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Could The Pharmaceutical Industry Benefit From Full-Scale Adoption Of Radio-Frequency Identification (Rfid) Technology With New Regulations?, Alberto Coustasse Drph, Md, Mba, Mph, Craig Kimble Pharmd, Mba, Ms, Bcacp, Robert B. Stanton Mba, Pharmd, Mariah Naylor

Craig Kimble, PharmD, MBA, MS, BCACP

Healthcare regulators are directing attention to the pharmaceutical supply chain with the passage of the Drug Quality and Security Act (DQSA) and the Drug Supply Chain Security Act (DSCSA). Adoption of Radio-Frequency Identification (RFID) technology has the ability to improve compliance, reduce costs, and improve safety in the supply chain but its implementation has been limited; primarily because of hardware and tag costs. The purpose of this research study was to analyze the benefits to the pharmaceutical industry and healthcare system of the adoption of RFID technology as a result of newly implemented supply chain regulations. The methodology was a …

Medicare And The Aca: Shifting The Paradigm Of Fraud Detection, David P. Paul Iii, Sarah Clemente, Ronald Mcgrady, Rob Repass, Alberto Coustasse

Alberto Coustasse, DrPH, MD, MBA, MPH

Medicare fraud and abuse costs are estimated at 3%-10% of overall Medicare spending, which is expected to expand considerably until 2024 and as such the amount of fraud dollars would be expected to increase proportionally. The purpose of this research was to determine how recent reforms, especially the Patient Protection and Accountable Care Act, may affect Medicare fraud and abuse and to uncover the best strategies to combat Medicare fraud. The breadth of fraud and abuse within Medicare as well as recent reforms to fight fraud including legislative reforms, delivery system reforms, and other reforms including the formation of HEAT …

Could The Pharmaceutical Industry Benefit From Full-Scale Adoption Of Radio-Frequency Identification (Rfid) Technology With New Regulations?, Alberto Coustasse Drph, Md, Mba, Mph, Craig Kimble Pharmd, Mba, Ms, Bcacp, Robert B. Stanton Mba, Pharmd, Mariah Naylor

Alberto Coustasse, DrPH, MD, MBA, MPH

Healthcare regulators are directing attention to the pharmaceutical supply chain with the passage of the Drug Quality and Security Act (DQSA) and the Drug Supply Chain Security Act (DSCSA). Adoption of Radio-Frequency Identification (RFID) technology has the ability to improve compliance, reduce costs, and improve safety in the supply chain but its implementation has been limited; primarily because of hardware and tag costs. The purpose of this research study was to analyze the benefits to the pharmaceutical industry and healthcare system of the adoption of RFID technology as a result of newly implemented supply chain regulations. The methodology was a …

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Obat Perangsang Wanita Di Palembang, Toko Raja Shop

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Minyak Lintah Merah Papua Asli 082114104140, Toko Raja Shop

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1. Cara Pemesanan.

• WhatsApp : 082 114 104 140
• Hotline ; 082 114 104 140
• PIN BBM : D40196E2

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An Analysis Of The Use Of Dogs In Predicting Human Toxicology And Drug Safety, Jarrod Bailey, Michelle Thew, Michael Balls

Jarrod Bailey, PhD

Dogs remain the main non-rodent species in preclinical drug development. Despite the current dearth of new drug approvals and meagre pipelines, this continues, with little supportive evidence of its value or necessity. To estimate the evidential weight provided by canine data to the probability that a new drug may be toxic to humans, we have calculated Likelihood Ratios (LRs) for an extensive dataset of 2,366 drugs with both animal and human data, including tissue-level effects and Medical Dictionary for Regulatory Activities (MedDRA) Level 1–4 biomedical observations. The resulting LRs show that the absence of toxicity in dogs provides virtually no …

Minyak Lintah Papua Asli Di Bali Nusa Dua 082114104140, Toko Raja Shop

toko raja shop | Agen Jual Obat Pembesar Kualitas No 1

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A Qualitative Review Of Differential Diagnosis Generators, William Bond Md, Ms, Linda M. Schwartz Mde, Ahip, Cm, Kevin R. Weaver Do, Donald Levick Md, Mba, Michael Guliano Md, Med, Mhpe, Mark L. Graber Md

Kevin Weaver, D.O., FACOEP

No abstract provided.

