WorldWideScience
1

Palliative Care Physicians' Religious / World View and Attitude Towards Euthanasia: A Quantitative Study Among Flemish Palliative Care Physicians  

UK PubMed Central (United Kingdom)

Aims:To Study the religious and ideological views and practice of Palliative Care physician towards Euthanasia.Materials and Methods:An...Full Text Available

2009-01-01

2

Networking of Palliative Care at the Corporate Level  

UK PubMed Central (United Kingdom)

This article is a story of networking of palliative care at the corporate level. This gives an insight that if you have will and dedication then you can imagine and make it true that networking can...Full Text Available

2011-01-01

3

Paediatric Palliative Care: Theory to Practice  

UK PubMed Central (United Kingdom)

Paediatric palliative care is a holistic approach aimed at addressing the complex issues related to the care of children and families facing chronic life limiting illnesses. The needs of children are...Full Text Available

2011-01-01

4

Specialized palliative care services are associated with improved short- and long-term caregiver outcomes  

UK PubMed Central (United Kingdom)

Goals of workThe goal of this study was to evaluate, at a population level, the association between specialized palliative care services (SPCS) and short- and long-term caregiver...Full Text Available

2008-06-01

5

Design of the Endobronchial Valve for Emphysema Palliation Trial (VENT): a non-surgical method of lung volume reduction  

UK PubMed Central (United Kingdom)

BackgroundLung volume reduction surgery is effective at improving lung function, quality of life, and mortality in carefully selected individuals with advanced emphysema. Recently,...Full Text Available

6

Development of the Palliative Care Parental Self-Efficacy Measure.  

Science.gov (United States)

Caring for a child with a potentially fatal medical condition is a challenge for parents or caregivers. The ability to measure parental self-efficacy in pediatric palliative care may be an important component of targeting supportive services that address individual needs of families. Therefore, the goal was to develop a Pediatric Palliative Care Parental Self-Efficacy Measure (PCPEM). First, a list of questions were generated that asked parents their level of confidence in carrying out tasks involved in caring for a child with a potentially fatal medical condition in 6 palliative care domains: 1) medical discussion/decisions; 2) symptom management/medication; 3) daily activities; 4) feelings/concerns; 5) spirituality; and 6) end-of-life care. The PCPEM was narrowed to 58 questions after expert ...

2011-07-26

7

Chemoembolization (TACE) of Unresectable Intrahepatic Cholangiocarcinoma with Slow-Release Doxorubicin-Eluting Beads: Preliminary Results  

International Nuclear Information System (INIS)

The purpose of this study was to evaluate the safety and efficacy of TACE with microspheres preloaded with doxorubicin in unresectable intrahepatic cholangiocarcinoma (UCH). Twenty patients with UCH were observed; 9 refused, preferring other palliative care or chemotherapy, and 11 agreed to be treated with one or more cycles of DC beads loaded with doxorubicin (100-150 mg) in a TACE procedure between February 2006 and September 2007. A total of 29 individual TACE procedures were performed. Follow-up imaging was performed on all patients before, immediately after, and 4 weeks after each TACE procedure to evaluate the response and need for further treatment. Each patient received i.v hydration, antibiotics, and medications against nausea and pain before TACE. Survival rate was calculated using Kaplan-Meier survival curve. A response rate of 100% followed RECIST criteria was observed. Eight of eleven patients are alive, with a median survival of ...

2008-09-01

8

Care programmes and integrated care pathways  

British Library Electronic Table of Contents (United Kingdom)

Purpose - The article discusses how care programmes and integrated care pathways can be linked, finding ways to improve healthcare process professional and logistical quality from a supply chain and a network point-of-view. Design/methodology/approach - The authors argue that owing to cost containment goals and increasing healthcare demand, healthcare services systems are challenged to improve service quality, whilst at the same time finding ways to improve delivery processes. It explores if the combination of two instruments, care programmes and integrated care pathways, can meet both goals. This combination is illustrated by an example from the Institute of Mental Health Care Eindhoven en de Kempen. Findings - Analysis suggests that care programmes can be combined with integrated care pa...

2008-01-01

9

Temporary endovascular control of a bleeding aortoenteric fistula by transcatheter coil embolization.  

Science.gov (United States)

A 67-year-old man presented with gastrointestinal bleeding resulting from a fistula between the aortic stump and the fourth part of the duodenum 14 months after an axillobifemoral bypass, graft excision, and aortic stump closure for aortic graft infection. The patient initially refused any attempt at definitive surgical treatment so coil embolization of the aortic stump was performed via a brachial approach. Coil embolization may be a useful adjunct in the management of such difficult problems. This approach may buy time and allow careful planning of a definitive treatment or may serve as a palliative procedure in inoperable patients. PMID:15947052

2005-06-01

10

Palliation of radiation-related mucositis  

Energy Technology Data Exchange (ETDEWEB)

Oral mucositis associated with head and neck radiotherapy can substantially hinder completion of cancer therapy. Alleviation of this often severe stomatitis can provide enhanced patient comfort and facilitate appropriate care. A double-blind format was used in a pilot project to measure, against a control rinse, the effectiveness of an oral rinse consisting of hydrocortisone, nystatin, tetracycline, and diphenhydramine in controlling radiation-related mucositis. A combination of clinical evaluation and patient responses to a questionnaire was used to judge the results of the topical medications. Patients using the experimental medication developed less mucositis than did patients in the control group.

1990-01-01

11

Accelerated surgical stay programs. A mechanism to reduce health care costs.  

UK PubMed Central (United Kingdom)

OBJECTIVE: To increase cost-efficiency while maintaining the standard of medical care, an accelerated surgical stay program for patients having breast surgery was instituted. SUMMARY BACKGROUND DATA:...Full Text Available

1994-04-01

12

Image-guided percutaneous cryotherapy for the management of gynecologic cancer metastases  

British Library Electronic Table of Contents (United Kingdom)

Objective To report the clinical response to image-guided percutaneous cryotherapy (IPC) for the palliative management of localized metastases in patients with gynecologic malignancies. Methods Institutional review board approval and patient consent were obtained. Gynecologic oncology patients were identified from our institution's cryotherapy database from August 2003 to August 2007. Cryotherapy was performed with 2.4?mm diameter probes (Endocare, Irvine, CA) with ultrasound or computerized tomography (CT) guidance under conscious sedation and local anesthesia. Follow-up was conducted by imaging studies and clinical encounters, using Response Evaluation Criteria in Solid Tumors (RECIST criteria). Results Twenty-eight ablation sessions were performed for 41 metastatic foci in 15 patients w...

2008-01-01

13

Basic Principles of Information Technology Organization in Health Care Institutions  

UK PubMed Central (United Kingdom)

Abstract This paper focuses on the basic principles of information technology (IT) organization within health sciences centers. The paper considers the placement of the leader of the...Full Text Available

1997-03-01

14

Highlights from the III International Symposium of Thrombosis and Anticoagulation (ISTA), October 14?16, 2010, S?o Paulo, Brazil  

British Library Electronic Table of Contents (United Kingdom)

To discuss and share knowledge around advances in the care of patients with thrombotic disorders, the Third International Symposium of Thrombosis and Anticoagulation was held in S?o Paulo, Brazil, from October 14?16, 2010. This scientific program was developed by clinicians for clinicians, and was promoted by four major clinical research institutes: the Brazilian Clinical Research Institute, the Duke Clinical Research Institute of the Duke University School of Medicine, the Canadian VIGOUR Centre, and the Uppsala Clinical Research Center. Comprising 3?days of academic presentations and open discussion, the symposium had as its primary goal to educate, motivate, and inspire internists, cardiologists, hematologists, and other physicians by convening national and international visionaries, th...

2011-01-01

16

Transcatheter stent implantation to treat aortic coarctation in infancy.  

UK PubMed Central (United Kingdom)

A ten week old girl who had previously undergone a palliative procedure for the hypoplastic left heart syndrome had unrelieved aortic coarctation that did not respond to standard balloon dilatation....Full Text Available

1993-01-01

17

Quality of life in patients with esophageal stenting for the palliation of malignant dysphagia  

UK PubMed Central (United Kingdom)

Incidence of esophageal cancer (EC) is rising more rapidly in the Western world than that of any other cancer. Despite advances in therapy, more than 50% of patients have incurable disease at the time...Full Text Available

2011-01-14

18

Palliation of malignant esophageal obstruction and fistulas with self expandable metallic stents  

UK PubMed Central (United Kingdom)

AIM: To evaluate the efficacy of self expandable metallic stents (SEMS) in patients with malignant esophageal obstruction and fistulas.METHODS: SEMS were implanted in the presence of fluoroscopic...Full Text Available

2010-12-07

19

First line targeted therapies in breast cancer: focus on bevacizumab  

UK PubMed Central (United Kingdom)

The heterogeneity of metastatic breast cancer mandates the need to select therapies taking into account tumor and patient characteristics. Chemotherapy is indicated in the palliative setting especially...Full Text Available

2007-03-01

20

To talk or not to talk: exploring culturally diverse patients' health information communication choices.  

Science.gov (United States)

As care shifts from institutional to home- and community-based settings, consumer health information technology (IT) must be designed to support patients' new health information management responsibilities. We developed and piloted a new methodology grounded in social network analysis and human factors engineering to explore two often overlooked aspects of this phenomenon: the task of health information communication with members of the social network and the context of culture. Such knowledge is necessary to inform the appropriate design of consumer health IT. We asked a culturally diverse sample of participants to describe what, to whom, why, and how they communicate health information and to provide direct feedback about the methodology. The methodology was acceptable to all participants and able to capture similarities and differences in their health information communication practices. Prior to the main study we will need to refine the ...

2010-11-13

21

Community-based trading mechanisms to reduce polluting air emissions and address global warming  

Energy Technology Data Exchange (ETDEWEB)

Policy makers are turning to market-based mechanisms to engender innovative ways of reducing polluting air emissions. As with any emerging market, environmental policies must be carefully crafted so that the institutions and incentives needed to form working markets are developed. Attention must be paid to creating avenues for communities and other 'non-moneyed' or unorganised interests to be involved in the new market processes. This paper proposes a strategy to create sustainable, community-based methods to reduce polluting air emissions within the context of market-based incentive programs. By enabling communities to effectively participate in environmental solutions, they will truly be able to 'think globally, act locally'. (author)

1999-06-01

22

Technical support for nuclear regulatory activity and the Italian experience  

International Nuclear Information System (INIS)

Different cases exist in various countries regarding the institutional status, the organization and the technical resources of the Nuclear Regulatory Authority (NRA): there are NRAs having extended internal technical capability and others relying mostly on external technical support. Considering the research and development activities and the very broad range of technical matters on which the regulatory and licensing activity are based, the NRA can not rely only on internal resources, and generally there is the need of technical and scientific support together with enhanced international cooperation. The international cooperation and networking among NRAs, and their Technical Support Organizations (TSO), represents a fundamental way to maintain competence, capability and knowledge. Within the EU member states this is becoming more and more an institutional duty. In providing technical support for regulatory activity, the experience shows, from ...

2007-08-01

23

NHSnet in Scottish primary care: lessons for the future  

UK PubMed Central (United Kingdom)

ObjectiveTo evaluate the primary care communications initiative, which introduced NHSnet to primary care in Scotland.DesignSemi-structured telephone...Full Text Available

2000-10-07

24

Effects and side-effects of integrating care: the case of mental health care in the Netherlands  

UK PubMed Central (United Kingdom)

PurposeDescription and analysis of the effects and side-effects of integrated mental health care in the Netherlands.Context of caseDue...Full Text Available

26

Using a Computer to Conduct Utilization and Quality of Care Review in a Prepaid Medical Care Network  

UK PubMed Central (United Kingdom)

This paper describes how a computerized MIS is used to assist HMO management to conduct utilization and quality of care review activities in a prepaid medical care network. The HMO is a ‘network’...Full Text Available

1982-11-02

27

Unique health care utilization patterns in a homeless population in Ghent  

UK PubMed Central (United Kingdom)

BackgroundExisting studies concerning the health care use of homeless people describe higher utilisation rates for hospital-based care and emergency care, and lower rates for primary...Full Text Available

28

Continuity of Care with a Primary Care Physician and Mortality in Older Adults  

UK PubMed Central (United Kingdom)

BackgroundWe examined whether older adults who had continuity of care with a primary care physician (PCP) had lower mortality.MethodsSecondary analyses...Full Text Available

2010-04-01

30

Veterans Affairs: Health Care and Benefits for Veterans ...  

Science.gov (United States)

... Accession Number : ADA535776. Title : Veterans Affairs: Health Care and Benefits for Veterans Exposed to Agent Orange. ...

2010-09-22

31

The interventional treatment for biliary recurrent obstruction after palliative T tube drainage in patients with obstruction due to cholangiocarcinoma  

International Nuclear Information System (INIS)

Objective: To explore the interventional method to treat biliary recurrent jaundice after T tube drainage in patients with malignant obstructive jaundice due to cholangiocarcinoma. Methods: 7 biliary metallic stents were placed in 7 patients with recurrent jaundice after T-tube drainage in cholangiocarcinoma cases. Results: Stent placement was once successful in all 7 cases with successful rate of 100%. For all cases, TBIL, ALT, GTP and AKP values 7 days postoperatively were significantly lower than that of preoperation together with subsidence of jaundice satisfactorily for 100% after the treatment. Conclusions: Percutaneous placement of biliary metallic stents was effective economic, minimal invasive and safe for palliation of biliary recurrent jaundice after T tube drainage in cholangiocarcinoma-induced obstructive jaundice

2002-10-01

32

Improving surgical outcome following the Norwood procedure  

British Library Electronic Table of Contents (United Kingdom)

Background The Norwood procedure consists of three palliative operations, performed in neonates with hypoplastic left heart syndrome. Especially the first stage (Norwood I) is associated with the highest mortality rates in paediatric cardiac surgery (up to 25%). During surgery, the aorta is reconstructed and a systemic-to-pulmonary shunt is applied. Originally the modified Blalock-Taussig shunt was used, but recently the right-ventricle-to-pulmonary-artery shunt is increasingly being employed. We reviewed the results of our operative strategy, where an individualised choice of shunt is made. Furthermore, attempts to reduce interstage mortality (between Norwood I and II) were assessed. Methods All neonates who underwent Norwood stage I palliation from August 2004 until November 2010 were in...

2011-01-01

33

Depression among Alumni of Foster Care: Decreasing Rates through Improvement of Experiences in Care  

Science.gov (United States)

The Northwest Foster Care Alumni Study examined the relation between experiences in foster care and depression among young adults who spent at least a year in foster care as adolescents. Results indicate that preparation for leaving foster care, nurturing supports from the foster family, school stability, access to tutoring, access to therapeutic service and support, and a shorter and more stable placement history were associated with a lower probability of depression in young adulthood. Results provide evidence that suggest ways to improve practice to decrease rates of depression among alumni of care. (Contains 2 tables.)

2008-12-01

34

Modified Helium microwave-induced plasma discharge chamber  

International Nuclear Information System (INIS)

... Mohamed, MM Medical Research Institute (Egypt) Ghatass, ZF Institute of

1999-04-01

35

BOOKMARKS:  

Wastenet

Institutional and organizational models ... Review individual centre institutional and organizational models in the light of the tasks to be

36

BC  

Wastenet

Institutional and organizational models ... Review individual centre institutional and organizational models in the light of the tasks to be performed by

37

The review of radioactive waste management in the world  

International Nuclear Information System (INIS)

Radioactive waste is generally classified on the basis of how much radiation and the type of radiation it emits as well as the length of time over which it will continue to emit radiation. Many activities dealing with radioactive materials produce nuclear wastes, including civilian nuclear power programs (nuclear Power plant operations and nuclear fuel-cycle activities), defense nuclear programs (nuclear weapons production, naval nuclear reactor programs, and related R and D), and industrial and institutional activities (scientific research, medical operations, and other industrial uses of Radioisotopic sources or Radio chemicals). To minimize the potential adverse health and environment impacts to people and other systems including of animals, plant and etc, during the entire lifetime of the radionuclides involved, nuclear waste must be carefully and properly managed. The scope of nuclear - waste management encompasses generation, processing ...

38

Reaching teachers: The first step in teaching students  

Energy Technology Data Exchange (ETDEWEB)

A 1984 American Association of the Academy of Sciences study of more than 150 successful science in-service programs developed a list of their characteristics, which included: Strong academic component in mathematics, science, and communications, focused on enrichment rather than remediation; academic subjects taught by teachers who are highly competent in the subject matter and believe that students can learn the materials; heavy emphasis on the applications of science and mathematics and careers in these fields; integrative approach to teaching that incorporates all subject areas, hands-on opportunities, and computers; multiyear involvement with students; recruitment of participants from all relevant target populations; opportunities for in-school and out-of-school learning experiences; parental involvement and development of base of community support; specific attention to removing educational inequalities related to race and gender; involvement of professionals and staff who look ...

1991-01-01

39

Reaching teachers: The first step in teaching students  

Energy Technology Data Exchange (ETDEWEB)

A 1984 American Association of the Academy of Sciences study of more than 150 successful science in-service programs developed a list of their characteristics, which included: Strong academic component in mathematics, science, and communications, focused on enrichment rather than remediation; academic subjects taught by teachers who are highly competent in the subject matter and believe that students can learn the materials; heavy emphasis on the applications of science and mathematics and careers in these fields; integrative approach to teaching that incorporates all subject areas, hands-on opportunities, and computers; multiyear involvement with students; recruitment of participants from all relevant target populations; opportunities for in-school and out-of-school learning experiences; parental involvement and development of base of community support; specific attention to removing educational inequalities related to race and gender; involvement of professionals and staff who look ...

1991-12-31

40

Mobile and stationary hydrogen power supply large scale applications - a not acceptable public risk? The technical, physical and chemical events course evaluation from accidents combined with the basics of causalities causing it - a necessity to avoid future ones  

Energy Technology Data Exchange (ETDEWEB)

Use of hydrogen in large scale applications is more usual than public is mentioning normally. Nevertheless reserve against hydrogen can be observed up to highest level decision-makers. Possibly a main reason can be found and eliminated by fixing: Some spectacular accidents happened in the past and found great interest. The publication of impressive accidents and the follow up of the events course was very carefully. The research in finding causalities in former decisions and follow up was not in the interest of some people or institutions. Important facts are even not noticed by insiders, but would have been very important for future decision makings and public acceptance of new applications. It will be demonstrated in three historical examples. Much more examples would be available and each one could help to find new applications for a saver and effective use of hydrogen in power supply. Awaking from new reserves could be avoided. Additional a ...

2001-07-01

41

Characterization of arsenic dose loss at the Si/SiO{sub 2} interface  

Energy Technology Data Exchange (ETDEWEB)

Careful sample preparation and secondary ion mass spectroscopy have been used to characterize arsenic dose loss to the silicon-oxide interface. Using high resolution x-ray photoelectron spectroscopy for microprofiling, we have directly observed the pileup of arsenic at the silicon dioxide-silicon interface. At least half of the pileup is shown to be on the silicon side of the interface in the first monolayer of silicon. Monolayer chemical oxidation and etching are successfully used to profile this pileup in silicon. This pileup contains most of the arsenic dose loss that occurs during transient enhanced diffusion. This result is crucial to correctly model the dose loss and provides physical justification for using a trap/detrap model at the interface, which is necessary to account for the fact that the arsenic surface concentration remains constant during an anneal and the fact that the dose loss is partially reversible. Finally, we have found that normal etching ...

2000-03-01

42

Characterization of arsenic dose loss at the Si/SiO_2 interface  

International Nuclear Information System (INIS)

Careful sample preparation and secondary ion mass spectroscopy have been used to characterize arsenic dose loss to the silicon-oxide interface. Using high resolution x-ray photoelectron spectroscopy for microprofiling, we have directly observed the pileup of arsenic at the silicon dioxide-silicon interface. At least half of the pileup is shown to be on the silicon side of the interface in the first monolayer of silicon. Monolayer chemical oxidation and etching are successfully used to profile this pileup in silicon. This pileup contains most of the arsenic dose loss that occurs during transient enhanced diffusion. This result is crucial to correctly model the dose loss and provides physical justification for using a trap/detrap model at the interface, which is necessary to account for the fact that the arsenic surface concentration remains constant during an anneal and the fact that the dose loss is partially reversible. Finally, we have found that normal etching ...

2000-03-01

43

Air conditioning system planning for Kanagawa Science Park (KSP) building. Kanagawa Science Park (KSP) no kuki chowa setsubi  

Energy Technology Data Exchange (ETDEWEB)

Urban type R D (research and development) facilities have research institute functions which are not desirable to coexist in a city as compared with suburban R D facilities. Therefore careful consideration must be given to environmental protection. KSP is the first large scale urban type R D facility in Japan. The planning and construction have been made with the theme of realization of flexibility in architecture and mechanical planning as well as realization of environmental integrity. To achieve the target so-called technical slit is built at the center of the building to provide a void space for securing natural ventilation. It is effective for provision of internal mechanical spaces without spoiling urban View air exhaust from laboratories natural ventilation for underground parking lots and decrease of damage by strong wind on the ground level. Standards are established and organization is formed for environmental administration to ...

1991-12-05

44

Organic livestock production in Uganda: potentials, challenges and prospects.  

Science.gov (United States)

Development in organic farming has been stimulated by farmers and consumers becoming interested in healthy food products and sustainable environment. Organic agriculture is a holistic production management system which is based on the principles of health, ecology, care, and fairness. Organic development in Uganda has focused more on the crop sector than livestock sector and has primarily involved the private sector, like organic products export companies and non-governmental organizations. Agriculture in Uganda and many African countries is predominantly traditional, less mechanized, and is usually associated with minimum use of chemical fertilizers, pesticides, and drugs. This low external input agriculture also referred to as "organic by default" can create basis for organic farming where agroecological methods are introduced and present an alternative in terms of intensification to the current low-input/low-output systems. Traditional farming should not be ...

2011-01-12

45

Most Antidepressant Use in Primary Care Is Justified; Results of the Netherlands Study of Depression and Anxiety  

UK PubMed Central (United Kingdom)

BackgroundDepression is a common illness, often treated in primary care. Many studies have reported undertreatment with antidepressants in primary care. Recently, some studies also...Full Text Available

46

Divorce, divorce rates, and professional care seeking for mental health problems in Europe: a cross-sectional population-based study  

UK PubMed Central (United Kingdom)

BackgroundLittle is known about differences in professional care seeking based on marital status. The few existing studies show more professional care seeking among the divorced...Full Text Available

47

Correctional health care: implications for public health policy.  

UK PubMed Central (United Kingdom)

"Correctional Health Care: Implications for Public Health Policy" is the first in a series of articles that examines the special health care needs of persons who are incarcerated in America's correctional...Full Text Available

2002-05-01

48

Chronic pain in primary care. German figures from 1991 and 2006  

UK PubMed Central (United Kingdom)

BackgroundUntil now only limited research has been done on the prevalence of chronic pain in primary care. The aim of this investigation was to study the health care utilisation...Full Text Available

49

A comparison of the level of care predictions of six long-term care patient assessment systems.  

UK PubMed Central (United Kingdom)

Six patient assessment systems that have explicit decision rules for replicating team judgments on level of care patient placement were selected for analysis. The six were selected because of their...Full Text Available

1980-11-01

50

A Patient Survey Assessing the Awareness and Acceptability of the Emergency Care Summary and Its Consent Model in Scotland  

UK PubMed Central (United Kingdom)

BackgroundThe Emergency Care Summary (ECS) was introduced in 2006 to allow aspects of the general practitioner (GP; family doctor, equivalent to primary care physician) medical record...Full Text Available

51

Research efforts to produce a {sup 99}Mo-{sup 99m}Tc generator using reactor-produced {sup 99}Mo  

Energy Technology Data Exchange (ETDEWEB)

Recognizing the importance of {sup 99m}Tc and {sup 99m}Tc-based radiopharmaceuticals in nuclear medicine, the Philippine Nuclear Research Institute has initiated research on the development of column-type generators for {sup 99m}Tc using {sup 99}Mo in the form of a gel. The use of reactor-produced {sup 99}Mo will reduce the country's dependence on the importation of commercial generators based on fission product molybdenum-99. However, the relatively low specific activity of {sup 99}Mo must be compensated by the high adsorption capacity of the column material for molybdenum. A procedure based on the incorporation of low activity {sup 99}Mo into a zirconium molybdate gel matrix was adopted with reasonable success. Because the properties of the gel vary considerably with conditions of synthesis, the following parameters were carefully controlled: pH, concentration, temperature, order of mixing of the reactant solutions and conditions of ...

2003-03-01

52

The Confidence in Diabetes Self-Care Scale  

UK PubMed Central (United Kingdom)

OBJECTIVETo examine psychometric properties of the Confidence in Diabetes Self-Care (CIDS) scale, a newly developed instrument assessing diabetes-specific self-efficacy...Full Text Available

2003-03-01

53

Telephone-Based Psychiatric Referral-Care Management Intervention Health Outcomes  

UK PubMed Central (United Kingdom)

AbstractObjective: This study examined the effectiveness of a telephone-based referral-care management (TBR-CM) intervention on psychiatric health...Full Text Available

2010-06-01

54

Nemours Foundation  

Science.gov (United States)

... Harbor Township Vineland Voorhees Pediatric Partner Hospitals AtlantiCare Regional Medical Center- City Campus, Atlantic City AtlantiCare Regional Medical Center - ...

55

Costs of ambulatory care related to female pelvic floor disorders in the United States  

UK PubMed Central (United Kingdom)

OBJECTIVETo evaluate trends in costs of ambulatory care related to female pelvic floor disorders (PFD) in the United States.STUDY DESIGNFull Text Available

2010-05-01

56

Barriers to Initiating Depression Treatment in Primary Care Practice  

UK PubMed Central (United Kingdom)

OBJECTIVE AND DESIGNThis study used qualitative and quantitative methods to examine the reasons primary care physicians and nurses offered for their inability to initiate guideline-concordant...Full Text Available

2002-02-01

57

Efforts made by Prof. Husimi at the Plasma Institute  

International Nuclear Information System (INIS)

Prof. Kodi Husimi was the director of the Institute of Plasma Physics of Nagoya University during 12 years from the beginning of the institute establishment in 1961. His main contribution on promotion of plasma physics and fusion research at the Institute is summarized. (author)

2009-05-01

60

Study of the plasma potential structure at the periphery of the T-10 tokamak  

International Nuclear Information System (INIS)

... S. Perfilov, SV Institute of Nuclear Fusion, RRC Kurchatov Institute, Moscow

2006-09-11

61

DEVELOPMENT OF A MANUFACTURING PROCESS AND ...  

Science.gov (United States)

... This work was based upon previously successful development of combustible cartridge cases, at Illinois Institute of Technology Research Institute ...

1968-05-01

65

Prenatal Care Visits  

Medline Plus

... a test for HIV, the virus that causes AIDS. Do a Pap smear to check for cervical ...

