... practitioners who work directly with these patients' Primary care practices are distinct clinical practice units with a designated purpose and function, fitting this definition well Nine instrumental ... network Within this study, as in the initial research on microsystems, qualitative findings about the behaviour, attitudes, and experience of small practice groups were helpful in explaining how ... The interview explored the participants' interest in improvement and their own perceptions regarding enablers and barriers to that process The questions were a starting point in the initial interviews;...
Ngày tải lên: 11/08/2014, 05:22
... interpretative validity of the findings[42] However, we did not use interviewee checking to ensure that our interpretation of the data were in line with what the participants had expressed[41] Instead, ... steering committee was consulted and provided useful insight about the findings, thus ensuring the credibility and trustworthiness of the study[39] The author(s) declare they have no competing interests ... These findings confirm those reported in other telehealth projects[3,6,25] However, despite growing evidence of its benefits, telehealth is not yet integrated as part of the everyday medical...
Ngày tải lên: 11/08/2014, 05:22
Báo cáo khoa học: "Veterinary decision making in relation to metritis - a qualitative approach to understand the background for variation and bias in veterinary medical records"
... definitions of different scoring values, such as excluding certain scores (see examples in table 1) They find the definitions incorrect If the veterinarian strictly follows his/ her own scoring ... treatment threshold was linked to the metritis scale, but leading Danish veterinarians in the field recommend using a grade of on the scale as a cut-off value for initiating medical treatment, and ... observed the following situations in a herd (e.g scoring a cow and initiating a metritis treatment), would you please elaborate on that specific situation?' Data Analysis The qualitative analysis...
Ngày tải lên: 25/10/2012, 10:45
innovations in public governance [electronic resource]
... theorization of innovation in governance is thin in both innovation literature and governance literature (Moore & Hartley 2008), allowing us to conceptualize innovation in public governance and ... there is increased autonomy and capacity to innovate in modern bureaucracies In addition, it is worth noting that the smaller the local authority, the more frequently initiators of innovative ... Replicating Innovations in Governance: An Overview In: United Nations (Ed.) Innovations in Governance and Public Administration: Replicating what works, 121 ST/ ESA/PAD/SER.E/72 New York: United...
Ngày tải lên: 31/05/2014, 00:55
Báo cáo y học: " Rapid progress or lengthy process? electronic personal health records in mental health" pot
... to users that their input will be considered in clinical decision making However, in the same study it was also noted that uncertainty regarding responsibility for maintaining the record was a ... difficulties Electronic information storage and exchange is surrounded by sensitivities and potential for stigma and discrimination in regard to those with psychiatric diagnoses [10] However, these initial ... systems Certain systems are already in use with very encouraging results Kaiser Permanente, a large healthcare organisation based in the US, began initiating their ePHR in 2004 The most recently published...
Ngày tải lên: 11/08/2014, 15:22
Báo cáo y học: " A retrospective quality assessment of pre-hospital emergency medical documentation in motor vehicle accidents in south-eastern Norway"
... According to local procedures and international Utstein Guidelines, key variables important in determining mechanism of injury (MOI) in MVA patients include high vehicle speed, patient location in ... name in 97% of police, ground and air ambulance records, and in 81% of EMCC records Eleven-digit social security number (including birth date) was documented in 380 of 392 (97%) police records, ... with missing ambulance records displayed the poorest GCS RTS scores when inferring categories from free text descriptions This subjectivity leads to increased intra- and inter-rater variability...
Ngày tải lên: 25/10/2012, 09:56
Báo cáo y học: "Prohormones for prediction of adverse medical outcome in community-acquired pneumonia and lower respiratory tract infections"
... sepsis in a medical intensive care unit Crit Care Med 2000, 28:977-983 Lee RW, Lindstrom ST: A teaching hospital's experience applying the Pneumonia Severity Index and antibiotic guidelines in the ... syndrome within 30 days following inclusion The secondary endpoint was overall survival within 30 days following study inclusion Outcomes were assessed during hospital stay at days 3, 5, 7, at hospital ... enforced guideline recommendations without knowledge of PCT The primary end-point in this non-inferiority trial was a combined endpoint of adverse medical outcomes within 30 days following the ED...
Ngày tải lên: 25/10/2012, 10:02
Báo cáo y học: "Management of chest pain: exploring the views and experiences of chiropractors and medical practitioners in a focus group interview"
... educational institution offering a training program coordinated by a medical physician However, this is in its infancy and much needs to be worked out This does indicate a growing level of interest in ... reliability, validity, sensitivity and specificity of each test? • What are the costs involved in treating such cases? • What interdisciplinary models exist with regard to developing coordinated-care ... conditions and patients in the primary care setting It is important to note that such research should of necessity be collaborative and interdisciplinary As noted, funding opportunities within...
Ngày tải lên: 25/10/2012, 10:06
DETERMINANTS OF POVERTY REDUCTION POTENTIAL OF LAND IN RURAL VIETNAM
... endowment increases, the credit constraint may either tighten or loosen (k can increase or decrease) depending on the relative increase in credit availability Γ(T) and on the demand for inputs For instance, ... defined as income of household in thousand Vietnam Dong per year Income would include value in cash and in kind payment of Income from wages, salaries of members, Income from renting / leasing ... organizations…) Its unit is in thousand Vietnam Dong per year In addition, this study introduces some variables in the welfare household index including ethnicity, local characteristics and income of...
