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Sample records for behaviour comparing hospitals

  1. Malaria treatment perceptions, practices and influences on provider behaviour: comparing hospitals and non-hospitals in south-east Nigeria

    Directory of Open Access Journals (Sweden)

    Dike Nkem

    2009-10-01

    Full Text Available Abstract Background People seek treatment for malaria from a wide range of providers ranging from itinerant drug sellers to hospitals. However, there are lots of problems with treatment provision. Hence, factors influencing treatment provision in hospitals and non-hospitals require further investigation in order to remedy the situation. Objectives To examine the knowledge, pattern of treatment provision and factors influencing the behaviour of hospitals and non-hospitals in the treatment of malaria, so as to identify loci for interventions to improve treatment of the disease. Methods A pre-tested structured questionnaire was used to collect data from 225 providers from hospitals and non-hospitals about their malaria treatment practices and factors that influence their provision of malaria treatment services in south-east Nigeria. The data from hospitals and other providers were compared for systematic differences. Results 73.5% of hospitals used microscopy to diagnose malaria and only 34.5.1% of non-hospitals did (p Conclusion There are many challenges to appropriate provision of malaria treatment services, although challenges are less in hospitals compared to other types of non-hospitals. Improving proper diagnosis of malaria and improving the knowledge of providers about malaria are interventions that could be used to improve malaria treatment provision.

  2. Hospital Compare

    Data.gov (United States)

    U.S. Department of Health & Human Services — Hospital Compare has information about the quality of care at over 4,000 Medicare-certified hospitals across the country. You can use Hospital Compare to find...

  3. Hospital Compare - Archived Data

    Data.gov (United States)

    U.S. Department of Health & Human Services — Hospital Compare is a consumer-oriented website that provides information on how well hospitals provide recommended care to their patients. This information can...

  4. Hospital Compare Data

    Data.gov (United States)

    U.S. Department of Health & Human Services — These are the official datasets used on the Medicare.gov Hospital Compare Website provided by the Centers for Medicare and Medicaid Services. These data allow you...

  5. Child behaviour and pain after hospitalization, surgery and anaesthesia

    OpenAIRE

    Karling, Mats

    2006-01-01

    Hospitalization, surgery and anaesthesia are for some children associated with anxiety and could be a frightful experience which may result in later problematic behaviour. Pain is associated with the fears of hospitalization. The first aim was to investigate how pain in children is treated in Swedish hospitals as well as to assess the results of this treatment. Behaviour after hospitalization has been measured by the Post Hospital Behaviour Questionnaire (PHBQ). A second aim was to translate ...

  6. Organizational Citizenship Behaviour, Hospital Corporate Image and Performance

    Directory of Open Access Journals (Sweden)

    Obamiro John Kolade

    2014-03-01

    Full Text Available This study examines the relationship between organizational citizenship behaviour, hospital corporate image and performance. Questionnaires were distributed to 350 patients and 298 usable questionnaires were returned representing a return rate of 85.7%. The study employs a Structural Equation Model to test four hypotheses on organizational citizenship behaviours, hospital corporate image and performance. The findings reveal that hospitals can increase performance through organizational citizenship behaviour and positive corporate image. However, it was also discovered that there is a negative covariance between organizational citizenship behaviour and hospital corporate image despite their individual positive contribution to performance. Therefore, hospital management should develop an organizational climate (such as recognition, additional reward, promotion, etc. that can promote organizational citizenship behaviour and enhance a positive corporate image while preventing situations that will discourage staff from rendering extra positive discretionary work related services.

  7. Working hours and health behaviour among nurses at public hospitals

    Directory of Open Access Journals (Sweden)

    Juliana da Costa Fernandes

    2013-09-01

    Full Text Available OBJECTIVE: to analyse the differences between genders in the description in the professional, domestic and total work hours and assess its association with health-related behaviour among nurses. METHODS: this is a transversal study carried out in 18 different public hospitals in the municipality of Rio de Janeiro. The data collection procedure was based on questionnaires. All nurses working with assistance were considered eligible (n=2,279. RESULTS: men and women showed significant differences in relation to working hours. The female group showed longer domestic and total work hours when compared to the group of men. In contrast, the number of hours spent on professional work was higher among men. For the women, both the professional hours and total work hours were often associated with excessive consumption of fried food and also coffee, lack of physical exercise and also the greater occurrence of overweight and obesity. CONCLUSION: both the professional hours and the domestic work hours need to be taken into account in studies about health, self-care and also the care provided within the context of nursing workers, particularly among women. The results add weight to the need for actions for health promotion in this occupational group and the importance of assessing the impact of long working hours on the health of workers.

  8. Working hours and health behaviour among nurses at public hospitals

    OpenAIRE

    Juliana da Costa Fernandes; Luciana Fernandes Portela; Lucia Rotenberg; Rosane Harter Griep

    2013-01-01

    OBJECTIVE: to analyse the differences between genders in the description in the professional, domestic and total work hours and assess its association with health-related behaviour among nurses. METHODS: this is a transversal study carried out in 18 different public hospitals in the municipality of Rio de Janeiro. The data collection procedure was based on questionnaires. All nurses working with assistance were considered eligible (n=2,279). RESULTS: men and women showed significant ...

  9. Is the impact of hospital performance data greater in patients who have compared hospitals?

    NARCIS (Netherlands)

    Groot, I.B. de; Otten, W.; Smeets, H.J.; Marang-van de Mheen, P.J.

    2011-01-01

    Background. Public information on average has limited impact on patients' hospital choice. However, the impact may be greater in consumers who have compared hospitals prior to their hospital choice. We therefore assessed whether patients who have compared hospitals based their hospital choice mainly

  10. Is the impact of hospital performance data greater in patients who have compared hospitals?

    Directory of Open Access Journals (Sweden)

    Smeets Harm J

    2011-09-01

    Full Text Available Abstract Background Public information on average has limited impact on patients' hospital choice. However, the impact may be greater in consumers who have compared hospitals prior to their hospital choice. We therefore assessed whether patients who have compared hospitals based their hospital choice mainly on public information, rather than e.g. advice of their general practitioner and consider other information important than patients who have not compared hospitals. Methods 337 new surgical patients completed an internet-based questionnaire. They were asked whether they had compared hospitals prior to their hospital choice and which factors influenced their choice. They were also asked to select between four and ten items of hospital information (total: 41 items relevant for their future hospital choice. These were subsequently used in a hospital choice experiment in which participants were asked to compare hospitals in an Adaptive Choice-Based Conjoint analysis to estimate which of the hospital characteristics had the highest Relative Importance (RI. Results Patients who have compared hospitals more often used public information for their hospital choice than patients who have not compared hospitals (12.7% vs. 1.5%, p Conclusion Public information has limited impact on patient's hospital choice, even in patients who have actually compared hospitals prior to hospital choice.

  11. Undergraduate students' experience in 'peripheral' and 'teaching' hospitals compared.

    OpenAIRE

    Dann, W L

    1983-01-01

    Increasingly, British medical schools are using hospitals other than designated teaching hospitals for the provision of undergraduate clinical experience. This paper reports upon a study which compared students' experience in 'peripheral' and 'teaching' hospitals. Students report greater involvement in peripheral hospital firms and a more encouraging atmosphere. They gain more experience of practical procedures in these hospitals, and devote more time to ward and operating theatre work. More ...

  12. Suicide death and hospital-treated suicidal behaviour in asylum seekers in the Netherlands: a national registry-based study

    Directory of Open Access Journals (Sweden)

    van Oostrum Irene EA

    2011-06-01

    Full Text Available Abstract Background Several suicide and suicidal behaviour risk factors are highly prevalent in asylum seekers, but there is little insight into the suicide death rate and the suicidal behaviour incidence in this population. The main objective of this study is to assess the burden of suicide and hospital-treated non-fatal suicidal behaviour in asylum seekers in the Netherlands and to identify factors that could guide prevention. Methods We obtained data on cases of suicide and suicidal behaviour from all asylum seeker reception centres in the Netherlands (period 2002-2007, age 15+. The suicide death rates in this population and in subgroups by sex, age and region of origin were compared with the rate in the Dutch population; the rates of hospital-treated suicidal behaviour were compared with that in the population of The Hague using indirect age group standardization. Results The study included 35 suicide deaths and 290 cases of hospital-treated suicidal behaviour. The suicide death rate and the incidence of hospital-treated suicidal behaviour differed between subgroups by sex and region of origin. For male asylum seekers, the suicide death rate was higher than that of the Dutch population (N = 32; RR = 2.0, 95%CI 1.37-2.83. No difference was found between suicide mortality in female asylum seekers and in the female general population of the Netherlands (N = 3; RR = 0.73; 95%CI 0.15-2.07. The incidence of hospital-treated suicidal behaviour was high in comparison with the population of The Hague for males and females from Europe and the Middle East/South West Asia, and low for males and females from Africa. Health professionals knew about mental health problems prior to the suicidal behaviour for 80% of the hospital-treated suicidal behaviour cases in asylum seekers. Conclusions In this study the suicide death rate was higher in male asylum seekers than in males in the reference population. The incidence of hospital-treated suicidal behaviour

  13. Comparative Performance Data for Critical Access Hospitals

    Science.gov (United States)

    Pink, George H.; Slifkin, Rebecca T.; Coburn, Andrew F.; Gale, John A.

    2004-01-01

    Context: Among small rural hospitals, there is a growing recognition of the need to measure and report on the use of resources and the safety and quality of the services provided. Dashboards, clinical value compasses, and balanced scorecards are approaches to performance measurement that have been adopted by many health care organizations.…

  14. Comparative analysis of organizational behaviours in CFR and Deutsche Bahn

    OpenAIRE

    Dana Cătălina IOSIF; Simona VASILACHE

    2013-01-01

    The paper compares the organizational behaviour in CFR and Deutsche Bahn, from the point of view of employees, as well as managers, outlining possible similarities and best practices which can be, potentially, transferred. The main issues in focus regard what are the elements which contribute to the organizational behaviour of each company, a complex and controversial concept, and how national culture influences organizational culture, in an attempt to standardize what seems to be ineffable i...

  15. The organisational citizenship behaviour. Study on a population of french hospital agents

    OpenAIRE

    Rioux, Liliane

    2012-01-01

    The current research aims to identify the variables which help predict the organisational citizenship behaviour of the hospital personnel in the Central region (France). 150 hospital employees (nurses’-aids, nurses, and healthcare personnel) were asked to fill in a questionnaire comprising three scales which evaluated workplace attachment, organisational involvement and the organisational citizenship behaviour. The results reveal that the variables which carry an affective component predict t...

  16. The organisational citizenship behaviour. Study on a population of french hospital agents

    Directory of Open Access Journals (Sweden)

    Liliane RIOUX

    2012-01-01

    Full Text Available The current research aims to identify the variables which help predict the organisational citizenship behaviour of the hospital personnel in the Central region (France. 150 hospital employees (nurses’-aids, nurses, and healthcare personnel were asked to fill in a questionnaire comprising three scales which evaluated workplace attachment, organisational involvement and the organisational citizenship behaviour. The results reveal that the variables which carry an affective component predict the dimension ‘help given to colleagues’ of the organisational citizenship behaviour, but not the dimensions ‘altruism’ and ‘civic virtues’, the predictors of which are yet to be found.

  17. Behavioural and Psychiatric Symptoms in People with Dementia Admitted to the Acute Hospital: Prospective Cohort Study

    OpenAIRE

    Sampson, E L; White, N.; Leurent, B.; Scott, S; Lord, K; Round, J; Jones, L.

    2014-01-01

    BACKGROUND: Dementia is common in older people admitted to acute hospitals. There are concerns about the quality of care they receive. Behavioural and psychiatric symptoms of dementia (BPSD) seem to be particularly challenging for hospital staff. AIMS To define the prevalence of BPSD and explore their clinical associations. METHOD: Longitudinal cohort study of 230 people with dementia, aged over 70, admitted to hospital for acute medical illness, and assessed for BPSD at admission and every 4...

  18. Hospital profitability and capital structure: a comparative analysis.

    Science.gov (United States)

    Valvona, J; Sloan, F A

    1988-08-01

    This article compares the financial performance of hospitals by ownership type and of five publicly traded hospital companies with other industries, using such indicators as profit margins, return on equity (ROE) and total capitalization, and debt-to-equity ratios. We also examine stock returns to investors for the five hospital companies versus other industries, as well as the relative roles of debt and equity in new financing. Investor-owned hospitals had substantially greater margins and ROE than did other hospital types. In 1982, investor-owned chain hospitals had a ROE of 26 percent, 18 points above the average for all hospitals. Stock returns on the five selected hospital companies were more than twice as large as returns on other industries between 1972 and 1983. However, after 1983, returns for these companies fell dramatically in absolute terms and relative to other industries. We also found investor-owned hospitals to be much more highly levered than their government and voluntary counterparts, and more highly levered than other industries as well. PMID:3403274

  19. Impact of Self Efficacy on Innovative Behaviour Pharmacist in Hospital

    Directory of Open Access Journals (Sweden)

    Sri M. Wahyuningrum

    2012-06-01

    Full Text Available Hospitals are always required in order to improve the quality of service in accordance with professional standards in accordance with their code of ethics. Therefore, health workers in hospitals, especially pharmacists, are required to continuously improve its service to the community. To improve health services to the community, then the pharmacist must interact and be accepted by other professional health personnel in hospitals. The purpose of this study was to determine the effect of self-efficacy pharmacist in a hospital organization that became an impact on innovative behavior. This study used an obsevational quantitative measurement using questionnaire instrument. The results measured by number consist of value, rank, and frequencies were analyzed using statistics software smartPLS to answer the research question or hypothesis to predict a particular variable affects another variable. The results showed that effect between self-efficacy of behavioral innovations in the hospital pharmacist significantly different. A pharmacist who has high self-efficacy will obviously have the higher innovation behavior in hospitals.

  20. Comparative Quality Indicators for Hospital Choice: Do General Practitioners Care?

    Science.gov (United States)

    Ferrua, Marie; Sicotte, Claude; Lalloué, Benoît; Minvielle, Etienne

    2016-01-01

    Context The strategy of publicly reporting quality indicators is being widely promoted through public policies as a way to make health care delivery more efficient. Objective To assess general practitioners’ (GPs) use of the comparative hospital quality indicators made available by public services and the media, as well as GPs’ perceptions of their qualities and usefulness. Method A telephone survey of a random sample representing all self-employed GPs in private practice in France. Results A large majority (84.1%–88.5%) of respondents (n = 503; response rate of 56%) reported that they never used public comparative indicators, available in the mass media or on government and non-government Internet sites, to influence their patients’ hospital choices. The vast majority of GPs rely mostly on traditional sources of information when choosing a hospital. At the same time, this study highlights favourable opinions shared by a large proportion of GPs regarding several aspects of hospital quality indicators, such as their good qualities and usefulness for other purposes. In sum, the results show that GPs make very limited use of hospital quality indicators based on a consumer choice paradigm but, at the same time, see them as useful in ways corresponding more to the usual professional paradigms, including as a means to improve quality of care. PMID:26840429

  1. A comparative study of ICU patient diaries vs. hospital charts

    DEFF Research Database (Denmark)

    Egerod, Ingrid; Christensen, Doris

    2010-01-01

    discharge. The central question we posed in this study was: Why do nurses write diaries in addition to conventional charting in the medical record? To answer this question, we compared intensive care diaries and hospital charts using textual analysis and narrative theory. The aims of our study were to...

  2. Hospitals need to customise care according to patients' differing information-seeking behaviour

    DEFF Research Database (Denmark)

    Riiskjær, Erik; Ammentorp, Jette; Nielsen, Jørn Flohr;

    2014-01-01

    INTRODUCTION: The aim of the study was to describe how often patients seek information about their disease in connection with contact to a hospital and to elucidate how information-seeking behaviour is related to the patients' perception of this contact. MATERIAL AND METHODS: The study was based ...

  3. The effect of performance-related pay of hospital doctors on hospital behaviour: a case study from Shandong, China

    Directory of Open Access Journals (Sweden)

    Mills Anne

    2005-10-01

    Full Text Available Abstract Background With the recognition that public hospitals are often productively inefficient, reforms have taken place worldwide to increase their administrative autonomy and financial responsibility. Reforms in China have been some of the most radical: the government budget for public hospitals was fixed, and hospitals had to rely on charges to fill their financing gap. Accompanying these changes was the widespread introduction of performance-related pay for hospital doctors – termed the "bonus" system. While the policy objective was to improve productivity and cost recovery, it is likely that the incentive to increase the quantity of care provided would operate regardless of whether the care was medically necessary. Methods The primary concerns of this study were to assess the effects of the bonus system on hospital revenue, cost recovery and productivity, and to explore whether various forms of bonus pay were associated with the provision of unnecessary care. The study drew on longitudinal data on revenue and productivity from six panel hospitals, and a detailed record review of 2303 tracer disease patients (1161 appendicitis patients and 1142 pneumonia patients was used to identify unnecessary care. Results The study found that bonus system change over time contributed significantly to the increase in hospital service revenue and hospital cost recovery. There was an increase in unnecessary care and in the probability of admission when the bonus system switched from one with a weaker incentive to increase services to one with a stronger incentive, suggesting that improvement in the financial health of public hospitals was achieved at least in part through the provision of more unnecessary care and drugs and through admitting more patients. Conclusion There was little evidence that the performance-related pay system as designed by the sample of Chinese public hospitals was socially desirable. Hospitals should be monitored more closely

  4. Hospital and community health service costs: England and Scotland compared

    OpenAIRE

    Glen, A C; Hulbert, J K

    1987-01-01

    In publications which have compared the health expenditure in the component parts of the United Kingdom by applying the Resource Allocation Working Party (RAWP) formula to the health budget of England, Scotland, Wales, and Northern Ireland it has been previously concluded that Scotland's hospital and community health services expenditure is more than 19% above what would be a fair distribution. It has also been implied that Scotland's allocation should be cut substantially to improve services...

