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https://www.readbyqxmd.com/read/28539086/exploring-the-effectiveness-of-smart-technologies-in-the-management-of-type-2-diabetes-mellitus
#1
Andrea Coda, Dean Sculley, Derek Santos, Xavier Girones, Shamasunder Acharya
The global epidemic of diabetes, with increasing prevalence of type 2 diabetes (T2D), is placing a huge burden on health care management and financial systems. Unless new strategic solutions are developed, the increasing prevalence of T2D will result in a significant rise in morbidity, health care costs, and complications associated with diabetes. The introduction of smart devices in diabetes management may provide meaningful improvements in clinical outcomes, patient engagement, as well as potential cost reductions for the health care system...
May 1, 2017: Journal of Diabetes Science and Technology
https://www.readbyqxmd.com/read/28534267/simulation-of-the-hydraulic-performance-of-highway-filter-drains-through-laboratory-models-and-stormwater-management-tools
#2
Luis A Sañudo-Fontaneda, Daniel Jato-Espino, Craig Lashford, Stephen J Coupe
Road drainage is one of the most relevant assets in transport infrastructure due to its inherent influence on traffic management and road safety. Highway filter drains (HFDs), also known as "French Drains", are the main drainage system currently in use in the UK, throughout 7000 km of its strategic road network. Despite being a widespread technique across the whole country, little research has been completed on their design considerations and their subsequent impact on their hydraulic performance, representing a gap in the field...
May 23, 2017: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/28531961/challenges-in-photocatalytic-reduction-of-nitrate-as-a-water-treatment-technology
#3
Heather O'Neal Tugaoen, Sergi Garcia-Segura, Kiril Hristovski, Paul Westerhoff
Management of ubiquitous nitrate contamination in drinking water sources is a major engineering challenge due to its negative impacts from eutrophication to immediate risk to human health. Several water treatment technologies exist to manage nitrate pollution in water sources. However, the most widely used technologies are phase separation treatments. In this context, nanoscale photocatalysis emerges as a highly promising transformative technology capable of reducing nitrate to innocuous nitrogen with noticeable selectivity...
May 17, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28509711/trends-in-governance-structure-and-activities-among-not-for-profit-u-s-hospitals-2009-2015
#4
Olena Mazurenko, Taleah Collum, Nir Menachemi
BACKGROUND: In U.S. hospitals, boards of directors (BODs) have numerous governance responsibilities including overseeing hospital activities and guiding strategic decisions. BODs can help hospitals adapt to changes in their markets including those stemming from a shift from fee-for-service to value-based purchasing. The recent increase in market turbulence for hospitals has brought renewed attention to the work of BODs. PURPOSE: The aim of the study was to examine trends in hospital BOD structure and activities and determine whether these changes are commensurate with approaches designed to respond to market pressures...
May 15, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/28503755/wanting-to-work-managing-the-sick-role-in-high-stake-sickness-insurance-meetings
#5
Marie Flinkfeldt
This article respecifies and develops Parsons's sick role theory, focusing on the postulate that the sick person must 'want' to get well. Using conversation analysis and discursive psychology to study how the psychological term 'want' is used in high-stake, multi-professional meetings with sickness benefit claimants in Sweden, the article shows how establishing that one 'wants' to get well requires extensive interactional work. In the examined meetings, the sick person's 'want' formulations make explicit the relationship between 'wants' and illness or inabilities, thus allowing for motivational character to be established without committing to its implications, and without appearing strategic or biased...
May 15, 2017: Sociology of Health & Illness
https://www.readbyqxmd.com/read/28499617/community-based-outcomes-of-open-versus-robot-assisted-radical-prostatectomy
#6
Annika Herlemann, Janet E Cowan, Peter R Carroll, Matthew R Cooperberg
BACKGROUND: Identifying the optimal surgical approach for patients with localized prostate cancer (PCa) managed in the community setting remains controversial due to the lack of robust, prospective data. OBJECTIVE: To assess surgical outcomes and changes in urinary and sexual quality of life (QOL) over time in patients undergoing radical prostatectomy (RP). DESIGN, SETTING, AND PARTICIPANTS: Our study included patients enrolled in Cancer of the Prostate Strategic Urologic Research Endeavor (CaPSURE), a large, prospective, mostly community-based, nationwide PCa registry, who underwent RP between 2004 and 2016...
May 9, 2017: European Urology
https://www.readbyqxmd.com/read/28495605/inactivation-of-basolateral-amygdala-prevents-chronic-immobilization-stress-induced-memory-impairment-and-associated-changes-in-corticosterone-levels
#7
Sunil Jamuna Tripathi, Suwarna Chakraborty, B N Srikumar, T R Raju, B S Shankaranarayana Rao
Chronic stress causes detrimental effects on various forms of learning and memory. The basolateral amygdala (BLA) not only plays a crucial role in mediating certain forms of memory, but also in the modulation of the effects of stress. Chronic immobilization stress (CIS) results in hypertrophy of the BLA, which is believed to be one of the underlying causes for stress' effects on learning. Thus, it is plausible that preventing the effects of CIS on amygdala would preclude its deleterious cognitive effects. Accordingly, in the first part, we evaluated the effect of excitotoxic lesion of the BLA on chronic stress-induced hippocampal-dependent spatial learning using a partially baited radial arm maze task...
