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https://www.readbyqxmd.com/read/28722550/the-hub-and-spoke-organization-design-an-avenue-for-serving-patients-well
#1
James K Elrod, John L Fortenberry
BACKGROUND: The healthcare industry is characterized by intensive, never-ending change occurring on a multitude of fronts. Success in such tumultuous environments requires healthcare providers to be proficient in myriad areas, including the manner in which they organize and deliver services. Less efficient designs drain precious resources and hamper efforts to deliver the best care possible to patients, making it imperative that optimal pathways are identified and pursued. One particular avenue that offers great potential for serving patients efficiently and effectively is known as the hub-and-spoke organization design...
July 11, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28721956/direction-of-uneven-health-care-expenditure-evidence-from-northeast-india
#2
Tiken Das, Pradyut Guha
BACKGROUND: Although the need for ensuring universal coverage in health has received the attention of policymakers under the Millennium Development Goals program, the skewed pattern of health-care expenditure has been increased globally. OBJECTIVE: To find out the pattern of public health-care expenditure in northeastern states of India and also to identify the nature of inter-state variation in health-care expenditure among the states. METHODS: The study was based on the secondary data collected from the State Finance Figures of Budgetary Statistics of Reserve Bank of India...
April 2017: Indian Journal of Public Health
https://www.readbyqxmd.com/read/28711809/assessing-the-impact-of-hazardous-waste-on-children-s-health-the-exposome-paradigm
#3
D A Sarigiannis
Assessment of the health impacts related to hazardous waste is a major scientific challenge with multiple societal implications. Most studies related to associations between hazardous waste and public health do not provide established of mechanistic links between environmental exposure and disease burden, resulting in ineffective waste management options. The exposome concept comes to overhaul the nature vs. nurture paradigm and embraces a world of dynamic interactions between environmental exposures, endogenous exposures and genetic expression in humans...
July 13, 2017: Environmental Research
https://www.readbyqxmd.com/read/28706988/unsustainable-development-pathways-caused-by-tropical-deforestation
#4
Luis Roman Carrasco, Thi Phuong Le Nghiem, Zhirong Chen, Edward B Barbier
Global sustainability strategies require assessing whether countries' development trajectories are sustainable over time. However, sustainability assessments are limited because losses of natural capital and its ecosystem services through deforestation have not been comprehensively incorporated into national accounts. We update the national accounts of 80 nations that underwent tropical deforestation from 2000 to 2012 and evaluate their development trajectories using weak and strong sustainability criteria...
July 2017: Science Advances
https://www.readbyqxmd.com/read/28701558/modulation-frequency-as-a-cue-for-auditory-speed-perception
#5
Irene Senna, Cesare V Parise, Marc O Ernst
Unlike vision, the mechanisms underlying auditory motion perception are poorly understood. Here we describe an auditory motion illusion revealing a novel cue to auditory speed perception: the temporal frequency of amplitude modulation (AM-frequency), typical for rattling sounds. Naturally, corrugated objects sliding across each other generate rattling sounds whose AM-frequency tends to directly correlate with speed. We found that AM-frequency modulates auditory speed perception in a highly systematic fashion: moving sounds with higher AM-frequency are perceived as moving faster than sounds with lower AM-frequency...
July 12, 2017: Proceedings. Biological Sciences
https://www.readbyqxmd.com/read/28689031/re-defining-the-characteristics-of-environmental-volunteering-creating-a-typology-of-community-scale-green-infrastructure
#6
Gemma Jerome, Ian Mell, Dave Shaw
One way to engage people with green infrastructure (GI) is as environmental volunteers. Previous studies explored the nature of such groups/projects in terms of the benefits they deliver such as their impact on levels of social capital within a pre-defined community. However, existing literature contributes little to our understanding of the composition, characteristics and mechanisms used to form and maintain these groups. As such, it is difficult to establish the influencing factors determining the capacity of a group to sustain its provision over time...
July 6, 2017: Environmental Research
https://www.readbyqxmd.com/read/28681464/qualitative-exploration-of-relationships-between-peers-in-residential-addiction-treatment
#7
Joanne Neale, Charlotte N E Tompkins, John Strang
Relationships between peers are often considered central to the therapeutic process, yet there is relatively little empirical research either on the nature of peer-to-peer relationships within residential treatment or on how those relationships generate positive behaviour change or facilitate recovery. In this paper, we explore relationships between peers in residential addiction treatment, drawing upon the concept of social capital to frame our analyses. Our study was undertaken during 2015 and 2016 in two English residential treatment services using the same therapeutic community-informed model of treatment...
