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At least 1,189 records · Page 66Linked to original sources
PubMed1993

New hospital emphasizes patient accessibility and continuity of care. Interview by Karen Gardner.

As a 14-year veteran of the board of Lutheran Hospital of Indiana Inc., Fort Wayne, Thomas Baumgartner participated fully in the evolution of Lutheran's new acute care facility, which opened last May after five years of planning and construction. The Lutheran system includes the new not-for-profit, 350-bed hospital; a subsidiary comprising four urgent care clinics; joint ventures with several medical entities that provide clinical services such as rehabilitation and nursing; and a four-year college (the Lutheran College of Health Professionals). Located in a city of approximately 190,000, Lutheran Hospital--one of three tertiary care facilities in Fort Wayne--serves a 20-county region. To update its facilities and better meet the needs of this large service area, the new hospital design features a hospital tower connected to two medical office buildings by a two-story "medical mall." Baumgartner, who is chairman of the Lutheran system board and executive vice president and chief operations officer of Fort Wayne National Bank, recently spoke with Trustee editor Karen Gardner about the process of building a new hospital.

Community-Institutional Relations↗
PubMed1990

Deal nets hospital a 'free' medical building.

A developer is about to break ground on a $6.2 million medical office building on land owned by a California hospital. The deal will result in a haven for referral physicians at no cost to the hospital, though it will forgo equity and some management control.

California↗
PubMed2003

The Mumbai experience in building field level partnerships for DOTS implementation.

In February 1999, the Revised National Tuberculosis (TB) Control Programme (RNTCP) was implemented in the city of Mumbai after a pilot phase of 5 years. The city has a population of more than 12 million people and an estimated annual TB incidence of 21,000 cases, 8000 of these being infectious. This paper describes a partnership between the TB programme and a Non Governmental Organization (NGO), which began with a methodological analysis of the problems faced by the programme to help identify other key organizations, who might usefully be involved. The work focussed on "networking" to ensure the optimum use of existing resources. The problems encountered affected all levels of TB control from access to drug supply and treatment. The major issues related to an inadequate public health infrastructure resulting in poor technical and administrative support to field staff. There was confusion over roles of the health personnel in the TB programme and the public health facility, as well as poor technical performance. Partnerships were found to be useful in addressing the following areas: (1) the implementation of an external quality assurance scheme for sputum microscopy through involvement of microbiologists from large hospitals and research organizations; (2) training and capacity strengthening of programme and public health facility staff through innovative training and team building exercises organized by the programme, NGOs and the private sector; (3) development of Information, Education and Communication (IEC) material through partnerships with NGOs, and (4) the involvement of local NGOs and private doctors to increase case finding and to improve access to direct observation of treatment (DOT). The paper discusses the lessons learnt in this process and identifies some of the key issues in urban TB control, for consideration by policy makers.

Communicable Disease Control↗
PubMed2001

IgG subclass switch capacity is low in switched and in IgM-only, but high in IgD+IgM+, post-germinal center (CD27+) human B cells.

Recent studies have shown that in humans the germinal center reactions produce three types of V(D)J mutated B cells in similar proportions, i.e. Ig-switched, IgD-IgM+ (IgM-only) and IgD+IgM+ cells, and that together they form the CD27+ compartment of recirculating B cells. We investigated the Ig isotype switch capacity of these cells. Peripheral blood B subsets were sorted and IgG subclass secretion in presence or absence of IL-4 was compared in B cell assays which lead to Ig secretion in all (coculture with EL-4 thymoma cells) or only in CD27+ (CD40L stimulation) B cells. Already switched IgG+ B cells showed no significant sequential switch and IgM-only cells also had a low switch capacity, but IgD+CD27+ switched as much as IgD+CD27- B cells to all IgG subclasses. Thus, in switched B cells some alterations compromising further switch options occur frequently; IgM-only cells may result from aborted switch. However, IgD+CD27+ human B cells, extensively V(D)J mutated and "naive" regarding switch, build up a repertoire of B cells combining (1) novel cross-reactive specificities, (2) increased differentiation capacity (including after T-independent stimulation by Staphylococcus aureus Cowan I) and (3) the capacity to produce appropriate isotypes when they respond to novel pathogens.

B-Lymphocyte Subsets↗
PubMed2026

Host life-history strategy is a critical determinant of virulent phage infection propensity.

