We conducted in-depth interviews with 15 CIOs to identify the principal impediments to adoption of open source software in the Quebec health sector. We found that key factors for not adopting an open source solution were closely linked to the orientations of ministry level policy makers and a seeming lack of information on the part of operational level IT managers concerning commercially oriented open source providers. We use the case of recent changes in the structure of Quebec's health care organizations and a change in the commercial policies of a key vendor to illustrate our conclusions regarding barriers to adoption of open source products.
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http://dx.doi.org/10.1007/s10916-008-9158-4 | DOI Listing |
While maternal mortality decreased during the Millennium Development Goals era, it remains unacceptably high, with stagnation in reductions possible due to shocks such as COVID-19. Most women in low- and middle-income countries already receive antenatal care and over half give birth in health facilities. In cities, use of health facilities for childbirth is near universal (>90%).
View Article and Find Full Text PDFSurg Pract Sci
September 2023
Department of Surgery, University of Michigan, 1500 East Medical Center Drive, Ann Arbor, Michigan 48109, United States.
Introduction: Case-based learning (CBL) utilizes authentic clinical cases that connect theory to practice. CBL has been shown to result in deeper learning and high engagement of adult learners. An open-source, web-based CBL module was created to help learners develop the cognitive foundation of ectopic pregnancy management in the low-resource setting.
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January 2025
Atmosphere and Ocean Research Institute, The University of Tokyo, Kashiwa 275-8564, Japan.
Corals have been used as geochemical proxies since the 1970s, playing a prominent role in paleoceanography. However, it has not been well elucidated how aqueous ions sourced from seawater are transported and precipitated in coral skeletons. There are limited foundational methods to differentiate and quantify biogenic and abiogenic effects during skeletal formation.
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September 2022
University of California, Division of Trauma, Burns & Surgical Critical Care, 333 City Blvd West, Suite 1600, Irvine, Orange, CA, 92868, United States.
Responsible for approximately 35% of all trauma-related deaths in the United States, thoracic trauma is one of the leading causes of death among trauma patients. Furthermore, traumatic rib fractures represent the most frequently encountered injury following thoracic trauma with mortality rates ranging from 8% among the elderly to 13% for patients with a flail chest. This manuscript reviews the history of SSRF as well as the contributions of the pioneering surgeons who championed this treatment.
View Article and Find Full Text PDFFront Psychol
January 2025
Department of Psychology, Michigan State University, East Lansing, MI, United States.
Introduction: Although the etiology of depression is incredibly complex, the narrative that it is caused by a simple "chemical imbalance" persists in lay settings. We sought to understand where people are exposed to this explanation (i.e.
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