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https://www.readbyqxmd.com/read/28096897/the-impact-of-organisational-change-and-fiscal-restraint-on-organisational-culture
#1
Frances Dark, Harvey Whiteford, Neal M Ashkanasy, Carol Harvey, Meredith Harris, David Crompton, Ellie Newman
BACKGROUND: Strategies to implement evidence-based practice have highlighted the bidirectional relationship of organisational change on organisational culture. The present study examined changes in perceptions of organisational culture in two community mental health services implementing cognitive therapies into routine psychosis care over 3 years. During the time of the study there were a number of shared planned and unplanned changes that the mental health services had to accommodate...
2017: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/28095934/the-effect-of-ambulance-staffing-models-in-a-metropolitan-fire-based-ems-system
#2
Eric J Cortez, Ashish R Panchal, James E Davis, David P Keseg
: Introduction The staffing of ambulances with different levels of Emergency Medical Service (EMS) providers is a difficult decision with evidence being mixed on the benefit of each model. Hypothesis/Problem The objective of this study was to describe a pilot program evaluating alternative staffing on two ambulances utilizing the paramedic-basic (PB) model (staffed with one paramedic and one emergency medical technician[EMT]). METHODS: This was a retrospective study conducted from September 17, 2013 through December 31, 2013...
January 18, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28089411/apheresis-medicine-education-in-the-united-states-of-america-state-of-the-discipline
#3
REVIEW
Monica B Pagano, Gay Wehrli, Darlene Cloutier, Eileen Galvin Karr, Ileana Lopez-Plaza, Joseph Schwartz, Chester Andrzejewski, Jeffrey L Winters, Edward C C Wong, Yanyun Wu, Nicole D Zantek
Apheresis Medicine is a medical discipline that involves a variety of procedures (based on the targeted component to be removed or collected), indications (therapeutic vs. donation), and personnel (operators, management, and medical oversight). Apheresis services are accredited and/or regulated by a number of agencies and organizations. Given the complexity and the heterogeneity of apheresis services, it has been particularly challenging to formulate educational goals and define curriculums that easily cover all aspects of Apheresis Medicine...
December 29, 2016: Transfusion and Apheresis Science
https://www.readbyqxmd.com/read/28089112/predictive-utility-of-the-total-glasgow-coma-scale-versus-the-motor-component-of-the-glasgow-coma-scale-for-identification-of-patients-with-serious-traumatic-injuries
#4
REVIEW
Roger Chou, Annette M Totten, Nancy Carney, Spencer Dandy, Rongwei Fu, Sara Grusing, Miranda Pappas, Ngoc Wasson, Craig D Newgard
STUDY OBJECTIVE: The motor component of the Glasgow Coma Scale (mGCS) has been proposed as an easier-to-use alternative to the total GCS (tGCS) for field assessment of trauma patients by emergency medical services. We perform a systematic review and meta-analysis to compare the predictive utility of the tGCS versus the mGCS or Simplified Motor Scale in field triage of trauma for identifying patients with adverse outcomes (inhospital mortality or severe brain injury) or who underwent procedures (neurosurgical intervention or emergency intubation) indicating need for high-level trauma care...
January 11, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28089060/evaluating-services-at-a-major-trauma-center-before-helipad-construction
#5
Danny Jon Nian Wong, James Robert Bedford, Simon Luck, Roger Bloomer
INTRODUCTION: Two of the 4 hospitals designated as major trauma centers in London, UK, currently operate on-site helicopter landing pads. King's College Hospital (KCH) is constructing a third. We evaluate current trauma services at King's College Hospital, before the helipad entering service, establishing baseline workload and mortality measures. METHODS: We retrospectively analyzed data from patients admitted January 1, 2014, to December 31, 2015, to KCH after major trauma with on-scene helicopter emergency medical services involvement (N = 427) using the Trauma Audit and Research Network database...