70

Institutional solutions for renewable energy  

Energy Technology Data Exchange (ETDEWEB)

Institutional issues play a critical, but often overlooked, role in the implementation of renewable energy systems. This paper briefly reviews the institutional arrangements involved in deploying renewable energy from both the sender and receiver perspectives, giving the institutional basis principal characteristics, and pros and cons of each institution. It then offers several perspectives on the critical issues facing the deployment of renewable energy systems before offering a number of potential institutional based solutions. (author)

1997-02-01

71

Percutaneous Treatment of Malignant Jaundice Due to Extrahepatic Cholangiocarcinoma: Covered Viabil Stent Versus Uncovered Wallstents  

International Nuclear Information System (INIS)

To compare clinical effectiveness of Viabil-covered stents versus uncovered metallic Wallstents, for palliation of malignant jaundice due to extrahepatic cholangiocarcinoma, 60 patients were enrolled in a prospective and randomized study. In half of the patients a bare Wallstent was used, and in the other half a Viabil biliary stent. Patients were followed up until death. Primary patency, survival, complication rates, and mean cost were calculated in both groups. Stent dysfunction occurred in 9 (30%) patients in the bare stent group after a mean period of 133.1 days and in 4 (13.3%) patients in the covered stent group after a mean of 179.5 days. The incidence of stent dysfunction was significantly lower in the covered stent group (P = 0.046). Tumor ingrowth occurred exclusively in the bare stent group (P = 0.007). Median survival was 180.5 days for the Wallstent and 243.5 days for the Viabil group (P = 0.039). Complications and mean cost were similar in the two ...

2010-02-01

72

Intra-arterial injection of 131-I-Lipiodol in the treatment of hepato-cellular carcinoma; Lipiocis et carcinome hepato-cellulaire  

Energy Technology Data Exchange (ETDEWEB)

The incidence of hepatocellular carcinoma (HCC) is increasing in developed countries and the general status of HCC patients is now by far better than a few years ago, allowing physicians to propose some different treatments of these patients. Among these treatments, intra-arterial injection of 131-iodine-labelled Lipiodol could be used in palliative, curative or adjuvant settings. After a brief summary of the modalities of this treatment, requiring the collaboration of Gastro-enterologists, Oncologists, Radiologists and Nuclear Medicine physicians, the different possibilities of therapeutic uses of this new approach are described and an outlook of these developments is proposed. (author)

2001-11-01

73

Breast carcinoma en cuirasse; Pathophysiology and rotational subtotal skin electron beam therapy (SSEBT), a new technique  

Energy Technology Data Exchange (ETDEWEB)

Carcinoma en cuirasse of the breast, which invades the skin via lymphatics and may encase the entire thorax and abdomen, is poorly controlled by surgery, chemotherapy, or conventional irradiation. Palliation of patients with breast carcinoma en cuirasse is a difficult clinical problem which must be effectively managed over extended periods due to the indolent nature of this disease. The management of three cases is reported, and the new technique of rotational subtotal skin electron-beam therapy (SSEBT) is presented. (author).

1989-04-01

74

A Covered Nitinol Stent Fracture in a Patient with a Malignant Esophageal Stricture: A Case Report  

Energy Technology Data Exchange (ETDEWEB)

Self-expanding metallic stent insertion has been widely applied for the palliative treatment of malignant esophageal strictures. Although it is known as an easy, safe, and effective procedure, complications are well known and include things such as stent migration and esophageal stent occlusion caused by tumor in growth. However, metallic stent fractures have been rarely reported in the esophagus, especially for nitinol stents. We report a case of a stent fracture associated with migration in a patient with a malignant esophageal stricture near the gastroesophageal junction. It is highly probable that the stent fracture was due to chemical erosion of the stent caused by gastric juice

2008-11-15

75

Transarterial Chemoembolization (TACE) for Inoperable Intrahepatic Cholangiocarcinoma  

International Nuclear Information System (INIS)

The aim of this retrospective study was to determine the safety and efficacy of chemoembolization (TACE) as palliative treatment for patients with unresectable intrahepatic cholangiocarcinoma (CCA) and to compare the results with those in the literature. Fifteen patients with histology-proven CCA (5 men, 10 women) had received palliative treatment with TACE over a 6-year period. The treatment protocol comprised repeated TACE at a minimum of 8-week intervals. TACE was performed with a mixture of 10 ml Lipiodol and 10 mg mitomycin C injected into the tumor-supplying vessels. Follow-up investigations after 8-10 weeks comprised contrast-enhanced multislice spiral CT and laboratory control. Statistical evaluation included survival analysis using the Kaplan-Meier method. During the investigation period 58 TACEs (3.9 #+-# 3.8; 1-15) were performed in 15 patients. Mean tumor size was 10.8 #+-# 4.6 cm (range, 2.0-18.0 cm). Unifocal tumor disease was ...

2007-11-01

76

Palliative hepatic intraarterial chemotherapy (HIC) using a novel combination of gemcitabine and mitomycin C: results in hepatic metastases  

International Nuclear Information System (INIS)

To evaluate repeated hepatic intraarterial chemotherapy (HIC) as a palliative treatment option for unresectable cholangiocarcinoma and liver metastases of various origins that were progressive under systemic chemotherapy. Between 2002 and 2006, 55 patients were treated in 4-week intervals (mean five sessions). Combined gemcitabine/mitomycin was administered intraarterially within 1 h. Tumor response was evaluated after the third session according to RECIST. Treated tumor entities were colorectal carcinoma (CRC) (n = 12), breast cancer (BC) (n = 12), cholangiocarcinoma (CCC) (n = 10), pancreatic (n = 4), ovarian (n = 3), gastric, cervical, papillary (each n = 2), prostate, esophageal carcinoma, leiomyosarcoma (each n = 1), cancer of unknown primacy (CUP) (n = 5). All patients tolerated the treatment well without any major side effects or complications. In total, there were 1 complete response (CR), 19 partial responses (PR), 19 stable (SD) and 16 progressive ...

2008-03-01

77

Malignant duodenal obstructions: palliative treatment with covered expandable nitinol stent  

Energy Technology Data Exchange (ETDEWEB)

To evaluate the feasibility and clinical effectiveness of using a polyurethane-covered expandable nitinol stent in the palliative treatment of malignant duodenal obstruction. Under fluoroscopic guidance, a polyurethane-covered expandable nitinol stent was placed in 12 consecutive patients with malignant duodenal obstructions. All presented with severe nausea and recurrent vomiting. The underlying causes of obstruction were duodenal carcinoma (n=4), pancreatic carcinoma (n=4), gall bladder carcinoma (n=2), distal CBD carcinoma (n=1), and uterine cervical carcinoma (n=1). The sites of obstruction were part I (n=1), part II (n=8), and III (n=3). Due to pre-existing jaundice, eight patients with part II obstructions underwent biliary decompression prior to stent placement. An introducer sheath with a 6-mm outer diameter and stents 16 mm in diameter were employed, and to place the stent, and after-loading technique was used. Stent placement was technically successful in ...

2002-04-01

78

Final report on process modeling of cupola furnaces  

Science.gov (United States)

This report describes the first phase of the AFS/DOE program on mathematical modeling of cupola behavior, covering the period May 19, 1989 to July 19, 1990. The objective of the program is to develop a comprehensive mathematical model of the cupola furnace for on-line and off-line process control and optimization. The work is being carried out by five organizations: Massachusetts Institute of Technology with responsibility for heat transfer and fluid flow modeling, and incorporation of the chemical models being developed by the University of Michigan team. Modern Equipment Company has the responsibility of compiling information on needed sensors for monitoring operation and providing materials data to be used for cupola input. General Motors, Central Foundry Division, is investigating the potential to augment the mathematical models with artificial intelligence programs. Lastly, General Motors Research laboratories are charged with providing accurate cupola ...

1990-07-01

79

Utilization of a Marketing Strategy at Naval Regional Medical Center Great Lakes, Great Lakes, Illinois.  

Science.gov (United States)

The study examines the question of whether or not civilian marketing practices and principles can be applied in the military care setting. Using the NRMC Great Lakes as a basis, the answer is yes--consumers of military medical care are ready to be the rec...

1983-01-01

80

Using data warehousing and OLAP in public health care.  

UK PubMed Central (United Kingdom)

The paper describes the possibilities of using data warehousing and OLAP technologies in public health care in general and then our own experience with these technologies gained during the implementation...Full Text Available

2000-01-01

81

The management of children with chronic fatigue syndrome-like illness in primary care: a cross-sectional study  

UK PubMed Central (United Kingdom)

BackgroundMost studies on children with chronic fatigue syndrome (CFS)/myalgic encephalomyelitis (ME) have been undertaken in tertiary care and little is known about their management...Full Text Available

2006-01-01

82

The Perceived Care Needs of Breast Cancer Patients in Korea  

UK PubMed Central (United Kingdom)

By analyzing the data of 459 patients who completed the Supportive Care Needs Survey (SCNS), the prevalence, medical and non-medical predictors of unmet needs were investigated. Breast cancer patients...Full Text Available

2006-08-31

83

Telephone consulting in primary care: a triangulated qualitative study of patients and providers  

UK PubMed Central (United Kingdom)

BackgroundInternationally, there is increasing use of telephone consultations, particularly for triaging requests for acute care. However, little is known about how this mode of...Full Text Available

2009-06-01

84

Technology assessment and resource allocation for predictive genetic testing: A study of the perspectives of Canadian genetic health care providers  

UK PubMed Central (United Kingdom)

BackgroundWith a growing number of genetic tests becoming available to the health and consumer markets, genetic health care providers in Canada are faced with the challenge of developing...Full Text Available

85

Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units: observational study  

UK PubMed Central (United Kingdom)

Objectives To evaluate the extent to which intensive care units participating in the initial Keystone ICU project sustained reductions in rates of catheter related bloodstream infections.Design...Full Text Available

2010-01-01

86

Should fresh blood be recommended for intensive care patients?  

UK PubMed Central (United Kingdom)

Fresh blood has many potential advantages over older blood, but there is no evidence that these properties translate into clinical benefit for intensive care patients. The observational multicenter...Full Text Available

2010-01-01

87

Robust parameter extraction for decision support using multimodal intensive care data  

UK PubMed Central (United Kingdom)

Digital information flow within the intensive care unit (ICU) continues to grow, with advances in technology and computational biology. Recent developments in the integration and archiving of these...Full Text Available

2009-01-28

88

Restructuring Primary Health Care Markets in New Zealand: from Welfare Benefits to Insurance Markets  

UK PubMed Central (United Kingdom)

BackgroundNew Zealand's Primary Health Care Strategy (NZPHCS) was introduced in 2002. Its features are substantial increases in government funding delivered as capitation payments,...Full Text Available

89

Psychology and health: contributions of psychology to the improvement of health and health care  

UK PubMed Central (United Kingdom)

Psychology as both a science and a profession has been closely identified with other disciplines in the broad field of health since the turn of the present century. Recent advances in health care have...Full Text Available

1987-01-01

90

Prevalence of potential drug interactions in patients in an intensive care unit of a university hospital in Brazil  

UK PubMed Central (United Kingdom)

OBJECTIVES:To investigate the prevalence of potential drug interactions at the intensive care unit of a university hospital in Brazil and to analyze their clinical significance.METHODS:This...Full Text Available

2011-01-01

91

Patient-reported-outcomes in subjects with painful lumbar or cervical radiculopathy treated with pregabalin: evidence from medical practice in primary care settings  

UK PubMed Central (United Kingdom)

The objective of this study was to evaluate the effect of pregabalin in painful cervical or lumbosacral radiculopathy treated in Primary Care settings under routine clinical practice. An observational,...Full Text Available

2010-06-01

92

Patient-Care Practices Associated With an Increased Prevalence Of Hepatitis C Virus Infection among Chronic Hemodialysis Patients  

UK PubMed Central (United Kingdom)

ObjectiveTo identify patient-care practices related to an increased prevalence of hepatitis C virus (HCV) infection among chronic hemodialysis patients.Full Text Available

2011-05-01

93

Outcome of patients with systemic rheumatic disease admitted to medical intensive care units.  

UK PubMed Central (United Kingdom)

The outcome of patients admitted to intensive care units is known to be influenced by such factors as age, previous health status, severity of disease, and diagnosis. To estimate the outcome of such...Full Text Available

1992-05-01

94

Outcome of children with life-threatening asthma necessitating pediatric intensive care  

UK PubMed Central (United Kingdom)

ObjectiveTo report the outcome of children with life-threatening asthma (LTA) admitted to a university Pediatric Intensive Care Unit (PICU).MethodsRetrospective...Full Text Available

95

Migrant participation in Norwegian health care. A qualitative study using key informants  

UK PubMed Central (United Kingdom)

Background Little is known about how migrants adapt to first-world public health systems. In Norway, patients are assigned a registered general practitioner (RGP) to provide basic care...Full Text Available

2011-03-01

96

Medicaid policy and the substitution of hospital outpatient care for physician care.  

UK PubMed Central (United Kingdom)

This article explores the effects of reimbursement and utilization control policies on utilization patterns and spending for physician and hospital outpatient services under state Medicaid programs....Full Text Available

1989-04-01

97

Measuring quality of care in psychiatric emergencies: construction and evaluation of a Bayesian index.  

UK PubMed Central (United Kingdom)

OBJECTIVE. This study was conducted to determine whether an index for measuring quality of care for psychiatric emergencies is reliable and valid. DATA SOURCES/STUDY SETTING. The study used primary...Full Text Available

1993-06-01

98

Management of the early and late presentations of rheumatoid arthritis: a survey of Ontario primary care physicians.  

UK PubMed Central (United Kingdom)

OBJECTIVE: To examine primary care physicians' management of rheumatoid arthritis, ascertain the determinants of management and compare management with that recommended by a current practice panel....Full Text Available

1996-09-15

99

Lessons learned in developing community mental health care in Africa  

UK PubMed Central (United Kingdom)

This paper summarizes the findings for the African Region of the WPA Task Force on Steps, Obstacles and Mistakes to Avoid in the Implementation of Community Mental Health Care. We present an overview...Full Text Available

2010-10-01

100

Is the Kaiser Permanente model superior in terms of clinical integration?: a comparative study of Kaiser Permanente, Northern California and the Danish healthcare system  

UK PubMed Central (United Kingdom)

BackgroundIntegration of medical care across clinicians and settings could enhance the quality of care for patients. To date, there is limited data on the levels of integration in...Full Text Available

101

Interference by new-generation mobile phones on critical care medical equipment  

UK PubMed Central (United Kingdom)

IntroductionThe aim of the study was to assess and classify incidents of electromagnetic interference (EMI) by second-generation and third-generation mobile phones on critical care...Full Text Available

2007-01-01

102

Incorporating Patient Perspectives into the Personal Health Record: Implications for Care and Caring  

UK PubMed Central (United Kingdom)

Electronic personal health records (ePHRs) can potentially maximize access and coordination of health information and improve patient/clinician collaboration, patient self-management, and health outcomes....Full Text Available

103

Impact of the Internet on Primary Care Staff in Glasgow  

UK PubMed Central (United Kingdom)

BackgroundThe Government has invested £7 million (approx. $11.5 million) to connect all Primary Care Practices in Scotland to the National Health Service...Full Text Available

104

Impact of an Electronic Medical Record on Diabetes Quality of Care  

UK PubMed Central (United Kingdom)

PURPOSE This study was designed to evaluate the impact of electronic medical record (EMR) implementation on quality of diabetes care.METHODS We conducted a 5-year longitudinal...Full Text Available

2005-07-01

105

Impact of Geographical Proximity on Health Care Seeking Behaviour in Northern Oman  

UK PubMed Central (United Kingdom)

Objectives:Despite its impact on health policy, the relationship between geographical proximity and health care seeking has received scant attention in the medical literature. This...Full Text Available

2008-11-01

106

Has general practitioner computing made a difference to patient care? A systematic review of published reports.  

UK PubMed Central (United Kingdom)

OBJECTIVE--To review findings from studies of the influence of desktop computers on primary care consultations. DESIGN--Systematic review of world reports from 1984 to 1994. SETTING--The computerised...Full Text Available

1995-09-30

107

Finding Answers: Information Needs of a Multidisciplinary Patient Care Team in an Emergency Department  

UK PubMed Central (United Kingdom)

Emergency Departments (ED) are fast-paced, information-intensive environments where patient care team members must address their information needs quickly and accurately. We conducted a qualitative...Full Text Available

2006-01-01

108

Evaluation of patients' assessment of day hospital care.  

UK PubMed Central (United Kingdom)

The method of linear analogue self-assessment (LASA) was used to quantify the views concerning day care which were held by patients attending a geriatric day hospital. The results suggest that day hospitals...Full Text Available

1977-09-01

109

Evaluation of Croatian Community Pharmacists' Patient Care Competencies Using the General Level Framework  

UK PubMed Central (United Kingdom)

ObjectivesTo assess Croatian community pharmacists' patient care competencies using the General Level Framework (GLF).MethodsThe competencies of...Full Text Available

2011-03-10

110

Evaluating Computer Capabilities in a Primary Care Practice-Based Research Network  

UK PubMed Central (United Kingdom)

PURPOSE We wanted to assess computer capabilities in a primary care practice-based research network and to understand how receptive the practices were to new ideas for automation of practice...Full Text Available

2004-09-01

111

Establishing the Irish Critical Care Trials Group: 'who wins in battle makes many calculations before the battle is fought'  

UK PubMed Central (United Kingdom)

Quality research, requiring large numbers of participants, in the intensive care unit (ICU) population requires multicentre collaboration. Although logistically challenging, this methodology reduces...Full Text Available

2008-01-01

112

Effect of structured postgraduate medical education on the care of patients with diabetes.  

UK PubMed Central (United Kingdom)

BACKGROUND. Diabetes can be effectively treated and monitored in general practice. Postgraduate medical education at a local level is required to support this strategic shift of medical care from hospital...Full Text Available

1995-03-01

113

Devising, Implementing, and Evaluating Interventions to Eliminate Health Care Disparities in Minority Children  

UK PubMed Central (United Kingdom)

Despite an accumulating body of literature addressing racial/ethnic disparities in children’s health and health care, there have been few published studies of interventions that have...Full Text Available

2009-11-01

114

Demographics, aging and health care: is there a crisis?  

UK PubMed Central (United Kingdom)

Will the aging of Canada's population bankrupt the health care system? In this issue (see pages 1555 to 1560) Dr. Marie Demers reports that the increase in physician service costs for elderly people...Full Text Available

1996-12-01

115

Comparing the Diagnostic Performance of 2 Clinical Decision Rules to Rule Out Deep Vein Thrombosis in Primary Care Patients  

UK PubMed Central (United Kingdom)

PURPOSE The Wells rule is widely used for clinical assessment of patients with suspected deep vein thrombosis (DVT), especially in the secondary care setting. Recently a new clinical decision...Full Text Available

2011-01-01

116

Cognitive Expertise, Emotional Development and Reflective Capacity: Clinical Skills for Improved Pain Care  

UK PubMed Central (United Kingdom)

The overarching goal of medical training is to nurture the growth of knowledgeable, caring and insightful clinicians guided by the ideals of medical professionalism. Recent definitions of professional...Full Text Available

2008-11-01

117

Canadian Emergency DepartmentTriage and Acuity Scale: implementation in a tertiary care center in Saudi Arabia  

UK PubMed Central (United Kingdom)

BackgroundThe Canadian Emergency Department Triage and Acuity Scale (CTAS) is a well recognized and validated triage system that prioritizes patient care by severity of illness....Full Text Available

118

Blowing in the Wind: Unanchored Patient Information Work during Cancer Care  

UK PubMed Central (United Kingdom)

Patients do considerable information work. Technologies that help patients manage health information so they can play active roles in their health-care, such as personal health records, provide...Full Text Available

2010-01-01

119

Advances in the Clinical Care of Burned Patients  

UK PubMed Central (United Kingdom)

Very few areas of medical science have experienced more rapid development of new and beneficial treatment approaches during the past two decades than the disciplines required for total care of patients...Full Text Available

1975-10-01

120

Adjusting for Health Status in Non-Linear Models of Health Care Disparities  

UK PubMed Central (United Kingdom)

This article compared conceptual and empirical strengths of alternative methods for estimating racial disparities using non-linear models of health care access. Three methods were presented...Full Text Available

2009-03-01

121

Access Intervention in an Integrated, Prepaid Group Practice: Effects on Primary Care Physician Productivity  

UK PubMed Central (United Kingdom)

ObjectiveTo estimate the joint effect of a multifaceted access intervention on primary care physician (PCP) productivity in a large, integrated prepaid group practice.Data...Full Text Available

2008-10-01

122

45 CFR 162.404 - Compliance dates of the implementation of the standard unique health identifier for health care...  

Science.gov (United States)

...dates of the implementation of the standard unique health identifier for health care providers. 162.404 Section 162.404 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES ADMINISTRATIVE DATA...

2010-10-01

123

Mental Health and Resilience: Soldiers' Perceptions about ...  

Science.gov (United States)

... Title : Mental Health and Resilience: Soldiers' Perceptions about Psychotherapy, Medications, and Barriers to Care in the United States Military. ...

2010-10-01

124

Contact Lenses  

Medline Plus

... Exercises: Day and Night Classroom Exercises: Pinhole Focusing 3D Vision and Eye Health < Caring for Your Vision ...

125

A b s t r a c t Vo l u m e  

Wastenet

deodorants and sportswear and silver in washing ma- chines, refrigerators, health care products,

126

 

Medline Plus

... Obstructive Pulmonary Disease) Crohn's Disease Cystic Fibrosis Depression Diabetes - Eye Complications Diabetes - Foot Care Diabetes - Introduction Diabetes - ...

127

The European Bioinformatics Institute's data resources  

UK PubMed Central (United Kingdom)

As the amount of biological data grows, so does the need for biologists to store and access this information in central repositories in a free and unambiguous manner. The European Bioinformatics Institute...Full Text Available

2003-01-01

128

Health Topics beginning with A - National Institutes of Health...  

Science.gov (United States)

Skip Over Navigation Links U.S. Department of Health & Human Services National Institutes of Health NIH...Turning Discovery into Health For Employees Staff Directory En Español...

2011-08-26

130

Digitizing Dissertations for an Institutional Repository: A Process and Cost Analysis*  

UK PubMed Central (United Kingdom)

Objective:This paper describes the Lamar Soutter Library's process and costs associated with digitizing 300 doctoral dissertations for a newly implemented institutional repository...Full Text Available

2008-07-01

131

DNA Hypermethylation Patterns Detected in Serum as a Tool ...  

Science.gov (United States)

... Grant support: National Cancer Institute Center grant CA 16087 and National Cancer Institute grant CA091892, Department of Defense grant ...

2009-09-01

132

The Impact of Proactive Chronic Care Management on Hospital Admissions in a German Senior Population  

British Library Electronic Table of Contents (United Kingdom)

Abstract An increase in chronic disease prevalence is contributing to health care cost growth and decreased quality of life in industrialized nations worldwide. Inadequate management of chronic diseases is a leading cause of hospitalizations and, thus, avoidable expenditures. In this study, we evaluated the impact of nurse-delivered care calls, the primary intervention of a proactive chronic care management (CCM) program, in a population aged 65 and older in Germany. In this analysis, hospital admission rates were evaluated among program enrollees who were diagnosed with diabetes, heart failure, coronary heart disease, or chronic obstructive pulmonary disease. The Intervention group comprised those members who participated in care calls (n?=?13,486), whereas the Comparison group included e...

2011-01-01

133

Emergency medicine in Oman: current status and future challenges  

British Library Electronic Table of Contents (United Kingdom)

The Sultanate of Oman has a relatively young national health care system that could demonstrate its high performance at an international level. Emergency medicine as a specialty has developed rapidly in the country over the last decade. This has involved the parallel development of local emergency residency training, prehospital emergency care, and emergency nursing programs. This article reviews the progress of emergency care practice in this country from a general primary care system toward becoming an established specialty in hospital, prehospital, and private emergency care settings. It also describes aspects of undergraduate, postgraduate, and continuous emergency medicine education in the country. Further, a glimpse into academic emergency medicine and emergency nursing is provided. ...

2009-01-01

134

Sell lumens, not kilowatts: The future for electric utilities  

Energy Technology Data Exchange (ETDEWEB)

The key to the future for electric utilities will not be found in legislation or regulation. Title VII of the Energy Policy Act of 1992 will prove to be just as ineffectual in improving the industry's position as was the Public Utility Regulatory Policies Act of 1978. These legislative palliatives, which produced so much commotion and so many reams of heated commentary, are largely irrelevant to a successful future for electric utilities. The key will be found in economics, not in law, and the future will lie in completing Thomas A. Edison's century-old vision for the industry, half of which the industry has heretofore ignored. The industry must embrace the complete vision and evolve from electric utilities into [open quotes]end-use energy utilities.[close quotes

1993-04-01

135

Radiation therapy in the treatment of hilar cholangiocarcinoma  

International Nuclear Information System (INIS)

The incidence of hilar cholangiocarcinoma is very rare worldwide. Radical resection is the only prognostic factor for long survival in patients with hilar cholangiocarcinoma. Postoperative radiation therapy can improve local control and survival rates for patients with palliative resection, but it remains controversial in patients with radical resection. Biliary drainage can effectively release bile duct obstruction for the majority of patients with locally advanced disease, and may even prolong survival when combined with radiation therapy. Radiation therapy includes extrernal beam therapy alone, external beam therapy with intraluminal brachytheapy and new radiation technique, such as three dimentional conformal therapy and intensity modulated radiation therapy. The propective randomized clinical study is needed for further investigation in the role of combined modality therapy especially for hilar cholangiocarcinoma. (authors)

2007-10-01

136

Energy concepts and the environment  

Energy Technology Data Exchange (ETDEWEB)

The paper discusses a number of recent studies investigating into the energy conservation and environmental impacts of electric heating systems (off-peak storage systems). In future, i.e. in and after 1993, off-peak storage systems will be evaluated through comparative analyses of oil-fired heating systems, pollutant emission analyses, the eventual success of pollution abatement measures designed for power plant emissions to keep within the legal limiting values, and the possible abandonment of pollution abatement measures abroad. Opposing the electric heating studies submitted by the electric power industry the author refutes their favourable results referring to the palliative selection of inadequate or vague parameters. Assuming average power plant pollutant emissions of 180 mg/standard/sup 3/ the nitrogen oxide emissions of oil-fired heating systems (134.1 kg/Tj) are found to be below those of off-peak storage systems (242.5 kg/Tj).

1988-03-01

137

Aluminium Phosphide-Induced Esophageal Stricture Palliation with Polyflex Stent  

British Library Electronic Table of Contents (United Kingdom)

A 21-year-old woman developed midesophageal stricture two weeks after ingestion of aluminium phosphide (AlP) tablets. Aluminium phosphide is a lethal protoplasmic toxin and is also the most common cause of suicidal poisoning in northern India. Upper gastrointestinal endoscopy (UGIE) showed a tight esophageal stricture 29?cm from the incisors with a circumferential ulcer. Dilatation up to 17?mm was done using Savary-Gilliard dilators. She had repeated dilatations three times at nearly two-week intervals. In view of the resistant stricture, a silicone Polyflex stent was placed across the stricture and removed after 3?months; there was no recurrence of stricture even after three months of follow-up. Patients with recurrent esophageal stricture and those with fistula may benefit from silicone ...

