807 results match your criteria in-service performance

Considering Objective and Subjective Measures for Police Use of Force Evaluation.

Int J Environ Res Public Health 2021 May 18;18(10). Epub 2021 May 18.

Department of Psychology, University of Toronto Mississauga, Mississauga, ON L5L 1C6, Canada.

In spite of significant interest in the application of police use of force (UOF) from organisations, researchers, and the general public, there remains no industry standard for how police UOF is trained, and by extension, evaluated. While certain UOF behaviours can be objectively measured (e.g. Read More

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Random Access Using Deep Reinforcement Learning in Dense Mobile Networks.

Sensors (Basel) 2021 May 5;21(9). Epub 2021 May 5.

Department of Software and Computer Engineering, Ajou University, Suwon 16499, Korea.

5G and Beyond 5G mobile networks use several high-frequency spectrum bands such as the millimeter-wave (mmWave) bands to alleviate the problem of bandwidth scarcity. However high-frequency bands do not cover larger distances. The coverage problem is addressed by using a heterogeneous network which comprises numerous small and macrocells, defined by transmission and reception points (TRxPs). Read More

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Development and testing of a composite index to monitor the continuum of maternal health service delivery at provincial and district level in South Africa.

PLoS One 2021 25;16(5):e0252182. Epub 2021 May 25.

School of Public Health & Family Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.

Introduction: The continuum of care is a recommended framework for comprehensive health service delivery for maternal health, and it integrates health system and social determinants of health. There is a current lack of knowledge on a measurement approach to monitor performance on the framework. In this study we aim to develop and test a composite index for assessing the maternal health continuum in a province in South Africa with the possibility of nationwide use. Read More

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Measuring the level of compulsory hospitalisation in mental health care: The performance of different measures across areas and over time.

Int J Methods Psychiatr Res 2021 May 25:e1881. Epub 2021 May 25.

Centre for Medical Ethics, University of Oslo, Oslo, Norway.

Objective: A variety of measures are used for reporting levels of compulsory psychiatric hospitalisation. This complicates comparisons between studies and makes it hard to establish the extent of geographic variation. We aimed to investigate how measures based on events, individuals and duration portray geographical variation differently and perform over time, how they correlate and how well they predict future ranked levels of compulsory hospitalisation. Read More

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Optimization of Patient Flow in Urgent Care Centers Using a Digital Tool for Recording Patient Symptoms and History: Simulation Study.

JMIR Form Res 2021 May 21;5(5):e26402. Epub 2021 May 21.

Ada Health GmbH, Berlin, Germany.

Background: Crowding can negatively affect patient and staff experience, and consequently the performance of health care facilities. Crowding can potentially be eased through streamlining and the reduction of duplication in patient history-taking through the use of a digital symptom-taking app.

Objective: We simulated the introduction of a digital symptom-taking app on patient flow. Read More

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How does the effectiveness of strategies to improve healthcare provider practices in low-income and middle-income countries change after implementation? Secondary analysis of a systematic review.

BMJ Qual Saf 2021 May 18. Epub 2021 May 18.

Malaria Branch, Division of Parasitic Diseases and Malaria, Center for Global Health, US Centers for Disease Control and Prevention, Atlanta, Georgia, USA.

Background: A recent systematic review evaluated the effectiveness of strategies to improve healthcare provider (HCP) performance in low-income and middle-income countries. The review identified strategies with varying effects, including in-service training, supervision and group problem-solving. However, whether their effectiveness changed over time remained unclear. Read More

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Variations in reporting of clinician-reported outcome measures in third molar surgery: A focused review.

Surgeon 2021 May 10. Epub 2021 May 10.

Cork University Dental School and Hospital, Wilton, Cork, Ireland. Electronic address:

Clinician-reported outcome measures (ClinRO measures) play a fundamental role in quality assurance throughout healthcare systems. With commissioners turning ever more frequently to ClinRO data to evaluate and compare individual hospital performance and casemix, and funding decisions increasingly relying on these data, agreed core outcome sets (COS) are essential for the collection of standardised specialty-specific outcomes. Beyond their role in service commissioning, COS enable standardisation of outcomes in clinical studies, allowing comparisons to be drawn between similar trials as well as pooling of data for systematic reviews and metaanalyses. Read More

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Local field potentials in the parietal reach region reveal mechanisms of bimanual coordination.

