Presentation EUMASS congress Stockholm, Sweden, 2014
Results of the Thesis, Dr. Patricia M. Dekkers-Sancheez, MD PhD: Improvement of Work ability assessments of employees on long term sick leave
The document summarizes the results of a thesis that aimed to improve work ability assessments for employees on long-term sick leave. Through a literature review and interviews with employees, vocational counselors, and insurance physicians, the thesis identified factors that promote and hinder return to work. It then developed and tested the feasibility of implementing a checklist for insurance physicians to assess these factors during work ability evaluations.
Clinical Questions types .
A Hierarchy of Preprocessed Evidence.
EBM definition and value.
Knowledge and Skills Necessary for Optimal Evidence-Based Practice.
Basic computer and internet knowledge for electronic searching of the literature
Outcome measures are standardized tests or instruments used to measure a patient's health status. They can be used for patient care, research, and quality assurance. There are different types of outcome measures, including disease-specific, generic, self-report, performance-based, observer-reported, and clinician-reported measures. It is important for outcome measures to be reliable, valid, and address the appropriate dimensions when selecting a measure for a patient. Reliability refers to a measure's consistency, while validity determines if it is measuring what it intends to measure through face, content, criterion, and construct validity.
This curriculum vitae summarizes Venkatesh Kumar Gurusamy's professional experience and education. It lists his roles as a clinical safety scientist and drug safety associate for various pharmaceutical companies from 2002 to present. It also outlines his master's degree in epidemiology from Ludwig Maximilian University from 2014 to present and bachelor's degree in physiotherapy from 2002.
This document provides an overview of evidence-based medicine (EBM). It defines EBM as systematically finding, appraising, and applying contemporaneous research findings to make clinical decisions. The key steps of EBM are asking a focused clinical question, searching for relevant evidence, critically appraising the evidence, applying valid evidence to the individual patient, and evaluating outcomes. High quality evidence comes from systematic reviews and randomized controlled trials. Practicing EBM helps ensure patients receive the best possible care based on the most current scientific knowledge.
Evidence based medicine involves integrating clinical expertise with the best available research evidence and patient values. It aims to apply the most appropriate interventions for individual patients based on scientific evidence. The key steps involve formulating an answerable clinical question using the PICO framework, searching for and critically appraising the relevant evidence, and applying the findings to clinical practice. While evidence based medicine improves clinical decision making, it also faces criticisms such as being time-consuming and potentially reducing clinical reasoning.
Evidence-based healthcare uses the best available clinical evidence from valid research combined with a health professional's expertise and experience to make decisions about patient care. It was introduced in 1991 to help clinicians incorporate research findings into their daily practice. Evidence-based healthcare aims to provide the highest quality of care using current best evidence from medical research on treatments, diagnostic tests, and other interventions. It involves forming clinical questions, searching literature, critically appraising evidence, and applying results to improve patient outcomes.
The document summarizes the results of a thesis that aimed to improve work ability assessments for employees on long-term sick leave. Through a literature review and interviews with employees, vocational counselors, and insurance physicians, the thesis identified factors that promote and hinder return to work. It then developed and tested the feasibility of implementing a checklist for insurance physicians to assess these factors during work ability evaluations.
Clinical Questions types .
A Hierarchy of Preprocessed Evidence.
EBM definition and value.
Knowledge and Skills Necessary for Optimal Evidence-Based Practice.
Basic computer and internet knowledge for electronic searching of the literature
Outcome measures are standardized tests or instruments used to measure a patient's health status. They can be used for patient care, research, and quality assurance. There are different types of outcome measures, including disease-specific, generic, self-report, performance-based, observer-reported, and clinician-reported measures. It is important for outcome measures to be reliable, valid, and address the appropriate dimensions when selecting a measure for a patient. Reliability refers to a measure's consistency, while validity determines if it is measuring what it intends to measure through face, content, criterion, and construct validity.
This curriculum vitae summarizes Venkatesh Kumar Gurusamy's professional experience and education. It lists his roles as a clinical safety scientist and drug safety associate for various pharmaceutical companies from 2002 to present. It also outlines his master's degree in epidemiology from Ludwig Maximilian University from 2014 to present and bachelor's degree in physiotherapy from 2002.
This document provides an overview of evidence-based medicine (EBM). It defines EBM as systematically finding, appraising, and applying contemporaneous research findings to make clinical decisions. The key steps of EBM are asking a focused clinical question, searching for relevant evidence, critically appraising the evidence, applying valid evidence to the individual patient, and evaluating outcomes. High quality evidence comes from systematic reviews and randomized controlled trials. Practicing EBM helps ensure patients receive the best possible care based on the most current scientific knowledge.
Evidence based medicine involves integrating clinical expertise with the best available research evidence and patient values. It aims to apply the most appropriate interventions for individual patients based on scientific evidence. The key steps involve formulating an answerable clinical question using the PICO framework, searching for and critically appraising the relevant evidence, and applying the findings to clinical practice. While evidence based medicine improves clinical decision making, it also faces criticisms such as being time-consuming and potentially reducing clinical reasoning.
Evidence-based healthcare uses the best available clinical evidence from valid research combined with a health professional's expertise and experience to make decisions about patient care. It was introduced in 1991 to help clinicians incorporate research findings into their daily practice. Evidence-based healthcare aims to provide the highest quality of care using current best evidence from medical research on treatments, diagnostic tests, and other interventions. It involves forming clinical questions, searching literature, critically appraising evidence, and applying results to improve patient outcomes.
Surveillance is the ongoing, systematic collection, analysis, and interpretation of health data essential to the planning, implementation, and evaluation of public health practice, which is closely integrated with the timely dissemination of these data to those who need to know. To be effective, surveillance must be directly linked to preventive action.
In the case of occupational health, the actions prompted by the surveillance system should be directed not only at the individual case or the affected group, but also at the responsible workplace factors.
Surveillance programs (i.e., 2ry prevention) should be designed to support programs intended to control workplace hazards (i.e., 1ry prevention).
In OSH, surveillance programs should:
• Identify cases of occupational illness or injury; and/or
• Monitor trends of occupational illness or injury.
INTERACT Compatible Order Sets JAMDA 2015 (2) (1)Rob Elmslie
This document discusses the development of INTERACT-compatible order sets for common conditions associated with potentially avoidable hospitalizations.
The key points are:
1) Several programs exist to help manage acute changes in condition without hospitalization, but they lack tools to assist physicians in managing common conditions.
2) The authors worked with experts to develop standardized order sets for 10 common conditions, compatible with the INTERACT care paths.
3) These order sets provide evidence-based diagnostic and treatment orders to help reduce unnecessary hospitalizations and readmissions for nursing home residents and others in long-term care.
This document provides an overview of evidence-based nursing practice and how to effectively search for and evaluate evidence. It defines evidence-based practice as using the best available evidence from research to improve clinical practice. A 5-step process is outlined: formulating a question, searching literature, critically appraising evidence, applying evidence to practice, and re-evaluating. Guidance is given on formulating search strategies using PICO and searching various library databases and resources like Cochrane and CINAHL to find relevant evidence to answer clinical questions.
This document provides an introduction to evidence-based medicine (EBM). EBM is defined as integrating the best research evidence with clinical expertise and patient values to achieve the best possible patient management. The goal of EBM is to improve the quality of information used to make clinical decisions. EBM uses a series of steps including formulating an answerable clinical question, tracking down the best available evidence, critically appraising the evidence, applying the evidence to integrate with clinical expertise and patient values, and evaluating the effectiveness of the process.
