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https://www.readbyqxmd.com/read/28931438/global-collaborative-healthcare-assessing-the-resource-requirements-at-a-leading-academic-medical-center
#1
REVIEW
Nicole J Rosson, Heitham T Hassoun
INTRODUCTION: Academic Medical Centers ("AMCs") have served as a hub of the United States ("US") health system and represented the state-of-the art in American health care for well over a century. Currently, the global healthcare market is both massive and expanding and is being altered by the unprecedented impact of technological advances and globalization. This provides AMCs a platform to enter into trans-national collaborative partnerships with healthcare organizations around the world, thus providing a means to deliver on its promise globally while also expanding and diversifying its resources...
September 20, 2017: Globalization and Health
https://www.readbyqxmd.com/read/28920908/a-cmos-front-end-with-integrated-magnetoresistive-sensors-for-biomolecular-recognition-detection-applications
#2
Tiago Costa, Filipe A Cardoso, Jose Germano, Paulo P Freitas, Moises S Piedade
The development of giant magnetoresistive (GMR) sensors has demonstrated significant advantages in nanomedicine, particularly for ultrasensitive point-of-care diagnostics. To this end, the detection system is required to be compact, portable, and low power consuming at the same time that a maximum signal to noise ratio is maintained. This paper reports a CMOS front-end with integrated magnetoresistive sensors for biomolecular recognition detection applications. Based on the characterization of the GMR sensor's signal and noise, CMOS building blocks (i...
September 14, 2017: IEEE Transactions on Biomedical Circuits and Systems
https://www.readbyqxmd.com/read/28899892/does-internet-based-cognitive-behaviour-therapy-reduce-healthcare-costs-and-resource-use-in-treatment-of-social-anxiety-disorder-a-cost-minimisation-analysis-conducted-alongside-a-randomised-controlled-trial
#3
Samir El Alaoui, Erik Hedman-Lagerlöf, Brjánn Ljótsson, Nils Lindefors
OBJECTIVES: Social anxiety disorder (SAD) can be effectively treated with internet-delivered cognitive behavioural therapy (ICBT), but studies on long-term cost minimisation from a healthcare provider perspective in comparison to an evidence-based control treatment of therapeutic equivalence are lacking. The objective of the study was to determine whether ICBT reduces healthcare costs and use of healthcare resources compared with cognitive behavioural group therapy (CBGT). DESIGN: A cost-minimisation study alongside a randomised controlled trial where participants (n=126) with SAD were randomised to ICBT or to CBGT...
September 11, 2017: BMJ Open
https://www.readbyqxmd.com/read/28893811/tethered-to-the-ehr-primary-care-physician-workload-assessment-using-ehr-event-log-data-and-time-motion-observations
#4
Brian G Arndt, John W Beasley, Michelle D Watkinson, Jonathan L Temte, Wen-Jan Tuan, Christine A Sinsky, Valerie J Gilchrist
PURPOSE: Primary care physicians spend nearly 2 hours on electronic health record (EHR) tasks per hour of direct patient care. Demand for non-face-to-face care, such as communication through a patient portal and administrative tasks, is increasing and contributing to burnout. The goal of this study was to assess time allocated by primary care physicians within the EHR as indicated by EHR user-event log data, both during clinic hours (defined as 8:00 am to 6:00 pm Monday through Friday) and outside clinic hours...
September 2017: Annals of Family Medicine
https://www.readbyqxmd.com/read/28893171/hospital-characteristics-affecting-healthcare-chaplaincy-and-the-provision-of-chaplaincy-care-in-the-united-states-2004-vs-2016
#5
George Handzo, Kevin J Flannelly, Brian P Hughes
This study replicates, expands and analyzes a 2004 survey examining six hospital characteristics influencing three measures of chaplain employment in large, small, for-profit and nonprofit hospitals. The relationship between hospital characteristics and hiring Board Certified Chaplains was minor and inconsistent across time. The results indicate that religiously affiliated hospitals employed more full-time chaplains and that chaplain full-time equivalents were inversely related to hospital size in both surveys...
