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Getting care to children with cancer: Barriers and solutions

Mark L Greenberg
2006 Paediatrics & child health  
His hemoglobin level remains stable at 80 g/L and surgery is not necessary. He returns home a few days later. Respiratory distress … out of nowhere!  ...  Because of a hemoglobin level of 63 g/L, a red blood cell transfusion is given. One hour after the transfusion ends, the patient develops respiratory distress, fever, tachycardia and cyanosis.  ... 
doi:10.1093/pch/11.3.139 pmid:19030267 pmcid:PMC2435312 fatcat:5kdmvfvkqjfbdmoghoqs3z4sxe

Measuring the Quality of a Childhood Cancer Care Delivery System: Quality Indicator Development

Nicole M.E. Bradley, Paula D. Robinson, Mark L. Greenberg, Ronald D. Barr, Anne F. Klassen, Y. Lilian Chan, Corin M. Greenberg
2013 Value in Health  
A B S T R A C T Objectives: A set of indicators to assess the quality of a childhood cancer system has not been identified in any jurisdiction internationally, despite the movement toward increased accountability and provision of high-quality care with limited health care resources. This study was conducted to develop a set of quality indicators (QIs) of a childhood cancer control and health care delivery system in Ontario, Canada. Methods: A systematic review and targeted gray literature
more » ... were conducted to identify potential childhood cancer QIs. A series of investigator focus group sessions followed to review all QIs identified in the literature, and to generate a provisional QI set for a childhood cancer system. QIs were evaluated by three content experts in a sequential selection process on the basis of a series of criteria to select a subset for presentation to stakeholders. Following an appraisal of the relevance of quality assessment frameworks, remaining QIs were mapped onto the Cancer System Quality Index framework. Results: The systematic review yielded few relevant childhood cancer system QIs. Overall, 120 provisional QIs were developed by the investigator group. Based on median QI rating scores, representation across the childhood cancer continuum, and feasibility of data collection, a subset of 33 QIs was selected for stakeholder consideration. Conclusions: The subset of 33 QIs developed on the basis of a systematic literature review and consensus provides the basis for the selection of a set of QIs for ongoing, standardized monitoring of various dimensions of quality in a childhood cancer system.
doi:10.1016/j.jval.2013.03.1627 pmid:23796300 fatcat:chfzpj6ikfedvnwt2r7zsvyf5y

Measuring the Quality of a Childhood Cancer Care Delivery System: Assessing Stakeholder Agreement

Nicole M.E. Bradley, Paula D. Robinson, Mark L. Greenberg, Ronald D. Barr, Anne F. Klassen, Y. Lilian Chan, Corin M. Greenberg
2013 Value in Health  
Mark Greenberg Supplemental Materials Supplemental material accompanying this article can be found in the online version as a hyperlink at http://dx.doi.org/10.1016/j.jval. 2013.02.016 or, if a hard  ...  Based on median scores, 19 QIs (58%) were rated as V A L U E I N H E A L T H 1 6 ( 2 0 1 3 ) 6 3 9 -6 4 6 "both very meaningful and very important" (median scores of 6-7), six QIs (18%) as "either very  ...  was considered to best encompass the key quality dimensions of the childhood cancer system in Ontario and would allow for comparability between provincial pediatric and adult cancer systems [6] , the marked  ... 
doi:10.1016/j.jval.2013.02.016 pmid:23796299 fatcat:37oaozgkmrdh5lxirzwxyassei

From Mindfulness to Right Mindfulness: the Intersection of Awareness and Ethics

Mark T. Greenberg, Joy L. Mitra
2015 Mindfulness  
doi:10.1007/s12671-014-0384-1 fatcat:hfqbeuyx2fchjox734jntalhem

Childhood cancers and the environment: Is there anything to worry about?