Nat Commun 2021 05 4;12(1):2514. Epub 2021 May 4.

Department of Neuroscience, Washington University School of Medicine, St. Louis, MO, USA.

Primates use their arms in complex ways that frequently require coordination between the two arms. Yet the planning of bimanual movements has not been well-studied. We recorded spikes and local field potentials (LFP) from the parietal reach region (PRR) in both hemispheres simultaneously while monkeys planned and executed unimanual and bimanual reaches. Read More

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Evaluation of a Field-Ready Neurofunctional Assessment Tool for Use in a Military Environment.

Mil Med 2021 Apr 30. Epub 2021 Apr 30.

Office of Naval Research, Arlington, VA 22203, USA.

Introduction: The Office of Naval Research sponsored the Blast Load Assessment Sense and Test (BLAST) program to develop a rapid, in-field solution that could be used by team leaders, commanders, and medical personnel to provide a standardized approach to operationally relevant monitoring and analysis of service members exposed to single or repeated low-level blast. A critical piece of the BLAST team's solution was the development of the Brain Gauge technology which includes a cognitive assessment device that measures neurofunctional changes by testing sensory perceptions and a suite of mathematical algorithms that analyze the results of the test. The most recent versions of the technology are easily portable; the device is in the size and shape of a computer mouse. Read More

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Robotic General Surgery Resident Training Curriculum: A Pilot Experience.

Surg Laparosc Endosc Percutan Tech 2021 Apr 23. Epub 2021 Apr 23.

Department of Surgery, Division of General Surgery, Medical College of Wisconsin, Milwaukee, WI.

Background: The purpose of this study was to report the impact of a pilot robotic general surgery resident training curriculum.

Materials And Methods: A single institution pilot robotic general surgery training curriculum was instituted in 2016. Accreditation Council for Graduate Medical Education operative case log trends, resident simulation performance, and surveys were analyzed. Read More

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Emotional labor of nurses in the front line against the COVID-19 pandemic.

Rev Bras Enferm 2021 14;74Suppl 1(Suppl 1):e20200660. Epub 2021 Apr 14.

Escola Superior de Enfermagem de Lisboa, Unidade de Investigação & Desenvolvimento em Enfermagem. Lisboa, Portugal.

Objective: To analyze nurses' experiences in the front line of the fight against the COVID-19 pandemic regarding the performance of emotional labor (EL), aiming at its characterization and identification of support strategies and development opportunities of nurses and practices.

Methods: Qualitative, descriptive, and exploratory study, with content analysis of eleven written narratives and reports from a focus group composed of nurses with experience in caring for patients with COVID-19 from different Hospital Centers in Lisbon, Portugal.

Results: Five themes were extracted: 1) Challenges experienced by nurses in the frontline; 2) Emotions experienced by nurses in service care; 3) Emotional responses of nurses and patients: impact on care; 4) EL of nurses in the patient care process; 5) Opportunities for development in the face of the emotional challenge required of nurses in combating COVID-19. Read More

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Is Point-of-Care testing feasible and safe in care homes in England? An exploratory usability and accuracy evaluation of a Point-of-Care Polymerase Chain Reaction test for SARS-COV-2.

Age Ageing 2021 Apr 21. Epub 2021 Apr 21.

NIHR London In Vitro Diagnostics Co-operative, Dept of Surgery and Cancer, Faculty of Medicine, Imperial College London St. Mary's Hospital London.

Introduction: Reliable rapid testing for COVID-19 is needed in care homes to reduce the risk of outbreaks and enable timely care. This study aimed to examine the usability and test performance of a point of care polymerase chain reaction (PCR) test for detection of SARS-COV2 (POCKITTM Central) in care homes.

Methods: POCKITTM Central was evaluated in a purposeful sample of four UK care homes. Read More

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Wiad Lek 2021 ;74(1):107-111


Objective: The aim: Disclosure of the results of the study of the expediency of considering the fluidity of mental processes in the triad "organism - personality Disclosure of the results of the study of the expediency of considering the fluidity of mental processes in the triad "organism - personality - environment" and the alternate stages of the dynamics of performance to prevent the occurrence of pre-painful conditions in students, combining professional activity with formal education.

