Search is not available for this dataset
query
stringlengths 1
13.4k
| pos
stringlengths 1
61k
| neg
stringlengths 1
63.9k
| query_lang
stringclasses 147
values | __index_level_0__
int64 0
3.11M
|
|---|---|---|---|---|
Cardiovascular disease in HIV patients: from bench to bedside and backwards | HIV patients are exposed to a higher risk of adverse cardiovascular events, due to complex interactions between traditional risk factors and HIV infection itself in terms of ongoing endothelial dysfunctional immune activation/inflammation and increased risk of thrombosis. On the other hand, long-span antiretroviral therapy administration still raises questions on its long-term safety in an era in which life expectancy is becoming longer and longer while treatment of non-HIV-related serious events is increasingly raising concern. In this article, we will critically analyse the current knowledge of pathological and clinical aspects pertaining to the increased risk of cardiovascular events associated with HIV. | Information overload has been one of the causes of preventable medical errors [1] and escalating costs [2]. A context-aware application with embedded clinical knowledge is proposed to provide practitioners with the appropriate amount of information and content. We developed a prototype of a context-aware medical application to address clinicians' information needs that arise in a data intensive unit, the Cardio-Thoracic Intensive Care Unit (CTICU). A major clinical decision supported by the prototype, the extubation decision, is illustrated. | eng_Latn | 6,000 |
The Council on International Affairs | 478 Am J Psychiatry 141:3, March 1984 membership dues decreases, so will the direct and immediate influence of the membership body.” The council concluded that, although the action paper identified a potentially serious problem, no current examples of such a problem could be identified. It was noted that, within the present structure of APA, members oversee all activities. The council believes that the key to preventing problems is for the members, through the Assembly, Board of Trustees, and committees, to continue their vigilant oversight of the activities of the Association. In this way, the present system allows the members to keep APA’s stated objectives foremost. | Background: In 2007 a consortium of specialty societies developed and published a clinical expert consensus document (CECD) on carotid artery stenting (CAS). This CECD listed suggested indications ... | eng_Latn | 6,001 |
Care Standards Act: the health-care perspective | Without question, among the huge (both in terms of volume and the weight of significance) issues confronting providers of nursing and residential care, one looms largest. | Amidst calls from the Holmes Group and the Carnegie Forum on Education and the Economy for substantial edu cation reform, a group of administrators and a group of teachers were asked to express their support or opposition to these propos als. The responses raise some questions about the proposals' chance for suc cess. | eng_Latn | 6,002 |
NHS managers add voice to calls for changes to health bill. | NHS managers have called for a major overhaul of plans to reform the NHS in their response to the government’s listening exercise. ::: ::: The NHS Confederation, which represents health service managers, said in its submission to the NHS Future Forum, which is conducting the listening exercise, that reform of the NHS was needed. It added, however, that the government had not made the case for such major change and that reforms were not sufficiently focused on the difficulties facing the NHS such as the financial squeeze, variability in standards of care, … | The possibility of extracting useful medical information from data collected by nurses for management purposes is investigated. An alternating decision tree for predicting pressure ulcer development is generated from nursing needs score data (NNS) usually recorded in Japanese hospitals. | eng_Latn | 6,003 |
Consultation to restore public trust following organ scandals | The breach of trust which was evidenced following the retention and storage of human organs at Alder Hey and Bristol Royal Infirmary will take a long time to repair. The Department of Health (DoH) took steps to respond to the grief of the thousands of relatives affected and set up the Retained Organs Commission (ROC) to oversee the return of tissues and organs from collections around the country, provide information on the various collections, and ensure that suitable counselling is available. | Government advisory committees are starting to develop rules for stage 3 meaningful use for EHR systems--and they want your input. Find out how you can make your voice heard. | eng_Latn | 6,004 |
In which European city are the headquarters of the IAEA (International Atomic Energy Agency)? | News News Young Professionals in Nuclear Field Connect with the IAEA at International Congress in China 2016-08-11 The IAEA took an active part in the International Youth Nuclear Congress (IYNC) in July this year, which focused on the theme ?Nuclear Powering our Life?. Over 400 young professionals from around the world attended the Congress, where they learned about the peaceful applications of nuclear technology, nuclear security, public and emergency communications, as well as the IAEA?s junior professional and internship programmes More » National Seminar on the peaceful applications of nuclear techniques takes place in Kuwait 2016-06-21 A National Seminar on the Peaceful Applications of Nuclear Techniques, organized by the IAEA in cooperation with the Kuwait Institute for Scientific Research (KISR), has taken place from 30 to 31 May under the patronage of Dr. Samira A. S. Omar, KISR?s Director General. More » The Kingdom of Bahrain continues its efforts to enhance the quality of its nuclear medicine services 2016-06-20 A national workshop on ?Improving Nuclear Medicine Practices in Bahrain? was successfully organized by the IAEA from 22-26 May in Bahrain, attended by about 40 participants from various stakeholder institutions in the Kingdom of Bahrain. More » Meeting Partners, Meeting Expectations: The RCA Regional Cooperative Agreement Holds its 38th Regional Meeting 2016-06-06 From 17-20 May, 45 representatives from 20 state parties to the RCA were joined by IAEA experts in Ulaanbaatar, Mongolia, where they met to review, discuss and agree on strategies to increase cooperation around the peaceful use of nuclear science and technology. More » The ARASIA Approach for an Effective and Sustainable Cooperation 2016-04-28 A four-day meeting, attended by ARASIA National Representatives, provided a platform for deliberations on strategic and policy issues pertaining to the management of ARASIA and its future programme to ensure that cooperation has a real and sustainable impact. More » Regional Workshop on Drafting Regulations for the Safe Transport of Radioactive Material 2016-04-22 30 participants from 17 countries across the region of Asia and the Pacific gathered in Vienna from 18-22 April 2016 for a practical workshop to fully draft national implementing regulations for transport of radioactive materials in accordance with the IAEA safety standards. More » Quality in quantity: 80 participants receive training in designing TC Projects 2016-03-30 50 participants and an additional 30 observers have recently attended a sub-regional workshop in Bangkok, Thailand, from 23 to 26 February, to learn more about the Logical Framework Approach (LFA) and its application in the development and implementation of IAEA TC projects. More » The RCA holds Programme Advisory Committee (PAC) meeting 2016-03-09 Members of the RCA Programme Advisory Committee (PAC) have met for the fourth time in Austria, Vienna from 15-19 February 2016, with the endorsement of the RCA National Representatives at the 44th RCA General Conference Meeting. More » Making coordinated progress: National Liaison Officers (NLOs) and National Representatives (NRs) gather in Vienna to enhance the delivery of the TC programme in Asia & the Pacific 2016-03-07 Fifty-four National Liaison Officers and National Representatives from 36 Member States and territories in the Asia and the Pacific region met recently at the IAEA?s Vienna Headquarters, from 22?25 February 2016 More » Infant and young child nutrition on the agenda of the IAEA 2016-03-04 The IAEA is supporting its Member States in the Asia and the Pacific region to ensure the healthy growth of young children through an ongoing regional project which aims to inform decision-makers on the effectiveness of breastfeeding promotion campaigns. More » Nepal signs a Country Programme Framework (CPF) for 2016-2021 2016-03-02 HE Mr Gajendra Kumar Thakur, Secretary of Nepal?s Ministry of Science and Technology, and Mr Dazhu Yang, IAEA Deputy Director General and Head of the Department of Technical Cooperation, hav | Archive Module Education : Archive Module This module shows a list of the calendar months containing archived articles. After you have changed the status of an article to archived, this list will be automatically generated. Help Thanks for signing up! Sign up for IHEA-USA Updates Sign up to get news and updates delivered to your inbox. Email Address 800 East 73rd Avenue, Unit 2 Denver, CO 80229 phone: 303 430-7233 | fax: 303 430-7236 This website was made possible by a grant from the National Shooting Sports Foundation. Copyright © 2017 International Hunter Education Association. All Rights Reserved. | eng_Latn | 6,005 |
Modern clinical research: How rapid learning health care and cohort multiple randomised clinical trials complement traditional evidence based medicine. | Distributed learning: Developing a predictive model based on data from multiple hospitals without data leaving the hospital – A real life proof of concept | Computer technology and clinical work: still waiting for Godot. | eng_Latn | 6,006 |
A comparative evaluation of automated medical history systems | Interpretation of Symptoms with a Data-Processing Machine | Computer technology and clinical work: still waiting for Godot. | eng_Latn | 6,007 |
Experiences of Building a Medical Data Acquisition System Based on Two-Level Modeling | Analyzing the Performance of a Blockchain-based Personal Health Record Implementation | Model-Free Feature Screening for Ultrahigh Dimensional Data | eng_Latn | 6,008 |
DEPARTMENT OF MEDICINE AND RELIGION OF THE AMERICAN MEDICAL ASSOCIATION. | Religion in Organized Medicine: The AMA’s Committee and Department of Medicine and Religion, 1961–1974 | Optimal Dynamic Multi-Resource Management in Earth Observation Oriented Space Information Networks | yue_Hant | 6,009 |
Back to Analogue: Self-Reporting for Parkinson's Disease | Despite technical problems personal digital assistants outperform pen and paper when collecting patient diary data. | Statutory basis for public health reporting beyond specific diseases | eng_Latn | 6,010 |
Handovers in Perioperative Care. | Handovers around the time of surgery are common, yet complex and error prone. Interventions aimed at improving handovers have shown increased provider satisfaction and teamwork, improved efficiency, and improved communication and have been shown to reduce errors and improve clinical outcomes in some studies. Common recommendations in the literature include a standardized institutional process that allows flexibility among different units and settings, the completion of urgent tasks before information transfer, the presence of all members of the team for the duration of the handover, a structured conversation that uses a cognitive aid, and education in team skills and communication. | This article in view of the Hainan Provincial People’s Hospital clinical data conformity work actual situation, proposed a set based on the DOP technology clinical data conformity and the synthesis information retrieval plan, with emphasis discussed the difficulty, DOP platform technical aspect and so on superiority and characteristic, system realization goal, technical construction and design main point which the data conformity work faces questions, by achievement to large-scale general hospital clinical information system data conformity preliminary discussion. | eng_Latn | 6,011 |
Subgrouping low back pain: A comparison of the STarT Back Tool with the Örebro Musculoskeletal Pain Screening Questionnaire | Introduction ::: Clinicians require brief, practical tools to help identify low back pain (LBP) subgroups requiring early, targeted secondary prevention. The STarT Back Tool (SBT) was recently validated to subgroup LBP patients into early treatment pathways. | A website of "Borrowing and Returning System of Laboratory Culture Tissue , FKKKSA, UTM is a computerized system that being can be used by Bioprocess Department FKKKSA to replace existing manual process. A research and analysis on the manual system was done to get better understanding of the system by doing literature review and interviewing the staff of the particular lab. This system was a solution for management of borrowed and returned equipments. This is because now all the information can be stored more systematic and well organized. The project development process use the object oriented methodology and the prototype evolution methodology has been chosen. Meanwhile for the software that has been choosing is Macromedia Dreamweaver MX by using PHP as a programming language and MySQL Server as a database. | eng_Latn | 6,012 |
[Ethics in organ transplantation: continous search for defining what is acceptable]. | In the past 50 years, Transplant Medicine has been adopted worldwide as a growing option for treatment of many organic diseases. Ethical Issues in organ replacement therapy have emerged since the beginning. Significant advancements in the care of critically ill patients, as well as the increasing need of cadaveric organs for transplantation, definitively influenced a complex discussion about new criteria for definition of death, one of the most complex ethic debates in last century. Criteria for organ assignment are also cause of profound debate, especially when the number of patients waiting for an organ is extremely high compared with organ availability. Living donor represents a very complex figure in modern medicine, security issues as well as the need to offer them absolute respect to their capacity to decide must be considered in every patient. Ethics in transplantation represent a continuous search for defining what is acceptable. | This article in view of the Hainan Provincial People’s Hospital clinical data conformity work actual situation, proposed a set based on the DOP technology clinical data conformity and the synthesis information retrieval plan, with emphasis discussed the difficulty, DOP platform technical aspect and so on superiority and characteristic, system realization goal, technical construction and design main point which the data conformity work faces questions, by achievement to large-scale general hospital clinical information system data conformity preliminary discussion. | eng_Latn | 6,013 |
OPP staff offer hands-on technology training by building on national legal services events. | OPP trains people on technology using experience gained in the legal field doing similar. | OPP is legal consultation service. | eng_Latn | 6,014 |
