Bibliografías temáticas / Memphis. Board of Health

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Literatura académica sobre el tema "Memphis. Board of Health"

Autor: Grafiati
Publicado: 4 de junio de 2021
Última modificación: 3 de febrero de 2022

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Artículos de revistas sobre el tema "Memphis. Board of Health"

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Weiss, Aaron, Joseph D. Khoury, Sue C. Kaste y Sheri L. Spunt. "Proceedings of the tumor board of St. Jude Children's Research Hospital, Memphis, Tennessee: Gestational choriocarcinoma". Pediatric Blood & Cancer 47, n.º 5 (2006): 640–46. http://dx.doi.org/10.1002/pbc.20560.

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Reb, Christopher W., James F. Stenson y Joseph N. Daniel. "Tibialis Anterior Tendon Reconstruction Using Augmented Half-Thickness Tendon Segment Transposition". Foot & Ankle Specialist 10, n.º 2 (9 de enero de 2017): 144–48. http://dx.doi.org/10.1177/1938640016685825.

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Tibialis anterior tendon rupture causes substantial morbidity. The present study describes the outcomes of augmented, half-thickness tibialis anterior tendon segment transposition, a novel reconstruction technique. This was an institutional review board–approved retrospective review of 3 patients with surgically treated attritional distal rupture with 1-year follow-up. The postdebridement tendon defect prohibited primary repair and was managed by distal transposition of a half-thickness healthy segment. This repair was augmented with human acellular dermal matrix allograft (Graftjacket, Wright Medical Technology, Memphis, TN). The mean age was 68 years (range, 59-73 years). Mean interval between injury and surgery was 59.3 days (range, 15-146 days). All patients regained symmetrical range of motion, motor power, and the ability to heel walk. Mean pain scores improved from 4.6 (range, 2.5-8.5) preoperatively to 0.7 (range, 0-2) postoperatively. Mean Foot and Ankle Ability Measure scores increased from 30.6 (range, 23.8-43.8) preoperatively to 78.7 (range, 72.6-97.6) postoperatively. No postoperative complications occurred. One patient was satisfied and 2 were very satisfied with their outcome. Although limited, the present findings appear to indicate that this technique produces short-term clinical results comparable to those described for other techniques for tibialis anterior tendon reconstruction. Levels of Evidence: Therapeutic, Level IV
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Faris, Judy y Gerry T. Nichol. "Memphis City Schools Mental Health Center". Special Services in the Schools 11, n.º 1-2 (22 de marzo de 1996): 151–67. http://dx.doi.org/10.1300/j008v11n01_04.

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ANDERSON, JANE. "Memphis Database Delivers Major Public Health Benefits". Family Practice News 39, n.º 12 (junio de 2009): 53. http://dx.doi.org/10.1016/s0300-7073(09)70508-0.

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Klesges, Robert C., Eva Obarzanek, Lisa M. Klesges, Michelle B. Stockton, Bettina M. Beech, David M. Murray, Jennifer Q. Lanctot y Deborah A. Sherrill-Mittleman. "Memphis Girls health Enrichment Multi-site Studies (GEMS)". Contemporary Clinical Trials 29, n.º 1 (enero de 2008): 42–55. http://dx.doi.org/10.1016/j.cct.2007.05.001.

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Rushing, Wanda. "School Segregation and Its Discontents". Urban Education 52, n.º 1 (3 de agosto de 2016): 3–31. http://dx.doi.org/10.1177/0042085915574520.

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Few policies have affected American society as deeply as those related to the landmark 1954 U.S. Supreme Court decision, Brown v. Board of Education. Now, 60 years later, segregation persists along race and class divisions. This case study analysis of a merger that took place between 2010 and 2013 in Memphis and Shelby County, Tennessee, one of the most politically contentious ones undertaken in the post–civil rights era, reveals a great deal about processes that sustain patterns of inequality. A new generation of Memphis leaders gives its perspective on education, social equality, and the future.
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Wolff, Christian G. "Long Distance Information, Give Me Memphis, Tennessee". Primary Care Companion to The Journal of Clinical Psychiatry 09, n.º 05 (15 de octubre de 2007): 390–91. http://dx.doi.org/10.4088/pcc.v09n0510.

