An Evaluation of Emergency Hand Coverage in Tennessee After Implementation of the Affordable Care Act

This study aimed to determine if there has been an increase in emergency hand coverage in TN since the implementation of the ACA. A survey was administered to all hospitals in TN with both an emergency department and operating room to determine the percentage of TN hospitals offering elective hand surgery and on-call emergency hand coverage. With 94% of TN hospitals responding to the emergency department survey, we determined that there has been a 138% significant increase in the percentage of hospitals reporting 24/7 emergency hand coverage by a hand specialist since our last study in 2010. There has also been a significant increase in elective hand coverage in TN, although much smaller at 13% since 2010. This study suggests that there has been an overall increase in access to hand care in TN since the implementation of the ACA, most profoundly seen in the increase in hand specialists available for emergent cases.
Source: Annals of Plastic Surgery - Category: Cosmetic Surgery Tags: Hand Surgery Source Type: research

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In conclusion, this study elucidated that combination of cisplatin and XAV-939 exerted cytotoxic and genotoxic effect to abrogate CSC mediated chemoresistance in HNSCC in synergistic manner.
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Publication date: Available online 17 August 2019Source: Revista Clínica Española (English Edition)Author(s): M.A. López Zúñiga, M.A. Martín Toro, M. de Damas Medina
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Publication date: December 2019Source: Safety Science, Volume 120Author(s): Weilan Suo, Jin Zhang, Xiaolei SunAbstractCritical infrastructures (CIs) play a vital role in providing public necessities and services; however, they are also accompanied by potential risk factors and consequent risk events. CI risk assessment is important for capturing the overall risk profile and risk sources. However, a complex interdependent scenario induced by inherent features of CIs makes risk assessment more challenging. The purpose of this study is to develop a decision support approach for CI risk assessment in a complex interdependent s...
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Publication date: December 2019Source: Safety Science, Volume 120Author(s): Huakang Liang, Shoujian ZhangAbstractSafety violations are prevalent on a construction site; thus, it is necessary to understand the supervisory practices that facilitate the propagation of these behaviours. This research explores this phenomenon by investigating an integrative model regarding the social contagion effect of supervisors’ safety violations within a construction crew. The findings indicate that individuals are more likely to break safety rules when perceiving their supervisors’ safety violations. This research distinguishe...
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Publication date: December 2019Source: Safety Science, Volume 120Author(s): Jens Andreas Terum, Frode SvartdalAbstractThe focus of this article is risky behavior in traffic. What do people learn from accidents and near-accidents? Experience with accidents may demand increased caution. However, near-accidents are inherently ambiguous: On the one hand, they signal that margins were good enough, inspiring increased risk-taking; on the other hand, they signal danger that could induce increased caution. To explore these issues, participants (N = 614) answered 47 questions related to safe traffic behavior as well as reported...
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