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Systems Thinking

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https://www.readbyqxmd.com/read/28934799/factors-influencing-the-application-of-a-biopsychosocial-perspective-in-clinical-judgement-of-chronic-pain-interactive-management-with-medical-students
#1
Christopher P Dwyer, Phoebe E McKenna-Plumley, Hannah Durand, Emer M Gormley, Brian W Slattery, Owen M Harney, Padraig MacNeela, Brian E McGuire
BACKGROUND: Though there is wide support for the application of biopsychosocial perspectives in clinical judgement of chronic pain cases, such perspectives are often overlooked due to either inadequate training or attitudes favoring a biomedical approach. Recent research has indicated that despite such explanations, both established general practitioners (GP) and medical students account for some psychosocial factors when making clinical judgements regarding chronic pain cases, but report not being likely to apply these in real-world, clinical settings due to numerous factors, including available time with patients...
September 2017: Pain Physician
https://www.readbyqxmd.com/read/28933676/bringing-humanity-into-view-action-research-with-qatar-s-ambulance-service
#2
Gill Coleman, Liz Wiggins
Purpose The purpose of this paper is to argue for the widening of attention in healthcare improvement efforts, to include an awareness of the humanity of people who work in the sector and an appreciation of the part human connection plays in engagement around good quality work. Theoretical frameworks and research approaches which draw on action-based, interpretive and systemic thinking are proposed, as a complement to current practices. Design/methodology/approach The paper describes the early stages of an action research (AR) project, which used the appreciative inquiry "4D" framework to conduct participative inquiry in Hamad Medical Corporation's ambulance service in Qatar, in which staff became co-researchers...
August 21, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28933675/using-the-concept-of-hubots-to-understand-the-work-entailed-in-using-digital-technologies-in-healthcare
#3
Catherine Pope, Joanne Turnbull
Purpose The purpose of this paper is to explore the human work entailed in the deployment of digital health care technology. It draws on imagined configurations of computers and machines in fiction and social science to think about the relationship between technology and people, and why this makes implementation of digital technology so difficult. The term hubots is employed as a metaphorical device to examine how machines and humans come together to do the work of healthcare. Design/methodology/approach This paper uses the fictional depiction of hubots to reconceptualise the deployment of a particular technology - a computer decision support system (CDSS) used in emergency and urgent care services...
August 21, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28929867/innovation-productivity-and-pricing-capturing-value-from-precision-medicine-technology-in-canada
#4
J C Herbert Emery, Jennifer D Zwicker
For new technology and innovation such as precision medicine to become part of the solution for the fiscal sustainability of Canadian Medicare, decision-makers need to change how services are priced rather than trying to restrain emerging technologies like precision medicine for short-term cost savings. If provincial public payers shift their thinking to be public purchasers, value considerations would direct reform of the reimbursement system to have prices that adjust with technologically driven productivity gains...
July 2017: Healthcare Management Forum
https://www.readbyqxmd.com/read/28929098/the-degree-of-one-health-implementation-in-the-west-nile-virus-integrated-surveillance-in-northern-italy-2016
#5
REVIEW
Giulia Paternoster, Laura Tomassone, Marco Tamba, Mario Chiari, Antonio Lavazza, Mauro Piazzi, Anna R Favretto, Giacomo Balduzzi, Alessandra Pautasso, Barbara R Vogler
West Nile virus (WNV) is endemic in the Po valley area, Northern Italy, and within the legal framework of the national plan for the surveillance of human vector-borne diseases, WNV surveillance has over time been implemented. The surveillance plans are based on the transdisciplinary and trans-sectorial collaboration between regional institutions involved in public, animal, and environmental health. This integrated surveillance targets mosquitoes, wild birds, humans, and horses and aims at early detecting the viral circulation and reducing the risk of infection in the human populations...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28925151/-construction-of-nirs-based-total-quality-control-system-for-compound-ejiao-oral-liquid-and-relative-thinking
#6
Yan Zhang, Lu Zhang, Shou-Sheng Tian, Xiang-Shan Zhou, Wen-Long Li, Hai-Bin Qu
In this paper, near infrared spectroscopy (NIRS)-based total quality control system of compound Ejiao oral liquid is introduced briefly, including the quality control of raw traditional Chinese medicine (TCM) materials, monitoring and control of the extract and the alkaline precipitation technics, and also the inspection of finished products in both open bottle and non-opening modes. By analyzing and summing up the significance and difficulties, several important problems in the practical applications of NIRS technology are proposed, which will provide references for the similar studies of other TCM products...