May 8, 2017: Neurobiology of Learning and Memory
https://www.readbyqxmd.com/read/28495344/does-adoption-of-electronic-health-records-improve-the-quality-of-care-management-in-france-results-from-the-french-e-si-preps-sips-study
#8
Morgane Plantier, Nathalie Havet, Thierry Durand, Nicolas Caquot, Camille Amaz, Pierre Biron, Irène Philip, Lionel Perrier
BACKGROUND: Electronic health records (EHR) are increasingly being adopted by healthcare systems worldwide. In France, the "Hôpital numérique 2012-2017" program was implemented as part of a strategic plan to modernize health information technology (HIT), including the promotion of widespread EHR use. With significant upfront investment costs as well as ongoing operational expenses, it is important to assess this system in terms of its ability to result in improvements in hospital performances...
June 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/28495250/austerity-and-its-implications-for-immigrant-health-in-france
#9
Carolyn Sargent, Laurence Kotobi
The ongoing economic crisis in France increasingly has affected immigrant rights, including access to health care. Consistent with a 2014 League Against Cancer survey, we identify the ways in which sickness produces a "double penalty" for immigrants with serious illness. Immigrants with chronic illnesses such as cancer, diabetes, and other debilitating conditions divert vital funds from daily needs to deal with sickness and loss of work while at the same time national austerity measures shred the state's traditional safety net of social services and support...
May 4, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28494424/is-environmental-sustainability-a-strategic-priority-for-logistics-service-providers
#10
Pietro Evangelista, Claudia Colicchia, Alessandro Creazza
Despite an increasing number of third-party logistics service providers (3PLs) regard environmental sustainability as a key area of management, there is still great uncertainty on how 3PLs implement environmental strategies and on how they translate green efforts into practice. Through a multiple case study analysis, this paper explores the environmental strategies of a sample of medium-sized 3PLs operating in Italy and the UK, in terms of environmental organizational culture, initiatives, and influencing factors...
May 8, 2017: Journal of Environmental Management
https://www.readbyqxmd.com/read/28491130/advocacy-is-essential-to-supporting-women-with-pre-eclampsia
#11
Eleni Tsigas
Advocacy has a critical role in advancing the maternal health agenda. Patient advocacy groups can hold governments and other stakeholders accountable and ensure that commitments are translated into concrete action. This article highlights the advocacy efforts of the Preeclampsia Foundation, a patient advocacy organisation that aims to improve the diagnosis, management, and prevention of pre-eclampsia through research and improved healthcare practices. A number of challenges continue to face maternal health advocacy especially in low- and middle-income countries...
March 2017: Obstetric Medicine
https://www.readbyqxmd.com/read/28488058/-evaluating-the-maturity-of-it-supported-clinical-imaging-and-diagnosis-using-the-digital-imaging-adoption-model-are-your-clinical-imaging-processes-ready-for-the-digital-era
#12
REVIEW
J Studzinski
The Digital Imaging Adoption Model (DIAM) has been jointly developed by HIMSS Analytics and the European Society of Radiology (ESR). It helps evaluate the maturity of IT-supported processes in medical imaging, particularly in radiology. This eight-stage maturity model drives your organisational, strategic and tactical alignment towards imaging-IT planning. The key audience for the model comprises hospitals with imaging centers, as well as external imaging centers that collaborate with hospitals. The assessment focuses on different dimensions relevant to digital imaging, such as software infrastructure and usage, workflow security, clinical documentation and decision support, data exchange and analytical capabilities...
May 9, 2017: Der Radiologe
https://www.readbyqxmd.com/read/28485703/relative-physical-position-as-an-impression-management-strategy-sex-differences-in-its-use-and-implications
#13
Anastasia Makhanova, James K McNulty, Jon K Maner
People's physical position relative to others may shape how those others perceive them. The research described here suggests that people use relative physical position to manage impressions by strategically positioning themselves either higher or lower relative to ostensible observers. Five studies supported the prediction that women take and display photographs portraying themselves in a low relative physical position to highlight their youthful features and appear attractive, whereas men take and display photographs portraying themselves in a high relative physical position to highlight their size and appear dominant...
