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Physician Division Of Labor And Patient Selection For Outpatient Procedures, Guy David, Mark. D. Neuman 2011 University of Pennsylvania

Physician Division Of Labor And Patient Selection For Outpatient Procedures, Guy David, Mark. D. Neuman

Health Care Management Papers

Little is known about the ability of incentives to influence decisions by physicians regarding choices of settings for care delivery. In the context of outpatient procedural care, the emergence of freestanding ambulatory surgery centers (ASCs) as alternatives to hospital-based outpatient departments (HOPDs) creates a unique opportunity to study this question. We advance a model where physicians’ division of labor between ASCs and HOPDs affects the medical complexity of patients treated in low-acuity settings (i.e. ASCs). Analyses of outpatient surgical procedure data show that physicians working exclusively in low-acuity settings (i.e. ASCs) treat patients of significantly higher medical complexity ...


Public Perceptions And Attitudes Toward Thalassaemia: Influencing Factors In A Multi-Racial Population, maryanne jin ai tan maryanne 2011 University of Malaya

Public Perceptions And Attitudes Toward Thalassaemia: Influencing Factors In A Multi-Racial Population, Maryanne Jin Ai Tan Maryanne

Mary Anne Tan Jin Ai

Thalassaemia is a common public health problem in Malaysia and about 4.5 to 6% of the Malays and Chinese are carriers of this genetic disorder. The major forms of thalassaemia result in death in utero of affected foetuses (α-thalassaemia) or life-long blood transfusions for survival in β-thalassaemia. This study, the first nationwide population based survey of thalassaemia in Malaysia, aimed to determine differences in public awareness, perceptions and attitudes toward thalassaemia in the multi-racial population in Malaysia. Methods: A cross-sectional computer-assisted telephone interview survey of a representative sample of multi-racial Malaysians aged 18 years and above was conducted between ...


Emergency Medicine Residents As Teachers, Julie K. Wachtel DO, MPH, Marna Rayl Greenberg DO, MPH, Amy B. Smith PhD, Kevin R. Weaver DO, Bryan G. Kane MD 2011 Lehigh Valley Health Network

Emergency Medicine Residents As Teachers, Julie K. Wachtel Do, Mph, Marna Rayl Greenberg Do, Mph, Amy B. Smith Phd, Kevin R. Weaver Do, Bryan G. Kane Md

Department of Emergency Medicine

No abstract provided.


Field-Testing A Pc Electronic Documentation System Using The Clinical Care Classification© System With Nursing Students, Jennifer Emilie Mannino Ph.D., R.N., Veronica D. Feeg Ph.D., R.N., FAAN 2011 Molloy College

Field-Testing A Pc Electronic Documentation System Using The Clinical Care Classification© System With Nursing Students, Jennifer Emilie Mannino Ph.D., R.N., Veronica D. Feeg Ph.D., R.N., Faan

Faculty Works: Nursing

Schools of nursing are slow in training their students to keep up with the fast approaching era of electronic healthcare documentation. This paper discusses the importance of nursing documentation, and describes the field-testing of an electronic health record, the Sabacare Clinical Care Classification (CCC©) system. The PC-CCC©, designed as a Microsoft Access® application, is an evidence-based electronic documentation system available via free download from the internet. A sample of baccalaureate nursing students from a mid-Atlantic private college used this program to document the nursing care they provided to patients during their sophomore level clinical experience. This paper summarizes the design ...


Involvement Of Medical Students And Fresh Medical Graduates Of Karachi, Pakistan In Research, Kiran Ejaz, Muhammad Shahid Shamim, Muhammad Shahzad Shamim, Syed Abid Hussain 2011 Aga Khan University

Involvement Of Medical Students And Fresh Medical Graduates Of Karachi, Pakistan In Research, Kiran Ejaz, Muhammad Shahid Shamim, Muhammad Shahzad Shamim, Syed Abid Hussain

Department of Emergency Medicine

OBJECTIVE: To study the involvement in research, of final year medical students and fresh graduates of Karachi, Pakistan and to identify the factors influencing their interest in medical research.

