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1

Plant bioactives for ruminant health and productivity.  

PubMed

Plants have been used throughout history for their medicinal properties. This use has often focused on human health but plants have also been, and still are, applied in ethnoveterinary practice and animal health management. In recent times, the use of synthetic chemicals has become prevalent. Public awareness of the potential environmental and health risks associated with heavy chemical use has also increased. This has put pressure on regulatory bodies to reduce the use of chemicals in agriculture. The most striking example is the 2006 banning of antibiotics in animal feed by the European Union. Moves such as this have increased the drive to find alternatives to synthetic chemicals and research has again turned to the use of plant bioactives as a means of improving animal health. Current scientific evidence suggests there is significant potential to use plants to enhance animal health in general and that of ruminants (cattle, deer, sheep, etc.) in particular. Active areas of research for plant bioactives (particularly saponin and tannin containing plants) include reproductive efficiency, milk and meat quality improvement, foam production/bloat control and methane production. Nematode control is also a significant area of research and the evidence suggests a much broader range of phytochemicals may be effective. This review presents a summary of the literature and examines international research efforts towards the development of plant bioactives for animal health. PMID:17919666

Rochfort, Simone; Parker, Anthony J; Dunshea, Frank R

2008-01-01

2

Ruminants  

NSDL National Science Digital Library

Why do cows chew their cud? This video segment from Secret of Life: Accidents of Creation describes the physical adaptations that have made ruminants some of the most important, and certainly the most efficient, plant eaters on earth.

2003-09-26

3

Rumination  

NSDL National Science Digital Library

In this activity (on pages 24-34), learners explore the four-part stomach of cows (and other grazing animals called ruminants), and compare it to the human one-part stomach and its digestive process. In Part One learners color, cut out, and assemble the parts of either a human or cow digestive system. In Part Two learners recreate ruminant digestion by letting wet cut grass or shredded lettuce leaves decay, and use their sense of smell to understand the process fermentation.

Museum, University O.

2002-01-01

4

Is co-ruminating with friends related to health problems in victimized adolescents?  

PubMed

Co-rumination, or the tendency to revisit and endlessly discuss problems and negative events, has been linked to depression and other emotional difficulties (Rose, Carson, & Waller, 2007). The current study examined the moderating effect of co-rumination on the relationship between peer victimization and depression, anxiety, PTSD symptoms, and health problems in 108 adolescents aged 10-15 years. Adolescents and a parent completed measures of adolescents' peer victimization, co-rumination, depression, and health problems. Results indicate that adolescents who are both peer victimized and engaged in high levels of co-rumination were at highest risk for psychological problems. Co-rumination also moderated the relationship between peer victimization and physical health problems via general depressive symptoms (i.e., moderated mediation). PMID:25544426

Guarneri-White, Maria E; Jensen-Campbell, Lauri A; Knack, Jennifer M

2015-02-01

5

AUTOCLAVED RUMINAL FLUID IMMEDIATELY AFTER BIRTH IMPROVES THE GROWTH AND HEALTH OF NEONATE DAIRY CALVES  

Technology Transfer Automated Retrieval System (TEKTRAN)

Recent work (Muscato, T.V., L.O. Tedeschi, and Russell, J.B. 2002. The effect of ruminal fluid preparations on the growth and health of new-born dairy calves. Journal Dairy Science. In press.) showed that ruminal fluid (RF) supplements (8 ml per d) decreased (P <0.05) the incidence of scours in dair...

6

Assisted reproductive technologies in the reproductive management of small ruminants.  

PubMed

In modern agriculture, assisted reproductive technologies are being used for out of season oestrus induction, enhancement of reproductive performance and genetic improvement. In addition, they can have substantial contribution in preservation of endangered species or breeds, as well as in eradication programs of various diseases. While their applications are widespread in cattle, in small ruminants it is almost restricted to artificial insemination. The main limitations of a wider application in small ruminants are the naturally occurring anoestrus period, the variability of response to superovulatory treatments, the fertilisation failure and the need of surgery for collection and transfer of gametes and embryos. Nonetheless, during the last 30 years, considerable progress has been made in sheep and goat embryo technologies, especially in the fields of oestrus synchronisation, superovulation and in vitro embryo production. This paper reviews the status of assisted reproductive technologies in sheep, analysing the prospects offered by recent advances in in vivo and in vitro embryo production from mature and juvenile lambs. PMID:22381207

Amiridis, G S; Cseh, S

2012-02-01

7

Short dry period management improves peripartum ruminal adaptation in dairy cows.  

PubMed

The present study aimed to determine whether the improvement in postpartum energy balance frequently reported in cows under short dry period management could be due to an improvement in ruminal function related to the reduction in the number of diet changes before calving. Six multiparous and 6 primiparous Holstein cows equipped with ruminal cannula were assigned to 6 blocks of 2 cows each according to parity, projected milk production at 305 d, and expected calving date. Within each block, cows were randomly assigned to either a conventional (CDP; 63.2 ± 2.0 d) or a short dry period (SDP; 35.2 ± 2.0 d) management in a randomized complete block design. The CDP cows were fed a far-off diet until 28 d before calving, followed by a prepartum diet, whereas SDP cows received only the prepartum diet. After calving, both groups were fed the same lactation diet. Milk yield and dry matter intake (DMI) were recorded daily and milk composition, weekly. Blood samples were taken twice a week during the first 4 wk postcalving and weekly otherwise. Omasal and ruminal samples were collected approximately 3 wk prior and 3 wk after calving. From 28 d before calving until calving, when the 2 groups of cows were fed the same prepartum diet, there was no effect of the dry period length management on DMI, plasma concentrations of ?-hydroxybutyrate, nonesterified fatty acids, and glucose and nutrient digestibility in the rumen. However, CDP cows tended to have lower ruminal pH and higher ruminal concentrations of total volatile fatty acids than SDP cows. From calving to 60 d in milk, daily DMI was higher for SDP than for CDP cows (22.3 ± 0.44 vs. 20.7 ± 0.30 kg), but milk production and milk concentrations and yields of fat, protein, and total solids were not affected by the dry period length management. After calving, body weight loss was reduced and body condition score tended to increase more rapidly for SDP than for CDP cows. Nutrient digestibility in the rumen, expressed in kilograms per day, was greater or tended to be greater for SDP cows, but differences were no longer significant when expressed per unit of nutrient ingested. The decrease in plasma nonesterified fatty acids and ?-hydroxybutyrate in SDP cows without effect on milk yield suggests an improved energy balance likely due to greater DMI. Results from the present study seem to indicate that reducing the number of diet changes before calving could facilitate ruminal adaptation to the lactation diet and improve energy balance postpartum. PMID:25306282

Jolicoeur, M S; Brito, A F; Santschi, D E; Pellerin, D; Lefebvre, D; Berthiaume, R; Girard, C L

2014-12-01

8

Fish Health Management  

Technology Transfer Automated Retrieval System (TEKTRAN)

For commercial success, a recirculating aquaculture operation must maintain fish at densities far greater than normally found in nature. At the same time, the producer must maintain an environment that supports good fish health. This chapter discusses various aspects of fish health management, inclu...

9

Health supply chain management.  

PubMed

This chapter gives an educational overview of: * The actual application of supply chain practice and disciplines required for service delivery improvement within the current health environment. * A rationale for the application of Supply Chain Management (SCM) approaches to the Health sector. * The tools and methods available for supply chain analysis and benchmarking. * Key supply chain success factors. PMID:20407173

Zimmerman, Rolf; Gallagher, Pat

2010-01-01

10

The effect of condensed tannins on the nutrition and health of ruminants fed fresh temperate forages: a review  

Microsoft Academic Search

The effect of condensed tannins (CT) on the nutritive value of temperate forages and on the health of grazing ruminant animals is reviewed. The CT bind with proteins and other entities mainly by hydrophobic and hydrogen bonding in a pH-reversible manner, which is influenced by the structure and molecular weights of both the CT and the proteins. These reactions can

B. R Min; T. N Barry; G. T Attwood; W. C McNabb

2003-01-01

11

Applications of diagnostic ultrasonography in small ruminant reproductive management.  

PubMed

Modern portable ultrasound machines provide the veterinary clinician with an inexpensive and non-invasive method to further examine the reproductive tract of both male and female sheep on farm which should take no more than 5 min with the results available immediately. Unlike cattle, ultrasound examination of the ovaries is not undertaken because failure to cycle during the normal season is rare in sheep and there are no common ovarian conditions causing acyclicity. Accurate diagnosis of foetal number has greatly improved the nutritional management of late gestation ewes over the past 30 years. Late gestation nutritional supply in response to foetal demand greatly reduces perinatal lamb mortality by ensuring lamb birthweight and ewe colostrum accumulation. The contents of vaginal prolapse have been determined using ultrasonography which has led to an improved method for correction. A retained foetus when second stage labour is considered to have been completed, and uterine torsion, can be identified during ultrasound examination allowing timely correction. Ultrasonographic examination of palpable scrotal abnormalities can provide much useful information particularly in the diagnosis of epididymitis, orchitis and testicular atrophy. PMID:22341010

Scott, P R

2012-02-01

12

Willingness to Pay for Annual Health Care Services in Small Ruminants: The Case of South India  

NASA Astrophysics Data System (ADS)

A study was undertaken in southern peninsular State of India, the Tamil Nadu State, to assess the farmers Willingness To Pay` (WTP) for annual health care services in small ruminants. The districts of the State were categorized as Livestock Developed (LD) and Livestock Under Developed (LUD) based on initial base line developed. Contingent Valuation (CV) approach was used to study the farmers maximum WTP value for two types of health care services: (a) providing animal health care services at government veterinary centres, (b) extending animal health care services at farmers door steps. A Payment Card (PC) format was used to assess the farmers` maximum WTP for ensuring health care services to sheep and goat. The Maximum Likelihood technique was used on interval midpoints. The study revealed that the farmers were willing to pay a maximum of INR 56.34 and INR 61.61 for availing health services to their sheep and goat, respectively, by in-centre services, while they were ready to offer INR 87.49 and INR 95.27 for the animal health services delivered at doorsteps. The mean maximum WTP value was found to be more for goats than sheep, postulated both in-centre and home services. Of the factors incorporated in the in-centre service model for sheep, age of respondent, livelihood share of livestock, number of sheep and VLU owned and distance from nearest public veterinary centre were found to significantly influence the WTP values. Unlike sheep, age of respondent, VLU possession, distance of the public veterinary centre and district versatility had a significant role in determining WTP values for goats. WTP values in sheep for home service were found to be significantly predisposed by all the significant factors of in-centre services model, except number of sheep owned. Similarly, in goat, the age of respondent turned to be insignificant in home services model. The results indicated that the people were willing to pay more for getting their small ruminants adequately protected from diseases and treated at once with quality services.

Kathiravan, G.; Thirunavukkarasu, M.; Michealraj, P.

13

Management systems with extended milking intervals in ruminants: Regulation of production and quality of milk1,2  

E-print Network

Management systems with extended milking intervals in ruminants: Regulation of production and quality of milk1,2 P. G. Marnet3 and M. Komara Joint Unit l'Institut National de la Recherche Agronomique/Agrocampus Rennes "Research on milk production", 65 rue de St Brieuc, 35042 Rennes cedex, France ABSTRACT

Paris-Sud XI, Université de

14

Ruminal Prevotella spp. May Play an Important Role in the Conversion of Plant Lignans into Human Health Beneficial Antioxidants  

PubMed Central

Secoisolariciresinol diglucoside (SDG), the most abundant lignan in flaxseed, is metabolized by the ruminal microbiota into enterolignans, which are strong antioxidants. Enterolactone (EL), the main mammalian enterolignan produced in the rumen, is transferred into physiological fluids, with potentially human health benefits with respect to menopausal symptoms, hormone-dependent cancers, cardiovascular diseases, osteoporosis and diabetes. However, no information exists to our knowledge on bacterial taxa that play a role in converting plant lignans into EL in ruminants. In order to investigate this, eight rumen cannulated cows were used in a double 4×4 Latin square design and fed with four treatments: control with no flax meal (FM), or 5%, 10% and 15% FM (on a dry matter basis). Concentration of EL in the rumen increased linearly with increasing FM inclusion. Total rumen bacterial 16S rRNA concentration obtained using Q-PCR did not differ among treatments. PCR-T-RFLP based dendrograms revealed no global clustering based on diet indicating between animal variation. PCR-DGGE showed a clustering by diet effect within four cows that had similar basal ruminal microbiota. DNA extracted from bands present following feeding 15% FM and absent with no FM supplementation were sequenced and it showed that many genera, in particular Prevotella spp., contributed to the metabolism of lignans. A subsequent in vitro study using selected pure cultures of ruminal bacteria incubated with SDG indicated that 11 ruminal bacteria were able to convert SDG into secoisolariciresinol (SECO), with Prevotella spp. being the main converters. These data suggest that Prevotella spp. is one genus playing an important role in the conversion of plant lignans to human health beneficial antioxidants in the rumen. PMID:24709940

Schogor, Ana L. B.; Huws, Sharon A.; Santos, Geraldo T. D.; Scollan, Nigel D.; Hauck, Barbara D.; Winters, Ana L.; Kim, Eun J.; Petit, Hélène V.

2014-01-01

15

Prognostics in Battery Health Management  

Microsoft Academic Search

In this article, we examine prognostics and health management (PHM) issues using battery health management of Gen 2 cells, an 18650-size lithium-ion cell, as a test case. We will show where advanced regression, classification, and state estimation algorithms have an important role in the solution of the problem and in the data collection scheme for battery health management that we

Kai Goebel; Bhaskar Saha; Abhinav Saxena; Jose R. Celaya; Jon P. Christophersen

2008-01-01

16

Ruminant self-medication against gastrointestinal nematodes: evidence, mechanism, and origins?  

PubMed Central

Gastrointestinal helminths challenge ruminants in ways that reduce their fitness. In turn, ruminants have evolved physiological and behavioral adaptations that counteract this challenge. Ruminants display anorexia and avoidance behaviors, which tend to reduce the incidence of parasitism. In addition, ruminants appear to learn to self-medicate against gastrointestinal parasites by increasing consumption of plant secondary compounds with antiparasitic actions. This selective feeding improves health and fitness. Here, we review the evidence for self-medication in ruminants, propose a hypothesis to explain self-medicative behaviors (based on post-ingestive consequences), and discuss mechanisms (e.g., enhanced neophilia, social transmission) that may underlie the ontogeny and spread of self-medicative behaviors in social groups. A better understanding of the mechanisms that underlie and trigger self-medication in parasitized animals will help scientists devise innovative and more sustainable management strategies for improving ruminant health and well-being. PMID:24971486

Villalba, Juan J.; Miller, James; Ungar, Eugene D.; Landau, Serge Y.; Glendinning, John

2014-01-01

17

Intelligent Vehicle Health Management  

NASA Technical Reports Server (NTRS)

As a part of the overall goal of developing Integrated Vehicle Health Management systems for aerospace vehicles, the NASA Faculty Fellowship Program (NFFP) at Marshall Space Flight Center has performed a pilot study on IVHM principals which integrates researched IVHM technologies in support of Integrated Intelligent Vehicle Management (IIVM). IVHM is the process of assessing, preserving, and restoring system functionality across flight and ground systems (NASA NGLT 2004). The framework presented in this paper integrates advanced computational techniques with sensor and communication technologies for spacecraft that can generate responses through detection, diagnosis, reasoning, and adapt to system faults in support of INM. These real-time responses allow the IIVM to modify the affected vehicle subsystem(s) prior to a catastrophic event. Furthermore, the objective of this pilot program is to develop and integrate technologies which can provide a continuous, intelligent, and adaptive health state of a vehicle and use this information to improve safety and reduce costs of operations. Recent investments in avionics, health management, and controls have been directed towards IIVM. As this concept has matured, it has become clear the INM requires the same sensors and processing capabilities as the real-time avionics functions to support diagnosis of subsystem problems. New sensors have been proposed, in addition, to augment the avionics sensors to support better system monitoring and diagnostics. As the designs have been considered, a synergy has been realized where the real-time avionics can utilize sensors proposed for diagnostics and prognostics to make better real-time decisions in response to detected failures. IIVM provides for a single system allowing modularity of functions and hardware across the vehicle. The framework that supports IIVM consists of 11 major on-board functions necessary to fully manage a space vehicle maintaining crew safety and mission objectives: Guidance and Navigation; Communications and Tracking; Vehicle Monitoring; Information Transport and Integration; Vehicle Diagnostics; Vehicle Prognostics; Vehicle mission Planning; Automated Repair and Replacement; Vehicle Control; Human Computer Interface; and Onboard Verification and Validation. Furthermore, the presented framework provides complete vehicle management which not only allows for increased crew safety and mission success through new intelligence capabilities, but also yields a mechanism for more efficient vehicle operations. The representative IVHM technologies for computer platform using heterogeneous communication, 3) coupled electromagnetic oscillators for enhanced communications, 4) Linux-based real-time systems, 5) genetic algorithms, 6) Bayesian Networks, 7) evolutionary algorithms, 8) dynamic systems control modeling, and 9) advanced sensing capabilities. This paper presents IVHM technologies developed under NASA's NFFP pilot project and the integration of these technologies forms the framework for IIVM.

Paris, Deidre E.; Trevino, Luis; Watson, Michael D.

2005-01-01

18

Health & Safety Management System Queen's University  

E-print Network

Health & Safety Management System Queen's University December 2003 #12;Queen's University Health & Safety Management System 2 1. Introduction Under Provincial Health and Safety legislation Responsibility System provides the building blocks for an effective Health and Safety Management System. The key

Ellis, Randy

19

Competence in health management qualifications.  

PubMed

A special report on health management qualifications detailed the number of management qualifications. One aspect which deserves additional mention is the use of accreditation of prior learning (APL) which is a growing feature of management qualification courses. Sue Balderson and John Knibbs describe their research into the use of APL as part of an NHS trust's management development strategy. PMID:10134709

Balderson, S; Knibbs, J

1994-05-01

20

Holmium:YAG laser lithotripsy for the management of urolithiasis in small ruminants and pot-bellied pigs  

NASA Astrophysics Data System (ADS)

Obstructive urolithiasis is a common problem in small ruminants and pot-bellied pigs. The most common site of urinary tract obstruction in these species is the urethra. Surgical procedures developed to relieve obstructions, in our experience have been effective in approximately 75% of cases. Urethral stricture is a common complication if the mucosa of the urethra is disrupted. The objective of this project was to evaluate endoscopy guided laser lithotripsy as a therapeutic modality to relieve urethral obstructions in small ruminants and pot-bellied pigs. The study population consisted of patients presented to the Veterinary Medical Teaching Hospital at the University of California Davis with obstructive urolithiasis. Lithotripsy was performed using a Holmium:YAG laser via a 200-micron low water quartz fiber passed through a flexible mini-endoscope. Two types of urinary calculi were managed with this technique, calcium carbonate and calcium hydroxyphosphate. Laser lithotripsy was effective at relieving obstructions caused by both types of calculi when conventional methods had failed. Laser lithotripsy performed via urethral endoscopy is a safe and effective therapeutic modality for management of obstructive urolithiasis in small ruminants and pot-bellied pigs and reduces the risk of post procedural urethral stricture.

Halland, Spring K.; House, John K.; George, Lisle

2001-05-01

21

Ruminal Fermentation  

Technology Transfer Automated Retrieval System (TEKTRAN)

Ruminal fermentation is an exergonic process that converts feedstuffs into short chain volatile fatty acids (VFA), CO2, CH4, NH3, and heat. Some of the free energy is trapped as ATP and this energy is used to drive the growth of anaerobic ruminal microorganisms. The ruminant animals absorb VFA and...

22

Microbial fatty acid conversion within the rumen and the subsequent utilization of these fatty acids to improve the healthfulness of ruminant food products.  

PubMed

Consumers are aware of foods containing microcomponents that may have positive effects on health maintenance and disease prevention. In ruminant milk, meat, and milk products; these functional food components include eicosapentaenoic acid (20:5n3), docosahexaenoic acid (22:6n3), 9c11t-conjugated linoleic acid, and vaccenic acid (11t-18:1). Modifying ruminal microbial metabolism of fatty acid in rumen through animal diet formulation is an effective way to enhance these functional fatty acids in ruminant-derived food products. However, it requires an understanding of the interrelationship between supply of lipid through the diet and rumen fermentation. Lipids in ruminant diets undergo extensive hydrolysis and biohydrogenation in the rumen. Apparent transfer efficiency of eicosapentaenoic acid and docosahexaenoic acid from feed to milk is very low (1.9 to 3.3%), which is, to a large extent, related to their extensive biohydrogenation in the rumen. Therefore, feeding a rumen-protected supplement containing eicosapentaenoic acid and docosahexaenoic acid, can be used to bypass the rumen. Ruminant-derived foods also contain different types of conjugated linoleic acid isomers, which are intermediates of rumen biohydrogenation of linoleic acid (9c12c-18:2). The predominant isomer of conjugated linoleic acid is 9c11t, which has numerous health benefits in animal models. The concentration of conjugated linoleic acid in ruminant-derived food products can be significantly enhanced through animal diet modification. We conclude that most current functional food products from ruminants have potential for their health-supporting properties, and for this market to succeed, an evidence-based approach should be developed in humans. PMID:19685048

Or-Rashid, Mamun M; Wright, Tom C; McBride, Brian W

2009-10-01

23

Toxicology/Cell Biology Ruminant Production  

E-print Network

Ken Adler Toxicology/Cell Biology MBS Mark Alley Ruminant Production PHP Glen Almond Swine Health & Production PHP Kevin Anderson Ruminant Production PHP Nigel Campbell Anesthesiology MBS Wolfgang Baeumer Fogle Immunology PHP Michael Dykstra Electron Microscopy PHP Derek Foster Ruminant Medicine PHP Kelli

Langerhans, Brian

24

Microbial fatty acid conversion within the rumen and the subsequent utilization of these fatty acids to improve the healthfulness of ruminant food products  

Microsoft Academic Search

Consumers are aware of foods containing microcomponents that may have positive effects on health maintenance and disease prevention.\\u000a In ruminant milk, meat, and milk products; these functional food components include eicosapentaenoic acid (20:5n3), docosahexaenoic\\u000a acid (22:6n3), 9c11t-conjugated linoleic acid, and vaccenic acid (11t-18:1). Modifying ruminal microbial metabolism of fatty acid in rumen through animal diet formulation is an effective way

Mamun M. Or-Rashid; Tom C. Wright; Brian W. McBride

2009-01-01

25

Intelligent Integrated System Health Management  

NASA Technical Reports Server (NTRS)

Intelligent Integrated System Health Management (ISHM) is the management of data, information, and knowledge (DIaK) with the purposeful objective of determining the health of a system (Management: storage, distribution, sharing, maintenance, processing, reasoning, and presentation). Presentation discusses: (1) ISHM Capability Development. (1a) ISHM Knowledge Model. (1b) Standards for ISHM Implementation. (1c) ISHM Domain Models (ISHM-DM's). (1d) Intelligent Sensors and Components. (2) ISHM in Systems Design, Engineering, and Integration. (3) Intelligent Control for ISHM-Enabled Systems

Figueroa, Fernando

2012-01-01

26

Gamification and geospatial health management  

NASA Astrophysics Data System (ADS)

Sensor and Measurement technologies are rapidly developing for many consumer applications which have the potential to make a major impact on business and society. One of the most important areas for building a sustainable future is in health management. This opportunity arises because of the growing popularity of lifestyle monitoring devices such as the Jawbone UP bracelet, Nike Fuelband and Samsung Galaxy GEAR. These devices measure physical activity and calorie consumption and, when visualised on mobile and portable devices, enable users to take more responsibility for their personal health. This presentation looks at how the process of gamification can be applied to develop important geospatial health management applications that could not only improve the health of nations but also significantly address some of the issues in global health such as the ageing society and obesity.

Wortley, David

2014-06-01

27

MINIREVIEWS Microbial Fuel Cells and Microbial Ecology: Applications in Ruminant Health and Production Research  

E-print Network

# The Author(s) 2009. This article is published with open access at Springerlink.com Abstract Microbial fuel cell (MFC) systems employ the catalytic activity of microbes to produce electricity from the oxidation of organic, and in some cases inorganic, substrates. MFC systems have been primarily explored for their use in bioremediation and bioenergy applications; however, these systems also offer a unique strategy for the cultivation of synergistic microbial communities. It has been hypothesized that the mechanism(s) of microbial electron transfer that enable electricity production in MFCs may be a cooperative strategy within mixed microbial consortia that is associated with, or is an alternative to, interspecies hydrogen (H2) transfer. Microbial fermentation processes and methanogenesis in ruminant animals are highly dependent on the consumption and production of H2in the rumen. Given the crucial role that H2 plays in ruminant digestion, it is desirable to understand the microbial relationships that control H2 partial pressures within the rumen; MFCs may serve as unique tools for

Orianna Bretschger; Jason B. Osterstock; William E. Pinchak; Karen E. Nelson; O. Bretschger; S. Ishii; J. Craig; J. B. Osterstock; W. E. Pinchak; K. E. Nelson

2009-01-01

28

X-33/RLV System Health Management/Vehicle Health Management  

NASA Technical Reports Server (NTRS)

To reduce operations costs, Reusable Launch Vehicles (RLVS) must include highly reliable robust subsystems which are designed for simple repair access with a simplified servicing infrastructure, and which incorporate expedited decision-making about faults and anomalies. A key component for the Single Stage To Orbit (SSTO) RLV system used to meet these objectives is System Health Management (SHM). SHM incorporates Vehicle Health Management (VHM), ground processing associated with the vehicle fleet (GVHM), and Ground Infrastructure Health Management (GIHM). The primary objective of SHM is to provide an automated and paperless health decision, maintenance, and logistics system. Sanders, a Lockheed Martin Company, is leading the design, development, and integration of the SHM system for RLV and for X-33 (a sub-scale, sub-orbit Advanced Technology Demonstrator). Many critical technologies are necessary to make SHM (and more specifically VHM) practical, reliable, and cost effective. This paper will present the X-33 SHM design which forms the baseline for the RLV SHM, and it will discuss applications of advanced technologies to future RLVs. In addition, this paper will describe a Virtual Design Environment (VDE) which is being developed for RLV. This VDE will allow for system design engineering, as well as program management teams, to accurately and efficiently evaluate system designs, analyze the behavior of current systems, and predict the feasibility of making smooth and cost-efficient transitions from older technologies to newer ones. The RLV SHM design methodology will reduce program costs, decrease total program life-cycle time, and ultimately increase mission success.

Mouyos, William; Wangu, Srimal

1998-01-01

29

Occupational Safety, Health, and Environmental Management  

E-print Network

Occupational Safety, Health, and Environmental Management Certificate Program Corporate examination; other professionals in the industry who are involved in the development or management of a safety, hearing conservation, machine guarding, system safety, and environmental health. The workshop setting

Stanford, Kyle

30

SSME Advanced Health Management: Project Overview  

NASA Technical Reports Server (NTRS)

This document is the viewgraphs from a presentation concerning the development of the Health Management system for the Space Shuttle Main Engine (SSME). It reviews the historical background of the SSME Advanced Health Management effort through the present final Health management configuration. The document includes reviews of three subsystems to the Advanced Health Management System: (1) the Real-Time Vibration Monitor System, (2) the Linear Engine Model, and (3) the Optical Plume Anomaly Detection system.

Plowden, John

2000-01-01

31

Agent-based health care management An Agent-based Approach to Health Care Management  

E-print Network

Agent-based health care management 1 An Agent-based Approach to Health Care Management Jun Huang1, London WC2A 3PX, UK. Abbreviated title: Agent-based health care management Complete Mailing Address. London E1 4NS UK #12;Agent-based health care management 2 Abstract The provision of medical care

Mascardi, Viviana

32

[Management of biohazard in health care settings].  

PubMed

The management of biohazard in health care settings entails multidisciplinarity, valuing the interactions among stakeholders (General Manager, Medical Director, health care workers, prevention and protection units, infection control panels, occupational physicians), with the aim of protecting health and safety of workers, third parties and the health care service. The management issue was tackled within SIMLII guidelines on biohazards, as well as by the SIMLII Section on Preventive Medicine for Health Care Workers, followed by editorial initiatives. This contribution focuses on afield example on the management of data stemming from accidents involving biohazards, highlighting the need of information technology enabling management of enormous amount of health data. This work underlines the primacy of individual risk assessment and management, while combining information on working techniques and procedures with modern health surveillance, on the basis of accredited literature and good medical, organizational and technical practices. PMID:23405633

Porru, S; Agresta, A; Cimaglia, C; De Carli, G; Piselli, P; Puro, V; Micheloni, G P

2012-01-01

33

Software for Intelligent System Health Management  

NASA Technical Reports Server (NTRS)

This viewgraph presentation describes the characteristics and advantages of autonomy and artificial intelligence in systems health monitoring. The presentation lists technologies relevant to Intelligent System Health Management (ISHM), and some potential applications.

Trevino, Luis C.

2004-01-01

34

Tools for managing internal parasites in small ruminants: Copper wire particles  

Technology Transfer Automated Retrieval System (TEKTRAN)

Internal parasite management, especially of Haemonchus contortus (barber pole worm, stomach worm), is a primary concern for the majority of sheep and goat producers. These parasites have become more difficult to manage because of developed resistance to nearly all available dewormers. A severe infec...

35

Integrated Environment, Safety, & Health Management Plan  

E-print Network

Management System Description Revision 8 i July 2013 Integrated Safety* Management provides important Management System. A high level of attention to environmental protection, safety, health, and performance is discussed, the following applies: DOE Policy 450.4 Safety Management System Policy "...the term safety

Knowles, David William

36

Leadership in Health Care Systems: Health Care Organization Management  

E-print Network

Leadership in Health Care Systems: Health Care Organization Management and Leadership Track ­ Program Evaluation in 2007: Our grads told us they needed more leadership, informatics and management, employer interviews, needs assessment The Program #12;Leadership in Heath Care Systems · Three tracks

Goldman, Steven A.

37

Feeder and Stocker Health and Management Practices  

E-print Network

of disease loss. Goals for herd health management in a stocker setting should be centered aroundFeeder and Stocker Health and Management Practices W. Dee Whittier, Extension Specialist Specialist and Professor, Virginia-Maryland Regional College of Veterinary Medicine, Virginia Tech Disease

Liskiewicz, Maciej

38

Software for Intelligent System Health Management (ISHM)  

NASA Technical Reports Server (NTRS)

The slide presentation is a briefing in four areas: overview of health management paradigms; overview of the ARC-Houston Software Engineering Technology Workshop held on April 20-22, 2004; identified technologies relevant to technical themes of intelligent system health management; and the author's thoughts on these topics.

Trevino, Luis C.

2004-01-01

39

Overview of Nurse Managed Health Centers Nurse Managed Health Centers (NMHC) are outpatient facilities that provide health services to the  

E-print Network

Overview of Nurse Managed Health Centers Nurse Managed Health Centers (NMHC) are outpatient). A Nurse Managed Health Center can be independently operated, be based in a public school, or University-owned. The NMHCs also serve as research oriented clinical practice sites for undergraduate and graduate nursing

Firestone, Jeremy

40

Future developments in health care performance management  

PubMed Central

This paper highlights the challenges of performance management in health care, wherein multiple different objectives have to be pursued. The literature suggests starting with quality performance, following the sand cone theory, but considering a multidimensional concept of health care quality. Moreover, new managerial approaches coming from an industrial context and adapted to health care, such as lean management and risk management, can contribute to improving quality performance. Therefore, the opportunity to analyze them arises from studying their overlaps and links in order to identify possible synergies and to investigate the opportunity to develop an integrated methodology enabling improved performance. PMID:24255600

Crema, Maria; Verbano, Chiara

2013-01-01

41

Concept Development for Software Health Management  

NASA Technical Reports Server (NTRS)

This report documents the work performed by Lockheed Martin Aeronautics (LM Aero) under NASA contract NNL06AA08B, delivery order NNL07AB06T. The Concept Development for Software Health Management (CDSHM) program was a NASA funded effort sponsored by the Integrated Vehicle Health Management Project, one of the four pillars of the NASA Aviation Safety Program. The CD-SHM program focused on defining a structured approach to software health management (SHM) through the development of a comprehensive failure taxonomy that is used to characterize the fundamental failure modes of safety-critical software.

Riecks, Jung; Storm, Walter; Hollingsworth, Mark

2011-01-01

42

Management and control of nematode parasites of small ruminants in the face of total anthelmintic failure.  

PubMed

Total failure of modern broad spectrum anthelmintics to control nematode parasites of sheep and goats is a reality, of rapidly increasing dimension, on many farms in the tropical / subtropical regions of the world. This is primarily associated with the highly pathogenic, blood sucking parasite, Haemonchus contortus, and where it now cannot be controlled by chemotherapy, annual mortalities exceeding 20% of the flock can be expected. Thus sheep and goat enterprises become totally unsustainable, unless major changes in management are effected. These must include a change away from reliance on suppressive anthelmintic treatment and to include several non-chemotherapeutic management options. In situations where livestock numbers need to be preserved and there is no opportunity to increase the grazing area available, then zero grazing with cut-and-carry herbage from uncontaminated pasturelands is the only option. In other circumstances stocking rates need to be substantially reduced, so that short-term rotational grazing can be effectively practiced. This strategy is improved if it is combined with the biological control of the free-living stages of the parasites, using the microfungus Duddingtonia flagrans. Monitoring the parasitological status of the animals by faecal sampling sentinel sub-flocks for nematode faecal egg counts, or the use of the FAMACHA procedure, are also valuable tools. Improving overall nutrition of the flock is an important adjunct to control. As a long-term priority, attempts to change the genotype of the flocks to those breeds that have been shown to possess natural resistance to H. contortus are worthwhile. PMID:16493393

Waller, P J

2004-12-01

43

Rotorcraft Health Management Issues and Challenges  

NASA Technical Reports Server (NTRS)

This paper presents an overview of health management issues and challenges that are specific to rotorcraft. Rotorcraft form a unique subset of air vehicles in that their propulsion system is used not only for propulsion, but also serves as the primary source of lift and maneuvering of the vehicle. No other air vehicle relies on the propulsion system to provide these functions through a transmission system with single critical load paths without duplication or redundancy. As such, health management of the power train is a critical and unique part of any rotorcraft health management system. This paper focuses specifically on the issues and challenges related to the dynamic mechanical components in the main power train. This includes the transmission and main rotor mechanisms. This paper will review standard practices used for rotorcraft health management, lessons learned from fielded trials, and future challenges.

Zakrajsek, James J.; Dempsey, Paula J.; Huff, Edward M.; Augustin, Michael; Safa-Bakhsh, Robab; Ephraim, Piet; Grabil, Paul; Decker, Harry J.

2006-01-01

44

Research collaboration in health management research communities  

PubMed Central

Background This study uses scientometrics methodology to reveal the status quo and emerging issues of collaboration in health management. Methods We searched all the articles with the keyword “health management” in the period 1999–2011 in Web of Knowledge, then 3067 articles were found. Methods such as Social network analysis (SNA), co-authorship, co-word analysis were used in this study. Results Analysis of the past 13 years of research in the field of health management indicates that, whether the production of scientific research, or authors, institutions and scientific research collaboration at the national level, collaboration behavior has been growing steadily across all collaboration types. However, the international scientific research cooperation about health management study between countries needs to be further encouraged. 17 researchers can be seen as the academic leaders in this field. 37 research institutions play a vital role in the information dissemination and resources control in health management. The component analysis found that 22 research groups can be regarded as the backbone in this field. The 8 institution groups consisting of 33 institutions form the core of this field. USA, UK and Australia lie in the center by cohesive subgroup analysis; Based on keywords analysis, 44 keywords with high frequency such as care, disease, system and model were involved in the health management field. Conclusions This study demonstrates that although it is growing steadily, collaboration behavior about health management study needs to be enhanced, especially between different institutions or countries/regions, which would promote the progress and internationalization of health management. Besides, researchers should pay attention to the cooperation of representative scholars and institutions, as well as the hot areas of research, because their experience would help us promote the research development of our nation. PMID:23617236

2013-01-01

45

Managing gut health through nutrition  

Microsoft Academic Search

1.?To study gut health, a multi-pronged approach is necessary. It should be considered from the point of view of immunology, microbiology and nutrient supply.2.?The impact on gut health often comes from microbial imbalance in the gut, which will be exacerbated if antibiotics are withdrawn from feed.3.?Any gut damage caused by pathogens will lead to poor gut health, which will, in

M. Choct

2009-01-01

46

Managing Software Development for Global Health  

E-print Network

3/12/2010 1 Managing Software Development for Global Health Richard Anderson Outline · PATH · Managing a software product · Lessons learned 3/10/2010 CSESoftware EngineeringResearchGroup 2 Today's talk and was in serious trouble · Applying software industry best practices is leading to a positive outcome 3

Anderson, Richard

47

Managing Software Development for Global Health  

E-print Network

Managing Software Development for Global Health Richard Anderson #12;Outline · PATH · The Cold · Managing a software product · Lessons learned 3/10/2010 CSE Software Engineering Research Group 2 #12;Today and was in serious trouble · Applying software industry best practices is leading to a positive outcome 3/10/2010 CSE

Anderson, Richard

48

Health management of ewes during pregnancy.  

PubMed

The objectives of health management of ewes during pregnancy are as follows: (i) successful completion of pregnancy at term, (ii) birth of healthy and viable lambs, with optimal birth and potential weaning bodyweight, (iii) optimum milk production during the subsequent lactation and (iv) improved management in relation to drug residues in animal products. Knowledge of the physiological background of pregnancy in ewes: changes, mechanisms and interactions, during pregnancy is important for the overall health management of ewes during pregnancy. Health management of pregnant ewes includes diagnosis of pregnancy and evaluation of the number of foetuses borne, which will support strategies for subsequent management of the flock. Nutritional management of ewes depends upon the stage of lactation and specifically aims to (i) prevention of pregnancy toxaemia and other metabolic diseases during the peri-partum period, (ii) formation of colostrum in appropriate quantity and quality, (iii) production of lambs with normal future birth bodyweight and (iv) support of increased milk yield during the subsequent lactation. At the end of lactation, udder management of pregnant ewes includes its clinical examination, culling of ewes considered unsuitable for lactation and, possibly, the intramammary administration of antibiotics; objectives of that procedure are (i) to cure infections which have occurred during the previous lactation and (ii) to prevent development of new mammary infection during the dry period. Management of abortions includes the correct and timely diagnosis of the causative agent of the disorder, as well as the strategic administrations of chemotherapeutic agents, aiming to prevent abortions in flocks with confirmed infection with an abortifacient agent, especially if no appropriate vaccinations had been carried out before the mating season. During the final stage of pregnancy, health management of ewes includes administration of appropriate anthelmintic drugs, aiming to eliminate gastrointestinal helminthes (thus, increasing production output of ewes) and preventing the built-up of parasitic burdens in the environment (thus, reducing infection of lambs during their neonatal period). Vaccinations of pregnant ewes aim to protect these animals, as well as their offspring, especially against diseases which are a frequent cause of neonatal mortality (e.g., clostridial infections). Health management also aims to prevent the main metabolic disorders of pregnant ewes (i.e., pregnancy toxaemia and hypocalcaemia), as well as to monitor flocks for development of these disorders. Health management of pregnant ewes is completed with application of husbandry practices before the start of the lambing season. Finally, in some cases, health management may include induction and synchronisation of lambings, which is a management or therapeutic procedure. PMID:22356932

Fthenakis, G C; Arsenos, G; Brozos, C; Fragkou, I A; Giadinis, N D; Giannenas, I; Mavrogianni, V S; Papadopoulos, E; Valasi, I

2012-02-01

49

Descriptive Model of Indicators for Environment, Health and Safety Management  

E-print Network

Descriptive Model of Indicators for Environment, Health and Safety Management Chabane Mazri developed in all areas of management (financial, economic, logistics), Environment Health and Safety (EHS an updated description of the system, indicators allow managers to refresh their system's representation

Paris-Sud XI, Université de

50

Managing the Care of Health  

E-print Network

, and Director, Health Network, Canadian Policy Research Networks, Toronto, Ontario, Canada. Henry Mintzberg, Ph to the many thoughtful people in the English system, including those of the King's Fund, who participated group in the Netherlands, Richard Higgins, Richard James, Anton Obholzer and members of the TMP Learning

Barthelat, Francois

51

Can managed health care help manage health care-associated infections?  

PubMed Central

Managed-care organizations have a unique opportunity, still largely unrealized, to collaborate with health-care providers and epidemiologists to prevent health care-associated infections. Several attributes make these organizations logical collaborators for infection control programs: they have responsibility for defined populations of enrollees and for their overall health, including preventive care; they possess unique data resources about their members and their care; and they are able to make systemwide changes in care. Health care-associated infections merit the attention and effort of managed-care organizations because these infections are common, incur substantial illness and costs, and can be effectively prevented by using methods that are unevenly applied in different health-care settings. Both national and local discussions will be required to enable the most effective and efficient collaborations between managed care organizations and health-care epidemiologists. It will be important to articulate clear goals and standards that can be readily understood and widely adopted. PMID:11294740

Platt, R.; Caldwell, B.

2001-01-01

52

Prognostic health management for avionic systems  

Microsoft Academic Search

Maintenance of aircraft electronic systems has traditionally been performed in reaction to reported failures or through periodic system replacements. Recent changes in weapons platform acquisition and support requirements have spurred interest in application of prognostic health management (PHM) concepts developed for mechanical systems to electronic systems. The approach, development, and validation of prognostics for two types of electronic equipment are

Rolf F. Orsagh; Douglas W. Brown; Patrick W. Kalgren; Carl S. Byington; Andrew J. Hess; Thomas Dabney

2006-01-01

53

Managing interoperability and complexity in health systems.  

PubMed

In recent years, we have witnessed substantial progress in the use of clinical informatics systems to support clinicians during episodes of care, manage specialised domain knowledge, perform complex clinical data analysis and improve the management of health organisations' resources. However, the vision of fully integrated health information eco-systems, which provide relevant information and useful knowledge at the point-of-care, remains elusive. This journal Focus Theme reviews some of the enduring challenges of interoperability and complexity in clinical informatics systems. Furthermore, a range of approaches are proposed in order to address, harness and resolve some of the many remaining issues towards a greater integration of health information systems and extraction of useful or new knowledge from heterogeneous electronic data repositories. PMID:25579862

Bouamrane, M-M; Tao, C; Sarkar, I N

2015-01-12

54

Software Health Management with Bayesian Networks  

NASA Technical Reports Server (NTRS)

Most modern aircraft as well as other complex machinery is equipped with diagnostics systems for its major subsystems. During operation, sensors provide important information about the subsystem (e.g., the engine) and that information is used to detect and diagnose faults. Most of these systems focus on the monitoring of a mechanical, hydraulic, or electromechanical subsystem of the vehicle or machinery. Only recently, health management systems that monitor software have been developed. In this paper, we will discuss our approach of using Bayesian networks for Software Health Management (SWHM). We will discuss SWHM requirements, which make advanced reasoning capabilities for the detection and diagnosis important. Then we will present our approach to using Bayesian networks for the construction of health models that dynamically monitor a software system and is capable of detecting and diagnosing faults.

Mengshoel, Ole; Schumann, JOhann

2011-01-01

55

Integrated Systems Health Management for Intelligent Systems  

NASA Technical Reports Server (NTRS)

The implementation of an integrated system health management (ISHM) capability is fundamentally linked to the management of data, information, and knowledge (DIaK) with the purposeful objective of determining the health of a system. It is akin to having a team of experts who are all individually and collectively observing and analyzing a complex system, and communicating effectively with each other in order to arrive at an accurate and reliable assessment of its health. In this paper, concepts, procedures, and approaches are presented as a foundation for implementing an intelligent systems ]relevant ISHM capability. The capability stresses integration of DIaK from all elements of a system. Both ground-based (remote) and on-board ISHM capabilities are compared and contrasted. The information presented is the result of many years of research, development, and maturation of technologies, and of prototype implementations in operational systems.

Figueroa, Fernando; Melcher, Kevin

2011-01-01

56

The Implications of Death for Health: A Terror Management Health Model for Behavioral Health Promotion  

ERIC Educational Resources Information Center

This article introduces a terror management health model (TMHM). The model integrates disparate health and social psychology literatures to elucidate how the conscious and nonconscious awareness of death can influence the motivational orientation that is most operative in the context of health decisions. Three formal propositions are presented.…

Goldenberg, Jamie L.; Arndt, Jamie

2008-01-01

57

Integrated fly management in European ruminant operations from the perspective of directive 2009/128/EC on sustainable use of pesticides.  