Translation research aims to bridge the gap between basic science and clinical applications by developing new medical treatments and ensuring they reach patients. It has two parts: T1 translates new knowledge from basic research into clinical tests and applications; T2 translates clinical findings into practice. Successful translation requires multidisciplinary teams with expertise in both basic and clinical research. Challenges include coordinating large research efforts and overcoming barriers to implementing new practices. National research institutions have established translation centers and programs to facilitate collaboration between scientists and speed the delivery of new treatments to improve human health.
This document discusses leveraging technology to advance clinical documentation improvement (CDI) programs. It notes that current CDI programs focus primarily on revenue cycle management and have resulted in physician cynicism. The document advocates for more physician-engaged CDI programs that integrate with quality initiatives and utilize technology like computer-assisted physician documentation (CAPD) to provide real-time guidance to physicians. This could help address challenges under ICD-10 by capturing accurate clinical impressions and ensuring compliant documentation. The document concludes that successful CDI programs require advanced, clinically integrated technologies that fit with physician workflows.
This document provides an overview of evidence-based medicine (EBM), including its background, key principles, and methods. It discusses how EBM aims to optimize clinical decision-making by emphasizing the use of evidence from well-designed research studies. Some of the main points covered include formulating answerable clinical questions using the PICO framework, systematically identifying and appraising relevant evidence, understanding different types of research studies and levels of evidence, and incorporating patients' values and preferences into clinical decision-making. The goal of EBM is to improve patient outcomes by ensuring treatment choices are informed by the best available research evidence.
Slide presentation for the June 4, 2014 joint PCORI/ National Institute on Aging (NIA) of the National Institutes of Health webinar. This webinar announced the selection of the research team that will carry out a major, five-year, $30 million patient-centered study of the effectiveness of individually tailored care plans to help older individuals avoid falls and related injuries.
a brief overview about how and why to practice evidence based medicine, its clinical application, what it is and what it is not? benefits and challenges
1) A walk-through survey of the workplace is an important part of occupational medicine to understand job demands and identify health hazards.
2) There are several approaches to conducting a walk-through survey, including following the production process, auditing a specific hazard category, or doing a detailed inspection of each work site.
3) During a survey, the inspector considers who may be exposed to hazards, the likelihood and severity of risks, and whether further controls are needed to reduce risks to acceptable levels through methods like engineering controls or safe work practices.
AHIMA Game of documentation - dance with the icd10 dragonNick van Terheyden
Following on from AHIMA 2014 this AHIMA 2015 session will follow last years Successful Presentation “Game of Documentation: Winter is Coming – Surviving ICD-10” to address the genuine concerns of clinicians and demonstrate to them why they must not just accept ICD10 but should be demanding it. As Yoda said
“Always in motion is the future…a little more knowledge lights our way.”
ICD-10 has been implemented but resistance remains high and in a recent remarks by the AMA president that said
“If it was a droid, ICD-10 would serve Darth Vader… For more than a decade, the AMA kept ICD-10 at bay – and we want to freeze it in carbonite!”
But despite this the financial viability and performance of hospitals and physicians are impacted by poor quality of data that is captured with an outdated 1970s-era coding system
The first leap into big data is collecting information with precision and clarity – something that cannot be achieved with a coding system that does not capture Ebola nor the basic classification of myocardial infarction STEMI and Non-STEMI. Everyone – ICD10 supporters and opponents wants the best possible care when they access our healthcare system – but how do they know they are receiving this if we are unable to accurately collect information about diseases and treatments and link outcomes to treatments.
https://ahima.confex.com/ahima/87am/webprogram/Session6176.html
An awareness session conducted for physicians of the psyhciatry department at KSUMC on Monday 25/11/2019 at King Khalid University Hospital, Riyadh, KSA
The document discusses proposed actions to improve emergency room wait times in Nova Scotia hospitals. It identifies several key issues contributing to long wait times, including a shortage of hospital beds, increased use of emergency rooms by aging patients and alternate level of care (ALC) patients, and government funding cuts. It then proposes several multi-pronged strategies to address wait times by improving patient flow, reducing overcrowding and overuse of emergency rooms, and decreasing the number of ALC patients. Specifically, it suggests implementing triage-driven patient placement, expanding fast-track areas, improving access to diagnostics, and enhancing patient transfers to reduce backlogs in emergency rooms.
This document discusses the history and principles of evidence-based medicine (EBM). It notes that while EBM has ancient origins, the modern concept was popularized in the 1970s by Archie Cochrane. EBM involves applying the best available evidence from scientific research to medical practice and decision making. Evidence is ranked based on the strength of the research design. Guidelines help regulate practice based on evidence, while individual decision making focuses on practitioners building their decisions from evidence. Randomized controlled trials provide the strongest evidence, while observational studies and descriptive research provide weaker evidence. Rigorous research requires strength, consistency and adherence to proper methodology.
This document discusses evidence-based medicine and provides tools for practicing it. It summarizes that there is often a gap between scientific evidence and clinical practice. It then outlines various tools like systematic reviews, clinical practice guidelines, and databases that can help bridge that gap by providing critically appraised evidence. It emphasizes Archie Cochrane's view that randomized controlled trials should be organized and summarized by specialty to help inform practice. Finally, it encourages applying and doing, not just knowing, when it comes to evidence-based medicine.
This second interactive webinar in the series will draw upon Dr. Ian Graham's Knowledge to Action cycle and focus specifically on the central role of developing and synthesising evidence of what to implement and which knowledge translation and implementation strategies are most effective for promoting implementation, and developing the knowledge infrastructure to make best use of evidence.
This document discusses evidence-based nursing practice. It begins by defining evidence-based practice as using the best available evidence from research, combined with clinical expertise and patient values, to achieve optimal patient outcomes. The goals of evidence-based practice are to maximize health and quality of life from the patient's perspective. The key components of evidence-based practice are research evidence, clinical expertise, and patient circumstances. The document also outlines the process of evidence-based practice, including formulating questions, searching literature, appraising evidence, applying evidence to practice, and evaluating outcomes.
This document discusses evidence-based practice in emergency medical services (EMS). It begins with background on EMS developing globally with variations in practice and the need for standardization. It discusses how EMS personnel should base practice on protocols informed by the best available evidence. The document then covers knowledge translation from research to practice and evaluating different types of medical studies. It provides guidance on applying evidence-based practice in EMS through formulating focused clinical questions, acquiring and evaluating relevant evidence, applying results to patients, and assessing impact on EMS protocols, guidelines, algorithms and practice.
Evidence Based Practice Lecture 7_slidesZakCooper1
This document discusses how evidence-based practice is used in clinical settings through clinical practice guidelines and decision analysis. It defines clinical practice guidelines as a series of steps for providing clinical care and decision analysis as a formal structure for integrating evidence about treatment options. Clinical practice guidelines aim to standardize and improve care but have limitations such as not applying to complex patients. Decision analysis allows for elucidating optimal individual decisions but requires significant time and resources. Overall, evidence-based practice provides tools and approaches to inform clinical decision-making.