Double The Outcomes: Employing Sensory Based Approaches To Improve The Quality Of Care And Reduce The Use Of Restraints On Inpatient Behavioral Health Units, Mary Ellen O'Connell Rn, Bsn, Msn, Mba, Jennifer P. Maloney Ms, Otr/L, Stephanie Lenhart Mba, Cphq

Mary Ellen O'Connell

No abstract provided.

Canada’S Commercial Seal Hunt: It’S More Than A Question Of Humane Killing, David M. Lavigne, William S. Lynn

William S. Lynn, PhD

No abstract provided.

Minyak Lintah Papua Asli Di Batam 082114104140, Toko Raja Shop

toko raja shop | Agen Jual Obat Pembesar Kualitas No 1

1. Cara Pemesanan.

• WhatsApp : 082 114 104 140
• Hotline ; 082 114 104 …

Proposed Typologies For The Dress Needs Of Nursing Mothers And Babies And Available Nursing Dress: An Evaluation Of The Relationship Between Concepts In These Typologies, Ellen Mckinney, Armine Ghalachyan

Ellen C. McKinney

In the U.S., the majority of babies are weaned from the breast by the time they are three months old (CDC, 2007) in contrast to the recommendation of “exclusive breastfeeding for about 6 months. . ., with continuation of breastfeeding for 1 year or longer” (Eidelman & Schanler, 2012). Women who feel comfortable feeding in public breastfeed longer than women who are not comfortable (Allen & Pelto, 1985). Practical advice on carrying out life roles while breastfeeding is important and requires consideration of clothing (Mulford 2008). The purposes of this study were to (1) identify and organize (a) dress needs …

Proposed Typologies For The Dress Needs Of Nursing Mothers And Babies And Available Nursing Dress: An Evaluation Of The Relationship Between Concepts In These Typologies, Ellen Mckinney, Armine Ghalachyan

Ellen C. McKinney

In the U.S., the majority of babies are weaned from the breast by the time they are three months old (CDC, 2007) in contrast to the recommendation of “exclusive breastfeeding for about 6 months. . ., with continuation of breastfeeding for 1 year or longer” (Eidelman & Schanler, 2012). Women who feel comfortable feeding in public breastfeed longer than women who are not comfortable (Allen & Pelto, 1985). Practical advice on carrying out life roles while breastfeeding is important and requires consideration of clothing (Mulford 2008). The purposes of this study were to (1) identify and organize (a) dress needs …

Proposed Typologies For The Dress Needs Of Nursing Mothers And Babies And Available Nursing Dress: An Evaluation Of The Relationship Between Concepts In These Typologies, Ellen Mckinney, Armine Ghalachyan

Ellen C. McKinney

In the U.S., the majority of babies are weaned from the breast by the time they are three months old (CDC, 2007) in contrast to the recommendation of “exclusive breastfeeding for about 6 months. . ., with continuation of breastfeeding for 1 year or longer” (Eidelman & Schanler, 2012). Women who feel comfortable feeding in public breastfeed longer than women who are not comfortable (Allen & Pelto, 1985). Practical advice on carrying out life roles while breastfeeding is important and requires consideration of clothing (Mulford 2008). The purposes of this study were to (1) identify and organize (a) dress needs …

Exponential Growth, Animal Welfare, Environmental And Food Safety Impact: The Case Of China’S Livestock Production, Peter J. Li

Peter J. Li, PhD

Developmental states are criticized for rapid “industrialization without enlightenment.” In the last 30 years, China’s breathtaking growth has been achieved at a high environmental and food safety cost. This article, utilizing a recent survey of China’s livestock industry, illustrates the initiating role of China’s developmental state in the exponential expansion of the country’s livestock production. The enthusiastic response of the livestock industry to the many state policy incentives has made China the world’s biggest animal farming nation. Shortage of meat and dairy supply is history. Yet, the Chinese government is facing new challenges of no less a threat to political …

China’S Bear Farming And Long-Term Solutions, Peter J. Li

Peter J. Li, PhD

No abstract provided.

