distributed knowledge management in healthcare

... applied to healthcare and biomedicine Her research interests include health informatics, e-Learning in medicine, software engineering, graphical user interfaces, (bio)medical databases, clinical ... (www.docboard.org), maintained by Administrators in Medicine (AIM), has links to state regulatory bodies, including some osteopath and podiatry licensing bodies Local magazines in many major American ... healthcare delivery in recent years are rooted in the continued industry-wide investment in information technology and the expanding role of medical informatics Endeavors to combine medical science...

Ngày tải lên: 15/03/2014, 12:20

... applied to healthcare and biomedicine Her research interests include health informatics, e-Learning in medicine, software engineering, graphical user interfaces, (bio)medical databases, clinical ... (www.docboard.org), maintained by Administrators in Medicine (AIM), has links to state regulatory bodies, including some osteopath and podiatry licensing bodies Local magazines in many major American ... healthcare delivery in recent years are rooted in the continued industry-wide investment in information technology and the expanding role of medical informatics Endeavors to combine medical science...

Ngày tải lên: 15/03/2014, 12:20

... placebo in the improvement of HRQL relating mainly to gastrointestinal symptom relief In a multivariate analysis, van Rossum et al also did not find any influence of clinical data on changes in the ... to take part in the investigation Subsequently, an in- depth interview was carried out with each patient, with special attention paid to baseline angina and gastrointestinal symptom intensity and ... with recurrent stable angina-like chest pain refractory to standard anti-angina therapy and without indications for revascularization were enrolled in this investigation The inclusion criteria Page...

Ngày tải lên: 20/06/2014, 15:20

... scopolamine Other important alkaloids of plant origin include the addictive stimulants caffeine, nicotine, codeine, atropine, morphine, ergotamine, cocaine, nicotine and ephedrine (Fig 1) Amino acids ... application in the identification of an authentic drug, in excluding the adulterants and in maintaining the quality and consistency of the drug HPLC fingerprinting includes recording of the chromatograms, ... DNA-degradation in cancer Isothiocyanates and the indole-3-carbinols interfere categorically in the metabolism of carcinogens thus causing inhibition of procarcinogen activation, and thereby inducing the...

Ngày tải lên: 28/06/2014, 11:20

... dependent on a clinical diagnosis, including x-rays, made by the participating surgeons As there were seven surgeons involved in collecting data, some individual variation may have occurred in the accuracy ... Thirdly, the findings from this study reflect the status of patients in Australia presenting to foot surgeons and caution is needed generalising these findings to the wider population Finally, Page ... assisted this project – the funding body had no input into the design; in the collection, analysis, and interpretation of data; in the writing of the manuscript; and in the decision to submit the...

Ngày tải lên: 10/08/2014, 21:23

... placebo in the improvement of HRQL relating mainly to gastrointestinal symptom relief In a multivariate analysis, van Rossum et al also did not find any influence of clinical data on changes in the ... to take part in the investigation Subsequently, an in- depth interview was carried out with each patient, with special attention paid to baseline angina and gastrointestinal symptom intensity and ... with recurrent stable angina-like chest pain refractory to standard anti-angina therapy and without indications for revascularization were enrolled in this investigation The inclusion criteria Page...

Ngày tải lên: 12/08/2014, 00:20

... Heal Promot Int 2006, 21(1):66–69 37 Feldstein AC, Glasgow RE: A practical, robust implementation and sustainability model (PRISM) for integrating research findings into practice Joint Commission ... those involved in public health— in a logical analysis related to a specific setting [62] (would the measured effectiveness be identical to the primary intervention in this particular setting?) In ... sustainability in the RE-AIM key domains: the program (intervention), the external environment, the implementation and sustainability infrastructure, and the recipients Assessing each key domain...

Ngày tải lên: 05/03/2014, 22:21

... distance learning upgrade programmes increases both the residential and classroom space available at health training institutions for pre-service training One health training institution principal ... requirements, constraints exist for print modality, including minimal availability of printed course materials for students due to financial constraints, and problems disseminating materials due ... continue working in their current health facilities, and expected to be promoted Also, by providing upgrading opportunities through distance learning rather than in residential health training institutions,...

Ngày tải lên: 18/06/2014, 17:20

... conditions In addition, the probability of misclassifying the indicators for evaluating the appropriate oral and vaginal HT indication exists; each indicator combines two parts 1) appropriate indication ... as non-drinkers (never drink alcohol), occasional drinkers (drink rarely or less than once a week), moderate drinkers (from to 14 drinks per week) and heavy drinkers (more than 14 drinks per ... 50.1 points (SD 24.7) The analysis within the domains shows that more women in the couple relationship domain reported high HR-QoL (32.3%) compared with the other domains; in the sexual domain,...

Ngày tải lên: 18/06/2014, 19:20

... distribution of individual changes in summarized SF36 scores was close to the Normal distribution, with 92% of the changes being inside the interval from - 200 to + 250 The average increase in summarized ... Physical Functioning scores decreased in cardiovascular patients and increased in respiratory and neurological patients All categories show increases in Vitality scores and reductions in Mental Health ... to years, shown in intervals of 50 from -500 (maximum decrease recorded) to +400 (maximum increase recorded) Number of patients within each interval improve between and months in mixed cohorts...