PubMed

Integrated pest management (IPM) in agriculture animals remains undeveloped as compared to IPM in crops. With respect to the range of external nuisance arthropods that may bother farm animals, development and implementation of systematic IPM strategies are difficult to carry out. However, recurrent outbreaks of blue tongue disease in sheep and cattle, the public threats regarding the prophylactic use of veterinary insecticides and the need to preserve the efficacy of available actives have to lead the reflexion on new control strategies for arthropod pests of livestock. A recent extension of EU regulation on the use of pesticides in crops provides an opportunity to compare IPM strategies and to suggest new lines of reflection for the control of nuisance pests in ruminants under European conditions. In this paper, actions suggested by the Annex III of the Directive 2009/128/CE on Sustainable Use of Pesticides and related National Action Plans from 28 member states of the EU were reviewed from an animal production perspective by a group of veterinary entomologists. Eight lines of action have been identified and thus challenged with respect to current husbandry practices in modern European ruminant operations. Many IPM strategies for crops were identified to be unsuitable for large animals. Suggestions for implementing tools, opportunities and constraint assessment, and needs for support were also discussed. Only control of pest development sites and monitoring of harmful organisms were considered achievable in the near future; both in conjunction with the use of topical insecticides. Complementary actions such as alternatives to chemical control require further researches and industrial development. Marketing of IGR-based feed additives would be of great interest, but development of new compounds for veterinary medicines is very unlikely with respect to the European regulatory environment and associated cost of development. PMID:25547079

Durel, Luc; Estrada-Peña, Augustin; Franc, Michel; Mehlhorn, Heinz; Bouyer, Jérémy

2015-02-01

58

Managing American Health Network Outpatient Testing Records Franciscan St. Francis Health  

E-print Network

Managing American Health Network Outpatient Testing Records Franciscan St. Francis Health Kristan Farmer Problem: Franciscan St. Francis Health now manages the medical records for four American Health information about the overall management of the records. Objectives: · Ensure that registries are received

Zhou, Yaoqi

59

ISWHM: Tools and Techniques for Software and System Health Management  

NASA Technical Reports Server (NTRS)

This presentation presents status and results of research on Software Health Management done within the NRA "ISWHM: Tools and Techniques for Software and System Health Management." Topics include: Ingredients of a Guidance, Navigation, and Control System (GN and C); Selected GN and C Testbed example; Health Management of major ingredients; ISWHM testbed architecture; and Conclusions and next Steps.

Schumann, Johann; Mengshoel, Ole J.; Darwiche, Adnan

2010-01-01

60

GARS Directorate Environment, Safety, & Health Records/Documents Management  

E-print Network

. Occupational Health & Safety (OHSAS 18001) Management System Description (Manual) The written OSH programGARS Directorate Environment, Safety, & Health Records/Documents Management Rev. 6 4/24/13 Topic Office Files B179B. 2. Environment, Safety & Health (OHSAS 18001/ISO14001) Management Plans Annual list

Ohta, Shigemi

61

Data Management for Meeting Global Health Challenges Tapan S. Parikh  

E-print Network

Data Management for Meeting Global Health Challenges Tapan S. Parikh UC Berkeley School global health challenges are becoming increasingly data driven. Governments and donors are demanding activities, and responding to remote outbreaks of disease. Data challenges in global health intersect

Parikh, Tapan S.

62

76 FR 64110 - Safety and Health Management Programs for Mines  

Federal Register 2010, 2011, 2012, 2013, 2014

...DEPARTMENT OF LABOR Mine Safety and Health Administration RIN 1219-AB71 Safety and Health Management Programs for Mines AGENCY: Mine Safety and Health Administration, Labor. ACTION: Notice of public...

2011-10-17

63

Outage management and health physics issue, 2007  

Microsoft Academic Search

The focus of the May-June issue is on outage management and health physics. Major articles\\/reports in this issue include: India: a potential commercial opportunity, a U.S. Department of Commerce Report, by Joe Neuhoff and Justin Rathke; The changing climate for nuclear energy, by Skip Bowman, Nuclear Energy Insitute; Selecting protective clothing, by J. Mark Price, Southern California Edison; and Succssful

Agnihotri; Newal

2007-01-01

64

Making Technology Ready: Integrated Systems Health Management  

NASA Technical Reports Server (NTRS)

This paper identifies work needed by developers to make integrated system health management (ISHM) technology ready and by programs to make mission infrastructure ready for this technology. This paper examines perceptions of ISHM technologies and experience in legacy programs. Study methods included literature review and interviews with representatives of stakeholder groups. Recommendations address 1) development of ISHM technology, 2) development of ISHM engineering processes and methods, and 3) program organization and infrastructure for ISHM technology evolution, infusion and migration.

Malin, Jane T.; Oliver, Patrick J.

2007-01-01

65

Integrated Systems Health Management for Intelligent Systems  

NASA Technical Reports Server (NTRS)

The implementation of an integrated system health management (ISHM) capability is fundamentally linked to the management of data, information, and knowledge (DIaK) with the purposeful objective of determining the health of a system. Management implies storage, distribution, sharing, maintenance, processing, reasoning, and presentation. ISHM is akin to having a team of experts who are all individually and collectively observing and analyzing a complex system, and communicating effectively with each other in order to arrive at an accurate and reliable assessment of its health. In this chapter, concepts, procedures, and approaches are presented as a foundation for implementing an ISHM capability relevant to intelligent systems. The capability stresses integration of DIaK from all elements of a system, emphasizing an advance toward an on-board, autonomous capability. Both ground-based and on-board ISHM capabilities are addressed. The information presented is the result of many years of research, development, and maturation of technologies, and of prototype implementations in operational systems.

Figueroa, Fernando; Melcher, Kevin

2011-01-01

66

Ruminant nitrogen usage  

SciTech Connect

This book brings together the latest research on protein absorption by ruminants and takes a look at the calculation of optimum nutrient requirements, including bacterial digestion, in the calculations. It also describes the parameters of nitrogen conversion in the ruminant and examines the different kinds of protein found in animal feedstuffs.

Not Available

1985-01-01

67

Investigation of Integrated Vehicle Health Management Approaches  

NASA Technical Reports Server (NTRS)

This report is to present the work that was performed during the summer in the Advance Computing Application office. The NFFP (NASA Faculty Fellow Program) had ten summer faculty members working on IVHM (Integrated Vehicle Health Management) technologies. The objective of this project was two-fold: 1) to become familiar with IVHM concepts and key demonstrated IVHM technologies; and 2) to integrate the research that has been performed by IVHM faculty members into the MASTLAB (Marshall Avionic Software Test Lab). IVHM is a NASA-wide effort to coordinate, integrate and apply advanced software, sensors and design technologies to increase the level of intelligence, autonomy, and health state of future vehicles. IVHM is an important concept because it is consistent with the current plan for NASA to go to the moon, mars, and beyond. In order for NASA to become more involved in deep exploration, avionic systems will need to be highly adaptable and autonomous.

Paris, Deidre

2005-01-01

68

[Quality management in a public health agency].  

PubMed

This article describes the introduction of quality improvement actions in a public health organization. After ISO 17025 accreditation, which was legally mandated, was granted to the official control laboratory, the management decided to expand a quality policy in 2003, through a series of actions based on process analysis and proposals for improvement, further definition of standard operating procedures, exploration of users' opinions, the creation of improvement groups, and external audits or certification. The organizational response to these initiatives was diverse. External audit or certification of services seems to be the most powerful tool for change. Costing studies showed that up to 75% of the total expenditure of the agency in 2010 was spent on public health services subject to external audit or certification. PMID:22425456

Villalbí, Joan R; Ballestín, Manuela; Casas, Conrad; Subirana, Teresa

2012-01-01

69

Sensor Systems for Prognostics and Health Management  

PubMed Central

Prognostics and health management (PHM) is an enabling discipline consisting of technologies and methods to assess the reliability of a product in its actual life cycle conditions to determine the advent of failure and mitigate system risk. Sensor systems are needed for PHM to monitor environmental, operational, and performance-related characteristics. The gathered data can be analyzed to assess product health and predict remaining life. In this paper, the considerations for sensor system selection for PHM applications, including the parameters to be measured, the performance needs, the electrical and physical attributes, reliability, and cost of the sensor system, are discussed. The state-of-the-art sensor systems for PHM and the emerging trends in technologies of sensor systems for PHM are presented. PMID:22219686

Cheng, Shunfeng; Azarian, Michael H.; Pecht, Michael G.

2010-01-01

70

Managing the health of the elite athlete: a new integrated performance health management and coaching model  

PubMed Central

Elite athletes endeavour to train and compete even when ill or injured. Their motivation may be intrinsic or due to coach and team pressures. The sports medicine physician plays an important role to risk-manage the health of the competing athlete in partnership with the coach and other members of the support team. The sports medicine physician needs to strike the right ethical and operational balance between health management and optimising performance. It is necessary to revisit the popular delivery model of sports medicine and science services to elite athletes based on the current reductionist multispecialist system lacking in practice an integrated approach and effective communication. Athlete and coach in isolation or with a member of the multidisciplinary support team, often not qualified or experienced to do so, decide on the utilisation of services and how to apply the recommendations. We propose a new Integrated Performance Health Management and Coaching model based on the UK Athletics experience in preparation for the London Olympic and Paralympic Games. The Medical and Coaching Teams are managed by qualified and experienced individuals operating in synergy towards a common performance goal, accountable to a Performance Director and ultimately to the Board of Directors. We describe the systems, processes and implementation strategies to assist the athlete, coach and support teams to continuously monitor and manage athlete health and performance. These systems facilitate a balanced approach to training and competing decisions, especially while the athlete is ill or injured. They take into account the best medical advice and athlete preference. This Integrated Performance Health Management and Coaching model underpinned the Track and Field Gold Medal performances at the London Olympic and Paralympic Games. PMID:24620040

Dijkstra, H Paul; Pollock, N; Chakraverty, R; Alonso, J M

2014-01-01

71

Correctional Managed Health Care Contract for Student Experience  

E-print Network

1 Correctional Managed Health Care Contract for Student Experience Academic Year 2011-2012 This agreement made the _______ day of ________________________, by and between University of Connecticut Health Center (UCHC), Correctional Managed Health Care (CMHC), having its place of business at 263 Farmington

Oliver, Douglas L.

72

Understanding Risk Management through an Environmental Health and Safety Template  

E-print Network

URMIA Understanding Risk Management through an Environmental Health and Safety Template 2008 URMIA system in the United States, made the transition from an institution whose risk management functions were chose to model its risk manage- ment function and methods after its environmental health and safety

Rosen, Jay

73

‘My health is not a job’: a qualitative exploration of personal health management and imperatives of the ‘new public health  

PubMed Central

Background There is an increasing push in Western healthcare for people to ‘manage’ their health, a key aspect of what has been called the ‘new public health’. It has been argued that this ‘personal health management’ – informal work done to monitor, inform, or influence one’s health – may be a burden, with potential to contribute to poor health outcomes. However, there is little research actually examining perceptions of personal health management and the ‘burden’ of these activities, particularly for generally healthy individuals. Methods We conducted exploratory qualitative interviews with 30 generally healthy men and women about their perceptions and experiences of personal health management. Questions focused on health behaviours (e.g., information seeking), as well as feelings about these behaviours and perceptions of the time dedicated to health. Audio-recorded interviews were transcribed and analyzed qualitatively using NVivo 10. Where appropriate, quantitative codes were applied and descriptive statistics are reported alongside qualitative findings. Results Participants were generally satisfied with the amount of time spent on their health and few perceived personal health management as a burden. Many participants took issue with the concept of ‘work’ being associated with health and stressed the importance of taking personal responsibility for health. Conclusions Our findings suggest that generally healthy people have internalised the notion of the ‘new public health’ and accepted the imperative of personal health responsibility. On the one hand, this bodes well for healthy individuals; their positive attitude may lead to better health outcomes, and the manageable amount of time spent suggests personal health management is unlikely to cause negative health consequences associated with stress. On the other hand, our findings may indicate that other factors, such as social determinants of health, are ignored in health promotion efforts and that those who cannot manage their own health may fall further behind. Future research should continue to explore the time people spend ‘working’ for their health, and how they perceive and respond to ‘new public health’ imperatives. PMID:25030501

2014-01-01

74

Rumination Syndrome in Ethiopia: A Case Study  

PubMed Central

Eating disorders are commonly believed to be rare or nonexistent in Africa. However, due to exposure to Western culture, a rise in eating disorders among African women is reported in the literature. This case study describes a 17-year-old Ethiopian girl who meets the DSM-IV-TR and DSM-5 diagnostic criteria for bulimia nervosa and the Rome III Diagnostic Criteria for Functional Gastrointestinal Disorders criteria for rumination syndrome. The article discusses the diagnostic delays, the difficulties in terms of therapy, and the context determinants that—combined with individual psychopathological features—are thought to contribute to the disorders. Health professionals should be informed about the prevalence of eating disorders in Africa and, more specifically, of rumination syndrome in young women with normal intelligence. In light of this case study, it seems necessary to raise awareness with regard to the insufficient evidence on effective therapies for rumination syndrome in individuals without intellectual impairment.

2014-01-01

75

Cyanobacterial toxins: risk management for health protection  

SciTech Connect

This paper reviews the occurrence and properties of cyanobacterial toxins, with reference to the recognition and management of the human health risks which they may present. Mass populations of toxin-producing cyanobacteria in natural and controlled waterbodies include blooms and scums of planktonic species, and mats and biofilms of benthic species. Toxic cyanobacterial populations have been reported in freshwaters in over 45 countries, and in numerous brackish, coastal, and marine environments. The principal toxigenic genera are listed. Known sources of the families of cyanobacterial toxins (hepato-, neuro-, and cytotoxins, irritants, and gastrointestinal toxins) are briefly discussed. Key procedures in the risk management of cyanobacterial toxins and cells are reviewed, including derivations (where sufficient data are available) of tolerable daily intakes (TDIs) and guideline values (GVs) with reference to the toxins in drinking water, and guideline levels for toxigenic cyanobacteria in bathing waters. Uncertainties and some gaps in knowledge are also discussed, including the importance of exposure media (animal and plant foods), in addition to potable and recreational waters. Finally, we present an outline of steps to develop and implement risk management strategies for cyanobacterial cells and toxins in waterbodies, with recent applications and the integration of Hazard Assessment Critical Control Point (HACCP) principles.

Codd, Geoffrey A.; Morrison, Louise F.; Metcalf, James S

2005-03-15

76

Behavioral Health Emergencies Managed by School Nurses Working with Adolescents  

ERIC Educational Resources Information Center

Background: As members of interdisciplinary teams, school nurses provide behavioral health services. Studies indicate that school nurses may lack sufficient continuing education in adolescent behavioral health and in the management of behavioral health emergencies, specifically. We conducted this study to describe the adolescent behavioral health

Ramos, Mary M.; Greenberg, Cynthia; Sapien, Robert; Bauer-Creegan, Judith; Hine, Beverly; Geary, Cathy

2013-01-01

77

ENVIRONMENT, HEALTH & SAFETY Risk Management Services, University of Alberta  

E-print Network

ENVIRONMENT, HEALTH & SAFETY Risk Management Services, University of Alberta www investigation Interpret legislation Lab close-out Education and training Maintain reference library of codes Provide technical expertise and service to departments in aspects of hazardous waste management, re

Machel, Hans

78

Reducing Health Cost: Health Informatics and Knowledge Management as a Business and Communication Tool  

Microsoft Academic Search

\\u000a Health informatics has the potential to improve the quality and provision of care while reducing the cost of health care delivery.\\u000a However, health informatics is often falsely regarded as synonymous with information management (IM). This chapter (i) provides\\u000a a clear definition and characteristic benefits of health informatics and information management in the context of health care\\u000a delivery, (ii) identifies and

Regina Gyampoh-Vidogah; Robert Moreton; David Sallah

2010-01-01

79

Meeting global health challenges through operational research and management science  

PubMed Central

Abstract This paper considers how operational research and management science can improve the design of health systems and the delivery of health care, particularly in low-resource settings. It identifies some gaps in the way operational research is typically used in global health and proposes steps to bridge them. It then outlines some analytical tools of operational research and management science and illustrates how their use can inform some typical design and delivery challenges in global health. The paper concludes by considering factors that will increase and improve the contribution of operational research and management science to global health. PMID:21897489

2011-01-01

80

POSTING 14-24 Manager of Health Services  

E-print Network

and Champlain Regional College. The Manager is also responsible for providing direct nursing care to the patients of the clinic. As a member of the Student Services Leadership Team the Manager of Health Services of the Student Services Leadership Team, the Manager contributes to the overall management of Student Services

81

Outage management and health physics issue, 2007  

SciTech Connect

The focus of the May-June issue is on outage management and health physics. Major articles/reports in this issue include: India: a potential commercial opportunity, a U.S. Department of Commerce Report, by Joe Neuhoff and Justin Rathke; The changing climate for nuclear energy, by Skip Bowman, Nuclear Energy Insitute; Selecting protective clothing, by J. Mark Price, Southern California Edison; and Succssful refurbishment outage, by Sudesh K. Gambhir, Omaha Public Power District. Industry innovation articles in this issue are: Containment radiation monitoring spiking, by Michael W. Lantz and Robert Routolo, Arizona Public Service Company; Improved outage performance, by Michael Powell and Troy Wilfong, Arizona Public Service Company, Palo Verde Nuclear Generating Station; Stop repacking valves and achieve leak-free performance, by Kenneth Hart, PPL Susquehanna LLC; and Head assembly upgrade package, by Timothy Petit, Dominion Nuclear.

Agnihotri, Newal (ed.)

2007-05-15

82

World Health Organization's Management of Substance Abuse  

NSDL National Science Digital Library

Part of the larger World Health Organization's (WHO) site this section on the management of substance abuse has a variety of useful information for students, teachers and those practicing in the field. Some of the most useful are several resources related to terminology and classifications including the WHO lexicon of alcohol and drug terms. The lexicon, developed in 1994, supplies clinicians, researchers and other users with a set of definitions of terms related to tobacco, alcohol and other drugs. Also available is a Facts and Figures section which provides users with basic information about the use and misuse of alcohol and other drugs worldwide. The Activities pages allow users to get a glimpse into the research that WHO is currently undertaking that is related to substance abuse. Sections on publications, research tools, and other links round out this very useful site.

83

Bachelor of Science, Health Science Studies, Health Informatics and Information Management Emphasis, 2014-2015  

E-print Network

Bachelor of Science, Health Science Studies, Health Informatics and Information Management Emphasis and Humanities 3-4 DLS Social Sciences course in a first field 3 DLS Social Sciences course in a second field 3 3 Health Informatics and Information Management Emphasis ACCT 205 Introduction to Financial

Barrash, Warren

84

Bachelor of Science, Health Science Studies, Health Informatics and Information Management Emphasis, 2013-2014  

E-print Network

Bachelor of Science, Health Science Studies, Health Informatics and Information Management Emphasis and Humanities 3-4 DLS Social Sciences course in a first field 3 DLS Social Sciences course in a second field 3 3 Health Informatics and Information Management Emphasis ACCT 205 Introduction to Financial

Barrash, Warren

85

Bachelor of Science, Health Science Studies, Health Informatics and Information Management Emphasis, 2012-2013  

E-print Network

Bachelor of Science, Health Science Studies, Health Informatics and Information Management Emphasis and Humanities 3-4 DLS Social Sciences course in a first field 3 DLS Social Sciences course in a second field 3 Health Informatics and Information Management Emphasis ACCT 205 Introduction to Financial Accounting ACCT

Barrash, Warren

86

Integrated Systems Health Management for Space Exploration  

NASA Technical Reports Server (NTRS)

Integrated Systems Health Management (ISHM) is a system engineering discipline that addresses the design, development, operation, and lifecycle management of components, subsystems, vehicles, and other operational systems with the purpose of maintaining nominal system behavior and function and assuring mission safety and effectiveness under off-nominal conditions. NASA missions are often conducted in extreme, unfamiliar environments of space, using unique experimental spacecraft. In these environments, off-nominal conditions can develop with the potential to rapidly escalate into mission- or life-threatening situations. Further, the high visibility of NASA missions means they are always characterized by extraordinary attention to safety. ISHM is a critical element of risk mitigation, mission safety, and mission assurance for exploration. ISHM enables: In-space maintenance and repair; a) Autonomous (and automated) launch abort and crew escape capability; b) Efficient testing and checkout of ground and flight systems; c) Monitoring and trending of ground and flight system operations and performance; d) Enhanced situational awareness and control for ground personnel and crew; e) Vehicle autonomy (self-sufficiency) in responding to off-nominal conditions during long-duration and distant exploration missions; f) In-space maintenance and repair; and g) Efficient ground processing of reusable systems. ISHM concepts and technologies may be applied to any complex engineered system such as transportation systems, orbital or planetary habitats, observatories, command and control systems, life support systems, safety-critical software, and even the health of flight crews. As an overarching design and operational principle implemented at the system-of-systems level, ISHM holds substantial promise in terms of affordability, safety, reliability, and effectiveness of space exploration missions.

Uckun, Serdar

2005-01-01

87

Strengthening health management: experience of district teams in The Gambia.  

PubMed

The lack of basic management skills of district-level health teams is often described as a major constraint to implementation of primary health care in developing countries. To improve district-level management in The Gambia, a 'management strengthening' project was implemented in two out of the three health regions. Against a background of health sector decentralization policy the project had two main objectives: to improve health team management skills and to improve resources management under specially-trained administrators. The project used a problem-solving and participatory strategy for planning and implementing activities. The project resulted in some improvements in the management of district-level health services, particularly in the quality of team planning and coordination, and the management of the limited available resources. However, the project demonstrated that though health teams had better management skills and systems, their effectiveness was often limited by the policy and practice of the national level government and donor agencies. In particular, they were limited by the degree to which decision making was centralized on issues of staffing, budgeting, and planning, and by the extent to which national level managers have lacked skills and motivation for management change. They were also limited by the extent to which donor-supported programmes were still based on standardized models which did not allow for varying and complex environments at district level. These are common problems despite growing advocacy for more devolution of decision making to the local level. PMID:10155879

Conn, C P; Jenkins, P; Touray, S O

1996-03-01

88

Health Management Applications for International Space Station  

NASA Technical Reports Server (NTRS)

Traditional mission and vehicle management involves teams of highly trained specialists monitoring vehicle status and crew activities, responding rapidly to any anomalies encountered during operations. These teams work from the Mission Control Center and have access to engineering support teams with specialized expertise in International Space Station (ISS) subsystems. Integrated System Health Management (ISHM) applications can significantly augment these capabilities by providing enhanced monitoring, prognostic and diagnostic tools for critical decision support and mission management. The Intelligent Systems Division of NASA Ames Research Center is developing many prototype applications using model-based reasoning, data mining and simulation, working with Mission Control through the ISHM Testbed and Prototypes Project. This paper will briefly describe information technology that supports current mission management practice, and will extend this to a vision for future mission control workflow incorporating new ISHM applications. It will describe ISHM applications currently under development at NASA and will define technical approaches for implementing our vision of future human exploration mission management incorporating artificial intelligence and distributed web service architectures using specific examples. Several prototypes are under development, each highlighting a different computational approach. The ISStrider application allows in-depth analysis of Caution and Warning (C&W) events by correlating real-time telemetry with the logical fault trees used to define off-nominal events. The application uses live telemetry data and the Livingstone diagnostic inference engine to display the specific parameters and fault trees that generated the C&W event, allowing a flight controller to identify the root cause of the event from thousands of possibilities by simply navigating animated fault tree models on their workstation. SimStation models the functional power flow for the ISS Electrical Power System and can predict power balance for nominal and off-nominal conditions. SimStation uses realtime telemetry data to keep detailed computational physics models synchronized with actual ISS power system state. In the event of failure, the application can then rapidly diagnose root cause, predict future resource levels and even correlate technical documents relevant to the specific failure. These advanced computational models will allow better insight and more precise control of ISS subsystems, increasing safety margins by speeding up anomaly resolution and reducing,engineering team effort and cost. This technology will make operating ISS more efficient and is directly applicable to next-generation exploration missions and Crew Exploration Vehicles.

Alena, Richard; Duncavage, Dan

2005-01-01

89

College of Health Sciences HSM Health Services Management  

E-print Network

to health care settings. Topics to be considered include governance, patient rights, informed consent setting) or consent of instructor. (Same as CLM 351.) HSM 353 HEALTH ADMINISTRATION, PLANNING.C.D.A.,andqualityassessmentsystems.Prereq:Professionalprogramstatus(whichincludesanearnedAssociateDegree in a health care discipline and one year of post-degree work in a health care setting) or consent

MacAdam, Keith

90

Inhibition of the ruminal bacterium Ruminococcus flavefaciens by ruminal fungi  

E-print Network

Inhibition of the ruminal bacterium Ruminococcus flavefaciens by ruminal fungi KN Joblin, GE Naylor depend upon fibrolytic bacteria and fungi to digest forage fibre in the rumen. Little is known about interactions between the fibrolytic populations. Ruminal fungi are potent degraders of lignocellulosic tissues

Boyer, Edmond

91

Sustainable waste management in the UK: the public health role.  

PubMed

This paper discusses waste management in the UK and its relationship with health. It aims to outline the role of health professionals in the promotion of waste management, and argues for a change in their role in waste management regulation to help make the process more sustainable. The most common definition of sustainable development is that by the Brundtland commission, i.e. "development that meets the needs of the present without compromising the ability of future generations to meet their own needs". Managing waste sites in a manner that minimises toxic impacts on the current and future generations is obviously a crucial part of this. Although the management of waste facilities is extremely complex, the Integrated Pollution Prevention and Control regime, which requires the input of public health professionals on the regulation of such sites, means that all waste management installations should now be operating in a fashion that minimises any toxicological risks to human health. However, the impacts upon climate change, resource use and health inequalities, as well as the effects of waste transportation, are currently not considered to be part of public health professionals' responsibilities when dealing with these sites. There is also no requirement for public health professionals to become involved in waste management planning issues. The fact that public health professionals are not involved in any of these issues makes it unlikely that the potential impacts upon health are being considered fully, and even more unlikely that waste management will become more sustainable. This paper aims to show that by only considering direct toxicological impacts, public health professionals are not fully addressing all the health issues and are not contributing towards sustainability. There is a need for a change in the way that health professionals deal with waste management issues. PMID:16962620

Mohan, R; Spiby, J; Leonardi, G S; Robins, A; Jefferis, S

2006-10-01

92

Health Professionals' Perceptions of Sexual Assault Management: A Delphi Study  

ERIC Educational Resources Information Center

Objective: To explore health professionals' perceptions of sexual assault management practices and identify issues related to these practices across Western Australia (WA). Design: A two-round electronic Delphi study was undertaken with health professionals (medical doctors, registered nurses, social workers and managers). Setting: Healthcare…

Jancey, Jonine; Meuleners, Lynn; Phillips, Maureen

2011-01-01

93

Supplier Relationship Management in Health Care Practice - A Case Study  

Microsoft Academic Search

Structural changes and increasing market dynamics in the health care sector intensify the hospitals' need for cost-savings and process optimization. One source to generate not only short-term savings but also sustainable benefits is the active and sophisticated management of the relationship with different suppliers, also known as supplier relationship management (SRM). As in the health care sector material cost continuously

Tobias Mettler; Peter Rohner

2008-01-01

94

Needs Assessment for Health Care Management Education in Russia  

ERIC Educational Resources Information Center

Introduction: For more than 70 years, health care management in the Soviet Union reflected a centralized directive style familiar to the Soviet political system. Market-oriented reform in post-Soviet Russia is pushing practicing physicians and physician-executives to acquire new information and skills regarding health care management. To assist…

Rekhter, Natalia; Togunov, Igor A.

2006-01-01

95

An Airplane Health Management approach for civil aviation  

Microsoft Academic Search

om Abstract-In order to improve the safety and economy of civil aviation, based on the Prognostics and Health Management (PHM) System, an Airplane Health Management (AHM) technology is presented in this paper. Although the PHM system contains the abilities of fault detection, fault isolation, fault prognosis and prognosis of the remaining life, extending the time of an aircraft in the

Li Shu-ming; Dan Min; Yang Lu

2011-01-01

96

Managing Home Health Care (For Parents)  

MedlinePLUS

Intensive Health Care at Home Kids can need intensive health care at home after they have been in the hospital ... dolls to help you practice different procedures. Home Health Care Assistance The hospital social worker can help families ...

97

Health Project Management. A Manual of Procedures for Formulating and Implementing Health Projects.  

ERIC Educational Resources Information Center

The manual presents 16 main steps for health project management, from project formulation through termination. The manual defines a health project as a temporary intensive effort to set up and put into operation a new or revised service that will result in the reduction of specific health or health-related problems. (Typical examples include the…

Bainbridge, J.; Sapirie, S.

98

Official Master's of Public Health Health Policy & Management Program of Study Form  

E-print Network

Official Master's of Public Health ­ Health Policy & Management Program of Study Form Student enrollment is restricted to graduate students. REQUIRED PUBLIC HEALTH CORE COURSES ­ 18 credits Dept Course # Course Title Cr Hrs Sem/Yr Taken Grade PUBH 5520G INTRODUCTION TO PUBLIC HEALTH 2

Hutcheon, James M.

99

[Essential competences for the management of health care networks].  

PubMed

We suggest that in order to fulfill the health needs of the majority of the Chilean population, which is beneficiary of the public health system, essential organizational skills should be developed for network administration among Self-administered Hospitals, Network Manager and Primary Health Care facilities. Self-administered Hospitals should be competent in managing service options according to their strategy for development, reference and counter-reference mechanisms and waiting lists, to optimize queuing. The Network Manager should be competent in demand management that is regulated, investments management that determines future development in terms of population needs and stakeholders' management, which is a political viability type of management. Finally, the Primary Health Care manager should be competent in demand management as a strategic partner of the Network Manager, community participation and management of interlinked areas, articulating social networks and sanitary impact management. At each level and within levels, there are crossroads that promote synergies. Based on the development of essential skills, a practice with strategic intentions, organization managers will develop team work skills. PMID:23677235

Vergara, Marcos; Bisama, Ligia; Moncada, Patricio

2012-12-01

100

Rumination Reconsidered: A Psychometric Analysis  

Microsoft Academic Search

In an attempt to eliminate similar item content as an alternative explanation for the re- lation between depression and rumination, a secondary analysis was conducted using the data from S. Nolen-Hoeksema, J. Larson, and C. Grayson (1999). After construct- ing a measure of rumination unconfounded with depression content, support for a two factor model of rumination was found. These analyses

Wendy Treynor; Richard Gonzalez; Susan Nolen-Hoeksema

2003-01-01

101

Reducing Health Cost: Health Informatics and Knowledge Management as a Business and Communication Tool  

NASA Astrophysics Data System (ADS)

Health informatics has the potential to improve the quality and provision of care while reducing the cost of health care delivery. However, health informatics is often falsely regarded as synonymous with information management (IM). This chapter (i) provides a clear definition and characteristic benefits of health informatics and information management in the context of health care delivery, (ii) identifies and explains the difference between health informatics (HI) and managing knowledge (KM) in relation to informatics business strategy and (iii) elaborates the role of information communication technology (ICT) KM environment. This Chapter further examines how KM can be used to improve health service informatics costs, and identifies the factors that could affect its implementation and explains some of the reasons driving the development of electronic health record systems. This will assist in avoiding higher costs and errors, while promoting the continued industrialisation of KM delivery across health care communities.

Gyampoh-Vidogah, Regina; Moreton, Robert; Sallah, David

102

Health Services Management Centre All in this together? Making  

E-print Network

on The case for social care reform ­ the wider economic and social benefits (for the Department of HealthHealth Services Management Centre All in this together? Making best use of health and social care improvement and public and patient engagement. This reputation has also started to extend to adult social care

Birmingham, University of

103

Geograpical Management of Cancer Health Disparities Program (GMaP)  

Cancer.gov

The Geographical Management of Cancer Health Disparities Program (GMaP), developed with American Recovery and Reinvestment Act (ARRA) administrative supplements, is a systematic and comprehensive approach to facilitating collaboration, cooperation, information- and resource-sharing, and capacity-building among cancer health disparities researchers, trainees, outreach workers, and organizations, with the key goal of advancing cancer health disparities (CHD) research and training.

104

Climate Change and the Health Implications of Managed Relocation  

E-print Network

91 Climate Change and the Health Implications of Managed Relocation Jessica Fields '14 and Tram Bui `14 Other modules in the Climate Change and Health unit that best complement the one presented here include The Science of Climate Change, Climate Change and Health: Lessons from the Past

Smith, Kate

105

Children and Managed Health Care. Analysis and Recommendations.  

ERIC Educational Resources Information Center

Reviews the changes managed health care has brought to the delivery and use of medical services and recommends specific steps that will make the existing system more responsive to the needs of children. Systemwide health care reforms must give children stable medical care that emphasizes preventive health and developmental services. (SLD)

Deal, Lisa W.; Shiono, Patricia H.; Behrman, Richard E.

1998-01-01

106

Environmental Management of Pediatric Asthma: Guidelines for Health Care Providers  

ERIC Educational Resources Information Center

These guidelines are the product of a new Pediatric Asthma Initiative aimed at integrating environmental management of asthma into pediatric health care. This document outlines competencies in environmental health relevant to pediatric asthma that should be mastered by primary health care providers, and outlines the environmental interventions…

Roberts, James R.; McCurdy, Leyla Erk

2005-01-01

107

Health services management manpower and education: outlook for the future.  

PubMed

There is much concern about administrative costs in health care. But little has been written on the market for health managers. This article discusses Bureau of Labor Statistics data estimating a total of 362,500 health managers in the United States in 1990 and projections showing an increase to 517,800 in 2005. The article further discusses the composition of health care employment in terms of settings and functions, and evaluates the implications of a rapidly changing market for health administrators. The authors conclude that sufficient demand exists for AUPHA programs to produce more graduates, but that curriculum should be revised and should place greater emphasis on efficient production of health services. This will provide qualitative differentiation and give health management training a competitive advantage over business and other educational backgrounds. PMID:10129821

Hilsenrath, P E; Levey, S; Weil, T P; Ludke, R

1993-01-01

108

Qualitative evaluation of a health management education partnership.  

PubMed

Results of ongoing cooperation of four educational institutions in the field of Health Management Education in Slovakia are reviewed. The specific benefit of multilateral collaboration for the situation in central Europe is discussed in the context of a Health Management Education Partnership (HMEP). The project is based on a grant from the United States Agency for International Development (USAID) with assistance from the American International Health Alliance (AIHA). The U.S. partner is the University of Scranton, Scranton, Pennsylvania. Three organizations are involved in the partnership from the Slovak Republic: Trnava University, University of Matej Bel in Banska Bystrica and the Health Management School (HMS) in Bratislava, each having specific priority and focus in health management education. The HMEP program is designed to reach about 30 teachers of health administration as well as 200 undergraduates, senior and middle managers from health service organizations every year. The collaborative endeavor stimulates the communication and creation of personal and human relations, not only on an individual and institutional level, but on a community as well as national and international level. The project supports the development of knowledge and skills, professional identity and educational processes in health management. The emphasis is on increasing the quality of education and training in Slovakia through multilateral collaboration, curricula development, professional development, symposia, support of consultancies and accreditation. Specific areas of content are designed to address health policy, law, ethics, insurance and quality improvement. PMID:10387235

Rusnakova, V; West, D J; Hlavacka, S; Krcmery, V; Murgas, M

1998-01-01

109

Supporting cancer patients' unanchored health information management with mobile technology  

E-print Network

, Seattle, WA Abstract Cancer patients often need to manage care-related information when they are away from that HealthWeaver Mobile can help patients to access care-related information from anywhere, to capture. The enhanced ability to manage information, in turn, helps patients to manage their care and to feel more

Anderson, Richard

110

Health and Safety Management System Audit Reliability Pilot Project  

Microsoft Academic Search

This pilot study assessed occupational health and safety (OHS) management system audit finding reliability using a modified test–retest method. Two industrial hygienists with similar training and education conducted four, 1-day management system audits in four dissimilar organizational environments. The researchers examined four auditable sections (employee participation, training, controls, and communications) contained in a publicly available OHS management system assessment instrument.

D. T. Dyjack; C. F. Redinger; R. S. Ridge

2003-01-01

111

Integrating Change Management into Clinical Health Information Technology Project Practice  

Microsoft Academic Search

The management of change within a clinical health information technology (HIT) project traditionally focuses on cost, schedule and scope, considered ldquohardrdquo change management (CM). Despite massive funding, clinical HIT projects continue to fail suggesting that the management of risk associated with hard change elements alone, is not effective. The cause of clinical HIT failure is usually attributed to user resistance

Margaret Leyland; Danielle Hunter; James Dietrich

2009-01-01

112

Conception and development of a bibliographic database of blood nutrient fluxes across organs and tissues in ruminants: data gathering and management prior to meta-analysis.  

PubMed

In the organism, nutrient exchanges among tissues and organs are subject to numerous sources of physiological or nutritional variation, and the contribution of individual factors needs to be quantified before establishing general response laws. To achieve this, meta-analysis of data from publications is a useful tool. The objective of this work was to develop a bibliographic database of nutrient fluxes across organs and tissues of ruminant animals (Flora) under Access using the Merise method. The most important criteria for Flora were the ease to relate the various information, the exhaustivity and the accuracy of the data input, a complete description of the diets, taking into account the methods of the methodological procedures of measurement and analysis of blood nutrients and the traceability of the information. The conceptual data model was built in 6 parts. The first part describes the authors and source of publication, and the person in charge of data input. It clearly separates and identifies the experiments, the groups of animals and the treatments within a publication. The second part is concerned with feeds, diets and their chemical composition and nutritional value. The third and fourth parts describe the infusion of any substrates and the methods employed, respectively. The fifth part is devoted to the results of blood flows and nutrient fluxes. The sixth part gathers miscellaneous experimental information. All these parts are inter-connected. To model this database, the Merise method was utilised and 26 entities and 32 relationships were created. At the physical level, 93 tables were created, corresponding, for the majority, to entities and relationships of the data model. They were divided into reference tables (n = 65) and data tables (n = 28). Data processing was developed in Flora and included the control of the data, generic calculations of unknown data from given data, the automation of the estimation of the missing data or the chemical composition of the diets. It also included the construction of tables for meta-analyses and the study of the variations of several factors within publications (pre-coding of meta-analyses). Overall, the system was built to facilitate the gathering, input, validation, management and retrieval of data from publications. PMID:17107642

Vernet, Jean; Ortigues-Marty, Isabelle

2006-01-01

113

The Health Management Information System in Primary Health Care: The Palestinian Model  

Microsoft Academic Search

The management capabilities and performance of primary health care (PHC) can be improved by strengthening the information system. This study focuses on the Palestinian Health Management Information System (HMIS), used in PHC and reports on the achievements and shortcomings. A retrospective review and content analysis of the HMIS documentation was carried out and a Strengths, Weaknesses, Opportunities, and Threats (SWOT)

Tayser Abu Mourad; Mohammed A. Afifi; Suzanne Shashaa; Dimitris Kounalakis; Christos Lionis; Anastas Philalithis

114

Sensor Technology for Integrated Vehicle Health Management of Aerospace Vehicles  

NASA Technical Reports Server (NTRS)

NASA is focusing considerable efforts on technology development for Integrated Vehicle Health Management systems. The research in this area is targeted toward increasing aerospace vehicle safety and reliability, while reducing vehicle operating and maintenance costs. Onboard, real-time sensing technologies that can provide detailed information on structural integrity are central to such a health management system. This paper describes a number of sensor technologies currently under development for integrated vehicle health management. The capabilities, current limitations, and future research needs of these technologies are addressed.

Prosser, W. H.; Brown, T. L.; Woodard, S. E.; Fleming, G. A.; Cooper, E. G.

2002-01-01

115

Financial coping strategies of mental health consumers: managing social benefits.  

PubMed

Mental health consumers depend on social benefits in the forms of supplemental security income and social security disability insurance for their livelihood. Although these programs pay meager benefits, little research has been undertaken into how this population makes ends meet. Using a qualitative approach, this study asks what are the financial coping strategies of mental health consumers? Seven approaches were identified: subsidies, cost-effective shopping, budgeting, prioritizing, technology, debt management, and saving money. Results illustrate the resourcefulness of mental health consumers in managing meager social benefits and highlight the need to strengthen community mental health efforts with financial capabilities education. PMID:24346222

Caplan, Mary Ager

2014-05-01

116

Aircraft health management network: A user interface  

Microsoft Academic Search

Network management is one of the most discussed topics in the networking fraternity. The efficiency of the network management suit is measured by the number of parameters\\/components handled by the application while making decisions. In the case of Internet-enabled aircrafts, along with network security, even aircraft safety needs to be considered as a factor while designing the network management suit.

N. Thanthry; R. Pendse

2009-01-01

117

Evaluating Soil Health Summary: Soil health can be measured, monitored and managed to increase sustainability and  

E-print Network

Evaluating Soil Health Summary: Soil health can be measured, monitored and managed to increaseResourcesNonmedia, Producers, Web. From Sara Adlington, (406) 994-4602 Filename: Eval Soil Health PR2014 Web: Ag, Extension with Montana State University and MSU Extension have recommendations for growers on evaluating soil quality

Lawrence, Rick L.

118

American Health Information Management Association Code of Ethics  

E-print Network

1 American Health Information Management Association Code of Ethics Preamble The ethical should be disclosed. Ethical obligations are central to the professional's responsibility, regardless and the inherent ethical responsibilities for AHIMA members and credentialed HIM professionals include providing

Zhou, Yaoqi

119

Fish Health Management Considerations in Recirculating Aquaculture Systems -Part 1  

E-print Network

Cir 120 Fish Health Management Considerations in Recirculating Aquaculture Systems - Part 1, Tropical Aquaculture Laboratory, Ruskin FL 33570, Program in Fisheries and Aquatic Sciences, School Cooperating. Nick T. Place , Dean Introduction Recirculating aquaculture systems, also known as water reuse

Watson, Craig A.

120

Clinical and Management Requirements for Computerized Mental Health Information Systems  

PubMed Central

Information requirements of mental health providers are sufficiently different from those of other health care managers to warrant a different approach to the development of management information systems (MIS). Advances in computer technology and increased demands for fiscal accountability have led to developing integrated mental health information systems (MHIS) that support clinical and management requirements. In a study made to define a set of generic information requirements of mental health providers that can be supported by an MHIS, it was found that basic data needs can be defined and classified in functional terms: clinical, management, and consultation/education requirements. A basic set of data to support these needs was defined: demographic, financial, clinical, programmatic, and service delivery data.

Levinton, Paula H.; Dunning, Tessa F.E.

1980-01-01

121

U of L Wellness and Recognition Managing Mental Health in the Workplace -Homewood Health Registered Psychologist (employee  

E-print Network

U of L Wellness and Recognition Managing Mental Health in the Workplace - Homewood Health:30 PM in AH100 - Nov 27 from 12:00 PM ­ 4:00 PM in AH100 Registration http://www.uleth.ca/hr/wellness/managing-mental-health managers and supervisors with information to understand mental illness, recognize common mental health

Hossain, Shahadat

122

American Health Information Management Association. Position statement. Issue: managing health information in facility mergers and acquisitions.  

PubMed

Healthcare facility mergers and acquisitions are becoming more common as the industry consolidates. Many critical issues must be considered in mergers and acquisitions, including the management of patient health information. In addition to operational issues, licensure, regulatory, and accreditation requirements must be addressed. To ensure availability of health information to all legitimate users, patient records should be consolidated or linked in the master patient index. A record retention policy should be developed and implemented to meet user needs and assure compliance with legal, regulatory, and accreditation requirements. If health information from closed facilities will be stored for a period of time, its integrity and confidentiality must be preserved, and it must be readily accessible for patient care. The compatibility and functionality of existing information systems should be assessed, and a plan should be formulated for integration of the systems to the extent possible. Such integration may be essential for the organization to successfully meet the demands of integrated delivery systems. Existing databases should be maintained in an accessible form to meet anticipated future needs. PMID:10133022

1994-04-01

123

Dual-Use Aspects of System Health Management  

NASA Technical Reports Server (NTRS)

System Health Management functionality is an essential part of any space launch system. Health management functionality is an integral part of mission reliability, since it is needed to verify the reliability before the mission starts. Health Management is also a key factor in life cycle cost reduction and in increasing system availability. The degree of coverage needed by the system and the degree of coverage made available at a reasonable cost are critical parameters of a successful design. These problems are not unique to the launch vehicle world. In particular, the Intelligent Vehicle Highway System, commercial aircraft systems, train systems, and many types of industrial production facilities require various degrees of system health management. In all of these applications, too, the designers must balance the benefits and costs of health management in order to optimize costs. The importance of an integrated system is emphasized. That is, we present the case for considering health management as an integral part of system design, rather than functionality to be added on at the end of the design process. The importance of maintaining the system viewpoint is discussed in making hardware and software tradeoffs and in arriving at design decisions. We describe an approach to determine the parameters to be monitored in any system health management application. This approach is based on Design of Experiments (DOE), prototyping, failure modes and effects analyses, cost modeling and discrete event simulation. The various computer-based tools that facilitate the approach are discussed. The approach described originally was used to develop a fault tolerant avionics architecture for launch vehicles that incorporated health management as an integral part of the system. Finally, we discuss generalizing the technique to apply it to other domains. Several illustrations are presented.

