Medicine and Health Sciences Commons^™

Using Network Analysis To Understand Public Health Delivery Systems & Community Health Initiatives, Glen P. Mays

Glen Mays

The increasingly connected world of health care delivery relies on an expanding frontier of multi-stakeholder structures and processes, from interdisciplinary patient-centered care teams, to virtual accountable care organizations (ACOs), to complex community-level interventions. This session highlights recent advances in applying social network analysis (SNA) methods to study the implementation and impact of these types of innovations. This methods workshop examines the benefits and limits of novel SNA applications based on the expanding availability of large, linkable electronic clinical and administrative data sources with dependent data structures. This paper profiles examples of using SNA principles and methods to study the implementation …

Learning From Network Analysis: Care Transitions, Market Competition, And Community Interventions, Glen P. Mays

Glen Mays

The increasingly connected world of health care delivery relies on an expanding frontier of multi-stakeholder structures and processes, from interdisciplinary patient-centered care teams, to virtual accountable care organizations (ACOs), to complex community-level interventions. This methods workshop highlights recent advances in applying social network analysis (SNA) methods to study the implementation and impact of these types of innovations. This session will examine the benefits and limits of novel SNA applications based on the expanding availability of large, linkable electronic clinical and administrative data sources with dependent data structures.

Learning From Delivery System Behavior, Dynamics, And Interactions To Advance A Culture Of Health, Glen P. Mays

Glen Mays

A new "Systems for Action" national research program flows directly from the Robert Wood Johnson Foundation's Culture of Health action framework. This program will build evidence on how best to align the delivery and financing systems for medical care, public health, and community services & supports so as to promote wellbeing and resiliency, realize efficiencies in resource use, and reduce inequities in health.

Changes In Public Health System Capital And Long-Run Health And Economic Outcomes: 1998 To 2014, Glen P. Mays, Cezar B. Mamaril

Glen Mays

Research Objective: The Affordable Care Act created new resources and incentives for hospitals, insurers, public health agencies, and others to contribute to disease prevention and health promotion activities, potentially changing the structure of public health delivery systems and expanding the implementation of strategies that improve population health. This study uses data from the 1998-2014 National Longitudinal Survey of Public Health Systems to examine: (1) the extent and nature of change in inter-organizational contributions to public health activities, which we use as indicators of public health “system capital”; and (2) the effects of these changes on preventable mortality and resource use. …

National Health Security Preparedness Index: Recommendations From The National Advisory Committee, Glen P. Mays, Michael Childress, Anna Goodman Hoover, Chris Bollinger

Glen Mays

This meeting of the National Advisory Committee for the National Health Security Preparedness Index program discussed strategies for improving the theoretical framework, measures, and analytic methodologies used in assessing and comparing preparedness levels across U.S. states and the nation as a whole.

Cost Estimation In Public Health Services & Systems Research, Glen P. Mays

Glen Mays

Considerable uncertainty persists about the resources required to implement public health programs and policies, and about the factors that drive variation in resource needs and utilization across community and institutional settings. This paper reviews several alternative approaches to cost estimation that we have used in the field of public health services & systems research (PHSSR). This review was prepared for an expert panel meeting convened as part of a study commissioned by the U.S. Assistant Secretary for Planning and Evaluation (ASPE) to estimate the costs associated with public health emergency preparedness capabilities.

Incident Medical Operations At The Sr530 (Oso, Wa) Slide, Richard N. Bradley

Richard N Bradley

No abstract provided.

Decision Making In Acute Stroke Care: Lessons Learned From Neuroeconomics (Zurich), Gustavo Saposnik

Gustavo Saposnik

No abstract provided.

Health Benefits Of Endurance Training Alone Or Combined With Diet For Obese Patients Over 60: A Review, Walid Bouaziz

Walid Bouaziz

The prevalence of obesity is rapidly increasing in older patients and it is ubiquitous in many developed countries. Obesity is related to various negative health outcomes, making it a major public health target for intervention. The aim of this study was to explore and summarise the literature that addresses endurance training alone or combined with nutrition interventions to combat obesity in obese patients over age 60. We searched online electronic databases up to September 2014 for original observational and intervention studies published between 1995 and 2014 on the relationship between endurance training alone or combined with a diet in obese …

