...Manufacturing Cost 45% 3 Operations Management Operations management: The management of the efficient transformation of inputs into outputs to effectively satisfy customers. The active role of operations: – Inputs become Outputs after some Transformation (Process or Operation) – Food processing example: Inputs Energy, Raw vegetables Energy, Metal sheets Energy, Vegetables Energy, Water, Vegetables Energy, Cans, Boiled vegetables utdallas.edu/~metin Transformation Cleaning Cutting/Rolling/Welding Cutting/Chopping Cooking Placing Outputs Clean vegetables Cans Cut vegetables Boiled vegetables Can food 4 Operations in services: Health care Inputs Doctors, nurses Hospital Medical Supplies Equipment Laboratories Processes Examination Surgery Monitoring Medication Therapy Outputs Healthy patients SOM offers medical management MBA and Master of Science See http://som.utdallas.edu/amme/index.html. Question: What are Inputs, Processes and Outputs in education? Who is the customer? utdallas.edu/~metin 5 Operations are everywhere ! Operations Goods producing Examples Farming, mining, construction Storage/transportation Warehousing, trucking, mail, taxis, buses, hotels...
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...Richard L. Graham PSY 352 – Health Psychology June 20, 2015 Instructor Bill Plath Biopsychosocial vs. Biomedical Model Essay The most effective way to understand biopsychosocial model of health and biomedical model of health is to compare and contrast the two model. With biomedical model there are some benefits that are remarkably positive for the studying of diseases. Biomedical is a model in which it has the ability to be reductionistic, meaning that it plays a role reducing illness to a lower level. Whereas the biopsychosocial model maintains the factor of biological, psychological coupling social factors in of health and illness it also focuses while emphasizing extensively on health and illness as a deviation. Even though medical practitioners focus more on diagnosis and treatment, this essay will provide a compared and contrasted evidence between biopsychosocial model of health and biomedical model of health, making it easier to understand the advantages of the biopsychosocial model while revealing of the model which is most ready to used in researches and studies. The concept of mind and body in compilation makes up health and illness, so here a model has to be determined for the study of these issues, biopsychosocial model would be the model implemented for the logic of health and illness. In accordance to: Suls, J (2004) "Biopsychosocial is the foundational assumption, health and illness are consequences of the inter-play of biological, psychological, and social...
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...The conditioning of behaviour • The conditioning of navigation 3 Strategic FM Challenges • What is the dominant orientation of your organization: enabling or making (facilitating or producing)? • Did your FM make the step from supporting to enabling (from reactive to pro-active)? • Did you make the next step in positioning FM: from facility management to enabling leadership (from marching along the choosen road to marking the shining path) The strategic choices • Facility or make • Example Health care • Take hospitals: – Healing patients – Or – Enabling medical professionals to execute medical interventions Context: what is the world around FM Social Economic: a New Economy Geo-Political: The world is not enough Geo-Political: shifting power positions Political-Administrative: relationship business vs. state • Turbulence by crisis • Changing Governance systems • Limited tenability of current models • • • • New Economy disintermediated prosumption multiformity networks/chains ICT convergence changing economic landscape demand driven knowledge...
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...3. Methodology • What is System Dynamics? • Stella Simulation Model 4. Background to the Problem 5. Nurse Scheduling Problem using LINDO 6. Data Analysis 7. Recommendations 8. Methodology limitation 9. Conclusion 10. Appendix & References ABSTRACT Purpose - To research on the possible operational problems that may lead to excessive patients’ waiting time. “Priority Operating” changes with time as a patient waits for service and resource gives due consideration to hierarchy present in the skill and selects next available patient for treatment. A patient’s experience in waiting time will radically influence his/her perceptions on quality of the service and to minimizing the cost of carrying excess capacity. Our project aimed at improving the patient experience in the critical care by looking into the problem of excessive wait times in the Critical care and we will identified variations in the critical care and how it is staffed and managed. Although these variations have the potential to sabotage efforts to reduce surgical wait times within the hospital, they also present significant opportunities for change and improvement. Method- This report describes how system dynamics using Stella model was used in the healthcare system in critical care units in Santa Clara Valley (SCV), California. Based on the data analysis, a 'conceptual model' of the system was developed, showing different stages of potential patients...