  5. Comparative Quality Indicators for Hospital Choice: Do General Practitioners Care?

    OpenAIRE

    Ferrua, Marie; Sicotte, Claude; Lalloué, Benoît; Minvielle, Etienne

    2016-01-01

    Context The strategy of publicly reporting quality indicators is being widely promoted through public policies as a way to make health care delivery more efficient. Objective To assess general practitioners’ (GPs) use of the comparative hospital quality indicators made available by public services and the media, as well as GPs’ perceptions of their qualities and usefulness. Method A telephone survey of a random sample representing all self-employed GPs in private practice in France. Results A...

  6. Comparative analysis of graphite oxidation behaviour based on microstructure

    International Nuclear Information System (INIS)

    Two unidentified powdered graphite samples, from a natural and a synthetic origin respectively, were examined. These materials are intended for use in nuclear applications, but have an unknown treatment history since they are considered proprietary. In order to establish a baseline for comparison, the samples were compared to two commercial flake natural graphite samples with varying impurity levels. The samples were characterized by conventional techniques such as powder X-ray diffraction, Raman spectroscopy and X-ray fluorescence. The results indicated that all four samples were very similar, with low impurity levels and good crystallinity, yet they exhibit remarkably different oxidation behaviours. The oxidized microstructures of the materials were examined using high-resolution scanning electron microscopy at low acceleration voltages. The relative influence of each factor affecting the oxidation was established, enabling a structured comparison of the different oxidative behaviours. Based on this analysis, it was possible to account for the measured differences in oxidative reactivity. The material with the lowest reactivity was a flake natural graphite which was characterized as having highly visible crystalline perfection, large particles with a high aspect ratio and no traces of catalytic activity. The second sample, which had an identical inherent microstructure, was found to have an increased reactivity due to the presence of small catalytic impurities. This material also exhibited a more gradual reduction in the oxidation rate at higher conversion, caused by the accumulation of particles which impede the oxidation. The sample with the highest reactivity was found to be a milled, natural graphite material, despite its evident crystallinity. The increased reactivity was attributable to a smaller particle size, the presence of catalytic impurities and extensive damage to the particle structure caused by jet milling. Despite displaying the lowest levels of

  7. Glycaemic Control and Associated Self-Management Behaviours in Diabetic Outpatients: A Hospital Based Observation Study in Lusaka, Zambia

    Directory of Open Access Journals (Sweden)

    Emmanuel Mwila Musenge

    2016-01-01

    Full Text Available Background. The control of diabetes mellitus depends on several factors that also include individual lifestyles. We assessed glycaemic control status and self-management behaviours that may influence glycaemic control among diabetic outpatients. Methods. This cross-sectional study among 198 consenting randomly selected patients was conducted at the University Teaching Hospital diabetic clinic between September and December 2013 in Lusaka, Zambia. A structured interview schedule was used to collect data on demographic characteristics, self-management behaviours, and laboratory measurements. Binary logistic regression analysis using IBM SPSS for Windows version 20.0 was carried out to predict behaviours that were associated with glycaemic control status. Results. The proportion of patients that had good glycaemic control status (HbA1c≤ 48 mmol/mol was 38.7% compared to 61.3% that had poor glycaemic control status (HbA1c≥ 49 mmol/mol. Adherence to antidiabetic treatment and fasting plasma glucose predicted glycaemic control status of the patients. However, self-blood glucose monitoring, self-blood glucose monitoring means and exercise did not predict glycaemic control status of the patients.  Conclusion. We find evidence of poor glycaemic control status among most diabetic patients suggesting that health promotion messages need to take into account both individual and community factors to promote behaviours likely to reduce nonadherence.

  8. From neurons to nests: nest-building behaviour as a model in behavioural and comparative neuroscience

    OpenAIRE

    Hall, Zachary J.; Meddle, Simone L.; Healy, Susan D.

    2016-01-01

    Despite centuries of observing the nest building of most extant bird species, we know surprisingly little about how birds build nests and, specifically, how the avian brain controls nest building. Here, we argue that nest building in birds may be a useful model behaviour in which to study how the brain controls behaviour. Specifically, we argue that nest building as a behavioural model provides a unique opportunity to study not only the mechanisms through which the brain controls behaviour wi...

  9. Smoking behaviour predicts tobacco control attitudes in a high smoking prevalence hospital: A cross-sectional study in a Portuguese teaching hospital prior to the national smoking ban

    Directory of Open Access Journals (Sweden)

    Aguiar Pedro

    2011-09-01

    Full Text Available Abstract Background Several studies have investigated attitudes to and compliance with smoking bans, but few have been conducted in healthcare settings and none in such a setting in Portugal. Portugal is of particular interest because the current ban is not in line with World Health Organization recommendations for a "100% smoke-free" policy. In November 2007, a Portuguese teaching-hospital surveyed smoking behaviour and tobacco control (TC attitudes before the national ban came into force in January 2008. Methods Questionnaire-based cross-sectional study, including all eligible staff. Sample: 52.9% of the 1, 112 staff; mean age 38.3 ± 9.9 years; 65.9% females. Smoking behaviour and TC attitudes and beliefs were the main outcomes. Bivariable analyses were conducted using chi-squared and MacNemar tests to compare categorical variables and Mann-Whitney tests to compare medians. Multilogistic regression (MLR was performed to identify factors associated with smoking status and TC attitudes. Results Smoking prevalence was 40.5% (95% CI: 33.6-47.4 in males, 23.5% (95% CI: 19.2-27.8 in females (p Conclusions Smoking prevalence was high, especially among the lower socio-economic groups. The findings showed a very high level of support for smoking bans, despite the pro-smoking environment. Most staff reported passive behaviour, despite high SHS exposure. This and the high smoking prevalence may contribute to low compliance with the ban and low participation on smoking cessation activities. Smoking behaviour had greater influence in TC attitudes than health professionals' education. Our study is the first in Portugal to identify potential predictors of non-compliance with the partial smoking ban, further emphasising the need for a 100% smoke-free policy, effective enforcement and public health education to ensure compliance and promote social norm change.

  10. Benign Prostatic Hyperplasia: Health Seeking Behaviour of patients at a tertiary care hospital.

    Directory of Open Access Journals (Sweden)

    Aman Deep

    2010-03-01

    Full Text Available BackgroundBenign Prostatic Hyperplasia is a widely prevalent conditionaffecting elderly men throughout the world. With increasinglife expectancy, there has been a rise in the percentage ofelderly men and so for this disease across the globe. There islack of information about health seeking behaviour of patientswith Benign Prostatic Hyperplasia. Therefore the study wasdesigned with the objectives of assessing health-seekingbehaviour and the effect of literacy on it among adult andolder subjects suffering from Benign Prostatic Hyperplasiaattending a tertiary care hospital.MethodA series of 81 patients suffering from Benign ProstaticHyperplasia above the age of 50 years, attending surgical OutPatient Department of a tertiary care hospital in Delhi, wereassessed for their health seeking behaviour using a pre-testedand a modified questionnaire designed for assessing healthseeking behaviour.ResultsPositive health seeking behaviour of patients was observed in44%, who reported to a doctor within a month of noticingtheir problem. A greater proportion of the literates was awareabout the symptoms suggestive of enlarged prostate andconsulted a qualified health care practitioner as their firstaction. More literates approached the higher level of healthcare facility on being referred and had maximum faith inallopathic system of medicine. Also, lesser number of literateshad performed pooja (Hindi word for worship or othertraditional rituals for relief of their problems.ConclusionWe concluded that majority of subjects suffering fromBenign Prostatic Hypertrophy were not aware of theirdisease and their health-seeking behaviour was poor andcould be related to literacy. Our data highlights the needfor public awareness program targeting the younger malepopulation so that early detection and treatment can beoffered.

  11. Health-related behaviour among managers of Slovenian hospitals and institutes of public health

    Directory of Open Access Journals (Sweden)

    Jerneja Farkas

    2015-12-01

    Full Text Available Aim: Behavioural risk factors have a significant impact on health. We aimed to assess health-related behaviour, health status, and use of healthcare services among managers of Slovenian hospitals and institutes of public health. Methods: This was a cross-sectional study which included management (directors, scientific directors, directors’ deputies of Slovenian hospitals and institutes of public health (63 respondents; 57% women; overall mean age: 51±7 years; response rate: 74%. Data were obtained using an anonymous self-administered questionnaire. Results: About 35% of respondents were directors. More than half of the respondents were overweight or obese (52%, the majority were not sufficiently physically active (59% and overloaded with stress (87%. Hypercholesterolemia (36%, spinal disease (17%, and arterial hypertension (16% were most common chronic diseases. Whilst only few participants visited their general practitioner due their health complaints, blood pressure (76%, cholesterol (51%, and glucose (54% were measured within last year in most of the respondents. Conclusion: Our findings point to a high prevalence of overweight and obesity as well as workplace-related stress among Slovenian public health managers. Therefore, effective preventive strategies should be focused on stress management along with promotion of healthy behavioural patterns.

  12. A frame signature matrix for analysing and comparing interaction design behaviour

    OpenAIRE

    Blyth, Richard; Schadewitz, Nicole; Sharp, Helen; Woodroffe, Mark; Rajah, Dino; Turugare, Ranganai

    2012-01-01

    Protocol studies are an established method to investigate design behaviour. In the context of a project to investigate novice interaction design (ID) behaviour across protocols and cultures, we found that existing design behaviour analysis frameworks did not provide reliable results. This paper describes the development of a new approach to analyse and compare ID behaviour using verbal protocols. We augment Schön’s basic design and reflection cycle with construction of a frame signature matri...

  13. Hospital clinicians' information behaviour and attitudes towards the 'Clinical Informationist': an Irish survey.

    LENUS (Irish Health Repository)

    Flynn, Maura G

    2012-02-01

    BACKGROUND: Hospital clinicians are increasingly expected to practice evidence-based medicine (EBM) in order to minimize medical errors and ensure quality patient care, but experience obstacles to information-seeking. The introduction of a Clinical Informationist (CI) is explored as a possible solution. AIMS: This paper investigates the self-perceived information needs, behaviour and skill levels of clinicians in two Irish public hospitals. It also explores clinicians\\' perceptions and attitudes to the introduction of a CI into their clinical teams. METHODS: A questionnaire survey approach was utilised for this study, with 22 clinicians in two hospitals. Data analysis was conducted using descriptive statistics. RESULTS: Analysis showed that clinicians experience diverse information needs for patient care, and that barriers such as time constraints and insufficient access to resources hinder their information-seeking. Findings also showed that clinicians struggle to fit information-seeking into their working day, regularly seeking to answer patient-related queries outside of working hours. Attitudes towards the concept of a CI were predominantly positive. CONCLUSION: This paper highlights the factors that characterise and limit hospital clinicians\\' information-seeking, and suggests the CI as a potentially useful addition to the clinical team, to help them to resolve their information needs for patient care.

  14. Comparing public and private sector employees' innovative behaviour

    DEFF Research Database (Denmark)

    Bysted, Rune; Hansen, Jesper Rosenberg

    2015-01-01

    Innovation is argued to be of key importance in the public sector. Little is known about possible sector differences in innovative behaviour. The stereotype in literature is that public employees are less innovative. We analyse whether sector is associated with innovative behaviour and the...... influence of job/organizational characteristics. We test this by using a three-country representative survey in Scandinavia with 8,310 respondents. We control for subsectors/industries and job functions. We do not find that public employees are less innovative. Furthermore, the study emphasizes the...

  15. Analysis of Nurses’ Organizational Deviant Behaviour: An Example of a University Hospital

    Directory of Open Access Journals (Sweden)

    Gamze Bayın

    2014-09-01

    Full Text Available Organizational deviant behavior is defined as intentionally behavior which is damaging both employees and organization and unsuitable to organization rules, norms, values, expectations and legal regulations.The aim of this study is to determine the level of organizational deviance of nurses, to expose differentiates of this level. according to the descriptive characteristics, to detect the dimensions of organizational deviance and to evaluate the relationship between these dimensions. Population of the study is nurses working at a University Hospital in Ankara. The sample is not selected and tried to reach all the nurses working at this hospital. However, 244 nurses were reached (%48,12. To measure organizational deviance, “Measure of Workplace Deviance Items”which was developed by Bennett and Robinson (2000was used. This scale consists from 15 expressions and 2 dimensions and its’ Cronbach's alpha coefficient was 0,94. As a result of the study, the mean score of nurses’ organizational deviance was found 1.85 ± 0.718. In addition, statistically significant, positive and moderately strong correlation was found between the two dimensions of organizational deviance (R= 0.701 . It can be suggested that health care managers should identify reasons and the ways of preventing of individual deviant behaviour. Thus, managers may prevent behaviour of deviation to the organization.

  16. Pain, agitation, and behavioural problems in people with dementia admitted to general hospital wards: a longitudinal cohort study

    OpenAIRE

    Sampson, E L; White, N.; Lord, K; Leurent, B.; Vickerstaff, V.; Scott, S; Jones, L.

    2015-01-01

    Abstract Pain is underdetected and undertreated in people with dementia. We aimed to investigate the prevalence of pain in people with dementia admitted to general hospitals and explore the association between pain and behavioural and psychiatric symptoms of dementia (BPSD). We conducted a longitudinal cohort study of 230 people, aged above 70, with dementia and unplanned medical admissions to 2 UK hospitals. Participants were assessed at baseline and every 4 days for self-reported pain (yes/...

  17. Pain, agitation, and behavioural problems in people with dementia admitted to general hospital wards: a longitudinal cohort study

    OpenAIRE

    Sampson, EL; White, N.; Lord, K; Leurent, B.; Vickerstaff, V.; Scott, S; Jones, L.

    2015-01-01

    Pain is underdetected and undertreated in people with dementia. We aimed to investigate the prevalence of pain in people with dementia admitted to general hospitals and explore the association between pain and behavioural and psychiatric symptoms of dementia (BPSD). We conducted a longitudinal cohort study of 230 people, aged above 70, with dementia and unplanned medical admissions to 2 UK hospitals. Participants were assessed at baseline and every 4 days for self-reported pain (yes/no questi...

  18. Practise what you preach: health behaviours and stress among non-consultant hospital doctors.

    Science.gov (United States)

    Feeney, Sinéad; O'Brien, Kevin; O'Keeffe, Neasa; Iomaire, Anna Nic Con; Kelly, Maureen E; McCormack, John; McGuire, Genevieve; Evans, David S

    2016-02-01

    High rates of psychological distress, depression and suicide have been reported among doctors. Furthermore, many doctors do not access healthcare by conventional means. This study aimed to increase understanding regarding non-consultant hospital doctors' (NCHDs') response to stress and barriers to accessing supports, and identify possible solutions. Medical manpower departments in 58 hospitals distributed a 25-item questionnaire to 4,074 NCHDs; we received 707 responses (response rate, 17.4%). 60% of NCHDs were unable to take time off work when unwell; 'letting teammates down' (90.8%) and 'difficulty covering call' (85.9%) were the leading reasons. 'Being too busy' (85%), 'self-prescription' (66.6%) and 'self-management' (53.1%) were ranked highest in deterring NCHDs from visiting a general practitioner (GP). 22.9% of NCHDs would not attend a GP with anxiety or depression until they began to feel hopeless, helpless or suicidal. 12.2% would not seek help at all. 55% of respondents (n = 330) had to move away from partners or dependants due to work, negatively affecting the social supports of 82.9%. Possible practical solutions were explored. NCHDS are a vulnerable population and have a particularly challenging lifestyle. Key recommendations include improved GP and counselling access for NCHDs, and addressing the culture of self-treatment and poor health behaviours through undergraduate and postgraduate education. PMID:26833509

  19. Hospital-acquired acute kidney injury in medical, surgical, and intensive care unit: A comparative study

    OpenAIRE

    Singh, T. B.; Rathore, S. S.; Choudhury, T. A.; Shukla, V. K.; D.K. Singh; Prakash, J.

    2013-01-01

    Acute kidney injury (AKI) is a common complication in hospitalized patients. There are few comparative studies on hospital-acquired AKI (HAAKI) in medical, surgical, and ICU patients. This study was conducted to compare the epidemiological characteristics, clinical profiles, and outcomes of HAAKI among these three units. All adult patients (>18 years) of either gender who developed AKI based on RIFLE criteria (using serum creatinine), 48 h after hospitalization were included in the study. Pat...

