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https://www.readbyqxmd.com/read/29689457/design-of-double-fuzzy-clustering-driven-context-neural-networks
#1
Eun-Hu Kim, Sung-Kwun Oh, Witold Pedrycz
In this study, we introduce a novel category of double fuzzy clustering-driven context neural networks (DFCCNNs). The study is focused on the development of advanced design methodologies for redesigning the structure of conventional fuzzy clustering-based neural networks. The conventional fuzzy clustering-based neural networks typically focus on dividing the input space into several local spaces (implied by clusters). In contrast, the proposed DFCCNNs take into account two distinct local spaces called context and cluster spaces, respectively...
April 9, 2018: Neural Networks: the Official Journal of the International Neural Network Society
https://www.readbyqxmd.com/read/29684387/duodenoscope-reprocessing-practice-patterns-in-u-s-endoscopy-centers-a-survey-study
#2
Adarsh M Thaker, V Raman Muthusamy, Alireza Sedarat, Rabindra R Watson, Michael L Kochman, Andrew S Ross, Stephen Kim
BACKGROUND AND AIMS: After recent outbreaks of duodenoscope-related infections from multidrug-resistant organisms (MDRO), the United States Food and Drug Administration (FDA) recommended implementing one or more of four enhanced reprocessing measures in addition to updated manual cleaning methods and high-level disinfection (HLD). The implementation of these techniques in endoscopy facilities and provider opinions regarding reprocessing priorities remain unknown. METHODS: Physicians, nurse managers, nurses, and infection control staff at endoscopy units performing ERCP in the United States were surveyed to assess current institutional practices and individual opinions regarding future reprocessing solutions...
April 20, 2018: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29680110/increase-in-physical-activity-sustained-1-year-after-playground-intervention
#3
Madeline C Frost, Elena S Kuo, Lisa T Harner, Kelly R Landau, Katie Baldassar
INTRODUCTION: Regular physical activity is a vital component of child health, and schools play an important role in the promotion of physical activity among children. This paper describes the implementation and evaluation of a playground redesign involving structural and loose play equipment to increase students' physical activity at an intermediate school in Leadville, Colorado. METHODS: Direct observations were conducted during recess before the redesign in May 2014, then again at 6 months and 1 year after the redesign...
May 2018: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/29677986/process-mining-in-primary-care-a-literature-review
#4
Richard Williams, Eric Rojas, Niels Peek, Owen A Johnson
Process mining is the discipline of discovering processes from event logs, checking the conformance of real world events to idealized processes, and ultimately finding ways to improve those processes. It was originally applied to business processes and has recently been applied to healthcare. It can reveal insights into clinical care pathways and inform the redesign of healthcare services. We reviewed the literature on process mining, to investigate the extent to which process mining has been applied to primary care, and to identify specific challenges that may arise in this setting...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29677579/factors-underlying-perceptions-of-community-care-and-other-healthcare-areas-in-first-year-baccalaureate-nursing-students-a-focus-group-study
#5
Margriet van Iersel, Corine H M Latour, Marjon van Rijn, Rien de Vos, Paul A Kirschner, Wilma J M Scholte Op Reimer
BACKGROUND: Despite the increasing labour market shortage of well-educated community nurses, few baccalaureate nursing students choose for a career in community care. Obtaining knowledge of how students perceive healthcare areas early in their education is important to take meaningful steps in counteracting any existing misconceptions with targeted curriculum redesign. OBJECTIVE: Determination of factors underlying perceptions of healthcare areas in first-year baccalaureate nursing students...
April 13, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29677290/redesigning-medicaid-managed-care
#6
Andrew Bindman
No abstract text is available yet for this article.
April 17, 2018: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/29672881/response-adaptive-treatment-allocation-for-survival-trials-with-clustered-right-censored-data
#7
Pei-Fang Su, Siu Hung Cheung
A comparison of 2 treatments with survival outcomes in a clinical study may require treatment randomization on clusters of multiple units with correlated responses. For example, for patients with otitis media in both ears, a specific treatment is normally given to a single patient, and hence, the 2 ears constitute a cluster. Statistical procedures are available for comparison of treatment efficacies. The conventional approach for treatment allocation is the adoption of a balanced design, in which half of the patients are assigned to each treatment arm...
April 19, 2018: Statistics in Medicine
https://www.readbyqxmd.com/read/29671854/challenges-in-engaging-and-disseminating-health-research-results-among-alaska-native-and-american-indian-people-in-southcentral-alaska
#8
Denise A Dillard, Karen Caindec, Lisa G Dirks, Vanessa Y Hiratsuka
Alaska Native and American Indian (AN/AI) people have negative research experiences, including lack of timely, respectful, and relevant communication about research findings. Southcentral Foundation (SCF), a tribally owned and operated health care organization in Alaska, has redesigned the health care system, enacted research policies, and established a research department which uses best practices of Community Engaged Research with AN/AI people. Department staff and community members, however, perceive significant limitations in the reach of and satisfaction with ongoing engagement and dissemination efforts...
