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Anna Beurskens - One of the best experts on this subject based on the ideXlab platform.
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interprofessional collaboration regarding patients care Plans in primary care a focus group study into influential factors
BMC Family Practice, 2016Co-Authors: Jerome Jean Jacques Van Dongen, Stephanie Anna Lenzen, Marloes A Van Bokhoven, Ramon Daniels, Trudy Van Der Weijden, Anna BeurskensAbstract:The number of people with multiple chronic conditions demanding primary care services is increasing. To deal with the complex health care demands of these people, professionals from different disciplines collaborate. This study aims to explore influential factors regarding interprofessional collaboration related to care Plan Development in primary care. A qualitative study, including four semi-structured focus group interviews (n = 4). In total, a heterogeneous group of experts (n = 16) and health care professionals (n = 15) participated. Participants discussed viewpoints, barriers, and facilitators regarding interprofessional collaboration related to care Plan Development. The data were analysed by means of inductive content analysis. The findings show a variety of factors influencing the interprofessional collaboration in developing a care Plan. Factors can be divided into 5 key categories: (1) patient-related factors: active role, self-management, goals and wishes, membership of the team; (2) professional-related factors: individual competences, domain thinking, motivation; (3) interpersonal factors: language differences, knowing each other, trust and respect, and motivation; (4) organisational factors: structure, composition, time, shared vision, leadership and administrative support; and (5) external factors: education, culture, hierarchy, domain thinking, law and regulations, finance, technology and ICT. Improving interprofessional collaboration regarding care Plan Development calls for an integral approach including patient- and professional related factors, interpersonal, organisational, and external factors. Further, the leader of the team seems to play a key role in watching the patient perspective, organising and coordinating interprofessional collaborations, and guiding the team through Developments. The results of this study can be used as input for developing tools and interventions targeted at executing and improving interprofessional collaboration related to care Plan Development.
Paul A. Trainor - One of the best experts on this subject based on the ideXlab platform.
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The Veiled Chameleon (Chamaeleo calyptratus Duméril and Duméril 1851): A Model for Studying Reptile Body Plan Development and Evolution
Cold Spring Harbor protocols, 2015Co-Authors: Raul E. Diaz, Christopher V. Anderson, Diana P. Baumann, Richard Kupronis, David Jewell, Christina Piraquive, Jill Kupronis, Kristy Winter, Paul A. TrainorAbstract:Vertebrate model organisms have facilitated the discovery and exploration of morphogenetic events and Developmental pathways that underpin normal and pathological embryological events. In contrast to amniotes such as Mus musculus (Mammalia) and Gallus gallus (Aves), our understanding of early patterning and Developmental events in reptiles (particularly nonavians) remains weak. Squamate reptiles (lizards, snakes, and amphisbaenians) comprise approximately one-third of all living amniotes. But studies of early squamate Development have been limited because, in most members of this lineage, embryo Development at the time of oviposition is very advanced (limb bud stages and older). In many cases, squamates give birth to fully developed offspring. However, in the veiled chameleon (Chamaeleo calyptratus), embryos have progressed only to a primitive pregastrula stage at the time of oviposition. Furthermore, the body Plan of the veiled chameleon is highly specialized for climbing in an arboreal environment. It possesses an entire suite of skeletal and soft anatomical modifications, including cranioskeletal ornamentation, lingual anatomy and biomechanics for projection, autopodial clefting for grasping, adaptations for rapid integumental color changes, a prehensile tail with a lack of caudal autotomy, the loss of the tympanum in the middle ear, and the acquisition of turreted eyes. Thus, C. calyptratus is an important model organism for studying the role of ecological niche specialization, as well as genetic and morphological evolution within an adaptive framework. More importantly, this species is easily bred in captivity, with only a small colony (
D Ferry S Mulyanto - One of the best experts on this subject based on the ideXlab platform.
