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https://www.readbyqxmd.com/read/29774623/medical-service-provider-networks
#1
Michel Mougeot, Florence Naegelen
In many countries, health insurers or health plans choose to contract either with any willing providers or with preferred providers. We compare these mechanisms when two medical services are imperfect substitutes in demand and are supplied by two different firms. In both cases, the reimbursement is higher when patients select the in-network provider(s). We show that these mechanisms yield lower prices, lower providers' and insurer's profits, and lower expense than in the uniform-reimbursement case. Whatever the degree of product differentiation, a not-for-profit insurer should prefer selective contracting and select a reimbursement such that the out-of-pocket expense is null...
May 17, 2018: Health Economics
https://www.readbyqxmd.com/read/29774050/one-step-process-of-hydrothermal-and-alkaline-treatment-of-wheat-straw-for-improving-the-enzymatic-saccharification
#2
Shaolong Sun, Lidan Zhang, Fang Liu, Xiaolin Fan, Run-Cang Sun
Background: To increase the production of bioethanol, a two-step process based on hydrothermal and dilute alkaline treatment was applied to reduce the natural resistance of biomass. However, the process required a large amount of water and a long operation time due to the solid/liquid separation before the alkaline treatment, which led to decrease the pure economic profit for production of bioethanol. Therefore, four one-step processes based on order of hydrothermal and alkaline treatment have been developed to enhance concentration of glucose of wheat straw by enzymatic saccharification...
2018: Biotechnology for Biofuels
https://www.readbyqxmd.com/read/29773965/funds-allocation-in-npos-the-role-of-administrative-cost-ratios
#3
Christian Burkart, Tina Wakolbinger, Fuminori Toyasaki
Performance measurement of Non-Profit Organizations (NPOs) is of increasing importance for aid agencies, policy-makers and donors. A widely used benchmark for measuring the efficiency of NPOs is the overhead cost ratio, consisting of the total money spent on administration and fundraising relative to the budget. Donors generally favor a lower overhead cost ratio as it ensures that more money directly reaches beneficiaries. Unlike fundraising expenses, administrative costs do not contribute to advertising the actions of an NPO even though they account for a significant proportion of overhead cost...
2018: Central European Journal of Operations Research
https://www.readbyqxmd.com/read/29773889/searching-for-a-compromise-between-biological-and-economic-demands-to-protect-vulnerable-habitats
#4
M Grazia Pennino, Marie-Christine Rufener, Mario J F Thomé-Souza, Adriana R Carvalho, Priscila F M Lopes, U Rashid Sumaila
Identifying vulnerable habitats is necessary to designing and prioritizing efficient marine protected areas (MPAs) to sustain the renewal of living marine resources. However, vulnerable habitats rarely become MPAs due to conflicting interests such as fishing. We propose a spatial framework to help researchers and managers determine optimal conservation areas in a multi-species fishery, while also considering the economic relevance these species may have in a given society, even in data poor situations. We first set different ecological criteria (i...
May 17, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29771987/visualization-of-gender-race-citizenship-and-academic-performance-in-association-with-career-outcomes-of-15-year-biomedical-doctoral-alumni-at-a-public-research-university
#5
Ambika Mathur, Annmarie Cano, Michael Kohl, Nisansala S Muthunayake, Prassanna Vaidyanathan, Mary E Wood, Mustafa Ziyad
It has long been thought that biomedical doctoral students pursue careers primarily as tenure-track/tenured faculty at research institutions. Recent reports showed, however, that the majority of biomedical doctoral alumni engage in a variety of careers. Wayne State University (WSU) undertook a project to understand the career trajectories of its biomedical doctoral alumni to create programs to better prepare its students for careers in multiple pathways. Data were collected on career outcomes of WSU's biomedical doctoral alumni who graduated in a 15-year period from 1999-2014...
