151 research outputs found

    Impact of Electronic Prescription, Access, and Messaging on Health Information Exchange Utilization During Care Transition

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    This study examined the impact of electronic prescription generation and transmission, patient access, and secure electronic messaging on health information exchange (HIE) utilization during healthcare transitions. Leveraging longitudinal data from the 2018 CMS EHR Incentive Program, this research tested hypotheses concerning the influence of these variables on HIE utilization using a quantitative method. Findings from logistic regression analyses indicated that electronic prescription practices (B = 2.265, OR = 9.628, p \u3c .001) and patient electronic access capabilities (B = 1.108, OR = 3.027, p \u3c .001) significantly increased HIE usage, aligning with previous studies that underscored the importance of digital prescription systems and patient empowerment in HIE enhancement. Additionally, secure electronic messaging showed a significant association with HIE utilization (χ²(1) = 126.982, p \u3c .001), further reinforcing the role of secure communication in effective healthcare information exchange. A combined predictive model revealed that electronic prescriptions and patient electronic access drastically improved the likelihood of HIE adoption (B = 4.546, OR = 94.284, p \u3c .001), highlighting a synergistic effect. These findings underscored the need for integrated technological frameworks within healthcare systems to optimize communication and care coordination, ultimately improving patient outcomes. The study advocated continued investment in digital health tools to strengthen HIE systems and enhance healthcare delivery

    Impact of Electronic Prescription, Access, and Messaging on Health Information Exchange Utilization During Care Transition

    No full text
    This study examined the impact of electronic prescription generation and transmission, patient access, and secure electronic messaging on health information exchange (HIE) utilization during healthcare transitions. Leveraging longitudinal data from the 2018 CMS EHR Incentive Program, this research tested hypotheses concerning the influence of these variables on HIE utilization using a quantitative method. Findings from logistic regression analyses indicated that electronic prescription practices (B = 2.265, OR = 9.628, p \u3c .001) and patient electronic access capabilities (B = 1.108, OR = 3.027, p \u3c .001) significantly increased HIE usage, aligning with previous studies that underscored the importance of digital prescription systems and patient empowerment in HIE enhancement. Additionally, secure electronic messaging showed a significant association with HIE utilization (¿²(1) = 126.982, p \u3c .001), further reinforcing the role of secure communication in effective healthcare information exchange. A combined predictive model revealed that electronic prescriptions and patient electronic access drastically improved the likelihood of HIE adoption (B = 4.546, OR = 94.284, p \u3c .001), highlighting a synergistic effect. These findings underscored the need for integrated technological frameworks within healthcare systems to optimize communication and care coordination, ultimately improving patient outcomes. The study advocated continued investment in digital health tools to strengthen HIE systems and enhance healthcare delivery

    A interação texto/imagem em duas traduções de Flicts para o inglês

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    Dissertação (mestrado) - Universidade Federal de Santa Catarina, Centro de Comunicação e Expressão, Programa de Pós-Graduação em Estudos da Tradução, Florianópolis, 2013.Abstract : This study aims to investigate two translations of FLICTS, first children's book written by Ziraldo and first full-colored album for children produced in Brazil, with a view to discussing the different interactions between text and image that might occur within the translation of children's literature. Considered a landmark in Brazilian Children's Literature since its launch in 1969, its British version was translated by Silvia Caruana and published by the publishing house Roger Schlesinger in 1973 and its American English version was translated by Daniela Pinto, originally published by Melbooks in 1984 - subsequently also published by Editora Melhoramentos and commercialized in Brazil. The theoretical framework informing the study is based on the interface of Descriptive Translation Studies, Translation of Children's Literature and the Grammar of Visual Design. By the analyses of a multimodal corpus and a dossier about the history of this printed book, it was possible to note that the several changes along FLICTS publishing history have made up other possible readings on this work

