scholarly journals Private in-patient psychiatry in the USA

2014 ◽  
Vol 38 (5) ◽  
pp. 230-235 ◽  
Author(s):  
L. Mark Russakoff
Keyword(s):  
Managed Care ◽  
Healthcare System ◽  
Affordable Care Act ◽  
Private Practice ◽  
Psychiatric Care ◽  
Current System ◽  
Baby Boomer Generation ◽  
Current State ◽  
The Us ◽  
The Usa

SummaryThe US healthcare system is in the midst of major changes driven by four forces: the growing consensus in the country that the current system is financially unsustainable; managed care and parity legislation; the Affordable Care Act 2010; and the ageing of the ‘baby boomer’ generation. How these forces will combine and interact is unclear. The current state of in-patient psychiatric care and trends affecting the private practice of in-patient psychiatry over the next few years will be described.

A dream deferred: interdisciplinary accounting in the US

2014 ◽  
Vol 27 (8) ◽  
pp. 1265-1270 ◽  
Author(s):  
Timothy J. Fogarty
Keyword(s):  
North American ◽  
Design Methodology ◽  
Content Type ◽  
Research Perspective ◽  
Accounting Research ◽  
Policy Practice ◽  
The North ◽  
Current State ◽  
The Us ◽  
The Usa

Purpose – The purpose of this paper is to set out to examine and critique the current state and future trajectory of interdisciplinary accounting research in the USA. Design/methodology/approach – The analysis is based on the author's involvement in and research into accounting research and publication contexts, drivers and patterns in the accounting discipline. Findings – In all likelihood, research will continue established traditions that prevent the explorations of economics and finance from material broadening. This paper identifies how that which everyone believes to be such a good idea cannot bear fruit. Research limitations/implications – Conventional economics-based accounting research has proliferated in volume but has largely exhausted its potential for significant contributions to knowledge. Failure to embrace broadened interdisciplinary perspectives risks a crisis of accounting research contribution to policy, practice, and society. Originality/value – This critique reveals the serious weaknesses and serious risks to international accounting scholarship of the continuance and global mimicking of the North American pursuit of an exclusively economic accounting research perspective.

scholarly journals Euro-Atlantic Security in U.S.-EURussia Triangle and Trump Factor

2020 ◽  
Vol 12 (6) ◽  
pp. 78-108
Author(s):  
M. M. Panyuzheva
Keyword(s):  
The United States ◽  
Regional Security ◽  
Political Elites ◽  
Donald Trump ◽  
Current State ◽  
The Us ◽  
Security Relations ◽  
The Usa ◽  
The Russian Federation ◽  
The Eu

The article discusses the security relations among the United States, the EU and Russia in the context of Donald Trump's populism, the change of Western political elites and the erosion of arms treaty regimes. The purpose of the article is to analyze the current state and identify the probable scenarios of relations in the triangle of the USA – the EU – Russia. The article explores the features of the Euro-Atlantic security system from 1990’s till the mid-2000’s; the concept of Euro-Atlantic security in 2008-2009; the US, the EU and Russia relations under Barak Obama and Donald Trump. As a result of a comprehensive analysis, the author comes to the following conclusions: 1) the concept of Euro-Atlantic security is still relevant. Since the NATO based security arrangements are not stabile, security interaction among the USA, the EU and Russia is growing in importance. 2) European leaders seem to be moving towards building a new security architecture and a more balanced dialogue with Russia. The EU remains the main economic partner of the Russian Federation. 3) Trump's “transactional” approach has prompted Europeans to strengthen its defense identity and seek a compromise with Russia. 4) In a multipolar world, the Euro-Atlantic regional security is no longer closed to transatlantic ties. It is important to rethink the concept towards cooperation with non-regional countries. 5) The complex game of engagement and deterrence is likely to continue in relations between Russia and the West. The more uncertain the transatlantic relations become, the more the EU and the US need Russia.The author declares absence of conflict of interests.

scholarly journals Modern Ukrainian diaspora in Canada and the USA

2018 ◽  
pp. 110-123
Author(s):  
Andrii Zubyk
Keyword(s):  
United States ◽  
New York ◽  
Native Language ◽  
The United States ◽  
Ethnic Origin ◽  
Current State ◽  
The Us ◽  
The Usa ◽  
Fourth Wave ◽  
Information Basis