Patients And Methods: Materials and methods: The complex of research methods is used in the work: general scientific (analysis, synthesis, comparison, systematization, generalization) and empirical (observations, discussions, questionnaires). The research was carried out within the framework of the international project "AHIA" (innovation in education; access mode: https://sites. Read More

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Evaluation of the performance of health extension workers on malaria rapid diagnostic tests and predictor factors in Bahir Dar Zuria district, northwest Ethiopia: A cross-sectional study.

PLoS One 2021 8;16(4):e0249708. Epub 2021 Apr 8.

Medical Parasitology, Amhara Public Health Institute, Bahir Dar, Ethiopia.

Background: In Ethiopia, anti-malaria treatment is initiated after parasitological confirmation using blood film microscopy at health centers and hospitals, or serological rapid diagnostic tests at health posts. At health posts, the diagnosis is performed by health extension workers using rapid diagnostic tests after little training. However, there is paucity of data about the health extension workers' performance on rapid diagnostic tests. Read More

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Needs of family members of patients admitted to a university hospital critical care unit, Izmir Turkey: comparison of nurse and family perceptions.

PeerJ 2021 25;9:e11125. Epub 2021 Mar 25.

Public Health, Ege University, Bornova, Izmir, Turkey.

Purpose: This study aims to compare the perceptions of nurses and families on the needs of the relatives of the patients in Intensive Care Unit (ICU).

Methods: This cross-sectional study was conducted in the ICU of a university hospital. The study comprised 213 critical care patients' relatives and 54 nurses working in the same ICU. Read More

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Instant messaging apps and data protection: combining to improve hip fracture care?

Ir J Med Sci 2021 Apr 5. Epub 2021 Apr 5.

Department of Trauma & Orthopaedic Surgery, Mater Misercordiae University Hospital, Eccles Street, Dublin, Ireland.

Introduction: The General Data Protection Regulation (GDPR) continues to have implications for how healthcare information is managed and shared. This presents challenges as telemedicine plays a more central role in service healthcare service provision, particularly since the beginning of 2020. We aim to measure how improved communication through a GDPR-compliant messaging app can influence time-dependent key performance indicators for hip fracture management in a tertiary-referral trauma hospital. Read More

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Managing slow-moving item: a zero-inflated truncated normal approach for modeling demand.

PeerJ Comput Sci 2020 14;6:e298. Epub 2020 Sep 14.

Faculty of Engineering and Sciences, Universidad Adolfo Ibáñez, Viña del Mar, Chile.

This paper proposes a slow-moving management method for a system using of intermittent demand per unit time and lead time demand of items in service enterprise inventory models. Our method uses zero-inflated truncated normal statistical distribution, which makes it possible to model intermittent demand per unit time using mixed statistical distribution. We conducted numerical experiments based on an algorithm used to forecast intermittent demand over fixed lead time to show that our proposed distributions improved the performance of the continuous review inventory model with shortages. Read More

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September 2020

Reliability Prediction of Acrylonitrile O-Ring for Nuclear Power Applications Based on Shore Hardness Measurements.

Polymers (Basel) 2021 Mar 19;13(6). Epub 2021 Mar 19.

Department of Manufacturing Engineering, Universidad Nacional de Educación a Distancia (UNED), 28040 Madrid, Spain.

The degradation of polymeric components is of considerable interest to the nuclear industry and its regulatory bodies. The objective of this work was the development of a methodology to determine the useful life-based on the storage temperature-of acrylonitrile O-rings used as mechanical sealing elements to prevent leakages in nuclear equipment. To this aim, a reliability-based approach that allows prediction of the use-suitability of different storage scenarios (that involve different storage times and temperatures) considering the further required in-service performance, is presented. Read More

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Self-Sensing Nanocomposites for Structural Applications: Choice Criteria.

Nanomaterials (Basel) 2021 Mar 24;11(4). Epub 2021 Mar 24.

Department of Industrial Engineering, University of Salerno, Via Giovanni Paolo II, 84084 Fisciano, Italy.

