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https://www.readbyqxmd.com/read/27686779/concentrating-emergency-rooms-penny-wise-and-pound-foolish-an-empirical-research-on-scale-economies-and-chain-economies-in-emergency-rooms-in-dutch-hospitals
#1
Jos L T Blank, Bart L van Hulst, Vivian G Valdmanis
In this paper, we address the issue of whether it is economically advantageous to concentrate emergency rooms (ERs) in large hospitals. Besides identifying economies of scale of ERs, we also focus on chain economies. The latter term refers to the effects on a hospital's costs of ER patients who also need follow-up inpatient or outpatient hospital care. We show that, for each service examined, product-specific economies of scale prevail indicating that it would be beneficial for hospitals to increase ER services...
September 30, 2016: Health Economics
https://www.readbyqxmd.com/read/27669464/eliminating-routine-glucometer-readings-in-the-office-setting-correcting-a-foolish-consistency
#2
James L Wofford, Melanie J Martin, Claudia L Campos
No abstract text is available yet for this article.
September 26, 2016: JAMA Internal Medicine
https://www.readbyqxmd.com/read/27475878/the-room-where-it-happens-a-skeptic-s-analysis-of-the-new-heart-failure-guidelines
#3
Milton Packer
New heart failure guidelines have been issued during the past several months, both in the United States and in Europe, in response to recent advances in and the approval of new drugs for the treatment of heart failure. Although guidelines documents are often viewed as authoritative and purely evidence-based, there are replete with meaningful (and inexplicable) inconsistencies, which derive from a review of the same body of scientific data by different groups. This satirical review highlights several examples of the entertaining foolishness of recent guideline documents in the good-natured hope that physicians will understand what the guidelines are, and more importantly, what they are not...
September 2016: Journal of Cardiac Failure
https://www.readbyqxmd.com/read/26936440/penny-wise-pound-foolish-an-assessment-of-canadian-hemophilia-inherited-bleeding-disorder-comprehensive-care-program-services-and-resources
#4
D Page, S Crymble, K Lawday, M Long, J Stoffman, L Waterhouse, P Wilton
INTRODUCTION: A network of 25 haemophilia/inherited bleeding disorder comprehensive care centres was established in Canada in the 1970s and 1980s. In 2007, standards of care, focused on the structural and resource requirements necessary to effectively provide optimal care, were adopted. AIM: Assess how human and physical resources affect centres' capacity to attain standards of care. METHODS: The Canadian Hemophilia Society (CHS), with the support of the Association of Hemophilia Clinic Directors of Canada (AHCDC), undertook the assessment...
July 2016: Haemophilia: the Official Journal of the World Federation of Hemophilia
https://www.readbyqxmd.com/read/26904481/arjuna-s-recollections-part-iii-or-an-endocrine-version-of-the-motorcycle-diaries
#5
V Sri Nagesh
The ultimate dream of every young student stepping into the hallowed portals of a medical college is to achieve the holy grail of medical education, a DM seat. However, the real battle begins only after the DM seat is won. The residency is a veritable roller coaster ride all through the three years, with the student alternating between exhilaration and despondency, wisdom and foolishness, hope and despair and ecstasy and agony. The long working hours, logistic difficulties, interpersonal conflicts and resource limitations are the anvils on which the callow postgraduates are beaten into shape, to bring to fore, their inner steel...
January 2016: Indian Journal of Endocrinology and Metabolism
https://www.readbyqxmd.com/read/26417006/repression-of-lateral-organ-boundary-genes-by-pennywise-and-pound-foolish-is-essential-for-meristem-maintenance-and-flowering-in-arabidopsis
#6
Madiha Khan, Laura Ragni, Paul Tabb, Brenda C Salasini, Steven Chatfield, Raju Datla, John Lock, Xiahezi Kuai, Charles Després, Marcel Proveniers, Cao Yongguo, Daoquan Xiang, Halima Morin, Jean-Pierre Rullière, Sylvie Citerne, Shelley R Hepworth, Véronique Pautot
In the model plant Arabidopsis (Arabidopsis thaliana), endogenous and environmental signals acting on the shoot apical meristem cause acquisition of inflorescence meristem fate. This results in changed patterns of aerial development seen as the transition from making leaves to the production of flowers separated by elongated internodes. Two related BEL1-like homeobox genes, PENNYWISE (PNY) and POUND-FOOLISH (PNF), fulfill this transition. Loss of function of these genes impairs stem cell maintenance and blocks internode elongation and flowering...
November 2015: Plant Physiology
https://www.readbyqxmd.com/read/26384754/gamification-fuelish-or-foolish
#7
EDITORIAL
George Leslie Hicks
No abstract text is available yet for this article.
November 2015: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/26234105/digital-devices-and-distracted-doctoring
#8
Garry Dossey
During the past twenty years a digital sea change has affected our world. Digital devices have changed the way we live and especially the way we work in our professions. As dentists, we are able to work with far greater accuracy and precision than ever before; we would be foolish not to embrace these advances. But, as is often the case with rapid cultural changes, we need to be aware of the possibility of unintended consequences that may accompany this revolution. Sound scientific studies are beginning to warn of the psychological and physiological problems of overuse of digital devices in our daily lives...
