disconnects and defects in care – such as duplication, poor integration between services or avoidable adverse events – are costly to the health system and potentially harmful to patients and families. for patients living with multiple chronic conditions, such disconnects can be particularly detrimental. lean is an approach to optimizing value by reducing waste (eg, duplication and defects) and ...

biomass co-firing with lignite represents an attractive solution for operating lignite-fired thermalpower plants (tpp) with the dual advantage of using local renewable resources and simultaneously reducingemissions. the subject of this study is technical and environmental investigation of the feasibility of the cofiring of soma lignite with some dried agricultural residues in the soma thermal p...

Reducing carbon dioxide (CO2) emissions from power plants can have important "co-benefits" for public health by reducing emissions of air pollutants. Here, we examine the costs and health co-benefits, in monetary terms, for a policy that resembles the U.S. Environmental Protection Agency's Clean Power Plan. We then examine the spatial distribution of the co-benefits and costs, and the implicati...

OBJECTIVE To determine which of 4 organizational models of primary care in Ontario were more community oriented. DESIGN Cross-sectional investigation using practice and provider surveys derived from the Primary Care Assessment Tool, with nested qualitative case studies (2 practices per model). SETTING Thirty-five fee-for-service family practices (including family health groups), 32 health s...

Conscientious Objection or conscientious refusal (CO) in access to reproductive health care is at the center of current legal debates worldwide. In countries such as the US and the UK, constitutional dilemmas surrounding CO in the context of reproductive health services reveal inadequate policy frameworks for balancing CO rights with women's rights to access contraception and abortion. The Colo...

BACKGROUND The health condition of workers is known to impact on productivity outcomes. The relationship between health and productivity is of increasing interest amid the need to increase productivity to meet global financial challenges. Prevalence of psychological distress is also of growing concern in Australia with a two-fold increase in the prevalence of psychological distress in Australia...

The objective of our study was to simulation of carbon monoxide (CO) dispersion exited from the stacks of a cement industry of Doroud, Iran by Gaussian Model (GM). Four sampling period was conducted to measurement of CO from the factory's three-stack flow during one year. The input parameters for were the rate of CO emission, meteorological data, factors of related to the stack, and factors of ...

biomass co-firing with lignite represents an attractive solution for operating lignite-fired thermalpower plants (tpp) with the dual advantage of using local renewable resources and simultaneously reducingemissions. the subject of this study is technical and environmental investigation of the feasibility of the cofiring of soma lignite with some dried agricultural residues in the soma thermal p...

OBJECTIVES To identify patterns of co-occurrence and clustering of 6 common adverse health conditions in 11-year-old children and explore differences by sociodemographic factors. DESIGN Nationally representative prospective cohort study. SETTING Children born in the UK between 2000 and 2002. PARTICIPANTS 11 399 11-year-old singleton children for whom data on all 6 health conditions and so...