July 5, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28670307/synthetic-microbial-ecology-engineering-habitats-for-modular-consortia
#8
Sami Ben Said, Dani Or
The metabolic diversity present in microbial communities enables cooperation toward accomplishing more complex tasks than possible by a single organism. Members of a consortium communicate by exchanging metabolites or signals that allow them to coordinate their activity through division of labor. In contrast with monocultures, evidence suggests that microbial consortia self-organize to form spatial patterns, such as observed in biofilms or in soil aggregates, that enable them to respond to gradient, to improve resource interception and to exchange metabolites more effectively...
2017: Frontiers in Microbiology
https://www.readbyqxmd.com/read/28667851/natural-disasters-and-climate-change-call-for-the-urgent-decentralization-of-urban-water-systems
#9
Ian Vázquez-Rowe, Ramzy Kahhat, Yago Lorenzo-Toja
Lima is gradually upgrading its urban water cycle to comply with improved sanitation standards, with the aim of treating the entire flow of water and wastewater that it creates. However, this paper examines the basic characteristics of the main treatment systems that are currently in operation in the Peruvian capital, highlighting the myopic and inefficient nature of these investments. It digs deep in the debate between centralized and decentralized water management systems in a city that is exposed to numerous hydro-meteorological and geological hazards...
June 28, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28666595/comparisons-of-benthic-filter-feeder-communities-before-and-after-a-large-scale-capital-dredging-program
#10
Muhammad Azmi Abdul Wahab, Jane Fromont, Oliver Gomez, Rebecca Fisher, Ross Jones
Changes in turbidity, sedimentation and light over a two year large scale capital dredging program at Onslow, northwestern Australia, were quantified to assess their effects on filter feeder communities, in particular sponges. Community functional morphological composition was quantified using towed video surveys, while dive surveys allowed for assessments of species composition and chlorophyll content. Onslow is relatively diverse recording 150 sponge species. The area was naturally turbid (1.1 mean P80 NTU), with inshore sites recording 6...
June 27, 2017: Marine Pollution Bulletin
https://www.readbyqxmd.com/read/28664395/three-new-species-of-begonia-sect-baryandra-from-panay-island-philippines
#11
Ching-I Peng, Rosario Rivera Rubite, Che-Wei Lin, Mark Hughes, Yoshiko Kono, Kuo-Fang Chung
BACKGROUND: The flora of Panay Island is under-collected compared with the other islands of the Philippines. In a joint expedition to the island, botanists from Taiwan and the Philippines found three unknown Begonia species and compared them with potentially allied species. RESULTS: The three species are clearly assignable to Begonia sect. Baryandra which is largely endemic to the Philippines. Studies of literature, herbarium specimens, and living plants support the recognition of the three new species: Begonia culasiensis, B...
December 2017: Botanical Studies (Taipei, Taiwan)
https://www.readbyqxmd.com/read/28649119/rags-make-paper-paper-makes-money-material-texts-and-metaphors-of-capital
#12
Jonathan Senchyne
Because nineteenth-century paper was made from rags, the materiality of paper money became a likely ground from which to debate the nature of value in modern capitalism. On one hand, if paper money was backed by nothing but itself, then it was worth little more than itself: a gathering of lowly rags. On the other hand, the process of turning trashed rags into valuable paper modeled how capital could seem to grow out of nothing. Two nineteenth-century literary narratives provide examples of how rags performed considerable social and metaphorical work in the construction of an epistemology of capitalism and its "paper technologies...
2017: Technology and Culture
https://www.readbyqxmd.com/read/28645840/autoreject-automated-artifact-rejection-for-meg-and-eeg-data
#13
Mainak Jas, Denis A Engemann, Yousra Bekhti, Federico Raimondo, Alexandre Gramfort
We present an automated algorithm for unified rejection and repair of bad trials in magnetoencephalography (MEG) and electroencephalography (EEG) signals. Our method capitalizes on cross-validation in conjunction with a robust evaluation metric to estimate the optimal peak-to-peak threshold - a quantity commonly used for identifying bad trials in M/EEG. This approach is then extended to a more sophisticated algorithm which estimates this threshold for each sensor yielding trial-wise bad sensors. Depending on the number of bad sensors, the trial is then repaired by interpolation or by excluding it from subsequent analysis...
June 20, 2017: NeuroImage
https://www.readbyqxmd.com/read/28642641/inequality-in-human-capital-and-endogenous-credit-constraints
#14
Rong Hai, James J Heckman
This paper investigates the determinants of inequality in human capital with an emphasis on the role of the credit constraints. We develop and estimate a model in which individuals face uninsured human capital risks and invest in education, acquire work experience, accumulate assets and smooth consumption. Agents can borrow from the private lending market and from government student loan programs. The private market credit limit is explicitly derived by extending the natural borrowing limit of Aiyagari (1994) to incorporate endogenous labor supply, human capital accumulation, psychic costs of working, and age...