Owens, P. R.; Jambor, B. J.; Eger, G. W.; Clark, W. A.

1994-01-01

124

Corporate social responsibility and the future health care manager.  

PubMed

The decisions and actions of health care managers are oftentimes heavily scrutinized by the public. Given the current economic climate, managers may feel intense pressure to produce higher results with fewer resources. This could inadvertently test their moral fortitude and their social consciousness. A study was conducted to determine what corporate social responsibility orientation and viewpoint future health care managers may hold. The results of the study indicate that future health care managers may hold patient care in high regard as opposed to profit maximization. However, the results of the study also show that future managers within the industry may continue to need rules, laws, regulations, and legal sanctions to guide their actions and behavior. PMID:21045586

Collins, Sandra K

2010-01-01

125

An Examination of Health Information Management by the Deaf  

ERIC Educational Resources Information Center

Little is known about how Deaf people perceive, access, and utilize interpersonal and media sources for health information. In light of the scarcity of research on health information management among this group, a two-phase study was conducted that included eight focus groups (N=39) and survey data (N=366) with Deaf participants to determine the…

Karras, Elizabeth

2010-01-01

126

Evaluation of two communication strategies to improve udder health management  

Microsoft Academic Search

Worldwide, programs to improve udder health are implemented using communication tools and methods that inform and persuade dairy farmers. This study evaluated 2 communication strategies used in a mastitis control program in the Netherlands. To improve farmers’ udder health management, tools such as instruction cards, treatment plans, checklists and software were developed following an argument-based comprehensive “central route.” These tools

J. Jansen; R. J. Renes; T. J. G. M. Lam

2010-01-01

127

Department of Environmental Health & Safety Risk Management Services  

E-print Network

receive health & safety training specific to the hazards present in the lab. Where a laboratory or coreDepartment of Environmental Health & Safety Risk Management Services November 2009 Version 1 January 2012 Version 2 Occupational Hygiene & Chemical Safety 780 492 6888 1 LABORATORY SPECIFIC SAFETY

Machel, Hans

128

University of Connecticut Health Center Space Management Policy  

E-print Network

University of Connecticut Health Center Space Management Policy I. Preamble University that contributes most toward fulfilling the University's mission and priorities. Space is allocated on the basis if those needs or priorities change. This policy sets forth space management responsibilities, describes

Kim, Duck O.

129

Leadership and management quality: key factors in effective health systems.  

PubMed

The effectiveness of health care systems in the developing world is related to the quality of their leadership and management, yet that factor has been neglected by academics and funders. Based on replicable existing models, the article proposes an approach to strengthening local management training institutions. PMID:23342756

Pfeffermann, Guy

2012-01-01

130

Examining the Efficacy of Management for Pennsylvania School Health Programs  

ERIC Educational Resources Information Center

In Pennsylvania, certified school nurses were governed by the same educational rules and administrative directives as teachers. School nurses were supervised and evaluated by non-nurse managers who had no knowledge of the scope of school nurse practice. A focus of the study was to examine the efficacy of management for school health programs. The…

Jacobi, Wendy J.

2010-01-01

131

Talking to health managers about change: heroes, villains and simplification  

Microsoft Academic Search

This paper presents contextual and empirical analyses of the pressures on senior health managers in the NHS through an examination of the documents produced by the NHS National Co-ordinating Centre for Service Delivery and Organisation on “Managing change”. The result is a discussion and advocacy of the means through which “knowledge” with “knowing” might be brought together in the NHS

Ian Greener

2004-01-01

132

Stress Management Training in Health Psychology Practice: Critical Clinical Issues  

Microsoft Academic Search

Stress management training interventions have become one of the most popular treatment programs in health psychology practice. Although numerous clinical approaches are available, limited attention is given to the matching of intervention with the clinical needs of individuals. As a result, stress management programs are more frequently marketed in clinical and community settings as palliative techniques without sufficient exploration of

J. Bruce Hillenberg; Thomas M. DiLorenzo

1987-01-01

133

Nuclear transfer in ruminants.  

PubMed

Ruminants were the first mammalian species to be cloned successfully by nuclear transplantation. Those experiments were designed to multiply high merit animals (Willadsen, Nature 320(6057):63-65, 1986; Prather et al., Biol Reprod 37(4):859-866, 1987; Wilmut et al., Nature 385(6619):810-813, 1997). Since then, cloning has provided us with a vast amount of knowledge and information on the reprogramming ability of somatic cells to different cell types which became an important basis for stem cell research and human medicine. Nowadays, the goals of most nuclear transfer work vary widely but in most cases the micromanipulation procedures remain the same. However, differences between species require different technical considerations. In this chapter, we describe in detail somatic cell nuclear transfer which is the foremost method for cloning ruminants with specific reference to sheep and cattle. PMID:25287336

Lee, Joon-Hee; Maalouf, Walid E

2015-01-01

134

Measuring adverse selection in managed health care.  

PubMed

Health plans paid by capitation have an incentive to distort the quality of services they offer to attract profitable and to deter unprofitable enrollees. We characterize plans' rationing as a "shadow price" on access to various areas of care and show how the profit maximizing shadow price depends on the dispersion in health costs, individuals' forecasts of their health costs, the correlation between use in different illness categories, and the risk adjustment system used for payment. These factors are combined in an empirically implementable index that can be used to identify the services that will be most distorted by selection incentives. PMID:11186848

Frank, R G; Glazer, J; McGuire, T G

2000-11-01

135

[The nursing worker's health under the view of the management].  

PubMed

This is a qualitative study with the objective to analyze the managemental actions developed by the nurses, implied in the health-desease process of the nursing workers. It was carried through in a university hospital and the citizens had been managers nurses of the Hospital. The results had shown that the nursing worker's health is determined by the form as the processes of work are organized in the Hospital. The transformation possibilities are organized in new forms to organize the work, privileging the development of the four dimensions of the management, with the adoption of management process and the investment in continued education that privileges the emancipation of the citizens. PMID:15603485

de Rocha, Adelaide Mattia; Felli, Vanda Elisa Andrés

2004-01-01

136

Physicochemical modifications of conjugated linoleic acid for ruminal protection and oxidative stability  

Microsoft Academic Search

Conjugated linoleic acid (CLA) is a mixture of positional and geometric isomers of octadecadienoic acid [linoleic acid (LA), 18:2n-6]. Although ruminant milk and meat products represent the largest natural source of CLA and therefore, their concentration in ruminant lipids are of interest to human health, chemical or physical modifications of CLA should be needed as a means to enhance oxidative

Hyun-Seuk Moon; Hong-Gu Lee; Chung-Soo Chung; Yun-Jaie Choi; Chong-Su Cho

2008-01-01

137

Australian plants with potential to inhibit bacteria and processes involved in ruminal biohydrogenation of fatty acids  

Microsoft Academic Search

Conjugated linoleic acids (CLA) are health-promoting fatty acids found in foods derived from ruminant products that are formed in the rumen during bacterial biohydrogenation of linoleic acid (LA). Although selective antimicrobials might increase CLA production by manipulation of ruminal microflora, feeding of antibiotic growth promoters to livestock is declining due to fears of development of antibiotic resistance in human pathogens.

Z. Durmic; C. S. McSweeney; G. W. Kemp; P. Hutton; R. J. Wallace; P. E. Vercoe

2008-01-01

138

National Wildlife Health Center Wildlife Health Bulletin 2012-05  

E-print Network

Ruminants To: Natural Resource/Conservation Managers From: Dr. Jonathan Sleeman, Center Director, USGS) in wild ruminants. HD is a viral disease caused by either epizootic hemorrhagic disease virus (EHDV

Fleskes, Joe

139

Managing US-Mexico "border health": an organizational field approach.  

PubMed

During World War II Mexican and US health professionals and organizations constructed a transnational organizational field to manage the border's public health problems. Despite barriers to inter-organizational cooperation, including disparate administrative structures and North-South stratification, the field's transnational approach to health on the border has continued for 60 years. Using archival data to track changes in the number and types of organizations, this article argues that the field practitioners call "border health" reconfigured during the North American Free Trade Association (NAFTA) decade from an era of loosely organized professionals to a specialized bureaucracies era. This change brought new vitality to border health, with transnational ties increasing and diversifying, but has not weakened entrenched cross-border inequalities. The organizational history of the US-Mexico border health field demonstrates how macro-politics and inter-organizational stratification shape transnational public health problems. PMID:16987573

Collins-Dogrul, Julie

2006-12-01

140

Reusable Rocket Engine Turbopump Health Management System  

NASA Technical Reports Server (NTRS)

A health monitoring expert system software architecture has been developed to support condition-based health monitoring of rocket engines. Its first application is in the diagnosis decisions relating to the health of the high pressure oxidizer turbopump (HPOTP) of Space Shuttle Main Engine (SSME). The post test diagnostic system runs off-line, using as input the data recorded from hundreds of sensors, each running typically at rates of 25, 50, or .1 Hz. The system is invoked after a test has been completed, and produces an analysis and an organized graphical presentation of the data with important effects highlighted. The overall expert system architecture has been developed and documented so that expert modules analyzing other line replaceable units may easily be added. The architecture emphasizes modularity, reusability, and open system interfaces so that it may be used to analyze other engines as well.

Surko, Pamela

1994-01-01

141

Reusable rocket engine turbopump health management system  

NASA Astrophysics Data System (ADS)

A health monitoring expert system software architecture has been developed to support condition-based health monitoring of rocket engines. Its first application is in the diagnosis decisions relating to the health of the high pressure oxidizer turbopump (HPOTP) of Space Shuttle Main Engine (SSME). The post test diagnostic system runs off-line, using as input the data recorded from hundreds of sensors, each running typically at rates of 25, 50, or .1 Hz. The system is invoked after a test has been completed, and produces an analysis and an organized graphical presentation of the data with important effects highlighted. The overall expert system architecture has been developed and documented so that expert modules analyzing other line replaceable units may easily be added. The architecture emphasizes modularity, reusability, and open system interfaces so that it may be used to analyze other engines as well.

Surko, Pamela

1994-10-01

142

Adult rumination syndrome: Differentiation from psychogenic intractable vomiting.  

PubMed

Rumination syndrome is known to exist in infants and mentally retarded adults since long time. In past few years, some reports appeared that showed its existence in adult patients also. It is frequently confused with the intractable vomiting in adults and misdiagnosis leads to delay in appropriate management. We are here describing the case of a female patient with rumination syndrome where specific points in the history delineated the presence of this illness and helped in appropriate management. The patient became symptom free soon after the diagnosis was reached. PMID:23226859

Gupta, Ravi; Kalla, Mukesh; Gupta, Jugal Behari

2012-07-01

143

The Internet in managed health care.  

PubMed

Blue Shield of California recognized it could realize business gains by implementing solutions that would streamline health care administration. It began looking for opportunities to apply the Internet to the core business and defining which of those services would benefit quickly from implementation. It selected Internet technology from Healtheon Corp., a Silicon Valley startup in Palo Alto, California. PMID:10177285

Kennedy, C

1998-01-01

144

Regional governance: strategies and disputes in health region management  

PubMed Central

OBJECTIVE To analyze the regional governance of the health systemin relation to management strategies and disputes. METHODOLOGICAL PROCEDURES A qualitative study with health managers from 19 municipalities in the health region of Bahia, Northeastern Brazil. Data were drawn from 17 semi-structured interviews of state, regional, and municipal health policymakers and managers; a focus group; observations of the regional interagency committee; and documents in 2012. The political-institutional and the organizational components were analyzed in the light of dialectical hermeneutics. RESULTS The regional interagency committee is the chief regional governance strategy/component and functions as a strategic tool for strengthening governance. It brings together a diversity of members responsible for decision making in the healthcare territories, who need to negotiate the allocation of funding and the distribution of facilities for common use in the region. The high turnover of health secretaries, their lack of autonomy from the local executive decisions, inadequate technical training to exercise their function, and the influence of party politics on decision making stand as obstacles to the regional interagency committee’s permeability to social demands. Funding is insufficient to enable the fulfillment of the officially integrated agreed-upon program or to boost public supply by the system, requiring that public managers procure services from the private market at values higher than the national health service price schedule (Brazilian Unified Health System Table). The study determined that “facilitators” under contract to health departments accelerated access to specialized (diagnostic, therapeutic and/or surgical) services in other municipalities by direct payment to physicians for procedure costs already covered by the Brazilian Unified Health System. CONCLUSIONS The characteristics identified a regionalized system with a conflictive pattern of governance and intermediate institutionalism. The regional interagency committee’s managerial routine needs to incorporate more democratic devices for connecting with educational institutions, devices that are more permeable to social demands relating to regional policy making. PMID:25210821

dos Santos, Adriano Maia; Giovanella, Ligia

2014-01-01

145

Supplier Relationship Management in Health Care: A Case Study in the Context of Health Care  

Microsoft Academic Search

Supplier Relationship Management (SRM) plays an important role in the reduction of costs and the optimization of performance in industrial enterprises. Despite enormous investments in innovation, the health care sector has not experienced fundamental change yet. However, increased market dynamics and the implementation of economic principles will force health service providers to optimize cost structures as well as effectiveness and

T. Mettler; P. Rohner

2009-01-01

146

An Intelligent Content Discovery Technique for Health Portal Content Management  

PubMed Central

Background Continuous content management of health information portals is a feature vital for its sustainability and widespread acceptance. Knowledge and experience of a domain expert is essential for content management in the health domain. The rate of generation of online health resources is exponential and thereby manual examination for relevance to a specific topic and audience is a formidable challenge for domain experts. Intelligent content discovery for effective content management is a less researched topic. An existing expert-endorsed content repository can provide the necessary leverage to automatically identify relevant resources and evaluate qualitative metrics. Objective This paper reports on the design research towards an intelligent technique for automated content discovery and ranking for health information portals. The proposed technique aims to improve efficiency of the current mostly manual process of portal content management by utilising an existing expert-endorsed content repository as a supporting base and a benchmark to evaluate the suitability of new content Methods A model for content management was established based on a field study of potential users. The proposed technique is integral to this content management model and executes in several phases (ie, query construction, content search, text analytics and fuzzy multi-criteria ranking). The construction of multi-dimensional search queries with input from Wordnet, the use of multi-word and single-word terms as representative semantics for text analytics and the use of fuzzy multi-criteria ranking for subjective evaluation of quality metrics are original contributions reported in this paper. Results The feasibility of the proposed technique was examined with experiments conducted on an actual health information portal, the BCKOnline portal. Both intermediary and final results generated by the technique are presented in the paper and these help to establish benefits of the technique and its contribution towards effective content management. Conclusions The prevalence of large numbers of online health resources is a key obstacle for domain experts involved in content management of health information portals and websites. The proposed technique has proven successful at search and identification of resources and the measurement of their relevance. It can be used to support the domain expert in content management and thereby ensure the health portal is up-to-date and current. PMID:25654440

2014-01-01

147

Health improvement through dietary management of type 2 diabetes.  

PubMed

Diabetes is found to be one of the fastest growing chronic diseases with a high incidence among older people, and in residential care homes the prevalence of diabetes can be as high as 25% percent. A range of complications can develop following the onset of the disease. The prevention of these complications is in line with the emphasis that is being placed on health promotion and the prevention of ill health in current health strategies. This article will discuss a district nurse's approach to health improvement through dietary management of diabetes for elderly residents with type 2 diabetes living in a care home. The PRECEDE-PROCEED health promotion model chosen to assess the learning needs of the residents and to structure the implementation and evaluation of the health promotion project was good guidance and will form the structure for this article. PMID:18856019

De Kleijn, Antoinette

2008-08-01

148

Managing Converging Technologies Requires System Health  

Microsoft Academic Search

High Technology Companies often struggle with the effective integration of systems and processes and effective convergence of diverse technologies. By utilizing a management model which is analogous to the functioning of an organism at cellular and tissue level, diverse organizational processes, technologies and system functions can be integrated successfully. For a human body the following holds: All cells, processes and

D. H. Winzker; L. Pretorius

2007-01-01

149

Pharmacy Management and Health Economics Outcomes  

PubMed Central

The following summaries highlight some of the key posters presented at the 26th Annual Meeting of the Academy of Managed Care Pharmacy (AMCP), April 1–4, 2014, in Tampa, FL, focusing on areas of interest for payers, employers, drug manufacturers, providers, and other healthcare stakeholders. PMID:25126375

O'Rourke, Kate

2014-01-01

150

Evaluation of computerized health management information system for primary health care in rural India  

PubMed Central

Background The Comprehensive Rural Health Services Project Ballabgarh, run by All India Institute of Medical Sciences (AIIMS), New Delhi has a computerized Health Management Information System (HMIS) since 1988. The HMIS at Ballabgarh has undergone evolution and is currently in its third version which uses generic and open source software. This study was conducted to evaluate the effectiveness of a computerized Health Management Information System in rural health system in India. Methods The data for evaluation were collected by in-depth interviews of the stakeholders i.e. program managers (authors) and health workers. Health Workers from AIIMS and Non-AIIMS Primary Health Centers were interviewed to compare the manual with computerized HMIS. A cost comparison between the two methods was carried out based on market costs. The resource utilization for both manual and computerized HMIS was identified based on workers' interviews. Results There have been no major hardware problems in use of computerized HMIS. More than 95% of data was found to be accurate. Health workers acknowledge the usefulness of HMIS in service delivery, data storage, generation of workplans and reports. For program managers, it provides a better tool for monitoring and supervision and data management. The initial cost incurred in computerization of two Primary Health Centers was estimated to be Indian National Rupee (INR) 1674,217 (USD 35,622). Equivalent annual incremental cost of capital items was estimated as INR 198,017 (USD 4213). The annual savings is around INR 894,283 (USD 11,924). Conclusion The major advantage of computerization has been in saving of time of health workers in record keeping and report generation. The initial capital costs of computerization can be recovered within two years of implementation if the system is fully operational. Computerization has enabled implementation of a good system for service delivery, monitoring and supervision. PMID:21078203

2010-01-01

151

Integrated Systems Health Management (ISHM) Toolkit  

NASA Technical Reports Server (NTRS)

A framework of software components has been implemented to facilitate the development of ISHM systems according to a methodology based on Reliability Centered Maintenance (RCM). This framework is collectively referred to as the Toolkit and was developed using General Atomics' Health MAP (TM) technology. The toolkit is intended to provide assistance to software developers of mission-critical system health monitoring applications in the specification, implementation, configuration, and deployment of such applications. In addition to software tools designed to facilitate these objectives, the toolkit also provides direction to software developers in accordance with an ISHM specification and development methodology. The development tools are based on an RCM approach for the development of ISHM systems. This approach focuses on defining, detecting, and predicting the likelihood of system functional failures and their undesirable consequences.

Venkatesh, Meera; Kapadia, Ravi; Walker, Mark; Wilkins, Kim

2013-01-01

152

Brief Report: Adolescents' Co-Rumination with Mothers, Co-Rumination with Friends, and Internalizing Symptoms  

ERIC Educational Resources Information Center

The current research examined co-rumination (extensively discussing, rehashing, and speculating about problems) with mothers and friends. Of interest was exploring whether adolescents who co-ruminate with mothers were especially likely to co-ruminate with friends as well as the interplay among co-rumination with mothers, co-rumination with…

Waller, Erika M.; Rose, Amanda J.

2013-01-01

153

A diet supplement for captive wild ruminants.  

PubMed

Nutritional husbandry of captive wild ruminants often requires feeding these animals a supplemental diet to enhance their health, reproductive performance, and productivity. Although supplemental diets for wild ruminants are commercially available, few have been evaluated in controlled intake and digestion trials. Voluntary intake, digestive efficiency, nitrogen retention, and gross energy utilization of pronghorn (Antilocapra americana), mule deer (Odocoileus hemionus), mountain sheep (Ovis canadensis), mountain goats (Oreamnos americanus), and wapiti (Cervus elaphus) consuming a high-energy, high-protein pelleted supplement were compared. Voluntary intake of dry matter, energy, and nitrogen were similar (P > 0.34) between mountain goats and mountain sheep and consistently lower (P < 0.03) for these species than for pronghorn, mule deer, and wapiti. Differences in digestive efficiency among species were inversely related to dry matter intake rates. Apparent digestibility of dry matter, organic matter, and neutral-detergent fiber was 10-20% higher for mountain goats and mountain sheep than for the other species (P < 0.04). Although these findings suggest a superior digestive efficiency for mountain goats and mountain sheep, species comparisons are inconclusive because of the confounding effects of season and ambient temperature on voluntary intake and digestion. Under the conditions of this experiment, the diet tested was safe, nutritious, and highly palatable. Protein and energy concentrations appear to be sufficient to meet or exceed known nutritional requirements of captive wild ruminants. PMID:9732028

Baker, D L; Stout, G W; Miller, M W

1998-06-01

154

Health management and controls for earth to orbit propulsion systems  

NASA Astrophysics Data System (ADS)

Fault detection and isolation for advanced rocket engine controllers are discussed focusing on advanced sensing systems and software which significantly improve component failure detection for engine safety and health management. Aerojet's Space Transportation Main Engine controller for the National Launch System is the state of the art in fault tolerant engine avionics. Health management systems provide high levels of automated fault coverage and significantly improve vehicle delivered reliability and lower preflight operations costs. Key technologies, including the sensor data validation algorithms and flight capable spectrometers, have been demonstrated in ground applications and are found to be suitable for bridging programs into flight applications.

Bickford, R. L.

1992-08-01

155

Transforming information: data management support of health care reorganization.  

PubMed Central

Health care delivery systems and organizations around the world are undergoing reorganization and reengineering. Rational decision making about such activities must be based on information. Much of the presently available data is inadequate for this task, and therefore needs to be transformed. One such experience in the province of Alberta, Canada, is discussed. The development of a comprehensive information strategy, the need to apply information management principles, the organizational implications of information management, and a conceptual model for achieving added value from health data are described. PMID:7614115

Hannah, K J

1995-01-01

156

Embedding Health Management into Mission Tasking for UAV Teams  

Microsoft Academic Search

Coordinated multi-vehicle autonomous systems can provide incredible functionality, but off-nominal conditions and degraded system components can render this capability ineffective. This paper presents techniques to improve mission-level functional reliability through better system self-awareness and adaptive mission planning. In particular, we extend the traditional definition of health management, which has historically referred to the process of actively monitoring and managing vehicle

Mario Valenti; Brett Bethke; Daniela Pucci de Farias; John Vian

2007-01-01

157

The effect of integrated health management model on the health of older adults with diabetes in a randomized controlled trial.  

PubMed

The objective of this study was to evaluate the effect of integrated health management model on the health of older adults with diabetes. The 100 older adults with diabetes who gave informed consent were randomly allocated 1:1 into management and control groups. The integrated health management model was applied in the former while the latter was only given usual care. This model included the following components: health record establishment, health evaluation and health management (such as: diet advice, psychological aspects of health, education/skills training on health self-management, regular blood glucose monitoring, long-term diabetes drug monitoring, etc.). After 18 months, differences in three categories of variables (subjective grading items, objective measurement health indices and health service utilization) between the two groups before and after the intervention were assessed with t-test, ?(2)-test and mixed model analysis. The management group demonstrated improvement on the following variables: health knowledge score, self-evaluated psychological conditions, overall self-evaluated health conditions, diet score, physical activity duration per week, regular blood sugar monitoring, waist-to-hip ratio, diastolic blood pressure and fasting blood sugar, the days of hospital admissions in the preceding 6 months. Mixed model analysis showed that gender, age, self-evaluated health status, self-evaluated psychological status, education level and resident status were important factors affecting health indices. This study demonstrated that integrated health management model was effectiveness in improving the health of older adults with diabetes. PMID:25456892

Chao, Jianqian; Yang, Liang; Xu, Hui; Yu, Qing; Jiang, Lili; Zong, Mengmeng

2015-01-01

158

Petroleum and Health Care: Evaluating and Managing Health Care's Vulnerability to Petroleum Supply Shifts  

PubMed Central

Petroleum is used widely in health care—primarily as a transport fuel and feedstock for pharmaceuticals, plastics, and medical supplies—and few substitutes for it are available. This dependence theoretically makes health care vulnerable to petroleum supply shifts, but this vulnerability has not been empirically assessed. We quantify key aspects of petroleum use in health care and explore historical associations between petroleum supply shocks and health care prices. These analyses confirm that petroleum products are intrinsic to modern health care and that petroleum supply shifts can affect health care prices. In anticipation of future supply contractions lasting longer than previous shifts and potentially disrupting health care delivery, we propose an adaptive management approach and outline its application to the example of emergency medical services. PMID:21778473

Bednarz, Daniel; Bae, Jaeyong; Pierce, Jessica

2011-01-01

159

Evaluating the impact of the Management Academy for Public Health: developing entrepreneurial managers and organizations.  

PubMed

The Management Academy for Public Health is a management development program with the goals of helping public health managers learn to manage people, data, and finance, to think and plan like entrepreneurs, and to strengthen public health organizations. Managers enroll as teams and develop business plans in the Academy's extensive project-based learning component. Extensive internal and external evaluation shows that the program improves managers' knowledge, skills, and confidence in key curriculum areas; that participants apply many of the skills in their jobs; that many of the business plans receive funding, resulting in new public health programs; that the training experience helped agencies respond and plan after September 11, 2001; and that many participants report beginning to think more like entrepreneurs through activities like teaming, partnering, innovating, negotiating, finding funds, and generating revenue. The program demonstrates that robust training including extensive work-based project work with coaching can help public health managers gain many skills needed for the drive to "reinvent" government. PMID:16912605

Umble, Karl E; Orton, Stephen; Rosen, Benson; Ottoson, Judith

2006-01-01

160

RESEARCH ARTICLE Open Access Ruminal microbe of biohydrogenation of  

E-print Network

Background: Optimization of the unsaturated fatty acid composition of ruminant milk and meat is desirable. Alteration of the milk and fatty acid profile was previously attempted by the management of ruminal microbial biohydrogenation. The aim of this study was to identify the group of ruminal trans-vaccenic acid (trans-11 C18:1, t-VA) hydrogenating bacteria by combining enrichment studies in vitro. Methods: The enrichment culture growing on t-VA was obtained by successive transfers in medium containing t-VA. Fatty acids were detected by gas chromatograph and changes in the microbial composition during enrichment were analyzed by denaturing gradient gel electrophoresis (DGGE). Prominent DGGE bands of the enrichment cultures were identified by 16S rRNA gene sequencing. Results: The growth of ruminal t-VA hydrogenating bacteria was monitored through the process of culture transfer according to the accumulation of stearic acid (C18:0, SA) and ratio of the substrate (t-VA) transformed to the product (SA). A significant part of the retrieved 16S rRNA gene sequences was most similar to those of uncultured bacteria. Bacteria corresponding to predominant DGGE bands in t-VA enrichment cultures clustered with t-VA biohydrogenated bacteria within Group B. Conclusions: This study provides more insight into the pathway of biohydrogenation. It also may be important to control the production of t-VA, which has metabolic and physiological benefits, through management of ruminal biohydrogenation bacterium.

Dan Li; Jia Qi Wang; Deng Pan Bu

161

Continuity in health care: lessons from supply chain management.  

PubMed

In health care, multidisciplinary collaboration is both indispensable and complicated. We discuss organizational problems that occur in situations where multiple health care providers are required to cooperate for patients with complex needs. Four problem categories, labelled as communication, patient safety, waiting times and integration are distinguished. Then we develop a supply chain perspective on these problems in the sense of discussing remedies according to supply chain management (SCM) literature. This perspective implies a business focus on inter-organizational conditions and requirements necessary for delivering health care and cure across organizational borders. We conclude by presenting some strategic and policy recommendations. PMID:21069770

Meijboom, Bert R; Bakx, Saskia J W G C; Westert, Gert P

2010-01-01

162

School Health Connection Goes Electronic: Developing a Health Information Management System for New Orleans' School-Based Health Centers. Program Results Report  

ERIC Educational Resources Information Center

From February 2008 through April 2011, School Health Connection, a program of the Louisiana Public Health Institute, developed an electronic health information management system for newly established school-based health centers in Greater New Orleans. School Health Connection was established as part of a broader effort to restore community health

Rastorfer, Darl

2011-01-01

163

MSc/PgDip Global Health and Management Student Information booklet  

E-print Network

MSc/PgDip Global Health and Management Student Information booklet Work based placements Providing opportunities for MSc Global Health & Management students to engage with organisations to undertake meaningful projects www.abdn.ac.uk/msc/global-health #12;Contents About the MSc Global Health & Management Programme 3

Levi, Ran

164

[Decision-making process and health management councils: theoretical approaches].  

PubMed

With the institutionalization of participation in health, through conferences and management councils at national, state, municipal and local levels, a process of democratization is initiated in the health area. However, in relation to the health councils in particular, there is still much to be done, including improving the quality of the decision-making process. This work aims to place the decision-making process in its theoretical context in terms of participatory democracy, elements which make up, factors which influence its development, and finally, to explore some possibilities of this theoretical basis to analyze the practices of the health councils in the area of health. It is hoped that it will make a theoretical contribution to the analyses carried out in this area, in order to provide a decision-making process that is more inclusive in terms of participation. PMID:18041561

Wendhausen, Agueda; Cardoso, Sandra de Mello

2007-01-01

165

Creating the Management Academy for Public Health: relationships are primary.  

PubMed

True collaboration among large federal agencies is rare, as is that among large and influential national foundations. The collaboration between two major government health agencies (The Centers for Disease Control and Prevention and the Health Resources and Services Administration) and three major health foundations (the W.K. Kellogg Foundation, the Robert Wood Johnson Foundation, and the CDC Foundation) to create the Management Academy for Public Health is unprecedented in public health over the past quarter century. We attribute this success to the unique combination of a strong foundation of relationships between the partners and a commitment to generative dialogue throughout the design and implementation of the program. The success and sustainability of the Academy derive directly from these critical success factors, serving as an exemplary model for future collaborative endeavors. PMID:16912603

Baker, Edward L; Fox, Claude Earl; Hassmiller, Susan B; Sabol, Barbara J; Stokes, C Charles

2006-01-01

166

IMPROVING METHODS FOR MANAGING HEALTH AND EXPOSURE DATA  

EPA Science Inventory

The project in Colorado is evaluating the use of GIS as a tool for studying the potential impacts of exposure to DBPs from different disinfection treatments on reproductive health in populations in Colorado. GIS is a data management and visualization tool that is assisting in stu...

167

Concepts for integrated electronic health records management system  

Microsoft Academic Search

Computer systems and communication technologies are making a strong and influential presence in the different fields of medicine. The cornerstone of a functional medical information system represents the electronic health records management system. Due to a very sensitive nature of medical information, such systems are faced with a number of stringent requirements, like security and confidentiality of patients' related data,

Miroslav Kon

168

Leadership Succession Management in a University Health Faculty  

ERIC Educational Resources Information Center

We report on a succession planning pilot project in an Australian university health faculty. The programme aimed to enhance organisational stability and develop leadership capacity in middle level academics. Six monthly sessions addressed university and general leadership topics, communication, decision-making, working with change, self-management

McMurray, Anne M.; Henly, Debra; Chaboyer, Wendy; Clapton, Jayne; Lizzio, Alf; Teml, Martin

2012-01-01

169

Prognostic and health management for aircraft electrical power supply system  

Microsoft Academic Search

According to the electrical power supply system analysis, a system of prognostic and health management (PHM) for the electrical power supply system is presented. The PHM system can accomplish the condition assessment of the key characteristics and device in the electrical power supply system without additional test equipment. The condition of rotating rectifier, contact resistance and so on can be

Haiyang Pan; Ensheng Dong; Yilin Jiang; Ping Zhang

2012-01-01

170

Phar 6232: Health System Pharmacy Management Meeting Time and Place  

E-print Network

Phar 6232: Health System Pharmacy Management Meeting Time and Place: Tuesdays 1325-1520 Moos 1 Christene Jolowsky, MS, RPh, FASHP Director of Pharmacy Executive Director, Applied and University of Minnesota Medical Center Experiential Education Pharmacy Services, Mayo Building C-265A University

Thomas, David D.

171

ENVIRONMENTAL, HEALTH AND SAFETY MANAGEMENT SYSTEMS FOR UNDERGROUND MINING  

Microsoft Academic Search

The serious problems of contaminants and environment impacts produced by human action in the subsurface (air, groundwater and rock in interaction with human activities), particularly in underground mines, require an integrated approach in terms of specific rules, laws and management systems in the domain of Occupational Safety and Health. As the ISO 14001 standard is mostly directed for the prevention

Navarro Torres; Dinis Da Gama

172

Health Advisor An Online Game for Managing Healthcare Delivery  

E-print Network

Health Advisor An Online Game for Managing Healthcare Delivery Tennenbaum Institute Georgia Institute of Technology The healthcare system in the U.S. is clearly complex with many stakeholders changes are difficult to implement and evaluate. Healthcare innovations may succeed or fail based

173

Application of the microcomputer to occupational health data management.  

PubMed

The use of the microcomputer offers a simple, inexpensive solution to the numerous problems associated with data management in an occupational health program. A system has been developed which uses commercially available data management software supplemented by optional programs tailored to the specific application. The system is capable of maintaining files of personal and area monitoring data, material toxicity and safety information, noise level data, audiograms, OSHA forms 101 and 200, and employee information relevant to the industrial hygienist's needs. The cost is less than $4000.00, which is well below that of most alternative systems. Its flexibility and economy should make this innovative use of the microcomputer an attractive method of occupational health data management. PMID:6687976

Rawls, G M; Dwiggins, G A; Feigley, C E

1983-04-01

174

9 CFR 98.14 - Health certificate.  

Code of Federal Regulations, 2012 CFR

... IMPORTATION OF CERTAIN ANIMAL EMBRYOS AND ANIMAL SEMEN Ruminant and Swine Embryos From Regions Where Rinderpest or Foot-and-Mouth Disease Exists § 98.14 Health certificate. (a) Ruminant and swine embryos shall not be imported into the...

2012-01-01

175

A knowledge management tool for public health: health-evidence.ca  

PubMed Central

Background The ultimate goal of knowledge translation and exchange (KTE) activities is to facilitate incorporation of research knowledge into program and policy development decision making. Evidence-informed decision making involves translation of the best available evidence from a systematically collected, appraised, and analyzed body of knowledge. Knowledge management (KM) is emerging as a key factor contributing to the realization of evidence-informed public health decision making. The goal of health-evidence.ca is to promote evidence-informed public health decision making through facilitation of decision maker access to, retrieval, and use of the best available synthesized research evidence evaluating the effectiveness of public health interventions. Methods The systematic reviews that populate health evidence.ca are identified through an extensive search (1985-present) of 7 electronic databases: MEDLINE, EMBASE, CINAHL, PsycINFO, Sociological Abstracts, BIOSIS, and SportDiscus; handsearching of over 20 journals; and reference list searches of all relevant reviews. Reviews are assessed for relevance and quality by two independent reviewers. Commonly-used public health terms are used to assign key words to each review, and project staff members compose short summaries highlighting results and implications for policy and practice. Results As of June 2010, there are 1913 reviews in the health-evidence.ca registry in 21 public health and health promotion topic areas. Of these, 78% have been assessed as being of strong or moderate methodological quality. Health-evidence.ca receives approximately 35,000 visits per year, 20,596 of which are unique visitors, representing approximately 100 visits per day. Just under half of all visitors return to the site, with the average user spending six minutes and visiting seven pages per visit. Public health nurses, program managers, health promotion workers, researchers, and program coordinators are among the largest groups of registered users, followed by librarians, dieticians, medical officers of health, and nutritionists. The majority of users (67%) access the website from direct traffic (e.g., have the health-evidence.ca webpage bookmarked, or type it directly into their browser). Conclusions Consistent use of health-evidence.ca and particularly the searching for reviews that correspond with current public health priorities illustrates that health-evidence.ca may be playing an important role in achieving evidence-informed public health decision making. PMID:20718970

2010-01-01

176

Reverse quality management: developing evidence-based best practices in health emergency management.  

PubMed

The British Columbia Ministry of Health's Framework for Core Functions in Public Health was the catalyst that inspired this review of best practices in health emergency management. The fieldwork was conducted in the fall of 2005 between hurricane Katrina and the South Asia earthquake. These tragedies, shown on 24/7 television news channels, provided an eyewitness account of disaster management, or lack of it, in our global village world. It is not enough to just have best practices in place. There has to be a governance structure that can be held accountable. This review of best practices lists actions in support of an emergency preparedness culture at the management, executive, and corporate/governance levels of the organization. The methodology adopted a future quality management approach of the emergency management process to identify the corresponding performance indictors that correlated with practices or sets of practices. Identifying best practice performance indictors needed to conduct a future quality management audit is described as reverse quality management. Best practices cannot be assessed as stand-alone criteria; they are influenced by organizational culture. The defining of best practices was influenced by doubt about defining a practice it is hoped will never be performed, medical staff involvement, leadership, and an appreciation of the resources required and how they need to be managed. Best practice benchmarks are seen as being related more to "measures" of performance defined locally and agreed on by 2 or more parties rather than to achieving industrial standards. Relating practices to performance indicators and then to benchmarks resulted in the development of a Health Emergency Management Best Practices Matrix that lists specific practice in the different phases of emergency management. PMID:16622359

Lynch, Tim; Cox, Paul

2006-01-01

177

Case-Mix Adjustment of Consumer Reports about Managed Behavioral Health Care and Health Plans  

PubMed Central

Objective To develop a model for adjusting patients' reports of behavioral health care experiences on the Experience of Care and Health Outcomes (ECHO™) survey to allow for fair comparisons across health plans. Data Source Survey responses from 4,068 individuals enrolled in 21 managed behavioral health plans who received behavioral health care within the previous year (response rate=48 percent). Study Design Potential case-mix adjustors were evaluated by combining information about their predictive power and the amount of within- and between-plan variability. Changes in plan scores and rankings due to case-mix adjustment were quantified. Principal Findings The final case-mix adjustment model included self-reported mental health status, self-reported general health status, alcohol/drug treatment, age, education, and race/ethnicity. The impact of adjustment on plan report scores was modest, but large enough to change some plan rankings. Conclusions Adjusting plan report scores on the ECHO survey for differences in patient characteristics had modest effects, but still may be important to maintain the credibility of patient reports as a quality metric. Differences between those with self-reported fair/poor health compared with those in excellent/very good health varied by plan, suggesting quality differences associated with health status and underscoring the importance of collecting quality information. PMID:18783456

Eselius, Laura L; Cleary, Paul D; Zaslavsky, Alan M; Huskamp, Haiden A; Busch, Susan H

2008-01-01

178

9 CFR 93.425 - Declaration for ruminants.  

Code of Federal Regulations, 2012 CFR

...2012-01-01 false Declaration for ruminants. 93.425 Section 93.425 Animals...OF CONVEYANCE AND SHIPPING CONTAINERS Ruminants Mexico 10 § 93.425 Declaration for ruminants. For all ruminants offered for...

2012-01-01

179

9 CFR 93.414 - Milk from quarantined ruminants.  

Code of Federal Regulations, 2012 CFR

...2012-01-01 false Milk from quarantined ruminants. 93.414 Section 93.414 Animals...OF CONVEYANCE AND SHIPPING CONTAINERS Ruminants § 93.414 Milk from quarantined ruminants. Milk or cream from ruminants...

2012-01-01

180

9 CFR 93.425 - Declaration for ruminants.  

Code of Federal Regulations, 2014 CFR

...2014-01-01 false Declaration for ruminants. 93.425 Section 93.425 Animals...OF CONVEYANCE AND SHIPPING CONTAINERS Ruminants Mexico 10 § 93.425 Declaration for ruminants. For all ruminants offered for...

2014-01-01

181

9 CFR 93.414 - Milk from quarantined ruminants.  

Code of Federal Regulations, 2011 CFR

...2011-01-01 false Milk from quarantined ruminants. 93.414 Section 93.414 Animals...OF CONVEYANCE AND SHIPPING CONTAINERS Ruminants § 93.414 Milk from quarantined ruminants. Milk or cream from ruminants...

2011-01-01

182

9 CFR 93.425 - Declaration for ruminants.  

Code of Federal Regulations, 2011 CFR

...2011-01-01 false Declaration for ruminants. 93.425 Section 93.425 Animals...OF CONVEYANCE AND SHIPPING CONTAINERS Ruminants Mexico 10 § 93.425 Declaration for ruminants. For all ruminants offered for...

2011-01-01

183

9 CFR 93.425 - Declaration for ruminants.  

Code of Federal Regulations, 2013 CFR

...2013-01-01 false Declaration for ruminants. 93.425 Section 93.425 Animals...OF CONVEYANCE AND SHIPPING CONTAINERS Ruminants Mexico 10 § 93.425 Declaration for ruminants. For all ruminants offered for...

2013-01-01

184

9 CFR 93.414 - Milk from quarantined ruminants.  

Code of Federal Regulations, 2013 CFR

...2013-01-01 false Milk from quarantined ruminants. 93.414 Section 93.414 Animals...OF CONVEYANCE AND SHIPPING CONTAINERS Ruminants § 93.414 Milk from quarantined ruminants. Milk or cream from ruminants...

2013-01-01

185

9 CFR 93.425 - Declaration for ruminants.  

Code of Federal Regulations, 2010 CFR

...2010-01-01 false Declaration for ruminants. 93.425 Section 93.425 Animals...OF CONVEYANCE AND SHIPPING CONTAINERS Ruminants Mexico 10 § 93.425 Declaration for ruminants. For all ruminants offered for...

2010-01-01

186

9 CFR 93.414 - Milk from quarantined ruminants.  

Code of Federal Regulations, 2014 CFR

...2014-01-01 false Milk from quarantined ruminants. 93.414 Section 93.414 Animals...OF CONVEYANCE AND SHIPPING CONTAINERS Ruminants § 93.414 Milk from quarantined ruminants. Milk or cream from ruminants...

2014-01-01

187

9 CFR 93.414 - Milk from quarantined ruminants.  

Code of Federal Regulations, 2010 CFR

...2010-01-01 false Milk from quarantined ruminants. 93.414 Section 93.414 Animals...OF CONVEYANCE AND SHIPPING CONTAINERS Ruminants § 93.414 Milk from quarantined ruminants. Milk or cream from ruminants...

2010-01-01

188

Managing human resources in a changing health-care environment.  

PubMed

Managing human resources in this era of precipitous change poses one of the most difficult challenges and opportunities for leaders in the clinical laboratory. Shifts in health systems integration, cost control, patient-focused managed care, and provider changes have led to trends which fundamentally alter the way in which clinical laboratory services are organized, provided, and funded. To be successful change agents, laboratory managers must understand the cycle of human resource development and how people adopt change. They must embrace a systems thinking perspective and develop strategic leadership skills to share a vision of what the laboratory of the future will be. These new, advanced human resource management skills can be acquired through a variety of formal and informal learning experience. PMID:10175168

Snyder, J R; Best, M

1997-01-01

189

Tannins as feed additives to modulate ruminal biohydrogenation: Effects on animal performance, milk fatty acid composition and ruminal fermentation in dairy ewes fed a diet containing sunflower oil  

Microsoft Academic Search

In vitro studies have suggested that feeding tannins to ruminants can favourably alter ruminal biohydrogenation of dietary linoleic acid, enhancing accumulation of trans-11 18:1 (VA, vaccenic acid) in the rumen and thereby the content of some human health promoting fatty acids, such as VA and cis-9 trans-11 18:2 (rumenic acid, RA), in dairy or meat products. However, reports on impacts

Pablo G. Toral; Gonzalo Hervás; Elena Bichi; Álvaro Belenguer; Pilar Frutos

2011-01-01

190

Health crises and media relations: relationship management-by-fire.  

PubMed

Media relations is an important function in the operation of any health organization, yet it is often relegated as a simple task function. Such an orientation can be problematic, particularly in times of crisis. This article provides an overview of some of the inherent internal conflicts within health organizations that may mitigate against the best media relations practices in times of crises. The article surveys some of the predominant theoretical models used for crisis management, and suggests directions for the further development of media relations and crisis communication theory and practice. PMID:19042529

Springston, Jeffrey K; Weaver-Lariscy, Ruthann

2007-01-01

191

Low level communication management for e-health systems  

NASA Astrophysics Data System (ADS)

The heterogeneity of e-health systems encourages the use of standards such as Health Level 7 (HL7v3) to ensure interoperability. Many actual implementations address this problem by unoptimized high level programming of top-range portable computing platforms. However, this approach could pose excessive demands on battery-powered mid-range terminals. In this work, we propose low-level support for portable HL7v3-compatible embedded systems in order to better exploit their limited processing and communications capabilities. In particular, we present our experience in mobile communication management through two different approaches, which proves the feasibility of this proposal.

