

Kasim, M S; Abraham, S

1982-09-01

222

Holocaust Child Survivors and Child Sexual Abuse  

ERIC Educational Resources Information Center

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

Lev-Wiesel, Rachel; Amir, Marianne

2005-01-01

223

Child Poverty and Changes in Child Poverty  

PubMed Central

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

CHEN, WEN-HAO; CORAK, MILES

2008-01-01

224

2008 International Meeting on Simulation in Healthcare.  

National Technical Information Service (NTIS)

The 8th International Meeting on Simulation in Healthcare provides an exciting and unique experience for a diverse population of stakeholders who share a common mission to promote excellence in patient care through innovation and collaboration These inclu...

J. Gordon

2008-01-01

225

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

226

Device Data Protection in Mobile Healthcare Applications  

NASA Astrophysics Data System (ADS)

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

Weerasinghe, Dasun; Rajarajan, Muttukrishnan; Rakocevic, Veselin

227

Defense Healthcare Information Assurance Program (DHIAP).  

National Technical Information Service (NTIS)

This Annual Report covers the activities and accomplishments of the Defense Healthcare Information Assurance Program (DHIAP) for the period 16 October 1999 to 15 October 2000. It describes in detail the completion of DHIAP Phase I tasks (Technical Assessm...

A. Andrews J. Stinson L. Crane S. Packard S. Pellissier

2000-01-01

228

Types of Healthcare-Associated Infections  

MedlinePLUS

... and State Health Departments, FAQ's, Monitoring… Diseases and Organisms Diseases and Organisms in Healthcare Settings… More Email page link Print ... Ventilator-associated Pneumonia FAQs about VAP Diseases and Organisms Acinetobacter Burkholderia cepacia Clostridium difficile Patients Clinicians FAQs ...

229

Managing strategic outsourcing in the healthcare industry.  

PubMed

Hospitals and healthcare systems are facing increased financial difficulties because of the Balanced Budget Act of 1997 and managed care. As a result, healthcare executives face the challenge of reducing costs while maintaining quality patient care. One of the strategic tools healthcare executives use to meet this challenge is outsourcing. Even though outsourcing has many benefits, outsourcing will fail if not managed successfully. Senior executives must choose outsourcing managers who have the necessary leadership capabilities. Managing outsourcing requires an understanding of outsourcing strategy, the benefits and risks of outsourcing, the evaluation process, and the methods to managing strategically. With appropriate management, strategic outsourcing should provide healthcare executives with a viable strategy for controlling costs and maintaining quality patient care. PMID:11482242

Roberts, V

2001-01-01

230

[Application of wireless sensor networks in healthcare].  

PubMed

This paper introduces general architecture of wireless sensor networks architecture and application in healthcare, discusses the application direction which is urgent need to expand in medical field. PMID:24409794

Li, Yiming; Li, Bin; Qian, Mingli; Wang, Longchen

2013-09-01

231

National Healthcare Disparities Report, July 2003.  

National Technical Information Service (NTIS)

This historic report, the first annual report on healthcare disparities, is intended to provide a balanced summary of the state of disparities in the United States. It will demonstrate that disparities exist for many Americans and improvement is possible....

2003-01-01

232

Bereaved Parents and Siblings Offer Advice to Healthcare Providers and Researchers  

PubMed Central

Objective To determine how to improve care for families by obtaining their advice to healthcare providers and researchers after a child’s death from cancer. Design Families with a surviving sibling (ages 8-17) were recruited from cancer registries at three hospitals in the United States and Canada 3-12 months (M = 10.4, SD = 3.5) after the child’s death. Setting Data were collected in the home. Participants Participants (N = 99) included 36 mothers, 24 fathers, and 39 siblings from 40 families. Outcome Measures Each participant completed a qualitative interview that was audio recorded, transcribed, and coded for thematic content. Findings Five major themes included the need for: (a) improved communication with the medical team, (b) more compassionate care, (c) increased access to resources, (d) ongoing research, as well as (e) offering praise. Interwoven within the five themes was a subtheme of continuity of care. Conclusions Many participants were pleased with the care the child with cancer received, but others noted areas in need of improvement, particularly medical communication and continuity of care. Additional research is needed to inform interventions to improve services for families of children with life-limiting conditions.

Steele, Amii Corbisiero; Kaal, Julia; Thompson, Amanda L.; Barrera, Maru; Compas, Bruce E.; Davies, Betty; Fairclough, Diane L.; Foster, Terrah L.; Gilmer, Mary Jo; Hogan, Nancy; Vannatta, Kathryn; Gerhardt, Cynthia A.

2013-01-01

233

Healthcare facilities management: state of the art review  

Microsoft Academic Search

Following increases in national demands on healthcare facilities and services, healthcare facilities management (FM) has gradually matured to become an established research and development topic. This paper reviews the state of the art in the main domains related to healthcare FM and defines the central themes in the development of a healthcare FM model. FM, maintenance management and performance management

Igal M. Shohet; Sarel Lavy

2004-01-01

234

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

235

Health-Care Reform for Childbirth  

PubMed Central

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

Budin, Wendy C.

2010-01-01

236

Wicked problems in designing healthcare facilities.  

PubMed

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

Stichler, Jaynelle F

2009-10-01

237

Educational responses to unethical healthcare practice.  

PubMed

The aim of this article is to explore explanations for unethical healthcare practice and identify educational responses. The meaning of unethical practice is outlined and causes of it are suggested, primarily relating to individual perpetrators and organisational culture or climate. Empirical and theoretical literature is reviewed and research findings are discussed. Individual resilience and the ethical climate of healthcare organisations are considered as responses to unethical practice. Role modelling is explored, acknowledging the role of effective leadership. PMID:22848954

Grob, Catherine; Leng, Jane; Gallagher, Ann

238

Modeling risk in distributed healthcare information systems.  

PubMed

This paper presents a modeling approach for performing a risk analysis study of networked healthcare information systems. The proposed method is based on CRAMM for studying the assets, threats and vulnerabilities of the distributed information system, and models their interrelationships using Bayesian networks. The most critical events are identified and prioritized, based on "what - if" studies of system operation. The proposed risk analysis framework has been applied to a healthcare information network operating in the North Aegean Region in Greece. PMID:17945902

Maglogiannis, Ilias; Zafiropoulos, Elias

2006-01-01

239

Is Child Labor Inefficient?  

Microsoft Academic Search

We build a model of child labor and study its implications for welfare. We assume that there is a trade-off between child labor and the accumulation of human capital. Even if parents are altruistic and child labor is socially inefficient, it may arise in equilibrium because parents fail to fully internalize its negative effects. This occurs when bequests are zero

Jean-Marie Baland; James A. Robinson

2000-01-01

240

Child Care Bulletin, 1996.  

ERIC Educational Resources Information Center

This document consists of six issues of the Child Care Bulletin, a bimonthly publication of the National Child Care Information Center. The January-February issue focuses on infants and toddlers in child care. Topics discussed include caring for infants with special needs, designing quality group care environments, Early Head Start programs, and…

McGhee, Marilyn, Ed.

1996-01-01

241

Conversations in Child Care  

MedlinePLUS

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

242

Nurturing the child's creativity.  

PubMed

A much neglected but vital aspect of a child's development, creativity; needs to be vigorously promoted. India's child survival strategy has focused on immunization, oral rehydration, education, and limiting family size. No policy exists, however, that seeks to nurture a child's curiosity, joy and hopefulness. Many people place art and science in separate realms, not realizing that both depend on the unhindered flow of imagination. India's educational system emphasizes practical and utilitarian knowledge. This systems stresses the accumulation of information, academic performance, and competition. A child acquired value according to how well he or she performs in an exam, a fact that can have only a negative impact on the child's psyche. At home, parents push a child to achieve results, discouraging curiosity in the process. All of these tendencies serve to stifle the creative impulses of the child, making him or her apathetic or frustrated. Society needs to recognize that every child is a gifted child, one who has the inalienable right to explore, seek information, and use his or her imagination. Parents, schools, and the country as a whole need to foster such creativity. Stories, songs, poems, parables--all of these can stimulate a child's imagination. Parents should encourage a child to read for fun, and should help the child differentiate between good literature and mediocre writing, between the aesthetic and the gaudy. Parents should invite children to talk about their feelings and thoughts and should share their own. PMID:12317288

Anandalakshmy, S

1991-01-01

243

Child Care Bulletin, 1998.  

ERIC Educational Resources Information Center

These two issues address topics related to state and federal public policy concerning child care. Issue 19 focuses on how various federal agencies work with the Child Care Bureau to strengthen and support child care services across the country. The issue includes articles describing initiatives of the Departments of Transportation, Labor,…

Child Care Bulletin, 1998

1998-01-01

244

[Autism and child protection].  

PubMed

The fostering of an autistic child deemed to be a child at risk leads one to question one's professional practices. In a children's home, an approach guided by psychoanalysis can recognise the benefits of behavioural or cognitive approaches. The aim of the professional's particular educational position is therefore to construct a relationship with each child. PMID:24617091

Coron, Guillaume

2014-01-01

245

Mother-Child Bonding.  

ERIC Educational Resources Information Center

Examines the nature of mother-child bonding from the prenatal stage through early infancy, discussing how the mother's actions, even before birth, stimulate her child's senses. Explains the crucial role that physical contact, breastfeeding, and visual stimuli have on mother-child bonding in human and animal newborns. (MDM)

Pearce, Joseph Chilton

1994-01-01

246

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.

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

2012-01-01

247

Temperature dependence of the crystal chemistry of the oxovanadium-ethylenediphosphonate/copper(II)- 2,2-bipyridine system. Crystal structures of the two-dimensional [Cu(bpy)VO 2(O 3PCH 2CH 2PO 3H)]•1.5H 2O and of the one-dimensional [Cu(bpy)VO 2(O 3PCH 2CH 2PO 3H)  

NASA Astrophysics Data System (ADS)

Three different materials of the oxovanadium-ethylenediphosphonate/copper(II)-bipyridine system [V/O/{(CH 2) 2(PO 3H x) 2} (4- x)- /Cu(II)(bpy)] were isolated via hydrothermal synthesis from identical starting solutions with temperatures as the only variable. The phases isolated at 120 and 230 °C are both two-dimensional networks, [Cu(bpy)VO 2(O 3PCH 2CH 2PO 3H)]•1.5H 2O ( 1•1.5H 2O) and [Cu(bpy)VO(O 3PCH 2CH 2PO 3)] ( 3), respectively, while the phase produced at the intermediate temperature of 180 °C is the one-dimensional [Cu(bpy)VO 2(O 3PCH 2CH 2PO 5H)] ( 2). Despite the unexpected absence of correlation between temperature and dimensionality, the number of Cu(II) atoms per 1000 Å 3 increases in the order 2.31:2.57:2.62 for 1: 2: 3, as expected.

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

2005-01-01

248

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

Microsoft Academic Search

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

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

2008-01-01

249

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

250

Prisoners right to healthcare, a European perspective.  

PubMed

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

Abbing, Henriette Roscam

2013-03-01

251

Advanced networks and computing in healthcare  

PubMed Central

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

Ackerman, Michael

2011-01-01

252

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

253

Progress in nanotechnology for healthcare.  

PubMed

This review based on the Wickham lecture given by AC at the 2009 SMIT meeting in Sinaia outlines the progress made in nano-technology for healthcare. It describes in brief the nature of nano-materials and their unique properties which accounts for the significant research both in scientific institutions and industry for translation into new therapies embodied in the emerging field of nano-medicine. It stresses that the potential of nano-medicine to make significant inroads for more effective therapies both for life-threatening and life-disabling disorders will only be achieved by high-quality life science research. The first generation of passive nano-diagnostics based on nanoparticle contrast agents for magnetic resonance imaging is well established in clinical practice and new such contrast agents are undergoing early clinical evaluation. Likewise active (second generation) nano-therapies, exemplified by targeted control drug release systems are undergoing early clinical evaluation. The situation concerning other nano-materials such as carbon nanotubes (CNTs) and boron nitride nanotubes (BNNTs) is less advanced although considerable progress has been made on their coating for aqueous dispersion and functionalisation to enable carriage of drugs, genes and fluorescent markers. The main problem related to the clinical use of these nanotubes is that there is no consent among scientists on the fate of such nano-materials following injection or implantation in humans. Provided carbon nanotubes are manufactured to certain medical criteria (length around 1 mum, purity of 97-99% and low Fe content) they exhibit no cytotoxicity on cell cultures and demonstrate full bio-compatibility on in vivo animal studies. The results of recent experimental studies have demonstrated the potential of technologies based on CNTs for low voltage wireless electro-chemotherapy of tumours and for electro-stimulation therapies for cardiac, neurodegenerative and skeletal and visceral muscle disorders. PMID:20497066

Raffa, V; Vittorio, O; Riggio, C; Cuschieri, A

2010-06-01

254

Solid state coordination chemistry of the oxofluorovanadium-diphosphonate system in the presence of Cu(II)-tetrapyridylpyrazine complex cations. The crystal structures of [{Cu 2(tpyprz)(H 2O) 2}V 4FO 8(HO 3PCH 2PO 3) 2], [{Cu 2(tpyprz)(H 2O) 2}V 4F 6O 6(O 3PCH 2CH 2PO 3)], and [Cu 2(tpyprz){HO 3P(CH 2) 3PO 3H}][V 2F 2O 5] (tpyprz=tetra-4-pyridylpyrazine)  

NASA Astrophysics Data System (ADS)

The hydrothermal reactions of V 2O 5, Cu(CH 3CO 2) 2·H 2O, tetrapyridylpyrazine (tpyprz), HF and the appropriate diphosphonic acid yielded a series of compounds of the {Cu(tpyprz)}/VOFzn-/{OP(CH)nPO} family of materials. The structure of [{Cu 2(tpyprz)(H 2O) 2}V 4F 6O 6(HO 3PCH 2PO 3) 2] ( 1) is one-dimensional, constructed from mixed valence {V3VVFO(HOPCHPO)2} clusters linked through {Cu 2(tpyprz)(H 2O) 2} 4+ rods. The two-dimensional [{Cu 2(tpyprz)(H 2O) 2}V 4F 6O 6(O 3PCH 2CH 2PO 3)] ( 2) is constructed from {VFO(OPCHCHPO)}n4n- chains crosslinked by {Cu 2(tpyprz))(H 2O) 2} 4+ rods; mixed valence {V2VV2IVFO(OPCHCHPO)} clusters are embedded in the network. Compound 3, [Cu 2(tpyprz){HO 3P(CH 2) 3PO 3H}][V 2F 2O 5], consists of [Cu(tpyprz){HOP(CH)3POH}]n2n+ chains and isolated {V 2F 2O 5} 2- anions. Structures 1- 3 are compared to the structures of the analogous series {Cu(bisterpy)}/VOFzn-/{OP(CH)nPO}, where bisterpy is 2,2':4':4?:2?,2?-quaterpyridine, 6',6?-di-2-pyridinyl. The temperature-dependent magnetic susceptibilities of 2 and 3 are also discussed.

