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Cohen Marya J MJ John D. Stoeckle Center for Primary Care Innovation, Division of General Internal Medicine, Massachusetts General Hospital, Boston (Drs Cohen and Kormos); Harvard Medical School, Boston, Massachusetts (Drs Cohen and Kormos); National Committee for Quality Assurance, Washington, District of Columbia (Ms Morton and Dr Scholle); and HealthPartners Institute for Education and Research, Minneapolis, Minnesota (Dr - - 2014
Innovation in primary care has increased interest in patient self-management techniques; little is known about the methods practices use to support self-management. This study is a survey of small practices, fewer than 5 physicians, with NCQA (National Committee for Quality Assurance) recognition (response rate 59.1%). Main measures include the number ...
Shroff Swati S Section of General Internal Medicine, Boston Medical Center, Boston, Massachusetts (Dr Shroff); Women's Health Unit, Section of General Internal Medicine, Boston University School of Medicine and Boston Medical Center, Boston, Massachusetts (Mss McCoy and Bak and Drs Sherman and Battaglia); and Section of General Internal Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts (Dr - - 2014
Patient navigation (PN) has been used to improve breast cancer outcomes but has not been evaluated in resident practices. The objective of this study was to evaluate the feasibility of PN in resident clinics to improve biennial screening mammography. All participants whose last screening mammogram was at 18 months or ...
Gonthier David J DJ School of Natural Resources and Environment, University of Michigan, 440 Church Street, Ann Arbor, MI 48109, USA - - 2014
Biodiversity loss-one of the most prominent forms of modern environmental change-has been heavily driven by terrestrial habitat loss and, in particular, the spread and intensification of agriculture. Expanding agricultural land-use has led to the search for strong conservation strategies, with some suggesting that biodiversity conservation in agriculture is best maximized ...
Robb Meigan - - 2014
Evidence-based nursing practice requires the use of effective search strategies to locate relevant resources to guide practice change. Continuing education and staff development professionals can assist nurses to conduct effective literature searches. This article provides suggestions for strategies to aid in identifying search terms. Strategies also are recommended for refining ...
DellaVolpe Jeffrey D JD Department of Critical Care Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA, USA - - 2014
The management of critically ill patients with end-stage liver disease can be challenging due to the vulnerability of this population and the wide-ranging complications of the disease. This review proposes an approach based on the major organ systems affected, to provide a framework for managing the most common complications. Although ...
Zalucki Myron P MP School of Biological Sciences, The University of Queensland, Brisbane, QLD, 4072, - - 2014
Go to virtually any conference or symposium on insect pests and so called 'Integrated Pest Management', or IPM, is presented as the answer to all management problems. This article is protected by copyright. All rights reserved.
Sprinks Jennifer - - 2014
TEAMS INSPECTING children's services should include at least two parents and a pharmacist to ask specific questions about children's medicines management, the Care Quality Commission (CQC) has conceded for its future inspections.
Cates Justin M M JM Department of Pathology, Medical Center North C-3321, Vanderbilt University Medical Center, Nashville, - - 2014
Governmental regulations and most published guidelines do not provide specific guidance on implementation of quality management (QM) programs for immunohistochemistry (IHC) assays in Anatomic Pathology. QM of IHC consists of 3 main components: quality control, quality assurance, and quality improvement initiatives, each entailing distinctive but interrelated objectives. Discussion of the ...
Savage Eileen E Catherine McAuley School of Nursing & Midwifery Brookfield Health Sciences Complex, University College Cork, Cork, - - 2014
Self-management education may help patients with cystic fibrosis and their families to choose, monitor and adjust treatment requirements for their illness, and also to manage the effects of illness on their lives. Although self-management education interventions have been developed for cystic fibrosis, no previous systematic review of the evidence of ...
Griffiths Matt M Birmingham City - - 2014
I am a manager of a residential and nursing home. Can my staff transcribe medications for new patients?
