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https://www.readbyqxmd.com/read/28345746/an-analysis-of-errors-discrepancies-and-variation-in-opioid-prescriptions-for-adult-outpatients-at-a-teaching-hospital
#1
Mark C Bicket, Deepa Kattail, Myron Yaster, Christopher L Wu, Peter Pronovost
OBJECTIVE: To determine opioid-prescribing patterns and rate of three types of errors, discrepancies, and variation from ideal practice. DESIGN: Retrospective review of opioid prescriptions processed at an outpatient pharmacy. SETTING: Tertiary institutional medical center. PATIENTS: We examined 510 consecutive opioid medication prescriptions for adult patients processed at an institutional outpatient pharmacy in June 2016 for patient, provider, and prescription characteristics...
January 2017: Journal of Opioid Management
https://www.readbyqxmd.com/read/28344756/measuring-efficiency-of-knowledge-production-in-health-research-centers-using-data-envelopment-analysis-dea-a-case-study-in-iran
#2
Mohammad Meskarpour Amiri, Taha Nasiri, Seyed Hassan Saadat, Hosein Amini Anabad, Payman Mahboobi Ardakan
INTRODUCTION: Efficiency analysis is necessary in order to avoid waste of materials, energy, effort, money, and time during scientific research. Therefore, analyzing efficiency of knowledge production in health areas is necessary, especially for developing and in-transition countries. As the first step in this field, the aim of this study was the analysis of selected health research center efficiency using data envelopment analysis (DEA). METHODS: This retrospective and applied study was conducted in 2015 using input and output data of 16 health research centers affiliated with a health sciences university in Iran during 2010-2014...
November 2016: Electronic Physician
https://www.readbyqxmd.com/read/28342416/joint-carbon-footprint-assessment-and-data-envelopment-analysis-for-the-reduction-of-greenhouse-gas-emissions-in-agriculture-production
#3
Ricardo Rebolledo-Leiva, Lidia Angulo-Meza, Alfredo Iriarte, Marcela C González-Araya
Operations management tools are critical in the process of evaluating and implementing action towards a low carbon production. Currently, a sustainable production implies both an efficient resource use and the obligation to meet targets for reducing greenhouse gas (GHG) emissions. The carbon footprint (CF) tool allows estimating the overall amount of GHG emissions associated with a product or activity throughout its life cycle. In this paper, we propose a four-step method for a joint use of CF assessment and Data Envelopment Analysis (DEA)...
March 22, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28342048/assessing-knowledge-performance-and-efficiency-for-hospital-waste-management-a-comparison-of-government-and-private-hospitals-in-pakistan
#4
Mustafa Ali, Wenping Wang, Nawaz Chaudhry, Yong Geng, Uzma Ashraf
Proper management of healthcare waste is a critical concern in many countries of the world. Rapid urbanization and population growth rates pose serious challenges to healthcare waste management infrastructure in such countries. This study was aimed at assessing the situation of hospital waste management in a major city of Pakistan. Simple random sampling was used to select 12 government and private hospitals in the city. Field visits, physical measurements, and questionnaire survey method were used for data collection...
April 2017: Environmental Monitoring and Assessment
https://www.readbyqxmd.com/read/28334144/the-effects-of-plant-nutritional-strategy-on-soil-microbial-denitrification-activity-through-rhizosphere-primary-metabolites
#5
Julien P Guyonnet, Florian Vautrin, Guillaume Meiffren, Clément Labois, Amélie A M Cantarel, Serge Michalet, Gilles Comte, Feth El Zahar Haichar
The aim of this study was to determine (i) whether plant nutritional strategy affects the composition of primary metabolites exuded into the rhizosphere and (ii) their impact on denitrification activity in soil. We answer this question by analysing primary metabolite contents extracted from the root-adhering soil (RAS) and the roots of three grasses representing different nutrient management strategies: conservative (Festuca paniculata), intermediate (Bromus erectus) and exploitative (Dactylis glomerata). We also investigated the impact of primary metabolites on soil microbial denitrification enzyme activity (DEA) without carbon addition, comparing for each plant RAS and bulk soils...