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Canale, Dee J., Clarence B. Watridge, Tyler S. Fuehrer y Jon H. Robertson. "The history of neurosurgery in Memphis: the Semmes-Murphey Clinic and the Department of Neurosurgery at the University of Tennessee College of Medicine". Journal of Neurosurgery 112, n.º 1 (enero de 2010): 189–98. http://dx.doi.org/10.3171/2009.4.jns09173.

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Neurological surgery was defined as a separate surgical specialty by Harvey Cushing and a few other surgeons, most of whom were trained and influenced by Cushing. One of these, Raphael Eustace Semmes, became the first neurosurgeon in Memphis, Tennessee, in 1912. After World War II, Semmes and his first associate, Francis Murphey, incorporated the Semmes-Murphey Clinic, which has been primarily responsible for the growth of the Department of Neurosurgery at the University of Tennessee Health Science Center in Memphis, as well as the development of select neurosurgical subspecialties in Memphis area hospitals.
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Stone, Clarence N. "Rhetoric, Reality, and Politics: The Neoliberal Cul-de-Sac in Education". Urban Affairs Review 56, n.º 3 (15 de julio de 2019): 943–72. http://dx.doi.org/10.1177/1078087419867165.

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In Barbara Ferman’s collection, The Fight for America’s Schools, grassroots resistance to neoliberal education reform holds the spotlight. Her geographic lens is the Pennsylvania/New Jersey region. In this article, the geographic focus shifts to Memphis, Tennessee, and Washington, D.C. Experiences in these two cities show how the neoliberal agenda is protected in the face of disappointing results. The Memphis case centers on a state takeover driven by a market ideology. Its experience underscores that reducing local representation to an inconsequential advisory role also diminishes what education policy leaders believe they need to consider. D.C. offers a more complex narrative, one haunted by the corrupted metrics of Campbell’s Law. In both cities, the neoliberal toolbox proved unable to deliver in practice what the drawing board had promised.
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Paavola, James C., Fleetis P. Hannah y Gerry T. Nichol. "The Memphis City Schools Mental Health Center: A program description." Professional School Psychology 4, n.º 1 (1989): 61–74. http://dx.doi.org/10.1037/h0090575.

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Tesis sobre el tema "Memphis. Board of Health"

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Fallon, Marie M. "Quantitative Study of the Appointment Process of Local Board of Health Members in Ohio and the Relationship to Board Effectiveness". Bowling Green State University / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1245267197.

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Walls, J., Patricia M. Vanhook y L. Odom. "School-Based Health: A University and Board of Education Partnership". Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/7439.

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Magers, Megan. "A Mixed-Methods Approach to Examining the Memphis Crisis Intervention Team (CIT) Model: An exploratory study of program effectiveness and institutionalization processes". Doctoral diss., University of Central Florida, 2013. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/5811.

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The present study utilized a mixed-methods strategy to examine the effectiveness, diffusion, and institutionalization of the Memphis Crisis Intervention Team (CIT) model. To evaluate the effectiveness of the training component of the CIT model, a panel research design was employed in which a sample of 179 law enforcement officers and 100 correctional officers in nine Florida counties were surveyed on the first day of training (pretest), the last day of training (posttest), and one month following their completion of CIT training (follow-up). These surveys measured the extent to which CIT training achieved several officer-level objectives, including increased knowledge of mental illness and the mental health referral process, improved self-efficacy when responding to mental health crises, and enhanced perceptions of verbal de-escalation skills, mental health services in the community, and the mental health referral process. The results of these surveys revealed officers experienced a statistically significant increase on every measure of training effectiveness between the pretest and posttest data collection points. However, a significant decline was found among the 117 officers that responded to the follow-up survey on the measures associated with self-efficacy and perceptions of verbal de-escalation, which points to a measurable decay in the effectiveness of the training in the intermediate timeframe with regard to these two measures. To examine the extent to which the diffusion of the CIT model resembles a social movement in the field of criminal justice and to explore the impact of CIT institutionalization on the organizational structure of criminal justice agencies, an online survey was distributed to 33 representatives of law enforcement and correctional agencies known to participate in the CIT program in the nine Florida counties in which officers were surveyed. The results of this survey indicate interagency communication and external pressure from mental health providers and advocates largely contribute to the decision of criminal justice agencies to adopt the CIT model. In addition, the findings of this survey suggest criminal justice agencies modify their organizational structure in a number of different ways to internalize and institutionalize the CIT model. By coupling a training program evaluation with an assessment of diffusion and institutionalization, this study makes a unique contribution to organizational and evidence-based literature.
Ph.D.
Doctorate
Dean's Office, Health and Public Affairs
Health and Public Affairs
Public Affairs; Criminal Justice
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Casey, Lynda. "Perceptions of Community Health Board members regarding community empowerment and participation". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape17/PQDD_0008/MQ36347.pdf.