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...EROS AND THANATOS INTRODUCTION Any student of the psychotherapies would have heard of the terms: Eros and thanatos Libido and mortido Life instinct and the death instinct If they have not heard of them then they should have! Freud seized on this concept and it became central in his overall theory of human nature. In his book “The ego and the id” he discusses this theory of instincts at length. Freud[1962] in his discussion of the two classes of instincts states that the first class is the sexual instincts or Eros. This is a "...selfpreservative instinct,..."(P30). On the other hand there is the death instinct whose task it is to, "...lead organic life back into the inanimate state;..."(P30). He is thus entering into the field of the philosophy of opposites. Human nature, life and the universe is unerringly a collection of opposites. The answer to the question, “Is it possible to have something that does not have an opposite?” begs unending cognition. Hyams(1998) notes this in her article on dissociation. She says that the world is full of polarities - good/bad, inhaling/exhaling, high/low and so on. In addition the is yin/yang, protons/electrons, left/right, black/white, matter/anti-matter and so on endlessly. Does something exist that does not have an opposite? I am yet to think of one. As soon as one defines ‘x’, then ‘not x’ is immediately defined as well. However that is for the philosophers to conjugate over. THEORY OF OPPOSITES Freud’s theory of these two instincts certainly...
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...infirmity” Most commonly used definition, but still can have criticisms… Exs: “not just a STATE/fixed nature…it can also be dynamic and change within a person” Well-being is very broad and can vary in def. among cultures and ppl “completely healthy”: In many ways, we’ve set ourself up to failure..but we’re never going to reach this broad term..hard to measure/quantify a fundamental human right regardless of age/class/gender a resource for everyday life, not just the object of living health is not the mean of itself, it’s a mean for a greater ends it takes time/energy/resources when youre sick that can otherwise be spent in education/artistic creation/ ec. And social endeavors so we want healthy ppl so we can have ppl pursue these avenues and be productive ppl that can contribute to society * A formal Definition of Public health …what we, as a society, do collectively to assure the conditions in which people can be healthy (IOM 1999) collective nature, and what we can do to improve as a whole not a lot of ppl in the public know what public health is..(thus she added stickers to ppt slide) A Lay Definition of Public Health Concerned with the health of populations Works to prevent injury, illness and death at the population level Seeks to promote healthy practices and creating healthy environments Public Health vs....
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...drug-taking behavior that take place at the expense of most other activities and the inability to cease drug-taking. THERE ARE FIVE THEORIES OF ADDICTION NAMELY; * MEDICAL MODEL * PSYCHODYNAMIC MODEL * SOCIAL MODEL * MORAL MODEL * BIO-PSYCHO-SOCIAL MODEL MEDICAL MODEL This involves * Addiction as a “brain disease” * Neurotransmitter imbalance * Disease model: * Agent: drug * Vector: dealers * Host: addict PSYCHODYNAMIC MODEL This involves the following * Drug abusers who are self-medicating * Drug abuse which is a symptom of underlying psychological problems * Drug use is also a maladaptive psychological coping strategy * Drug abusers also need to resolve internal conflict, and when they do, drug use will be unnecessary. SOCIAL MODEL This involves * Drug use as a learned behavior * People using drugs because drug use is modeled by others * Peer pressure * Environmental effects leading to drug use MORAL MODEL * Addicts are usually weak and can overcome a compulsion to use with willpower * Drug abusers are anti-social and should be punished for that * Drug are generally evil BIO-PSYCHO-SOCIAL MODEL * All the above are true, to greater or lesser degrees * Each person’s drug use is a result of some aspects of some or all the other models * Treatment and recovery require addressing the body, mind, social, nutrition, employment, family issues, psychological issues. On a broad inference, addiction...
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... 31 manic states, 15–17 Marchiafava-Bignami syndrome, 206, 338 Marijuana Anonymous, 239 marital status, and suicide, 454 masculinity drunkenness and, 428 sense of, 395 Massachusetts Male Aging Study, 402 Massachusetts Women’s Health Study (MWHS), 442 masturbation, 396 McNaughton Rules, 558 McNaughton, Daniel, 558 m-CPP 435 , MDMA (3, 4-methylenedioxymethamphetamine; ‘ecstasy’), 328 medial temporal lobe volume in Alzheimer’s disease, 359 MRI for detecting, 75 medical conditions anxiety disorders in, 170 depression treatment, 521 detection of psychiatric illness, 483 feigned illness, 530–531 mental disorders due to, 327 anxiety disorders, 333 cannabis and psychosis, 330 catatonia, 332 cognitive disorders, 334 delusions, 329 depression and Parkinson’s disease, 332 general principles, 327 hallucinations, 328 mood disorders, 330 personality disorder, 333 psychotic disorder, 328 stimulant psychosis, 329 mental disorders due to, 326–335 relationship to affective change, 270 suicide risk and, 455 medically unexplained symptoms, 523 biological mechanisms, 526 epidemiology, 523 biological mechanisms, 526 epidemiology, 523 biological mechanisms, 526 epidemiology, 523 biological mechanisms, 526 epidemiology, 523 biological mechanisms, 526 epidemiology, 523 biological mechanisms, 526 epidemiology, 523 biological mechanisms, 526 epidemiology,...