Ouellette, Wayne; Golub, Vladimir; O'Connor, Charles J.; Zubieta, Jon

2007-09-01

255

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

Microsoft Academic Search

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

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

1996-01-01

256

Engineering healthcare as a service system.  

PubMed

Engineering has and will continue to have a critical impact on healthcare; the application of technology-based techniques to biological problems can be defined to be technobiology applications. This paper is primarily focused on applying the technobiology approach of systems engineering to the development of a healthcare service system that is both integrated and adaptive. In general, healthcare services are carried out with knowledge-intensive agents or components which work together as providers and consumers to create or co-produce value. Indeed, the engineering design of a healthcare system must recognize the fact that it is actually a complex integration of human-centered activities that is increasingly dependent on information technology and knowledge. Like any service system, healthcare can be considered to be a combination or recombination of three essential components - people (characterized by behaviors, values, knowledge, etc.), processes (characterized by collaboration, customization, etc.) and products (characterized by software, hardware, infrastructures, etc.). Thus, a healthcare system is an integrated and adaptive set of people, processes and products. It is, in essence, a system of systems which objectives are to enhance its efficiency (leading to greater interdependency) and effectiveness (leading to improved health). Integration occurs over the physical, temporal, organizational and functional dimensions, while adaptation occurs over the monitoring, feedback, cybernetic and learning dimensions. In sum, such service systems as healthcare are indeed complex, especially due to the uncertainties associated with the human-centered aspects of these systems. Moreover, the system complexities can only be dealt with methods that enhance system integration and adaptation. PMID:20543250

Tien, James M; Goldschmidt-Clermont, Pascal J

2010-01-01

257

From Regional Healthcare Information Organizations to a National Healthcare Information Infrastructure  

PubMed Central

Recently there has been increased focus on the need to modernize the healthcare information infrastructure in the United States.1–4 The U.S. healthcare industry is by far the largest in the world in both absolute dollars and in percentage of GDP (more than $1.5 trillion, or 15 percent of GDP). It is also fragmented and complex. These difficulties, coupled with an antiquated infrastructure for the collection of and access to medical data, lead to enormous inefficiencies and sources of error. Consumer, regulatory, and governmental pressure drive a growing consensus that the time has come to modernize the U.S. healthcare information infrastructure (HII). While such transformation may be disruptive in the short term, it will, in the future, significantly improve the quality, expediency, efficiency, and successful delivery of healthcare while decreasing costs to patients and payers and improving the overall experiences of consumers and providers. The launch of a national health infrastructure initiative in the United States in May 2004-with the goal of providing an electronic health record for every American within the next decade-will eventually transform the healthcare industry in general, just as information technology (IT) has transformed other industries in the past. The key to this successful outcome will be based on the way we apply IT to healthcare data and the services delivered through IT. This must be accomplished in a way that protects individuals and allows competition but gives caregivers reliable and efficient access to the data required to treat patients and to improve the practice of medical science. This paper describes key IT solutions and technologies that address the challenges of creating a nation-wide healthcare IT infrastructure. Furthermore we discuss the emergence of new electronic healthcare services and the current efforts of IBM Research, Software Group, and Healthcare Life Sciences to realize this new vision for healthcare.

Kaufman, James H; Eiron, Iris; Deen, Glenn; Ford, Dan A; Smith, Eishay; Knoop, Sarah; Nelken, H; Kol, Tomer; Mesika, Yossi; Witting, Karen; Julier, Kevin; Bennett, Craig; Rapp, Bill; Carmeli, Boaz; Cohen, Simona

2005-01-01

258

[Individual healthcare services in the ambulatory sector].  

PubMed

Even in Germany where the majority of the population is insured under the Statutory Health Insurance system (SHI), there is an increasing need for taking more personal responsibility for healthcare services and more private participation in healthcare costs, which is due to continuously stagnating contributions to the German Statutory Health Insurances. "Medical services on individual demand" (IGeL) is the term used to denote a special choice of healthcare services that are available to SHI members, but not reimbursed by the SHI system. Despite the growing demand private healthcare services in the form of "medical services on individual demand" are not generally accepted, neither by all patients nor all physicians. Opponents criticise that "medical services on individual demand" are of less or no benefit to the patients. In 2006, the German Medical Assembly adopted a policy statement including ten basic principles that are intended to help doctors distinguish between useful and unnecessary private healthcare offers, and avoid conflicts with the professional code of conduct. PMID:17269510

Klakow-Franck, Regina

2006-01-01

259

Active X based standards for healthcare integration.  

PubMed

With cost pressures brought to the forefront by the growth of managed care, the integration of healthcare information systems is more important than ever. Providers of healthcare information are under increasing pressure to provide timely information to end users in a cost effective manner. Organizations have had to decide between the strong functionality that a multi-vendor 'best of breed' architecture provides and the strong integration provided by a single-vendor solution. As connectivity between systems increased, these interfaces were migrated to work across serial and eventually, network, connections. In addition, the content of the information became standardized through efforts like HL7 and ANSI X12 and Edifact. Although content-based standards go a long way towards facilitating interoperability, there is also quite a bit of work required to connect two systems even when they both adhere to the standard. A key to accomplishing this goal is increasing the connectivity between disparate systems in the healthcare environment. Microsoft is working with healthcare organizations and independent software vendors to bring Microsoft's powerful enterprise object technology, ActiveX, to the healthcare industry. Whilst object orientation has been heralded as the 'next big thing' in computer applications development, Microsoft believe that, in fact, component software is the technology which will provide the greatest benefit to end users. PMID:9600418

Greenberg, D S; Welcker, B

1998-02-01

260

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

261

Synthesis and Properties of Iron(II) Hydride Complexes Containing the Tripodal Tetraphosphine Ligand P(CH(2)CH(2)PMe(2))(3).  

PubMed

The preparation and characterization of iron(II) hydride complexes containing the tripodal tetraphosphine ligand tris[2-(dimethylphosphino)ethyl]phosphine, P(CH(2)CH(2)PMe(2))(3) (PP(3)), 1, are reported. Dissolution of the chloro hydride complex FeHCl(PP(3)), 2, in methanol affords an equilibrium mixture of 2 and the methoxy hydrido complex FeH(OMe)(PP(3)), 3. Reaction of a methanol solution containing 2 and 3 with anionic or neutral ligands affords the corresponding hydrido complexes: reaction with NaBr affords FeHBr(PP(3)), 4; reaction with NaI affords FeHI(PP(3)), 5; reaction with NaN(3) affords FeHN(3)(PP(3)), 6; reaction with CO affords [FeH(CO)(PP(3))](+), 7; reaction with N(2) affords [FeH(N(2))(PP(3))](+), 8; and reaction with PPh(3) affords [FeHPPh(3)(PP(3))](+), 9. In some cases, further reaction of the product iron hydride complexes is observed. Reaction of FeHN(3)(PP(3)), 6, with NaN(3) for an extended period affords Fe(N(3))(2)(PP(3)), 10. On standing in solution, [FeH(N(2))(PP(3))](+), 8, is converted to the dinitrogen-bridged complex [FeH(PP(3))N&tbd1;NFeH(PP(3))](2+), 11. The carbonyl hydride complex 7 and the dinitrogen hydride complex 8 can be deprotonated to give the neutral iron(0) complexes Fe(CO)(PP(3)), 12, and Fe(N(2))(PP(3)), 13, respectively. The air-sensitive complexes 4-13 were characterized, by multinuclear NMR, IR, Raman, and mass spectroscopy and by elemental analysis. PMID:11670230

Field, Leslie D.; Messerle, Barbara A.; Smernik, Ronald J.

1997-12-17

262

An iron(II) dihydrogen hydrido complex containing the tripodal tetraphosphine ligand P(CH2CH2PMe2)3.  

PubMed

The dihydrogen hydrido complex [FeH(H2)(PP3)]+ 1 (PP3 = P(CH2CH2PMe2)3 2) was formed by the protonation of the dihydrido complex FeH2(PP3) 3 with methanol or ethanol. The observation of H-D coupling in partially deuterated isotopomers of 1 and measurement of T1 relaxation times for the hydrido and dihydrogen resonances of 1 confirmed the presence of the eta2-dihydrogen ligand. Complex 1 shows dynamic NMR behaviour in both the 31P and 1H NMR spectra with facile exchange between the protons in the eta2-dihydrogen ligand and the eta1-hydrido ligand. The dihydrogen ligand of 1 is easily displaced by both anionic and neutral ligands to afford the corresponding hydrido complexes [FeHX(PP3)]+ (X = CO 11, X = PPh3 12) or FeHX(PP3)(X = Cl 13, X = Br 14, X = I 15, X = N3 16). Small quantities of the alkoxy hydrido complexes FeH(OR)(PP3)(R = Me 4; R = Et 5) are observed in methanol and ethanol solutions containing 1. In methanol solution, FeH(OMe)(PP3) 4 reacts to form the carbonyl hydrido complex [FeH(CO)(PP3)]+ 11 and isotopic labelling confirms that the carbonyl ligand of 11 is derived from the methanol solvent. The mechanism of methanol oxidation presumably proceeds through beta-hydride elimination from FeH(OMe)(PP3) to produce formaldehyde as an intermediate which is further dehydrogenated to form the carbonyl ligand. [FeH(H2)(PP3)]+ 1 and FeHCl(PP3) 13 react rapidly with paraformaldehyde to also form [FeH(CO)(PP3)]+ 11. Complex 11 also decarbonylates acetaldehyde to afford the methyl carbonyl complex [FeMe(CO)(PP3)]+ 17. The structure of 17 was confirmed by X-ray crystallography. PMID:15252636

Field, Leslie D; Li, Hsiu L; Messerle, Barbara A; Smernik, Ronald J; Turner, Peter

2004-05-01

263

Child health in complex emergencies.  

PubMed Central

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

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

2006-01-01

264

Private health insurance and access to healthcare.  

PubMed

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

Duggal, Ravi

2011-01-01

265

SARS in Healthcare Facilities, Toronto and Taiwan  

PubMed Central

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

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

2004-01-01

266

Death of an Adult Child  

MedlinePLUS

... com Compassionate Friends Credit Card Contact Us Donate Death of an Adult Child The death of any child, regardless of cause or age, ... the situations that may have caused their child’s death. Judgmental statements from others indicating that the child ...

267

Child's Play: Therapist's Narrative  

PubMed Central

Play has been recognized as an essential component to children's healthy development. Schools of play therapy differ philosophically and technically, but they all embrace the therapeutic and developmental properties of play. This case report is an illustration of how a 6-year-old child with emotional disorder was facilitated to express concerns in child-centered play therapy. The paper discusses the therapist's narration of the child's play.

Reddy, Rajakumari P.; Hirisave, Uma

2014-01-01

268

Healthcare provides many opportunities for card technologies.  

PubMed

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

Amoroso, L A; Pollokoff, A M

1990-12-01

269

The normalization of deviance in healthcare delivery  

PubMed Central

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

Banja, John

2009-01-01

270

Structuring a sound securitization of healthcare receivables.  

PubMed

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

Spradling, Mark

2003-02-01

271

Improving preparation for senior management in healthcare.  

PubMed

Noting the historical and practical relationship of management education in healthcare to business generally, this paper reviews and analyzes four recent criticisms of management education by Pfeffer and Fong, Ghoshal, Mintzberg, and Bennis. It concludes from that analysis that increased effort on assessing and improving healthcare education efforts is essential, and proposes a model for a national program of continuous improvement of educational practice. It reviews existing competency assessment tools in the light of needs, and suggests next steps for educators and practitioners. PMID:17847864

Griffith, John R

2007-01-01

272

Healthcare Reform 2010- a surgeon's perspective.  

PubMed

The Patient Protection and Affordable Care Act (PPACA) was signed into law President Barack Obama in March 2010. From the standpoint of a clinical surgeon, Dan Ullyot examines healthcare reform of the US system and asks: What is healthcare reform? Do we need it? What would ideal reform look like? And to what extent does the PPACA approach ideal reform? This article is a primer for understanding the salient features of this complex piece of federal legislation, which will have an enormous influence on the lives of this generation and those of the future. PMID:21928185

Ullyot, Daniel J

2010-01-01

273

FAQs about the wireless challenge in healthcare.  