  20. Comparative Study of Three Commonly Used Methods for Hospital Efficiency Analysis in Beijing Tertiary Public Hospitals, China

    Institute of Scientific and Technical Information of China (English)

    Guo-Chao Xu; Jian Zheng; Zi-Jun Zhou; Chuan-Kun Zhou; Yang Zhao

    2015-01-01

    Background: Tertiary hospitals serve as the medical service center within the region and play an important role in the medical and health service system.They are also the key targets of public hospital reform in the new era in China.Through the reform of health system, the public hospital efficiency has changed remarkably.Therefore, this study aimed to provide some advice for efficiency assessment of public hospitals in China by comparing and analyzing the consistency of results obtained by three commonly used methods for examining hospital efficiency, that is, ratio analysis (RA), stochastic frontier analysis (SFA), and data envelopment analysis (DEA).Methods: The theoretical basis, operational processes, and the application status ofRA, SFA, and DEA were learned through literature analysis.Then, the empirical analysis was conducted based on measured data from 51 tertiary public hospitals in Beijing from 2009 to 2011.Results: The average values of hospital efficiency calculated by SFA with index screening and principal component analysis (PCA) results and those calculated by DEA with index screening results were relatively stable.The efficiency of specialized hospitals was higher than that of general hospitals and that of traditional Chinese medicine hospitals.The results obtained by SFA with index screening results and the results obtained by SFA with PCA results showed a relatively high correlation (r-value in 2009, 2010, and 2011 were 0.869, 0.753, and 0.842, respectively, P < 0.01).The correlation between results obtained by DEA with index screening results and PCA results and results obtained by other methods showed statistical significance, but the correlation between results obtained by DEA with index screening results and PCA results was lower than that between results obtained by SFA with index screening results and PCA results.Conclusions: RA is not suitable for multi-index evaluation of hospital efficiency.In the given conditions, SFA is a stable

  1. Comparing measures of cognitive bias relating to eating behaviour

    OpenAIRE

    Pothos, E. M.; Calitri, R.; Tapper, K.; Brunstrom, J M; Rogers, P J

    2009-01-01

    Consumption of and/or abstinence from substances with a high reward value (e.g., heroin, marijuana, alcohol, nicotine, certain foods) are associated with cognitive biases for information related to the substance. Such cognitive biases are important since they may contribute to difficulties in controlling intake of the substance. We examine cognitive biases for stimuli related to food. For the first time, we concurrently employ and compare five conceptually distinct measures of cognitive bias ...

  2. Innovative medical devices and hospital decision making: a study comparing the views of hospital pharmacists and physicians.

    Science.gov (United States)

    Billaux, Mathilde; Borget, Isabelle; Prognon, Patrice; Pineau, Judith; Martelli, Nicolas

    2016-06-01

    -based health technology assessment has been developed to support decisions. However, little is known about the different perceptions of innovative medical devices among practitioners and how different perceptions may affect decision making. What does this paper add? This paper compares and understands the perceptions of two groups of health professionals concerning innovative devices in the university hospital environment. What are the implications for practitioners? Such a comparison of viewpoints could facilitate improvements in current practices and decision-making processes in local health technology assessment for these medical products. PMID:26342894

  3. Behavioural Risk Factors and Health Promotional Activities in Adults at Risk of Cardiovascular Disease in a South Indian Tertiary Care Teaching Hospital

    Directory of Open Access Journals (Sweden)

    Auras Atreya

    2010-08-01

    Full Text Available Background: India along with other South Asian countries significantly contributes to the global burden of cardiovascular diseases. Studies have shown Indians to exhibit higher prevalence of Coronary Artery Disease and coronary risk factors as compared with Caucasians. These risk factors are compounded by behavioural risk factors such as regular tobacco use, low physical activity as well as a high saturated fat intake and this places a need for effective behavioural modification. Objective: To identify behavioural risk factors among patients at increased risk of cardiovascular disease in the general medical practice and to identify if these high-risk patients were subjected to any health promotional activities to modify their risk behaviour.Methods: A cross sectional study was carried out at the general medical clinics of a tertiary care teaching hospital in coastal Karnataka, India. A total of 68 patients who were at an increased risk for cardiovascular disease attending these outpatient services during a two month period were recruited into the study. A pretested questionnaire was used to collect the relevant data.Results: Seventy three percent of the participants were older than 50 years of age. Majority (79% were diagnosed with Type 2 Diabetes. Most of the participants (66% were engaged in light physical activity, and almost 48% were observed to have a high Body Mass Index (BMI. None of the 8 smokers identified in the study had been subjected to any stage based behaviour change therapy. Although diet modification was advised in up to 95% of the cases, only 19% received a supervised diet plan. A marginal improvement in the BMI was noted among these individuals.Conclusion: These findings indicate the paucity of behavioural change intervention in the day to day care of chronic patients. A targeted behavioural counselling imparted by trained professionals is the need of the hour to bring about the desired change among patients at risk of

  4. Demographic, clinical and psychological characteristics of patients with self-harm behaviours attending an emergency department of a tertiary care hospital.

    Science.gov (United States)

    Grover, Sandeep; Sarkar, Siddharth; Bhalla, Ashish; Chakrabarti, Subho; Avasthi, Ajit

    2016-04-01

    Understanding the characteristics of those with self-harm behaviour may help in identifying those at risk and providing targeted interventions to this group of patients, especially in the emergency services. The present study aimed to compare the suicidal intent, hopelessness, severity of depressive symptoms, and personality traits of those with and without psychiatric disorders, presenting with a self-harming behaviour to the emergency setting. For this, patients presenting to the emergency department of a tertiary care hospital with self-harm behaviour were evaluated for presence or absence of a psychiatric diagnosis, suicidal intent, personality traits, depressive symptoms and hopelessness by using structured instruments. The present study included 132 participants. The mean age of the sample was 28.7 years and the male: female ratio of 1.28:1. At least one psychiatric diagnosis was present in 41.7% of the sample, depression and substance use disorders being most common among them. Impulsive suicide attempt was present in 40.2% of the sample. Those with a psychiatric diagnosis were more likely to be older, males, married, have higher suicidal intent, more planned attempts and higher depressive symptoms as compared to those who did not have a psychiatric disorder. Impulsive suicide attempters had lower suicidal intent than non-impulsive attempters. Present study suggests that those presenting to the emergency with self-harm behaviour comprises 2 interrelated groups, differing on certain demographic features, severity of depressive symptoms, suicidal intent and impulsivity. PMID:27025463

  5. Comparative Investigation of Health Literacy Level of Cardiovascular Patients Hospitalized in Private and Educational Hospitals of Kerman City, Iran

    Science.gov (United States)

    Malekzadeh, Sajedeh; Azami, Mohammad; Mirzaei, Moghadameh; Motamedi, Fatemeh

    2016-01-01

    Introduction: literacy involves a complex set of abilities to understand and use symbolic systems of a culture for personal development and social development in a diverse set of skills required as an adult to exercise behavior are considered in society Objectives: The aim of this study was to evaluate Comparative investigation of health literacy level of cardiovascular patients hospitalized in private and public educational hospitals of Kerman city Methods: This study used survey methods, analytical and cross-sectional manner. Data was collected through questionnaires distributed among 200 patients of cardiovascular-hospitalization took place in the city of Kerman. To analyze the data in the description of the mean, standard deviation and frequency distribution tables and the level of analysis to determine the relationship between gender and marital status of health literacy test or nonparametric test Mann-Whitney T-Test and, for the relationship between group employment and residence, a one-way analysis of variance or Kruskal-Wallis test, to evaluate the relationship between age and income, Pearson and Spearman correlation to investigate the relationship between level of education and health literacy of SPPS software version 21 was used. Results: The results showed that 10% of patients at educational hospitals in Kerman adequate health literacy, and 48% of patients in private hospitals had adequate health literacy. As a result, there is a significant difference of health literacy between the two types of hospital (p-value <0/0001). Conclusions: The results showed that most patients had inadequate and border health literacy have been. Health plans, preparation of simple educational system and understanding, spending more time and have a discussion with the lower speed In connection with the patient’s doctor and medical staff, Including ways to help patients with low health literacy and improve their health literacy is. PMID:27041812

  6. Pain, agitation, and behavioural problems in people with dementia admitted to general hospital wards: a longitudinal cohort study.

    Science.gov (United States)

    Sampson, Elizabeth L; White, Nicola; Lord, Kathryn; Leurent, Baptiste; Vickerstaff, Victoria; Scott, Sharon; Jones, Louise

    2015-04-01

    Pain is underdetected and undertreated in people with dementia. We aimed to investigate the prevalence of pain in people with dementia admitted to general hospitals and explore the association between pain and behavioural and psychiatric symptoms of dementia (BPSD). We conducted a longitudinal cohort study of 230 people, aged above 70, with dementia and unplanned medical admissions to 2 UK hospitals. Participants were assessed at baseline and every 4 days for self-reported pain (yes/no question and FACES scale) and observed pain (Pain Assessment in Advanced Dementia scale [PAINAD]) at movement and at rest, for agitation (Cohen-Mansfield Agitating Inventory [CMAI]) and BPSD (Behavioural Pathology in Alzheimer Disease Scale [BEHAVE-AD]). On admission, 27% of participants self-reported pain rising to 39% on at least 1 occasion during admission. Half of them were able to complete the FACES scale, this proportion decreasing with more severe dementia. Using the PAINAD, 19% had pain at rest and 57% had pain on movement on at least 1 occasion (in 16%, this was persistent throughout the admission). In controlled analyses, pain was not associated with CMAI scores but was strongly associated with total BEHAVE-AD scores, both when pain was assessed on movement (β = 0.20, 95% confidence interval [CI] = 0.07-0.32, P = 0.002) and at rest (β = 0.41, 95% CI = 0.14-0.69, P = 0.003). The association was the strongest for aggression and anxiety. Pain was common in people with dementia admitted to the acute hospital and associated with BPSD. Improved pain management may reduce distressing behaviours and improve the quality of hospital care for people with dementia. PMID:25790457

  7. A Comparative Evaluation to Determine the Effectiveness of the Behaviour Support Classrooms and other Positive Behaviour Management Interventions in Designated Disadvantaged Schools

    OpenAIRE

    Wickham, Iain

    2010-01-01

    Twelve designated disadvantaged secondary schools were involved in the research, which looked at the different approaches for dealing with inappropriate student behaviour. Six of the schools are currently involved with the National Behaviour Support Service (NBSS) in the piloting of the Behaviour Support Classrooms (BSCs) for seriously disruptive students. For comparative purposes six other schools who did not have this additional resource were studied, to determine how they go...

  8. A comparative study of East and West Europe's food retailers' buying behaviour

    DEFF Research Database (Denmark)

    Blunch, Niels Johan; Skytte, Hans; Esbjerg, Lars

    1999-01-01

    This paper reports findings from a project comparing retail buy-ing behaviour in Poland and Germany. The study demon-strates several differences in the way listing decisions are made in the two countries - differences which at the same time raise prob-lems and offer opportunities for small and...

  9. Feather damaging behaviour in parrots: a review with consideration of comparative aspects

    NARCIS (Netherlands)

    van Zeeland, Y.R.A.; Spruijt, B.M.; Rodenburg, T.B.; Riedstra, B.; Buitenhuis, B.; van Hierden, Y.M.; Korte, S.M.; Lumeij, J.T.

    2009-01-01

    Feather damaging behaviour in parrots: A review with consideration of comparative aspects Yvonne R.A. van Zeelanda, , , Berry M. Spruitb, T. Bas Rodenburgc, Bernd Riedstrad, Yvonne M. van Hierdene, Bart Buitenhuisf, S. Mechiel Korteg, h and Johannes T. Lumeija aDivision of Zoological Medicine, Depar

  10. Brief Cognitive Behavioural Therapy compared to optimised general practitioners’ care for depression : A randomised trial

    NARCIS (Netherlands)

    Schene, A.H.; Baas, K.D.; Koeter, M.W.J.; Lucassen, P.; Bockting, C.L.H.; Wittkampf, K.A.; Huyser, J.; van Weert, H.C.

    2014-01-01

    Background: How to treat Major Depressive Disorder (MDD) in primary care? Studies that compared (brief) Cognitive Behavioural Therapy (CBT) with care as usual by the General Practitioner (GP) found the first to be more effective. However, to make a fair comparison GP care should be optimised and pro

  11. Health-risk behaviour in deprived neighbourhoods compared with non-deprived neighbourhoods

    DEFF Research Database (Denmark)

    Algren, Maria Holst; Bak, Carsten Kronborg; Berg-Beckhoff, Gabriele;

    2015-01-01

    Med, Embase, Web of Science and Sociological Abstracts using relevant search terms, Boolean operators, and truncation, and reference lists were scanned. Quantitative observational studies that examined health-risk behaviour in deprived neighbourhoods compared with non-deprived neighbourhoods were eligible for...

  12. Hospitals

    Data.gov (United States)

    Department of Homeland Security — This database contains locations of Hospitals for 50 states and Washington D.C. , Puerto Rico and US territories. The dataset only includes hospital facilities and...

  13. Health-Risk Behaviour in Deprived Neighbourhoods Compared with Non-Deprived Neighbourhoods

    DEFF Research Database (Denmark)

    Algren, Maria Holst; Bak, Carsten Kronborg; Berg-Beckhoff, Gabriele; Andersen, Pernille Tanggaard

    2015-01-01

    Med, Embase, Web of Science and Sociological Abstracts using relevant search terms, Boolean operators, and truncation, and reference lists were scanned. Quantitative observational studies that examined health-risk behaviour in deprived neighbourhoods compared with non-deprived neighbourhoods were eligible for......BACKGROUND: There has been increasing interest in neighbourhoods' influence on individuals' health-risk behaviours, such as smoking, alcohol consumption, physical activity and diet. The aim of this review was to systematically review recent studies on health-risk behaviour among adults who live in...... consumption, the results were ambiguous, and no clear differences were found. Numerous different operationalisations of neighbourhood deprivation were used in the studies. CONCLUSION: Substantial evidence indicates that future health interventions in deprived neighbourhoods should focus on smoking and...

  14. Behavioural Indicators of Perceived Managerial and Leadership Effectiveness within Romanian and British Public Sector Hospitals

    Science.gov (United States)

    Hamlin, Robert G.; Patel, Taran

    2012-01-01

    Purpose: This paper aims to report the results of a replication study of perceived managerial and leadership effectiveness within a Romanian public sector hospital, and to discuss the extent to which they are similar to and different from findings from equivalent studies carried out in two British NHS Trust hospitals. Design/methodology/approach:…

  15. Foraging behaviour and reproductive success in Magellanic penguins (Sphensicus magellanicus): a comparative study of two colonies

    OpenAIRE

    Radl, A.; Culik, Boris M.

    1999-01-01

    During the breeding season 1996/97 we compared the foraging and diving behaviour of adult Magellanic penguins (Spheniscus magellanicus), growth rates of their chicks and their breeding success at two colonies in the south of Chile. One of the colonies is located on Magdalena Island in the Strait of Magellan, where a commercial fishery existed several years ago; the other, on the shores of the yet unexploited Otway Sound. Thirty adult Magellanic penguins were equipped with time–depth recorders...