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...1668–1673. doi:10.1001/jamainternmed.2014.4005. Medical Cannabis Laws and Opioid Analgesic Overdose Mortality in the United States, 1999–2010 Author Manuscript Marcus A. Bachhuber, MD, Brendan Saloner, PhD, Chinazo O. Cunningham, MD, MS, and Colleen L. Barry, PhD, MPP Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, Philadelphia, Pennsylvania (Bachhuber); Robert Wood Johnson Foundation Clinical Scholars Program, University of Pennsylvania, Philadelphia (Bachhuber); Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia (Bachhuber, Saloner, Barry); Robert Wood Johnson Health and Society Scholars Program, University of Pennsylvania, Philadelphia (Saloner); Division of General Internal Medicine, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York (Cunningham); Department of Health Policy and Management, the Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland (Barry) Abstract Author Manuscript IMPORTANCE—Opioid analgesic overdose mortality continues to rise in the United States, driven by increases in prescribing for chronic pain. Because chronic pain is a major indication for medical cannabis, laws that establish access to medical cannabis may change overdose mortality related to opioid analgesics in states that have enacted them. OBJECTIVE—To determine the association between the presence of state medical cannabis laws and opioid analgesic overdose mortality...
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...Differences between Nurses Educated at Associate Level vs. Baccalaureate Level Nursing Christy Lilly Grand Canyon University: NRS-430V-O501 March 27, 2015 Differences between Nurses Prepared at Associate Level vs. Baccalaureate Level Education can be a factor in determining a person’s success and well-being. Does the difference in RN education play a role in well-being of those they care for? I will explain some educational differences between an Associate Degree Nurse (ADN) and a Baccalaureate of Science Nurse (BSN). Also, I will share a clinical case scenario to demonstrate the differences in approach, experience and skills effect clinical decisions made by a BSN and an ADN nurse. Associate Degree Nursing Education The ADN requires two or three years of college, whether at a community college or junior college. The graduate earns an Associates of Science in Nursing and is qualified to take the National Council Licensure Examination (NCLEX) to become a licensed registered nurse (RN). The idea of the ADN was founded by Mildred Montag in 1952 due to the nursing shortage post World War II. Montag proposed a two-year program in junior or community colleges. Her intent was the ADN would be more educated than the untrained nurse, otherwise known as a practical nurse. The ADN would qualify to test for RN licensure and enter practice working under the supervision of a BSN nurse. Montag’s proposed framework and model was not executed completely. Instead institutions...
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...JOURNAL OF WOMEN’S HEALTH Volume 14, Number 8, 2005 © Mary Ann Liebert, Inc. Changes in Health Status Experienced by Women with Gestational Diabetes and Pregnancy-Induced Hypertensive Disorders CATHERINE KIM, M.D., M.P.H..1 PHYLLIS BRAWARSKY, M.P.H.,2 REBECCA A. JACKSON, M.D.,3 ELENA FUENTES-AFFLICK, M.D., M.P.H.,4 and JENNIFER S. HAAS, M.D., M.S.P.H.2 ABSTRACT Objective: To examine changes in health status among women with gestational diabetes mellitus (GDM) and pregnancy-induced hypertension (PIH). Methods: We examined perceived health status changes from the prepregnancy, as recalled at 12–20 weeks gestation, to the postpartum period in women with GDM (n 64) vs. unaffected gravidas (n 1233) and women diagnosed with PIH (n 148) vs. unaffected gravidas. We used patient survey and medical record data from a prospective cohort study. Health status measures included the Short Form-36 scales for physical function, vitality, and self-rated health and the Center for Epidemiologic Studies-Depression Scale (CES-D). Multivariate logistic regression models controlled for age, parity, race, education, prepregnancy body mass index (BMI) and exercise levels, food insufficiency, and GDM or PIH during a prior pregnancy. Results: Women with PIH more often reported a significant decline in vitality (odds ratio [OR] 1.51, 95% confidence interval [CI] 1.02-2.23) and self-rated health (OR 2.12, 95% CI 1.193.77) and an increase in depressive symptoms from prepregnancy to postpartum compared...