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Seow, Jireh Hooi Inn. "Understanding leadership and management development in a health board of NHS Scotland". Thesis, Robert Gordon University, 2012. http://hdl.handle.net/10059/899.

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This doctoral thesis, entitled Understanding Leadership and Management Development in a Health Board of NHS Scotland, is completely written by Jireh Hooi Inn Seow for submission to meet the partial requirements of the Doctor of Philosophy. This doctoral research is in the field of leadership and management development. It explores and seeks to understand healthcare leadership and management development in a region (officially called a Health Board) of NHS Scotland. It employs a qualitative methodology, anchored within a broad approach of interpretivism, and the fieldwork data collection methods of interviewing and participant observation to inform the objective of this study, which is to investigate the prominent behavioural attributes, values, attitudes, traits, ways of thinking and feelings, or actions exhibited by the research subjects who are emergent Scottish healthcare leaders and managers. This research involves two stages of data collection where the second round of interviews takes place slightly more than a year after the first round. After reviewing the literature on seven popular leadership and management development practices or programme, and after the analyses of qualitative empirical data from the fieldwork, this research provides the discovery of how the healthcare professionals are developed as well as an understanding of a mechanism underlying their leadership and management development. The application of meme theory, the main theoretical lens of this research, reveals the workings of a memetic mechanism behind leadership and management development. Thus, this main contribution of this research is the addressing of the relative shortage of research publication on leadership and management development, particularly on the mechanisms underlying leadership and management development, by showing how healthcare professionals are developed into leaders and managers via the spread, replication, transmission, and acquisition of memes; this study then offers suggestions of how leadership and management development programme could be designed in light of such a memetic leadership and management development. The main contribution of this research also includes the discovery of leadership and management development memes which are then categorised into four memeplexes labelled as the Altruism Memeplex, the Motivation Memeplex, the Motivating Memeplex, and the People-developing Memeplex. In addition, a minor contribution of this study is a novel interview data collection method in the research design that incorporates 360-degree feedback.
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Aliyu, Attahir Murtala. "On-board health monitoring of power modules in inverters driving induction motors". Thesis, University of Nottingham, 2017. http://eprints.nottingham.ac.uk/40123/.

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This thesis presents an on-board methodology for monitoring the health of power (converter) modules in drive systems. The ability to keep regular track of the actual degradation level of the modules enables the adoption of preventive maintenance, reducing or even eliminating altogether the appearance of failures during operation, significantly improving the availability of the power devices. The novelty of this work is twofold: the complete system that is used to achieve degradation monitoring; combining the heating technique (to obtain thermal transient) and the measurement without additional power components such as IGBT, MOSFETS, which affects the reliability, power density and complexity. The only additional component is an analog measurement circuit, which can be integrated into the gate drive board. The test routine is carried out during non-operational periods and idle times. Trains are used as a case study, where checks for degradation are made when the train is not in use, such as at the end of the day, after daily operation or at the start before daily operation and other non-operational periods. It is important to keep the train at standstill while tests are carried out. Hence a methodology to heat the devices with current from the input supply while keeping the motor load at a stand-still is presented. Experimental results obtained from this show that it is possible to implement an on-board health monitoring system in converters which measures the degradation on power modules. The work uses the concepts of vector control heating and structure function to check for degradation. It puts forward a system that is used on-board to measure the cooling curve and derive the structure function during idle times for maintenance purposes. The structure function is good tool for tracking the magnitude and location of degradation in power modules. Vector control gives the advantage of controlling the motor with field current and torque current (similar concept to DC motors).
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Riesco, Refoyo Javier. "Development of battery models for on-board health estimation in hybrid vehicles". Thesis, KTH, Materialvetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-211680.

