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https://www.readbyqxmd.com/read/29771210/variables-affecting-hospital-length-of-stay-a-scoping-review
#1
Sandra C Buttigieg, Lorraine Abela, Adriana Pace
Purpose Tertiary hospitals have registered an incremental rise in expenditure mostly because of the increasing demands by ageing populations. Reducing the length of stay (LOS) of patients within tertiary hospitals is one of the strategies, which has been used in the last decades to ensure health care systems' sustainability. Furthermore, LOS is one of the key performance indicators, which is widely used to assess hospital efficiency. Hence, it is crucial that policy makers use evidence-based practices in health care to aim for optimal LOS...
May 21, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29758861/advancing-towards-functional-environmental-flows-for-temperate-floodplain-rivers
#2
Daniel S Hayes, Julia M Brändle, Carina Seliger, Bernhard Zeiringer, Teresa Ferreira, Stefan Schmutz
Abstraction, diversion, and storage of flow alter rivers worldwide. In this context, minimum flow regulations are applied to mitigate adverse impacts and to protect affected river reaches from environmental deterioration. Mostly, however, only selected instream criteria are considered, neglecting the floodplain as an indispensable part of the fluvial ecosystem. Based on essential functions and processes of unimpaired temperate floodplain rivers, we identify fundamental principles to which we must adhere to determine truly ecologically-relevant environmental flows...
August 15, 2018: Science of the Total Environment
https://www.readbyqxmd.com/read/29751441/assessment-of-urban-green-space-structures-and-their-quality-from-a-multidimensional-perspective
#3
Benjamin Daniels, Barbara S Zaunbrecher, Bastian Paas, Richard Ottermanns, Martina Ziefle, Martina Roß-Nickoll
Facing the growing amount of people living in cities and, at the same time, the need for a compact and sustainable urban development to mitigate urban sprawl, it becomes increasingly important that green spaces in compact cities are designed to meet the various needs within an urban environment. Urban green spaces have a multitude of functions: Maintaining ecological processes and resulting services, e.g. providing habitat for animals and plants, providing a beneficial city microclimate as well as recreational space for citizens...
February 15, 2018: Science of the Total Environment
https://www.readbyqxmd.com/read/29696229/total-integrated-performance-excellence-system-tipes-a-true-north-direction-for-a-clinical-trial-support-center
#4
Mike R Sather, Sherry Parsons, Kathy D Boardman, Stuart R Warren, Anne Davis-Karim, Kevin Griffin, Jane A Betterton, Mark S Jones, Stanley H Johnson, Julia E Vertrees, Jan H Hickey, Thelma P Salazar, Grant D Huang
This paper presents the quality journey taken by a Federal organization over more than 20 years. These efforts have resulted in the implementation of a Total Integrated Performance Excellence System (TIPES) that combines key principles and practices of established quality systems. The Center has progressively integrated quality system frameworks including the Malcom Baldrige National Quality Award (MBNQA) Framework and Criteria for Performance Excellence, ISO 9001, and the Organizational Project Management Maturity Model (OPM3), as well as supplemental quality systems of ISO 15378 (packaging for medicinal products) and ISO 21500 (guide to project management) to systematically improve all areas of operations...
March 2018: Contemporary Clinical Trials Communications
https://www.readbyqxmd.com/read/29683707/composite-faces-are-not-necessarily-processed-coactively-a-test-using-systems-factorial-technology-and-logical-rule-models
#5
Xue Jun Cheng, Callum J McCarthy, Tony S L Wang, Thomas J Palmeri, Daniel R Little
Upright faces are thought to be processed more holistically than inverted faces. In the widely used composite face paradigm, holistic processing is inferred from interference in recognition performance from a to-be-ignored face half for upright and aligned faces compared with inverted or misaligned faces. We sought to characterize the nature of holistic processing in composite faces in computational terms. We use logical-rule models (Fifić, Little, & Nosofsky, 2010) and Systems Factorial Technology (Townsend & Nozawa, 1995) to examine whether composite faces are processed through pooling top and bottom face halves into a single processing channel-coactive processing-which is one common mechanistic definition of holistic processing...