2018: PloS One
https://www.readbyqxmd.com/read/29771200/disaster-preparedness-networks-in-rural-midwest-communities-organizational-roles-collaborations-and-support-for-older-residents
#6
Sato Ashida, Xi Zhu, Erin L Robinson, Audrey Schroer
This study investigated the roles and interconnections among community organizations belonging to local disaster coalitions in Midwest in supporting older residents. Representatives from 44 organizations participated in one-time survey. Most were non-profit (68%) or federal/state/local government agencies (23%). The analyses of 761 relationships showed stronger collaborations in assessment (average strength=2.88 on a 5-point scale), emergency response (2.72), and planning (2.61); and weaker collaborations in co-sponsoring programs (1...
May 17, 2018: Journal of Gerontological Social Work
https://www.readbyqxmd.com/read/29770440/approaches-to-increase-mechanistic-understanding-and-aid-in-the-selection-of-precipitation-inhibitors-for-supersaturating-formulations-a-pearrl-review
#7
REVIEW
Daniel J Price, Felix Ditzinger, Niklas J Koehl, Sandra Jankovic, Georgia Tsakiridou, Anita Nair, René Holm, Martin Kuentz, Jennifer B Dressman, Christoph Saal
OBJECTIVES: Supersaturating formulations hold great promise for delivery of poorly soluble active pharmaceutical ingredients (APIs). To profit from supersaturating formulations, precipitation is hindered with precipitation inhibitors (PIs), maintaining drug concentrations for as long as possible. This review provides a brief overview of supersaturation and precipitation, focusing on precipitation inhibition. Trial-and-error PI selection will be examined alongside established PI screening techniques...
May 16, 2018: Journal of Pharmacy and Pharmacology
https://www.readbyqxmd.com/read/29768698/financial-viability-of-emergency-department-observation-unit-billing-models
#8
Christopher W Baugh, Pawan Suri, Christopher G Caspers, Michael A Granovsky, Keith Neal, Michael A Ross
BACKGROUND: Outpatients receive observation services to determine the need for inpatient admission. These services are usually provided without the use of condition-specific protocols and in an unstructured manner, scattered throughout a hospital in areas typically designated for inpatient care. Emergency department observation units (EDOUs) use protocolized care to offer an efficient alternative with shorter lengths of stay, lower costs and higher patient satisfaction. EDOU growth is limited by existing policy barriers that prevent a "two-service" model of separate professional billing for both emergency and observation services...
May 16, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29768425/defining-health-standards-through-economic-optimisation-the-example-of-colostrum-management-in-beef-and-dairy-production
#9
Didier Raboisson, Pauline Trillat, Marie Dervillé, Célia Cahuzac, Elise Maigné
There is extensive literature addressing acceptable practices of colostrum distribution to new-born calves; however, no economic analyses are available concerning the profitability of this practice. Moreover, the health standards associated with colostrum management have been defined through the observation of reference farms without explicit reference to economic assessments. The objective of the current study was to evaluate the profitability of farm colostrum management and to define the optimal economic situations for given livestock systems and farm situations...
2018: PloS One
https://www.readbyqxmd.com/read/29768244/harmonization-activities-of-noklus-a-quality-improvement-organization-for-point-of-care-laboratory-examinations
#10
Anne Stavelin, Sverre Sandberg
Noklus is a non-profit quality improvement organization that focuses to improve all elements in the total testing process. The aim is to ensure that all medical laboratory examinations are ordered, performed and interpreted correctly and in accordance with the patients' needs for investigation, treatment and follow-up. For 25 years, Noklus has focused on point-of-care (POC) testing in primary healthcare laboratories and has more than 3100 voluntary participants. The Noklus quality system uses different tools to obtain harmonization and improvement: (1) external quality assessment for the pre-examination, examination and postexamination phase to monitor the harmonization process and to identify areas that need improvement and harmonization, (2) manufacturer-independent evaluations of the analytical quality and user-friendliness of POC instruments and (3) close interactions and follow-up of the participants through site visits, courses, training and guidance...