PubMed

AAMI's Wireless Strategy Task Force (WSTF) developed the following document to provide answers to frequently asked questions (FAQs) regarding wireless issues in the healthcare environment. A special thanks to Steve Baker, senior principal engineer at Welch Allyn, for leading the project and writing much of the content; as well as to Rick Hampton, wireless communications manager at Partners HealthCare Systems, Scott Coleman at Welch Allyn, and Paul Sherman, a consultant retired from the Veteran's Administration, who developed responses to many of the questions. The complete list of FAQs can be accessed at www.aami.org/hottopics/wireless/index.html . PMID:24847925

2014-01-01

274

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

275

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

PubMed

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

von Lubitz, Dag; Wickramasinghe, Nilmini

2006-01-01

276

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.

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

2014-01-01

277

Genetic epidemiology and preventive healthcare in multiethnic societies: the hemoglobinopathies.  

PubMed

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

278

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. ...

279

Reaction of the novel Ru 3 (CO) 10 [Ph 2 P(CH 2 ) 2 Si(OEt 3 )] 2 complex on SBA15 and MCM-41 mesoporous silicas  

Microsoft Academic Search

The reaction of Ru3(CO)12 with 2(diphenylphosphino)ethyl-triethoxysilane (DPTS) in hydrocarbons, leads to the functionalized Ru3(CO)12?n\\u000a [Ph2P(CH2)2Si(OEt3)]\\u000a n\\u000a (n = 1,2) complexes. The complex with two phosphine substituents was chemically anchored on mesoporous silicas, SBA-15 and MCM-41,\\u000a in order to obtain two hybrid materials characterized by a different localization of the metal centre on the surface of the\\u000a porous supports. A detailed investigation of

Fabio Carniato; Andrea Secco; Giorgio Gatti; Leonardo Marchese; Enrico Sappa

2009-01-01

280

Synthesis and Crystal Structure of a New Copper–PMIDA Compound (H 4 PMIDA=H 2 O 3 PCH 2 N(CH 2 CO 2 H) 2 )  

Microsoft Academic Search

A new Cu(II)PMIDA compound [Cu(H2PMIDA)(phen)] · 3H2O (1) (H4PMIDA = H2O3PCH2N (CH2CO2H)2,phen = 1,10-phenanthroline) has been successfully synthesized and structurally characterized. In complex 1, Cu (II) is six coordinated by chelation in a tetradentate fashion by a PMIDA ligand and by two N atoms of a phen ligand. Every phen–Cu(II)–PMIDA group connects with each other via a hydrogen bond and

Hongxia Pei; Sheming Lu; Yanxiong Ke; Jianmin Li; Shoubo Qin; Shuxi Zhou; Xintao Wu; Wenxin Du

2004-01-01

281

Conference Grant - International Meeting on Simulation in Healthcare.  

National Technical Information Service (NTIS)

1641 individuals attended the 2009 International Meeting on Simulation in Healthcare and had access to Post graduate courses, panels, keynotes, roundtables, and workshop sessions to further their knowledge of use of simulation in healthcare to improve pat...

M. Mellick

2009-01-01

282

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

283

Addressing language barriers to healthcare in India.  

PubMed

In spite of a growing recognition of the importance of doctor-patient communication, the issue of language barriers to healthcare has received very little attention in India. The Indian population speaks over 22 major languages with English used as the lingua franca for biomedicine. Large-scale internal migration has meant that health workers are encountering increasing instances of language discordance within clinical settings. Research done predominantly in the West has shown language discordance to significantly affect access to care, cause problems of comprehension and adherence, and decrease the satisfaction and quality of care. Addressing language barriers to healthcare in India requires a stronger political commitment to providing non-discriminatory health services, especially to vulnerable groups such as illiterate migrant workers. Research will have to address three broad areas: the ways in which language barriers affect health and healthcare, the efficacy of interventions to overcome language barriers, and the costs of language barriers and efforts to overcome them. There is a need to address such barriers in health worker education and clinical practice. Proven strategies such as hiring multilingual healthcare workers, providing language training to health providers, employing in situ translators or using telephone interpretation services will have to be evaluated for their appropriateness to the Indian context. Internet-based initiatives, the proliferation of mobile phones and recent advances in machine translation promise to contribute to the solution. PMID:24758452

Narayan, Lalit

2013-01-01

284

Augmented processes: a case study in healthcare  

Microsoft Academic Search

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

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

2011-01-01

285

An i-mode portable healthcare monitor  

Microsoft Academic Search

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

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

2002-01-01

286

Emerging technologies for healthcare and aging  

Microsoft Academic Search

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

Tracy Mitzner; Marita O'Brien; Wendy Rogers

2012-01-01

287

Infection control: behavioural issues for healthcare workers  

Microsoft Academic Search

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

Sile A. Creedon

2006-01-01

288

WAP-based personalized healthcare systems  

Microsoft Academic Search

In this paper a prototype system for personalized healthcare delivery is presented. The system involves monitoring and education services, designed specifically for people suffering from chronic diseases such as diabetes mellitus. Adaptation to every patient’s special requirements was kept in mind, in order to achieve personalization of the service provided. The technological platform adopted for implementing the service is the

V. G. Koutkias; S. L. Meletiadis; N. Maglaveras

2001-01-01

289

[The healthcare chain aiding casualties in Afghanistan].  

PubMed

Rules govern the triage of casualties before evacuation and the organisation of the healthcare chain downstream. The two main links in the chain are combat lifesaving techniques and the role 3 medical treatment facility. An example of the French armed forces health service in Kabul, in Afghanistan. PMID:23316579

Beaume, Sébastien; Andries, Ludovic

2012-12-01

290

A conceptual model for healthcare facility design.  

PubMed

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

Stichler, Jaynelle F

2014-06-01

291

Healthcare IT as a source of resilience  

Microsoft Academic Search

Healthcare information technology (IT) systems can be used to inform workers and managers about changes to workplace vulnerabilities and new means that may be available to meet challenges such as widely varying demand. IT system success, though, depends on adaptability in the face of change, which is a property that IT systems do not currently demonstrate. Resilience engineering seeks to

Christopher P. Nemeth; Richard Cook

2007-01-01

292

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

293

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

294

For an Ethnomethodology of healthcare ethics.  

PubMed

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

Emmerich, Nathan

2013-12-01

295

The issues surrounding social network sites and healthcare professionals.  

PubMed

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

Azizi, Taraneh

2013-10-01

296

Finding Mental Healthcare for Children of Immigrants  

MedlinePLUS

... or have trouble fitting in and making friends. Finding a mental health professional who can understand and ... can be very difficult. Parents may struggle with finding timely help for their child. There are mental ...

297

Healthcare Quality and Disparities in Women  

MedlinePLUS

... Child Health From 2004 to 2008, rates of obstetric trauma with 3rd or 4th degree laceration decreased ... pay/uninsured/no charge had lower rates of obstetric trauma than mothers whose payment source was private ...

298

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

PubMed

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

Bellman, Martin; Vijeratnam, Selvarajan

2012-01-01

299

Building the Biocentric Child.  

ERIC Educational Resources Information Center

Advocates an environmentally congruent conception of child development and includes Montessori theory as part of a biocentric view where child development connects to the laws of nature. Explains orientations to the world informing development of a biocentric vision of childhood: mastery, immersion, and engagement. Discusses how mastery and…

Hutchison, David

2002-01-01

300

Child Transportation Safety Tips.  

ERIC Educational Resources Information Center

This document presents nine tips regarding safe infant and child transportation, each tip explained in one to two pages. The tips are as follows: (1) quick safety seat checkup; (2) where should your child ride? (3) how to protect your new baby in the car; (4) what safety seat to use for a big baby or toddler? (5) how should preschool and school…

National Highway Traffic Safety Administration (DOT), Washington, DC.

301

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

302

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

303

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

304

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

305

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.

306

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

307

Supervising Child Protective Workers.  

National Technical Information Service (NTIS)

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

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

1979-01-01

308

The Only Child.  

ERIC Educational Resources Information Center

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

Allen, Marcia Ellen McGuire

309

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

310

From Regional Healthcare Information Organizations to a National Healthcare Information Infrastructure  

Microsoft Academic Search

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

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

311

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

312

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

313

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

314

Current state and perspectives of healthcare informatics in Russia  

Microsoft Academic Search

Huge political, economical and social changes have occurred in Russia to the current moment. These changes led to restructuring of Russian healthcare as a whole and caused new demands on healthcare informatics. The state priority program of informatics of Russian healthcare has been created by the Ministry of Health in order to respond to the new tasks. During the last

S. Elioutina; V. Tarasov

1995-01-01

315

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

316

Design and Implementation of a Secure Healthcare Social Cloud System  

Microsoft Academic Search

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

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

2012-01-01

317

Implications of Healthcare Utilization of Diabetes Disease Management.  

National Technical Information Service (NTIS)

Faced with rising healthcare costs and limited resources, healthcare costs need to be contained. Consistent with its extraordinary effect on the health of Americans, the costs of diabetes to the U.S. healthcare system are enormous. Total estimated cost of...

J. R. Webb

2008-01-01

318

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

319

Foundation for Child Development  

NSDL National Science Digital Library

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

2006-12-19

320

Healthcare Inspection: Management of Chronic Opioid Therapy at a VA Maine Healthcare System Community Based Outpatient Clinic.  

National Technical Information Service (NTIS)

The VA Office of Inspector General Office of Healthcare Inspections conducted an inspection to assess the merit of allegations made by a complainant concerning management of chronic opioid therapy at the VA Maine Healthcare System Community Based Outpatie...

2012-01-01

321

Healthcare Inspection. Oversight Review of Ophthalmology Adverse Drug Events: VA Greater Los Angeles Healthcare System Los Angeles, California.  

National Technical Information Service (NTIS)

The VA Office of Inspector General Office of Healthcare Inspections conducted an oversight review to assess actions taken by VA Greater Los Angeles Healthcare System (the facility) leadership in addressing intravitreal injections (treatment to deliver med...

2012-01-01

322

Is it ethical for a medical practice to dismiss a family based on their decision not to have their child immunized?  

PubMed

The parents' decision not to have their child immunized stirs up much controversy in the public sector and in the healthcare arena. Much debate surrounds not just the parents' choice but also the practitioner's decision to refuse care based on their refusal. This article presents a common and increasing scenario faced in pediatric practices and explores the ethical implications that it poses for the healthcare provider. PMID:22124471

Nulty, Dorothy

2011-01-01

323

Health is wealth: considerations to european healthcare.  

PubMed

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

Unger, F

2012-07-01

324

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

Microsoft Academic Search

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

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

2005-01-01

325

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

326

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

327

Child Outcome Measures in the Study of Child Care Quality  

ERIC Educational Resources Information Center

This article assesses whether there are methodological problems with child outcome measures that may contribute to the small associations between child care quality and child outcomes found in the literature. Outcome measures used in 65 studies of child care quality published between 1979 and December 2005 were examined, taking the previous review…

Zaslow, Martha; Halle, Tamara; Martin, Laurie; Cabrera, Natasha; Calkins, Julia; Pitzer, Lindsay; Margie, Nancy Geyelin

2006-01-01

328

Synthesis and characterization of the novel hydrogen-bonded framework material (C 5H 5NH){AlF[O 3PCH 2PO 2(OH)]}?0.61H 2O  

NASA Astrophysics Data System (ADS)

The new aluminum diphosphonate, (C 5H 5NH){AlF[O 3PCH 2PO 2(OH)]}?0.61H 2O (monoclinic, C2/c, a=18.1898(11) Å, b=10.7396(7) Å, c=12.0022(7) Å, ?=105.404(2)°, V=2260.4(2) Å, Z=8), has been synthesized by solvothermal methods and its structure determined using micro-crystal X-ray diffraction data. The material consists of infinite columnar [AlF(O 3PCH 2PO 3)] 2-? anions with chains of cis- and trans- vertex-sharing AlO 4F 2 octahedra at their core. Each methylenediphosphonate group acts as a bisbidentate ligand bonding to adjacent aluminum atoms in a chain, and directly binding to one chain only. The columnar [AlF(OPCHPO)]2-? anions are connected together through hydrogen-bonding interactions to form a hydrogen-bonded framework material containing pyridinium cations and extra-framework water molecules within its channels.

Harvey, Howard G.; Attfield, Martin P.

2006-03-01

329

Synthesis and characterization of a novel three-dimensional open-framework: Metal diphosphonate, Zn[HO 3PCH 2(C 6H 4)CH 2PO 3H  

NASA Astrophysics Data System (ADS)

A novel zinc diphosphonate, Zn[HO 3PCH 2(C 6H 4)CH 2PO 3H] ( 1) was synthesized from tetraethyl para-xylylenediphosphonate, Et 2O 3PCH 2C 6H 4CH 2PO 3Et 2, and Zn (AcO) 2·2H 2O under solvothermal conditions. The structure of compound 1 was determined by single-crystal X-ray diffraction, which reveals that the structure crystallizes in the monoclinic space group C2/ c (No. 15), with a = 22.4844(19) Å, b = 6.4361(5) Å, c = 8.1194(7) Å, ? = 102.595(2)°, V = 1146.70(16) Å 3, T = 298(2) K, Z = 8. The novel three-dimensional (3D) construction is simply built up from linear inorganic chains of corner-sharing four-rings of tetrahedral [ZnO 4] and [PO 3C] which connected adjacent chains by the organophosphorus ligand para-xylylenediphosphonate. The framework has 10 Å × 4 Å (containing the van der Waals radii of atoms) channels running along the b-axis.