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Following the positive reception of electric and hybrid transport solutions in the market, manufacturers keep developing their vehicles further, while facing previously undertaken challenges. Knowing the way lithium-ion batteries behave is still one of the key factors for hybrid electric vehicles (HEVs) development, especially for the requirements of the battery management system during their operation. Hence, this project focuses on the necessity of robust yet reasonably simple and cost-effective models of the battery for estimating the health status during the operation of the vehicles. With this aim, the procedure and models to calculate the state-of-health (SOH) indicators, internal resistance and capacity, are proposed and the results discussed. Two machine-learning based models are presented, a support vector machine (SVM) and a neural network (NN), together with one equivalent circuit model (ECM). The data used for training and validating the models comes from testing the batteries in the laboratory with standard performance tests and real driving cycles along the battery lifespan. However, data sets measured in actual heavy-duty vehicles during their operation for three years is also analysed and compared. With respect to this matter, a study of the battery materials, behaviour and operation attributes is carried out, highlighting the main aspects and issues that affect the development of the models. The inputs for the models are signals that can be measured on-board in the vehicles, as current, voltage or temperature, and other derived from them as the state-of-charge (SOC) calculated by the internal battery management unit. Time-series of the variables are used for simulation purposes. The management of signals and implementation of the models is done in the environment of Matlab-Simulink, using some of its in-built functions and other specifically developed. The models are evaluated and compared by means of the normalized root mean squared error (NRMSE) of the voltage output profile compared to that of the tested batteries, but also the error of the internal resistance calculations calculated from the voltage profile for the three models, and the internal parameters in case of the ECM. While despite the difficulties faced with the data, the models can eventually perform accurate estimations of the resistance, the results of the capacity estimations are omitted in the document due to the lack of useful information derived. Nevertheless, the calculation procedure and other considerations to take into account regarding the capacity estimation and data sets are undertaken. Finally, the conclusions about the data used, battery materials and methods evaluated are drawn, laying down recommendations as to design the performance tests following the conditions of the driving cycles, and indicating the higher general performance of the SVM respect the other two methods, while asserting the usefulness of the ECM. Moreover, the battery with NMC material composition is observed to be easier to predict by the models than LFP, also showing different evolution of its internal resistance.
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Nehrt, Jennifer Lynn. "Promoting Positivity: Securing Memphis's Image in Times of Crisis". Thesis, Virginia Tech, 2017. http://hdl.handle.net/10919/78287.

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Situating the 1878 yellow fever epidemic in Memphis's long history shows how concern over Memphis's national reputation influenced how city leaders dealt with crisis. Throughout its history, Memphis government officials and business leaders promoted Memphis as a good city to do business, free from disease and racial strife. Despite their best efforts, they could not deny explosive incidents of racially-based violence or disease outbreaks. Instead, they tried to mitigate negative repercussions on the local economy during times of crisis. When the 1878 yellow fever epidemic struck, the Citizen's Relief Committee, the impromptu government formed by business leaders after outbreak, promoted Memphis as a functioning white city that was operating the best it could under terrible circumstances so the city could resume normal economic activity once the fever passed. This became the dominant narrative, repeated by newspapers across the country in 1878 and historians today. This narrative is problematic because it ignores black Memphians, who composed of 80% of the city's population after outbreak. Instead of recognizing black Memphians participation in relief activities, they promoted stories in the media about lazy or riotous African Americans to justify denying sufficient aid to the black community. Catholics had better luck earning the gratitude of Memphis's leaders. They worked with the white government and charities as nurses and fundraisers, and earned a glowing reputation in national newspapers. The inclusion of African Americans and Catholics in this thesis tells a more complete story and challenges white Memphians' carefully cultivated narrative.
Master of Arts
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9

Scott, Raymond John. "Toward self empowered community teams within Inuvik Regional Health and Social Services Board". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape7/PQDD_0007/MQ41818.pdf.

