39 research outputs found
Physician Counseling on Hormone Replacement Therapy and Bone Loss: Do Socioeconomic and Racial Characteristics of Women Influence Counseling?
Working at webboyz: an analysis of control over the software development labour process
This article explores how management constructs strategies to control the labour process of software development, through a case study of a small Australian software development company, Webboyz Pty Ltd.1 This firm employs mainly young, male software developers to develop internet tools and e-commerce software and solutions for different segments of the local and international software market. Distinguishing between primary and secondary Software products, and their associated production processes, provides a way of analysing the organization and control of software development work. The case study of Webboyz reveals how management strategies to control the labour process of software development are influenced by the type of product being developed and the timing in the product's development lifecycle as well as the type of workers developing the software product.</p
Treatment of hairy cell leukemia with 2-chlorodeoxyadenosine via the Group C protocol mechanism of the National Cancer Institute: a report of 979 patients.
Genetic variation of the transthyretin gene in wild-type transthyretin amyloidosis (ATTRwt)
Successful maintenance of body weight reduction after individualized dietary counseling in obese subjects
Improving systems of care during and after a pregnancy complicated by hyperglycaemia: A protocol for a complex health systems intervention
Background: Many women with hyperglycaemia in pregnancy do not receive care during and after pregnancy according to standards recommended in international guidelines. The burden of hyperglycaemia in pregnancy falls disproportionately upon Indigenous peoples worldwide, including Aboriginal and Torres Strait Islander women in Australia. The remote and regional Australian context poses additional barriers to delivering healthcare, including high staff turnover and a socially disadvantaged population with a high prevalence of diabetes. Methods: A complex health systems intervention to improve care for women during and after a pregnancy complicated by hyperglycaemia will be implemented in remote and regional Australia (the Northern Territory and Far North Queensland). The Theoretical Domains Framework was used during formative work with stakeholders to identify intervention components: (1) increasing workforce capacity, skills and knowledge and improving health literacy of health professionals and women; (2) improving access to healthcare through culturally and clinically appropriate pathways; (3) improving information management and communication; (4) enhancing policies and guidelines; (5) embedding use of a clinical register as a quality improvement tool. The intervention will be evaluated utilising the RE-AIM framework at two timepoints: firstly, a qualitative interim evaluation involving interviews with stakeholders (health professionals, champions and project implementers); and subsequently a mixed-methods final evaluation of outcomes and processes: interviews with stakeholders; survey of health professionals; an audit of electronic health records and clinical register; and a review of operational documents. Outcome measures include changes between pre- and post-intervention in: proportion of high risk women receiving recommended glucose screening in early pregnancy; diabetes-related birth outcomes; proportion of women receiving recommended postpartum care including glucose testing; health practitioner confidence in providing care, knowledge and use of relevant guidelines and referral pathways, and perception of care coordination and communication systems; changes to health systems including referral pathways and clinical guidelines. Discussion: This study will provide insights into the impact of health systems changes in improving care for women with hyperglycaemia during and after pregnancy in a challenging setting. It will also provide detailed information on process measures in the implementation of such health system changes
The relationship between counselor’s attachment and working alliance: mediating effect of countertransference management ability and empathy
Genetic variation in the NBS1, MRE11, RAD50 and BLM genes and susceptibility to non-Hodgkin lymphoma
<p>Abstract</p> <p>Background</p> <p>Translocations are hallmarks of non-Hodgkin lymphoma (NHL) genomes. Because lymphoid cell development processes require the creation and repair of double stranded breaks, it is not surprising that disruption of this type of DNA repair can cause cancer. The members of the <it>MRE11-RAD50-NBS1 </it>(MRN) complex and <it>BLM </it>have central roles in maintenance of DNA integrity. Severe mutations in any of these genes cause genetic disorders, some of which are characterized by increased risk of lymphoma.</p> <p>Methods</p> <p>We surveyed the genetic variation in these genes in constitutional DNA of NHL patients by means of gene re-sequencing, then conducted genetic association tests for susceptibility to NHL in a population-based collection of 797 NHL cases and 793 controls.</p> <p>Results</p> <p>114 SNPs were discovered in our sequenced samples, 61% of which were novel and not previously reported in dbSNP. Although four variants, two in <it>RAD50 </it>and two in <it>NBS1</it>, showed association results suggestive of an effect on NHL, they were not significant after correction for multiple tests.</p> <p>Conclusion</p> <p>These results suggest an influence of <it>RAD50 </it>and <it>NBS1 </it>on susceptibility to diffuse large B-cell lymphoma and marginal zone lymphoma. Larger association and functional studies could confirm such a role.</p