  16. A comparative analysis of exposure doses between the radiation workers in dental and general hospital

    Energy Technology Data Exchange (ETDEWEB)

    Yang, Nam Hee; Chung, Woon Kwan; Dong, Kyung Rae; Ju, Yong Jin; Song, Ha Jin [Dept. of Nuclear Engineering, Chosun University, Gwangju (Korea, Republic of); Choi, Eun Jin [Dept. of Public Health and Medicine, Dongshin University, Naju (Korea, Republic of)

    2015-02-15

    Research and investigation is required for the exposure dose of radiation workers to work in the dental hospital as increasing interest in exposure dose of the dental hospital recently accordingly, study aim to minimize radiation exposure by making a follow-up study of individual exposure doses of radiation workers, analyzing the status on individual radiation exposure management, prediction the radiation disability risk levels by radiation, and alerting the workers to the danger of radiation exposure. Especially given the changes in the dental hospital radiation safety awareness conducted the study in order to minimize radiation exposure. This study performed analyses by a comparison between general and dental hospital, comparing each occupation, with the 116,220 exposure dose data by quarter and year of 5,811 subjects at general and dental hospital across South Korea from January 1, 2008 through December 31, 2012. The following are the results obtained by analyzing average values year and quarter. In term of hospital, average doses were significantly higher in general hospitals than detal ones. In terms of job, average doses were higher in radiological technologists the other workers. Especially, they showed statistically significant differences between radiological technologists than dentists. The above-mentioned results indicate that radiation workers were exposed to radiation for the past 5 years to the extent not exceeding the dose limit (maximum 50 mSv y{sup -1}). The limitation of this study is that radiation workers before 2008 were excluded from the study. Objective evaluation standards did not apply to the work circumstance or condition of each hospital. Therefore, it is deemed necessary to work out analysis criteria that will be used as objective evaluation standard. It will be necessary to study radiation exposure in more precise ways on the basis of objective analysis standard in the future. Should try to minimize the radiation individual dose of

  17. How well do subjective Hospital Compare metrics reflect objective outcomes in spine surgery?

    Science.gov (United States)

    Missios, Symeon; Bekelis, Kimon

    2016-08-01

    OBJECTIVE The accuracy of public reporting in health care is an issue of debate. The authors investigated the association of patient satisfaction measures from a public reporting platform with objective outcomes for patients undergoing spine surgery. METHODS The authors performed a cohort study involving patients undergoing elective spine surgery from 2009 to 2013 who were registered in the New York Statewide Planning and Research Cooperative System database. This cohort was merged with publicly available data from the Centers for Medicare and Medicaid Services (CMS) Hospital Compare website. A mixed-effects regression analysis, controlling for clustering at the hospital level, was used to investigate the association of patient satisfaction metrics with outcomes. RESULTS During the study period, 160,235 patients underwent spine surgery. Using a mixed-effects multivariable regression analysis, the authors demonstrated that undergoing elective spine surgery in hospitals with a higher percentage of patient-assigned high satisfaction scores was not associated with a decreased rate of discharge to rehabilitation (OR 0.77, 95% CI 0.57-1.06), mortality (OR 0.96, 95% CI 0.90-1.01), or hospitalization charges (β 0.04, 95% CI -0.16 to 0.23). However, it was associated with decreased length of stay (LOS; β -0.19, 95% CI -0.33 to -0.05). Similar associations were identified for hospitals with a higher percentage of patients who claimed they would recommend these institutions to others. CONCLUSIONS Merging a comprehensive all-payer cohort of spine surgery patients in New York state with data from the CMS Hospital Compare website, the authors were not able to demonstrate an association of improved performance in patient satisfaction measures with decreased mortality, rate of discharge to rehabilitation, and hospitalization charges. Increased patient satisfaction was associated with decreased LOS. PMID:26989975

  18. Outcomes of antiretroviral treatment programmes in rural Lesotho: health centres and hospitals compared

    Directory of Open Access Journals (Sweden)

    Niklaus Daniel Labhardt

    2013-11-01

    Full Text Available Introduction: Lesotho was among the first countries to adopt decentralization of care from hospitals to nurse-led health centres (HCs to scale up the provision of antiretroviral therapy (ART. We compared outcomes between patients who started ART at HCs and hospitals in two rural catchment areas in Lesotho. Methods: The two catchment areas comprise two hospitals and 12 HCs. Patients ≥16 years starting ART at a hospital or HC between 2008 and 2011 were included. Loss to follow-up (LTFU was defined as not returning to the facility for ≥180 days after the last visit, no follow-up (no FUP as not returning after starting ART, and retention in care as alive and on ART at the facility. The data were analysed using logistic regression, competing risk regression and Kaplan-Meier methods. Multivariable analyses were adjusted for sex, age, CD4 cell count, World Health Organization stage, catchment area and type of ART. All analyses were stratified by gender. Results: Of 3747 patients, 2042 (54.5% started ART at HCs. Both women and men at hospitals had more advanced clinical and immunological stages of disease than those at HCs. Over 5445 patient-years, 420 died and 475 were LTFU. Kaplan-Meier estimates for three-year retention were 68.7 and 69.7% at HCs and hospitals, respectively, among women (p=0.81 and 68.8% at HCs versus 54.7% at hospitals among men (p<0.001. These findings persisted in adjusted analyses, with similar retention at HCs and hospitals among women (odds ratio (OR: 0.89, 95% confidence interval (CI: 0.73–1.09 and higher retention at HCs among men (OR: 1.53, 95% CI: 1.20–1.96. The latter result was mainly driven by a lower proportion of patients LTFU at HCs (OR: 0.68, 95% CI: 0.51–0.93. Conclusions: In rural Lesotho, overall retention in care did not differ significantly between nurse-led HCs and hospitals. However, men seemed to benefit most from starting ART at HCs, as they were more likely to remain in care in these facilities

  19. Sources of drug information and their influence on the prescribing behaviour of doctors in a teaching hospital in Ibadan, Nigeria

    Science.gov (United States)

    Oshikoya, Kazeem Adeola; Oreagba, Ibrahim; Adeyemi, Olayinka

    2011-01-01

    Background Pharmaceutical drug promotion is a means of informing health professionals about new drugs. The approach is often times unethical and inappropriate and may promote irrational prescribing. Dearth of information on impact of pharmaceutical drug promotion on prescribing behaviour of doctors in developing African countries has necessitated this study. We therefore aimed to determine the sources of drug information for doctors working in a teaching hospital in Nigeria and to assess the self-reported impact of the sources on their prescribing behaviour. Methods A total of 163 doctors working at the University College Hospital (UCH), Ibadan in Nigeria were evaluated with a questionnaire for their demographics and sources of drug information. For doctors who relied on drug promotion, they were asked to self-report and self-rate their opinion on extent of interactions with pharmaceutical companies as well as how such interactions had impacted on their prescribing behaviour. Apart from the demographics, each question was evaluated with a typical five-level Likert item. Data analyses were with simple descriptive statistics. Results Of the 400 doctors working at UCH, only 40.8% participated in the study. Drug information was sourced from colleagues (161, 98.8%), reference books (158, 96.9%), pharmaceutical sales representatives-PSRs (152, 93.2%), promotion materials (151, 92.6%), scientific papers/journals/internet (149, 91.4%), and drug promotion forum/product launches (144, 88.3%). Each source was highly utilized but there was no wide variation in their pattern of use. According to the self-report of over a half of the respondents, PSRs was an accurate and reliable drug information resource; PSRs increased their awareness of the promoted drugs; and their prescribing behaviours were influenced by information from PSRs. Conclusion Respondents tend to rely on a broad range of drug information resources which include potentially inappropriate resources such as PSRs

  20. Information Needs and Seeking Behaviours of Nurses: A Survey of Two Hospitals in Bayelsa State, Nigeria

    Science.gov (United States)

    Baro, Emmanuel E.; Ebhomeya, Loveth

    2013-01-01

    Purpose: The purpose of this paper is to identify the information needs of nurses in two hospitals in Nigeria and the ways in which they went about attempting to meet those needs. Design/methodology/approach: The study is a descriptive survey of nurses at the Federal Medical Center (FMC), Yenagoa, and Niger Delta University Teaching Hospital…

  1. HIV Infection and Sexual Behaviour Among Women With Infertility in Tanzania: A Hospital-Based Study.

    OpenAIRE

    Favot, I; Ngalula, J; Mgalla, Z; Klokke, A.H.; Gumodoka, B; Boerma, J. T.

    1997-01-01

    Infertility is common in Africa, but virtually no data exist on HIV prevalence among infertile women. Mainly anthropological studies in Africa have shown that infertile women have higher risks of marital instability and possibly also have more sexual partners than fertile women. This study was conducted in a hospital in northwest Tanzania during 1994 and 1995. Women presenting themselves with infertility problems to the outpatient clinic were interviewed, examined and blood was drawn. Women w...

  2. Consumer behaviour analysis of hospitality students' evaluation and satisfaction with their universities

    OpenAIRE

    Jebril A. Alhelalat

    2015-01-01

    Purpose – The research aims to study the students' pre and post evaluation of their hospitality education institutions considering a set of measures, in a consumer-decision making model. Methodology – Applying a survey method within a quantitative approach, the focus is to decide the most important factors in the student selection and experience. In order to analyze the students' evaluation, selection and satisfaction, a set of measures have been decided through a literature review; those ...

  3. Event rates, hospital utilization, and costs associated with major complications of diabetes: a multicountry comparative analysis.

    Directory of Open Access Journals (Sweden)

    Philip M Clarke

    2010-02-01

    Full Text Available BACKGROUND: Diabetes imposes a substantial burden globally in terms of premature mortality, morbidity, and health care costs. Estimates of economic outcomes associated with diabetes are essential inputs to policy analyses aimed at prevention and treatment of diabetes. Our objective was to estimate and compare event rates, hospital utilization, and costs associated with major diabetes-related complications in high-, middle-, and low-income countries. METHODS AND FINDINGS: Incidence and history of diabetes-related complications, hospital admissions, and length of stay were recorded in 11,140 patients with type 2 diabetes participating in the Action in Diabetes and Vascular Disease (ADVANCE study (mean age at entry 66 y. The probability of hospital utilization and number of days in hospital for major events associated with coronary disease, cerebrovascular disease, congestive heart failure, peripheral vascular disease, and nephropathy were estimated for three regions (Asia, Eastern Europe, and Established Market Economies using multiple regression analysis. The resulting estimates of days spent in hospital were multiplied by regional estimates of the costs per hospital bed-day from the World Health Organization to compute annual acute and long-term costs associated with the different types of complications. To assist, comparability, costs are reported in international dollars (Int$, which represent a hypothetical currency that allows for the same quantities of goods or services to be purchased regardless of country, standardized on purchasing power in the United States. A cost calculator accompanying this paper enables the estimation of costs for individual countries and translation of these costs into local currency units. The probability of attending a hospital following an event was highest for heart failure (93%-96% across regions and lowest for nephropathy (15%-26%. The average numbers of days in hospital given at least one admission were

  4. Pre-hospital care seeking behaviour for childhood acute respiratory infections in south-western Nigeria.

    Science.gov (United States)

    Ukwaja, Kingsley N; Talabi, Ademola A; Aina, Olufemi B

    2012-12-01

    WHO/UNICEF currently recommend that childhood malaria and pneumonia be managed together in the community; most African countries are in the process of developing this policy. We conducted a cross-sectional study to determine maternal awareness of general danger signs of childhood illnesses and the prevalence, determinants and sources of pre-hospital treatment by mothers during their child's acute respiratory illness in a poor urban community in south-western Nigeria. A total of 226 mothers were interviewed. Only 4.9% of the mothers were aware of the two pneumonia symptoms: difficult breathing and fast breathing. About 75% of the children were given pre-hospital medication at home and only 16.5% of them received the drugs within 24 hour of symptom recognition. Drug shops/patent medicine vendors (PMVs; 70.6%) were the most common source of care. Wishing to try home management first (46.6%); waiting for the child to improve (14.4%) and lack of money (31.6%) delayed care-seeking. Older maternal age (aOR 2.3; 95% CI 1.2-4.4) and having a child with cough and difficult and/or fast breathing (aOR 2.3; 95% CI 1.1-5.2) were positive predictors of pre-hospital treatment. Maternal education and adequately equipping PMVs could improve prompt access to integrated community-based child health services in Nigeria. PMID:24029675

  5. Examining the Relationships among Antecedents of Guests’ Behavioural Intentions in Ghana’s Hospitality Industry: A Structural Equation Modelling Approach

    Directory of Open Access Journals (Sweden)

    Simon Gyasi Nimako

    2013-04-01

    Full Text Available This study empirically examines the critical antecedents of behavioural intentions and the structural interrelationships that exist among the antecedents in the hotel industry in Ghana. The study was a cross-sectional survey of 700 respondents using structured questionnaire personally administered. A usable 359 questionnaire were obtained, representing 51.3% response rate and analysed using Structural Equation Modelling approach. The findings indicate that the proposed model has high goodness-of-fit indices and explains 89.5 and 91% of the two behavioural intention variables loyalty and Positive Word of Mouth Communication (PWOMC respectively. It also found that loyalty could be influenced through PWOMC, customer satisfaction, perceived service quality, perceived value and perceived quality of ambient factors, whereas PWOMC was influenced by satisfaction, perceived value and perceived quality of Ambient factors. Theoretically, the study fills the dearth of conceptual models in understanding the critical determinants of BI in the hotel sector in developing country context. It also provides important implications for marketing management in hotel industry. Limitations of the study are noted and recommendations for future research have been suggested. This study contributes to the body of knowledge in the area of consumer loyalty in the hospitality industry.

  6. Randomized and comparative study between two intra-hospital exercise programs for heart transplant patients

    OpenAIRE

    Tatiana Satie Kawauchi; Patricia Oliva de Almeida; Karen Rodrigues Lucy; Edimar Alcides Bocchi; Maria Ines Zanetti Feltrim; Emilia Nozawa

    2013-01-01

    OBJECTIVE: To compare the effects of two physical therapy exercise in-hospital programs in pulmonary function and functional capacity of patients in the postoperative period of heart transplantation. METHODS: Twenty-two heart transplanted patients were randomized to the control group (CG, n=11) and training group (TG, n=11). The control group conducted the exercise program adopted as routine in the institution and the training group has had a protocol consisting of 10 stages, with incremental...

  7. Appendectomy: comparative study between a public and a private hospital Apendicectomia: estudo comparativo retrospectivo entre um hospital público e um privado

    Directory of Open Access Journals (Sweden)

    Júlio C. U Coelho

    2010-01-01

    Full Text Available OBJECTIVE: The aim of this study is to compare data of patients submitted to appendectomy for acute appendicitis at a public hospital and at a private hospital. METHODS: A total of 200 medical records of patients submitted to appendectomy for acute appendicitis at a public hospital (n=100 and at a private hospital (n=100, was reviewed retrospectively. RESULTS: Mean age and gender distribution were similar for patients of both hospitals. More patients had been previously evaluated by other physicians in the group of the public hospital (n=85 than of the private hospital (n=13 (pOBJETIVO:Comparar dados dos pacientes submetidos à apendicectomia por apendicite aguda em um hospital público e um privado. MÉTODOS: O total de 200 prontuários médicos de pacientes que foram submetidos à apendicectomia por apendicite aguda em um hospital público (n=100 e em um hospital privado (n=100 foi revisado retrospectivamente. RESULTADOS: A idade média e a distribuição dos pacientes por sexo foram similares entre os dois hospitais. Um número maior de pacientes foi previamente avaliado por outro médico no grupo operado no hospital público (n=85 do que no hospital privado (n=13 (p< 0,0001. Ultrassonografia foi realizada mais frequentemente no hospital público (n=56 do que no hospital privado (n=30 (p=0,0002. O tempo de internação hospitalar foi mais longo no hospital público (3,5±2,8 dias do que no hospital privado (2,5±1,7 dias (p=0,0024. Complicações pós-operatórias foram mais comuns no hospital público (n=36 do que no hospital privado (n=20 (p<0,0117. O tempo de retorno as atividades de rotina foi mais longo no hospital público (33.2±8.3 dias do que no hospital privado (16.4±5.2 dias (p<0,0001. A análise de regressão logística mostrou que a probabilidade estimada da apendicite complicada aumenta com o intervalo de tempo entre o início dos sintomas e a apendicectomia (p<0.001. O fator de risco independente associado com apendicite

  8. Hospitals

    DEFF Research Database (Denmark)

    Mullins, Michael

    2013-01-01

    is to minimize the negative effects of stress inducing environments based on research results. Which stress inducing factors? We can look around at some old hospitals and see they are noisy, confusing, ugly, monotonous, hard, cold, artificial, and dark; qualitative terms which can indicate what we shouldn...... in the navigation experience and wasted time of medical staff in providing directions. Space in hospitals: space can be divided into personal, social and outdoor space. Personal space: single rooms have been well documented in: admission length, mortality rates, comfort levels, sense of privacy, all users......’ satisfaction. Social space: attention to spatial qualities, volume and interior design in terms of encouraging physical contact between users in wards, waiting areas and semi-private rooms. Outdoor space: Landscape and gardens are not enough in themselves; they should be visible, centrally or strategically...

  9. Health behaviour in children and adolescents with type 1 diabetes compared to a representative reference population.

    Directory of Open Access Journals (Sweden)

    Sebastian Kummer

    Full Text Available OBJECTIVE: We provide a population-based overview of health behaviours of children and adolescents with type 1 diabetes in comparison to the general population, and analyse their relevance for glycaemic control and self-rated health status. METHODS: Data from questionnaires of 11- to 17-year-old children and adolescents with diabetes (n = 629 were compared to a representative sample (n = 6,813. RESULTS: Children and adolescents with type 1 diabetes had a significantly increased odds of infrequent physical activity (adjusted OR 1.56, short overall duration of physical activity per week (OR 1.55, difference -1.3 hours/week, and high daily computer use (OR 2.51. They had a lower odds of active and passive smoking (OR 0.31 and OR 0.29, and high daily television time (OR 0.68. The odds of an at least good and excellent self-rated health status was increased with intense physical activity, and decreased with active smoking and prolonged daily use of computer and television. Active smoking and prolonged daily use of computer were associated with higher HbA1c. CONCLUSIONS: Children and adolescents with type 1 diabetes showed a different profile of health behaviour. Their overall health may improve if their education stresses specifically frequent physical activity with longer overall duration and less frequent television or computer use.

  10. Driving behaviours, traffic risk and road safety: comparative study between Malaysia and Singapore.

    Science.gov (United States)

    Khan, Saif ur Rehman; Khalifah, Zainab Binti; Munir, Yasin; Islam, Talat; Nazir, Tahira; Khan, Hashim

    2015-01-01

    The present study aims to investigate differences in road safety attitude, driver behaviour and traffic risk perception between Malaysia and Singapore. A questionnaire-based survey was conducted among a sample of Singaporean (n = 187) and Malaysian (n = 313) road users. The data was analysed using confirmatory factor analysis and structural equation modelling applied to measure comparative fit indices of Malaysian and Singaporean respondents. The results show that the perceived traffic risk of Malaysian respondents is higher than Singaporean counterparts. Moreover, the structural equation modelling has confirmed perceived traffic risk performing the role of full mediation between perceived driving skills and perceived road safety for both the countries, while perceived traffic skills was found to perform the role of partial mediation between aggression and anxiety, on one hand, and road safety, on the other hand, in Malaysia and Singapore. In addition, in both countries, a weak correlation between perceived driving skills, aggression and anxiety with perceived road safety was found, while a strong correlation exists with traffic risk perception. The findings of this study have been discussed in terms of theoretical, practical and conceptual implications for both scholars and policy-makers to better understand the young drivers' attitude and behaviour relationship towards road safety measures with a view to future research. PMID:24974915

  11. Consumer Behaviour in the Valuation of Residential Property: A Comparative Study in the UK, Ireland and Australia

    OpenAIRE

    Daly, J

    2001-01-01

    Research conducted to PhD level investigates consumer behaviour in the valuation of residential property. The research, which utilises a qualitative methodology, is conducted on a cross-national comparative basis in the United Kingdom, Ireland and Australia. Initially the behaviour of residential homebuyers' is explored with personal interviews conducted with residential homebuyers in the three countries. Consumers' reaction to demand-related factors is investigated with further work consider...