Risperidone And Its Deconstructed Analogs: Functional Effects On The 5ht2ar, Sneha Shah

Sneha Shah

G protein-coupled receptors (GPCRs) are seven-transmembrane domain receptors that sense extracellular signal and activate intracellular signaling pathways. The serotonin 5HT2A receptor (or 2AR) is one of the GPCRs coupled to Gq proteins, activating PLC and hydrolyzing PIP2. This hydrolysis causes a diffusion of bound PIP2 away from the channel binding site resulting in G protein-gated inwardly rectifying K+ channel (GIRK) inhibition and a downstream stimulation of Ca2+ release from endoplasmic reticulum stores. Previous experiments have demonstrated that the serotonin 5HTA receptor is a target of serotonergic psychedelic drugs, such as LSD, and partially mediates the action of many atypical antipsychotic …

Focus On Microscopy Fom 2006-2015 Abstracts, George Mcnamara

George McNamara

Focus On Microscopy FOM 2006-2015 abstracts

FOM's are cutting edge microscopy meetings. Their abstracts are posted online soon after the meeting. FOM2015's abstracts are at http://www.focusonmicroscopy.org/2015/program.html

I have been downloading the single PDF abstracts, and making a single large PDF. every year. I figure the "annual organized" PDF may be useful to others, so am posting a ZIP file here containing: FOM 2006 FOM 2007 FOM 2008 FOM 2009 FOM 2010 FOM 2011 FOM 2012 FOM 2013 FOM 2014 FOM 2015 I note the abstracts do not contain copyright notices, but anyone using should "give credit where credit is due" …

Improving Active Transportation Data In Hias With Automated Counters: Lessons From Ca, William W. Riggs

William W. Riggs

Quantifying the active transportation by biking and walking through counts is an important part of developing policy and intervention to mitigate risk and encourage active lifestyles. Numerous studies have evaluated the different methods of counting bicycles and pedestrians, but very little work has evaluated actual cases of how they fit into active transportation programs and health impact assessments (HIAs). The purpose of this study was to study validates the results of those studies looking at the reliability of results gathered as a part of two California projects and how they fit into existing planning and health assessment programs. Automated counters …

The Effects Of Bariatric Surgery On Metabolic Conditions, Sherri C. Canther

Sherri C Canther

No abstract provided.

Cara Hidup Sehat, Eyondd Wae Lee Eyondd

eyondd wae lee eyondd

Sebuah Cara hidup sehat kualitas dalam hal wanita muda tanpa cacat yang telah diperiksa oleh metode spesialis adalah batas pinggang - pinggul sekitar 0 . tujuh puluh . Fisiologi telah demostrated bahwa wanita dengan jam pasir detail yang lebih matang daripada beberapa wanita muda yang berbeda berdasarkan langkah-langkah yang lebih baik dari hormon manusia perempuan tertentu , realitas yang akan pria sadar keadaan memilih kaki . Orang-orang yang dibangkitkan oleh gambar banyak individu mengungkap dalam media untuk menemukan apa yang tegas atau sama sekali tidak sempurna . Beberapa feminis dan tambahan dokter [ tidak jelas ] menggabungkan diberdayakan yang untuk …

Student Perspectives Of Service Learning With Older Adults, Karen Brown, Carol Bashford

Karen Brown

The presenters will describe the findings of a mixed-methods research study designed to explore students’ perspectives of skills and knowledge gained through engaging with older adults with physical and/or cognitive limitations living in a continuing care retirement community (CCRC). Participants in the study included students enrolled as juniors and seniors in a baccalaureate nursing program. Community partnerships with several CCRCs provided the opportunities for students to interact with elders. During the service-learning course, students developed and implemented evidence-based health promotion activities directed towards enhancing the elders’ cognitive, physical, and psychosocial functioning. Additionally, students were paired, one-to-one, with an elder-partner in …

Engagement With A Custom-Made Online System Designed To Support Undergraduate Work Placement, Claire Mcdonnell, Fran Pedreschi

Claire McDonnell

No abstract provided.

Patient Experience Measurement Ignores Mental Health: Suggestions For Healthcare Organizations, Andrew Gallan, Mona Shattell Phd, Rn, Faan

Mona Shattell

No abstract provided.

Rheumatologic Considerations In The Geriatric Patient, Richard A. Pascucci

Richard A. Pascucci

No abstract provided.