Bacteriophages shape microbial communities through two major lifestyles: virulent (obligately lytic) and temperate (capable of lysogeny). Prevailing phage ecology frameworks focus on how environmental conditions, host density, and physiological state modulate infection modality. This perspective overlooks how host traits exert selective pressure on the distribution of virulent and temperate lifestyles across bacterial species, which limits understanding of phage ecology. To address this critical knowledge gap, we adopt a host-centric, trait-based perspective and use 5821 complete bacterial genomes to build a host life-history space predominantly defined by genome size, metabolic capacity, and growth rate potential. After mapping phage lifestyle association signals, prophage burden formed a continuous gradient across this space. Also, virulent phage association was positively correlated with prophage burden, revealing a nested structure of lifestyle signals. Functional trait analysis identified enrichment of resource-acquisition modules underlying both temperate and virulent associations. Overall, these findings indicate that phage lifestyle is significantly influenced by host life-history strategies, highlighting fast-growing, metabolically versatile hosts as favorable targets for virulent phage isolation and biocontrol applications.

Bacteriophages↗
PubMedDate not supplied

[Second-generation self-moving wheelchairs: conception and prospects of production].

The paper proposes a conception of designing the self-moving wheeled chairs that meet the present-day consumers' requirements and corresponds to the up-to-date medical and transport building facilities. The conception mainly involves their electrification requirements, maximum maneuverability, good moving capacities, including self-climbing up and down stairs. The system of decision making and recommended modes for the wheeled chairs to move is designed up to the world novelty standards and can be manufactured both in Russia and foreign countries.

Evaluation Studies as Topic↗
PubMed2002

NFP Investor Conference. Growth is back in sight.

In a whirlwind of high-stakes meetings in New York City in mid-May, two dozen of the nation's largest hospitals and health systems strutted their stuff with a single goal: securing their future. Their message was clear: back-to-basics works, and now it's time to grow the business. Executives from 23 providers outlined their work on increasing revenue, boosting margins and shoring up balance sheets. They presented their market positions, strategic initiatives and financial results for investment analysts, credit raters and bond traders. The third annual Non-Profit Healthcare Investor Conference was co-sponsored by the American Hospital Association, Health Forum, the Healthcare Financial Management Association and Salomon Smith Barney. The focus on growth doesn't come without challenges Several common themes emerged from the presentations, among them pressure on reimbursement, workforce shortages, liability insurance issues and capacity constraints. Yet executives agree: it all comes down to the basics, and building the strength to keep their missions alive. As Thomas Meier, vice president and treasurer of Oakland, Calif.-based Kaiser Permanente, put it: "No margin, no mission, no más."

Capital Financing↗
PubMed2003

[Racial inequalities in Brazil: a synthesis of social indicators and challenges for public policies].

This article aims to systematize and analyze social data that reveal the dimension of racial inequalities in Brazil. The point of departure is that racial inequalities affect the capacity for integration of Blacks into Brazilian society and jeopardize the proposal to build a democratic society with equal opportunities for all. Such inequalities are present at different moments in the individual life cycle, beginning in childhood and continuing through school years, in access to urban infrastructure, and crystallizing in the labor market, consequently determining the income and living conditions of Afro-Brazilians as a whole. The article also analyzes the main positions in the political debate on racial inequalities in Brazil, identifying recent initiatives by both the Brazilian government and civil society to deal with racial discrimination and racial inequalities. The article concludes by identifying key challenges for health policy-makers in this context.

Black or African American↗
PubMed2003

Summary and conclusions from the SIWI seminar for young water professionals water and sustainable development--how to ensure development without compromising sustainability?

There is a need to create a balance between development and conservation in order to find a way to mitigate the conflicting interest of water for society, the environment and the economy. Apart from finding a solution to this there is a need to get the mesaage across to the decision makers. How do we make good ideas permeate policy and translate into concrete programs? The Young Water Professionals gave their view through presentations and discussions. It was argued that the answer was not to be found only in environmental science but also in the political and social arena. It was argued that the sanctioned discourse is a powerful force in water allocation and management. How can a balance be struck? Many argued for a unique design of a policy for the whole catchment, acknowledging ecology and existing institutions. Furthermore, many argued in favor of building on existing institutions and steward groups for sustainability and increase their adaptive capacity.

Conservation of Natural Resources↗
PubMed1991

Babbling in the manual mode: evidence for the ontogeny of language.

Infant vocal babbling has been assumed to be a speech-based phenomenon that reflects the maturation of the articulatory apparatus responsible for spoken language production. Manual babbling has now been reported to occur in deaf children exposed to signed languages from birth. The similarities between manual and vocal babbling suggest that babbling is a product of an amodal, brain-based language capacity under maturational control, in which phonetic and syllabic units are produced by the infant as a first step toward building a mature linguistic system. Contrary to prevailing accounts of the neurological basis of babbling in language ontogeny, the speech modality is not critical in babbling. Rather, babbling is tied to the abstract linguistic structure of language and to an expressive capacity capable of processing different types of signals (signed or spoken).

Deafness↗