Pirani Sanaa I SI Institute Center for Water and Environment (iWater), Department of Chemical and Environmental Engineering, Masdar Institute of Science and Technology, P.O. Box 54224, Abu Dhabi, United Arab - - 2014
Solid waste management is a key aspect of the environmental management of establishments belonging to the hospitality sector. In this study, we reviewed literature in this area, examining the current status of waste management for the hospitality sector, in general, with a focus on food waste management in particular. We ...
Wright Raymond D RD Jr *Department of Orthopaedic Surgery, University of Kentucky Medical Center, Lexington, KY; and †Harris Methodist Fort Worth Hospital, John Peter Smith Orthopaedic Surgery Residency, Fort Worth, - - 2014
Beginning practice as an orthopaedic traumatologist is an important event, when the groundwork is set up for the next few years of hard work. Plans must be made, resources allocated, staff hired, etc. to optimally support the newly practicing surgeon. Academic and nonacademic practice settings are possible, where the facets ...
Beniga Juliet G JG Neuroscience Institute, Neuroscience Intensive Care Unit, The Queen's Medical Center, 1301 Punchbowl Street, Honolulu, HI 96813, USA. Electronic address: - - 2014
Fever is a significant contributor to secondary brain insult and management is a challenge for the neurocritical care team. The absence of standardized guidelines likely contributes to poor surveillance and undertreatment of increased temperature. A need for practice change was identified and this evidence-based practice project was initiated to compile ...
Dolor Maryline M QET 8DH/Ortho Joint Trauma, The Queen's Medical Center, 1301 Punchbowl Street, Honolulu, HI 96813, USA. Electronic address: - - 2014
A descriptive study of risk factors for surgical site infection (SSI) in patients receiving total knee arthroplasty discovered an infection rate higher than the benchmark. Although no risk factors were significant predictors of SSI in this population, an important finding was that, despite a patient population with comorbid diabetes, a ...
Cole Rebecca R Emergency Department, The Queen's Medical Center, 1301 Punchbowl Street, Honolulu, HI 96813, USA. Electronic address: - - 2014
Evidence supports reducing the use of restraints and seclusion because these episodes can result in psychological harm or physical injury to patients and staff. The goal was to discover better, more therapeutic methods for managing agitated emergency department behavioral health patients to minimize the use of restraints and seclusion. Training ...
Kent Pamela S PS Centers for Dialysis Care, Shaker Heights, Ohio. Electronic address: - - 2014
Compelling evidence indicates that the incidence of chronic kidney disease (CKD) is increasing because of an aging population and a higher prevalence of cardiovascular disease, diabetes, and hypertension. Nutrition management of patients with CKD requires early disease recognition, appropriate interpretation of the markers and stages of CKD, and collaboration with ...
Kent Pamela S - - 2014
Compelling evidence indicates that the incidence of chronic kidney disease (CKD) is increasing because of an aging population and a higher prevalence of cardiovascular disease, diabetes, and hypertension. Nutrition management of patients with CKD requires early disease recognition, appropriate interpretation of the markers and stages of CKD, and collaboration with ...
Faraoni David D Department of Anesthesiology, Queen Fabiola Children's University Hospital, 15 JJ Crocq Avenue, Brussels B-1020, Belgium. Electronic address: - - 2014
New oral anticoagulants (NOACs) are increasingly replacing standard anticoagulants. These new drugs have been recently introduced in clinical practice, and specific knowledge regarding preoperative interruption, anticoagulation assessment, and reversal therapies is needed. In this article, 3 main areas related to perioperative NOACs management are discussed: (1) physicians' knowledge, (2) current ...
Wu Xumeng X Shanghai Key Laboratory of Functional Materials Chemistry, Key Laboratory for Advanced Materials and Institute of Fine Chemicals, East China University of Science and Technology, Shanghai 200237, China. - - 2014
The practical application of organic fluorophores in bioimaging is severely limited due to their generally poor stability. In this Highlight, we emphasize several representative strategies including nanoparticle-encapsulating dyes, dye-doped nanoparticles and molecular engineering for stabilizing fluorophores, especially with a breakthrough in photostability for visualizing disease therapy, tumor and biological processes.
