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92,483 results for "work"
Swimming At Night By Selected Works by Patrick Moody
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After Hospitalization: A Dartmouth Atlas Report on Post-Acute Care for Medicare Beneficiaries By Dartmouth Atlas Working Group
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This is the first national report to look at how effectively communities and hospitals coordinate care for some of their sickest patients—those leaving the hospital after a stay to treat an... More > acute or chronic illness. Without high-quality care coordination, patients can bounce from home to the emergency room and back into the hospital, sometimes repeatedly. The readmission rate to hospital is increasingly seen as a marker of a local health care system’s ability to coordinate care for patients across the full continuum of care settings: hospitals, rehabilitation and skilled nursing facilities, nursing homes, clinician offices, hospice and home. Better care coordination promises to reduce readmission rates and improve patients’ lives while reducing costs.< Less
Vulcan Data Manual By Vulcan Iron Works
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An important collection of data about Vulcan and other pile hammers, sheet piles, from the early to mid-1960's. Includes hard to find data on discontinued pile hammers and sheet pile profiles, plus... More > other information on maintenance of Vulcan hammers. A complete list of the data sheets and samples of the information can be found in the preview to the left.< Less
Variation in the Care of Surgical Conditions: Renal Disease By The Dartmouth Atlas Working Group
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This report highlights treatments for kidney failure—both dialysis and kidney transplantation—and describes patterns of care for patients in the United States. The evolution of ESRD... More > treatments is first presented, from basic surgical techniques and rudimentary dialysis machines to the complex, multi-specialty model practiced today. Most importantly, the report examines current quality improvement initiatives and identifies areas in need of system-level improvement.< Less
Variation in the Care of Surgical Conditions: Spinal Stenosis By The Dartmouth Atlas Working Group
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Back pain is a leading cause of morbidity and disability in the United States. About 30 million people in the United States receive professional medical care for a spine problem each year. Low back... More > pain is a leading cause of both lost productivity and medical expenditures. This report focuses on lumbar spinal stenosis as an example that helps to summarize the treatment options, epidemiology, and evidence of effectiveness of treatment for back pain.< Less
Variation in the Care of Surgical Conditions: Diabetes and Peripheral Arterial Disease By The Dartmouth Atlas Working Group
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This report examines how Medicare patients with diabetes and PAD are treated across the United States. It describes how, when, and why they may (or may not) be treated with preventive measures, as... More > well as invasive treatments aimed at limiting amputation. By examining these treatment patterns, and outlining the ways in which physicians have attempted to study and improve the care of these complex patients, we hope to highlight opportunities to reduce amputations for patients at the highest risk for limb loss.< Less
Variation in the Care of Surgical Conditions: Obesity By The Dartmouth Atlas Working Group
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This report discusses the growing problem of obesity in the U.S. population and shows different approaches to its treatment over time and by region. It focuses on the surgical treatment of obesity,... More > including the decision to use surgery, the technical quality of surgical care, and patient outcomes. The trends and regional variation presented in this report reflect a combination of factors: the rise of obesity rates; the development of new therapies, particularly less invasive and more effective surgical techniques; and evolving policies related to safety and insurance coverage. Most importantly, regional variation raises questions about a lack of consensus within the medical community regarding the use of bariatric surgery and the role of patients in making fully informed decisions about their care. And finally, while progress has been made in understanding the best ways to limit obesity using surgical and medical approaches, areas in need of further improvement are highlighted.< Less
Variation in the Care of Surgical Conditions: Cerebral Aneurysms By The Dartmouth Atlas Working Group
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This report focuses on the common and potentially dangerous medical condition of cerebral aneurysms. There is considerable regional variation in the United States in the treatment of ruptured and... More > unruptured cerebral aneurysms, suggesting that patients do not always receive the most optimal treatment, which has implications for both quality and cost. The report concludes that patients who receive a new diagnosis of cerebral aneurysm (especially unruptured) face a difficult road to informed decision-making.< Less
Variation in the Care of Surgical Conditions By The Dartmouth Atlas Working Group
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This Dartmouth Atlas of Health Care reports on unwarranted regional variation in the care of several conditions for which surgery is one important treatment option. Unwarranted variation is the... More > differences in care that are not explained by patient needs or preferences. Each chapter begins with an examination of the underlying condition, the available treatment options before surgery, and the role of shared decision-making. The care during surgery is then presented, including aspects of quality, risks, and costs. The next section is concerned with the care of patients after surgery, including hospital readmissions and ambulatory care.< Less
The Dartmouth Atlas of Children's Health Care in Northern New England By The Dartmouth Atlas Working Group
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While the quality of health care has a powerful influence on the well-being of infants and children, little information is available about the medical services received by children. This Dartmouth... More > Atlas report examines small area variations in children’s health care in one region of the United States—Northern New England—and shows the patterns of care received by children for ambulatory physician services, hospitalization, common surgery, imaging, and outpatient prescription fills. The findings from this report show marked variation in care across the region. While there are many examples of excellent care, the findings raise troubling questions about whether the medical practice patterns reflect the care that infants and children need and that their families want.< Less