The current state of the Ukrainian diaspora, which is living in Canada and the United States, is analysed in this article. The Ukrainian diaspora in these countries has more than a century history. It is the second (Canada) and the third (USA), after the Russian Federation in the world by the number of Ukrainians. More than a third of the total number of Ukrainians outside of our country is overall living in Canada and the United States. The results of the census conducted in these countries, including their ethnocultural component, ethnicity, country of origin, native language and the language usually spoken at home were information basis of the study. In accordance with the results of the census, which reflect the resettlement and ethnolinguistic conformity of the Ukrainian diaspora, the author maps in the environment of program ArcMap are created. The Ukrainian diaspora resettlement in terms of provinces (Canada) and states (the USA) is analysed in the article. As a result of the late XX–early XXI century census, changes in its settlement is also revealed. It was found that Canadian Ukrainian diaspora lives mainly in the provinces, where Ukrainian emigration had begun. In the US, with the appearance of the fourth “wave” of Ukrainian emigration its resettlement has changed: unlike the early twentieth century when Ukrainians mostly arrived in Pennsylvania, New York and Ohio at present Ukrainians prefer emigration to the states of Washington, Oregon and California. The study found that the Ukrainian diaspora in these countries, despite the preservation of their ethnic origin, undergo significant linguistic assimilation. According to census found that in Canada and the USA minor ethnolinguistic conformity of the Ukrainian diaspora. The territorial regularity in ethnolinguistic conformity of Ukrainian diaspora: the smaller in number Ukrainian diaspora, the higher ethnolinguistic conformity are traced. Key words: Ukrainian diaspora, assimilation, entho-linguistic conformity, immigration, settlement, native language.

scholarly journals Lights and shadows of Affordable Care Act and its influence on world civilization

2017 ◽  
Vol 44 (1) ◽  
pp. 132-140
Author(s):  
Matteo Migheli ◽  
Cinzia Di Novi
Keyword(s):  
Affordable Care Act ◽  
Design Methodology ◽  
Developed Countries ◽  
Policy Changes ◽  
Large Country ◽  
Content Type ◽  
The Us ◽  
The Usa ◽  
The Impact ◽  
First World

Purpose The Obama’s reform of the US healthcare system has been a major topic of debate in the USA. The USA feels the need to provide 48 million residents with health insurance. The Affordable Care Act has this goal, but the several factors have limited its capacity and implementation. The purpose of this paper is to discuss this reform, paying attention to its potential implications for the human and economic development of both the USA and the rest of the world. The authors show that developed countries also need policies for enhancing human development and also the developing world may benefit from policy changes in the “first world.” Design/methodology/approach The methodology is based on discursive discussion. The argumentation first presents the reform, and highlights its advantages and its flaws for the citizens of both the USA and of developing countries. Findings The authors claim that the reform presents some flaws that render it still insufficient to cover all the health needs of the poor in the USA. However, the reform is likely to attract more immigrant workers to the USA, since it is likely to improve the living conditions of immigrants as well as those of their families. Originality/value The original point of the paper is the link between the reform and the benefits for non-US citizens. The extant literature has widely discussed the impact of the reform on the domestic market and on the US citizens. The authors widen this perspective showing that an important reform in a large country may be beneficial for people living elsewhere as well.

Integrated headache care

Cephalalgia ◽  
2011 ◽  
Vol 31 (9) ◽  
pp. 1039-1047 ◽  
Author(s):  
H-C Diener ◽  
C Gaul ◽  
R Jensen ◽  
H Göbel ◽  
A Heinze ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Healthcare System ◽  
Psychosomatic Medicine ◽  
Private Practice ◽  
Inpatient Care ◽  
Outcome Data ◽  
Headache Centre ◽  
The Usa ◽  
Care And Treatment ◽  
Headache Care

Patients with chronic or difficult to treat headaches are generally under the care of general practictioners or neurologists in private practice. Some are referred to a headache specialist for evaluation and advice. Treatment is often provided by the referring physician. An alternative is a multidisciplinary headache centre, where care is provided by different disciplines (neurology, behavioural psychology, psychiatry, psychosomatic medicine, physical therapy, sport therapy) across sectors of the healthcare system involving out- and inpatient care and treatment. This is called integrated headache care. This review summarizes experiences in integrated headache care settings in Europe and the USA, describes these settings, and reports outcome data.

scholarly journals Prophylactic Treatment in People with Severe Hemophilia B in the US: An Analysis of Real-World Healthcare System Costs and Clinical Outcomes

Blood ◽  
2019 ◽  
Vol 134 (Supplement_1) ◽  
pp. 2118-2118
Author(s):  
Declan Noone ◽  
Gabriel Pedra ◽  
Sohaib Asghar ◽  
Jamie O'Hara ◽  
Eileen K Sawyer ◽  
...  
Keyword(s):  
Healthcare System ◽  
Resource Utilization ◽  
Real World ◽  
Annual Cost ◽  
Healthcare Resource Utilization ◽  
Hemophilia B ◽  
Severe Hemophilia ◽  
The Us ◽  
The Usa ◽  
The Cost