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Guzman, Jill. "Comparison of the Wii Balance Board and the BESS Tool Measuring Postural Stability in Collegiate Athletes". Thesis, The William Paterson University of New Jersey, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3613089.

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Proper evaluation of postural stability is an integral part of the comprehensive management of concussed athletes. Clinicians are in need of a cost-effective and objective tool to assist them in their assessments performed in a variety of health care settings. This non-experimental design compared the Wii Balance Board (WBB), a recreational gaming system, to the Balance Error Scoring System (BESS), a tool developed for sports medicine clinicians for the assessment of postural stability in concussed athletes. The WBB has been proven to be used in various settings for rehabilitation but has not yet been used for the assessment of postural stability (Butler et al., 2010). This study hypothesized whether the WBB, when compared to the BESS, is an objective tool that can be used as an acceptable measurement of postural stability in college athletes. Ninety-one male collegiate football players participated in the study and were measured for postural stability both with the WBB and the BESS tool. Findings revealed that there was a direct and positive correlation between these two instruments. The WBB when compared to the BESS is found to valid tool in assessing postural stability. These results lay the foundation for future research on the WBB and its' usefulness in measuring postural stability. The portable and cost effective WBB potentially could be used in various settings to aid in the concussion management of athletes. It is imperative that nursing becomes more actively involved in the research, prevention and education of concussions. Nursing plays an integral role in the management of concussions and future research on concussions should be conducted by nurse scholars.

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Libros sobre el tema "Memphis. Board of Health"

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Ontario. Ministry of Health. Health Disciplines Board. Health Disciplines Board. S.l: s.n, 1986.

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Board, Highland Health. Highland Health Board. Inverness: Highland Health Board, 1993.

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Vickers, Betsy. Memphis, Tennessee, police department's Crisis Intervention Team. [Washington, DC]: U.S. Dept. of Justice, Office of Justice Programs, Bureau of Justice Assistance, 2000.

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Board, Greater Glasgow Health. Greater Glasgow Health Board local health strategy. Glasgow: The Board, 1992.

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Board, Highland Health. Highland Health Board annual report. Inverness: Highland Health Board, 1994.

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Board, Tayside Health. Minutes of Tayside Health Board. Dundee: Tayside Health Board, 2001.

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Board, Highland Health. Highland Health Board annual report. Inverness: Highland Health Board, 1998.

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Board, Tayside Health. Minutes of Tayside Health Board. Dundee: Tayside Health Board, 2000.

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Board, Highland Health. Highland Health Board annual report. Inverness: Highland Health Board, 1999.

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Board, Ireland Western Health. Western Health Board service plan 2000. Galway: Western Health Board, 2000.

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Capítulos de libros sobre el tema "Memphis. Board of Health"

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Ataalla, Mohamed Hamdy. "Mental and Behavioral Health". En Pediatric Board Study Guide, 167–95. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-21267-4_6.

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Harren, Winfried y Herbert Holik. "Health and Safety". En Handbook of Paper and Board, 983–1002. Weinheim, Germany: Wiley-VCH Verlag GmbH & Co. KGaA, 2013. http://dx.doi.org/10.1002/9783527652495.ch25.

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Ataalla, Mohamad Hamdy. "Behavioral, Mental Health Issues and Neurodevelopmental Disorders". En Pediatric Board Study Guide, 29–43. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-10115-6_2.

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Mankowitz, Scott. "1.2 The Health System". En Clinical Informatics Board Review and Self Assessment, 21–37. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-63766-2_2.

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Mankowitz, Scott. "3.3 Health Information Systems and Applications". En Clinical Informatics Board Review and Self Assessment, 151–57. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-63766-2_8.

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Kulšinskas, Artūras, Cătălin Bălan, Nicholas Bukdahl y Anthony Lewis Brooks. "Augmentation of Board Games Using Smartphones". En Universal Access in Human-Computer Interaction. Access to Learning, Health and Well-Being, 483–92. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-20684-4_47.

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Gøtzsche, Peter C., Iona Heath y Fran Visco. "The Danish National Board of Health circles the wagons". En Mammography Screening, 114–19. London: CRC Press, 2021. http://dx.doi.org/10.1201/9781846198410-9.