Riva, Guillermo; Zerbini, Carlos; Voos, Javier; Centeno, Carlos; González, Eduardo

2011-12-01

192

Medication management and practices in prison for people with mental health problems: a qualitative study  

Microsoft Academic Search

BACKGROUND: Common mental health problems are prevalent in prison and the quality of prison health care provision for prisoners with mental health problems has been a focus of critical scrutiny. Currently, health policy aims to align and integrate prison health services and practices with those of the National Health Service (NHS). Medication management is a key aspect of treatment for

Robert A Bowen; Anne Rogers; Jennifer Shaw

2009-01-01

193

An Agile Enterprise Regulation Architecture for Health Information Security Management  

PubMed Central

Abstract Information security management for healthcare enterprises is complex as well as mission critical. Information technology requests from clinical users are of such urgency that the information office should do its best to achieve as many user requests as possible at a high service level using swift security policies. This research proposes the Agile Enterprise Regulation Architecture (AERA) of information security management for healthcare enterprises to implement as part of the electronic health record process. Survey outcomes and evidential experiences from a sample of medical center users proved that AERA encourages the information officials and enterprise administrators to overcome the challenges faced within an electronically equipped hospital. PMID:20815748

Chen, Ying-Pei; Hsieh, Sung-Huai; Chien, Tsan-Nan; Chen, Heng-Shuen; Luh, Jer-Junn; Lai, Jin-Shin; Lai, Feipei; Chen, Sao-Jie

2010-01-01

194

An agile enterprise regulation architecture for health information security management.  

PubMed

Information security management for healthcare enterprises is complex as well as mission critical. Information technology requests from clinical users are of such urgency that the information office should do its best to achieve as many user requests as possible at a high service level using swift security policies. This research proposes the Agile Enterprise Regulation Architecture (AERA) of information security management for healthcare enterprises to implement as part of the electronic health record process. Survey outcomes and evidential experiences from a sample of medical center users proved that AERA encourages the information officials and enterprise administrators to overcome the challenges faced within an electronically equipped hospital. PMID:20815748

Chen, Ying-Pei; Hsieh, Sung-Huai; Cheng, Po-Hsun; Chien, Tsan-Nan; Chen, Heng-Shuen; Luh, Jer-Junn; Lai, Jin-Shin; Lai, Feipei; Chen, Sao-Jie

2010-09-01

195

Study Protocol for the Fukushima Health Management Survey  

PubMed Central

Background The accidents that occurred at the Fukushima Daiichi Nuclear Power Plant after the Great East Japan Earthquake on 11 March 2011 have resulted in long-term, ongoing anxiety among the residents of Fukushima, Japan. Soon after the disaster, Fukushima Prefecture launched the Fukushima Health Management Survey to investigate long-term low-dose radiation exposure caused by the accident. Fukushima Medical University took the lead in planning and implementing this survey. The primary purposes of this survey are to monitor the long-term health of residents, promote their future well-being, and confirm whether long-term low-dose radiation exposure has health effects. This report describes the rationale and implementation of the Fukushima Health Management Survey. Methods This cohort study enrolled all people living in Fukushima Prefecture after the earthquake and comprises a basic survey and 4 detailed surveys. The basic survey is to estimate levels of external radiation exposure among all 2.05 million residents. It should be noted that internal radiation levels were estimated by Fukushima Prefecture using whole-body counters. The detailed surveys comprise a thyroid ultrasound examination for all Fukushima children aged 18 years or younger, a comprehensive health check for all residents from the evacuation zones, an assessment of mental health and lifestyles of all residents from the evacuation zones, and recording of all pregnancies and births among all women in the prefecture who were pregnant on 11 March. All data have been entered into a database and will be used to support the residents and analyze the health effects of radiation. Conclusions The low response rate (<30%) to the basic survey complicates the estimation of health effects. There have been no cases of malignancy to date among 38 114 children who received thyroid ultrasound examinations. The importance of mental health care was revealed by the mental health and lifestyle survey and the pregnancy and birth survey. This long-term large-scale epidemiologic study is expected to provide valuable data in the investigation of the health effects of low-dose radiation and disaster-related stress. PMID:22955043

Yasumura, Seiji; Hosoya, Mitsuaki; Yamashita, Shunichi; Kamiya, Kenji; Abe, Masafumi; Akashi, Makoto; Kodama, Kazunori; Ozasa, Kotaro

2012-01-01

196

Submitted to the International Journal of Health Planning and Management, June 2011 Mental Health in France, Policies and Actors  

E-print Network

1 Submitted to the International Journal of Health Planning and Management, June 2011 Mental Health) ; Nicolas Daumerie (CCOMS, Lille) ; Jean-Luc Roelandt (CCOMS, Lille) SUMMARY : The new mental health care the 2000s: the emphasis is shifting from psychiatry to mental health care. This shift focuses mainly

Paris-Sud XI, Université de

197

Health care waste management in Cameroon: A case study from the Southwestern Region  

Microsoft Academic Search

Healthcare waste streams are persistent waste streams and which are consistently increasing in volume and complexity in developed and developing countries. When poorly managed, through inappropriate health care waste management systems, they can cause adverse effects to human health and the environment.This paper presents an evaluation of health care waste management systems in Cameroon, based on a survey of five

Veronica E. Manga; Osric Tening Forton; Linus A. Mofor; Ryan Woodard

2011-01-01

198

HEALTH, SAFETY AND ENVIRONMENT MANAGEMENT SYSTEM : A METHOD FOR RANKING IMPACTS IN SMALL AND MEDIUM  

E-print Network

99-57 HEALTH, SAFETY AND ENVIRONMENT MANAGEMENT SYSTEM : A METHOD FOR RANKING IMPACTS IN SMALL : safety management System, ranking, health, safety, environment ABSTRACT ELF ATOCHEM and INERIS have worked together on a management System conceming at the same time health, safety and environment

Paris-Sud XI, Université de

199

Opportunities for Launch Site Integrated System Health Engineering and Management  

NASA Technical Reports Server (NTRS)

The launch site processing flow involves operations such as functional verification, preflight servicing and launch. These operations often include hazards that must be controlled to protect human life and critical space hardware assets. Existing command and control capabilities are limited to simple limit checking durig automated monitoring. Contingency actions are highly dependent on human recognition, decision making, and execution. Many opportunities for Integrated System Health Engineering and Management (ISHEM) exist throughout the processing flow. This paper will present the current human-centered approach to health management as performed today for the shuttle and space station programs. In addition, it will address some of the more critical ISHEM needs, and provide recommendations for future implementation of ISHEM at the launch site.

Waterman, Robert D.; Langwost, Patricia E.; Waterman, Susan J.

2005-01-01

200

RLV vehicle health management system modeling and simulation  

NASA Astrophysics Data System (ADS)

Sanders, a Lockheed Martin Company, is leading the development and integration of the Vehicle Health Management (VHM) system for Lockheed Martin's VentureStar Reusable Launch Vehicle. The primary objective of this effort is to provide an automated health status and decision-making system for the vehicle. A detailed simulation of the VHM system on RLV is currently being developed using the Foresight Design and Modeling Tool. The simulation will consists of models of key components of the RLV VHM system. An effective detailed system simulation will allow for system and design engineering, as well as program management teams, to accurately and efficiently system designs, analyze the behavior of current systems, and predict the feasibility of making smooth and cost-efficient transitions form older technologies to newer ones. This methodology will reduce program costs, decrease total program life-cycle time, and ultimately increase mission success.

Wangu, Srimal

1999-02-01

201

IVHM Framework for Intelligent Integration for Vehicle Health Management  

NASA Technical Reports Server (NTRS)

Integrated Vehicle Health Management (IVHM) systems for aerospace vehicles, is the process of assessing, preserving, and restoring system functionality across flight and techniques with sensor and communication technologies for spacecraft that can generate responses through detection, diagnosis, reasoning, and adapt to system faults in support of Integrated Intelligent Vehicle Management (IIVM). These real-time responses allow the IIVM to modify the affected vehicle subsystem(s) prior to a catastrophic event. Furthermore, this framework integrates technologies which can provide a continuous, intelligent, and adaptive health state of a vehicle and use this information to improve safety and reduce costs of operations. Recent investments in avionics, health management, and controls have been directed towards IIVM. As this concept has matured, it has become clear that IIVM requires the same sensors and processing capabilities as the real-time avionics functions to support diagnosis of subsystem problems. New sensors have been proposed, in addition to augment the avionics sensors to support better system monitoring and diagnostics. As the designs have been considered, a synergy has been realized where the real-time avionics can utilize sensors proposed for diagnostics and prognostics to make better real-time decisions in response to detected failures. IIVM provides for a single system allowing modularity of functions and hardware across the vehicle. The framework that supports IIVM consists of 11 major on-board functions necessary to fully manage a space vehicle maintaining crew safety and mission objectives. These systems include the following: Guidance and Navigation; Communications and Tracking; Vehicle Monitoring; Information Transport and Integration; Vehicle Diagnostics; Vehicle Prognostics; Vehicle Mission Planning, Automated Repair and Replacement; Vehicle Control; Human Computer Interface; and Onboard Verification and Validation. Furthermore, the presented framework provides complete vehicle management which not only allows for increased crew safety and mission success through new intelligence capabilities, but also yields a mechanism for more efficient vehicle operations.

Paris, Deidre; Trevino, Luis C.; Watson, Michael D.

2005-01-01

202

Role of Ayurveda in management of oral health  

PubMed Central

Oral diseases continue to be a major health problem world-wide. Oral health is integral to general well-being and relates to the quality-of-life that extends beyond the functions of the craniofacial complex. The standard Western medicine has had only limited success in the prevention of periodontal disease and in the treatment of a variety of oral diseases. Hence, the search for alternative products continues and natural phytochemicals isolated from plants used in traditional medicine are considered to be good alternatives to synthetic chemicals. The botanicals in the Ayurvedic material medica have been proven to be safe and effective, through several hundred to several thousand years of use. The exploration of botanicals used in traditional medicine may lead to the development of novel preventive or therapeutic strategies for oral health. The present scientific evidence based review is focused on the possible role of Ayurveda in the management of various orofacial disorders. PMID:24600192

Torwane, Nilesh Arjun; Hongal, Sudhir; Goel, Pankaj; Chandrashekar, B. R.

2014-01-01

203

Examining the Role of Anxiety and Apathy in Health Consumers' Intentions to Use Patient Health Portals for Personal Health Information Management  

ERIC Educational Resources Information Center

This study investigated college students' attitudes toward and intentions to use personal health portals (PHPs) for managing their personal health information using a survey method. The study also aimed to examine the roles electronic Personal Health Information Management (PHIM) anxiety and apathy play in influencing students' attitudes toward…

Torres, Carlos A.

2011-01-01

204

Montserrat. Managing health care in a volcanic crisis.  

PubMed

The volcano on Montserrat, after being dormant for over 400 years, has been active for the past two years, last erupting on 27 June, 1997. With the capital, Plymouth, in the unsafe zone, major dislocation of people, facilities and services has occurred. The Health Department is splintered over five sites across an eight mile span and the temporary 30 bed hospital, sited at a primary school, is separated from its Casualty and Out-patient Department and Operating Theatre by 0.25 mile. In order to maintain continuity of care for communities, efforts have been made to keep evacuated clients and their community health workers as close together as possible. The mass emigration has depleted the health services, creating severe stress for those remaining. Elderly relatives have frequently been left behind, necessitating the establishment of special geriatric care facilities to cater to their needs. Increased and continuous health surveillance and mass media education have been integral to the prevention of major disease outbreak--particularly with added challenges to food safety, and management of liquid and solid waste disposal. Cooperation from neighbouring states, particularly Antigua, Barbados and Guadeloupe, as well as from the United Kingdom, has been critical in the management of the continuing crisis. PMID:10368618

Cooper, R; Tuitt, J

1998-12-01

205

Emergency planning and management in health care: priority research topics  

PubMed Central

Many major incidents have significant impacts on people's health, placing additional demands on health-care organisations. The main aim of this paper is to suggest a prioritised agenda for organisational and management research on emergency planning and management relevant to U.K. health care, based on a scoping study. A secondary aim is to enhance knowledge and understanding of health-care emergency planning among the wider research community, by highlighting key issues and perspectives on the subject and presenting a conceptual model. The study findings have much in common with those of previous U.S.-focused scoping reviews, and with a recent U.K.-based review, confirming the relative paucity of U.K.-based research. No individual research topic scored highly on all of the key measures identified, with communities and organisations appearing to differ about which topics are the most important. Four broad research priorities are suggested: the affected public; inter- and intra-organisational collaboration; preparing responders and their organisations; and prioritisation and decision making. PMID:25013721

Boyd, Alan; Chambers, Naomi; French, Simon; Shaw, Duncan; King, Russell; Whitehead, Alison

2014-01-01

206

An innovative national health care waste management system in Kyrgyzstan.  

PubMed

A novel low-cost health care waste management system was implemented in all rural hospitals in Kyrgyzstan. The components of the Kyrgyz model include mechanical needle removers, segregation using autoclavable containers, safe transport and storage, autoclave treatment, documentation, recycling of sterilized plastic and metal parts, cement pits for anatomical waste, composting of garden wastes, training, equipment maintenance, and management by safety and quality committees. The gravity-displacement autoclaves were fitted with filters to remove pathogens from the air exhaust. Operating parameters for the autoclaves were determined by thermal and biological tests. A hospital survey showed an average 33% annual cost savings compared to previous costs for waste management. All general hospitals with >25 beds except in the capital Bishkek use the new system, corresponding to 67.3% of all hospital beds. The investment amounted to US$0.61 per capita covered. Acceptance of the new system by the staff, cost savings, revenues from recycled materials, documented improvements in occupational safety, capacity building, and institutionalization enhance the sustainability of the Kyrgyz health care waste management system. PMID:25649402

Toktobaev, Nurjan; Emmanuel, Jorge; Djumalieva, Gulmira; Kravtsov, Alexei; Schüth, Tobias

2015-02-01

207

Principles of plant health management for ornamental plants.  

PubMed

Economic, environmental, and technological influences complicate the task of achieving disease-free products in the ornamentals industry. Integrated pest management (IPM) is a cornerstone of floriculture and nursery crop production: strategies include sanitation, clean stock, host resistance, and control through biological, cultural, environmental, chemical, and regulatory means. Sanitation measures and cultural controls must keep pace with new production technologies. Clean stock programs are used for many crops that are propagated vegetatively. Breeding, selection, and biotechnology provide crops resistant to pathogens. Offshore production for economic competitiveness can introduce pathogens that make regulatory programs necessary. New biocontrol and chemical products continue to improve control while meeting the requirement for minimal environmental impact. Continual introduction of new crops and new production technologies creates new opportunities for pathogens to exploit, such that new disease management tactics must be discovered and old ones rediscovered to achieve optimum health management for ornamentals. PMID:16078880

Daughtrey, Margery L; Benson, D Michael

2005-01-01

208

Policy Management Standards Enabling Trustworthy pHealth.  

PubMed

Current paradigm changes for improving safety, quality and efficiency of care processes under massive deployment of information and communication technologies (ICT) place high requirements on privacy and security. These mainly focus on privilege management and access control harmonized in international standards and their further evolution. NIST and ISO, but especially HL7 play a prominent role in this context. Starting with classic role-based access control (RBAC) foundations to new specifications for security and privacy labeling of segmented health information, HL7 security is presented as a scalable intermediate solution on the way to comprehensive privilege management and access control by explicit, ontology-based, formal and therefore machine-processable policies. The successfully balloted HL7 labeling specification supports context-sensitive communication and cooperation between different stakeholders and processes with different purposes of use, based on meta-data of information, actors and processes involved. Basics of policy management and practical solutions are discussed. PMID:24851957

Blobel, Bernd; Davis, Mike; Ruotsalainen, Pekka

2014-01-01

209

Managing corporate governance risks in a nonprofit health care organization.  

PubMed

Triggered by corporate scandals, there is increased oversight by governmental bodies and in part by the Sarbanes-Oxley Act of 2002. Corporations are developing corporate governance compliance initiatives to respond to the scrutiny of regulators, legislators, the general public and constituency groups such as investors. Due to state attorney general initiatives, new legislation and heightened oversight from the Internal Revenue Service, nonprofit entities are starting to share the media spotlight with their for-profit counterparts. These developments are changing nonprofit health care organizations as well as the traditional role of the risk manager. No longer is the risk manager focused solely on patients' welfare and safe passage through a complex delivery system. The risk manager must be aware of corporate practices within the organization that could allow the personal objectives of a few individuals to override the greater good of the community in which the nonprofit organization serves. PMID:20200865

Troyer, Glenn T; Brashear, Andrea D; Green, Kelly J

2005-01-01

210

Implications of managed care for health systems, clinicians, and patients.  

PubMed Central

The rhetoric and realities of managed care are easily confused. The rapid growth of managed care in the United States has had many implications for patients, doctors, employers, state and federal programmes, the health insurance industry, major medical institutions, medical research, and vulnerable patient populations. It has restricted patients' choice of doctors and limited access to specialists, reduced the professional autonomy and earnings of doctors, shifted power from the non-profit to the for-profit sectors and from hospitals and doctors to private corporations. It has also raised issues about the future structuring and financing of medical education and research and about practice ethics. However, managed care has also accorded greater prominence to the assessment of patient satisfaction, profiling and monitoring of doctors' work, the use of clinical guidelines and quality assurance procedures and indicated the potential to improve the integration and outcome of care. PMID:9224138

Fairfield, G.; Hunter, D. J.; Mechanic, D.; Rosleff, F.

1997-01-01

211

Ruminants, climate change and climate policy  

NASA Astrophysics Data System (ADS)

Greenhouse gas emissions from ruminant meat production are significant. Reductions in global ruminant numbers could make a substantial contribution to climate change mitigation goals and yield important social and environmental co-benefits.

Ripple, William J.; Smith, Pete; Haberl, Helmut; Montzka, Stephen A.; McAlpine, Clive; Boucher, Douglas H.

2014-01-01

212

Health information management using optical storage technology: case studies.  

PubMed

All the health care facilities examined in the case studies addressed several important organizational issues before and during the installation of their systems. All the facilities examined employee commitment. The prudent managers considered how easily their employees adapt to changes in their jobs and work environment. They considered how enthusiastic cooperation can be fostered in the creation of a liberated and reengineered office. This was determined not only by each individual's reaction to change, but also by the health care facility's track record with other system installations. For example, document image, diagnostic image, and coded data processing systems allow the integration of divergent health care information systems within complex institutions. Unfortunately, many institutions are currently struggling with how to create an information management architecture that will integrate their mature systems, such as their patient care and financial systems. Information managers must realize that if optical storage technology-based systems are used in a strategic and planned fashion, these systems can act as focal points for systems integration, not as promises to further confuse the issue. Another issue that needed attention in all the examples was the work environment. The managers considered how the work environment was going to affect the ability to integrate optical image and data systems into the institution. For example, many of these medical centers have created alliances with clinics, HMOs, and large corporate users of medical services. This created a demand for all or part of the health information outside the confines of the original institution. Since the work environment is composed of a handful of factors such as merged medical services, as many work environment factors as possible were addressed before application of the optical storage technology solution in the institutions. And finally, the third critical issue was the organization of work. "Organizations that understand their business processes are having no trouble whatsoever justifying the cost of optical storage-based information management systems," said Thornton May, director of imaging research at Nolan Norton Institute. "It is only confusing to organizations that do not have a feel for what is happening in the flow of work in the company. If an organization has on-line performance measurements with regard to time, cost, quality, error rates, and customer service, the move to optical image and data management technology is a no-brainer."(ABSTRACT TRUNCATED AT 400 WORDS) PMID:10119028

Kohn, D

1992-05-01

213

The making of expert patients: The role of online health communities in arthritis self-management.  

PubMed

Chronic disease is an epidemic, one that requires patients to play an active role in managing symptoms and disease affect. This study used ethnomethodology (N = 8231) to understand how patients with arthritis use online health communities to exchange disease-related information to better manage their chronic disease. The findings show that online health communities facilitate self-management behaviors through the exchange of health information and disease experience. These online health communities act as self-management programs led by peers with the same chronic disease through the exchange of health information based on experience, working to improve members' health literacy related to arthritis. PMID:23988679

Willis, Erin

2014-12-01

214

Management development for primary health care: a framework for analysis.  

PubMed

Strengthening management has been widely promoted as a critical component of any strategy concerned with improving the implementation of primary health care (PHC). Management development programmes are, however, subject to conflicting demands and differing expectations. The situation is confounded by the wide diversity of strategies subsumed under the heading of management development, and the confusing nature of much of the terminology currently in use. This article presents a simple conceptual framework that can guide analysis and help programme planners review the options, opportunities and limitations of management development programmes. The framework presented examines management development from three different perspectives: the approach adopted; the outcomes expected; and the process of expansion, extension and adaptation. Our analysis of management development strategies allows us to reach some conclusions in areas where there is a degree of consensus. In countries where there is a mismatch between the strategies of PHC and the organizational structures through which they are to be implemented, management development has a role to play in effecting change. Its potential to do so is limited by powerful social, political, economic and organizational forces. Therefore, the capacity to critically analyse the context in which change is planned, emerges as a key element in programme design. We argue that there is no one best approach to management development, and the design of strategies will be contingent on a variety of factors. We do, however, reaffirm the view that where organizational structures and conditions do not support the implementation of PHC strategies, intervention through training alone is almost certain to be inadequate. To be effective, a more comprehensive programme will be required. Finally, the article points to a number of unresolved issues in areas where there is either controversy, lack of clarity or limited experience. PMID:10112478

Cassels, A; Janovsky, K

1991-01-01

215

Peste des petits ruminants in Arabian wildlife.  

PubMed

Recurrence of peste des petits ruminants (PPR) was diagnosed in the United Arabian Emirates in several wild ruminants confirmed by morphological, immunohistochemical, serological and molecular findings. Phylogenetic analysis revealed that the virus strain belongs to lineage IV, which is different to some previously isolated PPR strains from the Arabian Peninsula. This study shows that wild ruminants may play an important epidemiological role as virus source for domestic small ruminants. PMID:20067659

Kinne, J; Kreutzer, R; Kreutzer, M; Wernery, U; Wohlsein, P

2010-08-01

216

Managing Costs, Managing Benefits: Employer Decisions in Local Health Care Markets  

PubMed Central

Objectives To better understand employer health benefit decision making, how employer health benefits strategies evolve over time, and the impact of employer decisions on local health care systems. Data Sources/Study Setting. Data were collected as part of the Community Tracking Study (CTS), a longitudinal analysis of health system change in 12 randomly selected communities. Study Design This is an observational study with data collection over a six-year period. Data Collection/Extraction Methods The study used semistructured interviews with local respondents, combined with monitoring of local media, to track changes in health care systems over time and their impact on community residents. Interviewing began in 1996 and was carried out at two-year intervals, with a total of approximately 2,200 interviews. The interviews provided a variety of perspectives on employer decision making concerning health benefits; these perspectives were triangulated to reach conclusions. Principal Findings The tight labor market during the study period was the dominant consideration in employer decision making regarding health benefits. Employers, in managing employee compensation, made independent decisions in pursuit of individual goals, but these decisions were shaped by similar labor market conditions. As a result, within and across our study sites, employer decisions in aggregate had an important impact on local health care systems, although employers' more highly visible public efforts to bring about health system change often met with disappointing results. Conclusions General economic conditions in the 1990s had an important impact on the configuration of local health systems through their effect on employer decision making regarding health benefits offered to employees, and the responses of health plans and providers to those decisions. PMID:12650371

Christianson, Jon B; Trude, Sally

2003-01-01

217

An evaluation of the well at dell health management program: health risk change and financial return on investment.  

PubMed

Abstract Purpose . To investigate the effectiveness of the Well at Dell comprehensive health management program in delivering health care and productivity cost savings relative to program investment (i.e., return on investment). Design . A quasi-experimental design was used to quantify the financial impact of the program and nonexperimental pre-post design to evaluate change in health risks. Setting . Ongoing worksite health management program implemented across multiple U.S. locations. Subjects . Subjects were 24,651 employees with continuous medical enrollment in 2010-2011 who were eligible for 2011 health management programming. Intervention . Incentive-driven, outcomes-based multicomponent corporate health management program including health risk appraisal (HRA)/wellness, lifestyle management, and disease management coaching programs. Measures . Medical, pharmacy, and short-term disability pre/post expenditure trends adjusted for demographics, health status, and baseline costs. Self-reported health risks from repeat HRA completers. Analysis . Propensity score-weighted and multivariate regression-adjusted comparison of baseline to post trends in health care expenditures and productivity costs for program participants and nonparticipants (i.e., difference in difference) relative to programmatic investment. Results . The Well at Dell program achieved an overall return on investment of 2.48 in 2011. Most of the savings were realized from the HRA/wellness component of the program. Cost savings were supported with high participation and significant health risk improvement. Conclusion . An incentive-driven, well-managed comprehensive corporate health management program can continue to achieve significant health improvement while promoting health care and productivity cost savings in an employee population. PMID:25559251

Musich, Shirley; McCalister, Tre'; Wang, Sara; Hawkins, Kevin

2015-01-01

218

An Assessment of Integrated Health Management (IHM) Frameworks  

SciTech Connect

In order to meet the ever increasing demand for energy, the United States nuclear industry is turning to life extension of existing nuclear power plants (NPPs). Economically ensuring the safe, secure, and reliable operation of aging nuclear power plants presents many challenges. The 2009 Light Water Reactor Sustainability Workshop identified online monitoring of active and structural components as essential to the better understanding and management of the challenges posed by aging nuclear power plants. Additionally, there is increasing adoption of condition-based maintenance (CBM) for active components in NPPs. These techniques provide a foundation upon which a variety of advanced online surveillance, diagnostic, and prognostic techniques can be deployed to continuously monitor and assess the health of NPP systems and components. The next step in the development of advanced online monitoring is to move beyond CBM to estimating the remaining useful life of active components using prognostic tools. Deployment of prognostic health management (PHM) on the scale of a NPP requires the use of an integrated health management (IHM) framework - a software product (or suite of products) used to manage the necessary elements needed for a complete implementation of online monitoring and prognostics. This paper provides a thoughtful look at the desirable functions and features of IHM architectures. A full PHM system involves several modules, including data acquisition, system modeling, fault detection, fault diagnostics, system prognostics, and advisory generation (operations and maintenance planning). The standards applicable to PHM applications are indentified and summarized. A list of evaluation criteria for PHM software products, developed to ensure scalability of the toolset to an environment with the complexity of a NPP, is presented. Fourteen commercially available PHM software products are identified and classified into four groups: research tools, PHM system development tools, deployable architectures, and peripheral tools.

N. Lybeck; M. Tawfik; L. Bond; J. Coble

2012-05-01

219

Health economics of weight management: evidence and cost.  

PubMed

The World Health Organization estimates that around one billion people throughout the world are overweight and that over 300 million of these are obese and if current trends continue, the number of overweight persons will increase to 1.5 billion by 2015. The number of obese adults in Australia is estimated to have risen from 2.0 million in 1992/93 to 3.1 million in 2005. The prevalence of obesity has been increasing due to a convergence of factors--the rise of TV viewing, our preference for takeaway and pre-prepared foods, the trend towards more computer-bound sedentary jobs, and fewer opportunities for sport and physical exercise. Obesity is not only linked to lack of self esteem, social and work discrimination, but also to illnesses such as the metabolic syndrome and hyperinsulinaemia (which increases the risk of developing heart disease, diabetes, hypertension, fatty liver), cancer, asthma, dementia, arthritis and kidney disease. It has been estimated that the cost of obesity in Australia in 2005 was $1,721 million. Of this amount, $1,084 million were direct health costs, and $637 million indirect health costs (due to lost work productivity, absenteeism and unemployment). The prevalence cost per year for each obese adult has been estimated at $554 and the value of an obesity cure is about $6,903 per obese person. Government efforts at reducing the burden remain inadequate and a more radical approach is needed. The Australian government, for example, has made changes to Medicare so that GPs can refer people with chronic illness due to obesity to an exercise physiologist and dietitian and receive a Medicare rebate, but so far these measures are having no perceptible effect on obesity levels. There is a growing recognition that both Public Health and Clinical approaches, and Private and Public resources, need to be brought to this growing problem. Australian health economist, Paul Gross, from the Institute of Health Economics and Technology Assessment claims there is too much reliance on health workers to treat the problem, especially doctors, who have not been given additional resources to manage obesity outside a typical doctor's consultation. Gross has recommended that further changes should be made to Medicare, private health insurance, and workplace and tax legislation to give people financial incentives to change their behaviour because obesity should not just be treated by governments as a public health problem but also as a barrier to productivity and a drain on resources. A Special Report of the WMCACA (Weight Management Code Administration Council of Australia) (www.weightcouncil.org) on the "Health Economics of Weight Management" has been published in the Asia Pacific Journal of Clinical Nutrition in September 2006. This report explores the cost benefit analysis of weight management in greater detail. PMID:17392129

Kouris-Blazos, Antigone; Wahlqvist, Mark L

2007-01-01

220

Professor of Animal Science Ruminant Nutrition  

E-print Network

Professor of Animal Science Ruminant Nutrition B.S., Animal Science, University of the Orange Free State, Bloemfontein, South Africa, 1993 M.S., Ruminant Nutrition, University of the Orange Free State, Bloemfontein, South Africa, 1995 Ph.D., Ruminant Nutrition, Kansas State University, Manhattan, Kansas, 1999

Johnson, Eric E.

221

Agricultural Pesticide Management in Thailand: Situation and Population Health Risk  

PubMed Central

As an agricultural country and one of the world’s major food exporters, Thailand relies heavily on the use of pesticides to protect crops and increase yields. During the past decade, the Kingdom of Thailand has experienced an approximate four-fold increase in pesticide use. This increase presents a challenge for the Royal Thai Government in effectively managing and controlling pesticide use based upon the current policies and legal infrastructure. We have reviewed several key components for managing agricultural pesticides in Thailand. One of the main obstacles to effective pesticide regulation in Thailand is the lack of a consolidated, uniform system designed specifically for pesticide management. This deficit has weakened the enforcement of existing regulations, resulting in misuse/overuse of pesticides, and consequently, increased environmental contamination and human exposure. This article provides a systematic review of how agricultural pesticides are regulated in Thailand. In addition, we provide our perspectives on the current state of pesticide management, the potential health effects of widespread, largely uncontrolled use of pesticides on the Thai people and ways to improve pesticide management in Thailand. PMID:22308095

Panuwet, Parinya; Siriwong, Wattasit; Prapamontol, Tippawan; Ryan, P. Barry; Fiedler, Nancy; Robson, Mark G.; Barr, Dana Boyd

2012-01-01

222

Evolution from safety management system (SMS) to HSE MS: Incorporating health aspects into the HSE management system  

SciTech Connect

There is increasing recognition within the E&P industry that protection and promotion of the health of people at work is more than taking care of individual health. It is an organizational issue which can be managed using the same principles as for safety and environment. The synergy`s with safety and environmental management provide the link with the management system. However line managers need to under the critical Health issues: what are they are they relevant? How do we manage them? what are the standards? What are the management tools to be used? How do we monitor performance? What is the role of the line? What is the role of the health advisers? What training and competencies are needed for health management? What are the benefits? These questions have to be clarified before acceptance can be achieved for full integration of Health aspects into the HSE Management System. Health Risk Assessment was developed as a tool for systematic identification and assessment of health hazards and risks. It specifies the need for and type of controls and recovery measures, which can subsequently be incorporated in HSE Management System and HSE Cases. Our experience to date indicates that Health can successfully be integrated in HSE Management Systems and HSE Cases by using the same principles as developed for Safety Management Systems and Safety Cases. There are still many problems which need to be addressed but the methodology used appears to be sound and will eventually enhance line management understanding of the health management aspects relevant to the E&P Industry.

Jong, G. de

1996-12-31

223

Graduate Research Assistant Position in Health Informatics One Graduate Research Assistant position is available at Department of Health Management and  

E-print Network

position is available at Department of Health Management and Informatics (HMI) for full time resident assessment utilizing diverse quantitative and qualitative research methods. Applicants must have strong of Health Management and Informatics University of Missouri School of Medicine CE728 Clinical Support

Noble, James S.

224

Master's Degree in Agriculture Plant Health Management Option Option Title: Master of Science (MS) in Agriculture: Plant Health  

E-print Network

Master's Degree in Agriculture ­ Plant Health Management Option Option Title: Master of Science (MS) in Agriculture: Plant Health Management Department(s) or Program(s): Supported of Agricultural, Human, and Natural Resource Sciences (CAHNRS) Contact Name: Dr. Kim Kidwell, Director MS

Collins, Gary S.

225

Ruminal biohydrogenation of unsaturated fatty acids in vitro as affected by chitosan  

Microsoft Academic Search

Because of the health-promoting effects of conjugated linoleic acid (CLA) isomers in humans, there is growing interest in increasing the content of C18:1 t11 in the rumen in order to enhance the final CLA level in ruminant milk and meat products. Modifying ruminal microflora populations has been viewed as a means to increase their C18:1 t11 content. Therefore, the objective

I. Goiri; G. Indurain; K. Insausti; V. Sarries; A. Garcia-Rodriguez

2010-01-01

226

Managing the physics of the economics of integrated health care.  

PubMed

The physics metaphor, as applied to the economics (and financial performance) of the integrated health system, seems appropriate when considered together with the nine principles of management framework provided. The nature of the integrated design enhances leaders' management potential as they consider organizational operations and strategy in the markets ahead. One question begged by this argument for the integrated design is the durability, efficiency and ultimate long-term survivability of the more "traditional" community health care delivery models, which, by design, are fragmented, internally competitive and less capital efficient. They also cannot exploit the leverage of teams, optimal access management or the pursuit of revenues made available in many forms. For those who wish to move from the traditional to the more integrated community health system designs (especially those who have not yet started the journey), the path requires: * Sufficient balance sheet capacity to fund the integration process-especially as the model requires physician practice acquisitions and electronic health record implementations * A well-prepared board13, 14 * A functional, durable and sustainable physician services enterprise design * A redesigned organizational and governance structure * Favorable internal financial incentives alignment design * Effective accountable physician leadership * Awareness that the system is not solely a funding strategy for acquired physicians, rather a fully -.. committed clinical and business model, one in which patient-centered integrated care is the core service (and not acute care hospital-based services) A willingness to create and exploit the implied and inherent potential of an integrated design and unified brand Last, it's important to remember that an integrated health system is a tool that creates a "new potential" (a physics metaphor reference, one last time). The design doesn't operate itself. Application of the management principles presented here are necessary as a complete recipe. Leaders of health systems moving toward integration are cautioned to apply the recipe in full. This article ends with two questions. First, if not an integrated model of health care, what's the alternative? Since it seems clear that many of the existing community-based models are excessively fragmented and inefficient, especially in a reforming U.S. health care marketplace, is there a new model that is superior to the integrated models and, if so, what is it and what are its functional principles? The second question: Is there more than one functional form of integration? This article argues for the most integrated form. Others would argue that clinical integration is sufficient,'s and full integration isn't required. The stability, durability and adaptability of the fully integrated models have, arguably, been tested. The lesser integrated models remain to be proven in an unstable health care marketplace seeking higher levels of economic efficiency. PMID:23888674

Zismer, Daniel K; Werner, Mark J

2012-01-01

227

Managing the health effects of the explosive remnants of war.  

PubMed

Many civilian deaths and injuries across the globe are a consequence of 'explosive remnants of war' (ERW). These ERW include mines, unexploded ordnance (UXO) and cluster bombs. The numbers of deaths, injuries and resulting disabilities from ERW are expected to increase as armed conflicts proliferate. This will have a substantial effect on all aspects of health. This article first describes the mechanisms of these ERW and the nature of the injuries they can cause. It then briefly outlines the immediate medical management such injuries require; the long-term outcomes and sequelae, and what can be done to manage them. It highlights how research and medical interventions must take into account cultural, social and economic factors in addition to utilising safe and appropriate techniques and practices. The article concludes by noting that medical personnel are well placed not only to intervene and manage the direct health effects of ERW, but also indirectly by advocating on behalf of those affected by adding their voices to campaigns against their proliferation. PMID:15602994

Kett, Maria E; Mannion, Steve J

2004-11-01

228

Exploring the Model Design Space for Battery Health Management  

NASA Technical Reports Server (NTRS)

Battery Health Management (BHM) is a core enabling technology for the success and widespread adoption of the emerging electric vehicles of today. Although battery chemistries have been studied in detail in literature, an accurate run-time battery life prediction algorithm has eluded us. Current reliability-based techniques are insufficient to manage the use of such batteries when they are an active power source with frequently varying loads in uncertain environments. The amount of usable charge of a battery for a given discharge profile is not only dependent on the starting state-of-charge (SOC), but also other factors like battery health and the discharge or load profile imposed. This paper presents a Particle Filter (PF) based BHM framework with plug-and-play modules for battery models and uncertainty management. The batteries are modeled at three different levels of granularity with associated uncertainty distributions, encoding the basic electrochemical processes of a Lithium-polymer battery. The effects of different choices in the model design space are explored in the context of prediction performance in an electric unmanned aerial vehicle (UAV) application with emulated flight profiles.

Saha, Bhaskar; Quach, Cuong Chi; Goebel, Kai Frank

2011-01-01

229

Caries management pathways preserve dental tissues and promote oral health.  

PubMed

In May 2012, cariologists, dentists, representatives of dental organizations, manufacturers, and third party payers from several countries, met in Philadelphia, Pennsylvania, to define a common mission; goals and strategic approaches for caries management in the 21th century. The workshop started with an address by Mr. Stanley Bergman, CEO of Henry Schein Inc. which focused on the imperative for change in academia, clinical practice, and public health. For decades, new scientific evidence on caries and how it should be managed have been discussed among experts in the field. However, there has been some limited change, except in some Scandinavian countries, in the models of caries management and reimbursement which have been heavily skewed toward 'drilling and filling'. There is no overall agreement on a caries' case definition or on when to surgically intervene. The participants in the workshop defined a new mission for all caries management approaches, both conventional and new. The mission of each system should be to preserve the tooth structure, and restore only when necessary. This mission marks a pivotal line for judging when to surgically intervene and when to arrest or remineralize early noncavitated lesions. Even when restorative care is necessary, the removal of hard tissues should be lesion-focused and aim to preserve, as much as possible, sound tooth structure. Continuing management of the etiological factors of caries and the use of science-based preventive regimens also will be required to prevent recurrence and re-restoration. These changes have been debated for over a decade. The Caries Management Pathways includes all systems and philosophies, conventional and new, of caries management that can be used or modified to achieve the new mission. The choice of which system to use to achieve the mission of caries management is left to the users and should be based on the science supporting each approach or philosophy, experience, utility, and ease of use. This document also presents a new 'Caries Management Cycle' that should be followed regardless of which approach is adopted for caries prevention, detection, diagnosis, and treatment. To aid success in the adoption of the new mission, a new reimbursement system that third party payers may utilize is proposed (for use by countries other than Scandinavian countries or other countries where such systems already exist). The new reimbursement/incentive model focuses on the mission of preservation of tooth structure and outcomes of caries management. Also described, is a research agenda to revitalize research on the most important and prevalent world-wide human disease. The alliance of major dental organizations and experts that started in Philadelphia will hopefully propel over the next months and years, a change in how caries is managed by dentists all over the world. A new mission has been defined and it is time for all oral health professionals to focus on the promotion of oral health and preservation of sound teeth rather than counting the number of surgical restorative procedures provided. PMID:24916676

Ismail, Amid I; Tellez, Marisol; Pitts, Nigel B; Ekstrand, Kim R; Ricketts, David; Longbottom, Christopher; Eggertsson, Hafsteinn; Deery, Christopher; Fisher, Julian; Young, Douglas A; Featherstone, John D B; Evans, Wendell; Zeller, Gregory G; Zero, Domenick; Martignon, Stefania; Fontana, Margherita; Zandona, Andrea

2013-02-01

230

The crucible of public health practice: major trends shaping the design of the Management Academy for Public Health.  

PubMed

Public health leaders and managers need new leadership and management skills as well as greater entrepreneurial acumen to respond effectively to broad demographic, socioeconomic, and political trends reshaping public health. This article asserts that the need for such training and skills was the impetus for the conceptualization, design, and launch of the Management Academy for Public Health--an innovative executive education program jointly offered by the schools of business and public health at the University of North Carolina at Chapel Hill. PMID:16912602

Johnson, James H; Sabol, Barbara J; Baker, Edward L

2006-01-01

231

The contributions of managed care plans to public health practice: evidence from the nation's largest local health departments.  

PubMed Central

OBJECTIVE: The authors examine the extent and nature of managed care plans participating in local public health activities. METHODS: In 1998, the authors surveyed the directors of all US local health departments serving jurisdictions of at least 100,000 residents to collect information about public health activities performed in their jurisdictions and about organizations participating in the activities. Multivariate logistic and linear regression models were used to examine organizational and market characteristics associated with managed care plan participation in public health activities. RESULTS: Managed care plans were reported to participate in public health activities in 164 (46%) of the jurisdictions surveyed, and to contribute to 13% of the public health activities performed in the average jurisdiction. Plans appeared most likely to participate in public health activities involving the delivery or management of personal health services and the exchange of health-related information. Managed care participation was more likely to occur in jurisdictions with higher HMO penetration, fewer competing plans, and larger proportions of plans enrolling Medicaid recipients. Participation was positively associated with the overall scope and perceived effectiveness of local public health activities. CONCLUSIONS: Although plans participate in a narrow range of activities, these contributions may complement the work of public health agencies. PMID:11889275

Mays, G. P.; Halverson, P. K.; Stevens, R.

2001-01-01

232

Ground Operations Autonomous Control and Integrated Health Management  

NASA Technical Reports Server (NTRS)

An intelligent autonomous control capability has been developed and is currently being validated in ground cryogenic fluid management operations. The capability embodies a physical architecture consistent with typical launch infrastructure and control systems, augmented by a higher level autonomous control (AC) system enabled to make knowledge-based decisions. The AC system is supported by an integrated system health management (ISHM) capability that detects anomalies, diagnoses causes, determines effects, and could predict future anomalies. AC is implemented using the concept of programmed sequences that could be considered to be building blocks of more generic mission plans. A sequence is a series of steps, and each executes actions once conditions for the step are met (e.g. desired temperatures or fluid state are achieved). For autonomous capability, conditions must consider also health management outcomes, as they will determine whether or not an action is executed, or how an action may be executed, or if an alternative action is executed instead. Aside from health, higher level objectives can also drive how a mission is carried out. The capability was developed using the G2 software environment (www.gensym.com) augmented by a NASA Toolkit that significantly shortens time to deployment. G2 is a commercial product to develop intelligent applications. It is fully object oriented. The core of the capability is a Domain Model of the system where all elements of the system are represented as objects (sensors, instruments, components, pipes, etc.). Reasoning and decision making can be done with all elements in the domain model. The toolkit also enables implementation of failure modes and effects analysis (FMEA), which are represented as root cause trees. FMEA's are programmed graphically, they are reusable, as they address generic FMEA referring to classes of subsystems or objects and their functional relationships. User interfaces for integrated awareness by operators have been created.

Figueroa, Fernando; Walker, Mark; Wilkins, Kim; Johnson, Robert; Sass, Jared; Youney, Justin

2014-01-01

233

A cow-level association of ruminal pH on body condition score, serum beta-hydroxybutyrate and postpartum disorders in Thai dairy cattle.  

PubMed

Subacute ruminal acidosis in dairy cows occurs when ruminal pH is below about 5.5. However, the exact threshold level of ruminal pH affecting cow health is still in debate. This investigation was carried out in 505 cows within 31 farms. The postpartum disorders, including dystocia, retained placenta, anestrus, cystic ovary, metritis, clinical mastitis and lameness, were analyzed. Ruminal pH, serum beta-hydroxy butyrate (SBHB), serum urea nitrogen and body condition score (BCS) were measured once during the 3 to 6 weeks postpartum, while BCS was determined once more at 1 week before calving. Ruminal pH was determined by ruminocentesis technique. The ruminal pH was evaluated to study the association with BCS, SBHB and postpartum disorders using linear regression in a generalized linear mixed model with farm as a random effect. The results show that low ruminal pH was associated with dystocia, metritis and lameness. Moreover, a low ruminal pH can be found in cows with a high loss of BCS after calving and also in cows with low SBHB postpartum. These findings confirmed the feasibility of the ruminocentesis technique and the association of low ruminal pH on various postpartum disorders at the individual cow level. However, the consequences of low ruminal pH on dairy cow health still needs more exploration for a better understanding of the physiological mechanisms. PMID:24961478

Chaidate, Inchaisri; Somchai, Chanpongsang; Jos, Noordhuizen; Henk, Hogeveen

2014-09-01

234

Hazardous and toxic wastes: technology, management and health effects  

SciTech Connect

One of three volumes on waste material, this book deals with the hazardous and toxic wastes of an industrial society. Part one considers waste types and treatment and disposal methods, covering industrial waste incineration, the destruction of toxic chemical wastes, and the management of hazardous waste. Part two discusses the distribution, selection, and geological aspects of siting hazardous and toxic wastes. Part three covers transportation, emergency response, and preparations needed in a toxic spill emergency. Part four includes chapters on management regulations, and economic considerations. The final section deals with the environmental and health effects of hazardous wastes. Information on the national priorities list appears in the appendix. 363 references, 61 figures, 68 tables.