September 2017: Journal of Pastoral Care & Counseling: JPCC
https://www.readbyqxmd.com/read/28885536/moving-upstream-in-u-s-hospital-care-toward-investments-in-population-health
#6
James W Begun, Sandra Potthoff
The root causes for most health outcomes are often collectively referred to as the social determinants of health. Hospitals and health systems now must decide how much to "move upstream," or invest in programs that directly affect the social determinants of health. Moving upstream in healthcare delivery requires an acceptance of responsibility for the health of populations. We examine responses of 950 nonfederal, general hospitals in the United States to the 2015 American Hospital Association Population Health Survey to identify characteristics that distinguish those hospitals that are most aligned with population health and most engaged in addressing social determinants of health...
September 2017: Journal of Healthcare Management / American College of Healthcare Executives
https://www.readbyqxmd.com/read/28875808/vacancies-at-all-time-high
#7
James Buchan
Headlines about the soaring number of vacancies in the NHS in England have prompted warnings that the service is facing desperate problems of understaffing. According to NHS Digital, the number of full-time-equivalent posts available rose from 26,424 in March 2016 to 30,613 in March 2017 - the highest number on record.
September 6, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28874487/high-levels-of-capitation-payments-needed-to-shift-primary-care-toward-proactive-team-and-nonvisit-care
#8
Sanjay Basu, Russell S Phillips, Zirui Song, Asaf Bitton, Bruce E Landon
Capitated payments in the form of fixed monthly payments to cover all of the costs associated with delivering primary care could encourage primary care practices to transform the way they deliver care. Using a microsimulation model incorporating data from 969 US practices, we sought to understand whether shifting to team- and non-visit-based care is financially sustainable for practices under traditional fee-for-service, capitated payment, or a mix of the two. Practice revenues and costs were computed for fee-for-service payments and a range of capitated payments, before and after the substitution of team- and non-visit-based services for low-complexity in-person physician visits...
September 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28873069/fred-a-gpu-accelerated-fast-monte-carlo-code-for-rapid-treatment-plan-recalculation-in-ion-beam-therapy
#9
A Schiavi, M Senzacqua, S Pioli, A Mairani, G Magro, S Molinelli, M Ciocca, G Battistoni, V Patera
Ion beam therapy is a rapidly growing technique for tumor radiation therapy. Ions allow for a high dose deposition in the tumor region, while sparing the surrounding healthy tissue. For this reason, the highest possible accuracy in the calculation of dose and its spatial distribution is required in treatment planning. On one hand, commonly used treatment planning software solutions adopt a simplified beam-body interaction model by remapping pre-calculated dose distributions into a 3D water-equivalent representation of the patient morphology...
September 5, 2017: Physics in Medicine and Biology
https://www.readbyqxmd.com/read/28868995/central-line-associated-bloodstream-infections-in-australian-icus-evaluating-modifiable-and-non-modifiable-risks-in-victorian-healthcare-facilities
#10
T Spelman, D V Pilcher, A C Cheng, A L Bull, M J Richards, L J Worth
Central line-associated bloodstream infections (CLABSIs) in intensive care units (ICUs) result in poor clinical outcomes and increased costs. Although frequently regarded as preventable, infection risk may be influenced by non-modifiable factors. The objectives of this study were to evaluate organisational factors associated with CLABSI in Victorian ICUs to determine the nature and relative contribution of modifiable and non-modifiable risk factors. Data captured by the Australian and New Zealand Intensive Care Society regarding ICU-admitted patients and resources were linked to CLABSI surveillance data collated by the Victorian Healthcare Associated Infection Surveillance System between 1 January 2010 and 31 December 2013...
