35 research outputs found

    Pre-Visit Planning in Primary Care

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    Pre-visit planning is the process of collecting and organizing data prior to a patient appointment. The pre-visit planning process requires a team member to call the patient a week before the appointment through the use of a questionnaire form. This helps identify incomplete tests, screenings, immunizations and referrals that are currently outstanding. The pre-visit process results in scheduling needed appointments and lab work as well as gathering necessary information from the patient to streamline their upcoming visit. The use of pre-visit planning may result in improved patient satisfaction and decreased physician time with each patient visit.https://scholar.rochesterregional.org/nursingresearchday_2023/1016/thumbnail.jp

    Projecting marine fish production and catch potential in Bangladesh in the 21st century under long-term environmental change and management scenarios

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    The fisheries sector is crucial to the Bangladeshi economy and wellbeing, accounting for 4.4% of national Gross Domestic Product (GDP) and 22.8% of agriculture sector production, and supplying ca.60% of the national animal protein intake. Fish is vital to the 16 million Bangladeshis living near the coast, a number that has doubled since the 1980s. Here we develop and apply tools to project the long term productive capacity of Bangladesh marine fisheries under climate and fisheries management scenarios, based on downscaling a global climate model, using associated river flow and nutrient loading estimates, projecting high resolution changes in physical and biochemical ocean properties, and eventually projecting fish production and catch potential under different fishing mortality targets. We place particular interest on Hilsa shad (Tenualosa ilisha), which accounts for ca.11% of total catches, and Bombay duck (Harpadon nehereus), a low price fish that is the second highest catch in Bangladesh and is highly consumed by low income communities. It is concluded that the impacts of climate change, under greenhouse emissions scenario A1B, are likely to reduce the potential fish production in the Bangladesh Exclusive Economic Zone (EEZ) by less than 10%. However, these impacts are larger for the two target species. Under sustainable management practices we expect Hilsa shad catches to show a minor decline in potential catch by 2030 but a significant (25%) decline by 2060. However, if overexploitation is allowed catches are projected to fall much further, by almost 95% by 2060, compared to the Business as Usual scenario for the start of the 21st century. For Bombay duck, potential catches by 2060 under sustainable scenarios will produce a decline of less than 20% compared to current catches. The results demonstrate that management can mitigate or exacerbate the effects of climate change on ecosystem productivity

    Conducting a Hispanic health needs assessment in rural Kansas: building the foundation for community action

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    Healthy People 2020 states that ethnic health disparities are a priority for the US. Although considerable national statistics document ethnic-related health disparities, information specific to rural areas is scarce and does not provide direction for implementing chronic disease prevention programming. Therefore, the purpose of our project was to undertake the Hispanic Health Needs Assessment (HHNA), a tool designed by the National Alliance for Hispanic Health (NAHH), in culturally-diverse rural Southwest Kansas. Our focus areas included: access to healthcare, heart disease, diabetes, overweight, nutrition, and physical activity. Methods: The assessment followed six steps: (1) developing the assessment team, (2) data gathering using community member surveys, existing statistics, and community leader interviews, (3) assembling the findings, (4) formulating recommendations for action at individual, institutional, community and policy levels, (5) sharing findings and program planning (6) sharing findings with NAHH. We identified several challenges collecting health related data in rural communities. But overall, the HHNA was a comprehensive and useful tool for guiding a community level health assessment. Conclusion: This process has provided our community partners with locally relevant statistics regarding the current status of health, health behaviors, and perceived community needs to inform resource allocation, program planning and applications for new funding initiatives

    An Optimization Model for Planning Natural Gas Purchases, Transportation, Storage and Deliverability

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    Natural gas local distribution companies (LDCs) face the problem of managing natural gas purchases under conditions of uncertain demand and frequent price change. In this paper, we present a stochastic optimization model to solve this problem. Unlike other models, this model explicitly considers deliverability, the rate at which gas can be added to and withdrawn from a storage facility, as a variable, and considers its role in ensuring a secure supply of gas. Deliverability is often overlooked in gas supply planning, yet is a critical factor in achieving a secure gas supply. Using data from an LDC in Huntsville, Alabama, we show how this model can be used to minimize total cost while meeting constraints regarding the security of gas supply. We also demonstrate that security is dependent on the rate of deliverability, which in turn is affected by a number of factors including gas availability, storage and transportation considerations, and weather conditions
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