Majumdar, S.K.; Miller, E.W. (eds.)

1984-01-01

235

Vehicle health management for guidance, navigation and control systems  

NASA Technical Reports Server (NTRS)

The objective of the program was to architect a vehicle health management (VHM) system for space systems avionics that assures system readiness for launch vehicles and for space-based dormant vehicles. The platforms which were studied and considered for application of VHM for guidance, navigation and control (GN&C) included the Advanced Manned Launch System (AMLS), the Horizontal Landing-20/Personnel Launch System (HL-20/PLS), the Assured Crew Return Vehicle (ACRV) and the Extended Duration Orbiter (EDO). This set was selected because dormancy and/or availability requirements are driving the designs of these future systems.

Radke, Kathleen; Frazzini, Ron; Bursch, Paul; Wald, Jerry; Brown, Don

1993-01-01

236

Health information networks: enabling care management in IDSs.  

PubMed

To be successful, IDSs require streamlined, information integration across the continuum of care. Having this capability enables IDSs to manage care and costs efficiently, provide physicians with enterprisewide access to eligibility information, and respond to the communication and quality demands of patients. For most IDSs, the quickest and most cost-effective way to achieve overall information-system integration is to implement a health information network (HIN) based on Internet technologies. A HIN enables IDS providers and staff to access requisite administrative and clinical information from throughout the enterprise using a Web browser. PMID:10847912

McNamara, T M

2000-03-01

237

Leader-Member Exchange Relationships in Health Information Management  

PubMed Central

This article seeks to raise awareness of the leader-member exchange (LMX) theory of leadership and its potential benefit to the health information management (HIM) profession. A literature review that was conducted identified a leadership challenge for HIM practitioners. The review also provides examples of leadership definitions, and potential benefits of LMX to HIM professionals in leading people and influencing leaders in their organizations. The LMX concept may be an avenue to investigate in preparing future and current HIM professionals for leadership. PMID:24808805

Hunt, T.J.

2014-01-01

238

A computer science approach to managing security in health care.  

PubMed

The security of electronic medical information is very important for health care organisations, which have to ensure confidentiality, integrity and availability of the information provided. This paper will briefly outline the legal measures adopted by the European Community, Italy and the United States to regulate the use and disclosure of medical records. It will then go on to highlight how information technology can help to address these issues with special reference to the management of organisation policies. To this end, we will present a modelling example for the security policy of a radiological department. PMID:12471368

Asirelli, P; Braccini, G; Caramella, D; Coco, A; Fabbrini, F

2002-09-01

239

Leader-member exchange relationships in health information management.  

PubMed

This article seeks to raise awareness of the leader-member exchange (LMX) theory of leadership and its potential benefit to the health information management (HIM) profession. A literature review that was conducted identified a leadership challenge for HIM practitioners. The review also provides examples of leadership definitions, and potential benefits of LMX to HIM professionals in leading people and influencing leaders in their organizations. The LMX concept may be an avenue to investigate in preparing future and current HIM professionals for leadership. PMID:24808805

Hunt, T J

2014-01-01

240

Animal health surveillance applications: The interaction of science and management.  

PubMed

Animal health surveillance is an ever-evolving activity, since health- and risk-related policy and management decisions need to be backed by the best available scientific evidence and methodology. International organizations, trade partners, politicians, media and the public expect fast, understandable, up-to-date presentation and valid interpretation of animal disease data to support and document proper animal health management - in crises as well as in routine control applications. The delivery and application of surveillance information need to be further developed and optimized, and epidemiologists, risk managers, administrators and policy makers need to work together in order to secure progress. Promising new developments in areas such as risk-based surveillance, spatial presentation and analysis, and genomic epidemiology will be mentioned. Limitations and areas in need of further progress will be underlined, such as the general lack of a wide and open exchange of international animal disease surveillance data. During my more than 30 year career as a professor of Veterinary Epidemiology I had the good fortune of working in challenging environments with different eminent colleagues in different countries on a variety of animal health surveillance issues. My career change from professor to Chief Veterinary Officer (CVO) - "from science to application" - was caused by my desire to see for myself if and how well epidemiology would actually work to solve real-life problems as I had been telling my students for years that it would. Fortunately it worked for me! The job of a CVO is not that different from that of a professor of Veterinary Epidemiology; the underlying professional principles are the same. Every day I had to work from science, and base decisions and discussions on documented evidence - although sometimes the evidence was incomplete or data were simply lacking. A basic understanding of surveillance methodology is very useful for a CVO, since it provides a sound working platform not only for dealing with immediate questions when new or emerging disease situations arise, but also for more long-term activities, such as policy development, contingency planning and trade negotiations. Animal health issues, which emerged during my eight years as a CVO in Denmark from 1999 to 2007, will be used as examples, including BSE, FMD, HPAI and Trichinella testing. Emphasis will be placed on how science-based surveillance methodology and tools were developed, applied and documented. PMID:22305878

Willeberg, Preben

2012-08-01

241

Health numeracy: Perspectives about using numbers in health management from African American patients receiving dialysis.  

PubMed

Health numeracy is linked to important clinical outcomes. Kidney disease management relies heavily on patient numeracy skills across the continuum of kidney disease care. Little data are available eliciting stakeholder perspectives from patients receiving dialysis about the construct of health numeracy. Using focus groups, we asked patients receiving hemodialysis open-ended questions to identify facilitators and barriers to their understanding, interpretation, and application of numeric information in kidney care. Transcripts were analyzed using content analysis. Twelve patients participated with a mean (standard deviation) age of 56 (12) years. All were African American, 50% were women, and 83% had an annual income <$20,000/year. Although patients felt numbers were critical to every aspect in life, they noted several barriers to understanding, interpreting and applying quantitative information specifically to manage their health. Low patient self-efficacy related to health numeracy and limited patient-provider communication about quantitatively based feedback, were emphasized as key barriers. Through focus groups of key patient stakeholders we identified important modifiable barriers to effective kidney care. Additional research is needed to develop tools that support numeracy-sensitive education and communication interventions in dialysis. PMID:25358522

Wright Nunes, Julie A; Osborn, Chandra Y; Ikizler, T Alp; Cavanaugh, Kerri L

2014-10-30

242

Advanced Health Management of a Brushless Direct Current Motor/Controller  

NASA Technical Reports Server (NTRS)

This effort demonstrates that health management can be taken to the component level for electromechanical systems. The same techniques can be applied to take any health management system to the component level, based on the practicality of the implementation for that particular system. This effort allows various logic schemes to be implemented for the identification and management of failures. By taking health management to the component level, integrated vehicle health management systems can be enhanced by protecting box-level avionics from being shut down in order to isolate a failed computer.

Pickett, R. D.

2003-01-01

243

Environmental Management Waste Management Facility (EMWMF) Site-Specific Health and Safety Plan, Oak Ridge, Tennessee  

SciTech Connect

The Bechtel Jacobs Company LLC (BJC) policy is to provide a safe and healthy workplace for all employees and subcontractors. The implementation of this policy requires that operations of the Environmental Management Waste Management Facility (EMWMF), located one-half mile west of the U.S. Department of Energy (DOE) Y-12 National Security Complex, be guided by an overall plan and consistent proactive approach to environment, safety and health (ES&H) issues. The BJC governing document for worker safety and health, BJC/OR-1745, 'Worker Safety and Health Program', describes the key elements of the BJC Safety and Industrial Hygiene (IH) programs, which includes the requirement for development and implementation of a site-specific Health and Safety Plan (HASP) where required by regulation (refer also to BJC-EH-1012, 'Development and Approval of Safety and Health Plans'). BJC/OR-1745, 'Worker Safety and Health Program', implements the requirements for worker protection contained in Title 10 Code of Federal Regulations (CFR) Part 851. The EMWMF site-specific HASP requirements identifies safe operating procedures, work controls, personal protective equipment, roles and responsibilities, potential site hazards and control measures, site access requirements, frequency and types of monitoring, site work areas, decontamination procedures, and outlines emergency response actions. This HASP will be available on site for use by all workers, management and supervisors, oversight personnel and visitors. All EMWMF assigned personnel will be briefed on the contents of this HASP and will be required to follow the procedures and protocols as specified. The policies and procedures referenced in this HASP apply to all EMWMF operations activities. In addition the HASP establishes ES&H criteria for the day-to-day activities to prevent or minimize any adverse effect on the environment and personnel safety and health and to meet standards that define acceptable waste management practices. The HASP is written to make use of past experience and best management practices to eliminate or minimize hazards to workers or the environment from events such as fires, falls, mechanical hazards, or any unplanned release to the environment.

Flynn, N.C. Bechtel Jacobs

2008-04-21

244

What would it take? Stakeholders' views and preferences for implementing a health care manager program in community mental health clinics under health care reform.  

PubMed

Health care manager interventions can improve the physical health of people with serious mental illness (SMI). In this study, we used concepts from the theory of diffusion of innovations, the consolidated framework for implementation research and a taxonomy of implementation strategies to examine stakeholders' recommendations for implementing a health care manager intervention in public mental health clinics serving Hispanics with SMI. A purposive sample of 20 stakeholders was recruited from mental health agencies, primary care clinics, and consumer advocacy organizations. We presented participants a vignette describing a health care manager intervention and used semistructured qualitative interviews to examine their views and recommendations for implementing this program. Interviews were recorded, professionally transcribed, and content analyzed. We found that a blend of implementation strategies that demonstrates local relative advantage, addresses cost concerns, and enhances compatibility to organizations and the client population is critical for moving health care manager interventions into practice. PMID:25542194

Cabassa, Leopoldo J; Gomes, Arminda P; Lewis-Fernández, Roberto

2015-02-01

245

BioHealth--the need for security and identity management standards in eHealth.  

PubMed

The experience gained in these last years and the several lesson learned have clearly shown that eHealth is more than just a simple change from paper records to electronic records. It necessitates a change of paradigms, on the one hand and the use of new technologies and introduction of new procedures on the other. Interoperability becomes a crucial issue. Security and confidentiality are vital for the acceptance of the new approaches and for the support of eHealth. Shared care and across-border interactions require a reliable and stable normative framework based on the application of standardized solutions, which are often not yet sufficiently known, diffused and implemented. Feeling this gap, a group of international experts in the medical area proposed to the EC the BioHealth project whose main aim is to create awareness about standardization in eHealth and to facilitate its practical implementation. The project will address all the stakeholders concerning their respective domain. It will evaluate the socio-economic and cultural aspects concerning eHealth with particular reference to the growing introduction of emerging technologies such as health cards, biometrics, RFID (radio-frequency identification) and NFC (Near field communication) tags. By providing information and expert advice on standardization and best practices it will raise the acceptance on standardization. Furthermore, the project will deeply approach the ethical and accessibility issues connected to identity management in eHealth, which -together with privacy- represent probably the most significant obstacles for the wide diffusion of eHealth procedures. PMID:17095831

Hildebrand, Claudia; Pharow, Peter; Engelbrecht, Rolf; Blobel, Bernd; Savastano, Mario; Hovsto, Asbjorn

2006-01-01

246

Assessing cost and utilization in managed mental health care in the United States  

Microsoft Academic Search

Mental health cost containment in the United States has evolved from fragmented utilization review and discounted pricing programs in the 1980s to comprehensive mental health managed care programs in the 1990s, in which the network managing the care takes on financial risks associated with price and utilization for all mental health services provided to an enrolled population. While the earlier

Barbara Dickey

1997-01-01

247

Assurance of Learning Assessment Matrix -MS Health Care Management Learning Goals Learning Objectives Assessment/Assignment  

E-print Network

Assurance of Learning Assessment Matrix - MS Health Care Management Learning Goals Learning Objectives Assessment/Assignment Understand and master core concepts and methods in the health care concepts and tools in the health care management discipline to develop integrated and innovative strategies

Niebur, Ernst

248

Secure Knowledge Management for Health Care Organizations Authors: D.Mundy, D.W.Chadwick  

E-print Network

Secure Knowledge Management for Health Care Organizations Authors: D.Mundy, D.W.Chadwick Abstract As the health care industry enters the era of knowledge management it must place security at the foundation of the transition. Risks are pervasive to every aspect of information and knowledge management. Without secure

Kent, University of

249

Integrating banana and ruminant production in the French West Indies.  

PubMed

Using a mechanistic model, we compared five alternative farming systems with the purpose of transforming monoculture (MON) banana farms into mixed farming systems (MFS) with ruminants feeding banana by-products (leaves, pseudostems and nonmarketable fruits) and forage from the fallow land. The paper presents the main structure of the model (land surface changes, available biomass for animals, stocking rates, productive or reproductive indicators), and impact assessment (change in farm productivity) is discussed. Five MFS with typical local ruminant production systems were used to compare MON to the strategies using forage from fallow and/or integrating Creole cattle (CC), Creole goats (CG) or Martinik sheep (MS) into banana farming. One hectare MON shifted into an MFS allows a stocking rate of 1,184, 285, and 418 kg of live weight per hectare for CC, CG and MS, respectively. Banana by-products seem to be better valorized by the CC scenario. However, parameters such as length of the cycle, local prices for cattle, goat and sheep meat, work time and farmer's skills in ruminant management may have been taken into account by the farmer when choosing the ruminant species to rear. PMID:22258310

Archimède, Harry; Gourdine, Jean Luc; Fanchone, Audrey; Tournebize, Regis; Bassien-Capsa, Mylène; González-García, Eliel

2012-08-01

250

Perfectionism, anger, and anger rumination  

Microsoft Academic Search

Anger and anger rumination are considered to be detrimental to both physical and psychological well being. Furthermore, perfectionism, as a personality construct, seems to be related to various types of maladjustment. Whereas perfectionism has been characterized as being positive when an individual derives pleasure from striving for excellence yet recognizes and accepts individual limitations, it is deemed negative when the

Mohammad Ali Besharat; Shahriar Shahidi

2010-01-01

251

Rocket Engine Health Management: Early Definition of Critical Flight Measurements  

NASA Technical Reports Server (NTRS)

The NASA led Space Launch Initiative (SLI) program has established key requirements related to safety, reliability, launch availability and operations cost to be met by the next generation of reusable launch vehicles. Key to meeting these requirements will be an integrated vehicle health management ( M) system that includes sensors, harnesses, software, memory, and processors. Such a system must be integrated across all the vehicle subsystems and meet component, subsystem, and system requirements relative to fault detection, fault isolation, and false alarm rate. The purpose of this activity is to evolve techniques for defining critical flight engine system measurements-early within the definition of an engine health management system (EHMS). Two approaches, performance-based and failure mode-based, are integrated to provide a proposed set of measurements to be collected. This integrated approach is applied to MSFC s MC-1 engine. Early identification of measurements supports early identification of candidate sensor systems whose design and impacts to the engine components must be considered in engine design.

Christenson, Rick L.; Nelson, Michael A.; Butas, John P.

2003-01-01

252

77 FR 41986 - Division of Nursing, Public Health Nursing Community Based Model of PHN Case Management Services  

Federal Register 2010, 2011, 2012, 2013, 2014

...HUMAN SERVICES Indian Health Service Division of Nursing, Public Health Nursing Community Based Model of PHN Case Management Services...OCPS), Community Based Model of Public Health Nursing Case Management Services. This program is...

2012-07-17

253

29 CFR 1420.1 - Functions of the Service in health care industry bargaining under the Labor-Management Relations...  

Code of Federal Regulations, 2011 CFR

...the Service in health care industry bargaining under the Labor-Management Relations...Regulations Relating to Labor (Continued...SERVICE-ASSISTANCE IN THE HEALTH CARE INDUSTRY...the Service in health care industry bargaining under the Labor-Management...

2011-07-01

254

29 CFR 1420.1 - Functions of the Service in health care industry bargaining under the Labor-Management Relations...  

Code of Federal Regulations, 2010 CFR

...the Service in health care industry bargaining under the Labor-Management Relations...Regulations Relating to Labor (Continued...SERVICE-ASSISTANCE IN THE HEALTH CARE INDUSTRY...the Service in health care industry bargaining under the Labor-Management...

2010-07-01

255

Assessing the implementation of performance management of health care workers in Uganda  

PubMed Central

Background The performance management concept is relatively new to the Ugandan health sector. Uganda has been implementing health sector reforms for nearly two decades. The reforms included the introduction of the results-oriented management in the public sector and the decentralisation of the management of health care workers from central to local governments. This study examined the implementation of performance management of health care workers in order to propose strategies for improvement. Methods The study was a descriptive survey carried out in the Kumi, Mbale, Sironko and Tororo districts and utilising mixed research methodology. A self-administered questionnaire was used to collect quantitative data from the health care workers. A semi-structured interview guide was used to collect qualitative data from the health service managers. The sample for the quantitative method was selected using stratified random sampling. Purposive sampling was used to select health service managers. Quantitative data were analysed using Statistical Package for Social Sciences (version 18.0). Qualitative data were categorised according to the themes and analysed manually. Results The findings show that to some extent performance management is implemented in the health sector; however, there were loopholes in its implementation. There were inadequacies in setting performance targets and performance management planning was hardly done. Although many health care workers had job descriptions, the performance indicators and standards were not clearly defined and known to all workers and managers. Additionally the schedules for performance assessments were not always adhered to. There were limited prospects for career progression, inadequate performance feedback and poor rewarding mechanisms. Conclusions Performance management of health care workers is inadequately done in the districts. Performance management is a key component of attempts to improve health sector outcomes. As a result of this study, suggestions to enhance health sector performance management in the districts have been put forward. The authors are optimistic that if these suggestions are implemented, the performance of health care workers is likely to improve. PMID:24044774

2013-01-01

256

A ride in the time machine: information management capabilities health departments will need.  

PubMed

We have proposed needed information management capabilities for future US health departments predicated on trends in health care reform and health information technology. Regardless of whether health departments provide direct clinical services (and many will), they will manage unprecedented quantities of sensitive information for the public health core functions of assurance and assessment, including population-level health surveillance and metrics. Absent improved capabilities, health departments risk vestigial status, with consequences for vulnerable populations. Developments in electronic health records, interoperability and information exchange, public information sharing, decision support, and cloud technologies can support information management if health departments have appropriate capabilities. The need for national engagement in and consensus on these capabilities and their importance to health department sustainability make them appropriate for consideration in the context of accreditation. PMID:25033122

Foldy, Seth; Grannis, Shaun; Ross, David; Smith, Torney

2014-09-01

257

Lessons learned in public health emergency management: personal reflections.  

PubMed

Multiple environmental, ecological, and socio-political forces are converging to increase the occurrence of both natural and technological disasters. Ten forces are of most concern in this regard. These are: 1) global warming, with its consequent weather extremes and climate changes; 2) continued rapid human population growth and concomitant increased urbanization; 3) decreased bio-diversity and consequent ecological fragility; 4) deforestation and loss of natural habitat for animal species, with resultant greater overlap of human and animal habitats, human exposure to animal pathogens, and other ecological perturbations; 5) increased technological development throughout the world (especially in developing countries with their typically immature safety programs); 6) globalization and increased population mobility; 7) sub-national religious and ethnic conflicts, and their potential for conflict escalation and large scale displacement of populations; 8) the collapse of several major countries and consequent unraveling of national identity and social order; 9) the rise of terrorism; and 10) dramatic advances in the science and technology of computing, communications, biotechnology, and genomics. This paper describes 10 lessons learned relative to the public health aspects of emergency management, especially as they pertain to disasters. 1) Planning pays; 2) A bad situation can be made worse by inappropriate responses; 3) Most life saving interventions will occur before the disaster happens and immediately afterwards by local action; 4) Public health emergency management is not a democratic process; 5) Psychological impacts are usually greater than anticipated; 6) Communications and information management are vital, but often are the weak link in the response chain; 7) Collaboration and partnerships are essential; 8) Unsolicited volunteers and aid are inevitable and must be planned for and managed; 9) Never assume anything, and always expect the unexpected; and 10) Post-event evaluation is important, and must be coordinated. The paramount lesson learned from past emergencies is that the untoward impact of these events can be anticipated and significantly ameliorated by appropriate planning and preparation. On the other hand, preparation for emergency events has deteriorated because of health-care financial constraints, and resources to support planning and needed infrastructure have diminished. Given these realities, the major unresolved challenge is how to ensure that planning for the common good is supported and, in fact, gets done. PMID:11227611

Kizer, K W

2000-01-01

258

The importance of human resources management in health care: a global context  

PubMed Central

Background This paper addresses the health care system from a global perspective and the importance of human resources management (HRM) in improving overall patient health outcomes and delivery of health care services. Methods We explored the published literature and collected data through secondary sources. Results Various key success factors emerge that clearly affect health care practices and human resources management. This paper will reveal how human resources management is essential to any health care system and how it can improve health care models. Challenges in the health care systems in Canada, the United States of America and various developing countries are examined, with suggestions for ways to overcome these problems through the proper implementation of human resources management practices. Comparing and contrasting selected countries allowed a deeper understanding of the practical and crucial role of human resources management in health care. Conclusion Proper management of human resources is critical in providing a high quality of health care. A refocus on human resources management in health care and more research are needed to develop new policies. Effective human resources management strategies are greatly needed to achieve better outcomes from and access to health care around the world. PMID:16872531

Kabene, Stefane M; Orchard, Carole; Howard, John M; Soriano, Mark A; Leduc, Raymond

2006-01-01

259

Management Knowledge and Skills Required in the Health Care System of the Federation Bosnia and Herzegovina  

PubMed Central

Extremely complex health care organizations, by their structure and organization, operate in a constantly changing business environment, and such situation implies and requires complex and demanding health management. Therefore, in order to manage health organizations in a competent manner, health managers must possess various managerial skills and be familiar with problems in health care. Research, identification, analysis, and assessment of health management education and training needs are basic preconditions for the development and implementation of adequate programs to meet those needs. Along with other specific activities, this research helped to determine the nature, profile, and level of top-priority needs for education. The need for knowledge of certain areas in health management, as well as the need for mastering concrete managerial competencies has been recognized as top-priorities requiring additional improvement and upgrading. PMID:23922519

Slipicevic, Osman; Masic, Izet

2012-01-01

260

Management of senescent gynecomastia in the Veterans Health Administration.  

PubMed

Senescent gynecomastia is common in Veterans Health Administration patients because of clinical characteristics in the population, mainly obesity and the use of numerous etiologic drugs. To assess management of the disease, we studied patients treated between January 1, 2003 and December 31, 2007, in the Veterans Affairs-Tennessee Valley Healthcare System. Four hundred and fifty-four cases of senescent gynecomastia were retrieved from 670 charts addressing breast complaints (positive predictive value = 68%). Average patient age was 68.5 years. Mean body mass index was 29.7. Ninety-two percent of patients were using multiple medications associated with gynecomastia. Medications were considered at least partially etiologic in 79.3% of cases. Medical conditions caused gynecomastia in 13.7%. Over 50% of patients underwent diagnostic imaging studies. One-fifth of patients were tested for etiologic endocrine tumors. Yield on this testing was 1.1% (1/93). Ninety-four percent of patients were managed nonoperatively. Case management in the Tennessee Valley Healthcare System was generally correct, though there was excessive use of imaging, invasive diagnostic procedures, and endocrine assessment. Senescent gynecomastia, a benign disease, can usually be diagnosed by history and physical examination, requires little diagnostic testing, and should be treated nonoperatively. PMID:21410583

Ikard, Robert W; Vavra, Daniela; Forbes, Rachel C; Richman, Jill C; Roumie, Christianne L

2011-01-01

261

The role of private-for-profit managed behavioral health in the public sector.  

PubMed

Managed behavioral health, once largely confined to private sector employees, has been growing rapidly in the public sector. Throughout the country, behavioral health services, particularly for Medicaid enrollees, are coming under the management of private-for-profit firms. The authors discuss these developments, and the controversies that have come about as a result. Several public/private models of managed behavioral health services are identified. PMID:9239942

Feldman, S; Baler, S; Penner, S

1997-05-01

262

Vehicle Health Management Communications Requirements for AeroMACS  

NASA Technical Reports Server (NTRS)

As the development of standards for the aeronautical mobile airport communications system (AeroMACS) progresses, the process of identifying and quantifying appropriate uses for the system is progressing. In addition to defining important elements of AeroMACS standards, indentifying the systems uses impacts AeroMACS bandwidth requirements. Although an initial 59 MHz spectrum allocation for AeroMACS was established in 2007, the allocation may be inadequate; studies have indicated that 100 MHz or more of spectrum may be required to support airport surface communications. Hence additional spectrum allocations have been proposed. Vehicle health management (VHM) systems, which can produce large volumes of vehicle health data, were not considered in the original bandwidth requirements analyses, and are therefore of interest in supporting proposals for additional AeroMACS spectrum. VHM systems are an emerging development in air vehicle safety, and preliminary estimates of the amount of data that will be produced and transmitted off an aircraft, both in flight and on the ground, have been prepared based on estimates of data produced by on-board vehicle health sensors and initial concepts of data processing approaches. This allowed an initial estimate of VHM data transmission requirements for the airport surface. More recently, vehicle-level systems designed to process and analyze VHM data and draw conclusions on the current state of vehicle health have been undergoing testing and evaluation. These systems make use of vehicle system data that is mostly different from VHM data considered previously for airport surface transmission, and produce processed system outputs that will be also need to be archived, thus generating additional data load for AeroMACS. This paper provides an analysis of airport surface data transmission requirements resulting from the vehicle level reasoning systems, within the context of overall VHM data requirements.

Kerczewski, Robert J.; Clements, Donna J.; Apaza, Rafael D.

2012-01-01

263

Intelligent Integrated Health Management for a System of Systems  

NASA Technical Reports Server (NTRS)

An intelligent integrated health management system (IIHMS) incorporates major improvements over prior such systems. The particular IIHMS is implemented for any system defined as a hierarchical distributed network of intelligent elements (HDNIE), comprising primarily: (1) an architecture (Figure 1), (2) intelligent elements, (3) a conceptual framework and taxonomy (Figure 2), and (4) and ontology that defines standards and protocols. Some definitions of terms are prerequisite to a further brief description of this innovation: A system-of-systems (SoS) is an engineering system that comprises multiple subsystems (e.g., a system of multiple possibly interacting flow subsystems that include pumps, valves, tanks, ducts, sensors, and the like); 'Intelligent' is used here in the sense of artificial intelligence. An intelligent element may be physical or virtual, it is network enabled, and it is able to manage data, information, and knowledge (DIaK) focused on determining its condition in the context of the entire SoS; As used here, 'health' signifies the functionality and/or structural integrity of an engineering system, subsystem, or process (leading to determination of the health of components); 'Process' can signify either a physical process in the usual sense of the word or an element into which functionally related sensors are grouped; 'Element' can signify a component (e.g., an actuator, a valve), a process, a controller, an actuator, a subsystem, or a system; The term Integrated System Health Management (ISHM) is used to describe a capability that focuses on determining the condition (health) of every element in a complex system (detect anomalies, diagnose causes, prognosis of future anomalies), and provide data, information, and knowledge (DIaK) not just data to control systems for safe and effective operation. A major novel aspect of the present development is the concept of intelligent integration. The purpose of intelligent integration, as defined and implemented in the present IIHMS, is to enable automated analysis of physical phenomena in imitation of human reasoning, including the use of qualitative methods. Intelligent integration is said to occur in a system in which all elements are intelligent and can acquire, maintain, and share knowledge and information. In the HDNIE of the present IIHMS, an SoS is represented as being operationally organized in a hierarchical-distributed format. The elements of the SoS are considered to be intelligent in that they determine their own conditions within an integrated scheme that involves consideration of data, information, knowledge bases, and methods that reside in all elements of the system. The conceptual framework of the HDNIE and the methodologies of implementing it enable the flow of information and knowledge among the elements so as to make possible the determination of the condition of each element. The necessary information and knowledge is made available to each affected element at the desired time, satisfying a need to prevent information overload while providing context-sensitive information at the proper level of detail. Provision of high-quality data is a central goal in designing this or any IIHMS. In pursuit of this goal, functionally related sensors are logically assigned to groups denoted processes. An aggregate of processes is considered to form a system. Alternatively or in addition to what has been said thus far, the HDNIE of this IIHMS can be regarded as consisting of a framework containing object models that encapsulate all elements of the system, their individual and relational knowledge bases, generic methods and procedures based on models of the applicable physics, and communication processes (Figure 2). The framework enables implementation of a paradigm inspired by how expert operators monitor the health of systems with the help of (1) DIaK from various sources, (2) software tools that assist in rapid visualization of the condition of the system, (3) analical software tools that assist in reasoning about the condition, (4) sharing of information via

Smith, Harvey; Schmalzel, John; Figueroa, Fernando

2008-01-01

264

Integrating complementary and alternative medicine into mainstream healthcare services: the perspectives of health service managers  

PubMed Central

Background Complementary and alternative medicine (CAM) is increasingly included within mainstream integrative healthcare (IHC) services. Health service managers are key stakeholders central to ensuring effective integrative health care services. Yet, little research has specifically investigated the role or perspective of health service managers with regards to integrative health care services under their management. In response, this paper reports findings from an exploratory study focusing exclusively on the perspectives of health service managers of integrative health care services in Australia regarding the role of CAM within their service and the health service managers rational for incorporating CAM into clinical care. Methods Health service managers from seven services were recruited using purposive and snowball sampling. Semi-structured interviews were conducted with the health service managers. The services addressed trauma and chronic conditions and comprised: five community-based programs including drug and alcohol rehabilitation, refugee mental health and women’s health; and two hospital-based specialist services. The CAM practices included in the services investigated included acupuncture, naturopathy, Western herbal medicine and massage. Results Findings reveal that the health service managers in this study understand CAM to enhance the holistic capacity of their service by: filling therapeutic gaps in existing healthcare practices; by treating the whole person; and by increasing healthcare choices. Health service managers also identified CAM as addressing therapeutic gaps through the provision of a mind-body approach in psychological trauma and in chronic disease management treatment. Health service managers describe the addition of CAM in their service as enabling patients who would otherwise not be able to afford CAM to gain access to these treatments thereby increasing healthcare choices. Some health service managers expressly align the notion of treating the whole person within a health promotion model and focus on the relevance of diet and lifestyle factors as central to a CAM approach. Conclusions From the perspectives of the health service managers, these findings contribute to our understanding around the rationale to include CAM within mainstream health services that deal with psychological trauma and chronic disease. The broader implications of this study can help assist in the development of health service policy on CAM integration in mainstream healthcare services. PMID:24885066

2014-01-01

265

Long-term impact of role stress and cognitive rumination upon morning and evening saliva cortisol secretion.  

PubMed

The long-term impact of role stress (conflict and ambiguity), cognitive rumination and their interaction were analysed upon morning and evening saliva cortisol secretion. The sample consisted of 52 male and 24 female British white-collars who had participated in a survey study on psychosocial working conditions 3.5 years earlier. Saliva cortisol secretion was measured over seven consecutive days with two measures: in the morning on awakening and at 22.00 hours. Stepwise linear multiple regression analyses was used for the statistical analyses. Role ambiguity at baseline and the interaction between role ambiguity and trait rumination contributed to explaining elevations in morning saliva cortisol secretion 3.5 years later (R(2) = 0.045; F = 4.57; p < 0.05), while role conflict at baseline significantly predicted increases in long-term evening saliva cortisol (R(2) = 0.057; F = 8.99; p < 0.01). The findings support a long-term relationship between chronic stress exposure and saliva cortisol secretion and some support for the assumption of cognitive rumination moderating the stressor-strain relationship. STATEMENT OF RElevance: The study is of interest for ergonomics practice because it demonstrates that work role ambiguity and role conflict, typically associated with organisational downsizing and restructuring, may contribute to long-term psycho-physiological reactivity. This could expose workers to increased health risks. Therefore, stress management programmes should include the concept of role stress, especially at a time where many work organisations are undergoing significant change. Management should also be made aware of the importance of communicating clear goals, objectives and lines of authority as well as providing sufficient training for those in new job roles. PMID:21547788

Rydstedt, Leif W; Cropley, Mark; Devereux, Jason

2011-05-01

266

Distributed Prognostics and Health Management with a Wireless Network Architecture  

NASA Technical Reports Server (NTRS)

A heterogeneous set of system components monitored by a varied suite of sensors and a particle-filtering (PF) framework, with the power and the flexibility to adapt to the different diagnostic and prognostic needs, has been developed. Both the diagnostic and prognostic tasks are formulated as a particle-filtering problem in order to explicitly represent and manage uncertainties in state estimation and remaining life estimation. Current state-of-the-art prognostic health management (PHM) systems are mostly centralized in nature, where all the processing is reliant on a single processor. This can lead to a loss in functionality in case of a crash of the central processor or monitor. Furthermore, with increases in the volume of sensor data as well as the complexity of algorithms, traditional centralized systems become for a number of reasons somewhat ungainly for successful deployment, and efficient distributed architectures can be more beneficial. The distributed health management architecture is comprised of a network of smart sensor devices. These devices monitor the health of various subsystems or modules. They perform diagnostics operations and trigger prognostics operations based on user-defined thresholds and rules. The sensor devices, called computing elements (CEs), consist of a sensor, or set of sensors, and a communication device (i.e., a wireless transceiver beside an embedded processing element). The CE runs in either a diagnostic or prognostic operating mode. The diagnostic mode is the default mode where a CE monitors a given subsystem or component through a low-weight diagnostic algorithm. If a CE detects a critical condition during monitoring, it raises a flag. Depending on availability of resources, a networked local cluster of CEs is formed that then carries out prognostics and fault mitigation by efficient distribution of the tasks. It should be noted that the CEs are expected not to suspend their previous tasks in the prognostic mode. When the prognostics task is over, and after appropriate actions have been taken, all CEs return to their original default configuration. Wireless technology-based implementation would ensure more flexibility in terms of sensor placement. It would also allow more sensors to be deployed because the overhead related to weights of wired systems is not present. Distributed architectures are furthermore generally robust with regard to recovery from node failures.

Goebel, Kai; Saha, Sankalita; Sha, Bhaskar

2013-01-01

267

9 CFR 93.415 - Manure from quarantined ruminants.  

Code of Federal Regulations, 2012 CFR

...2012-01-01 false Manure from quarantined ruminants. 93.415 Section 93.415 Animals...OF CONVEYANCE AND SHIPPING CONTAINERS Ruminants § 93.415 Manure from quarantined ruminants. No manure shall be removed from...

2012-01-01

268

9 CFR 93.415 - Manure from quarantined ruminants.  

Code of Federal Regulations, 2013 CFR

...2013-01-01 false Manure from quarantined ruminants. 93.415 Section 93.415 Animals...OF CONVEYANCE AND SHIPPING CONTAINERS Ruminants § 93.415 Manure from quarantined ruminants. No manure shall be removed from...

2013-01-01

269

9 CFR 93.415 - Manure from quarantined ruminants.  

Code of Federal Regulations, 2010 CFR

...2010-01-01 false Manure from quarantined ruminants. 93.415 Section 93.415 Animals...OF CONVEYANCE AND SHIPPING CONTAINERS Ruminants § 93.415 Manure from quarantined ruminants. No manure shall be removed from...

2010-01-01

270

9 CFR 93.415 - Manure from quarantined ruminants.  

Code of Federal Regulations, 2011 CFR

...2011-01-01 false Manure from quarantined ruminants. 93.415 Section 93.415 Animals...OF CONVEYANCE AND SHIPPING CONTAINERS Ruminants § 93.415 Manure from quarantined ruminants. No manure shall be removed from...

2011-01-01

271

Oral health management of a patient with 47,XYY syndrome.  

PubMed

The 47,XYY syndrome is an aneuploidy (abnormal number) of sex chromosomes, where a human male receives an extra Y chromosome, making 47 chromosomes instead of the usual 46. Individuals with 47,XYY are usually physically normal and tend to be tall and thin. They are not at increased risk of mental retardation and cardiovascular diseases. They may have speech delay, hyperactivity and normal/decreased IQ level. Behavioural problems are not common in 47,XYY individuals. There have been reports that suggest the tooth-size increase in 47,XYY males is due to a direct genetic effect. The patient presented with multiple over-retained deciduous, unerupted permanent teeth and increased incidence of carious lesions may be attributed to decreased oral hygiene maintenance. The present article describes the medical and dental history along with the clinical management of oral health issues in an 18-year-old male patient with 47,XYY syndrome having normal physical structure and development. PMID:24311410

Shah, Altaf Hussain; Manjunatha, B S; Bindayel, Naif A; Khounganian, Rita

2013-01-01

272

Managing Free Text for Secondary Use of Health Data  

PubMed Central

Summary Objectives To summarize the best papers in the field of Knowledge Representation and Management (KRM). Methods A comprehensive review of medical informatics literature was performed to select some of the most interesting papers of KRM and natural language processing (NLP) published in 2013. Results Four articles were selected, one focuses on Electronic Health Record (EHR) interoperability for clinical pathway personalization based on structured data. The other three focus on NLP (corpus creation, de-identification, and co-reference resolution) and highlight the increase in NLP tools performances. Conclusions NLP tools are close to being seriously concurrent to humans in some annotation tasks. Their use could increase drastically the amount of data usable for meaningful use of EHR. PMID:25123738

2014-01-01

273

Obesity, periodontal and general health: Relationship and management  

PubMed Central

Obesity is a multifaceted subject. It has increased at an alarming rate in recent years. Being overweight increases the likelihood of a patient having associated health and social problems which may affect dental services and dental management. A review of the literature on obesity and periodontal disease suggested that they both confound each other and obesity itself has been recognized as a major risk factor for periodontal disease. It has been found that adverse effects of obesity on the periodontium may be mediated through pro-inflammatory cytokines and various other bioactive substances. This article tries to focus on the possible role of obesity and obesity-related diseases like diabetes and coronary heart diseases (CHD), as a potential contributor to periodontal disease and vice versa. The meanings of these associations can be useful for various diagnostic and treatment planning purposes. PMID:22276257

Dahiya, Parveen; Kamal, Reet; Gupta, Rajan

2012-01-01

274

Rumination and negative symptoms in schizophrenia.  

PubMed

Rumination is thought to be an important maintaining factor in depression. Depressive symptomatology is also a prominent feature in schizophrenia. However, little is known about the relationship between rumination and symptoms, such as depression and negative symptoms, in schizophrenia. The present study examined associations between rumination and symptoms in a group of 37 stable medicated patients with schizophrenia. All participants were clinically assessed on their symptoms and completed self-reported measures of depression and rumination. The findings showed that negative symptoms, especially emotional withdrawal and stereotyped thinking, but not depressive symptomatology, were associated with rumination in the present sample of patients with schizophrenia. If the findings are replicated, interventions that reduce rumination and rigid thinking might be helpful to reduce some negative symptoms of psychosis. PMID:19752652

Halari, Rozmin; Premkumar, Preethi; Farquharson, Lorna; Fannon, Dominic; Kuipers, Elizabeth; Kumari, Veena

2009-09-01

275

Advanced Health Management System for the Space Shuttle Main Engine  

NASA Technical Reports Server (NTRS)

Boeing-Canoga Park (BCP) and NASA-Marshall Space Flight Center (NASA-MSFC) are developing an Advanced Health Management System (AHMS) for use on the Space Shuttle Main Engine (SSME) that will improve Shuttle safety by reducing the probability of catastrophic engine failures during the powered ascent phase of a Shuttle mission. This is a phased approach that consists of an upgrade to the current Space Shuttle Main Engine Controller (SSMEC) to add turbomachinery synchronous vibration protection and addition of a separate Health Management Computer (HMC) that will utilize advanced algorithms to detect and mitigate predefined engine anomalies. The purpose of the Shuttle AHMS is twofold; one is to increase the probability of successfully placing the Orbiter into the intended orbit, and the other is to increase the probability of being able to safely execute an abort of a Space Transportation System (STS) launch. Both objectives are achieved by increasing the useful work envelope of a Space Shuttle Main Engine after it has developed anomalous performance during launch and the ascent phase of the mission. This increase in work envelope will be the result of two new anomaly mitigation options, in addition to existing engine shutdown, that were previously unavailable. The added anomaly mitigation options include engine throttle-down and performance correction (adjustment of engine oxidizer to fuel ratio), as well as enhanced sensor disqualification capability. The HMC is intended to provide the computing power necessary to diagnose selected anomalous engine behaviors and for making recommendations to the engine controller for anomaly mitigation. Independent auditors have assessed the reduction in Shuttle ascent risk to be on the order of 40% with the combined system and a three times improvement in mission success.

Davidson, Matt; Stephens, John

2004-01-01

276

Perceptions of Health Information Management Educational and Practice Experiences  

PubMed Central

Introduction Undergraduate students’ progress toward achievement of learning outcomes and entry-level competencies is an essential ingredient in efforts to meet the needs of the evolving national healthcare information infrastructure. Therefore, studies to evaluate variance in outcome assessment methods and perceived adequacy of educational curricula used by health information management (HIM) programs are vital. This study examined perceptions of HIM students, faculty, and individuals employed in healthcare regarding educational experiences and career preparation. Methods A convenience sample of attendees from the American Health Information Management Association (AHIMA) national conference in Atlanta, Georgia, was obtained. A survey was developed on the basis of a review of current literature related to the assessment of HIM educational programming. The authors used a prepared script to describe the study purpose and survey when approaching potential respondents. Completion of the survey was voluntary. Results Of the 100 surveys distributed, 58 were returned. Twenty-six respondents were employed in healthcare, 25 were students, and 7 were HIM faculty members; no respondents were HIM program directors. Ninety-six percent of the student respondents indicated that the programs’ HIM curriculum prepared them for an entry-level position, while 86 percent of the faculty respondents and 70 percent of the respondents employed in healthcare agreed with this statement. More than half (56 percent) of the respondents who were employed in healthcare indicated that they needed additional training when they entered their first entry-level position. The majority of the respondents indicated that they were not matched with a mentor during their educational experience. Conclusions This research supports the complementary roles that educational coursework and practical experiences provide individuals within the HIM field. However, additional research is needed to assess the potential impact of varied practical experiences and mentoring relationships on the students’ successful transition into the workforce. PMID:25214821

Bates, Mari; Black, Clarence; Blair, Franchesica; Davis, Laquanda; Ingram, Steven; Lane, DaQuandra; McElderry, Alicia; Peagler, Bianca; Pickett, Jamie; Plettenberg, Cheryl; Hart-Hester, Susan

2014-01-01

277

Brief report: adolescents' co-rumination with mothers, co-rumination with friends, and internalizing symptoms.  

PubMed

The current research examined co-rumination (extensively discussing, rehashing, and speculating about problems) with mothers and friends. Of interest was exploring whether adolescents who co-ruminate with mothers were especially likely to co-ruminate with friends as well as the interplay among co-rumination with mothers, co-rumination with friends, and anxious/depressed symptoms. Early- to mid-adolescents (N = 393) reported on co-rumination and normative self-disclosure with mothers and friends and on their internalizing symptoms in this cross-sectional study. Co-rumination with mothers (but not normative self-disclosure) was concurrently associated with adolescents' co-rumination with friends. In addition, the relation between co-rumination with mothers and adolescents' anxious/depressed symptoms reported previously (Waller & Rose, 2010) became non-significant when co-rumination with friends was statistically controlled. This suggests that the relation between friendship co-rumination and anxious/depressed symptoms may help explain the relation between mother-child co-rumination and anxious/depressed symptoms. Potential implications for promoting adolescents' well-being are discussed. PMID:23398818

Waller, Erika M; Rose, Amanda J

2013-04-01

278

Data Fusion for Enhanced Aircraft Engine Prognostics and Health Management  

NASA Technical Reports Server (NTRS)

Aircraft gas-turbine engine data is available from a variety of sources, including on-board sensor measurements, maintenance histories, and component models. An ultimate goal of Propulsion Health Management (PHM) is to maximize the amount of meaningful information that can be extracted from disparate data sources to obtain comprehensive diagnostic and prognostic knowledge regarding the health of the engine. Data fusion is the integration of data or information from multiple sources for the achievement of improved accuracy and more specific inferences than can be obtained from the use of a single sensor alone. The basic tenet underlying the data/ information fusion concept is to leverage all available information to enhance diagnostic visibility, increase diagnostic reliability and reduce the number of diagnostic false alarms. This report describes a basic PHM data fusion architecture being developed in alignment with the NASA C-17 PHM Flight Test program. The challenge of how to maximize the meaningful information extracted from disparate data sources to obtain enhanced diagnostic and prognostic information regarding the health and condition of the engine is the primary goal of this endeavor. To address this challenge, NASA Glenn Research Center, NASA Dryden Flight Research Center, and Pratt & Whitney have formed a team with several small innovative technology companies to plan and conduct a research project in the area of data fusion, as it applies to PHM. Methodologies being developed and evaluated have been drawn from a wide range of areas including artificial intelligence, pattern recognition, statistical estimation, and fuzzy logic. This report will provide a chronology and summary of the work accomplished under this research contract.