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Al Hashmi, Waddah S. Ghanem. "Impact of board structures and future outlook on HSE governance". En Environment, Health and Safety Governance and Leadership, 70–73. Abingdon, Oxon ; New York, NY : Routledge, 2018.: Routledge, 2017. http://dx.doi.org/10.4324/9781315713427-11.

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Arnold, Lorna y Mark Smith. "Health and Safety and the National Radiological Protection Board Studies". En Britain, Australia and the Bomb, 254–67. London: Palgrave Macmillan UK, 2006. http://dx.doi.org/10.1057/9780230627338_13.

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Poorisat, Thanomwong y Arul Chib. "The Internet as a Sex Education Tool: A Case Study of an Online Thai Discussion Board". En Strategic Urban Health Communication, 199–210. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4614-9335-8_16.

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Actas de conferencias sobre el tema "Memphis. Board of Health"

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Kostkova, Patty, Vino Mano, Heidi J. Larson y William S. Schulz. "VAC Medi+board". En DH '16: Digital Health 2016. New York, NY, USA: ACM, 2016. http://dx.doi.org/10.1145/2896338.2896370.

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"Review board". En 2014 Pan American Health Care Exchanges (PAHCE). IEEE, 2014. http://dx.doi.org/10.1109/pahce.2014.6849608.

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"PAHCE review board". En 2015 Pan American Health Care Exchanges (PAHCE). IEEE, 2015. http://dx.doi.org/10.1109/pahce.2015.7173343.

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Green, C., J. Moehr y M. Campbell. "Governing health regions/informing board members". En 37th Annual Hawaii International Conference on System Sciences, 2004. Proceedings of the. IEEE, 2004. http://dx.doi.org/10.1109/hicss.2004.1265389.

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"Review Board". En 2021 Global Medical Engineering Physics Exchanges/ Pan American Health Care Exchanges (GMEPE/PAHCE). IEEE, 2021. http://dx.doi.org/10.1109/gmepe/pahce50215.2021.9434843.

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Patania, F., A. Gagliano, F. Nocera y A. Galesi. "Analysis of acoustic climate on board public transport". En ENVIRONMENTAL HEALTH RISK 2013. Southampton, UK: WIT Press, 2013. http://dx.doi.org/10.2495/ehr130011.

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"Pahce review board". En 2018 Global Medical Engineering Physics Exchanges/Pan American Health Care Exchanges (GMEPE/PAHCE). IEEE, 2018. http://dx.doi.org/10.1109/gmepe-pahce.2018.8400723.

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"Pahce review board". En 2016 Global Medical Engineering Physics Exchanges/Pan American Health Care Exchanges (GMEPE/PAHCE). IEEE, 2016. http://dx.doi.org/10.1109/gmepe-pahce.2016.7504608.

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"Pahce review board". En 2017 Global Medical Engineering Physics Exchanges/Pan American Health Care Exchanges (GMEPE/PAHCE). IEEE, 2017. http://dx.doi.org/10.1109/gmepe-pahce.2017.7972081.

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BARTHÈS, CLÉMENT, MARC RÉBILLAT, KHALID MOSALAM y NAZIH MECHBAL. "On-board Decision Making Platform for Structural Health Monitoring". En Structural Health Monitoring 2017. Lancaster, PA: DEStech Publications, Inc., 2017. http://dx.doi.org/10.12783/shm2017/13999.

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Informes sobre el tema "Memphis. Board of Health"

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Brown, Yolanda, Twonia Goyer y Maragaret Harvey. Heart Failure 30-Day Readmission Frequency, Rates, and HF Classification. University of Tennessee Health Science Center, diciembre de 2020. http://dx.doi.org/10.21007/con.dnp.2020.0002.