METHODS: A cross-sectional, questionnaire based study was conducted in 2007-2008. Five institutes representing the private and public hospitals in the city were selected by cluster sampling. Final year medical students and fresh graduates were included. Descriptive statistics were charted using SPSS v.16 after double data entry.

RESULTS: Out of 378, 186 (49%) participants had journal reading habits due to the requirement of their institution. Mostly, 157 (41%) undergraduates had already ...


Failure To Perceive Increased Risk Of Fracture In Women 55 Years And Older: The Global Longitudinal Study Of Osteoporosis In Women (Glow), Ethel S. Siris, Stephen H. Gehlbach, J. D. Adachi, S. Boonen, R. D. Chapurlat, University of Cambridge, C. Cooper, P. Delmas, A. Diez-Perez, Fred H. Hooven, Andrea Z. LaCroix, J. C. Netelenbos, J. Pfeilschifter, M. Rossini, C. Roux, Kenneth G. Saag, P. Sambrook, S. Silverman, N. B. Watts, Allison Wyman, S. L. Greenspan 2011 Columbia University

Failure To Perceive Increased Risk Of Fracture In Women 55 Years And Older: The Global Longitudinal Study Of Osteoporosis In Women (Glow), Ethel S. Siris, Stephen H. Gehlbach, J. D. Adachi, S. Boonen, R. D. Chapurlat, University Of Cambridge, C. Cooper, P. Delmas, A. Diez-Perez, Fred H. Hooven, Andrea Z. Lacroix, J. C. Netelenbos, J. Pfeilschifter, M. Rossini, C. Roux, Kenneth G. Saag, P. Sambrook, S. Silverman, N. B. Watts, Allison Wyman, S. L. Greenspan

GLOW Publications

We compared self-perception of fracture risk with actual risk among 60,393 postmenopausal women aged >/=55 years, using data from the Global Longitudinal Study of Osteoporosis in Women (GLOW). Most postmenopausal women with risk factors failed to appreciate their actual risk for fracture. Improved education about osteoporosis risk factors is needed.

INTRODUCTION: This study seeks to compare self-perception of fracture risk with actual risk among postmenopausal women using data from GLOW.

METHODS: GLOW is an international, observational, cohort study involving 723 physician practices in 17 sites in ten countries in Europe, North America, and Australia. Participants included 60,393 women ...


Dermatology In Botswana: The American Academy Of Dermatology’S Resident International Grant, Camille E. Introcaso, Carrie Kovarik 2011 University of Pennsylvania

Dermatology In Botswana: The American Academy Of Dermatology’S Resident International Grant, Camille E. Introcaso, Carrie Kovarik

Botswana-UPenn Scholarly Publications

No abstract provided.


Early Biometric Lag In The Prediction Of Small For Gestational Age Neonates And Preeclampsia, Nadav Schwartz, Cara Pessel, Jaclyn Coletta, Abba M Krieger, Ilan E Timor-Tritsch 2011 University of Pennsylvania

Early Biometric Lag In The Prediction Of Small For Gestational Age Neonates And Preeclampsia, Nadav Schwartz, Cara Pessel, Jaclyn Coletta, Abba M Krieger, Ilan E Timor-Tritsch

Operations, Information and Decisions Papers

OBJECTIVE: An early fetal growth lag may be a marker of future complications. We sought to determine the utility of early biometric variables in predicting adverse pregnancy outcomes.

METHODS: In this retrospective cohort study, the crown-rump length at 11 to 14 weeks and the head circumference, biparietal diameter, abdominal circumference, femur length, humerus length, transverse cerebellar diameter, and estimated fetal weight at 18 to 24 weeks were converted to an estimated gestational age using published regression formulas. Sonographic fetal growth (difference between each biometric gestational age and the crown-rump length gestational age) minus expected fetal growth (number of days elapsed ...