January 2017: Air Medical Journal
https://www.readbyqxmd.com/read/28088381/long-term-neurobehavioral-symptoms-and-return-to-productivity-in-operation-enduring-freedom-operation-iraqi-freedom-veterans-with-and-without-traumatic-brain-injury
#6
Marianne H Mortera, Stacy A Kinirons, Jessie Simantov, Heidi Klingbeil
OBJECTIVES: To describe Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) Veterans who underwent the Comprehensive Traumatic Brain Injury Evaluation (CTBIE), differences between the traumatic brain injury (TBI) and non- traumatic brain injury (non-TBI) subgroups, and factors associated with return to productivity (RTP). DESIGN: Retrospective medical record review. SETTING: Veterans Affairs Medical Center, Polytrauma/TBI Network Site...
January 11, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28087201/reduction-in-adolescent-depression-after-contact-with-mental-health-services-a-longitudinal-cohort-study-in-the-uk
#7
Sharon A S Neufeld, Valerie J Dunn, Peter B Jones, Tim J Croudace, Ian M Goodyer
BACKGROUND: Evidence regarding the association between service contact and subsequent mental health in adolescents is scarce, and previous findings are mixed. We aimed to longitudinally assess the extent to which depressive symptoms in adolescents change after contact with mental health services. METHODS: As part of a longitudinal cohort study, between April 28, 2005, and March 17, 2010, we recruited 1238 14-year-old adolescents and their primary caregivers from 18 secondary schools in Cambridgeshire, UK...
January 10, 2017: Lancet Psychiatry
https://www.readbyqxmd.com/read/28086914/delivering-hiv-services-in-partnership-factors-affecting-collaborative-working-in-a-south-african-hiv-programme
#8
Geoffrey A Jobson, Cornelis J Grobbelaar, Moyahabo Mabitsi, Jean Railton, Remco P H Peters, James A McIntyre, Helen E Struthers
BACKGROUND: The involvement of Global Health Initiatives (GHIs) in delivering health services in low and middle income countries (LMICs) depends on effective collaborative working at scales from the local to the international, and a single GHI is effectively constructed of multiple collaborations. Research is needed focusing on how collaboration functions in GHIs at the level of health service management. Here, collaboration between local implementing agencies and departments of health involves distinct power dynamics and tensions...
January 13, 2017: Globalization and Health
https://www.readbyqxmd.com/read/28080022/single-wall-carbon-nanotubes-doping-in-lead-acid-batteries-a-new-horizon
#9
Anjan Banerjee, Baruch Ziv, Yuliya Shilina, Elena Levi, Shalom Luski, Doron Aurbach
The addition of single-wall carbon nanotubes (SWCNT) to lead-acid battery electrodes is the most efficient suppresser of uncontrolled sulfation processes. Due to the cost of SWCNT, we studied the optimization loading of SWCNT in lead-acid batteries electrodes. We optimized the SWCNT loading concentrations in both the positive and negative plates, separately. Loadings of 0.01% and 0.001% in the positive and negative active masses were studied, respectively. Two volts of lead-acid laboratory cells with sulfuric acid, containing silica gel-type electrolytes, were cycled in a 25% and 50% depth-of-discharge (DOD) cycling with a charging rate of C and 2C, respectively, and discharge rates of C/2 and C, respectively...
January 12, 2017: ACS Applied Materials & Interfaces
https://www.readbyqxmd.com/read/28079591/point-of-care-diagnostics-extending-the-laboratory-network-to-reach-the-last-mile
#10
Paul K Drain, Christine Rousseau
PURPOSE OF REVIEW: More point-of-care (POC) diagnostic tests are becoming available for HIV diagnosis and treatment in resource-limited settings. These novel technologies have the potential to foster decentralized HIV care and treatment for the benefit of clinical laboratories, HIV clinics, and HIV-infected patients. There continue to be many business, technological, and operational challenges that limit product development and regulatory approval, which limits products available for the required operational and cost-effectiveness studies and delays policy adoption and implementation...
