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https://www.readbyqxmd.com/read/28812106/-costs-associated-with-multiresistant-bacteria-in-neurorehabilitation
#1
REVIEW
Robin Roukens, Frank Lauster, Maria Bara, Bernd Eifert, Dietrich Willemsen, Thomas Randall, Jürgen Herzog, Constanze Wendt, Tobias Schmidt-Wilcke, Stefan Knecht
BACKGROUND AND OBJECTIVES: The number of patients with multiresistant bacteria (MRB) in rehabilitation facilities is increasing. The increasing costs of hygienic isolation measures reduce resources available for core rehabilitation services. In addition to the existing lack of care, patients with MRB are at further risk of being given lower priority for admission to rehabilitation facilities. Therefore, the Hygiene Commission of the German Society for Neurorehabilitation (DGNR) attempted to quantify the overall risk for deterioration of rehabilitation care due to the financial burden of MRB...
August 15, 2017: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
https://www.readbyqxmd.com/read/28811098/the-governance-of-integrated-health-and-social-care-in-england-since-2010-great-expectations-not-met-once-again
#2
Mark Exworthy, Martin Powell, Jon Glasby
Integrating health and social care has long been a goal of policy-makers and practitioners. Yet, this aim has remained elusive, partly due to conflicting definitions and a weak evidence base. As part of a special edition exploring the use of the TAPIC (transparency, accountability, participation, integrity and capability) framework in different national contexts and inter-agency settings, this article examines the governance of integrated care in England since 2010, focusing on the extent to which thesefive governance attributes are applicable to integrated care in England...
August 2, 2017: Health Policy
https://www.readbyqxmd.com/read/28810076/groundwater-development-stress-global-scale-indices-compared-to-regional-modeling
#3
William M Alley, Brian R Clark, David M Ely, Claudia C Faunt
The increased availability of global datasets and technologies such as global hydrologic models and the Gravity Recovery and Climate Experiment (GRACE) satellites have resulted in a growing number of global-scale assessments of water availability using simple indices of water stress. Developed initially for surface water, such indices are increasingly used to evaluate global groundwater resources. We compare indices of groundwater development stress for three major agricultural areas of the United States to information available from regional water budgets developed from detailed groundwater modeling...
August 15, 2017: Ground Water
https://www.readbyqxmd.com/read/28809898/analog-receiver-for-coherent-optical-analog-radio-over-fiber-transmission
#4
Bernhard Schrenk, Markus Hofer, Thomas Zemen
A receiver for low-cost coherent optical applications is presented. Conceptual simplicity is guaranteed through the use of a monolithic integrated externally modulated laser. Local oscillators and fast photodetectors are provided by the distributed feedback section and electro-absorption modulator of the monolithic laser. The injection-locking feature, which is obtained by virtue of the inline configuration of the receiver, guarantees exact frequency translation during coherent reception and obviates the need for digital signal processing typically employed for the purpose of signal recovery...
August 15, 2017: Optics Letters
https://www.readbyqxmd.com/read/28808122/dramatic-budget-increase-for-hepatitis-treatment-in-federal-prisons
#5
Paul Webster
No abstract text is available yet for this article.
August 14, 2017: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/28808095/what-limits-photosynthetic-energy-conversion-efficiency-in-nature-lessons-from-the-oceans
#6
Paul G Falkowski, Hanzhi Lin, Maxim Y Gorbunov
Constraining photosynthetic energy conversion efficiency in nature is challenging. In principle, two yield measurements must be made simultaneously: photochemistry, fluorescence and/or thermal dissipation. We constructed two different, extremely sensitive and precise active fluorometers: one measures the quantum yield of photochemistry from changes in variable fluorescence, the other measures fluorescence lifetimes in the picosecond time domain. By deploying the pair of instruments on eight transoceanic cruises over six years, we obtained over 200 000 measurements of fluorescence yields and lifetimes from surface waters in five ocean basins...
September 26, 2017: Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences
https://www.readbyqxmd.com/read/28799652/environmental-exposure-of-the-adult-french-population-to-permethrin
#7
Marie Hermant, Olivier Blanchard, Guillaume Perouel, Guillaume Boulanger, Mathilde Merlo, Virginie Desvignes
This work aims to assess the exposure to permethrin of the adult French population from available contamination measurements of outdoor air, indoor air, and settled dust. Priority is given to the assessment of chronic exposure, given the potential of permethrin to induce cancers and/or endocrine disorders. A statistical method was devised to calculate exposure to permethrin by different pathways (inhalation, indirect dust ingestion, and dermal contact). This method considers anthropometric parameters, the population's space-time budget, and recent methods for calculating dermal exposure...
