检索结果-南通市图书馆

Estimating the Future of Health Care at the Community Level

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Case Reports in Clinical Medicine 2024年第7期13卷 241-248页

作者： Ronald Lagoe shelly Littau Hospital Executive Council Syracuse NY USA

Developments in health care in the United States are changing the delivery of services for providers and payors. This study focused on inpatient hospital discharges in the Syracuse hospitals and other services. It demonstrated that, during the past five years, numbers of inpatient adult medicine discharges had increased while adult surgery discharges had declined. This information suggested that adult medicine discharges could be expected to increase and approach levels of five years ago. It also suggested adult surgery discharges could be expected to remain at previous levels or decline. This information indicated that the combined emergency department visits declined from 238,000 to 202,000 between 2019 and 2020, then increased from 218,000 to 228,000 visits between 2021 and 2023. These developments will probably result in greater efficiency at the community level. With a decline in numbers of inpatient beds, providers will be able to focus on the more efficient management by reducing numbers of staff as well as fewer pharmaceuticals and testing.

关键词： Hospitals Long Term Care Health Care Costs

Monitoring Changes in Hospital Utilization

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Case Reports in Clinical Medicine 2024年第4期13卷 115-121页

作者： Ronald Lagoe shelly Littau Hospital Executive Council Syracuse NY USA

This study focused on recent issues concerning health care utilization at the community level. The study focused on developments in hospital inpatient lengths of stay and discharges. The analysis in the study demonstrated that hospital lengths of stay in the metropolitan area of Syracuse, New York increased by 25.0 percent between 2019 and 2023. This has been a notable increase in the movement of patients with this indicator. The analysis also demonstrated that numbers of inpatient discharges for these hospital services declined substantially during the same periods. Review of the data suggested that this information has been related. The increase in hospital lengths of stay has been related to a rise in numbers of patients at high severity of illness. They have also been associated with a decline in numbers of patients at low severity.

关键词： Hospitals Hospital Utilization Long Term Care Ambulatory Care

Reducing Extended Hospital Lengths of Stay

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Case Reports in Clinical Medicine 2024年第5期13卷 171-177页

作者： Ronald Lagoe shelly Littau Hospital Executive Council Syracuse NY USA

In the United States, the costs of health care have become a major burden for the health care system. In order to address this problem, the hospitals of Syracuse, New York, developed programs to provide subacute and complex care. The Subacute programs provided patient transportation services for dialysis and other types of care outside hospitals. They also developed programs for services such as intravenous therapy in nursing homes. The Complex Care Programs, such as intravenous therapy and mental health services, have provided alternatives to extended care in hospitals. During the past five years, utilization of these programs has varied, declining between 2019 and 2022, and then increasing between 2022 and 2024. The programs have avoided the need for 1530 - 2974 patient days in hospitals. The programs saved the Syracuse hospitals approximately $600 per inpatient day. This amounted to savings of $918,000 - $1,784,400 per year. These programs demonstrated how relatively small mechanisms can save large amounts of health care resources.

关键词： Hospitals Hospital Efficiency Hospital Lengths of Stay

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

苦中作乐直播深受追捧

商业周刊（中文版） 2020年第3期 90-90页

作者： Claire Che shelly banj 程玺(译) 不详

在中国,不计其数的宅家者和做不了生意的企业纷纷转向直播填补空虚。距离新冠病毒暴发已有一个月,彼得•李(Peter Li)快憋疯了。疫情B造成数千人死亡,周六晚上,他不愿再紧盯最新的死亡数字,他想出去喝一杯,但他在北京常去的地方都关门了... 详细信息

在中国,不计其数的宅家者和做不了生意的企业纷纷转向直播填补空虚。距离新冠病毒暴发已有一个月,彼得•李(Peter Li)快憋疯了。疫情B造成数千人死亡,周六晚上,他不愿再紧盯最新的死亡数字,他想出去喝一杯,但他在北京常去的地方都关门了。于是,和许许多多出不了门的中国年轻人一样,李先生会通过手机寻求慰藉。

关键词：直播疫情病毒

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

AI找到了新的CRISPR基因编辑系统

世界科学 2024年第1期 27-28页

作者：苦山范雪莱

规律间隔成簇短回文重复序列（CRISPR）技术面临一个问题：资源多得让人为难。自从这种基因编辑系统声名鹊起以来，科学家一直在寻找具有更高精度和准确性的变体。一种搜索方法是在细菌和其他生物的DNA中筛选与CR ISPR-Cas9相关的基因...

规律间隔成簇短回文重复序列（CRISPR）技术面临一个问题：资源多得让人为难。自从这种基因编辑系统声名鹊起以来，科学家一直在寻找具有更高精度和准确性的变体。一种搜索方法是在细菌和其他生物的DNA中筛选与CR ISPR-Cas9相关的基因。另一种方法则是在实验室中人工改进CRISPR组件，使其具有更好的治疗功能——比如让它们在人体内拥有更高的稳定性、安全性和效率。

关键词：

Encoding reprogrammable properties into magneto-mechanical materials via topology optimization

同方期刊数据库博看期刊评论

在线全文

学校读者我要写书评

暂无评论

npj Computational Materials 2023年第1期9卷 1770-1780页

作者： Zhi Zhao Xiaojia shelly Zhang Department of Civil and Environmental Engineering University of Illinois Urbana-ChampaignUrbanaILUSA Department of Mechanical Science and Engineering University of Illinois Urbana-ChampaignUrbanaILUSA