February 18, 2017: FEMS Microbiology Ecology
https://www.readbyqxmd.com/read/28329732/performance-analysis-of-different-rice-based-cropping-systems-in-tropical-region-of-nepal
#6
Anil Pokhrel, Peeyush Soni
Energy inputs, environmental impacts and economic outputs are the main concerns in today's agricultural production systems. The current study investigated the energy, environmental and financial performances of different rice-based cropping systems (CSs). The CSs studied were: Rice-Wheat-Fallow (R-W-F), Rice-Wheat-Maize (R-W-M), Rice-Wheat-Mungbean (R-W-Mu), Rice-Lentil-Maize (R-L-M), Rice-Lentil-Mungbean (R-L-Mu), Rice-Garlic (R-G) and Rice-Onion (R-O). Primary data were collected from 210 randomly selected farms by using structured questionnaire...
March 19, 2017: Journal of Environmental Management
https://www.readbyqxmd.com/read/28326182/birt-hogg-dub%C3%A3-syndrome-a-case-report-and-a-review-of-the-literature
#7
REVIEW
Dea Kejlberg Jensen, Anders Villumsen, Anne-Bine Skytte, Mia Gebauer Madsen, Mette Sommerlund, Elisabeth Bendstrup
Background: Birt-Hogg-Dubé syndrome (BHDS) is a rare autosomal dominant inherited syndrome caused by mutations in the folliculin coding gene (FLCN). The clinical manifestations of the syndrome involve the skin, lungs, and kidneys. Because of the rarity of the syndrome, guidelines for diagnosis and management of the patients with BHDS are lacking. Objective: To present a case story and a review of the literature on BHDS in order to give an update on genetics, clinical manifestations, diagnosis, treatment, prognosis and follow-up strategies...
2017: European Clinical Respiratory Journal
https://www.readbyqxmd.com/read/28318606/on-the-role-of-environmental-corruption-in-healthcare-infrastructures-an-empirical-assessment-for-italy-using-dea-with-truncated-regression-approach
#8
Marina Cavalieri, Calogero Guccio, Ilde Rizzo
OBJECTIVES: This paper investigates empirically whether the institutional features of the contracting authority as well as the level of 'environmental' corruption in the area where the work is localised affect the efficient execution of public contracts for healthcare infrastructures. METHODS: A two-stage Data Envelopment Analysis (DEA) is carried out based on a sample of Italian public contracts for healthcare infrastructures during the period 2000-2005. First, a smoothed bootstrapped DEA estimator is used to assess the relative efficiency in the implementation of each single infrastructure contract...
February 27, 2017: Health Policy
https://www.readbyqxmd.com/read/28317379/optical-emission-from-c2-anions-in-microwave-activated-ch4-h2-plasmas-for-chemical-vapour-deposition-of-diamond
#9
Edward Mahoney, Benjamin S Truscott, Michael N R Ashfold, Yuri A Mankelevich
Visible emission from C2-(B2Σu+) anions has been identified underlying the much stronger Swan band emission from neutral C2(d3Πg) radicals (henceforth C2-* and C2*, respectively) in MW-activated C/H/(Ar) plasmas operating under conditions appropriate for the chemical vapour deposition (CVD) of diamond. Spatially resolved measurements of the C2-* and C2* emissions as functions of the C/H/(Ar) ratio in the input gas mixture, the total pressure, and the applied MW power, together with complementary 2-D(r, z) plasma modelling, identifies dissociative electron attachment (DEA) to C2H radicals in the hot plasma as the dominant source of the observed C2-* emission...
March 20, 2017: Journal of Physical Chemistry. A
https://www.readbyqxmd.com/read/28304134/a-modified-eco-efficiency-framework-and-methodology-for-advancing-the-state-of-practice-of-sustainability-analysis-as-applied-to-green-infrastructure
#10
Santosh R Ghimire, John M Johnston
We propose a modified eco-efficiency (EE) framework and novel sustainability analysis methodology for green infrastructure (GI) practices used in water resource management. GI practices such as rainwater harvesting (RWH), rain gardens, porous pavements, and green roofs are emerging as viable strategies for climate change adaptation. The modified framework includes four economic, 11 environmental, and three social indicators. Using six indicators from the framework, at least one from each dimension of sustainability, we demonstrate the methodology to analyze RWH designs...
