Enhancing the coordination and quality of care for chronically ill patients is a challenge across health care systems. In Germany, following a 2002 reform, physician-based and patient-centered disease-management programs (DMPs) were implemented in a nationwide rollout. These programs are characterized by information technology support, the central role of a designated doctor in ambulatory care,...

Treatment programs geared toward Hispanic culture are extremely rare, and programs involving the entire Hispanic family are virtually nonexistent. Two prospective studies test the hypothesis that a family-centered intervention is as effective with Hispanic families as it is with non-Hispanic families. First, the program (Celebrating Families!) was presented in English to non-Hispanic and Hispan...

background: several studies have established that all nurses need continuing education, especially those who are working in oncology wards. in the current programs, there are just two general patterns for teaching: teacher-centered and student-centered patterns. in this study, the effect of teacher-centered (lecture) and student-centered (module) teaching methods in relation to safety standards...

because of its widespread needs in different scientific fields, statistics and probability theory have gained great importance and medical students as well as students of other medically related disciplines including nursing need to use them especially in their research projects in undergraduate, graduate and postgraduate schools. this article deals with the question of finding the most effecti...

In the context of game engines with graphical user interfaces, shader programs for GPUs (graphics processing units) are an asset for game development that is often used by artists and game developers without knowledge of shader programming. Thus, it is important that non-programmers are enabled to explore and exploit the full potential of shader programs. To this end, we develop principles and ...

Tuberculosis elimination can be achieved, but only if we are able to identify and successfully treat the 4 million individuals [1] with tuberculosis who are currently undiagnosed. The studies in this supplement clearly demonstrate that to do so we must address the reality that many of those undiagnosed patients are presenting for care at health facilities ill equipped to diagnose and/or treat t...

Reliability-Centred Maintenance in the Naval Air Systems Commands NAVAIR Programs. Air Canada.best practices and members experience in the application of them. This real world adobe illustrator cs2 pdf TECDOC describes the concept of Reliability Centred Maintenance RCM which is the.It is called Reliability-centered Maintenance, or RCM. If it is applied correctly, RCM transforms the relationship...

About 1 in 5 patients hospitalized for exacerbations of chronic obstructive pulmonary disease (COPD) in the United States are readmitted within 30 days. The U.S. Centers for Medicare and Medicaid Services has recently expanded its Hospital Readmissions Reduction Program to financially penalize hospitals with higher than expected all-cause 30-day readmission rates following a hospitalization for...

BACKGROUND Hospital-centered violence intervention programs (HVIPs) reduce violent injury recidivism. However, dedicated cost analyses of such programs have not yet been published. We hypothesized that the HVIP at our urban trauma center is a cost-effective means for reducing violent injury recidivism. METHODS We conducted a cost-utility analysis using a state-transition (Markov) decision mod...

With funding from the Administration on Aging, the National Resource Center: Diversity and Long-Term Care surveyed state administrators of programs serving elders in 24 states in 1994. This survey sought to document what written guidelines and training case managers receive in promoting client autonomy in care planning. In discussions with respondents and review of written materials provided by...