October 2016: Zhongguo Zhong Yao za Zhi, Zhongguo Zhongyao Zazhi, China Journal of Chinese Materia Medica
https://www.readbyqxmd.com/read/28924688/the-barrier-to-informed-choice-in-cancer-screening-statistical-illiteracy-in-physicians-and-patients
#7
Odette Wegwarth, Gerd Gigerenzer
An efficient health care requires both informed doctors and patients. Our current healthcare system falls short on both counts. Most doctors and patients do not understand the available medical evidence. To illustrate the extent of the problem in the setting of cancer screening: In a representative sample of some 5000 women in nine European countries, 92% overestimated the reduction of breast cancer mortality by mammography by a factor of 10-200, or did not know. For a similar sample of about 5000 men with respect to PSA screening, this number was 89%...
2018: Recent Results in Cancer Research
https://www.readbyqxmd.com/read/28923161/comparing-the-cognitive-process-of-circular-causality-in-two-patients-with-strokes-through-qualitative-analysis
#8
Seyed Alireza Derakhshanrad, Emily Piven, Bahareh Zeynalzadeh Ghoochani
Walter J. Freeman pioneered the neurodynamic model of brain activity when he described the brain dynamics for cognitive information transfer as the process of circular causality at intention, meaning, and perception (IMP) levels. This view contributed substantially to establishment of the Intention, Meaning, and Perception Model of Neuro-occupation in occupational therapy. As described by the model, IMP levels are three components of the brain dynamics system, with nonlinear connections that enable cognitive function to be processed in a circular causality fashion, known as Cognitive Process of Circular Causality (CPCC)...
October 2017: Nonlinear Dynamics, Psychology, and Life Sciences
https://www.readbyqxmd.com/read/28922180/qualitative-case-studies-of-professional-level-workers-with-traumatic-brain-injuries-a-contextual-approach-to-job-accommodation-and-retention
#9
Richard T Roessler, Phillip D Rumrill, Stuart P Rumrill, Deborah L Minton, Deborah J Hendricks, Elaine Sampson, Callista Stauffer, Marcia J Scherer, Amanda Nardone, Anne Leopold, Karen Jacobs, Eileen Elias
BACKGROUND: Traumatic brain injury (TBI) is a multi-systemic disability that causes a wide range of difficulties with personal and social functioning. METHODS: Four individuals with TBI participated in an evaluation of barriers to their continued employment following graduation from college. A trained interviewer completed the Work Experience Survey (WES) in teleconsultation sessions with each participant. RESULTS: Researchers applied a qualitative case study research design...
September 14, 2017: Work: a Journal of Prevention, Assessment, and Rehabilitation
https://www.readbyqxmd.com/read/28919940/calcitox-aging-counterbalanced-by-endogenous-farnesol-like-sesquiterpenoids-an-undervalued-evolutionarily-ancient-key-signaling-pathway
#10
Arnold De Loof
Cells are powerful miniature electrophoresis chambers, at least during part of their life cycle. They die at the moment the voltage gradient over their plasma membrane, and their ability to drive a self-generated electric current carried by inorganic ions through themselves irreversibly collapses. Senescence is likely due to the progressive, multifactorial damage to the cell's electrical system. This is the essence of the "Fading electricity theory of aging" (De Loof et al., Aging Res. Rev. 2013;12:58-66)...