March 17, 2017: Integrated Environmental Assessment and Management
https://www.readbyqxmd.com/read/28292504/pharmacists-perceptions-regarding-the-impact-of-hydrocodone-rescheduling-on-prescription-volume-workflow-management-and-patient-outcomes
#11
Tyler J Varisco, Motolani E Ogunsanya, Jamie C Barner, Marc L Fleming
OBJECTIVES: To determine (1) pharmacists' perceptions of how rescheduling of hydrocodone combination products (HCPs) from Drug Enforcement Agency (DEA) Schedule III to DEA Schedule II has influenced prescription volume and revenue, pharmacy workflow management, and patient outcomes; and (2) whether perceptions differed between pharmacists who support versus those who oppose HCP rescheduling. DESIGN: A cross-sectional mail survey. SETTING: Texas community pharmacies from October to December 2015...
March 2017: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/28274777/impact-of-endotoxin-on-the-expression-of-drug-transporters-in-the-placenta-of-hiv-1-transgenic-hiv-tg-rats
#12
Ragia H Ghoneim, Dea Kojovic, Micheline Piquette-Miller
BACKGROUND: Inflammatory responses in HIV (+) patients may be exacerbated due to reports of subclinical endotoxemia and existing immune dysregulation. As inflammation has been reported to mediate changes in the expression of transporters, this could be potentiated in pregnant HIV (+) women. Similar to humans, the HIV-Tg rat model develops immune dysregulation and chronic AIDS-like conditions. Our objective was to examine the expression of placental drug transporters in HIV-Tg rats in response to low-dose endotoxin...
March 6, 2017: European Journal of Pharmaceutical Sciences
https://www.readbyqxmd.com/read/28270269/retained-skeletal-effects-of-zoledronic-acid-following-discontinuation-of-treatment-a-review-of-the-literature
#13
Crystal M Deas, Pilar Murphy, Maryam Iranikhah, Maisha Kelly Freeman
OBJECTIVE: To evaluate the effects on bone mineral density (BMD), bone turnover markers (BTMs), and fracture incidence following zoledronic acid (ZOL) discontinuation. DATA SOURCES: A search of PubMed (1966-May 2016) and International Pharmaceutical Abstracts (1970-May 2016) was conducted using the MeSH terms zoledronic acid, osteoporosis, and withholding treatment. Free text searches included drug holiday and drug discontinuation. STUDY SELECTION AND DATA EXTRACTION: An initial review yielded 87 articles...
March 1, 2017: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/28266025/impact-of-the-local-public-hospital-reform-on-the-efficiency-of-medium-sized-hospitals-in-japan-an-improved-slacks-based-measure-data-envelopment-analysis-approach
#14
Xing Zhang, Kaoru Tone, Yingzhe Lu
OBJECTIVE: To assess the change in efficiency and total factor productivity (TFP) of the local public hospitals in Japan after the local public hospital reform launched in late 2007, which was aimed at improving the financial capability and operational efficiency of hospitals. DATA SOURCES AND DATA COLLECTION: Secondary data were collected from the Ministry of Internal Affairs and Communications on 213 eligible medium-sized hospitals, each operating 100-400 beds from FY2006 to FY2011...
March 6, 2017: Health Services Research
https://www.readbyqxmd.com/read/28265857/differences-in-5-ht2a-and-mglu2-receptor-expression-levels-and-repressive-epigenetic-modifications-at-the-5-ht2a-promoter-region-in-the-roman-low-rla-i-and-high-rha-i-avoidance-rat-strains
#15
Luna Fomsgaard, Jose L Moreno, Mario de la Fuente Revenga, Tomasz Brudek, Dea Adamsen, Cristobal Rio-Alamos, Justin Saunders, Anders Bue Klein, Ignasi Oliveras, Toni Cañete, Gloria Blazquez, Adolf Tobeña, Albert Fernandez-Teruel, Javier Gonzalez-Maeso, Susana Aznar
The serotonin 2A (5-HT2A) and metabotropic glutamate 2 (mGlu2) receptors regulate each other and are associated with schizophrenia. The Roman high- (RHA-I) and the Roman low- (RLA-I) avoidance rat strains present well-differentiated behavioral profiles, with the RHA-I strain emerging as a putative genetic rat model of schizophrenia-related features. The RHA-I strain shows increased 5-HT2A and decreased mGlu2 receptor binding levels in prefrontal cortex (PFC). Here, we looked for differences in gene expression and transcriptional regulation of these receptors...