  12. Smoking behaviour among young doctors of a tertiary care hospital in North India

    Directory of Open Access Journals (Sweden)

    Muneer A. Bhat

    2014-06-01

    Full Text Available Background: Tobacco use is one of the biggest public health threats the world has ever faced. There are more than one billion smokers in the world. Almost half of the worlds children breathe air polluted by tobacco. Aim of current study was to study the smoking trends among young doctors in a tertiary care institute in north India. Methods: A descriptive observational cross-sectional epidemiological study was conducted among 250 doctors of a tertiary care Hospital in Jammu and Kashmir (Sheri Kashmir Institute of Medical Sciences, SKIMS during the two months of February-March, 2014. The predesigned tool adopted during data collection was a questionnaire that was developed at the institute with the assistance from the faculty members and other experts. Results: Among 250 participants, (20% were smokers; among smokers, (76% were regular smokers and (24% were occasional smokers. Majority of smokers were in the age group of 21-30 years (80% and started smoking between 11-20 years (70%. All of them were male (100%. No significant difference was observed among urban and rural students. Among smokers, majority (60% was in the practice of smoking for last 6 months to 1 year and 26% smoked for <6 months; and (14% smoked for more than 5 years .It was found more than half of the responding (60% students used to smoke 5-9 cigarettes per day; 14% is <5 and 26% consumed 10 or more per day .Among smokers, peer pressure was found in 80% cases. ( and #967;2 = 107, P <0.001. Among smokers, almost 20% had other addiction and among non-smokers only 5% had .Effect of parental smoking was significantly higher in smokers than non-smoker ( and #967;2 = 66.2, P <0.001 .It was seen that peer pressure was the most important risk factor (60% of initiation of smoking habit followed by parental influence (20%. Majority (78.4% had no intention to quit in the next 6 months. Lack of Incentive (36.36% and Addiction (27.27% were the main reasons for not quitting. Conclusion: We

  13. Randomized and comparative study between two intra-hospital exercise programs for heart transplant patients

    Directory of Open Access Journals (Sweden)

    Tatiana Satie Kawauchi

    2013-09-01

    Full Text Available OBJECTIVE: To compare the effects of two physical therapy exercise in-hospital programs in pulmonary function and functional capacity of patients in the postoperative period of heart transplantation. METHODS: Twenty-two heart transplanted patients were randomized to the control group (CG, n=11 and training group (TG, n=11. The control group conducted the exercise program adopted as routine in the institution and the training group has had a protocol consisting of 10 stages, with incremental exercises: breathing exercises, resistance training, stretching and walking. The programs began on the first day after extubation and stretched until hospital discharge. Assessed pulmonary function, distance walked in six minutes walk test (6MWT and peripheral muscle strength by one repetition maximum test (1RM. RESULTS: Similar behavior was observed between the two groups treated, with statistically significant increases between the first and second test of the following variables: FVC (59% in CG and 35.2% in TG; MIP (8.6% in CG and 53.5% in TG, MEP (28.8% in CG and 40.7% in TG and 6MWT (44.5% in CG and 31.4% in TG. There was an increase of peripheral strength by 1RM test, over time, to the muscle groups of the elbow flexors, shoulder flexors, hip abductors and knee flexors. CONCLUSION: Heart transplant patients benefit from exercise programs in hospital, regardless of the program type applied. A new training proposal did not result in superiority compared to routine programme applied. Exercise protocols provided improves in ventilatory variables and functional capacity of this population.

  14. Comparative analysis of model behaviour for flood prediction purposes using Self-Organizing Maps

    Directory of Open Access Journals (Sweden)

    M. Herbst

    2009-03-01

    Full Text Available Distributed watershed models constitute a key component in flood forecasting systems. It is widely recognized that models because of their structural differences have varying capabilities of capturing different aspects of the system behaviour equally well. Of course, this also applies to the reproduction of peak discharges by a simulation model which is of particular interest regarding the flood forecasting problem.

    In our study we use a Self-Organizing Map (SOM in combination with index measures which are derived from the flow duration curve in order to examine the conditions under which three different distributed watershed models are capable of reproducing flood events present in the calibration data. These indices are specifically conceptualized to extract data on the peak discharge characteristics of model output time series which are obtained from Monte-Carlo simulations with the distributed watershed models NASIM, LARSIM and WaSIM-ETH. The SOM helps to analyze this data by producing a discretized mapping of their distribution in the index space onto a two dimensional plane such that their pattern and consequently the patterns of model behaviour can be conveyed in a comprehensive manner. It is demonstrated how the SOM provides useful information about details of model behaviour and also helps identifying the model parameters that are relevant for the reproduction of peak discharges and thus for flood prediction problems. It is further shown how the SOM can be used to identify those parameter sets from among the Monte-Carlo data that most closely approximate the peak discharges of a measured time series. The results represent the characteristics of the observed time series with partially superior accuracy than the reference simulation obtained by implementing a simple calibration strategy using the global optimization algorithm SCE-UA. The most prominent advantage of using SOM in the context of model analysis is that it allows to

  15. STUDY OF WIDELY USED TREATMENT TECHNOLOGIES FOR HOSPITAL WASTEWATER AND THEIR COMPARATIVE ANALYSIS

    OpenAIRE

    Naved Ahsan; Jafrudeen

    2012-01-01

    Hospital wastewater may contain various potential hazardous materials. Indeed hospital wastewater may have an adverse impact on environments and human health. Therefore, the selection of suitable treatment technology and proper treatment of hospital wastewater is essential. Various study and research work reveals that quality of hospital wastewater is similar to medium strength values of the domestic wastewater, The discharge standards for hospital wastewater should conforms to EPA 1986 (Sour...

  16. Taking a Comparative Approach: Analysing Personality as a Multivariate Behavioural Response across Species

    OpenAIRE

    Carter, Alecia J.; Feeney, William E.

    2012-01-01

    Animal personality, repeatable behaviour through time and across contexts, is ecologically and evolutionarily important as it can account for the exhibition of sub-optimal behaviours. Interspecific comparisons have been suggested as important for understanding the evolution of animal personality; however, these are seldom accomplished due, in part, to the lack of statistical tools for quantifying differences and similarities in behaviour between groups of individuals. We used nine species of ...

  17. Comparative study of behavioural problems among epileptic children treated with phenobarbital with epileptic children treated with phenytoin

    Directory of Open Access Journals (Sweden)

    Mohsen Javadzadeh

    2011-01-01

    Full Text Available Background: Phenobarbital is recommended by WHO as the first line drug for the treatment of partial and generalized tonic clonic epilepsies in developing countries, however several clinical trials have recorded higher frequencies of behavioural problems associated with Phenobarbital than with other drugs or no treatment. We compared the frequency of behavioural problems among epileptic children treated with phenobarbital with epileptic children treated with phenytoin. Materials and Method: We conducted a case-control study to comparing of epileptic children treatment with neurological with epileptic children treated with phenytoin. Between November 2006 to March 2007, 74 children referred from child neurologic clinic who treated with phenobarbital or phenytoin for more than 2 months in Zahedan, assessed consecutively by the Rutters behaviour scale for children aged 6 years and older and by the preschool behaviour questionnaire for those 2-5 years.Results: The mean scores on the behaviour scales did not differ significantly between the phenobarbital and phenytoin groups in children aged 6 years and older. Irretability, attention deficit, disobedience and lack of energy in phenobarbital group more than phenytoin group in 2-5 years old children. Conclusion: Several clinical trials have recorded higher frequencies (20-60% of behavioural problems associated with phenobarbital than with other drugs but in our study evidence supports the acceptability of phenobarbital for epileptic children in developing countries

  18. Feather damaging behaviour in parrots: A review with consideration of comparative aspects

    DEFF Research Database (Denmark)

    Van Zeeland, Yvonne R A; Spruit, Berry M; Rodenburg, T Bas;

    2009-01-01

    regarded as a grooming disorder. Grooming or preening is behaviour that serves both physical and social purposes. In the presence of stressors, such as novelty, so-called displacement grooming may develop that can result in excessive grooming when chronic stress is experienced (maladaptive behaviour...

  19. Feather damaging behaviour in parrots : A review with consideration of comparative aspects

    NARCIS (Netherlands)

    van Zeeland, Yvonne R. A.; Spruit, Berry M.; Rodenburg, T. Bas; Riedstra, Bernd; van Hierden, Yvonne M.; Buitenhuis, Bart; Korte, S. Mechiel; Lumeij, Johannes T.

    2009-01-01

    Feather damaging behaviour (also referred to as feather picking or feather plucking) is a behavioural disorder that is frequently encountered in captive parrots. This disorder has many characteristics that are similar to trichotillomania, an impulse control disorder in humans. Unfortunately, to date

  20. Feather damaging behaviour in parrots: A review with consideration of comparative aspects

    NARCIS (Netherlands)

    Zeeland, van Y.R.A.; Spruit, B.M.; Rodenburg, T.B.; Riedstra, B.; Hierden, van Y.M.; Buitenhuis, A.J.; Korte, S.M.; Lumeij, J.T.

    2009-01-01

    Feather damaging behaviour (also referred to as feather picking or feather plucking) is a behavioural disorder that is frequently encountered in captive parrots. This disorder has many characteristics that are similar to trichotillomania, an impulse control disorder in humans. Unfortunately, to date

  1. Health care seeking behaviour and expenditure pattern among Scrub Typhus patients attending a tertiary care hospital in Mysore city

    Directory of Open Access Journals (Sweden)

    Rajesh Jayanandan

    2015-05-01

    Full Text Available Background: Scrub typhus is one among the re-emerging infectious diseases throughout the world. Various studies conducted across India reveals that its public health importance is increasing. This study was conducted 1 To describe the socio-demographic and epidemiological profile of patients admitted with scrub typhus. 2 To assess the health care seeking behaviour of these patients. 3 To estimate the cost factors incurred in the current episode of illness. Methods: This prospective study was conducted from January to December 2013 among all lab confirmed cases of scrub typhus admitted to department of medicine and pediatrics of JSS Hospital, Mysore. The study subjects were interviewed with a pre-tested and structured questionnaire. Data regarding socio-demographic profile, epidemiological profile, disease outcome, health care seeking behaviour and cost factors incurred with current episode of illness were collected. Data entry and analysis were done with SPSS.v.22.0 using descriptive statistics like mean, standard deviations and inferential statistics like chi-square test. Results: Among 192 patients tested positive by Weil-Felix test and/or Immuno-Chromatographic Test (ICT for scrub typhus majority 105 (54.7% were males and were predominantly 135 (70.3 % from rural areas. Mostly 172(89.6% were unaware of any mite bite in the past. Majority 167 (87.0% of them had visited atleast three Health Care Facilities (HCF for treatment. The mean +/- SD total duration of illness was 15.6 +/- 4.1 days. Most 104 (54.2 % of them had suffered from illness for 11-15 days. Majority 175 (91.1% of them had recovered while 3 (1.6% of them had succumbed to the condition. The median Total direct cost, total indirect cost and overall total cost were Rs. 7500 (7000-9500, Rs. 3000 (2500-3500 and Rs. 10500 (10000-13000 respectively. Most 104 (54.2% of them spent from money borrowed from others, followed by 78 (40.6% spent Out Of Pocket (OOP. Conclusion: People from rural

  2. Socioepidemiologic Profile and Treatment-seeking Behaviour of HIV/AIDS Patients in a Tertiary-care Hospital in South India

    OpenAIRE

    Balasundaram, Abyramy; Sarkar, Sonali; Hamide, Abdoul; Lakshminarayanan, Subitha

    2014-01-01

    ABSTRACT India has the third largest number of people living with HIV/AIDS. Provision of free antiretroviral therapy (ART) for eligible persons living with HIV (PLHA) has been scaled up significantly both in terms of facilities for treatment and number of beneficiaries. This study aimed at describing the profile of HIV/AIDS patients on ART from a tertiary-care hospital and to explore the factors associated with treatment-seeking behaviour, family support, and perceptions regarding HIV and ART...

  3. COMPARATIVE ETHOGRAM OF MALE SEXUAL BEHAVIOUR OF RHODE ISLAND RED AND VANARAJA FOWL

    Directory of Open Access Journals (Sweden)

    A. Modhukoilya

    2012-01-01

    Full Text Available Experiment was conducted to compare the male sexual behaviour of Rhode Island Red and Vanaraja fowl parent stock managed under deep litter system. Twenty males and 140 females of each genetic group were selected randomly in two batches belonging to age and body weight ranges of 36-48 weeks & 2.8-4.5 kg respectively. Sexual behaviour was recorded for one hour starting at 5 PM. Every bird was observed for 20 sessions. The transformed data were analysed to identify the variation due to genetic group if any. Frequency of mounting in RIR and Vanaraja males are 1.80 ± 0.01 and 1.78 ± 0.01 respectively. Frequency (per hour of forced mounting is seen significantly (P 0.01 more in Vanaraja (1.93 ± 0.02 than that in RIR (1.77 ± 0.01. Frequency of copulation and forced copulation in RIR are 1.87 ± 0.01 and 1.62 ± 0.01 respectively; whereas in Vanaraja these values are 1.84 ± 0.01 and 1.63 ± 0.01. Frequency of male to male aggression does not differ significantly as the values are exactly the same in both genetic groups (2.29 ± 0.03. Frequency of male to female aggression in Vanaraja (2.64 ± 0.02 is significantly (P 0.05 more than that in RIR (2.56 ± 0.02. Frequency of waltzing pattern is seen significantly (P 0.01 more in RIR (2.10 ± 0.02 than in Vanaraja (1.95 ± 0.02. Frequency per hour of high step advance for both RIR and Vanaraja are 2.06 et al. 0.02 and 1.9 ± 0.02 respectively; Frequency per hour of steps off is seen more in RIR (2.00 ± 0.01 than that in Vanaraja (1.94 ± 0.01. Statistical analysis revealed significant effect of genetic group on steps off activity. It is concluded that RIR cocks appear to be more successful breeder. Vanaraja cocks have made more aggressive display of different patterns.

  4. On the Complexity and Behaviour of Cryptocurrencies Compared to Other Markets

    OpenAIRE

    Daniel Wilson-Nunn; Hector Zenil

    2014-01-01

    We show that the behaviour of Bitcoin has interesting similarities to stock and precious metal markets, such as gold and silver. We report that whilst Litecoin, the second largest cryptocurrency, closely follows Bitcoin's behaviour, it does not show all the reported properties of Bitcoin. Agreements between apparently disparate complexity measures have been found, and it is shown that statistical, information-theoretic, algorithmic and fractal measures have different but interesting capabilit...

  5. Improved physical fitness of cancer survivors : A randomised controlled trial comparing physical training with physical and cognitive-behavioural training

    NARCIS (Netherlands)

    May, Anne M.; Van Weert, Ellen; Korstjens, Irene; Hoekstra-Weebers, Josette E. H. M.; Van Der Schans, Cees P.; Zonderland, Maria L.; Mesters, Ilse; Van Den Borne, Bart; Ros, Wynand J. G.

    2008-01-01

    We compared the effect of a group-based 12-week supervised exercise programme, i.e. aerobic and resistance exercise, and group sports, with that of the same programme combined with cognitive-behavioural training on physical fitness and activity of cancer survivors. One hundred and forty seven cancer

  6. Comparing the perspectives of managers and employees of teaching hospitals about job motivation.

    Science.gov (United States)

    Mohebbifar, Rafat; Zakaria Kiaei, Mohammad; Khosravizadeh, Omid; Mohseni, Mohammad

    2014-11-01

    Recognition of career motivators and understanding of managers and employees in prioritizing them, in order to plan incentives for this understanding, can play an important role in increasing productivity and creating harmony between the goals of the organization and staff. This study was done to survey the importance of career motivating factors from perspective of employees and managers in educational hospitals of Iran. In this study 269 from a total of 1843 employees of educational hospitals in Qazvin province of Iran were selected through Quota-Random sampling and studied along with all 49 Managers. Lawrence Lindale questionnaire with 10 factors where used in order to determine motivational priorities. The results indicated that among the 10 studied motivational factors, from employees' viewpoint; "Good wages", "Good Working Conditions" and "Job Security" have the greatest roles in motivating employees. In the context of perspective agreement amongst employees and managers, the results showed 20 percent agreement. In this study, results of "Independent T" test showed a significant difference in comparison, between prioritizing employees' view and prediction of managers in the factors of "Job Security" (p = 0/031) and "Interesting Work" (p = 0/001). With respect to increase disagreement in the views of managers and employees as compared to previous studies, Managers need to pay more attention to cognition of motivational factors and make their viewpoints closer to actual motivational need of their employees. Attention to this fact can be a great help to the growth and productivity of the organization, making the organizational and individual goals closer and also keeping managers safe from execution of constant and undue motivational patterns. PMID:25363113

  7. Is quality of colorectal cancer care good enough? Core measures development and its application for comparing hospitals in Taiwan

    OpenAIRE

    Cheng Skye H; Kuo Raymond; Lai Mei-Shu; Chang Yun-Jau; Chung Kuo-Piao; Chen Li-Tzong; Tang Reiping; Liu Tsang-Wu; Shieh Ming-Jium

    2010-01-01

    Abstract Background Although performance measurement for assessing care quality is an emerging area, a system for measuring the quality of cancer care at the hospital level has not been well developed. The purpose of this study was to develop organization-based core measures for colorectal cancer patient care and apply these measures to compare hospital performance. Methods The development of core measures for colorectal cancer has undergone three stages including a modified Delphi method. Th...