January 11, 2017: Current Opinion in HIV and AIDS
https://www.readbyqxmd.com/read/28078196/prosthetic-jamming-terminal-device-a-case-study-of-untethered-soft-robotics
#11
Nadia Cheng, John Amend, Todd Farrell, Debra Latour, Carlos Martinez, Jen Johansson, Anthony McNicoll, Marek Wartenberg, Samuel Naseef, William Hanson, William Culley
This article illuminates the major and often overlooked challenge of untethering soft robotic systems through the context of recent work, in which soft robotic gripper technology enabled by jamming of granular media was applied to a prosthetic jamming terminal device (PJTD). The PJTD's technical and market feasibility was evaluated in a pilot study with two upper-limb amputees. A PJTD prototype was tested against a commercial device (Motion Control electric terminal service with a one degree-of-freedom pinching mechanism) using two existing hand function tests: the first quantified the device's speed in picking and placing small blocks and the second evaluated a person's ability to perform activities of daily living (ADLs)...
December 1, 2016: Soft Robotics
https://www.readbyqxmd.com/read/28077228/levers-for-addressing-medical-underuse-and-overuse-achieving-high-value-health-care
#12
REVIEW
Adam G Elshaug, Meredith B Rosenthal, John N Lavis, Shannon Brownlee, Harald Schmidt, Somil Nagpal, Peter Littlejohns, Divya Srivastava, Sean Tunis, Vikas Saini
The preceding papers in this Series have outlined how underuse and overuse of health-care services occur within a complex system of health-care production, with a multiplicity of causes. Because poor care is ubiquitous and has considerable consequences for the health and wellbeing of billions of people around the world, remedying this problem is a morally and politically urgent task. Universal health coverage is a key step towards achieving the right care. Therefore, full consideration of potential levers of change must include an upstream perspective-ie, an understanding of the system-level factors that drive overuse and underuse, as well as the various incentives at work during a clinical encounter...
January 6, 2017: Lancet
https://www.readbyqxmd.com/read/28077152/gender-bias-and-sex-based-differences-in-health-care-efficiency-in-polish-regions
#13
Błażej Łyszczarz
BACKGROUND: Health differences between sexes are relatively well recognized, though less is known about the specificity of women's and men's health responsiveness to medical care. Applying data from Polish regions, this study identifies sex-based differences in medical care efficiency and investigates the reasons for these disparities in the gender bias context. METHODS: The study estimates sex-specific health production functions for regional data from Poland (1999-2013)...
January 11, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28074565/sustaining-screening-brief-intervention-and-referral-to-treatment-sbirt-services-in-health-care-settings
#14
Manu Singh, Amanda Gmyrek, Amy Hernandez, Donna Damon, Susan Hayashi
AIMS: To assess the sustainability of Screening, Brief Intervention and Referral to Treatment (SBIRT) services after cessation of initial start-up funding. DESIGN: Descriptive study with quantitative and qualitative data collected from 34 staff participants from six grantees (comprising 103 sites) funded previously through a large, federally supported SBIRT program. SETTING: Primary care out-patient clinics and hospitals in the United States...
February 2017: Addiction
https://www.readbyqxmd.com/read/28073204/who-apparently-more-spends-in-reality-spends-less-spending-a-little-more-for-the-rental-of-the-extracorporeal-lithotripter-can-save-a-lot-about-the-days-of-hospitalization-for-urinary-stones
#15
Giuseppe Albino, Francesco Albergo
OBJECTIVE: The right to health (according to the Article 32 of the Italian Republic Constitution) is financially conditioned; for this reason the National Health System (NHS) has the objective of rationalize health expenditure according to the criteria of efficiency, effectiveness and economy. This paper is an example of rationalization concerning the extracorporeal shock wave lithotripsy (ESWL). MATERIALS AND METHODS: Hospital admissions for urinary stones were taken into account...