Xu, Xianzhu; Wang, Peng; Hao, Rong; Gan, Meina; Sun, Fuxing; Zhu, Guang-shan

2009-01-01

330

Human factors systems approach to healthcare quality and patient safety.  

PubMed

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

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

2014-01-01

331

A Psychodynamic Child Rating Scale.  

ERIC Educational Resources Information Center

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

Szapocznik, Jose; And Others

332

Virtual child pornography and utilitarianism  

Microsoft Academic Search

The most common argument against child pornography is that children are harmed in the process of producing it. This is the argument from abusive production. However, it does not apply to ‘virtual’ child pornography, i.e. child pornography produced using computer technology without involving real children. Autilitarian who wishes to condemn virtual child pornography cannot appeal to the argument from abusive

Per Sandin

2004-01-01

333

Early Child Care in Poland  

ERIC Educational Resources Information Center

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

Ziemska, Maria

1978-01-01

334

Does Child Abuse Cause Crime?  

Microsoft Academic Search

Child maltreatment, which includes both child abuse and child neglect, is a major social problem. This paper focuses on measuring the effects of child maltreatment on crime using data from the National Longitudinal Study of Adolescent Health (Add Health). We focus on crime because it is one of the most socially costly potential outcomes of maltreatment, and because the proposed

Janet Currie; Erdal Tekin

2006-01-01

335

Adopting software quality measures for healthcare processes.  

PubMed

In this study, we investigated the adoptability of software quality measures for healthcare process measurement. Quality measures of ISO/IEC 9126 are redefined from a process perspective to build a generic healthcare process quality measurement model. Case study research method is used, and the model is applied to a public hospital's Entry to Care process. After the application, weak and strong aspects of the process can be easily observed. Access audibility, fault removal, completeness of documentation, and machine utilization are weak aspects and these aspects are the candidates for process improvement. On the other hand, functional completeness, fault ratio, input validity checking, response time, and throughput time are the strong aspects of the process. PMID:19745339

Yildiz, Ozkan; Demirörs, Onur

2009-01-01

336

Medical Tourism: Globalization of the Healthcare Marketplace  

PubMed Central

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

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

2007-01-01

337

E-commerce for healthcare supply procurement.  

PubMed

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

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

2001-01-01

338

INFECTION CONTROL IN ALTERNATIVE HEALTHCARE SETTINGS  

PubMed Central

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

Flanagan, Elaine; Chopra, Teena; Mody, Lona

2011-01-01

339

Personal healthcare system using cloud computing.  

PubMed

A personal healthcare system used with cloud computing has been developed. It enables a daily time-series of personal health and lifestyle data to be stored in the cloud through mobile devices. The cloud automatically extracts personally useful information, such as rules and patterns concerning lifestyle and health conditions embedded in the personal big data, by using a data mining technology. The system provides three editions (Diet, Lite, and Pro) corresponding to users' needs. PMID:23920710

Takeuchi, Hiroshi; Mayuzumi, Yuuki; Kodama, Naoki; Sato, Keiichi

2013-01-01

340

Contact Urticaria from Latex in Healthcare Workers  

Microsoft Academic Search

Background: Latex allergy is an important medical problem for an increasing number of patients. It has been documented as causing immediate hypersensitivity reactions ranging from mild urticaria to life-threatening anaphylaxis after cutaneous, mucosal or visceral exposure. Recent studies in northern Europe and the USA suggest that between 2.8 and 16.9% of healthcare workers are affected by latex hypersensitivity type I

R. Valsecchi; P. Leghissa; R. Cortinovis; L. Cologni; A. Pomesano

2000-01-01

341

BPR Best Practices for the Healthcare Domain  

Microsoft Academic Search

\\u000a Healthcare providers are under pressure to work more efficiently and in a more patient-focused way. One possible way to achieve\\u000a this is to launch Business Process Redesign (BPR) initiatives, which focus on changing the structure of the involved processes\\u000a and using IT as an enabler for such changes. In this paper, we argue that a list of historically successful improvement

Mariska Netjes; Ronny S. Mans; Hajo A. Reijers; Wil M. P. van der Aalst; R. J. B. Vanwersch

2009-01-01

342

Adaptive Information for Consumers of Healthcare  

Microsoft Academic Search

This chapter discusses the application of some of the technologies of the adaptive web to the problem of providing information\\u000a for healthcare consumers. The particular issues relating to this application area are discussed, including the goals of the\\u000a communication, typical content of a user model, and commonly used techniques. Two case studies are presented, and evaluation\\u000a approaches considered.

Alison Cawsey; Floriana Grasso; Cécile Paris

2007-01-01

343

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

PubMed

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

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

2013-09-01

344

[Competition in healthcare--political intentions].  

PubMed

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

Knieps, Franz

2009-01-01

345

Upper limb musculoskeletal disorders in healthcare personnel.  

PubMed

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

Occhionero, Vincenzo; Korpinen, Leena; Gobba, Fabriziomaria

2014-08-01

346

Healthcare standards based sensory data exchange for Home Healthcare Monitoring System.  

PubMed

Interoperability is the among the key functionalities of an intelligent systems. Home Healthcare Monitoring Systems (HHMS) investigates patients activities at home, but lacks critical information exchange with Health Management Information System (HMIS). This information is vital for physicians to take necessary steps for timely and effective healthcare provisioning for patients. Physicians can only monitor and prescribe patients in time, if the data is shared with their HMIS. HMIS can be compliant to different healthcare standards. Therefore, mediation system is required to enable interoperability between HHMS and HMIS such that physicians and patients information can easily be exchanged. We propose Interoperability Mediation System (IMS) that provides interoperability services for exchange of information among HHMS and HMIS. We consider that HMIS are compliant to two heterogeneous EHR standards (HL7 CDA and openEHR). Alzheimer's patient case study is described as a proof of concept. Sensory information gathered at HHMS, is communicated with HMIS compliant to EHR based healthcare standards. Sensors information in XML form is converted by interoperability service to HL7 CDA and openEHR instances and communicated to HMIS afterwards. This allows the physicians registered with HHMS to monitor the patient using their HMIS and provide timely healthcare information. PMID:23366131

Khan, Wajahat Ali; Hussain, Maqbool; Afzal, Muhammad; Amin, Muhammad Bilal; Lee, Sungyoung

2012-01-01

347

Cholesterol and Your Child  

MedlinePLUS

... child's cholesterol level should be checked. Back Continue Monitoring and Treating High Cholesterol Current guidelines recommend that ... done fasting (nothing to eat or drink, except water, for 12 hours), to tell you if your ...

348

Disciplining Your Child  

MedlinePLUS

... Give your child one warning (unless it is aggression). If it happens again, send her to the ... are less likely to be consistent. Spanking increases aggression and anger instead of teaching responsibility. Parents may ...

349

Child safety (image)  

MedlinePLUS

... 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 1-800-222-1222.

350

Your Child's Cough  

MedlinePLUS

... noisy, harsh breathing (often described as a coarse, musical sound) that occurs when a child inhales. Whooping ... coughing up blood has stridor (a noisy or musical sound) when breathing in has wheezing when breathing ...

351

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 ...

352

Your Child's Growth  

MedlinePLUS

... child continues the rate of growth experienced during infancy. After age 1, a baby's growth in length ... physical maturity. At the Doctor's Office Beginning in infancy, kids will visit a doctor for regular checkups, ...

353

Child and Adolescent Suicide.  

National Technical Information Service (NTIS)

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

1981-01-01

354

Toilet Teaching Your Child  

MedlinePLUS

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

355

Child abuse - sexual  

MedlinePLUS

... org Prevent Child Abuse America - www.childabuse.org Rape, Abuse & Incest National Network - www.rainn.org ... also need to be taught how to avoid rape and date rape. Constant supervision and vigilance by ...

356

Ontario's Provincial Council for Maternal and Child Health: Building a Productive, System-Level, Change-Oriented Organization.  

PubMed

In the early 2000s, similar to many sectors in the current healthcare system, the maternal-child health sector in Ontario was fragmented, encumbered with redundant elements and challenged to deliver high-quality, efficient, cost-effective care. Acknowledging the strategic importance of the maternalchild health sector and recognizing the need to resolve this fragmentation, Ontario created the Provincial Council for Maternal and Child Health in late 2008. With a structure designed to engage the entire sector, together with the support of a dedicated secretariat, the council was able to rapidly build momentum by unifying the maternal-child healthcare system and streamlining key elements of the organization and delivery of care. PMID:24955515

Hepburn, Charlotte Moore; Booth, Marilyn

2012-07-01

357

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

358

[IHE (Integrating the Healthcare Enterprise): a new approach for the improvement of digital communication in healthcare].  

PubMed

Parallel to the introduction of diagnosis related groups (DRGs) for the reimbursement of hospitals, a marked reduction of financial means within the healthcare system is taking place. Healthcare enterprise information systems will play an increasing role to accommodate the new working conditions by developing reliable and efficient workflow solutions. Interfacing the systems currently in use can meet considerable obstacles. By offering high connectivity, IHE (Integrating the Healthcare Enterprise), which was initiated by concerted actions of users and vendors, ensures improved health care delivery and, furthermore, assists in acquiring new information systems in the future. IHE is not a standard but makes extensive use of existing international standards, such as HL7 and DICOM. National IHE demonstrations confirmed the power of this approach and presented its mission to large groups of users and vendors. The concept continues to grow and for the first time provides groups of various interests cooperative solutions to the problems encountered in collecting and distributing information. PMID:12584616

Wein, B B

2003-02-01

359

Toward more compassionate healthcare systems Comment on "Enabling compassionate healthcare: perils, prospects and perspectives".  

PubMed

Compassion is central to the purpose of medicine and the care of patients and their families. Compassionate healthcare begins with compassionate people, but cannot be consistently provided without systemic changes that enable clinicians and staff to collaborate and to care. We propose seven essential commitments to foster more compassionate healthcare organizations and systems: a commitment to compassionate leadership, to teach compassion, to value and reward compassionate care, to support clinical caregivers, to involve and partner with patients and families, to build compassion into the organization of healthcare delivery, and a commitment to deepen our understanding of compassion and its impact through research. Acting on these commitments will help us attend with care to the ill, injured, and vulnerable in every interaction. PMID:24847487

Lown, Beth A

2014-05-01

360

Automated healthcare data mining based on a personal dynamic healthcare system.  

PubMed

The automated healthcare-data-mining system reported here extracts personally useful information, such as rules and patterns concerning lifestyles and health conditions, from daily time-series personal health and lifestyle data stored on a personal dynamic healthcare system by using mobile phone and Web technologies. This system enables users to input their daily data through a mobile phone and to transfer these data to a Web-application server via the Internet. The Web application server provides a data-mining service and uses mobile phones to inform users of important rules concerning their health and lifestyle data. Automated healthcare-data mining of the stored time-series data of volunteer users generated some useful rules correlating their lifestyles with body-fat index. PMID:17945785

Takeuchi, Hirochi; Kodama, Naoki; Hashiguchi, Takeshi; Hayashi, Doubun

2006-01-01

361

Toward more compassionate healthcare systems Comment on "Enabling compassionate healthcare: perils, prospects and perspectives"  

PubMed Central

Compassion is central to the purpose of medicine and the care of patients and their families. Compassionate healthcare begins with compassionate people, but cannot be consistently provided without systemic changes that enable clinicians and staff to collaborate and to care. We propose seven essential commitments to foster more compassionate healthcare organizations and systems: a commitment to compassionate leadership, to teach compassion, to value and reward compassionate care, to support clinical caregivers, to involve and partner with patients and families, to build compassion into the organization of healthcare delivery, and a commitment to deepen our understanding of compassion and its impact through research. Acting on these commitments will help us attend with care to the ill, injured, and vulnerable in every interaction.

Lown, Beth A.

2014-01-01

362

Creating knowledge-driven healthcare processes with the Intelligence Continuum.  

PubMed

Medical science has made revolutionary changes in the past few decades. Contemporaneously, however, healthcare has made incremental changes at best. One area within healthcare that best exemplifies this is the operating room (OR). The growing discrepancy between the revolutionary changes in medicine and the minimal changes in healthcare processes leads to inefficient and ineffective healthcare deliver and one if not the significant contributor to the exponentially increasing costs plaguing healthcare globally. Significant quantities of data and information permeate the healthcare industry, yet the healthcare industry has not maximised this data resource by fully embracing key business management processes or techniques (such as Knowledge Management (KM), data mining, Business Intelligence (BI) or Business Analytics (BA)) to capitalise on realising the full value of this data/information resource to reengineer processes. The Intelligence Continuum (IC), a Mobius strip of sophisticated tools, techniques and process provides a systematic mechanism for healthcare organisations to facilitate superior clinical practice and administrative management. In this paper, the case example of the orthopaedic OR is used to illustrate the power of the IC in effecting more efficient and effective healthcare processes to ensue and thereby enabling healthcare to make evolutionary changes. PMID:18048242

Wickramasinghe, Nilmini; Schaffer, Jonathan L

2006-01-01

363

Uncovering middle managers' role in healthcare innovation implementation  

PubMed Central

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

2012-01-01

364

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

PubMed Central

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

Juhnke, Christin; Muhlbacher, Axel C.

2013-01-01

365

Child Care Legislation: Common Ground and Controversy.  

ERIC Educational Resources Information Center

Discusses results of a child care legislation survey of child care experts and professionals. Survey questions addressed controversies that differentiate among major federal child care proposals. (RJC)

Phillips, Deborah A.; Kiernan, Michael

1988-01-01

366

A comprehensive ubiquitous healthcare solution on an Android™ mobile device.  