Evidence Base Practice (EBP)-Define, Benefits,Resource, steps PPTsonal patel
Evidence based practice (EBP) involves integrating the best available research evidence with clinical expertise and patient values to provide optimal care. EBP aims to move away from relying on "tried and true" practices and instead make decisions based on high-quality clinical research. The key steps of EBP include asking answerable clinical questions, searching for relevant evidence, appraising the evidence quality and applicability, integrating the evidence with expertise and context, and evaluating outcomes. EBP has benefits like improved patient outcomes, more efficient care, and keeping nursing practice current with the latest research findings.
SYG Consultores ofrece servicios integrales de consultoría en el área financiera, laboral y patrimonial a empresas, profesionales y particulares, adaptándose a las necesidades y circunstancias de cada cliente mediante la personalización y el compromiso
This study evaluated the effect of using a warm versus cold air stream for solvent evaporation on the properties of two etch-and-rinse adhesive systems. Microtensile bond strength and nanoleakage patterns were compared between the two drying methods. Degree of conversion and solvent evaporation rates were also analyzed. The results showed that using a warm air stream improved bond strength and reduced nanoleakage, without affecting degree of conversion. This suggests that a warm air dry may help form a stronger polymer network within the hybrid layer.
Surveillance is the ongoing, systematic collection, analysis, and interpretation of health data essential to the planning, implementation, and evaluation of public health practice, which is closely integrated with the timely dissemination of these data to those who need to know. To be effective, surveillance must be directly linked to preventive action.
In the case of occupational health, the actions prompted by the surveillance system should be directed not only at the individual case or the affected group, but also at the responsible workplace factors.
Surveillance programs (i.e., 2ry prevention) should be designed to support programs intended to control workplace hazards (i.e., 1ry prevention).
In OSH, surveillance programs should:
• Identify cases of occupational illness or injury; and/or
• Monitor trends of occupational illness or injury.
INTERACT Compatible Order Sets JAMDA 2015 (2) (1)Rob Elmslie
This document discusses the development of INTERACT-compatible order sets for common conditions associated with potentially avoidable hospitalizations.
The key points are:
1) Several programs exist to help manage acute changes in condition without hospitalization, but they lack tools to assist physicians in managing common conditions.
2) The authors worked with experts to develop standardized order sets for 10 common conditions, compatible with the INTERACT care paths.
3) These order sets provide evidence-based diagnostic and treatment orders to help reduce unnecessary hospitalizations and readmissions for nursing home residents and others in long-term care.
This document provides an overview of evidence-based nursing practice and how to effectively search for and evaluate evidence. It defines evidence-based practice as using the best available evidence from research to improve clinical practice. A 5-step process is outlined: formulating a question, searching literature, critically appraising evidence, applying evidence to practice, and re-evaluating. Guidance is given on formulating search strategies using PICO and searching various library databases and resources like Cochrane and CINAHL to find relevant evidence to answer clinical questions.
This document provides an introduction to evidence-based medicine (EBM). EBM is defined as integrating the best research evidence with clinical expertise and patient values to achieve the best possible patient management. The goal of EBM is to improve the quality of information used to make clinical decisions. EBM uses a series of steps including formulating an answerable clinical question, tracking down the best available evidence, critically appraising the evidence, applying the evidence to integrate with clinical expertise and patient values, and evaluating the effectiveness of the process.
Translation research aims to bridge the gap between basic science and clinical applications by developing new medical treatments and ensuring they reach patients. It has two parts: T1 translates new knowledge from basic research into clinical tests and applications; T2 translates clinical findings into practice. Successful translation requires multidisciplinary teams with expertise in both basic and clinical research. Challenges include coordinating large research efforts and overcoming barriers to implementing new practices. National research institutions have established translation centers and programs to facilitate collaboration between scientists and speed the delivery of new treatments to improve human health.
This document discusses leveraging technology to advance clinical documentation improvement (CDI) programs. It notes that current CDI programs focus primarily on revenue cycle management and have resulted in physician cynicism. The document advocates for more physician-engaged CDI programs that integrate with quality initiatives and utilize technology like computer-assisted physician documentation (CAPD) to provide real-time guidance to physicians. This could help address challenges under ICD-10 by capturing accurate clinical impressions and ensuring compliant documentation. The document concludes that successful CDI programs require advanced, clinically integrated technologies that fit with physician workflows.
This document provides an overview of evidence-based medicine (EBM), including its background, key principles, and methods. It discusses how EBM aims to optimize clinical decision-making by emphasizing the use of evidence from well-designed research studies. Some of the main points covered include formulating answerable clinical questions using the PICO framework, systematically identifying and appraising relevant evidence, understanding different types of research studies and levels of evidence, and incorporating patients' values and preferences into clinical decision-making. The goal of EBM is to improve patient outcomes by ensuring treatment choices are informed by the best available research evidence.
Slide presentation for the June 4, 2014 joint PCORI/ National Institute on Aging (NIA) of the National Institutes of Health webinar. This webinar announced the selection of the research team that will carry out a major, five-year, $30 million patient-centered study of the effectiveness of individually tailored care plans to help older individuals avoid falls and related injuries.
a brief overview about how and why to practice evidence based medicine, its clinical application, what it is and what it is not? benefits and challenges
1) A walk-through survey of the workplace is an important part of occupational medicine to understand job demands and identify health hazards.
2) There are several approaches to conducting a walk-through survey, including following the production process, auditing a specific hazard category, or doing a detailed inspection of each work site.
3) During a survey, the inspector considers who may be exposed to hazards, the likelihood and severity of risks, and whether further controls are needed to reduce risks to acceptable levels through methods like engineering controls or safe work practices.
AHIMA Game of documentation - dance with the icd10 dragonNick van Terheyden
Following on from AHIMA 2014 this AHIMA 2015 session will follow last years Successful Presentation “Game of Documentation: Winter is Coming – Surviving ICD-10” to address the genuine concerns of clinicians and demonstrate to them why they must not just accept ICD10 but should be demanding it. As Yoda said
“Always in motion is the future…a little more knowledge lights our way.”
ICD-10 has been implemented but resistance remains high and in a recent remarks by the AMA president that said
“If it was a droid, ICD-10 would serve Darth Vader… For more than a decade, the AMA kept ICD-10 at bay – and we want to freeze it in carbonite!”
But despite this the financial viability and performance of hospitals and physicians are impacted by poor quality of data that is captured with an outdated 1970s-era coding system
The first leap into big data is collecting information with precision and clarity – something that cannot be achieved with a coding system that does not capture Ebola nor the basic classification of myocardial infarction STEMI and Non-STEMI. Everyone – ICD10 supporters and opponents wants the best possible care when they access our healthcare system – but how do they know they are receiving this if we are unable to accurately collect information about diseases and treatments and link outcomes to treatments.
https://ahima.confex.com/ahima/87am/webprogram/Session6176.html
An awareness session conducted for physicians of the psyhciatry department at KSUMC on Monday 25/11/2019 at King Khalid University Hospital, Riyadh, KSA
The document discusses proposed actions to improve emergency room wait times in Nova Scotia hospitals. It identifies several key issues contributing to long wait times, including a shortage of hospital beds, increased use of emergency rooms by aging patients and alternate level of care (ALC) patients, and government funding cuts. It then proposes several multi-pronged strategies to address wait times by improving patient flow, reducing overcrowding and overuse of emergency rooms, and decreasing the number of ALC patients. Specifically, it suggests implementing triage-driven patient placement, expanding fast-track areas, improving access to diagnostics, and enhancing patient transfers to reduce backlogs in emergency rooms.