December 30, 2016: Archivio Italiano di Urologia, Andrologia
https://www.readbyqxmd.com/read/28072718/private-ownership-of-primary-care-providers-associated-with-patient-perceived-quality-of-care-a-comparative-cross-sectional-survey-in-three-big-chinese-cities
#16
Xiaolin Wei, Jia Yin, Samuel Y S Wong, Sian M Griffiths, Guanyang Zou, Leiyu Shi
Ownership of primary care providers varies in different cities in China. Shanghai represented the full public ownership model of primary providers; Shenzhen had public-owned but private-operated providers; and Hong Kong represented the full private ownership. The study aims to assess the association of primary care ownership and patient perceived quality of care in 3 Chinese megacities.We conducted multistage stratified random surveys in 2013 in the 3 cities. Quality scores of primary care were measured using the validated primary care assessment tools...
January 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28070219/users-involvement-in-mental-health-services-programme-logic-model-of-an-innovative-initiative-in-integrated-care
#17
Carolane Tremblay, Valérie Coulombe, Catherine Briand
BACKGROUND: Collaboration and partnership are key issues for modern health systems seeking to implement quality integrated care that meets the needs of the population. The Carrefour Communautaire-Institutionnel-Usagers (Connecting Community organisations-Institutions-Users, CCIU), involving community- and institution-based mental health workers, carers and users, is an innovative normative integrated care group (group for shared values, culture and vision) established by the Canadian Mental Health Association-Montreal Branch...
2017: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/28068149/moderating-factors-influencing-adoption-of-a-mobile-chronic-disease-management-system-in-china
#18
Zhangxiang Zhu, Yongmei Liu, Xiaoling Che, Xiaohong Chen
Mobile chronic disease management systems (MCDMS) have become increasingly important in recent years, but in China, challenges remain for their adoption. Existing empirical studies have not completely explored the adoption behavior of potential MCDMS users. This article presents a study in which we investigated factors that influence chronically ill patients in China and their families to adopt or decline to use MCDMS. We applied a research model based on the technology acceptance model (TAM) as well as four contextual constructs (perceived disease threat, perceived risk, initial trust, and technology anxiety) to a survey of 279 potential MCDMS service participants in China...
January 9, 2017: Informatics for Health & Social Care
https://www.readbyqxmd.com/read/28068111/drinking-motives-mediate-the-relationship-between-alcohol-reward-value-and-alcohol-problems-in-military-veterans
#19
Ashley A Dennhardt, James G Murphy, Meghan E McDevitt-Murphy, Joah L Williams
Elevated alcohol reward value (RV) has been linked to higher levels of drinking and alcohol-related consequences, and there is evidence that specific drinking motives may mediate the relationship between demand and problematic alcohol use in college students, making these variables potentially important indicators of risk for high RV and alcohol problems. The present study evaluated these relationships in a high-risk sample of military veterans. Heavy-drinking (N = 68) veterans of Operations Enduring Freedom or Iraqi Freedom (OEF/OIF) completed the alcohol purchase task (APT) measure of alcohol demand (RV), and standard assessments of alcohol consumption, alcohol-related problems, and drinking motives...
December 2016: Psychology of Addictive Behaviors: Journal of the Society of Psychologists in Addictive Behaviors
https://www.readbyqxmd.com/read/28068048/patient-protection-and-affordable-care-act-hhs-notice-of-benefit-and-payment-parameters-for-2018-amendments-to-special-enrollment-periods-and-the-consumer-operated-and-oriented-plan-program-final-rule
#20
(no author information available yet)
This final rule sets forth payment parameters and provisions related to the risk adjustment program; cost-sharing parameters and cost-sharing reductions; and user fees for Federally-facilitated Exchanges and State-based Exchanges on the Federal platform. It also provides additional guidance relating to standardized options; qualified health plans; consumer assistance tools; network adequacy; the Small Business Health Options Programs; stand-alone dental plans; fair health insurance premiums; guaranteed availability and guaranteed renewability; the medical loss ratio program; eligibility and enrollment; appeals; consumer-operated and oriented plans; special enrollment periods; and other related topics...
22, 2016: Federal Register
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