OBJECTIVES To examine the effectiveness of a "systems" approach using Lean methodology to improve surgical care, as part of a programme of studies investigating possible synergy between improvement approaches. SETTING A controlled before-after study using the orthopaedic trauma theatre of a UK Trust hospital as the active site and an elective orthopaedic theatre in the same Trust as control. ...

PURPOSE The purpose of this paper is to contribute to increased understanding of the concept agile and its potential for hospital managers to optimize design of organizational structures and processes to combine internal efficiency and external effectiveness. DESIGN/METHODOLOGY/APPROACH An integrative review was conducted using the reSEARCH database. Articles met the following criteria: first...

CONTEXT Obesity acts as a cardiovascular risk factor by mechanisms that are not fully understood. Osteopontin (OPN) is a proinflammatory mediator involved in tissue remodeling that plays a role in atherosclerosis and diabetes. OBJECTIVE The aim of the present study was to compare the circulating concentrations of OPN and its mRNA expression in omental adipose tissue of lean, overweight, and o...

background: the aim of this study was to assess the predictive capacity of body composition estimated by bioelectrical impedance analysis (bia) to identify abnormal blood pressure in physical education and sport teaching students in the city of ankara. methods: data for this cross-sectional study were obtained in the city of ankara in 2014. a total of 133 students aged 20-35 yr participated in ...

BACKGROUND The role of endogenous androgens for body composition and physical performance in women athletes is still not elucidated. AIM To examine the serum androgen profile in relation to body composition and physical performance in women Olympic athletes and to compare endocrine variables and body composition to controls. STUDY DESIGN Cross-sectional study, conducted between 2011 and 201...

OBJECTIVE To determine plasma adiponectin concentration in women with and without polycystic ovary syndrome (PCOS) and to assess possible correlations of adiponectin to the hormonal and metabolic parameters, including measures of insulin resistance (IR). DESIGN Case-control study. SETTING Tertiary-referral university hospital. PATIENT(S) One hundred eighty selected women were classified a...

Objective: This study aimed to map the value flow of medical records a philanthropic hospital, identifying opportunities for improvements in process. Design/methodology/approach: A qualitative research descriptive and exploratory bias was developed, which sources evidence emerged from participant observation documentary analysis. Therefore, data collection took place three months 2021, administ...