Hindley Jenny J Tissue Viability Clinical Nurse Specialist and Clinical Lead, Virgin Care - - 2014
This article presents the findings of an audit on venous leg ulceration prevalence in a community area as a framework for discussing the concept and importance of audit as a tool to inform practice and as a means to benchmark care against national or international standards. It is hoped that ...
Schlegelmilch Jeffrey - - 2014
The use of business intelligence (BI) is common among corporations in the private sector to improve business decision making and create insights for competitive advantage. Increasingly, emergency management agencies are using tools and processes similar to BI systems. With a more thorough understanding of the principles of BI and its ...
O'Donnell James - - 2014
A malpractice claims analysis by an insurer, Healthcare Providers Service Organization, provides recommendations for avoiding errors and injuries. Case examples relate these suggestions to situations that are common in health care settings.
Morgan Simon S MBBS, MPH, FRACGP, GP and Medical Educator, General Practice Training Valley to Coast, Mayfield, New South - - 2014
For many new registrars, starting general practice is highly challenging. The general practice environment is characterised by unfamiliar presentations, relative independence of decision-making, greater time pressures and clinical uncertainty. As a regional training provider, we deliver a 'consultation survival' session as part of an introductory workshop for registrars at the ...
Sinha Sankar S MEd, BSc, MBBS, MS, MNAMS, FRACS, FACS, is Professor of Wound Care, School of Medicine, University of Tasmania, Hobart and Professor and Head of Anatomy, University of Notre Dame Australia, School of Medicine, Sydney, New South - - 2014
Chronic venous leg ulcers are the most common wounds seen in general practice. Their management can be both challenging and time-consuming. To produce a short practical guideline incorporating the TIME concept and A2BC2D approach to help general practitioners and their practice nurses in delivering evidence-based initial care to patients with ...
Mauldin Pereira Mary - - 2014
We designed a study to assess veterinarians' competency regarding parasitological procedures, skills, and areas of knowledge currently used in small-animal practice. The outcome will help us refine our curriculum on the basis of the parasitological working knowledge and skill sets that small-animal practitioners are using today. A questionnaire was developed ...
Perreault Kadija - - 2014
Even if a large proportion of physiotherapists work in the private sector worldwide, very little is known of the organizations within which they practice. Such knowledge is important to help understand contexts of practice and how they influence the quality of services and patient outcomes. The purpose of this study ...
Nandi Anupa A Homerton University Hospitals NHS Trust, Homerton Fertility Unit , London , - - 2014
The recent National Institute for Health and Care Excellence (NICE) guideline on Fertility (2012) suggests that IVF should be offered to couples with unexplained subfertility after 2 years of expectant management. The evidence on which these recommendations are based is not robust and there is a lack of agreement among ...
Ferner C C Postplatz 7, Tamsweg 5580, - - 2014
The objective of this study was to develop and evaluate a feasible system for the collection of antimicrobial consumption data in farm animals in Austria. An electronic registry of all antibacterial pharmaceuticals approved in Austria for use in farm animals was created, listing product name, marketing authorisation number, active ingredient, ...
Stanley Angela Y AY Walter Reed National Military Medical Center, Bethesda, Maryland (Dr Stanley); and Undergraduate Programs, College of Nursing, Medical University of South Carolina, Charleston (Dr - - 2014
Postpartum urinary retention is a common condition in obstetric units. A Clinical Practice Guideline was implemented in a high-risk obstetrical unit to decrease variance of clinical practice, rate of postpartum urinary retention, and number of urinary catheterizations and increase awareness of this common condition. Guideline implementation met the 4 aims, ...
Lagrew David C DC Jr Chief Integration and Accountability Officer, Memorial Care Health System Clinical Professor, Dept. of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, University of California, Irvine, Fountain Valley, California, - - 2014
External and internal pressures are causing rapid changes to the delivery of healthcare that will markedly influence the practice of obstetrics and gynecology. These changes can be divided into broad categories: 1) Burden of the high cost of current healthcare on society; 2) Demographic changes in women including aging, obesity, ...