  8. Proposal of a web site engagement scale and research model. Analysis of the influence of intra web site comparative behaviour

    OpenAIRE

    Hyder Espiñeira, Antonio

    2011-01-01

    A Web site engagement scale is suggested that serves as the basis of a two part-model. The first part studies the influence of the online comparative behaviour of consumers on Web site engagement using data obtained from respondents that selected a holiday package on an online travel agency capable of remotely tracing and recording their intra-Web page and intra-Web site behaviour. The second part of the model studies the influence of Web site engagement on consequences highly relevant for on...

  9. Effects of payment mechanisms on hospital behaviours in Brazil: evidence from a multi-payer and multi-payment system.

    Science.gov (United States)

    Couttolenc, Bernard F; Forgia, Gerard M

    2011-01-01

    A variety of provider payment mechanisms (PPMs) are used in Brazil to direct funds to hospitals. This article examines their effect on hospital efficiency, cost and quality. Public hospitals funded through the traditional line-item public budget are the best least efficient. Those funded through global budgets and other decentralized budget modalities perform on a par with private providers funded mainly by private prepaid health plans. Private hospitals that are dependent on government payments exhibit lower levels of quality. However, the overall effects of PPMs on performance are less than expected for some groups of hospitals. Factors compromising the impact of PPMs on performance are examined. PMID:22235724

  10. The impact of high quality relationships on proactive behaviour at work: evidence from independently owned hospitals in Ireland

    OpenAIRE

    Farrell, Jennifer B.

    2012-01-01

    The main aim of this study is to examine the impact of high quality relationships on proactive work behaviour. Although much research exists to suggest that job context influences proactive behaviour, less is known about the role of the social context, and in particular, the role of relationships in fostering proactivity. This study examines individual perceptions of positive relational experiences on individual proactive behaviour. Work engagement and hope were proposed as mediators of the p...

  11. Hospital utilization and costs for spinal cord stimulation compared with enhanced external counterpulsation for refractory angina pectoris

    DEFF Research Database (Denmark)

    Bondesson, Susanne M; Jakobsson, Ulf; Edvinsson, Lars;

    2013-01-01

    .001). Both SCS and EECP entailed fewer days of hospitalization for coronary artery disease in the 12-month follow-up compared with the 12 months preceding treatment. Patients treated with EECP showed an association between reduced hospital admissions and an improved Canadian Cardiovascular Society...... classification class compared with 1 year before treatment. A significant reduction in cost was seen in both the SCS group (P = 0.018 and P = 0.001, respectively) and the EECP group (P = 0.002 and P = 0.045, respectively) during 12 and 24 months of follow-up compared with before treatment. There were...

  12. Inpatient Hospitalization Costs: A Comparative Study of Micronesians, Native Hawaiians, Japanese, and Whites in Hawai'i.

    Science.gov (United States)

    Hagiwara, Megan; Juarez, Deborah Taira; Yamada, Seiji; Miyamura, Jill; Sentell, Tetine

    2016-01-01

    Considerable interest exists in health care costs for the growing Micronesian population in the United States (US) due to their significant health care needs, poor average socioeconomic status, and unique immigration status, which impacts their access to public health care coverage. Using Hawai'i statewide impatient data from 2010 to 2012 for Micronesians, whites, Japanese, and Native Hawaiians (N = 162,152 hospitalizations), we compared inpatient hospital costs across racial/ethnic groups using multivariable models including age, gender, payer, residence location, and severity of illness (SOI). We also examined total inpatient hospital costs of Micronesians generally and for Medicaid specifically. Costs were estimated using standard cost-to-charge metrics overall and within nine major disease categories determined by All Patient Refined Diagnosis Related Groups. Micronesians had higher unadjusted hospitalization costs overall and specifically within several disease categories (including infectious and heart diseases). Higher SOI in Micronesians explained some, but not all, of these higher costs. The total cost of the 3486 Micronesian hospitalizations in the three-year study period was $58.1 million and 75% was covered by Medicaid; 23% of Native Hawaiian, 3% of Japanese, and 15% of white hospitalizations costs were covered by Medicaid. These findings may be of particular interests to hospitals, Medicaid programs, and policy makers. PMID:26703685

  13. Comparing Two Inquiry Professional Development Interventions in Science on Primary Students' Questioning and Other Inquiry Behaviours

    Science.gov (United States)

    Nichols, Kim; Burgh, Gilbert; Kennedy, Callie

    2015-12-01

    Developing students' skills to pose and respond to questions and actively engage in inquiry behaviours enables students to problem solve and critically engage with learning and society. The aim of this study was to analyse the impact of providing teachers with an intervention in inquiry pedagogy alongside inquiry science curriculum in comparison to an intervention in non-inquiry pedagogy alongside inquiry science curriculum on student questioning and other inquiry behaviours. Teacher participants in the comparison condition received training in four inquiry-based science units and in collaborative strategic reading. The experimental group, the community of inquiry (COI) condition, received training in facilitating a COI in addition to training in the same four inquiry-based science units. This study involved 227 students and 18 teachers in 9 primary schools across Brisbane, Australia. The teachers were randomly allocated by school to one of the two conditions. The study followed the students across years 6 and 7 and students' discourse during small group activities was recorded, transcribed and coded for verbal inquiry behaviours. In the second year of the study, students in the COI condition demonstrated a significantly higher frequency of procedural and substantive higher-order thinking questions and other inquiry behaviours than those in the comparison condition. Implementing a COI within an inquiry science curriculum develops students' questioning and science inquiry behaviours and allows teachers to foster inquiry skills predicated by the Australian Science Curriculum. Provision of inquiry science curriculum resources alone is not sufficient to promote the questioning and other verbal inquiry behaviours predicated by the Australian Science Curriculum.

  14. Behaviour of casein micelles at conditions comparable to those in ice cream

    OpenAIRE

    Jonkman, M.J.

    2000-01-01

    The physical properties of ice cream are mainly determined by the processing and the ingredients. Milk (powder) is one of the ingredients and ice cream thus contains casein, the major milk protein. A large proportion of casein in ice cream is present in the plasma phase of ice cream. Since the behaviour of casein in ice cream plasma was not known and could not be predicted and is expected to be important for the properties of ice cream, the behaviour of casein micelles in ice cream plasma and...

  15. Consumer behaviour on the wine market compared in selected countries of the EU

    OpenAIRE

    Fialová, Dagmar

    2015-01-01

    This thesis deals with the issue of consumer behaviour on the wine markets of selected countries of the EU, these are the Czech Republic, Croatia and France. The work is divided into two main parts. The first one shows the literature review of marketing research and consumer behaviour. The second one is based on practical analysis of wine industry and on results of own market research in form of questionnaire. One chapter is devoted to analysis of the results of this survey. Last section of p...

  16. Assessing technology in hospital logistical settings: Comparing Danish and Japanese healthcare

    DEFF Research Database (Denmark)

    Jørgensen, Pelle Morten Thomas; Jacobsen, Peter; Itoh, Kenji

    2012-01-01

    In order to cope with the future challenges of health care sectors all around the world, there is a need for monitoring and improving efficiency at the hospitals. This study presents a framework capable of measuring the performance of supporting logistical flows at hospitals as well as assessing...

  17. Comparing the Effects of Determinants of Turnover Intentions between Taiwanese and U.S. Hospital Employees

    Science.gov (United States)

    Ding, Cherng G.; Lin, Chieh-Peng

    2006-01-01

    This research assesses how the direct effects of career satisfaction and job satisfaction on turnover intentions and the indirect effects through organizational commitment differ between Taiwanese and U.S. hospital employees. Using data collected from 179 Taiwanese and 144 U.S. hospital employees, the test results find the following differences:…

  18. HOSPITAL BASED SURVEILLANCE OF ENTERIC PARASITES AN D COMPARATIVE ANALYSIS OF INTESTINAL PARASITIC INFECT IONS IN THE HOSPITAL CHILDREN WITH RURAL SCHOOL CHILDREN AT KANCHEEPURAM

    Directory of Open Access Journals (Sweden)

    Kumudavathi

    2013-03-01

    Full Text Available ABSTRACT: BACKGROUND: Intestinal parasitic infections (IPIs are prevalent in developing countries like India and have been the important cau se of morbidity and mortality especially in children. OBJECTIVES: Estimate prevalence of various intestinal parasitic infections in hospital as well as in rural school children to obtain an ac curate understanding of the burden and cause of intestinal parasitic infections in Kancheepuram. MATERIALS AND METHODS: A total of 2654 stool samples were collected, processed, and mic roscopically examined for intestinal parasites. 2267 were adults and remaining 387 were c hildren. In addition, 314 rural school children were also included in the study. RESULTS: The overall prevalence of IPIs was estimated as 32.59% (739/2267 in hospital adults an d 55.50% (215/387 in hospital children and 56.68% (178/314 in rural school children; high prevalence rate was found among hospital children and in school children when compared to adu lts. Among the protozoans E. histolytica was the highest, followed by Giardia and among the helminths hookworm was highest followed by Ascaris lumbricoides, Enterobius vermicularis, H ymenolepis nana and Strongoloides larvae respectively. CONCLUSIONS: Intestinal parasitic infections spreads due to low s tandards of personal hygiene, poor sanitation, open air defecatio n and an illiterate population, thus suggesting need for regular surveys to minimize the IPIs rate in the community.

  19. Comparative effects of building envelope improvements and occupant behavioural changes on the exergy consumption for heating and cooling

    International Nuclear Information System (INIS)

    Much focus is put on measures to improve the building envelope system performance to reduce the impact of the building sector on the global environmental degradation. This paper compares the potential of building envelope improvements to those of a change in the occupant's behavioural pattern. Three cases of improvements together with a base case were analysed using exergy analysis, because the exergy concept is useful to understand the underlying processes and the necessary adjustments to the calculation of the heat-pump system. The assumptions for the occupant behaviour were set up based on our field measurements conducted in a dormitory building and the calculation was for steady-state conditions. It was found that the potential of occupant behavioural changes for the reduction in exergy consumption is more affected by the outdoor temperature compared to building envelope improvements. The influence of occupant behaviour was highly significant (more than 90% decrease of exergy consumption) when the temperature difference between indoors and outdoors is small, which is the case for long periods in regions with moderate temperatures during summer and/or winter. Nevertheless, both measures combined lead to a reduction from 76% up to 95% depending on the outside conditions and should be the final goal.

  20. The relationship between dual practice and physicians’ work behaviour in the public hospitals: Results from the Danish survey

    OpenAIRE

    Socha, Karolina; Bech, Mickael

    2011-01-01

    In numerous healthcare systems, some physicians combine public hospital employment with a private practice - a phenomenon referred to as physician dual practice. Dual practice raises numerous concerns with regard to its possible negative effects on the work performance of physicians in public hospitals. The purpose of this study is to test the theoretical predictions with regards to the dual-practice effects on work inputs of public hospital physicians. We use a crosssectional data on physici...

  1. Electrochemical noise evaluation of anodized aluminum. Comparative study against corrosion behaviour in the atmosphere

    International Nuclear Information System (INIS)

    The present work reports the evaluation of aluminum and anodized aluminum by electrochemical noise, as a part of the PATINE/CYTED project of the working group NS5. A visual examination is also made. The samples were exposed at several Ibero-American atmospheres up to 2 years of exposure. Different thickness of anodized aluminum were evaluated. The electrochemical potential noise of the 5 μm unexposed sample (pattern) showed a different behaviour to that showed by the other anodized specimens. This could be due to a slower sealed of the samples of higher thickness. The same behavior was observed on the samples exposed at the rural station. el Pardo. According to the visual examination, the samples of bare aluminum and those of anodized 5 μm thickness were the most affected by pitting corrosion in the highly polluted atmospheres. A good correlation between corrosion behaviour determined by visual examination and EN was obtained. (Author) 4 refs

  2. Incorporating Cognitive Behavioural Therapy into a Public Health Care System: Canada and England Compared

    OpenAIRE

    Noushon Farmanara; Marchildon, Gregory P.; Amélie Quesnel-Vallée

    2016-01-01

    Since the second half of the 2000s, Canada and England have instituted differing reforms to address the inadequate provision and quality of mental health services in both nations. With growing evidence demonstrating the success and cost-effectiveness of psychotherapy, the English reform sought to expand the delivery of psychological services through the Improving Access to Psychological Therapies program (IAPT) focusing on cognitive behavioural therapy (CBT). In contrast, Canadian interventio...

  3. Comparative analysis of model behaviour for flood prediction purposes using Self-Organizing Maps

    OpenAIRE

    Herbst, M.; Casper, M.C.; Grundmann, J.; Buchholz, O.

    2009-01-01

    Distributed watershed models constitute a key component in flood forecasting systems. It is widely recognized that models because of their structural differences have varying capabilities of capturing different aspects of the system behaviour equally well. Of course, this also applies to the reproduction of peak discharges by a simulation model which is of particular interest regarding the flood forecasting problem. In our study we use a Self-Organizing Map (SOM) in comb...

  4. Comparative analysis of model behaviour for flood prediction purposes using Self-Organizing Maps

    OpenAIRE

    Herbst, M.; Casper, M.C.; Grundmann, J.; Buchholz, O.

    2009-01-01

    Distributed watershed models constitute a key component in flood forecasting systems. It is widely recognized that models because of their structural differences have varying capabilities of capturing different aspects of the system behaviour equally well. Of course, this also applies to the reproduction of peak discharges by a simulation model which is of particular interest regarding the flood forecasting problem.

    In our study we use a Self-Organizing Map (SOM) in combi...

  5. Anisotropic behaviour law for sheets used in stamping: A comparative study of steel and aluminium

    OpenAIRE

    Sinou, Jean-Jacques; Macquaire, Bruno

    2003-01-01

    International audience For a car manufacturer, reducing the weight of vehicles is an obvious aim. Replacing steel by aluminium moves towards that goal. Unfortunately, aluminium's stamping numerical simulation results are not yet as reliable as those of steel. Punch-strength and spring-back phenomena are not correctly described. This study on aluminium validates the behaviour law Hill 48 quadratic yield criterion with both isotropic and kinematic hardening. It is based on the yield surface ...

  6. CUSTOMERS’ ADOPTION BEHAVIOUR IN INTERNET BANKING : A COMPARATIVE ANALYSIS OF GHANA AND SWEDEN

    OpenAIRE

    Acka, Germain Kofi; Ntsiful, Samuel; Odorh, Obinna

    2010-01-01

    Internet banking has now become a global phenomenon. It is the fastest growing service that banks can offer in order to gain and retain new customers. However, the issue of adoption behaviour or pattern by final consumers seems to be a pivotal issue in the successful implementation of Internet banking which has benefited people from jurisdiction to jurisdiction and from country to country. In some countries, Internet banking has proven to be very reliable, effective and efficient whilst in so...

  7. Comparative studies of offices pre and post — how changing spatial configurations affect organisational behaviours

    OpenAIRE

    Sailer, K.; Budgen, A.; Lonsdale, N; Turner, A; Penn, A

    2009-01-01

    Understanding the way in which design interventions in an office affect everyday users, and thus shape organisational behaviour, should be high on the agenda for architects, designers and consultants alike. Surprisingly, this seems rarely to be the case. Here we aim to help close this gap by studying a variety of organisations in depth both before and after an office move from the point of view of design practice. This paper thus aims at understanding how a newly designed office is seen, used...

  8. Rheological behaviour of polymer-modified bituminous mastics : a comparative analysis between physical and chemical modification

    OpenAIRE

    Shivokhin, Maxim; García Morales, Moisés; Partal López, Pedro; Cuadri Vega, Antonio Abad; Gallegos Montes, Críspulo

    2012-01-01

    Mastic, a bitumen/filler blend which naturally forms when bitumen is mixed with aggregates is the actual product used to bind coarse mineral particles in the asphalt mixtures. As a result, the characterisation of mastics is essential to improve the understanding of the response and performance of asphalt concrete pavements. On the other hand, the lack of experimental data concerning the behaviour of mastics and, above all, polymer-modified mastics has been lately claimed. In that sense, this ...

  9. Iron Profile in Children with Behavioural Disorders: A Prospective Study in a Tertiary Care Hospital in North India

    OpenAIRE

    Mahajan, Garima; Sikka, Meera; Rusia, Usha; Bhatia, M.S.

