The paper deals with a physiological rationale for fixing pensions for locomotive-drivers within the ranges of age and length of service. The study is based on the fact that the nature and conditions of their work accelerate their ageing and decrease their working capacity.
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JMIR Res Protoc
January 2025
Université de Sherbrooke, Sherbrooke, QC, Canada.
Background: The centralization of decision-making power in the public health care system has a negative impact on the practice of professionals and the quality of home care services (HCS) for seniors. To improve HCS, decentralized management could be a particularly promising approach. To be effective, strategies designed to incorporate this management approach require attention to 3 elements: autonomy of local stakeholders, individual and organizational capacities, and accountability for actions and decisions.
View Article and Find Full Text PDFPLoS One
January 2025
Department of Mechanical Engineering, Vanderbilt University, Nashville, TN, United States of America.
Knee exoskeletons have been developed to assist, stabilize, or improve human movement or recovery. However, exoskeleton designers must implement transparency (i.e.
View Article and Find Full Text PDFAfr J Emerg Med
December 2024
Accident & Emergency Department, The Aga Khan University, Nairobi, Nairobi, Kenya.
Background And Objectives: The Kenya Emergency Medical Care (EMC) Policy 2020-2030 was created to guide the advancement of EMC throughout Kenya. This report describes and maps the ongoing EMC policy development process across Kenya's 47 counties, serving as a real-world example of EMC policy development within a decentralized healthcare system in a low-or middle-income country (LMIC).
Methods: This report evaluates the development of county-specific EMC policies using the Kenya Institute for Public Policy Research and Analysis (KIPPRA) six stages for policy development: 1) problem identification, 2) agenda setting, 3) policy design, 4) approval, 5) implementation, and 6) monitoring and evaluation.
Learn Health Syst
January 2025
Introduction: Like many other academic medical centers, the University of Alabama at Birmingham (UAB) aspires to adopt learning health system (LHS) principles and practices more fully. Applying LHS principles establishes a culture where clinical and operational practices constantly generate questions and leverage information technology (IT) and methodological expertise to facilitate systematic evaluation of care delivery, health outcomes, and the effects of improvement initiatives. Despite the potential benefits, differences in priorities, timelines, and expectations spanning an academic medical center's clinical care, administrative operations, and research arms create barriers to adopting and implementing an LHS.
View Article and Find Full Text PDFMethodsX
December 2024
Institute of Computer Science, University of Silesia, Bedzinska 39, Sosnowiec, 41-200, Poland.
This study introduces a family of root-solvers for systems of nonlinear equations, leveraging the Daftardar-Gejji and Jafari Decomposition Technique coupled with the midpoint quadrature rule. Despite the existing application of these root solvers to single-variable equations, their extension to systems of nonlinear equations marks a pioneering advancement. Through meticulous derivation, this work not only expands the utility of these root solvers but also presents a comprehensive analysis of their stability and semilocal convergence; two areas of study missing in the existing literature.
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