August 11, 2017: Risk Analysis: An Official Publication of the Society for Risk Analysis
https://www.readbyqxmd.com/read/28797887/grassland-productivity-and-carbon-sequestration-in-mongolian-grasslands-the-underlying-mechanisms-and-nomadic-implications
#8
Changliang Shao, Jiquan Chen, Housen Chu, Raffaele Lafortezza, Gang Dong, Michael Abraha, Ochirbat Batkhishig, Ranjeet John, Zutao Ouyang, Yaoqi Zhang, Jiaguo Qi
BACKGROUND: Quantifying carbon (C) dioxide exchanges between ecosystems and the atmosphere and the underlying mechanism of biophysical regulations under similar environmental conditions is critical for an accurate understanding of C budgets and ecosystem functions. METHODS: For the first time, a cluster of four eddy covariance towers were set up to answer how C fluxes shift among four dominant ecosystems in Mongolia - meadow steppe (MDW), typical steppe (TPL), dry typical steppe (DRT) and shrubland (SHB) during two growing seasons (2014 and 2015)...
August 7, 2017: Environmental Research
https://www.readbyqxmd.com/read/28797706/prioritisation-of-specialist-health-care-services-not-nice-not-easy-but-it-can-be-done
#9
Pippa Anderson, Philip Webb, Sam Groves
The challenges of delivering healthcare within budget constraints are ever present. Highly specialised technologies (HSTs) have high costs of provision inevitably contributing to NHS cost pressures. Between 2012-2015 the Welsh Health Specialised Services Committee (WHSSC) developed prioritisation methods to make recommendations for HST funding in Wales. Methods adapted as the process continued but was always evidence based and supported by a prioritisation panel of stakeholders. Methods changed from discreet choice to the Portsmouth Score Card, a simple multi-criteria decision analysis (MCDA) method...
June 24, 2017: Health Policy
https://www.readbyqxmd.com/read/28797189/impact-of-pediatric-intensive-care-unit-admission-on-family-financial-status-and-productivity-a-pilot-study
#10
Maureen E Clark, Brian M Cummings, Karen Kuhlthau, Natalie Frassica, Natan Noviski
OBJECTIVE: A child's pediatric intensive care unit (PICU) admission may have wide-ranging family implications. We assessed nonmedical out-of-pocket expenses (NMOOPEs) and disruptions in work and normal life for parents with a child admitted to the PICU for at least 2 days with acute, new onset, or exacerbation of a critical condition. DESIGN: We conducted a prospective, single-center study; administered a daily verbal response survey on NMOOPEs; stratified families by annual income (<$50 999, $51-99 000, >$100 000); and calculated daily expenditures (DEs), estimated daily budgets (DBs), and percentage of NMOOPEs (%DE/DB)...
January 1, 2017: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/28797147/understanding-the-spatial-distribution-of-factors-controlling-topsoil-organic-carbon-content-in-european-soils
#11
M Rial, A Martínez Cortizas, L Rodríguez-Lado
Soil Organic Carbon (SOC) constitutes the largest terrestrial carbon pool. The understanding of its dynamics and the environmental factors that influence its behaviour as sink or source of atmospheric CO2 is crucial to quantify the carbon budget at the global scale. At the European scale, most of the existing studies to account for SOC stocks are centred in the fitting of predictive model to ascertain the distribution of SOC. However, the development of methodologies for monitoring and identifying the environmental factors that control SOC storage in Europe remains a key research challenge...
August 6, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28797115/ranking-93-health-interventions-for-low-and-middle-income-countries-by-cost-effectiveness
#12
Susan Horton, Hellen Gelband, Dean Jamison, Carol Levin, Rachel Nugent, David Watkins
BACKGROUND: Cost-effectiveness rankings of health interventions are useful inputs for national healthcare planning and budgeting. Previous comprehensive rankings for low- and middle- income countries were undertaken in 2005 and 2006, accompanying the development of strategies for the Millennium Development Goals. We update the rankings using studies published since 2000, as strategies are being considered for the Sustainable Development Goals. METHODS: Expert systematic searches of the literature were undertaken for a broad range of health interventions...
2017: PloS One
https://www.readbyqxmd.com/read/28796569/cost-effectiveness-of-kinase-inhibitors-for-hematologic-malignancies-a-systematic-and-critical-review
#13
Monia Marchetti
Several genetic disruptions lead to constitutive activation of those kinases leukemic cells depend on for survival and proliferation. Kinase inhibitors (KI) are major therapeutic innovations for chronic myeloid leukemia (CML), chronic lymphoid leukemia (CLL) and myelofibrosis (MF) providing a relevant improvement of quality-adjusted survival in patients with high-risk or refractory disease. CML patients are being treated with first-generation KI imatinib since many years, achieving expected survivals longer than 10 years...
August 10, 2017: Expert Review of Pharmacoeconomics & Outcomes Research
https://www.readbyqxmd.com/read/28795919/a-qualitative-appraisal-of-stakeholder-reactions-to-a-tool-for-burden-of-disease-based-health-system-budgeting-in-ghana
#14
John Koku Awoonor-Williams, Margaret L Schmitt, Janet Tiah, Joyce Ndago, Rofina Asuru, Ayaga A Bawah, James F Phillips
Background In 2010, the Ghana Health Service launched a program of cooperation with the Tanzania Ministry of Health and Social Welfare that was designed to adapt Tanzania's PLANREP budgeting and reporting tool to Ghana's primary health care program. The product of this collaboration is a system of budgeting, data visualization, and reporting that is known as the District Health Planning and Reporting Tool (DiHPART). Objective This study was conducted to evaluate the design and implementation processes (technical, procedures, feedback, maintenance, and monitoring) of the DiHPART tool in northern Ghana...