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30 Day Hospital Readmission Rates, Frequencies, and Heart Failure Classification for Patients with Heart Failure Background Congestive heart failure (CHF) is the leading cause of mortality, morbidity, and disability worldwide among patients. Both the incidence and the prevalence of heart failure are age dependent and are relatively common in individuals 40 years of age and older. CHF is one of the leading causes of inpatient hospitalization readmission in the United States, with readmission rates remaining above the 20% goal within 30 days. The Center for Medicare and Medicaid Services imposes a 3% reimbursement penalty for excessive readmissions including those who are readmitted within 30 days from prior hospitalization for heart failure. Hospitals risk losing millions of dollars due to poor performance. A reduction in CHF readmission rates not only improves healthcare system expenditures, but also patients’ mortality, morbidity, and quality of life. Purpose The purpose of this DNP project is to determine the 30-day hospital readmission rates, frequencies, and heart failure classification for patients with heart failure. Specific aims include comparing computed annual re-admission rates with national average, determine the number of multiple 30-day re-admissions, provide descriptive data for demographic variables, and correlate age and heart failure classification with the number of multiple re-admissions. Methods A retrospective chart review was used to collect hospital admission and study data. The setting occurred in an urban hospital in Memphis, TN. The study was reviewed by the UTHSC Internal Review Board and deemed exempt. The electronic medical records were queried from July 1, 2019 through December 31, 2019 for heart failure ICD-10 codes beginning with the prefix 150 and a report was generated. Data was cleaned such that each patient admitted had only one heart failure ICD-10 code. The total number of heart failure admissions was computed and compared to national average. Using age ranges 40-80, the number of patients re-admitted withing 30 days was computed and descriptive and inferential statistics were computed using Microsoft Excel and R. Results A total of 3524 patients were admitted for heart failure within the six-month time frame. Of those, 297 were re-admitted within 30 days for heart failure exacerbation (8.39%). An annual estimate was computed (16.86%), well below the national average (21%). Of those re-admitted within 30 days, 50 were re-admitted on multiple occasions sequentially, ranging from 2-8 re-admissions. The median age was 60 and 60% male. Due to the skewed distribution (most re-admitted twice), nonparametric statistics were used for correlation. While graphic display of charts suggested a trend for most multiple re-admissions due to diastolic dysfunction and least number due to systolic heart failure, there was no statistically significant correlation between age and number or multiple re-admissions (Spearman rank, p = 0.6208) or number of multiple re-admissions and heart failure classification (Kruskal Wallis, p =0.2553).
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Carrasquilla-Barrera, Alberto, Arturo José Galindo-Andrade, Gerardo Hernández-Correa, Ana Fernanda Maiguashca-Olano, Carolina Soto, Roberto Steiner-Sampedro y Juan José Echavarría-Soto. Report of the Board of Directors to the Congress of Colombia - July 2020. Banco de la República de Colombia, febrero de 2021. http://dx.doi.org/10.32468/inf-jun-dir-con-rep-eng.07-2020.

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In Colombia, as well as in the rest of the world, the Covid-19 pandemic has seriously damaged the health and well-being of the people. In order to limit the damage, local and national authorities have had to order large sectors of the population to be confined at their homes for long periods of time. An inevitable consequence of isolation has been the collapse of economic activity, expenditure, and employment, a phenomenon that has hit many countries of the world affected by the disease. It is an unprecedented crisis in modern times, not so much for its intensity (which is undoubtedly immense), but because its origin is not economic. That is what makes it so unpredictable and difficult to manage. Naturally, its economic consequences are enormous. Governments and central banks from all over the world are struggling to mitigate them, but the final solution is not in the hands of the economic authorities. Only science can provide a way out. In the meantime, the economic indicators in Colombia and in the rest of the world cause concern. The output falls, the massive loss of jobs, and the closure of businesses of all sizes have become daily news. Added to this, there is the deterioration in global financial conditions and the increase in the risk indicators. Financial volatility has increased and stock indexes have fallen. In the face of the lower global demand, export prices of raw materials have fallen, affecting the terms of trade for producing countries. Workers’ remittances have declined due to the increase of unemployment in developed countries. This crisis has also generated a strong reduction of global trade of goods and services, and effects on the global value chains. Central banks around the world have reacted decisively and quickly with strong liquidity injections and significant cuts to their interest rates. By mid-July, such determined response had succeeded to revert much of the initial deterioration in global financial conditions. The stock exchanges stopped their fall, and showed significant recovery in several countries. Risk premia, which at the beginning of the crisis took an unusual leap, recorded substantial corrections. Something similar happened with the volatility indexes of global financial markets, which exhibited significant improvement. Flexibilization of confinement measures in some economies, broad global liquidity, and fiscal policy measures have also contributed to improve global external financial conditions, albeit with indicators that still do not return to their pre-Covid levels.
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Leavy, Michelle B., Danielle Cooke, Sarah Hajjar, Erik Bikelman, Bailey Egan, Diana Clarke, Debbie Gibson, Barbara Casanova y Richard Gliklich. Outcome Measure Harmonization and Data Infrastructure for Patient-Centered Outcomes Research in Depression: Report on Registry Configuration. Agency for Healthcare Research and Quality (AHRQ), noviembre de 2020. http://dx.doi.org/10.23970/ahrqepcregistryoutcome.