    2011-01-01

    Iron deficiency anemia is the most frequent micronutrient deficiency in the developing countries like India especially affecting pregnant women and young children. Iron is an essential element involved in myelin formation, neurotransmitter synthesis and neuro-metabolism. Several behavioural disturbances have been reported in iron deficient children. In the present study, we determined the prevalence of iron deficiency anemia in children with behavioural disorders and assessed the improvement ...

  10. Survey of the Information-Seeking Behaviour of Hospital Professionals at a Public Cancer Hospital in Greece Proves the Value of Hospital Libraries. A Review of: Kostagiolas, P. A., Ziavrou, K., Alexias, G., & Niakas, D. (2012). Studying the information-seeking behavior of hospital professionals: The case of METAXA Cancer Hospital in Greece. Journal of Hospital Librarianship, 12(1), 33-45.

    OpenAIRE

    Antonio DeRosa

    2013-01-01

    Objective – To study the information-seeking practices of hospital staff and weigh the impact of hospital libraries on effective information-seeking.Design – Survey questionnaire.Setting – Large public cancer hospital in Greece.Subjects – The authors surveyed 49 physicians, 43 nursing staff members, 25 administrative staff members, 23 paramedical staff members, and 5 technical staff members, totaling 145 health professionals.Methods – Participants were given a questionnaire comprised of five ...

  11. Anisotropic behaviour law for sheets used in stamping: A comparative study of steel and aluminium

    CERN Document Server

    Sinou, Jean-Jacques

    2008-01-01

    For a car manufacturer, reducing the weight of vehicles is an obvious aim. Replacing steel by aluminium moves towards that goal. Unfortunately, aluminium's stamping numerical simulation results are not yet as reliable as those of steel. Punch-strength and spring-back phenomena are not correctly described. This study on aluminium validates the behaviour law Hill 48 quadratic yield criterion with both isotropic and kinematic hardening. It is based on the yield surface and on associated experimental tests (uniaxial test, plane tensile test, plane compression and tensile shearing).

  12. A longitudinal, multi-level comparative study of quality and safety in European hospitals

    DEFF Research Database (Denmark)

    Robert, Glenn B; Anderson, Janet E; Burnett, Susan J;

    2011-01-01

    Research' (QUASER) study will investigate how hospitals implement, spread and sustain quality improvement, including the difficulties they face and how they overcome them. The overall aim of the study is to explore relationships between the organisational and cultural characteristics of hospitals and how......, meso and micro-system) analysis of healthcare quality policies and practices in 5 European countries, including longitudinal case studies in a purposive sample of 10 hospitals. The project design has three major features: • a working definition of quality comprising three components: clinical...... policy makers in the European Union. Throughout the study we will adopt a mixed methods approach, including qualitative (in-depth, narrative-based, ethnographic case studies using interviews, and direct non-participant observation of organisational processes) and quantitative research (secondary analysis...

  13. Comparing image search behaviour in the ARRS GoldMiner search engine and a clinical PACS/RIS.

    Science.gov (United States)

    De-Arteaga, Maria; Eggel, Ivan; Do, Bao; Rubin, Daniel; Kahn, Charles E; Müller, Henning

    2015-08-01

    Information search has changed the way we manage knowledge and the ubiquity of information access has made search a frequent activity, whether via Internet search engines or increasingly via mobile devices. Medical information search is in this respect no different and much research has been devoted to analyzing the way in which physicians aim to access information. Medical image search is a much smaller domain but has gained much attention as it has different characteristics than search for text documents. While web search log files have been analysed many times to better understand user behaviour, the log files of hospital internal systems for search in a PACS/RIS (Picture Archival and Communication System, Radiology Information System) have rarely been analysed. Such a comparison between a hospital PACS/RIS search and a web system for searching images of the biomedical literature is the goal of this paper. Objectives are to identify similarities and differences in search behaviour of the two systems, which could then be used to optimize existing systems and build new search engines. Log files of the ARRS GoldMiner medical image search engine (freely accessible on the Internet) containing 222,005 queries, and log files of Stanford's internal PACS/RIS search called radTF containing 18,068 queries were analysed. Each query was preprocessed and all query terms were mapped to the RadLex (Radiology Lexicon) terminology, a comprehensive lexicon of radiology terms created and maintained by the Radiological Society of North America, so the semantic content in the queries and the links between terms could be analysed, and synonyms for the same concept could be detected. RadLex was mainly created for the use in radiology reports, to aid structured reporting and the preparation of educational material (Lanlotz, 2006) [1]. In standard medical vocabularies such as MeSH (Medical Subject Headings) and UMLS (Unified Medical Language System) specific terms of radiology are often

  14. Comparing Tactical Behaviour of Soccer Players in 3 vs. 3 and 6 vs. 6 Small-Sided Games

    Directory of Open Access Journals (Sweden)

    Silva Bernardo

    2014-07-01

    Full Text Available The present study aimed to compare players’ tactical behaviour in 3 vs. 3 and 6 vs. 6 soccer small-sided games (SSGs. The sample comprised 3,482 tactical actions performed by 18 U-11 youth soccer players from a Portuguese club, in 3 vs. 3 and 6 vs. 6 SSGs. All participants played eight minutes in both situations and field size was adapted according to the number of players involved (30 m x 19.5 m for 3 vs. 3 and 60 m x 39 m for 6 vs. 6. The System of Tactical Assessment in Soccer (FUT-SAT was used for data collection and analyses. Descriptive analysis was conducted to verify frequencies and percentages of the variables assessed. The chi-squared (χ2 test was performed to compare the frequencies of the variables between 3 vs. 3 and 6 vs. 6 SSGs and Standardized Residuals (e were used to examine the influence of the frequency of one or more variables within 3 vs. 3 and 6 vs. 6 SSGs. Data treatment was performed through SPSS for Windows®, version 18.0. Results indicated that players displayed safer behaviours in 6 vs. 6 SSG and more aggressive behaviours in 3 vs. 3 SSG. Findings can aid coaches and teachers to develop different players’ tactical skills according to the chosen SSG (3 vs. 3 or 6 vs. 6 form.

  15. A comparative study of the effects of constructional elements on the mechanical behaviour of dragonfly wings

    Science.gov (United States)

    Rajabi, H.; Rezasefat, M.; Darvizeh, A.; Dirks, J.-H.; Eshghi, Sh.; Shafiei, A.; Mostofi, T. Mirzababaie; Gorb, S. N.

    2016-01-01

    Although wings of insects show a large variation in morphology, they are all made from a network of irregular veins interconnected through membranous areas. Depending on their shape, size, and position, wing veins are usually divided into three different groups: longitudinal veins, cross-veins and ambient veins. The veins together with the membrane and some other elements such as spines, nodus and pterostigma can be considered as the wing's "constructional elements". In spite of rather extensive literature on dragonfly wing structure, the role of each of these elements in determining the wing's function remains mostly unknown. As this question is difficult to answer in vivo using biomechanical experiments on actual wings, this study was undertaken to reveal the effects of the constructional elements on the mechanical behaviour of dragonfly wings by applying numerical simulations. An image processing technique was used to develop 12 finite element models of the insect wings with different constructional elements. The mechanical behaviour of these models was then simulated under normal and shear stresses due to tension, bending and torsion. A free vibration analysis was also performed to determine the resonant frequencies and the mode shapes of the models. For the first time, a quantitative comparison was carried out between the mechanical effects selectively caused by different elements. Our results suggest that the complex interactions of veins, membranes and corrugations may considerably affect the dynamic deformation of the insect wings during flight.

  16. Comparative analysis of current payment system for hospital services in Serbia and projected payments under diagnostic related groups system in urology

    OpenAIRE

    Babić Uroš; Soldatović Ivan; Vuković Dejana; Šantrić-Milićević Milena; Stjepanović Mihailo; Kojić Dejan; Argirović Aleksandar; Vukotić Vinka

    2015-01-01

    Background/Aim. Global budget per calendar year is a traditional method of funding hospitals in Serbia. Diagnose related groups (DGR) is a method of hospital payment based on classification of patients into groups with clinically similar problems and similar utilization of hospital resources. The aim of this study was to compare current methods of hospital services payment with the projected costs by DRG payment method in urology. Methods. The data were obt...

  17. Population-based versus hospital-based controls: are they comparable? Controles poblaciones frente a controles hospitalarios: ¿son comparables?

    Directory of Open Access Journals (Sweden)

    Alberto Ruano-Ravina

    2008-12-01

    Full Text Available Objective: To compare whether there are differences among hospital and population controls. Methods: Two case-control studies were conducted on lung cancer risk factors in the Santiago de Compostela Public Health District. Whereas one used randomly chosen census-based population controls, the other used consecutive hospital controls that went to the reference hospital for non-smoking-related trivial interventions. The differences were analyzed using logistic regression. The dependent variable was type of control (hospital or population. Results: Hospital controls had a similar tobacco habit than population controls, but consumed more alcohol. For those consuming more than 50 ml daily, the risk of being a hospital control was 4.83 (95%CI: 2.55-9.14. Conclusions: There may be some differences between hospital and population-based controls, which must be taken into account in the design of case-control studies. It is necessary to ascertain whether such differences are reproduced at other geographic locations and whether they can affect estimation of exposure-disease.Objetivo: Comparar si hay diferencias entre los controles poblacionales y los hospitalarios. Métodos: Se llevaron a cabo dos estudios de casos y controles sobre factores de riesgo de cáncer de pulmón en el Área Sanitaria de Santiago de Compostela. En uno de los estudios los controles fueron seleccionados aleatoriamente entre la población general, y en el otro los controles hospitalarios fueron incluidos de manera consecutiva entre los individuos que acudían al hospital por intervenciones quirúrgicas banales no relacionadas con el consumo de tabaco. Las diferencias fueron analizadas mediante regresión logística. La variable dependiente fue el tipo de control (hospitalario o poblacional. Resultados: Los controles hospitalarios y los poblacionales tenían un hábito tabáquico similar, pero los controles hospitalarios consumían más alcohol. Para los que consumían más de 50 ml

  18. Key success factors for clinical knowledge management systems: Comparing physician and hospital manager viewpoints.

    Science.gov (United States)

    Chang, Sho-Fang; Hsieh, Ping-Jung; Chen, Hui-Fang

    2015-01-01

    The study explores the perceptions of physicians and hospital managers regarding the key success factors (KSFs) of a clinical knowledge management system (CKMS). It aims to eliminate the perception gap and gain more insights for a successful CKMS.A survey was conducted in four medical centers in Taiwan. A total of 340 questionnaires, including 15 for hospital managers and 70 for physicians in each hospital, were administered. The effective response rates are 78.3% and 56.1% respectively. Partial least square (PLS) were used to analyze the data.The results identified six KSFs of CKMS including system software and hardware, knowledge quality, system quality, organizational factors, user satisfaction, and policy factors. User satisfaction and policy factors have direct effects on perceived CKMS performance. Knowledge quality is regarded as an antecedent to user satisfaction, while system quality is the antecedent to both user satisfaction and policy factors. System software and hardware was supported only by managers, and organizational factors were supported only by physicians.Among the factors, this study highlighted the policy factor. Besides, the study provides hospital managers additional insights into physician requirements for organizational support. Third, more physician participation and involvement are recommended when introducing and developing a CKMS. PMID:26444813

  19. A Comparative Analysis of Community Acquired and Hospital Acquired Methicillin Resistant Staphylococcus Aureus

    OpenAIRE

    P R, Vysakh; M, Jeya

    2013-01-01

    Purpose: Staphylococcus aureus has developed resistance against most of the therapeutic agents. The most notable example of this phenomenon was the emergence of Methicillin resistant Staphylococcus aureus (MRSA). We are reporting the prevalence and the antibiotic susceptibility pattern of the MRSA isolates from a tertiary care hospital.

  20. The importance of early anti-social behaviour among men with a schizophrenia spectrum disorder in a specialist forensic psychiatry hospital unit in Denmark

    DEFF Research Database (Denmark)

    Pedersen, Liselotte; Rasmussen, Kirsten; Elsass, Peter; Hougaard, Helle

    2010-01-01

    People with a major mental disorder are at increased risk of committing crimes, especially violent crimes, compared with the general population. Sub-groups have been identified based on age of onset of anti-social or violent behaviour. Mentally disordered offenders with early onset anti-social be...

  1. Electrochemical noise evaluation of anodized aluminum. Comparative study against corrosion behaviour in the atmosphere

    Directory of Open Access Journals (Sweden)

    Betancourt, N.

    2003-12-01

    Full Text Available The present work reports the evaluation of aluminum and anodized aluminum by electrochemical noise, as a part of the PATINA/CYTED project of the working group Nº 5. A visual examination is also made. The samples were exposed at several Ibero-American atmospheres up to 2 years of exposure. Different thickness of anodized aluminum were evaluated. The electrochemical potential noise of the 5 μm unexposed sample (pattern showed a different behaviour to that showed by the other anodized specimens. This could be due to a slower sealed of the samples of higher thickness. The same behaviour was observed on the samples exposed at the rural station El Pardo. According to the visual examination, the samples of bare aluminum and those of anodized 5 μm thickness were the most affected by pitting corrosion in the highly polluted atmospheres. A good correlation between corrosion behaviour determined by visual examination and EN was obtained.

    Como parte de las investigaciones de la Red PATINA el grupo de trabajo Nº 5 dedicó su atención al comportamiento del aluminio desnudo y anodizado con diferentes espesores en diferentes atmósferas de Iberoamérica. En el presente trabajo se presenta una evaluación de patrones de aluminio 99,5 % de pureza desnudo y anodizado con espesores de 15 y 25 μm, mediante ruido electroquímico. Los resultados obtenidos se comparan con el comportamiento determinado en diferentes atmósferas durante un período de 2 años. El ruido de voltaje del patrón de 5 μm de espesor presenta un comportamiento diferente al de los restantes espesores, lo que coincide con una mayor susceptibilidad a la corrosión picadura de este primer anodizado. Se reportan también algunas diferencias en el ruido de corriente. Se concluye que mediante la utilización del ruido electroquímico es posible caracterizar el aluminio con respecto a su sensibilidad a la corrosión picadura en condiciones atmosféricas.

  2. Comparative study on behaviour of carbon resistance temperature sensors at low temperatures

    International Nuclear Information System (INIS)

    The paper presents the behaviour of four carbon resistance uncalibrated sensors, in comparison with two calibrated sensors. We place the sensors into a column cooled by a hydrogen cryogenerator of Phillips type . To obtain high accuracy measurements a PC was devoted for processing the output with the data acquisition board incorporated. The experiment consists of three cooling-heating cycles that allow studying the time stability of sensors' characteristics. The experimental data was used to draw the R = f (T) characteristic and error curves for one cooling-heating cycle. In addition, we find the polynomial regression for the sensors that have not a calibration curve. In conclusion it results that the carbon resistance sensors have a higher accuracy at low temperature and time stability is very good. (authors)

  3. Estudo comparativo das indicações de cesariana entre um hospital público-universitário e um hospital privado Comparative study of cesarean section indications between a public university hospital and a private hospital

    OpenAIRE

    Renato Humberto Fabri; Helder de Souza Lima e Silva; Rodrigo Vaz de Lima; Eddie Fernando Candido Murta

    2002-01-01

    OBJETIVOS: analisar a incidência e as indicações de cesariana realizadas no Hospital Escola da Falculdade de Medicina do Triângulo Mineiro e um hospital privado, ambos localizados em Uberaba, Minas Gerais, Brasil. MÉTODOS: trata-se de estudo transversal desenvolvido a partir da coleta nos prontuários dos hospitais, consistindo da idade, procedência, situação conjugal, escolaridade, paridade e indicações de cesariana. RESULTADOS: a incidência de cesariana foi de 24,3% no Hospital Escola contra...

  4. Is quality of colorectal cancer care good enough? Core measures development and its application for comparing hospitals in Taiwan

    Directory of Open Access Journals (Sweden)

    Cheng Skye H

    2010-01-01

    Full Text Available Abstract Background Although performance measurement for assessing care quality is an emerging area, a system for measuring the quality of cancer care at the hospital level has not been well developed. The purpose of this study was to develop organization-based core measures for colorectal cancer patient care and apply these measures to compare hospital performance. Methods The development of core measures for colorectal cancer has undergone three stages including a modified Delphi method. The study sample originated from 2004 data in the Taiwan Cancer Database, a national cancer data registry. Eighteen hospitals and 5585 newly diagnosed colorectal cancer patients were enrolled in this study. We used indicator-based and case-based approaches to examine adherences simultaneously. Results The final core measure set included seventeen indicators (1 pre-treatment, 11 treatment-related and 5 monitoring-related. There were data available for ten indicators. Indicator-based adherence possesses more meaningful application than case-based adherence for hospital comparisons. Mean adherence was 85.8% (79.8% to 91% for indicator-based and 82.8% (77.6% to 88.9% for case-based approaches. Hospitals performed well (>90% for five out of eleven indicators. Still, the performance across hospitals varied for many indicators. The best and poorest system performance was reflected in indicators T5-negative surgical margin (99.3%, 97.2% - 100.0% and T7-lymph nodes harvest more than twelve(62.7%, 27.6% - 92.2%, both of which related to surgical specimens. Conclusions In this nationwide study, quality of colorectal cancer care still shows room for improvement. These preliminary results indicate that core measures for cancer can be developed systematically and applied for internal quality improvement.