Ngày tải lên: 20/06/2014, 15:20

... rhinitis or rhinosinusitis [5] The RSDI has subsequently been applied in larger populations across a spectrum of rhinologic diagnoses, ranging from allergic rhinitis to chronic sinusitis [6] In ... re-administering the same instrument within a short time interval during which the subject's health status remains unchanged In contrast, responsiveness is typically demonstrated over longer intervals ... evidence supporting an SEM-based criterion for identifying meaningful intra-individual changes in health-related quality of life J Clin Epidemiol 1999, 52:861-873 Linder JA, Singer DE, Ancker...

Ngày tải lên: 20/06/2014, 15:20

... differences in pain, coping, and mood in individuals having osteoarthritic knee pain: a within-day analysis Pain 2004, 110:571-577 Wilson G, Pritchard ME, Revalee B: Individual differences in adolescent ... patients with CF Accordingly, the generalizability of our findings is uncertain Because we examined HRQOL in two prior completed studies, we were unable to examine HRQOL differences in those who refused ... Cincinnati Children's Hospital Medical Center in Cincinnati, Ohio and The Children's Medical Center in Dayton, Ohio between 1997–2001 Patients and their families were invited to participate in...

Ngày tải lên: 20/06/2014, 15:20

... An increase of one point in the score of SDS-H was associated with an increase of 1.8 points in the NHP global score, while having an overdose during the previous 12 months increased it by points ... retained in the female’s model, daily alcohol intake and length of cocaine use When doing the analysis with the total sample an interaction between gender and HIV infection was found, indicating ... same in both genders: the SDS-H and SDS-C accounted for 55.9% of the explained variance in women and for 52.9% in the model for men These findings are in accordance with results observed in an...

Ngày tải lên: 20/06/2014, 15:20

... give informed consent or were unable to understand or cooperate with study conditions A trained clinical coordinator was responsible for determining eligibility, describing the study, and obtaining ... worth further investigation Our unexpected finding regarding the social function scale stands in contrast with the finding reported by Efficace et al in advanced CRC, where a 9% decrease in patient’s ... fulfill the activities of daily life justifying its use in clinical trials investigating new drugs or novel combinations of agents Clinical practitioners and investigators need to know what happens...

Ngày tải lên: 20/06/2014, 15:20

... discrepancies between the two may complicate the use of HRQoL information in clinical practice – for instance, when determining if complementary interventions are needed [3] Discrepancies between child ... provides a singular index of global HRQoL [21, 24] Its 10 items are all scored on a 5-point scale ranging from ‘never/not at all’ to ‘always’ The item scores are combined into a final score on ... and “How annoying is this for you / your child?” (range: 1=not annoying at all, 2=not annoying, 3=a little annoying, 4=annoying, 5=very annoying) The sum score of these questions in both versions...

Ngày tải lên: 20/06/2014, 16:20

... Williams GR: Defining clinically meaningful change in health-related quality of life J Clin Epidemiol 2003, 56(5):395-407 Sullivan M: The new subjective medicine: taking the patient's point of view ... clinically meaningful (Table 4)[22] Discussion Main findings Serious undesirable consequences may result from inaccurate representation of change in self-reported patient health states This investigation ... considered clinically meaningful[22] Within individuals the disagreement between conventional longitudinal change and patient perceived change was substantial with 83.2% of individuals reporting a dis-...

Ngày tải lên: 20/06/2014, 16:20

... process, clinicians were randomized into CBT training versus usual care Training consisted of instruction in: components of motivational interviewing to engage the adolescent in CBT; educating the ... depression in clinical practice, and five (27%) Following training during the adolescent enrollment stage, intervention clinicians were asked to initiate screening for depression, introduce the intervention ... training Post-training surveys from intervention clinicians indicated that the majority understood the basics of CBT (62%), were aware of barriers that may occur in providing CBT in their settings...

Ngày tải lên: 11/08/2014, 05:22

... revealed aphasia in 31% in Ibadan and 38% in Berlin; sexual dysfunction in 45% in Ibadan and 80% in Berlin; and post stroke emotional disorder in 75% in Ibadan and 68% in Berlin In the subset of five ... adults (Berlin) Ph: Physical domain, Ps: Psycho-emotional domain, Co: Cognitive domain, EcI: Ecosocial Interaction domain, So: Soul domain, Sp: Spirit domain, SpI: Spiritual Interaction domain, H-p: ... similar in the physical sphere in Berlin and Ibadan, but higher in the spiritual sphere in Ibadan than Berlin (Tables and 3) Compared to AHAs, HRQOL was worse in stroke patients in both cities in...

Ngày tải lên: 12/08/2014, 00:20

... Impact 1 Social relations Smiling 1 esr Painful aching esm Uncomfortable eating PainDiscomfort Unsatisfactory diet Interrupt meals PainDiscomfort Eating Sleeping-relaxing 1 eea esl 1 Emotional state ... for speaking, cleaning and smiling, and mostly in the sleeping, emotion, occupational and eating items In children [16,17]eating and cleaning were found to belong to the same physical domain Our ... population, in which “oral pain-discomfort” was the most predominant cause of impact within those items [13] Notwithstanding, this fact was also evident in Tanzanian children [17] in whom pain-discomfort...

Ngày tải lên: 12/08/2014, 01:21