2018: American Indian and Alaska Native Mental Health Research: the Journal of the National Center
https://www.readbyqxmd.com/read/29669709/implementing-an-open-source-electronic-health-record-system-in-kenyan-health-care-facilities-case-study
#9
Naomi Muinga, Steve Magare, Jonathan Monda, Onesmus Kamau, Stuart Houston, Hamish Fraser, John Powell, Mike English, Chris Paton
BACKGROUND: The Kenyan government, working with international partners and local organizations, has developed an eHealth strategy, specified standards, and guidelines for electronic health record adoption in public hospitals and implemented two major health information technology projects: District Health Information Software Version 2, for collating national health care indicators and a rollout of the KenyaEMR and International Quality Care Health Management Information Systems, for managing 600 HIV clinics across the country...
April 18, 2018: JMIR Medical Informatics
https://www.readbyqxmd.com/read/29667641/-on-the-occasion-of-his-180th-birthday-anniversary-of-ivan-ivanovich-neiding
#10
Yu I Pigolkin, Yu V Lomakin, A V Khodulapov
This article is devoted to the life and professional activities of the internationally renowned forensic doctor Ivan Ivanovich Neiding who became widely known in the early youth as the discoverer of the microscopic diagnostic features of the constriction marks formed in association with hanging and strangulation. During more than 22 years (from 1878 till 1900), I.I. Neiding acted as the head of the Department of Forensic medicine at the Moscow University where a large number of investigations on forensic medical ballistics, toxicology, obstetric and gynecological expertise were carried out under his supervision...
2018: Sudebno-meditsinskaia Ekspertiza
https://www.readbyqxmd.com/read/29666635/modified-backtracking-search-optimization-algorithm-inspired-by-simulated-annealing-for-constrained-engineering-optimization-problems
#11
Hailong Wang, Zhongbo Hu, Yuqiu Sun, Qinghua Su, Xuewen Xia
The backtracking search optimization algorithm (BSA) is a population-based evolutionary algorithm for numerical optimization problems. BSA has a powerful global exploration capacity while its local exploitation capability is relatively poor. This affects the convergence speed of the algorithm. In this paper, we propose a modified BSA inspired by simulated annealing (BSAISA) to overcome the deficiency of BSA. In the BSAISA, the amplitude control factor ( F ) is modified based on the Metropolis criterion in simulated annealing...
2018: Computational Intelligence and Neuroscience
https://www.readbyqxmd.com/read/29665522/task-shifting-midwifery-support-workers-as-the-second-health-worker-at-a-home-birth-in-the-uk-a-qualitative-study
#12
Beck Taylor, Catherine Henshall, Laura Goodwin, Sara Kenyon
OBJECTIVE: Traditionally two midwives attend home births in the UK. This paper explores the implementation of a new home birth care model where births to low risk women are attended by one midwife and one Midwifery Support Worker (MSW). DESIGN AND SETTING: The study setting was a dedicated home birth service provided by a large UK urban hospital. PARTICIPANTS: Seventy-three individuals over 3 years: 13 home birth midwives, 7 MSWs, 7 commissioners (plan and purchase healthcare), 9 managers, 23 community midwives, 14 hospital midwives...
March 13, 2018: Midwifery
https://www.readbyqxmd.com/read/29665314/demand-capacity-and-access-of-the-outpatient-clinic-a-framework-for-analysis-and-improvement
#13
Erik Martijn van Bussel, Marc Boudewijn Victor Rouppe van der Voort, Ronald N Wessel, Godefridus G van Merode
RATIONALE: While theoretical frameworks for optimization of the outpatient processes are abundant, practical step-by-step analyses to give leads for improvement, to forecast capacity, and to support decision making are sparse. AIMS AND OBJECTIVES: This article demonstrates how to evaluate and optimize the triad of demand, (future) capacity, and access time of the outpatient clinic using a structured six-step method. METHODS: All individual logistical patient data of an orthopaedic outpatient clinic of one complete year were analysed using a 6-step method to evaluate demand, supply, and access time...
April 17, 2018: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/29665016/underreporting-of-fall-injuries-of-older-adults-implications-for-wellness-visit-fall-risk-screening
#14
Geoffrey J Hoffman, Jinkyung Ha, Neil B Alexander, Kenneth M Langa, Mary Tinetti, Lillian C Min
OBJECTIVES: To compare the accuracy of and factors affecting the accuracy of self-reported fall-related injuries (SFRIs) with those of administratively obtained FRIs (AFRIs). DESIGN: Retrospective observational study SETTING: United States PARTICIPANTS: Fee-for-service Medicare beneficiaries aged 65 and older (N=47,215). MEASUREMENTS: We used 24-month self-report recall data from 2000-2012 Health and Retirement Study data to identify SFRIs and linked inpatient, outpatient, and ambulatory Medicare data to identify AFRIs...