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perancangan disaster recovery Plan menggunakan pendekatan iso 22301 2012 studi kasus diskominfo jawa barat
2019Co-Authors: Rendy Septiandy Karmana, Ds Dody Ferdiansyah, D Ferry S MulyantoAbstract:Bencana adalah peristiwa atau rangkaian peristiwa yang mengancam dan mengganggu kehidupan dan penghidupan masyarakat yang disebabkan, baik oleh faktor alamiah ataupun faktor nonalamiah. Dampak yang ditimbulkan oleh bencana beragam, mulai dari hilangnya resource, hilangnya ketersediaan layanan, kerusakan teknologi IT, dan lain-lain. Maka dari itu diperlukan langkah-langkah strategis untuk menangani bencana, karena tidak dipungkiri bencana akan menimbulkan keadaan genting, dan membutuhkan keputusan penting untuk penanggulangan bencana. Disaster Recovery Plan adalah suatu langkah startegis untuk memulihkan suatu sistem akibat dampak dari bencana baik itu bencana alamiah dan bencana non-alamiah serta merespon kejadian yang mengakibatkan hilangnya sumber daya sistem informasi secara bermakna (bencana). ISO 22301 merupakan sebuah Standar Internasional yang menetapkan prosedur yang harus dilakukan dalam proses merencanakan, menetapkan, mengoperasikan, memantau, mengkaji, memelihara dan mengembangkan Management System yang telah didokumentasikan untuk mempersiapakan organisasi dalam menghadapi bencana, menanggapinya serta melakukan recovery ketika bencana itu terjadi. Tahapantahapan yang dilakukan mulai dari, risk assessment, business impact analysis, recovery strategy, dan Plan Development. Hasil yang didapat dari tahapan-tahapan yang sudah dikerjakan yaitu, fakta-fakta dilapangan yang menjadi dasar/acuan diterapkannya Disaster Recovery Plan. Setelah menganalisis kondisi dilapangan maka dapat disimpulkan sebuah Disaster Recovery Procedure yang berisi langkahlangkah strategis untuk menanggulangi bencana. Serta Plan Development yang berisi catatan penting, yang bertujuan melakukan pendokumentasian, yang dilakukan selama proses penanggulangan bencana. Kata Kunci : Bencana, Disaster Recovery Plan, ISO 22301, prosedur penanggulangan bencana.
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PERANCANGAN DISASTER RECOVERY Plan MENGGUNAKAN PENDEKATAN ISO 22301:2012 (Studi Kasus : Diskominfo Jawa Barat)
2019Co-Authors: Rendy Septiandy Karmana 123040130, Ds Dody Ferdiansyah, D Ferry S MulyantoAbstract:Bencana adalah peristiwa atau rangkaian peristiwa yang mengancam dan mengganggu kehidupan dan penghidupan masyarakat yang disebabkan, baik oleh faktor alamiah ataupun faktor nonalamiah. Dampak yang ditimbulkan oleh bencana beragam, mulai dari hilangnya resource, hilangnya ketersediaan layanan, kerusakan teknologi IT, dan lain-lain. Maka dari itu diperlukan langkah-langkah strategis untuk menangani bencana, karena tidak dipungkiri bencana akan menimbulkan keadaan genting, dan membutuhkan keputusan penting untuk penanggulangan bencana. Disaster Recovery Plan adalah suatu langkah startegis untuk memulihkan suatu sistem akibat dampak dari bencana baik itu bencana alamiah dan bencana non-alamiah serta merespon kejadian yang mengakibatkan hilangnya sumber daya sistem informasi secara bermakna (bencana). ISO 22301 merupakan sebuah Standar Internasional yang menetapkan prosedur yang harus dilakukan dalam proses merencanakan, menetapkan, mengoperasikan, memantau, mengkaji, memelihara dan mengembangkan Management System yang telah didokumentasikan untuk mempersiapakan organisasi dalam menghadapi bencana, menanggapinya serta melakukan recovery ketika bencana itu terjadi. Tahapantahapan yang dilakukan mulai dari, risk assessment, business impact analysis, recovery strategy, dan Plan Development. Hasil yang didapat dari tahapan-tahapan yang sudah dikerjakan yaitu, fakta-fakta dilapangan yang menjadi dasar/acuan diterapkannya Disaster Recovery Plan. Setelah menganalisis kondisi dilapangan maka dapat disimpulkan sebuah Disaster Recovery Procedure yang berisi langkahlangkah strategis untuk menanggulangi bencana. Serta Plan Development yang berisi catatan penting, yang bertujuan melakukan pendokumentasian, yang dilakukan selama proses penanggulangan bencana. Kata Kunci : Bencana, Disaster Recovery Plan, ISO 22301, prosedur penanggulangan bencana
Raul E. Diaz - One of the best experts on this subject based on the ideXlab platform.
