Optimizing Your Capacity to Care: A Systems Approach to Hospital and Population Health Management 1st Edition

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Our nation’s capacity to care is becoming increasingly stressed as an aging and increasingly unhealthy population collides with a relative reduction in the numbers of clinicians and ever-tightening financial resources. If even the mildest of future-state predictions are to be believed, we need a significant restructuring of our entire healthcare system and its total Capacity to Care, such that we can simultaneously improve care capacity, cost, quality, accessibility, and resource gratification.

Optimizing Your Capacity to Care: A Systems Approach to Hospital and Population Health Management provides comprehensive guidance to a new way to optimize and manage community-wide Care Capacity via a unique, holistic approach to healthcare operations. Through clear examples and actual project results, the book demonstrates the outcomes of a systems-level way of thinking about a community’s Capacity to Care that incorporates and integrates the full spectrum of available clinical and communal resources into the care of patients, including hospitals, physicians, emergency departments, surgical services, local churches, civic organizations, pharmacies, and volunteers.

The book details operational models for each major department of the hospital and a fully integrated communal resource pool to demonstrate how the optimization of capacity, resource utilization, cost, and clinical outcomes can be attained. And by providing healthcare leaders with a deeper understanding of key elements missing from the most common process improvement methodologies and approaches, this book offers fresh perspectives and bold alternatives for hospitals, health systems, and entire communities.

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Stress and Environmental Regulation of Gene Expression and Adaptation in Bacteria, 2 Volume Set 1st Edition

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Bacteria in various habitats are subject to continuously changing environmental conditions, such as nutrient deprivation, heat and cold stress, UV radiation, oxidative stress, dessication, acid stress, nitrosative stress, cell envelope stress, heavy metal exposure, osmotic stress, and others. In order to survive, they have to respond to these conditions by adapting their physiology through sometimes drastic changes in gene expression. In addition they may adapt by changing their morphology, forming biofilms, fruiting bodies or spores, filaments, Viable But Not Culturable (VBNC) cells or moving away from stress compounds via chemotaxis.  Changes in gene expression constitute the main component of the bacterial response to stress and environmental changes, and involve a myriad of different mechanisms, including (alternative) sigma factors, bi- or tri-component regulatory systems, small non-coding RNA’s, chaperones, CHRIS-Cas systems, DNA repair, toxin-antitoxin systems, the stringent response, efflux pumps, alarmones, and modulation of the cell envelope or membranes, to name a few. Many regulatory elements are conserved in different bacteria; however there are endless variations on the theme and novel elements of gene regulation in bacteria inhabiting particular environments are constantly being discovered.  Especially in (pathogenic) bacteria colonizing the human body a plethora of bacterial responses to innate stresses such as pH, reactive nitrogen and oxygen species and antibiotic stress are being described. An attempt is made to not only cover model systems but give a broad overview of the stress-responsive regulatory systems in a variety of bacteria, including medically important bacteria, where elucidation of certain aspects of these systems could lead to treatment strategies of the pathogens. Many of the regulatory systems being uncovered are specific, but there is also considerable “cross-talk” between different circuits.

Stress and Environmental Regulation of Gene Expression and Adaptation in Bacteria is a comprehensive two-volume work bringing together both review and original research articles on key topics in stress and environmental control of gene expression in bacteria.

Volume One contains key overview chapters, as well as content on one/two/three component regulatory systems and stress responses, sigma factors and stress responses, small non-coding RNAs and stress responses, toxin-antitoxin systems and stress responses, stringent response to stress, responses to UV irradiation, SOS and double stranded systems repair systems and stress, adaptation to both oxidative and osmotic stress, and desiccation tolerance and drought stress.

Volume Two covers heat shock responses, chaperonins and stress, cold shock responses, adaptation to acid stress, nitrosative stress, and envelope stress, as well as iron homeostasis, metal resistance, quorum sensing, chemotaxis and biofilm formation, and viable but not culturable (VBNC) cells.

Covering the full breadth of current stress and environmental control of gene expression studies and expanding it towards future advances in the field, these two volumes are a one-stop reference for (non) medical molecular geneticists interested in gene regulation under stress.

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The Bell Lap: Stories for Compassionate Nursing Care 1st Edition

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The Bell Lap explores, with great insight, the multiple lessons of living and dying. These stories offer engaging and invaluable insights for trainees, practicing nurses, and other health professionals working in the field. Through these stories, the author has laid the ground for caregivers to reach beyond the confines of the settings of illness, whether home, hospital, or long-term care and become an active and involved participant in the world of the patient.

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Resilient Health Care, Volume 2: The Resilience of Everyday Clinical Work (Ashgate Studies in Resilience Engineering) 2nd Revised edition Edition

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Health systems everywhere are expected to meet increasing public and political demands for accessible, high-quality care. Policy-makers, managers, and clinicians use their best efforts to improve efficiency, safety, quality, and economic viability. One solution has been to mimic approaches that have been shown to work in other domains, such as quality management, lean production, and high reliability. In the enthusiasm for such solutions, scant attention has been paid to the fact that health care as a multifaceted system differs significantly from most traditional industries. Solutions based on linear thinking in engineered systems do not work well in complicated, multi-stakeholder non-engineered systems, of which health care is a leading example. A prerequisite for improving health care and making it more resilient is that the nature of everyday clinical work be well understood. Yet the focus of the majority of policy or management solutions, as well as that of accreditation and regulation, is work as it ought to be (also known as ’work-as-imagined’). The aim of policy-makers and managers, whether the priority is safety, quality, or efficiency, is therefore to make everyday clinical work – or work-as-done – comply with work-as-imagined. This fails to recognise that this normative conception of work is often oversimplified, incomplete, and outdated. There is therefore an urgent need to better understand everyday clinical work as it is done. Despite the common focus on deviations and failures, it is undeniable that clinical work goes right far more often than it goes wrong, and that we only can make it better if we understand how this happens. This second volume of Resilient Health Care continues the line of thinking of the first book, but takes it further through a range of chapters from leading international thinkers on resilience and health care. Where the first book provided the rationale and basic concepts of RHC, the Resilience of Everyday Clinical Work b