Also, a system of patient-oriented information of transplant performance will allow easier comparison of transplant center performance and the use of performance goals will create equity in the system. | The use of performance goals will create equity in the system. | A system of patient-oriented information of transplant performance will be useless. | eng_Latn | 6,015 |
Criteria and standards used to measure the strength of a legal services delivery network are derived from the LSC Act and regulations, LSC Performance Criteria, American Bar Association (ABA) Standards for Programs Providing Civil Pro Bono Legal Services to Persons of Limited Means, and ABA Standards for Providers of Civil Legal Services to the Poor. | There are ABA standards for providers who give legal help to the poor. | There are IRS standards for providers who give legal help to the poor. | eng_Latn | 6,016 |
Hargarten added that training mechanisms should not be limited to physicians. | There are limits on training mechanisms. | Physicians should be to only ones that use training mechanisms. | eng_Latn | 6,017 |
Program staff from the Office of Information Management reviewed Case Service Reports (CSR) for 1991 through 2000 to discern trends in the types and numbers of cases closed by grantees. | The OIM reviewed the reports to find trends in the types and numbers of cases. | The OIM reviewed the reports to find trends in the types and numbers of pets. | eng_Latn | 6,018 |
In Visibility and Fine Particles, Transactions of an AWMA/EPA International Specialty | Within view and Fine Particles, Exchanges of an AWMA/EPA International Specialty. | Invisible and Corse Particles, Thievery of an AWMA/FDA International Specialty. | eng_Latn | 6,019 |
In 2001, LSC devised a method to measure other significant responsibilities that programs undertake to help clients, in addition to handling client cases. | LSC invented a way to measure client cases. | LSC borrowed a way to measure client cases. | eng_Latn | 6,020 |
In January of each year, LSC distributes a Case Review Form. | The Case Review Form will come out in January, like every year. | The Case Review Form comes out quarterly for recent information. | eng_Latn | 6,021 |
LSC continues to provide assistance to former recipients of TIGs. | LSC provides continued assistance to people who used to receive TIGs. | LSC has never provided assistance to people who used to receive TIGs. | eng_Latn | 6,022 |
In late 2002, LSC hired an experienced consultant to study and report on existing systems in the legal services community and make recommendations on approaches LSC could adopt. | LSC secured the services of a consultant in late 2002. | In 2005, LSC hired a consultant with no experience to report on current systems in the legal services community. | eng_Latn | 6,023 |
The ASP database program will enable the Asian Pacific American Legal Resource Center (APALRC) to conduct client intake at their offices of mono-lingual Asian American clients, and then transfer eligibility and case data over the Internet to PLAS if the client needs brief legal advice, or to LSNV for extended representation. | The ASP database program will enable the (APALRC) to conduct client intake at their offices | The ASP database program will disable the (APALRC) to conduct client intake at their offices | eng_Latn | 6,024 |
The Office of Program Performance (OPP) staff have assisted LSC grantees and state justice communities with this change process in a number of ways, including the provision of significant technical assistance to help with planning and implementation. | LSC grantees have received help from the Office of Program Performance. | LSC grantees have had to implement technical changes with no help from the Office of Program Performance. | eng_Latn | 6,025 |
In October 2002, we launched the LSC Resource Library Initiative (LRI), a website committed to ensuring that LSC programs are aware of and have access to innovations in civil legal services work. | The LRI website started in October of 2002. | LSC programs are banned from access to civil legal services. | eng_Latn | 6,026 |
The Association for Federal Information Resources Management (AFFIRM) is a nonprofit, professional organization whose overall purpose is to improve the management of information, and related systems and resources, within the federal government. | The AFFIRM does not make money from its processes. | The AFFIRM nets massive profits. | eng_Latn | 6,027 |
Exhibit 9 provides a summary of the monetary values for the Alternative Estimate used for economic valuation of mortality and chronic bronchitis. | Exhibit 9 has a summary of monetary values for the Alternative Estimate. | Exhibit 3 has a summary of practical values for the alternative estimate. | eng_Latn | 6,028 |
Appendix II describes each organization covered by our review. | Appendix II talks about each organization in the review. | Appendix II talks about the one organization that is reviewed. | eng_Latn | 6,029 |
Reports IA and IB, Case Studies. | IA and IB are reports, Case Studies | Case Studies and Reports IC and EF | kor_Hang | 6,030 |
The 2001 Annual Report of the Board of Trustees of the Federal Old-Age and Survivors Insurance and Disability Insurance Trust Funds (March 2001), The 2001 Annual Report of the Board of Trustees of the Federal Supplementary Medical Insurance Trust Fund (March 2001), and The 2001 Annual Report of the Board of Trustees of the Federal Hospital Insurance Trust (March 2001). | The annual report was issued in March 2001. | The annual report was issued in OIctober 2001. | eng_Latn | 6,031 |
In a press release referring to the program, IRS Commissioner Charles O. Rossotti stated that the clinics mesh with the IRS mission statement of providing America's taxpayers top quality service by helping them understand and meet their tax responsibilities by applying the tax law with integrity and fairness to all. | The IRS Commission at the time of the press release was Charles O. Rossotti. | The IRS is an agency of the British government that regulates the import of foreign products. | eng_Latn | 6,032 |
2-R, Mandatory Procedures for Major Defense Acquisition Programs (MDAPS) and Major Automated Information System (MAIS) Acquisition Programs (Apr. | 2-R covers two major programs. | MAIS stands for Minor Automatic Into Submission. | eng_Latn | 6,033 |
The Experience of Information Literacy in Evidence-Based Practice (EBP) Among Professional Nurses in the Ho Municipality of Ghana | Adopting evidence-based practice in clinical decision making: nurses' perceptions, knowledge, and barriers. | Low External Workloads Are Related to Higher Injury Risk in Professional Male Basketball Games. | eng_Latn | 6,034 |
Agricultural Safety Training: California Style | The Analysis of the HCS Department's Injury and Illness Prevention Program | Tools for integrated assessment in agriculture. State of the art and challenges. | eng_Latn | 6,035 |
The Blue Button Project: Engaging Patients in Healthcare by a Click of a Button. | Clinical Data Reuse or Secondary Use: Current Status and Potential Future Progress | More time for research: Fund people not projects | eng_Latn | 6,036 |
Study Design:Review.Objectives:The objectives of this review are to (a) summarize the role of clinical practice guidelines (CPGs), (b) outline the methodology involved in formulating CPGs, (c) prov... | INTRODUCTION ::: Extensive research has been undertaken over the last 30 years on the methods underpinning clinical practice guidelines (CPGs), including their development, updating, reporting, tailoring for specific purposes, implementation and evaluation. This has resulted in an increasing number of terms, tools and acronyms. Over time, CPGs have shifted from opinion-based to evidence-informed, including increasingly sophisticated methodologies and implementation strategies, and thus keeping abreast of evolution in this field of research can be challenging. ::: ::: ::: METHODS ::: This article collates findings from an extensive document search, to provide a guide describing standards, methods and systems reported in the current CPG methodology and implementation literature. This guide is targeted at those working in health care quality and safety and responsible for either commissioning, researching or delivering health care. It is presented in a way that can be updated as the field expands. ::: ::: ::: CONCLUSION ::: CPG development and implementation have attracted the most international interest and activity, whilst CPG updating, adopting (with or without contextualization), adapting and impact evaluation are less well addressed. | INTRODUCTION ::: Extensive research has been undertaken over the last 30 years on the methods underpinning clinical practice guidelines (CPGs), including their development, updating, reporting, tailoring for specific purposes, implementation and evaluation. This has resulted in an increasing number of terms, tools and acronyms. Over time, CPGs have shifted from opinion-based to evidence-informed, including increasingly sophisticated methodologies and implementation strategies, and thus keeping abreast of evolution in this field of research can be challenging. ::: ::: ::: METHODS ::: This article collates findings from an extensive document search, to provide a guide describing standards, methods and systems reported in the current CPG methodology and implementation literature. This guide is targeted at those working in health care quality and safety and responsible for either commissioning, researching or delivering health care. It is presented in a way that can be updated as the field expands. ::: ::: ::: CONCLUSION ::: CPG development and implementation have attracted the most international interest and activity, whilst CPG updating, adopting (with or without contextualization), adapting and impact evaluation are less well addressed. | eng_Latn | 6,037 |
This book provides introductory information to assessing the learning outcomes of education systems. It considers the role of indicators in this process, in particular, their nature, choice, and use. A number of approaches to assessing learning outcomes in selected industrial countries (the United States and the United Kingdom) and in representative developing countries (Chile, Colombia, Mauritius, Namibia, and Thailand) are described. Systems of comparative international assessment are also reviewed, and the arguments for and against the participation of developing countries in such assessments are examined. The authors determine that public examination results do not equate with the information obtained in national assessment systems that are specifically designed to provide data on learning outcomes for an education system. The final chapters describe the various stages of a national assessment and present a case study containing numerous examples of poor practice in the conduct of national assessments. | To provide a universal basic education, Saudi Arabia initially employed a rapid quantitative educational strategy, later developing a qualitative focus to improve standards of education delivery and quality of student outcomes. Despite generous resources provided for education, however, there is no national assessment system to provide statistical evidence on students’ learning outcomes. Educators are querying the curricula and quality of delivery for Saudi education, especially following low student performances on the Trends in International Mathematics and Science Study (TIMSS) in 2003 and 2007. There is a growing demand for national assessment standards for all key subject areas to monitor students’ learning progress. This study acknowledges extant research on this important topic and offers a strategy of national assessment to guide educational reform. | The last 12 months could be dubbed the international year of electronic health records, as electronic health in-formation systems have been identified as a critical ingredient for reinvigorating health care in country after country. In his State of the Union address last year, United States President Bush set the goal of having such records for every person within 10 years. Similar initia-tives are under way in almost every other developed country including Australia, Canada, Denmark, France, New Zealand and the United Kingdom. Developing countries are also beginning to take up electronic health records: in Ecuador, Kenya, Malaysia, Uganda and others, electronic systems have either been tried on a pilot basis or are planned on a nationwide scale (1–3).This awakening to the need for electronic information systems for the delivery of health care is hardly surpris-ing and is long overdue. Consider that it is possible to travel anywhere in the world and, armed with a bank card, withdraw money from a cashpoint at any bank. Airline passengers can thank information systems for quantum leaps in aviation safety — from tracking the performance of thousands of engine parts to running decision-support sys-tems that warn of potential problems.Nevertheless, if a patient is taken to a local hospital, emergency doctors are likely to have no idea of his medical history, which medications he takes or which tests or treatments he has had. When discharged, his family physician is unlikely to receive a discharge report, nor is there any mechanism for follow-up. This is why almost a third of the hospitalizations of senior citizens are the result of medication toxicity, and almost half of serious medication errors occur because clinicians do not have enough information about their patients or the drugs they are prescribing for them. Why is this happening? | eng_Latn | 6,038 |
This paper addresses social, ethical and legal concerns about security and privacy that arise in the development of international interoperable health information systems. The paper deals with these concerns under four rubrics: the ethical status of electronic health records, the social and legal embedding of interoperable health information systems, the overall information-requirements healthcare as such, and the role of health information professionals as facilitators. It argues that the concerns that arise can be met if the development of interoperability protocols is guided by the seven basic principles of information ethics that have been enunciated in the IMIA Code of Ethics for Health Information Professionals and that are central to the ethical treatment of electronic health records. | The last 12 months could be dubbed the international year of electronic health records, as electronic health in-formation systems have been identified as a critical ingredient for reinvigorating health care in country after country. In his State of the Union address last year, United States President Bush set the goal of having such records for every person within 10 years. Similar initia-tives are under way in almost every other developed country including Australia, Canada, Denmark, France, New Zealand and the United Kingdom. Developing countries are also beginning to take up electronic health records: in Ecuador, Kenya, Malaysia, Uganda and others, electronic systems have either been tried on a pilot basis or are planned on a nationwide scale (1–3).This awakening to the need for electronic information systems for the delivery of health care is hardly surpris-ing and is long overdue. Consider that it is possible to travel anywhere in the world and, armed with a bank card, withdraw money from a cashpoint at any bank. Airline passengers can thank information systems for quantum leaps in aviation safety — from tracking the performance of thousands of engine parts to running decision-support sys-tems that warn of potential problems.Nevertheless, if a patient is taken to a local hospital, emergency doctors are likely to have no idea of his medical history, which medications he takes or which tests or treatments he has had. When discharged, his family physician is unlikely to receive a discharge report, nor is there any mechanism for follow-up. This is why almost a third of the hospitalizations of senior citizens are the result of medication toxicity, and almost half of serious medication errors occur because clinicians do not have enough information about their patients or the drugs they are prescribing for them. Why is this happening? | Berzelius failed to make use of Faraday's electrochemical laws in his laborious determination of equivalent weights. | eng_Latn | 6,039 |