2008-01-01

138

Swedish Ceramic Institute  

Science.gov (United States)

The Swedish Ceramic Institute is an industrial research institute working with product-oriented research and development of ceramics and closely related materials. The institute works with the processing and fabrication of ceramic materials as well as with materials properties and design questions. Its website provides details of research projects (engineering ceramics, electroceramics, traditional ceramics). Publications are listed, with some downloadable files (annual reports, research reports, information leaflets). Sample materials data (mechanical properties, thermal properties) is given for oxides and non-oxide ceramics.

2007-02-01

139

Progress in plasma research at IPJ and IPPLM, Poland  

International Nuclear Information System (INIS)

... E. The Andrzej Soltan Institute for Nuclear Studies, Otwock-Swierk (Poland)

2006-09-11

140

Plasma physics and engineering in the Institute of Nuclear Problems  

International Nuclear Information System (INIS)

... Polskiego Towarzystwa Fizycznego (Poland) Polskie Towarzystwo Fizyczne;

2009-09-06

141

Luescher formula for multi-channel systems  

International Nuclear Information System (INIS)

... Ulf G. Universitaet Bonn, Helmholtz-Institut fuer Strahlen- und Kernphysik,

2010-03-15

143

Treatment of Malignant Biliary Obstruction with a PTFE-Covered Self-Expandable Nitinol Stent  

Energy Technology Data Exchange (ETDEWEB)

We wanted to determine the technical and clinical efficacy of using a PTFE-covered self-expandable nitinol stent for the palliative treatment of malignant biliary obstruction. Thirty-seven patients with common bile duct strictures caused by malignant disease were treated by placing a total of 37 nitinol PTFE stents. These stents were covered with PTFE with the exception of the last 5 mm at each end; the stent had an unconstrained diameter of 10 mm and a total length of 50 80 mm. The patient survival rate and stent patency rate were calculated by performing Kaplan-Meier survival analysis. The bilirubin, serum amylase and lipase levels before and after stent placement were measured and then compared using a Wilcoxon signed-rank test. The average follow-up duration was 27.9 weeks (range: 2 81 weeks). Placement was successful in all cases. Seventy-six percent of the patients (28/37) experienced adequate palliative drainage for the remainder of ...

2007-10-15

144

Self-expandable polytetrafluoroethylene (PTFE)-covered nitinol stent for the palliative treatment of malignant biliary obstruction  

Energy Technology Data Exchange (ETDEWEB)

We wanted to determine the technical and clinical efficacy of placing a self-expandable PTFE-covered nitinol stent for the management of inoperable malignant biliary obstruction. Thirty six patients with inoperable malignant biliary obstructions were treated by placement of self-expandable PTFE-covered nitinol stents (S and G Biotech Corporation, Seongnam, Korea). Clinical evaluation was done with assessment of the serum bilirubin and alkaline phosphatase levels, which were measured before and after stent placement within 1 week, at 1 month and at 3 months. The patient survival rate and stent patency rate were calculated with performing Kaplan-Meier survival analysis. Successful stent placement was achieved in all the patients without procedure-related complication. Pancreatitis as an early complication occurred in two cases. The serum bilirubin and alkaline phosphatase levels were significantly decreased after the procedure. During the follow-up, recurrent obstructive jaundice ...

2008-06-15

145

Endovascular treatment of intrahepatic inferior vena cava obstruction from malignant hepatocellular tumor thrombus utilizing Luminexx self-expanding nitinol stents  

Energy Technology Data Exchange (ETDEWEB)

Inferior vena cava (IVC) obstruction is a well-described clinical entity. Most IVC obstructions from malignant neoplasms are a direct result of tumor compression [Oviedo J, Cerda S. Vascular invasion by hepatocellular carcinoma. Arch Pathol Lab Med 2001;125: 454-5; Furui S, Sawada S, et al. Gianturco stent placement in malignant caval obstruction: analysis of factors for predicting the outcome. Radiology 1995;195:147-52; Fletcher WS, Lakin PC, et al. Results of treatment of inferior vena cava syndrome with expandable metallic stents. Arch Surg 1998;133:935-8]. The symptoms of IVC obstruction include progressive ascites, scrotal edema and lower body edema. These constellations of symptoms are described as IVC syndrome and are devastating to a patient with end-stage cancer. We describe a palliative therapy utilizing Luminexx nitinol self-expanding stents to treat intracaval hepatoma thrombus obstructing the IVC. The procedure is rapidly performed, technically ...

2008-05-15

146

A Dual Expandable Nitinol Stent: The Long-term Results in Patients with Malignant Gastroduodenal Strictures  

Energy Technology Data Exchange (ETDEWEB)

We wanted to evaluate the long-term results of a dual expandable nitinol stent for the palliative treatment of malignant gastroduodenal strictures. The dual stent consists of two stents; an outer partially nylon covered stent and an inner bare nitinol stent. The outer stent was placed into the stricture and this was followed by coaxial placement of the inner bare stent. Using fluoroscopic guidance, dual expandable stents were placed in 86 patients with inoperable malignant gastroduodenal strictures. The technical and clinical success, the complication, survival and the stent patency were evaluated during the follow-up period. Stent placement was technically successful in 83 of the 86 patients. After stent placement, 74 of the 85 patients showed improvement of their symptoms. During the mean follow-up period of 133 days, 24 patients (28%) developed recurrent symptoms due to incomplete expansion (n=1), stent migration (n=4), food impaction (n=2), granulation tissue ...

2009-12-15

147

Update on well-baby and well-child care from 0 to 5 years  

Science.gov (United States)

AbstractOBJECTIVETo provide an overview of the 2009 edition of the Rourke Baby Record (RBR), which incorporates recent research in the literature relating to preventive health care for children aged 0 to 5 years.QUALITY OF EVIDENCERecommendations are identified as supported by good, fair, or consensus evidence, according to the classification of the Canadian Task Force on Preventive Health Care.MAIN MESSAGENew information and recommendations are given for growth monitoring, nutrition, developmental surveillance, physical examination maneuvers, immunization schedules, and advice for parents. Anticipatory guidance updates relate to injury prevention, infant swaddling, literacy facilitation, nonparental child care, parenting skills programs, serum lead levels, over-the-counter cough and cold medications, pacifiers, antipyretics, insect repellents, and dental care and oral health. The 2009 RBR is available ...

2010-12-01

148

Americans' political participation in the 1993-94 national health care reform debate.  

Science.gov (United States)

The health politics and policy communities are still struggling with the question of "what went wrong" in the 1993-94 health care reform effort. Here I identify which Americans were politically active and inactive during the health care reform debate to explore the role political participation may have had in determining the outcome of the debate. Using data from a national and California random-sample telephone surveys, and controlling for other demographic attributes, I found that those who engaged in political activity specifically related to health care reform were disproportionately more likely to be self-identified conservatives, less likely to favor an employer mandate plan, more likely to be fifty to sixty-four years old, more likely to be men, and more likely to have greater interest in and knowledge of the health care issue. Even in California, where a single-payer proposal was on the November ...

1996-01-01

149

A T-2 translational research perspective on interventions to improve post-fracture osteoporosis care  

British Library Electronic Table of Contents (United Kingdom)

The objectives of this paper are to: quickly outline the extent of the care gap in osteoporosis; define T-2 (knowledge) translation and its relationship to quality improvement; discuss the barriers to best practice in osteoporosis care after a fracture; convey the importance of rigor in design and evaluation of translational interventions by drawing upon examples from the broader literature; describe in some detail a series of post-fracture intervention trials conducted in Alberta, Canada; and make some conclusions specifically about osteoporosis interventions and more generally about T-2 translational research.

2011-01-01

150

Wiswell, Thomas CV  

Science.gov (United States)

... Ashton WS, Puntel RA, Wiswell TE. A rapid and readily available repair of the peripherally inserted central catheter in the nursery. NEONATAL INTENSIVE CARE 11 ...

151

Update on Medications With Adverse Skeletal Effects  

UK PubMed Central (United Kingdom)

Patients rely on their primary care physician to manage multiple, often chronic medical conditions that require prescription medications. Balancing the risk to benefit of treatments can be challenging...Full Text Available

2011-04-01

152

Trimethoprim sulphamethoxazole in neonatal Flavobacterium meningosepticum infection.  

UK PubMed Central (United Kingdom)

During an outbreak of Flavobacterium meningosepticum septicaemia in a neonatal intensive care unit 9 infants were treated with intravenous trimethoprim sulphamethoxazole. Bacteriological cure was achieved...Full Text Available

1984-06-01

153

Treatment of persons exposed in radiation accidents or nuclear explosions. Omhaendertagande av skadade vid radiakolyckor och kaernvapenexplosioner  

Energy Technology Data Exchange (ETDEWEB)

The report gives general principles of treatment and care of casualties caused by radiation accidents or nuclear explosions.

1991-01-01

154

Tightly-Coupled Image-Aided Inertial Navigation Using the ...  

Science.gov (United States)

... The unscented "sigma-point" Kalman filter "UKF ... set of carefully chosen sample points. ... Descriptors : *KALMAN FILTERING, *INERTIAL NAVIGATION ...

155

Specialist clinics: a better way to care?  

UK PubMed Central (United Kingdom)

A questionnaire on the development of specialist clinics was distributed to the members of the Association of British Neurologists and completed by 104 members (85 consultants). Half of the respondents...Full Text Available

1992-03-01

156

Practices for caring in nursing: Brazilian research groups  

British Library Electronic Table of Contents (United Kingdom)

ERDMANN A.L., DE ANDRADE S.R., FERREIRA DE MELLO A.L., KLOCK P., DO NASCIMENTO K.C., SANTOS KOERICH M. & STEIN BACKES D. (2011) Practices for caring in nursing: Brazilian research groups. International Nursing Review58, 379-385 Background:- The present study considers the production of knowledge and the interactions in the environment of research and their relationships in the system of caring in nursing and health. Aim:- To elaborate a theoretical model of the organization of the practices used for caring, based on the experiences made by the research groups of administration and management in nursing, in Brazil. Methods:- The study is based on grounded theory. Twelve leaders of research groups, working as professors in public universities in the south and the south-east of Brazil, distri...

2011-01-01

157

Polymorbidity in diabetes in older people: consequences for care and vocational training  

UK PubMed Central (United Kingdom)

ObjectiveTo investigate the prevalence of complicating and concurrent morbidities in older diabetic patients and to evaluate to what extent their occurrence affects the burden of...Full Text Available

2007-12-01

158

Neonatal Sepsis and Neutrophil Insufficiencies  

UK PubMed Central (United Kingdom)

Sepsis has continuously been a leading cause of neonatal morbidity and mortality despite current advances in chemotherapy and patient intensive care facilities. Neonates are at high risk for...Full Text Available

2010-06-01

159

Medical Conditions of Nursing Home Admissions  

UK PubMed Central (United Kingdom)

BackgroundAs long-term nursing home care is likely to increase with the aging of the population, identifying chronic medical conditions is of particular interest. Although need factors...Full Text Available

161

Issues of security and network security in Health Care Information Systems.  

Science.gov (United States)

A Health Care Establishment (HCE) is an establishment where medical services are rendered. The above services are provided by the health care personnel. The infrastructure of a HCE may include Information Technology (IT) equipment that stores and processes HC information. Previously, IT equipment consisted solely of stand-alone systems, whereas in recent years, the trend has been towards computer networks and distributed systems in HCEs. The spread of distributed information technology in HCEs have necessitated the implementation of Security in HCISs, to assure confidentiality, integrity and availability of HCE information. This paper discusses the issues of Security and Network Security in Health Care Information Systems (HCISs). It also suggests a method in establishing Network Security Guidelines and describes Principles for the provision of Network Security in HCEs. PMID:10163736

1996-01-01

162

Insurgency in Ancient Times: The Jewish Revolts Against the ...  

Science.gov (United States)

... 82 Ibid, 200. 83 Ibid, 200. 84 Ibid, 201. 43 Page 49. care to hunt down and execute all that claimed to be from the house of David. They considered ...

2005-05-26

163

Implementing network security guidelines in health care information systems.  

Science.gov (United States)

A Health Care Establishment (HCE) is an establishment where medical services are rendered. These services are provided by the health care personnel. The infrastructure of a HCE may include Information Technology (IT) equipment that stores and processes HC information. The spread of distributed information technology in HCEs have necessitated the implementation of Network Security in Health Care Information System (HCISs), to assure confidentiality, integrity and availability of HC information being transmitted across HC networks. This paper presents a road map in implementing Network Security guidelines for the provision of Network Security in HCEs, work carried out within the Secure Environment for Information Systems in Medicine (SEISMED) project under the Advanced Informatics in Medicine (AIM) programme. PMID:8591295

1995-01-01

164

Implementation of an Intravenous/Phlebotomy Team at Walter ...  

Science.gov (United States)

... dressing changes and site care, mid-line placement, placement of peripherally inserted central catheters, heparin locks, and patient education. ...

1993-08-01

165

Healthy Nutrition: Breastfeeding  

Medline Plus

Ages & Stages Prenatal Delivery & Beyond Decisions to Make Baby: 0-12 mos. Bathing & Skin Care Breastfeeding Crying & Colic Diapers & Clothing Feeding & Nutrition Preemie ...

166

Health Information Technology and Physician Career Satisfaction  

UK PubMed Central (United Kingdom)

PurposeHealth information technology (HIT) and physician career satisfaction are associated with higher-quality medical care. However, the link between HIT and physician...Full Text Available

168

Distributed Computer Networks in Support of Complex Group Practices  

UK PubMed Central (United Kingdom)

The economics of medical computer networks are presented in context with the patient care and administrative goals of medical networks. Design alternatives and network topologies are discussed with...Full Text Available

1978-11-09

169

Cost-effectiveness of educational outreach to primary care nurses to increase tuberculosis case detection and improve respiratory care: economic evaluation alongside a randomised trial  

British Library Electronic Table of Contents (United Kingdom)

Summary Objective To evaluate the cost-effectiveness of an educational outreach intervention to improve primary respiratory care by South African nurses. Methods Cost-effectiveness analysis alongside a pragmatic cluster randomised controlled trial, with individual patient data. The intervention, the Practical Approach to Lung Health in South Africa (PALSA), comprised educational outreach based on syndromic clinical practice guidelines for tuberculosis, asthma, chronic obstructive pulmonary disease, pneumonia and other respiratory diseases. The study included 1999 patients aged 15 or over with cough or difficult breathing, attending 40 primary care clinics staffed by nurses in the Free State province. They were interviewed at first presentation, and 1856 (93%) were interviewed 3 months late...

2010-01-01

170

Controlling Endemic Cholera with Oral Vaccines  

UK PubMed Central (United Kingdom)

BackgroundAlthough advances in rehydration therapy have made cholera a treatable disease with low case-fatality in settings with appropriate medical care, cholera continues...Full Text Available

2007-11-01

171

Chronic kidney disease in children: the global perspective  

UK PubMed Central (United Kingdom)

In contrast to the increasing availability of information pertaining to the care of children with chronic kidney disease (CKD) from large-scale observational and interventional studies, epidemiological...Full Text Available

2007-12-01

172

Care of the diabetic child in the community.  

UK PubMed Central (United Kingdom)

Brief admission of the new diabetic child and of a parent to an enlightened hospital for stabilisation, preliminary education, and familiarisation with hospital and community staff is well worth while....Full Text Available

1980-12-06

173

Cancer Patients' Self-Reported Attitudes About the Internet  

UK PubMed Central (United Kingdom)

Background Increasing numbers of cancer patients are using the Internet, but little is known about their attitudes toward online health care.Full Text Available

174

CDC - Injury - FOA CE01-015  

Science.gov (United States)

of injuries, disabilities, and deaths; and 3. Encourage professionals from a wide spectrum of disciplines such as engineering, bioengineering, medicine, health care, public...

2011-08-20

175

Ambulatory Care Data Base (ACDB) Data Dictionary ...  

Science.gov (United States)

... DATA ELEMENT NAME MNEZONIC M codes MCODE DATA ELEMENT NUMBER FORMAT RECORD POSITION 34 Char 172-177 6 ...

1989-11-01

177

A Bookshelf in Public Health, Medical Care, and Allied Fields  

UK PubMed Central (United Kingdom)

This bibliography of nonserial publications consists of 610 annotations. It is intended as a guide to the development of a collection for librarians and for health professionals in research and education....Full Text Available

1972-01-01

178

 

UK PubMed Central (United Kingdom)

OBJECTIVE: To evaluate the effectiveness of a program to improve hypertension control practices in primary care. DESIGN: Retrospective quasi-experimental study. SETTING: Three hospital-based family...Full Text Available

1994-10-01

179

Activities on free electron laser in Japan  

International Nuclear Information System (INIS)

The free-electron laser (FEL) projects that are currently in progress in Japan are discussed. Particular attention is given to the storage ring FELs at the Electrotechnical Laboratory, the Institute for Molecular Physics, and the Kyushu University; the superconducting linear accelerator (SC linac) FELs being developed at the Japan Atomic Energy Research Institute; and the RF-linac FEL being developed by the Nuclear Engineering Research Laboratory of the University of Tokyo, the Institute of Scientific and Industrial Research of Osaka University, the Mitsubishi Electric Company, and Tokyo Institute of Technology. Consideration is also given to the microtron FEL being constructed at the Nihon University; the induction-linac and pulseline FELs of the Institute of Laser Engineering of Osaka University, the Institute of Physical and Chemical Research, the National ...

1989-04-24

180

Training for New Manufacturing Technologies.  

Science.gov (United States)

Examines the effects of computer-based manufacturing technologies on employment opportunities and job skills. Describes the establishment of the Industrial Technology Institute in Michigan to develop and utilize advanced manufacturing technologies, and the institute's relationship to the state's community colleges. Reviews lessons learned from interinstitutional cooperation. Highlights future challenges. (DMM)

1987-12-01

181

SELF-RENEWAL AND DIFFERENTIATION OF MOUSE EMBRYONIC STEM CELLS AS MEASURED BY Oct4 GENE EXPRESSION: EFFECTS OF LIF, ...  

Science.gov (United States)

... from Dr. Austin Smith of the Institute for Stem Cell Research, University of Edinburgh) was modified from the CGR8 ... to thank Dr. Austin Smith, the Institute for Stem Cell Research, University of Edinbu...

182

Myelomatous Pleural Effusion: A Case Series in a Single Institution and Literature Review  

UK PubMed Central (United Kingdom)

BackgroundMyelomatous pleural effusion (MPE) is rare in myeloma patients. We present a consecutive series of patients with MPE in a single institution.MethodsWe...Full Text Available

2011-10-01

183

Institute of Plasma Physics, Academy of Sciences of the Czech Republic  

International Nuclear Information System (INIS)

The major activities of the various Institute's departments are highlighted. The following departments are included: (i) Tokamak; (ii) Pulse plasma systems; (iii) Thermal plasma; (iv) Materials engineering; (v) Laser plasma; and (vi) Optical diagnosis. (P.A.)

184

Elsevier  

Wastenet

...comply with funding body archiving policies, including the policies put in place by the National Institutes of Health, The Wellcome Trust and the Howard Hughes Medical Institute . Delayed Access Select journals provide content to some or all of a journalrsquo;s backfile. For example, articles in ...

188

Researches on plasma physics and controlled fusion in NPP NSC KIPT  

International Nuclear Information System (INIS)

2006 p. 3 Ukraine Tereshin, VI Stepanov, KN Volkov, ED Institute of Plasma

2006-09-11

189

Real-time neutron radiography at the Georgia Tech Research Reactor  

International Nuclear Information System (INIS)

(Jun 1982). United States Davis, MV Berger, H. Patricelli, F. Georgia Institute

1982-06-11

191

Energy and Water Conservation  

Science.gov (United States)

Jet Propulsion Laboratory. California Institute of Technology. Pasadena, California. Energy and Water Conservation. Steve Rigdon. Facilities Energy Manager ...

192

Ecologically clean prophylactic food addition from eatable mushroom  

International Nuclear Information System (INIS)

... Safety Institute, GRS, Cologne (Germany) INIS-UA--089 456 p. APPLIED LIFE

2001-04-18

193

Conceptual design of a compact medical synchrotron with a hybrid magnet  

International Nuclear Information System (INIS)

English 2001 p. 178 China Iwashita, Y. Kumada, M. National Institute

2001-09-17

194

3rd GOES Users' Conference  

Science.gov (United States)

with the support and cooperation of the American Meteorological Society, the Marine Technology Society, the National Aeronautics and Space Administration, the National Institute...

2011-10-08

195

Urinary and air phthalate concentrations and self-reported use of personal care products among minority pregnant women in New York City  

UK PubMed Central (United Kingdom)

Diethyl phthalate (DEP) and di-n-butyl phthalate (DnBP) are used extensively in personal care products, including fragrances (DEP) and nail polish (DnBP). Between May 2003 and...Full Text Available

2010-11-01

196

How to become a publishing groupie: Establishing a successful local area network for your publications organization  

Energy Technology Data Exchange (ETDEWEB)

Implementing a successful local area network for a publications work-group isn't as simple as the scarcity of information on the subject would suggest. Making a network work for your requires careful planning, developing and acquiring network expertise, transforming your group's patterns of working together, and carefully managing the human and technological resources.

1991-01-01

197

How to become a publishing groupie: Establishing a successful local area network for your publications organization  

Energy Technology Data Exchange (ETDEWEB)

Implementing a successful local area network for a publications work-group isn`t as simple as the scarcity of information on the subject would suggest. Making a network work for your requires careful planning, developing and acquiring network expertise, transforming your group`s patterns of working together, and carefully managing the human and technological resources.

1991-12-31

198

How do patient characteristics influence informal payments for inpatient and outpatient health care in Albania: Results of logit and OLS models using Albanian LSMS 2005  

UK PubMed Central (United Kingdom)

BackgroundInformal payments for health care are common in most former communist countries. This paper explores the demand side of these payments in Albania. By using data from the...Full Text Available

199

Health care of the elderly at Tygerberg Geriatric Clinic and Goodwood Aftercare Hospital.  

Science.gov (United States)

Comprehensive geriatric care should receive nation-wide attention in order to realize its objectives. An analysis of patient problems at the Geriatirc Clinic, Tygerberg Hospital and Goodwood Aftercare Hospital is presented. The training of personnel, with full motivation of the community, to render health services to the aged is discussed. PMID:7368010

1980-03-29

200

Does monitoring need for care in patients diagnosed with severe mental illness impact on Psychiatric Service Use? Comparison of monitored patients with matched controls  

UK PubMed Central (United Kingdom)

BackgroundEffectiveness of services for patients diagnosed with severe mental illness (SMI) may improve when treatment plans are needs based. A regional Cumulative Needs for Care...Full Text Available

201

Information systems, databases (www.onderzoekinformatie.nl)  

Wastenet

...Identification - ETI Food & Biobased Research (WUR) Freudenthal Institute - FIsme (UU) Holst Centre IKM Engineering Ltd Information Retrieval and Information Systems (KUN) Information Systems - INS Information Technology Group (WUR) Institute for Computing and Information Sciences - ICIS (KUN) Institute of Health Policy and Management (EUR) ...

202

Howard Hughes Medical Institute dose assessment survey  

Energy Technology Data Exchange (ETDEWEB)

Biomedical science researchers often express frustration that health physics practices vary widely between individual institutions. A survey examining both internal and external dose assessment practices was devised and mailed to fifty institutions supporting biomedical science research. The results indicate that health physics dose assessment practices and policies are highly variable. Factors which may contribute to the degree of variation are discussed. 2 tabs.

1996-12-01

203

The "Caring" Role in a Child Care Center. Staff Development Series, Military Child Care Project. Part II: Relating to Parents.  

Science.gov (United States)

Material related to routine as well as sensitive aspects of parent/day care center relationships is presented in this training module, one of a series providing staff development information for programs operated for dependents of military personnel. The module offers a brief discussion of ways caregivers can help parents feel at ease about leaving their children in child care and presents a set of multiple-choice skill-building exercises for effectively working with parents. Exercises focus on various topics, including how parents can be approached when their child may have a health problem, when child abuse or neglect is suspected, and when parental cooperation is needed to stop a child's undesirable or disruptive behavior. Exercises are also devoted to the questions of whether or not caregivers should act as advisors to parents or tell parents about their child's behavior at the center. Concluding exercises indicate how caregivers can ...

1982-04-01

204

The interventional treatment for biliary re-stenosis after metallic stents placement in patients with malignant obstruction due to cholangiocarcinoma  

International Nuclear Information System (INIS)

Objective: To explore the interventional treatment for biliary re-stenosis after metallic stents placement in patients due to cholangiocarcinoma and evaluate its therapeutic effect. Methods: Percutaneous metallic stents placement or combined with continuously infusion arterial chemotherapeutic and chemotherapeutic embolization were performed in 12 patients with biliary re-stenosis using 12 metallic stents. Results: Once stent placement was 100% successful in all 12 cases, TBIL, ALT, GTP and AKP values 7 days postoperatively were significantly lower than that in preoperation. Jaundice was reduced satisfactorily in 12 patients. 3 patients were undergone continuously arterial chemotherapeutics infusion and chemotherapeutic embolization 4 weeks after stents placement. Conclusions: Percutaneous replacement of biliary metallic stents was effective and safe for palliation of malignant biliary re-stenosis and would be much better when combined with continuously arterial ...

2002-10-01

205

Percutaneous drainage of abdominal abcess  

Energy Technology Data Exchange (ETDEWEB)

The mortality in undrained abdominal abscesses is high with a mortality rate ranging between 45 and 100%. The outcome in abdominal abscesses, however, has improved due to advances in image guided percutaneous interventional techniques. The main indications for the catheter drainage include treatment or palliation of sepsis associated with an infected fluid collection, and alleviation of the symptoms that may be caused by fluid collections by virtue of their size, like pancreatic pseudocele or lymphocele. The single liver abscesses may be drained with ultrasound guidance only, whereas the multiple abscesses usually require computed tomography (CT) guidance and placement of multiple catheters. The pancreatic abscesses are generally drained routinely and urgently. Non-infected pancreatic pseudocysts may be simply observed unless they are symptomatic or cause problems such as pain or obstruction of the biliary or the gastrointestinal tract. Percutaneous routes that ...

2002-09-01

206

Pancreatic endocrine tumours: an out-matching field of cooperation with nuclear medicine; Les tumeurs endocrines du pancreas: un domaine privilegie de la cooperation avec la medecine nucleaire  

Energy Technology Data Exchange (ETDEWEB)

The Zollinger-Ellison syndrome (ZES) is taken as an example of the diagnostic and therapeutic strategy in gastro-entero-pancreatic endocrine tumours, given the standard characteristics of this procedure, whatever the nature of the primitive tumour. Management of ZES includes: anatomical localization of gastrinoma and of possible metastases, in 60 % of cases this step conditioning therapeutic indications and chances of cure; search of a type 1-multiple endocrine neoplasia (MEN A), in 25 % of cases; therapeutic indications: ablative surgery with curative intent in case of gastrinoma and of resectable liver metastases, palliative treatment otherwise: anti-secretory drugs, somatostatin analogues, chemotherapy and interferon {alpha}; long-term follow-up of patients with resected tumour. At each step, somatostatin receptor scintigraphy with indium 111-pentetreotide does play a pivotal role. (author). 110 refs.