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Spatial Health Inequalities: Adapting GIS Tools and Data Analysis 1st Edition

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The neighborhoods and the biophysical, political, and cultural environments all play a key role in affecting health outcomes of individuals. Unequal spatial distribution of resources such as clinics, hospitals, public transportation, fresh food markets, and schools could make some communities as a whole more vulnerable and less resilient to adverse health effects. This somber reality suggests that it is rather the question of “who you are depends upon where you are” and the fact that health inequality is both a people and a place concern. That is why health inequality needs to be investigated in a spatial setting to deepen our understanding of why and how some geographical areas experience poorer health than others. This book introduces how spatial context shapes health inequalities.

Spatial Health Inequalities: Adapting GIS Tools and Data Analysis demonstrates the spatial health inequalities in six most important topics in environmental and public health, including food insecurity, birth health outcomes, infectious diseases, children’s lead poisoning, chronic diseases, and health care access. These are the topics that the author has done extensive research on and provides a detailed description of the topic from a global perspective. Each chapter identifies relevant data and data sources, discusses key literature on appropriate techniques, and then illustrates with real data with mapping and GIS techniques. This is a unique book for students, geographers, clinicians, health and research professionals and community members interested in applying GIS and spatial analysis to the study of health inequalities.

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Rethinking Lean in Healthcare

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This book deals with a hospital’s struggle to secure and maintain financial stability. In the story, the leadership team of a fictional hospital adopts the tools and principles associated with the Toyota Production System or Lean. The story takes the reader through leadership’s arduous journey from rejecting the methodology to embracing it, to successful implementation. This book is important because many of our nation’s hospitals are besieged with financial difficulties with declining reimbursement and the public is losing confidence in our hospital’s ability to provide quality care without error. Lean can provide relief from these issues but only if it is properly implemented.

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Storytelling in Medicine: How Narrative can Improve Practice 1st Edition

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Throughout our lives, story is the medium each of us uses to make sense of our environment and relationships. Stories provide meaning and context, enriching our experiences and equipping us with a framework to navigate our existence.

Storytelling in Medicine is aunique, practical book for healthcare trainees, practitioners and educators that explores the ideas and practice of narrative and storytelling that lie at the very heart of clinical medicine and the patient ‘experience’ of care. It shows how story and narrative can be used effectively to help convey concepts such as prognosis and the effect of illness upon life, and to prepare patients and their relatives for difficult and painful news.

Offering a particular insight into communication by and between healthcare professionals, and how it can be refocused and improved, the book is an invaluable teaching aid for educators working in both small and large formats, and for under- and postgraduate students.

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Supporting Families and Carers: A Nursing Perspective 1st Edition

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Understanding the perspective of carers is an essential aspect of nursing. Supporting Families and Carers: A Nursing Perspective offers insights into the fundamental principles of caring for families and carers irrespective of age, gender, ethnicity, sexuality or religion.

This book discusses the concepts and theories that underpin our understanding of the behaviours and feelings that families and caregivers may experience. While the book covers theoretical dimensions to understand the caregiving experience, it also provides practical perspectives for nursing and is a unique resource to inform nursing practice and learning at all levels.

The book covers topics such as the stress process, stressors and how they relate to caregiving as well as actions and resources to help alter stressful situations. Interventions discussed include training and education programs, problem-solving skills, information technology–based support and formal approaches to planning care that take into account the specific needs of carers.

Carers are a central aspect of contemporary health services, and working with carers is fundamental to the delivery of high-quality person- and family-centred nursing care. This invaluable resource helps nurses to work effectively in partnership with patients and their carers.

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Spirituality and Coping with Loss: End of Life Healthcare Practice 1st Edition

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Spirituality and Coping with Loss: End of Life Healthcare Practice describes a research study that reflects nurses’ experience of the nature of loss encountered in end of life care settings as well as the ways in which spirituality is a resource in coping in these situations. Key findings indicate how nurses’ spiritual development impacts their proficiency in spiritual care. These findings will be of interest to nurses and nurse educators as well as other healthcare professionals.

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Powering Biomedical Devices 1st Edition

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From exoskeletons to neural implants, biomedical devices are no less than life-changing. Compact and constant power sources are necessary to keep these devices running efficiently. Edwar Romero’s Powering Biomedical Devices reviews the background, current technologies, and possible future developments of these power sources, examining not only the types of biomedical power sources available (macro, mini, MEMS, and nano), but also what they power (such as prostheses, insulin pumps, and muscular and neural stimulators), and how they work (covering batteries, biofluids, kinetic and thermal energy, and telemetry).

The book also looks at challenges such as energy generation efficiency, energy density, rectification, and energy storage and management. A final section on future trends rounds out the book. By briefly examining these key aspects, this book gives its readers a valuable overview of biomedical devices’ power sources.

  • A compact introduction to the vital topic of biomedical devices’ power sources
  • Reviews the background, current technologies, and possible future developments of biomedical power sources
  • Short-format text allows for material that is clear, concise, and to-the-point
  • Extensive references provided for further reading

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