Epoxy resins containing multi-wall carbon nanotubes (MWCNTs) have proven to be suitable for manufacturing promising self-sensing materials to be applied in the automotive and aeronautic sectors. Different parameters concerning morphological and mechanical properties of the hosting matrices have been analyzed to choose the most suitable system for targeted applications. Two different epoxy precursors, the tetrafunctional tetraglycidyl methylene dianiline (TGMDA) and the bifunctional bisphenol A diglycidyl ether (DGEBA) have been considered. Read More

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Structural Response of Steel Jacket-UHPC Retrofitted Reinforced Concrete Columns under Blast Loading.

Materials (Basel) 2021 Mar 20;14(6). Epub 2021 Mar 20.

Sony Astani Department of Civil and Environmental Engineering, University of Southern California, 3620 S. Vermont Avenue, KAP 210, Los Angeles, CA 90089-2531, USA.

The lateral capacity of exterior concrete columns subjected to a blast load is the key factor in the building collapse probability. Due to potentially severe consequences of the collapse, efforts have been made to improve the blast resistance of existing structures. One of the successful approaches is the use of ultra-high-performance-concrete (UHPC) jacketing for retrofitting a building's columns. Read More

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Volume Resistivity of Viton Polymer under Thermal Aging.

Polymers (Basel) 2021 Mar 3;13(5). Epub 2021 Mar 3.

School of Aerospace and Mechanical Engineering, University of Oklahoma, Norman, OK 73019, USA.

This study examines the influence of various electrical parameters on the volume resistivity of the Viton fluoroelastomer. The transient current, the temperature dependence of volume resistivity, the voltage dependence of resistivity, and the surface morphology of Viton insulators are investigated for new and aged specimens. An accelerated aging process has been employed in order to simulate the natural aging of insulators in service. Read More

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Design and effect of performance-based pharmacy payment models.

J Manag Care Spec Pharm 2021 Mar;27(3):306-315

Eshelman School of Pharmacy, University of North Carolina, Chapel Hill.

Community pharmacy participation in performance-based payment models has increased in recent years. Despite this, there has been neither much research done to evaluate the effect of these models on health care quality and spending nor is there extensive literature on the design of these models. To (a) describe the types of measures used in performance-based pharmacy payment models (PBPPMs); (b) describe the financial impact of PBPPMs on pharmacies; (3) explore pharmacy owners' perceptions of PBPPMs; and (4) describe any practice changes made in response to PBPPMs. Read More

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Mentorship on malaria microscopy diagnostic service in Ethiopia: baseline competency of microscopists and performance of health facilities.

Malar J 2021 Feb 25;20(1):115. Epub 2021 Feb 25.

Ethiopian Public Health Institute (EPHI), Patriot Street, Gulele Subcity, PO Box 1242, Addis Ababa, Ethiopia.

Background: In Ethiopia, malaria cases are declining as a result of proven interventions, and in 2017 the country launched a malaria elimination strategy in targeted settings. Accurate malaria diagnosis and prompt treatment are the key components of the strategy to prevent morbidity and stop the continuation of transmission. However, the quality of microscopic diagnosis in general is deteriorating as malaria burden declines. Read More

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February 2021

Serum Prostate-Specific Antigen Testing for Early Detection of Prostate Cancer: Managing the Gap between Clinical and Laboratory Practice.

Clin Chem 2021 Mar;67(4):602-609

Department of Biomedical and Clinical Sciences, 'Luigi Sacco', University of Milan, and Clinical Pathology Unit, ASST Fatebenefratelli-Sacco, Milan, Italy.

Background: Current clinical practice guidelines (CPGs) for early detection of prostate cancer recommend for clinical decision-making a personalized prostate-specific antigen (PSA)-based management to improve the risk-benefit ratio of the screening strategy. Some important critical issues regarding the PSA determination in the clinical framework are, however, still neglected in current guidelines and a major focus of recommendations on those aspects would be needed to improve their effectiveness.

Content: Evidence sources in the available literature concerning the interchangeability of total PSA results measured with different commercial methods were critically appraised. Read More

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The impact of basic dermatology education and training on primary healthcare providers in KwaZulu-Natal, South Africa.