1996-12-31

207

MRI of congenital heart disease in childhood  

International Nuclear Information System (INIS)

MRI provides a non-invasive diagnostic tool complementing echocardiography on one hand, and showing advantages over echocardiography, on the other hand, especially after corrective procedures. The multiple different MRI sequences need to be adapted to examinations of children and patients with congenital heart disease (CHD), and can be used to detect morphologic changes, blood-flow in the heart and thoracic vessels and diastolic or systolic function of myocardium. Several factors determine the success of the examination of a complex congenital heart disease or a postoperative situs. Pediatric radiologists and radiologists experienced in congenital heart diseases have to work in close cooperation. Echocardiography should be performed before MRI. The results of prior examinations and the clinical history of the patients, including possible palliative or reconstructive operations, must be available before MRI to guide the planning of the examination. With a systematic ...

2004-02-01

208

Carbon steel corrosion rates and mechanisms in aqueous nickel chloride at 300C  

International Nuclear Information System (INIS)

Rapid corrosion of PWR steam generator carbon steel support structures and consequential denting of steam generator tubes led to considerable investigation of the mechanism of corrosion and for palliatives. The basic mechanism is now fairly well understood. Chloride present in the boiler feedwater from condenser leakage is concentrated in the support plate crevice as a result of the superheat present. This leads to the formation of a low pH acid ferrous chloride environment either through the hydrolysis of a weak base chloride such as MgCl_2 or the combined action of a neutral chloride with an oxidizing agent. Rapid attack of the carbon steel ensues with the Fe_3O_4 corrosion product forming at the metal/oxide interface. This oxide has a volume approximately twice that of the steel consumed and thus eventually fills the crevice between the tube and the support plate. Oxide growth continues leading to compression of the Alloy 600 primary tube and to distortion and ...

1985-03-01

209

Paul Scherrer Institut Annual Report 2000: General Volume  

Energy Technology Data Exchange (ETDEWEB)

The Paul Scherrer Institute is a centre for multidisciplinary research in the natural and engineering sciences. It collaborates closely with universities, other research institutions, technical colleges, and industry, both in Switzerland and abroad. It is the largest research institute in Switzerland, with about 1'200 members of staff. Its particular areas of specialisation are solid-state research and material sciences, elementary particle physics and astrophysics, biology and medicine, and energy and environmental research. This annual report presents an overview of the work performed by the PSI research departments including information on new developments connected with the various accelerators and on the status of the Swiss Light Source project (SLS). Details on the organizational and financial structure of the Institute are also provided.

2001-07-01

210

The efficacy of metallic stent placement in the treatment of colorectal obstruction  

Energy Technology Data Exchange (ETDEWEB)

To evaluate the efficacy of newly designed covered and non-covered coated colorectal stents for colonic decompression. Twenty-six patients, (15 palliative cases and 11 preoperative) underwent treatment for the relief of colorectal obstruction using metallic stents positioned under fluoroscopic guidance. In 24 of the 26, primary colorectal carcinoma was diagnosed, and in the remaining two, recurrent colorectal carcinoma. Twenty-one patients were randomly selected to receive either a type A or type B stent; for the remaining five, type C was used. Type A, an uncovered nitinol wire stent, was lightly coated to ensure structural integrity. Type B (flare type) and C (shoulder type) stents were polyurethane covered and their diameter was 24 and 26mm, respectively. The rates of technical success, clinical success, and complications were analyzed using the chi-square test, and to analyse the mean period of patency, the Kaplan-Meier method was used. Thirty of 31 attempted ...

2002-06-01

211

Summary of Information and Resources Related to Energy Use in Healthcare Facilities - Version 1  

Energy Technology Data Exchange (ETDEWEB)

This document presents the results of a review of publicly available information on energy use in health care facilities. The information contained in this document and in the sources cited herein provides the background and context for efforts to reduce energy use and costs in health care. Recognizing the breadth and diversity of relevant information, the author acknowledges that the report is likely not comprehensive. It is intended only to present a broad picture of what is currently known about health care energy use. This review was conducted as part of a 'High Performance Health Care Buildings' research study funded by the California Energy Commission. The study was motivated by the recognition that health care facilities collectively account for a substantial fraction of total commercial building energy use, due in large part to the very high energy ...

2009-09-08

212

Who is giving up the free lunch? The insured patients' decision to access health insurance benefits and its determinants: Evidence from a low-income country  

British Library Electronic Table of Contents (United Kingdom)

Objectives This paper examines the determinants of the insureds decision to use their health insurance card when seeking outpatient and inpatient health care in Vietnam. Methods Uses Vietnams latest Household Living Standard Survey data and random-intercept logistic regression to assess the influence of the observed individual, household and commune/ward factors on the insureds decision to access health insurance benefits while controlling for the unobserved commune/ward-specific factors. Results Compared to the compulsory enrollees, the voluntary enrollees and the beneficiaries of the Health Care Fund for the Poor are less likely to use their card when seeking inpatient care. An individuals likelihood of accessing insurance benefits varies inversely with income and the level of education,...

2009-01-01

213

Usage pattern of personal care products in California households  

British Library Electronic Table of Contents (United Kingdom)

Given the concern over the potential for health risks associated with certain ingredients (e.g., phthalates) in personal care products, usage patterns of 30 types of personal care products (e.g., shampoo, sunscreen, fragrance, etc.) were collected in 604 California households through a telephone interview. Preferences in selecting products, e.g., scented or unscented, aerosol, and brand loyalty, were also investigated. Participants were recruited in three age groups, children (mostly preschoolers), their parents, and adults age 55 or older. Use frequencies of various product types varied by sex, age group, race, education, and climatic region. Product use by parent and child from the same household were correlated. Use frequencies of products in the same class (e.g., skincare) were moderat...

2010-01-01

214

Systems-based approaches to osteoporosis and fracture care: policy and research recommendations from the workgroups  

British Library Electronic Table of Contents (United Kingdom)

Participants in the conference selected to attend two different working group sessions. The working groups discussed different perspectives of system-based approaches to osteoporosis and fracture care. The group on postfracture case management recommended that nurse case managers be used to improve communication among patients, orthopaedic surgeons, and those providing ongoing clinical care. The hospital working group discussed the impact of and barriers to improved postfracture management in the hospital setting. The health systems group emphasized the difference between a closed system in which long-term benefits of interventions were more likely to be appreciated than in fee for service systems. The health information technology group discussed the advantages and challenges of electroni...

2011-01-01

215

Perioperative Care of a Child with Transposition of the Great Arteries  

British Library Electronic Table of Contents (United Kingdom)

Opinion statement Because a minority of patients with D-transposition of the great arteries are diagnosed in utero by ultrasound, most present after delivery with cyanosis. In the absence of apparent lung disease, cyanotic neonates suspected of having a cardiac lesion should be immediately transferred to an intensive care unit at a pediatric tertiary care center for monitoring, resuscitation, and to define the cardiac anatomy and physiology. A prostaglandin E-1 infusion is usually initiated to maintain ductal patency and promote intra-cardiac mixing. In the past, balloon atrial septostomy (BAS) was routinely performed to enlarge the atrial septal defect and improve intra-cardiac mixing while the infants awaited surgery. Recent literature has reported an increase risk of stroke in neonates ...

2011-01-01

216

Perception of anesthesia safety and postoperative symptoms of surgery patients in Ho Chi Minh City, Vietnam: a pioneering trial of postoperative care assessment in a developing nation  

British Library Electronic Table of Contents (United Kingdom)

Objectives Vietnamese patients? views on healthcare are changing as surgical interventions become more commonplace, but their views on perioperative care have remained largely unstudied during this period of rapid change. This study assesses Vietnamese patients? impression of anesthesia safety and postoperative pain in relation to clinical outcomes with the aim of improving patient-centered perioperative care. Methods The study cohort consisted of 180 hospitalized patients who were followed for 24?h following abdominal surgery. The assessments of these patients on the use of anesthesia and postoperative pain were measured by means of a 5-point Likert scale survey. Perioperative events were recorded on standardized forms by medical staff. The relationship between relevant factors affecting ...

2010-01-01

217

Patterns of preventive health services in rheumatoid arthritis patients compared to a primary care patient population  

British Library Electronic Table of Contents (United Kingdom)

To determine the proportion of rheumatoid arthritis (RA) patients receiving preventive health care according to US Preventive Services Task Force recommendations compared with a community-based population sample, with emphasis on dyslipidemia testing, given the increased risk of cardiovascular disease (CVD) in RA patients. Patients with RA (ICD-9 code 714.0 at ?2 office visits with a rheumatologist) and a primary care physician (PCP) at the Geisinger Health System (GHS) were identified through electronic health records. The records were searched back from 3/31/08 for the length of time required to satisfy each outcome measure. Percentages were compared with population testing rates using the Pearson Chi-square test. Eight hundred and thirty-one RA patients were compared to 169,476 subjects...

2011-01-01

218

Mannose-binding lectin codon 54 gene polymorphism in relation to risk of nosocomial invasive fungal infection in preterm neonates in the neonatal intensive care unit  

British Library Electronic Table of Contents (United Kingdom)

Objective. Preterm neonates are susceptible to infection due to a combination of sub-optimal immunity and increased exposure to invasive organisms. Invasive fungal infections are associated with significant morbidity and mortality among preterm infants cared for in the neonatal intensive care unit (NICU). Mannose-binding lectin (MBL) is a component of the innate immune system, which may be especially important in the neonatal setting. The objective of this study was to investigate the presence of any association between MBL gene polymorphism and nosocomial invasive fungal infection in preterm neonates. Methods. Codon 54 (B allele) polymorphism in exon 1 of the MBL gene was investigated in 31 patients diagnosed as nosocomial invasive fungal infection and 30 control preterm neonates. Results...

2011-01-01

219

Improving osteoporosis care through multimodal interventions: insights from the University of Alabama at Birmingham Center for Education and Research on Therapeutics  

British Library Electronic Table of Contents (United Kingdom)

Despite the many advances in scientific research over the last several decades, cutting edge technologies and therapeutics often take many years to find their way into widespread use. The dissemination and uptake of best practices into clinical care is sometimes a neglected component of research that is essential to improve the population?s health. Type 2 translational research, sometimes called ?Proof in Practice Research,? seeks to maximize the yield of what has been learned from the bench and from carefully controlled clinical trials and to extend those benefits to a larger population. One aspect of type 2 translational research, sometimes called evidence implementation or implementation science, applies what has been learned about clinical medicine to achieve best practices across prov...

2011-01-01

220

Exposure data for personal care products: Hairspray, spray perfume, liquid foundation, shampoo, body wash, and solid antiperspirant  

British Library Electronic Table of Contents (United Kingdom)

Reliable exposure information for cosmetic and other personal care products and ingredients is needed in order to conduct safety assessments. Essential information includes both the amount of product applied, and the frequency of use. To obtain current data, studies to assess consumer use practices were undertaken. Six widely used personal care product types were included in the studies. Five of the products were cosmetics (spray perfume, hairspray, liquid foundation, shampoo, body wash) and one product was a cosmetic/over-the-counter drug product (solid antiperspirant). Three hundred and sixty women, ages 19-65 years, who regularly use the products of interest, were recruited at 10 different geographical locations within the US. The number of recruits was chosen to ensure a minimum of thr...

2006-01-01

221

Association of area sociodemographic characteristics and capacity for treatment with disparities in colorectal cancer care and mortality  

British Library Electronic Table of Contents (United Kingdom)

AbstractBACKGROUND: Disparities in treatment and mortality for colorectal cancer (CRC) may reflect differences in access to specialized care or other characteristics of the area where an individual lives. METHODS: Surveillance, Epidemiology and End Results Program-Medicare data for seniors diagnosed with CRC were linked to area measures of the sociodemographic characteristics and the capacity of surgeons, medical oncologists, and radiation oncologists. Outcomes included receipt of stage-appropriate CRC care and mortality. RESULTS: After adjustment, blacks and Hispanics were less likely than whites to undergo surgery (odds ratio [OR] 0.57, 95% confidence interval (CI) 0.52-0.63 and OR 0.82, 95% CI 0.70-0.95, respectively). Individuals who lived in areas with the highest tertile of surgeon c...

2011-01-01

222

Association between the number of blood cultures and appropriateness of care for suspected bacteremic urinary tract infection in the elderly  

British Library Electronic Table of Contents (United Kingdom)

The objective of this study was to evaluate the association between the number of blood cultures collected and the appropriateness of care for suspected bacteremic community-acquired urinary tract infection (UTI) in the elderly. We retrospectively evaluated the medical records of 129 patients with UTI >65?years old admitted to a large community-based training hospital in Japan from 1 January 2006 to 31 December 2009. We assessed the association between the number of blood cultures collected and the appropriateness of care received, as well as other factors. Two-thirds of the patients were women, and patients >85?years old accounted for 45.0% of the cases. Most of the organisms isolated from the urine and blood were Escherichia coli (65.4?67.0%). More than two blood cultures were collected ...

2011-01-01

223

A survey of point of care testing in Irish hospitals: room for improvement  

British Library Electronic Table of Contents (United Kingdom)

Background ?Guidelines for safe and effective management and use of point of care testing? have been recently launched in Ireland. Aims To survey point of care testing (POCT) services in the Republic of Ireland. Methods A questionnaire covering accreditation status, existence of POCT committees, quality management systems, and staff resources was distributed by the Irish External Quality Assessment Scheme (IEQAS). Results Of those that returned completed questionnaires, 56% had assigned specific POCT responsibilities to designated staff. Most support was for blood gases and glucose analysis. Compared with other published studies, Irish laboratories gave similar support for blood gases, less for glucose and much less for urinalysis. Conclusions This survey demonstrated poor IT support for P...

2011-01-01

224

Women's autonomy in household decision-making: a demographic study in Nepal  

UK PubMed Central (United Kingdom)

BackgroundHow socio-demographic factors influence women's autonomy in decision making on health care including purchasing goods and visiting family and relatives are very poorly...Full Text Available

225

Who Should Receive Life Support During a Public Health Emergency? Using Ethical Principles to Improve Allocation Decisions  

UK PubMed Central (United Kingdom)

A public health emergency such as an influenza pandemic will lead to shortages of mechanical ventilators, critical care beds, and other potentially life saving treatments. This will raise difficult...Full Text Available

2009-01-20

226

Whipple Procedure for Pancreatic Cancer  

Medline Plus

... be able to watch the many intricate steps Dr. Richard Alexander must accomplish to remove the cancer. ... door to informed medical care. Now let's join Dr. Richard Alexander at the University of Maryland Medical ...

227

What is the next step in patient decision support?  

UK PubMed Central (United Kingdom)

Patient decision support systems have a promising role in the delivery of health care. However, the best approach for further development of these systems is a matter of speculation. To help chart a...Full Text Available

2000-01-01

228

Validation of the treatment identification strategy of the HEDIS addiction quality measures: concordance with medical record review  

UK PubMed Central (United Kingdom)

BackgroundStrategies to accurately identify the occurrence of specific health care events in administrative data is central to many quality improvement and research efforts. Many...Full Text Available

229

Use of an Orientation Clinic to Reduce Failed New Patient Appointments in Primary Care  

UK PubMed Central (United Kingdom)

Patients who fail to attend initial appointments reduce clinic efficiency. To maximize attendance by newly referred outpatients, we introduced a mandatory group orientation clinic for all new patients...Full Text Available

2000-12-01

230

Use of Read codes in diabetes management in a south London primary care group: implications for establishing disease registers  

UK PubMed Central (United Kingdom)

Objective To establish current practice in the use of Read codes for diabetes.Design Cross sectional study.Setting 17 practices in the Battersea...Full Text Available

2003-05-24

231

Usage Patterns of a Personal Health Record by Elderly and Disabled Users  

UK PubMed Central (United Kingdom)

Personal Health Records (PHRs) are increasingly recognized as a strategy to improve patient-provider communication, availability of health information, and quality of care, by making the delivery of...Full Text Available

2007-01-01

232

Update of acute kidney injury: intensive care nephrology  

UK PubMed Central (United Kingdom)

Albeit the considerable progress that has been made both in our understanding of the pathophysiology of acute renal failure (ARF) and in its treatment (continuous renal replacement therapies), the morbidity...Full Text Available

2011-01-01

233

Ultrasound-Guided Three-In-One Nerve Block for Femur Fractures  

UK PubMed Central (United Kingdom)

Femur fractures typically affect elderly patients with multiple co-morbidities. Pain control can be difficult, requiring intensive nursing and physician care as elderly patients may manifest cardiovascular...Full Text Available

2010-09-01

234

Trial of early nifedipine in acute myocardial infarction: the Trent study.  

UK PubMed Central (United Kingdom)

Over 30 months 9292 consecutive patients admitted to nine coronary care units with suspected myocardial infarction were considered for admission to a randomised double blind study comparing the effect...Full Text Available

1986-11-08

235

Trauma service cost: the real story.  

UK PubMed Central (United Kingdom)

OBJECTIVE: The objective was to define and characterize the costs associated with trauma care at a level I trauma center. Once the costs were identified, attending physician-led teams were designed...Full Text Available

1998-05-01

236

The Promise of Prevention: The Effects of Four Preventable Risk Factors on National Life Expectancy and Life Expectancy Disparities by Race and County in the United States  

UK PubMed Central (United Kingdom)

BackgroundThere has been substantial research on psychosocial and health care determinants of health disparities in the United States (US) but less on the role of modifiable risk...Full Text Available

2010-03-01

237

The Nigerian national blindness and visual impairment survey: Rationale, objectives and detailed methodology  

UK PubMed Central (United Kingdom)

BackgroundDespite having the largest population in Africa, Nigeria has no accurate population based data to plan and evaluate eye care services. A national survey was undertaken...Full Text Available

238

The New Quality Assurance Standard of the Joint Commission on Accreditation of Hospitals  

UK PubMed Central (United Kingdom)

The Joint Commission on Accreditation of Hospitals (JCAH) has continuously emphasized improvement in the quality of care provided in hospitals as the central purpose of the accreditation process. In...Full Text Available

1980-02-01

239

The Medical Home Concept and Congenital Adrenal Hyperplasia: A Comfortable Habitat!  

UK PubMed Central (United Kingdom)

Patient-centered interdisciplinary health care for children with chronic medical disorders represents an evolution from the traditional “stop and go” treatment for acute illnesses. This...Full Text Available

2010-01-01

240

The Distributed Processing Approach to Providing a Combined Staffing and Word Processing System for Nursing Service  

UK PubMed Central (United Kingdom)

This Mini-Computer-Assisted Nursing Management System allows nursing to control staffing costs and more effectively relate staffing to patient care requirements. Nursing resources are prospectively...Full Text Available

1981-11-04

241

Tendency to adhere to provider-recommended treatments and subsequent pain severity among individuals with cancer  

UK PubMed Central (United Kingdom)

BackgroundPatients’ general tendency to adhere to health care provider-recommended treatments is associated with a number of health outcomes, but whether it influences pain...Full Text Available

242

Temporal changes in key maternal and fetal factors affecting birth outcomes: A 32-year population-based study in an industrial city  

UK PubMed Central (United Kingdom)

BackgroundThe link between maternal factors and birth outcomes is well established. Substantial changes in society and medical care over time have influenced women's reproductive...Full Text Available

243

Technology architecture guidelines for a health care system.  

UK PubMed Central (United Kingdom)

Although the demand for use of information technology within the healthcare industry is intensifying, relatively little has been written about guidelines to optimize IT investments. A technology architecture...Full Text Available

2000-01-01

244

Symbolic Anatomic Knowledge Representation in the Read Codes Version 3  

UK PubMed Central (United Kingdom)

Abstract The Read Thesaurus (Version 3 of the Read Codes) is a controlled medical vocabulary produced during the Clinical Terms Projects with the involvement of over 2,000 health care...Full Text Available

1997-01-01

245

Survival of HIV-Infected Adolescents on Antiretroviral Therapy in Uganda: Findings from a Nationally Representative Cohort in Uganda  

UK PubMed Central (United Kingdom)

BackgroundAdolescents have been identified as a high-risk group for poor adherence to and defaulting from combination antiretroviral therapy (cART) care. However, data on outcomes...Full Text Available

246

Skin Cancer in Skin of Color  

UK PubMed Central (United Kingdom)

Skin cancers in skin of color often present atypically or with advanced stage in comparison to Caucasian patients. Health care providers must maintain a high index of suspicion when examining...Full Text Available

2009-01-01

247

Shedding New Light on Early Caries Detection  

UK PubMed Central (United Kingdom)

Dental caries continues to be a common chronic disease among various population groups. Patient care can be improved with detection at the earliest stage. However, current techniques do not...Full Text Available

2008-12-01

248

Severely disabling chronic pain in young adults: prevalence from a population-based postal survey in North Staffordshire  

UK PubMed Central (United Kingdom)

BackgroundSeverely disabling chronic pain in the adult population is strongly associated with a range of negative health consequences for individuals and high health care costs,...Full Text Available

249

Role-Reversal Exercise with Deaf Strong Hospital to Teach Communication Competency and Cultural Awareness  

UK PubMed Central (United Kingdom)

ObjectiveTo implement a role-reversal exercise to increase first-year pharmacy students' awareness of communication barriers in the health care setting, especially for deaf and hard-of-hearing...Full Text Available

2011-04-11

250

Retrosternal Percutaneous Tracheostomy: An Approach for Predictably Impossible Classic Tracheostomy  

UK PubMed Central (United Kingdom)

Percutaneous tracheostomy is a routine procedure in intensive care units. In cases of very low position of the larynx, cervical spine deformation, morbid obesity, or neck tumor, performance of the classic...Full Text Available

2010-01-01

251

Randomized controlled trial comparing four strategies for delivering e-curriculum to health care professionals [ISRCTN88148532  

UK PubMed Central (United Kingdom)

BackgroundInternet education is increasingly provided to health professionals, but little is known about the most effective strategies for delivering the content. The purpose of...Full Text Available

252

Randomised controlled trial of disclosure of emotionally important events in somatisation in primary care  

UK PubMed Central (United Kingdom)

ObjectiveTo test whether a disclosure intervention improves subjective health and reduces medical consumption and sick leave in somatising patients in general practice.DesignNon-blind...Full Text Available

2001-07-14

253

Quantitative and Qualitative Usage Data of an Internet-Based Asthma Monitoring Tool  

UK PubMed Central (United Kingdom)

Background In May 2000, AstraZeneca launched a Web service for asthma patients and health-care providers called LinkMedica, which includes an asthma diary for...Full Text Available

254

Prototype Web-based continuing medical education using FlashPix images.  

UK PubMed Central (United Kingdom)

Continuing Medical Education (CME) is a requirement among practicing physicians to promote continuous enhancement of clinical knowledge to reflect new developments in medical care. Previous research...Full Text Available

2000-01-01

255

Proof-of-concept Design and Development of an EN13606-based Electronic Health Care Record Service  

UK PubMed Central (United Kingdom)

ObjectiveThe authors present an Electronic Healthcare Record (EHR) server, designed and developed as a proof of concept of the revised prEN13606:2005 European standard concerning...Full Text Available

2007-01-01

256

Prevention of cardiovascular disease: Obesity, diabetes and the metabolic syndrome  

UK PubMed Central (United Kingdom)

The current obesity pandemic is expected to result in considerable downstream morbidity, mortality and incremental costs to health care systems around the world. The major metabolic complications of...Full Text Available

2010-08-01

257

Prevalence of contraindications to mefloquine use among USA military personnel deployed to Afghanistan  

UK PubMed Central (United Kingdom)

BackgroundMefloquine has historically been considered safe and well-tolerated for long-term malaria chemoprophylaxis, but its prescribing requires careful attention to rule out contraindications...Full Text Available

258

Prescribers' Responses to Alerts During Medication Ordering in the Long Term Care Setting  

UK PubMed Central (United Kingdom)

ObjectiveComputerized physician order entry with clinical decision support has been shown to improve medication safety in adult inpatients, but few data are available regarding its...Full Text Available

2006-07-01

259

Predicting outcome of rethoracotomy for suspected pericardial tamponade following cardio-thoracic surgery in the intensive care unit  

UK PubMed Central (United Kingdom)

ObjectivesPericardial tamponade after cardiac surgery is difficult to diagnose, thereby rendering timing of rethoracotomy hard. We aimed at identifying factors predicting the outcome...Full Text Available

260

Practice Leaders Programme: Entrusting and Enabling General Practitioners to Lead Change to Improve Patient Experience  

UK PubMed Central (United Kingdom)

This program focused on practice-level service change as a means of improving patient care and developing leadership skills of 19 general practitioners (GPs) and aimed to: promote and support change...Full Text Available

2011-01-01

261

Poor Work Environments and Nurse Inexperience Are Associated with Burnout, Job Dissatisfaction, and Quality Deficits in Japanese Hospitals  

UK PubMed Central (United Kingdom)

AimsTo describe nurse burnout, job dissatisfaction, and quality of care in Japanese hospitals, and to determine how these outcomes are associated with work environment...Full Text Available

2008-12-01

262

Personalized healthcare in clotting disorders  

UK PubMed Central (United Kingdom)

In terms of managing thrombotic disorders, genotype-based individualized patient care emerged as early as 1994 when the association of factor V Leiden (G1691A), and later, prothrombin (G20210A),...Full Text Available

2010-01-01

263

Pain characteristics of adults 65 years of age and older referred to a tertiary care pain clinic  

UK PubMed Central (United Kingdom)

BACKGROUND:Reports indicate that characteristics of older adults with chronic pain may be different than those of younger persons.OBJECTIVE:To study...Full Text Available

2008-09-01

264

Outbreak of Infection with a Multiresistant Klebsiella pneumoniae Strain Associated with Contaminated Roll Boards in Operating Rooms  

UK PubMed Central (United Kingdom)

An outbreak with a multiresistant Klebsiella pneumoniae (MRKP) strain among seven patients admitted to the adult intensive care unit (ICU) of a regional teaching hospital in The Netherlands...Full Text Available

2005-10-01

265

Oral cancer awareness amongst hospital nursing staff: a pilot study  

UK PubMed Central (United Kingdom)

BackgroundOral cancer is as prevalent as cervical and testicular cancer in the United Kingdom. Nursing staff provide the oral health care for the patient population in hospital....Full Text Available

266

Older hip fracture patients: three groups with different needs  

UK PubMed Central (United Kingdom)

BackgroundNorway, and particularly Oslo, has the highest reported incidence of hip fractures in the world. It is increasingly common to care for older hip fracture patients in orthogeriatric...Full Text Available

267

NAME=\\  

Wastenet

...Programme Manager Interests Multilevel Statistical Modelling Geography of Health and Health Care Geographical Data Analysis Census Data Analysis Health Services Research (in particular Research Design, Statistical Analysis and Epidemiology) people/mgould.html Homepage | Contacts | Site Map | Privacy Statement | Webmaster | ...

268

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Wastenet

...research and publications and some who are accredited by the British Association of Sport and Exercise Sciences (BASES), which enables them to work with high performance athletes . We care about your progress and welfare. As our recent QAA review noted \\

269

Misdiagnosed HIV infection in pregnant women: implications for clinical care.  