Personal digital assistants (PDAs). An asset to managing healthcare. | Library Services for Users of Personal Digital Assistants: A Needs Assessment and Program Evaluation | Despite technical problems personal digital assistants outperform pen and paper when collecting patient diary data. | eng_Latn | 6,040 |
Overcoming barriers to partnering through cooperative procurement procedures | A conceptualisation of relationship quality in construction procurement | Lipoprotein Electrophoresis Should Be Discontinued as a Routine Procedure | eng_Latn | 6,041 |
Anxious about electronic health records? No need to be. | Towards EHR interoperability in Tanzania hospitals: Issues, Challenges and Opportunities | Electronic Health Records: Then, Now, and in the Future | eng_Latn | 6,042 |
Effects of electronic health record use on the exam room communication skills of resident physicians: a randomized within-subjects study | The influence of patient-practitioner agreement on outcome of care | The Keeping of Records in General Practice. | eng_Latn | 6,043 |
Patient and Physician Willingness to Use Personal Health Records in the Emergency Department | Personal Health Records: Definitions, Benefits, and Strategies for Overcoming Barriers to Adoption | The impact of electronic health record use on physician productivity. | eng_Latn | 6,044 |
OBJECTIVES ::: To describe the experience of, and lessons learned from, a collaborative project developing and delivering an MSc in Health Informatics in South Africa. ::: ::: ::: METHODS ::: The description and discussion is based on the experiences of the staff delivering the course, and formal and informal evaluations, the former conducted as part of the University of Winchester's quality assurance processes. ::: ::: ::: RESULTS ::: Some of the lessons learned from adapting the course to meet local needs are described and discussed. ::: ::: ::: CONCLUSIONS ::: Simply attempting to transpose a successful course from one country and culture to another is not a guarantee of success. Educational staff delivering such courses need to take account of local context and culture, be flexible and prepared to adapt to students' needs and circumstances, which may be beyond anyone's control. However, by meeting real identified needs, success can contribute to sustaining capacity building and the development of the local health informatics workforce. | Education in biomedical and health informatics (BMHI) has been established in many countries throughout the world. For degree programs in BMHI we can distinguish between those that are completely stand-alone or dedicated to the discipline vs. those that are integrated within another program. After running integrated degree medical informatics programs at TU Braunschweig for 10 years at the B.Sc. and for 15 years at the M.Sc level, we (1) report about this educational approach, (2) analyze recommendations on, implementations of, and experiences with degree educational programs in BMHI worldwide, (3) summarize our lessons learned with the integrated approach at TU Braunschweig, and (4) suggest an answer to the question, whether degree programs in biomedical and health informatics should be dedicated or integrated. According to our experience at TU Braunschweig and based on our analysis of publications, there is a clear dominance of dedicated degree programs in BMHI. The specialization in medical informatics within a computer science program, as offered at TU Braunschweig, may be a good way of implementing an integrated, informatics-based approach to medical informatics, in particular if a dual degree option can be chosen. The option of curricula leading to double degrees, i.e. in this case to two separate degrees in computer science and in medical informatics might, however, be a better solution. | Improvements in patient safety result primarily from organisational and individual learning. This paper discusses the learning that can take place within organisations and the cultural change necessary to encourage it. It focuses on teams and team leaders as potentially powerful forces for bringing about the management of patient safety and better quality of care. | eng_Latn | 6,045 |
The purpose of this study is to examine the extent to which health education has become a distinctly separate field of inquiry as evidenced by the patterns of information transfer in the health education research literature. Bibliometric analysis is used to determine: (1) if health education has an identifiable core of journals, (2) the extent to which health education research is derivative of research from other disciplines and (3) the extent to which research from other disciplines draws upon research published in health education journals. The results suggest that there is an identifiable core of journals that serve to characterize health education as a distinct field of inquiry. However, health education research is found to be more derivative of research from other fields than are the other comparative fields in the sample. Moreover, researchers in other disciplines use health education research less than half as often as health education uses its own research. Differences in citing patterns in journals dedicated to health education and by researchers publishing on health education topics in research journals of other areas seem to indicate that health education research is not one unified undertaking. | This review examines evidence-based practice (EBP) in health education and promotion with a focus on how academically trained health educators develop EBP skills and how health education and promotion practitioners access the literature to inform their activities. Competencies and credentialing in health education related to evidence-based practice are outlined and sources for evidence-based practice literature in health education and promotion are described. An exploratory questionnaire to consider teaching and resources in evidence-based practice was distributed to faculty and librarians from the top 10 ranked health education doctoral programs. Findings highlighted the integral value of EBP instruction to the curriculum. Growth opportunities in evidence-based health education and health promotion for instructors, practitioners, and librarians include promotion and expansion of online evidence-based public health resources to close the evidence-practice gap. | Berzelius failed to make use of Faraday's electrochemical laws in his laborious determination of equivalent weights. | eng_Latn | 6,046 |
Editorial by Buckley ::: ::: All approaches to revalidation ask doctors to prove their continuing competence to practise. This paper considers developments in Canada from two perspectives: what the profession and its regulatory bodies are doing to meet the challenge of maintaining doctors' performance, and the methods of assessment the regulatory bodies and agencies are using to address this issue. The two perspectives have led to two primary pathways: assessment related to practice activities but linked to an educational or enhancement feedback by the licensing bodies, and strategies emphasising the maintenance of good learning practices by the certifying bodies. The term revalidation is not widely used in Canada, but it can be defined as enforcing standards of practice in the medical workplace by direct measures of doctors' performance. ::: ::: We reviewed the peer reviewed literature and publicly available documents describing either existing or proposed steps for the revalidation of medical licensure or certification and the maintenance of good medical learning practices in Canada. This generated a summary of the principal developments in policy and technical aspects, including a discussion of emerging challenges. ::: ::: Canada is a federation of 10 provinces and three territories. Health care is the responsibility of the provinces and territories. Though licensure of health professionals is a provincial matter, nationwide entry standards exist and are administered by national bodies: the Medical Council of Canada (basic medical qualifications) and the Royal College of Physicians and Surgeons of Canada (specialists) and the College of Family Physicians of Canada (family medicine). These are recognised by all jurisdictions but one.1 National standards for the accreditation of hospitals exist, and provinces can participate in quality control through budgetary and utilisation reviews. ::: ::: ![][1] ::: ::: ### Peer review mechanisms ::: ::: The medical licensing authorities have been monitoring doctors' practices for many years For example, Canada's three most populated provinces, British Columbia, Ontario, and Quebec, … ::: ::: [1]: /embed/graphic-1.gif | The authors describe the process of remedial retraining programs organized and planned for Quebec physicians by the College des medecins du Quebec (CMQ) and report the outcomes of these efforts from April 1992 to March 2002. The CMQ (the Quebec medical licensing authority) developed a process to identify physicians who had shortcomings in their clinical performance, determine their educational needs, propose, in collaboration with the four medical schools in the province, personalized retraining programs (clinical training programs, tutorials, focused readings, workshops, and refresher courses), and subsequently evaluate the impact of these retraining programs. During the ten-year period reported, 305 physicians (216 family physicians and 89 specialists) were referred to the Practice Enhancement Division of the CMQ for personalized remedial retraining. The vast majority of these physicians were men (81%). The following difficulties were identified: therapeutic knowledge (37%), diagnostic knowledge (32%), record-keeping (14%), technical skills (10%), clinical judgment (5%), and communication skills (2%). A total of 329 personalized retraining programs were completed: 273 clinical training programs, 41 tutorials, and 15 focused readings. A reevaluation of all these physicians showed that 70% of the retraining programs had succeeded, 15% were partially successful and only 13% had failed. The remaining 2% involved missing data or withdrawal of physicians. The authors conclude that the collaborative CME process described has important and effective original features. | Berzelius failed to make use of Faraday's electrochemical laws in his laborious determination of equivalent weights. | eng_Latn | 6,047 |
AIMS ::: Until recently, very little national and international information has existed on the level of computerisation in general practice medicine. This study was undertaken to describe the current state of information technology (IT) systems in general practice medicine in New Zealand. ::: ::: ::: METHODS ::: A questionnaire detailing many aspects of computerisation and information technology was sent to all currently operating general practices (a total of 1188) in New Zealand, as identified from public directories. ::: ::: ::: RESULTS ::: A high response rate was achieved (80%), including (without any geographical bias) a representative proportion of rural, urban, sole-GP, and multiple GP practices. A large proportion of general practices currently have computer and IT systems that are potentially adequate to support the functions required of them. Almost all practices (99.0%) are using a Patient Management System (PMS) and 99.8% have at least one computer in their practice. Most practices (93.7%) connect to Healthlink, so have the capability of transferring data electronically. ::: ::: ::: CONCLUSIONS ::: General practices in New Zealand have a very high rate (superior to several other countries) of computerisation and a high level of IT. The main concerns of general practitioners are the ongoing costs and time involved in meeting the IT requirements expected of them. | Electronic health record systems (EHRs) enable health care providers to share access to individual patient information, and have the potential to significantly enhance the quality of health care provided to patients. The Waikato District Health Board (DHB) is developing an EHR with the intention of integrating primary, secondary and tertiary provider information. This study surveyed the use of computer-based technologies by primary health care providers in the Waikato DHB region. The most frequent activity was related to the practice's own records (patient appointments and consultations) and receiving results from private clinics, with the least frequent activity related to interaction with the DHB. Among the most frequent problem areas reported were the perceived lack of speed of implementation of DHB IT applications and inconsistency in the adoption of electronic business practices between health service providers. The findings indicate some key issues for developing an effective interface between health providers: ensuring a sound secondary health provider IT infrastructure is in place; basing patient data on health industry standards; and ensuring that patient opt on/off criteria is clearly in place. | Berzelius failed to make use of Faraday's electrochemical laws in his laborious determination of equivalent weights. | eng_Latn | 6,048 |