May 16, 2018: Clinical Chemistry and Laboratory Medicine: CCLM
https://www.readbyqxmd.com/read/29767089/using-probiotics-to-improve-swine-gut-health-and-nutrient-utilization
#11
REVIEW
Shengfa F Liao, Martin Nyachoti
To maintain a healthy gut is definitely key for a pig to digest and absorb dietary nutrients efficiently. A balanced microbiota (i.e., a healthy micro-ecosystem) is an indispensable constituent of a healthy gut. Probiotics, the live microorganisms which, when administered in adequate amounts, confer good health benefits onto the host, are a category of feed additives that can be used to replenish the gut microbial population while recuperating the host immune system. Besides their antitoxin and diarrhea reduction effects, dietary supplementation of probiotics can improve gut health, nutrient digestibilities and, therefore, benefit nutrient utilization and growth performance of pigs...
December 2017: Animal nutrition
https://www.readbyqxmd.com/read/29765576/a-trend-analysis-of-surgical-operations-under-a-global-payment-system-in-tehran-iran-2005-2015
#12
Faranak Behzadi Goudari, Arash Rashidian, Mohammad Arab, Mahmood Mahmoudi, Ebrahim Jaafaripooyan
Background: Global payment system is a first example of per-case payment system that contains 60 commonly used surgical operations for which payment is based on the average cost per case in Iran. Objective: The aim of the study was to determine the amount of reduction, increase or no change in the trend of global operations. Methods: In this retrospective longitudinal study, data on the 60 primary global surgery codes was gathered from Tehran Health Insurance Organization within the ten-year period of 2005-2015 separately, for each month...
March 2018: Electronic Physician
https://www.readbyqxmd.com/read/29764314/implementation-and-evaluation-of-a-life-narrative-interview-program-for-medical-inpatients
#13
Bruce Rybarczyk, Andrea Shamaskin- Garroway, Autumn Lanoye, Sarah Griffin, Albert Bellg, Richard Stone, Sharon Nelson
OBJECTIVES: Two studies in the early 1990s demonstrated that life narrative interviews conducted by age-peer volunteers strengthened the coping of older patients undergoing invasive medical procedures. The present article reports on the implementation of a similar life narrative interview program for medical inpatients and subsequent evaluation of the mood and coping effects of the intervention. METHODS: Three volunteers (mean age = 69 years) were trained to administer 45- to 60-minute life narrative interviews...
April 26, 2018: Clinical Gerontologist
https://www.readbyqxmd.com/read/29762734/estimation-of-direct-and-maternal-genetic-parameters-for-individual-birth-weight-weaning-weight-and-probe-weight-in-yorkshire-and-landrace-pigs
#14
K Alves, F S Schenkel, L F Brito, J A B Robinson
As a result of selecting for increased litter size, newborn piglets are being born lighter and have a lower chance of survival. Raising fewer pigs to market weight would have a negative impact on the industry and farmer profitability, thus understanding the genetics of individual growth performance traits will determine whether these traits will play an important role in pig breeding schemes. This study aimed to estimate genetic parameters for individual birth weight (BW), weaning weight (WW) and probe weight (PW) in Canadian purebred Yorkshire and Landrace pigs...
May 12, 2018: Journal of Animal Science
https://www.readbyqxmd.com/read/29759009/implementation-of-policy-systems-and-environmental-community-based-interventions-for-cardiovascular-health-through-a-national-not-for-profit-a-multiple-case-study
#15
Whitney R Garney, Leigh E Szucs, Kristin Primm, Laura King Hahn, Kristen M Garcia, Emily Martin, Kenneth McLeroy
INTRODUCTION: In 2014, the Centers for Disease Control and Prevention funded the American Heart Association to implement policy, systems, and environment-focused strategies targeting access to healthy food and beverages, physical activity, and smoke-free environments. METHOD: To understand factors affecting implementation and variations in success across sites, evaluators conducted a multiple case study. Based on past literature, community sites were categorized as capacity-building or implementation-ready, for comparison...
