Tucson Medical Center, a community hospital in Tucson, Ariz., is one of the provider groups participating in the Brookings–Dartmouth ACO Pilot Program to implement accountable care organizations (ACOs), which assume responsibility for improving patient care and lowering total costs and, in turn, share in the savings achieved. This case study explores the characteristics of Tucson Medical Center...

Background Economic disadvantages in developing countries have resulted in health care per capita spending that is almost two orders of magnitude lower than in developed countries [1]. In addition, tertiary-care hospitals in developing countries typically consume a large proportion of overall health care spending, and less than a quarter of government spending is devoted to public health measur...

The scale of late prehistoric sociopolitical complexity on the ColoracWPlateau has been widely debated in the American Southwest. Proponents of an alliance model useJeddito Yellow Ware) manufactured at Hopi Mesa villages) as one offtur index wares. This distributional study ofJeddito Yellow Ware challenges aspects of the alliance model by using a data set that contains over 430 yellow ware site...

Sir: Poor compliance with antipsychotic medication, which would potentially lead to disease relapse, has been challenging for psychiatrists when treating schizophrenia. Long-acting injection of antipsychotics is an appropriate alternative, since better compliance improves treatment outcomes. Mirror-image studies, in which each patient acts as his/her own control, of long-acting injection of con...

he aim of this thesis is to investigate the potential of applying a communitybased intervention, implemented in the Swedish city of Trelleborg 1999-2002, to reduce adolescent alcohol use. In order to do so, we had four specific aims. First, we studied the processes, both in terms of action and institutionalization, within the intervention. This would improve our understanding of the quantitativ...

Banks and other depository institutions have signed more than 300 community reinvestment agreements valued at $350 billion in the two decades since the passage of the Community Reinvestment Act (CRA). This article examines the effectiveness of negotiating CRA agreements in Chicago, Cleveland, Pittsburgh, and New Jersey. After describing the agreements and the procedures by which they are enforc...

British Journal of General Practice, May 2013 273 IntroduCtIon Low mood (dysthymia) in adolescence (11–19-years-old) is common. Estimates for depressive disorders from UK communitybased surveys suggest 10–14% of adolescents have a mental health problem that impacts on function; with anxiety and depression being the leading conditions.1 Prevalence of a diagnosed depressive disorder is reported t...

background: there are two types of primary dysmenorrhea (spasmodic and congestive) which differ from each other in terms of the time of menstrual cycle outbreak, pain quality and other symptoms. the present study aimed to determine the effect of acupressure at the sanyinjiao point (sp-6) on severity of menstrual symptoms (primary outcome) and the duration of resting time as well as the number o...

background: intrauterine insemination (iui) is one of the most appropriate and cost-effective methods in infertility treatment. objective: we aimed to investigate effect of vaginal misoprostol on pregnancy rate after iui. materials and methods: two hundred and ten infertile women who were referred to infertility clinic of alzahra hospital by an indication of iui during 2012-2013 were randomly a...

background: hepatorenal syndrome (hrs) is known as development of acute renal failure in a patient who usually has advanced liver disease. the aim of the present study was to determine the safety and the efficacy of noradrenalin in comparison with midodrine‑octreotide in patients with hrs. methods: this study was registered to the iranian registry of clinical trials (irct). this study was a sin...