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https://www.readbyqxmd.com/read/28088617/assessing-physician-productivity-following-norwegian-hospital-reform-a-panel-and-data-envelopment-analysis
#1
Karl Arne Johannessen, Sverre A C Kittelsen, Terje P Hagen
BACKGROUND: Although health care reforms may improve efficiency at the macro level, less is known regarding their effects on the utilization of health care personnel. Following the 2002 Norwegian hospital reform, we studied the productivity of the physician workforce and the effect of personnel mix on this measure in all nineteen Norwegian hospitals from 2001 to 2013. METHODS: We used panel analysis and non-parametric data envelopment analysis (DEA) to study physician productivity defined as patient treatments per full-time equivalent (FTE) physician...
January 6, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28074000/how-does-rurality-influence-the-staffing-of-social-service-departments-in-nursing-homes
#2
Amy Restorick Roberts, John R Bowblis
PURPOSE OF THE STUDY: Social service departments in nursing homes (NHs) are staffed by qualified social workers (QSWs) and paraprofessionals. Due to greater workforce challenges in rural areas, this article aims to describe the staffing levels and composition of these departments by rurality. DESIGN AND METHODS: Certification and Survey Provider Enhanced Reports data from 2009 to 2015 are used to examine the effect of rurality on social service staffing using random-effects linear panel regressions...
January 9, 2017: Gerontologist
https://www.readbyqxmd.com/read/28066509/development-and-implementation-of-rapid-metabolic-engineering-tools-for-chemical-and-fuel-production-in-geobacillus-thermoglucosidasius-ncimb-11955
#3
Lili Sheng, Katalin Kovács, Klaus Winzer, Ying Zhang, Nigel Peter Minton
BACKGROUND: The thermophile Geobacillus thermoglucosidasius has considerable attraction as a chassis for the production of chemicals and fuels. It utilises a wide range of sugars and oligosaccharides typical of those derived from lignocellulose and grows at elevated temperatures. The latter improves the rate of feed conversion, reduces fermentation cooling costs and minimises the risks of contamination. Full exploitation of its potential has been hindered by a dearth of effective gene tools...
2017: Biotechnology for Biofuels
https://www.readbyqxmd.com/read/28047500/su-g-iep4-07-feasibility-of-low-dose-18fdg-pet-in-pediatric-oncology-patients
#4
J Zhang, K Binzel, N C Hall, M Natwa, M I Knopp, M V Knopp
PURPOSE: To evaluate and demonstrate the feasibility of low dose FDG PET in pediatric oncology patients using virtual dose reduction as well as true patients PET/CT scans. METHODS: Wholebody 18F-FDG PET/CT of 39 clinical pediatric patients (0.16±0.06MBq/kg) were scanned on a Gemini TF 64 system at 75±5 min post FDG injection using 3min/bed. Based on the 180s/bed listmode PET data, subsets of total counts in 120s, 90s, 60s, 30s and 15s per bed position were extracted for PET reconstruction to simulate lower dose PET at 2/3th, 1/2th, 1/3th, 1/6th and 1/12th dose levels...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047493/su-f-t-625-optimal-treatment-planning-strategy-among-arc-arrangements-for-prostate-sbrt-with-vmat-technique
#5
J Chung, S Kang, T Suh, J Lee, J Kim, K Eom
PURPOSE: The purpose of this study is to determine the optimal treatment planning strategy among the different arc arrangements for prostate stereotactic body radiotherapy (SBRT) plans with volumetric modulated arc therapy (VMAT). METHODS: Ten patients with prostate cancer were selected. The SBRT-VMAT plans for each patient were generated with single-full (181° to 179°; 1FA), single-partial (240° to 120°; 1PA), double-full (181° to 179° and 179° to 181°; 2FA), and double-partial (240° to 120° and 120° to 240°; 2PA) arc arrangements...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047152/su-d-brb-03-full-pre-clinical-validation-of-comprehensive-knowledge-based-planning-for-stereotactic-radiosurgery
#6
B Ziemer, S Shiraishi, J Hattangadi-Gluth, P Sanghvi, K Moore
PURPOSE: As knowledge-based planning (KBP) would augment and potentially supplant manual human-driven treatment planning, it is imperative to ensure that the KBP system maintains or improves overall plan quality in the aggregate. The purpose of this study was to: (I) demonstrate non-inferiority of KBP-driven automated stereotactic radiosurgery (SRS) planning with blinded physician review and (II) determine what factors, if any, contributed to the preference of manual plans over KBP in the blinded review...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047027/su-c-207a-05-feature-based-water-equivalent-path-length-wepl-determination-for-proton-radiography-by-the-technique-of-time-resolved-dose-measurement
#7
R Zhang, K Jee, G Sharp, J Flanz, H Lu
PURPOSE: Studies show that WEPL can be determined from modulated dose rate functions (DRF). However, the previous calibration method based on statistics of the DRF is sensitive to energy mixing of protons due to scattering through different materials (termed as range mixing here), causing inaccuracies in the determination of WEPL. This study intends to explore time-domain features of the DRF to reduce the effect of range mixing in proton radiography (pRG) by this technique. METHODS: An amorphous silicon flat panel (PaxScan™ 4030CB, Varian Medical Systems, Inc...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28046789/su-f-p-13-nrg-oncology-medical-physics-manpower-survey-quantifying-support-demands-for-multi-institutional-clinical-trials