April 17, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29663276/interprofessional-educator-development-build-it-and-they-will-come
#15
Lily C Pien, Michaela Stiber, Allison Prelosky, Colleen Y Colbert
BACKGROUND: We describe an interprofessional educator development program, designed intentionally, that was implemented at an academic healthcare centre. In 2014, we purposefully adapted our pre-existing educator development program to be able to include all interprofessional educators at our institution. The program's goals were to enhance educator skills, a common need due to requirements of accreditation, and to create a local interprofessional community of teachers. The framework of the program was based upon adult learning principles, reflective practice, experiential learning and peer groups, all key characteristics of faculty development programs...
April 16, 2018: Perspectives on Medical Education
https://www.readbyqxmd.com/read/29659003/state-of-science-bridging-the-science-practice-gap-in-aging-dementia-and-mental-health
#16
Christopher M Callahan, Daniel R Bateman, Sophia Wang, Malaz A Boustani
The workforce available to care for older adults has not kept pace with the need. In response to workforce limitations and the growing complexity of healthcare, scientists have tested new models of care that redesign clinical practice. This article describes why new models of care in aging, dementia, and mental health diffuse inadequately into the healthcare systems and communities where they might benefit older adults. We review a general framework for the diffusion of innovations and highlight the importance of other features of innovations that deter or facilitate diffusion...
April 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29657966/engineering-complexity-in-bacterial-regulatory-circuits-for-biotechnological-applications
#17
Cauã Antunes Westmann, María-Eugenia Guazzaroni, Rafael Silva-Rocha
Engineering microbial systems allows the generation of new technologies having significant impact in the biotechnological industry and on human health. In the past few years, several synthetic biology approaches have been implemented in bacteria to allow precise engineering of novel regulatory circuits for several applications. The advent of high-throughput technologies and clustered regularly interspaced short palindromic repeat (CRISPR)/Cas9-based DNA editing techniques have been pivotal in this process. Yet, despite the tremendous advances experienced recently, there are still a number of bottlenecks that need to be overcome in order to generate high-performance redesigned living machines, and the use of novel computer-aided approaches would be essential for this task...
March 2018: MSystems
https://www.readbyqxmd.com/read/29657858/adapting-the-buying-funnel-model-of-consumer-behavior-to-the-design-of-an-online-health-research-recruitment-tool
#18
Aalap Doshi, Lisa Connally, Meghan Spiroff, Anita Johnson, George A Mashour
Introduction: UMHealthResearch is the University of Michigan's digital health research recruitment platform. It allows health researchers to connect efficiently with potentially eligible volunteers. Methods: In 2013, the UMHealthResearch team strategically adapted a consumer behavior model, the buying funnel, to create the Digital Health Research Participation Funnel. The Digital Health Research Participation Funnel was then used to design a more active way for potential participants to volunteer for research studies through UMHealthResearch...
August 2017: Journal of Clinical and Translational Science
https://www.readbyqxmd.com/read/29655362/clustering-methods-for-the-optimization-of-atomic-cluster-structure
#19
Francesco Bagattini, Fabio Schoen, Luca Tigli
In this paper, we propose a revised global optimization method and apply it to large scale cluster conformation problems. In the 1990s, the so-called clustering methods were considered among the most efficient general purpose global optimization techniques; however, their usage has quickly declined in recent years, mainly due to the inherent difficulties of clustering approaches in large dimensional spaces. Inspired from the machine learning literature, we redesigned clustering methods in order to deal with molecular structures in a reduced feature space...
April 14, 2018: Journal of Chemical Physics
https://www.readbyqxmd.com/read/29649274/present-day-monitoring-underestimates-the-risk-of-exposure-to-pathogenic-bacteria-from-cold-water-storage-tanks
#20
Aji Peter, Edwin Routledge
Water-borne bacteria, found in cold water storage tanks, are causative agents for various human infections and diseases including Legionnaires' disease. Consequently, regular microbiological monitoring of tank water is undertaken as part of the regulatory framework used to control pathogenic bacteria. A key assumption is that a small volume of water taken from under the ball valve (where there is easy access to the stored water) will be representative of the entire tank. To test the reliability of this measure, domestic water samples taken from different locations of selected tanks in London properties between November 2015 and July 2016 were analysed for TVCs, Pseudomonas and Legionella at an accredited laboratory, according to regulatory requirements...
2018: PloS One
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