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Crisis decision making

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https://www.readbyqxmd.com/read/27878940/people-processes-and-systems-an-observational-study-of-the-role-of-technology-in-rural-youth-mental-health-services
#1
Simone Orlowski, Sharon Lawn, Ben Matthews, Anthony Venning, Gabrielle Jones, Megan Winsall, Gaston Antezana, Niranjan Bidargaddi, Peter Musiat
The merits of technology-based mental health service reform have been widely debated among academics, practitioners, and policy makers. The design of new technologies must first be predicated on a detailed appreciation of how the mental health system works before it can be improved or changed through the introduction of new products and services. Further work is required to better understand the nature of face-to-face mental health work and to translate this knowledge to computer scientists and system designers responsible for creating technology-based solutions...
November 23, 2016: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/27878123/two-validated-ways-of-improving-the-ability-of-decision-making-in-emergencies-results-from-a-literature-review
#2
REVIEW
Amir Khorram-Manesh, Johan Berlin, Eric Carlström
The aim of the current review wasto study the existing knowledge about decision-making and to identify and describe validated training tools.A comprehensive literature review was conducted by using the following keywords: decision-making, emergencies, disasters, crisis management, training, exercises, simulation, validated, real-time, command and control, communication, collaboration, and multi-disciplinary in combination or as an isolated word. Two validated training systems developed in Sweden, 3 level collaboration (3LC) and MacSim, were identified and studied in light of the literature review in order to identify how decision-making can be trained...
October 2016: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/27831476/the-antimicrobial-resistance-crisis-management-through-gene-monitoring
#3
Carolyn A Michael, Ashley E Franks, Maurizio Labbate
Antimicrobial resistance (AMR) is an acknowledged crisis for humanity. Its genetic origins and dire potential outcomes are increasingly well understood. However, diagnostic techniques for monitoring the crisis are currently largely limited to enumerating the increasing incidence of resistant pathogens. Being the end-stage of the evolutionary process that produces antimicrobial resistant pathogens, these measurements, while diagnostic, are not prognostic, and so are not optimal in managing this crisis. A better test is required...
November 2016: Open Biology
https://www.readbyqxmd.com/read/27807085/-i-ll-be-in-a-safe-place-a-qualitative-study-of-the-decisions-taken-by-people-with-advanced-cancer-to-seek-emergency-department-care
#4
Lesley A Henson, Irene J Higginson, Barbara A Daveson, Clare Ellis-Smith, Jonathan Koffman, Myfanwy Morgan, Wei Gao
OBJECTIVE: To explore the decisions of people with advanced cancer and their caregivers to seek emergency department (ED) care, and understand the issues that influence the decision-making process. DESIGN: Cross-sectional qualitative study incorporating semistructured patient and caregiver interviews. METHODS: Between December 2014 and July 2015, semistructured interviews were conducted with 18 people with advanced cancer, all of whom had recently attended the ED of a large university teaching hospital located in south-east London; and six of their caregivers...
November 2, 2016: BMJ Open
https://www.readbyqxmd.com/read/27775408/symptoms-circumstances-and-service-systems-pathways-to-psychiatric-crisis-service-use-among-uninsured-young-adults
#5
Sarah Carter Narendorf, Michelle R Munson, Micki Washburn, Nicole Fedoravicius, Richard Wagner, Sara K Flores
Young adults have low rates of outpatient service utilization and higher rates of emergency service use compared to older adults. This study explored pathways to crisis service use for uninsured young adults who accessed emergency psychiatric treatment. Participants were 55 young adults (ages 18-25) who were on an inpatient short-term stabilization unit and had qualifying diagnoses for outpatient services (bipolar, major depression, or schizophrenia). Semistructured qualitative interviews were conducted to understand decision-making and the events that led to service use...
October 24, 2016: American Journal of Orthopsychiatry
https://www.readbyqxmd.com/read/27754160/pl-03-1-hypertension-management-in-the-era-of-digital-information-and-communication-technologies
#6
Steven Steinhubl
Despite having the basic tools necessary to appropriately identify and manage individuals with hypertension for over half a century it remains the single greatest contributing risk factor to morbidity and mortality worldwide today. Since diagnosis and effective treatment availability are not issues, this major failing in care can be attributed to inadequate systems of care: systems that have led to only <20% of hypertensive individuals globally having their blood pressure adequately controlled. Even in the US, where it is one of the most common reasons for a primary care visit, and with over $42...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27729051/from-personal-crisis-care-to-convenience-shopping-an-interpretive-description-of-the-experiences-of-people-with-mental-illness-and-addictions-in-community-pharmacies
#7
Andrea L Murphy, Ruth Martin-Misener, Stan P Kutcher, Claire L O'Reilly, Timothy F Chen, David M Gardner
BACKGROUND: The role of community pharmacists is changing globally with pharmacists engaging in more clinically-oriented roles, including in mental health care. Pharmacists' interventions have been shown to improve mental health related outcomes but various barriers can limit pharmacists in their care of patients. We aimed to explore the experiences of people with lived experience of mental illness and addictions in community pharmacies to generate findings to inform practice improvements...
