ARTICLES

1/24/2017· Psychiatry

Persons With Depressive Symptoms And The Treatments They Receive: A Comparison Of Primary Care Physicians And Psychiatrists

By: Dr. David Pingitore

Objective: To determine if demographic differences exist in patients with depressive symptoms as the principal reason for visits to primary care physicians (PCP) versus psychiatrists. To estimate the likelihood of these patients receiving a range of mental health services from each provider group. Methods: Review and analysis of all outpatient visits made by patients with depressive symptoms using the National Ambulatory Medical Care Surveys (NAMCS) conducted in 1995 and 1996. Results: A significantly greater proportion of visits by persons with depressive symptoms as the principal reason for visit were made to psychiatrists than to primary care physicians (T = -3.56, P = .000).

12/28/2016· Transportation

Autonomous and Inevitable, Part 1: What is to Come, and What is Already Here

By: Ned Einstein

National Bus Trader has always been a leader in its selection and treatment of topics related to technology and innovation. So the decision to craft a lengthy article about NBT Editor Larry Plachno's experiences "behind-the-wheel" of a motorcoach-of-the-future at a "ZF Ride & Drive" event in Aachen, Germany (NBT, September, 2016) should not have been a surprise. Nor should it come as a surprise that safety, liability and other issues related to this technology will be explored as well.

12/16/2016· Neuropsychology

Assessing Neuro-Cognitive Complaints After Brain Injury: Distinguishing Fact from Fiction in Civil and Criminal Litigation

By: Dr. David Pingitore

Plaintiffs and other petitioners often sue for damages due to reported cognitive or emotional impairment. These impairments are often said to be the result of traumatic brain injury suffered in accidents or toxic exposures or due to medical procedures. Such impairments can often be subtle, not easily understood by nonprofessionals, but still claimed to have changed a person's life.

11/23/2016· Plants & Trees

Different Types of Tree Care Professionals

By: Christian Plunkett

There are many terms in use describing different types of tree care professionals and this can cause considerable confusion for a homeowner or property manager who requires a tree care provider. The information below will hopefully provide some clarity on the topic.

11/9/2016· Transportation

The Arrival of Self Driving Cars in the Mix of Traffic

By: Richard Beaubien

As traffic engineers we take care to plan, design, and operate our roads for all users. When we are working in a complex urban environment, we must consider pedestrians, wheelchairs, vision impaired, bicycles, buses, and trucks. When we add automated, connected, and self-driving vehicles to the mix the complexity becomes more complex. That is why the profession is challenging and interesting.

11/5/2016· Medical Malpractice

Physician Assistant and Nurse Practitioner Malpractice Trends

By: Dr. Jeffrey Nicholson

Trends in malpractice awards and adverse actions (e.g., revocation of provider license) following an act or omission constituting medical error or negligence were examined. The National Practitioner Data Bank was used to compare rates of malpractice reports and adverse actions for physicians, physician assistants (PAs), and nurse practitioners (NPs). During 2005 through 2014, there ranged from 11.2 to 19.0 malpractice payment reports per 1,000 physicians, 1.4 to 2.4 per 1,000 PAs, and 1.1 to 1.4 per 1,000 NPs. Physician median payments ranged from 1.3 to 2.3 times higher than PAs or NPs. Diagnosis-related malpractice allegations varied by provider type, with physicians having significantly fewer reports (31.9%) than PAs (52.8%) or NPs (40.6%) over the observation period. Trends in malpractice payment reports may reflect policy enactments to decrease liability.

10/26/2016· Construction

Independent Safety Professionals, Or "It's All Good, I Can Handle It!"

By: Greg Gerganoff

During a recent conversation with a friend who had purchased a small construction company he mentioned in passing that one of his employees had injured his ankle on the job but didn't report it to his work comp carrier as it was a minor incident, no days off work, didn't want his rates to go up, why bother. All is good. Right?

10/10/2016· Psychiatry

Comparison of Psychiatrists and Psychologists in Clinical Practice

By: Dr. David Pingitore

Objective: The authors compared data from psychiatrists and psychologists in California to determine whether long-standing differences in clinical practice remain after the introduction of managed care and other changes in mental service delivery. Methods: Responses from practicing clinicians in California who participated in the 1998 National Survey of Psychiatric Practice and the 2000 California Survey of Psychological Practice were compared on items related to patient caseload, practice profile, and insurance or reimbursement arrangements.

10/10/2016· Banking

Strategic Planning: New Views of an Old Process

By: Catherine Ghiglieri

Strategic planning has always been an important function of the board of directors, but it takes on an even more critical role when under the regulatory microscope. The OCC announced that, for the remainder of 2016, it will continue to focus on strategic risk, as banks change their business models to adapt to innovative products and services.

9/26/2016· Environment

Just Who Is At Risk? The Ethics of Environmental Regulation

By: Dr. Ted Simon

The willingness to view risk as part of daily life has vanished. A risk-averse mindset among environmental regulators engenders confusion between the ethics of intention and the ethics of consequence, leading to the elevation of the precautionary principle with unintended and often unfortunate outcomes. Environmental risk assessment is conservative, but the actual level of conservatism cannot be determined. High-end exposure assumptions and current toxicity criteria from the USEPA, based on linear extrapolation for carcinogens and default uncertainty factors for systemic toxicants, obscure the degree of conservatism in risk assessments. Ideally, one could choose a percentile of the target population to include within environmental standards, but this choice is complicated by the food, pharmaceutical and advertising industries, whose activities, inadvertent or not, often promote maladaptive and unhealthy lifestyle choices.