April 2017: Review of Economic Dynamics
https://www.readbyqxmd.com/read/28616801/life-course-perspectives-on-the-onset-and-continuity-of-preventive-healthcare-behaviors
#15
REVIEW
Preecha Yingwattanakul, George P Moschis
Preventive healthcare is considered a cornerstone of good health and well-being that can play a major role in reducing a country's healthcare costs and improving both the length and quality of people's lives. Previous research on preventive healthcare behaviors has been predominantly cross-sectional, ignoring the dynamic nature of people's health behaviors over a full life span. As a result, the reasons for the development, stability, and changes of individuals' preventive healthcare behaviors over time remain relatively unknown...
June 14, 2017: Journal of Primary Prevention
https://www.readbyqxmd.com/read/28614394/first-report-of-naturally-infected-aedes-aegypti-with-chikungunya-virus-genotype-ecsa-in-the-americas
#16
André Luis Costa-da-Silva, Rafaella Sayuri Ioshino, Vivian Petersen, Antonio Fernando Lima, Marielton Dos Passos Cunha, Michael R Wiley, Jason T Ladner, Karla Prieto, Gustavo Palacios, Danuza Duarte Costa, Lincoln Suesdek, Paolo Marinho de Andrade Zanotto, Margareth Lara Capurro
BACKGROUND: The worldwide expansion of new emergent arboviruses such as Chikungunya and Zika reinforces the importance in understanding the role of mosquito species in spreading these pathogens in affected regions. This knowledge is essential for developing effective programs based on species specificity to avoid the establishment of endemic transmission cycles sustained by the identified local vectors. Although the first autochthonous transmission of Chikungunya virus was described in 2014 in the north of Brazil, the main outbreaks were reported in 2015 and 2016 in the northeast of Brazil...
June 2017: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/28606131/improving-primary-health-care-facility-performance-in-ghana-efficiency-analysis-and-fiscal-space-implications
#17
Jacob Novignon, Justice Nonvignon
BACKGROUND: Health centers in Ghana play an important role in health care delivery especially in deprived communities. They usually serve as the first line of service and meet basic health care needs. Unfortunately, these facilities are faced with inadequate resources. While health policy makers seek to increase resources committed to primary healthcare, it is important to understand the nature of inefficiencies that exist in these facilities. Therefore, the objectives of this study are threefold; (i) estimate efficiency among primary health facilities (health centers), (ii) examine the potential fiscal space from improved efficiency and (iii) investigate the efficiency disparities in public and private facilities...
June 12, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28603836/rates-characteristics-and-circumstances-of-methamphetamine-related-death-in-australia-a-national-7-year-study
#18
Shane Darke, Sharlene Kaye, Johan Duflou
AIMS: Assess trends in the number, and mortality rates, of methamphetamine-related death in Australia, 2009-2015; 2. Assess the characteristics, and the cause, manner and circumstances of death; and 3. Assess the blood methamphetamine concentrations and the presence of other drugs in methamphetamine-related death. DESIGN: Analysis of cases of methamphetamine-related death retrieved from the National Coronial Information System (NCIS). SETTING: Australia...
June 11, 2017: Addiction
https://www.readbyqxmd.com/read/28599360/lessons-learned-from-khartoum-flash-flood-impacts-an-integrated-assessment
#19
Mohamad Ibrahim Mahmood, Nadir Ahmed Elagib, Finlay Horn, Suhair A G Saad
This study aims at enabling the compilation of key lessons for decision makers and urban planners in rapidly urbanizing cities regarding the identification of representative, chief causal natural and human factors for the increased level of flash flood risk. To achieve this, the impacts of flash flood events of 2013 and 2014 in the capital of Sudan, Khartoum, were assessed using seven integrated approaches, i.e. rainfall data analysis, document analysis of affected people and houses, observational fieldwork in the worst flood affected areas, people's perception of causes and mitigation measures through household interviews, reported drinking water quality, reported water-related diseases and social risk assessment...
June 8, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28598711/twelve-tips-for-just-in-time-teaching-of-communication-skills-for-difficult-conversations-in-the-clinical-setting
#20
Laura Jean Hinkle, Lyle Patrick Fettig, William Graham Carlos, Gabriel Bosslet
The ability to communicate well with patients and other members of the healthcare team is a vital skill for physicians to have, but one that is often not emphasized in medical education. Learners of all levels can obtain and develop good communication skills regardless of their natural ability in this area, and the clinical setting represents an underutilized resource to accomplish this task. With this in mind, we have reviewed the growing body of literature on the subject and organized our findings into twelve tips to help educators capitalize on these missed opportunities...
June 9, 2017: Medical Teacher
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