This document discusses the history and principles of evidence-based medicine (EBM). It notes that while EBM has ancient origins, the modern concept was popularized in the 1970s by Archie Cochrane. EBM involves applying the best available evidence from scientific research to medical practice and decision making. Evidence is ranked based on the strength of the research design. Guidelines help regulate practice based on evidence, while individual decision making focuses on practitioners building their decisions from evidence. Randomized controlled trials provide the strongest evidence, while observational studies and descriptive research provide weaker evidence. Rigorous research requires strength, consistency and adherence to proper methodology.
This document discusses evidence-based medicine and provides tools for practicing it. It summarizes that there is often a gap between scientific evidence and clinical practice. It then outlines various tools like systematic reviews, clinical practice guidelines, and databases that can help bridge that gap by providing critically appraised evidence. It emphasizes Archie Cochrane's view that randomized controlled trials should be organized and summarized by specialty to help inform practice. Finally, it encourages applying and doing, not just knowing, when it comes to evidence-based medicine.
This second interactive webinar in the series will draw upon Dr. Ian Graham's Knowledge to Action cycle and focus specifically on the central role of developing and synthesising evidence of what to implement and which knowledge translation and implementation strategies are most effective for promoting implementation, and developing the knowledge infrastructure to make best use of evidence.
This document discusses evidence-based nursing practice. It begins by defining evidence-based practice as using the best available evidence from research, combined with clinical expertise and patient values, to achieve optimal patient outcomes. The goals of evidence-based practice are to maximize health and quality of life from the patient's perspective. The key components of evidence-based practice are research evidence, clinical expertise, and patient circumstances. The document also outlines the process of evidence-based practice, including formulating questions, searching literature, appraising evidence, applying evidence to practice, and evaluating outcomes.
This document discusses evidence-based practice in emergency medical services (EMS). It begins with background on EMS developing globally with variations in practice and the need for standardization. It discusses how EMS personnel should base practice on protocols informed by the best available evidence. The document then covers knowledge translation from research to practice and evaluating different types of medical studies. It provides guidance on applying evidence-based practice in EMS through formulating focused clinical questions, acquiring and evaluating relevant evidence, applying results to patients, and assessing impact on EMS protocols, guidelines, algorithms and practice.
Evidence Based Practice Lecture 7_slidesZakCooper1
This document discusses how evidence-based practice is used in clinical settings through clinical practice guidelines and decision analysis. It defines clinical practice guidelines as a series of steps for providing clinical care and decision analysis as a formal structure for integrating evidence about treatment options. Clinical practice guidelines aim to standardize and improve care but have limitations such as not applying to complex patients. Decision analysis allows for elucidating optimal individual decisions but requires significant time and resources. Overall, evidence-based practice provides tools and approaches to inform clinical decision-making.
Evidence Base Practice (EBP)-Define, Benefits,Resource, steps PPTsonal patel
Evidence based practice (EBP) involves integrating the best available research evidence with clinical expertise and patient values to provide optimal care. EBP aims to move away from relying on "tried and true" practices and instead make decisions based on high-quality clinical research. The key steps of EBP include asking answerable clinical questions, searching for relevant evidence, appraising the evidence quality and applicability, integrating the evidence with expertise and context, and evaluating outcomes. EBP has benefits like improved patient outcomes, more efficient care, and keeping nursing practice current with the latest research findings.
SYG Consultores ofrece servicios integrales de consultoría en el área financiera, laboral y patrimonial a empresas, profesionales y particulares, adaptándose a las necesidades y circunstancias de cada cliente mediante la personalización y el compromiso
This study evaluated the effect of using a warm versus cold air stream for solvent evaporation on the properties of two etch-and-rinse adhesive systems. Microtensile bond strength and nanoleakage patterns were compared between the two drying methods. Degree of conversion and solvent evaporation rates were also analyzed. The results showed that using a warm air stream improved bond strength and reduced nanoleakage, without affecting degree of conversion. This suggests that a warm air dry may help form a stronger polymer network within the hybrid layer.
This document provides a summary of Raghavendra S's career and qualifications. It outlines his 4 years of experience in clinical data management, knowledge of FDA and CDISC guidelines, and experience handling clinical trial data from various sources. It also lists his educational background, including an MSc in Applied Genetics and BSc in Biotechnology. Raghavendra has worked for several companies, including PPD and Quintiles, managing clinical trials and databases in therapeutic areas such as oncology, cardiology, and psychiatry.
Este documento presenta las experiencias de Innobasque en relación con la innovación, las personas y los procesos participativos. En la Parte I, Innobasque describe su modelo de innovación abierto y centrado en las personas, y comparte algunas experiencias que han tenido para promover la participación y la innovación. El objetivo es dar un salto en la forma de impulsar la innovación a través de procesos participativos orientados a las personas.
Este documento describe un curso en línea de 380 horas de duración para formar formadores. El curso cuesta 150 euros e incluye materiales didácticos, una titulación oficial emitida por la UNESCO y gastos de envío. El curso capacita a los participantes para diseñar e impartir programas de formación continua y formación profesional ocupacional. Los participantes recibirán una titulación reconocida que los acredita como profesores de formación profesional.
iPhy tools for collation and analysis of phylogenomic data. M BlaxterRoderic Page
1: Forests of trees, and loads of kindling. Phylogenetics data is growing rapidly, including new sequences and expanding tree databases. This poses challenges for keeping up with the growing volume of data.
2: Organising principles. Effective data organization includes assessing all relevant taxa and sequences, storing aligned data and trees locally, and outputting customized data slices for analysis.
3: iPhy design. The iPhy database aims to organize phylogenetics data by processing sequences, alignments and trees to identify and store relevant data locally while associating taxa, and reconciling tree data with existing classification systems.
La salvaguarda del legado cultural de la Comunitat Valenciana es un objetivo prioritario de la Generalitat. Por eso, en virtud de la Ley 5/1999 de 9 de abril, creó el Institut Valencià de Conservació i Restauració de Béns Culturals, IVC+R, como una entidad pública sometida al derecho privado configurada de conformidad con lo dispuesto por el Gobierno Valenciano.
Su actividad se inició en el año 2005, convirtiéndose desde entonces en el primer organismo gestor en materia de conservación y restauración de la Comunitat Valenciana. El IVC+R, adscrito a la Conselleria competente en materia de Cultura, a través de la Dirección General competente en materia de Patrimonio Cultural. A pesar de su juventud, los profesionales que trabajan en él, poseen una amplia experiencia en la conservación del patrimonio cultural que ha sido adquirida en instituciones de renombrado prestigio.
Este documento resume las cuatro estaciones del año - primavera, verano, otoño e invierno - a través de descripciones breves y extractos de poemas. La primavera se describe como un período de renacimiento de la naturaleza y juventud. El verano es la época más cálida con abundante generosidad natural. El otoño marca la madurez con temperaturas descendientes. El invierno es la estación más fría con noches más largas. Cada estación se ilustra con un poema corto en español que
This document provides instructions for installing Aeroo reports in Open ERP 6.1 on Ubuntu 12.04. It involves installing various packages like Bazaar, Aeroo and Aeroolib modules, setting the LibreOffice path, creating a script to start LibreOffice as a service, and configuring the Aeroo reports module in Open ERP.