December 2016: Global Health Action
https://www.readbyqxmd.com/read/28793916/a-manual-based-vocational-rehabilitation-program-for-patients-with-an-acquired-brain-injury-study-protocol-of-a-pragmatic-randomized-controlled-trial-rct
#15
Louise K Hoeffding, Maria Haahr Nielsen, Morten A Rasmussen, Anne Norup, Juan Carlos Arango-Lasprilla, Ulrikka K Kjær, Kristoffer Sølvsten Burgdorf, Trine Schow
BACKGROUND: An acquired brain injury (ABI) is a complex injury often followed by a broad range of cognitive, physical, emotional, and behavioral disabilities. Because of these disabilities, vocational rehabilitation (VR) is a challenging task, however, of great importance, since approximately 75% of the patients with ABI are of working age. Thus, standardized clinically effective and cost-effective methodologies regarding VR for patients with ABI are highly needed. Therefore, the aim of this study is to evaluate the effect of an individually targeted manual-based VR for patient with ABI compared to conventional VR (usual care)...
August 10, 2017: Trials
https://www.readbyqxmd.com/read/28793399/effects-of-three-years-of-simulated-nitrogen-deposition-on-soil-nitrogen-dynamics-and-greenhouse-gas-emissions-in-a-korean-pine-plantation-of-northeast-china
#16
Lei Song, Peng Tian, Jinbo Zhang, Guangze Jin
Continuously enhanced nitrogen (N) deposition alters the pattern of N and carbon (C) transformations, and thus influences greenhouse gas emissions. It is necessary to clarify the effect of N deposition on greenhouse gas emissions and soil N dynamics for an accurate assessment of C and N budgets under increasing N deposition. In this study, four simulated N deposition treatments (control [CK: no N addition], low-N [L: 20kgNha(-1)yr(-1)], medium-N [M: 40kgNha(-1)yr(-1)], and high-N [H: 80kgNha(-1)yr(-1)]) were operated from 2014...
August 5, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28793068/incorporation-of-new-medicines-by-the-national-commission-for-incorporation-of-technologies-2012-to-june-2016
#17
Rosângela Caetano, Rondineli Mendes da Silva, Érica Militão Pedro, Ione Ayala Gualandi de Oliveira, Aline Navega Biz, Pamela Santana
The National Commission for incorporation of Health Technologies (CONITEC), established in 2011, advises the Ministry of Health in decisions related to the incorporation, exclusion or change of medicines, products and procedures in the Unified Health System (SUS).The study investigated the decision-making process, profile of demands and incorporation of new medicines in the SUS from January/2012 to June/2016, based on data available on the CONITEC website. All submissions were evaluated and characterized by technology and applicant type...
August 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28792348/-savings-from-frozen-posts-raided-for-other-budgets
#18
Matthew Mckew
Money saved by freezing nursing posts is being used to shore up budgets in other areas, RCN Scotland said.
August 9, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28790930/it-takes-time-to-be-cool-on-the-relationship-between-hyperthermia-and-body-cooling-in-a-migrating-seaduck
#19
Magella Guillemette, Elias T Polymeropoulos, Steven J Portugal, David Pelletier
The large amount of energy expended during flapping flight is associated with heat generated through the increased work of the flight muscles. This increased muscle work rate can manifest itself in core body temperature (Tb) increase of 1-2°C in birds during flight. Therefore, episodic body cooling may be mandatory in migratory birds. To elucidate the thermoregulatory strategy of a short-distance migrant, common eiders (Somateria mollissima), we implanted data loggers in the body cavity of wild birds for 1 year, and report information on Tb during their entire migration for 19 individuals...
2017: Frontiers in Physiology
https://www.readbyqxmd.com/read/28790307/effects-of-prey-of-different-nutrient-quality-on-elemental-nutrient-budgets-in-noctiluca-scintillans
#20
Shuwen Zhang, Hongbin Liu, Patricia M Glibert, Cui Guo, Ying Ke
Noctiluca scintillans (Noctiluca) is a cosmopolitan red tide forming heterotrophic dinoflagellate. In this study, we investigated its ingestion, elemental growth yield and excretion when supplied with different quality food (nutrient-balanced, N-limited and P-limited). Total cellular elemental ratios of Noctiluca were nearly homeostatic, but the ratio of its intracellular NH4(+) and PO4(3-) was weakly regulated. Noctiluca thus seems able to differentially allocate N and P to organic and inorganic pools to maintain overall homeostasis, and it regulated its internal N more strongly and efficiently than P...
August 8, 2017: Scientific Reports
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