UK PubMed Central (United Kingdom)

Out of nearly 900 women in a research study of human immunodeficiency virus infection in pregnancy, 8 were subsequently found not to be infected. Misdiagnoses could have resulted from (a) laboratory...Full Text Available

1994-09-01

270

Minimally invasive surgery for rectal cancer: Are we there yet?  

UK PubMed Central (United Kingdom)

Laparoscopic colon surgery for select cancers is slowly evolving as the standard of care but minimally invasive approaches for rectal cancer have been viewed with significant skepticism. This procedure...Full Text Available

2011-02-21

271

Mesh repair of a coccygeal hernia via an abdominal approach.  

UK PubMed Central (United Kingdom)

We report on the presentation and management of a patient with herniation of the rectum following a coccygectomy. We used an abdominal approach and careful pelvic dissection to define the defect in...Full Text Available

2000-03-01

272

Making the Hospital Safer for Older Adult Patients: A Focus on the Indwelling Urinary Catheter  

UK PubMed Central (United Kingdom)

The needs of hospitalized geriatric patients differ from the needs of hospitalized younger adults. In an attempt to improve systems of care for the older adult, the Centers for Medicare and Medicaid...Full Text Available

2011-01-01

273

Litter Size Influences Maternal but not Paternal Care in Three Species of Voles, as Measured by Nest Attendance  

Science.gov (United States)

... the nest with young when the female left (male meadow voles were in the nest with young too infrequently ... prairie voles, whereas the number of checks that male meadow voles were in the nest increased s...

274

Lack of Osteoradionecrosis of the Mandible after IMRT for Head and Neck Cancer: Likely Contributions of both Dental Care and Improved Dose Distributions  

UK PubMed Central (United Kingdom)

PurposeTo assess the prevalence and the dosimetric and clinical predictors of mandibular osteoradionecrosis (ORN) in patients with head and neck (HN) cancer who underwent...Full Text Available

2007-06-01

275

Knowledge and Awareness about Cervical Cancer and Its Prevention amongst Interns and Nursing Staff in Tertiary Care Hospitals in Karachi, Pakistan  

UK PubMed Central (United Kingdom)

Background and ObjectiveCervical cancer is one of the leading causes of morbidity and mortality amongst the gynecological cancers worldwide, especially in developing countries. It...Full Text Available

276

Is the operative delivery rate in low-risk women dependent on the level of birth care? A randomised controlled trial  

UK PubMed Central (United Kingdom)

ObjectiveTo investigate possible differences in operative delivery rate among low-risk women, randomised to an alongside midwifery-led unit or to standard obstetric units within...Full Text Available

2011-10-01

277

Incidence and Determinants of Birth Defects and Enzyme Deficiencies among Live Births in Oman  

UK PubMed Central (United Kingdom)

ObjectivesIn 2003, the Omani Ministry of Health Child Health Care Program initiated a national Birth Defects (BD) Register. This paper reviews the magnitude and risk factors of birth...Full Text Available

2010-04-01

278

In the shadow of a new smoke free policy: A discourse analysis of health care providers' engagement in tobacco control in community mental health  

UK PubMed Central (United Kingdom)

BackgroundThe prevalence of tobacco use among individuals with mental illness remains a serious public health concern. Tobacco control has received little attention in community...Full Text Available

279

Implementing a Web-based clinical information system using EMR middle layer services.  

UK PubMed Central (United Kingdom)

The Clinical Summary is a Web-based application for accessing the clinical database at the Massachusetts General Hospital. The application has been developed to give physicians in our health care community...Full Text Available

1996-01-01

280

Implementation and use of a web-based interface for confidential communication of data between the clinical and research environments  

UK PubMed Central (United Kingdom)

Policies and regulations in the current health care environment have impacted the manner in which patient data - especially protected health information (PHI) - are handled in the clinical and...Full Text Available

2008-02-20

281

Impact of a Computerized Clinical Decision Support System on Reducing Inappropriate Antimicrobial Use: A Randomized Controlled Trial  

UK PubMed Central (United Kingdom)

ObjectiveMany hospitals utilize antimicrobial management teams (AMTs) to improve patient care. However, most function with minimal computer support. We evaluated the effectiveness...Full Text Available

2006-07-01

282

Impact of Electronic Health Record Clinical Decision Support on Diabetes Care: A Randomized Trial  

UK PubMed Central (United Kingdom)

PURPOSE We wanted to assess the impact of an electronic health record–based diabetes clinical decision support system on control of hemoglobin A1c (glycated hemoglobin),...Full Text Available

2011-01-01

283

Hemodynamics and Axial Strain Additively Increase Matrix Remodeling and MMP-9, But Not MMP-2, Expression in Arteries Engineered by Directed Remodeling  

UK PubMed Central (United Kingdom)

We previously demonstrated the ability to create engineered arteries by carefully controlling the mechanical environment of intact arteries perfused ex vivo, yielding engineered arteries...Full Text Available

2009-06-01

284

From Leningrad to the day-care center. The ubiquitous Giardia lamblia.  

UK PubMed Central (United Kingdom)

Giardiasis is recognized as a worldwide public health problem. Seroprevalence data from both the developing and developed world show high rates of carriage in populations at risk for fecal-oral transmission,...Full Text Available

1990-08-01

285

Four year experience of sarcoma of soft tissues and bones in a tertiary care hospital and review of literature  

UK PubMed Central (United Kingdom)

BackgroundSarcoma encompasses an uncommon group of cancer and the data is insufficient from Pakistan. We report our four years experience of Sarcoma of soft tissues and bones.MethodsThis...Full Text Available

286

Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science  

UK PubMed Central (United Kingdom)

BackgroundMany interventions found to be effective in health services research studies fail to translate into meaningful patient care outcomes across multiple contexts. Health services...Full Text Available

287

Extracting medical information from narrative patient records: the case of medication-related information  

UK PubMed Central (United Kingdom)

ObjectiveWhile essential for patient care, information related to medication is often written as free text in clinical records and, therefore, difficult to use in computerized systems....Full Text Available

2010-09-01

288

Effect of household and village characteristics on financial catastrophe and impoverishment due to health care spending in Western and Central Rural China: A multilevel analysis  

UK PubMed Central (United Kingdom)

ObjectiveThe study aimed to examine the effect of household and community characteristics on financial catastrophe and impoverishment due to health payment in Western and Central...Full Text Available

289

Donor deferral due to anemia: A tertiary care center-based study  

UK PubMed Central (United Kingdom)

Background:The minimum hemoglobin cutoff for blood donation in India is 12.5 gm% for both male and female donors and the minimum donation interval is 3 months. Donation...Full Text Available

2011-01-01

290

Digital Talking Books: Planning for the Future.  

Science.gov (United States)

Ever-changing audio technology requires that National Library Service NLS always be aware of developments and prepare carefully for any systematic changes that may be desired or required. Usefulness, cost effectiveness, thoughtful stewardship, and educate...

1998-01-01

291

Diabetes: An Investor's Perspective  

UK PubMed Central (United Kingdom)

Total health care expenditure in 2006 was $2.1 trillion. This figure is estimated to double within the next few years as the cost of treating diabetes and other chronic conditions continues to rise....Full Text Available

292

Development of an Integrated Medical Record System at a Large Hospital Using COSTAR as a Designing Tool  

UK PubMed Central (United Kingdom)

It is usually very complex to design an Integrated Information System in a hospital that includes both in-patient and out-patient medical care data. The difficulty appears because each department...Full Text Available

1982-11-02

293

Development and Validation of the Convalescence And Recovery Evaluation (CARE) for Measuring Quality of Life after Surgery  

UK PubMed Central (United Kingdom)

PurposeTo develop a generic instrument for measuring short-term health status in the recovery period among patients undergoing abdominal and pelvic surgery.Full Text Available

2008-08-01

294

Developing a Performance Measurement Framework and Indicators for Community Health Service Facilities in Urban China  

UK PubMed Central (United Kingdom)

BackgroundChina has had no effective and systematic information system to provide guidance for strengthening PHC (Primary Health Care) or account to citizens on progress. We report...Full Text Available

295

Determinants of antiviral treatment initiation in a hepatitis C-infected population benefiting from universal health care coverage  

UK PubMed Central (United Kingdom)

BACKGROUND AND AIMS:In view of increasing therapeutic efficacy, the delivery of hepatitis C virus (HCV) antiviral treatment is expected to increase. Yet practical experience reveals...Full Text Available

2007-06-01

296

Cost-Effectiveness of an Opportunistic Screening Programme and Brief Intervention for Excessive Alcohol Use in Primary Care  

UK PubMed Central (United Kingdom)

BackgroundEffective prevention of excessive alcohol use has the potential to reduce the public burden of disease considerably. We investigated the cost-effectiveness of Screening...Full Text Available

297

Content validity of manual spinal palpatory exams - A systematic review  

UK PubMed Central (United Kingdom)

BackgroundMany health care professionals use spinal palpatory exams as a primary and well-accepted part of the evaluation of spinal pathology. However, few studies have explored...Full Text Available

298

Colorectal Cancer Association of Canada consensus meeting: raising the standards of care for early-stage rectal cancer  

UK PubMed Central (United Kingdom)

The purpose of the meeting reported here was to develop a set of national evidence-based standards for assessing and managing patients with potentially resectable rectal cancer. This report represents...Full Text Available

2009-12-01

299

Close Companions at Church, Health, and Health Care Use in Late Life  

UK PubMed Central (United Kingdom)

ObjectivesTo see whether there are age variations in the relationships between having a close companion friend at church, health, and outpatient physician visits.Full Text Available

2010-06-01

300

Chapter 2, A Quick-look at your Pay - NASAPeople  

Science.gov (United States)

You receive an annuity if eligible -- requires 18 months service for FERS; and 60 ... You may use up to 104 hours of your accrued sick leave to care for sick family ...

301

Catalyzing Social Support for Breast Cancer Patients  

UK PubMed Central (United Kingdom)

Social support is a critical, yet underutilized resource when undergoing cancer care. Underutilization occurs in two conditions: (a) when patients fail to seek out information, material assistance,...Full Text Available

2010-01-01

302

CPR - infant - series (image)  

Science.gov (United States)

... yourself to call 911 until you have performed CPR for about 2 minutes. 3. Carefully place the ... more breaths. The chest should rise. 9. Continue CPR (30 chest compressions followed by 2 breaths, then ...

303

CPR - child 1 to 8 years old - series (image)  

Science.gov (United States)

... and retrieve an AED until you have performed CPR for about 2 minutes. 3. Carefully place the ... more breaths. The chest should rise. 9. Continue CPR (30 chest compressions followed by 2 breaths, then ...

304

CDC - Seasonal Influenza (Flu) - Q & A: 2007-08 Influenza (Flu...  

Science.gov (United States)

home when you are sick helps everyone you care about Questions & Answers Flu Vaccine: Q&A Vaccine Dosage & Administration Vaccine Supply for 2011-12 Season Vaccine Supply and...

2011-10-15

305

CDC - Seasonal Influenza (Flu) - Q & A: 2006-07 Influenza (Flu...  

Science.gov (United States)

home when you are sick helps everyone you care about Questions & Answers Flu Vaccine: Q&A Vaccine Dosage & Administration Vaccine Supply for 2011-12 Season Vaccine Supply and...

2011-10-15

306

CDC - Seasonal Influenza (Flu) - Q & A about the 2010-2011 Flu...  

Science.gov (United States)

home when you are sick helps everyone you care about Questions & Answers Flu Vaccine: Q&A Vaccine Dosage & Administration Vaccine Supply for 2011-12 Season Vaccine Supply and...

2011-10-15

307

CDC - Media Relations - MMWR - June 4, 2004  

Science.gov (United States)

Drownings in Recreational Water Settings - United States, 2001-2002 While immediate CPR can save someone's life, often medical care in the hospital cannot prevent serious...

2011-09-24

308

Bone Disease in HIV Infection: A Practical Review and Recommendations for HIV Care Providers  

UK PubMed Central (United Kingdom)

Low bone mineral density (BMD) is prevalent in human immunodeficiency virus (HIV)–infected subjects. Initiation of antiretroviral therapy is associated with a 2%–6% decrease...Full Text Available

2010-10-15

309

Biobank resources for future patient care: developments, principles and concepts  

UK PubMed Central (United Kingdom)

The aim of the overview is to give a perspective of global biobank development is given in a view of positioning biobanking as a key resource for healthcare to identify new potential markers that can...Full Text Available

310

Bilateral transtibial amputation with concomitant thoracolumbar vertebral collapse in a Sichuan earthquake survivor  

UK PubMed Central (United Kingdom)

The devastating earthquake in Sichuan, China on 12 May 2008 left thousands of survivors requiring medical care and intensive rehabilitation. In view of this great demand, the Chinese Speaking Orthopaedic...Full Text Available

311

Association between length of storage of red blood cell units and outcome of critically ill children: a prospective observational study  

UK PubMed Central (United Kingdom)

IntroductionTransfusion is a common treatment in pediatric intensive care units (PICUs). Studies in adults suggest that prolonged storage of red blood cell units is associated with...Full Text Available

2010-01-01

312

Assessment and management of patients with chronic cough by Certified Respiratory Educators: A randomized controlled trial  

UK PubMed Central (United Kingdom)

BACKGROUND:The value of other health care professionals is increasingly being recognized to compensate for the shortage of physicians in Canada. Chronic cough is one of the most...Full Text Available

2009-02-01

313

Assessing Patient Attitudes to Computerized Screening in Primary Care: Psychometric Properties of the Computerized Lifestyle Assessment Scale  

UK PubMed Central (United Kingdom)

BackgroundComputer-based health-risk assessments are electronic surveys which can be completed by patients privately, for example during their waiting time...Full Text Available

314

Applications of BMI or BSI: Differences and Revisions According to Age and Height  

UK PubMed Central (United Kingdom)

Validation of body-mass relationships requires a careful statistical analysis of data of normal weight individuals. BMI (ratio between body mass and square of body height) and BSI values (ratio between...Full Text Available

2010-01-01

315

Anisotropy of fission of /sup 242//sup m/Am by fast neutrons  

Energy Technology Data Exchange (ETDEWEB)

Careful measurements do not confirm an anomalous anisotropy in the angular distribution of fission fragments from the fast neutron fission of Americium 242. The energy range covered was 1.60-3.15 MeV. (AIP)

1985-10-01

316

An Integrated Approach to Computer-Based Decision Support at the Point of Care  

UK PubMed Central (United Kingdom)

Information needs that arise when clinicians use clinical information systems often go unresolved, forcing clinicians to defer decisions or make them with incomplete knowledge. My research characterizes...Full Text Available

2007-01-01

317

An Analysis of Heavy Utilizers of Opioids for Chronic Non-Cancer Pain in the TROUP Study  

UK PubMed Central (United Kingdom)

ContextWhile opioids are increasingly used for chronic non-cancer pain (CNCP), we know little about opioid dosing patterns among individuals with CNCP in usual care...Full Text Available

2010-08-01

318

Alton Ochsner's Card File: A Profile of Medical History  

UK PubMed Central (United Kingdom)

Alton Ochsner was a giant of American surgery. His career encompassed patient care, teaching, and research as symbolized on the original seal of the Ochsner Clinic. His ideas were innovative and groundbreaking...Full Text Available

2010-01-01

319

After-Hours Information Given by Telephone by Family Physicians in Ontario  

UK PubMed Central (United Kingdom)

This study describes instructions for after-hours care offered by family physicians' offices when patients telephone the practice. Randomly selected (n=1,680) Ontario family physicians and general practitioners...Full Text Available

2009-11-01

320

Acute kidney injury in the intensive care unit: current trends in incidence and outcome  

UK PubMed Central (United Kingdom)

Acute kidney injury (AKI) is a common clinical problem with significant clinical and economic consequences. A number of studies point to a rising incidence of AKI in the hospital and in the intensive...Full Text Available

2007-01-01

321

Abciximab: a reappraisal of its use in coronary care  

UK PubMed Central (United Kingdom)

Platelet reactivity plays a pivotal role in the pathogenesis of ischemic adverse events during and after acute coronary syndromes (ACS), and percutaneous coronary intervention (PCI). Glycoprotein (GP)...Full Text Available

2008-03-01

322

A survey of community members' perceptions of medical errors in Oman  

UK PubMed Central (United Kingdom)

BackgroundErrors have been the concern of providers and consumers of health care services. However, consumers' perception of medical errors in developing countries is rarely explored....Full Text Available

323

A randomised clinical trial of intrapartum fetal monitoring with computer analysis and alerts versus previously available monitoring  

UK PubMed Central (United Kingdom)

BackgroundIntrapartum fetal hypoxia remains an important cause of death and permanent handicap and in a significant proportion of cases there is evidence of suboptimal care related...Full Text Available

324

A predictive model of Health Related Quality of life of parents of chronically ill children: the importance of care-dependency of their child and their support system  

UK PubMed Central (United Kingdom)

BackgroundParents of chronically ill children are at risk for a lower Health Related Quality of Life (HRQoL). Insight in the dynamics of factors influencing parental HRQoL is necessary...Full Text Available

325

A cost-utility analysis of nursing intervention via telephone follow-up for injured road users  

UK PubMed Central (United Kingdom)

BackgroundTraffic injuries can cause physical, psychological, and economical impairment, and affected individuals may also experience shortcomings in their post-accident care and...Full Text Available

326

A Web-based Interface for Communication of Data between the Clinical and Research Environments without Revealing Identifying Information  

UK PubMed Central (United Kingdom)

Recent health care policies and regulations have impacted the manner in which patient data – especially protected health information (PHI) – are handled in both the clinical...Full Text Available

2007-06-01

327

45 CFR 146.145 - Special rules relating to group health plans.  

Science.gov (United States)

...2010-10-01 false Special rules relating to group health plans. 146.145 Section 146.145 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES REQUIREMENTS RELATING TO HEALTH CARE ACCESS REQUIREMENTS FOR THE GROUP HEALTH...

2010-10-01

328

45 CFR 146.121 - Prohibiting discrimination against participants and beneficiaries based on a health factor.  

Science.gov (United States)

...discrimination against participants and beneficiaries based on a health factor. 146.121 Section 146.121 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES REQUIREMENTS RELATING TO HEALTH CARE ACCESS REQUIREMENTS FOR THE GROUP HEALTH...

2010-10-01

329

Radiation processing in Hungary  

Energy Technology Data Exchange (ETDEWEB)

Hungary has 10.7 million population in 100,000 km/sup 2/ territory. The gross national product is about $3,000 per capita per year. Hungary is a country with highly developed agriculture and medium degree developed industries. The Hungarian economy is an open economy because more than 40% of the national income is earned by export. The research and development works on various radiation processing have been performed for 25 years. In the Central Research Institute for Physics of the Hungarian Academy of Sciences, a laboratory was organized for the basic research of radiation chemistry and the moderator materials for nuclear reactors. Also the activities in the Central Research Institute for Chemistry, the Institute of Isotopes, the Research Institute for Plastics Industry, and the Central Research Institute for Food Industry are briefly reported. The largest radiation processing ...

1982-01-01

330

RMIT - Professor named Chair at Epworth Hospital  

Wastenet

...named Chair at Epworth Hospital Professor Nilmini Wickramasinghe has been named Chair, Health Information Management , at Epworth HealthCare. Related links School of Business ...the College of Business at RMIT University has been named Epworth Chair, Health Information Management , by Epworth HealthCare. Professor Wickramasinghe has more than ... Professor Wickramasinghersquo;s appointment as Epworth Chair, Health Information Management , will help to further strengthen this clinical academic alliance, with RMIT now ...

331

Organisation of care for Swedish patients with an implantable cardioverter defibrillator, a national survey  

British Library Electronic Table of Contents (United Kingdom)

Aim.- To describe the clinical aspects of implantable cardioverter defibrillators care in Sweden with focus on organisation, the role and education of nurses, patient information and education and areas in need of improvement. Background.- Implantable cardioverter defibrillators implantations have developed rapidly in recent years and are now an established arrhythmia treatment. The expanding indication for implantable cardioverter defibrillators implantation demands new competencies and resources in the implantable cardioverter defibrillators team members. Methods.- Participants were recruited among physicians and nurses in all of the hospitals implanting implantable cardioverter defibrillators (n-=-16). Data were collected by a questionnaire. Additionally, all written educational materia...

2011-01-01

332

New aspects for the evaluation of radioactive waste disposal methods  

International Nuclear Information System (INIS)

For the performance assessment of radioactive and hazardous waste disposal sites, risk assessments are usually performed for the long term, i.e., over an interval in space and time for which one can predict movement and behavior of toxic agents in the environment. This approach is based on at least three implicit assumptions: One, that the engineering layout will take care of the immediate endangerment of potential receptors; two, that one has carefully evaluated just how far out in space and time the models can be extrapolated, and three, that one can evaluate potential health effects for very low exposures. A few of these aspects will be discussed here in the framework of the scientific method.

1996-08-18

333

The research agenda in ICU telemedicine: a statement from the Critical Care Societies Collaborative.  

Science.gov (United States)

ICU telemedicine uses audiovisual conferencing technology to provide critical care from a remote location. Research is needed to best define the optimal use of ICU telemedicine, but efforts are hindered by methodological challenges and the lack of an organized delivery approach. We convened an interdisciplinary working group to develop a research agenda in ICU telemedicine, addressing both methodological and knowledge gaps in the field. To best inform clinical decision-making and health policy, future research should be organized around a conceptual framework that enables consistent descriptions of both the study setting and the telemedicine intervention. The framework should include standardized methods for assessing the preimplementation ICU environment and describing the telemedicine program. This framework will facilitate comparisons across studies and improve generalizability by permitting context-specific interpretation. Research based on this framework ...

2011-07-01

334

Coordination of health behavior counseling in primary care.  

Science.gov (United States)

PURPOSE We wanted to examine how coordinated care is implemented in primary care practices to address patients' health behavior change needs. METHODS Site visit notes, documents, interviews, and online implementation diaries were collected from July 2005 to September 2007 from practice-based research networks (PBRNs) participating in Prescription for Health: Promoting Healthy Behaviors in Primary Care Research Networks (P4H). An iterative group process was used to conduct a cross-case comparative analysis of 9 interventions. Published patient outcomes reports from P4H interventions were referenced to provide information on intervention effectiveness. RESULTS In-practice health risk assessment (HRA) and brief counseling, coupled with referral and outreach to a valued and known counseling resource, emerged as the best way to consistently coordinate and encourage follow-through for health behavior counseling. Findings from ...

335

y? ,*' - NASA Technical Report Server (NTRS)  

Science.gov (United States)

W. Wayne Scott, Chattanooga State Technical Institute, 4501 Amnico Highway,. Chattanooga, Tennessee 37401. Robert L. Seale, University of Arizona, Tucson, ...

336

What is a medical experiment?  

UK PubMed Central (United Kingdom)

Innovative therapy may appear to coincide with medical experimentation, raising ethical and legal issues, for instance on informed consent and institutional review. Medical treatments may be classified,...Full Text Available

1975-10-04

337

Washington: a guide to geothermal energy development  

Energy Technology Data Exchange (ETDEWEB)

Washington's geothermal potential is discussed. The following topics are covered: exploration, drilling, utilization, legal and institutional setting, and economic factors of direct use projects. (MHR)

1980-06-01

340

The engineering institute of Los Alamos National Laboratory  

Energy Technology Data Exchange (ETDEWEB)

Los Alamos National Laboratory (LANL) and the University of California, San Diego (UCSD) have taken the unprecedented step of creating a collaborative, multi-disciplinary graduate education program and associated research agenda called the Engineering Institute. The mission of the Engineering Institute is to develop a comprehensive approach for conducting LANL mission-driven, multidisciplinary engineering research and to improve recruiting, revitalization, and retention of the current and future staff necessary to support the LANL' s national security responsibilities. The components of the Engineering Institute are (1) a joint LANL/UCSD degree program, (2) joint LANL/UCSD research projects, (3) the Los Alamos Dynamic Summer School, (4) an annual workshop, and (5) industry short courses. This program is a possible model for future industry/government interactions with university partners.

2008-01-01

341

The International Reference Preparation of Erythropoietin*  

UK PubMed Central (United Kingdom)

The WHO Expert Committee on Biological Standardization authorized the National Institute for Medical Research to establish an International Reference Preparation of Erythropoietin on the basis of the...Full Text Available

1966-01-01

342

Teaching Secure Programming  

Energy Technology Data Exchange (ETDEWEB)

This article discusses issues in teaching secure coding in the context of both academic institutions and training organizations. The emphasis is on the importance of assurance. There is also some discussion of the role of checklists.

2005-09-01

343

Suzanne Baldwin ? Profile ? Directory ? NASA Astrobiology  

Science.gov (United States)

The unified web presence for the NASA Astrobiology Program which includes the NASA Astrobiology Institute (NAI), Astrobiology Science and Technology for ...

345

Sinonasal malignancies: a 10-year review in a tertiary health institution.  

UK PubMed Central (United Kingdom)

Sinonasal malignancy is a cause of otorhinolaryngologic morbidity and mortality in West Africa. However, there is a dearth of information in the literature on its clinicopathologic presentation in West...Full Text Available

2007-12-01

346

Recent Reviews in Carcinogenesis 1981.  

Science.gov (United States)

Recent Reviews in Carcinogenesis is a service of the International Cancer Research Data Bank (ICRDB) Program of the National Cancer Institute, intended to facilitate and promote the exchange of information between cancer scientists. It contains abstracts ...

1982-01-01

347

Plasma creation and heating in the 'Uragan 2M' torsatron installation  

International Nuclear Information System (INIS)

2006 p. 59 Ukraine Shvets, OM Volkov, ED Lozin, AV Institute of Plasma Physics,

2006-09-11

348

Plan for addressing issues relating to oil shale plant siting  

Energy Technology Data Exchange (ETDEWEB)

The Western Research Institute plan for addressing oil shale plant siting methodology calls for identifying the available resources such as oil shale, water, topography and transportation, and human resources. Restrictions on development are addressed: land ownership, land use, water rights, environment, socioeconomics, culture, health and safety, and other institutional restrictions. Descriptions of the technologies for development of oil shale resources are included. The impacts of oil shale development on the environment, socioeconomic structure, water availability, and other conditions are discussed. Finally, the Western Research Institute plan proposes to integrate these topics to develop a flow chart for oil shale plant siting. Western Research Institute has (1) identified relative topics for shale oil plant siting, (2) surveyed both published and unpublished information, and (3) identified data ...

1987-09-01

349

Pattern of Acute Intestinal Obstruction: Is There a Change in the Underlying Etiology?  

UK PubMed Central (United Kingdom)

Background/Aim:To study the changing pattern of acute intestinal obstruction at a teaching institute.Patients and Methods:It is...Full Text Available

2010-10-01

351

OAK RIDGE NATIONAL LABORATORY UNION CARBIDE CORPORATION NUCLEAR ...  

Science.gov (United States)

W. Wayne Scott, Chattanooga State Technical Institute, 4501 Amnico Highway,. Chattanooga, Tennessee 3401. Robert L. Seale, University of Arizona, Tuscon, ...