October 12, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27695739/enabling-science-support-for-better-decision-making-when-responding-to-chemical-spills
#8
Jennifer L Weidhaas, Andrea M Dietrich, Nathan J DeYonker, R Ryan Dupont, William T Foreman, Daniel Gallagher, Jennifer E G Gallagher, Andrew J Whelton, William A Alexander
Chemical spills and accidents contaminate the environment and disrupt societies and economies around the globe. In the United States there were approximately 172,000 chemical spills that affected US waterbodies from 2004 to 2014. More than 8000 of these spills involved non-petroleum-related chemicals. Traditional emergency responses or incident command structures (ICSs) that respond to chemical spills require coordinated efforts by predominantly government personnel from multiple disciplines, including disaster management, public health, and environmental protection...
September 2016: Journal of Environmental Quality
https://www.readbyqxmd.com/read/27687761/development-of-a-fuzzy-stochastic-programming-with-green-z-score-criterion-method-for-planning-water-resources-systems-with-a-trading-mechanism
#9
X T Zeng, G H Huang, Y P Li, J L Zhang, Y P Cai, Z P Liu, L R Liu
This study developed a fuzzy-stochastic programming with Green Z-score criterion (FSGZ) method for water resources allocation and water quality management with a trading-mechanism (WAQT) under uncertainties. FSGZ can handle uncertainties expressed as probability distributions, and it can also quantify objective/subjective fuzziness in the decision-making process. Risk-averse attitudes and robustness coefficient are joined to express the relationship between the expected target and outcome under various risk preferences of decision makers and systemic robustness...
September 29, 2016: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/27687013/becoming-therapeutic-agents-a-grounded-theory-of-mothers-process-when-implementing-cognitive-behavioural-therapy-at-home-with-an-anxious-child
#10
Rana Pishva
: The premise of parent-centred programmes for parents of anxious children is to educate and train caregivers in the sustainable implementation of cognitive behaviour therapy (CBT) in the home. The existing operationalization of parent involvement, however, does not address the systemic, parent or child factors that could influence this process. The qualitative approach of grounded theory was employed to examine patterns of action and interaction involved in the complex process of carrying out CBT with one's child in one's home...
September 29, 2016: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/27667653/the-spanish-long-term-care-system-in-transition-ten-years-since-the-2006-dependency-act
#11
Luz María Peña-Longobardo, Juan Oliva-Moreno, Sandra García-Armesto, Cristina Hernández-Quevedo
At the end of 2006, a new System for Promotion of Personal Autonomy and Assistance for Persons in a Situation of Dependency (SAAD) was established in Spain through the approval of the Act 39/2006 of 14th December (the Dependency Act, DA). The DA acknowledged the universal entitlement of Spanish citizens to social services. The recent economic crisis added degrees of uncertainty to several dimensions of the SAAD implementation process. Firstly, the political consensus on which its foundation rested upon has weakened...
September 9, 2016: Health Policy
https://www.readbyqxmd.com/read/27649017/-epidemiology-of-vertigo-on-hospital-emergency
#12
Luis Roque Reis, Rita Lameiras, Pedro Cavilhas, Pedro Escada
INTRODUCTION: Vertigo is one of the most frequent motives in seeking specialized medical care in an emergency. The aim of this study was to evaluate the relevance of balance disorders in the Otorhinolaryngology urgency, the epidemiological characteristics and the possible seasonality. It was used a sample of patients who were assisted in a health care emergency department of this specialty, of a universitary hospital and during a period of four years. MATERIAL AND METHODS: The project was conceived as a descriptive epidemiological study of population type, retrospective, during the period from 2010 to 2013...
May 2016: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/27643115/pl-03-1-hypertension-management-in-the-era-of-digital-information-and-communication-technologies
#13
Steven Steinhubl
Despite having the basic tools necessary to appropriately identify and manage individuals with hypertension for over half a century it remains the single greatest contributing risk factor to morbidity and mortality worldwide today. Since diagnosis and effective treatment availability are not issues, this major failing in care can be attributed to inadequate systems of care: systems that have led to only <20% of hypertensive individuals globally having their blood pressure adequately controlled. Even in the US, where it is one of the most common reasons for a primary care visit, and with over $42...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27640415/the-importance-of-early-investigation-and-publishing-in-an-emergent-health-and-environment-crisis
#14
Kaori Murase
To minimize the damage resulting from a long-term environmental disaster such as the 2011 Fukushima nuclear accident in Japan, early disclosure of research data by scientists and prompt decision making by government authorities are required in place of careful, time-consuming research and deliberation about the consequences and cause of the accident. A Bayesian approach with flexible statistical modeling helps scientists and encourages government authorities to make decisions based on environmental data available in the early stages of a disaster...