Background ::: Electronic health records (EHRs) are promising tools for routine care. These applications might not only enhance the interaction between patient and physician but also support therapy management. This is crucial in complex and chronic conditions like psoriasis. However, EHRs can only unfold their full potential when being accepted by the users. Therefore, this study aims to analyse how EHRs should be designed for patients with psoriasis and to identify differences between patient subgroups. | Purpose This paper reviews the research literature on electronic health record (EHR) systems. The aim is to find out (1) how electronic health records are defined, (2) how the structure of these records is described, (3) in what contexts EHRs are used, (4) who has access to EHRs, (5) which data components of the EHRs are used and studied, (6) what is the purpose of research in this field, (7) what methods of data collection have been used in the studies reviewed and (8) what are the results of these studies. Methods A systematic review was carried out of the research dealing with the content of EHRs. A literature search was conducted on four electronic databases: Pubmed/Medline, Cinalh, Eval and Cochrane. Results The concept of EHR comprised a wide range of information systems, from files compiled in single departments to longitudinal collections of patient data. Only very few papers offered descriptions of the structure of EHRs or the terminologies used. EHRs were used in primary, secondary and tertiary care. Data were recorded in EHRs by different groups of health care professionals. Secretarial staff also recorded data from dictation or nurses’ or physicians’ manual notes. Some information was also recorded by patients themselves; this information is validated by physicians. It is important that the needs and requirements of different users are taken into account in the future development of information systems. Several data components were documented in EHRs: daily charting, medication administration, physical assessment, admission nursing note, nursing care plan, referral, present complaint (e.g. symptoms), past medical history, life style, physical examination, diagnoses, tests, procedures, treatment, medication, discharge, history, diaries, problems, findings and immunization. In the future it will be necessary to incorporate different kinds of standardized instruments, electronic interviews and nursing documentation systems in EHR systems. The aspects of information quality most often explored in the studies reviewed were the completeness and accuracy of different data components. It has been shown in several studies that the use of an information system was conducive to more complete and accurate documentation by health care professionals. The quality of information is particularly important in patient care, but EHRs also provide important information for secondary purposes, such as health policy planning. Conclusion Studies focusing on the content of EHRs are needed, especially studies of nursing documentation or patient self-documentation. One future research area is to compare the documentation of different health care professionals with the core information about EHRs which has been determined in national health projects. The challenge for ongoing national health record projects around the world is to take into account all the different types of EHRs and the needs and requirements of different health care professionals and consumers in the development of EHRs. A further challenge is the use of international terminologies in order to achieve semantic interoperability. | Berzelius failed to make use of Faraday's electrochemical laws in his laborious determination of equivalent weights. | eng_Latn | 6,049 |
Objective To identify ways for improving the consistency of design, conduct, and results reporting of time and motion (T&M) research in health informatics. Materials and methods We analyzed the commonalities and divergences of empirical studies published 1990e2010 that have applied the T&M approach to examine the impact of health IT implementation on clinical work processes and workflow. The analysis led to the development of a suggested ‘checklist’ intended to help future T&M research produce compatible and comparable results. We call this checklist STAMP (Suggested Time And Motion Procedures). Results STAMP outlines a minimum set of 29 data/ information elements organized into eight key areas, plus three supplemental elements contained in an ‘Ancillary Data’ area, that researchers may consider collecting and reporting in their future T&M endeavors. Discussion T&M is generally regarded as the most reliable approach for assessing the impact of health IT implementation on clinical work. However, there exist considerable inconsistencies in how previous T&M studies were conducted and/or how their results were reported, many of which do not seem necessary yet can have a significant impact on quality of research and generalisability of results. Therefore, we deem it is time to call for standards that can help improve the consistency of T&M research in health informatics. This study represents an initial attempt. Conclusion We developed a suggested checklist to improve the methodological and results reporting consistency of T&M research, so that meaningful insights can be derived from across-study synthesis and health informatics, as a field, will be able to accumulate knowledge from these studies. | An important step in advancing global health through informatics is to understand how systems support health professionals to deliver improved services to patients. Studies in several countries have highlighted the potential for clinical information systems to change patterns of work and communication, and in particular have raised concerns that they reduce nurses’ time in direct care. However measuring the effects of systems on work is challenging and comparisons across studies have been hindered by a lack of standardised definitions and measurement tools. This paper describes the Work Observation Method by Activity Time (WOMBAT) technique version 1.0 and the ways in which the data generated can describe different aspects of health professionals’ work. In 2011 a revised WOMBAT version 2.0 was developed specifically to facilitate its use by research teams in different countries. The new features provide opportunities for international comparative studies of nurses’ work to be conducted. | Perfect Quantum Cloning Machines (QCM) would allow to use quantum nonlocality for arbitrary fast signaling. However perfect QCM cannot exist. We derive a bound on the fidelity of QCM compatible with the no-signaling constraint. This bound equals the fidelity of the Bu\v{z}ek-Hillery QCM. | eng_Latn | 6,050 |
This paper highlights on the development of a nurse following robot. A Nurse following robot is a personal robot to help the nurse to do their jobs every day. This robot will follow the nurse from bed to bed while carrying belongings such patients’ medical files, medicine and other equipment. The tracking system has been designed using a high speed vision system, which is Kinect sensor for Xbox 360 video games. The Kinect sensor uses the human skeleton tracking method to track the position and distance of the nurse. The human skeleton tracking method has the ability to distinguish a person and other object without confusing it. All the information about the position and distance of the nurse will be synchronized with the whole system of the robot. A laptop is used in this research to process the data from the Kinect sensor and transferred to the microcontroller. The robot has also been equipped with obstacle avoidance system to sense obstacles around it while following the nurse. The robot is able to follow the nurse either in straight or curve part without losing him/her. It is also designed for indoor application due to limitation of Kinect sensor capabilities. Keyword: kinect sensor, processing.org, high speed vision system, BASIC stamp. | OBJECTIVE ::: This paper describes and critically reviews steps taken to address the nursing workforce shortage in Malaysia. ::: ::: ::: BACKGROUND ::: To address the shortage and to build health care capacity, Malaysia has more than doubled its nursing workforce over the past decade, primarily through an increase in the domestic supply of new graduates. ::: ::: ::: METHODS ::: Government reports, policy documents and ministerial statements were sourced from the Ministry of Health Malaysia website and reviewed and analysed in the context of the scholarly literature published about the health care workforce in Malaysia and more generally about the global nursing shortage. ::: ::: ::: RESULTS ::: An escalation in student numbers and the unprecedented number of new graduates entering the workforce has been associated with other impacts that have been responded to symptomatically rather than through workplace reform. Whilst growing the domestic supply of nurses is a critical key strategy to address workforce shortages, steps should also be taken to address structural and other problems of the workplace to support both new graduates and the retention of more experienced staff. ::: ::: ::: CONCLUSION ::: Nursing shortages should not be tackled by increasing the supply of new graduates alone. The creation of a safe and supportive work environment is important to the long-term success of current measures taken to grow the workforce and retain nurses within the Malaysian health care system. | ABSTRACTUNC-45A is an ubiquitously expressed protein highly conserved throughout evolution. Most of what we currently know about UNC-45A pertains to its role as a regulator of the actomyosin system... | eng_Latn | 6,051 |
New technology enables an increase in the possibilities within the health care industry. However, many developed countries are making little progress in this field and yet there is a lot to improve upon. This paper will focus on the development of the electronic locum record (ELR), which is used among health care providers to exchange data in the Netherlands. This research includes an analysis of a regional approach of data exchange that proved to be successful in the Twente region. The adoption process will be investigated by analysing several interviews with general practitioners (GPs) and experts in the region combined with a literature review. This paper analyses the future development of the national service, which has already been established but most of the Dutch citizens are not aware of this, although they have to give permission before their data can be exchanged. Therefore, this paper has identified and described the factors that play an important role in the adoption process of the ELR. Trust, perceived risks and social influence have shown to be important. The role of change agents, type of innovation decisions and monetary incentives have also proved to influence the rate of adoption of the ELR in Twente. | The purpose of this study was to assess the impact of accessing primary care records on unscheduled care. Unscheduled care is typically delivered in hospital Emergency Departments. Studies published to December 2014 reporting on primary care record access during unscheduled care were retrieved. Twenty-two articles met inclusion criteria from a pool of 192. Many shared electronic health records (SEHRs) were large in scale, servicing many millions of patients. Reported utilization rates by clinicians was variable, with rates >20% amongst health management organizations but much lower in nation-scale systems. No study reported on clinical outcomes or patient safety, and no economic studies of SEHR access during unscheduled care were available. Design factors that may affect utilization included consent and access models, SEHR content, and system usability and reliability. Despite their size and expense, SEHRs designed to support unscheduled care have been poorly evaluated, and it is not possible to draw conclusions about any likely benefits associated with their use. Heterogeneity across the systems and the populations they serve make generalization about system design or performance difficult. None of the reviewed studies used a theoretical model to guide evaluation. Value of Information models may be a useful theoretical approach to design evaluation metrics, facilitating comparison across systems in future studies. Well-designed SEHRs should in principle be capable of improving the efficiency, quality and safety of unscheduled care, but at present the evidence for such benefits is weak, largely because it has not been sought. | Berzelius failed to make use of Faraday's electrochemical laws in his laborious determination of equivalent weights. | eng_Latn | 6,052 |
The task of curriculum system reform for the Faculty of Information Management and Information System(Medicine) has been analyzed.The orientation of the specialty,the market demands and the status of the specialty have been systematically investigated.Based on these,the reform program has been formed and the new curriculum system has come into being. | Nowadays, the graduates of the specialty of health information management from higher vocational colleges lack competitive power in the job market, which reflect the problems of education. Curriculum, developed to enable students to obtain appropriate knowledge and skills in a range of related disciplines, plays the most significant role in education. In order to promote the competency of graduates and help them adapt to the job market's demand, a competency-based curriculum framework is proposed in the paper. Furthermore, the process of curriculum construction in the specialty of health information management based on the proposed curriculum framework will be described in great detail. During the implementation, an investigation study related to positions' requirement is adopted and presented, which help planners to confirm the competencies and orientation of specialty. Considering the competencies as a vital point, a curriculum plan is identified with an introduction to detailed course module. Finally, the characteristics of the presented curriculum are analyzed and discussed. | Nowadays, the graduates of the specialty of health information management from higher vocational colleges lack competitive power in the job market, which reflect the problems of education. Curriculum, developed to enable students to obtain appropriate knowledge and skills in a range of related disciplines, plays the most significant role in education. In order to promote the competency of graduates and help them adapt to the job market's demand, a competency-based curriculum framework is proposed in the paper. Furthermore, the process of curriculum construction in the specialty of health information management based on the proposed curriculum framework will be described in great detail. During the implementation, an investigation study related to positions' requirement is adopted and presented, which help planners to confirm the competencies and orientation of specialty. Considering the competencies as a vital point, a curriculum plan is identified with an introduction to detailed course module. Finally, the characteristics of the presented curriculum are analyzed and discussed. | eng_Latn | 6,053 |