352

Nineteen Cases of Plague in Arizona  

UK PubMed Central (United Kingdom)

We review the cases of 19 successfully treated plague patients, with emphasis on the clinical and epidemiologic features of the disease. Proper staining and culturing of bubo aspirates; prompt institution...Full Text Available

1985-05-01

353

National Advisory Committee for Aeronautics 1950 - NASA Technical ...  

Science.gov (United States)

By Charles E. Watkins. 2065. A Transformation Theory of the Partial ..... Mr. Grover Loening. Prof. John R. Markham, Massachusetts Institute of Technology. ...

354

NASA partners with teacher institute NASA strives to improve computers  

Science.gov (United States)

of the digital hearing aid technology that led to the cochlear implant. Former. Marshall Space Flight Center engineers. John Richardson and Joseph Howard ...

356

Korea Joins International Computing Infrastructure  

Science.gov (United States)

... Society Physics Press Release 05-175Korea Joins International Computing Infrastructure ... connectivity with Korea in a ceremony last month. Facilitated by the Korea Institute for Science and ...

357

Korea IPY International Trans-Antarctic Scientific Expedition and ...  

Science.gov (United States)

Korea Polar Research Institute (KOPRI) has just ... initiated a program for glaciological activities. This is aimed at establishing infra structure and ...

358

Infrastructure support for a waste management institute. Final project report, September 12, 1994--September 11, 1997  

Energy Technology Data Exchange (ETDEWEB)

North Carolina A and T State University has completed the development of an infrastructure for the interdisciplinary Waste Management Institute (WMI). The Interdisciplinary Waste Management Institute (WMI) was approved in June, 1994 by the General Administration of the University of North Carolina as an academic support unit with research and public service functions. The mission of the WMI is to enhance awareness and understanding of waste management issues and to provide instructional support including research and outreach. The goals of WMI are as follows: increase the number of minority professionals who will work in waste management fields; develop cooperative and exchange programs involving faculty, students, government, and industry; serve as institutional sponsor of public awareness workshops and lecture series; and support interdisciplinary research programs. The vision of the WMI is to provide continued ...

1997-11-01

360

Geo-Political Considerations to China's Rise in Space Power  

Science.gov (United States)

... to de-scope the weapon system. ... AIAA American Institute of Aeronautics and Astronomy ... Nations BASIC Broad Area Space-Based Imagery Collector ...

2009-04-01

362

Effect of Smoking Scenes in Films on Immediate Smoking  

UK PubMed Central (United Kingdom)

BackgroundThe National Cancer Institute has concluded that exposure to smoking in movies causes adolescent smoking and there are similar results for young adults.Full Text Available

2010-04-01

363

Course and Curriculum Development Program, Evaluation Report  

Science.gov (United States)

... grants to adopt or adapt courses and materials developed by CCD projects at other institutions, and ... to adopt or adapt CCD-developed courses and materials. -iv- Accomplishments The CCD program has ...

364

Berkeley Lab News Center: Today at Berkeley Lab  

Science.gov (United States)

who was appointed in July to lead the Defense Advanced Research Projects Agency, or DARPA, made visits last week to UC Berkeley, Stanford, UCLA and the California Institute of...

2011-08-27

365

Ada Compiler Validation Summary Report: Certificate Number ...  

Science.gov (United States)

... Standards Validation Group National Computer Systems Laboratory National Institute of Standards and Technology ... STANDARD. ... (See test Ci )i3A. ...

1989-08-18

366

APOD: 2005 November 25 - Moon Over Antarctica  

Science.gov (United States)

on the picture will download the highest resolution version available. Moon Over Antarctica Credit & Copyright: James Behrens (IGPP, Scripps Institution of Oceanography)...

2011-10-14

367

A Composite Architecture for Network Security at JPL Robert B ...  

Science.gov (United States)

A Composite Architecture for Network Security at JPL. Robert B. Mead, Tom G. Dearmond, and Joseph S. Sherif. JPL, California Institute of Technology ...

368

5 - NASA Technical Reports Server  

Science.gov (United States)

Mar 1, 2011 ... NASA Technical Reports Server (NTRS) ... output (Southwest Research Institute's Mars Regional Atmospheric .... the University of Central Florida, the University of Michigan, and the University of Alabama in Huntsville. ...

369

--No Title--  

Science.gov (United States)

National Institutes of Health Mucosal Immunology and Microbiome Interest Group Search Go Search Skip Navigation Links SIGS > Mucosal Immunology and Microbiome Interest Group Skip...

2011-10-08

370

Tehachapi solar thermal system first annual report  

Energy Technology Data Exchange (ETDEWEB)

The staff of the Southwest Technology Development Institute (SWTDI), in conjunction with the staff of Industrial Solar Technology (IST), have analyzed the performance, operation, and maintenance of a large solar process heat system in use at the 5,000 inmate California Correctional Institution (CCI) in Tehachapi, CA. This report summarizes the key design features of the solar plant, its construction and maintenance histories through the end of 1991, and the performance data collected at the plant by a dedicated on-site data acquisition system (DAS).

1993-05-01

371

Paul Scherrer Institut Annual Report 1998: General Volume  

Energy Technology Data Exchange (ETDEWEB)

This annual report presents an overview of the work performed by the PSI research departments including information on new developments connected with the various accelerators and on the status of the Swiss Light Source project (SLS). Details on the organizational and financial structure of the Institute are also provided This annual report is also available in German under the title `PSI Jahresbericht 1998; Allgemeiner Teil`.figs.

1999-09-01

372

Long-term chemical carcinogenesis experiments for identifying potential human cancer hazards: collective database of the National Cancer Institute and National Toxicology Program (1976-1991).  

UK PubMed Central (United Kingdom)

The carcinogenicity database used for this paper originated in the late 1960s by the National Cancer Institute (NCI) and since 1978 has been continued and made more comprehensive by the National Toxicology...Full Text Available

1991-12-01

373

Infrastructure support for the Waste Management Institute at North Carolina A ampersand T State University. Progress report, September 1994--January 1995  

International Nuclear Information System (INIS)

The mission of the Waste Management Institute is two-fold: (1) to enhance awareness and understanding of waste problems and their management in our society and, (2) to provide leadership in research, instruction and outreach to improve the quality of life on a global scale and protect the environment.

1993-10-11

374

Forum: Science and Innovation for Sustainable Development - Problems and Solutions  

Wastenet

...ENSO Applications Center (PEAC) Institutional Affiliation: PEAC's core members are The National Oceanic and Atmospheric Administration - Office of Global Programs (NOAA/OGP) The NOAA National Weather Service - Pacific Region (NWS-PR), The University of Hawaii - School of Ocean and Earth Science and Technology UH/SOEST, The University of Guam - Water and Energy Research Institute (UOG/WERI), and a regional association of the USAPI Governments, the Pacific Basin ...

375

Fifty successful years of the Institute of Plasma Physics, Academy of Sciences of the Czech Republic  

International Nuclear Information System (INIS)

The history of the Czech Institute of Plasma Physics is highlighted. The article is structured as follows: Cyclic accelerators; Interaction of an external high-frequency field and high-temperature plasma - the tokamak; Interaction of an external high-frequency field and high-temperature plasma - pulse plasma systems; Low-temperature plasma - plasma technologies and new materials; Laser plasma - PALS; Optical diagnosis; and Teaching, conferences and international cooperation. (P.A.)

376

Business perspective for information technology  

Energy Technology Data Exchange (ETDEWEB)

Increasingly, utility organizations recognize the value of sharing data and applications among their computing environments. A typical utility`s computing environment may consist of disparate computer platforms. The focus of this paper is to highlight importance of a documented information technology architecture for identifying business perspectives for interoperability, and to brief utility management about the Electric Power Research Institute`s (EPRI) accomplishment along these same lines.

1995-10-01

377

Addressing transportation energy and environmental impacts: technical and policy research directions  

Energy Technology Data Exchange (ETDEWEB)

The Lawrence Livermore National Laboratory (LLNL) is establishing a local chapter of the University of California Energy Institute (UCEI). In order to most effectively contribute to the Institute, LLNL sponsored a workshop on energy and environmental issues in transportation. This workshop took place in Livermore on August 10 and brought together researchers from throughout the UC systems in order to establish a joint LLNL-UC research program in transportation, with a focus on energy and environmental impacts.

1995-08-01

378

Some observations on the flow of financial resources to developing countries  

Energy Technology Data Exchange (ETDEWEB)

This paper highlights some of the conceptual and methodological problems involved in the compilation of statistics on economic aid to developing countries. Figures from the OECD Development Assistance Committee (DAC) and the Organization of Petroleum Exporting Countries (OPEC) member states are compared to point up problems in the interpretation of the statistics. One area of concern is the listing of funds provided by financial institutions located in the DAC countries. OPEC capital often forms a majority of such institutions; yet the figures do not measure the OPEC share of the capital nor its share of the risk borne in its provision of the loans. Another area of concern is bond purchases and subscriptions to syndicated loans by OPEC financial institutions in the financial markets of DAC countries. The flows in these instances, originating from OPEC sources, are merely channeled through the DAC financial markets. Based on ...

1980-03-01

379

Treatment of malignant gastroduodenal obstruction with using a newly designed complex expandable nitinol stent: initial experiences  

Energy Technology Data Exchange (ETDEWEB)

We wanted to evaluate the usefulness of a new type of a complex expandable nitinol stent that was designed to reduce the stent's propensity to migration during the treatment of malignant gastroduodenal obstructions. Two types of expandable nitinol stent were constructed by weaving a single thread of 0.2mm nitinol wire in a tubular configuration: an uncovered stent 18mm in diameter and a covered stent 16mm in diameter. Both ends of the covered stent were fabricated by coaxially inserting the covered stent into the tubular uncovered stent and then attaching the two stents together with using nylon monofilament. Under fluoroscopic guidance, the stent was placed in 29 consecutive patients (20 men and 9 women, mean age: 65 years) who were suffering with malignant gastric outlet obstruction (n=20), duodenal obstruction (n=6) or combined obstruction (n=3). Clinical improvement was assessed by comparing the food intake capacity before and after the procedure. The complications were ...

2005-12-15

380

Total skin electron beam therapy for cutaneous lymphomas and leukemias  

International Nuclear Information System (INIS)

Total skin electron beam therapy (TSEB) was used in the treatment of 33 patients with lymphoma and 13 patients with leukemia involving extensive segments of the skin surface. Twenty-two of 23 had lesions as a primary manifestation of lymphoma (primary cutaneous lymphoma-PCL) and 11 developed cutaneous lesions following disseminated nodal lymphoma (secondary cutaneous lymphoma-SCL). A once weekly fractionation scheme was employed to irradiate the entire skin surface with 3.5 to 4 MeV electron beam from a 6 MeV linear accelerator. During each weekly session, 400 rad were delivered to the entire skin and a complete course consisted of 4-6 consecutive weekly sessions. The majority of patients have been previously treated elsewhere for various periods and all patients have been at risk for a median of 12 months, range from 12-117 months following TSEB. Striking predominance of the diffuse pattern (76%) was demonstrated in both the PCL and SCL. There was extracutaneous involvement in 63% ...

381

Stent insertion in patients with malignant biliary obstruction: problems of the Hanaro stent  

Energy Technology Data Exchange (ETDEWEB)

To investigate the problems of the Hanaro stent (Solco Intermed, Seoul, Korea) when used in the palliative treatment of patients with inoperable malignant biliary obstruction. Between January 2000 and May 2001, the treatment of 46 patients with malignant biliary obstruction involved percutaneous placement of the Hanaro stent. Five patients encountered problems during removal of the stent's introduction system. The causes of obstruction were pancreatic carcinoma (n=2), cholangiocarcinoma (n=2), and gastric carcinoma with biliary invasion (n=1). In one patient, percutaneous transhepatic cholangiography and stent insertion were performed as a one-step procedure, while the others underwent conventional percutaneous transhepatic biliary drainage for at least two days prior to stent insertion. A self-expandable Hanaro stent, 8-10 mm in deameter and 50-100 mm in lengh, and made from a strand of nitinol wire, was used in all cases. Among the five patients who ...

2002-07-01

382

The prevalence, management and outcome for acute wounds identified in a wound care survey within one English health care district  

British Library Electronic Table of Contents (United Kingdom)

This paper reports the characteristics and local management of 826 acute wounds identified during an audit across all health care providers serving the population of Bradford, UK. Of the wounds encountered 303 were traumatic wounds and 237 primary closures with smaller numbers of other acute wound types. Of the 303 traumatic wounds 174 occurred in women (57.4%). Men predominated in the under 45s (65M:26F), this being largely accounted for by hand and finger trauma (n=62) particularly in patients of working age (M32:F12). Women predominated in the over 65s (50M:130F), this being largely accounted for by lower limb traumatic wounds (M24:F91), the majority of these being in patients 65 and over (M14:F82). In this sub-group of 96 patients 25 had wounds of 6 weeks or longer duration, only 3 had...

2009-01-01

383

The Effects of Capitation on Outpatient Mental Health Episodes of Children  

Science.gov (United States)

We analyzed the effects of the Colorado Medicaid Capitation Program on the duration and services of over 21,000 outpatient mental health episodes for young children. The study spanned a three year period before and after capitation was implemented, and compared episodes of outpatient care for children from 14 capitated Community Mental Health Centers (CMHCs) with those from three CMHCs that remained fee-for-service. Proportional hazards regressions revealed that capitation resulted in an increase in outpatient episode duration, over and above similar effects for the comparison fee-for-service episodes. The hypothesis that there were longer capitated episodes for children who were hospitalized was not supported. Children with behavioral and anxiety disorders had longer capitated episodes. Service intensity decreased over time in the managed care sites. Changes in case mix may have had an impact on changes in episode duration and service ...

2006-02-01

384

Thai Family Health Routines: scale development and psychometric testing.  

Science.gov (United States)

The aims of the study were to develop and test the psychometric properties of the Thai Family Health Routines (TFHR) scale, a 70-item self-report questionnaire used to measure the health of Thai families through their routine behaviors in daily life. Development of the TFHR was based on the structural domains of Denham's Family Health Model. The TFHR scale was initially composed of 85 items and tested on 1,040 families living in the central region of Thailand. The confirmatory factor analysis, with an acceptable factor structure model, yielded 70 items aligned with six factors: self-care, safety and prevention, mental health behavior, family care, family caregiving, and illness care routines. The preliminary psychometric properties demonstrated that the TFHR scale had satisfactory internal consistency, criterion validity, and construct validity. The test results suggested that the TFHR scale has potential benefits for ...

2009-05-01

385

Improving safety and quality: how can education help?  

Science.gov (United States)

National efforts to improve the quality and safety of health care present challenges for medical education and training. Today's doctors need to be skilled communicators who know how to identify, prevent and manage adverse events and near misses, how to use evidence and information, how to work safely in a team, how to practise ethically, and how to be workplace teachers and learners. These competencies (knowledge, skills and attitudes) are set out in the National Patient Safety Education Framework (NPSF) of the Australian Council for Safety and Quality in Health Care. The NPSF is designed to help medical schools, vocational colleges, health organisations and private practitioners develop curricula to enable health professionals to work safely. The NPSF describes what doctors (depending on their level of knowledge and experience) can do to demonstrate competencies in a range of quality and safety activities. Medical schools, vocational ...

2006-05-15

386

An enhanced primary health care role following psychological trauma: the Christchurch earthquakes.  

Science.gov (United States)

Following the February 2011 earthquake in Christchurch, New Zealand (NZ), the authors participated in counselling local residents, and debriefing and supervising support teams. Indications were that risk for mental health disorders, including Post-Traumatic Stress Disorder (PTSD), may be elevated in residents, and that this risk may continue for some time. Patients may be de-prioritising their mental health issues when these become normalised throughout the city's population. The authors recommend that primary care patients are assessed using a brief, comprehensive tool (for example, the Case-finding and Help Assessment Tool) that targets many health and behavioural issues identified as increasing in the city following the earthquake. Anxiety and mood disorder symptoms may indicate assessment is appropriate to reduce harm arising from increased risk for PTSD. Concern also is raised for primary health care providers who may have experienced the ...

2011-09-01

387

Use of a point-of-care beta-hydroxybutyrate sensor for detection of ketonemia in dogs.  

Science.gov (United States)

The urine test strip is the most common test used to detect ketones in veterinary patients, but it can underestimate the degree of ketonuria and hence, ketonemia. Additionally, adequate urine samples for analysis may be difficult to obtain from dehydrated animals. The standard method used to detect and monitor ketonemia in human medicine is measurement of serum or whole blood beta-hydroxybutyrate (?HOB). A point-of-care (POC) analyzer has been validated for this purpose in humans. This study compared the accuracy of the POC device to an enzymatic reaction laboratory method for measurement of ?HOB in dogs. Although the POC sensor tended to overestimate ?HOB concentrations, there was good correlation (R(2) = 0.96) and good agreement between the 2 methods with a bias +/- precision of 0.0860 +/- 0.3410 mmol/L ?HOB. The POC ?HOB sensor can be useful for assessing ketonemia in dogs. PMID:21119867

2010-09-01

388

Upsetting categories? The consequences of pharmacogenomics for making knowledge-based reimbursement decisions in Sweden  

British Library Electronic Table of Contents (United Kingdom)

This paper contributes to an understanding of pharmacogenomics-in-the-making by foregrounding a regulatory setting in which these technologies must be situated: decision-making about pharmaceutical reimbursement. Health care assessment organizations have been introduced in many countries to systematically address the issue of health care coverage. Using the example of Sweden, the process of deciding reimbursement status is shown to hinge on the creation of stable and clinically feasible categories of patients, diseases and drug responses. Through a series of analogous examples concerning conventional pharmaceuticals, it is argued that current mechanisms for categorizing reimbursable drugs could be upset when pharmacogenomic advances provide a means of making patients more specific objects ...

2010-01-01

389

Simulation-based training improves applied clinical placement of ultrasound-guided PICCs  

British Library Electronic Table of Contents (United Kingdom)

Purpose Skilled placement of peripherally inserted central catheters (PICC) has a profound impact on patient well-being and costs of care. The use of ultrasound-guided methods and prescribed training for cannulation skills are evidence-based practice recommendations. The purpose of this study was to compare two methods of PICC instruction on the acquisition of applied skills. Methods Residents were randomly assigned to one of two groups (N?=?16/16) of this blind-rater study and were trained to perform ultrasound-guided PICC cannulation using either simulation or apprenticeship methods. All residents were assessed placing a PICC in applied clinical patient care. Results Residents who completed simulation training had significantly better transfer of skills to applied clinical practice than ...

2011-01-01

390

PREVENTION OF INFECTION IN PATIENTS WITH CHRONIC KIDNEY DISEASE PART III: SURVEILLANCE AND AUDITING IN A RENAL CARE ENVIRONMENT  

British Library Electronic Table of Contents (United Kingdom)

Summary This third paper, in a three-part CE series on the preventions of infection in patients with chronic kidney disease, focuses on surveillance and auditing of healthcare-associated infections within the renal care environment. The last decade has seen an increased awareness of the threat to patient safety from healthcare-associated infection (HCAI) and the emergence of multi-drug resistance organisms. Effective HCAI prevention strategies include adequate governance structures, access to expert advice, adherence to standard and transmission-based precautions, minimising the use of invasive medical devices, and surveillance. Surveillance data can be collected using outcome (e.g. infection) and/or process (e.g. hand hygiene compliance audit) measures. Establishing a surveillance program...

2011-01-01

391

Outcome of peripherally inserted central venous catheters in surgical and medical neonates  

British Library Electronic Table of Contents (United Kingdom)

Background/Purpose: Peripherally inserted central venous catheters (PICCs) are commonly used for neonatal vascular access. The aim of this study was to look at PICC line complication rates and possible predictors of PICC infection in a neonatal intensive care unit. Method: This was a prospective study of 226 neonates who had PICCs on our neonatal intensive care unit between January 2006 and June 2009. Complete data was available on 218 neonates who had 294 PICC lines. Criteria for catheter-related sepsis was positive blood cultures (peripheral/central) and/or a positive catheter tip culture after removal in the presence of a clinical suspicion of line sepsis. Results: Of 218 neonates, 132 (169 lines) were medical, and 86 (125 lines) were surgical. Our PICC line infection rate was 17 infect...

2011-01-01

392

Facial reconstruction in the developing world: a complicated matter  

British Library Electronic Table of Contents (United Kingdom)

Around the world there is a small industry of non-governmental organisations that provide health care in niche areas that cannot be met by national health care provision. One topic is facial deformity that can have a dramatic effect on quality of life. In this study we investigate the morbidity and outcome of a British surgical team working for a 2-week period in Ethiopia. Thirty-five patients who presented with facial deformities had 47 operations during a 2-week period. Data were recorded for a minimum of 3 weeks postoperatively. Operative techniques were classified as simple or complex. Postoperative complications were assessed and classified as major, intermediate, and minor. In addition, the character of each complication was recorded and the cause elucidated. After 3 weeks the clinic...

2011-01-01

393

FIN 48: headaches for hedge fund tax compliance function  

British Library Electronic Table of Contents (United Kingdom)

Purpose - The purpose of this paper is to explain some tax management complications for onshore and offshore hedge funds posed by US FIN 48, Uncertain Tax Positions, and to emphasize the hedge fund manager's responsibility for careful tax planning and compliance. Design/methodology/approach - The paper discusses a hedge fund's objective to deliver tax-efficient results to investors, explains the background of FIN 48, and illustrates five types of situations in which conservative auditors following FIN 48 may raise "red flags." Findings - With the advent of FIN 48's standards careful tax planning and compliance are more important than ever for a hedge fund. Significant complications may arise from unwise, tardy, or missed tax elections; filing an IRS Form 8275, Disclosure Statement, stating...

2008-01-01

394

Comparative activity of tigecycline and tetracycline on Gram-negative and Gram-positive bacteria revealed by a multicentre study in four North European countries  

British Library Electronic Table of Contents (United Kingdom)

Abstract Background: This study involves a multicentre surveillance of tigecycline and tetracycline activity against Gram-negative and Gram-positive bacteria from primary care centres (PCCs), general hospital wards (GHWs) and intensive care units (ICUs) in Denmark (n == 9), Finland (n == 10), Norway (n == 7) and Sweden (n == 19). Methods: The hospitals were each asked to test 30 consecutive Gram-positive and 30 Gram-negative clinical isolates. Supportive information accompanying each isolate included the study centre, ward level (PCC, GHW, or ICU), patient identification and source of the isolate. Minimum inhibitory concentrations (MICs) for tetracycline and tigecycline were determined with the Etest. Results: The isolates collected comprised 1610 Gram-negative and 1767 Gram-positive clini...

2011-01-01

395

The subprime asset-backed securities market and the equity prices of large complex financial institutions  

British Library Electronic Table of Contents (United Kingdom)

In this paper, we investigate the relationship between the subprime asset-backed collateralized debt obligations (CDO) market and Large Complex Financial Institutions (LCFIs). We attempt to account for the dynamics between the ABX index returns and the banks' equity returns through conditioning our analysis on the historical correlation between the variables. Three key results emerge from the analysis. First, we find a positive correlation between movements of the ABX index and the equity returns for all the LCFIs. Second, the volatility of ABX index returns tend to be transmitted to the volatilities of the equity returns of the financial institutions. Third, ABX prices changes lead equity returns changes of the European-based LCFIs. For the US LCFIs a two-way linkage emerges.

2011-01-01

396

Radiation technology, radiation technics and technological dosimetry in the Institute of Isotopes of the Hungarian Academy of Sciences. 1966-1981  

Energy Technology Data Exchange (ETDEWEB)

Pilot-plant irradiation began in Hungary in 1969 with the construction of a high-activity multi-purpose /sup 60/Co facility. Technologies for radiation sterilization, food handling, plastics irradiation as well as chemical dosimetry, semiconductor instrumental dosimetry, computer-based construction and control methods have been developed. Our chlorobenzene dose-meter system is used in Hungary and abroad; as a result of an IAEA-organized dosimetric intercomparison the system was adopted as a reference system. The institute has developed into a basic institute for the reconstruction and re-load of old ..gamma..-facilities as well as it serves for the planning, construction and launching of new ones in Hungary.

1982-01-01

397

IEEE [Institute of Electrical and Electronics Engineers] standards and nuclear software quality engineering  

International Nuclear Information System (INIS)

Significant new nuclear-specific software standards have recently been adopted under the sponsorship of the American Nuclear Society and the American Society of Mechanical Engineers. The interest of the US Nuclear Regulatory Commission has also been expressed through their issuance of NUREG/CR-4640. These efforts all indicate a growing awareness of the need for thorough, referenceable expressions of the way to build in and evaluate quality in nuclear software. A broader professional perspective can be seen in the growing number of software engineering standards sponsored by the Institute of Electrical and Electronics Engineers (IEEE) Computer Society. This family of standards represents a systematic effort to capture professional consensus on quality practices throughout the software development life cycle. The only omission-the implementation phase-is treated by accepted American National Standards Institute or de facto standards for ...

1988-06-12

398

Classified Stable Matching  

CERN Document Server

We introduce the {\\sc classified stable matching} problem, a problem motivated by academic hiring. Suppose that a number of institutes are hiring faculty members from a pool of applicants. Both institutes and applicants have preferences over the other side. An institute classifies the applicants based on their research areas (or any other criterion), and, for each class, it sets a lower bound and an upper bound on the number of applicants it would hire in that class. The objective is to find a stable matching from which no group of participants has reason to deviate. Moreover, the matching should respect the upper/lower bounds of the classes. In the first part of the paper, we study classified stable matching problems whose classifications belong to a fixed set of ``order types.'' We show that if the set consists entirely of downward forests, there is a polynomial-time algorithm; otherwise, it is NP-complete to decide the ...

2009-01-01

399

X rays in molecular biophysics  

Energy Technology Data Exchange (ETDEWEB)

An atom-by-atom understanding of life processes is emerging from a flurry of experiments fueled by synchrotron sources and DNA technology. {copyright} 1995 {ital American} {ital Institute} {ital of} {ital Physics}.

1995-11-01

400

Tracheo-innominate artery erosion: Successful surgical management of a devastating complication.  

UK PubMed Central (United Kingdom)

Successful management of a patient with tracheo-innominate artery erosion requires the rapid institution of specific resuscitative and operative measures. Ten patients seen at the Charity Hospital of...Full Text Available

1976-08-01

401

The relationship between job satisfaction, burnout, and turnover intention among physicians from urban state-owned medical institutions in Hubei, China: a cross-sectional study  

UK PubMed Central (United Kingdom)

BackgroundThroughout China, a growing number of physicians are leaving or intending to depart from their organizations owing to job dissatisfaction. Little information is available...Full Text Available

402

Surmounting the Unique Challenges in Health Disparities Education: A Multi-Institution Qualitative Study  

UK PubMed Central (United Kingdom)

BackgroundThe National Consortium for Multicultural Education for Health Professionals (Consortium) comprises educators representing 18 US medical schools, funded by the National...Full Text Available

2010-05-01

403

Surgical Management of Solid-Pseudopapillary Neoplasms of the Pancreas (Franz or Hamoudi Tumors): A Large Single-Institutional Series  

UK PubMed Central (United Kingdom)

BACKGROUNDSolid-pseudopapillary neoplasms (SPNs) are rare pancreatic tumors with malignant potential. Clinicopathologic characteristics and outcomes of patients with...Full Text Available

2009-05-01

404

Stopping or Reporting Early for Positive Results in Randomized Clinical Trials: The National Cancer Institute Cooperative Group Experience From 1990 to 2005  

UK PubMed Central (United Kingdom)

Randomized clinical trials are designed with stopping boundaries to guide data monitoring committees with their decision making concerning ongoing trials. In particular, when extremely positive results...Full Text Available

2009-04-01

405

Sterilization wave of the future: Microwaves  

Energy Technology Data Exchange (ETDEWEB)

Every cook knows that microwaves and metal don't mix. But scientists at the National Institute of Standards have devised a way to make them compatible. If it all pans out, hospitals may be able to sterilize medical instruments and waste in a device similar to a conventional microwave oven.