- - 2014
Production of cucurbit crops presents growers with numerous challenges. Several severe pests and diseases can be managed through the use of rotation, trap cropping, mechanical barriers, such as row covers, and chemical applications. However, considerations must also be made for pollinating insects, as adequate pollination affects the quantity and quality ...
Ng Chooi Fei CF School of Biological Sciences, University of Queensland, St Lucia, Queensland, 4072, Australia; School of Mathematics and Physics, University of Queensland, Brisbane, Queensland, 4072, - - 2014
Time is of the essence in conservation biology. To secure the persistence of a species, we need to understand how to balance time spent among different management actions. A new and simple method to test the efficacy of a range of conservation actions is required. Thus, we devised a general ...
Bernert Rebecca A RA Stanford University School of Medicine, Stanford, CA, USA, - - 2014
The current paper aims to: (1) examine clinical practice guidelines in suicide prevention across fields, organizations, and clinical specialties and (2) inform emerging standards in clinical practice, research, and training. The authors conducted a systematic literature review to identify clinical practice guidelines and resource documents in suicide prevention and risk ...
Mendez Diana D College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, QLD 4811, Australia. Electronic address: - - 2014
Following the emergence of Hendra virus (HeV), private veterinarians have had to adopt additional infection control strategies to manage this zoonosis. Between 1994 and 2010, seven people became infected with HeV, four fatally. All infected people were at a higher risk of exposure from contact with horses as they were ...
Gardiner Andrew - - 2014
This paper examines the turn toward the small companion animal that occurred in British veterinary medicine in the twentieth century. The change in species emphasis is usually attributed to post-war socioeconomic factors, however this explanation ignores the extensive small animal treatment that was occurring outwith the veterinary profession in the ...
Chelvakumar Gaya - - 2014
Pediatric obesity is a significant problem in the United States. The Childhood Obesity Action Network (COAN) published expert recommendations in 2007 for pediatric obesity prevention and assessment at well-child visits. The purpose of this study was to assess pediatric providers' perception and documentation of their adherence to the 2007 COAN ...
Baillie Jonathan - - 2014
IHEEM's recently established Architecture and Design of the Built Environment Technical Platform (ADBETP) is now firmly up and running, and, as one of its members, Gary Mortimer, general manager, Facilities & Estates, at NHS Grampian, puts it, is 'determined to bring tangible, positive, and sustainable benefits to the NHS built ...
Cotter Steve - - 2014
Formulated and interpreted correctly, ROI tools and techniques can be very useful for EMS managers when evaluating various competing projects and initiatives within the organization. More so, decision makers and elected bodies responsible for approving the financial support of these initiatives are demanding that they be presented with a more ...
Park Eun Sun ES Department of Anesthesiology and Pain Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, - - 2014
Neurogenic pulmonary edema (NPE) in brain dead organ donors occurring after an acute central nervous system insult threatens organ preservation of potential organ donors and the outcome of organ donation. Hence the active and immediate management of NPE is critical. In this case, a 50-year-old male was admitted to the ...
Gossner Martin M MM Institute of Ecology, Friedrich-Schiller-University, Dornburger Strasse 159, 07745, Jena, - - 2014
Insect herbivore enemies such as parasitoids and predators are important in controlling herbivore pests. From agricultural systems we know that land-use intensification can negatively impact biological control as an important ecosystem service. The aim of our study was to investigate the importance of management regime for natural enemy pressure and ...
Chen Shilin S Institute of Medicinal Plant Development, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100193, PR China; Institute of Chinese Materia Medica, China Academy of Chinese Medical Sciences, Beijing 100700, PR China. Electronic address: - - 2014
Numerous adverse reactions have arisen following the use of inaccurately identified medicinal plant ingredients, resulting in conditions such as aristolochic acid nephropathy and herb-induced poisoning. This problem has prompted increased global concern over the safety of herbal medicines. DNA barcoding, a technique aiming at detecting species-specific differences in a short ...