S Afr Fam Pract (2004) 2021 Jan 15;63(1):e1-e5. Epub 2021 Jan 15.

Department of Dermatology, School of Clinical Medicine, University of KwaZulu-Natal, Durban.

Background: Dermatological diseases are amongst the commonest reasons for consultation at primary care level. Yet, dermatology teaching in medical and nursing curricula is inconsistent and often insufficient to enable medical and nursing professionals to manage these conditions effectively.

Methods: We tested the knowledge of 100 doctors and 195 nurses who attended dermatology training sessions held in three health districts in the province of KwaZulu-Natal (KZN), South Africa, by using a quasi-experimental uncontrolled before-and-after study design. Read More

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January 2021

The RITE of Passage: Learning Styles and Residency In-Service Training Examination (RITE) Scores.

Cureus 2021 Jan 3;13(1):e12442. Epub 2021 Jan 3.

Anesthesiology/Orthopedics and Rehabilitation, University of Florida College of Medicine, Gainesville, USA.

Introduction The objective of the pilot study was to determine the association between learning preferences and improvement in the American Academy of Neurology Residency In-Service Training Examination (RITE) scores from postgraduate year 2 (PGY-2) to postgraduate year 3 (PGY-3) in neurology residents. Methods Neurology residents at the University of Florida were approached to participate, and their consent was obtained. VARK inventory, representing four modalities (visual, aural, read/write, kinesthetic) of learning preferences, was completed by participants. Read More

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January 2021

Autonomous Vision-Based Primary Distribution Systems Porcelain Insulators Inspection Using UAVs.

Sensors (Basel) 2021 Feb 2;21(3). Epub 2021 Feb 2.

College of Information Science and Technology, Engineering Research Center of Digitized Textile & Fashion Technology, Ministry of Education, Donghua University, Shanghai 201620, China.

The early detection of damaged (partially broken) outdoor insulators in primary distribution systems is of paramount importance for continuous electricity supply and public safety. Unmanned aerial vehicles (UAVs) present a safer, autonomous, and efficient way to examine the power system components without closing the power distribution system. In this work, a novel dataset is designed by capturing real images using UAVs and manually generated images collected to overcome the data insufficiency problem. Read More

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February 2021

Female Military Officers Report a Desire for Menstrual Suppression During Military Training.

Mil Med 2021 01;186(Suppl 1):775-783

Consortium for Health and Military Performance, Department of Military and Emergency Medicine, F. Edward Hébert School of Medicine, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Rd, Bethesda, MD 20814.

Introduction: Service women face female-specific challenges that present physiological and logistical burdens and may impact readiness. The stress of training can change menstrual patterns and symptoms, and limited access to hygienic, private facilities can hinder menstrual management. Therefore, suppressing menses with continuous hormonal contraception may be of interest. Read More

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January 2021

Three-dimensional modeling of in-ground cathodic protection systems with deforming anodes.

Sci Rep 2021 Jan 21;11(1):1894. Epub 2021 Jan 21.

Matergenics Inc, 100 Business Center Drive, Pittsburgh, PA, 15205, USA.

The design of sacrificial cathodic protection (CP) systems conventionally involves steady-state assumptions, which means design parameters are considered constant during the in-service life of CP systems. In contrast, it is evident by experimental observations (including field measurements) that cathodic protection is a transient process due to variations in electrolyte properties such as seasonal changes in electrical conductivity of soil, depletion of anodes, and formation of corrosion deposits on anode material surface, to name a few. The lack of practical time-dependent models on this critical issue is apparent in the literature; accordingly, in this study, a pseudo transient electrochemical model is adopted to highlight the transient behavior of cathodic protection systems and investigate key differences with steady-state behavior. Read More

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January 2021

Role of sex and stature on the biomechanics of normal and loaded walking: implications for injury risk in the military.

BMJ Mil Health 2021 Jan 21. Epub 2021 Jan 21.

Centre for Health Sciences Research, University of Salford, Salford, UK.

Load carriage and marching 'in-step' are routine military activities associated with lower limb injury risk in service personnel. The fixed pace and stride length of marching typically vary from the walking gait and may result in overstriding. Overstriding increases ground reaction forces and muscle forces. Read More

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January 2021