#8
J Monroe, K Boparai, Y Xiao, D Followill, J Galvin, J Sohn
PURPOSE: A survey was taken by NRG Oncology to assess Full Time Equivalent (FTE) contributions to multi institutional clinical trials by medical physicists.No current quantification of physicists' efforts in FTE units associated with clinical trials is available. The complexity of multi-institutional trials increases with new technologies and techniques. Proper staffing may directly impact the quality of trial data and outcomes. The demands on physics time supporting clinical trials needs to be assessed...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28046456/we-de-bra-08-a-linear-accelerator-target-allowing-rapid-switching-between-treatment-and-high-contrast-imaging-modes
#9
M Yewondwossen, J Robar, D Parsons
PURPOSE: During radiotherapy treatment, lung tumors can display substantial respiratory motion. This motion usually necessitates enlarged treatment margins to provide full tumour coverage. Unfortunately, these margins limit the dose that can be prescribed for tumour control and cause complications to normal tissue. Options for real-time methods of direct detection of tumour position, and particularly those that obviate the need for inserted fiducial markers, are limited. We propose a method of tumor tracking without implanted fiducial markers using a novel fast switching-target that toggles between a FFF copper/tungsten therapy mode and a FFF low-Z target mode for imaging...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28045351/primary-care-mental-health-integration-in-the-va-health-system-associations-between-provider-staffing-and-quality-of-depression-care
#10
Debra S Levine, John F McCarthy, Brittany Cornwell, Laurie Brockmann, Paul N Pfeiffer
OBJECTIVES: The study examined whether staffing of Primary Care-Mental Health Integration (PCMHI) services in the Department of Veterans Affairs (VA) health system is related to quality of depression care. METHODS: Site surveys and administrative data from 349 VA facilities for fiscal year 2013 were used to calculate PCMHI staffing (full-time equivalents) per 10,000 primary care patients and discipline-specific staffing proportions for PCMHI psychologists, social workers, nurses, and psychiatric medication prescribers...
January 3, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28039200/work-related-musculoskeletal-disorders-among-construction-workers-in-the-united-states-from-1992-to-2014
#11
Xuanwen Wang, Xiuwen Sue Dong, Sang D Choi, John Dement
OBJECTIVES: Examine trends and patterns of work-related musculoskeletal disorders (WMSDs) among construction workers in the USA, with an emphasis on older workers. METHODS: WMSDs were identified from the 1992-2014 Survey of Occupational Injuries and Illnesses (SOII), and employment was estimated from the Current Population Survey (CPS). Risk of WMSDs was measured by number of WMSDs per 10 000 full-time equivalent workers and stratified by major demographic and employment subgroups...
December 30, 2016: Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/28024750/rainfall-runoff-of-anthropogenic-waste-indicators-from-agricultural-fields-applied-with-municipal-biosolids
#12
James L Gray, Thomas Borch, Edward T Furlong, Jessica G Davis, Tracy J Yager, Yun-Ya Yang, Dana W Kolpin
The presence of anthropogenic contaminants such as antimicrobials, flame-retardants, and plasticizers in runoff from agricultural fields applied with municipal biosolids may pose a potential threat to the environment. This study assesses the potential for rainfall-induced runoff of 69 anthropogenic waste indicators (AWIs), widely found in household and industrial products, from biosolids amended field plots. The agricultural field containing the test plots was treated with biosolids for the first time immediately prior to this study...
December 23, 2016: Science of the Total Environment
https://www.readbyqxmd.com/read/28017413/endangered-academia-preserving-the-pediatric-surgeon-scientist
#13
Troy A Markel, Nakul P Valsangkar, Teresa M Bell, Brandon A Kiel, Teresa A Zimmers, Leonidas G Koniaris
BACKGROUND: Pediatric surgery is one of the most difficult surgical fellowships to obtain. It requires stellar academic credentials and, often, dedicated time pursuing research. It is unknown, however, if pediatric surgeons maintain high academic output as faculty members. We hypothesized that the majority of pediatric surgeons do not pursue robust research activities as faculty, and therefore, over time, their academic productivity decreases. METHODS: Numbers of publications, citations, H-index, and NIH funding rates were determined for 4354 surgical faculty at the top-55 NIH based departments of surgery using websites, Scopus, NIH RePORTER, and Grantome...
December 20, 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/28007725/implementation-of-performance-metrics-to-assess-pharmacists-activities-in-ambulatory-care-clinics
#14
Lauren Schmidt, Chris Klink, Arlene Iglar, Neha Sharpe
PURPOSE: The development and implementation of performance metrics for assessing the impact of pharmacists' activities in ambulatory care clinics are described. SUMMARY: Ambulatory care clinic pharmacists within an integrated health system were surveyed to ascertain baseline practices for documenting and tracking performance metrics. Through literature review and meetings with various stakeholders, priorities for metric development were identified; measures of care quality, financial impact, and patient experience were developed...