HIPOGLUCEMIANTES DE ORIGEN VEGETAL: Bauhinia megalandraBQRazetti2014
Este documento describe los efectos de la planta Bauhinia megalandra en el tratamiento de la diabetes. Explica que B. megalandra inhibe la enzima glucosa-6-fosfatasa y su transportador en el hígado, reduciendo la producción de glucosa. También inhibe la absorción de glucosa en el intestino. Por lo tanto, B. megalandra disminuye los niveles de azúcar en la sangre al reducir la producción hepática de glucosa y su absorción intestinal.
Este documento presenta lineamientos para el diseño curricular de la nueva escuela secundaria orientada en la Ciudad Autónoma de Buenos Aires. Propone una estructura curricular flexible con unidades obligatorias de formación general y específica, así como espacios para la opción institucional. Los propósitos son aumentar la relevancia de la oferta educativa, mejorar la retención de estudiantes, diversificar las prácticas pedagógicas y actualizar los contenidos considerando las nuevas culturas juveniles y la era digital. El documento busca generar un debate
El documento anima a las personas a superar sus miedos y atreverse a hacer cosas nuevas que nunca han hecho antes. Aconseja no preocuparse por lo que otros piensen y concentrarse en ser uno mismo. También enfatiza que la vida es corta y que debemos aprovechar cada día para perseguir nuestros sueños en lugar de conformarnos con lo que tenemos.
Este documento describe las características y tipos de impresoras. Define una impresora como un dispositivo que permite producir documentos almacenados en formato electrónico en medios físicos como papel. Explica que David Edward Hughes inventó el primer sistema de impresión para telégrafo en 1855 y que las impresoras pueden ser láser, que usan un rayo láser, o de inyección de tinta, que usan tintas líquidas.
This document proposes a new framework for efficient analysis of high-dimensional economic big data based on distributed feature selection. The framework combines methods of economic feature selection and econometric model construction to reveal patterns for economic development. It rests on three pillars: novel data pre-processing techniques, an innovative distributed feature identification solution to locate important economic indicators from multidimensional data sets, and new econometric models to capture hidden patterns for economic development. Experimental results on economic data from Dalian, China demonstrate the framework has superior performance in analyzing enormous economic data.
Presentación Impress realizada por Silviaraul andres
Este documento presenta OpenOffice.org, una suite de oficina libre que incluye aplicaciones como Writer para procesamiento de textos, Math para editar fórmulas, Calc para hojas de cálculo, Draw para gráficos vectoriales, Impress para presentaciones y Web para editar páginas web. Cada aplicación se describe brevemente, destacando sus funcionalidades principales y compatibilidad con software propietario equivalente como Microsoft Office.
The document summarizes the story of Paul Henderson, a Canadian hockey legend known for scoring the winning goal in the 1972 Summit Series. It describes how Henderson was diagnosed with chronic lymphocytic leukemia in 2010 but has seen remarkable progress in his treatment and health since participating in a clinical trial in 2012 for a new drug to treat his cancer. The drug has kept his cancer in check, with only 5-10% of his bone marrow now malignant compared to 83% previously. Henderson attributes his renewed health not just to medical treatment but also his faith, family, and positive mental outlook. He serves as an inspiration for other cancer patients.
¿Quieres incluir el Social CRM en tu estrategia de Marketing?
Artyco Customer Database Marketing te ayuda a conocer los principales actores que intervienen en la relación con los clientes, por qué es necesario dar el salto al Social CRM y cómo realizar el cambio.
The document discusses rhizomatic philosophy and collective intelligence. It presents rhizomatic transformations as occurring across different levels in symmetrical relationships. Collective intelligence emerges from the automatic transformation of symbols across cultural strata from oral to digital cultures. Reflexive intelligence involves reasoning, judgment and imagination across four worlds of ideas, objects, acts and facts. Collective intelligence can serve human development through virtual and actual networks relating to knowledge, values, practical skills, and biophysical realities.
Ht ai 2015 poster final - The Maximum of Information in a Minimum of WordsREBRATSoficial
This document discusses the challenges of knowledge transfer for medical auditors in Brazil's private healthcare system. It finds that medical auditors must handle a large volume of complex issues and authorization requests within limited timeframes. They often lack knowledge of evidence-based practices and coverage policies can vary between companies. To address these challenges, the document recommends producing more concise guidelines, improving communication strategies, and increasing motivation for guideline use through workshops and discussions. A survey of medical auditors found they use technical advice in practice but communication and formatting of advice could be improved.
By administering assessments and analyzing the results, targeted aTawnaDelatorrejs
By administering assessments and analyzing the results, targeted and individualized interventions can be determined to best serve the needs of students with disabilities. The actual implementation of the interventions provides teachers opportunities to collect data and gauge the effectiveness of the interventions in addressing documented student needs. Teachers can also gain important skills and knowledge on how to best advocate for practical classroom interventions. Teachers will also be able to collaborate with colleagues and families in mentoring students to take ownership of learning strategies.
Allocate at least 2 hours in the field to support this field experience,
Part 1: Assessment and Interventions
Select at least one student to whom you will administer the informal RTI assessment created in Clinical Field Experience A. Score the assessment and share the results with the student to increase understanding of his or her strengths and areas for improvement.
Collaborate with the certified special education teacher and the student to develop 2-3 interventions based on the student assessment data to support the student’s progress in the classroom. In addition, detail one intervention that can be incorporated at home with family support.
Use any remaining field experience hours to assist the teacher in providing instruction and support to the class.
Part 2: Reflection
In 250-500 words, summarize and reflect upon the following:
· Describe each intervention, including teacher, student, and family roles, where applicable.
· Your experiences administering the assessment, analyzing the results, and providing the student feedback on his or her performance.
· Explain how you expect the interventions you developed to meet the needs of the student, incorporating his or her assessment results in your response.
· Explain how you will use your findings in your future professional practice.
APA format is not required, but solid academic writing is expected.
This assignment uses a rubric. Review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
6
Annotated Bibliography
Student’s Name
Course
Instructor’s name.
Institutional Affiliation
October 7, 2021.
Annotated Bibliography
Ali, H., Ibrahem, S. Z., Al Mudaf, B., Al Fadalah, T., Jamal, D., & El-Jardali, F. (2018). Baseline assessment of patient safety culture in public hospitals in Kuwait. BMC Health Services Research, 18(1). https://doi.org/10.1186/s12913-018-2960-x
The researchers conducted a cross-sectional study in 16 public hospitals in Kuwait using the Hospital Survey on Patient Safety Culture (HSOPSC). The study aimed to assess patient safety culture in public hospitals as perceived by hospital staff and relate the findings similar to regional and international ...
This document summarizes the results of a survey assessing patient safety culture in 15 California hospitals. The survey was sent to over 6,000 hospital employees, including physicians, executives, and other staff, with a 47.4% overall response rate. The survey found that on average, 18% of responses suggested an absence of safety culture, while another 18% were neutral. Responses varied significantly between hospitals and job types. Clinicians, especially nurses, and frontline workers generally gave more negative responses than executives and non-clinical staff. The results provide information on how perceptions of safety culture differ within and between hospitals and employee groups. Further research is needed to understand how to improve safety culture across an organization.
Purpose of the Webinar
1.Describe the process of developing an undergraduate MedRec IPE Event involving > 480 senior Medicine, Pharmacy and Nursing students;
2.Explain the logistics of conducting the event in multiple venues and urban/remote locations;
3.Discuss the successes and challenges of communicating MedRec patient safety concepts through this process; and
4.Describe future opportunities for enhancing undergraduate MedRec training in an interprofessional environment.