Postgraduate medical education (PGME) is a huge health enterprise that engages hundreds and thousands of faculties and residents.1 Innovations, successes and readiness to safe practice are possible simply with the growth of PGME. It is a high-stake and important stage of medical education in which trainees progress to develop their competencies and capabilities, and receive the appropriate clinical exposure and training under the guidance of senior and experienced colleagues.2 Worldwide, the competency movement is not new and call for it goes back some 60 years or even more since Flexner's report 1910.3 Decades of recurrent calls has therefore, set the precedent for competencybased education.4 Also, there seems to be an international agenda that drove this competency movement to have outcomes-based on data for informed discussions and decision-making.4 The purpose of discussion is two-fold: analysing a competency-based framework and possibility of its application in postgraduate medical education in Pakistan. | The introduction of competency-based postgraduate medical training, as recently stimulated by national governing bodies in Canada, the United States, the United Kingdom, The Netherlands, and other countries, is a major advancement, but at the same time it evokes critical issues of curricular implementation. A source of concern is the translation of general competencies into the practice of clinical teaching. The authors observe confusion around the term competency, which may have adverse effects when a teaching and assessment program is to be designed. This article aims to clarify the competency terminology. To connect the ideas behind a competency framework with the work environment of patient care, the authors propose to analyze the critical activities of professional practice and relate these to predetermined competencies. The use of entrustable professional activities (EPAs) and statements of awarded responsibility (STARs) may bridge a potential gap between the theory of competency-based education and clinical practice. EPAs reflect those activities that together constitute the profession. Carrying out most of these EPAs requires the possession of several competencies. The authors propose not to go to great lengths to assess competencies as such, in the way they are abstractly defined in competency frameworks but, instead, to focus on the observation of concrete critical clinical activities and to infer the presence of multiple competencies from several observed activities. Residents may then be awarded responsibility for EPAs. This can serve to move toward competencybased training, in which a flexible length of training is possible and the outcome of training becomes more important than its length. | Adenomyoepithelioma is thought to be a low-grade malignancy, and cases showing malignant behavior are rare. | eng_Latn | 6,054 |
Verbal autopsy (VA) methods usually involve an interview with a recently bereaved individual to ascertain the most probable cause of death when a person dies outside of a hospital and/or did not receive a reliable death certificate. A number of concerns have arisen around the ethical and social implications of the use of these methods. In this paper we examine these concerns, looking specifically at the cultural factors surrounding death and mourning in Papua New Guinea, and the potential for VA interviews to cause emotional distress in both the bereaved respondent and the VA fieldworker. Thirty one semi-structured interviews with VA respondents, the VA team and community relations officers as well as observations in the field and team discussions were conducted between June 2013 and August 2014. While our findings reveal that VA participants were often moved to cry and feel sad, they also expressed a number of ways they benefited from the process, and indeed welcomed longer transactions with the VA interviewers. Significantly, this paper highlights the ways in which VA interviewers, who have hitherto been largely neglected in the literature, navigate transactions with the participants and make everyday decisions about their relationships with them in order to ensure that they and VA interviews are accepted by the community. The role of the VA fieldworker should be more carefully considered, as should the implications for training and institutional support that follow. | BACKGROUND ::: Reliable and representative cause of death (COD) statistics are essential to inform public health policy, respond to emerging health needs, and document progress towards Sustainable Development Goals. However, less than one-third of deaths worldwide are assigned a cause. Civil registration and vital statistics (CRVS) systems in low- and lower-middle-income countries are failing to provide timely, complete and accurate vital statistics, and it will still be some time before they can provide physician-certified COD for every death. Proposals: Verbal autopsy (VA) is a method to ascertain the probable COD and, although imperfect, it is the best alternative in the absence of medical certification. There is extensive experience with VA in research settings but only a few examples of its use on a large scale. Data collection using electronic questionnaires on mobile devices and computer algorithms to analyse responses and estimate probable COD have increased the potential for VA to be routinely applied in CRVS systems. However, a number of CRVS and health system integration issues should be considered in planning, piloting and implementing a system-wide intervention such as VA. These include addressing the multiplicity of stakeholders and sub-systems involved, integration with existing CRVS work processes and information flows, linking VA results to civil registration records, information technology requirements and data quality assurance. ::: ::: ::: CONCLUSIONS ::: Integrating VA within CRVS systems is not simply a technical undertaking. It will have profound system-wide effects that should be carefully considered when planning for an effective implementation. This paper identifies and discusses the major system-level issues and emerging practices, provides a planning checklist of system-level considerations and proposes an overview for how VA can be integrated into routine CRVS systems. | It is shown that the usual method of establishing Cramer's estimate also works for Levy processes. | eng_Latn | 6,055 |
Our evidence-based practice (EBP) journey started in 2006, when we were approached by the associate residency director, and asked to participate in a journal club. Inspired by our experience of gaining knowledge of the principlesandapplicationofevidence-basedmedicine(EBM),we decided to run an EBP journal club with the radiology residents at the University of Michigan. We were delighted to accept this new challenge. We had both attended a part-time MastersinClinicalResearchDesignandStatisticalAnalysisat the University of Michigan School of Public Health, which gave us sufficient methodological and statistical background andstimulatedourappetiteforevidence-basedmedicineand critical appraisal. 1 We had also attended the course for teachers in evidence-based medicine at the Centre for EvidenceBased Medicine in Oxford, UK. 2 The Centre for Evidencebased Medicine in Oxford workshop is not intended to serve as an introduction to evidence-based medicine itself but is aimed at physicians and other health care professionals, who already have some knowledge of critical appraisal and experience in the practice of evidence-based health care and who want to explore issues around teaching evidence-based medicine. This workshop is aimed at those who are committed to patient-centered learning, believe in the process of smallgroup learning, and take an active role in small group learning. Armed with this knowledge, we set about applying these methods to the journal club. In addition the Accreditation Council for Graduate Medical Education (ACGME) has identified 6 core competencies in the curriculum for resident development (patient care, medical knowledge, interpretation and communication, professionalism, practice-based learning and improvement, and systems-based practice). 3 Knowledge of the principles and application of EBM is explicitly included under the competencies of “medical knowledge” and “practice-based learning and improvement.” The Evidence-based Medicine Journal Club has been a great success and is now in its second year, and we would encourage anybody interested in doing this to start an EBP journal club at their own institution. | Introduction: Journal clubs play an important role in teaching Evidence Based Medicine (EBM). Evidence based journal clubs focus on real problems of the group, and set a minimum level of evidence for articles to be presented, and in the end a clinical bottom line is set to be used in the daily clinical practice. In this article, we have explained our experience in running evidence based journal clubs in the previous year and the challenges in the path of this goal are discussed. Methods: Before starting the evidence based journal clubs, we set up several lectures on EBM for the teachers of the research center as well as the residents. From September 2010 to November 2010, we ran the journal clubs of our research center by a two-session plan: first identifying an important clinical question, second presenting the best available evidence. The assigned levels of evidence for evidence based journal clubs as well as previous traditional one were compared. Results: Twelve journal clubs were presented in the study period: Five systematic reviews, 2 guidelines, 3 narrative review articles, and 2 individual articles. Ten out of 12 traditional journal club articles were narrative review articles and 2 were clinical guidelines. 41.6% of the evidence based journal clubs were assigned level 1 of evidence. In contrast 83.3% of traditional journal clubs were in the 4 level of evidence. Conclusion: Evidence based journal clubs can be very useful in improving the quality of presented articles in the journal clubs and are invaluable for teaching EBM. | Berzelius failed to make use of Faraday's electrochemical laws in his laborious determination of equivalent weights. | eng_Latn | 6,056 |
Attribute-Based Keyword Search and Data Access Control in Cloud | As more and more data is outsourced to cloud which is assumed to be a semi-trusted server, it is necessary to encrypt the sensitive data stored in the cloud. However, it brings a series of problems, such as: How to search over the encrypted data efficiently and securely? How should a data owner grant search capabilities to the data users? To solve these problems, we propose two attribute-based keyword search and data access control schemes based on public-key searchable encryption and attribute based encryption. Our solutions allow a data owner to control the access policy and grant the search policy to any data user who wants to retrieve the encrypted data efficiently. | For years training was evaluated with measures such as numbers of participants, number of programs, length of programs, cost of programs and content of programs. These input focused measures have to be replaced by output focused measures. The output focused measures include learning profile and whole brain approach for the learner, competency requirements for the job, management’s role before, during and after training as well as the competency of the trainer and the effectiveness of the training environment. However, to ensure that the highest possible scores for these measures can be achieved, a multidisciplinary approach is of paramount importance. The purpose of this article is to demonstrate the IAFECT™ management tool designed to ensure effective technology training. IAFECT™ is a systematic approach that involves all stakeholders. It focuses on technical competence and a high Return-On-Investment. | kor_Hang | 6,057 |
Grasping the Opportunity to Improve the Safety of Care | Now that Canada has awoken, what is to be done? Dr. Morgan, in his paper “In Pursuit of a Safe Canadian Healthcare System,” lays the groundwork for investments that might lead to a significant reduction in medical errors. He is on the right track, and his ideas should be taken to heart. Recently, the President of the United States and the Secretary of Health and Human Resources called for widespread adoption of an EHR within the next decade. The United States faces immense challenges on many fronts to achieve this vision; nonetheless, it has begun to move decisively in this area. Canada needs to mobilize quickly, collectively and efficiently to accelerate the adoption of the EHR for all Canadians. | The article tackles certain problems concerning occupational medicine organization work and methodology of its conceptual apparatus used to characterize individual and populational health of workers, covers suggestions on solving these problems. | eng_Latn | 6,058 |
Find the right EHR for your practice | Physicians who consider changing EHRs can take steps to ensure the next system meets their needs | Traditional HR architecture, which views different employee groups as a portfolio based on specificity and value, is static and insufficient under uncertainty. We develop an alternative real option... | eng_Latn | 6,059 |
Basic and DOS jobstreams in IBM PC software documentation | A new and distinct cultivar of African violet named 'Paris', as described and illustrated, and particularly characterized by its extra large growth habit (35-45 cm in diameter); star-shaped, double, purple flowers with fine white frilled edges; strong stems which curve toward the center to form a bouquet above the leaves; profuse flowering; large, dark green, heart to spear-shaped leaves; flowering 10-11 weeks after planting of unrooted shoot, and by its long lasting and non-dropping flowers. | The following documents assist districts with required intervention activities: DVM-SA Guidance (PDF, 59KB) How was my LEA Selected for DVM-Student Assessment Intervention Activities? (PDF, 44KB) ISAM Contact Instructional Guide (PowerPoint, 1109KB) Data Validation Monitoring-Student Assessment | eng_Latn | 6,060 |
Evaluation of regional innovation capability of Jiangxi province | The regional innovative capacity has increasingly become one of the important indices measuring the developed regions. In recent years, the development of science and technology in Jiangxi province, under the background of the national technical development, still face relatively lag and low level. By establishing evaluation index system of Jiangxi regional innovative capacity and using DEA analysis method, this paper puts forward the powerful assessment and some policy suggestions of Jiangxi regional innovative capacity. | This article introduces how the Beijing Shijitan Hospital develops advanced speical services with divergence strategy.This hospital analyzes development condition and looks for new development fields so that advanced special services could be beingwith general support and management. | eng_Latn | 6,061 |
A Clinical Study on the Role of Pathyadya Vatak and Vidangadi Lepa in the Management of Ek-Kustha (Psoriasis) | Psoriasis is a common skin disease affecting about 1-2% of general population. The word psoriasis is derived from the Greek word "Psora" and "Iasis". Psora means Itch or scale and lasis means condition. Acharya Charak has described the involvement of Vata and Kapha in Ekkushtha. In the present study Ekkushta is compared with psoriasis due to its maximum resemblance with it. The trial drugs in the present study are Pathyadhya Vatak and Vidangadi Lepa which have not been studied on Psoriasis till date as per our Knowledge. The effect of Placebo was also assessed to understand the Psychosomatic nature of the disease. The results of combination of Pathyadaya Vatak and Vidangadi lepa were highly encouraging. | This Responsive Forest Governance Initiative Handbook defines basic democratic concepts and explains how democratic governance works. It then lays out responsive forest governance principles to be used when working with local government, parallelorganizations, and citizens. Finally, the handbook provides two assessment tools, the Preliminary Institutional Landscape Assessment (PILA) and the Local Environmental Governance Assessment (LEGA). This handbook is aimed at a general audience of practitioners, policy makers, activists, and students. It is designed to be used as a basic text in policy maker workshops and practitioner training courses and to guide policy and project assessments in the field. Policymakers and practitioners with more experience will be able to use this as a policy and project design tool and to guide implementation in project sites. | eng_Latn | 6,062 |