Volponi, Al

2005-01-01

279

Snout Shape in Extant Ruminants  

PubMed Central

Snout shape is a prominent aspect of herbivore feeding ecology, interacting with both forage selectivity and intake rate. Previous investigations have suggested ruminant feeding styles can be discriminated via snout shape, with grazing and browsing species characterised by ‘blunt’ and ‘pointed’ snouts respectively, often with specification of an ‘intermediate’ sub-grouping to represent ambiguous feeding styles and/or morphologies. Snout shape morphology is analysed here using a geometric morphometric approach to compare the two-dimensional profiles of the premaxilla in ventral aspect for a large sample of modern ruminant species, for which feeding modes are known from secondary criteria. Results suggest that, when browsing and grazing ruminants are classified ecologically based on a range of feeding style indicators, they cannot be discriminated unambiguously on the basis of snout profile shape alone. Profile shapes in our sample form a continuum with substantial overlap between groupings and a diverse range of morphologies. Nevertheless, we obtained an 83.8 percent ratio of correct post hoc feeding style categorisations based on the proximity of projected profile shapes to group centroids in the discriminant space. Accordingly, this procedure for identifying species whose feeding strategy is ‘unknown’ can be used with a reasonable degree of confidence, especially if backed-up by additional information. Based on these results we also refine the definitions of snout shape varieties, taking advantage of the descriptive power that geometric morphometrics offers to characterize the morphological disparities observed. The shape variance exhibited by both browsing and grazing ruminants corresponds strongly to body mass, providing further evidence for an interaction between snout shape, feeding style, and body size evolution. Finally, by exploring the role of phylogenetic similarity in snout shape, we find a slight increase in successful categorisation when repeating the analysis with phylogenetic control on the geometric profiles. PMID:25372878

Tennant, Jonathan P.; MacLeod, Norman

2014-01-01

280

Complexity of ruminant masticatory evolution.  

PubMed

The evolution of robust jaws, hypsodont teeth, and large chewing muscles among grazing ruminants is a quintessential example of putative morphological adaptation. However, the degree of correlated evolution (i.e., to what extent the grazer feeding apparatus represents an evolutionary module), especially of soft and hard tissues, remains poorly understood. Recent generation of large datasets and phylogenetic information has made testing hypotheses of correlated evolution possible. We, therefore, test for correlated evolution among various traits of the ruminant masticatory apparatus including tooth crown height, jaw robustness, chewing muscle size, and characters of the molar occlusal surfaces, using phylogenetic and nonphylogenetic comparative methods as well as phylogenetic evolutionary model selection. We find that the large masseter muscles of grazing ruminants evolved with the inclusion of grass in the diet, an increase in the proportion of occlusal enamel bands oriented parallel to the chewing stroke, and possibly hypsodonty. We suggest that the masseter evolved under two evolutionary regimes: i) selection for higher masticatory forces during chewing and ii) flattening of the tooth profile, which resulted in reduced tooth guidance and, thus, a requirement for more chewing muscle activity during each chewing stroke, in agreement with previous research. The linear jaw metrics (depth of the mandibular angle, mandibular angle width, and length of the superficial masseteric scar) all show correlated evolution with hypsodonty and the proportion of enamel bands oriented parallel to the chewing stroke. We suggest that changes in the shape of the mandible represent the combined effects of selection for a reorientation of the chewing stroke, so as to emphasize horizontal translation of the teeth, and accommodation of high-crowned teeth. Our analyses show that the ruminant feeding apparatus is an evolutionary mosaic with its various components showing both correlated and independent evolution. PMID:24753298

Fraser, Danielle; Rybczynski, Natalia

2014-10-01

281

Prognostics Health Management for Advanced Small Modular Reactor Passive Components  

SciTech Connect

In the United States, sustainable nuclear power to promote energy security is a key national energy priority. Advanced small modular reactors (AdvSMR), which are based on modularization of advanced reactor concepts using non-light-water reactor (LWR) coolants such as liquid metal, helium, or liquid salt may provide a longer-term alternative to more conventional LWR-based concepts. The economics of AdvSMRs will be impacted by the reduced economy-of-scale savings when compared to traditional LWRs and the controllable day-to-day costs of AdvSMRs are expected to be dominated by operations and maintenance costs. Therefore, achieving the full benefits of AdvSMR deployment requires a new paradigm for plant design and management. In this context, prognostic health management of passive components in AdvSMRs can play a key role in enabling the economic deployment of AdvSMRs. In this paper, the background of AdvSMRs is discussed from which requirements for PHM systems are derived. The particle filter technique is proposed as a prognostics framework for AdvSMR passive components and the suitability of the particle filter technique is illustrated by using it to forecast thermal creep degradation using a physics-of-failure model and based on a combination of types of measurements conceived for passive AdvSMR components.

Meyer, Ryan M.; Ramuhalli, Pradeep; Coble, Jamie B.; Mitchell, Mark R.; Wootan, David W.; Hirt, Evelyn H.; Berglin, Eric J.; Bond, Leonard J.; Henager, Charles H.

2013-10-18

282

9 CFR 93.404 - Import permits for ruminants and for ruminant test specimens for diagnostic purposes; and...  

Code of Federal Regulations, 2012 CFR

...be required in the form of certificates concerning specific diseases to which the ruminants are susceptible, as well as vaccinations or other precautionary treatments to which the ruminants or ruminant test specimens have been subjected. Notice of any...

2012-01-01

283

9 CFR 93.404 - Import permits for ruminants and for ruminant test specimens for diagnostic purposes; and...  

Code of Federal Regulations, 2011 CFR

...be required in the form of certificates concerning specific diseases to which the ruminants are susceptible, as well as vaccinations or other precautionary treatments to which the ruminants or ruminant test specimens have been subjected. Notice of any...

2011-01-01

284

9 CFR 93.404 - Import permits for ruminants and for ruminant test specimens for diagnostic purposes; and...  

Code of Federal Regulations, 2010 CFR

...be required in the form of certificates concerning specific diseases to which the ruminants are susceptible, as well as vaccinations or other precautionary treatments to which the ruminants or ruminant test specimens have been subjected. Notice of any...

2010-01-01

285

9 CFR 93.404 - Import permits for ruminants and for ruminant test specimens for diagnostic purposes; and...  

Code of Federal Regulations, 2013 CFR

...be required in the form of certificates concerning specific diseases to which the ruminants are susceptible, as well as vaccinations or other precautionary treatments to which the ruminants or ruminant test specimens have been subjected. Notice of any...

2013-01-01

286

9 CFR 93.404 - Import permits for ruminants and for ruminant test specimens for diagnostic purposes; and...  

Code of Federal Regulations, 2014 CFR

...be required in the form of certificates concerning specific diseases to which the ruminants are susceptible, as well as vaccinations or other precautionary treatments to which the ruminants or ruminant test specimens have been subjected. Notice of any...

2014-01-01

287

Toxicology of sulfur in ruminants: review  

SciTech Connect

This review deals with the toxicology of sulfur in ruminants including toxicity, neurotoxic effects, and mechanism of toxic action of hydrogen sulfide, clinical signs, and treatment. It will report effects of excessive intake of sulfur by ruminants on feed intake, animal performance, ruminal digestion and motility, rumination, and other physiological functions. Poisoning of animals with sulfur from industrial emissions (sulfur dioxide) also is discussed. Excessive quantities of dietary sulfur (above .3 to .4%) as sulfate or elemental sulfur may cause toxic effects and in extreme cases can be fatal. The means is discussed whereby consumption of excessive amounts of sulfur leads to toxic effects. 53 references, 1 table.

Kandylis, K.

1984-10-01

288

Concepts for image management and communication system for space vehicle health management  

NASA Astrophysics Data System (ADS)

On a space vehicle, the Crew Health Care System will handle minor accidents or illnesses immediately, thereby eliminating the necessity of early mission termination or emergency rescue. For practical reasons, only trained personnel with limited medical experience can be available on space vehicles to render preliminary health care. There is the need to communicate with medical experts at different locations on earth. Interplanetary Image Management and Communication System (IIMACS) will be a bridge between worlds and deliver medical images acquired in space to physicians at different medical centers on earth. This paper discusses the implementation of IIMACS by extending the Global Picture Archiving and Communication System (GPACS) being developed to interconnect medical centers on earth. Furthermore, this paper explores system requirements of IIMACS and different user scenarios. Our conclusion is that IIMACS is feasible using the maturing technology base of GPACS.

Alsafadi, Yasser; Martinez, Ralph

289

TOWARDS LIFE-CYCLE MANAGEMENT OF WIND TURBINES BASED ON STRUCTURAL HEALTH MONITORING  

E-print Network

TOWARDS LIFE-CYCLE MANAGEMENT OF WIND TURBINES BASED ON STRUCTURAL HEALTH MONITORING K. Smarsly1, Germany ABSTRACT The integration of structural health monitoring (SHM) into life-cycle management (LCM work at minimum associated life-cycle costs. Monitoring data, i.e. structural, environmental

Stanford University

290

FOREST MANAGEMENT PRACTICES AND THE OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION LOGGING STANDARD  

Microsoft Academic Search

The Occupational Safety and Health Administration (OSHA) has established safety and health regulations for the logging industry. These new regulations move beyond the prior OSHA pulpwood harvesting standard by including sawtimber harvesting operations. Because logging is a major tool used by forest managers to meet silvicultural goals, managers must be aware of what the OSHA standard would mean to them.

John R. Myers; David Elton Fosbroke

291

Automated information systems provide health information management support to veterans' healthcare.  

PubMed

The Veterans Health Administration has implemented a comprehsnsive DHCP which supports the VA healthcare system at both local and national levels. Numerous clinical and management modules have been developed; an overview was given of selected applications impacting health information managers. Continuing development includes an automated clinical record and expanded electronic data exchange. PMID:10119086

Lloyd, S S

1992-06-01

292

NASA aviation safety program: Aircraft Engine Health Management Data Mining Tools roadmap  

Microsoft Academic Search

Aircraft Engine Health Management Data Mining Tools is a project led by NASA Glenn Research Center in support of the NASA Aviation Safety Program's Aviation System Monitoring and Modeling Thrust. The objective of the Glenn-led effort is to develop enhanced aircraft engine health management prognostic and diagnostic methods through the application of data mining technologies to operational data and maintenance

Jonathan Litt; Donald L. Simon; Claudia Meyer; Hans DePold; J. R. Curtiss; Howard Winston; Yao Wang; Irv Statler; Yuri Gawdiak

2000-01-01

293

Texting to engage patients on their own terms A new paradigm for population health management  

E-print Network

Texting to engage patients on their own terms A new paradigm for population health management White Paper Executive Summary As the healthcare industry moves from volume-based to value-based reimbursement, the focus of healthcare systems and accountable care organizations is moving to population health management

Fisher, Kathleen

294

Training Health Care Professionals to Manage Overweight Adolescents: Experience in Rural Georgia Communities  

ERIC Educational Resources Information Center

Context: The obesity epidemic threatens the present and future health of adolescents in the United States. Yet, health care providers lack specific training for pediatric obesity assessment and management. Purpose: This study examined the adherence of rural Georgia primary care practitioners to an overweight adolescent management protocol. The…

Dennison, David A.; Yin, Zenong; Kibbe, Debra; Burns, Susan; Trowbridge, Frederick

2008-01-01

295

Co-rumination via cellphone moderates the association of perceived interpersonal stress and psychosocial well-being in emerging adults.  

PubMed

Adolescents' and emerging adults' social interactions increasingly revolve around cellphone use, but little research has investigated the psychological properties of cellphone interactions. The current study explored co-rumination via cellphone; that is, the use of cellphone functions to excessively communicate about problems or negative feelings. Face-to-face co-rumination and co-rumination via cellphone were examined as potential moderators of the association between perceived interpersonal stress and psychosocial well-being (i.e., positive mental health and social burnout) in a sample of 142 college students. Face-to-face co-rumination was not a moderator. However, co-rumination via cellphone was a significant moderator such that higher levels of perceived interpersonal stress were associated with lower levels of well-being only among college students who reported higher levels of co-rumination via cellphone. Co-rumination via cellphone should be further investigated to elucidate its developmental trajectory and mental health correlates. PMID:25460677

Murdock, Karla Klein; Gorman, Sarah; Robbins, Maia

2015-01-01

296

Smart Sensors' Role in Integrated System Health Management  

NASA Technical Reports Server (NTRS)

During the last decade, there has been a major effort in the aerospace industry to reduce the cost per pond of payload and become competitive in the international market. Competition from Europe, Japan, and China has reduced this cost to almost a third from 1990 to 2000. This cost has leveled in recent years to an average price of around $12,000/pound of payload. One of NASA's goals is to promote the development of technologies to reduce this cost by a factor of 10 or more Exploration of space, specially manned exploration missions, involves very complex launch and flight vehicles, associated ground support systems, and extensive human support during all phases of the mission. When considering the Space Shuttle Program, we can see that vehicle and ground support systems' processing, operation, and maintenance represent a large percentage of the program cost and time. Reducing operating, processing and maintenance costs will greatly reduce the cost of Exploration programs. The Integrated System Health Management (ISHM) concept is one of the technologies that will help reduce these operating, processing and maintenance costs. ISHM is an integrated health monitoring system applicable to both flight and ground systems. It automatically and autonomously acquires information from sensors and actuators and processes that information using the ISHM-embedded knowledge. As a result, it establishes the health of the system based on the acquired information and its prior knowledge. When this concept is fully implemented, ISHM systems shall be able to perform failure prediction and remediation before actual hard failures occurs, preventing its costly consequences. Data sources, sensors, and their associated data acquisition systems, constitute the foundation of the system. A smart sensing architecture is required to support the acquisition of reliable, high quality data, required by the ISHM. A thorough definition of the smart sensor architectures, their embedded diagnostic agents, and communication protocols need to be established and standardized to allow the embedding and exchange of health information among sensors and ISHM. This workshop is aimed to foster the exchange of ideas and lessons learned between government, industry and academia to aid in the establishment of ISHM (and smart sensors) standards and guidelines as well as to identify present technology gaps that will have to be overcome to successfully achieve this goal.

Perotti, Jose M.; Mata, Carlos

2005-01-01

297

75 FR 54804 - Safety and Health Management Programs for Mines  

Federal Register 2010, 2011, 2012, 2013, 2014

...DEPARTMENT OF LABOR Mine Safety and Health Administration 30 CFR...AGENCY: Mine Safety and Health Administration, Labor. ACTION: Notice of public...Assistant Secretary of Labor, for Mine Safety and Health. [FR Doc....

2010-09-09

298

A Basic Strategy to Manage Global Health with Reference to Livestock Production in Asia  

PubMed Central

Newly emerging infectious diseases (nEIDs) have increased rapidly presenting alarming challenges to global health. We argue that for effective management of global health a basic strategy should include at least three essential tactical forms: actions of a directly focused nature, institutional coordination, and disciplinary integration in approaches to health management. Each level of action is illustrated with examples from the livestock sector in Asia. No clear example of all three tactical forms in place can be found from developing countries where food security is a significant threat although Vietnam is developing a comprehensive strategy. Finally, an ecosystem health approach to global health management is advocated; such an approach moves away from the traditional single disciplinary approach. Stronger guidance is needed to direct ecohealth research and application in the management of global health. PMID:22135772

Hall, David C.; Le, Quynh Ba

2011-01-01

299

Leadership Frames and Perceptions of Effectiveness among Health Information Management Program Directors  

PubMed Central

Leadership is important to health science education. For program effectiveness, directors should possess leadership skills to appropriately lead and manage their departments. Therefore, it is important to explore the leadership styles of programs' leaders as health science education is undergoing reform. Program directors of two and four-year health information management programs were surveyed to determine leadership styles. The study examined leadership styles or frames, the number of leadership frames employed by directors, and the relationship between leadership frames and their perceptions of their effectiveness as a manager and as a leader. The study shows that program directors are confident of their human resource and structural skills and less sure of the political and symbolic skills required of leaders. These skills in turn are correlated with their self-perceived effectiveness as managers and leaders. Findings from the study may assist program directors in their career development and expansion of health information management programs as a discipline within the health science field. As academic health centers receive greater pressure from the Institute of Medicine and accrediting agencies to reform health science education, the question of leadership arises. These centers have taken a leadership role in reforming health professional education by partnering with educational institutions to improve the health of communities. To achieve health education reform, health sciences educators must apply effective leadership skills.1 College and university leadership is challenged on how to best approach educational reform across health science fields. This article discusses leadership styles employed by program directors of one health science department, health information management, in directing programs for health science education reform. PMID:18066358

Sasnett, Bonita; Ross, Thomas

2007-01-01

300

Managers’ understanding of workplace health promotion within small and medium-sized enterprises: A phenomenological study  

Microsoft Academic Search

Objective: This study aimed at exploring managers’ understanding of workplace health promotion and experiences of workplace health promotion activity within small and medium-sized enterprises.Design: A Heideggerian interpretive phenomenological methodology was adopted.Setting: This study was undertaken with small and medium-sized enterprise managers from a Health and Social Care Trust area of Northern Ireland.Method: In-depth telephone interviews were carried out with a

Ann Moore; Kader Parahoo; Paul Fleming

2011-01-01

301

Development of diagnostic and prognostic technologies for aerospace health management applications  

Microsoft Academic Search

Effective aerospace health management integrates component, subsystem and system level health monitoring strategies, consisting of anomaly\\/diagnostic\\/prognostic technologies, with an integrated modeling architecture that addresses failure mode mitigation and life cycle costs. Included within such health management systems will be various failure mode diagnostic and prognostic (D\\/P) approaches ranging from generic signal processing and experience-based algorithms to the more complex knowledge

Michael J. Roemer; E. O. Nwadiogbu; G. Bloor

2001-01-01

302

Incorporating Personal Health Records into the Disease Management of Rural Heart Failure Patients  

ERIC Educational Resources Information Center

Personal Health Records (PHRs) allow patients to access and in some cases manage their own health records. Their potential benefits include access to health information, enhanced asynchronous communication between patients and clinicians, and convenience of online appointment scheduling and prescription refills. Potential barriers to PHR use…

Baron, Karen Parsley

2012-01-01

303

Empowering the self: Using the terror management health model to promote breast self-examination  

Microsoft Academic Search

According to the terror management health model, when thoughts of death are non-consciously activated, health decisions should be influenced by identity-relevant motivations. Therefore, in this context, framing a health behavior as a tool to empower the self should increase intentions to engage in the behavior and enhanced feelings of empowerment after doing so. In Study 1, women for whom death

Douglas P. Cooper; Jamie L. Goldenberg; Jamie Arndt

2011-01-01

304

Smart wearable systems for personalised health management: current R&D and future challenges  

Microsoft Academic Search

Remote health monitoring has the potential to improve the quality of health services and to reduce the total cost in healthcare by avoiding unnecessary hospitalisations and ensuring that those who need urgent care get it sooner. In conjunction with cost-effective telemedicine platforms, remote health monitoring can significantly contribute to the enhancement of disease prevention, early diagnosis, disease management, treatment and

A. Lymberis

2003-01-01

305

Animal Health and Management and Their Impact on Economic Efficiency1  

Microsoft Academic Search

Relationships between animal health and economic efficiency were examined using data from genetic investigations and management studies. Genetic investiga- tions have indicated that cows bred for high production do require more health care, but that increased costs for health care negate only a small fraction of the greater returns from cows that are genet- ically superior for yield traits. These

C. W. Young; V. R. Eidman; J. K. Reneau

1985-01-01

306

Organizational network analysis provides evidence-based decision support for health department managers preparing for accreditation  

E-print Network

Organizational network analysis provides evidence-based decision support for health department health practice decisions. "Show source of infor- mation concerning the evi- dence-based or promising managers preparing for accreditation Evidence demonstrates that local health departments can benefit from

Sadeh, Norman M.

307

Cyber-Management of People with Chronic Disease: A Potential Solution to eHealth Challenges  

ERIC Educational Resources Information Center

The evolving eHealth agenda presents a range of potential opportunities for the management and prevention of chronic disease. This paper identifies issues and barriers to the uptake of eHealth and describes a strategy ("Healthy Outcomes for Australians"[C]-HOFA) for creating a central knowledge filter and cyber space method for tracking health

Laakso, E-Liisa; Armstrong, Kylie; Usher, Wayne

2012-01-01

308

Gender Differences in Medication Management Capacity in HIV Infection: The Role of Health Literacy and Numeracy  

Microsoft Academic Search

Health literacy is emerging as a key element for successful medication management and empirical support for the efficacy of\\u000a numeracy in the health context is rising as well. Little is known, however, about their unique effects among women and men.\\u000a Given the importance of accurate medication management for effective treatment of HIV, the relation of these variables to\\u000a medication management

Drenna Waldrop-Valverde; Deborah L. Jones; Dushyantha Jayaweera; Peggy Gonzalez; Javier Romero; Raymond L. Ownby

2009-01-01

309

[Development of an instrument for the assessment of demand and monitoring of the health management in a health insurance].  

PubMed

To identify and follow up the health relevant effects of change-management-projects and to determine improvements in activities following this change a specific health-controlling instrument with benchmarking options has been developed. This instrument applies scientific quality standards and shows the organisational value in form of an index (BGM-Systemindex). It shows the correlation between the four indices management system, health-related actions, health and absence rate and allows a qualitative view of corporate health promotion on and its long term effects. The initiator for the project was an employee survey, which showed a need for action to improve job satisfaction. The survey was the reason that management initiated an integral change-management-project. The project showed many interfaces with the corporate health promotion (BGM), thus enabling consequent changes to be made and their effects to be evaluated. The aim of the project was to clearly increase employee satisfaction up to the next employee survey. Overall the project can be considered a success as the main aim of the project to increase the employees job satisfaction in the given period of time was clearly accomplished. The BGM-Systemindex also stood the test for comprehensive monitoring of the employees health. The project was able to prove that the health relevant parameters could be optimised and that the quality, acceptance and efficiency of the intervention methods had improved. It also showed a positive development of the early and long term health indicators. This is a positive contrast to available literature, which shows that an insufficient or incorrectly used change management results in a lower employee satisfaction. As a result it was decided to use the tool in future. PMID:25000628

Burnus, M; Benner, V; Becker, L; Müller, D; Stock, S

2014-06-01

310

Review article Ruminant milk fat plasticity  

E-print Network

Review article Ruminant milk fat plasticity: nutritional control of saturated, polyunsaturated effects of diet on ruminant milk fat composition. Special attention is given to fatty acids that could:5, C22:5 and C22:6, from the duodenum to the milk, is reviewed. The main dietary factors taken

Paris-Sud XI, Université de

311

Effects of Peanut Butter on Ruminating.  

ERIC Educational Resources Information Center

Effects of supplementary peanut butter on rumination behavior among five institutionalized mentally retarded adults were studied, by independently manipulating caloric density versus consistency of the peanut butter. Results showed an inverse relationship between rates of rumination and amount of peanut butter consumed, an effect primarily…

Greene, Katherine S.; And Others

1991-01-01

312

A Support Database System for Integrated System Health Management (ISHM)  

NASA Technical Reports Server (NTRS)

The development, deployment, operation and maintenance of Integrated Systems Health Management (ISHM) applications require the storage and processing of tremendous amounts of low-level data. This data must be shared in a secure and cost-effective manner between developers, and processed within several heterogeneous architectures. Modern database technology allows this data to be organized efficiently, while ensuring the integrity and security of the data. The extensibility and interoperability of the current database technologies also allows for the creation of an associated support database system. A support database system provides additional capabilities by building applications on top of the database structure. These applications can then be used to support the various technologies in an ISHM architecture. This presentation and paper propose a detailed structure and application description for a support database system, called the Health Assessment Database System (HADS). The HADS provides a shared context for organizing and distributing data as well as a definition of the applications that provide the required data-driven support to ISHM. This approach provides another powerful tool for ISHM developers, while also enabling novel functionality. This functionality includes: automated firmware updating and deployment, algorithm development assistance and electronic datasheet generation. The architecture for the HADS has been developed as part of the ISHM toolset at Stennis Space Center for rocket engine testing. A detailed implementation has begun for the Methane Thruster Testbed Project (MTTP) in order to assist in developing health assessment and anomaly detection algorithms for ISHM. The structure of this implementation is shown in Figure 1. The database structure consists of three primary components: the system hierarchy model, the historical data archive and the firmware codebase. The system hierarchy model replicates the physical relationships between system elements to provide the logical context for the database. The historical data archive provides a common repository for sensor data that can be shared between developers and applications. The firmware codebase is used by the developer to organize the intelligent element firmware into atomic units which can be assembled into complete firmware for specific elements.

Schmalzel, John; Figueroa, Jorge F.; Turowski, Mark; Morris, John

2007-01-01

313

Competency requirements for middle and senior managers in community health services.  

PubMed

The Australian health system has been subjected to rapid changes in the last 20 years to meet increasingly unmet health needs. Improvement of the efficiency and comprehensiveness of community-based services is one of the solutions to reducing the increasing demand for hospital care. Competent managers are one of the key contributors to effective and efficient health service delivery. However, the understanding of what makes a competent manager, especially in the community health services (CHS), is limited. Using an exploratory and mixed-methods approach, including focus group discussions and an online survey, this study identified five key competencies required by senior and mid-level CHS managers in metropolitan, regional and rural areas of Victoria: Interpersonal, communication qualities and relationship management; Operations, administration and resource management; Knowledge of the health care environment; Leading and managing change; and Evidence-informed decision-making. This study confirms that core competencies do exist across different management levels and improves our understanding of managerial competency requirements for middle to senior CHS managers, with implications for current and future health service management workforce development. PMID:23007275

Liang, Zhanming; Howard, Peter F; Koh, Lee C; Leggat, Sandra

2013-01-01

314

A Meta-Analysis of Health Status, Health Behaviors, and Health Care Utilization Outcomes of the Chronic Disease Self-Management Program  

PubMed Central

Introduction The Chronic Disease Self-Management Program (CDSMP) is a community-based self-management education program designed to help participants gain confidence (self-efficacy) and skills to better manage their chronic conditions; it has been implemented worldwide. The objective of this meta-analysis was to quantitatively synthesize the results of CDSMP studies conducted in English-speaking countries to determine the program’s effects on health behaviors, physical and psychological health status, and health care utilization at 4 to 6 months and 9 to 12 months after baseline. Methods We searched 8 electronic databases to identify CDSMP-relevant literature published from January 1, 1999, through September 30, 2009; experts identified additional unpublished studies. We combined the results of all eligible studies to calculate pooled effect sizes. We included 23 studies. Eighteen studies presented data on small English-speaking groups; we conducted 1 meta-analysis on these studies and a separate analysis on results by other delivery modes. Results Among health behaviors for small English-speaking groups, aerobic exercise, cognitive symptom management, and communication with physician improved significantly at 4- to 6-month follow-up; aerobic exercise and cognitive symptom management remained significantly improved at 9 to 12 months. Stretching/strengthening exercise improved significantly at 9 to 12 months. All measures of psychological health improved significantly at 4 to 6 months and 9 to 12 months. Energy, fatigue, and self-rated health showed small but significant improvements at 4 to 6 months but not at 9 to 12 months. The only significant change in health care utilization was a small improvement in the number of hospitalization days or nights at 4 to 6 months Conclusion Small to moderate improvements in psychological health and selected health behaviors that remain after 12 months suggest that CDSMP delivered in small English-speaking groups produces health benefits for participants and would be a valuable part of comprehensive chronic disease management strategy. PMID:23327828

Murphy, Louise; O’Colmain, Benita J.; Beauchesne, Danielle; Daniels, Brandy; Greenberg, Michael; House, Marnie; Chervin, Doryn

2013-01-01

315

Misfit and Match: The Frontline Management Initiative in the Community Services and Health Industry.  

ERIC Educational Resources Information Center

The application of frontline management training in the community and health services (CS&H) industry in Victoria, Australia, was examined through interviews with managers of 11 user and 11 provider organizations in the public and private sectors. The study focused on the following topics: (1) the appropriateness of the Frontline Management

Roos, Ian; Smith, Chris Selby; Wright, Liz

316

A structural model decomposition framework for systems health management  

NASA Astrophysics Data System (ADS)

Systems health management (SHM) is an important set of technologies aimed at increasing system safety and reliability by detecting, isolating, and identifying faults; and predicting when the system reaches end of life (EOL), so that appropriate fault mitigation and recovery actions can be taken. Model-based SHM approaches typically make use of global, monolithic system models for online analysis, which results in a loss of scalability and efficiency for large-scale systems. Improvement in scalability and efficiency can be achieved by decomposing the system model into smaller local submodels and operating on these submodels instead. In this paper, the global system model is analyzed offline and structurally decomposed into local submodels. We define a common model decomposition framework for extracting submodels from the global model. This framework is then used to develop algorithms for solving model decomposition problems for the design of three separate SHM technologies, namely, estimation (which is useful for fault detection and identification), fault isolation, and EOL prediction. We solve these model decomposition problems using a three-tank system as a case study.

Roychoudhury, I.; Daigle, M.; Bregon, A.; Pulido, B.

317

Propulsion Integrated Vehicle Health Management Technology Experiment (PITEX) Conducted  

NASA Technical Reports Server (NTRS)

The Propulsion Integrated Vehicle Health Management (IVHM) Technology Experiment (PITEX) is a continuing NASA effort being conducted cooperatively by the NASA Glenn Research Center, the NASA Ames Research Center, and the NASA Kennedy Space Center. It was a key element of a Space Launch Initiative risk-reduction task performed by the Northrop Grumman Corporation in El Segundo, California. PITEX's main objectives are the continued maturation of diagnostic technologies that are relevant to second generation reusable launch vehicle (RLV) subsystems and the assessment of the real-time performance of the PITEX diagnostic solution. The PITEX effort has considerable legacy in the NASA IVHM Technology Experiment for X-vehicles (NITEX) that was selected to fly on the X-34 subscale RLV that was being developed by Orbital Sciences Corporation. NITEX, funded through the Future-X Program Office, was to advance the technology-readiness level of selected IVHM technologies within a flight environment and to begin the transition of these technologies from experimental status into RLV baseline designs. The experiment was to perform realtime fault detection and isolation and suggest potential recovery actions for the X-34 main propulsion system (MPS) during all mission phases by using a combination of system-level analysis and detailed diagnostic algorithms.

Maul, William A.; Chicatelli, Amy K.; Fulton, Christopher E.

2004-01-01

318

Advanced Health Management System for the Space Shuttle Main Engine  

NASA Technical Reports Server (NTRS)

Pratt & Whitney Rocketdyne, Inc., in cooperation with NASA-Marshall Space Flight Center (MSFC), has developed a new Advanced Health Management System (AHMS) controller for the Space Shuttle Main Engine (SSME) that will increase the probability of successfully placing the shuttle into the intended orbit and increase the safety of the Space Transportation System (STS) launches. The AHMS is an upgrade o the current Block II engine controller whose primary component is an improved vibration monitoring system called the Real-Time Vibration Monitoring System (RTVMS) that can effectively and reliably monitor the state of the high pressure turbomachinery and provide engine protection through a new synchronous vibration redline which enables engine shutdown if the vibration exceeds predetermined thresholds. The introduction of this system required improvements and modification to the Block II controller such as redesigning the Digital Computer Unit (DCU) memory and the Flight Accelerometer Safety Cut-Off System (FASCOS) circuitry, eliminating the existing memory retention batteries, installation of the Digital Signal Processor (DSP) technology, and installation of a High Speed Serial Interface (HSSI) with accompanying outside world connectors. Test stand hot-fire testing along with lab testing have verified successful implementation and is expected to reduce the probability of catastrophic engine failures during the shuttle ascent phase and improve safely by about 23% according to the Quantitative Risk Assessment System (QRAS), leading to a safer and more reliable SSME.

Davidson, Matt; Stephens, John; Rodela, Chris

2006-01-01

319

Controls and Health Management Technologies for Intelligent Aerospace Propulsion Systems  

NASA Technical Reports Server (NTRS)

With the increased emphasis on aircraft safety, enhanced performance and affordability, and the need to reduce the environmental impact of aircraft, there are many new challenges being faced by the designers of aircraft propulsion systems. The Controls and Dynamics Technology Branch at NASA (National Aeronautics and Space Administration) Glenn Research Center (GRC) in Cleveland, Ohio, is leading and participating in various projects in partnership with other organizations within GRC and across NASA, the U.S. aerospace industry, and academia to develop advanced controls and health management technologies that will help meet these challenges through the concept of an Intelligent Engine. The key enabling technologies for an Intelligent Engine are the increased efficiencies of components through active control, advanced diagnostics and prognostics integrated with intelligent engine control to enhance component life, and distributed control with smart sensors and actuators in an adaptive fault tolerant architecture. This paper describes the current activities of the Controls and Dynamics Technology Branch in the areas of active component control and propulsion system intelligent control, and presents some recent analytical and experimental results in these areas.

Garg, Sanjay

2004-01-01

320

A Structural Model Decomposition Framework for Systems Health Management  

NASA Technical Reports Server (NTRS)

Systems health management (SHM) is an important set of technologies aimed at increasing system safety and reliability by detecting, isolating, and identifying faults; and predicting when the system reaches end of life (EOL), so that appropriate fault mitigation and recovery actions can be taken. Model-based SHM approaches typically make use of global, monolithic system models for online analysis, which results in a loss of scalability and efficiency for large-scale systems. Improvement in scalability and efficiency can be achieved by decomposing the system model into smaller local submodels and operating on these submodels instead. In this paper, the global system model is analyzed offline and structurally decomposed into local submodels. We define a common model decomposition framework for extracting submodels from the global model. This framework is then used to develop algorithms for solving model decomposition problems for the design of three separate SHM technologies, namely, estimation (which is useful for fault detection and identification), fault isolation, and EOL prediction. We solve these model decomposition problems using a three-tank system as a case study.

Roychoudhury, Indranil; Daigle, Matthew J.; Bregon, Anibal; Pulido, Belamino

2013-01-01

321

Contrle hormonal du mtabolisme hpatique chez les ruminants  

E-print Network

, France. Summary. Hormonal control of hepatic metabolism in ruminants. Insulin/glucagon control of hepatic messenger molecu- les. Liver uptake of insulin and glucagon mainly accounts for high metabolic clearance rates of these hormones in both ruminants and non-ruminants. Glucagon infusion into ruminants results

Paris-Sud XI, Université de

322

Exploiting parallels between livestock and wildlife: Predicting the impact of climate change on gastrointestinal nematodes in ruminants  

PubMed Central

Global change, including climate, policy, land use and other associated environmental changes, is likely to have a major impact on parasitic disease in wildlife, altering the spatio-temporal patterns of transmission, with wide-ranging implications for wildlife, domestic animals, humans and ecosystem health. Predicting the potential impact of climate change on parasites infecting wildlife will become increasingly important in the management of species of conservation concern and control of disease at the wildlife–livestock and wildlife–human interface, but is confounded by incomplete knowledge of host–parasite interactions, logistical difficulties, small sample sizes and limited opportunities to manipulate the system. By exploiting parallels between livestock and wildlife, existing theoretical frameworks and research on livestock and their gastrointestinal nematodes can be adapted to wildlife systems. Similarities in the gastrointestinal nematodes and the life-histories of wild and domestic ruminants, coupled with a detailed knowledge of the ecology and life-cycle of the parasites, render the ruminant-GIN host–parasite system particularly amenable to a cross-disciplinary approach. PMID:25197625

Rose, Hannah; Hoar, Bryanne; Kutz, Susan J.; Morgan, Eric R.

2014-01-01

323

Exploiting parallels between livestock and wildlife: Predicting the impact of climate change on gastrointestinal nematodes in ruminants.  

PubMed

Global change, including climate, policy, land use and other associated environmental changes, is likely to have a major impact on parasitic disease in wildlife, altering the spatio-temporal patterns of transmission, with wide-ranging implications for wildlife, domestic animals, humans and ecosystem health. Predicting the potential impact of climate change on parasites infecting wildlife will become increasingly important in the management of species of conservation concern and control of disease at the wildlife-livestock and wildlife-human interface, but is confounded by incomplete knowledge of host-parasite interactions, logistical difficulties, small sample sizes and limited opportunities to manipulate the system. By exploiting parallels between livestock and wildlife, existing theoretical frameworks and research on livestock and their gastrointestinal nematodes can be adapted to wildlife systems. Similarities in the gastrointestinal nematodes and the life-histories of wild and domestic ruminants, coupled with a detailed knowledge of the ecology and life-cycle of the parasites, render the ruminant-GIN host-parasite system particularly amenable to a cross-disciplinary approach. PMID:25197625

Rose, Hannah; Hoar, Bryanne; Kutz, Susan J; Morgan, Eric R

2014-08-01

324

Brookhaven National Laboratory/ Photon Sciences Subject: Frequently Asked Questions about Occupational Health and Safety Management System (OHSAS 18001)  

E-print Network

Occupational Health and Safety Management System (OHSAS 18001) Number: PS-ESH-0060 Revision: 2 Effective: 6 Occupational Health and Safety Management System (OHSAS 18001) Background: Everyone benefits from having a safe of accomplishing this objective. Question 1 - What is an Occupational Safety and Health Management System

Homes, Christopher C.

325

Effects of Diabetic Case Management on Knowledge, Self-Management Abilities, Health Behaviors, and Health Service Utilization for Diabetes in Korea  

PubMed Central

Purpose This study aimed to evaluate the effects of a case management program for diabetics, using a pre-post comparison design. Materials and Methods The study population comprised 6007 diabetics who received case management intervention in 2006 and were sampled nationwide in Korea. Before and after the intervention, the study population answered questions regarding their knowledge of diabetes, self-management ability, and health behaviors. Body mass index (BMI) was also calculated. Healthcare service utilization for diabetes was extracted from health insurance claim data from 2005 to 2007. Results The case management program significantly improved the study population's knowledge of diabetes and ability to self-manage nutrition, blood glucose monitoring, foot and oral care, and medications. This program also significantly changed the study population's health behaviors regarding smoking, alcohol drinking, and exercise, and BMI was positively affected. In the over-serviced subgroup, there was a significant decrease in the number of consultations (mean=7.0; SD=19.5) after intervention. Conversely, in the under-serviced subgroup, there was a significant increase in the number of consultations (mean=3.2; SD=7.9) and the days of prescribed medication (mean=66.4; SD=120.3) after intervention. Conclusion This study showed that the case management program led the study population to improve their knowledge, self-management ability, health behaviors, and utilization of health care. It is necessary in future studies to evaluate the appropriateness of healthcare usage and clinical outcome by using a control group to determine the direct effectiveness of this case management program. PMID:25510771

Shin, Soon Ae; Lee, Kunsei; Lin, Vivian; Liu, George; Shin, Eunyoung

2015-01-01

326

Ruminal microbe of biohydrogenation of trans-vaccenic acid to stearic acid in vitro  

PubMed Central

Background Optimization of the unsaturated fatty acid composition of ruminant milk and meat is desirable. Alteration of the milk and fatty acid profile was previously attempted by the management of ruminal microbial biohydrogenation. The aim of this study was to identify the group of ruminal trans-vaccenic acid (trans-11 C18:1, t-VA) hydrogenating bacteria by combining enrichment studies in vitro. Methods The enrichment culture growing on t-VA was obtained by successive transfers in medium containing t-VA. Fatty acids were detected by gas chromatograph and changes in the microbial composition during enrichment were analyzed by denaturing gradient gel electrophoresis (DGGE). Prominent DGGE bands of the enrichment cultures were identified by 16S rRNA gene sequencing. Results The growth of ruminal t-VA hydrogenating bacteria was monitored through the process of culture transfer according to the accumulation of stearic acid (C18:0, SA) and ratio of the substrate (t-VA) transformed to the product (SA). A significant part of the retrieved 16S rRNA gene sequences was most similar to those of uncultured bacteria. Bacteria corresponding to predominant DGGE bands in t-VA enrichment cultures clustered with t-VA biohydrogenated bacteria within Group B. Conclusions This study provides more insight into the pathway of biohydrogenation. It also may be important to control the production of t-VA, which has metabolic and physiological benefits, through management of ruminal biohydrogenation bacterium. PMID:22336099

2012-01-01

327

The online Managed Knowledge Network that shares knowledge for eHealth in NHS Scotland.  

PubMed

The Managed Knowledge Network (MKN) for Nurses, Midwives and the Allied Health Professions (NMAHPs) in NHS Scotland was launched in November 2007. The online portal supports the NMAHP network to manage its knowledge and information sources that facilitate engagement with the national eHealth programme and realisation of benefits that eHealth offers to improve healthcare and service delivery. It is an integrated change management and knowledge management initiative. Web2 technologies support the social networking side of knowledge management and learning, allowing people to contact each other and collaborate. MKN resources are managed within the e-Library also giving access to over 5,000 online journals and over 500 bibliographic databases. PMID:19592807

Dallest, Kathy; Strachan, Heather; Flett, Gillian

2009-01-01

328

Challenges and opportunities of health care supply chain management in the United States.  

PubMed

This article explores current supply chain management challenges and initiatives and identifies problems that affect supply chain management success in the U.S. health-care industry. In addition, it investigates the impact of health care supply chain management (SCM) initiatives on the overall organizational effectiveness. The attitudinal results, as well as the performance results presented in this study support the claim of health care proponents that the SCM allows organizations to reduce cost, improve quality, and reduce cycle time, and leads to high performance. PMID:23697853

Elmuti, Dean; Khoury, Grace; Omran, Omar; Abou-Zaid, Ahmed S

2013-01-01

329

Design and Evaluation of a Health-Focused Personal Informatics Application with Support for Generalized Goal Management  

ERIC Educational Resources Information Center

The practice of health self-management offers behavioral and problem-solving strategies that can effectively promote responsibility for one's own wellbeing, improve one's health outcomes, and decrease the cost of health services. Personal informatics applications support health self-management by allowing their users to easily track…

Medynskiy, Yevgeniy

2012-01-01

330

9 CFR 92.6 - Determination of the date of effective enforcement of a ruminant-to-ruminant feed ban.  

Code of Federal Regulations, 2014 CFR

...Determination of the date of effective enforcement of a ruminant-to-ruminant feed ban. 92.6 Section 92.6 Animals and...Determination of the date of effective enforcement of a ruminant-to-ruminant feed ban. (a) In order...

2014-01-01

331

Mental Health for Native Americans: Program Development and Management.  

ERIC Educational Resources Information Center

Current mental health services for Indian people living on and off the reservation are described for individuals interested in expanding or delivering mental health services to Indian people or in the state of the art. The conference held in July 1979 was established for the purpose of sharing information about successful mental health programs.…

Taylor, William J., Ed.

332

How do health service managers respond to qualitative research?  

Microsoft Academic Search

During 1992 a qualitative evaluation of a government health service-run community health worker (CHW) project in South Africa found that project workers were doing good work despite serious structural shortcomings related to lack of community participation and inadequate integration of the project in the health district system. Recommendations were made to develop the project in order to enhance community involvement,

Hester Van der Walt; Catherine Mathews

1995-01-01

333

Advanced Health Management Algorithms for Crew Exploration Applications  

NASA Technical Reports Server (NTRS)

Achieving the goals of the President's Vision for Exploration will require new and innovative ways to achieve reliability increases of key systems and sub-systems. The most prominent approach used in current systems is to maintain hardware redundancy. This imposes constraints to the system and utilizes weight that could be used for payload for extended lunar, Martian, or other deep space missions. A technique to improve reliability while reducing the system weight and constraints is through the use of an Advanced Health Management System (AHMS). This system contains diagnostic algorithms and decision logic to mitigate or minimize the impact of system anomalies on propulsion system performance throughout the powered flight regime. The purposes of the AHMS are to increase the probability of successfully placing the vehicle into the intended orbit (Earth, Lunar, or Martian escape trajectory), increase the probability of being able to safely execute an abort after it has developed anomalous performance during launch or ascent phases of the mission, and to minimize or mitigate anomalies during the cruise portion of the mission. This is accomplished by improving the knowledge of the state of the propulsion system operation at any given turbomachinery vibration protection logic and an overall system analysis algorithm that utilizes an underlying physical model and a wide array of engine system operational parameters to detect and mitigate predefined engine anomalies. These algorithms are generic enough to be utilized on any propulsion system yet can be easily tailored to each application by changing input data and engine specific parameters. The key to the advancement of such a system is the verification of the algorithms. These algorithms will be validated through the use of a database of nominal and anomalous performance from a large propulsion system where data exists for catastrophic and noncatastrophic propulsion sytem failures.

Davidson, Matt; Stephens, John; Jones, Judit

2005-01-01

334

Turning point revisited: launching the next generation of performance management in public health.  