1989-11-05

406

Sciiientttiiifffiiic apaciiittty uiiillldiiing nhancementtt fffor ustttaiiinabllle evelllopmenttt iiin evelllopiiing ountttriiies  

Wastenet

Buizer, Arizona State University, USA; Gernot Klepper, Kiel Institute of World Economics, ...der Leeuw School for Human Evolution and Social Change, Arizona State University, USA

407

Red and Processed Meat and Colorectal Cancer Incidence: Meta-Analysis of Prospective Studies  

UK PubMed Central (United Kingdom)

BackgroundThe evidence that red and processed meat influences colorectal carcinogenesis was judged convincing in the 2007 World Cancer Research Fund/American Institute of Cancer...Full Text Available

408

Radiofrequency ablation of lung and liver lesions using CT fluoroscopy  

International Nuclear Information System (INIS)

Full text: Tumour ablation with radiofrequency (RF) energy is a relatively new procedure for the treatment of focal malignant disease. At our institution this is currently being used in the treatment of certain liver and lung lesions with the patients involved being enrolled in clinical trials. The poster describes the technique used at our institution for the placement of the radiofrequency ablation electrode using CT fluoroscopy. Criteria for patient selection are included. Complications from the procedure are described, as well as follow up appearances and results. Our results from the treatment of primary and secondary lesions in the liver correlate well with published literature. Treatment is still not as successful as surgical resection but there is significantly less morbidity. Where this method may be appropriate is when the patient is not a candidate for surgical resection. The treatment of colorectal metastases in the lung shows early ...

2002-06-01

409

QUT - 2008 winners  

Wastenet

... His work has been recognised with numerous honours, including Fellow of the Australian Academy of Science; International Research Scholarships from the Howard Hughes Medical Institute ; a Wellcome Trust Fellowship; the Glaxo-Wellcome Australia Medal; the Australian Academy of Science Gottschalk Medal; the Boehringer Mannheim Medal;...

410

Peter Suber, Open Access Overview (definition, introduction)  

Wastenet

... Some OA publishers (such as BMC and PLoS) waive the fee for all researchers affiliated with institutions that have purchased an annual membership. A common misunderstanding is that all OA journals use an \\

411

Optical Discs for Storage and Access in ARL Libraries. SPEC KIT 133.  

Science.gov (United States)

This SPEC (Systems and Procedures Exchange Center) kit provides a sample of excerpts from technical and planning documents contributed by 40 Association of Research Libraries (ARL) member libraries that are planning to install or have already implemented optical disc technology. Selected to represent a variety of media and applications, the excerpts address general as well as technical issues. Comments received in telephone interviews with contributors, as well as with other ARL members whose endeavors are not represented in this kit, are incorporated in a concise summary which discusses the overlapping and interrelated concerns of technical considerations, management issues, and impact on user services. In addition, the following original documents are included: (1) a descriptive list of optical disc technology terms from the National Library of Canada; (2) planning documents from the libraries of the Massachusetts Institute of Technology and the Smithsonian ...

1987-04-01

412

Objective assessment of deformable image registration in radiotherapy: A multi-institution study  

UK PubMed Central (United Kingdom)

The looming potential of deformable alignment tools to play an integral role in adaptive radiotherapy suggests a need for objective assessment of these complex algorithms. Previous studies in this area...Full Text Available

2008-12-01

413

OAK RIDGE NATIONAL LABORATORY - NASA Technical Report Server (NTRS)  

Science.gov (United States)

W. Wayne Scott, Chattanooga State Technical Institute, 4501 Amnico Highway,. Chattanooga, Tennessee 3'7401. Robert L. Seale, University of Arizona, Tuscon, ...

414

Northern Arizona University  

British Library Electronic Table of Contents (United Kingdom)

This chapter provides a glimpse of student affairs assessment at Northern Arizona University including a specific example of assessment, tips to implementing assessment at your institution, and barriers encountered when implementing the process at Northern Arizona University.

2009-01-01

415

National Institutes of Health (NIH) Health Matters Podcasts  

Science.gov (United States)

60 http://www.nih.gov/news/radio/healthmatters/index.htm 60-second Health Matters spots-one unique health report for each weekday of the month. en-us 2010 Mon, 01 Feb 2010 12:00:00...

2011-08-26

416

NSF/Tokyo Report: Japanese Government Budget for Materials R&D  

Science.gov (United States)

... Tokyo Report: Japanese Government Budget for Materials R&D Date: 6/17/97 The National Science ... Graded Materials Area coordinator: Dr. Toshio Hirai, Professor, Institute for Materials Research ...

417

Legionella fairfieldensis sp. nov. isolated from cooling tower waters in Australia.  

UK PubMed Central (United Kingdom)

Three Legionella-like organisms were isolated from water from the cooling towers of two Australian institutions. The strains grew on buffered charcoal-yeast extract (BCYE) agar but not on BCYE agar...Full Text Available

1991-03-01

418

Incorporation of the International Spinal Cord Injury Data Set Elements into the National Institute of Neurological Disorders and Stroke (NINDS) Common Data Elements (CDEs)  

UK PubMed Central (United Kingdom)

ObjectiveTo develop consistent variable names and a common database structure for the data elements in the International Spinal Cord Injury (SCI) Data Sets.Full Text Available

2011-01-01

419

Gene Signature For Predicting Survival Outcome Of Human Hepatocellular Carcinoma (HCC) - Technology Transfer Center  

Science.gov (United States)

The National Cancer Institute Laboratory of Human Carcinogenesis is seeking statements of capability or interest from parties interested in collaborative research to further develop, evaluate, or commercialize a gene signature for prognosis of hepatocellular carcinoma in patients.

420

Forschungszentrum Juelich, Institut fuer Kernphysik/COSY. Annual report 2004  

Energy Technology Data Exchange (ETDEWEB)

The following topics are dealt with: Detectors at COSY, major physics results at COSY, physics at external facilities, theoretical investigations, COSY operation and developments, preparations for FAIR, technical developments. (HSI)

2005-03-01

421

Feynman lectures on physics, quantum mechanics; Le cours de physique de Feynman mecanique quantique  

Energy Technology Data Exchange (ETDEWEB)

This course is based upon lectures in physics given by Professor Feynman at the California institute of technology during 1961 and 1962. This volume is dedicated to quantum physics, semiconductors, symmetry and advanced principles of physics.

2000-07-01

423

Biomass abstracts: Cumulative indexes, 1985  

Energy Technology Data Exchange (ETDEWEB)

Biomass Abstracts - Cumulative Indexes is an annual publication prepared by the Information Technology Group of the Institute for Industrial Research and Standards. This book indexes compiled biomass publications by corporate author, author and subject. (DT)

1985-01-01

424

Bioganix - About Us  

Wastenet

... Since then he has pursued an academic career at the University of Bristol with a one year Fellowship at the the Howard Hughes Medical Institute in the USA. Through his work with ProXara (a biotechnology company) and committee work within Bristol University, Jeremy has amassed ...

425

Beam-forming system for electrostatic accelerator  

International Nuclear Information System (INIS)

A simple beam-forming system is described for the electrostatic accelerator of the Scientific-Research Institute of Nuclear Physics of Moscow State University. The system allows the beam to be focused on targets at various distances for a conductor potential of from 1 to 4 MV and beam currents of up to 35 #mu# A.

1988-01-01

426

Basic research on technology for the solvent treatment of coal - coal liquefaction research in the framework of the Sunshine Project  

Energy Technology Data Exchange (ETDEWEB)

This article outlines research and progress into the liquefaction of coal by solvent treatment, being conducted at the National Research Institute for Pollution and Resources, Japan. (In Japanese)

1980-01-01

427

BOOKMARKS:  

Wastenet

Secretariat of the Basel Convention United Nations Office at Geneva ...such as public utilities, waste disposal sites, large energy dependent facilities including factories, institutions (hospitals, ...it provides immediate identification of PCB wastes, informs company officials of any special handling or disposal techniques

428

Astronomical and astrophysical research activities of the Institute of Astronomy  

Energy Technology Data Exchange (ETDEWEB)

Observational work on quasars, galaxies, and stars is summarized. Theoretical studies covering stars and stellar evolution, galaxies, clusters and cosmology, high energy astrophysics the solar system and the Sun are described. (ESA)

1980-01-01

429

Airborne dial remote sensing of the Arctic ozone layer  

Science.gov (United States)

A combined ozone and aerosol LIDAR was developed at the Institute of Physics of the Atmosphere at the DLR in Oberpfaffenhofen. It is an airborne version, that, based on the DIAL-principle, permits the recording of two-dimensional ozone profiles. This presentation will focus on the ozone-part; the aerosol subsection will be treated later.

1992-01-01

430

A Review on Sensor, Signal, and Information Processing ...  

Science.gov (United States)

... Rep. ISIS-04-504, Institute for Software Integrated Systems (2004). [59] G. Simon, M. Maroti, A. Ledeczi, G. Balogh, B. Kusy, A. Nadas, G. Pap, J ...

2011-05-15

431

A Case of Myelopathy after Intrathecal Injection of Fluorescein  

UK PubMed Central (United Kingdom)

We present a case with seizure, confusion, hypesthesia and paraplegia after intrathecal injection of fluorescein. A 41-year-old man was admitted to our institution for the management of the CSF leakage....Full Text Available

2007-12-01

432

The law of one price: an examination of price integration between Europe and regional markets in Africa  

British Library Electronic Table of Contents (United Kingdom)

This study examines the degree of price-integration of equity indices between the major markets of Africa, namely Morocco, Tunisia, Egypt, Kenya, Nigeria, Namibia and South Africa with the European markets of London and Paris. Vector Autoregressive and Autoregressive Distributed Lag methods reveal that African markets are largely price-segmented. The only markets that are price-integrated have shared economic and financial institutions, such as Namibia and South Africa, and Egypt, Tunisia and France. The evidence suggests that development policy should be focussed on enhancing existing institutions rather than embarking prematurely on regional integration.

2012-01-01

433

The challenge of implementing an IRP process in Asia: The case of Hainan Province, China  

Energy Technology Data Exchange (ETDEWEB)

Developing a modern electric power sector is necessary for economic growth and development to proceed. Institutions to implement an IRP (integrated resource planning) process do not exist in many countries. Hainan`s economy is growing rapidly with a concomitant increase in electricity demand. This is an ideal time in Hainan`s development to implement an IRP process. The challenge is for Hainan to develop institutions and incentive mechanisms for HEPCO (Hainan Electric Power Co.) to adopt cost-based pricing, run DSM programs, construct renewable generating plants, etc. One proposal is to great a Hainan government-wide IRP committee.

1994-12-31

434

The Ethics and Practice of Islamic Medieval Charity  

British Library Electronic Table of Contents (United Kingdom)

Abstract Charity is deeply embedded in the religious thought and teachings of the three monotheistic religions. This article, while focusing on medieval Islam, is set in a wider framework with references to both Jewish and Christian parallels. Three main topics are examined: the religious meaning of charity, the social and political ramifications of almsgiving, and the impact of the institutional form of charity (the pious endowment system, waqf pl. awqaf) on Muslim medieval society. In the course of this examination, the article deals with the motives and attitudes of the donors (mainly people of the ruling class and the wealthy) and with the recipients of charity (the poor as well as the learned class). The article equally provides an overview of the charitable institutions and functions...

2007-01-01

435

Simple method for high-temperature separation of thallium isotopes from a bulk lead target  

Energy Technology Data Exchange (ETDEWEB)

A method is proposed for the quantitative isolation of radiothallium in gas form from proton-bombarded lead of mass up to 20 g. The molten lead is kept at about 800 K in hydrofluoric-acid vapor (HF/H/sub 2/O approx. = 1) at a reduced pressure (less than or equal to4 Pa). We used 99.9% lead with the U-240 cyclotron at the Nuclear Research Institute, Academy of Sciences of the Ukrainian SSR, or the phasotron at the Join Nuclear Research Institute, which gave protons at 65 and 680 MeV correspondingly.

1988-03-01

436

Simple method for high-temperature separation of thallium isotopes from a bulk lead target  

International Nuclear Information System (INIS)

A method is proposed for the quantitative isolation of radiothallium in gas form from proton-bombarded lead of mass up to 20 g. The molten lead is kept at about 800 K in hydrofluoric-acid vapor (HF/H_2O #approx =# 1) at a reduced pressure (#<=#4 Pa). We used 99.9% lead with the U-240 cyclotron at the Nuclear Research Institute, Academy of Sciences of the Ukrainian SSR, or the phasotron at the Join Nuclear Research Institute, which gave protons at 65 and 680 MeV correspondingly.

437

September 2008 - Permanent Representative of Austria to the United Nations Office and specialised institutions in Geneva, Ambassador C. Strohal, visiting the ATLAS control with Collaboration physicist M. Aleksa, accompanied by CMS Collaboration physicist F. Pauss and Physics Deputy Department Head M. Doser.  

CERN Multimedia

September 2008 - Permanent Representative of Austria to the United Nations Office and specialised institutions in Geneva, Ambassador C. Strohal, visiting the ATLAS control with Collaboration physicist M. Aleksa, accompanied by CMS Collaboration physicist F. Pauss and Physics Deputy Department Head M. Doser.

2008-01-01

438

Radiation hardening characterization of a VDMOS developed at CAS institute of microelectronics  

International Nuclear Information System (INIS)

Total dose irradiation effects on a VDMOS developed at Institute of Microelectronics, CAS were investigated, particularly the electric parameter changes under different bias conditions. It was found that the breakdown voltage degradation by the irradiation depended mainly on the drain bias, whereas the threshold voltage degradation depended mainly on the gate bias. Thus, an innovative and effective method to domestic VDMOS total dose ionization characterization is that threshold voltage radiation hardening characterization should be tested on gate bias condition, and the breakdown voltage radiation hardening characterization, be tested on the drain bias. (authors)

2008-08-01

439

Man-made disasters: A cross-national analysis  

British Library Electronic Table of Contents (United Kingdom)

This research investigates the impact of national culture and several institutional factors on the safety performance of society and establishes statistically significant relationships between those variables. As expected, the research results reveal that some cultural variables such as uncertainty avoidance, gender orientation and institutional variables such as the degree of law avoidance can directly influence the safety performance of the society. The findings also support the inverted u-curve (Safety Kuznet curve) hypothesis indicating even if we expect a negative trend at the beginning stage of industrialization, we can expect a positive trend in safety performance as their income level continues to improve beyond a certain point.

2011-01-01

440

Law relating to radioactive waste management in Great Britain and France. Das Recht der Beseitigung radioaktiver Abfaelle in Grossbritannien und Frankreich  

Energy Technology Data Exchange (ETDEWEB)

This publication, with comparisons of laws and empirical-sociological evaluations for solutions, takes into account laws and regulations up to February 1988. Exemplary references to German law are presented, and the interrelationship of certain legislation illustrated by bringing examples of the known legal systems. Every legal norm and every legal institution is investigated with a view to finding out which function it has to fulfil, and whether this is done in an adequate way or whether another norm or another institution could do this better. (HP).

1989-01-01

441

Feasibility study on the development of proton accelerator  

Energy Technology Data Exchange (ETDEWEB)

A feasibility on the development of a high energy proton accelerator to be used for R and D in the nuclear field of korea was studied. The proposed one is a proton linac with parameters of about 1 GeV, 20 mA which can supply enough neutrons by the spallation reaction to drive a subcritical reactor. It= is expected to solve the intrinsic problem in the nuclear field such as safety, nuclear waste, proliferation and resource. The study was carried out through a multi-institutional cooperation of universities, institute and industry for a national consensus. 5 refs., 8 tabs., 8 figs. (author)

1996-10-01

442

Energy production: institutional and legislative scenario  

Energy Technology Data Exchange (ETDEWEB)

Brief comments are given on the evolution of the institutional nature of ENEL (Italian Electricity Board) as it relates to the framework of legislation for the nationalization of the utility in December, 1962. Special attention is given to the development of legislative criteria to allow the creation of a rate structure, in the case of autoproduction by industry, that would stimulate national economic growth. A discussion is also made of the changing role of ENEL as it responds to the planning objectives cited in the Italian National Energy Plan which calls for a more integrated effort by the regional governments and the Electricity Board in the management of natural resources.

1989-05-01

443

Emerging logics of competition: paradigm shift, fantasy, or reality check?  

British Library Electronic Table of Contents (United Kingdom)

Purpose - The purpose of this paper is to elicit the subtle but progressive shift in organizational/institutional interaction with its rivals within a competitive framework, and thereby discusses and analyses paradigm shifts in competition and competitiveness. The paper argues that interorganizational networks and the recent concept of supply chain management may have induced a change in how competitiveness is viewed at the national, industry, and firm levels of interaction. Design/methodology/approach - The paper conceptualizes extant literature into distinct themes of (organizational and institutional) analysis - micro, macro, and meso - and based on this review the paper seeks to identify emerging logics and shifts within mainstream competitiveness literature over the last decade. Findi...

2010-01-01

444

Astronomy in Ukraine  

CERN Document Server

The current and prospective status of astronomical research in Ukraine is discussed. A brief history of astronomical research in Ukraine is presented and the system organizing scientific activity is described, including astronomy education, institutions and staff, awarding higher degrees/titles, government involvement, budgetary investments and international cooperation. Individuals contributing significantly to the field of astronomy and their accomplishments are mentioned. Major astronomical facilities, their capabilities, and their instrumentation are described. In terms of the number of institutions and personnel engaged in astronomy, and of past accomplishments, Ukraine ranks among major nations of Europe. Current difficulties associated with political, economic and technological changes are addressed and goals for future research activities presented.

2005-01-01

445

Application of neutron radiography to a diagnosis of refrigerator  

International Nuclear Information System (INIS)

A diagnosis of the refrigerant flows in a refrigerator was carried out by real-time neutron radiography. The thermal neutron radiography system of JRR-3M in Japan Atomic Energy Research Institute and the real-time image processing system developed by Musashi Institute of Technology were used. Freon evaporating flows in the evaporator, condensing flows in the condenser, flashing flows in the capillary tube and flows in the accumulator were visualized and the dynamic behaviors under practical conditions were clarified. In the case of the capillary tube of 0.8 mm i.d., a cooled-CCD camera was utilized. (orig.).

1996-07-01

446

An experimental investigation of the Hahn-Noll revenue neutral auction for emissions licenses  

Energy Technology Data Exchange (ETDEWEB)

This paper reports on three series of laboratory experiments designed to test the performance of the Hahn-Noll revenue neutral auction (RNA). An alternative institution, a no-rebate uniform price auction (UPA), is also examined as a benchmark. In these experiments, the RNA markets were little different from UPA markets in terms of either prices or market efficiencies. The two institutions did differ in terms of the distribution of the gains from exchange and of the propensity of bidders to engage in a certain type of overbidding. 25 refs., 13 figs., 3 tabs.

1993-01-01

447

Thermal treatment of municipal waste by pyrolysis. Thermische Behandlung von Siedlungsabfaellen durch Pyrolyse  

Energy Technology Data Exchange (ETDEWEB)

As waste disposal methods and long-term precautionary care of the environment are closely related, disposal of non-avoidable and intractable residual products is to be viewed primarily from a safety angle. Also, thermal processes airm mainly at treatment, not utilization. 'Safety' in this context addresses both the environmental compatibility of the products and the process itself. In other words, only mature techniques (i.e., safe, proven ones) are employed. (orig.)

1994-03-01

448

The epidemiology and experience of atopic eczema during childhood: a discussion paper on the implications of current knowledge for health care, public health policy and research  

UK PubMed Central (United Kingdom)

Atopic eczema is a chronic skin condition affecting between 5% and 20% of children aged up to 11 years at one time or other. Research suggests that prevalence is increasing and various environmental...Full Text Available

2000-08-01

449

Support and Assessment for Fall Emergency Referrals (SAFER 1) trial protocol. Computerised on-scene decision support for emergency ambulance staff to assess and plan care for older people who have fallen: evaluation of costs and benefits using a pragmatic cluster randomised trial  

UK PubMed Central (United Kingdom)

BackgroundMany emergency ambulance calls are for older people who have fallen. As half of them are left at home, a community-based response may often be more appropriate than hospital...Full Text Available

450

Stress measurement and bolt tensioning by ultrasonic methods  

International Nuclear Information System (INIS)

In the past decade, a new technique has been developed for measuring tensile stresses in solids. This ultrasonic technique has been used thus far primarily for measuring fastener tension. The precision of measurement is routinely to 2-3% and, with special care, to approx. 1%. The method is insensitive to the frictional losses which plague tensioning by torque wrench. Though the approach is relatively new, it promises a wide range of applicability.

1980-01-01

451

Radiation protection in the operating room  

International Nuclear Information System (INIS)

On the basis of legally provided area dose measurements and time records of fluoroscopic examinations during the operation, radiation doses to medical personnel and patients are evaluated. Adequate radiation protection measures and a careful behaviour in the operating room keep the radiation exposure to the personnel below the maximum permissible exposure. Taking into account the continuous personnel radiation monitoring and medical supervision, radiation hazards in the operating room can be considered low.

452

RMIT - Improving health and lifestyle  

Wastenet

... 03/08/2011 Professor named Chair at Epworth Hospital Professor Nilmini Wickramasinghe from the College of Business at RMIT University has been named Epworth Chair, Health Information Management , by Epworth HealthCare. 26/07/2011 Study investigates drug-free relief for tension headaches As Australia marks its first National Pain Week ...

453

Planning and operational considerations for units utilizing military workingn> dogs.  

Science.gov (United States)

Military working dogs are rapidly becoming integral to military operations. While they bring many valuable capabilities to the battlefield, it is important that Special Operations leaders consider canine team capabilities and requirements when planning missions. Careful logistical and operational planning can optimize the health, performance, and readiness of the working dog while protecting the safety and well-being of the team members working with them. We also offer recommendations for medical treatment of dog bites. PMID:19813342

2009-01-01

454

Partially-carbonized polyacrylonitrile filter  

Energy Technology Data Exchange (ETDEWEB)

A filter for extracting solids and liquids from gaseous combustion exhausts comprises a textile filter element formed of polyacrylonitrile fibers oxidized by careful heat treatment and comprising approximately 61% carbon after treatment. The filter may be woven, knitted or formed as a batting of randomly-oriented fibers. Abrasion resistant coatings and lubricants for the fibers are disclosed. The filter material is especially useful as a filter bag.

1984-04-24

455

New concept to optimize emergency diagnoses in patients with multiple injuries  

International Nuclear Information System (INIS)

To optimize the emergency care of patients with multiple injuries, a special emergency room with integrated radiological equipment has been developed. It consists of a linear array of a computed tomography system, a mobile C-arm with an integrated scattered radiation grid for conventional films and a C-arm fluorographic system. The intent is to avoid delay caused by transport and repositioning of the patient. It enables all necessary diagnostic procedures to be performed within a minimal amount of time. (orig./MG).

456

Monoclonal antibody imaging in malignant and benign gastrointestinal diseases  

International Nuclear Information System (INIS)

The "1"3"1I-labelled monoclonal antibodies 791T/36 and 79IT/36 Fab fragments have been evaluated in the imaging of patients with colorectal cancer, with benign colorectal tumours, and with malignant tumours of other parts of the gastrointestinal tract. The results of clinical imaging have been carefully correlated with clinical findings and direct measurement of the preferential uptake of antibody by the tumours. (UK).

457

Maggot Therapy Takes Us Back to the Future of Wound Care: New and Improved Maggot Therapy for the 21st Century  

UK PubMed Central (United Kingdom)

In the 21st century, eighty years after William Baer presented his groundbreaking work treating bone and soft tissue infections with live maggots, thousands of therapists around the globe have rediscovered...Full Text Available

458

Intermittent preventive treatment of malaria during pregnancy: a qualitative study of knowledge, attitudes and practices of district health managers, antenatal care staff and pregnant women in Korogwe District, North-Eastern Tanzania  

UK PubMed Central (United Kingdom)

BackgroundIntermittent preventive treatment of malaria during pregnancy (IPTp) is a key intervention in the national strategy for malaria control in Tanzania. SP, the current drug...Full Text Available

459

Insights in the use of health care services in chronic benign pain in childhood and adolescence.  

Science.gov (United States)

The utilization of health care services in children and adolescents with chronic benign pain was studied in a Dutch population sample of 254 chronic pain sufferers aged 0-18 years. Children and adolescents who had reported chronic pain (continuous or recurrent pain >3 months) in our previous prevalence study were asked to keep a 3-week diary on their pain and to fill out questionnaires on background factors, health care use and the impact of pain. Parent ratings were used for children aged 0-11 years, self-report was used in adolescents (12-18 years). In a 3-month period, in 53.4% of the cases medication was used for pain, and general practitioners and specialists were consulted for pain in 31.1% and 13.9% of subjects, respectively. Physiotherapists, psychologists and alternative health providers were visited by 11.5, 2.8, and 4.0%, respectively. In the preceding year, 6.4% had been hospitalized due to pain. The most important factors linked ...

2001-11-01

460

Incidents of major damage to steam turbines  

International Nuclear Information System (INIS)

The author furnishes a review of incidents of major damage to high-output steam turbines. At the same time, he thereby underlines the call for an improvement in the exchange of experience on such damage and its causes at international level. Only the careful observance of past damage experience - including that of foreign manufacturers and operators - complete and modern monitoring equipment and the painstaking evaluation of all data furnished by such equipment can keep the risk of new technical development within economically tolerable limits. (orig.).

461

Ground water modelling in artificial recharge projects  

International Nuclear Information System (INIS)

Decision-making is strongly based on modelling in two of our water supply projects concerning artificial ground water. The model used is a 2-dimensional flow and transport model using the element method. Due to sharp variations in Finnish soils, the modelling process is based on careful and detailed evaluation of basic hydrogeological data before and during model calibration.

1991-05-09

462

Functional impairment related to painful physical symptoms in patients with generalized anxiety disorder with or without comorbid major depressive disorder: post hoc analysis of a cross-sectional study  

UK PubMed Central (United Kingdom)

BackgroundGeneralized anxiety disorder (GAD) is the most frequent anxiety disorder in primary care patients. It is known that painful physical symptoms (PPS) are associated with...Full Text Available

463

Frequency of conjugative transfer of plasmid-encoded ISEcp1 - blaCTX-M-15 and aac(6')-lb-cr genes in Enterobacteriaceae at a tertiary care center in Lebanon - role of transferases  

UK PubMed Central (United Kingdom)

BackgroundThe frequency of transfer of genes encoding resistance to antimicrobial agents was determined by conjugation in ESBL-producing and/or fluoroquinolone or aminoglycoside...Full Text Available

464

First Report of the Emergence of CTX-M-Type Extended-Spectrum ?-Lactamases (ESBLs) as the Predominant ESBL Isolated in a U.S. Health Care System?  