The Justifying Documents – the Accounting Registration Base of the Works and Services Executed By Third Parties | The data and information support are made from justifying documents, account books, financial situations and periodical account reports, electronic bearers (bands and magnetic disks, CDs, and floppy disks). Some of these supports assure, in a first stage, the data collection, meaning their consignment and their preparation for processing, operation which has as a result the obtaining of the information itself which is stored for transmission to their users, usually using other supports than those designed for the data collection. | In every other industry, ‘the customer is king’– so why should health care be any different? With reference to the Department of Health’s newly published legislation, Real Accountability: Guidance on the NHS duty to report on consultation, Alan Glasper examines the importance of patient and carer input into NHS services. | eng_Latn | 6,063 |
Quality Assurance in Health Care: The Theoretical Context | Explores the theoretical context of quality and quality assurance in health care through a detailed review of the current literature. Outlines the definitions of quality and quality assurance. Identifies the two structural elements of quality assurance: quality assessment and quality improvement and control. Explores in some detail the elements of health care which are capable of assessment and the relationships between them. Finally, considers the mechanisms which can be used to improve health care if deficiencies are highlighted. | In this article, the authors attempt to grammatically summarize the usage of numerals and correct expression of the concept of "quantity" in English medical papers. | eng_Latn | 6,064 |
Initial Standardized Framework for Reporting Social Media Analytics in Emergency Care Research | Author(s): Roland, Damian; Spurr, Jesse; Cabrera, Daniel | Abstract: The use of social media platforms to disseminate information, translate knowledge, change clinical care and create communities of practice is becoming increasingly common in emergency and critical care. With this adoption come new lines and methods of inquiry for research in healthcare. While tools exist to standardize the reporting of clinical studies and systematic reviews, there is no agreed framework for examining social media–based research. This article presents a publication and appraisal checklist for such work and invites further collaboration in the form of a Delphi technique to clarify, expand, improve, and validate the proposal. | This is the second in a series of working ::: papers published by the Higher Education ::: Academy to disseminate information about ::: the project entitled 'What is learned at ::: university: the social and organisational ::: mediation of university learning' (SOMUL). ::: This second working paper focuses on the ::: organisational mediation of learning, i.e. how ::: institutional characteristics shape the ::: student experience and resultant learning ::: outcomes within an increasingly diverse ::: higher education system. | eng_Latn | 6,065 |
SNCA but not DNM3 and GAK modifies age at onset of LRRK2-related Parkinson’s disease in Chinese population | Background ::: Recently, rs2421947 in DNM3 (dynamin 3) was reported as a genetic modifier of age at onset (AAO) of LRRK2 G2019S-related Parkinson’s disease (PD) in a genome-wide association study in Arab-Berber population. Rs356219 in SNCA (α-synuclein) was also reported to regulate the AAO of LRRK2-related PD in European populations, and GAK (Cyclin G-associated kinase) rs1524282 was reported to be associated with an increased PD risk with an interaction with SNCA rs356219. G2019S variant is rare in Asian populations, whereas two other Asian-specific LRRK2 variants, G2385R and R1628P, are more frequent with a twofold increased risk of PD. | Objective:To explore the effect of applying PDCA circulation to improve inpatients'satisfaction of intravenous infusion.Methods:Applying four stages and eight steps of PDCA circulation,we analyzed the quality problem of relatively low satisfaction of intravenous infusion in hepatobiliary surgical hospitalized patients.We improved the workflow and changed the nurse work mode.Results:Inpatients intravenous infusion starting time was sharply ahead and the patients'satisfaction of intravenous infusion starting time was increased significantly from 63.5% to 95.7%.Conclusions:While applying PDCA circulation,we could find out the fundamental problems of nursing quality management,develop targeted solutions,and set specific execution time,place,responsible staff and quality tracing which are the guarantee of implementing a continuous quality improvement. | eng_Latn | 6,066 |
Finding the evidence: guide to the best available evidence to support introduction of new technologies and clinical practices | This guide aims to help users find the best available evidence in the shortest possible time to support introduction of new technologies and clinical practices in health services. Information provided will also be helpful in finding the best available evidence to support research funding applications. This guide is designed to be pragmatic and meet the needs of clinicians and managers rather than comprehensive and exhaustive to meet the needs of health service researchers. The focus is on finding the best available synthesised evidence; it is not a guide to conducting a systematic review. A new 'technology or clinical practice' (TCP) is a therapeutic intervention (including prostheses; implantable devices; high cost pharmaceuticals; medical, surgical or other clinical procedures) or diagnostic procedure that is considered by a reasonable body of clinical opinion to be significantly different from existing practice. | This paper briefly covers the theoretical underpinning of the information-theoretic method for model selection, explores the strengths and weaknesses of this approach in comparison to other model selection techniques and provides a step-by-step description of how to implement this approach. This process is then illustrated by applying these concepts to a billing analysis conducted for a low income retrofit program, based on a pooled, cross-sectional, time series data set. Although the example is related to impact evaluation, the potential applications of this methodology extend to many other types of evaluations, including, but not limited to, market characterizations, process evaluations and attribution studies. | eng_Latn | 6,067 |
Intervention to Improve Medication Adherence | Medication nonadherence has been associated with poor patient outcomes (Journal Watch Cardiology Oct 25 2006) and increased costs. We lack evidence | For years training was evaluated with measures such as numbers of participants, number of programs, length of programs, cost of programs and content of programs. These input focused measures have to be replaced by output focused measures. The output focused measures include learning profile and whole brain approach for the learner, competency requirements for the job, management’s role before, during and after training as well as the competency of the trainer and the effectiveness of the training environment. However, to ensure that the highest possible scores for these measures can be achieved, a multidisciplinary approach is of paramount importance. The purpose of this article is to demonstrate the IAFECT™ management tool designed to ensure effective technology training. IAFECT™ is a systematic approach that involves all stakeholders. It focuses on technical competence and a high Return-On-Investment. | eng_Latn | 6,068 |
RCPA immunology QAP report – data from recent pilot programs | Several pilot programs were provided in 2010, including ganglioside antibodies, CCP using patient sera, and monitoring amyloidosis with serum free light chains. Results from these will be discussed, along with updates to the 2011 program. | Extensive changes in the healthcare environment prompted the AICPA to issue a revised guide to auditing and accounting for healthcare entities. This guide's revisions brought significant changes to how healthcare organizations report financial items regarding revenue, expenses, bad debt, and charity care. This article studies how providers have implemented the required reporting changes and attempts to gauge the effects of this implementation on provider business-office procedures, internal financial reporting, and costs. | eng_Latn | 6,069 |
Computers and computing in psychology: Twenty years of progress and still a bright future | Computers and technology in psychology can be a cornucopia or a Pandora’s box. During the 20 years of its existence, the Society for Computers in Psychology has been an important focus for the appropriate and beneficial application of computing technology in psychology. Although the increase of computer use is unmistakable, cyclic trends in computer applications also can be identified and, together with current technological developments, lead to predictions, concerns, and challenges for the future. | Since November 2017, the digital pill, which makes it possible to know whether a patient has achieved compliance or not with the treatment has become a reality. This drug can benefit the patients by helping them to better follow their treatment and avoid misuse. However, even though the use of this device requests patient consent, major questions arise regarding the respect for privacy and freedom of action. Evidently, the correct use of drugs is both a public health and economic issue, but through this digital tool, the temptation could be to implement measures to control citizens, in particular regarding the use of treatments that affect health expenditure. A too prescriptive conception of monitoring algorithms could alter the care relationship, denying the part of adaptation that a patient can legitimately claim in taking his treatment. The digital pill could be a helpful tool but it is necessary to evaluate its fair place in terms of respect for the person and adequacy with its liberties. | eng_Latn | 6,070 |
[The use of remote cardiology in medical practice]. | Remote cardiology is a major innovation offering both an improvement in practice conditions for professionals, as well as access to high quality care for all patients. In practice, its implementation requires some organisational adjustments notably with regard to professional cooperation. | A 4-year (2008–2011) community-based participatory research was implemented in the Kohgiloyeh and Boyerahmad province, Iran. A steering committee was established from academics, policy makers, health officials, and representatives of health sectors. This committee selected six regions within Boyerahmad and Dena counties based on administrative divisions. Health companions consisting of stakeholders, academics, local leaders, health providers, and public representatives were established to guide the project in each region. The health companion groups were enabled by attending workshops dealing with need assessment, priority setting, and research methodology. Health companion groups adopted a Planned Approach to Community Health (PATCH) methodology including community mobilization for data collection, health priority setting, developing of a comprehensive intervention plan, and evaluation. A list of main health issues and their priorities for each region was provided. Subsequently, research topics were dete... | eng_Latn | 6,071 |
Educational Preparation for the Clinic Job Setting: Clinical Athletic Trainers' Perspectives | Context: Acquiring input from all stakeholders on the importance of existing competencies and suggestions for new ones is essential to competency-based pedagogical design quality. Objective: To survey athletic trainers (ATs) employed in clinical settings to assess their perceptions of the competencies most pertinent to their settings and whether additional specific competencies are necessary. Design: Survey. Setting: Clinic Job Setting. Participants: A total of 554 ATs listed under the Clinic Job Setting category. Main Outcome Measures: The level of importance clinical ATs assign to competencies in the Athletic Training Educational Competencies document (4th edition) that pertain most to clinical settings, the relationship between demographic factors and the importance level clinical ATs assign to these competencies, and additional competencies suggested by clinical ATs were measured. The importance of competencies was rated on a 4-point Likert type scale ranging from not important (1) to very important (... | Thank you for reading applied therapeutics the clinical use of drugs. Maybe you have knowledge that, people have search numerous times for their chosen books like this applied therapeutics the clinical use of drugs, but end up in harmful downloads. Rather than reading a good book with a cup of tea in the afternoon, instead they are facing with some malicious bugs inside their laptop. applied therapeutics the clinical use of drugs is available in our digital library an online access to it is set as public so you can download it instantly. Our book servers hosts in multiple countries, allowing you to get the most less latency time to download any of our books like this one. Kindly say, the applied therapeutics the clinical use of drugs is universally compatible with any devices to read. | eng_Latn | 6,072 |
[What do we mean by the quality of health care?]. | Quality is one of the main features of advanced health care. It is a comprehensive concept which comprises specialized technological, interpersonal and economic properties of the structure, process and results of provided care. The tool for improving the quality is assessment of defined realistic targets and systematic monitoring of the quality from all aspects. The prerequisite for quality assessment is a clear definition of quality criteria and definition of the desirable standards of care. Accreditation of health institutions is a suitable method for assessing in a more objective way the quality of health care. Obtaining accreditation should imply that the institution works consistently with defined standards and manifests a systematic effort to improve provided care and services. The optimal position is achieved if accreditation becomes a system of eligible dynamic assessment. | This paper concerns the release of a drama heritage corpus prototype. The approach relies on an ontological representation of the intangible dramatic qualities, those elements of a drama that abstract from the linguistic or medium expression. A toolkit for the friendly encoding of the dramatic qualities overcomes the difficulties of the formal representation. The corpus prototype of selected fragments as well as complete dramas is introduced, together with a discussion on the future perspectives of the resource. | eng_Latn | 6,073 |