October 2016: Integrated Environmental Assessment and Management
https://www.readbyqxmd.com/read/27637549/challenges-in-implementing-an-advance-care-planning-programme-in-long-term-care
#15
Ciara McGlade, Edel Daly, Joan McCarthy, Nicola Cornally, Elizabeth Weathers, Rónán O'Caoimh, D William Molloy
BACKGROUND: A high prevalence of cognitive impairment and frailty complicates the feasibility of advance care planning in the long-term-care population. RESEARCH AIM: To identify challenges in implementing the 'Let Me Decide' advance care planning programme in long-term-care. RESEARCH DESIGN: This feasibility study had two phases: (1) staff education on advance care planning and (2) structured advance care planning by staff with residents and families...
September 16, 2016: Nursing Ethics
https://www.readbyqxmd.com/read/27612961/from-lead-optimization-to-nda-approval-for-a-new-antimicrobial-use-of-pre-clinical-effect-models-and-pharmacokinetic-pharmacodynamic-mathematical-modeling
#16
G L Drusano
Because of our current crisis of resistance, particularly in nosocomial pathogens, the discovery and development of new antimicrobial agents has become a societal imperative. Changes in regulatory pathways by the Food and Drug Administration and the European Medicines Agency place great emphasis on the use of preclinical models coupled with pharmacokinetic/pharmacodynamic analysis to rapidly and safely move new molecular entities with activity against multi-resistant pathogens through the approval process and into the treatment of patients...
August 27, 2016: Bioorganic & Medicinal Chemistry
https://www.readbyqxmd.com/read/27604465/implementing-street-triage-a-qualitative-study-of-collaboration-between-police-and-mental-health-services
#17
Kimberley Horspool, Sarah J Drabble, Alicia O'Cathain
BACKGROUND: Street Triage is a collaborative service between mental health workers and police which aims to improve the emergency response to individuals experiencing crisis, but peer reviewed evidence of the effectiveness of these services is limited. We examined the design and potential impact of two services, along with factors that hindered and facilitated the implementation of the services. METHODS: We conducted 14 semi-structured interviews with mental health and police stakeholders with experience of a Street Triage service in two locations of the UK...
2016: BMC Psychiatry
https://www.readbyqxmd.com/read/27577606/the-complex-interface-between-economy-and-healthcare-an-introductory-overview-for-clinicians
#18
Federica Liliana Ottolini, Laura Buggio, Edgardo Somigliana, Paolo Vercellini
In a period of generalized economic crisis, it seems particularly appropriate to try to manage a continuing growing sector such as healthcare in the best possible way. The crucial aim of optimization of available healthcare resources is obtaining the maximum possible benefit with the minimum expenditure. This has important social implications, whether individual citizens or tax-funded national health services eventually have to pay the bill. The keyword here is efficiency, which means either, maximizing the benefit from a fixed sum of money, or minimizing the resources required for a defined benefit...
August 27, 2016: European Journal of Internal Medicine
https://www.readbyqxmd.com/read/27566738/miracle-drug-brazil-approves-never-tested-cancer-medicine
#19
Ricardo S Kuchenbecker, Daniel M Mota
BACKGROUND: Brazil recently approved synthetic phosphoetanolamine, a popularly dubbed 'cancer pill', a substance that has been shown to kill cancer cells in lab animal models but was not yet formally accessed in humans, and thus despite the existence of any evidence of its efficacy and safety. METHODS: The authors describe the recent decision of Brazil to aprove phosphoetanolamine in the context of growing 'judicialization' to promote access to medicines and thus reinforcing a growing sense of legal uncertainty...
August 26, 2016: Journal of Oncology Pharmacy Practice
https://www.readbyqxmd.com/read/27539307/traditional-climate-knowledge-a-case-study-in-a-peasant-community-of-tlaxcala-mexico
#20
Alexis D Rivero-Romero, Ana I Moreno-Calles, Alejandro Casas, Alicia Castillo, Andrés Camou-Guerrero
BACKGROUND: Traditional climate knowledge is a comprehensive system of insights, experiences and practices used by peasant communities to deal with the uncertainties of climate conditions affecting their livelihood. This knowledge is today as relevant in the Mesoamerican and Andean regions as it is in Europe and Asia. Our research sought to analyze the traditional knowledge about the weather and climate in a rural village of the state of Tlaxcala, Mexico, and its importance in decision-making in agriculture...
2016: Journal of Ethnobiology and Ethnomedicine
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