policy dimensions of systems change in perinatal care
Occupational therapy interventions and physical activity interventions to promote the mental wellbeing of older people in primary care and residential care pdf
... routines and activities that help to maintain or improve their health and wellbeing Sessions should: − involve older people as experts and partners in maintaining or improving their quality of ... guidance, in their local context, in light of their duties to avoid unlawful discrimination and to have regard to promoting equality of opportunity Nothing in this guidance should be interpreted in ... dementia and their carers in health and social care, managing depression in primary and secondary care, assessing and preventing falls in older people, obesity, commonly used methods to increase physical...
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Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings, 2005 pot
... in a health -care setting and the specific measures to reduce this risk HCWs receive various types of training; therefore, combining training for TB infection control with other related trainings ... fit testing of respirators on HCWs can serve as an effective training tool in conjunction with the content included in employee training and retraining The frequency of periodic fit testing should ... Transmission in Health -Care Settings • Overview of the TB infection‑control program • Potential for occupational exposure to infectious TB disease in health -care settings • Principles and practices of infection...
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FREQUENCY OF SPUTUM POSITIVE AFB CASES AMONG PATIENTS OF PULMONARY TUBERCULOSIS IN TERTIARY CARE HOSPITALS OF NORTHERN PAKISTAN pot
... deprivation and lack of proper medical care is present, presence of persons who are coughing up tuberculous bacilli is forming a chain of transmission of infection and identification of smear positive ... assessment of post-primary TB.21 Low haemoglobin of 10–12 gm/dl was reported in 51.92% of patients, 40.38% of patients had Hb levels of 8–10 gm/dl In many patients, total leukocyte count was within normal ... disease In an earlier study24, unilateral lung field involvement was seen in 37.89% of patients, bilateral upper field involvement in 62.2% of patients and cavitary disease in 39.6% of patients...
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báo cáo sinh học:" What impact do Global Health Initiatives have on human resources for antiretroviral treatment roll-out? A qualitative policy analysis of implementation processes in Zambia" pptx
... The provision of short-term incentives such as top-ups may also have implications for sustainability, including quality of care Speaking about the effect on the quality of care in the longer ... additional training for clinical officers, medical officers and if their sites are growing rapidly and they need additional training, the team goes and assesses the needed training" [interview, ... consequence of training, when externally conducted, means that these are short-term, intensive courses that take clinicians out of their clinic, imposing a further strain on the day-to-day running of...
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Báo cáo y học: "Duration of bed occupancy as calculated at a random chosen day in an acute care ward. Implications for the use of scarce resources in psychiatric care" pps
... hospital one of four acute wards in the city of Oslo (ca 500.000 inhabitants) The acute wards are often the first step in a chain of facilities that the patient may need in order to regain his functional ... observed for instance in the airline business If waiting is necessary, we should avoid waiting at the most expensive slots in the chain, i.e in acute wards for psychiatric treatment[14] The financial ... to the chain of treatment facilities, regardless of where the loss is incurred, was 28.8% of total net running costs, as calculated for the 425 waiting days in resident treatment A financial system...
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báo cáo khoa học: " A cluster randomised controlled trial of educational prompts in diabetes care: study protocol" pptx
... to this increase in demand (for example, shifts in the delivery of healthcare to primary care, the impact of clinical guidelines and protocols) Across the UK, the recent major increase in requests ... JG) indicated that enhanced feedback of requesting rates and brief educational reminder messages, alone and in combination, are effective strategies for reducing test requesting in primary care ... effectiveness of the methods in increasing appropriate behaviour; the one study examining this was a trial of adding guidelines to patients' records conducted in a hospital setting Subsequent to the...
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báo cáo khoa học: " Implementing change in primary care practices using electronic medical records: a conceptual framework" potx
... examine the context of implementing change in practice Microsystems guided a cultural assessment of the practice's implementation of change which focused on the relationships of the individuals involved, ... within the Institute of Medicine's study on microsystems Primary care practices are complex adaptive systems that cannot improve in a linear and prescribed manner [1820] The competing demands of ... deeper into the meaning of the process of change, viewed from the perspective practice staff and clinicians implementing guidelines and improving quality with their EMR systems, as part of a practice-based...