Mark L Greenberg
2001 Paediatrics & child health  
L Greenberg, Division of Haematology/Oncology, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario M5G 1X8.  ...  worry about it. specifically designed to replicate the Sellafield study did not demonstrate an increase 728 Paediatr Child Health Vol 6 No 10 December 2001 COMMENTARY Correspondence and reprints: Dr Mark  ... 
doi:10.1093/pch/6.10.728 pmid:20084148 pmcid:PMC2805985 fatcat:4eldq2mzd5denlnqes34vr7k4y

In Reply

Brenda J. Spiegler, Kimberly Kennedy, Ronnen Maze, Mark L. Greenberg, Sheila Weitzman, Johann K. Hitzler, Paul C. Nathan
2007 Journal of Clinical Oncology  
L.  ...  Dr Mark Greenberg holds the Pediatric On- cology Group of Ontario Chair in Childhood Cancer Control at the University of Toronto.  ... 
doi:10.1200/jco.2006.09.9366 fatcat:avzg5j6ylbdzfj2n5bhg3gjzdi

Resource Consumption of a Diffusion Model for Prevention Programs: The PROSPER Delivery System

Daniel M. Crowley, Damon E. Jones, Mark T. Greenberg, Mark E. Feinberg, Richard L. Spoth
2012 Journal of Adolescent Health  
Purpose-To prepare public systems to implement evidence-based prevention programs for adolescents, it is necessary to have accurate estimates of programs' resource consumption. When evidence-based programs are implemented through a specialized prevention delivery system, additional costs may be incurred during cultivation of the delivery infrastructure. Currently, there is limited research on the resource consumption of such delivery systems and programs. In this article, we describe the
more » ... e consumption of implementing the PROSPER (PROmoting School-Community-University Partnerships to Enhance Resilience) delivery system for a period of 5 years in one state, and how the financial and economic costs of its implementation affect local communities as well as the Cooperative Extension and University systems. Methods-We used a six-step framework for conducting cost analysis, using a Cost-Procedure-Process-Outcome Analysis model (Yates, Analyzing costs, procedures, processes, and outcomes in human services: An introduction, 1996; Yates, 2009). This method entails defining the delivery System; bounding cost parameters; identifying, quantifying, and valuing systemic resource Consumption, and conducting sensitivity analysis of the cost estimates. Results-Our analyses estimated both the financial and economic costs of the PROSPER delivery system. Evaluation of PROSPER illustrated how costs vary over time depending on the primacy of certain activities (e.g., team development, facilitator training, program implementation). Additionally, this work describes how the PROSPER model cultivates a complex resource infrastructure and provides preliminary evidence of systemic efficiencies. Conclusions-This work highlights the need to study the costs of diffusion across time and broadens definitions of what is essential for successful implementation. In particular, cost analyses offer innovative methodologies for analyzing the resource needs of prevention systems. It is increasingly clear that evidence-based preventive interventions (EBPIs) need to be implemented on a much greater scale and sustained over time to achieve a significant public health impact [1, 2, 3] . This recognition has spurred the development of community-based
doi:10.1016/j.jadohealth.2011.07.001 pmid:22325131 pmcid:PMC3660099 fatcat:quazzditrjfbdnvr4mps34k4su

An Adolescent Substance Prevention Model Blocks the Effect ofCHRNA5Genotype on Smoking During High School

David J. Vandenbergh, Gabriel L. Schlomer, H. Harrington Cleveland, Alisa E. Schink, Kerry L. Hair, Mark E. Feinberg, Jenae M. Neiderhiser, Mark T. Greenberg, Richard L. Spoth, Cleve Redmond
2015 Nicotine & Tobacco Research  
This evidence of heritability is consistent with results of specific genetic associations between smoking and markers in and around the cluster of three nicotinic receptor subunit genes (CHRNA5, CHRNA3, and CHRNB4) on chromosome 15q25. 8, 9 his cluster is in high linkage disequilibrium; nevertheless, there is
doi:10.1093/ntr/ntv095 pmid:25941207 pmcid:PMC4723675 fatcat:4b4kfqu6onfkjbouabmjsfnfvi

Depression Care for Patients at Home (Depression CAREPATH)

Martha L. Bruce, Thomas Sheeran, Patrick J. Raue, Catherine F. Reilly, Rebecca L. Greenberg, Judith C. Pomerantz, Barnett S. Meyers, Mark I. Weinberger, Christine L. Johnston
2011 Home Healthcare Nurse  
High levels of depressive symptoms are common and contribute to poorer clinical outcomes even in geriatric patients who are already taking antidepressant medication. The Depression CARE for PATients at Home (Depression CAREPATH) intervention was designed for managing depression as part of ongoing care for medical and surgical patients. The intervention provides Home Health Agencies the resources needed to implement depression care management as part of routine clinical practice.
doi:10.1097/nhh.0b013e31821fe9f7 pmid:21716043 pmcid:PMC3520069 fatcat:dymuyhnblrftjpfq4qwbw4vtgi