The properties of materials and structures typically remain fixed after being designed and *** is a growing interest in systems with the capability of altering their behaviors without changing geometries or material constitutions,because such reprogrammable behaviors could unlock multiple functionalities within a single *** introduce an optimization-driven approach,based on multi-objective magneto-mechanical topology optimization,to design magneto-active metamaterials and structures whose properties can be seamlessly reprogrammed by switching on and off the external stimuli *** optimized material system exhibits one response under pure mechanical loading,and switches to a distinct response under joint mechanical and magnetic *** discover and experimentally demonstrate magneto-mechanical metamaterials and metastructures that realize a wide range of reprogrammable responses,including multi-functional actuation responses,adaptable snap-buckling behaviors,switchable deformation modes,and tunable *** proposed approach paves the way for promising applications such as magnetic actuators,soft robots,and energy harvesters.

关键词： deformation optimization topology

Impact of maternal smoking on the infant gut microbiota and its association with child overweight: a scoping review

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Pediatrics 2019年第4期15卷 341-349页

作者： Cara McLean shelly Jun Anita Kozyrskyj Department of Obstetrics and Gynecology University of AlbertaEdmontonCanada Department of Pediatrics University of Alberta3-527 Edmonton Clinic Health Academy11405-87 AvenueEdmontonAB T6G 1C9Canada School of Public Health University of AlbertaEdmontonCanada

Background Childhood obesity is a growing public health concern with evidence demonstrating that while infant exposure to maternal smoking is linked to low birth weight at birth,there is a rapid catch up in weight and increased risk of obesity in later *** scoping review aims to synthesize up-to-date evidence on the impact of maternal smoking on the infant gut microbiota and its association with child *** We conducted a PRISMA-compliant scoping *** population-based cohort studies published between 1900 and April 2018 were *** publications were retrieved from seven databases:PubMed,Medline,Embase,Scopus,Biosis,Cochrane library,and Web of Science Core *** A total of three prospective cohort studies were included which utilized high-throughput 16S rRNA gene sequencing to assess the gut microbiota and included a total of 1277 infant/neonatal *** exposed to environmental smoke had a higher relative abundance of Ruminococcus and *** exposed to environmental smoke during pregnancy or postnatally were found to have increased gut bacterial richness,particularly Firmicutes at 3 months of age,while 6-month-old infants born to smoking mothers had an increased abundance of Bacteroides and *** Firmicutes richness at 3 months of age was associated with elevated odds of child overweight and obesity at 1 and 3 years of *** The limited evidence to date warrants further large scale,longitudinal studies to explore the impact of maternal smoking and environmental tobacco smoke on the infant gut microbiome and its relation to child overweight.

关键词： Environmental tobacco smoke Gut microbiota Infants Maternal smoking Overweight

Catalytic effects of Cu-Co~* on the thermal decomposition of AN and AN/KDN based green oxidizer and propellant samples

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Defence Technology（防务技术） 2018年第3期14卷 250-260页

作者： Pratim Kumar Puran Chandra Joshi Rajiv Kumar shelly Biswas Department of Space Engineering & Rocketry Birla Institute of Technology Department of Mechanical Engineering Vidya Vihar Institute of Technology

This paper presents the catalytic effects of Cu-Co~* catalyst on the decomposition of AN and AN/KDN based oxidizer and propellant samples. Ozawa-Flynn-Wall(OFW) iso-conversional method was used for the kinetic studies and to compute the activation energy(Ea) values for various decomposition steps of the prepared oxidizer and propellant samples in the temperature range of 50 e500C. TG-DTG experiments were carried out for both oxidizer and propellant samples at the heating rates of 3, 5, and 10C/min. AN/KDN based oxidizer samples were prepared by an evaporative co-crystallization method. Citric acid sol-gel method was used for the synthesis of Cu-Co~* catalyst. The propellant sample contains HTPB as the fuel binder along with other ingredients such as TDI, DOA, and Glycerol. The Cu-Co~* catalyst was used as 2% by weight to the total weight of catalyzed oxidizer and propellant samples. It was observed from the present study that, Cu-Co~* catalyst helps in reducing the Ea values for AN and AN based propellant samples. However, with the percentage increment of KDN in the AN crystals, Ea value ***, it was observed that Cu-Co~* catalyst stabilizes the initial partial decomposition of KDN.

关键词：催化氧化剂催化效果热分解 Cu 燃料取样 TG-DTG 催化剂

Why Study Philosophy？.

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Frontiers of Philosophy in China 2013年第2期8卷 258-265页

作者： shelly Kagan Department of Philosophy Yale University New Haven Connecticut 06520 USA

A few years ago, Harvard psychologist Daniel Gilbert came to Yale to give a lecture. He described an experiment in which psychologists studied how one＇s mood could affect what one perceived. The scientists needed to get people in a good mood, or a bad mood, so as to test the differences. Gilbert explained that to get some of the Subjects in a good mood, they had them read a piece of paper on which were written expressions like this：＂I see,＂ or ＂I understand,＂ or ＂now I get it.＂ And to get a different group of subjects into a bad mood, they had them read a piece of paper on which were written expressions like this：＂I don＇t understand,＂ or ＂I＇m lost,＂ or ＂I just don＇t get it.＂

关键词： Liberal arts education Thought Aristotelianism College students Lectures Reason Pleasure Human life Friendship