May 1, 2018: Health Education & Behavior: the Official Publication of the Society for Public Health Education
https://www.readbyqxmd.com/read/29758894/environmental-and-economic-analysis-of-power-generation-in-a-thermophilic-biogas-plant
#16
D Ruiz, G San Miguel, B Corona, A Gaitero, A Domínguez
This paper investigates the environmental and economic performance of the power production from biogas using Life Cycle Assessment, Life Cycle Costing and Cost Benefit Analysis methodologies. The analysis is based on a commercial thermophilic biogas plant located in Spain where is installed a Combined Heat and Power system that produces electricity that is sold to the grid. Power generation has been assumed as the only function of the biogas system, expanding the system boundaries to include the additional function related to the end-of-life management of the biowastes...
August 15, 2018: Science of the Total Environment
https://www.readbyqxmd.com/read/29758532/evaluation-of-the-nova-vet-meter-for-sheep-side-monitoring-of-%C3%AE-hydroxybutyric-acid-bhba-and-description-of-ewe-bhba-during-late-gestation-in-three-flocks-from-the-northeastern-u-s
#17
Amanda K Jones, Rachael E Gately, Tasia D Kellogg, Steven A Zinn, Kristen E Govoni, Sarah A Reed
Prevention of metabolic diseases in small ruminants may improve production efficiency and profitability, yet ewes carrying multiples or who are in poor body condition are at increased susceptibility to develop ketosis. This study evaluated the hand-held Nova Vet Meter to accurately detect β-hydroxybutyric acid (BHBA) concentrations in ewes and determined the percentage of ewes at moderate (0.8 to 1.5 mmol/L BHBA) and greatest (≥1.6 mmol/L BHBA) risk to develop ketosis during late gestation. To validate the Nova Vet Meter, BHBA concentrations of 104 paired blood samples were measured using the Nova Vet Meter and gold-standard laboratory analysis...
May 7, 2018: Research in Veterinary Science
https://www.readbyqxmd.com/read/29757099/right-back-like-we-left-something-examining-the-commodification-of-blackness-in-social-services-to-address-racial-disparities-the-case-of-hartford
#18
Yan Searcy
Market-based approaches to addressing racial disparities have essentially re-commodified Blackness. Utilizing Hartford, which contains the largest percentage of Blacks per capita in Connecticut, this article examines market-based approaches to address racial disparities while discussing Blackness as an enduring commodity that is tied to private sector profit. The study argues that market based approaches incentivize punitive approaches to social problems associated with Blackness. The study concludes by suggesting that addressing disparities utilizing markets requires reimagining policy incentives to focus on prevention and treatment of social problems associated with Blackness...
May 14, 2018: Social Work in Public Health
https://www.readbyqxmd.com/read/29754449/transcranial-alternating-current-stimulation-modulates-auditory-temporal-resolution-in-elderly-people
#19
Alina Baltus, Johannes Vosskuhl, Cindy Boetzel, Christoph Siegfried Herrmann
Recent research provides evidence for a functional role of brain oscillations for perception. For example, auditory temporal resolution seems to be linked to individual gamma frequency of auditory cortex. Individual gamma frequency not only correlates with performance in between-channel gap detection tasks but can be modulated via auditory transcranial alternating current stimulation. Modulation of individual gamma frequency is accompanied by an improvement in gap detection performance. Aging changes electrophysiological frequency components and sensory processing mechanisms...
May 13, 2018: European Journal of Neuroscience
https://www.readbyqxmd.com/read/29753843/using-temporal-ica-to-selectively-remove-global-noise-while-preserving-global-signal-in-functional-mri-data
#20
Matthew F Glasser, Timothy S Coalson, Janine D Bijsterbosch, Samuel J Harrison, Michael P Harms, Alan Anticevic, David C Van Essen, Stephen M Smith
Temporal fluctuations in functional Magnetic Resonance Imaging (fMRI) have been profitably used to study brain activity and connectivity for over two decades. Unfortunately, fMRI data also contain structured temporal "noise" from a variety of sources, including subject motion, subject physiology, and the MRI equipment. Recently, methods have been developed to automatically and selectively remove spatially specific structured noise from fMRI data using spatial Independent Components Analysis (ICA) and machine learning classifiers...
May 10, 2018: NeuroImage
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