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...A: Matrix of Theoretical Models |Theoretical Model |Description of Theoretical Model |Type of health care change situation where model best applies | |Kotter’s 8-Step Change |The Kotter 8-Step Change model is considered a people-driven approach that helps people to |Kotter’s 8-Step Change Model applies best in implementing a change that is | |Model |see the reason for change. The theory behind this model is that people change when they are |driven by emotion. In healthcare, improving patient satisfaction is an ideal | | |shown the truth because this influences their feelings. Emotion is at the heart of change. |objective for using Kotter’s Model. An example of using a change model for | | |Kotter’s successful change leaders find a problem or a solution to a problem and then show |improving patient satisfaction through decreasing wait times was implemented | | |people using engaging and compelling situations to change behavior. Each of the 8 |at Family Medicine Clinic’s Pharmacy in Abu Dhabi. While, the objective of | | |steps/actions is implemented to drive a new behavior. For example, the first step in the |the project was to improve patient satisfaction through improving patient | | |model is to Create a Sense of Urgency...
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...Addiction can be defined as an uncontrollable need for or use of a habit-forming substance (“Merriam-Webster”). Addiction is impacted by one’s tolerance and the physiological symptoms that follow when suffering from withdrawal of a substance (“Merriam-Webster”). In our society today, we spend more than $740 billion in relation to crime, lost work productivity, and health care for those who use substances harmfully (“National Institute”). As addiction continues to be a serious problem for many individuals in the US, there continues to be a question: is addiction a disease or a choice made by the own individual (Russell, Davies, & Hunter, 2011)? Disease vs. Choice Addiction as a disease or choice are the most commonly known perspectives to...
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...PhD Senior Lecturer and Head of Nursing Department, Faculty of Welfare and Health Studies, University of Haifa, Haifa, Israel Accepted for publication 22 March 1999 BEN-ZUR H., YAGIL D. & SPITZER A. (1999) BEN-ZUR Journal of Advanced Nursing 30(6), 1432±1440 Evaluation of an innovative curriculum: nursing education in the next century The present research focused on an interim evaluation of a new nursing curriculum made by ®rst- and second-year undergraduates. Study 1 examined the assessments made by 90 students of the new, actual programme of their studies, as well as an ideal one, on 21 bipolar criteria re¯ecting the developing changes in health care practices and higher educational processes in western society. The results of study 1 indicated that students perceived the actual programme as compatible with health care changes, but lacking in terms of the learning process. Study 2 investigated the same assessments among 105 registered nurses who evaluated the traditional nursing programme under which they were trained as well as an ideal one. The results of study 2 showed that registered nurses perceived past curricula as lower than the ideal on both health care and process of learning. The results of this interim evaluation imply that the new nursing curriculum follows health care trends, but a shift in the educational process is required. Keywords: curriculum, nursing, education, evaluation, health-care, baccalaureate society, with existing knowledge becoming...
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...Commanding the Heights: the Battle of Ideas This essay starts with an introduction of the documentary Commanding the Heights: the Battle of Ideas made by PBS, then conducts the analysis on the two competing economic ideas of Keyes vs. Hayek, and finally presents a detailed illustration of their impacts on the America’s economic policies since 1980. Introduction The PBS-made documentary ‘Commanding the Heights’ is to promote better understanding of globalization, economic development and world trade, featured with specific examples of different countries and interviews with related parties. Episode One "The Battle of Ideas," gives an overview of the battle between two major competing ideas about the world economy over the course of last century. On the one hand, the English economist Keynes believes in the ‘planned economy’ and advocates the government intervention to mitigate the risk during economic recession or depression; On the other hand, the Australian economist Hayek favors the free market mechanism and believes in minimum government intervention as market will eventually take care of itself and the prices system is at the heart of what makes a functioning economy work. The episode tracks the root of these ideas and explains how the world moved toward the government controlled economy during the 20th century in a chronological order summarized as below. The Russian Revolution in 1917 marked the beginning of communism economy, in which government is very important...
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