Geographic Variation In The Delivery Of Public Health Services: Understanding Causes And Consequences, Glen P. Mays

Glen Mays

The implementation and reach of evidence-based prevention and public health programs varies widely across the U.S., as does the availability of cross-cutting infrastructure and foundational capabilities required to support these interventions. This talk profiles ongoing research to uncover the causes and consequences of variation in public health delivery. This research points to policy and administrative strategies that can reduce inequities and inefficiencies in public health protections.

The National Health Security Preparedness Index: Harnessing Evidence & Experience To Drive Improvement, Glen P. Mays

Glen Mays

This presentation profiles the National Health Security Preparedness Index as a mechanism for measuring preparedness and resiliency levels across the U.S. Forthcoming enhancements in measurement and analytic methodologies will allow the Index to play heightened roles in informing policies and practices that protect the U.S. population from a broad range of hazards.

Connecting Preparedness Science With The National Health Security Preparedness Index: Research Translation Opportunities, Glen P. Mays

Glen Mays

The National Health Security Preparedness Index is a mechanism for applying advances in preparedness measurement and analysis from Hurricane Sandy research projects to advance policies and practices in preparing for, responding to, and recovering from disasters and other health emergencies

Using Practice-Based Research Networks For Next-Generation Public Health, Glen P. Mays

Glen Mays

U.S. public health agencies face an existential imperative to transform their work from a collection of discrete programs and policies into a coherent enterprise for population-wide health improvement. Practice-based research networks (PBRNs) and the advancing science of public health delivery systems can help to achieve this transformation.

Methods To Improve Rehabilitation Of Patients Following Breast Cancer Surgery: A Review Of Systematic Reviews, Siew Yim Loh Assoc Prof, Aisha Nadia Ms

Siew Yim Loh

Context: Breast cancer is the most prevalent cancer amongst women but it has the highest survival rates amongst all cancer. Rehabilitation therapy of post-treatment effects from cancer and its treatment is needed to improve functioning and quality of life. This review investigated the range of methods for improving physical, psychosocial, occupational, and social wellbeing in women with breast cancer after receiving breast cancer surgery. Method: A search for articles published in English between the years 2009 and 2014 was carried out using The Cochrane Database of Systematic Reviews, the Database of Abstracts of Reviews of Effects, PubMed, and ScienceDirect. Search …

Refining And Improving The Methodology For The National Health Security Preparedness Index, Glen P. Mays, Michael Childress, Dominique Zephyr

Glen Mays

This first meeting of two newly reconstituted Working Groups for the National Health Security Preparedness Index Program examined opportunities for improving and refining the Index's measurement, scaling, weighting, and aggregation methodologies. Methodological improvements will enhance the Index's utility for education, planning, policy development, and quality improvement efforts focused on improving national preparedness and resiliency for large-scale health threats.

Wikipedia And Medicine: Quantifying Readership, Editors, And The Significance Of Natural Language, James M. Heilman, Andrew G. West

Andrew G. West

BACKGROUND: Wikipedia is a collaboratively edited encyclopedia. One of the most popular websites on the Internet, it is known to be a frequently used source of healthcare information by both professionals and the lay public.

OBJECTIVE: This document quantifies: (1) The amount of medical content on Wikipedia, (2) the citations supporting Wikipedia’s medical content, (3) the readership of medical content, and (4) the quantity/characteristics of Wikipedia’s medical contributors

METHODS: Using a well-defined categorization infrastructure we identify medically pertinent English Wikipedia articles and links to their foreign language equivalents (Objective 1). With these, Wikipedia’s API can be queried to produce metadata …

Four Wave Mixing Nonlinearity Effect In Wdm Radio Over Fiber System, Innovative Research Publications Irp India, Surbhi Jain, Brintha Therese A.2 Brintha Therese A.

Innovative Research Publications IRP India

The optical networks are fast and error free but due to some nonlinearity effects, its performance degrades. The performance of wavelength division multiplexing (WDM) in radio over fiber (RoF) systems is found to be strongly influenced by nonlinearity characteristics inside the fiber. In this paper, we have studied the effect of four wave mixing (FWM) as one of the influential factors in the WDM for RoF using Optisystem Software.