PubMed

Provision of ubiquitous healthcare solutions which provide healthcare services at anytime anywhere has become more favorable nowadays due to the emphasis on healthcare awareness and also the growth of mobile wireless technologies. Following this approach, an Android™ smart phone device is proposed as a mobile monitoring terminal to observe and analyze ECG (electrocardiography) waveforms from wearable ECG devices in real time under the coverage of a wireless sensor network (WSN). The exploitation of WSN in healthcare is able to substitute the complicated wired technology, moving healthcare away from a fixed location setting. As an extension to the monitoring scheme, medicine care is taken into consideration by utilizing the mobile phone as a barcode decoder, to verify and assist out-patients in the medication administration process, providing a better and more comprehensive healthcare service. PMID:22163986

Hii, Pei-Cheng; Chung, Wan-Young

2011-01-01

367

Inequalities in access to education and healthcare.  

PubMed

The burden of disease is borne by those who suffer as patients but also by society at large, including health service providers. That burden is felt most severely in parts of the world where there is no infrastructure, or foreseeable prospects of any, to change the status quo without external support. Poverty, disease and inequality pervade all the activities of daily living in low-income regions and are inextricably linked. External interventions may not be the most appropriate way to impact on this positively in all circumstances, but targeted programmes to build social capital, within and by countries, are more likely to be sustainable. By these means, basic oral healthcare, underpinned by the primary healthcare approach, can be delivered to more equitably address needs and demands. Education is fundamental to building knowledge-based economies but is often lacking in such regions even at primary and secondary level. Provision of private education at tertiary level may also introduce its own inequities. Access to distance learning and community-based practice opens opportunities and is more likely to encourage graduates to work in similar areas. Recruitment of faculty from minority groups provides role models for students from similar backgrounds but all faculty staff must be involved in supporting and mentoring students from marginalized groups to ensure their retention. The developed world has to act responsibly in two crucial areas: first, not to exacerbate the shortage of skilled educators and healthcare workers in emerging economies by recruiting their staff; second, they must offer educational opportunities at an economic rate. Governments need to lead on developing initiatives to attract, support and retain a competent workforce. PMID:18289266

Nunn, J; Freeman, R; Anderson, E; Carneiro, L C; Carneiro, M S A; Formicola, A; Frezel, R; Kayitenkore, J; Luhanga, C; Molina, G; Morio, I; Nartey, N O; Ngom, P I; de Lima Navarro, M F; Segura, A; Oliver, S; Thompson, S; Wandera, M; Yazdanie, N

2008-02-01

368

Clinical information systems for integrated healthcare networks.  

PubMed Central

In the 1990's, a large number of hospitals and medical practices have merged to form integrated healthcare networks (IHN's). The nature of an IHN creates new demands for information management, and also imposes new constraints on information systems for the network. Important tradeoffs must be made between homogeneity and flexibility, central and distributed governance, and access and confidentiality. This paper describes key components of clinical information systems for IHN's, and examines important design decisions that affect the value of such systems. Images Figure 1

Teich, J. M.

1998-01-01

369

Employee incentives in the healthcare industry.  

PubMed

*Employee incentives are an important part of a radiology department's ability to attract and maintain employees. For incentive programs to be successful, radiology managers must diligently look for the incentives that motivate each particular employee. *The types of incentives being used frequently in the field of healthcare vary between technical, managerial, and executive positions. The process of identifying the right employee incentive for each group of individuals may be challenging, but if the result is a more productive and satisfied group of employees, the process is worth the effort. PMID:18318359

McKinnies, Richard C; Collins, Sandra K; Collins, Kevin S

2008-01-01

370

[Quality of community-based healthcare services].  

PubMed

The recent concern regarding the quality of healthcare services is partly due to the empowerment of health consumers, cost containment measures that may compromise quality, increased complexity of the medical practice and the accelerated growth of data on the magnitude and extent of quality problems. The framework of the delivery of health services, including quality parameters, differs fundamentally in the community as opposed to the hospital setting. In the community, the episode of care lacks geographic and temporal boundaries, and is divided among different facilities and caregivers. Hence, the healthcare systems lack control over the management of care. In the solo practice, the physician lacks the opportunity to discuss and share medical decisions with his/her peers and physician's reimbursement does not encourage him/her to invest time and effort in the provision of quality care. Furthermore, in the community setting, the patient is expected to take responsibility for compliance to the therapeutic regimen, a condition that may frequently interfere with regular life routines. Therefore, quality promotion should embody the "quality triangle" encompassing patients, caregivers, the healthcare system and appropriate interfaces. Ideally, the voice of the health consumer should be an integral consideration in the design of health policy, care should be patient-centered and physician reimbursement should reflect the quality of care provided. In addition, the design of the healthcare system information technology in supporting decision-making and training "quality leaders" to facilitate quality improvement programs. Consequently, it is pivotal to nurture agreement among policy-makers, patients and caregivers as to the essence of the dilemma: "What is quality in community care?" Meanwhile, we may suggest a primordial definition to community-based health care quality management: An ongoing multidisciplinary effort to identify and respond to the needs of patients, by providing systemic infrastructure that will support the caregivers and help in achieving better outcomes in the six basic dimensions of quality care-safe, timely, effective, efficient, equitable and patient-centered. In conclusion, in light of the medical activities conducted in the community, and the prevalent and ever-growing shortage of resources, there is a need to integrate efforts to develop and implement both unique tools and strategies to manage quality in community-based health services. PMID:15065352

Wilf-Miron, Rachel; Shemer, Joshua

2004-03-01

371

Telecommunication technology used in home healthcare.  

PubMed

Current telemedicine applications are usually developed for doctors to do consultation and case study between several hospitals. Patients see doctor at home via Internet becomes possible and it might be a part of lifestyle in the future. Telemedicine has been an active area of research for over 30 years. In the past, several telemedicine applications using wired EPABX telecommunications equipment were provided whereas now-a-days the evolution of wireless communication means enabling telemedicine systems to operate everywhere in the world, thus expanding telemedicine benefits, services and applications. How these applications are used in healthcare delivery and what are the technologies used in this system are explained in this paper. PMID:21888158

Mishra, Sumant; Nayak, C G; Shet, K C; George, V I

2011-01-01

372

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

PubMed Central

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

Mazhar, Arslan; Shaikh, Babar Tasneem

2012-01-01

373

Social and emotional difficulties in children with ADHD and the impact on school attendance and healthcare utilization  

PubMed Central

Background The objective of this study was to examine the impact of co-occurring social and emotional difficulties on missed school days and healthcare utilization among children with attention deficit/hyperactivity disorder (ADHD). Methods Data were from the 2007 U.S. National Health Interview Survey (NHIS) and were based on parental proxy responses to questions in the Sample Child Core, which includes questions on demographics, health, healthcare treatment, and social and emotional status as measured by questions about depression, anxiety, and phobias, as well as items from the brief version of the Strength and Difficulties Questionnaire (SDQ). Logistic regression was used to assess the association between co-occurring social and emotional difficulties with missed school days and healthcare utilization, adjusting for demographics. Results Of the 5896 children aged 6–17 years in the 2007 NHIS, 432 (7.3%) had ADHD, based on parental report. Children with ADHD and comorbid depression, anxiety, or phobias had significantly greater odds of experiencing > 2 weeks of missed school days, ? 6 visits to a healthcare provider (HCP), and ? 2 visits to the ER, compared with ADHD children without those comorbidities (OR range: 2.1 to 10.4). Significantly greater odds of missed school days, HCP visits, and ER visits were also experienced by children with ADHD who were worried, unhappy/depressed, or having emotional difficulties as assessed by the SDQ, compared with ADHD children without those difficulties (OR range: 2.2 to 4.4). Conclusions In children with ADHD, the presence of social and emotional problems resulted in greater odds of missed school days and healthcare utilization. These findings should be viewed in light of the limited nature of the parent-report measures used to assess social and emotional problems.

2012-01-01

374

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

PubMed

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

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

2014-06-01

375

Structure and magnetic properties of a novel copper diphosphonate with pillared layered structure:. Cu 2(H 2O) 2{O 3PCH 2N(C 2H 4) 2NCH 2PO 3}  

NASA Astrophysics Data System (ADS)

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

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

2004-04-01

376

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

NASA Astrophysics Data System (ADS)

A novel three-dimensional inorganic-organic hybrid compound, Mn(H 2O)[HO 3PCH 2NH(CH 2CO 2) 2] from a hydrothermal reaction of Mn (II) ion with N-(phosphonomethyl)iminodiacetic acid (H 4PMIDA) was reported. The compound crystallizes in the monoclinic P2 1/ n with cell dimensions of a=5.215(5) Å, b=14.111(15) Å, c=12.727(12) Å, ?=93.646(16)°, V=934.6(16) Å 3 and Z=4. In this structure each Mn atom is six-coordinated with the carboxylic groups and phosphonic groups to form layers along the bc plane. These layers are further connected with the organic moieties of H 2PMIDA, resulting in a complicated three-dimensional network structure. Thermogravimetric analysis, IR spectrum and magnetic susceptibility of this compound are given.

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

2004-11-01

377

Paperless healthcare: Progress and challenges of an IT-enabled healthcare system  

Microsoft Academic Search

For most Americans, a trip to the doctor's office or a hospital stay necessitates that medical personnel search through paper charts and records as care is administered. This remains the status quo, despite the increasingly large role that electronic communication plays in other aspects of our business and personal lives. The elevated use of information technology (IT) in healthcare settings—primarily

Julia Adler-Milstein; David W. Bates

2010-01-01

378

[The Integrated National Healthcare System in Uruguay and the challenges for Primary Healthcare].  

PubMed

The article examines the results of the overview of PHC (Primary Healthcare) in Uruguay in 2009, within the context of the multicentric study of PHC with a view to identifying possibilities of redefining PHC as a strategy to achieve universal healthcare systems, taking into account the healthcare system's segmentation and fragmentation. The methodology included document analysis, key informant interviews and triangulation of information sources. The results presented are based on the analytical model structured in five dimensions: delivery, financing, resources, and integrated and intersectoral PHC. At the macro level, one can observe the recent implementation of a sector reform through the creation of the Integrated National Health System (SNIS) that favors the development of the PHC from an integrative standpoint. Actions have been defined to overcome the segmentation of the system and the fragmentation of care. However, at an operational level, the segmentation that existed before the SNIS as well as the low levels of healthcare coordination have yet to be modified. This is related to management ability and organizational factors. The lack of adequate human resources for the implementation of the PHC strategy is identified as a relevant factor. PMID:21709980

Sollazzo, Ana; Berterretche, Rosario

2011-06-01

379

Telemental health: responding to mandates for reform in primary healthcare.  

PubMed

Telemental health (TMH) has established a niche as a feasible, acceptable, and effective service model to improve the mental healthcare and outcomes for individuals who cannot access traditional mental health services. The Accountability Care Act has mandated reforms in the structure, functioning, and financing of primary care that provide an opportunity for TMH to move into the mainstream healthcare system. By partnering with the Integrated Behavioral Healthcare Model, TMH offers a spectrum of tools to unite primary care physicians and mental health specialist in a mind-body view of patients' healthcare needs and to activate patients in their own care. TMH tools include video-teleconferencing to telecommute mental health specialists to the primary care setting to collaborate with a team in caring for patients' mental healthcare needs and to provide direct services to patients who are not progressing optimally with this collaborative model. Asynchronous tools include online therapies that offer an efficient first step to treatment for selected disorders such as depression and anxiety. Patients activate themselves in their care through portals that provide access to their healthcare information and Web sites that offer on-demand information and communication with a healthcare team. These synchronous and asynchronous TMH tools may move the site of mental healthcare from the clinic to the home. The evolving role of social media in facilitating communication among patients or with their healthcare team deserves further consideration as a tool to activate patients and provide more personalized care. PMID:23611641

Myers, Kathleen M; Lieberman, Daniel

2013-06-01

380

E-commerce in healthcare: changing the traditional landscape.  

PubMed

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

Aggarwal, A K; Travers, S

2001-01-01

381

Healthcare systems engineering: an interdisciplinary approach to achieving continuous improvement.  

PubMed

This paper argues that a systems approach can significantly enhance healthcare improvement efforts in patient safety, service quality and healthcare cost containment. The application of systems thinking to healthcare improvement encompasses three key principles: the systems perspective of healthcare processes, structured problem solving and the closed loop of continuous system improvement. These are encapsulated in a conceptual framework of continuous system improvement, which includes a reference architecture model and an analysis and design process model. Combined into a closed-loop, this framework allows users to understand and appropriately apply relevant functions, issues and analytical techniques. Practical applications of the framework are presented. PMID:18048245

Wu, Bin; Klein, Cerry; Stone, Tamara T

2006-01-01

382

Your Child's Development 12 to 15 Months  

MedlinePLUS

... your child learning from watching you? 12 to 15 Months As you use this resource, remember that ... support and guidance. Your Child’s Development 12 to 15 Months Every child is born with his own ...

383

[Ph(3)PCH(2)Ph](2)[Zn(3)(tp)(3)Cl(2)] and Ni(3)(tma)(2)(H(2)O)(8): two unusual claylike frameworks of metal-polycarboxylate coordination polymers (tp = terephthalate, tma = trimesate).  

