Taking control of supply spending

Bringing common sense to bear on buying medical supplies requires standardizing purchases. Adding RNs to your materials management staff can ease physicians' concerns.     

中国人骨质疏松症诊断标准专家共识(第三稿·2014版)

  目的  了解河北省20～80岁汉族居民跟骨骨密度水平及其影响因素,为改善骨骼健康状况、预防骨质疏松症提供参考依据。  方法  于2017年7 — 8月采用多阶段分层整群抽样方法在河北省抽取3707名20～80岁汉族居民进行问卷调查、体格检查和跟骨骨密度测量。  结果  河北省3707名20～80岁汉族居民中,男性1518人（40.95 %）,女性2189人（59.05 %）。河北省不同性别20～80岁汉族居民比较,男性居民跟骨宽波段超声衰减（BUA）值[（74.42 ± 20.30）dB/MHz]高于女性居民[（71.91 ± 22.28）dB/MHz]（t = 3.56,P < 0.001）,在校正了年龄、体质指数（BMI）和居住地后,男性居民BUA值[（74.32 ± 0.53）dB/MHz]仍高于女性居民[（72.00 ± 0.44）dB/MHz]（t = 11.23,P < 0.001）。多因素线性回归分析结果显示,年龄30～80岁和目前吸烟是河北省男性20～80岁汉族居民跟骨骨密度的危险因素;年龄50～80岁、戒酒和已绝经是河北省女性20～80岁汉族居民跟骨骨密度的危险因素,超重、肥胖、中学文化程度和目前饮酒是河北省女性20～80岁汉族居民跟骨骨密度的保护因素。  结论  河北省20～80岁汉族居民跟骨骨密度受年龄、月经等生理因素和吸烟、饮酒等生活方式的影响。     

Understanding failure: Taking and maintaining control

Here we discuss the use of Advanced Product Quality Planning (APQP) as an effective tool in analyzing risk within current processes in a health care environment. The analysis focuses on the management of urgent product or process recalls or alerts within the diverse and multiple sites of London Health Sciences Centre and St. Joseph's Health Care, London. Quality tools were used to transform a previously undeveloped process into a planned, predictable and controlled framework.     

Taking charge: death control as an emergent women's issue.

Advances in medical technology in recent decades have produced an array of life-sustaining technologies which can delay the moment of death for almost everyone, making the timing and circumstances of death more a matter of deliberate choice than ever before in human history. Continuing proliferation of such technologies, their escalating social and economic costs, a growing population of older people, and the feminization of old age make right-to-die concerns ever more compelling. This paper points out how such issues are particularly salient for aged women as consumers of long-term care, both in the formal and informal sectors. The dual dilemmas of "premature" versus "delayed" death are also explored in each context. Finally, the implications of social change are interpreted in light of feminist health care goals.     

Taking control of your personal eating and exercise environment: a weight maintenance program

The current investigation examined the impact of a weight maintenance intervention (MI) designed to empower people to create a personal healthy food and physical activity environment on weight loss treatment outcomes. It was hypothesized that behavioral weight loss program (BWLP) participants who received an additional MI would evidence superior weight loss maintenance compared to participants who received a BWLP alone (no contact [NC]). Fifty-one obese adults were randomly assigned to participate in a 16-week weight loss intervention followed by NC or a 6-week MI. Thirty-eight participants completed the six-month follow-up. Body weight, percent body fat, cardiorespiratory fitness, self-reported physical activity, and self-reported diet (i.e., calories, percent daily intake of fat, protein, and carbohydrates) were assessed. Participants significantly decreased their weight, increased physical activity/fitness, and improved dietary intake (ps<.05). MI participants had significantly greater weight loss maintenance than NC participants (ps<.05). Helping obese individuals to modify their personal eating and physical activity environment in order to reduce exposure to "obesogenic" cues may contribute to long-term weight loss maintenance.     

Taking inventory

The eighth annual Most Wired Survey and Benchmarking Study is ready for the taking. It's an opportunity to get a comprehensive view of your hospitals IT systems and see how you stack up against your peers.