April 23, 2018: Journal of Experimental Psychology. Learning, Memory, and Cognition
https://www.readbyqxmd.com/read/29665729/it-s-not-all-about-the-face-variability-reveals-asymmetric-obligatory-processing-of-faces-and-bodies-in-whole-body-contexts
#6
Catherine L Reed, Cindy M Bukach, Matthew Garber, Daniel N McIntosh
Researchers have sought to understand the specialized processing of faces and bodies in isolation, but recently they have considered how face and body information interact within the context of the whole body. Although studies suggest that face and body information can be integrated, it remains an open question whether this integration is obligatory and whether contributions of face and body information are symmetrical. In a selective attention task with whole-body stimuli, we focused attention on either the face or body and tested whether variation in the irrelevant part could be ignored...
January 1, 2018: Perception
https://www.readbyqxmd.com/read/29663286/how-holistic-processing-of-faces-relates-to-cognitive-control-and-intelligence
#7
Isabel Gauthier, Kao-Wei Chua, Jennifer J Richler
The Vanderbilt Holistic Processing Test for faces (VHPT-F) is the first standard test designed to measure individual differences in holistic processing. The test measures failures of selective attention to face parts through congruency effects, an operational definition of holistic processing. However, this conception of holistic processing has been challenged by the suggestion that it may tap into the same selective attention or cognitive control mechanisms that yield congruency effects in Stroop and Flanker paradigms...
April 16, 2018: Attention, Perception & Psychophysics
https://www.readbyqxmd.com/read/29610716/orthognathic-relevant-scales-of-face-q-translation-and-validation-for-hong-kong-chinese-patients
#8
Su Keng Tan, Wai Keung Leung, Alexander Tin Hong Tang, Edward Chi Man Tse, Roger Arthur Zwahlen
Background: A validated questionnaire is needed to study a more holistic outcome assessment including postsurgical aesthetic satisfaction and psychosocial changes in orthognathic patients. The aim of this study was to determine the reliability and validity of 9 orthognathically relevant translated FACE-Q scales among Hong Kong Chinese orthognathic patients. Methods: Two hundred fifty adult Cantonese-speaking patients of 18 years or older who underwent orthognathic treatment were recruited in the Prince Philip Dental Hospital of Hong Kong...
December 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29601311/classical-and-alternative-roles-for-autophagy-in-lipid-metabolism
#9
Xiangyu Zhang, Trent D Evans, Se-Jin Jeong, Babak Razani
PURPOSE OF REVIEW: Intracellular lipid metabolism is a complex interplay of exogenous lipid handling, trafficking, storage, lipolysis, and export. Recent work has implicated the cellular degradative process called autophagy in several aspects of lipid metabolism. We will discuss both the classical and novel roles of autophagy and the autophagic machinery in this setting. RECENT FINDINGS: The delivery of lipid droplets to lysosomes for hydrolysis, named lipophagy, was the first described functional role for autophagy in lipid metabolism...
March 29, 2018: Current Opinion in Lipidology
https://www.readbyqxmd.com/read/29575518/narrative-insight-in-psychosis-the-relationship-with-spiritual-and-religious-explanatory-frameworks
#10
Michael R Marriott, Andrew R Thompson, Graham Cockshutt, Georgina Rowse
OBJECTIVE: When considering psychosis, the concept of narrative insight has been offered as an alternative to clinical insight in determining individuals' responses to their difficulties, as it allows for a more holistic and person-centred framework to be embraced within professional practice. This study aims to explore the validity of the narrative insight construct within a group of people who have experienced psychosis. DESIGN: Inductive qualitative methods were used to explore how eight participants utilized spiritual or religious explanatory frameworks for their experiences of psychosis and to consider these in relation to the construct of narrative insight...