April 2015: Texas Dental Journal
https://www.readbyqxmd.com/read/26191417/heads-in-the-sand-may-leave-old-age-psychiatry-looking-foolish-and-vulnerable-commentary-on-a-memory-clinic-v-traditional-community-mental-health-team-service
#9
David Jolley
Dementia has been recognised as a major challenge to health, social care and economies. Research by Rubinsztein and colleagues, in this issue, has compared the services provided by memory clinics with those of traditional community mental health team services. They conclude that memory clinics offer a more comprehensive and multidisciplinary service at no extra cost. Here I will question some of their findings and highlight the importance of better continuity of care between primary and secondary services.
February 2015: BJPsych Bulletin
https://www.readbyqxmd.com/read/26124071/effects-of-brief-intervention-on-subgroups-of-injured-patients-who-drink-at-risk-levels
#10
Gerald Cochran, Craig Field, Michael Foreman, Thomas Ylioja, Carlos V R Brown
Alcohol-related injuries are a major source of admission for trauma care. Screening and brief intervention (SBI) for injured patients can result in decreased drinking and risk behaviors. It is not clear SBI is equally beneficial for all injured patients. A secondary data analysis of 553 patients admitted to two Level-1 trauma centers was conducted. Latent class analysis was used to identify patient subgroups based on injury-related risks and consequences of alcohol use. Intervention effects on drinking were examined among subgroups...
June 2016: Injury Prevention: Journal of the International Society for Child and Adolescent Injury Prevention
https://www.readbyqxmd.com/read/26031112/case-management-insider-the-top-ten-mistakes-you-may-be-making-in-your-case-management-department-part-1
#11
Toni Cesta
This month we have begun reviewing the top mistakes hospitals make within their case management department's infrastructure. As discussed, the biggest mistake is to not clearly and prospectively define the roles of the RN case manager and the social worker to optimize each discipline's skill sets. Associated with this mistake is to have inadequate patient ratios assigned to each discipline. These mistakes are related and when roles are not clearly defined, it becomes almost impossible to understand or advocate for appropriate staffing ratios...
June 2015: Hospital Case Management: the Monthly Update on Hospital-based Care Planning and Critical Paths
https://www.readbyqxmd.com/read/25761546/the-case-of-penny-wise-but-access-and-quality-of-care-foolish
#12
Jeffrey Voigt
No abstract text is available yet for this article.
April 2015: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/25687441/margaret-mccartney-female-genital-mutilation-a-wise-doctor-and-a-foolish-prosecution
#13
Margaret McCartney
No abstract text is available yet for this article.
February 16, 2015: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/25628120/adding-rapid-acting-insulin-or-glp-1-receptor-agonist-to-basal-insulin-penny-wise-and-pound-foolish
#14
COMMENT
Martin M Grajower
No abstract text is available yet for this article.
January 2015: Endocrine Practice
https://www.readbyqxmd.com/read/25231291/optimism-and-no-longer-foolishness-haematology-oncology-and-the-picu
#15
EDITORIAL
Mark J Peters, Rachel S Agbeko
No abstract text is available yet for this article.
October 2014: Intensive Care Medicine
https://www.readbyqxmd.com/read/24989807/-the-path-of-creating-tcm-female-periodicals-in-the-republican-period
#16
Zhenghan Ji, Jilan Yan, Na Zu
A"special issue of female physicians" was included in the 1934 Kunghwa Medical Journal. In 1939, Qian Bao-hua, together with a batch of female TCM professional medical workers, inaugurated a "Chinese Feminine Physicians" included in the "Journal of Column of Traditional Chinese Medicine". The former one was published independently in 1941, only for 8 issues and was suspended in the same year. In the Republican period, the 7 years of running the TCM periodicals by the female physicians was the miniature of the campaign of feminine rights in the TCM field from heat to cold, from foolish through confidence to self-realization...
March 2014: Zhonghua Yi Shi za Zhi, Chinese Journal of Medical History
https://www.readbyqxmd.com/read/24867771/the-cost-of-medical-tourism-penny-wise-and-pound-foolish
#17
Bao Anh Patrick Tran, Nathan Kludt, Michael S Wong
No abstract text is available yet for this article.
June 2014: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/24776958/the-loneliness-of-the-aging-in-two-contemporary-novels
#18
Maricel Oró-Piqueras
PURPOSE OF THE STUDY: In The Loneliness of the Dying (1985), sociologist Norbert Elias claims that "aging" and "old age" have become frightening, almost taboo terms in Western society because death is increasingly made invisible in advanced societies. Years ago, death was a part of life and the dead were granted the honor of passing away in their homes, surrounded by their communities; in present-day society, most have never seen a corpse and are ignorant of anything related to death...
April 2016: Gerontologist
https://www.readbyqxmd.com/read/24710086/penny-wise-pound-foolish-trade-offs-when-using-the-laryngeal-mask-airway-for-spine-surgery-in-the-prone-position
#19
COMMENT
Peter Kranke
No abstract text is available yet for this article.
May 2014: European Journal of Anaesthesiology
https://www.readbyqxmd.com/read/24654913/the-harm-of-bioethics-a-critique-of-singer-and-callahan-on-obesity
#20
Christopher Mayes
Debate concerning the social impact of obesity has been ongoing since at least the 1980s. Bioethicists, however, have been relatively silent. If obesity is addressed it tends to be in the context of resource allocation or clinical procedures such as bariatric surgery. However, prominent bioethicists Peter Singer and Dan Callahan have recently entered the obesity debate to argue that obesity is not simply a clinical or personal issue but an ethical issue with social and political consequences. This article critically examines two problematic aspects of Singer and Callahan's respective approaches...
March 2015: Bioethics
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