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báo cáo khoa học: " The development and geometry of shape change in Arabidopsis thaliana cotyledon pavement cells" doc
... horizontal line indicated in panel (B) (D) YZ view of the anticlinal wall of the region boxed in red in panel (A) (E) Fluorescent intensity values scanned along the horizontal line indicated in panel ... control of the microtubule array that could include modulation of the KATANIN-dependent severing of intersecting microtubules [46] and the dynamic remodeling of the inner-most network of cellulose ... periclinal surface in the red-boxed region of cell (G) XZ view of the anticlinal wall of the region boxed in green in panel (F) (H) Fluorescent intensity values scanned along the horizontal line indicated...
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Treatment of Osteoarthritic Change in the Hip - part 1 pps
... Springer is a part of Springer Science+Business Media springer.com © Springer 2007 Printed in Japan Typesetting: SNP Best-set Typesetter Ltd., Hong Kong Printing and binding: Shinano, Japan Printed ... pinning in of 11 hips (54.5%), osteotomy in of hips (44.4%), and in situ pinning in of hips Additional operations using bone grafts were performed for avascular necrosis of the femoral head in ... M Sofue, N Endo (Eds.) Treatment of Osteoarthritic Change in the Hip Joint Preservation or Joint Replacement? M Sofue, N Endo (Eds.) Treatment of Osteoarthritic Change in the Hip Joint Preservation...
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Treatment of Osteoarthritic Change in the Hip - part 2 ppt
... (AP) view of left hip joint Solid line indicates osteotomy line, which declined 20° varus to the line perpendicular to the femoral neck axis B Lateral view of left hip joint Solid line indicates ... necessity of physeal fixation for stabilization at the time of osteotomy Of course, there is still also expansion of the indications for in situ pinning [1–5], and also the indications for pinning or ... reorienting the plane of the capital physis into a more horizontal position [7] There is still expansion of the indications for in situ pinning for SCFE [1–5], and also the indications for pinning...
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Treatment of Osteoarthritic Change in the Hip - part 3 potx
... 1, and lower limb pain in The mechanism of injury was sports in patients, falling during running in 1, falling on the stairs in 1, long-distance walking in 1, and unknown in 3: most patients ... posterior tilting angle Results The chief complaint was hip joint pain in 11 patients, pain from the hip joint to the knee in 3, pain from the hip joint to the thigh in 1, femoral pain in 1, and ... convexity of the anterior margin of the femoral head In Situ Pinning for SCFE 63 In type B, the anterior outline of the head and neck appears as a straight line and the anterior margin of the femoral...
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Treatment of Osteoarthritic Change in the Hip - part 4 docx
... develops not often follow instructions to rest We perform in situ pinning in patients with a posterior tilting angle of
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Treatment of Osteoarthritic Change in the Hip - part 7 ppsx
... disappearance of cysts; for the growth of roof osteophyte, only of cases without an initial presence of roof osteophytes showed new growth If roof osteophytes were present at the beginning, and if the initial ... joint, Regeneration, Remodeling Introduction The recovery of joint function has always proven a great challenge In the 1860s, improvement of function was attempted with the use of an interposing ... substantial widening of the lateral joint space In Bombelli’s (valgus-extension) position, on the other hand, widening of the joint space is not enough when comparing it with that in valgus-flexion...
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Treatment of Osteoarthritic Change in the Hip - part 8 pps
... making MOM the bearing of choice for resurfacing Introduction Hip resurfacing with MOM bearings is the fastest growing procedure in the world and is playing a major role in the treatment of osteoarthritis ... failures pertained to the stage of development of the surgical technique Specific training programs for resurfacing are needed to minimize the learning curve of surgeons newly undertaking this procedure ... osteoarthritis of the hip joint in Japan Clin Orthop 241:190–196 26 Hoaglund FT, Yau AC, Wong WL (1973) Osteoarthritis of the hip and other joints in southern Chinese in Hong Kong J Bone Joint Surg...