March 6, 2017: Molecular Neurobiology
https://www.readbyqxmd.com/read/28247177/technical-efficiency-of-nursing-homes-do-five-star-quality-ratings-matter
#16
Rajendra Dulal
This study investigates associations between five-star quality ratings and technical efficiency of nursing homes. The sample consists of a balanced panel of 338 nursing homes in California from 2009 through 2013 and uses two-stage data envelopment (DEA) analysis. The first-stage applies an input oriented variable returns to scale DEA analysis. The second-stage uses a left censored random-effect Tobit regression model. The five-star quality ratings i.e., health inspections, quality measures, staffing available on the Nursing Home Compare website are divided into two categories: outcome and structure form of quality...
February 28, 2017: Health Care Management Science
https://www.readbyqxmd.com/read/28242564/comparative-study-of-hydrolytic-and-electron-driven-processes-in-carboplatin-biotransformation
#17
Janina Kuduk-Jaworska, Jerzy J Jański, Szczepan Roszak
The results of computational simulation of reaction courses mimicking the transformation of carboplatin from pro-drug into its active shape, responsible for cytotoxic effect, are reported. Implementing the density functional theory (DFT) calculations and the supermolecular approach, we explored the pathways representing two disparate models of carboplatin bioactivation: (1) based on paradigm of carboplatin aquation, and (2) based on new hypothesis that transformation is controlled by electron-transfer processes...
February 11, 2017: Journal of Inorganic Biochemistry
https://www.readbyqxmd.com/read/28237259/simple-and-sensitive-determination-of-atrazine-and-its-toxic-metabolites-in-environmental-water-by-carboxyl-modified-polyacrylonitrile-nanofibers-mat-based-solid-phase-extraction-coupled-with-liquid-chromatography-diode-array-detection
#18
Weixin Cao, Biyi Yang, Feifei Qi, Liangliang Qian, Jian Li, Lingeng Lu, Qian Xu
Carboxyl modified polyacrylonitrile nanofibers mat (COOH-PAN NFsM) was prepared as a novel solid-phase extraction (SPE) adsorbent for the rapid and effective extraction of atrazine (ATZ) and its toxic metabolites deisopropylatrazine (DIA) and deethylatrazine (DEA) from environmental water samples. Without any pre-treatment but only with the simple filter, water samples passed through pre-conditioned COOH-PAN NFsM, which integrated extraction, purification and concentration into one single step, and the eluent was directly analyzed by high performance liquid chromatography-diode array detection (HPLC-DAD)...
March 31, 2017: Journal of Chromatography. A
https://www.readbyqxmd.com/read/28224395/ion-mobility-studies-on-the-negative-ion-molecule-chemistry-of-isoflurane-and-enflurane
#19
Ramón González-Méndez, Peter Watts, David C Howse, Immacolata Procino, Henry McIntyre, Chris A Mayhew
In the present work we present an investigation of the negative ion-molecule chemistry of the anaesthetics isoflurane, ISOF, and enflurane, ENF, in an ion mobility spectrometry/mass spectrometry (IMS/MS), in both air and nitrogen. Hexachloroethane (HCE) was introduced in both air and nitrogen to produce Cl(-) as a reactant ion. This study was undertaken owing to uncertainties in the chemical processes, which lead to the cluster ions reported in other work (Eiceman et al. Anal. Chem. 61, 1093-1099, 1). In particular for ISOF the product ion observed was ISOF...
February 21, 2017: Journal of the American Society for Mass Spectrometry
https://www.readbyqxmd.com/read/28205355/trametes-polyzona-an-emerging-filamentous-basidiomycete-in-r%C3%A3-union-island
#20
Alexandre Gauthier, Julien Jaubert, Nicolas Traversier, Jérôme Lemant, Laurent Balu, Dea Garcia-Hermoso, Stephane Welti, Anne Favel, Sandrine Picot, Gautier Hoarau
We describe two serious Trametes polyzona pulmonary infections, which occurred in Réunion Island, in critically ill patients. The identification was performed using sequencing of the internal transcribed spacer region of ribosomal DNA and D1/D2 region of 28S rDNA. In one case, the significance of T. polyzona in the pathological process was certain, proven by histopathological evidence of fungal lung infection. T. polyzona, an emerging filamentous basidiomycete, prevalent in tropical areas, has not been described so far in human infections...
February 16, 2017: Mycoses
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