January 1, 2017: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/27998257/the-epidemiology-of-teaching-and-training-general-practices-in-england
#15
Eliot L Rees, Simon P Gay, Robert K McKinley
There is no national picture of teaching and training practices or the communities they serve. We aimed to describe the association between general practices' engagement with education and their characteristics, locality and patients' health-status and satisfaction. This data linkage study of all English practices calculated odds ratios for teaching and training status and practice, locality and patient variables. Teaching and training practices are larger than practices which do neither (mean list size (SD) 7074 (3736), 10112 (4934), and 5327 (3368) respectively, p < 0...
November 2016: Education for Primary Care
https://www.readbyqxmd.com/read/27967280/-an-imminent-sub-2-hours-marathon-is-unlikely-historical-trends-of-the-gender-gap-in-running-events
#16
Ross Tucker, Jordan Santos-Concejero
The aim of the present study was to analyse men's and women's world records across the full range of running disciplines to contextualise the recent debate about the possibility of a sub-2 hour marathon. The average male-female gap is currently 11.2 ± 1.0% for all running events. However, reducing the marathon time to below two hours would produce a performance 12.9% (+1.7 SD) faster than the women's marathon record. This gap would be greater than all current World Record differences, and would also require a reversal of medium and long-term historical trends in the men's and women's record differences...
December 14, 2016: International Journal of Sports Physiology and Performance
https://www.readbyqxmd.com/read/27942787/-full-scale-simulation-in-german-medical-schools-and-anesthesia-residency-programs-status-quo
#17
H Baschnegger, O Meyer, A Zech, B Urban, M Rall, G Breuer, S Prückner
BACKGROUND: Simulation has been increasingly used in medicine. In 2003 German university departments of anesthesiology were provided with a full-scale patient simulator, designated for use with medical students. Meanwhile simulation courses are also offered to physicians and nurses. Currently, the national model curriculum for residency programs in anesthesiology is being revised, possibly to include mandatory simulation training. OBJECTIVES: To assess the status quo of full-scale simulation training for medical school, residency and continuing medical education in German anesthesiology...
December 9, 2016: Der Anaesthesist
https://www.readbyqxmd.com/read/27929727/television-video-games-in-the-treatment-of-amblyopia-in-children-aged-4-7-years
#18
Subhash Dadeya, Sonal Dangda
AIM: To investigate the role of television video games in childhood amblyopia treatment. METHOD: This prospective, randomized, interventional study included 40 patients between 4-7 years of age, with unilateral amblyopia (visual acuity in amblyopic eye between 1-0.6 LogMAR equivalents) attending the squint clinic at a tertiary eye hospital. All patients were prescribed optimal spectacle correction and occlusion therapy, i.e. full time patching according to patient's age, was initiated after six weeks...
December 2016: Strabismus
https://www.readbyqxmd.com/read/27929477/production-review-and-impact-of-technical-quality-control-guidelines-in-a-national-context
#19
Michelle K Nielsen, Kyle E Malkoske, Erika Brown, Kevin Diamond, Normand Frenière, John Grant, Natalie Pomerleau-Dalcourt, Jason Schella, L John Schreiner, Laurent Tantôt, J Eduardo Villareal-Barajas, Jean-Pierre Bissonnette
A close partnership between the Canadian Partnership for Quality Radiotherapy (CPQR) and the Canadian Organization of Medical Physicist's (COMP) Quality Assurance and Radiation Safety Advisory Committee (QARSAC) has resulted in the development of a suite of Technical Quality Control (TQC) guidelines for radiation treatment equipment; they outline specific performance objectives and criteria that equipment should meet in order to assure an acceptable level of radiation treatment quality. The adopted framework for the development and maintenance of the TQCs ensures the guidelines incorporate input from the medical physics com-munity during development, measures the workload required to perform the QC tests outlined in each TQC, and remain relevant (i...
November 8, 2016: Journal of Applied Clinical Medical Physics
https://www.readbyqxmd.com/read/27921074/initial-performance-studies-of-a-wearable-brain-positron-emission-tomography-camera-based-on-autonomous-thin-film-digital-geiger-avalanche-photodiode-arrays
#20
Charles R Schmidtlein, James N Turner, Michael O Thompson, Krishna C Mandal, Ida Häggström, Jiahan Zhang, John L Humm, David H Feiglin, Andrzej Krol
Using analytical and Monte Carlo modeling, we explored performance of a lightweight wearable helmet-shaped brain positron emission tomography (PET), or BET camera, based on thin-film digital Geiger avalanche photodiode arrays with Lutetium-yttrium oxyorthosilicate (LYSO) or [Formula: see text] scintillators for imaging in vivo human brain function of freely moving and acting subjects. We investigated a spherical cap BET and cylindrical brain PET (CYL) geometries with 250-mm diameter. We also considered a clinical whole-body (WB) LYSO PET/CT scanner...
January 2017: Journal of Medical Imaging
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