2017: Communicative & Integrative Biology
https://www.readbyqxmd.com/read/28918714/is-there-a-dark-side-to-mindfulness-relation-of-mindfulness-to-criminogenic-cognitions
#11
June P Tangney, Ashley E Dobbins, Jeffrey B Stuewig, Shannon W Schrader
In recent years, mindfulness-based interventions have been modified for use with inmate populations, but how this might relate to specific criminogenic cognitions has not been examined empirically. Theoretically, characteristics of mindfulness should be incompatible with distorted patterns of criminal thinking, but is this in fact the case? Among both 259 male jail inmates and 516 undergraduates, mindfulness was inversely related to the Criminogenic Cognitions Scale (CCS) through a latent variable of emotion regulation...
October 2017: Personality & Social Psychology Bulletin
https://www.readbyqxmd.com/read/28918502/the-refinement-glossary-of-terms-an-international-terminology-for-mental-health-systems-assessment
#12
Ilaria Montagni, Luis Salvador-Carulla, David Mcdaid, Christa Straßmayr, Florian Endel, Petri Näätänen, Jorid Kalseth, Birgitte Kalseth, Tihana Matosevic, Valeria Donisi, Karine Chevreul, Amélie Prigent, Raluca Sfectu, Carmen Pauna, Mencia R Gutiérrez-Colosia, Francesco Amaddeo, Heinz Katschnig
Comparing mental health systems across countries is difficult because of the lack of an agreed upon terminology covering services and related financing issues. Within the European Union project REFINEMENT, international mental health care experts applied an innovative mixed "top-down" and "bottom-up" approach following a multistep design thinking strategy to compile a glossary on mental health systems, using local services as pilots. The final REFINEMENT glossary consisted of 432 terms related to service provision, service utilisation, quality of care and financing...
September 16, 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/28903641/sex-unleashes-your-tongue-sexual-priming-motivates-self-disclosure-to-a-new-acquaintance-and-interest-in-future-interactions
#13
Gurit E Birnbaum, Moran Mizrahi, Ayelet Kaplan, Danielle Kadosh, Dana Kariv, Danielle Tabib, Daniella Ziv, Lihi Sadeh, Daniella Burban
Research has demonstrated the contribution of sexual activity to the quality of ongoing relationships. Nevertheless, less attention has been given to how activation of the sexual system affects relationship-initiation processes. Three studies used complementary methodologies to examine the effect of sexual priming on self-disclosure, a relationship-promoting behavior. In Study 1, participants were subliminally exposed to sexual stimuli (vs. neutral stimuli), and then disclosed over Instant Messenger a personal event to an opposite-sex stranger...
May 2017: Personality & Social Psychology Bulletin
https://www.readbyqxmd.com/read/28901916/using-trends-to-inform-regulatory-practices
#14
Christine Penney, Alison Wainwright
Health professions regulators charged with the role of public protection are challenged to balance their mandate with appropriate policy interventions, particularly within a self-regulatory model. Applied strategically, emerging methods and trends in health systems and health professions regulation can inform regulatory practices in keeping with the regulator's role of reducing harm to the public. This requires a shift in thinking from a focus on how (i.e., resources and tools), to a focus on what, including clear problem identification, intended risks to be mitigated and consideration of outcomes and measurability of impact at the outset...
2017: HealthcarePapers
https://www.readbyqxmd.com/read/28901625/systemic-challenges-in-bipolar-disorder-management-a-patient-centered-approach
#15
Anastasiya Nestsiarovich, Nathaniel G Hurwitz, Stuart J Nelson, Annette S Crisanti, Berit Kerner, Matt J Kuntz, Alicia N Smith, Emma Volesky, Quentin L Schroeter, Jason L DeShaw, S Stanley Young, Robert L Obenchain, Ronald L Krall, Kimmie Jordan, Jan Fawcett, Mauricio Tohen, Douglas J Perkins, Christophe G Lambert
OBJECTIVES: As part of a series of Patient-Centered Outcomes Research Institute-funded large-scale retrospective observational studies on bipolar disorder (BD) treatments and outcomes, we sought the input of patients with BD and their family members to develop research questions. We aimed to identify systemic root causes of patient-reported challenges with BD management in order to guide subsequent studies and initiatives. METHODS: Three focus groups were conducted where patients and their family members (total n = 34) formulated questions around the central theme, "What do you wish you had known in advance or over the course of treatment for BD?" In an affinity mapping exercise, participants clustered their questions and ranked the resulting categories by importance...