Hot Standby Router Protocol For A Private University In Malaysia, Innovative Research Publications Irp India, Ala Mohamed Ali Mohamed, Joseph Ng Poh Soon, Wong See Wan, Phan Koo Yuen, Lim Ean Heng

Innovative Research Publications IRP India

In the digitized university environment most of the works and activities done by a network-based process which will be adapted to monitor all the activities to be processed and stored in such datacenter, from that particular point, how to maintain connectivity and to prevent the system from any vulnerability? Is there any techniques or protocols that enhance and guarantee stability? If the primary gateway becomes inaccessible, it might lead to a connectivity issues and that might be very disturbing especially inside a university campus that uses digitalized system to perform their operations, and other education purpose.

Multimodal Secondary Prevention Behavioral Interventions For Tia And Stroke: A Systematic Review And Meta-Analysis., Maggie Lawrence

Dr. Maggie Lawrence

Background Guidelines recommend implementation of multimodal interventions to help prevent recurrent TIA/stroke. We undertook a systematic review to assess the effectiveness of behavioral secondary prevention interventions.

Strategy Searches were conducted in 14 databases, including MEDLINE (1980-January 2014). We included randomized controlled trials (RCTs) testing multimodal interventions against usual care/modified usual care. All review processes were conducted in accordance with Cochrane guidelines.

Results Twenty-three papers reporting 20 RCTs (6,373 participants) of a range of multimodal behavioral interventions were included. Methodological quality was generally low. Meta-analyses were possible for physiological, lifestyle, psychosocial and mortality/recurrence outcomes. Note: all reported confidence intervals are 95%. …

Hospital-Based Surveillance Of Invasive Pneumococcal Disease And Pneumonia In South Bangalore, India., R Nisarga, R Premalatha, Shivananda, Kl Ravikumar, U Shivappa, A Gopi, Sb Chikkadasarahalli, R Batuwanthudawe, Paul E. Kilgore, Sa Kim, I Balter, S Jouve, J Ye, M Moscariello

Paul E. Kilgore

OBJECTIVE: To estimate the incidence of invasive pneumococcal disease and pneumonia, distribution of pneumococcal serotypes, and antibiotic susceptibility in children aged 28 days to <60 months. DESIGN: Hospital-based surveillance. SETTING: South Bangalore, India. PARTICIPANTS: 9950 children aged 28 days to <60 months with clinical suspicion of invasive pneumococcal disease or pneumonia. RESULTS: The estimated at-risk population included 224,966 children <5 years of age. Forty cases of invasive pneumococcal disease were identified. Estimated invasive pneumococcal disease incidence was 17.8/100,000 with incidence being highest among children aged 6 months to <12 months (49.9/100,000). Clinical pneumonia syndrome was the most frequent diagnosis (12.5/100,000). Pneumococcal serotypes included: 6A (n=6, 16.7%); 14 (n=5, 13.9%); 5 (n=4, 11.1%); 6B (n=4, 11.1%); 1, 18C, and 19A (n=3 each, 8.3%); 9V (n=2, 5.6%); and 3, 4, 10C, 18A, 18F, and 19F (n=1 each, 2.8%). Serotypes 6A, 14, 6B, 1, 18C, 19A, 9V, 4, 10C, and 18A showed antibiotic resistance. Clinical pneumonia incidence was 2109/100,000, with incidence being highest among children aged 28 days to <6 months (5033/100,000). Chest radiograph-confirmed pneumonia incidence was 1114/100,000, with incidence being highest among children aged 28 days to <6 months (2413/100,000). CONCLUSIONS: Invasive pneumococcal disease and pneumonia were found to be common causes of morbidity in young children living in South Bangalore, India.

Vaccine Introduction In The Democratic People's Republic Of Korea., F Marks, B Nyambat, Zy Xu, V Von Kalckreuth, Paul E. Kilgore, Hj Seo, Y Du, Se Park, J Im, F Konings, Cg Meyer, Tf Wierzba

Paul E. Kilgore

The feasibility of mass vaccination campaigns for Japanese encephalitis and Haemophilus influenzae type b infections was explored in the Democratic People's Republic of Korea using pilot vaccination studies. The experiences from these initial studies were then used to support larger vaccination campaigns in children at risk of these infections. We discuss the challenges and requirements for the inclusion of additional vaccines into the existing expanded program on immunization in the country.