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Comprehensive Solution (comprehensive + solution)
Selected AbstractsGaps in Service in the Recognition and Treatment of Depression and Suicidal Ideation Within a Four-County AreaPERSPECTIVES IN PSYCHIATRIC CARE, Issue 4 2003Bonnie Raingruber PhD PURPOSE To examine gaps in service in the treatment of depression and suicidal ideation. METHODS A phenomenological investigation of clients' (n = 10) and service providers' (n = 40) perspectives. FINDINGS Compartmentalized systems of care and lack of continuity between inpatient and outpatient treatment contributed to a sense of frustration in both groups. Receiving mental health care was likened to being given a brokenapart puzzle with individual pieces shuffling around in a box. Little bits of help are available, but none of them mesh. CONCLUSIONS Comprehensive solutions are needed if the human and social implications of depression are to be addressed. [source] On-line motion blending for real-time locomotion generationCOMPUTER ANIMATION AND VIRTUAL WORLDS (PREV: JNL OF VISUALISATION & COMPUTER ANIMATION), Issue 3-4 2004Sang Il Park Abstract In this paper, we present an integrated framework of on-line motion blending for locomotion generation. We first provide a novel scheme for incremental timewarping, which always guarantees that the time goes forward. Combining the idea of motion blending with that of posture rearrangement, we introduce a motion transition graph to address on-line motion blending and transition simultaneously. Guided by a stream of motion specifications, our motion synthesis scheme moves from node to node in an on-line manner while blending a motion at a node and generating a transition motion at an edge. For smooth on-line motion transition, we also attach a set of example transition motions to an edge. To represent similar postures consistently, we exploit the inter-frame coherency embedded in the input motion specification. Finally, we provide a comprehensive solution to on-line motion retargeting by integrating existing techniques. Copyright © 2004 John Wiley & Sons, Ltd. [source] Do We Need to Create Geriatric Hospitals?JOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 1 2002Muriel R. Gillick MD During a single illness episode, the sickest, frailest older patients are often treated in multiple distinct sites, including the emergency room, the intensive care unit, a general medical floor, and a skilled nursing facility. Such frequent transfers involve changes in physician, changes in nursing care, the rewriting of orders, and physical dislocation, all of which can adversely affect outcomes. This system, although efficient, increases the chance of medical errors, promotes delirium, and undermines the doctor-patient relationship. Partial solutions include a team approach to care, an electronic medical record, and substitution of home for hospital care. A more comprehensive solution is to create a geriatric hospital for treatment of the most common medical and surgical problems and for provision of rehabilitative or skilled nursing care. Designing new institutions for geriatric care will require new legislation and a new set of regulations but should be considered for the oldest and frailest patients. [source] A multimethod study of needs for physician assessment: Implications for education and regulationTHE JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS, Issue 4 2009Richard Hawkins MD Senior Vice President for Professional, Scientific Affairs Abstract Introduction: Deficiencies in physician competence play an important role in medical errors and poor-quality health care. National trends toward implementation of continuous assessment of physicians hold potential for significant impact on patient care because minor deficiencies can be identified before patient safety is threatened. However, the availability of assessment methods and the quality of existing tools vary, and a better understanding of the types of deficiencies seen in physicians is required to prioritize the development and enhancement of assessment and remediation methods. Methods: Surveys of physicians and licensing authorities and analysis of the Federation of State Medical Boards (FSMB) Board Action Data Bank were used to collect information describing the nature and types of problems seen in practicing physicians. Focus groups, depth interviews with key professional stakeholders, and state medical board site visits provided additional information about deficiencies in physician competence. Results: Quantitative and qualitative analyses identified (1) communication skills as a priority target for assessment approaches that also should focus on professional behaviors, knowledge, clinical judgment, and health-care quality; and (2) differences between regulatory approaches of licensing and certifying bodies contribute to a culture that limits effective self-assessment and continuous quality improvement. System problems impacting physician performance emerged as an important theme in the qualitative analysis. Discussion: Considering alternative perspectives from the regulatory, education, and practice communities helps to define assessment priorities for physicians, facilitating development of a coherent and defensible approach to assessment and continuing professional development that promises to provide a more comprehensive solution to problems of health-care quality in the United States. [source] | ||||||||||