Introduction The treatment paradigm for people with severe hemophilia B in the US typically involves prophylaxis with factor IX (FIX) replacement therapy, the primary aim of which is to provide sufficient FIX levels to reduce the frequency of bleeding events. The clinical benefits of FIX prophylaxis are well understood, however the cost of FIX products as well as costs associated with healthcare resource utilization present a significant burden to the healthcare system. Substantive costs may also accrue in patients who continue to bleed while on prophylaxis, due to the impact on both short and long-term joint-related outcomes. In the absence of existing data in the US, the 'Cost of Hemophilia Across the USA: a Socioeconomic Survey' (CHESS US) study was conducted to establish a population-based estimate of the real-world US healthcare system burden associated with severe hemophilia. Using data drawn from the CHESS US study, this analysis examines the real-world healthcare system costs and clinical outcomes of people with severe hemophilia B on FIX prophylaxis. Methods CHESS US, a retrospective, cross-sectional dataset of adults with severe hemophilia in the USA, gathered information on patient cost via a patient record form. Data on the following parameters are included in this analysis: FIX consumption, annualized bleeding rate (ABR), the presence of one or more chronically damaged joints ("problem joint"), as well as costs associated with annual (prophylactic) factor consumption and hospitalizations (i.e., number of admissions, number of day cases, total inpatient days, and total intensive care unit [ICU] days). All variables report retrospective data of the 12 months prior to enrolment in the study. Results are presented as mean (± standard deviation) or N (%). Results In total, 132 of 576 patients profiled in the CHESS US study had severe hemophilia B. Among them, 77 patients were on FIX prophylaxis, of whom 44 patients reported FIX dosing regimen and were included in the current analyses. Among them, 20 patients were treated with conventional FIX and 24 patients with extended half-life (EHL) FIX products. The cohort has a mean age of 27.64 (± 11.05) and mean weight (kg) of 75.71 (± 13.41). In the last 12 months, the mean number of international units (IU) prescribed for FIX prophylaxis across the full cohort was 257,216 IU (± 213,591), with an associated annual cost of $610,966 (± $495,869). Among patients treated with conventional FIX, mean prescribed FIX was 287,141 IU (± 264,906) at an annual cost of $397,491 (± $359,788), while patients treated with EHL FIX reported a mean prescribed FIX of 232,278 IU (± 160,914) at an annual cost of $788,861 (± $529,258). The cohort reported a mean ABR of 1.73 (± 1.39); 8 (18%) were reported to have a target joint meeting the International Society on Thrombosis and Haemostasis (ISTH) definition; and 11% were reported to have had at least one chronically damaged joint (i.e., problem joint). Healthcare resource utilization associated with bleed events were reported as follows: hospital admissions days [0.18 (± 0.62)]; inpatient days [0.34 (± 1.22)]; and ICU days [0.23 (± 0.86)]. The direct medical cost to the healthcare system was $2,885 (± $7,857; excluding FIX cost) and $614,886 (± $498,839; including FIX cost). Discussion Data from the CHESS US study showed substantial costs and resource utilization among patients with severe hemophilia B receiving FIX prophylaxis, of which the cost of FIX replacement therapy constituted most of the total cost to healthcare system. Although the ABR observed in the analysis population was low, bleed-related hospitalizations comprised a significant non-drug cost to the healthcare system. A proportion of patients also still experienced joint arthropathy. Such substantial clinical and economic burden highlights that unmet needs remain in patients with severe hemophilia B on FIX prophylaxis in the US. Disclosures Noone: HCD Economics: Employment. Pedra:HCD Economics: Employment. Asghar:HCD Economics: Employment. O'Hara:HCD Economics: Employment, Equity Ownership. Sawyer:uniQure Inc.: Employment. Li:uniQure Inc.: Employment.

scholarly journals Long-term Factors of Economic Development of the USA during the third Decade of 21st Century

2021 ◽  
pp. 0
Author(s):  
Victor Supyan
Keyword(s):  
Human Capital ◽  
Labor Force ◽  
Healthcare System ◽  
Government Regulation ◽  
Human Capital Formation ◽  
The Third ◽  
The Us ◽  
The Usa

The article aims to show role and significance of long-term innovative factors of economic development of the USA on the verge of the third decade of 21st Century. These critical factors of development are indentified as R&D potential, human capital and role of government economic policy. The author reviews in details composition of expenditures on R&D, shows role of different sectors of economy in R&D performance. It is emphasized that high effectiveness of the US R&D is resulted in leading US position in number of Nobel prizes, in scientific publications, in number of patents. The article reviews the role of human capital, as one of the leading long-term factors of development. As noted in the article the current shifts in the labor force composition are characterized by growth of services and high-tech industries, by high level of labor productivity, as a key indicator of economic effectiveness. It is also revealed that participation rate of labor force has declined over recent years. The US labor force is getting more complex in terms of its ethnic and racial composition. The global expenditures allocated for education in the USA exceed significantly similar expenditures in other advanced countries. The same time it is shown that there are serious contradictions in human capital formation in the US – a share of university graduates in overall population is lower here than in many developed countries. There are also significant disproportions in a sphere of education in terms of racial, ethnic and social equality. The article reviews the contribution of a healthcare system into human capital formation. It is shown that despite of huge expenses allocated for healthcare system and its high technological level, from organizational standpoint the US healthcare system is lagging behind many advanced countries. The author observed also the government role in the economy. Despite many principal characteristics of government regulation standing permanently, the change of republican or democratic administration leads to some changes in government regulation. Similar changes took place when President Trump came into office – he neglected many Keynesian receipts for economy. When new President D. Biden was elected he also suggested new economic policy and eliminated a lot of Trump’s economic neoliberal heritage. New policy is proclaimed including how to struggle 2020 economic crisis.  