UK PubMed Central (United Kingdom)

CTX-M-type extended-spectrum β-lactamases (ESBLs) have become increasingly common worldwide, with the notable exception of the United States, where TEM- and SHV-type ESBLs have appeared to predominate....Full Text Available

2007-11-01

465

Extended Spectrum ?-Lactamases among Gram-negative bacteria of nosocomial origin from an Intensive Care Unit of a tertiary health facility in Tanzania  

UK PubMed Central (United Kingdom)

BackgroundResistance to third generation cephalosporins due to acquisition and expression of extended spectrum β-lactamase (ESBL) enzymes among Gram-negative bacteria is...Full Text Available

466

Evolution of health information management and information technology in emergency medicine.  

Science.gov (United States)

The implementation of information technology will continue to have important effects on the practice of emergency medicine. Patient registration and tracking systems, telemedicine electronic order entry systems, and the advent of electronic health records are some examples of applications that influence patient care in emergency departments. We review the literature regarding information technology advances in emergency medicine and outline the important role that emergency physicians play in developing and implementing a national health information technology strategy. PMID:16712540

2006-06-01

467

Engineering Assistance and sustainable development; Ingenierie conseil et developpement durable  

Energy Technology Data Exchange (ETDEWEB)

Since many years, people take care of hazardous consequences of a non controlled economic growth and the sustainable development concept gains on one. This situation leads to consequences in the building industry and in the energy policy: buildings insulation in consideration, demand of consultants. In this framework, the partnership between Gaz De France and CICF has to be built. (A.L.B.)

2002-07-01

468

Development of a site-specific following accident dose assessment system  

Energy Technology Data Exchange (ETDEWEB)

The objectives of this project to interface the site-specific real-time radiological dose assessment system FADAS(Following Accident Dose Assessment System) to CARE. In this study, the results of the field tracer experiments conducted on the Younggwang site have been analysed. And the experimental procedure on Ulchin site has been introduced. The environmental characteristics on Ulchin and Wolsung has been investigated.

1997-12-15

469

Costs Associated with Developing and Implementing a Computerized Clinical Decision Support System for Medication Dosing for Patients with Renal Insufficiency in the Long-term Care Setting  

UK PubMed Central (United Kingdom)

A team of physicians, pharmacists, and informatics professionals developed a CDSS added to a commercial electronic medical record system to provide prescribers with patient-specific maximum dosing recommendations...Full Text Available

2008-07-01

470

Areva in Niger  

Energy Technology Data Exchange (ETDEWEB)

Niger is the second poorest country in the world but it has natural resources underground in the form of uranium ores deposits. This uranium is currently mined by two companies incorporated under Nigerian law: Somair and Cominak, operated by the principal shareholder Areva (through its subsidiary Cogema). After a presentation of Somair and Cominak key figures, this document details the working conditions and radiological protection, the environmentally friendly operations, the production traceability, the local economic development, the strengthening of the health care system and the development of the infrastructure. (A.L.B.)

2005-02-01

471

A Laser-Pointer-Based Spectrometer for Endpoint Detection of EDTA Titrations  

Science.gov (United States)

A laser spectrometer for the ethylenediaminetetra-acetic acid (EDTA) titration of magnesium or calcium ions that is designed around a handheld laser pointer as the source and a photoresistor as the detector is developed. Findings show that the use of the spectrometer reduces the degree of uncertainty and error in one part of the EDTA titrations, however overall standard deviations depend on the skill of the student and their willingness to be careful and precise.

2004-12-01

472

Treatment of prostatic cancer using daily intermittent multiportal therapy (DIMT) technique  

Energy Technology Data Exchange (ETDEWEB)

In the treatment of prostatic cancer using a newly proposed intermittent multiportal therapy (DIMT), acute reactions, change in tumor marker levels, and complications more than 6 months after treatment were evaluated. From June 1989 to September 1990, 26 patients with prostatic cancer (stage A2, 3 patients; B, 9; C, 2; D, 10; recurrence, 2) were treated. Fifteen patients were followed up for more than one year, with a mean period of 11.6 months. The treatment schedule is 52.5 Gy in 16 fractions in 4 weeks for radical treatment, and 30.0 Gy in 8 fractions in 2 weeks for palliative treatment. The 360 degree rotation about the patient was divided into 16 fractions, and 2 opposing fractions were used in one day as parallel opposed portals to treat the target volume. The fractions were serially treated one per day, so that 8 treatment days produced a total dose of distribution similar to that for conventional conformational therapy. The size of the irradiation field ...

1992-06-01

473

Production and evaluation of labeled bisphosphonates with 153Sm, 166Ho and 177Lu as therapeutic radiopharmaceuticals  

International Nuclear Information System (INIS)

Aim: Compounds such "9"9"mTc-MDP and "9"9"mTc-HEDP are used regularly in bone scintigraphy for metastasis detection. The therapeutics properties of beta emitter radionuclides like "1"5"3Sm, "1"6"6Ho and "1"7"7Lu has been widely reported in literature being "1"7"7Lu the less developed for medical applications. With the purpose of study different radiopharmaceuticals alternatives, for metastasis bone palliation, we have evaluated, on a comparative basis, the labeling of "1"5"3Sm-MDP, "1"5"3Sm-HEDP, "1"6"6Ho-MDP, "1"6"6Ho-HEDP, "1"7"7Lu-MDP and "1"7"7Lu-HEDP from the exhibited radionuclidic purity and biological distribution point of view. Material and Methods: The radionuclides were produced at La Reina Research Reactor, Chilean Nuclear Energy Commission. The radionuclidic purity was determined by gamma-Ray spectrometry. The labeling was accomplished with MDP (Plenum) and HEDP synthesized in-house. The in-vitro affinity of labeled compounds to the mineral bone matrix ...

2002-09-01

474

Percutaneous transhepatic biliary drainage for hilar cholangiocarcinoma  

International Nuclear Information System (INIS)

Objective: To evaluate the effect of PTBD in treating malignant biliary obstruction caused by hilar cholangiocarcinoma. Methods: We retrospectively analyzed the data of 103 patients(M:62,F:41)with malignant obstructive jaundice caused by hilar cholangiocarcinoma. After taking percutaneous transhepatic cholangiography, metallic stent or plastic external catheter or external-internal catheter for drainage was deployed and then followed up was undertaken with clinical and radiographic evaluation and laboratory. examination. Results: All patients went though PTBD successfully (100%). According to Bismuth classification, all 103 cases consisted of I type(N=30), II type (N=30), III type (N=26) and IV type (N=17). Thirty-nine cases were placed with 47 stents and 64 eases with drainage tubes. 4 cases installed two stems for bilateral drainage, 2 cases installed two stents because of long segmental strictures with stent in stent, 1 case was placed with three stents, and 3 cases installed stent ...

2007-10-01

475

MRI in postoperative assessment of univentricular heart disease: correlation with echocardiography and angiography; MRT in der postoperativen Diagnostik bei funktionell univentrikulaerem Herz: Korrelation zu Echokardiographie und Kardangiographie  

Energy Technology Data Exchange (ETDEWEB)

Purpose: To determine the value of MRI in the postoperativ evaluation of a singular ventricle compared to echocardiography and cardiac catheterization. Materials and methods: Thirty-one patients (range: 6 months to 30 years) with a functional single ventricle following palliative corrective operations. Five patients had a Blalock-Taussig-Shunt, 8 patients a Glenn-Anastomosis and 18 a cavopulmonary shunt (6 with classic Fontan-Circulation, 12 with modified cavopulmonary anastomosis). The results in terms of postoperative morphologic changes were compared to percutaneous echocardiography (31/31) and cardiac catheterization (6/31). Results: Echocardiography, which was performed on all patients, could not visualize the entire length of the tunnel, the Glenn-Anastomosis or the central pulmonary arteries in 70% of the patients due to an inadequate acoustic window. MRI was able to show the entire tunnel in 11/12 patients and the central pulmonary arteries in 30/31 ...

2002-12-01

476

Guidebook to financing CDM projects  

Energy Technology Data Exchange (ETDEWEB)

One of the challenges facing Clean Development Mechanism (CDM) projects today is their limited ability to secure financing for the underlying greenhouse gas emission reduction activities, particularly in the least developed countries. Among the key reasons for this is the fact that most financial intermediaries in the CDM host countries have limited or no knowledge of the CDM Modalities and Procedures. Moreover, approaches, tools and skills for CDM project appraisal are lacking or are asymmetrical to the skills in comparable institutions in developed countries. Consequently, developing country financial institutions are unable to properly evaluate the risks and rewards associated with investing or lending to developers undertaking CDM projects, and therefore have, by-and-large, refrained from financing these projects. In addition, some potential project proponents lack experience in structuring arrangements for financing a project. This ...

2007-07-01

477

[Natriuretic peptides--relevance in intensive care].  

Science.gov (United States)

The family of natriuretic peptides consists of the atria natriuretic peptide (ANP), the cerebral natriuretic peptide (BNP), the type C natriuretic peptide (CNP) and the peptide isolated from the dendroaspis snakes' poison (DNP), whose presence in humans has not been confirmed. The physiological function of ANP is in the control of arterial blood pressure by regulation of systemic vascular resistance of blood vessels. BNP is produced as one of the factors in the acute response to inflammatory tissue damage, mainly in coronary vessels. Increased serum concentrations of natriuretic peptides have been found in stress situations, such as trauma or major surgery, systemic hypotension, and in intrinsic myocardial dysfunction. High concentrations of natriuretic peptides were observed in severe sepsis, septic shock and in multiple organ failure, probably due to increased secretion by mediators of the inflammatory process.The highest concentrations of ANP and BNP were found in lethal conditions. ...

478

Time-of-Flight Measurements from Eddy Current Tests  

Science.gov (United States)

Data fusion techniques are based on the premise that two or more carefully designed NDE tests are potentially capable of offering additional information concerning the test object relative to what can be garnered from a single test. However, information from a heterogeneous set of transducers cannot be fused unless the data is mapped onto a common `format'. The eddy current method cannot, for example, provide time-of-flight information that can be combined from estimates derived from ultrasonic tests. This paper presents a simple solution to address the problem by employing the so-called Q-transform to relate diffusive fields, such as those generated by eddy current probes, and propagating wave fields generated by ultrasonic NDT sensors. The paper illustrates how the distance between a defect and a source can be extracted from eddy current data generated using carefully selected excitation signals. Numerical results and comparisons with ...

2003-03-01

479

Sequential outbreaks of multidrug-resistant Acinetobacter baumannii in intensive care units of a tertiary referral hospital in Italy: combined molecular approach for epidemiological investigation  

British Library Electronic Table of Contents (United Kingdom)

SummaryA laboratory-based surveillance study was conducted from January 2007 to May 2010 in San Martino Tertiary Referral Hospital in Genoa, Italy in which the molecular epidemiology of multidrug-resistant Acinetobacter baumannii was investigated in the five intensive care units (ICUs). A total of 53 A. baumannii strains were isolated from patients admitted to ICUs (69.8%) and to other epidemiologically linked hospital wards (30.2%) and were genotyped by repetitive extragenic palindromic polymerase chain reaction (REP-PCR), multilocus sequence typing (MLST) and adeB sequence typing. REP-PCR fingerprinting analysis, MLST and adeB typing results were well correlated and allowed us to classify strains causing epidemic events into three major epidemic clones: A (REP-I/ST4, adeB-STII genotype) ...

2011-01-01

480

Perfusion impairments in children with reactive attachment disorder (RAD) on "9"9"mTc-ECD brain SPECT: comparison with MR findings  

International Nuclear Information System (INIS)

This study aimed to reveal that severe disturbance of attachment relationship with primary care-giver can affect functional and anatomical brain development by measuring cerebral perfusion on "9"9"mTc-ECD brain SPECT and correlative MRI. We included 18 children aged 31 to 76 months who met the diagnostic criteria of RAD as defined in DSM-IV and ICD-10 and SSP and CARS. "9"9"mTc-ECD SPECT was performed using CERASPECT. MRI was performed in all patients. SPECT data were visually assessed. 15 of 18 children had abnormal perfusion on SPECT, revealing decreased perfusion of Lt.thalamus (7/15) and Rt.thalamus (3/15), and bilateral thalami (5/15). Perfusion of basal ganglia was decreased in 8 children. Decreased perfusion of Lt. parietal area was seen in 2. Whereas, all patients had normal MR findings. Perfusion abnormalities involving thalamus, BG in most children with RAD were found in this study. These results suggest that brain development of infant could be impeded ...

2002-11-15

481

Low energy boron implantation in silicon: (1) reduction of channeling tail by careful alignments. (2) Transient diffusion during rapid thermal annealing  

Energy Technology Data Exchange (ETDEWEB)

An attempt was made to minimize the channeling tail by implantation along a random equivalent direction following a careful alignment of the target. In order to analytically determine the random equivalent directions, critical angles for channeling were mapped on a stereogram. Boron ions with energies of 17 and 45 keV are implanted along specified directions determined from the map. The depth distribution of the dopant is profiled by SIMS and the effects of water orientation upon the channeling tail are noted. Industrial common use of a 7/sup 0/ tilt is not optimum. However, implantation with the wafer tilted at 5.5 +/- 0.5/sup 0/ from the surface normal and rotated at 7.0 +/- 0.5/sup 0/ from a (100) plane shows the least channel-tail compared to implantation along other directions. Rapid thermal annealing (RTA) is a promising annealing method for shallow junction formation. Transient enhanced diffusion of implanted boron is observed. Two different mechanisms for ...

1985-01-01

482

Low energy boron implantation in silicon: (1) reduction of channeling tail by careful alignments. (2) Transient diffusion during rapid thermal annealing  

International Nuclear Information System (INIS)

An attempt was made to minimize the channeling tail by implantation along a random equivalent direction following a careful alignment of the target. In order to analytically determine the random equivalent directions, critical angles for channeling were mapped on a stereogram. Boron ions with energies of 17 and 45 keV are implanted along specified directions determined from the map. The depth distribution of the dopant is profiled by SIMS and the effects of water orientation upon the channeling tail are noted. Industrial common use of a 7"0 tilt is not optimum. However, implantation with the wafer tilted at 5.5 +/- 0.5"0 from the surface normal and rotated at 7.0 +/- 0.5"0 from a (100) plane shows the least channel-tail compared to implantation along other directions. Rapid thermal annealing (RTA) is a promising annealing method for shallow junction formation. Transient enhanced diffusion of implanted boron is observed. Two different mechanisms for the boron ...

483

Clinical-HINTS: integrated intelligent ICU patient monitoring and information management system.  

Science.gov (United States)

Clinical-HINTS (Health Intelligence System) is a horizontally integrated decision support system (DSS) designed to meet the requirements for intelligent real-time clinical information management in critical care medical environments and to lay the foundation for the development of the next generation of intelligent medical instrumentation. The system presented was developed to refine and complement the information yielded by clinical laboratory investigations, thereby benefiting the management of the intensive care unit (ICU) patient. More specifically, Clinical-HINTS was developed to provide computer-based assistance with the acquisition, organisation and display, storage and retrieval, communication and generation of real-time patient-specific clinical information in an ICU. Clinical-HINTS is an object-oriented system developed in C+2 to run under Microsoft Windows as an embryo intelligent agent. Current generic reasoning skills include ...

1997-01-01

484

Report on the project on the researcher dispatch type international joint research survey. Feasibility study for digging up the seeds for international joint research; Kenkyusha hakengata kokusai kyodo kenkyu chosa jigyo hokokusho. Kokusai kyodokenkyu sizu hakkutsu no tameno FS chosa  

Energy Technology Data Exchange (ETDEWEB)

For the purpose of digging up themes of the joint research which develop the R and D in the industrial technology field in Japan to a new stage, researchers were sent to the world representing research institutes to conduct the research survey of 'Nano-structured carbon and hydrogen absorption' and 'Development of the creation technology of nano-porous materials.' As to the former, an experiment on electrochemical hydrogen absorption of carbon materials including nanotubes was conducted by researchers dispatched, but the large absorption amount was not observed. As to the latter, visits were paid to Fraunhofer Institute and the related facilities in Germany, Princeton University, MIT, GIT and Naval Research Laboratories in the U.S., Orleans University in France, AO Research Institute (bone repair study) in Switzerland, Cambridge University and University of Bristol in the U.K., etc., and ...

2001-03-01

485

Renewable energy in the urban setting: Year two  

Energy Technology Data Exchange (ETDEWEB)

At the 1996 Conference in North Carolina, The Green Institute began to share its story. Their presentation this year will cover where they are in the design process and their plans for using solar and wind technologies in the development of an Eco-Industrial Park and Business Incubator. Located in a Federal Enterprise Community in Minneapolis, this project borrows sustainable and green building principles using the Rocky Mountain Institute and Solar Living Center as models. Using a change in the paradigm regarding how industry does business, The Green Institute is joining with developments across the country that are putting together Eco-Industrial Parks which use closed loop production systems to reduce waste and emissions generated from manufacturing processes. Using renewable energy, both solar and wind, presents challenges both in the integration of systems on this small site and the educational opportunities with a ...

1997-12-31

486

Gene linked to Lou Gehrig's disease  

Energy Technology Data Exchange (ETDEWEB)

Scientists have just taken a big step toward understanding the cause of Lou Gehrig's disease, one of the most devastating nerve degenerative diseases. A large team of researchers, led by Robert Brown Jr. of Harvards's Massachusetts General Hospital and Robert Horvitz, a Howard Hughes Medical Institute investigator at the Massachusetts Institute of Technology, report in the 4 March Nature that they've identified the gene that causes a hereditary form of the condition, which also goes by the name amyothophic lateral sclerosis (ALS). While most ALS cases - approximately 90% - are apparently sporadic' and not caused by an inherited gene defect, all the patients have such similar symptons that researchers are hopeful that what they learn about hereditary ALS will also apply to the sporadic form, possibly leading to new therapeutic strategies that will help both. It's a very important finding,' ...

1993-03-05

487

Advanced concept on high temperature strength based on NRIM creep data sheet; Kinzaigiken kuripu deta shito kara umareta koon kyodo no atarashii toraekat  

Energy Technology Data Exchange (ETDEWEB)

National Research Institute for Materials started in FY1966 a creep data sheet project aiming at obtaining the creep test data until 360Ms (about 11 years and half) in maximum, and has continuously been conducting the above on more than 40 kinds of heat resistant metallic materials for practical use for 30 years already as of January, 1996. The 360Ms creep rupture strength which has been aimed at by this project is the basic important strength property referred to at the time of determining design allowable stress of high temperature structural members. The Institute has published the accumulation of the test data of long range creeps lasting beyond 360Ms of the Institute as a creep data sheet, and in this article, the tremendous volume of this long range creep test data is analyzed and studied systematically, the new knowledge concerning the high temperature strength properties thereby obtained is named the base creep ...

1996-05-20

488

A College Guide to Disabled Student Services in Washington State.  

Science.gov (United States)

Prepared by volunteers representing a wide range of interests and experience and including students with disabilities, this guide provides basic information about support services available to students with disabilities at public and private postsecondary education institutions in the State of Washington. The guide may also serve as a resource for family members, school counselors and others who assist students in furthering their education. The first section presents general information, discussing students' rights to appropriate education, giving basic rules for managing the transition to college life, charting effects of functional limitations in the academic setting, and providing a planning checklist for new students. Institutional profiles are presented in the second section, covering vocational-technical institutes (5), community colleges (27), and 4-year colleges and universities (16). Information is included on ...

1986-08-01

489

The Bbar ---> D* l nu bar form factor at zero recoil and the determination of |V{sub cb}|  

Energy Technology Data Exchange (ETDEWEB)

We summarize our lattice QCD study of the form factor at zero recoil in the decay {bar B} {yields} D*{ell}{bar {nu}}. After careful consideration of all sources of systematic uncertainty, we find, h{sub A{sub 1}}(1) = 0.913{sub -17-30}{sup +24+17}, where the first uncertainty is from statistics and fitting while the second combined uncertainty is from all other systematic effects.

2001-11-26

490

Sub-wavelength localization of near-fields in coupled metallic spheres for single emitter polarization analysis  

CERN Document Server

We numerically demonstrate selective near-field localization determined by the polarization state of a single emitter coupled to plasmonic nano-cluster. Seven gold nanospheres are carefully arranged such that up to ten polarization states of the single emitter, including linear, circular, and elliptical polarizations, can be distinguished via the distinct field localization in four gaps. The ability to transform polarization state into field spatial localization may find application for single emitter polarization analysis.

2011-01-01

491

State-of-the-art technique for power system stabilizer tuning  

Energy Technology Data Exchange (ETDEWEB)

Power System Stabilizers (PSS) have broad application throughout the world. PSS application requires careful tuning which is usually accomplished in the field with the generator and power system in an abnormal condition. Recently developed equipment which combines fast Fourier transform capability with digital computer technique provides a means of PSS tuning which is faster and more accurate than was previously obtainable. This paper describes a PSS tuning test conducted using the new technique. The advantages will be apparent to the reader. The described test is very poignant as evidenced by two unexpected occurrences of instability.

1983-03-01

492

Periosteal Ewing's sarcoma  

International Nuclear Information System (INIS)

Periosteal Ewing's sarcoma is an uncommon, but well documented origin of this malignant condition with radiography signs, different from intramedullary growing tumours. Imaging modalities like CT or MRI supply proof of macroscopically intact endosteal cortical surface and free medullary cavity in long bones affected by this periosteal type of malignancy. Definite confirmation is valid after a careful microscopic investigation of the resected specimen. The prognosis of this type of Ewing's sarcoma may be favourable than that of the central type. Early diagnosis and therapy are thus essential. A clinical survey of six observations is given. (orig.).

493

Nonlinear time-domain modeling of balanced-armature receivers  

DEFF Research Database (Denmark)

Nonlinear distortion added by the loudspeaker in a hearing aid lowers the signal-to-noise ratio and may degrade the hearing aid user's ability to understand speech. The balancedarmature- type loudspeakers, predominantly used in hearing aids, are inherently nonlinear devices, as any displacement of the loudspeaker diaphragm inevitably changes the magnetic and electrical characteristics of the loudspeaker. A numerical time-domain model capable of describing these nonlinearities is presented. By simulation it is demonstrated how the output distortion could potentially be reduced significantly through careful design of the mechanical properties of the armature.

2011-01-01

494

Kaluza-Klein Higher Derivative Induced Gravity  

CERN Document Server

Kaluza-Klein higher derivative induced gravity is studied for its application in the inflationary universe. The stability of an inflationary solution in a $D+4$-dimensional anisotropic space is analyzed carefully. We show that there is two nontrivial constraints derived from the static assumptions on the $D$-dimensional scale factor $d$ and scalar field $\\psi$. We find that a physical inflationary solution is consistent with the above constraints. In addition, a compact formula for the non-redundant $4+D$ dimensional Friedmann equation is also derived for convenience. Possible implications are also discussed in this paper.

2006-01-01

495

Justice and the Human Genome Project  

Energy Technology Data Exchange (ETDEWEB)

Most of the essays gathered in this volume were first presented at a conference, Justice and the Human Genome, in Chicago in early November, 1991. The goal of the, conference was to consider questions of justice as they are and will be raised by the Human Genome Project. To achieve its goal of identifying and elucidating the challenges of justice inherent in genomic research and its social applications the conference drew together in one forum members from academia, medicine, and industry with interests divergent as rate-setting for insurance, the care of newborns, and the history of ethics. The essays in this volume address a number of theoretical and practical concerns relative to the meaning of genomic research.

1992-01-01

496

Humeral cortical thickness in female Bantu - its relationship to the incidence of femoral neck fracture  

International Nuclear Information System (INIS)

Measurements of the humeral cortical thickness demonstrate that generalised osteoporosis in female Bantu commences in the fifth decade and gradually increases until, in the ninth decade, all subjects are osteoporotic. The combined cortical thickness (CCT) of the humerus in young adults is very similar to that found previously in a white London population and the loss of cortex with age is very similar. It is concluded that the known low incidence of femoral neck fracture in Bantu is not due to a lower incidence of generalised osteoporosis but to environmental factors. The chief environmental factor postulated is the greater amount of physical work performed by the Bantu. A more careful mode of walking is suggested as a subsidiary cause. (orig.).

497

Glocalisation or globalisation? Travelling discourses of child poverty policy in South Korea  

British Library Electronic Table of Contents (United Kingdom)

This article examines the interplay between globalising and localising forces occurring in a child welfare reform project in South Korea. Focusing especially on care and education services for children and families provided by the Korean 'Dream Start' programme, which provides comprehensive health, parental involvement and welfare services to low-income children and their families, I discuss its involvement in the process of 'glocalisation'. Drawing on Foucaultian ideas, I conducted a critical discourse analysis of the policy documents of Dream Start. The article concludes by discussing local resistance to the creation of a cosmopolitan child and the dual qualities of inclusion/exclusion inscribed in the Dream Start project.

2011-01-01

498

CC, CS, and IOS generalized phenomenological cross sections for atom--diatom mixtures  

Energy Technology Data Exchange (ETDEWEB)

Close coupled expressions for phenomenological cross sections which describe transport properties of atom--diatom mixtures are obtained in the total-J coupling scheme and are related to the bracket integrals of kinetic theory. Coupled states and infinite order sudden expressions for the generalized phenomenological cross sections using initial, final, and average l-labeling are also given. Particular care is taken to use a phase convention for the CS and IOS approximations which is consistent with the Arthurs--Dalgarno formalism and which gives the correct behavior of degeneracy averaged differential cross sections.

1981-05-01

499

Alopecia associated with unexpected leakage from electron cone  

Energy Technology Data Exchange (ETDEWEB)

Excessive irradiation due to unexpected leakage was found on a patient receiving electron beam therapy. The cause of this leakage was analyzed and the amount of leakage was measured for different electron beam energies. The highest leakage occurred with a 6 x 6 cm cone using a 12 MeV electron beam. The leakage dose measured along the side of the cone could be as great as 40%. Until the cones are modified or redesigned, it is advised that all patient setups be carefully reviewed to assure that no significant patient areas are in the side scatter region.

1989-06-01

500

A study to develop the domestic functional requirements of the specific safety systems of CANDU  

Energy Technology Data Exchange (ETDEWEB)

The present research has been made to develop and review critically the functional requirements of the specific safety systems of CANDU such as SDS-1, SDS2, ECCS, and containment. Based on R documents for this, a systematic study was made to develop the domestic regulation statements. Also, the conventional laws are carefully reviewed to see the compatibility to CANDU. Also, the safety assessment method for CANDU was studied by reviewing C documents and recommendation of IAEA. Through the present works, the vague policy in the CANDU safety regulation is cleaning up in a systematic form and a new frame to measure the objective risk of nuclear power plants was developed.

2003-03-15