Watch the webinar recording: http://bit.ly/1fSqsqv
This document discusses a quality improvement project aimed at reducing emergency room wait times. A team of 3 nurses will lead the project. They plan to research current best practices for minimizing wait times and improving the patient experience in the ER. Options may include adjustments to staffing, facility layout, or patient flow. The team will evaluate several proposals before testing a new approach. Their goals are to enhance patient satisfaction, safety, and hospital reimbursement by addressing long wait times in the ER.
Cme model of dmims (du) wardha the 10 point action program for learning and q...Alexander Decker
The article discusses the 10 point action program for continuing medical education (CME) at Datta Meghe Institute of Medical Sciences (DMIMS) in India. Key points of the program include:
1. Providing grants for CME activities to reduce influence from pharmaceutical companies and support preclinical departments.
2. Conducting needs assessments to identify gaps and design relevant CME activities.
3. Providing pre-CME counseling to set objectives and design effective activities.
4. Preparing an annual CME calendar and obtaining university approval and budget.
5. Ensuring accreditation standards are met and credit is allocated for activities.
The goal of the 10 point program is to make
The TAP project is developing a program at UCSF to facilitate the transition of adolescent patients with chronic health needs from pediatric to adult care. This includes resident training in transitional care competencies and a transition handbook for patients to teach self-management skills.
The IPR project at the Medical College of Georgia will initiate patient- and family-centered rounds on adult medical and surgical units, initially evaluating one team for satisfaction, costs, efficiency and quality/safety.
The Resident Performance project at Carilion Clinic intends to adapt an evaluation tool for patients to assess resident performance on ACGME competencies, comparing feedback and coaching to attending-only feedback.
Evidence-Based PracticeEvidence-based Practice Progra.docxelbanglis
Evidence-Based
Practice
Evidence-based Practice
Program
The Agency for Healthcare Research and
Quality (AHRQ), through its Evidence-
based Practice Centers (EPCs), sponsors
the development of evidence reports and
technology assessments to assist public-
and private-sector organizations in their
efforts to improve the quality of health
care in the United States. The reports
and assessments provide organizations
with comprehensive, science-based
information on common, costly
medical conditions and new health care
technologies. The EPCs systematically
review the relevant scientific literature
on topics assigned to them by AHRQ
and conduct additional analyses when
appropriate prior to developing their
reports and assessments.
AHRQ expects that the EPC evidence
reports and technology assessments will
inform individual health plans, providers,
and purchasers as well as the health care
system as a whole by providing important
information to help improve health care
quality.
The full report and this summary are
available at www.effectivehealthcare.
ahrq.gov/reports/final.cfm.
Background
The United States spends a greater proportion
of its gross domestic product on health care
than any other country in the world (17.6
percent in 2009),1 yet often fails to provide
high-quality and efficient health care.2-6 U.S.
health care has traditionally been based on a
solid foundation of primary care to meet the
majority of preventive, acute, and chronic
health care needs of its population; however,
the recent challenges facing health care in
the United States have been particularly
magnified within the primary care setting.
Access to primary care is limited in many
areas, particularly rural communities. Fewer
U.S. physicians are choosing primary care as
a profession, and satisfaction among primary
care physicians has waned amid the growing
demands of office-based practice.7 There has
been growing concern that current models
of primary care will not be sustainable for
meeting the broad health care needs of the
American population.
The patient-centered medical home (PCMH)
is a model of primary care transformation that
seeks to meet the variety of health care needs
of patients and to improve patient and staff
experiences, outcomes, safety, and system
efficiency.8-11 The term “medical home”
was first used by the American Academy of
Pediatrics in 1967 to describe the concept of a
single centralized source of care and medical
record for children with special health care
Evidence Report/Technology Assessment
Number 208
2. The Patient-Centered Medical Home
Closing the Quality Gap: Revisiting the State of the Science
Executive Summary
2
needs.12 The current concept of PCMH has been greatly
expanded and is based on 40 years of previous efforts to
redesign primary care to provide the highest quality of care
possible.13,14 The chronic care model,15,16 a conceptual
model for organizing chronic illness ...
826 Unertl et al., Describing and Modeling WorkflowResearch .docxevonnehoggarth79783
826 Unertl et al., Describing and Modeling Workflow
Research Paper �
Describing and Modeling Workflow and Information Flow in
Chronic Disease Care
KIM M. UNERTL, MS, MATTHEW B. WEINGER, MD, KEVIN B. JOHNSON, MD, MS,
NANCY M. LORENZI, PHD, MA, MLS
A b s t r a c t Objectives: The goal of the study was to develop an in-depth understanding of work practices,
workflow, and information flow in chronic disease care, to facilitate development of context-appropriate
informatics tools.
Design: The study was conducted over a 10-month period in three ambulatory clinics providing chronic disease
care. The authors iteratively collected data using direct observation and semi-structured interviews.
Measurements: The authors observed all aspects of care in three different chronic disease clinics for over 150
hours, including 157 patient-provider interactions. Observation focused on interactions among people, processes,
and technology. Observation data were analyzed through an open coding approach. The authors then developed
models of workflow and information flow using Hierarchical Task Analysis and Soft Systems Methodology. The
authors also conducted nine semi-structured interviews to confirm and refine the models.
Results: The study had three primary outcomes: models of workflow for each clinic, models of information flow
for each clinic, and an in-depth description of work practices and the role of health information technology (HIT)
in the clinics. The authors identified gaps between the existing HIT functionality and the needs of chronic disease
providers.
Conclusions: In response to the analysis of workflow and information flow, the authors developed ten guidelines
for design of HIT to support chronic disease care, including recommendations to pursue modular approaches to
design that would support disease-specific needs. The study demonstrates the importance of evaluating workflow
and information flow in HIT design and implementation.
� J Am Med Inform Assoc. 2009;16:826 – 836. DOI 10.1197/jamia.M3000.
Introduction
Health information technology (HIT) can enhance efficiency,
increase patient safety, and improve patient outcomes.1,2
However, features of HIT intended to improve patient care
can lead to rejection of HIT,3 or can produce unexpected
negative consequences or unsafe workarounds if poorly
aligned with workflow.4,5
More than 90 million people in the United States, or 30% of
the population, have chronic diseases.6 HIT can assist with
longitudinal management of chronic disease by, for exam-
Affiliations of the authors: Department of Biomedical Informatics
(KMU, MBW, KBJ, NML), Center for Perioperative Research in
Quality (KMU, MBW, KBJ), Institute of Medicine and Public Health,
VA Tennessee Valley Healthcare System and the Departments of
Anesthesiology and Medical Education (MBW), Department of
Pediatrics (KBJ), Vanderbilt University, Nashville, TN.
This research was supported by a National Library of Medicine
Training Grant, Number T15 .
This document outlines a PhD thesis examining how care pathways can improve teamwork in healthcare and prevent burnout. It begins with an introduction describing the growing need for effective teamwork in healthcare due to high rates of medical errors. Barriers to teamwork like fragmented structures and high workload are discussed. The thesis then explores how care pathways, as a type of organizational intervention, may improve teamwork by facilitating communication and coordination among healthcare teams.
