As systems evolve over time, their natural tendency is to become increasingly more complex. Studies in the field of complex systems have generated new perspectives on the application of management strategies in health systems. Much of this research appears as a natural extension of the cross-disciplinary field of systems theory. This article is the 5th in a series of articles that focuses on why technological complexity is increasing and strategies nurse administrators can use to successfully implement change in the face of it.
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Management of infants presenting with fever: a review of pan-London hospital guidelines and national guidelines.
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Department of Paediatric Emergency Medicine, Imperial College Healthcare NHS Trust Paediatrics, London, UK.
Febrile infants often have self-limiting conditions. Differentiating them from infants with serious bacterial infections can be challenging. We aimed to understand how febrile infants are managed across London, by analysing the management steps from local clinical practical guidelines (CPGs) and comparing them to the national guideline 143 (NG143).
View Article and Find Full Text PDFRacial/ethnic differences in the associations between social support and cardiovascular morbidity and mortality in the Multi-Ethnic Study of Atherosclerosis (MESA).
BMC Public Health
January 2025
Herbert Wertheim School of Public Health & Human Longevity Science, UC San Diego, La Jolla, CA, USA.
Background: Despite the established link between social support and cardiovascular disease (CVD) outcomes, few studies have examined racial/ethnic variation in these associations. This study utilized data from the Multi-Ethnic Study of Atherosclerosis (MESA) to investigate racial/ethnic differences in perceived social support and in the link between support and incident hard CVD events and mortality.
Method: Participants (N = 6,814) were 45-84 years of age who identified as White, Black, Hispanic/Latino, or Chinese without known clinical CVD at baseline (2000-2002).
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Crit Care Explor
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All authors: Department of Pharmacy, Brigham and Women's Hospital, Boston, MA.
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Nonlinear exposure-response associations of daytime, nighttime, and day-night compound heatwaves with mortality amid climate change.
Nat Commun
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School of Public Health, Shanghai Institute of Infectious Disease and Biosecurity, Key Lab of Public Health Safety of the Ministry of Education and NHC Key Lab of Health Technology Assessment, Fudan University, Shanghai, China.
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