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Background: Major depressive disorder is a common mental disorder. Many pressing questions regarding depression treatment and outcomes exist, and new, efficient research approaches are necessary to address them. The primary objective of this project is to demonstrate the feasibility and value of capturing the harmonized depression outcome measures in the clinical workflow and submitting these data to different registries. Secondary objectives include demonstrating the feasibility of using these data for patient-centered outcomes research and developing a toolkit to support registries interested in sharing data with external researchers. Methods: The harmonized outcome measures for depression were developed through a multi-stakeholder, consensus-based process supported by AHRQ. For this implementation effort, the PRIME Registry, sponsored by the American Board of Family Medicine, and PsychPRO, sponsored by the American Psychiatric Association, each recruited 10 pilot sites from existing registry sites, added the harmonized measures to the registry platform, and submitted the project for institutional review board review Results: The process of preparing each registry to calculate the harmonized measures produced three major findings. First, some clarifications were necessary to make the harmonized definitions operational. Second, some data necessary for the measures are not routinely captured in structured form (e.g., PHQ-9 item 9, adverse events, suicide ideation and behavior, and mortality data). Finally, capture of the PHQ-9 requires operational and technical modifications. The next phase of this project will focus collection of the baseline and follow-up PHQ-9s, as well as other supporting clinical documentation. In parallel to the data collection process, the project team will examine the feasibility of using natural language processing to extract information on PHQ-9 scores, adverse events, and suicidal behaviors from unstructured data. Conclusion: This pilot project represents the first practical implementation of the harmonized outcome measures for depression. Initial results indicate that it is feasible to calculate the measures within the two patient registries, although some challenges were encountered related to the harmonized definition specifications, the availability of the necessary data, and the clinical workflow for collecting the PHQ-9. The ongoing data collection period, combined with an evaluation of the utility of natural language processing for these measures, will produce more information about the practical challenges, value, and burden of using the harmonized measures in the primary care and mental health setting. These findings will be useful to inform future implementations of the harmonized depression outcome measures.
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Health hazard evaluation report: HETA-94-0244-2431, Memphis Fire Department, Memphis, Tennessee. U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, junio de 1994. http://dx.doi.org/10.26616/nioshheta9402442431.

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Health hazard evaluation report: HETA-86-138-2017, Memphis Fire Department, Memphis, Tennessee. U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control, National Institute for Occupational Safety and Health, febrero de 1990. http://dx.doi.org/10.26616/nioshheta861382017.

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Health hazard evaluation report: HETA-83-205-1702, United Uniform Company of Memphis, Memphis, Tennessee. U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control, National Institute for Occupational Safety and Health, junio de 1986. http://dx.doi.org/10.26616/nioshheta832051702.

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Health hazard evaluation report: HETA-97-0079-2658, Northwest Airlines, Memphis, Tennessee. U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, octubre de 1997. http://dx.doi.org/10.26616/nioshheta9700792658.

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Health hazard evaluation report: HETA-91-314-2179, Memphis Wood Preserving Company, Horn Lake, Mississippi. U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control, National Institute for Occupational Safety and Health, febrero de 1992. http://dx.doi.org/10.26616/nioshheta913142179.

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Health hazard evaluation report: HETA-95-0333-2546, DeKalb County Board of Health, Decatur, Georgia. U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, octubre de 1995. http://dx.doi.org/10.26616/nioshheta9503332546.

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Health hazard evaluation report: HETA-98-0285-2989, Vermont Housing & Conservation Board, Montpelier, Vermont. U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, diciembre de 2005. http://dx.doi.org/10.26616/nioshheta9802852989.

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