989 research outputs found

    Managing Medicaid Pharmacy Benefits: Current Issues and Options

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    Examines issues and considerations for state reforms of Medicaid prescription drug reimbursement, pharmacy management, and cost sharing and other best practices for realizing savings

    Superconducting interface for a DC circuit breaker

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    Microhabitat preferences of Peromyscus maniculatus (Rodentia, Cricetidae) in young pine plantations in the Canadian boreal forest

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    Se utilizó polvo fluorescente para identificar las preferencias de Peromyscus maniculatus (Rodentia, Cricetidae) por distintos rasgos del microhabitat y para examinar el significado ecológico de tales preferencias. Se realizó análisis de datos por sexo. Los resultados muestran que P. maniculatus utilizaró áreas sin cobertura vegetal del estrato más alto, o áreas con cobertura de arbustos bajos o plantas herbáceas en el estrato bajo, y hojarazca y broza leñosa como sustrato. Los ratones prefirieron la cobertura de árboles desciduos en el estrato de vegetación más alto, tronco caídos de 5 a 10 cm de diámetro como cobertura del estrato bajo, y hojarazca como sustrato. La cobertura de pastos y el suelo desnudo fueron evitados. Los machos fueron indiferentes a la cobertura de arbustos bajos y evitaron la cobertura de dicotiledóneas herbáceas, mientras que las hembras prefirieron arena como sustrato y fueron indiferentes en el uso de rocas.The fluorescent pigment tracking technique was used to identify features of microhabitats preferred by Peromyscus maniculatus (Deer mouse) and to examine the ecological significance of such preferences in the Canadian boreal forest. Data were also analyzed by sex. Mice spent most of their travel time in areas lacking plant cover, or in areas associated with low shrubs, herbaceous dicots, leaf litter, and woody debris. They preferred deciduous trees as canopy cover, logs 5-10 cm in diameter as understory cover, and leaf litter as a substrate. Grass and bare soil were avoided as understory cover and substrate, respectively. Males showed no preference for low shrubs and avoided herbaceous dicots, whereas females showed no preference for herbaceous dicots and avoided low shrubs. Males showed no preference for sand and avoided rocks, whereas females preferred sand and showed no preference for rocks

    Life cycle assessment of civil engineering projects

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    New Developments in Practice I: Risk Management in Information Systems: Problems and Potential

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    Risk management can be an extremely powerful approach to dealing with the complexities and uncertainties that increasingly surround technological change and its management. Conventionally in information technology (IT) projects, risks have been narrowly defined. Today, with IT becoming integral to a company\u27s existence, the stakes are considerably higher and broader in scope. However, risk is sometimes seen a negative concept in information systems (IS) organizations because it implies that something could go wrong with an IT project. To understand effective risk management in IS, the authors convened a focus group of senior IS managers from a number of organizations in a variety of industries. The results of this discussion, the managers\u27 presentations, and a review of the current research on risk management, were integrated and are presented in this paper. The nature of risk, identifying risk in IT initiatives, determining appropriate levels of risk, and dealing with unacceptable types and levels of risk are discussed. The following conclusions were reached. Risk management is a means to an end - whether it is a successful IS project; stable, secure technical operations; or a properly implemented business strategy using technology. It is not a one-time activity, but rather an ongoing process of identification, assessment, and action, which needs to be well integrated into every part of IS management. IS managers must learn to control both the problems and the potential that risk represents. Several general principles to help IS managers deal effectively with risks were identified. Effective risk management involves taking a holistic approach to risk, developing a risk management policy, establishing clear accountabilities and responsibilities, balancing risk exposure against controls, being open about risks to reduce conflict and information hiding, enforcing risk management practices, and learning what works and doesn\u27t from past experience

    Unexpected Hospital Admissions from a Remote Outpatient Surgicenter

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    Background: A remote nonhospital outpatient surgical facility in the western suburbs of Chicago has been functioning for ten years. A review of their consecutive patients and admission rate was carried out from the day of opening.Design: A retrospective study of all patients admitted from the facility to the hospital is presented.Methods: 158,408 surgical diagnostic and therapeutic procedures were performed over a ten-year period.Results: 128 patients were admitted to the hospital for treatment of their problems consequent to treatment at the Center for Surgery. The causes of admission included pain, nausea and vomiting, cardiac, respiratory and bleeding considerations.Conclusions: Outpatient surgical treatment may be provided on a large-scale basis away from the hospital with low hospital admission rates and low complication rates. The patients thus are able to return to their homes on the same day of the procedure in an efficient, economic, and less timeconsuming manner

    Concert: Conway School Concert Band

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    Treat depressed teens with medication and psychotherapy

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    Refer adolescents with moderate to severe depression for cognitive behavioral therapy (CBT) to improve their outcomes. Stength of recommendation: B: Two well-done randomized controlled trials (RCTs)
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