PubMed

Two new compounds, [Ph3PCH2Ph]2[Zn3(tp)3Cl2] (1) and Ni3(tma)2(H2O)8 (2) (tp = terephthalate, tma = trimesate), are metal-polycarboxylate coordination polymers prepared by similar hydrothermal synthesis techniques. X-ray single-crystal structural analysis shows that both compounds crystallize in the 2D claylike lamellar architectures, in which 1 possesses the interlayer [Ph3PCH2Ph]+ exchangeable cation and has been confirmed by PXRD patterns. 1 (C74H56Cl2O12P2Zn3) belongs to monoclinic P21/c, Z = 2 (a = 18.956(1) A, b = 10.2697(5) A, c = 17.067(1) A, beta = 99.486(4) degrees ). 2 (C18H22O20Ni3) is attributed to triclinic P, Z = 1 (a = 6.6643(8) A, b = 9.622(1) A, c = 10.089(1) A, alpha = 112.675(2) degrees , beta = 94.007(1) degrees, gamma = 106.411(2) degrees ). Linear metal trinuclear clusters bridged by rigid linear tp ligands for 1 and trigonal tma ligands for 2 give rise to a novel 2D 6-linked (3,6) topological anionic network in 1 and an interesting 2D 3,6-linked molybdenite topological neutral network in 2, respectively. Both compounds exhibit intense fluorescent emission bands at 410 nm (lambda(exc) = 355 nm) for 1 and 398 nm (lambda(exc) = 300 nm) for 2 in the solid state at room temperature. PMID:17696493

Yang, Guo-Dong; Dai, Jing-Cao; Lian, Yun-Xia; Wu, Wen-Shi; Lin, Jian-Ming; Hu, Sheng-Min; Sheng, Tian-Lu; Fu, Zhi-Yong; Wu, Xin-Tao

2007-09-17

384

Child maltreatment and memory.  

PubMed

Exposure to childhood trauma, especially child maltreatment, has important implications for memory of emotionally distressing experiences. These implications stem from cognitive, socio-emotional, mental health, and neurobiological consequences of maltreatment and can be at least partially explained by current theories concerning the effects of childhood trauma. In this review, two main hypotheses are advanced: (a) Maltreatment in childhood is associated with especially robust memory for emotionally distressing material in many individuals, but (b) maltreatment can impair memory for such material in individuals who defensively avoid it. Support for these hypotheses comes from research on child abuse victims' memory and suggestibility regarding distressing but nonabusive events, memory for child abuse itself, and autobiographical memory. However, more direct investigations are needed to test precisely when and how childhood trauma affects memory for emotionally significant, distressing experiences. Legal implications and future directions are discussed. PMID:19575622

Goodman, Gail S; Quas, Jodi A; Ogle, Christin M

2010-01-01

385

Why Have Child Maltreatment and Child Victimization Declined?  

Microsoft Academic Search

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

David Finkelhor; Lisa Jones

2006-01-01

386

The Role of Child Care Providers in Child Abuse Prevention  

ERIC Educational Resources Information Center

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

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

2008-01-01

387

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

ERIC Educational Resources Information Center

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

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

2010-01-01

388

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

Microsoft Academic Search

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

Kwang Chien Yee; Erin Miils; Caroline Airey

2008-01-01

389

Fully integrated biochip platforms for advanced healthcare.  

PubMed

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

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

2012-01-01

390

Service models for remote healthcare monitoring systems.  

PubMed

These scenarios reflect where the future is heading for remote health monitoring technology and service expectations. Being able to manage a "system of systems" with timely service hand-off over seams of responsibility and system interfaces will become very important for a BMET or clinical engineer. These interfaces will include patient homes, clinician homes, commercial/civilian infrastructure, public utilities, vendor infrastructure as well as internal departmental domains. Concurrently, technology is changing rapidly resulting in newer software delivery modes and hardware appliances as well as infrastructure changes. Those who are able to de-construct the complex systems and identify infrastructure assumptions and seams of servicing responsibility will be able to better understand and communicate the expectations for service of these systems. Moreover, as identified in Case 1, prodigious use of underlying system monitoring tools (managing the "meta-data") could move servicing of these remote systems from a reactive approach to a proactive approach. A prepared healthcare organization will identify their current and proposed future service combination use cases and design service philosophies and expectations for those use cases, while understanding the infrastructure assumptions and seams of responsibility. This is the future of technical service to the healthcare clinicians and patients. PMID:22049611

Moorman, Bridget A

2010-01-01

391

Japan's aging population. Implications for healthcare.  

PubMed

In the early years of the next century, the Japanese population may well become the oldest in the world. The Japanese government's concentration on post-World War II economic expansion meant that the government only fully woke up to the financial implications of having a large elderly population when oil prices were raised in the 1970s, highlighting Japan's economic dependence on global markets. This article explains the process by which policy regarding Japan's elderly developed both before and after these oil price increases. The measures of healthcare cost containment that the government introduced in response to the increased financial pressure are described, with a particular focus on pharmaceuticals. This article shows that the government has achieved a degree of success in terms of containing pharmaceutical costs, but that future effects on the quality of healthcare are uncertain. Ultimately, a wider application of a per diem fee in place of the prevalent fee-for-service system, and the realisation of plans to improve the social service infrastructure, would be the best path for policy to follow. PMID:10172965

Oliver, A J; Ikegami, N; Ikeda, S

1997-04-01

392

Bioprofiling over grid for eHealthcare.  

PubMed

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 this paper are 1) to report the development of the BIOPATTERN Grid, for biopattern analysis and bioprofiling in support of individualization of healthcare. The BIOPATTERN Grid is designed to facilitate secure and seamless sharing of geographically distributed bioprofile databases and to support the analysis of bioprofiles to combat major diseases such as brain diseases and cancer within a major EU project, BIOPATTERN (www.biopattern.org); 2) to illustrate how the BIOPATTERN Grid could be used for biopattern analysis and bioprofiling for early detection of dementia and for brain injury assessment on an individual basis. We highlight important issues that would arise from the mobility of citizens in the EU, such as those associated with access to medical data, ethical and security; and 3) to describe two grid services which aim to integrate BIOPATTERN Grid with existing grid projects on crawling service and remote data acquisition which is necessary to underpin the use of the test bed for biopattern analysis and bioprofiling. PMID:16823139

Sun, L; Hu, P; Goh, C; Hamadicharef, B; Ifeachor, E; Barbounakis, I; Zervakis, M; Nurminen, N; Varri, A; Fontanelli, R; di Bona, S; Guerri, D; la Manna, S; Cerbioni, K; Palanca, E; Starita, A

2006-01-01

393

Implementing healthcare information security: standards can help.  

PubMed

Using widely spread common approaches to systems security in health dedicated controlled environments, a level of awareness, confidence and acceptance of relevant standardisation is evaluated. Patients' information is sensitive, so putting appropriate organisational techniques as well as modern technology in place to secure health information is of paramount importance. Mobile devices are becoming the top priorities in advanced information security planning with healthcare environments being no exception. There are less and less application areas in healthcare without having a need for a mobile functionality which represents an even greater information security challenge. This is also true in emergency treatments, rehabilitation and homecare just to mention a few areas outside hospital controlled environments. Unfortunately quite often traditional unsecured communications principles are still in routine use for communicating sensitive health related information. The security awareness level with users, patients and care professionals is not high enough so potential threats and risks may not be addressed and the respective information security management is therefore weak. Standards like ISO/IEC 27000 ISMS family, the ISO/IEC 27799 information security guidelines in health are often not well known, but together with legislation principles such as HIPAA, they can help. PMID:23542997

Orel, Andrej; Bernik, Igor

2013-01-01

394

U-healthcare System using Smart Headband.  

PubMed

The wearable healthcare system should be not only small and easy for users to wear them but accurate in measuring physiological signals in daily life without any inconvenience. To meet these requirements, we propose the U-healthcare System which consists of a Smart Headband and a Health-state Monitor program. It can monitor the health-state in walking and running. The Smart Headband measures a photo-plethysmography (PPG) signal at the forehead for monitoring the heart rate and acceleration signals. The Health-state Monitor program is developed to show the health-state. Health-state Monitor program is operated in the handheld computer, such like (Ultra Mobile Personal Computer (UMPC). It provides the user PPG, heart rate and steps for the precise measurement, Adaptive Noise Cancellation (ANC) is introduced. The Smart Headband and the Health-state Monitor program are communicated by the WPAN using Zigbee protocol. If the heart rate is higher or lower than usual, the Health-state Monitor program sends the SMS message to the designated person, such as family or the attending physician in the medical center, to inform the emergency situation. PMID:19162970

Kim, Sang Hyun; Ryoo, Dong Wan; Bae, Changseok

2008-01-01

395

Fully Integrated Biochip Platforms for Advanced Healthcare  

PubMed Central

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

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

2012-01-01

396

Enabling innovation in health-care delivery.  

PubMed

Achieving lasting performance improvement in health care is a demanding challenge. Service delivery processes are frequently fragmented with many symptoms of poor behaviour observable. Competing vested interests within the National Health Service (NHS) and experiences of muddled and muddied top-down government exhortation suggest the need for a balanced perspective in which the expectations of patients, staff, management and government can be considered, agreed and enabled. Our conclusion is that effective innovation is best achieved by establishing a 'Train-Do-Train-Do' cycle in which all 'players' in the system must be actively involved. The particular methodology of 'managing by projects' for effective bottom-up step-by-step innovation in NHS practice is described. It takes a holistic and systematic view of health-care delivery as a service business process to be optimized via a five-step procedure. The core tool element of this methodology is the multidiscipline natural-group task force used to execute the change process in an enterprise. When properly constituted, motivated and driven, it is very capable of transforming a 'mess' into an effective health-care delivery process. PMID:18647942

Parnaby, John; Towill, Denis R

2008-08-01

397

Healthcare employers' policies on nurse education.  

PubMed

The 2010 recommendation that the proportion of registered nurses with BSN (bachelor of science in nursing) degrees in the nursing workforce should increase from the current 40% to 80% by the year 2020 has shifted the focus on nurses educational progression from state legislatures-where changes in entry-level requirements were debated for decades-to the executive suites of large healthcare providers. The recommendation, contained in the report titled The Future of Nursing: Leading Change, Advancing Health, by the Robert Wood Johnson Foundation Initiative on the Future of Nursing at the Institute of Medicine, suggests that human resources policies for nurses have the potential to double the rates of college degree completions (IOM, 2010). We surveyed 447 nurse executives in hospitals, nurse-led clinics, and home and hospice companies to explore the current practices of healthcare employers with regard to this recommendation. Almost 80% of respondents reported that their institution either preferred or required newly hired nurses to have a bachelor's degree, and 94% of the facilities offered some level of tuition reimbursement. Only 25%, however, required their nurses to earn a BSN or offered salary differentials on the basis of educational attainment (9%). We conclude that if employers are serious about wanting a more highly educated nurse workforce, they need to adopt requirements for degree completion and wage differentials in the coming years. The likelihood that such policies will be widely adopted, however, is dramatically affected by the dynamics of nursing supply and demand. PMID:24400456

Pittman, Patricia; Herrera, Carolina-Nicole S; Horton, Katherine; Thompson, Pamela A; Ware, Jamie M; Terry, Margaret

2013-01-01

398

Sex bias in child therapy  

Microsoft Academic Search

Suggests child therapy as an additional area for studying sexual bias in actual therapeutic practice, in response to recommendations by P. A. Maffeo . Data on 477 children seen in therapy support the need for child studies.

Edda I. Schweid

1980-01-01

399

Maxims in Child Custody Cases  

ERIC Educational Resources Information Center

The author describes six maxims which are an outgrowth of his experience as an expert witness in cases involving child custody. He emphasizes neutrality regarding the parents, in order to put the child's interests first. (Author)

Jenkins, Richard L.

1977-01-01

400

Cryptosporidium and Child Care Facilities  

MedlinePLUS

... en... Favorites Delicious Digg Google Bookmarks Child Care Facilities More Information Prevention Measures Control Measures for Outbreaks ... Risk Factors Treatment Biology Prevention & Control Child Care Facilities Prevention Oubreak Control Camps Disease Resources for Health ...

401

Child Abuse and Domestic Abuse  

MedlinePLUS

... Counseling Document Translation Financial Counseling Language Interpretation Services SECO Counseling Tax Services Log in for counseling Log ... the Signs of Child Abuse Reporting Child Abuse Tools & Resources Administration for Children and Families Popular Links ...

402

Child Abuse: An Ecological Perspective.  

ERIC Educational Resources Information Center

Reviews various models for understanding, treating and preventing child abuse. Describes an ecological model of human behavior that provides a comprehensive perspective for integrating the diverse models. Discusses an ecological model of child abuse. (RJC)

Wiehe, Vernon R.

1989-01-01

403

In the Child's Best Interests.  

ERIC Educational Resources Information Center

Reminds early care teachers to make quality decisions that keep the child's best interests in mind. Gives several examples of possible parent-school conflicts and guidelines for resolution that keep the child's best interest foremost. (ET)

Gonzalez-Mena, Janet; Stonehouse, Anne

1995-01-01

404

FastStats: Child Health  

MedlinePLUS

... Data Related Links Accessibility NCHS Home FastStats Home Child Health (Data are for the U.S.) Health status Percent ... Disease Control and Prevention: Children National Institute for Child Health and Human Development KIDS Count Email page link ...

405

Child Abuse: The Hidden Bruises  

MedlinePLUS

... Adolescent Psychiatrist See also: Your Child (1998 Harper Collins) / Your Adolescent (1999 Harper Collins) Click here to order Your Child from Harper Collins Click here to order Your Adolescent from Harper ...

406

A Look at Today's Child  

ERIC Educational Resources Information Center

As compared to the child of 1960, today's child is better informed, more broad-minded, and less mobile. He is also exposed to a better learning environment, and is more hopeful, more realistic, and more compassionate. (CK)

Noon, Elizabeth

1969-01-01

407

Correlates of Child Restraint Use.  

