Results 131 to 140 of about 57,734 (292)

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

Financial 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, Gustaf Kastberg Weichselberger   +1 more
wiley   +1 more source

Ambulance [PDF]

Annals of Emergency Medicine, 2017
openaire   +2 more sources

The Challenges of Backsourcing

Financial Accountability &Management, EarlyView.
ABSTRACT Public sector outsourcing sometimes ends in unexpected termination, forcing authorities to engage in backsourcing. The aim of this study is to identify the challenges posed by unexpected terminations of sourcing contracts in the public sector and analyze how actual practices in these situations diverge from theoretical expectations in the ...
Johan Berlin, Eric Carlström, Magnus Jansson, David Karlsson   +3 more
wiley   +1 more source

Identification of hazardous road locations using ambulance data

Traffic Safety Research
Background: Police underreporting of traffic crashes is a substantial challenge in Denmark, as in many other countries. Alternative data sources are highly warranted for site-specific road traffic safety work.
Anne Vingaard Olesen, Tim Alex Lindskou, Rasmus Øhlenschlæger, Torben Anders Kløjgaard, Anders Brogaard Tallaksen, Jens Lauritsen, Erika Frischknecht Christensen, Harry Lahrmann   +7 more
doaj   +1 more source

Project 25: Housing the Most Frequent Users of Public Services Among the Homeless [PDF]

, 2015
The purpose of Project 25 is to investigate whether providing permanent housing with intensive individualized support, coupled with an identified, "Medical Home," can realize a significant reduction in the use and cost of public services.
Lynn Reaser
core  

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

The 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, Cassandra Duda, Tihomir Kostov, Patrick Diel, Käthe Bersiner, Wilhelm Bloch, Sebastian Gehlert, Daniel Jacko   +7 more
wiley   +1 more source

Prehospital early warning scores for adults with suspected sepsis: the PHEWS observational cohort and decision-analytic modelling study

Health Technology Assessment
Background Guidelines for sepsis recommend treating those at highest risk within 1 hour. The emergency care system can only achieve this if sepsis is recognised and prioritised.
Steve Goodacre, Laura Sutton, Kate Ennis, Ben Thomas, Olivia Hawksworth, Khurram Iftikhar, Susan J Croft, Gordon Fuller, Simon Waterhouse, Daniel Hind, Matt Stevenson, Mike J Bradburn, Michael Smyth, Gavin D Perkins, Mark Millins, Andy Rosser, Jon Dickson, Matthew Wilson   +17 more
doaj   +1 more source

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

Gerodontology, 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, Catherine Exley, Christopher Carroll, Rebecca Ruth Wassall   +3 more
wiley   +1 more source

Spartan Daily, January 5, 1942 [PDF]

, 1942
Volume 30, Issue 60https://scholarworks.sjsu.edu/spartandaily/3380/thumbnail ...
San Jose State University, School of Journalism and Mass Communications
core   +1 more source

A Comparison of Endodontic Microbiomes Associated With Symptomatic and Asymptomatic Apical Periodontitis by Next‐Generation Sequencing

International Endodontic Journal, EarlyView.
ABSTRACT Aim This cross‐sectional study aimed to compare the endodontic microbiome assessed from root canals of teeth associated with either symptomatic or asymptomatic apical periodontitis and analysed by 16S rDNA gene sequencing. Methodology 60 teeth presenting clinical and radiographic signs of symptomatic or asymptomatic apical periodontitis (n ...
David Donnermeyer, Edgar Schäfer, Daniel Hagenfeld, Benjamin Ehmke, Karola Prior, Dag Harmsen, Madgalena Ibing, Sebastian Bürklein, Thomas Gerhard Wolf, Johannes Matern   +9 more
wiley   +1 more source