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Alterations in rat brain modular organization during unconsciousness are dependent on communication efficiency and metabolic cost
We examined alterations in brain modular variability during loss of consciousness from mild sedation to deep anesthesia. We also investigated the relationships between modular variability with glucose metabolism and functional connectivity strength as well as their alterations during unconsciousness. We observed that modular variability increased during loss of consciousness. Critically, across-individual modular variability is oppositely associated with functional connectivity strength and cerebral metabolism, and with deepening dosage of anesthesia, becoming increasingly dependent on basal metabolism over functional conn...
Source: Brain Structure and Function - September 21, 2023 Category: Neuroscience Authors: Siyang Li Yali Chen Peng Ren Zhipeng Li Jun Zhang Xia Liang Source Type: research

What Can We Learn from the Envision Bankruptcy?
This study ignited a firestorm of press criticism and was followed by an aggressive lobbying and PR campaign funded by United and other large commercial payers  aimed at restricting balance billing by firms like Envision.  This campaign culminated in the Dec 2020 Congressional passage of the No Surprises Act, which effectively ended balance billing and subjected thousands of Envision’s out-of-network bills to an arbitration process. NSA went into effect in January 2022.   Ironically, days prior to its Chapter 11 filing, Envision won a $91 million judgment from an arbitration panel against United fo...
Source: The Health Care Blog - May 24, 2023 Category: Consumer Health News Authors: matthew holt Tags: The Business of Health Care Envision HCA Jeff Goldsmith Private equity Sound Physicians Tenet United HealthGroup Source Type: blogs

Office-Based Minor Surgery: An Ever-Increasing Challenge Not Only for the Dutch General Practitioner
CONCLUSIONS: The increasing demand for OBMS in primary care centers requires more attention to training aspects, the existing fear, adequate reimbursement for special accreditation, and collaboration and organization. We expect that addressing these factors will result in the strengthening of primary care, improving patient safety, lower referral rates, and a reduction in health care costs.PMID:36656884 | DOI:10.22454/FamMed.55.740827
Source: Famly Medicine - January 19, 2023 Category: Primary Care Authors: Hans van den Dool Ria Jochemsen-van der Leeuw Nynke van Dijk Source Type: research

The Macro View – Health, Economics, and Politics and the Big Picture. What I Am Watching Here And Abroad.
The objective most consistent with recent operations is to conquer Luhansk, Donetsk, and Kherson, with a view to their eventual annexation and Russification. But not only are they some way from achieving that (w ith much of Donetsk still in Ukrainian hands and the Russia position in Kherson highly contested) it would also require an explicit Ukrainian surrender for it to serve as the basis for a declaration of victory. That will not be forthcoming.-----https://www.afr.com/world/europe/how-britain-giggled-its-way-into-crisis-20220710-p5b0giHow Britain giggled its way into crisisBoris Johnson has exposed the costs of Britain...
Source: Australian Health Information Technology - July 21, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Global distribution of publications in anesthesiology : A  bibliometric analysis from 1999 to 2018
CONCLUSION: Regarding quantity trend, the output of global production in anesthesiology increased continuously as the number of articles from the high-output countries showed an increasing trend; however, there was still a gap between developing and developed countries in research quality. High-quality research should be encouraged in developing countries.PMID:34003302 | DOI:10.1007/s00101-021-00969-w
Source: Der Anaesthesist - May 18, 2021 Category: Anesthesiology Authors: Qian-Bo Chen Huai-Yu Yang Da-Shuang Chen Yan-Wei Lv Liang-Hao Hu Hong-Bin Yuan Source Type: research

Nursing Jobs, Cost of Living, & Where to Hang Your Hat
In my work as a career coach for nurses and healthcare professionals, I frequently witness those who work in nursing struggling with decisions related to finding work and the relative cost of living in terms of where they live or where they might move.Making decisions about your workstyle and lifestyle can be fraught with anxiety and concern about the future -- let ' s unpack that conundrum.Photo by Joey Csunyo on UnsplashWorkstyle and LifestyleFiguring out where to live and work can be a difficult choice. On the one hand, you want to earn up to your potential and receive the highest possible wage according ...
Source: Digital Doorway - October 1, 2018 Category: Nursing Tags: advanced practice nurses career career development career management careers healthcare careers job search nurse careers nurse practitioners nursing nursing careers Source Type: blogs

Combining Dedicated Online Training and Apprenticeships in the Field to Assist in Professionalization of Humanitarian Aid Workers: a 2-year Pilot Project for Anesthesia and Intensive Care Residents Working in Resource Constrained and Low-income Countries
Introduction In 2010 there was an estimated total 274,000 humanitarian workers worldwide with a growth rate of 4% from the previous year. Although the system is still dominated, in terms of operational presence and resource share, by a small group of NGOs and international organizations whose combined humanitarian expenditure in 2010 exceeded $2.7 billion, there are an estimated 4,400 NGOs worldwide that undertake humanitarian action on an ongoing basis1 . This heterogeneous and fragmented nature of the humanitarian sector has hindered its ability to efficiently respond to crises worldwide2 , and concerns have been express...
Source: PLOS Currents Disasters - July 21, 2014 Category: Global & Universal Authors: Marco Foletti Source Type: research