March 25, 2018: Psychology and Psychotherapy
https://www.readbyqxmd.com/read/29561239/high-resolution-functional-magnetic-resonance-imaging-reveals-configural-processing-of-cars-in-right-anterior-fusiform-face-area-of-car-experts
#11
David A Ross, Benjamin J Tamber-Rosenau, Thomas J Palmeri, JieDong Zhang, Yaoda Xu, Isabel Gauthier
Visual object expertise correlates with neural selectivity in the fusiform face area (FFA). Although behavioral studies suggest that visual expertise is associated with increased use of holistic and configural information, little is known about the nature of the supporting neural representations. Using high-resolution 7-T functional magnetic resonance imaging, we recorded the multivoxel activation patterns elicited by whole cars, configurally disrupted cars, and car parts in individuals with a wide range of car expertise...
March 21, 2018: Journal of Cognitive Neuroscience
https://www.readbyqxmd.com/read/29560761/educational-renewal-of-physician-training-in-australia-and-new-zealand-multiple-educational-innovations-in-a-complex-environment
#12
Rebecca Udemans, Marie-Louise Stokes, Louise Rigby, Priya Khanna, Jonathan Christiansen
AIM: The Royal Australasian College of Physicians is renewing its specialty training programs and shifting towards competency-based medical education. Our aim is to improve the quality and rigor of training and graduate outcomes, and promote high standards of physician practice to serve the health of patients, families, and communities in a changing healthcare environment. METHODS: We are progressing holistic change and multiple educational innovations in a complex environment...
March 21, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29461453/noncognitive-attributes-in-physician-assistant-education
#13
Anthony E Brenneman, Constance Goldgar, Karen J Hills, Jennifer H Snyder, Stephane P VanderMeulen, Steven Lane
Physician assistant (PA) admissions processes have typically given more weight to cognitive attributes than to noncognitive ones, both because a high level of cognitive ability is needed for a career in medicine and because cognitive factors are easier to measure. However, there is a growing consensus across the health professions that noncognitive attributes such as emotional intelligence, empathy, and professionalism are important for success in clinical practice and optimal care of patients. There is also some evidence that a move toward more holistic admissions practices, including evaluation of noncognitive attributes, can have a positive effect on diversity...
March 2018: Journal of Physician Assistant Education
https://www.readbyqxmd.com/read/29447711/no-355-physiologic-basis-of-pain-in-labour-and-delivery-an-evidence-based-approach-to-its-management
#14
Julie Bonapace, Guy-Paul Gagné, Nils Chaillet, Raymonde Gagnon, Emmanuelle Hébert, Sarah Buckley
OBJECTIVE: To review the evidence relating to nonpharmacological approaches in the management of pain during labour and delivery. To formulate recommendations for the usage of nonpharmacological approaches to pain management. OPTIONS: Nonpharmacological methods available for pain management during labour and delivery exist. These should be included in the counselling and care of women. EVIDENCE: PubMed and Medline were searched for articles in French and English on subjects related to "breastfeeding," "pain," "epidural," "anaesthesia," "analgesia," "labour," "labor," and combined with "gate control theory," "alternative therapies," "massage," "position," "mobility," "TENS," "bathing," "DNIC," "acupuncture," "acupressure," "sterile water injection," "higher center," "control mind," "cognitive structuring," "holistic health," "complementary therapy(ies)," "breathing," "relaxation," "mental imagery," "visualization," "mind focusing," "hypnosis," "auto-hypnosis," "sophrology," "mind and body interventions," "music," "odors," "biofeedback," "Lamaze," "Bonapace," "prenatal training," "gymnastic," "chanting," "haptonomy," "environment," "transcutaneous electrical stimulus-stimulation," "antenatal education," "support," "continuous support," "psychosocial support," "psychosomatic medicine," "supportive care," "companion," "intrapartum care," "nurse," "midwife(ves)," "father," "doula," "caregiver," " hormones," "oxytocin," "endorphin," "prolactin," "catecholamine," "adrenaline," and "noradrenaline" from 1990 to December 2015...