Murcia Carolina C University of Florida, Department of Biology, Gainesville, FL 32611, USA; Organization for Tropical Studies, 410 Swift Avenue, Box 90630, Durham, NC 27705, USA. Electronic address: - - 2014
The 'novel ecosystem' concept has captured the attention of scientists, managers, and science journalists, and more recently of policymakers, before it has been subjected to the scrutiny and empirical validation inherent to science. Lack of rigorous scrutiny can lead to undesirable outcomes in ecosystem management, environmental law, and policy. Contrary ...
Chen Jiaxin - - 2014
Canada contains 10% of global forests and has been one of the world's largest harvested wood products (HWP) producers. Therefore, Canada's managed forest sector, the managed forest area and HWP, has the potential to significantly increase or reduce atmospheric greenhouse gases. Using the most comprehensive carbon balance analysis to date, ...
Norton David A DA School of Forestry, University of Canterbury, Private Bag 4800, Christchurch, 8140, New Zealand. - - 2014
Compensating for biodiversity losses in 1 location by conserving or restoring biodiversity elsewhere (i.e., biodiversity offsetting) is being used increasingly to compensate for biodiversity losses resulting from development. We considered whether a form of biodiversity offsetting, enhancement offsetting (i.e., enhancing the quality of degraded natural habitats through intensive ecological management), ...
Arthur Courtney C Marine Debris Division, National Oceanic and Atmospheric Administration, 1305 East-West Highway, N/ORR Room 10240, Silver Spring, MD 20910, USA; I.M. Systems Group, 6223 Executive Blvd, Rockville, MD 20852, USA. Electronic address: - - 2014
There is a paucity of data in the published literature on the ecological and economic impacts of derelict fishing traps (DFTs) in coastal ecosystems. We synthesized results from seven NOAA-funded trap fisheries studies around the United States and determined that DFT-caused losses to habitat and harvestable annual catch are pervasive, ...
Jennings Simon S Centre for Environment, Fisheries, and Aquaculture Science, Lowestoft Laboratory, Lowestoft, United - - 2014
The emergence of an ecosystem approach to fisheries (EAF) was characterized by the adoption of objectives for maintaining ecosystem health alongside those for fisheries. The EAF was expected to meet some aspirations for biodiversity conservation, but health was principally linked to sustainable use rather than lower levels of human impact. ...
Chentoufi Lamyae - - 2014
Traditional agrosystems are the places were crop species have evolved and continue to evolve under a combination of human and environmental pressures. A better knowledge of the mechanisms underlying the dynamics of crop diversity in these agrosystems is crucial to sustain food security and farmers' self-reliance. It requires as a ...
Vasilakopoulos Paraskevas P Institute of Marine Biological Resources and Inland Waters, Hellenic Centre for Marine Research, 46.7 km Athens-Sounio Avenue, 19013 Anavyssos, Attica, Greece. Electronic address: - - 2014
In recent years, fisheries management has succeeded in stabilizing and even improving the state of many global fisheries resources [1-5]. This is particularly evident in areas where stocks are exploited in compliance with scientific advice and strong institutional structures are in place [1, 5]. In Europe, the well-managed northeast (NE) Atlantic ...
Delgado-Lemus América - - 2014
Our study analysed the vulnerability of the useful Agave species of the Tehuacan Valley, Mexico, considering ecological, cultural and economic aspects, and management types. We hypothesized that management intensity is proportional to the degree of risk of a species in order to decrease its vulnerability. Distribution of Agave species was ...
Quist Michael C MC U.S. Geological Survey, Idaho Cooperative Fish and Wildlife Research Unit, Department of Fish and Wildlife Sciences, University of Idaho, Moscow, ID, 83844, USA, - - 2014
Fish and benthic macroinvertebrate assemblages often provide insight on ecological conditions for guiding management actions. Unfortunately, land use and management legacies can constrain the structure of biotic communities such that they fail to reflect habitat quality. The purpose of this study was to describe patterns in fish and benthic macroinvertebrate ...
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