Team factors that predict to sustainability indicators for community-based prevention teams

Daniel F. Perkins, Mark E. Feinberg, Mark T. Greenberg, Lesley E. Johnson, Sarah Meyer Chilenski, Claudia C. Mincemoyer, Richard L. Spoth
2011 Evaluation and Program Planning  
Greenberg, 2005) .  ...  As things stand, there is a marked risk of Type 1 error, and so caution is called for when interpreting our results.  ... 
doi:10.1016/j.evalprogplan.2010.10.003 pmid:21168213 pmcid:PMC3852428 fatcat:qjc73lya6reo5htyowki2hjs2a

Community and Team Member Factors that Influence the Operations Phase of Local Prevention Teams: The PROSPER Project

Mark E. Feinberg, Sarah M. Chilenski, Mark. T. Greenberg, Richard L. Spoth, Cleve Redmond
2007 Prevention Science  
As we found in previous research when the same teams were in the organization stage (at 6 months into the project; Greenberg et al. 2007) , the level of poverty in the community was associated with team  ...  example, within-team factors of participation, leadership, task-focus, cohesion, and identity are related to indicators of early team success (Florin et al. 2000; Gottlieb et al. 1993; Kegler et al. 1998; Greenberg  ... 
doi:10.1007/s11121-007-0069-2 pmid:17602297 pmcid:PMC2848498 fatcat:bhkv7x76krc2rjt3qkpmud5lou

An algorithm for drum storage management in time-sharing systems

Mark L. Greenberg
1971 Proceedings of the third symposium on Operating systems principles - SOSP '71  
~lark L. Greenberg University of California, Berkeley An algorithm for efficiently managing the transfer of pages of information between main and secondary memory is developed and analyzed.  ...  In this case the average drum load would be given approximately by L=L'-w/2. The drum load would vary with the variation in pre-load set sizes. interference.  ... 
doi:10.1145/800212.806512 dblp:conf/sosp/Greenberg71 fatcat:74yd46mohna5xi4rf7begt7fpm

Reporting standards for thoracic endovascular aortic repair (TEVAR)

Mark F. Fillinger, Roy K. Greenberg, James F. McKinsey, Elliot L. Chaikof
2010 Journal of Vascular Surgery  
doi:10.1016/j.jvs.2010.07.008 pmid:20888533 fatcat:ywjrnp5oevbvdmvt363kgg7qje

A genetic association for cigarette smoking behavior

Sue Z. Sabol, Mark L. Nelson, Craig Fisher, Lorraine Gunzerath, Cindy L. Brody, Stella Hu, Leo A. Sirota, Stephen E. Marcus, Benjamin D. Greenberg, Frank R. Lucas, Jonathan Benjamin, Dennis L. Murphy (+1 others)
1999 Health Psychology  
"One-way analysis of variance. b (Mean 2 -Mean l)/SD.  ...  N = 104) = 4.86, p = .027, OR ceMation = 3.28, 95% CI = 1.10-9.77; (b) personality genetics, x 2 (l, N = 127) = 1.41, p = .235, OR^tion = 1.55, 95% CI = 0.75-3.19; and (c) sexual behavior, x 2 (l, # =  ... 
doi:10.1037/0278-6133.18.1.7 fatcat:tu4i5va4g5csznq3glrxblcy7q

Propafenone-induced drug fever in the absence of agranulocytosis

Daniel J. O' Rourke, Robert T. Palac, Peter T. Holzberger, Barbara R. Gerling, Mark L. Greenberg
1997 Clinical Cardiology  
.~ 3 4 -nadir of which occurred on Day 4 of his hospital stay (WBC 2,700, 58% polymorphonuclear cells, 22% lymphocytes, 12% monocytes, 6% eosinophils and 1 % basophils, hemoglobin 10.8 g d d l , and platelet  ... 
doi:10.1002/clc.4960200715 pmid:9220185 fatcat:atr6inc2gbb6bdsgsfjjzwnvb4
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