Managed Care, Drug Benefits And Mortality: An Analysis Of The Elderly, Gautam Gowrisankaran, Robert J Town, Eric Barrette 2011 University of Pennsylvania

Managed Care, Drug Benefits And Mortality: An Analysis Of The Elderly, Gautam Gowrisankaran, Robert J Town, Eric Barrette

Health Care Management Papers

We evaluate the impact of the Medicare HMO program and prescription drug coverage on elderly mortality using data from 1993 to 2000. We specify a model of plan entry and benefit choice and Medicare enrollee plan choice and health outcomes. We derive an estimator that is consistent with endogenous plan selection by using the quasi-experimental variation caused by peculiarities of the Medicare reimbursement system for HMOs. We find that, relative to traditional Medicare, enrollment in an HMO without drug coverage increases mortality while enrollment in an HMO with drug coverage has no significant impact. The economic value of the reduction ...


Prevalence And Molecular Study Of G6pd Deficiency In Malaysian Orang Asli, Farahnaz Amini 2011 SelectedWorks

Prevalence And Molecular Study Of G6pd Deficiency In Malaysian Orang Asli, Farahnaz Amini

Farahnaz Amini

This study aims to define the prevalence and the molecular basis of G6PD deficiency in the Negrito tribe of the Malaysian Orang Asli. Four hundred and eighty seven consenting Negrito volunteers were screened for G6PD deficiency through the use of a fluorescent spot test. DNA from deficient individuals underwent PCR-RFLP analysis using thirteen recognized G6PD mutations. In the instances when the mutation could not be identified by PCR-RFLP, the entire coding region of the G6PD gene was subjected to DNA sequencing. In total, 9% (44/486) of the sample were found to be G6PD-deficient. However, only 25 samples were subjected ...


Disruptive Behaviors: Impact On Communication And The Bottom Line, Joshua M. Benson 2011 Hamline University School of Law

Disruptive Behaviors: Impact On Communication And The Bottom Line, Joshua M. Benson

Joshua M Benson

The ramifications of disruptive behavior are detrimental and systemic. This article defines disruptive behaviors and identifies some stressors that cause such behavior. We will also look at what impact disruptive behaviors have on hospitals economically, the emotional toll on health-care teams, and patient safety and quality. Finally, we will discuss how to successfully address and curb disruptive behaviors.


Clinical Subjectivation: Anthropologies Of Contemporary Biomedical Training., Seth M. Holmes PhD, MD, Angela C. Jenks PhD, Scott Stonington PhD, MD 2011 University of California - Berkeley

Clinical Subjectivation: Anthropologies Of Contemporary Biomedical Training., Seth M. Holmes Phd, Md, Angela C. Jenks Phd, Scott Stonington Phd, Md

Seth M. Holmes PhD, MD

No abstract provided.


En-Case-Ing The Patient: Disciplining Uncertainty In Medical Student Patient Presentations., Seth M. Holmes PhD, MD, Maya Ponte PhD, MD 2011 University of California - Berkeley

En-Case-Ing The Patient: Disciplining Uncertainty In Medical Student Patient Presentations., Seth M. Holmes Phd, Md, Maya Ponte Phd, Md

Seth M. Holmes PhD, MD

The problem-oriented medical record is the widespread, standardized format for presenting and recording information about patients, which is taught to future physicians early in their medical training. Based on our participant obser- vation of medical training, we analyze the ways in which the patient presentation operates in medical training as a disciplinary technology that manages uncertainty in the clinical decision-making process. We uncover various mechanisms at work including the construction of a coherent narrative structure in which chaotic experiences are re-organized and re-interpreted to fit neatly in a linear plot with a predictable ending, the atomization of the patient as ...


Structural Vulnerability And Hierarchies Of Ethnicity And Citizenship On The Farm., Seth M. Holmes PhD, MD 2011 University of California - Berkeley

Structural Vulnerability And Hierarchies Of Ethnicity And Citizenship On The Farm., Seth M. Holmes Phd, Md

Seth M. Holmes PhD, MD

Every year, the United States employs nearly two million seasonal farm laborers, approximately half of whom are migrants (Rothenberg 1998). This article utilizes one year of participant observation on a berry farm in Washington State to analyze hierarchies of ethnicity and citizenship, structural vulnerability, and health disparities in agriculture in the United States. The farm labor structure is organized along a segregated continuum from US citizen Anglo-American to US citizen Latino, undocumented mestizo Mexican to undocumented indigenous Mexican. The ethnography shows how this structure symbolically reinforces conflations of race with perceptions of civilized and modern subjects. These hierarchies produce what ...