National Technical Information Service (NTIS)

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

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

1986-01-01

408

Nurturing a child's spirituality.  

PubMed

Nurturing a child's spirituality should be an integral part of holistic care. The concept of spirituality is linked to the child's cognitive, social, psycho-sexual and moral development. Knowledge of childhood spirituality can help to support children coping with traumatic life-events. The expression of beliefs and feelings that encompass spirituality can be facilitated through literature and music and through other strategies. Educators need to empower professionals to have the awareness, emotional resources and skills to ensure that they can be spiritually supportive PMID:11855469

Pfund, R

2000-01-01

409

The Medically Fragile Child: Caring for Children with Special Healthcare Needs in the School Setting  

ERIC Educational Resources Information Center

This publication is designed to help teachers, nurses and paraprofessionals meet the challenges of dealing with children who have serious medical problems. It contains information on training, health and safety, and legal rights and responsibilities. Specifically, this third edition sets out to accomplish three goals: (1) to educate American…

American Federation of Teachers (NJ), 2009

2009-01-01

410

Introduction: Child Abuse and Neglect  

Microsoft Academic Search

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

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

411

Prevention of Child Physical Abuse  

Microsoft Academic Search

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

Christopher S. Greeley

412

Take Care of Your Child's Teeth  

MedlinePLUS

... your child’s teeth to protect your child from tooth decay (cavities). Tooth decay can: Cause your child pain Make it hard ... child’s adult teeth Take simple steps to prevent tooth decay. Most babies will get their first tooth between ...

413

CRASH AND SLED TESTS USING CHILD DUMMIES  

Microsoft Academic Search

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

Michael Paine; Julie Brown

414

What Works in Child Welfare.  

ERIC Educational Resources Information Center

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

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

415

Child Care Health Connections, 2002.  

ERIC Educational Resources Information Center

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

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

2002-01-01

416

The Prevention of Child Abuse.  

ERIC Educational Resources Information Center

Reviews three current approaches to preventing child abuse in Great Britain: clinical health-led risk-assessment model, broader social-reform strategies, and criminal justice youth victimization models. Explores sources of contradiction through definitions of child abuse underpinning different strategies. Proposes change in language of child

Wattam, Corinne

1999-01-01

417

Child Care Now! Special Report.  

ERIC Educational Resources Information Center

This publication explores the need for child care, particularly for low income families, and the social importance of high quality child care. These factors are the impetus for the Campaign for Child Care NOW! organized by the Children's Defense Fund. This advocacy program is urging Congress to approve legislation that will guarantee funds to help…

Children's Defense Fund, Washington, DC.

418

Perceived Parent-Child Alienation  

Microsoft Academic Search

Parental alienation refers to a parent's attempts to distance a child from the child's other parent. We examined (1) the effects of “feeling alienation” upon college students' recollections of their childhood relationships, (2) the effects of “feeling alienation” on perceptions of adult parent-child relationships, and (3) the likelihood of alienation in intact and divorced families. A sample of undergraduates (N

Jennifer Gerber Monè; Zeynep Biringen

2006-01-01

419

Theory of Exploitative Child Labor.  

National Technical Information Service (NTIS)

Child labor laws should aim to protect children who work, instead of trying to remove children from work. In this paper, we identify an instance when the risk of exploitation lowers the expected benefit of child labor to the child, and therefore suppresse...

C. A. Rogers K. A. Swinnerton

2005-01-01

420

The Child Care Labor Market  

Microsoft Academic Search

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

David M. Blau

1992-01-01

421

Helping Your Child Learn Science  

ERIC Educational Resources Information Center

This booklet provides parents of children ages 3 through 10 with information, tools, and activities they can use in the home and community to help their child develop an interest in the sciences and learn about the world around them. This brochure was drawn from the larger booklet in the "Helping Your Child" series, "Helping Your Child Learn…

US Department of Education, 2008

2008-01-01

422

Social Structure and Child Poverty  

ERIC Educational Resources Information Center

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

Ferriss, Abbott L.

2006-01-01

423

Parents as child care consumers  

Microsoft Academic Search

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

Debby Cryer; Margaret Burchinal

1997-01-01

424

Child Care and the Economy  

ERIC Educational Resources Information Center

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

Karolak, Eric

2009-01-01

425

The "Discovery" of Child Abuse  

ERIC Educational Resources Information Center

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

Pfohl, Stephen J.

1977-01-01

426

Morphosyntactic Annotation of CHILDES Transcripts  

ERIC Educational Resources Information Center

Corpora of child language are essential for research in child language acquisition and psycholinguistics. Linguistic annotation of the corpora provides researchers with better means for exploring the development of grammatical constructions and their usage. We describe a project whose goal is to annotate the English section of the CHILDES database…

Sagae, Kenji; Davis, Eric; Lavie, Alon; MacWhinney, Brian; Wintner, Shuly

2010-01-01

427

Recidivism in child protective services  

Microsoft Academic Search

Recurrent maltreatment of children previously discharged from child protective services is an indicator of how well the child welfare system is performing. Using administrative data from the California Social Services, this study examines trends in child protective case openings in California to identify patterns of service provision and factors associated with recidivism. Prior protective service case openings were found in

Moira Inkelas; Neal Halfon

1997-01-01

428

Trends in Child Maltreatment Literature.  

ERIC Educational Resources Information Center

Child maltreatment articles (n=2090) published from 1977-1998 were reviewed. Across the period studied, quantitative articles and articles on child sexual abuse increased and theoretical articles and articles on physical abuse decreased. Articles examining child neglect or emotional abuse remained consistently low. Participant recruitment from…

Behl, Leah E.; Conyngham, Heather A.; May, Patricia F.

2003-01-01

429

CHIME (College of Healthcare Information Management Executives) board members 'tell Hillary' goals for healthcare I/S. Interview by Carolyn Dunbar.  

PubMed

At press time, the details of the Clinton administration's healthcare reform package were not yet public. Some information has been leaked, however, fueling speculation about the plan's exact points. Computers in Healthcare asked three board members of the College of Healthcare Information Management Executives what they thought the Clinton healthcare team should know about the information piece of the puzzle. PMID:10125051

Reed, W C; Mazzuckelli, K; Tucker, D H

1993-04-01

430

Your Child's Habits  

MedlinePLUS

... who start hair pulling as older kids or teens, the habit is harder to break and may be a ... But if you're concerned about your child's habits, talk with your doctor. Reviewed by: Steven Dowshen, MD Date reviewed: August 2011 Back 1 ? 2 ? 3 ? 4 ? 5 For Teens For Kids For Parents MORE ON THIS TOPIC ...

431

Child Welfare Policy Manual  

ERIC Educational Resources Information Center

This document conveys mandatory policies that have their basis in Federal Law and/or program regulations. It also provides interpretations of Federal Statutes and program regulations initiated by inquiries from State Child Welfare agencies or Administration for Children and Families (ACF) Regional Offices. The manual replaces the Children's…

Administration for Children & Families, 2008

2008-01-01

432

No Child Left Inside  

NSDL National Science Digital Library

Earth Science Week (ESW) 2008 encourages people around the globe to open doors and investigate new opportunities. This year's theme, "No Child Left Inside," is a call to explore our natural environments. The celebration urges everyone--especially young people--to venture outdoors and experience Earth science firsthand.

Benbow, Ann E.; Camphire, Geoff

2008-09-01

433

Revisiting the Insuring Child  

Microsoft Academic Search

It is now common knowledge that part of the explanation to high fertility rates in developing countries lies with their institutional features. This paper develops a game theoretical framework to highlight the comparative advantage of a child-bearing strat- egy over more conventional saving schemes, when facing weak institutions as captured by the rule of law. In sake for secured old-age

Flaubert Mbiekop

434

Children and Child Care.  

ERIC Educational Resources Information Center

Presents data on the problems of poor children and youth. Describes the efforts of the Children's Defense Fund to make preventive investment in children and families the cornerstone of domestic policy, and to make decent, affordable child care services available nationwide. (MW)

Edelman, Marian Wright

1989-01-01

435

Dateline Child Care.  

ERIC Educational Resources Information Center

Reports on the Clinton administration's budget decisions concerning Head Start and the Child Care and Development Block Grant; the Children's Defense Fund's support of Clinton administration policies; cuts in United Way aid to local charities; and the ineligibility of a center at which Bible stories are read to receive a Small Business…

Child Care Information Exchange, 1993

1993-01-01

436

Helping Your Preschool Child  

ERIC Educational Resources Information Center

The first five years of a child's life are a time of physical, emotional, and cognitive growth. The amount of support children receive during these early years can be strongly connected to the level of success they achieve later in life. Children whose families involve them in activities that allow them to wonder and experiment often take pleasure…

US Department of Education, 2008

2008-01-01

437

Parent-child Interactions.  

ERIC Educational Resources Information Center

This survey investigates 6 major questions: (1) do adolescents and their parents perceive youth as overindulged; (2) are parent-child communication channels open; (3) has understanding between parents and their children broken down; (4) do children identify with their parents; (5) has discipline been permissive; and (6) do adolescents reject the…

Erlich, A. C., Ed.

438

"My Child Was Abused."  

ERIC Educational Resources Information Center

A former police investigator advises school administrators how to respond to allegations of sexual abuse of students by school personnel. Administrators should recognize that such crimes do occur, maintain impartiality, follow strict notification protocols, and allow police and the child protection agency to investigate charges. Internal policy…

Barbee, Alan L.

1996-01-01

439

Child Care Center Regulations.  

ERIC Educational Resources Information Center

This guide enumerates regulations for anyone caring for four or more children, from families other than their own, for compensation and on a regular basis, in the state of Nebraska. The purpose of the regulations is to protect and promote the health and safety of children in child care facilities. The first section of the guide lists specific…

Nebraska State Dept. of Health and Human Services, Lincoln.

440

Child Development Associate. Musicology.  

ERIC Educational Resources Information Center

One of a series of 18, this Child Development Associate (CDA) training module provides a guide to promoting acute hearing and sound discrimination in young children through both group and self-selected music activities. Upon completion of this module the trainee is expected to be able to provide daily music experiences; emphasize enjoyment of and…

Oscar Rose Junior Coll., Midwest City, OK.

441

The Overscheduled Child?  

ERIC Educational Resources Information Center

Before all those extracurricular activities and community-service projects listed on college applications, there were play groups, library hours, Pop Warner football games, swimming lessons, ballet, drama, soccer. Not to mention preparation for high-stakes tests mandated by the No Child Left Behind law, or the mounting minutes, even hours, of…

Chronicle of Higher Education, 2007

2007-01-01

442

Child Psychopathology, Second Edition.  

ERIC Educational Resources Information Center

This text integrates state-of-the-art theory and empirical research on a wide range of child and adolescent disorders. Featuring contributions from leading scholars and clinicians, the volume provides comprehensive coverage of the biological, psychological, and social-contextual determinants of childhood problems. Each chapter focuses on a…

Mash, Eric J.; Barkley, Russell A.

443

Feeding the Handicapped Child.  

ERIC Educational Resources Information Center

Presented are 35 brief papers on nutrition and handicapped children (particularly mentally retarded children) which were given at nutrition workshops at the Child Development Center of the University of Tennessee. Topics such as the following are examined: interdisciplinary approaches to nutrition services; the relationship of social work,…

Smith, Mary Ann Harvey, Ed.

444

Child Maltreatment and Memory  

Microsoft Academic Search

Exposure to childhood trauma, especially child maltreatment, has important implications for memory of emotionally distressing experiences. These implications stem from cognitive, socio-emotional, mental health, and neurobiological consequences of maltreatment and can be at least partially explained by current theories concerning the effects of childhood trauma. In this review, two main hypotheses are advanced: (a) Maltreatment in childhood is associated with

Gail S. Goodman; Jodi A. Quas; Christin M. Ogle

2010-01-01

445

Leaving No Child Behind.  

ERIC Educational Resources Information Center

Suggests that protecting children is humanity's moral litmus test and the overarching moral challenge in our world and nation, where millions of children's lives are ravaged by adult wars, neglect, abuse, and racial, ethnic, religious, and class divisions. Notes that what school leaders accomplish now (investing in child health, early childhood…

Edelman, Marian Wright

1997-01-01

446

Talking to Your Child.  

ERIC Educational Resources Information Center

Recommends talking to children to help them develop language skills. Identifies daily routines (mealtime, bath time, dressing, play) as ideal opportunities to engage in parallel talk, describing out loud what the child is seeing, hearing, or thinking during the activity and suggests self-talk as parents perform routine actions around the home.…

Gramlich, Jo Ann

2001-01-01

447

Older Child Adoption.  

ERIC Educational Resources Information Center

Based on interviews with 30 families who adopted children over the age of 2, this book provides prospective and current adoptive parents with insight into the seemingly irrational behavior of the older adopted child, providing coping models and questioning the policies governing the services provided to such children and their families. The first…

Robinson, Grace

448

Child Protection Parents Speak: \\  

Microsoft Academic Search

This thesis is a secondary data analysis that examines what child protection service (CPS) providers can learn from the experiences of the service users in regards to service delivery. Using Grounded Theory research method, this study analyses the experiences of 44 parents who have used or were currently using CPS in Ontario. The findings suggest that respect is that vital

Winnie Lo

2007-01-01

449

Understanding fatal child abuse  

Microsoft Academic Search

Medical, social service and coroner reports were reviewed for 14 cases of fatal child abuse and neglect identified at a children's hospital from 1988–1992. Twelve cases involved physical abuse and two neglect. The median age was 6.5 months (range 24 days to 3 years). Six families (43%) had prior protective service involvement; however, four of the referrals involved a sibling.