PubMed

A decade ago, the Turning Point Performance Management Excellence Collaborative (Turning Point) developed the first public health-specific performance management (PM) system, with accompanying resource materials, assisted by the Public Health Foundation. Since then, dramatic advancements in PM and quality improvement activities have occurred in public health. Public Health Foundation gathered data that revealed Turning Point was still relevant but difficult to implement within public health. To reflect recent advances and current challenges, Public Health Foundation refreshed the Turning Point model and related guidance tools and developed new resources to facilitate PM implementation. In addition, a new fifth component, "Visible Leadership," was added to the 4-quadrant model and the Self-Assessment Tool. In the future, public health organizations should take an active leadership role in innovating and sustaining PM systems, ensuring they become accountable for producing outcomes, leveraging technology advances, and incorporating best practices from all stakeholders. PMID:25068709

DeAngelo, Julia W; Beitsch, Leslie M; Beaudry, Margaret L; Corso, Liza C; Estes, Larissa J; Bialek, Ron G

2014-01-01

335

Are Health Facility Management Committees in Kenya ready to implement financial management tasks: findings from a nationally representative survey  

PubMed Central

Background Community participation in peripheral public health facilities has in many countries focused on including community representatives in Health Facility Management Committees (HFMCs). In Kenya, HFMC roles are being expanded with the phased implementation of the Health Sector Services Fund (HSSF). Under HSSF, HFMCs manage facility funds which are dispersed directly from central level into facility bank accounts. We assessed how prepared HFMCs were to undertake this new role in advance of HSSF roll out, and considered the implications for Kenya and other similar settings. Methods Data were collected through a nationally representative sample of 248 public health centres and dispensaries in 24 districts in 2010. Data collection included surveys with in-charges (n?=?248), HFMC members (n?=?464) and facility users (n?=?698), and record reviews. These data were supplemented by semi-structured interviews with district health managers in each district. Results Some findings supported preparedness of HFMCs to take on their new roles. Most facilities had bank accounts and HFMCs which met regularly. HFMC members and in-charges generally reported positive relationships, and HFMC members expressed high levels of motivation and job satisfaction. Challenges included users’ low awareness of HFMCs, lack of training and clarity in roles among HFMCs, and some indications of strained relations with in-charges. Such challenges are likely to be common to many similar settings, and are therefore important considerations for any health facility based initiatives involving HFMCs. Conclusion Most HFMCs have the basic requirements to operate. However to manage their own budgets effectively and meet their allocated roles in HSSF implementation, greater emphasis is needed on financial management training, targeted supportive supervision, and greater community awareness and participation. Once new budget management roles are fully established, qualitative and quantitative research on how HFMCs are adapting to their expanded roles, especially in financial management, would be valuable in informing similar financing mechanisms in Kenya and beyond. PMID:24107094

2013-01-01

336

Propulsion Health Management System Development for Affordable and Reliable Operation of Space Exploration Systems  

NASA Technical Reports Server (NTRS)

The constraints of future Exploration Missions will require unique integrated system health management capabilities throughout the mission. An ambitious launch schedule, human-rating requirements, long quiescent periods, limited human access for repair or replacement, and long communication delays, all require an integrated approach to health management that can span distinct, yet interdependent vehicle subsystems, anticipate failure states, provide autonomous remediation and support the Exploration Mission from beginning to end. Propulsion is a critical part of any space exploration mission, and monitoring the health of the propulsion system is an integral part of assuring mission safety and success. Health management is a somewhat ubiquitous technology that encompasses a large spectrum of physical components and logical processes. For this reason, it is essential to develop a systematic plan for propulsion health management system development. This paper provides a high-level perspective of propulsion health management systems, and describes a logical approach for the future planning and early development that are crucial to planned space exploration programs. It also presents an overall approach, or roadmap, for propulsion health management system development and a discussion of the associated roadblocks and challenges.

Melcher, Kevin J.; Maul, William A.; Garg, Sanjay

2007-01-01

337

Evaluation of the ruminal bacterial diversity of cattle fed diets containing citrus pulp pellets  

Technology Transfer Automated Retrieval System (TEKTRAN)

The rumen microbial ecosystem remains a mystery from a quantitative perspective. Dietary components and changes cause shifts in the ruminal microbial ecology that can play a role in animal health and productivity, but the magnitude of these changes remains unknown. The objective of this study was ...

338

The role of ruminant trans fat as a potential nutraceutical in the prevention of cardiovascular disease  

Microsoft Academic Search

Dietary trans fat has received increasing attention over the last few years. It is now appreciated that trans fatty acids (TFA) produced by ruminants (rTFA) via ‘a natural biohydrogenation reaction’ may have disparate health effects from those produced as a by-product of industrial processing present in partially hydrogenated vegetable oils. In this review, we discuss the most recent findings from

Ye Wang; M. Miriam Jacome-Sosa; Spencer D. Proctor

339

Toxicity of unsaturated fatty acids to the biohydrogenating ruminal bacterium, Butyrivibrio fibrisolvens  

Microsoft Academic Search

: BACKGROUND: Health-promoting polyunsaturated fatty acids (PUFA) are abundant in forages grazed by ruminants and in vegetable and fish oils used as dietary supplements, but only a small proportion of PUFA finds its way into meat and milk, because of biohydrogenation in the rumen. Butyrivibrio fibrisolvens plays a major role in this activity. The aim of this study was to

Margarida RG Maia; Lal C Chaudhary; Charles S Bestwick; Anthony J Richardson; Nest McKain; Tony R Larson; Ian A Graham; Robert J Wallace

2010-01-01

340

Rumination and activity levels as predictors of calving for dairy cows.  

PubMed

The Australian dairy herd size has doubled over the last 20 years substantially increasing the time that farmers require for individual animal attention to monitor and intervene with events such as calving. Technology will help focus this limited labour resource on individual cows that require assistance. The objective of this experiment was to first determine the profiles of rumination duration and level of activity as determined by sensors between, and within, days around calving and second to use these data to predict the day of calving for pasture-based dairy cows. After 2 weeks from the expected calving date, 27 cows were fitted with SCR HR LD Tags, located in 40×90 m2 paddock and offered ad libitum oaten hay and 2 kg grain-based concentrate/cow per day until calving. Hourly activity and rumination data for each cow, as determined by the SCR tags, were fitted with linear mixed models and all parameters were estimated using restricted maximum likelihood. Rumination duration decreased by 33% over the day prior and the day of calving, with the decline in rumination duration starting the day prepartum. Activity levels were maintained prepartum but increased in the days postpartum. The day of calving was recorded and used to determine the gold standard positive (the day before calving) and negative (all other) dates. A threshold rumination level of 0.9 (decline in rumination duration of 10%) gave the optimal combination of 70% sensitivity and 70% specificity. This experiment shows the potential to use rumination duration to predict the day of calving and the opportunity to use sensor data to monitor animal health. PMID:25491656

Clark, C E F; Lyons, N A; Millapan, L; Talukder, S; Cronin, G M; Kerrisk, K L; Garcia, S C

2014-12-10

341

Deciphering the Imperative: Translating Public Health Quality Improvement into Organizational Performance Management Gains.  

PubMed

With the launching of the national public health accreditation program under the auspices of the Public Health Accreditation Board (PHAB), health department momentum around quality improvement adoption has accelerated. Domain 9 of the PHAB standards (one of 12 domains) focuses on evaluation and improvement of performance and is acting as a strong driver for quality improvement and performance management implementation within health departments. Widespread adoption of quality improvement activities in public health trails that in other US sectors. Several performance management models have received broad acceptance, including models among government and nonprofits. A model specifically for public health has been developed and is presented herein. All models in current use reinforce customer focus; streamlined, value-added processes; and strategic alignment. All are structured to steer quality improvement efforts toward organizational priorities, ensuring that quality improvement complements performance management. High-performing health departments harness the synergy of quality improvement and performance management, providing powerful tools to achieve public health strategic imperatives. Expected final online publication date for the Annual Review of Public Health Volume 36 is March 18, 2015. Please see http://www.annualreviews.org/catalog/pubdates.aspx for revised estimates. PMID:25494050

Beitsch, Leslie M; Yeager, Valerie A; Moran, John

2014-12-10

342

Management in the Ministry of Health: what are the vital signs?  

PubMed

Effective and efficient management of health services is becoming more and more important in all countries and in all organizations whether profit or non-profit. Management practices and attitudes which may have been accepted in previous years are no longer appropriate. A study was conducted in the Ministry of Health, State of Bahrain to determine the current status of management skills and attitudes. Participants were asked to identify the best and the worst practices of managers. Eight key areas of concern were identified: participative vs. non-participative style, communication, motivation, delegation, human relations skills, style of supervision, goal-oriented behavior, and use of supervisory power. In each of these management-related skill areas, examples of best and worst practices are provided in order to aid the manager/leader in self-assessing his/her abilities as a first step toward improving management. PMID:10169450

Benjamin, S; Ahmed, A A; al-Darazi, F

1997-01-01

343

Making It Local: Beacon Communities Use Health Information Technology to Optimize Care Management  

PubMed Central

Abstract Care management aims to provide cost-effective, coordinated, non-duplicative care to improve care quality, population health, and reduce costs. The 17 communities receiving funding from the Office of the National Coordinator for Health Information Technology through the Beacon Community Cooperative Agreement Program are leaders in building and strengthening their health information technology (health IT) infrastructure to provide more effective and efficient care management. This article profiles 6 Beacon Communities' health IT-enabled care management programs, highlighting the influence of local context on program strategy and design, and describing challenges, lessons learned, and policy implications for care delivery and payment reform. The unique needs (eg, disease burden, demographics), community partnerships, and existing resources and infrastructure all exerted significant influence on the overall priorities and design of each community's care management program. Though each Beacon Community needed to engage in a similar set of care management tasks—including patient identification, stratification, and prioritization; intervention; patient engagement; and evaluation—the contextual factors helped shape the specific strategies and tools used to carry out these tasks and achieve their objectives. Although providers across the country are striving to deliver standardized, high-quality care, the diverse contexts in which this care is delivered significantly influence the priorities, strategies, and design of community-based care management interventions. Gaps and challenges in implementing effective community-based care management programs include: optimizing allocation of care management services; lack of available technology tailored to care management needs; lack of standards and interoperability; integrating care management into care settings; evaluating impact; and funding and sustainability. (Population Health Management 2014;17:149–158) PMID:24476558

Allen, Amy; Des Jardins, Terrisca R.; Heider, Arvela; Kanger, Chatrian R.; Lobach, David F.; McWilliams, Lee; Polello, Jennifer M.; Schachter, Abigail A.; Singh, Ranjit; Sorondo, Barbara; Tulikangas, Megan C.; Turske, Scott A.

2014-01-01

344

Fish Health Management Considerations in Recirculating Aquaculture systems -Part 3: General  

E-print Network

Cir 122 Fish Health Management Considerations in Recirculating Aquaculture systems -Part 3: General Professor, Tropical Aquaculture Laboratory, Ruskin FL 33570, Department of Fisheries and Aquatic Sciences commonly used in aquaculture facilities, wholesale and retail tropical fish facilities, and public aquaria

Watson, Craig A.

345

CRCHD Geographical Management of Cancer Health Disparities Program (GMaP)  

Cancer.gov

GEOGRAPHICAL MANAGEMENT OF CANCER HEALTH DISPARITIES PROGRAM (GMaP) Overview Developed with American Recovery and Reinvestment Act administrative supplements, GMaP is a national program that links CRCHD’s flagship programs (the Comprehensive Partnership

346

Monitoring success of HIV/AIDS health care delivery : balancing donor requirements with internal management needs  

E-print Network

Health care delivery organizations bear the burden of meeting monitoring and evaluation requirements set by numerous external organizations often at the cost of implementing internally defined management needs. Monitoring ...

Hu, Terry

2011-01-01

347

Review of ?Managing Arsenic in the Environment: From Soil to Hman Health?  

EPA Science Inventory

This is a book review of "Managing Arsenic in the Environment: From Soil to Human Health," R. Naidu, E. Smith, G. Owens, P. Bhattacharya, and P. Nadebaum eds., CSIRO Publishing, Melbourne, Australia, 656 pp.,...

348

A Cryogenic Fluid System Simulation in Support of Integrated Systems Health Management  

NASA Technical Reports Server (NTRS)

Simulations serve as important tools throughout the design and operation of engineering systems. In the context of sys-tems health management, simulations serve many uses. For one, the underlying physical models can be used by model-based health management tools to develop diagnostic and prognostic models. These simulations should incorporate both nominal and faulty behavior with the ability to inject various faults into the system. Such simulations can there-fore be used for operator training, for both nominal and faulty situations, as well as for developing and prototyping health management algorithms. In this paper, we describe a methodology for building such simulations. We discuss the design decisions and tools used to build a simulation of a cryogenic fluid test bed, and how it serves as a core technology for systems health management development and maturation.

Barber, John P.; Johnston, Kyle B.; Daigle, Matthew

2013-01-01

349

Vehicle Integrated Propulsion Research for the Study of Health Management Capabilities  

NASA Technical Reports Server (NTRS)

Presentation on vehicle integrated propulsion research results and planning. This research emphasizes the testing of advanced health management sensors and diagnostics in an aircraft engine that is operated through multiple baseline and fault conditions.

Lekki, John D.; Simon, Donald L.; Hunter, Gary W.; Woike, Mary; Tokars, Roger P.

2012-01-01

350

Libyan National Health Services The Need to Move to Management-by-Objectives  

PubMed Central

In the last four decades, there has been a substantial horizontal expansion of health services in Libya. This resulted in improvement in morbidity and mortality, in particularly those related to infectious disease. However, measures such as the national performance gap indicator reveal an underperforming health system. In this article, we discuss aspects related to the Libyan health system and its current status including areas of weakness. Overcoming current failures and further improvement are unlikely to occur spontaneously without proper planning. Defining community health problems, identifying unmet needs, surveying resources to meet them, establishing SMART (specific, measurable, achievable, and realistic and time specific) objectives, and projecting administrative action to accomplish the proposed programs, are a must. The health system should rely on newer approaches such as management-by-objectives and risk-management rather than the prevailing crisis-management attitude. PMID:21499467

El Taguri, A; Elkhammas, EA; Bakoush, O; Ashammakhi, N; Baccoush, M; Betilmal, I

2008-01-01

351

Career stress and female managers' health in Taiwan's hospitals: A multilevel model approach  

Microsoft Academic Search

Purpose: This study investigates how perception-induced stress (barrier) and social capital (facilitator) affect the health of female managers. Methods and Measurement: On the basis of the responses of 229 valid questionnaires of middle- and high-level female managers in large-scale hospitals, using a multilevel data analysis approach, this study investigates how perception-induced stress and social capital influence self-reported poor health of

Duan-Rung Chen; Yeh-Yun Lin; Kuo-Piao Chung

2008-01-01

352

Management of the menopause: integrated health-care pathway for the menopausal woman.  

PubMed

Management of the menopausal woman has become controversial since publication of the results of the Women's Health Initiative and the Million Women Study from 2002 onwards. This health-care pathway summarizes the role of hormone replacement therapy and non-estrogen-based treatments as well as alternative and complementary therapies. It is based on the fifth edition of Management of the Menopause and was updated on 5 April 2011. PMID:21693499

Rees, Margaret

2011-06-01

353

Nutrition Training Improves Health Workers’ Nutrition Knowledge and Competence to Manage Child Undernutrition: A Systematic Review  

PubMed Central

Background: Medical and nursing education lack adequate practical nutrition training to fit the clinical reality that health workers face in their practices. Such a deficit creates health workers with poor nutrition knowledge and child undernutrition management practices. In-service nutrition training can help to fill this gap. However, no systematic review has examined its collective effectiveness. We thus conducted this study to examine the effectiveness of in-service nutrition training on health workers’ nutrition knowledge, counseling skills, and child undernutrition management practices. Methods: We conducted a literature search on nutrition interventions from PubMed/MEDLINE, CINAHL, EMBASE, ISI Web of Knowledge, and World Health Organization regional databases. The outcome variables were nutrition knowledge, nutrition-counseling skills, and undernutrition management practices of health workers. Due to heterogeneity, we conducted only descriptive analyses. Results: Out of 3910 retrieved articles, 25 were selected as eligible for the final analysis. A total of 18 studies evaluated health workers’ nutrition knowledge and showed improvement after training. A total of 12 studies with nutrition counseling as the outcome variable also showed improvement among the trained health workers. Sixteen studies evaluated health workers’ child undernutrition management practices. In all such studies, child undernutrition management practices and competence of health workers improved after the nutrition training intervention. Conclusion: In-service nutrition training improves quality of health workers by rendering them more knowledge and competence to manage nutrition-related conditions, especially child undernutrition. In-service nutrition training interventions can help to fill the gap created by the lack of adequate nutrition training in the existing medical and nursing education system. In this way, steps can be taken toward improving the overall nutritional status of the child population. PMID:24350206

Sunguya, Bruno F.; Poudel, Krishna C.; Mlunde, Linda B.; Urassa, David P.; Yasuoka, Junko; Jimba, Masamine

2013-01-01

354

Health Vlogger-Viewer Interaction in Chronic Illness Management  

PubMed Central

Health video blogs (vlogs) allow individuals with chronic illnesses to share their stories, experiences, and knowledge with the general public. Furthermore, health vlogs help in creating a connection between the vlogger and the viewers. In this work, we present a qualitative study examining the various methods that health vloggers use to establish a connection with their viewers. We found that vloggers used genres to express specific messages to their viewers while using the uniqueness of video to establish a deeper connection with their viewers. Health vloggers also explicitly sought interaction with their viewers. Based on these results, we present design implications to help facilitate and build sustainable communities for vloggers. PMID:24634895

Liu, Leslie S.; Huh, Jina; Neogi, Tina; Inkpen, Kori; Pratt, Wanda

2014-01-01

355

Assessment of new public management in health care: the French case.  

PubMed

The French health care system embraced New Public Management (NPM) selectively, and crafted their own version of NPM using Diagnostic-Related-Group accounting to re-centralize the health care system. Other organizational changes include the adoption of quasi-markets, public private partnerships, and pay-for-performance schemes for General Practitioners. There is little evidence that these improved the performance of the system. Misrepresentation has remained high. With the 2009 Hospital, Patients, Health and Territories Act physician participation in hospital governance receded. Decision-making powers and health units were re-concentrated to instill greater national coherence into the health system. PMID:25283813

Simonet, Daniel

2014-01-01

356

Sensor Needs for Control and Health Management of Intelligent Aircraft Engines  

NASA Technical Reports Server (NTRS)

NASA and the U.S. Department of Defense are conducting programs which support the future vision of "intelligent" aircraft engines for enhancing the affordability, performance, operability, safety, and reliability of aircraft propulsion systems. Intelligent engines will have advanced control and health management capabilities enabling these engines to be self-diagnostic, self-prognostic, and adaptive to optimize performance based upon the current condition of the engine or the current mission of the vehicle. Sensors are a critical technology necessary to enable the intelligent engine vision as they are relied upon to accurately collect the data required for engine control and health management. This paper reviews the anticipated sensor requirements to support the future vision of intelligent engines from a control and health management perspective. Propulsion control and health management technologies are discussed in the broad areas of active component controls, propulsion health management and distributed controls. In each of these three areas individual technologies will be described, input parameters necessary for control feedback or health management will be discussed, and sensor performance specifications for measuring these parameters will be summarized.

Simon, Donald L.; Gang, Sanjay; Hunter, Gary W.; Guo, Ten-Huei; Semega, Kenneth J.

2004-01-01

357

Complementary and Alternative Medicine Use as Health Self-Management: Rural Older Adults With Diabetes  

PubMed Central

Objectives This study describes complementary and alternative medicine (CAM) use among rural older adults with diabetes, delineates the relationship of health self-management predictors to CAM therapy use, and furthers conceptual development of CAM use within a health self-management framework. Methods Survey interview data were collected from a random sample of 701 community dwelling African American, Native American, and White elders residing in two rural North Carolina counties. We summarize CAM use for general use and for diabetes care and use multiple logistic modeling to estimate the effects of health self-management predictors on use of CAM therapies. Results The majority of respondents used some form of CAM for general purpose, whereas far fewer used CAM for diabetes care. The most widely used CAM categories were food home remedies, other home remedies, and vitamins. The following health self-management predictors were related to the use of different categories of CAM therapies: personal characteristics (ethnicity), health status (number of health conditions), personal resources (education), and financial resources (economic status). Discussion CAM is a widely used component of health self-management among rural among older adults with diabetes. Research on CAM use will benefit from theory that considers the specific behavior and cognitive characteristics of CAM therapies. PMID:16497962

Arcury, Thomas A.; Bell, Ronny A.; Snively, Beverly M.; Smith, Shannon L.; Skelly, Anne H.; Wetmore, Lindsay K.; Quandt, Sara A.

2006-01-01

358

Continuing Ethics and Management Concerns at the National Institutes of Health and the Public Health Service Commissioned Corps - September 13, 2006  

Cancer.gov

Testimony Before the Subcommittee on Oversight and Investigations Committee on Energy and Commerce United States House of Representatives “Continuing Ethics and Management Concerns at the National Institutes of Health and the Public Health Service

359

Physico-chemical modifications of conjugated linoleic acid for ruminal protection and oxidative stability  

PubMed Central

Conjugated linoleic acid (CLA) is a mixture of positional and geometric isomers of octadecadienoic acid [linoleic acid (LA), 18:2n-6]. Although ruminant milk and meat products represent the largest natural source of CLA and therefore, their concentration in ruminant lipids are of interest to human health, chemical or physical modifications of CLA should be needed as a means to enhance oxidative stability, to improve post-ruminal bioavailability, and to increase the clinical application. In fact, CLA are rapidly decomposed to form furan fatty acids when its are oxidized in air, and the effectiveness of dietary supplements of CLA may be related to the extent that their metabolisms by rumen bacteria are avoided. For these reasons, many scientists have examined the effect of manufacturing and protection on the stability of CLA in ruminants and food products. In this review, physico-chemical modifications of CLA for ruminal protection such as calcium salt (Ca), formaldehyde protection (FP), lipid encapsulation (LE), and amide linkage (AL), and for oxidative stability such as green tea catechin (GTC), cyclodextrin (CD), arginine (Arg), amylase, and PEGylation are proposed. PMID:18513443

Moon, Hyun-Seuk; Lee, Hong-Gu; Chung, Chung-Soo; Choi, Yun-Jaie; Cho, Chong-Su

2008-01-01

360

Sensing and Knowledge Mining for Structural Health Management  

NASA Astrophysics Data System (ADS)

Current economic conditions necessitate the extension of service lives for a variety of aerospace systems. As a result, there is an increased need for structural health management (SHM) systems to increase safety, extend life, reduce maintenance costs, and minimize downtime, lowering life cycle costs for these aging systems. The implementation of such a system requires a collaborative research effort in a variety of areas such as novel sensing techniques, robust algorithms for damage interrogation, high fidelity probabilistic progressive damage models, and hybrid residual life estimation models. This dissertation focuses on the sensing and damage estimation aspects of this multidisciplinary topic for application in metallic and composite material systems. The primary means of interrogating a structure in this work is through the use of Lamb wave propagation which works well for the thin structures used in aerospace applications. Piezoelectric transducers (PZTs) were selected for this application since they can be used as both sensors and actuators of guided waves. Placement of these transducers is an important issue in wave based approaches as Lamb waves are sensitive to changes in material properties, geometry, and boundary conditions which may obscure the presence of damage if they are not taken into account during sensor placement. The placement scheme proposed in this dissertation arranges piezoelectric transducers in a pitch-catch mode so the entire structure can be covered using a minimum number of sensors. The stress distribution of the structure is also considered so PZTs are placed in regions where they do not fail before the host structure. In order to process the data from these transducers, advanced signal processing techniques are employed to detect the presence of damage in complex structures. To provide a better estimate of the damage for accurate life estimation, machine learning techniques are used to classify the type of damage in the structure. A data structure analysis approach is used to reduce the amount of data collected and increase computational efficiency. In the case of low velocity impact damage, fiber Bragg grating (FBG) sensors were used with a nonlinear regression tool to reconstruct the loading at the impact site.

Coelho, Clyde

2011-12-01

361

Health Policy Roundtable: Producing and Adapting Research Syntheses for Use by Health-System Managers and Public Policymakers  

PubMed Central

Growing demand for evidence-based information to inform health care policy and management decisions has inspired new methods for synthesizing relevant information and strategies. This roundtable provides a rationale for the science of synthesizing useful knowledge, including leading-edge initiatives from the United States and Canada. PMID:16704519

Folz, Christina E

2006-01-01

362

A Structured Management Approach to Implementation of Health Promotion Interventions in Head Start  

PubMed Central

Improving the health and health literacy of low-income families is a national public health priority in the United States. The federal Head Start program provides a national infrastructure for implementation of health promotion interventions for young children and their families. The Health Care Institute (HCI) at the Anderson School of Management at the University of California, Los Angeles, developed a structured approach to health promotion training for Head Start grantees using business management principles. This article describes the HCI approach and provides examples of implemented programs and selected outcomes, including knowledge and behavior changes among Head Start staff and families. This prevention-focused training platform has reached 60,000 Head Start families in the United States since its inception in 2001. HCI has demonstrated consistent outcomes in diverse settings and cultures, suggesting both scalability and sustainability. PMID:24028835

Herman, Ariella; Teutsch, Carol; Chung, Paul J.

2013-01-01

363

Implementing health information exchange for public health reporting: a comparison of decision and risk management of three regional health information organizations in New York state.  

PubMed

Health information exchange (HIE) is a significant component of healthcare transformation strategies at both the state and national levels. HIE is expected to improve care coordination, and advance public health, but implementation is massively complex and involves significant risk. In New York, three regional health information organizations (RHIOs) implemented an HIE use case for public health reporting by demonstrating capability to deliver accurate responses to electronic queries via a set of services called the Universal Public Health Node. We investigated process and outcomes of the implementation with a comparative case study. Qualitative analysis was structured around a decision and risk matrix. Although each RHIO had a unique operational model, two common factors influenced risk management and implementation success: leadership capable of agile decision-making and commitment to a strong organizational vision. While all three RHIOs achieved certification for the public health reporting, only one has elected to deploy a production version. PMID:23975626

Phillips, Andrew B; Wilson, Rosalind V; Kaushal, Rainu; Merrill, Jacqueline A

2014-02-01

364

Pediatric Health-Related Quality-of-Life Measurement Technology: Intersections between Science, Managed Care, and Clinical Care  

Microsoft Academic Search

The demand for health care outcomes assessment is increasing, driven by the proliferation of managed care as a form of health care financing. Providers, consumers, and payers can use health care outcomes to improve the efficiency and quality of care, spur performance improvement, and demonstrate accountability. This review introduces health outcomes and focuses on one particular outcome—pediatric health-related quality of

Michael Seid; James W. Varni; Jenifer R. Jacobs

2000-01-01

365

Challenges of Managing Pediatric Mental Health Crises in the Emergency Department.  

PubMed

Children with mental health problems are increasingly being evaluated and treated in pediatric clinical settings. This article focuses on the epidemiology, evaluation, and management of the 2 most common pediatric mental health emergencies, suicidal and homicidal/aggressive patients, as well as the equally challenging population of children with autism or other developmental disabilities. PMID:25455574

Chun, Thomas H; Katz, Emily R; Duffy, Susan J; Gerson, Ruth S

2015-01-01

366

A game plan: Gamification design principles in mHealth applications for chronic disease management.  

PubMed

Effective chronic disease management is essential to improve positive health outcomes, and incentive strategies are useful in promoting self-care with longevity. Gamification, applied with mHealth (mobile health) applications, has the potential to better facilitate patient self-management. This review article addresses a knowledge gap around the effective use of gamification design principles, or mechanics, in developing mHealth applications. Badges, leaderboards, points and levels, challenges and quests, social engagement loops, and onboarding are mechanics that comprise gamification. These mechanics are defined and explained from a design and development perspective. Health and fitness applications with gamification mechanics include: bant which uses points, levels, and social engagement, mySugr which uses challenges and quests, RunKeeper which uses leaderboards as well as social engagement loops and onboarding, Fitocracy which uses badges, and Mango Health, which uses points and levels. Specific design considerations are explored, an example of the efficacy of a gamified mHealth implementation in facilitating improved self-management is provided, limitations to this work are discussed, a link between the principles of gaming and gamification in health and wellness technologies is provided, and suggestions for future work are made. We conclude that gamification could be leveraged in developing applications with the potential to better facilitate self-management in persons with chronic conditions. PMID:24986104

Miller, Aaron S; Cafazzo, Joseph A; Seto, Emily

2014-07-01

367

Differences in Osteoarthritis Self-Management Support Intervention Outcomes According to Race and Health Literacy  

ERIC Educational Resources Information Center

We explored whether the effects of a telephone-based osteoarthritis (OA) self-management support intervention differed by race and health literacy. Participants included 515 veterans with hip and/or knee OA. Linear mixed models assessed differential effects of the intervention compared with health education (HE) and usual care (UC) on pain…

Sperber, Nina R.; Bosworth, Hayden B.; Coffman, Cynthia J.; Lindquist, Jennifer H.; Oddone, Eugene Z.; Weinberger, Morris; Allen, Kelli D.

2013-01-01

368

POSITION ANNOUNCEMENT Public Service Assistant: Integrated Pest Management and Forest Health Program  

E-print Network

POSITION ANNOUNCEMENT Public Service Assistant: Integrated Pest Management and Forest Health: Twelve month, non- tenure track Public Service Assistant with responsibilities in Integrated Pest and Ecosystem Health at UGA and serve as Assistant Director of the Southern Region IPM Center. Specific

Arnold, Jonathan

369

Updates from the USGS National Wildlife Health Center To: Natural Resource/Conservation Managers  

E-print Network

North America. These reports are compiled from a database of wildlife mortality events maintainedUpdates from the USGS National Wildlife Health Center To: Natural Resource/Conservation Managers From: Dr. Jonathan Sleeman, Center Director, USGS National Wildlife Health Center, Date: November 8

Fleskes, Joe

370

Performance Management in Health Care: The Past, the Present, the Future  

Microsoft Academic Search

In today's fast changing health care sector, decision makers are facing a growing demand for both clinical and administrative information in order to comply with legal and customer-specific requirements. Performance Management (PM) is thus becoming increasingly important to catch up with the rising informational demands. However, little is known about the PM usage in health care since the constituent research

Tobias Mettler; Peter Rohner

2009-01-01

371

Supplier Relationship Management: A Case Study in the Context of Health Care  

Microsoft Academic Search

Supplier Relationship Management (SRM) plays an important role in the reduction of costs and the optimization of performance in industrial enterprises. Despite enormous investments in innovation, the health care sector has not experienced fundamental change yet. However, increased market dynamics and the implementation of economic principles will force health service providers to optimize cost structures as well as effectiveness and

Tobias Mettler; Peter Rohner

2009-01-01

372

Managers' Understanding of Workplace Health Promotion within Small and Medium-Sized Enterprises: A Phenomenological Study  

ERIC Educational Resources Information Center

Objective: This study aimed at exploring managers' understanding of workplace health promotion and experiences of workplace health promotion activity within small and medium-sized enterprises. Design: A Heideggerian interpretive phenomenological methodology was adopted. Setting: This study was undertaken with small and medium-sized enterprise…

Moore, Ann; Parahoo, Kader; Fleming, Paul

2011-01-01

373

Patient Credentialing as a Population Health Management Strategy: A Diabetes Case Study.  

PubMed

Abstract When given the opportunity to become actively involved in the decision-making process, patients can positively impact their health outcomes. Understanding how to empower patients to become informed consumers of health care services is an important strategy for addressing disparities and variability in care. Patient credentialing identifies people who have a certain diagnosis and have achieved certain levels of competency in understanding and managing their disease. Patient credentialing was developed to meet 3 core purposes: (1) enhance patient engagement by increasing personal accountability for health outcomes, (2) create a mass customization strategy for providers to deliver high-quality, patient-centered collaborative care, and (3) provide payers with a foundation for properly aligning health benefit incentives. The Patient Self-Management Credential for Diabetes, a first-of-its-kind, psychometrically validated tool, has been deployed within 3 practice-based research initiatives as a component of innovative diabetes care. Results from these projects show improved clinical outcomes, reduced health care costs, and a relationship between credential achievement levels and clinical markers of diabetes. Implementing patient credentialing as part of collaborative care delivered within various settings across the health care system may be an effective way to reduce disparities, improve access to care and appropriate treatments, incentivize patient engagement in managing their health, and expend time and resources in a customized way to meet individual needs. (Population Health Management 2014;xx:xxx-xxx). PMID:25247828

Watson, Lindsay L; Bluml, Benjamin M; Skoufalos, Alexandria

2014-09-23

374

The Impact of Managed Care on Mental Health Services for Children and Their Families.  

ERIC Educational Resources Information Center

Preliminary results from the Health Care Reform Tracking Project's baseline survey and site visits to 10 states show that managed care has generally improved access to health care for children, but it has made it more difficult for youths with serious emotional disorders, and uninsured children, to obtain care. (SLD)

Stroul, Beth A.; Pires, Sheila A.; Armstrong, Mary I.; Meyers, Judith C.

1998-01-01

375

A method for assessing health and safety management systems from the resilience engineering perspective  

Microsoft Academic Search

This article introduces a method for assessing health and safety management systems (MAHS) that has two innovative characteristics: (a) it brings together the three main auditing approaches to health and safety (HS) – the structural approach (which assesses the system prescribed), the operational approach (which assesses what is really happening on the shop-floor) and the performance approach (which assesses the

Marcelo Fabiano Costella; Tarcisio Abreu Saurin; Lia Buarque de Macedo Guimarães

2009-01-01

376

HEALTH, SAFETY AND ENVIRONMENTAL MANAGEMENT SYSTEM Safety Regulations and Policies for Offices  

E-print Network

HEALTH, SAFETY AND ENVIRONMENTAL MANAGEMENT SYSTEM Safety Regulations and Policies for Offices #12;University of Saskatchewan HSEMS Safety Regulations and Policies for Offices Version 1 ­ February 1, 2011 1 Table of Contents University of Saskatchewan Policies Relating to Health, Safety and Environment

Saskatchewan, University of

377

School Nurse Case Management for Children with Chronic Illness: Health, Academic, and Quality of Life Outcomes  

ERIC Educational Resources Information Center

More children with chronic illnesses are attending school, and some of them struggle academically because of issues related to their health. School-based case management has been suggested as one strategy to improve the academic success of these children. This study tracked the academic, health, and quality of life outcomes for 114 children with…

Engelke, Martha Keehner; Guttu, Martha; Warren, Michelle B.; Swanson, Melvin

2008-01-01

378

Job Title Medical Case Manager (LBSW/LMSW) Employer/ Agency St. Hope Health Center  

E-print Network

's compliance to medical regimen; coordinating linkages to other services; mental health counseling for personsJob Title Medical Case Manager (LBSW/LMSW) Employer/ Agency St. Hope Health Center Job Description The Medical Social Worker position consists of conducting bio-psychosocial assessments; monitoring patient

Azevedo, Ricardo

379

Implementation of personal health records by case managers in a VAMC general medicine clinic  

Microsoft Academic Search

The study objective was to determine the feasibility of implementation of personal health records (PHRs) by case managers (CMs) in a Veterans Affairs Medical Center (VAMC) Continuity of Care (COC) Clinic, to ascertain the impact of PHRs on patient access to vital health information, and to assess the effect on provider–patient communication. One hundred and fifty patients and 8 nurse

Joanne K Tobacman; Pamella Kissinger; Marilyn Wells; Joan Prokuski; Mary Hoyer; Patricia McPherson; Julie Wheeler; Joyce Kron-Chalupa; Carol Parsons; Patricia Weller; Bridget Zimmerman

2004-01-01

380

Chronic Health Conditions Managed by School Nurses. Position Statement. Revised  

ERIC Educational Resources Information Center

It is the position of the National Association of School Nurses that students with chronic health conditions have access to a full-time registered professional school nurse (hereinafter referred to as school nurse). School districts should include school nurse positions in their full-time instructional support personnel to provide health services…

Morgitan, Judith; Bushmiaer, Margo; DeSisto, Marie C.; Duff, Carolyn; Lambert, C. Patrice; Murphy, M. Kathleen; Roland, Sharon; Selser, Kendra; Wyckoff, Leah; White, Kelly

2012-01-01

381

Mapping Web Services Standards to Federated Identity Management Requirements for m-Health  

Microsoft Academic Search

m-health promises a great vision for future medical relevant activities. Security and privacy are prime measures to strengthen trust in this ecosystem. Federated identity management (FIDM) is to identify people, applications, platforms or devices in an m-health federation. This paper describes scenarios of m-health, generalizes requirements of FIDM, and maps some standards of Web services to provide such an infrastructure.

Hui Liu; Ming-lu Li; Xin Lin

2008-01-01

382

Novel association of rectal evacuation disorder and rumination syndrome: Diagnosis, comorbidities, and treatment  

PubMed Central

Background Patients with disorders of gastrointestinal function may undergo unnecessary treatment if misdiagnosed as motility disorders. Objective To report on clinical features, medical, surgical, and psychiatric comorbidities, and prior treatments of a patient cohort diagnosed concurrently with nonpsychogenic rumination syndrome and pelvic floor dysfunction (also termed rectal evacuation disorder). Methods From a consecutive series (1994–2013) of 438 outpatients with rectal evacuation disorders in the practice of a single gastroenterologist at a tertiary care centre, 57 adolescents or adults were diagnosed with concomitant rumination syndrome. All underwent formal psychological assessment or completed validated questionnaires. Results All 57 patients (95% female) fulfilled Rome III criteria for rumination syndrome; rectal evacuation disorder was confirmed by testing of anal sphincter pressures and rectal balloon evacuation. Prior to diagnosis, most patients underwent multiple medical and surgical treatments (gastrostomy, gastric fundoplication, other gastric surgery, ileostomy, colectomy) for their symptoms. Psychological comorbidity was identified in 93% of patients. Patients were managed predominantly with psychological and behavioural approaches: diaphragmatic breathing for rumination and biofeedback retraining for pelvic floor dysfunction. Conclusions Awareness of concomitant rectal evacuation disorder and rumination syndrome and prompt identification of psychological comorbidity are keys to instituting behavioural and psychological methods to avoid unnecessary treatment. PMID:24724013

Vijayvargiya, Priya; Iturrino, Johanna; Shin, Andrea; Vazquez-Roque, Maria; Katzka, David A; Snuggerud, Jill R; Seime, Richard J

2014-01-01

383

Managing the pursuit of health and wealth: the key challenges  

PubMed Central

This article forms part of a six-part Series on trade and health, and sets the stage for this Series by analysing key aspects of the relationship between trade and health. The Series takes stock of this relation and provides timely analysis of the key challenges facing efforts to achieve an appropriate balance between trade and health across a diverse range of issues. This introductory article reviews how trade and health have risen and expanded on global policy agendas in the past decade in unprecedented ways, describes how trade and health issues are respectively governed in international relations, examines the ongoing search for policy coherence between the two policy spheres, and highlights the topics of the remaining articles in the Series. PMID:19167061

Fidler, David P; Drager, Nick; Lee, Kelley

2009-01-01

384

9 CFR 93.417 - Import permit and declaration for ruminants.  

Code of Federal Regulations, 2011 CFR

... Import permit and declaration for ruminants. 93.417 Section 93.417 ...CONVEYANCE AND SHIPPING CONTAINERS Ruminants Canada 8 § 93.417 Import permit and declaration for ruminants. (a) For ruminants...

2011-01-01

385

9 CFR 93.417 - Import permit and declaration for ruminants.  

Code of Federal Regulations, 2010 CFR

... Import permit and declaration for ruminants. 93.417 Section 93.417 ...CONVEYANCE AND SHIPPING CONTAINERS Ruminants Canada 8 § 93.417 Import permit and declaration for ruminants. (a) For ruminants...

2010-01-01

386

9 CFR 93.424 - Import permits and applications for inspection of ruminants.  

Code of Federal Regulations, 2014 CFR

...and applications for inspection of ruminants. 93.424 Section 93.424...CONVEYANCE AND SHIPPING CONTAINERS Ruminants Mexico 10 § 93.424 Import...applications for inspection of ruminants. (a) For ruminants...

2014-01-01

387

9 CFR 93.422 - Import permit and declaration for ruminants.  

Code of Federal Regulations, 2014 CFR

...false Import permit and declaration for ruminants. 93.422 Section 93.422 Animals...CONVEYANCE AND SHIPPING CONTAINERS Ruminants Central America and West Indies 9...422 Import permit and declaration for ruminants. (a) For ruminants intended...

2014-01-01

388

9 CFR 93.424 - Import permits and applications for inspection of ruminants.  

Code of Federal Regulations, 2012 CFR

...and applications for inspection of ruminants. 93.424 Section 93.424...CONVEYANCE AND SHIPPING CONTAINERS Ruminants Mexico 10 § 93.424 Import...applications for inspection of ruminants. (a) For ruminants...

2012-01-01

389

9 CFR 93.424 - Import permits and applications for inspection of ruminants.  

Code of Federal Regulations, 2010 CFR

...and applications for inspection of ruminants. 93.424 Section 93.424...CONVEYANCE AND SHIPPING CONTAINERS Ruminants Mexico 10 § 93.424 Import...applications for inspection of ruminants. (a) For ruminants...

2010-01-01

390

9 CFR 93.417 - Import permit and declaration for ruminants.  

Code of Federal Regulations, 2013 CFR

... Import permit and declaration for ruminants. 93.417 Section 93.417 ...CONVEYANCE AND SHIPPING CONTAINERS Ruminants Canada 8 § 93.417 Import permit and declaration for ruminants. (a) For ruminants...

2013-01-01

391

9 CFR 93.424 - Import permits and applications for inspection of ruminants.  

Code of Federal Regulations, 2013 CFR

...and applications for inspection of ruminants. 93.424 Section 93.424...CONVEYANCE AND SHIPPING CONTAINERS Ruminants Mexico 10 § 93.424 Import...applications for inspection of ruminants. (a) For ruminants...

2013-01-01

392

9 CFR 93.422 - Import permit and declaration for ruminants.  

Code of Federal Regulations, 2012 CFR

...false Import permit and declaration for ruminants. 93.422 Section 93.422 Animals...CONVEYANCE AND SHIPPING CONTAINERS Ruminants Central America and West Indies 9...422 Import permit and declaration for ruminants. (a) For ruminants intended...

2012-01-01

393

9 CFR 93.417 - Import permit and declaration for ruminants.  

Code of Federal Regulations, 2012 CFR

... Import permit and declaration for ruminants. 93.417 Section 93.417 ...CONVEYANCE AND SHIPPING CONTAINERS Ruminants Canada 8 § 93.417 Import permit and declaration for ruminants. (a) For ruminants...

2012-01-01

394

9 CFR 93.422 - Import permit and declaration for ruminants.  

Code of Federal Regulations, 2011 CFR

...false Import permit and declaration for ruminants. 93.422 Section 93.422 Animals...CONVEYANCE AND SHIPPING CONTAINERS Ruminants Central America and West Indies 9...422 Import permit and declaration for ruminants. (a) For ruminants intended...

2011-01-01

395

9 CFR 93.424 - Import permits and applications for inspection of ruminants.  

Code of Federal Regulations, 2011 CFR

...and applications for inspection of ruminants. 93.424 Section 93.424...CONVEYANCE AND SHIPPING CONTAINERS Ruminants Mexico 10 § 93.424 Import...applications for inspection of ruminants. (a) For ruminants...

2011-01-01

396

9 CFR 93.422 - Import permit and declaration for ruminants.  

Code of Federal Regulations, 2013 CFR

...false Import permit and declaration for ruminants. 93.422 Section 93.422 Animals...CONVEYANCE AND SHIPPING CONTAINERS Ruminants Central America and West Indies 9...422 Import permit and declaration for ruminants. (a) For ruminants intended...

2013-01-01

397

A Computational Framework for Life-Cycle Management of Wind Turbines incorporating Structural Health Monitoring  

E-print Network

during its life-cycle from raw material extraction to recycling and disposal) and life-cycle assessment1 A Computational Framework for Life-Cycle Management of Wind Turbines incorporating Structural of structural health monitoring into life-cycle management strategies can help facilitating a reliable operation

Stanford University

398

Managed mental health care in the United States: A status report  

Microsoft Academic Search

The authors review managed mental health care in the United States. Six areas are addressed: what is insurable, carve-ins and carve-outs, networks, liability, ethics, and teaching and research. The paper concludes with a list of principles for managing care.