The PhD study involved four studies to examine indicators of teamwork, the impact of care pathways on teamwork, and conditions influencing care pathway implementation. A cluster randomized controlled trial found that teams using care pathways perceived themselves as more of a real team and had a better quality work environment than control teams
Health Assessment ON ABDOMEN (1) for midwifery students.pptxEndex Tam
This document discusses health assessment and physical examination skills for midwifery students. It covers obtaining a health history, performing a physical examination, and using the nursing process. The key points are:
1) Midwives play an important role in assessment by obtaining a health history and physical exam. This can be done in various healthcare settings.
2) The nursing process is a systematic problem-solving approach used to provide individualized care. It consists of assessment, nursing diagnosis, planning, implementation, and evaluation.
3) Assessment skills include taking a health history through interviewing and using techniques like inspection, palpation, percussion and auscultation for the physical exam.
Scheduling Of Nursing Staff in Hospitals - A Case Studyinventionjournals
This document summarizes a study that developed a goal programming algorithm to schedule 11 nurses across a two-week period at a hospital. The goals were to satisfy each nurse's contracted time, ensure minimum nurse requirements by role each day, give full-time nurses a weekend off while avoiding more than two consecutive days off, and honor nurses' weekend preference when possible. The algorithm solved the 154-variable, 120-constraint scheduling problem in under 30 seconds. The results showed schedules that met goals for minimum nurse levels each day and individual nurses' two-week schedules.
Chapter 2. Quality & Safety Education for Nurses.pdfAhmad Al-Sadi
The document discusses the Quality and Safety Education for Nurses (QSEN) initiative which aims to prepare nurses with the knowledge, skills, and attitudes needed to improve quality and safety in healthcare. It outlines the 6 QSEN competencies - patient-centered care, quality improvement, safety, teamwork and collaboration, evidence-based practice, and informatics. The document then details the 3 phases of QSEN's development and implementation in nursing education programs across the US. It provides examples of how the competencies have been integrated into nursing curricula.
This document is the introduction to the WHO Patient Safety Curriculum Guide: Multi-professional Edition. It discusses how patient safety has become a global priority in healthcare over the past 20 years since influential reports highlighted that errors are common in healthcare and can cause serious harm. It recognizes that while efforts have been made to improve patient safety, unsafe care remains a concern worldwide. It presents the Curriculum Guide as a new approach to strengthening the education of healthcare professionals in patient safety principles and practices to help address ongoing safety challenges.
This study evaluated the association between leadership walkrounds (WRs) and caregiver assessments of patient safety climate and risk reduction across 49 hospitals. WRs involve hospital leaders visiting clinical units to openly discuss safety issues with staff. The study found that units where ≥60% of caregivers reported exposure to at least one WR had significantly higher safety climate scores, greater reported risk reduction, and more feedback on actions taken compared to units with <60% exposure. Higher rates of WR participation at the unit level were positively associated with more favorable caregiver assessments of patient safety culture and outcomes.
This document provides an overview of the healthcare industry and its components. It discusses how the industry is divided into sectors like hospital activities, medical and dental practice activities, and other human health activities. The healthcare industry consumes over 10% of GDP in most developed nations. For management purposes, the industry is often divided into healthcare equipment and services, and pharmaceuticals, biotechnology, and related life sciences. Key providers and professionals within the industry include physicians, nurses, dentists, pharmacists, and other allied health workers.
College Writing II Synthesis Essay Assignment Summer Semester 2017.docxclarebernice
College Writing II Synthesis Essay Assignment Summer Semester 2017
Directions:
For this assignment you will be writing a synthesis essay. A synthesis is a combination of two or more summaries and sources. In a synthesis essay you will have three paragraphs, an introduction, a synthesis and a conclusion.
In the introduction you will give background information about your topic. You will also include a thesis statement at the end of the introduction paragraph. The thesis statement should describe the goal of your synthesis. (informative or argumentative)
The second paragraph is the synthesis. You will combine two summaries of two different articles on the same topic. You will follow all summary guidelines for these two paragraphs. The synthesis will most likely either argue or inform the reader about the topic.
The conclusion paragraph should summarize the points of your essay and restate the general ideas.
For this essay you will read two research articles on a similar topic to the previous critical review essay as you can use this research in your inquiry paper. You will summarize both articles in two paragraphs and combine the paragraphs for your synthesis. In the synthesis you must include the main ideas of the articles and the author, title, and general idea in the first sentences.
This essay will be three pages long and the first draft and peer review are due June 15. You must turn them in hardcopy in class so you can do a peer review.
Running head: THESIS DRAFT 1
THESIS DRAFT 3Thesis Draft
Katelyn B. Rhodes
D40375299
DeVry University
Point-of-Care Testing (PoCT) has dramatically taken over the field of clinical laboratory testing since it’s introduction approximately 45 years ago. The technologies utilized in PoCT have been refined to deliver accurate and expedient test results and will become even more sensitive and accurate in order to dominate the field of clinical laboratory testing. Furthermore, there will be a dramatic increase in the volume of clinical testing performed outside of the laboratory. New and emerging PoCT technologies utilize sophisticated molecular techniques such as polymerase chain reaction to aid in the treatment of major health problems worldwide, such as sexually transmitted infections (John & Price, 2014).
Historic Timeline
In the early-to-mid 1990’s, bench top analyzers entered the clinical laboratory scene. These analyzers were much smaller than the conventional analyzers being used, and utilized touch-screen PCs for ease of use. For this reason, they were able to be used closer to the patient’s bedside or outside of the laboratory environment. However, at this point in time, laboratory testing results were stored within the device and would have to then be sent to the main central laboratory for analysis.
Technology in the mid-to-late 1990’s permitted analyzers to be much smaller so that they may be easily carried to the patient’s location. Computers also became more ...
The document summarizes a study that explored whether patient satisfaction is increased when a web application is used to inform patients about a surgical colon resection procedure compared to standard oral information provided by a nurse practitioner. 32 patients undergoing elective colon resection for colon cancer were randomly assigned to receive pre-operative information via either a web application (experimental group) or standard oral information (control group). Patient satisfaction was measured before and after surgery using validated questionnaires. The results indicated that patients who received information via the web application reported higher satisfaction scores than those who received standard oral information. The study suggests that using multimedia technologies like web applications to provide tailored, individualized information to patients can improve satisfaction with the healthcare experience.
Similar to Results of theThesis, Dr. Patricia M. Dekkers-Sanchez MD, PhD: Improvement of work ability assessments of employees on long term sick leave (20)
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kol...rightmanforbloodline
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Versio
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Version
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Version
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TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Kat...
Results of theThesis, Dr. Patricia M. Dekkers-Sanchez MD, PhD: Improvement of work ability assessments of employees on long term sick leave
1. Research Center for Insurance Medicine: collaboration between AMC-UWV-VUmc-UMCG
Improvement of work ability assessments
in Insurance Medicine:
Results of the Thesis
September 11th
, 2014
Patricia M. Dekkers-Sánchez, MD, PhD
H. Wind, J.K. Sluiter, M.H.W. Frings-Dresen
Academic Medical Center, University of Amsterdam, Amsterdam
Coronel Institute of Occupational Health,
Research Center for Insurance Medicine, The Netherlands
patricia.dekkers@uwv.nl
EUMASS congress
Stockholm, Sweden
2. Research Center for Insurance Medicine: collaboration between AMC-UWV-VUmc-UMCG
Thesis
Patricia M. Dekkers-Sánchez
Amsterdam, 20-11-2013
3. Research Center for Insurance Medicine: collaboration between AMC-UWV-VUmc-UMCG
• Background
• Aim
• Research questions
• Design
• Methods
• Results
• Conclusions
• Questions
Outline
4. Research Center for Insurance Medicine: collaboration between AMC-UWV-VUmc-UMCG
Background
• Long term sick leave: high financial costs, personal suffering
• Lack of scientific information on factors that perpetuate long
term sick leave or promote RTW
• Different factors influence work ability
• Assessment of factors associated with long term sick leave is
important to promote RTW
5. Research Center for Insurance Medicine: collaboration between AMC-UWV-VUmc-UMCG
Aim
• The aim of the thesis is to contribute to the improvement of work
ability assessments of employees on long term sick leave.