September 4, 2017: Epidemiology and Infection
https://www.readbyqxmd.com/read/28865340/is-patient-length-of-stay-associated-with-intensive-care-unit-characteristics
#11
Ilona W M Verburg, Rebecca Holman, Dave Dongelmans, Evert de Jonge, Nicolette F de Keizer
PURPOSE: We described the association between Intensive care units (ICU) characteristics and ICU Length of stay (LoS), after correcting for patient characteristics. We also compared the predictive performances of models including either patient and ICU characteristics or only patient characteristics. MATERIALS AND METHODS: We included all admissions of 38 ICUs participating in the Dutch National Intensive Care Evaluation registry (NICE) between 2014 and 2016. We performed mixed effect regression including, one ICU characteristic in each model and a random intercept per ICU...
August 10, 2017: Journal of Critical Care
https://www.readbyqxmd.com/read/28861523/monodeuterated-methane-an-isotopic-tool-to-assess-biological-methane-metabolism-rates
#12
Jeffrey J Marlow, Joshua A Steele, Wiebke Ziebis, Silvan Scheller, David Case, Linda M Reynard, Victoria J Orphan
Biological methane oxidation is a globally relevant process that mediates the flux of an important greenhouse gas through both aerobic and anaerobic metabolic pathways. However, measuring these metabolic rates presents many obstacles, from logistical barriers to regulatory hurdles and poor precision. Here we present a new approach for investigating microbial methane metabolism based on hydrogen atom dynamics, which is complementary to carbon-focused assessments of methanotrophy. The method uses monodeuterated methane (CH3D) as a metabolic substrate, quantifying the aqueous D/H ratio over time using off-axis integrated cavity output spectroscopy...
July 2017: MSphere
https://www.readbyqxmd.com/read/28859490/diagnostic-utility-of-the-shortened-version-of-the-wisconsin-card-sorting-test-in-patients-with-sporadic-late-onset-alzheimer-disease
#13
Juan Luis Sánchez, Javier Martín, Carolina López
BACKGROUND: The classic version of the Wisconsin Card Sorting Test (WCST) consists of correctly sorting 128 cards according to changing sorting criteria. Its application is costly in terms of the time employed, with all the negative consequences this entails (decrease in motivation, frustration, and fatigue). METHOD: The main objective of this study was to test the usefulness of the shortened version of the WCST as compared to the full test by analyzing the equivalence between the two decks comprising the full 128-card version on a sample of patients diagnosed with sporadic late onset Alzheimer disease (SLOAD) and to check its clinical usefulness...
January 1, 2017: American Journal of Alzheimer's Disease and Other Dementias
https://www.readbyqxmd.com/read/28836958/day2day-investigating-daily-variability-of-magnetic-resonance-imaging-measures-over-half-a-year
#14
Elisa Filevich, Nina Lisofsky, Maxi Becker, Oisin Butler, Martyna Lochstet, Johan Martensson, Elisabeth Wenger, Ulman Lindenberger, Simone Kühn
BACKGROUND: Most studies of brain structure and function, and their relationships to cognitive ability, have relied on inter-individual variability in magnetic resonance (MR) images. Intra-individual variability is often ignored or implicitly assumed to be equivalent to the former. Testing this assumption empirically by collecting enough data on single individuals is cumbersome and costly. We collected a dataset of multiple MR sequences and behavioural covariates to quantify and characterize intra-individual variability in MR images for multiple individuals...
August 24, 2017: BMC Neuroscience
https://www.readbyqxmd.com/read/28833290/work-related-mortality-in-the-us-fishing-industry-during-2000-2014-new-findings-based-on-improved-workforce-exposure-estimates
#15
Devin L Lucas, Samantha L Case
BACKGROUND: Commercial fishing is a global industry that has been frequently classified as high-risk. The use of detailed surveillance data is critical in identifying hazards. METHODS: The purpose of this study was to provide updated statistics for the entire US fishing industry during 2010-2014, generate fleet-specific fatality rates using a revised calculation of full-time equivalent estimates, and examine changes in the patterns of fatalities and in risk over a 15-year period (2000-2014)...