Costs, Staffing, And Services Of Assisted Living In The United States: A Literature Review, Amy Kisling, David P. Paul Iii, Alberto Coustasse

Alberto Coustasse, DrPH, MD, MBA, MPH

Assisted Living Facilities (ALFs), which provide a community for residents who require assistance throughout their day, is an important part of the long-term care system in the US. The costs of ALFs are paid either out of pocket, by Medicaid or by Long-Term Care Insurance (LTCI). Monthly costs of ALFs have increased over the past five years on an average of 4.1%. The purpose of this research was to examine the future trends in ALFs in the US to determine the impact healthcare on costs. The methodology for this study was a literature review and a total of 32 sources …

Alamat Toko Jual Levitra Di Jombang 082132987772 Obat Kuat Di Jombang, Toko Surabaya

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Diversity Of Behaviour During Novel Object Tests Is Reduced In Pigs Housed In Substrate-Impoverished Conditions, Françoise Wemelsfelder, Marie Haskell, Michael T. Mendl, Sheena Calvert, Alistair B. Lawrence

Françoise Wemelsfelder, PhD

Modern intensive farming conditions lack the diversity of substrates present in more natural environments and offer young animals fewer opportunities for interaction. Evidence exists that this may affect the organization of interactive patterns of behaviour, but shifts in behavioural diversity have not been measured directly. We investigated the effect of the substrate in the home pen on the diversity of behaviour in young growing pigs, Sus scrofa. Over 5 months, 26 pigs were housed singly in either substrate-impoverished (SI) or substrate-enriched (SE) conditions. Once every month we recorded the behaviour of these pigs in detail both in the home pens …

Hospital Administrative Characteristics And Volunteer Resource Management Practices, Melissa Intindola, Sean Rogers Ph.D., Carol Flinchbaugh, Doug Della Pietra

Sean Edmund Rogers

Purpose – The purpose of this paper is to explore the links between various characteristics of hospital administration and the utilization of classes of volunteer resource management (VRM) practices. Design/methodology/approach – This paper uses original data collected via surveys of volunteer directors in 122 hospitals in five Northeastern and Southern US states. Findings – Structural equation modeling results suggest that number of paid volunteer management staff, scope of responsibility of the primary volunteer administrator, and hospital size are positively associated with increased usage of certain VRM practices. Research limitations/implications – First, the authors begin the exploration of VRM antecedents, and …

Personal Health Records: Beneficial Or Burdensome For Patients And Healthcare Providers?, Melissa Lester, Samuel Boateng, Jane Stanley, Alberto Coustasse

Alberto Coustasse, DrPH, MD, MBA, MPH

Personal health records (PHRs) have been mandated to be made available to patients to provide increased access to medical care information, encourage participation in healthcare decision making, and enable correction of errors within medical records. The purpose of this study was to analyze the usefulness of PHRs from the perspectives of patients and providers. The methodology of this qualitative study was a literature review using 34 articles. PHRs are powerful tools for patients and healthcare providers. Better healthcare results and correction of medical records have been shown to be positive outcomes of the use of PHRs. PHRs have also been …

Qualitative Assessment Of Animal Behaviour As An On-Farm Welfare-Monitoring Tool, Françoise Wemelsfelder, Alistair B. Lawrence