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Treatment of Osteoarthritic Change in the Hip - part 9 pot
... operations were done in 18 joints and two-stage operations were done in 27 joints Enlargement of the acetabular side was done in 45 joints and of the femoral side in joints The size of acetabular component ... removal No case of infection was recorded in this series At the last follow-up examination, clinical results according to the d’Aubigné [7] grading system were rated as excellent in 56 of the 118 ... secondary stability of uncemented hip joint prostheses In: Learmonth ID (ed) Interfaces in total hip arthroplasty Springer, London, pp 81–101 29 Volkmann R, Eingartner C, Winter E, et al (1998)...
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Treatment of Osteoarthritic Change in the Hip - part 10 ppt
... in fixation of periprosthetic fractures of the femur in THA, and the use of the system in augmentation of other forms of fracture fixation, emphasizing its value in the treatment of fractures in ... biomechanical review includes a comparison of the mechanical strength of different cerclage systems The strength of wire and cable fastening systems is examined The importance of fatigue strength ... A review of the clinical use of cable cerclage is presented, including fixation of the greater trochanter in various trochanteric osteotomy approaches to the hip, the use of the system in revision...
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báo cáo khoa học:" The well-being and treatment satisfaction of diabetic patients in primary care" doc
... positive well-being However, this finding should not be generalized as the number of patients administering insulin therapy was very few in our study Patients with a diabetes period of less than ... Prize in Family Medicine" given by the Association of Education and Research in Family Medicine in 2009 Author Details Cukurova University Faculty of Medicine Department of Family Medicine, Adana, ... low number of patients using insulin It was interesting that hypoglycemia and hyperglycemia perceptions were not significantly related to the type of treatment Finally, there was an inverse correlation...
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Báo cáo y học: " The clinical significance of 5% change in vital capacity in patients with idiopathic pulmonary fibrosis: extended analysis of the pirfenidone trial" potx
... reviewed the efficacy of pirfenidone in the phase III trial in an exploratory manner using a 5% change in VC as indices, evaluated the coincidence of the ratings based on 5% change in VC between months ... times by definition of disease progression as death or ≥ 5% relative decline in absolute VC were obtained (In our previous paper, we used ≥ 10% instead of ≥ 5% decline in VC to define PFS times ... of PFS times with origin at month in groups of patients with and without 5% decline in VC at month Solid line with closed circle: No decline in VC at month 3; broken line with plus: a ≥ decline...
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Báo cáo y học: " Lack of agreement between bioimpedance and continuous thermodilution measurement of cardiac output in intensive care unit patient" ppt
... reliability in ICU patients [9,10] Correct placement of the eight electrodes is important in obtaining accurate information; in ICU patients this may be hampered by dressing covering internal jugular line ... clinically indicated, up to 10 cm H2O During the study none of the patients suffered new dysrhythmias requiring treatment or interfering with cardiac output measurement The range of cardiac index ... source of bias error Each patient was monitored for a period of approximately h, acquiring simultaneous paired cardiac index data points at 1-min intervals The data points were analysed using SPSS...
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Tìm thêm: xác định các mục tiêu của chương trình xác định các nguyên tắc biên soạn khảo sát các chuẩn giảng dạy tiếng nhật từ góc độ lí thuyết và thực tiễn khảo sát chương trình đào tạo gắn với các giáo trình cụ thể xác định thời lượng học về mặt lí thuyết và thực tế tiến hành xây dựng chương trình đào tạo dành cho đối tượng không chuyên ngữ tại việt nam điều tra đối với đối tượng giảng viên và đối tượng quản lí khảo sát các chương trình đào tạo theo những bộ giáo trình tiêu biểu nội dung cụ thể cho từng kĩ năng ở từng cấp độ mở máy động cơ lồng sóc các đặc tính của động cơ điện không đồng bộ đặc tuyến mômen quay m fi p2 đặc tuyến tốc độ rôto n fi p2 động cơ điện không đồng bộ một pha sự cần thiết phải đầu tư xây dựng nhà máy thông tin liên lạc và các dịch vụ phần 3 giới thiệu nguyên liệu từ bảng 3 1 ta thấy ngoài hai thành phần chủ yếu và chiếm tỷ lệ cao nhất là tinh bột và cacbonhydrat trong hạt gạo tẻ còn chứa đường cellulose hemicellulose chỉ tiêu chất lượng theo chất lượng phẩm chất sản phẩm khô từ gạo của bộ y tế năm 2008 chỉ tiêu chất lượng 9 tr 25