August 23, 2017: American Journal of Industrial Medicine
https://www.readbyqxmd.com/read/28829788/estimating-the-cost-per-result-of-a-national-reflexed-cryptococcal-antigenaemia-screening-program-forecasting-the-impact-of-potential-hiv-guideline-changes-and-treatment-goals
#16
Naseem Cassim, Lindi Marie Coetzee, Kathryn Schnippel, Deborah Kim Glencross
INTRODUCTION: During 2016, the National Health Laboratory Service (NHLS) introduced laboratory-based reflexed Cryptococcal antigen (CrAg) screening to detect early Cryptococcal disease in immunosuppressed HIV+ patients with a confirmed CD4 count of 100 cells/μl or less. OBJECTIVE: The aim of this study was to assess cost-per-result of a national screening program across different tiers of laboratory service, with variable daily CrAg test volumes. The impact of potential ART treatment guideline and treatment target changes on CrAg volumes, platform choice and laboratory workflow are considered...
2017: PloS One
https://www.readbyqxmd.com/read/28826873/clinical-nonlicensed-personnel-in-u-s-hospitals-job-trends-from-2010-to-2015
#17
Patricia Pittman, Suhui Li, Xinxin Han, Time Lowe
BACKGROUND: Despite the large numbers in health care industry, little is known about the clinical nonlicensed personnel (CNLP) in U.S. hospitals and how their staffing has changed over time. PURPOSE: The purpose of this analysis is to better understand the conformation and recent trends in CNLP staffing in U.S. hospitals from 2010 to 2015. METHODS: Using Premier's OperationsAdvisor database, we examined trends in staffing of 25 CNLP jobs and graduate nurses (GNs) in U...
July 21, 2017: Nursing Outlook
https://www.readbyqxmd.com/read/28822005/a-supply-model-for-nurse-workforce-projection-in-malaysia
#18
Zuraida Abal Abas, Mohamad Raziff Ramli, Mohamad Ishak Desa, Nordin Saleh, Ainul Nadziha Hanafiah, Nuraini Aziz, Zaheera Zainal Abidin, Abdul Samad Shibghatullah, Ahmad Fadzli Nizam Abdul Rahman, Haslinda Musa
The paper aims to provide an insight into the significance of having a simulation model to forecast the supply of registered nurses for health workforce planning policy using System Dynamics. A model is highly in demand to predict the workforce demand for nurses in the future, which it supports for complete development of a needs-based nurse workforce projection using Malaysia as a case study. The supply model consists of three sub-models to forecast the number of registered nurses for the next 15 years: training model, population model and Full Time Equivalent (FTE) model...
August 18, 2017: Health Care Management Science
https://www.readbyqxmd.com/read/28818016/association-between-proportion-of-us-medical-graduates-and-program-characteristics-in-gastroenterology-fellowships
#19
Amporn Atsawarungruangkit
BACKGROUND: Gastroenterology is one of the most competitive internal medicine fellowship. However, factors that associated with program competitiveness have not been documented. OBJECTIVE: The objective of this study was to evaluate associations between characteristics of gastroenterology fellowship programs and their competitiveness through the proportion of US medical graduates for the academic year 2016/17. DESIGN: This study used a retrospective, cross-sectional design with data obtained from the American Medical Association...
2017: Medical Education Online
https://www.readbyqxmd.com/read/28811513/altered-cerebellar-biochemical-profiles-in-infants-born-prematurely
#20
Marie Brossard-Racine, Jonathan Murnick, Marine Bouyssi-Kobar, Janie Coulombe, Taeun Chang, Catherine Limperopoulos
This study aims to compare the cerebellar biochemical profiles in preterm (PT) infants evaluated at term equivalent age (TEA) and healthy full-term newborns using proton magnetic resonance spectroscopy ((1)H-MRS). We explore the associations between altered cerebellar metabolite profiles and brain injury topography, severity of injury, and prematurity-related clinical complications. We prospectively collected high quality (1)H-MRS in 59 premature infants born ≤32 weeks and 61 healthy full term controls. (1)H-MRS data were processed using LCModel software to calculate absolute metabolite concentration for N-acetyl-aspartate (NAA), choline (Cho) and creatine (Cr)...
August 15, 2017: Scientific Reports
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