Françoise Wemelsfelder, PhD

There is a growing need to monitor the health and welfare of farm animals, and to develop methods which do so efficiently and reliably. A crucial problem with current methods is the integration of separate measurements taken during farm visits into accurate judgements of an animal’s overall welfare state. This paper proposes that the qualitative assessment of animal behaviour may serve as an integrative methodology which could guide the interpretation of other, more detailed welfare measurements. Recent research has demonstrated qualitative behaviour assessment to be reliable and repeatable under controlled experimental conditions. The paper concludes with a discussion of ways …

Flooring And Driving Conditions During Road Transport Influence The Behavioural Expression Of Cattle, Catherine A. Stockman, Teresa Collins, Anne L. Barnes, David Miller, Sarah L. Wickham, David T. Beatty, Dominique Blache, Françoise Wemelsfelder, Patricia A. Fleming

Françoise Wemelsfelder, PhD

This study examined whether observers could distinguish between cattle that were exposed to various road transport conditions: Experiment 1 compared a manipulated flooring treatment (non-grip flooring, NG) with a control transport event (grip flooring, G) and Experiment 2 compared a manipulated driving style (stop-start driving, SS) with a control transport event of smooth, continuous (C) driving. The behavioural expression of cattle was assessed through the process of Qualitative Behavioural Assessment (QBA), and these assessments were tested for correlation with various physiological parameters. Fourteen Angus steers were assessed. Blood samples were collected immediately before and after transport, and heart rate and …

Alamat Toko Jual Levitra Di Malang 082132987772 Obat Kuat Di Malang, Toko Surabaya

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Experience In Substrate-Enriched And Substrate-Impoverished Environments Affects Behaviour Of Pigs In A T-Maze Task, Michael Mendl, Hans W. Erhard, Marie Haskell, Françoise Wemelsfelder, Alistair B. Lawrence

Françoise Wemelsfelder, PhD

Previous research showed that pigs reared in substrate-impoverished conditions performed a smaller proportion of their total behavioural repertoire in their home pens (showed lower behavioural diversity), than pigs reared in substrate-enriched conditions. This study examined whether these differences were the result of fundamental changes in behavioural organisation. A T-maze task was used to test the hypothesis that substrate-impoverished pigs are prone to develop fixed, unvarying behaviour which may underlie their reduced behavioural diversity. They were predicted to be poorer at reversing previous response patterns in the maze, and less able to alter their behaviour in response to a novel (distracting) …

Welfare Assessment: Correlations And Integration Between A Qualitative Behavioural Assessment And A Clinical/Health Protocol Applied In Veal Calves Farms, Marta Brscic, Françoise Wemelsfelder, Elena Tessitore, Flaviana Gottardo, Giulio Cozzi, Cornelis G. Van Reenen

Françoise Wemelsfelder, PhD

This study is aimed at finding correlations and possible integration among Qualitative Behavioural assessment (QBA) and a specific protocol of clinical/health evaluation. Both welfare assessment methods were based on direct animal observation and were applied in 24 Italian veal calves farms at 3 weeks (wks) of rearing. Principal component analysis (PCA) summarized 20 QBA descriptors on two main components (PC1 and PC2) with eigenvalues above 4 and explaining 29.6 and 20.3% of the variation respectively. PCA on residuals obtained after correcting for housing condition yielded highly similar results, indicating that the rearing environment of the calves was not an important …

The Effect Of Substrate-Enriched And Substrate-Impoverished Housing Environments On The Diversity Of Behaviour In Pigs, Marie Haskell, Françoise Wemelsfelder, Michael T. Mendl, Sheena Calvert, Alistair B. Lawrence

Françoise Wemelsfelder, PhD

In intensive farming situations, growing animals are housed in relatively barren environments. The lack of opportunity to perform substrate-interactive and manipulative behaviour patterns may affect the expression and organization of these behaviours. However, making direct comparisons of the behaviour expressed in environments of differing physical complexity is difficult. In this experiment a relative diversity index was used to compare the behavioural repertoires of pigs housed in two different environments for a period of five months. One group of pigs (substrate-enriched) had straw, forest bark and branches added to the standard pens and the other group (substrate-impoverished) did not. The pigs …