Going Viral, Judy Diamond 2011 University of Nebraska - Lincoln

Going Viral, Judy Diamond

World of Viruses

Science education is developing new and innovative means of communication that compete directly with global media to reach the ‘YouTube Generation’. The truly interdisciplinary team of the SEPA-funded World of Viruses project is discovering how best to spread the word.

KEY COLLABORATORS
Judy Diamond, Professor, University of Nebraska State Museum
Charles Wood, Director, Nebraska Center for Virology
Moira Rankin, President, Soundprint Media Center, Inc
Carl Zimmer, Science writer and author of WoV book of essays, A Planet of Viruses
David Uttal, Cognitive science professor, Northwestern University
Benjamin Jee, Cognitive scientist, College of Holy Cross
Tom Floyd, Comic illustrator, Nebraska Educational ...


A Regional Model Of Interprofessional Education, M. Olenick, E. Foote, P. Vanston, J. Szarek, Z. Vaskalis, M. J. DiMattio, R. A. Smego 2011 Campbell University

A Regional Model Of Interprofessional Education, M. Olenick, E. Foote, P. Vanston, J. Szarek, Z. Vaskalis, M. J. Dimattio, R. A. Smego

Osteopathic Medicine, Jerry M. Wallace School of

No abstract provided.


Jefferson Alumni Bulletin – Volume 60, Number 1, Winter 2011, 2011 Thomas Jefferson University

Jefferson Alumni Bulletin – Volume 60, Number 1, Winter 2011

The Bulletin (formerly the Jefferson Medical College Alumni Bulletin)

Features:

  • Women in Medicine: Bridging the Gaps
  • Time & Place
  • Jefferson Women: Leaders Through the Decades
  • Personal Stories


Development And Evaluation Of A Personalized Normative Feedback Intervention For Hispanic Youth At High Risk Of Smoking, Holly Mata 2011 University of Texas at El Paso

Development And Evaluation Of A Personalized Normative Feedback Intervention For Hispanic Youth At High Risk Of Smoking, Holly Mata

Open Access Theses & Dissertations

Despite reductions in overall smoking rates, data show that adolescents continue to smoke at higher rates than adults and that adolescents living in the Texas-Mexico border area are more likely than their counterparts living elsewhere in Texas to smoke. While adult smoking in the Paso del Norte Region has decreased significantly over the past decade, area youth smoking rates exceed both state and national averages. Recent estimates report cigarette smoking among El Paso youth in the past month to be slightly more than 28% as compared with 21% among Texas youth participating in the 2009 statewide Youth Risk Behavior Survey ...


Articulations 2011, SOM School of Osteopathic Medicine, UMDNJ University of Medicine and Dentistry of NJ 2011 Rowan University

Articulations 2011, Som School Of Osteopathic Medicine, Umdnj University Of Medicine And Dentistry Of Nj

Yearbooks

University of Medicine and Dentistry of New Jersey (UMDNJ) School of Osteopathic Medicine yearbook for the class of 2011. 104 pages.

Contents: Osteopathic Oath 1, UMDNJ-SOM Campus 2, University Affiliated Medical Centers 3, Dean's Message 4, Administration/Faculty/Staff 5, UMDNJ-SOM Welcomes the Class of 2011 16, Baby Photos 24, Quotes from the Classroom 33, Graduates 34, "The Next to the Last Blast" Highlights 87, Convocation 88, Editor's Message 96.


Digest Of The Philadelphia College Of Osteopathic Medicine (Winter 2011), Philadelphia College of Osteopathic Medicine 2011 Philadelphia College of Osteopathic Medicine

Digest Of The Philadelphia College Of Osteopathic Medicine (Winter 2011), Philadelphia College Of Osteopathic Medicine

Digest

The Winter 2011 issue of the Digest of the Philadelphia College of Osteopathic Medicine includes the following articles:

  • Opening Remarks
  • PCOM Updates
  • Development News
  • Strategic Initiative
  • Founders’ Day 2011
  • A Cry for Help
  • Class Notes
  • In Memoriam
  • My Turn Essay


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