September 13, 2017: Bipolar Disorders
https://www.readbyqxmd.com/read/28894137/emergence-of-charge-density-waves-and-a-pseudogap-in-single-layer-tite2
#16
P Chen, Woei Wu Pai, Y-H Chan, A Takayama, C-Z Xu, A Karn, S Hasegawa, M Y Chou, S-K Mo, A-V Fedorov, T-C Chiang
Two-dimensional materials constitute a promising platform for developing nanoscale devices and systems. Their physical properties can be very different from those of the corresponding three-dimensional materials because of extreme quantum confinement and dimensional reduction. Here we report a study of TiTe2 from the single-layer to the bulk limit. Using angle-resolved photoemission spectroscopy and scanning tunneling microscopy and spectroscopy, we observed the emergence of a (2 × 2) charge density wave order in single-layer TiTe2 with a transition temperature of 92 ± 3 K...
September 11, 2017: Nature Communications
https://www.readbyqxmd.com/read/28893671/combining-multivariate-statistics-and-the-think-aloud-protocol-to-assess-human-computer-interaction-barriers-in-symptom-checkers
#17
Luis Marco-Ruiz, Erlend Bønes, Estela de la Asunción, Elia Gabarrón, Juan Carlos Aviles-Solis, Eunji Lee, Vicente Traver, Keiichi Sato, Johan G Bellika
Symptom checkers are software tools that allow users to submit a set of symptoms and receive advice related to them in the form of a diagnosis list, health information or triage. The heterogeneity of their potential users and the number of different components in their user interfaces can make testing with end-users unaffordable. We designed and executed a two-phase method to test the respiratory diseases module of the symptom checker Erdusyk. Phase I consisted of an online test with a large sample of users (n = 53)...
September 9, 2017: Journal of Biomedical Informatics
https://www.readbyqxmd.com/read/28893320/systems-thinking-in-combating-infectious-diseases
#18
Shang Xia, Xiao-Nong Zhou, Jiming Liu
The transmission of infectious diseases is a dynamic process determined by multiple factors originating from disease pathogens and/or parasites, vector species, and human populations. These factors interact with each other and demonstrate the intrinsic mechanisms of the disease transmission temporally, spatially, and socially. In this article, we provide a comprehensive perspective, named as systems thinking, for investigating disease dynamics and associated impact factors, by means of emphasizing the entirety of a system's components and the complexity of their interrelated behaviors...
September 11, 2017: Infectious Diseases of Poverty
https://www.readbyqxmd.com/read/28892141/novel-insights-on-population-and-range-edge-dynamics-using-an-unparalleled-spatiotemporal-record-of-species-invasion
#19
Kristine Grayson, Derek M Johnson
Quantifying the complex spatial dynamics taking place at range edges is critical for understanding future distributions of species, yet very few systems have sufficient data or the spatial resolution to empirically test these dynamics. This paper reviews how data from a large-scale pest management program have provided important contributions to the fields of population dynamics and invasion biology. The invasion of gypsy moth (Lymantria dispar) is well-documented from its introduction near Boston, Massachusetts USA in 1869 to its current extent of over 900,000 km(2) in Eastern North America...
September 11, 2017: Journal of Animal Ecology
https://www.readbyqxmd.com/read/28890891/collaborative-approaches-and-policy-opportunities-for-accelerated-progress-toward-effective-disease-prevention-care-and-control-using-the-case-of-poverty-diseases-to-explore-universal-access-to-affordable-health-care
#20
Samia Laokri
BACKGROUND: There is a massive global momentum to progress toward the sustainable development and universal health coverage goals. However, effective policies to health-care coverage can only emerge through high-quality services delivered to empowered care users by means of strong local health systems and a translational standpoint. Health policies aimed at removing user fees for a defined health-care package may fail at reaching desired results if not applied with system thinking. METHOD: Secondary data analysis of two country-based cost-of-illness studies was performed to gain knowledge in informed decision-making toward enhanced access to care in the context of resource-constraint settings...
2017: Frontiers in Medicine
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