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The Veiled Chameleon (Chamaeleo calyptratus Duméril and Duméril 1851): A Model for Studying Reptile Body Plan Development and Evolution
Cold Spring Harbor protocols, 2015Co-Authors: Raul E. Diaz, Christopher V. Anderson, Diana P. Baumann, Richard Kupronis, David Jewell, Christina Piraquive, Jill Kupronis, Kristy Winter, Paul A. TrainorAbstract:Vertebrate model organisms have facilitated the discovery and exploration of morphogenetic events and Developmental pathways that underpin normal and pathological embryological events. In contrast to amniotes such as Mus musculus (Mammalia) and Gallus gallus (Aves), our understanding of early patterning and Developmental events in reptiles (particularly nonavians) remains weak. Squamate reptiles (lizards, snakes, and amphisbaenians) comprise approximately one-third of all living amniotes. But studies of early squamate Development have been limited because, in most members of this lineage, embryo Development at the time of oviposition is very advanced (limb bud stages and older). In many cases, squamates give birth to fully developed offspring. However, in the veiled chameleon (Chamaeleo calyptratus), embryos have progressed only to a primitive pregastrula stage at the time of oviposition. Furthermore, the body Plan of the veiled chameleon is highly specialized for climbing in an arboreal environment. It possesses an entire suite of skeletal and soft anatomical modifications, including cranioskeletal ornamentation, lingual anatomy and biomechanics for projection, autopodial clefting for grasping, adaptations for rapid integumental color changes, a prehensile tail with a lack of caudal autotomy, the loss of the tympanum in the middle ear, and the acquisition of turreted eyes. Thus, C. calyptratus is an important model organism for studying the role of ecological niche specialization, as well as genetic and morphological evolution within an adaptive framework. More importantly, this species is easily bred in captivity, with only a small colony (
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the veiled chameleon chamaeleo calyptratus dumeril and dumeril 1851 a model for studying reptile body Plan Development and evolution
CSH Protocols, 2015Co-Authors: Raul E. Diaz, Christopher V. Anderson, Diana P. Baumann, Richard Kupronis, David Jewell, Christina Piraquive, Jill Kupronis, Kristy WinterAbstract:Vertebrate model organisms have facilitated the discovery and exploration of morphogenetic events and Developmental pathways that underpin normal and pathological embryological events. In contrast to amniotes such as Mus musculus (Mammalia) and Gallus gallus (Aves), our understanding of early patterning and Developmental events in reptiles (particularly nonavians) remains weak. Squamate reptiles (lizards, snakes, and amphisbaenians) comprise approximately one-third of all living amniotes. But studies of early squamate Development have been limited because, in most members of this lineage, embryo Development at the time of oviposition is very advanced (limb bud stages and older). In many cases, squamates give birth to fully developed offspring. However, in the veiled chameleon (Chamaeleo calyptratus), embryos have progressed only to a primitive pregastrula stage at the time of oviposition. Furthermore, the body Plan of the veiled chameleon is highly specialized for climbing in an arboreal environment. It possesses an entire suite of skeletal and soft anatomical modifications, including cranioskeletal ornamentation, lingual anatomy and biomechanics for projection, autopodial clefting for grasping, adaptations for rapid integumental color changes, a prehensile tail with a lack of caudal autotomy, the loss of the tympanum in the middle ear, and the acquisition of turreted eyes. Thus, C. calyptratus is an important model organism for studying the role of ecological niche specialization, as well as genetic and morphological evolution within an adaptive framework. More importantly, this species is easily bred in captivity, with only a small colony (<10 individuals) needed to obtain hundreds of embryos every year.
Mollie A Ruben - One of the best experts on this subject based on the ideXlab platform.
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integrating personalized care Planning into primary care a multiple case study of early adopting patient centered medical homes
Journal of General Internal Medicine, 2020Co-Authors: Rendelle E Bolton, Barbara G Bokhour, Timothy P Hogan, Tana M Luger, Mollie A RubenAbstract:Personalized care Planning is a patient-centered, whole-person approach to treatment Planning. Personalized care Plans improve patient outcomes and are now mandated for chronic care management reimbursement. Yet guidance on how to best implement personalized care Planning in practice is limited. We examined the adoption of personalized care Planning in patient-centered medical home (PCMH) clinics to identify processes and organizational characteristics that facilitated or hindered use in routine practice. Qualitative multiple-case study design. We conducted site visits at PCMH clinics in four US Veterans Health Administration (VHA) medical centers. Data included 10 general clinic observations, 34 direct observations of patient-provider clinical encounters, 60 key informant interviews, and a document review. Data were analyzed via qualitative content analysis using a priori and emergent coding. Employees and patients participating in clinical encounters in PCMH clinics at four VHA medical centers. Each clinic used a distinct approach to personalized care Planning: (1) distributed tasks approach; (2) two-tiered approach; (3) health coaching approach; and (4) leveraging a village approach. Each varied in workflow, healthcare team utilization, and degree of integration into clinical care. Across sites, critical components for implementation included expanding Planning beyond initial assessment of patient priorities; framing the initiative for patients; using a team-based approach to care Plan Development and updates; using communication mechanisms beyond the electronic health record; and engaging stakeholders in implementation Planning. Personalized care Planning is a novel patient-centered practice, but complicated to implement. We found variation in effective implementation and identified critical components to structuring this practice in a manner that engages patients in treatment aligned with personal priorities. Primary care practices seeking to implement personalized care Planning must go beyond simply asking patients a series of questions to establish a Plan. They must also engage team members in Plan Development, communication, and dissemination.