Results 141 to 150 of about 280,198 (361)

Collecting core data in physician-staffed pre-hospital helicopter emergency medical services using a consensus-based template: international multicentre feasibility study in Finland and Norway

open access: yesBMC Health Services Research, 2019
Background Comparison of services and identification of factors important for favourable patient outcomes in emergency medical services (EMS) is challenging due to different organization and quality of data.
Kristin Tønsager   +7 more
doaj   +1 more source

Navigating Inter‐Municipal Collaboration Challenges: 'In‐Tensions' in Shared Service Center and Joint Venture Arrangements

open access: yesFinancial Accountability &Management, EarlyView.
ABSTRACT Municipal collaborations such as shared service centers and joint ventures are widely promoted as ways to strengthen local service capacity. Yet they often develop in uneven and sometimes unstable ways. This paper examines why arrangements built on similar institutional promises take such different trajectories in practice.
Isabell Meltzer   +1 more
wiley   +1 more source

Resistance‐exercise‐induced stress intervenes in TGF‐β signaling by cooperatively downregulating nuclear αB‐crystallin and SMAD4 in human skeletal muscle fibers

open access: yesThe FEBS Journal, EarlyView.
Alpha‐crystallin B chain (CRYAB) has been reported to stabilize mothers against decapentaplegic homolog 4 (SMAD4) in transforming growth factor‐β (TGF‐β) signaling, enabling target gene transcription. We show nuclear CRYAB–SMAD4 interaction for the first time in human skeletal muscle fibers and its regulation by exercise.
Kirill Schaaf   +7 more
wiley   +1 more source

Caring in Ambulance Encounters With Older Patients With Complex Care Needs: A Phenomenographic Study. [PDF]

open access: yesScand J Caring Sci
ABSTRACT Background Although caring is a core concept in nursing, its meaning is not uniform, and perceptions may vary across care settings. In ambulance care, encounters with older patients with complex care needs present challenges that may shape how caring is understood and practiced. Guided by a lifeworld‐led caring perspective, this study explores
Hedqvist AT, Holmberg M.
europepmc   +2 more sources

Simulation modeling and optimization for ambulance allocation considering spatiotemporal stochastic demand

open access: yes, 2019
To ensure a timely response to emergencies, governments are obliged to implement effective ambulance allocation plans. In practice, an emergency medical service (EMS) system works in an uncertain environment, with stochastic demand, response-times, and ...
Wei Yang   +5 more
semanticscholar   +1 more source

Pre-hospital management of acute stroke patients eligible for thrombolysis – an evaluation of ambulance on-scene time

open access: yesScandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 2019
BackgroundStroke is a leading cause of death and disability with effective treatment, including thrombolysis or thrombectomy, being time-critical for favourable outcomes.
Nicolas Drenck   +5 more
semanticscholar   +1 more source

A Qualitative Evidence Synthesis to Explore Relationship‐Centred Dental Care for Older People Living in Care Homes

open access: yesGerodontology, EarlyView.
ABSTRACT Background Patient groups and policymakers are calling for the implementation of relationship‐centred, co‐ordinated care for vulnerable older people. Relationship‐centred care highlights the significance of strong, quality relationships among residents, their families and the broader healthcare team.
Rosie Pritchett   +3 more
wiley   +1 more source

Prehospital thrombolysis with tenecteplase in out-of-hospital cardiac arrest: a retrospective cohort study

open access: yesScandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Background The role of thrombolysis in out-of-hospital cardiac arrest (OHCA) remains uncertain, with limited evidence of benefit. This study evaluated whether prehospital administration of Tenecteplase improves outcomes in patients with presumed ...
Alan Cowley   +4 more
doaj   +1 more source

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