Ralph A. Hicks; Daniel C. Gaughan

1995-01-01

450

Child Welfare in Canada.  

ERIC Educational Resources Information Center

Reflecting the current state of theory and practice in child welfare in Canada, these eight papers suggest a contemporary view of Canadian children and the contexts in which they develop as defined by legal rights and society. First, Henry S. Maas argues that attention to normal social development and its contexts, and to related ongoing theory…

McBroom, Elizabeth, Ed.

1983-01-01

451

Rights of the Child.  

ERIC Educational Resources Information Center

This newsletter examines problems and rights of Romani children in East Central Europe, focusing on such topics as: the displaced childhoods of Romani children; snapshots of living conditions in various European countries; Roma child rights; Romani and non-Romani schools in Bulgaria; Romani children's rights to education in Central and Eastern…

Cahn, Claude, Ed.

2000-01-01

452

Security and interconnection of medical devices to healthcare networks  

Microsoft Academic Search

The introduction of medical devices onto healthcare facility networks presents a myriad of problems, both for the medical device or system being connected to the network, as well as other information technology devices on the network. The current state of security in healthcare, specifically security planning, is not as effective as other business areas. The value of the equipment associated

Dennis M. Seymour; Keith R. Mccall; Louis Dipaola

2004-01-01

453

Demand for Outpatient Healthcare: Empirical Findings from Rural India  

Microsoft Academic Search

Background: Price, income and health status are likely to affect the demand for healthcare in developing countries, and their quantitative effects are unclear in the literature. Some studies report that prices are not important determinants, while others conclude that prices are important determinants of the demand for healthcare. Knowledge of the extent to which price, income and health status affect

Sisira Sarma

2009-01-01

454

Antennas and Propagation of Implanted RFIDs for Pervasive Healthcare Applications  

Microsoft Academic Search

Radio-frequency identification (RFID) is a growing technology, with the potential for reducing medical errors and improving the quality of healthcare in hospitals. The benefits include more secure and safe access in the healthcare environment (with the possibility, for example, to track patients, personnel, and equipment), as well as providing the means to easily identify patients and their medications with low

Andrea Sani; Marie Rajab; Robert Foster; Yang Hao

2010-01-01

455

MANAGING A WIDESPREAD E-PROCUREMENT IMPLEMENTATION IN PUBLIC HEALTHCARE  

Microsoft Academic Search

In large parts of Europe, the development of healthcare is subject to contrasting forces. On the one hand, there has been an explosion in spending and, at the same time, governments are faced with strict budget constraints. On the other hand, public healthcare is under pressure to be innovative, technologically advanced and to provide increasingly better quality of services. In

Tommaso Federici; Andrea Resca

2007-01-01

456

The Life-and-Death Factor: Focus on Healthcare Facilities  

ERIC Educational Resources Information Center

With economic pressures restricting campus budgets and healthcare policy issues capturing national attention, facilities managers at university-affiliated hospitals and other healthcare entities say they feel more urgency than ever to provide cost-effective services to patients, providers, medical researchers, and students. Managing facilities at…

Dessoff, Alan

2009-01-01

457

Mobile technology and healthcare: the adoption issues and systemic problems  

Microsoft Academic Search

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

Craig Standing

2008-01-01

458

Five Constants of Information Technology Adoption in Healthcare  

Microsoft Academic Search

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

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

2007-01-01

459

The Application of Assembly and Automation Technologies to Healthcare Products  

Microsoft Academic Search

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

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

2006-01-01

460

Security in Wireless Mobile Technology for Healthcare Systems  

Microsoft Academic Search

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

W. D. Yu; V. Jothiram

2007-01-01

461

Pervasive Healthcare Overview… A Personal Perspective (May 2007)  

Microsoft Academic Search

The latest outstanding advances in mobile network technologies, wireless communications and medical sensors are propelling a new and exciting research for 21 st century pervasive healthcare systems. Such systems have the capacity to provide health services for patients regardless of time and place. The aim of this paper is to overview the state of the art pervasive healthcare technologies by

Sabrina Nefti

462

Burnout and 'stress of conscience' among healthcare personnel  

Microsoft Academic Search

Title. Burnout and 'stress of conscience' among healthcare personnel Aim. This paper reports a study examining factors that may contribute to burnout among healthcare personnel. Background. The impact on burnout of factors such as workload and interper- sonal conflicts is well-documented. However, although health care is a moral endeavour, little is known about the impact of moral strain. Interviews reveal

A. L. Glasberg; S. Eriksson; A. Norberg

2007-01-01

463

Strategies for healthcare facilities, construction, and real estate management.  

PubMed

Adventist HealthCare offers the following lessons learned in improving the value of healthcare facilities, construction, and real estate management: Use an integrated approach. Ensure that the objectives of the approach align the hospital or health system's mission and values. Embrace innovation. Develop a plan that applies to the whole organization, rather than specific business units. Ensure commitment of senior leaders. PMID:22616513

Lee, James G

2012-05-01

464

Medication-Nutrient Interactions and Individuals with Special Healthcare Needs  

ERIC Educational Resources Information Center

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

Brizee, Lori S.

2008-01-01

465

Burden and Stress among Psychiatry Residents and Psychiatric Healthcare Providers  

ERIC Educational Resources Information Center

Purpose: The authors compared the levels of job burden and stress in psychiatry residents with those of other healthcare professionals at inpatient and outpatient psychiatric hospitals in a medium-sized Brazilian city. Method: In this study, the levels of job burden and stress of 136 healthcare workers and 36 psychiatry residents from six various…

Zuardi, Antonio Waldo; Ishara, Sergio; Bandeira, Marina

2011-01-01

466

Protecting the child.  

PubMed

The 1991 African charter and the 1990 UN convention on the rights of the child have had an impact on efforts by Nigeria to legally protect the welfare of children. The African Charter and the international community are particularly concerned about legally protecting the best interests of children accused or found guilty of breaking the law: recognizing a legal age of responsibility for infringements of the penal code, separating a child, deprived of liberty from imprisoned adults when it is in the child's interests, and applying separate laws, procedures, authorities, and institutions for children. The African charter also seeks to shield children from environmental adversity and exploitation in employment or jobs that interfere with health and formal education. It is illegal to use children for begging, to abduct children, or to traffic in the sale of children by any person, including parents or legal guardians. Children are to be protected from sexual exploitation and sexual abuse in prostitution, pornographic activities, and coercion to perform sexual acts. Declines in infant mortality, elimination of diseases and malnutrition, and provision of education, particularly for female children and the gifted and the disadvantaged, are recommended. Pregnant adolescents should have access to education during and after the pregnancy. Protection is also sought from narcotic drug production, use, and trafficking, child marriage, and child abuse and torture, and participation in armed conflicts. Children are to be protected upon dissolution of marriage and in adoption. Children need to be assured the right to play and recreation. Nigeria has taken steps to implement fully the provisions of the convention, and to integrate the provisions within the existing Children and Young Persons Laws. The provisions will be integrated by the Department of Social Welfare of the Federal Ministry of Health and Social Services. More punitive enforcement measures will be included in the new legislation. A national committee was established to oversee the process of implementation. While legislation is pending, a Nigerian Trust Fund to ensure the welfare of the Nigerian child has been set up and will be operating soon. The Federal Ministry of Health has since 1987 been active in primary health care and child survival efforts. PMID:12318617

Okwudili, O

1993-01-01

467

77 FR 31390 - Manufacturer of Controlled Substances; Notice of Registration; Siemens Healthcare Diagnostics, Inc.  

Federal Register 2010, 2011, 2012, 2013

...Substances; Notice of Registration; Siemens Healthcare Diagnostics, Inc. By Notice...Register on February 6, 2012, 77 FR 5847, Siemens Healthcare Diagnostics Inc., 100 GBC...and determined that the registration of Siemens Healthcare Diagnostics Inc., to...

2012-05-25

468

78 FR 19017 - Manufacturer of Controlled Substances; Notice of Registration; Siemens Healthcare Diagnostics, Inc.  

Federal Register 2010, 2011, 2012, 2013

...Substances; Notice of Registration; Siemens Healthcare Diagnostics, Inc. By Notice...Register on December 5, 2012, 77 FR 72409, Siemens Healthcare Diagnostics Inc., Attn...and determined that the registration of Siemens Healthcare Diagnostics Inc., to...

2013-03-28

469

75 FR 38110 - Meeting of the National Advisory Council for Healthcare Research and Quality  

Federal Register 2010, 2011, 2012, 2013

...DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Meeting of the National Advisory Council for Healthcare Research and Quality AGENCY: Agency for Healthcare Research and Quality (AHRQ), HHS. ACTION: Notice of...

2010-07-01

470

76 FR 14668 - Meeting of the National Advisory Council for Healthcare Research and Quality  

Federal Register 2010, 2011, 2012, 2013

...DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Meeting of the National Advisory Council for Healthcare Research and Quality AGENCY: Agency for Healthcare Research and Quality (AHRQ), HHS. ACTION: Notice of...

2011-03-17

471

77 FR 38633 - Meeting of the National Advisory Council for Healthcare Research and Quality  

Federal Register 2010, 2011, 2012, 2013

...DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Meeting of the National Advisory Council for Healthcare Research and Quality AGENCY: Agency for Healthcare Research and Quality (AHRQ), HHS. ACTION: Notice of...

2012-06-28

472

78 FR 65321 - Meeting of the National Advisory Council for Healthcare Research and Quality  

Federal Register 2010, 2011, 2012, 2013

...DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Meeting of the National Advisory Council for Healthcare Research and Quality AGENCY: Agency for Healthcare Research and Quality (AHRQ), HHS. ACTION: Notice of...

2013-10-31

473

77 FR 13607 - Meeting of the National Advisory Council for Healthcare Research and Quality  

Federal Register 2010, 2011, 2012, 2013

...DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Meeting of the National Advisory Council for Healthcare Research and Quality AGENCY: Agency for Healthcare Research and Quality (AHRQ). ACTION: Notice of public...

2012-03-07

474

76 FR 62068 - Meeting of the National Advisory Council for Healthcare Research and Quality  

Federal Register 2010, 2011, 2012, 2013

...DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Meeting of the National Advisory Council for Healthcare Research and Quality AGENCY: Agency for Healthcare Research and Quality (AHRQ), HHS. ACTION: Notice of...

2011-10-06

475

78 FR 41799 - Meeting of the National Advisory Council for Healthcare Research and Quality  

Federal Register 2010, 2011, 2012, 2013

...DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Meeting of the National Advisory Council for Healthcare Research and Quality AGENCY: Agency for Healthcare Research and Quality (AHRQ), HHS. ACTION: Notice of...

2013-07-11

476

77 FR 61000 - Meeting of the National Advisory Council for Healthcare Research and Quality  

Federal Register 2010, 2011, 2012, 2013

...DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Meeting of the National Advisory Council for Healthcare Research and Quality AGENCY: Agency for Healthcare Research and Quality (AHRQ), HHS. ACTION: Notice of...

2012-10-05

477

78 FR 12319 - Meeting of the National Advisory Council for Healthcare Research and Quality  

Federal Register 2010, 2011, 2012, 2013

...DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Meeting of the National Advisory Council for Healthcare Research and Quality AGENCY: Agency for Healthcare Research and Quality (AHRQ), HHS. ACTION: Notice of...

2013-02-22

478

76 FR 40733 - Meeting of the National Advisory Council for Healthcare Research and Quality  

Federal Register 2010, 2011, 2012, 2013

...DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Meeting of the National Advisory Council for Healthcare Research and Quality AGENCY: Agency for Healthcare Research and Quality (AHRQ), HHS. ACTION: Notice of...

2011-07-11

479

75 FR 63497 - Meeting of the National Advisory Council for Healthcare Research and Quality  

Federal Register 2010, 2011, 2012, 2013

...DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Meeting of the National Advisory Council for Healthcare Research and Quality AGENCY: Agency for Healthcare Research and Quality (AHRQ), HHS. ACTION: Notice of...

2010-10-15

480

76 FR 73595 - Healthcare Technology, Policy & Trade Mission: Mexico City, Mexico, May 13-16, 2012  

Federal Register 2010, 2011, 2012, 2013

...of U.S. suppliers of healthcare information technologies...opportunities in the IT healthcare, medical devices, and...companies' ability to gain access to key players and thought leaders in the healthcare field and obtain...

2011-11-29

481

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

Code of Federal Regulations, 2013 CFR

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

2013-10-01

482

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

Code of Federal Regulations, 2013 CFR

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

2013-10-01

483

Healthcare-associated infections in the hospitalized neonate: a review.  

PubMed

Healthcare-associated infections in the neonatal intensive care unit add considerably to hospital stays and costs, and contribute to numerous adverse outcomes, including death. The relatively high prevalence of healthcare-associated infections among neonates is secondary to the newborn's underdeveloped immune system, the need for frequent invasive procedures, and generally prolonged hospitalization. Central line associated bloodstream infections (CLABSI) are the most common form of healthcare-associated infection, with coagulase-negative Staphylococcus species (CONS) being the most commonly cultured microorganism. Interpretation of culture results in the setting of any suspected healthcare-associated infection can be made difficult by the possibility that a recovered organism represents a commensal contaminant, rather than an actual cause of infection. This is especially true in the case of a blood culture that grows CONS during evaluation for suspected CLABSI. This article provides an overview of the epidemiology, diagnosis, prevention, and treatment of healthcare-associated infections in th