Exploratory Study of Health Information Seeking | As a class project, 30 individuals were interviewed on health information seeking. The majority turned to Google; half of all participants reported their first source answered their question adequately. Sixteen of 30 indicated they use different resources for different health information needs. Eighty percent of participants reported a high degree of comfort with searching. Forty-seven percent rated themselves as “very comfortable” and 33% rated their comfort level as a four on a five-point scale (one being very uncomfortable and five being very comfortable), though the sources listed were not always credible per current guidelines for assessing health information quality. | Abstract : Experimentation Data Process: *Lockheed Martin experimentation at the Center for Innovation, -Constructive Simulations, -Human-in-the-Loop Simulation; *Two main issues; -Data Extraction/Storage, -Data Manipulation/Reduction; *Early Experimentation (2006 Processes), -Post Run extraction, -Manual reduction/consolidation; *Current Experimentation (2007 Processes), -Real-Time and Post Run extraction, -Hyperion Intelligence for Data reduction | eng_Latn | 6,074 |
AHRQ tool designed to improve CAP clinical care. | Tool helps docs decide whether to hospitalize community-acquired pneumonia patients. Pneumonia Severity Index clinical algorithm developed by AHRQ team. Agency hopes to develop several more similar tools. | To the Editor: In response to striking doctors, the HPCSA argues that it can investigate unprofessional conduct in the absence of a complaint because it is the custodian of professional morals. | eng_Latn | 6,075 |
Meeting the At-Risk Challenge: Empowering Nursing Students Through Mentoring | Wanting to improve student retention, progression, and graduation, the nursing faculty of the University of Nevada, Las Vegas developed a program for undergraduate students. Designated faculty mentors are available for academically at-risk students, or any student wanting to improve learning skills. Through mentoring sessions, students are helped to assess their learning difficulties, develop individualized prescription plans for learning, gain support during implementation of learning strategies, and evaluate results. Implemented in 2002, the program reflects positive outcomes. Of the 29 students who were referred to the program, only 3 were unsuccessful in passing their nursing courses. Student evaluations of the program reflect the value of the mentoring experience. The program has subsequently developed in the areas of advertising, diagnostic student testing, and student access to support resources. | SUMMARY: In this second article, we continue the review of current health care economics as it relates to radiologists, specifically framed by topics defined by the Accreditation Council for Graduate Medical Education in the evaluation of neuroradiology fellows. The discussion in this article is focused on topics pertaining to levels 4 and 5, which are the more advanced levels of competency defined by the Accreditation Council for Graduate Medical Education Neuroradiology Milestones on Health Care Economics and System Based Practice. | eng_Latn | 6,076 |
Training room - Customer confidentiality | An interactive tutorial covering customer confidentiality and privacy issues in customer contact centres and call centres. Students are asked to select the most appropriate questions from a choice and receive feedback. Context is a customer placing an order at a virtual customer contact centre. | Reports the feedback and evaluation of student dental hygienists and therapists on their experience on a community-based clinical teaching programme. By C. D. Lynch, P. J. Ash and B. L. Chadwick | eng_Latn | 6,077 |
Guides @ UF: Clinical Research: Professional Associations | This guide is designed to be a resource for those conducting clinical research at UF. It includes tabs for resources, training, IRB, Safety and Ethics, NIH, Standards and Templates, and Professional Associations. | PhD Studentship funded by EPSRC; Jack Gillett also thanks Trinity College for support and accommodation during studentship. | eng_Latn | 6,078 |
Expansion of queries and databases for improving the retrieval accuracy of document portions: an application to a camera-pen system | This paper presents a method of improving the accuracy of document image retrieval focusing on the application to a camera-pen system. In a camera-pen system, document image retrieval is employed for locating the pen-tip position on a page. A serious problem is that since the camera is mounted close to the pen-tip, the camera captures only a tiny portion of the page and the resultant image is under severe perspective distortion, resulting in lowering the retrieval accuracy. To solve this problem, we propose new geometrically invariant features as well as expansion techniques which increase the number of index features of either the database or the query images. From the experimental results, it has been found that the query expansion technique with features by combining affine and perspective invariants allows us the best performance that improves the accuracy of a baseline method more than 27%. | FIELD: transport, distribution. SUBSTANCE: invention relates to computation, particularly, to dispensation of medicines in hospitals. Method of distribution of different medicines between several patients comprises the steps that follow. Receipt of request from individual patient for medicine. Definition if requested medicine is an extra medicine. Confirmation via protected device arranged in individual patient cubicle of compatibility of requested medicine with medicines taken by individual patient at present. Selective dispensation of requested medicine solely in the case if requested medicine is the extra medicine compatible with medicines taken by individual patient at present, via protected stationary device. Displacement of the mobile device carrying obligatory medicines for several patients between cubicles. Dispensation of one of obligatory medicines via said mobile device. EFFECT: dispensation of extra medicines via stationary device located nearby or inside the cubicle. 12 cl, 4 dwg | eng_Latn | 6,079 |
Consumer health information websites in Taiwan. | Developers of consumer health information (CHI) websites and pages in Taiwan have included: 1) individuals; 2) general hospitals; 3) disease-oriented associations; 4) government health administrative agencies; and 5) commercial corporations. General hospitals have developed the largest number of sites, but the quality of these sites differs widely. The unprecedented impact of health-oriented websites on medical care and the health of the public in general necessitates the establishment of credible instruments for the evaluation and rating of the quality of such websites and pages. In this paper, we describe the current status of CHI websites and pages in Taiwan. Suggestions for improving the content of CHI websites and pages are also proposed. | Peripancreatic Tuberculous Lymphadenitis Mimicking Pancreatic Cancer Pankreas Kanserini Taklit Eden Peripankreatik Tuberkuloz Lenfadeniti | eng_Latn | 6,080 |
Perspectives from general practice: skilled doctors or imported complementary practitioners? | Summary This short paper looks at the doctor's role in meeting the increasing demand for complementary and alternative medicine (CAM). As CAM develops a growing presence within the National Health Service (NHS), doctors' and complementary practitioners' (CP) knowledge of and their attitudes toward one another's work will need to adapt. The probability is considered that non-conventional therapies (NCT) techniques adopted from CAM will eventually be widely used by doctors and a brief account of the challenges of collaboration between CPs and GPs given. The author, a doctor and complementary practitioner with experience as a GP trainer, researcher and postgraduate teacher, considers educational approaches that would familiarise doctors with CAM, preparing them for cooperation with CPs, and outlines a model postgraduate curriculum introducing CAM to mainstream health care workers. | This article analyzes the potential and problems of determining the content of education based on competencies. Were identified the main impacts of this process. Particular attention is paid to the implementation of the principle of comparability in the construction of modern educational standards. Analyzed the contradictions of General competences of the project Tuning. In the two tables are integrated contradiction competence on three educational levels and general competencies two lists of project Tuning. | eng_Latn | 6,081 |
Reliability of Provisional Responses in SIP | This document specifies an extension to the Session Initiation ::: Protocol (SIP) providing reliable provisional response messages. This ::: extension uses the option tag 100rel. | AbstractRATIONALE: Delivery of pulmonary rehabilitation (PR) varies widely across Canada. There is a need for evidence-based quality indicators (QI) that can be used to identify variations in the q... | eng_Latn | 6,082 |
Clinical observation for early severe hepatitis treated by combination of traditional Chinese and western medicine | Objective To explore the methonds of enhanced therapeutic effects for the early severe viral hepatitis (SVH).Methods The combined therapy of traditional Chinese and western medicines was applicated in observed group of 106 SVH patients.The traditional Chinese medicines including of large dosage of Yinzhihuang and Radix Paeoniae Rubra were used by determination of treatment based on the differentiaton of symptoms and signs,and the western medicine including of silymarin,phentolamine,diammonium glycyrrhizinate solutions and tiopronin solutions were used.Single western medicines above mensioned was used in control group of 72 SVH patients.Results The total effective rate of 70.8% in the observed group is higher than that of 45.8% in the control group(P0.05).Conclusion Early treatment by combination of traditional Chinese and western medicines has an important role in controlling exacerbation of early SVH and improving the survival rate of severe hepatitis. | Developers of consumer health information (CHI) websites and pages in Taiwan have included: 1) individuals; 2) general hospitals; 3) disease-oriented associations; 4) government health administrative agencies; and 5) commercial corporations. General hospitals have developed the largest number of sites, but the quality of these sites differs widely. The unprecedented impact of health-oriented websites on medical care and the health of the public in general necessitates the establishment of credible instruments for the evaluation and rating of the quality of such websites and pages. In this paper, we describe the current status of CHI websites and pages in Taiwan. Suggestions for improving the content of CHI websites and pages are also proposed. | eng_Latn | 6,083 |
Targeting pleiotropin to treat osteoarthritis. | Pleiotropin (PTN) is a secreted heparin-binding peptide expressed in mesodermal and neuroectodermal cells during development, but rarely in adult tissues. Although PTN is abundant in fetal or juvenile cartilage, it is undectable in mature cartilage. However, PTN is re-expressed in chondrocytes in early stages of osteoarthritis where it is detectable in situ and in synovial fluids from patients. PTN enhances chondrogenesis by stimulation of extra-cellular matrix synthesis, reduction of degrading matrix metalloproteases and induction of their inhibitors; PTN also slightly reduces pro-inflammatory factors, such as nitric oxide and vascular endothelial growth factor. Furthermore, PTN stimulates chondrocyte clustering and proliferation. Thus, PTN appears to mediate repair and protective processes in osteoarthritic cartilage and appears to be a promising factor to treat osteoarthritis. | 277 Background: Reviewing clinical practice by provider has been an ongoing process for quite some time. The metrics reviewed and how the review was conducted were not clearly defined and, as a result, has varied widely between organizations. Recredentialing or some self-imposed process were the main drivers until The Joint Commission required a more regular review of the clinicians’ practice in a hospital and clinics setting. MD Anderson embraced the requirement as an opportunity to improve its clinical review process and create a more robust infrastructure. Methods: Organizational and technological support was critical for success. The OPPE effort is led by the V.P. for Medical Affairs. A new faculty role, Quality Officer (QO), was established in each clinical department. The Office of Performance Improvement (OPI) was enlisted for data support and provided educational resources to the QOs. The Information Services staff maintains the technology to support the project long term. The Medical Staff Office... | eng_Latn | 6,084 |
In orthopedic surgery, children need extensive nursing care | In the correction of skeletal deformities in children, the psychological and emotional outlook is as vital as the debilitating deformity itself. Upon the initial admission of a congenitally deformed child, love and care essential for optimum growth and development should begin, since many children will be involved in subsequent admissions. Stress must be placed on a normal home life modified by constructive hospital orientation. Gentle but firm understanding and love from the hospital staff relieve fears and comfort both child and parents. The goal is a close patient-nurseparent relationship with a high caliber of professional care. | 277 Background: Reviewing clinical practice by provider has been an ongoing process for quite some time. The metrics reviewed and how the review was conducted were not clearly defined and, as a result, has varied widely between organizations. Recredentialing or some self-imposed process were the main drivers until The Joint Commission required a more regular review of the clinicians’ practice in a hospital and clinics setting. MD Anderson embraced the requirement as an opportunity to improve its clinical review process and create a more robust infrastructure. Methods: Organizational and technological support was critical for success. The OPPE effort is led by the V.P. for Medical Affairs. A new faculty role, Quality Officer (QO), was established in each clinical department. The Office of Performance Improvement (OPI) was enlisted for data support and provided educational resources to the QOs. The Information Services staff maintains the technology to support the project long term. The Medical Staff Office... | eng_Latn | 6,085 |
