Defining Concierge Medicine (SDCM White Paper Series)

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Apnea of prematurity affects a small proportion but large absolute number of late preterm infants, with out-patient management variably utilized despite relative clinical equipoise and potential for improved cost-effectiveness. In-patient costs for discharge-delaying ABD events were compared with hypothetical out-patient management. A total of late preterm and term infants were included in our analysis. Sensitivity analysis demonstrated few instances of decreased relative cost-effectiveness. Out-patient management of discharge-delaying ABD events in a late preterm and term population was a cost-effective alternative to prolonged in-patient observation.

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Companies seeking to ensure that their Internet connection is resilient often purchase services from multiple providers. This leads them inexorably towards having their IP address range visible in the global routing table, increasing the resource usage of every Internet router. There is little prospect of change in the IPv4 world, but there is a chance to fix the problem as IPv6 is rolled out.

Unfortunately, SHIM6, the engineering solution chosen to solve this issue in IPv6, will only be effective if universally adopted, and there are no short-term incentives to prefer SHIM6 over a duplication of the IPv4 arrangements. However, it would be almost impossible to ensure the substantial revenues involved are correctly redistributed to those bearing the costs.

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Occupational Home Economics Education Series. Fabrics and Textiles Merchandising. Competency Based Teaching Module. This module, one of ten competency based modules developed for vocational home economics teachers, is based on a job cluster in fabric and textiles merchandising. It is designed for use with a variety of groups including grades and adults. Focusing on the specific job title fabric and textiles salesperson, ten competencies and the student….

Topical Paper No. The history of the home economics curriculum is traced from the late nineteenth century. The importance of the ideas of Sir Francis Bacon and Count Rumford in providing the philosophical justification for the application of science to everyday living is emphasized. The establishment of land grant colleges and women's colleges in the nineteenth….

Teaching Units for Consumer Home Economics. The instructional aids in this packet were designed to be used by high school home economics teachers who have Spanish speaking students with limited English skills mainstreamed into their regular classes.

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The teaching aids can be used by both English and Spanish speaking students at the same time because both Spanish and English are presented on…. Home Economics --Food Service Catering. Kit No.


An instructor's manual and student activity guide on food service, catering are provided in this set of prevocational education materials which focuses on the vocational area of home economics. This set of materials is one of ninety-two prevocational education sets arranged around a cluster of seven vocational offerings: agriculture, home…. Catering Services. This module, one of ten competency based modules developed for vocational home economics teachers, is based on a job cluster in the catering industry. It is designed for use with a variety of levels of learners secondary, postsecondary, adult in both school and non-school educational settings.

Focusing on two levels of employment, food caterer…. This study was designed to ascertain the challenges of improvising instructional materials by Home Economics teachers at the Upper Basic education level in Nigeria, and as a result identify strategies for enhancing improvisation.

The study used survey research design based on two research questions. The sample was four hundred and thirty-one Home…. Global Connections. Teacher's Guide. This teaching guide provides materials on how to implement a global education curriculum into the home economics program.

The stated objective is to motivate students to become more caring and responsible citizens of the global village. Contents include a list of student objectives, steps to take in implementing the global view curriculum, and…. A study was done of higher education curricula with substantial enrollment by women such as fashion merchandising and home economics to examine the context and substance of the curricula, to identify infrastructures that have supported these programs, and to probe issues that face administrators, faculty and students engaged in such programs.

Purpose: The purpose of this paper is to test an hypothesis that teachers' personal orientations toward food preparation, nutrition and environmental issues would be related to their perceived importance of food skills. Purpose: The purpose of this paper is to examine and report on the impact of technology and culture on home economics and nutrition science education in developing countries with a focus on Nigeria. The mixed role of local communities in home -based economic activities in Caribbean cities. These income-generating activities are financially, socially and spatially strongly integrated within the household.

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In the Global South they are, after paid work, the most often performed type of livelihood. Using the self-efficacy concept from Bandura's social learning theory, researchers developed an instrument to measure students' self-perceived competence in home economics core areas. Administration to all graduate students at a midwestern university during verified eight original competence areas and added a ninth.

Home Economics Education. Course of Study for Occupationally Oriented Classes. Grades 8, 9, Sections are further subdivided into units, each of which is laid out in three columns. Column headings are goals and concepts, activities and resources and notes. The guide is…. Poor urban households in the economic 'south' deploy various livelihood activities. This study examines the prevalence, organisation and relevance of HBEAs in four neighbourhoods in the. Paediatric tracheostomy and ventilation home care with challenging socio- economic circumstances in South Africa.

Children discharged home with a tracheostomy need a safe home environment and access to health care. We described the indications, clinical characteristics, socio- economic circumstances and outcomes of children enroled in a tracheostomy home care programme in South Africa. We performed a retrospective chart review of children receiving a tracheostomy and enroled in the Breatheasy programme at the Red Cross War Memorial Children's Hospital, Cape Town. Medical and background characteristics were recorded.

Influences of socio- economic variables and underlying medical conditions on length of hospital stay, unplanned readmissions and mortality in the first year after discharge were evaluated. In the period , patients were discharged home with a tracheostomy. Median hospital stay after tracheostomy insertion was significantly longer when parents had incomplete schooling compared to completed secondary school or higher education; 30 days IQR versus 23 days IQR , respectively. Unplanned readmissions in the first year were documented for 72 patients The risk for unplanned readmission was 2.

Tracheostomy-related mortality was low 1. An underlying medical condition was the only independent significant risk factor for mortality OR 5. This study demonstrates that despite difficult socio- economic circumstances, home ventilation of children with a tracheostomy is safe, provided caregivers are adequately trained and supported. Published by Elsevier Ireland Ltd.

Economic and environmental scheduling of smart homes with microgrid: DER operation and electrical tasks.


Smart homes are becoming popular for their lower energy cost and provision of comfort. In this work, a mixed integer linear programming MILP model is proposed to schedule the energy consumption within smart homes using a microgrid system. The proposed model is implemented on a smart building of 30 homes under three different price schemes. Systematic review of the economic evidence on home visitation programmes for vulnerable pregnant women.

A systematic review of the economic evidence on home visitation programmes for young or vulnerable pregnant women was undertaken to provide a summary of the existing literature of these interventions. Relevant studies were identified from a number of sources including large databases, free text search on Google Scholar as well as hand-searching of the obtained references. The search yielded a large number of papers, of which 12 were considered appropriate to be included in the review.

These were either full or partial economic evaluations: four studies were cost-benefit analyses, three were cost-effectiveness analyses and the remaining were costing studies. The review highlighted the paucity of good quality economic evaluations in the area of home visiting programmes for young or vulnerable pregnant women. Methods varied substantially between the studies spanning from differing data sources e. It is difficult to establish a coherent body of economic evidence for these interventions and draw a firm conclusion on their value for money.

Home visiting programmes are complex interventions, with impact on the lives of mothers and their children. The funding of such interventions should be based on rigorous effectiveness and economic evidence. There is a need for well-designed economic evaluations which will follow the appropriate methodological guidelines and also take into account the complexity of such interventions.

These analyses should preferably consider multiple perspectives and allow for the fact that the majority of the benefits accrue in the long-term future.