302 research outputs found
Physician-Patient Privilege Prevents Disclosure of Patient\u27s Identity to Grand Jury Homicide Investigation
Pitching to the Media: Getting the Press to Tell a Story about Your Evaluation Work
Blog post to AEA365, a blog sponsored by the American Evaluation Association (AEA) dedicated to highlighting Hot Tips, Cool Tricks, Rad Resources, and Lessons Learned for evaluators. The American Evaluation Association is an international professional association of evaluators devoted to the application and exploration of program evaluation, personnel evaluation, technology, and many other forms of evaluation. Evaluation involves assessing the strengths and weaknesses of programs, policies, personnel, products, and organizations to improve their effectiveness
DeWitt Wallace Library Annual Report 2016-2017
Summary of library and media services activities for 2016-201
Exploring the association between primary care efficiency and health system characteristics across European countries: a two-stage data envelopment analysis.
BACKGROUND: Primary care is widely seen as a core component of resilient and sustainable health systems, yet its efficiency is not well understood and there is a lack of evidence about how primary care efficiency is associated with health system characteristics. We examine this issue through the lens of diabetes care, which has a well-established evidence base for effective treatment and has previously been used as a tracer condition to measure health system performance. METHODS: We developed a conceptual framework to guide the analysis of primary care efficiency. Using data on 18 European countries during 2010-2016 from several international databases, we applied a two-stage data envelopment analysis to estimate (i) technical efficiency of primary care and (ii) the association between efficiency and health system characteristics. RESULTS: Countries varied widely in terms of primary care efficiency, with efficiency scores depending on the range of population characteristics adjusted for. Higher efficiency was associated with bonus payments for the prevention and management of chronic conditions, nurse-led follow-up, and a financial incentive or requirement for patients to obtain a referral to specialist care. Conversely, lower efficiency was associated with higher rates of curative care beds and financial incentives for patients to register with a primary care provider. CONCLUSIONS: Our results underline the importance of considering differences in population characteristics when comparing country performance on primary care efficiency. We highlight several policies that could enhance the efficiency of primary care. Improvements in data collection would enable more comprehensive assessments of primary care efficiency across countries, which in turn could more effectively inform policymaking
Motricidad fina y preescritura en niños de 4 años de dos instituciones educativas estatales de Lima, 2023
La inesperada pandemia de COVID-19 causó caos para todos, y el sector
educativo tuvo que adaptarse al aprendizaje a distancia. Este cambio afecto a los
preescolar que requieren una estimulación adecuada para desarrollar habilidades
motoras finas que ayudan a la adquisición de la preescritura. La investigación tiene
como objetivo general determinar la relación que existe entre motricidad fina y la
preescritura en niños de cuatro años en dos Instituciones Educativas Estatales de
Lima, 2023. Tomando un enfoque cuantitativo, no experimental, con una muestra
de 100 niños de 4 años de edad. Los resultados principales indican que existe una
relación significativa entre ambas variables (r=.915**; p<0.005), concluyendo que, a
mayor desarrollo de la motricidad fina, aumentará el progreso de la preescritura
DeWitt Wallace Library Annual Report 2014-2015
Summary of library and media services activities for 2014-201
DeWitt Wallace Library Annual Report 2015-2016
Summary of library and media services activities for 2015-201
Cholesterol Levels and Activity of Membrane Bound Proteins: Characterization by Thermal and Electrochemical Methods
The long-term goal of this investigation is to study the effects of increased cholesterol levels on the molecular activity of membrane-bound enzymes such as nitric oxide synthase, that are critical in the functioning of the cardiovascular system. In this particular investigation, we used differential scanning calorimetry (DSC) and dielectric thermal analysis (DETA) to study the effect of added cholesterol on melting/recrystallization and dielectric behavior, respectively, of phosphatidylcholine (PC) bilayered thin films. We also used electrochemical methods to investigate the effect of added cholesterol on the redox behavior of the oxygenase domain of nitric oxide synthase as a probe embedded in the PC films. The results show that added cholesterol in the PC films seems to depress the molecular dynamics as indicated by lowered current responses in the presence of cholesterol as well as a slight increase of the transition temperature in the overall two-phase regime behavior observed in PC–cholesterol films. These results are rationalized in the context of the general DSC and DETA behaviors of the PC–chol films
TCR Signal Transduction in Antigen-Specific Memory CD8 T Cells
Memory T cells are more responsive to Ag than naive cells. To determine whether memory T cells also have more efficient TCR signaling, we compared naive, effector, and memory CD8 T cells of the same antigenic specificity. Surprisingly, initial CD3 signaling events are indistinguishable. However, memory T cells have more extensive lipid rafts with higher phosphoprotein content before TCR engagement. Upon activation in vivo, they more efficiently induce phosphorylation of-LAT (linker for activation of T cells), ERK (extracellular signal-regulated kinase), JNK (c-Jun N-terminal kinase), and p38. Thus, memory CD8 T cells do not increase their TCR sensitivity, but are better poised to augment downstream signals. We propose that this regulatory mechanism might increase signal transduction in memory T cells, while limiting TCR cross-reactivity and autoimmunity
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