Behavioral Health Electronic Medical Record | The electronic medical record (EMR) will be an important part of the future of medical practice. Behavioral health treatment demands certain additions to the capabilities of a standard general medical EMR. The current focus on the quality management and financial aspects of the EMR are only initial examples of what this tool can do. It is important for behavioral health practitioners to understand that they must embrace this innovation and mold it into a product that serves their needs and the needs of their patients. An efficient and effective EMR will greatly assist the overall clinical enterprise in a number of important areas. | Physicians who consider changing EHRs can take steps to ensure the next system meets their needs | eng_Latn | 6,086 |
Practice on the Link Quality Management in Hospital | Medical quality is the key to the hospital survival and development,is also the life engineering of the patient health.Increasingly improving medical quality is the important course discussed by medical managers and workers,which is easy to see from the reassessment of hospital grade.Patient- oriented mode has been deeply in people's heart and in action.Making the hospital's grade reassessment as fine opportunity,our hospital followed continuous improving medical quality way and process,exploring a series of effective management. | Social Work LibGuide is designed for NLC Social Work students and staff to find resources related to the program and courses. Please explore other guides for subject-specific resource help. | eng_Latn | 6,087 |
Effect of Occupational Therapy on Quality of Life in Community Patients with Schizophrenia | Objective To explore the effect of occupational therapy on the quality of life in community patients with schizophrenia.Methods Sixty community patients with schizophrenia were randomly treated with routine community rehabilitation alone(control group,n=30)or in combination with occupational therapy(occupational therapy group,n=30).The quality of life was assessed by the WHOQOL-BREF before and after treatment and was compared between the two groups.Results Compared with control group,WHOQOL-BREF total score,physiological field score,psychological field score and social relation score significantly increased in occupational therapy group after treatment(P0.05or P0.01).No significant difference in environmental field score was found between the two groups(P0.05).Conclusion Occupational therapy can improve the quality of life in community patients with schizophrenia. | For years training was evaluated with measures such as numbers of participants, number of programs, length of programs, cost of programs and content of programs. These input focused measures have to be replaced by output focused measures. The output focused measures include learning profile and whole brain approach for the learner, competency requirements for the job, management’s role before, during and after training as well as the competency of the trainer and the effectiveness of the training environment. However, to ensure that the highest possible scores for these measures can be achieved, a multidisciplinary approach is of paramount importance. The purpose of this article is to demonstrate the IAFECT™ management tool designed to ensure effective technology training. IAFECT™ is a systematic approach that involves all stakeholders. It focuses on technical competence and a high Return-On-Investment. | eng_Latn | 6,088 |
Clinical and bacteriologic course of wounds as a function of various protocols of local antisepsis | Antiseptics are drugs, and they must be prescribed by physicians. A correct use allows a favourable evolution of the wounds, and could avoid some amputations. The authors have realized a randomized study, to compare the reliability of a sequence using Eosine and an antiseptic (Chlorhexidine or polyvinylpyrolidone (PVP) iodine) to a more usual sequence using chlorhexidine of PVP iodine alone according with the initial pH of the wound. After fifteen days, if no clinical and bacteriological improvement occurred, the Dakin solution was used. The clinical and bacteriological survey has showed that the sequence with Eosine produced significantly more failures and that there was no significant difference between Chlorhexidine and PVP iodine. The use of the Dakin solution 15 days after inefficacy of the antisepsis previously used allowed a cicatrisation of the wound in about six days. There was no demonstrable resistance of microorganisms to the previously used antiseptics. | Abstract Medical training is increasingly focused on the need to improve healthcare delivery. To succeed in this endeavor, teaching hospitals should align their educational and clinical operations. This article discusses recent innovations and emerging strategies in medical training across three key components for achieving alignment: (1) bridging educational and clinical priorities; (2) developing curricula to support alignment; (3) and fostering resident-led programs that lead to systems change. Understanding the current landscape of educational and operational innovations across clinical learning environments can help health system leaders and medical educators work together to implement cohesive programs that achieve all of these key components. | eng_Latn | 6,089 |
Quality indicators for pulmonary rehabilitation programs in Canada: A Canadian Thoracic Society expert working group report | AbstractRATIONALE: Delivery of pulmonary rehabilitation (PR) varies widely across Canada. There is a need for evidence-based quality indicators (QI) that can be used to identify variations in the q... | In order to get rational use of drug,it is critical to do inpatients-oriented prescription evaluation.How to use clinical pathway as tools for prescription evaluation,training the team,developing standardized documents,and setting up prescription evaluation system for inpatients' medicine order,through PDCA,are discussed. | eng_Latn | 6,090 |
Identifying future directions for IC research in education: a literature review | Purpose It is important to have a literature review to open any special issue as a way of introducing the state-of-the-art topics and link past research with the papers appearing in this special issue on IC in education. Design/methodology/approach This research uses the structured literature to investigate the state-of-the-art and future directions of IC literature in education. 47 articles are explored including nine from this special issue. Findings IC in education research is concentrated in Europe and mainly addresses IC in universities. Additionally, current IC research is progressing by examining IC practices inside universities using a third-stage IC approach, with new research also concentrating on third-mission outcomes, thus there is scope to continue IC and education research beyond universities. IC in education can also expand into fifth stage IC research, which abandons the boundaries of the educational institution and concentrate on the impact of IC and education on multiple stakeholders. R... | There is a consistent need for more child and adolescent psychiatrists. Despite increased recruitment of child and adolescent psychiatry trainees, traditional models of care will likely not be able to meet the need of youth with mental illness. Integrated care models focusing on population-based, team-based, measurement-based, and evidenced-based care have been effective in addressing accessibility and quality of care. These integrated models have specific needs regarding health information technology (HIT). HIT has been used in a variety of different ways in several integrated care models. HIT can aid in implementation of these models but is not without its challenges. | eng_Latn | 6,091 |
What Is New in Point-of-Care Testing? | AbstractPoint-of-care testing (POCT) is one of the fastest growing sectors in diagnostics, becoming a well-established laboratory tool in healthcare systems across the world. Recent research has focused on increasing cost-effectiveness and improving overall performance of existing POCT. Lower costs | Though PE firms don’t need to become technology aficionados, they would be wise to ask themselves and their portfolio companies five critical questions. At Performance Improvement Partners, we preach to our clients that to obtain the highest return on technology investments, you really need to know where you should be going and have a Plan B in case you hit a bump in the road. Planes don’t leave airports without a final destination and emergency landing procedures. Just be diligent; ensure that portfolio company dashboards deliver the needed key metrics rather than like to have or what’s really cutting-edge. In the long run, you will save yourself time, money, and wasted effort. | eng_Latn | 6,092 |
The Evolution of Asset/Liability Management (a summary) | This review tracks the development of asset/liability management from its roots in liability management outsourcing to its most recent interpretation as a broad liability-driven investing strategy. The complete literature review, which contains 47 annotated citations on the relevant research, can be found at http://www.cfapubs.org/doi/abs/10.2470/rflr.v9.n2.1. | Richard Hays ::: ::: Radcliffe, 2006, £24.95, 168 pages ::: ::: ISBN: 1 85775 751 3 ::: ::: Rating: ★★★/5 ::: ::: ::: ::: This book is timely. The establishment of more medical schools in the United Kingdom is leading to expansion in medical student numbers, which will place a greater burden on existing clinical firms. Tuition fees mean today's learners expect higher education institutions and trusts to be more accountable for the syllabus they provide. Learning and assessment theories are fashionable, and this is one of the latest contributions by Radcliffe on the subject. ::: ::: When I … | eng_Latn | 6,093 |
Policy support investment of provincial | Besides the investment incentives policies, support the State''s investment, Thua Thien Hue province has support for investors: | AbstractRATIONALE: Delivery of pulmonary rehabilitation (PR) varies widely across Canada. There is a need for evidence-based quality indicators (QI) that can be used to identify variations in the q... | eng_Latn | 6,094 |
A Legal and Ethical Research on the Establishment of Harmonious Medicine-patient Relationship | "Civil legal relationship" has become the prevailing doctrine about medicine-patient relationship,and the pertinent medical legal system is based on the doctrine.However,medicine-patient relationship is totally different from common civil legal relationship,and the model of medical litigation on the ground of the idea of civil lawsuit can't deal with medical dispute.In order to get medicine-patient relationship back to good track,we should focus on the settlement of the above-mentioned problems. | how the market capacity of scientific research at universities and enterprises operation organically,and realize the great leap forward development of China's science and technology industry,has become the urgent problem to study.Proceeding from our country enterprise cooperation research,combining the current situation,cooperation based on school enterprise cooperation model,through the analysis and Research on the different subject positioning strategy,the new model of enterprise and government,multi-party cooperation to provide advice and ideas. | eng_Latn | 6,095 |
Patient Expectations in the Digital World | This chapter is based on my keynote during the Estonian e-Health Conference in Tallinn, october 2010. The presentation was given wearing two hats, one as president of ICMCC, the other as a patient. | Physicians who consider changing EHRs can take steps to ensure the next system meets their needs | eng_Latn | 6,096 |
Clinical observation on the treatment of primary gout by Qingrejiedulishi therapy | Objective To observe the therapeutic effect of Qingrejiedulishi method on acute attack of primary gout. Methods 60 patients with acute attack of primary gout were randomly divided into two groups. 30 patients in TCM group were treated with Qingrejiedulishi therapy combined with external application of Jinhuanggao; the other 30 patients in western medcine group were treated with colchicine,with a treatment course of 1 week for both groups. After 1-week's treatment the therapeutic effect and side effect were observed for both groups. Results There was no significant difference in therapeutic effect between two groups ( P 0.05) . TCM group had no side effect, however, western medicine group had some side effects ( P 0.01) . Conclusion Qingrejiedulishi therapy is effective and safe in treating acute attack of primary gout. | 277 Background: Reviewing clinical practice by provider has been an ongoing process for quite some time. The metrics reviewed and how the review was conducted were not clearly defined and, as a result, has varied widely between organizations. Recredentialing or some self-imposed process were the main drivers until The Joint Commission required a more regular review of the clinicians’ practice in a hospital and clinics setting. MD Anderson embraced the requirement as an opportunity to improve its clinical review process and create a more robust infrastructure. Methods: Organizational and technological support was critical for success. The OPPE effort is led by the V.P. for Medical Affairs. A new faculty role, Quality Officer (QO), was established in each clinical department. The Office of Performance Improvement (OPI) was enlisted for data support and provided educational resources to the QOs. The Information Services staff maintains the technology to support the project long term. The Medical Staff Office... | eng_Latn | 6,097 |
Design of Credit Transfer System in Adult Higher Vocational Education | Beijing Federation of Trade Unions Cadre College is making the experiment in Program of Credit BankThis program attaches importance to the design of dredit transfer system,such as system of cooperation between colleges and enterprises,committee system on specialty construction,specialty establishment system on the basis of professional ability analysis,transfer system of class hour and credit,flexible study system and credit accumulation system. | SUMMARY: In this second article, we continue the review of current health care economics as it relates to radiologists, specifically framed by topics defined by the Accreditation Council for Graduate Medical Education in the evaluation of neuroradiology fellows. The discussion in this article is focused on topics pertaining to levels 4 and 5, which are the more advanced levels of competency defined by the Accreditation Council for Graduate Medical Education Neuroradiology Milestones on Health Care Economics and System Based Practice. | eng_Latn | 6,098 |
Use and future of the HIA Gateway website | The health impact assessment gateway website: Analysis of a feedback exercise 11 August to 8 September 2006 on the use and future of the website | This guide is meant for students and academics in the field of Health Sciences. Health Sciences related sites e.g Subject databases, e-Books, e-journals can be accessed through the guide | eng_Latn | 6,099 |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.