Measurement Invariance of a Universal Behavioral Screener Across Samples From the USA and Germany

2018 ◽  
Vol 34 (2) ◽  
pp. 87-100 ◽  
Author(s):  
Gino Casale ◽  
Robert J. Volpe ◽  
Brian Daniels ◽  
Thomas Hennemann ◽  
Amy M. Briesch ◽  
...  
Keyword(s):  
Measurement Invariance ◽  
Student Behavior ◽  
Cross Cultural ◽  
Cross Cultural Comparison ◽  
School Based ◽  
Cultural Research ◽  
Universal Screener ◽  
Confirmatory Factor ◽  
The Us ◽  
The Usa

Abstract. The current study examines the item and scalar equivalence of an abbreviated school-based universal screener that was cross-culturally translated and adapted from English into German. The instrument was designed to assess student behavior problems that impact classroom learning. Participants were 1,346 K-6 grade students from the US (n = 390, Mage = 9.23, 38.5% female) and Germany (n = 956, Mage = 8.04, 40.1% female). Measurement invariance was tested by multigroup confirmatory factor analysis (CFA) across students from the US and Germany. Results support full scalar invariance between students from the US and Germany (df = 266, χ2 = 790.141, Δχ2 = 6.9, p < .001, CFI = 0.976, ΔCFI = 0.000, RMSEA = 0.052, ΔRMSEA = −0.003) indicating that the factor structure, the factor loadings, and the item thresholds are comparable across samples. This finding implies that a full cross-cultural comparison including latent factor means and structural coefficients between the US and the German version of the abbreviated screener is possible. Therefore, the tool can be used in German schools as well as for cross-cultural research purposes between the US and Germany.

Sanctions of the USA and the Policy of Bank of Russia:double Blow to the National Economy

2014 ◽  
pp. 13-29 ◽  
Author(s):  
S. Glazyev
Keyword(s):  
National Security ◽  
Economic Sanctions ◽  
Capital Flight ◽  
Practical Advice ◽  
The Us ◽  
Monetary Authorities ◽  
The Usa ◽  
Simultaneous Adoption ◽  
The Eu

This article examines fundamental questions of monetary policy in the context of challenges to the national security of Russia in connection with the imposition of economic sanctions by the US and the EU. It is proved that the policy of the Russian monetary authorities, particularly the Central Bank, artificially limiting the money supply in the domestic market and pandering to the export of capital, compounds the effects of economic sanctions and plunges the economy into depression. The article presents practical advice on the transition from external to domestic sources of long-term credit with the simultaneous adoption of measures to prevent capital flight.

Possibility of Using in Russia the Experience of LED Lighting Application at the USA Airfields

2019 ◽  
pp. 71-77
Author(s):  
Vladimir V. Vorozhikhin ◽  
Eugenia L. Moreva ◽  
Vladimir G. Starovoytov ◽  
Igor G. Tyutyunnik
Keyword(s):  
Air Transportation ◽  
Improve Quality ◽  
Led Lighting ◽  
The Us ◽  
The Usa ◽  
Quality And Reliability ◽  
Lighting Application

The purpose of this paper is an investigation of LEDs illumination experience at US-based aerodromes with an assessment of its feasibility and its necessity in Russia. The following methods were used: the analysis of aerodrome lighting requirements; the review and the analysis of development features in aerodrome LEDs illumination; the experience analysis of LEDs illumination of US-based aerodromes; the deductive analysis and the assessment synthesis of feasibility and necessity of US experience in LEDs illumination at Russian-based aerodromes. The following results were achieved: – The analysis of issues and opportunities was conducted for development of LEDs illumination at US-based aerodromes and of American experts’ recommendations for its use; – The cases were taken for use and assessment of development in LEDs illumination at US-based aerodromes; – The review and the analysis were conducted in relation to a developing market of LEDs illumination at Russian-based aerodromes. The main conclusion is that the US experience will improve quality and reliability of service provided in air transportation, comfort, and safety of Russian flights, as well as competitiveness of Russian- based airports and airlines (indirectly).

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