May 2017: Psychological Science
https://www.readbyqxmd.com/read/28485693/rapid-assessment-of-facilitators-and-barriers-related-to-the-acceptance-challenges-and-community-perception-of-daily-regimen-for-treating-tuberculosis-in-india
#14
Himanshu Negandhi, Ritika Tiwari, Anjali Sharma, Rajesh Nair, Sanjay Zodpey, Ramesh Reddy Allam, Ganesh Oruganti
INTRODUCTION: The Revised National Tuberculosis Control Program (RNTCP) is the largest tuberculosis (TB) control program in the world based on Directly Observed Treatment Short-Course (DOTS) strategy. Globally, most countries have been using a daily regimen and in India a shift towards a daily regimen for TB treatment has already begun. The daily strategy is known to improve program coverage along with compliance. Such strategic shifts have both management and operational implications...
2017: Global Health Action
https://www.readbyqxmd.com/read/28482771/a-network-of-networks
#15
Rick Iedema, Raj Verma, Sonia Wutzke, Nigel Lyons, Brian McCaughan
Purpose To further our insight into the role of networks in health system reform, the purpose of this paper is to investigate how one agency, the NSW Agency for Clinical Innovation (ACI), and the multiple networks and enabling resources that it encompasses, govern, manage and extend the potential of networks for healthcare practice improvement. Design/methodology/approach This is a case study investigation which took place over ten months through the first author's participation in network activities and discussions with the agency's staff about their main objectives, challenges and achievements, and with selected services around the state of New South Wales to understand the agency's implementation and large system transformation activities...
April 10, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28482770/can-hospital-dashboards-provide-visibility-of-information-from-bedside-to-board-a-case-study-approach
#16
Adriana Pace, Sandra C Buttigieg
Purpose The purpose of this paper is to analyse hospital dashboards' visibility of information at different management levels to improve quality and performance in an acute general hospital. Design/methodology/approach Data were generated via 21 semi-structured interviews across different management levels. Findings All management levels had greater visibility of information, could make informed decisions, and registered performance improvement. Specifically, waiting time improved, however since introduction of hospital dashboards was work-in-progress at time of study, managers could not record improvement in terms of cost reductions, clinical effectiveness, patient safety and patient satisfaction...
April 10, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28480058/understanding-investigators-attitudes-through-a-results-based-accountability-framework-within-a-single-ctsa-institution
#17
Erin Rothwell, Trent Matheson
PURPOSE: The National Center for Advancing Translation Science (NCATS) is implementing a new strategic management plan called the results-based accountability framework. This framework is part of the common metrics initiative. For successful implementation and adoption of new management strategies, it is important to assess current stakeholders' experiences and needs. METHODS: Interviews were conducted with principal investigators who are conducting research and supported by the Center for Clinical Translational Science at the University of Utah...
February 2017: J Clin Transl Sci
https://www.readbyqxmd.com/read/28474208/adaptive-management-of-return-flows-lessons-from-a-case-study-in-environmental-water-delivery-to-a-floodplain-river
#18
Benjamin J Wolfenden, Skye M Wassens, Kim M Jenkins, Darren S Baldwin, Tsuyoshi Kobayashi, James Maguire
For many floodplain rivers, reinstating wetland connectivity is necessary for ecosystems to recover from decades of regulation. Environmental return flows (the managed delivery of wetland water to an adjacent river) can be used strategically to facilitate natural ecosystem connectivity, enabling the transfer of nutrients, energy, and biota from wetland habitats to the river. Using an informal adaptive management framework, we delivered return flows from a forested wetland complex into a large lowland river in south-eastern Australia...
May 4, 2017: Environmental Management
https://www.readbyqxmd.com/read/28471853/blueprint-for-sustainable-change-in-diversity-management-and-cultural-competence-lessons-from-the-national-center-for-healthcare-leadership-diversity-demonstration-project
#19
Janice L Dreachslin, Robert Weech-Maldonado, Judith Gail, Josué Patien Epané, Joyce Anne Wainio
How can healthcare leaders build a sustainable infrastructure to leverage workforce diversity and deliver culturally and linguistically appropriate care to patients? To answer that question, two health systems participated in the National Center for Healthcare Leadership's diversity leadership demonstration project, November 2008 to December 2013. Each system provided one intervention hospital and one control hospital.The control hospital in each system participated in pre- and postassessments but received no preassessment feedback and no intervention support...
May 2017: Journal of Healthcare Management / American College of Healthcare Executives
https://www.readbyqxmd.com/read/28466024/an-evaluation-of-emergency-management-of-severe-burn-emsb-course-in-bangladesh-a-strategic-direction
#20
Animesh Biswas, Fazlur Rahman, Peter Maitz, Kamran Ul Baset, Jahangir Hossain, Saidur Rahman Mashreky
BACKGROUND: Burn is one of the major public health problems in Bangladesh. Specialized personnel and technologies are required, however, in many cases they are not readily available. Taking the situation into account, Interplast Australia and New Zealand, Australia & New Zealand Burn Association (ANZBA), and Centre for Injury Prevention and Research, Bangladesh (CIPRB) initiated Emergency Management of Severe Burn (EMSB) training programme for Bangladeshi physicians in 2008 to help improving their burn management skill...
2017: Burns and trauma
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