February 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/29445976/an-equivalence-study-of-interview-platform-does-videoconference-technology-impact-medical-school-acceptance-rates-of-different-groups
#15
Marlene P Ballejos, Scott Oglesbee, Jennifer Hettema, Robert Sapien
Web-based interviewing may be an effective element of a medical school's larger approach to promotion of holistic review, as recommended by the Association of American Medical Colleges, by facilitating the feasibility of including rural and community physicians in the interview process. Only 10% of medical schools offer videoconference interviews to applicants and little is known about the impact of this interview modality on the admissions process. This study investigated the impact of overall acceptance rates using videoconference interviews and face-to-face interviews in the medical school selection process using an equivalence trial design...
February 14, 2018: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/29367105/advancing-methods-for-health-priority-setting-practice-through-the-contribution-of-systems-theory-lessons-from-a-case-study-in-ethiopia
#16
Kadia Petricca, Asfaw Bekele, Whitney Berta, Jennifer Gibson, Clare Pain
Setting priorities for health services is a complex and value laden process. Over the past twenty years, there has been considerable scholarly attention paid to strengthening fairness and legitimacy using the prominent ethical framework, Accountability for Reasonableness (A4R). A variety of case studies applying A4R have advanced our conceptual understanding of procedural fairness, and have highlighted the significance of context through its application. There is a paucity of research, however, that rigorously examines how and to what extent context influences health priority setting processes and the establishment of procedural fairness...
February 2018: Social Science & Medicine
https://www.readbyqxmd.com/read/29357674/associating-symptom-phenotype-and-genotype-in-preeclampsia
#17
Sandra A Founds, Eleni Tsigas, Dianxu Ren, M Michael Barmada
Preeclampsia is a complex genetic disorder with an incompletely understood pathogenesis. Its phenotype may be better elucidated by integrating symptoms. This study aimed to identify symptoms by gestational age and associations with novel preeclampsia candidate genes. Women with a history of preeclampsia recruited from The Preeclampsia Registry completed clinical/demographic, symptom surveys and provided medical records. DNA extracted from saliva was processed with multiplexed assays for eight single-nucleotide polymorphisms (SNPs) selected to tag candidate genes and/or located in symptom susceptibility regions...
March 2018: Biological Research for Nursing
https://www.readbyqxmd.com/read/29344454/critical-review-of-family-health-advisory-services-assessment-in-mbbs-training-program-in-community-medicine
#18
Kiran Goswami, H Salve, S Malhotra, Y Kumar
Context: Family Health Advisory Services (FHAS) posting as well as its assessment is resource demanding but fails to enjoy priority. Study focuses on a holistic overview of the assessment process to understand need for change. Aims: The aim of this study is to identify perceived gaps in current assessment practices related to FHAS posting. Settings and Design: A cross-sectional mixed method study among all the V semester students currently undergoing assessment for the posting, past students (selected VII semester students and interns), preceptors (supervising residents - postgraduate students in department and senior resident, health assistants, medical social service officer), and involved faculty...
December 2017: International Journal of Applied and Basic Medical Research
https://www.readbyqxmd.com/read/29306825/selecting-appropriate-wastewater-treatment-technologies-using-a-choosing-by-advantages-approach
#19
Paz Arroyo, María Molinos-Senante
Selecting the most sustainable wastewater treatment (WWT) technology among possible alternatives is a very complex task because the choice must integrate economic, environmental, and social criteria. Traditionally, several multi-criteria decision-making approaches have been applied, with the most often used being the analytical hierarchical process (AHP). However, AHP allows users to offset poor environmental and/or social performance with low cost. To overcome this limitation, our study examines a choosing-by-advantages (CBA) approach to rank seven WWT technologies for secondary WWT...
June 1, 2018: Science of the Total Environment
https://www.readbyqxmd.com/read/29288323/impact-of-holistic-review-on-student-interview-pool-diversity
#20
Christina J Grabowski
Diversity in the physician workforce lags behind the rapidly changing US population. Since the gateway to becoming a physician is medical school, diversity must be addressed in the admissions process. The Association of American Medical Colleges has implemented a Holistic Review Initiative aimed at assisting medical schools with broadening admission criteria to include relevant, mission-driven attributes and experiences in addition to academic preparation to identify applicants poised to meet the needs of a diverse patient population...
December 29, 2017: Advances in Health Sciences Education: Theory and Practice
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