    Novice teachers: the challenges, supports, and effective strategies

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    This study used survey research to investigate the challenges novice teachers experience, the support they receive, and the leadership strategies that are implemented to support them. The research was conducted in Manitoba, Canada. Quantitative methods and convenience sampling were used to explore the research questions that guided this study: What challenges do beginning teachers perceive they encounter in their first years of teaching practice? What supports do new teachers report they receive? What strategies do novice teachers perceive are the most effective in supporting them? What challenges do school principals perceive novice teachers face? What strategies do principals use to support novice teachers? A total of 41 novice teachers and 31 school principals in Manitoba, participated in this study. The majority of the novice teacher participants were female and the majority of principal respondents were male – statistics which reflect the gender demographics of teachers and principals in Canada. The areas that novice teacher participants found most challenging were differentiating instruction, planning and preparation, accessing teaching resources, working with students with Individual Education Plans (IEPs), and assessing student learning. With regard to gender, male novice teachers found differentiating instruction and organizing the classroom significantly more challenging than did their female colleagues. Beginning teachers in rural/small town areas perceived isolation and teaching multi-age classrooms to be a greater challenge than their colleagues who taught in urban/suburban schools. With regard to teaching experience, teachers with less than two years in the classroom perceived isolation to be a significantly greater challenge than colleagues with 2-3 years teaching experience. When considering school size, teachers in smaller schools with less than 200 students considered isolation to be a greater challenge than their colleagues in larger schools; however, teachers in larger schools found planning and preparation and developing collegial relations a greater challenge than those in small schools. With regard to the areas in which novice teachers reported they received most support, the areas most supported corresponded with the areas they felt to be the greatest challenges, with the exception of differentiated instruction, which was their greatest challenge, yet was not well supported. Overall, female novice teachers perceived higher levels of support than their male colleagues. Teachers in rural/small town areas felt more supported than colleagues in urban/suburban locations. Novice teachers valued support programs such as mentoring, induction, and professional development but indicated that not all these programs were available to them. Principals identified similar challenges for novice teachers as did the teacher respondents, with the exception of planning and preparation, an area that challenged beginning teachers but was perceived as less of a challenge by their principals. Principals reported greater availability of mentoring programs than did novice teachers. The recommendations for the study included specific areas for professional development and greater provision of research-based mentoring and induction programs.Includes bibliographical references (pages 110-121)."In partial fulfillment of the requirements for the degree of Master of Education.

    Causalidad y acción

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    A veces se argumenta que la acción tiene primacía sobre la causalidad. Esto se puede entender de dos maneras: que la causalidad es una proyección de la acción al ámbito natural o que la causalidad presupone un agente que actúa. Defiendo que la primera tesis es falsa y que la segun da sólo liene sentido desde una teoría realista de las causas

    Geometria especulatiua, y pratica de los planos, y solidos / author el M.R.P. Ioseph Zaragoça...

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    Las h. de grab. son calc.Anot. ms.: "Corregida segun los cuadernos del autor"Enc. Perg.Sign.: ¶4, A-Y

    WORKING CAPITAL MANAGEMENT IN TELECOMMUNICATION SECTOR

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    ABSTRACT Title: Working Capital Management in Telecommunication sector: A case study of VGC telecoms Author: Gbenga Segun Akinwande Supervisor: Anders Hederstierna Department: School of Management, Blekinge Institute of Technology Course: Master’s thesis in business administration, 15 credits (ECTS). Background and Problem Discussion: The efficient management of working capital is very vital for a business survival. This is premised on the fact having too much working capital signifies inefficiency, whereas too little cash at hand signifies that the survival of business is shaky. Purpose: The purpose of this research is to study the working capital management in the small and medium scale businesses, using VGC Telecoms Company as a case study, so as to establish factors influencing working capital performance; examine how cash management, inventory management and trade credit management affects working capital management; company effectiveness in converting working capital to ready money; how working capital management impacts on the problem of slow development and to offer recommendations on possible ways of improving working capital management Method: Literatures bordering on different areas of working capital management were reviewed. Thus, this research employed qualitative and quantitative analysis; and semi- structured questions were drafted based on the issues raised from the review of various literatures. In addition, materials from journal articles, textbooks, working papers and industry practitioners are put into consideration. The use of internet and e-mails to send out questions were explored where appropriate. Analysis on the company’s financial statement was carried out in order to verify my findings. Theory: In this research, the theory section looks at various concepts that come up when analyzing the consequences of working capital management for company value and the factors that influence a company’s working capital management performance. I have therefore chosen the most common concept for the theory section. I have also tried to create a theoretical understanding for the company’s sensitivity to a workable WCM policy Analysis: In the analysis of the research findings, I employed qualitative approach to the data analysis whereby the impacts of the poor WCM on the company were discussed in depth. Conclusion: The findings corroborate the postulation of Weston et al that a company’s investment in working capital is a substantial percentage of its total investment. In case of VGC Telecoms, it is as high as 65 percent. An inefficient and ineffective management of this investment will result in slow pace of development and ultimately to the business failure. The performances of the company in the different spheres of working capital management were scored as follows:- • Cash management – 65.4 percent • Inventory management - 78.6 percent • Trade credit management and financing decisions - 60.0 percent This is an average performance of 68 percent. That is, the company’s performance is above average. This is a good performance. The financial statements as interpreted reinforce the validity of this result. The liquidity ratios are high; the collection period is short; and the cash cycle is not quite expansive. This makes it possible to sustain sufficient cash flow for the smooth running of the business. The management of working capital impacts on liquidity, investment portfolio and profitability. All these three factors are decisive in the growth or failure of a business. Hence, good performances in working capital management affects these decisive factors favourably and thus, contribute to growth and success of the business