6. Research Center for Insurance Medicine: collaboration between AMC-UWV-VUmc-UMCG
Research questions
1. Which factors hinder or promote RTW of employees on
long term sick leave?
2. Which factors that hinder or promote RTW should be
considered during the work ability assessment of
employees on long term sick leave?
7. Research Center for Insurance Medicine: collaboration between AMC-UWV-VUmc-UMCG
Research questions
3. Is it feasible to implement a checklist to assess factors
affecting work ability in the daily practice of Dutch
insurance physicians?
8. Research Center for Insurance Medicine: collaboration between AMC-UWV-VUmc-UMCG
Design
1- Gathering of knowledge of factors that hinder or promote RTW:
•International literature
•Perspective of employees on long term sick leave
•Perspective of vocational rehabilitation counsellors
•Perspective of Insurance Physicians (IPs)
2- Development of a checklist to help IPs identify barriers and
facilitating factors to RTW during work ability assessments
3- Implementation of the checklist in daily practice of Dutch IPs.
9. Research Center for Insurance Medicine: collaboration between AMC-UWV-VUmc-UMCG
Methods
1. A systematic literature search
2. Focus group interviews: 27 disability claimants
3. Semi-structured interviews: 23 vocational rehabilitation
counsellors
4. Nationwide Delphi study under 102 experienced IPs
5. Nationwide implementation study
10. Research Center for Insurance Medicine: collaboration between AMC-UWV-VUmc-UMCG
Results (1)
Question 1: Literature study
• Which factors promote or hinder RTW of employees on long
term sick leave?
There are no published studies on perpetuating factors
related
to long term sick leave.
Weak evidence: older age and history of sickness absence.
Chapter 2: Dekkers-Sánchez et al. Factors associated with long-term sick leave
in sick listed employees: a systematic review. Occupational and
Environmental Medicine 2008; 65:153-157
11. Research Center for Insurance Medicine: collaboration between AMC-UWV-VUmc-UMCG
Results (2)
Question 1: Focus groups
• Which factors hinder or promote RTW, according to employees
on long term sick leave?
Aside from sickness, non-medical factors can hinder RTW of
employees on long term sick leave.
Work-related factors and Personal factors promote RTW of
employees on long term sick leave.
Chapter 3: Dekkers-Sánchez PM et al. A qualitative study of perpetuating
factors for long term sick leave and promoting factors for return to work.
Journal of Rehabilitation Medicine 2010; 42:544-552
12. Research Center for Insurance Medicine: collaboration between AMC-UWV-VUmc-UMCG
Results (3)
Question 1: Interviews
• Which factors promote RTW of employees on long term sick
leave, according to vocational rehabilitation counsellors?
Employee-related factors
Factors related to the communication
Personal factors
Work-related factors
Social environmental factors
Chapter 4: Dekkers-Sánchez PM et al. What promotes sustained return to
work of employees on long term sick leave? Perspectives of vocational
rehabilitation professionals. Scand J Work Environ Health 2011; 37:481-93
13. Research Center for Insurance Medicine: collaboration between AMC-UWV-VUmc-UMCG
Results (4)
Question 2: Delphi study
• Which relevant factors, according to IPs, should be taken into
account during the assessment of work ability?
Factors that hinder RTW:
1-inefficient coping style
2-negative illness perceptions
3-secondary gain of illness
4-inappropriate advice of treating physicians
5-cognitions/behaviour that hinder RTW
6-inability to accept limitations.
14. Research Center for Insurance Medicine: collaboration between AMC-UWV-VUmc-UMCG
Results (5)
Question 2: Delphi study
Factors that promote RTW:
1-Positive attitude towards RTW
2-Work motivation
3- Early vocational rehabilitation
According to Dutch IPs: non-medical factors can hinder or
promote RTW of employees on long term sick leave.
Chapter 5: Dekkers-Sánchez PM et al. What factors are most relevant
to the assessment of work ability of employees on long-term sick leave?
The physicians’ perspective. Int Arch Occup Environ Health 2013; 86(5):509-518
15. Research Center for Insurance Medicine: collaboration between AMC-UWV-VUmc-UMCG
Results (6)
Question 3: Implementation
study
•Is it feasible to implement a checklist with relevant factors to RTW
in the daily practice of IPs?
89% IPs used the checklist
90% IPs report factors using the checklist
The implementation of the checklist in daily practice of IPs is
feasible
Chapter 6: Dekkers-Sánchez PM et al. Implementation of a checklist to
assess factors relevant for work ability assessments of employees on long
term sick leave. Int Arch Occup Environ Health 2014.
16. Research Center for Insurance Medicine: collaboration between AMC-UWV-VUmc-UMCG
Conclusions (1)
1. Which factors hinder or promote RTW?
30 factors can promote RTW
27 factors can hinder RTW
2. Which factors should be considered in the assessment of
work ability of employees on long term sick leave?
6 factors that hinder RTW
3 factors that promote RTW
17. Research Center for Insurance Medicine: collaboration between AMC-UWV-VUmc-UMCG
Conclusions (2)
3- Is the implementation of a checklist with relevant factors to
RTW feasible?
The implementation of a checklist with relevant factors to RTW
is feasible.
Dekkers-Sánchez PM (2013). Work ability assessments of employees on
long term sick leave in Insurance Medicine (Doctoral Dissertation).
Amsterdam, University of Amsterdam.
18. Research Center for Insurance Medicine: collaboration between AMC-UWV-VUmc-UMCG
Conclusions (3)
The checklist to assess factors relevant to work ability
assessments of employees on long term sick leave seems to be
a useful tool to assess barriers and facilitators for RTW of long-
term sick-listed employees.
19. Research Center for Insurance Medicine: collaboration between AMC-UWV-VUmc-UMCG
1- Work motivation
2- Positive attitude towards RTW
3- Early RTW vocational
rehabilitation
1- Inefficient coping style
2- Negative illness perceptions
3- Secondary gain of illness
4- Inappropriate advice of
treating physicians
5- Cognitions, behaviour
6- Inability to accept limitations
Factors that promote
RTW
Factors that hinder
RTW
RTW
20. Research Center for Insurance Medicine: collaboration between AMC-UWV-VUmc-UMCG
Take home message
IPs need to be aware of the factors that hinder or promote RTW
in order to eliminate or reduce barriers to RTW and stimulate the
facilitators of RTW.
21. Research Center for Insurance Medicine: collaboration between AMC-UWV-VUmc-UMCG
patricia.dekkers@uwv.nl
22. Research Center for Insurance Medicine: collaboration between AMC-UWV-VUmc-UMCG
Faculty disclosure
• EUMASS Congress, Stockholm.
• Date: 11-09-2014
• Nothing to disclose.
• Name: Patricia M. Dekkers-Sánchez, MD PhD
• E-mail: patricia.dekkers@uwv.nl