7,018 research outputs found
Gambiaās longtime dictator isnāt going anywhere any time soon
Jeffrey Smith and Alexander Noyes look at how failed coup attempts in the Gambia are leading to a more repressive regime in the West African country
South-Eastern provider knowledge gaps in rabies education, management, and treatment
Abstract:
Background. In the United States, when an individual is bitten by an animal there are many levels of care they may seek, including seeing their primary care provider, an urgent care provider, or by going to an emergency room. In any of these settings, it is not unlikely that they may be treated by an advanced practice practitioner (APP). Due to rabies being nearly 100% fatal once symptoms have manifested, it is important to understand the knowledge that APPs have concerning rabies.
Methods. A survey was conducted from April 2022 to August 2022 which evaluated APPs knowledge of rabies treatment and management. Seventy-four APPs were surveyed; sixteen were from the south-east (SE). Descriptive statistics were used to evaluate the survey results.
Results. Three-quarters of the SE participants reported that their preceptors did not discuss rabies with them (75%) and two-thirds did not feel as though their education prepared them to handle rabies cases (63%). Participants had difficulties correctly identifying animals that are likely to carry rabies and bodily fluids that are likely to transmit rabies. Less than half of the SE participants were able to correctly identify the proper vaccination schedule (47%), proper site to administer immunoglobulin (13%), and time until a rabid animal dies (33%). Participants also had difficulties identifying low-risk countries when traveling and high-risk occupations, and many also reported that they do not discuss rabies with patients who are traveling or work in high-risk occupations.
Conclusion. While deaths associated with rabies in the United States may be low, it is imperative that APPs have a strong understanding of rabies to ensure that patients are properly treated. Public health professionals in Georgia need to take a stance of strong initial and continuing education that properly prepares medical professionals to manage and educate patients on rabies so that the health of Georgians is protected
Governance Processes and Change Within Organizational Participants of Multiāsectoral Community Health Care Alliances: The Mediating Role of Vision, Mission, Strategy Agreement and Perceived Alliance Value
Multiāsectoral community health care alliances are organizations that bring together individuals and organizations from different industry sectors to work collaboratively on improving the health and health care in local communities. Longāterm success and sustainability of alliances are dependent on their ability to galvanize participants to take action within their āhomeā organizations and institutionalize the vision, goals, and programs within participating organizations and the broader community. The purpose of this study was to investigate two mechanisms by which alliance leadership and management processes may promote such changes within organizations participating in alliances. The findings of the study suggest that, despite modest levels of change undertaken by participating organizations, more positive perceptions of alliance leadership, decision making, and conflict management were associated with a greater likelihood of participating organizations making changes as a result of their participation in the alliance, in part by promoting greater vision, mission, and strategy agreement and higher levels of perceived value. Leadership processes had a stronger relationship with change within participating organizations than decisionāmaking style and conflict management processes. Openāended responses by participants indicated that participating organizations most often incorporated new measures or goals into their existing portfolio of strategic plans and activities in response to alliance participation.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/116987/1/ajcp9618.pd
Consequences of Organizational Change in U.S. Hospitals
Organizational change has become commonplace among U.S. hospitals. Empirical investigations of the consequences of organizational change, however, are relatively scarce, and findings of existing studies are inconsistent. In this article, the authors review the rationale and performance implications of hospital organizational change in three areas: (1) the development of new multi-institutional arrangements, (2) change in traditional ownership and management configurations, and (3) diversification in organizational products/services and consolidation of organizational scale. Empirical research on hospital change published between 1980 and 1999 in the health services research, social science, and business literatures is reviewed to highlight the potential pitfalls that hospitals may encounter in their effort to remain viable. The article also summarizes the strengths and weaknesses of current hospital change research and provides specific suggestions for future research in this area.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/68386/2/10.1177_107755879905600301.pd
Eosinophilic esophagitis: search for non-invasive techniques for long-term monitoring
Comment on: Unsedated transnasal esophagoscopy for monitoring therapy in pediatric eosinophilic esophagitis. [Gastrointest Endosc. 2016
The Challenges of Capacity Building in the Aligning Forces for Quality Alliances
Summarizes the challenges and trade-offs in infrastructure and governance as well as stakeholder relations and participation, such as inclusive versus efficient decision making, in an alliance to coordinate regional healthcare improvement activities
A Touchscreen Assay to Probe the Role of the Serotonergic System in Learning and Visual Information Processing
The neurotransmitter serotonin is involved in numerous processes in the brain such as behavior, learning, memory, mood, and neurodevelopment. Serotonin signaling is regulated by the serotonin transporter protein (SERT), which maintains normal serotonin levels. Mutations in the SERT gene are known to correlate with cognitive and behavioral deficits seen in psychiatric disorders, such as anxiety disorders, depression, and autism spectrum disorder. Researchers study these deficits using SERT knockout (KO) mice, a model that lacks functional SERT and displays changes in anxiety, learning, and motivation. We are interested in how the absence of SERT affects visual processing and learning. A popular method of evaluating learning in mice is a touchscreen-based learning paradigm, similar to tests used with both humans and primate models. We have applied this paradigm in our laboratory to study the effect of SERT KO on learning and the visual discrimination of global motion. Mice were first taught to select a visual stimulus for a food reward, then trained to discriminate between left and right coherent dot motion. Our results demonstrate that mice can learn to discriminate between different types of visual stimuli, giving us an experimental platform for future studies of learning and perception in SERT KO mice
The Role Of Institutional and Market Forces In Divergent Organizational Change
This paper focuses on a radical change, in which organizations abandon an institutionalized template for arranging their core activities, that is likely to occur in organizational fields that have strong, local market forces and strong but heterogeneous institutional forces. We examine the role of market forces and heterogeneous institutional elements in promoting divergent change in core activities among all U.S. rural hospitals from 1984 to 1991. Results support the view that divergent change depends on both market forces (proximity to competitors, disadvantages in service mix) and institutional forces (state regulation, ownership and governance norms, and mimicry of models of divergent change)
- ā¦