    La equidad según Ferrajoli y la equidad según Aristóteles: una comparación crítica

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    The purpose of this paper is to elaborate a critical approach to Ferrajoli’s conception of equity. Its author undertakes a critical analysis on the cognitivist conception of jurisdiction to be found in the Italian author, particularly on the role played by equity thereof (as «power of connotation» coming along with the «denotation power», «fact finding power» and «ethical-political disposition power» of the judge) using for this purposes Aristotle’s classical theory on equity. In this comparison, Ferrajoli’s positivist model is confronted with Aristotle’s pragmatic model of rules and with judicial deliberation as practical reasoning, this latter derived from his notion of «prudence» underlying the concept of epieikeia as «correction of the law». It is then that the deficiencies of Ferrajoli’s approach to jurisdiction, based on a conception of the notion of truth following the positivist fact-value dichotomy, are observed. The author argues that Ferrajoli’s thesis on equity as «connotation of what is denoted by the law» and «understanding of the factual circumstances of the case» really tantamount to the classical formalist conception on jurisdiction. Moreover it is argued that holding this understanding of jurisdiction turns Ferrajoli’s positivist constitutionalism inconsistent. For the judicial function, especially in the constitutional rule-of-law state, needs to be considered as inseparable from the notion of truth as practical correction and from the methodical ideal of coherence.En este trabajo se hace un análisis crítico de la idea de equidad de Ferrajoli. Para discutir la concepción cognoscitivista de la jurisdicción defendida por el teórico italiano y el lugar que la equidad ocupa en ella (como «poder de connotación», junto a los poderes de «denotación», «comprobación fáctica» y «disposición») se propone una comparación crítica con la teoría clásica de la equidad de Aristóteles. Esta comparación contrasta ese modelo positivista con el modelo pragmático de las reglas y de la deliberación judicial como razonamiento práctico que se deriva de la idea aristotélica de «prudencia» y se encuentra en el trasfondo de la tesis de la epieikeia como «corrección de la ley». A partir de aquí se muestran, por un lado, las insuficiencias del planteamiento ferrajoliano de la jurisdicción basado en una idea de «verdad» deudora de la dicotomía positivista hecho-valor, argumentando que su tesis de la equidad como «connotación de lo que la ley denota» y «comprensión de las circunstancias de hecho del caso» mantiene en el fondo la misma posición del formalismo clásico ilustrado. Por otro lado, se destacan las inconsistencias que tal comprensión supone para el proyecto de constitucionalismo positivista de Ferrajoli, subrayando que la función judicial, y particularmente en el Estado constitucional, es indisociable de la idea de verdad como corrección práctica y de la coherencia como ideal metódico

    La definición de la situación

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    The author explains that communicative definition of human situations is a chief factor in their respective development. The analysis of situations in social groups, communities and family forms must account for the phaenomenon in which the definition of the situation by these social groups will construct the reality they will live in. A legendary text of sociology, social psychology and socialconstructivism.El autor establece que la definicion comunicativa de las situaciones humanas es un factor clave de desarrollo de las mismas. El analisis de las situaciones dentro de los grupos sociales, de las comunidades y formas familiares, debe contar con el fenomeno segun el cual segun sea la definición de la situacion dada por esos grupos humanos, asi estara condicionada la realidad que dichos grupos vivan. Texto legendario del dominio de la sociologia, psicología social y social-constructivismo

    La pena de muerte

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    The present work is part of the report presented at the 1910 American International Scientific Congress, which, although printed, has not had any circulation, according to its author. Note from the Editors.El presente trabajo hace parte de la memoria presentada al Congreso Cientifico Internacional Americana de 1910, la cual, aunque impresa, no ha tenido ninguna difusión, segun nos manifiesta su autor. Nota de la Dirección
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