Ngày tải lên: 12/04/2013, 16:07
An assessment of the availability of household biogas resources in rural China
... resources in China in 2006 are included in Table [14] Data in Table indicates that Area VI is the most abundant in manure resources, with the per capita dry excrement at 9.3 thousand ton In Area ... greenhouses Chinese Flower Gardening 2001;13:8-9 [in Chinese] [11] R.G Wang, T.X Sheng The utilization of renewable energy and building energy savings Beijing: China Machine Press; 2004 [in Chinese] ... production in China Renewable Energy Resources 2007;5:105–109 [in Chinese] [6] Hou Gl, Li JY, Zhang YG Agricultural climate resources in China Beijing: University of People’s of China Press; 1993 [in...
Ngày tải lên: 05/09/2013, 15:28
Tài liệu Corporate Governance and Enterprise Reform in China docx
... markets, and incentives embedded in financial instruments Current World Bank Group work in corporate governance emphasizes governance of financial institutions; capacity building through training for ... in the towns of Jinhua in Zhejiang province and Zhucheng in Shandong province; interviews with enterprise and government officials in Beijing, Chongqing, Chengdu in Sichuan province, Shunde in ... (b) making voting an integral part of institutional investors’ fiduciary duties; and (c) allowing institutional investors to xv frontmatter.p65 15 3/15/02, 3:59 PM corporate governance in china...
Ngày tải lên: 09/12/2013, 17:22
Tài liệu Counting Records in a DataReader ppt
... data result set dr.NextResult( ); int count = 0; // Iterate over the records in the DataReader while(dr.Read( )) { count++; // Do something interesting with the data here } // Close the DataReader ... for the DataReader without iterating through all of the records Additionally, because the DataReader is forward-only, you cannot move backwards in DataReader so when iterating, you must process ... constants using System; using System.Configuration; using System.Data; using System.Data.SqlClient; // // Batch query to retrieve the COUNT of records and // all of the records in the Orders...
Ngày tải lên: 24/12/2013, 05:15
Tài liệu Find Records in a Table Without Corresponding Entries in a Related Table pptx
... Sub Figure 6.5 Using an outer join to retrieve records without corresponding records Comments The majority of the time, you will be using the inner join rather than the outer joins However, sometimes ... the right outer join shows you all records in the second table (invoices) and only those records from the first table (customers) in which there is a matching record on the joined column (CustomerID) ... Windows Form Then place the controls listed in Table 6.4 with the following properties set, as displayed in Figure 6.5 Table 6.4 Control Property Settings for This How-To Object Property Setting...
Ngày tải lên: 21/01/2014, 12:20
Tài liệu Men’s knowledge and awareness of maternal, neonatal and child health care in rural Bangladesh: a comparative cross sectional study pptx
... social interaction with 99.2% of men in intervention and 94.1% in control areas using these as informal meeting places with 25 to 30 hours every month spent in these places Entertainment, political, ... (Table 2) In the intervention, knowledge on initiation of breastfeeding within an hour, colostrum feeding, duration of exclusive breastfeeding, time of complementary food initiation, bathing of ... levels in the transitional areas However, promoting joint decision-making in study settings is anticipated to be good practice Due to lack of baseline information it is not possible to make definite...
Ngày tải lên: 12/02/2014, 19:20
Tài liệu COMING OUT OF THE FOODSHED: CHANGE AND INNOVATION IN RURAL ALASKAN FOOD SYSTEMS pptx
... and spiritual being I hope that Pat and his community will find in these pages something insightful and useful as they continue to pursue their lives in the singularity that is life in Interior ... cropping by Alaska Natives in both institutional and academic 36 literature, outpost gardening played an important, albeit intermittent role within the local foodways of Interior Alaskan communities ... emerging indigenous movements against the vulnerabilities embedded within participation in the cheap food system (Kloppenburg et al 1996) Native communities, including many in the flats, are trying...
Ngày tải lên: 13/02/2014, 05:20
Tài liệu Non-blood medical care in gynecologic oncology: a review and update of blood conservation management schemes docx
... assisted in writing the manuscript; NT: conceived the idea, assisted in writing the manuscript, made MEDLINE research; FZ: assisted in writing the manuscript, made MEDLINE research, submitted the ... during major pelvic surgery, using general anesthetic agents coupled with nitroglycerine, effectively minimise blood loss with mean arterial pressure reaching as low as 60 mmHg [19] Contraindications ... Meeting and the 2006 Society for the Advancement of Blood Management Meeting [32] In the interest of simplicity, interventions used in bloodless surgery can be categorised into preoperative, intraoperative...
Ngày tải lên: 13/02/2014, 06:20
Tài liệu The long-term reproductive health consequences of female genital cutting in rural Gambia: a community-based survey doc
... Prevalence in women Uncut a Morbidity Vulval tumour (cysts, etc.à Damaged perineum Insuf®cient anal sphincterà Vesico-vaginal ®stula§ Dif®culty controlling urine Any stillbirths Prolapse Painful sex± Infertility** ... morbidity, but are unconvincing because both reported circumcision status and reported morbidity have shown poor agreement with clinical and laboratory diagnoses (Odujinrin et al 1989; Adinma ... multicentre hospital and clinic-based study in Mali and Burkino Faso (Jones et al 1999) has suggested a positive association between the severity of genital cutting and the probability that a woman...
Ngày tải lên: 13/02/2014, 16:20
Tài liệu Women, Development and Transport in Rural Eastern Cape, South Africa ppt
... mainstreaming gender into all policies and interventions It would be imperative to translate the commitment to mainstreaming gender equity in rural transport policy into clear deliverables with ... and working in the fields In addition to these activities, women are responsible for other domestic chores such as cooking, cleaning, washing, shopping and so on Based on our findings, it is apparent ... constitute 37 minutes cultivating crops, 20 minutes tending to animals, 10 minutes collecting firewood and dung, 45 minutes tending to the fire and 114 minutes (1 hour 45 minutes) preparing and...
Ngày tải lên: 15/02/2014, 01:20