Lloyd I. Sederer; Michael J. Bennett

1996-01-01

399

The South Australia Health Chronic Disease Self-Management Internet Trial  

ERIC Educational Resources Information Center

Objectives: To evaluate the effectiveness of an online chronic disease self-management program for South Australia residents. Method: Data were collected online at baseline, 6 months, and 12 months. The intervention was an asynchronous 6-week chronic disease self-management program offered online. The authors measured eight health status measures,…

Lorig, Kate; Ritter, Philip L.; Plant, Kathryn; Laurent, Diana D.; Kelly, Pauline; Rowe, Sally

2013-01-01

400

The mental health Risk Assessment and Management Process (RAMP) for schools: II. Process evaluation  

Microsoft Academic Search

The Risk Assessment and Management Process (RAMP) is a whole-school process for the assessment and management of student's mental health and wellbeing in primary and secondary schools. A process evaluation revealed that RAMP was implemented as intended across six primary and three secondary schools in Melbourne, Australia. Using the RAMP risk and protective factors monitoring form and screening processes, each

Alison L. Shortt; Susan Fealy; John W. Toumbourou

401

Organizational Behavior Management in Health Care: Applications for Large-Scale Improvements in Patient Safety  

Microsoft Academic Search

Medical errors continue to be a major public health issue. This paper attempts to bridge a possible disconnect between behavioral science and the management of medical care. Epidemiologic data on patient safety and a sampling of current efforts aimed at patient safety improvement are provided to inform relevant applications of organizational behavior management (OBM). The basic principles of OBM are

Thomas R. Cunningham; E. Scott Geller

402

Beyond Resistance: Exploring Health Managers' Propensity for Participatory Evaluation in a Developing Country  

ERIC Educational Resources Information Center

The evaluation of interventions is becoming increasing common and now often seeks to involve managers in the process. Such practical participatory evaluation (PPE) aims to increase the use of evaluation results through the participation of stakeholders. This study focuses on the propensity of health managers for PPE, as measured through the…

Smits, Pernelle A.; Champagne, Francois; Farand, Lambert

2012-01-01

403

Application of occupational health and safety management system at sewage treatment plants  

Microsoft Academic Search

Sewage treatment plant (STP) operators are exposed to variety of hazard during wastewater processing. The aim of this study is to identify and manage these hazards, particularly in a local STP in Malaysia, through Occupational Health and Safety Management System (OSHMS). Initially, reported hazards data were collected via review of literatures, questionnaire distribution and interview with experts. Then, the most

Amirhossein Malakahmad; Alan Giffin Downe; Siti Dhamina Muhamad Fadzil

2012-01-01

404

An empirical analysis of the effectiveness of occupational health and safety management systems in SMEs  

Microsoft Academic Search

This article analyses the effectiveness of occupational health and safety (OHS) management in small and medium-sized enterprises (SMEs). In particular, we (1) provide an overview of the implementation of occupational risk preventive activities in a sample of SMEs; (2) characterize alternative approaches of OHS management systems; (3) assess the effectiveness of the identified OHS systems in occupational safety outcomes; and

Pablo Arocena; Imanol Núñez

2010-01-01

405

Strengthening district health service management and delivery through internal contracting: lessons from pilot projects in Cambodia.  

PubMed

Following a decade of piloting different models of contracting, in mid-2009 the Cambodian Ministry of Health began to test a form of 'internal contracting' for health care delivery in selected health districts (including hospitals and health centers) contracted by the provincial health department as Special Operating Agencies (SOAs) and provided with greater management autonomy. This study assesses the internal contracting approach as a means for improving the management of district health services and strengthening service delivery. While the study may contribute to the emerging field now known as performance-based financing, the lessons deal more broadly with the impact of management reform and increased autonomy in contrast to traditional public sector line-management and budgeting. Carried out during 2011, the study was based on: (i) a review of the literature and of operational documents; (ii) primary data from semi-structured key informant interviews with 20 health officials in two provinces involved in four SOA pilot districts; and (iii) routine data from the 2011 SOA performance monitoring report. Five prerequisites were identified for effective contract management and improved service delivery: a clear understanding of roles and responsibilities by the contracting parties; implementation of clear rules and procedures; effective management of performance; effective monitoring of the contract; and adequate and timely provision of resources. Both the level and allocation of incentives and management bottlenecks at various levels continue to impede implementation. We conclude that, in contracted arrangements like these, the clear separation of contracting functions (purchasing, commissioning, monitoring and regulating), management autonomy where responsibilities are genuinely devolved and accepted, and the provision of resources adequate to meet contract demands are necessary conditions for success. PMID:23489889

Khim, Keovathanak; Annear, Peter Leslie

2013-11-01

406

Health Workers' and Managers' Perceptions of the Integrated Community Case Management Program for Childhood Illness in Malawi: The Importance of Expanding Access to Child Health Services  

PubMed Central

Community case management (CCM) is a promising task-shifting strategy for expanding treatment of childhood illness that is increasingly adopted by low-income countries. Its success depends in part on how the strategy is perceived by those responsible for its implementation. This study uses qualitative methods to explore health workers' and managers' perceptions about CCM provided by health surveillance assistants (HSAs) during the program's first year in Malawi. Managers and HSAs agreed that CCM contributed beneficially by expanding access to the underserved and reducing caseloads at health facilities. Managers differed among themselves in their endorsements of CCM, most offered constrained endorsement, and a few had stronger justifications for CCM. In addition, HSAs uniformly wanted continued expansion of their clinical role, while managers preferred to view CCM as a limited mandate. The HSAs also reported motivating factors and frustrations related to system constraints and community pressures related to CCM. The impact of CCM on motivation and workload of HSAs is noted and deserves further attention. PMID:23136279

Callaghan-Koru, Jennifer A.; Hyder, Adnan A.; George, Asha; Gilroy, Kate E.; Nsona, Humphreys; Mtimuni, Angella; Bryce, Jennifer

2012-01-01

407

Aircraft health management tool: A comprehensive user interface  

Microsoft Academic Search

Network management is one of the most discussed topics in the networking fraternity. The efficiency of the network management suit is measured by the number of parameters\\/components handled by the application while making a decision. In the case of Internet enabled aircrafts, along with network security, even the aircraft safety needs to be considered as a factor while designing the

N. Thanthry; R. Pendse

2007-01-01

408

Multiple Image Watermarking Applied to Health Information Management  

Microsoft Academic Search

Information technology advances have brought forth new challenges in healthcare information management, due to the vast amount of medical data that needs to be efficiently stored, retrieved, and distributed, and the increased security threats that explicitly have to be addressed. The paper discusses the perspectives of digital watermarking in a range of medical data management and distribution issues, and proposes

Aggeliki Giakoumaki; Sotiris Pavlopoulos; Dimitris Koutsouris

2006-01-01

409

Optimal Energy Management Strategy including Battery Health through Thermal  

E-print Network

: Energy management strategy, Plug-in hybrid electric vehicles, Li-ion battery aging, thermal management process of Li-ion batteries is very intricate and is currently the subject of many studies, Gyan et al interested in a thorough analysis on Li-ion battery aging can refer to Vetter et al. (2005), Broussely et al

Paris-Sud XI, Université de

410

Manager's Leadership Is the Main Skill for Ambulatory Health Care Plan Success.  

PubMed

To demonstrate effectiveness of ambulatory health care plan implementation among institutions and variables associated with the differences observed. Randomized selection of primary health care (PHC) centers was done. Leadership ability of the plan manager was explored. Univariate/bivariate analyses were performed to observe correlation between variables. Two groups of PHC centers were established according to the efficacy of plan implementation: high and low performance. Differences between groups were observed (592%-1023% more efficacy in controls and practices; P < .001). Leadership was responsible for the main differences observed. Leadership of manager for implementation of the health care plan was the major important variable to reach the best efficacy standards. PMID:25469579

Marin, Gustavo Horacio; Silberman, Martin; Colombo, Maria Virginia; Ozaeta, Belen; Henen, Jaime

2015-01-01

411

Development of Systematic Knowledge Management for Public Health: A Public Health Law Ontology  

ERIC Educational Resources Information Center

The Institute of Medicine has stated that legal structures and the authority vested in health agencies and other partners within the public health system are essential to improving the public's health. Variation between the laws of different jurisdictions within the United States allows for natural experimentation and research into their…

Keeling, Jonathan

2012-01-01

412

BachelorofHealthSciences/BachelorofManagement PublicHealth/GeneralManagementor  

E-print Network

- Medical Microbiology Health Sciences 2600/Women and Gender Studies 2100 - Women and Health Health Sciences 3450/Psychology 3450 - Applied Statistics for Clinical Practice Psychology 1000 - Basic Concepts of Psychology Psychology 2800 - Social Psychology Sociology 1000 - Introduction to Sociology One of: *Biology

Seldin, Jonathan P.

413

BachelorofHealthSciences/BachelorofManagement PublicHealth/GeneralManagementor  

E-print Network

Microbiology Health Sciences 2600/Women and Gender Studies 2100 - Women and Health Health Sciences 2700/Psychology 3450 - Applied Statistics for Clinical Practice Psychology 1000 - Basic Concepts of Psychology Psychology 2800 - Social Psychology Sociology 1000 - Introduction to Sociology One of: *Biology 1010

Seldin, Jonathan P.

414

Removing barriers and improving choices: a case study in reproductive health services and managed care.  

PubMed

Managed care contains inherent structural features that can create obstacles to time-sensitive, confidential reproductive health services. Such structural impediments often exacerbate the sociocultural barriers that have historically affected low-income women--the population that has been targeted for mandatory enrollment in Medicaid managed care plans in many states. This article recommends public policy strategies to overcome and prevent multiple barriers that were identified in a New York-based study in 1995, which focused on access to reproductive health services in managed care settings. This article also includes updated evidence supporting the study's findings and its relevance to other states. PMID:10187074

Gordon, S G

1998-11-01

415

Health and disease management: what is it and where is it going? What is the role of health and disease management in hypertension?  

PubMed

Health and disease management, a clinical improvement process that integrates best practice principles in a comprehensive manner throughout the entire continuum of care, is likely to be the dominant style of health care delivery in the future. The goal of these programs is to eliminate or reduce unacceptable variations in cost and quality between various providers by developing guidelines that will achieve measurable outcomes for specific diseases. These protocols also emphasize wellness and disease prevention, coordinate resources across the entire continuum of care, and define interventions for the entire duration of the disease. Conditions most suited to this management strategy include diseases that are of high volume and cost, complex to manage, and present chronically over a long period of the patient's life. Such programs are developed by a multidisciplinary team that is also charged with obtaining buy-in and championing the program to their peers. Among the many components of a comprehensive health and disease management program, intensive education for patients and families and altering physician behavior to obtain compliance are key areas on which to focus. Hypertension is an ideal condition to manage in this way. It is frequently the most common reason for patients to be seen by a primary care provider, is an expensive disease to treat, and is an important cause of major organ damage from inadequate treatment. Successfully adopting a disease management model for hypertension treatment that will integrate all health care providers and offer intensive education of patients and providers to encourage adherence to the highly effective therapies currently available should afford a major opportunity for a dramatic reduction in complications and costs, with enhanced clinical outcomes and quality of life for these patients. PMID:9717851

Bernard, D B; Townsend, R R; Sylvestri, M F

1998-08-01

416

Making it local: Beacon Communities use health information technology to optimize care management.  

PubMed

Care management aims to provide cost-effective, coordinated, non-duplicative care to improve care quality, population health, and reduce costs. The 17 communities receiving funding from the Office of the National Coordinator for Health Information Technology through the Beacon Community Cooperative Agreement Program are leaders in building and strengthening their health information technology (health IT) infrastructure to provide more effective and efficient care management. This article profiles 6 Beacon Communities' health IT-enabled care management programs, highlighting the influence of local context on program strategy and design, and describing challenges, lessons learned, and policy implications for care delivery and payment reform. The unique needs (eg, disease burden, demographics), community partnerships, and existing resources and infrastructure all exerted significant influence on the overall priorities and design of each community's care management program. Though each Beacon Community needed to engage in a similar set of care management tasks--including patient identification, stratification, and prioritization; intervention; patient engagement; and evaluation--the contextual factors helped shape the specific strategies and tools used to carry out these tasks and achieve their objectives. Although providers across the country are striving to deliver standardized, high-quality care, the diverse contexts in which this care is delivered significantly influence the priorities, strategies, and design of community-based care management interventions. Gaps and challenges in implementing effective community-based care management programs include: optimizing allocation of care management services; lack of available technology tailored to care management needs; lack of standards and interoperability; integrating care management into care settings; evaluating impact; and funding and sustainability. PMID:24476558

Allen, Amy; Des Jardins, Terrisca R; Heider, Arvela; Kanger, Chatrian R; Lobach, David F; McWilliams, Lee; Polello, Jennifer M; Rein, Alison L; Schachter, Abigail A; Singh, Ranjit; Sorondo, Barbara; Tulikangas, Megan C; Turske, Scott A

2014-06-01

417

Mentoring in health services management: reflections on an evolving training ground.  

PubMed

Since the University of Chicago Health Management program was first initiated in 1932, programs and health delivery organizations have dealt with the issue of how to best provide a meaningful transition from academia to entry-level management. Today, new challenges face the same old questions: New federal legislation and increased demand for a finite supply of services cause increased revenue and expense pressures and result in the need for a higher performance level by a well-coordinated management team. In addressing these challenges, mentoring is an essential requirement for survival and success in health services. The long-term success of future practitioners will require both an understanding and incorporation of mentoring in their skill set. The University of Virginia Medical Center recently sponsored a health management education summit to examine the role of mentoring in health services administration education. Leading the program were John Westerman, former interim president of Association of University Programs in Healthcare Administration and chief executive officer emeritus of the University of Minnesota Health System, and R. Edward Howell, chief executive officer of the University of Virginia Medical Center. Summit participants included individuals who had completed administrative fellowship training programs. What follows is a review of the discussions during the summit, including a valuation of the health services fellowship as a learning experience as well as structure and essential elements of administrative mentoring programs. PMID:22281997

Sherrill, Windsor Westbrook; Westerman, John; Howell, R Edward; Saul, Thomas P; Lowe, John M

2012-01-01

418

Performance management excellence among the Malcolm Baldrige National Quality Award Winners in Health Care.  

PubMed

When carefully constructed, performance management systems can help health care organizations direct their efforts toward strategic goals, high performance, and continuous improvement needed to ensure high-quality patient care and cost control. The effective management of performance is an integral component in hospital and health care systems that are recognized for excellence by the Malcolm Baldrige National Quality Award in Health Care. Using the framework in the 2011-2012 Health Care Criteria for Performance Excellence, this article identifies the best practices in performance management demonstrated by 15 Baldrige recipients. The results show that all of the recipients base their performance management systems on strategic goals, outcomes, or competencies that cascade from the organizational to the individual level. At the individual level, each hospital or health system reinforces the strategic direction with performance evaluations of leaders and employees, including the governing board, based on key outcomes and competencies. Leader evaluations consistently include feedback from internal and external stakeholders, creating a culture of information sharing and performance improvement. The hospitals or health care systems also align their reward systems to promote high performance by emphasizing merit and recognition for contributions. Best practices can provide a guide for leaders in other health systems in developing high-performance work systems. PMID:24168871

Duarte, Neville T; Goodson, Jane R; Arnold, Edwin W

2013-01-01

419

Managing and reporting notifiable disease in the sexual health clinic.  

PubMed

Notifiable infections can be and often are transmitted sexually and the process of notification often does not work well in the GUM setting. It is the statutory duty of medical practitioners to report notifiable infections, but there are a number of barriers to reporting in sexual health, in particular concerns that notification may breach confidentiality. In this article, we hope to explain the reporting process and aim to highlight why we need to report and what health protection teams do with the information provided. We hope to make the process simple so that GUM clinics can fulfil their public health obligations and enable timely and appropriate public health action to be taken. PMID:24825917

Herbert, Sophie; Hewitt, Kirsty; Cassell, Jackie A

2014-09-01

420

Environmental and health management in small and medium size enterprises  

E-print Network

Workers and employees are increasingly exposed in the workplace to chemical compounds and substances that are potentially toxic; for most of these compounds, no information exist regarding effects on human health. As one ...

Arredondo, Juan C. (Juan Carlos Arredondo Brun), 1974-

2004-01-01

421

Rangeland Risk Management for Texans: Rangeland Health and Sustainability  

E-print Network

favorable condi- tions. Unfortunately, they do not provide dependable, continuous protection to the soil surface, nor do they provide sufficient forage for livestock and wildlife. Rangeland Health and Sustainability Allan McGinty Professor and Extension...

McGinty, Allan

2000-11-01

422

Ruminal environment and forage ruminal digestion in milking cows under grazing and zero-grazing  

E-print Network

Ruminal environment and forage ruminal digestion in milking cows under grazing and zero-grazing ML. A trial was run to study the effect of zero grazing on rumen environment and protein and fiber digestion % crude protein (CP), 55 % neutral detergent fiber (NDF) and 65 % in-vitro digestibility. Treatments were

Paris-Sud XI, Université de

423

Managing indoor air for health and energy conservation  

SciTech Connect

Indoor air quality is and will remain one of the most important health issues of the decade because building associated illness impairs health and effects productivity. The 1986 ASHRAE Indoor Air Quality Conference examined critical issues affecting the indoor environment of offices, home and schools. This book contains important information on; building-associated diseases; airtightness; formaldehyde, radon and carbon dioxide levels; passive smoking implications; and practical engineering solutions.

Not Available

1986-01-01

424

[Health management of Saipem workers with projects involving abroad activities].  

PubMed

In remote areas and in developing countries, where adequate health-care structures are few and sparse, Occupational Medicine contributes to guaranteeing workers' health. Companies like Saipem, involved in activities that are carried out in remote, inhospitable areas must ensure the safety and guarantee the health conditions of workers in relation to the risk factors connected with the job as well as with the environment in which it is performed. In such situations, Occupational Medicine addresses both the health aspects of the workplace and of the community, and is the pivot around which revolves the health-care support of workers employed abroad in the sense of protection and enhancement of health. The risks connected with work abroad are of three main types: 1) job-related risks; 2) risks connected with the environment; 3) risks related to the organization of work and the changes in the worker's daily life. The job-related risks are similar to those connected with analogous jobs performed elsewhere. The risks connected with the environment are related to adverse climatic conditions, extreme temperatures and unknown and often dangerous flora and fauna. The occupational physician is called upon to assess the suitability of workers for jobs that are based in remote areas. The main clinical conditions that can prevent issue of the Medical Fitness Certificate to workers for long-stay jobs abroad are discussed. PMID:18409664

Nicosia, V; De Sanctis, S; Mika, F; Consentino, M; Mascheroni, G

2007-01-01

425

Health Information Seeking, Receipt, and Use in Diabetes Self-Management  

PubMed Central

PURPOSE Diabetes self-management is essential for diabetes control, yet little is known about patient preferences for sources of health information or about the extent to which information is sought directly or received passively through various media sources. The aim of this qualitative study was to identify how individuals with diabetes seek and use health care information. METHODS Using a health information model to guide our research, we conducted 9 focus groups with 46 adults with a diagnosis of diabetes and then analyzed the transcripts and notes from these focus groups. RESULTS Five themes emerged: (1) passive receipt of health information about diabetes is an important aspect of health information behavior; (2) patients weave their own information web depending on their disease trajectory; (3) patients’ personal relationships help them understand and use this information; (4) a relationship with a health care professional is needed to cope with complicated and sometimes conflicting information; and (5) health literacy makes a difference in patients’ ability to understand and use information. CONCLUSIONS Patients make decisions about diabetes self-management depending on their current needs, seeking and incorporating diverse information sources not traditionally viewed as providing health information. Based on our findings, we have developed a new health information model that reflects both the nonlinear nature of health information-seeking behavior and the interplay of both active information seeking and passive receipt of information. PMID:20644188

Longo, Daniel R.; Schubert, Shari L.; Wright, Barbara A.; LeMaster, Joseph; Williams, Casey D.; Clore, John N.

2010-01-01

426

Results of the implementation of a holistic health management system into the tax administration of North-Rhine Westphalia  

Microsoft Academic Search

In order to ensure the well-being and employability of the workforce, it is essential to integrate worksite health promotion (WHP) into the daily activities of the organisation. Based on the framework of a healthy work organisation and of a holistic health management system, the aim of the project is the development, implementation, evaluation and transfer of a holistic health management

Bernhard Zimolong; Gabriele Elke; Rainer Wieland; Jochen Gurt; Christian Schwennen; Peter Görg

427

Strengthening local health care management in Bolivian districts through participatory operational research.  

PubMed

The purpose of this article is to demonstrate how the use of a participatory health care management and problem-related research methodology may help strengthen health service management and the capacities of local health care personnel. The text refers to five studies carried out in three Bolivian health districts from 1993-1995, in an Operational Research Project, conducted by an Italian N.G.O. (Cooperazione Internazionale) in agreement with the local Ministry of Health and P.A.H.O./W.H.O. The object of these studies was to assess the main problems in health care delivery and to define and implement appropriate solutions. The studies utilized a methodology based on the principles of operational research and continuous quality improvement. During the process some positive aspects and difficulties were met. The positive aspects were: the applied character of the research focused on the solution of a problem; the study of a problem related to health service management; the use of modern and simple techniques adapted to local knowledge; on-the-job training of health care personnel during the research process. Lack of a generic 'culture of research' and poor health personnel training were the main difficulties encountered. National health authorities should take these points into account to define or readjust policies on health service research, health workers' academic education and in-service training. Insisting on developing human resources and allowing them to achieve and expand their potential is the key factor for getting developing countries out of their current crisis and toward reaching a truly human and sustainable development. PMID:10167612

Ferrelli, R; Serrano, C R; Balladelli, P P; Cortinois, A; Quinteros, J

1997-01-01

428

Strengthening district-based health reporting through the district health management information software system: the Ugandan experience  

PubMed Central

Background Untimely, incomplete and inaccurate data are common challenges in planning, monitoring and evaluation of health sector performance, and health service delivery in many sub-Saharan African settings. We document Uganda’s experience in strengthening routine health data reporting through the roll-out of the District Health Management Information Software System version 2 (DHIS2). Methods DHIS2 was adopted at the national level in January 2011. The system was initially piloted in 4 districts, before it was rolled out to all the 112 districts by July 2012. As part of the roll-out process, 35 training workshops targeting 972 users were conducted throughout the country. Those trained included Records Assistants (168, 17.3%), District Health Officers (112, 11.5%), Health Management Information System Focal Persons (HMIS-FPs) (112, 11.5%), District Biostatisticians (107, 11%) and other health workers (473, 48.7%). To assess improvements in health reporting, we compared data on completeness and timeliness of outpatient and inpatient reporting for the period before (2011/12) and after (2012/13) the introduction of DHIS2. We reviewed data on the reporting of selected health service coverage indicators as a proxy for improved health reporting, and documented implementation challenges and lessons learned during the DHIS2 roll-out process. Results Completeness of outpatient reporting increased from 36.3% in 2011/12 to 85.3% in 2012/13 while timeliness of outpatient reporting increased from 22.4% to 77.6%. Similarly, completeness of inpatient reporting increased from 20.6% to 57.9% while timeliness of inpatient reporting increased from 22.5% to 75.6%. There was increased reporting on selected health coverage indicators (e.g. the reporting of one-year old children who were immunized with three doses of pentavelent vaccine increased from 57% in 2011/12 to 87% in 2012/13). Implementation challenges included limited access to computers and internet (34%), inadequate technical support (23%) and limited worker force (18%). Conclusion Implementation of DHIS2 resulted in improved timeliness and completeness in reporting of routine outpatient, inpatient and health service usage data from the district to the national level. Continued onsite support supervision and mentorship and additional system/infrastructure enhancements, including internet connectivity, are needed to further enhance the performance of DHIS2. PMID:24886567

2014-01-01

429

Lessons from the business sector for successful knowledge management in health care: A systematic review  

PubMed Central

Background The concept of knowledge management has been prevalent in the business sector for decades. Only recently has knowledge management been receiving attention by the health care sector, in part due to the ever growing amount of information that health care practitioners must handle. It has become essential to develop a way to manage the information coming in to and going out of a health care organization. The purpose of this paper was to summarize previous studies from the business literature that explored specific knowledge management tools, with the aim of extracting lessons that could be applied in the health domain. Methods We searched seven databases using keywords such as "knowledge management", "organizational knowledge", and "business performance". We included articles published between 2000-2009; we excluded non-English articles. Results 83 articles were reviewed and data were extracted to: (1) uncover reasons for initiating knowledge management strategies, (2) identify potential knowledge management strategies/solutions, and (3) describe facilitators and barriers to knowledge management. Conclusions KM strategies include such things as training sessions, communication technologies, process mapping and communities of practice. Common facilitators and barriers to implementing these strategies are discussed in the business literature, but rigorous studies about the effectiveness of such initiatives are lacking. The health care sector is at a pinnacle place, with incredible opportunities to design, implement (and evaluate) knowledge management systems. While more research needs to be done on how best to do this in healthcare, the lessons learned from the business sector can provide a foundation on which to build. PMID:21787403

2011-01-01

430

Human resource development: the management, planning and training of health personnel.  

PubMed

The morale of health personnel is fast becoming the major factor affecting both the sustainability and the quality of health care world-wide. Low morale mirrors problems ranging from declining balance of payments allocation to GNP, and a lack of support for the health system from the very top down to the rigid application of national pay, grading and career structures, and the stress of not being able to do the job properly. While many of these and other problems have been voiced again and again in the press and in the academic literature, much of the work on health manpower development has focused on the planning and production of personnel. This has been with the aim of producing specific categories of better-trained health workers with relevant qualifications, resulting in a heavy emphasis on a quantitative output. In this paper it is argued that the management of health personnel, the qualitative aspect of staff development, has been relatively neglected. Unless and until the management of human resource development receives the attention it needs, seeds of discontent, disillusion and dissatisfaction will ultimately lead to national health services losing their competitiveness as employers. The sustainability and quality of health programmes will then be in even greater jeopardy than they are at present. The planning, production and management components of health manpower development have developed haphazardly as verticle activities. A new term such as 'human resource development; the management of health personnel' might help ensure the concept of an integrated process contingent on economic, political, organizational and other important circumstances. PMID:10303896

Simmonds, S

1989-09-01

431

Health Shocks and Natural Resource Management: Evidence from Western Kenya  

PubMed Central

Poverty and altered planning horizons brought on by the HIV/AIDS epidemic can change individual discount rates, altering incentives to conserve natural resources. Using longitudinal household survey data from western Kenya, we estimate the effects of health status on investments in soil quality, as indicated by households’ agricultural land fallowing decisions. We first show that this effect is theoretically ambiguous: while health improvements lower discount rates and thus increase incentives to conserve natural resources, they also increase labor productivity and make it more likely that households can engage in labor-intensive resource extraction activities. We find that household size and composition are predictors of whether the effect of health improvements on discount rates dominates the productivity effect, or vice-versa. Since households with more and younger members are better able to reallocate labor to cope with productivity shocks, the discount rate effect dominates for these households and health improvements lead to greater levels of conservation. In smaller families with less substitutable labor, the productivity effect dominates and health improvements lead to greater environmental degradation

Damon, Maria; Zivin, Joshua Graff; Thirumurthy, Harsha

2014-01-01

432

Profile of an excellent nurse manager: identifying and developing health care team leaders.  

PubMed

The purpose of this research was to identify the profile of an excellent nurse manager who can lead effective health care teams. Leadership attributes and competencies that characterize an excellent nurse manager and tools to identify them are lacking in the literature but are required to efficiently and effectively address the growing shortage of registered nurses (RNs) in health care team leadership roles and the critical linkage of these roles to patient outcomes. A profile of an excellent nurse manager was developed on the basis of the responses of nurse managers across the United States who had been identified as excellent or competent by chief nurse executive assessment or/and the Nurse Manager Ability, Leadership, and Support of Nurses staff survey to the Kouzes and Posner Leadership Practices Inventory: Self Instrument. Statistically significant distinctions exist between nurse managers who are excellent and those who are competent as assessed by the Five Practices of Exemplary Leadership, which together comprise the profile of an excellent nurse manager. The Kouzes and Posner Leadership Practices Inventory: Self Instrument can be used to identify, recruit, and develop RNs in the nurse manager role as excellent leaders of effective health care teams. PMID:24896579

Kallas, Kathryn D

2014-01-01

433

Establishing Economic Effectiveness through Software Health-Management  

SciTech Connect

More than two thirds of the annual software budget of large-scale organizations dealing with complex software systems is spent on the perfection, correction, and operation of existing software systems. A significant part of these running costs could be saved if the software systems that need to be constantly extende, maintained and operated were in a better technical condition. This paper proposes Software Health-Checks as a method to assess the technical condition of existing software systems and to deduce measures for improving the health of software in a structured manner. Since 2006 numerous commercial software systems with a total of 30 MLOC, implemented in various technologies, were already checked with this method. The actions suggested as a result of these Software 'Health-Checks', repeatedly yielded dramatic performance improvements, risk reductions and cost savings between 30% and 80%.

Pizka, M; Panas, T

2009-05-27

434

[Managing chronic illness implications for the health care system].  

PubMed

Although chronic diseases build the main focus of health problems, the German health care system is not sufficiently prepared to deal with the new challenges. The reasons are diverse, but one of the most decisive is that the various consequences in dealing with chronic disease are scarcely noticed by the health service. These consequences are brought out by the following article by referring to the available literature and our own studies and are discussed in its implications for a needs-driven design of care. Special attention is paid to care, because it increasingly assumes a key role in the treatment of chronically ill, which still faces barriers in this country. These discussed are also. PMID:16794884

Schaeffer, D

2006-06-01

435

Understanding family health information seeking: a test of the theory of motivated information management.  

PubMed

Although a family health history can be used to assess disease risk and increase health prevention behaviors, research suggests that few people have collected family health information. Guided by the Theory of Motivated Information Management, this study seeks to understand the barriers to and facilitators of interpersonal information seeking about family health history. Individuals who were engaged to be married (N = 306) were surveyed online and in person to understand how factors such as uncertainty, expectations for an information search, efficacy, and anxiety influence decisions and strategies for obtaining family health histories. The results supported the Theory of Motivated Information Management by demonstrating that individuals who experienced uncertainty discrepancies regarding family heath history had greater intention to seek information from family members when anxiety was low, outcome expectancy was high, and communication efficacy was positive. Although raising uncertainty about family health history may be an effective tool for health communicators to increase communication among family members, low-anxiety situations may be optimal for information seeking. Health communication messages must also build confidence in people's ability to communicate with family to obtain the needed health information. PMID:24117214

Hovick, Shelly R

2014-01-01

436

Medicaid Managed Care Model of Primary Care and Health Care Management for Individuals with Developmental Disabilities  

ERIC Educational Resources Information Center

Lack of sufficient accessible community-based health care services for individuals with developmental disabilities has led to disparities in health outcomes and an overreliance on expensive models of care delivered in hospitals and other safety net or state-subsidized providers. A functioning community-based primary health care model, with an…

Kastner, Theodore A.; Walsh, Kevin K.

2006-01-01

437

Managing the Health Effects of Temperature in Response to Climate Change: Challenges Ahead  

PubMed Central

Background: Although many studies have shown that high temperatures are associated with an increased risk of mortality and morbidity, there has been little research on managing the process of planned adaptation to alleviate the health effects of heat events and climate change. In particular, economic evaluation of public health adaptation strategies has been largely absent from both the scientific literature and public policy discussion. Objectives: We examined how public health organizations should implement adaptation strategies and, second, how to improve the evidence base required to make an economic case for policies that will protect the public’s health from heat events and climate change. Discussion: Public health adaptation strategies to cope with heat events and climate change fall into two categories: reducing the heat exposure and managing the health risks. Strategies require a range of actions, including timely public health and medical advice, improvements to housing and urban planning, early warning systems, and assurance that health care and social systems are ready to act. Some of these actions are costly, and given scarce financial resources the implementation should be based on the cost-effectiveness analysis. Therefore, research is required not only on the temperature-related health costs, but also on the costs and benefits of adaptation options. The scientific community must ensure that the health co-benefits of climate change policies are recognized, understood, and quantified. Conclusions: The integration of climate change adaptation into current public health practice is needed to ensure the adaptation strategies increase future resilience. The economic evaluation of temperature-related health costs and public health adaptation strategies are particularly important for policy decisions. PMID:23407064

Barnett, Adrian G.; Xu, Zhiwei; Chu, Cordia; Wang, Xiaoming; Turner, Lyle R.; Tong, Shilu

2013-01-01

438

Municipal interventions against inequalities in health: The view of their managers.  

PubMed

Background: European city councils are increasingly developing interventions against health inequalities. There is little knowledge about how they are perceived. This study describes and analyses good practices and challenges for local interventions on inequalities in health through the narratives of European city managers. Methods: A qualitative study was conducted. Each participating city (Amsterdam, Barcelona, Cluj-Napoca, Helsinki, Lisbon, London, Madrid, Rotterdam) selected interventions following these criteria: at least 6 months of implementation; an evaluation performed or foreseen; the reduction of health inequalities among their objectives, and only one of the interventions selected could be based on health care. Managers of these local interventions were interviewed following an outline. Eleven individual in-depth interviews describing nine local interventions were obtained. A thematic content analysis was performed. Results: One or more local interventions against health inequalities were identified in each city. Most relied on quantitative data and were linked to national strategies. Few interventions addressed socio-economic determinants. Health care, employment and education were the main determinants addressed. With variable depth, evidence-base, participation and intersectorality were regular components of the interventions. Half of them targeted the city and half some deprived neighbourhoods. Few interventions had been evaluated. Scarcity of funding and sustainability of the projects were the main perceived barriers by the managers. CONCLUSIONS CITY INTERVENTION MANAGERS WERE FAMILIAR WITH HEALTH INEQUALITIES AND CONCEPTS AS INTERSECTORALITY, PARTICIPATION AND EVIDENCE-BASED ACTION, BUT OTHERS SUCH AS SOCIOECONOMIC AIMS, GRADIENT APPROACH, EVALUATION AND SUSTAINABILITY WERE NOT SO WIDELY APPLIED MANAGERS' CAPACITIES AND POLITICAL LEADERSHIP IN GOVERNANCE FOR HEALTH SHOULD BE REINFORCED: PMID:24756877

Diez, Elia; Morrison, Joana; Pons-Vigués, Mariona; Borrell, Carme; Corman, Diana; Burström, Bo; Dominguez-Berjón, Felicitas; Gandarillas, Ana; Hoffmann, Rasmus; Santana, Paula; Camprubí, Lluís

2014-04-22

439

Patterns of Rumination by Young and Older Adults  

E-print Network

A lot of attention has been given to the negative effects of both inhibitory deficits and rumination but little work has compared both: research on inhibitory deficits has focused on older adults whereas research on rumination has focused on young...

Schmalzried, RaLynn Cheri

2012-05-31

440

The reality of waste management in primary health care units in Brazil.  

PubMed

A large number of users are serviced in primary health care units in Brazil, both in health facilities and in households. These services generate waste that must be managed safely, but there is no legislation that regulates this type of waste management in Brazil. The objective of this study was to analyse the production and management of waste in primary health care. A direct observation was performed of the stages in the handling and weighing of waste generated in primary health care units in the municipality of Goiânia (Brazil). The units generated infectious, chemical, and common waste, as well as sharp objects. The generation of waste ranged between 0.027 and 0.075?kg?user-day. The generated waste was classified mostly as common and recyclable. Flaws were observed in the management of all types of waste. The critical point is segregation. Only 34.1% of the waste disposed of as infectious actually belonged to this group, the rest was ordinary waste. Flaws at this stage increase the volume of infectious waste, the occupational and environmental risks, and associated costs. Intervention to change this reality is needed and it requires the careful preparation of a waste management plan, corroborating structural changes to the implementation of this plan, and professional training and public policies to guide waste management in primary care, especially those generated in households. PMID:25034368

Alves, Sergiane B; e Souza, Adenícia C S; Tipple, Anaclara F V; Rezende, Keyti C A D; de Resende, Fabiana R; Rodrigues, Érika G; Pereira, Milca S

2014-09-01

441

Evaluation of effects of metritis management in a complex dairy herd health management program.  

PubMed

Evaluating the effects of all interventions in a dairy herd, including the effects of various herd health management programs (HHMP), is highly relevant. A traditional randomized controlled trial is the gold standard but is likely practically impossible or prohibitively expensive to use for a general evaluation of a HHMP. Generalizability may also be poor because of the dynamics of the production contexts. In this study, we demonstrate an approach for evaluating the effects of an HHMP in the field, specifying an intervention theory for an ongoing HHMP in the context of the Danish dairy industry. As an example, we suggest one coherent analytical approach for studying the possible effects on milk production of systematic postpartum examinations of vaginal discharge, which is supposed to improve detection and treatment of metritis or endometritis. This routine is one component of the HHMP. The data consisted of 121 herds and 76,953 lactations over a 15-yr period. For parity group 1, the negative effects of metritis (despite treatment) on 305-d milk production after a normal calving were reduced by 116 kg of energy-corrected milk after enrollment in the HHMP. For parity group 2 and parity group >2, enrollment in the HHMP resulted in a 129-kg and an 80-kg energy-corrected milk yield increase in milk production, respectively. The results indicate that effects of the HHMP existed, which were mediated through improved metritis detection. This study demonstrates the importance of a clear-cut intervention theory, although even with a theory, the research question can be too herd and context specific. In such a case, a within-herd randomized controlled trial study design seems to be the only way to achieve a valid result for a given herd, and acquiring valid results from an observational multi-herd study will be very difficult. PMID:24239087

Krogh, M A; Enevoldsen, C

2014-01-01

442

Mycotoxicoses of ruminants and horses.  

PubMed

In the current study, mycotoxicoses of ruminants and horses are reviewed, with an emphasis on the occurrence of these diseases in South America. The main mycotoxicoses observed in grazing cattle include intoxications by indole-diterpenoid mycotoxins (Paspalum spp. contaminated by Claviceps paspali, Lolium perenne infected by Neotyphodium lolii, Cynodon dactylon infected by Claviceps cynodontis, and Poa huecu), gangrenous ergotism and dysthermic syndrome (hyperthermia) caused by Festuca arundinacea (syn. Festuca elatior) infected by Neotyphodium coenophialum (syn. Acremonium coenophialum), and photosensitization in pastures contaminated by toxigenic Pithomyces chartarum. Other mycotoxicoses in grazing cattle include slaframine toxicity in clover pastures infected by Rhizoctonia leguminicola and diplodiosis in cattle grazing in corn stubbles. The mycotoxicoses caused by contaminated concentrated food or byproducts in cattle include poisoning by toxins of Aspergillus clavatus, which contaminate barley or sugar beetroot by-products, gangrenous ergotism or dysthermic syndrome caused by wheat bran or wheat screenings contaminated with Claviceps purpurea, and acute respiratory distress caused by damaged sweet potatoes (Ipomoea batatas). The main mycotoxicosis of horses is leukoencephalomalacia caused by the fumonisins B1 and B2 produced by Fusarium spp. Poisoning by C. purpurea and F. elatior infected by N. coenophialum has also been reported as a cause of agalactia and neonatal mortality in mares. Slaframine toxicosis caused by the ingestion of alfalfa hay contaminated by R. leguminicola has also been reported in horses. PMID:24091682

Riet-Correa, Franklin; Rivero, Rodolfo; Odriozola, Ernesto; Adrien, Maria de Lourdes; Medeiros, Rosane M T; Schild, Ana Lucia

2013-11-01

443

Health Services Management Centre `The billion dollar question': embedding  

E-print Network

by 2027/28. Additional analysis by HSMC on The Case for Adult Social Care Reform (Glasby et al., 2010) suggests that social care costs alone could double in twenty years without fundamental and ongoing reform Key policy drivers In recent years, health and social care services in all sectors have found

Birmingham, University of

444

NIH POLICY MANUAL 1340 -NIH Occupational Safety and Health Management  

E-print Network

in property damage and human resources due to accident, injury, or illness; and #12;Comply with Public Law 91 in the safest possible manner and report hazards, accidents, injuries and illnesses to the appropriate NIH Programs for Federal Employees 2. Public Law 91-596, Williams-Steiger Occupational Safety and Health Act

Bandettini, Peter A.

445

Help Hints for the Management of Other Health Impaired Children.  

ERIC Educational Resources Information Center

The manual is designed to provide information to teachers, parents, and school administrators about health impaired children with medically diagnosed physical conditions. Definitions, common symptoms, incidence, age of onset, prognosis, most typical treatment, educational significance, educational adaptations, and symptoms to look out for are…

Armstrong, Mary Lee; And Others

446

The Management of NASA Employee Health Problem; Status 1971  

NASA Technical Reports Server (NTRS)

A system for assessing employee health problems is introduced. The automated billing system is based on an input format including cost of medical services by user and measures in dollars, that portion of resources spent on preventive techniques versus therapeutic techniques. The system is capable of printing long term medical histories of any employee.

Arnoldi, L. B.

1971-01-01

447

Managing Dog Waste: Campaign Insights from the Health Belief Model  

ERIC Educational Resources Information Center

Aiming to help municipalities develop effective education and outreach campaigns to reduce stormwater pollutants, such as pet waste, this study applied the Health Belief Model (HBM) to identify perceptions of dog waste and corresponding collection behaviors from dog owners living in a small U.S. city. Results of 455 online survey responses…

Typhina, Eli; Yan, Changmin

2014-01-01

448

HELICOPTER HEALTH MONITORING AND FAILURE PREVENTION THROUGH VIBRATION MANAGEMENT  

E-print Network

; Failure Prevention; Neural Networks, Smoothing Algorithms, Rotor Track and Balance, Non and the US Army, is developing advanced Rotor Track and Balance (RT&B) procedures and helicopter Health rotor smoothing (rotor track and balance) that uses an imbedded, onboard data acquisition and processing

Giurgiutiu, Victor

449

Health Care Professionals' Views about Supporting Patients' Self-Management  

ERIC Educational Resources Information Center

Purpose: The aim of this study was to describe nurses' and other health care professionals' views about their patient education skills and how to develop them. Design/methodology/approach: The data for the study were collected from the participants of the online education course on patient education. The data were analyzed using qualitative…

Mikkonen, Irma; Hynynen, Marja-Anneli

2012-01-01

450

Herd health status and management practices on 16 Irish suckler beef farms  

PubMed Central

Background There have been few studies published internationally which document herd health management practices in suckler beef herds and no published Irish studies. The study objective was to document herd health status and management practices on sixteen Irish suckler beef herds over a two year period (2009–2010). The farms used in the study were part of the Teagasc BETTER farm beef programme. The mean (s.d.) herd size, stocking rate and farm size was 68 cows (27.6), 2.0 LU/ha (0.3) and 64.3 (21.6) adjusted hectares, respectively. Two questionnaires were designed; 1) a farmer questionnaire to collect information on farm background and current herd health control practices and 2) a veterinary questionnaire to collect information on the extent of animal health advice given by veterinarians to their clients and identification of any on-farm herd health issues. Results Dystocia, calf pneumonia, and calf diarrhoea, in that order, were identified as the primary herd health issues in these Irish suckler beef herds. In addition, substantial deficiencies in biosecurity practices were also identified on these farms. Conclusions The findings of this study may serve as the focus for future research in animal health management practices in Irish suckler beef herds. PMID:24195997

2013-01-01

451

Resident obstetricians¿ awareness of the oral health component in management of nausea and vomiting in pregnancy.  

PubMed

BackgroundNausea and vomiting are common in early pregnancy in 50-90% of pregnant women and resolves in all but 10% of these women. Many obstetricians encounter this problem and should be familiar with the probable outcomes, current treatment options and oral health component of its management. This study assessed the awareness of obstetrics residents of the oral health component of management of nausea and vomiting in pregnancy.MethodsThis study was carried out among resident doctors in Obstetrics and Gynaecology in Nigeria. A pre-tested, self-administered questionnaire was used for the data collection. The data collected were analyzed using the Statistical Package for Social Science (SPSS) version 17.0. Non parametric analysis in the form of chi square was carried out to test for statistical significance with P value <0.05 considered statistically significant.ResultsA total of 200 questionnaires were administered while 186 were filled and returned, giving a response rate of 93%, comprising 21.5% senior residents and 78.5% junior residents. Most of the respondents agreed that oral health is important in pregnancy. A majority (58%) also thought that oral health complaints in pregnancy were not normal. Fifty-seven percent of the respondents neither assessed teeth and gums of pregnant women for problems during ante-natal care nor educated them on care that would improve their oral health. Majority (95.7%) of the respondents assisted pregnant women with dealing with nausea and vomiting but were not aware of the oral health component of its management.ConclusionOral health component in the management of nausea and vomiting in pregnancy has been largely neglected in obstetric care. It is pertinent that ante-natal health care providers receive adequate education on perinatal oral health care. PMID:25421787

Enabulele, Joan; Ibhawoh, Louis

2014-11-25

452

Pasture management for sheep and goats  

Technology Transfer Automated Retrieval System (TEKTRAN)

Small ruminant producers in Appalachia have many questions about forage management. Forage management decisions need to be keyed to the specific needs of the small ruminant t species to be grazed. Sheep and goats are different from each other and both are very different from cattle. Important con...

453

Merging health literacy with computer technology: Self-managing diet and fluid intake among adult hemodialysis patients  

E-print Network

E-Health Merging health literacy with computer technology: Self-managing diet and fluid intake Partners, Indiana University, Indianapolis, IN, USA 1. Introduction Health literacy, defined as ``the,3]. Inadequate health literacy is a particular problem for chroni- cally ill persons. Disease self

Connelly, Kay

454

Getting by on credit: how district health managers in Ghana cope with the untimely release of funds  

Microsoft Academic Search

BACKGROUND: District health systems in Africa depend largely on public funding. In many countries, not only are these funds insufficient, but they are also released in an untimely fashion, thereby creating serious cash flow problems for district health managers. This paper examines how the untimely release of public sector health funds in Ghana affects district health activities and the way

Augustine D Asante; Anthony B Zwi; Maria T Ho

2006-01-01

455