The Implementation of Care Coordination and Home Telehealth Programs in the VA Mid Atlantic Healthcare Network (VISN6): A Research Proposal

In this time of war there exists a heightened awareness of doing more with less, and the Veterans Administration (VA) has transformed itself and taken the lead in delivering value-added healthcare utilizing technology solutions in ways that promote patient empowerment, build relationships with providers and ultimately improve clinical care outcomes through telemedicine initiatives. The research proposed here is in the form of a longitudinal case study (i.e., research duration spanning pre and post implementation) examining the home telehealth care project as directed by a northeast VA medical facility that seeks to do the following: (1) during pre and post implementation, chronicle the socio-technical aspects (e.g., degree of task-technology fit, healthcare provider expectations and satisfaction, training, and resistance to change issues), (2) during post implementation, provide empirical analysis for the relationship between use of technologies facilitating home telehealth care for eligible veterans, healthcare provider productivity, cost of service, and patient satisfaction

Prevalence of hyperinsulinaemia among normozoospermic donors at Medfem Clinic, South Africa

The aim of this study was to investigate the prevalence of hyperinsulinaemia in a group of normozoospermic donors and the influence of insulin levels on in vitro fertilisation (IVF) outcome. Fasting insulin and 2 h post-eating insulin levels were determined for a group of thirty-four sperm donors. They were divided into three groups according to their insulin profiles. The association between insulin levels and embryo quality was determined in a clinical study for the different groups. The prevalence of raised insulin in the donor group was 44% with a 95% confidence interval of 27.2% and 62.1%. Donors with normal insulin levels produced more good quality blastocysts in the IVF programme than those with abnormal insulin levels. These differences were not statistically significant (P = 0.8638). Embryo quality in an IVF programme may be influenced by male insulin levels. The role of insulin in male fertility needs to be investigated.http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1439-0272hb2014ay201

Das unvermuthete und allzufrühe Ableben Ihrer liebenswürdigen und besten Freundin, Der HochEdelgebohrnen Frau, Frau Wilhelminen Fridericken Frickin, gebohrnen Kalthagin, Des HochEdelgebohrnen, Vest- und Hochgelahrten Herrn, Herrn Christoph Thomas Frickens, Hochfürstl. Sachsen Meinungischen Rath und Amtmanns zu Oldisleben, innigstgeliebtesten Frau Eheliebste, welches am 5ten September 1754. erfolget, beklagen aus aufrichtigen Herzen Johann Abraham Goehring, Fürstl. Sächßl. Meinungischer Amtmann zu Oldisleben, und Maria Dorothea Friderika Goehringin, geb. Molwitzin

Vorlageform des Erscheinungsvermerks: Franckenhausen, gedruckt in der Keilischen Buchdruckerey