  5. Comparing the Perspectives of Managers and Employees of Teaching Hospitals About Job Motivation

    OpenAIRE

    Mohebbifar, Rafat; Kiaei, Mohammad Zakaria; Khosravizadeh, Omid; Mohseni, Mohammad

    2014-01-01

    Recognition of career motivators and understanding of managers and employees in prioritizing them, in order to plan incentives for this understanding, can play an important role in increasing productivity and creating harmony between the goals of the organization and staff. This study was done to survey the importance of career motivating factors from perspective of employees and managers in educational hospitals of Iran. In this study 269 from a total of 1843 employees of educational hospita...

  6. Comparative Molecular Analysis of Community- or Hospital-Acquired Methicillin-Resistant Staphylococcus aureus

    OpenAIRE

    Fey, P. D.; Saïd-Salim, B.; Rupp, M. E.; Hinrichs, S H; Boxrud, D. J.; Davis, C C; Kreiswirth, B N; Schlievert, P M

    2003-01-01

    Community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) is a growing public health concern that has been associated with pediatric fatalities. It is hypothesized that the evolution of CA-MRSA is a recent event due to the acquisition of mec DNA by previously methicillin-susceptible strains that circulated in the community. This study investigated the genetic relatedness between CA-MRSA, hospital-associated MRSA (HA-MRSA), and nonmenstrual toxic shock syndrome (nmTSS) isolates....

  7. Comparative study between patients with acute appendicitis treated in primary care units and in emergency hospitals

    Directory of Open Access Journals (Sweden)

    Thiago de Paula Bon

    2014-10-01

    Full Text Available Objective: To retrospectively analyze the relationship of time of care, combined with possible post-appendectomy complications, with the promptness of transfer of patients seen in Emergency Care Units (UPA to the emergency hospital.Methods: We analyzed patients with preoperative diagnosis of acute appendicitis undergoing appendectomy from January to July 2012. Patients were divided into two groups according to the site of the first care. Group A included patients who received initial care directly in the emergency department of the Lourenço Jorge County Hospital (HMLJ and group B consisted of patients seen in the UPA and forwarded to HMLJ to undergo surgical treatment.Results: the average time between initial treatment and surgery in group A was 29 hours (SD = 21.95 and 54 hours in group B (SD = 54.5. Considering the onset of symptoms, the patients in group A were operated on average 67 hours after (SD = 42.55, while group B, 90 hours (SD = 59.58. After the operation, patients in group A were hospitalized, on average, for 94 hours (SD = 73.53 and group B, 129 hours (SD = 193.42.Conclusion: there was no significant difference in the time elapsed between the onset of symptoms, initial treatment and early surgical treatment, or time elapsed between surgery and discharge.

  8. Disinfectant and antibiotic activities: a comparative analysis in Brazilian hospital bacterial isolates

    Directory of Open Access Journals (Sweden)

    Guimarães Márcia Aparecida

    2000-01-01

    Full Text Available Nosocomial infections are an important cause of morbidity and mortality all over the world. It has been shown that appropriate environmental hygienic and disinfection practices can be very helpful to hospital infection control. The purpose of this study was to evaluate the bactericidal activity of some disinfectants against antibiotic-susceptible and antibiotic-resistant hospital bacterial isolates. The susceptibility of 27 clinical isolates to disinfectants and antibiotics was determined by the Association of Official Analytical Chemist?s (AOAC Use-Dilution method and by the Kirby-Bauer method, respectively. All strains tested were susceptible to sodium hypochlorite, glutaraldehyde and to the association quaternary ammonium - formaldehyde - ethyl alcohol disinfectants. However, the susceptibility of strains to phenol and to one quaternary ammonium compound was variable. Among twenty-one antibiotic-multiresistant strains (methicillin-resistant staphylococci, Enterococcus spp, Pseudomonas aeruginosa, Klebsiella pneumoniae, Proteus mirabilis, Enterobacter cloacae, Serratia marcescens and Escherichia coli eleven (52% and eight (38% strains were resistant to the quaternary ammonium and phenol compounds, respectively. Among six isolates that demonstrated susceptibility to antibiotics (staphylococci, Enterococcus spp, P. mirabilis, E. cloacae and E. coli two strains (33% showed resistance to these disinfectants. The results demonstrated the lack of correlation between antibiotic-susceptibility and susceptibility to disinfectants in hospital strains.

  9. Tracks FAQs: How Do Heart Attack Hospitalization Rates In My Community Compare With Other Counties Or States?

    Centers for Disease Control (CDC) Podcasts

    2011-09-01

    In this podcast, CDC Tracking experts discuss how to compare heart attack hospitalization rates in your community with other counties or states. Do you have a question for our Tracking experts? Please e-mail questions to trackingsupport@cdc.gov.  Created: 9/1/2011 by National Center for Environmental Health, Division of Environmental Hazards and Health Effects, Environmental Health Tracking Branch.   Date Released: 9/1/2011.

  10. Examining the Relationships among Antecedents of Guests’ Behavioural Intentions in Ghana’s Hospitality Industry: A Structural Equation Modelling Approach

    OpenAIRE

    Simon Gyasi Nimako; Anthony Freeman Mensah

    2013-01-01

    This study empirically examines the critical antecedents of behavioural intentions and the structural interrelationships that exist among the antecedents in the hotel industry in Ghana. The study was a cross-sectional survey of 700 respondents using structured questionnaire personally administered. A usable 359 questionnaire were obtained, representing 51.3% response rate and analysed using Structural Equation Modelling approach. The findings indicate that the proposed model has high goodness...

  11. Care-seeking behaviour and diagnostic processes for symptomatic giardiasis in children attending an academic paediatric hospital

    OpenAIRE

    Escobedo, Angel A.; Almirall, Pedro; Ávila, Ivonne; Salazar, Yohana; Alfonso, Maydel

    2014-01-01

    Giardiasis is one of the commonest intestinal parasitic infections in Cuba. In order to determine care-seeking behaviour and diagnostic processes in paediatric in-patients with giardiasis, structured questionnaires were administered by interview mothers of children with giardiasis during January to December 2010. During the study period, 97 children were diagnosed with giardiasis, of whom 86 (88.6%) caregivers were interviewed. The median number of days from symptoms onset to the first presen...

  12. Survey of the Information-Seeking Behaviour of Hospital Professionals at a Public Cancer Hospital in Greece Proves the Value of Hospital Libraries. A Review of: Kostagiolas, P. A., Ziavrou, K., Alexias, G., & Niakas, D. (2012. Studying the information-seeking behavior of hospital professionals: The case of METAXA Cancer Hospital in Greece. Journal of Hospital Librarianship, 12(1, 33-45.

    Directory of Open Access Journals (Sweden)

    Antonio DeRosa

    2013-06-01

    Full Text Available Objective – To study the information-seeking practices of hospital staff and weigh the impact of hospital libraries on effective information-seeking.Design – Survey questionnaire.Setting – Large public cancer hospital in Greece.Subjects – The authors surveyed 49 physicians, 43 nursing staff members, 25 administrative staff members, 23 paramedical staff members, and 5 technical staff members, totaling 145 health professionals.Methods – Participants were given a questionnaire comprised of five parts: general information (including gender, age, education, position, and professional experience; questions on computer and Internet accessibility; questions regarding individual information needs; questions on information-seeking obstacles; and a question regarding the satisfaction with the current degree of information availability in the hospital. The last question was ranked using a 5-point Likert scale. Each questionnaire was distributed with a cover letter explaining the anonymity and consent of the respondent. Hospital members were randomly selected using a number generator and respondents returned completed surveys to the hospital personnel office in a sealed envelope within a specified time frame. The sampled group was representative of the overall population of the hospital.Main Results – The authors discuss demographic data of respondents: 65.7% were women; 56.7% were over 40 years old; 29.0% were graduates of higher technological institutes; 28.3% were university graduates; 9.7% held a postgraduate degree; 8.3% had a PhD; and 1.4% had only secondary education. As for the remainder of the survey questions: 64% of respondents had access to the Internet both at home and at work, while only 8.2% had no access to the Internet at all; most respondents noted using the Internet for seeking scientific information (83.0% and e-mail communication (65.3%; the main obstacle respondents noted experiencing when seeking information was the lack of

  13. Nutritional screening tools application in a general hospital: a comparative study Aplicação de instrumentos de triagem nutricional em hospital geral: um estudo comparativo

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    Janaína Damasceno Bezerra

    2012-05-01

    Full Text Available Introduction: There are many nutritional screening tools and it becomes difficult to choose which one is the best to be used in clinical nutrition practice. Objective: To compare five nutritional screening tools (MST, NRS-2002, MUST, MNA and MNA-SF in adults and elderly hospitalized. Materials and Methods: A cross-sectional study, with the application of nutritional screening tools in adult and elderly patients in the first 48 hours of hospitalization was performed. Nutritional risk occurrence between adult and elderly patients was compared. Statistical analyses were performed using descriptive data and a non-parametric test (Man Whitney. Results: We evaluated 77 patients, 51 (66.2% adults and 26 (33.8% elderly, aged 53.6 (standard deviation of 17.9 years, with female predominance (53.2%. The main reasons for hospitalization were neoplasia and nephrolithotripsy. Overall, one quarter of patients was at nutritional risk. Nutritional risk in adults was detected with similarity by MUST and MST. However it was underestimated by NRS-2002. The MNA and MNA-SF, exclusively for the elderly, also had similar result to detect nutritional risk. In relation to the time of application, the MNA was the instrument with longer application time. Conclusion: Considering the higher detection of patients with nutritional risk, the easiness and the lower application time, we suggest, respectively, MUST and MNA-SF to be used in adult and elderly patients admitted in this hospital.Introdução: Com inúmeros instrumentos de triagem nutricional existentes, é difícil eleger o mais adequado para os protocolos de nutrição hospitalar. Objetivo: Comparar cinco instrumentos de triagem nutricional (MST, NRS-2002, MUST, MNA e MNA-SF em adultos e idosos hospitalizados. Materiais e Métodos: Nesse estudo transversal, cinco instrumentos de triagem nutricional foram aplicados aos pacientes nas primeiras 48 horas de internação hospitalar. A ocorrência de risco nutricional

  14. Work Hours and Self rated Health of Hospital Doctors in Norway and Germany. A comparative study on national samples

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    Aasland Olaf G

    2011-02-01

    Full Text Available Abstract Background The relationship between extended work hours and health is well documented among hospital doctors, but the effect of national differences in work hours on health is unexplored. The study examines the relationship between work hours and self rated health in two national samples of hospital doctors. Methods The study population consisted of representative samples of 1,260 German and 562 Norwegian hospital doctors aged 25-65 years (N = 1,822 who received postal questionnaires in 2006 (Germany and 2008 (Norway. The questionnaires contained items on demography, work hours (number of hours per workday and on-call per month and self rated subjective health on a five point scale - dichotomized into "good" (above average and "average or below". Results Compared to Norway, a significantly higher proportion of German doctors exceeded a 9 hour work day (58.8% vs. 26.7% and 60 hours on-call per month (63.4% vs. 18.3%. Every third (32.2% hospital doctor in Germany worked more than this, while this pattern was rare in Norway (2.9%. In a logistic regression model, working in Norway (OR 4.17; 95% CI 3.02-5.73, age 25-44 years (OR 1.66; 95% CI 1.29-2.14 and not exceeding 9 hour work day and 60 hours on-call per month (OR 1.35; 95% CI 1.03-1.77 were all independent significant predictors of good self reported health. Conclusion A lower percentage of German hospital doctors reported self rated health as "good", which is partly explained by the differences in work time pattern. Initiatives to increase doctors' control over their work time are recommended.

  15. The behaviour of some winter wheat lines following X-ray treatment in comparative crops

    International Nuclear Information System (INIS)

    By irradiating some Romanian and foreign winter wheat varieties with X rays (doses of 15, 20, 25 and 30 Kr), 60 lines were selected beginning with the third irradiated generation which were then studied in 5 comparative crops over a period of four years (1977-1980) at ICCPT-Fundulea. The results refer to a comparative crop which showed several valuable mutants. Line 784/04 was 1 to 8 days earlier than the controls, with a lower height of the plants. Most of the mutant lines studied had a very high degree of resistance to lodging and high resistance to brown rust. Only a single line (787/11) was medium resistant to powdery mildew. Four of the 12 mutant lines had yield significant increments over four years compared with the controls. Three of the lines were higher in protein content than the controls. The most valuable lines selected were used as parents in hybridization work. (author). 4 tabs., 6 refs

  16. Geriatric day hospital: opportunity or threat? A qualitative exploratory study of the referral behaviour of Belgian general practitioners

    Directory of Open Access Journals (Sweden)

    Vyncke Veerle

    2010-07-01

    Full Text Available Abstract Background In order to address the challenges of an ageing population the Belgian government decided to allocate resources to the creation of geriatric day hospitals (GDHs. Although GDHs are meant to be a strategy to support general practitioners (GPs caring for the frail elderly, few Belgian GPs seem to refer to a GDH. This study aims to explore the barriers and facilitating factors of GPs' referral to GDHs. Methods A qualitative study using focus group discussions (FGDs was conducted. Fifteen FGDs were organized in the different Belgian regions (Flanders, Wallonia, Brussels. Results Contextual factors such as the unsatisfactory cooperation between hospital and GPs and organizational barriers such as the lack of communication on referral procedures between hospital and primary health care (PHC were identified. Lack of basic knowledge about the concept or the local organization of GDH seemed to be a problem. Unclear task descriptions, responsibilities and activities of a GDH formed prominent points of discussion in all FGDs. Nevertheless a lot of possible advantages and disadvantages of GDHs for the patient and for the GP were mentioned. Conclusions In the case of poor referral to GDHs, focusing on improving overall collaboration between primary and secondary health care is essential. This can be achieved by actively delivering adequate information, permanent communication and more involvement of PHC in the organization and functioning of GDHs. The absence of a transparent health care system with delineated role definitions, seems to hinder the integration of new initiatives like GDHs in the care process. Strategies to enhance referral to GDHs should use a comprehensive approach.

  17. Contrasting behaviour of trace metals in the Scheldt estuary in 1978 compared to recent years

    OpenAIRE

    Nolting, R.F.; Helder, W.; De Baar, H. J. W.; Gerringa, L.J.A.

    1999-01-01

    Dissolved and particulate trace metals (Cu, Cd, Pb, Zn, Ni, Fe and Mn) measured at six stations along the Scheldt estuary in October/November 1978 are compared with more recent data. Based on Ca content in the suspended matter, three distinct geochemical regions could be distinguished: the upper estuary (salinity 1–7) dominated by fluvial mud, mid-estuary (salinity 7–17) where the composition of the suspended matter remained relatively constant, and the lower estuary where marine mud prevaile...

  18. Comparative study of oxalic and malonic acid behaviour in the chemical cleaning of alloy 800 surfaces

    International Nuclear Information System (INIS)

    This work consisted, in a first stage, on a basic study of the dissolution mechanism of nickel ferrite in aqueous malonic acid. Powdered oxides (NixFe3-xO4) were synthesized by wet procedures and heated at 750 C degrees. These oxides were characterized by conventional methods and dissolved under different experimental conditions (pH, reagent concentration, temperature, etc.) in order to determine the dissolution rates. Optimal dissolution conditions were explored and compared to the corresponding oxalic acid ones. In a second stage, these conditions were applied to oxides grown on Alloy 800 coupons. Before oxidation, all coupons were ground polished and then were exposed to hydrothermal conditions (350 C degrees, pH25Cdegrees≅ 10.4 -LiOH-, 20-22 days) in static autoclaves. Finally, oxidized and unoxidized coupons were treated with chemical solutions containing oxalic or malonic acid at conditions optimized in the first stage. These results were also compared to those obtained on coupons exposed to a commercial formulation, APAC (Alkaline Permanganate Ammonium Citrate), as a reference. The results on coupon descaling using APMAL (AP + Malonic), APOX (AP + oxalic) and the comparison with APAC leads to conclude that malonic acid is a reagent whose chemical behavior is much better than oxalic acid and comparable to commercial formulations. (author)

  19. Male clients' behaviours with and perspectives about their last male escort encounter: comparing repeat versus first-time hires.

    Science.gov (United States)

    Wolff, Margaret M; Grov, Christian; Smith, Michael D; Koken, Juline A; Parsons, Jeffrey T

    2014-01-01

    Research on men who have sex with men suggests that condomless anal intercourse occurs more frequently in established sexual relationships. While comparable data regarding male-for-male escorting is unavailable, research implies that many clients seek emotional as well as physical connections with the men they hire. In 2012, 495 male clients, recruited via daddysreviews.com completed an online survey about their last hiring experience. Most participants were from the USA (85.7%), the UK and Canada (3.2% each). In total, 75% of encounters involved an escort hired for the first time; 25% were with a previously hired escort ('repeat encounter'). The client's age, lifetime number of escorts hired and number hired in the past year were positively associated with the last encounter being a repeat encounter. Cuddling, sharing a meal, drinking alcohol, taking a walk, watching a show and shopping were also positively associated with repeat encounters. Conversely, none of the sexual behaviours were significantly associated with repeat encounters. Repeat encounters were significantly more likely to include non-sexual behaviours alongside sexual activities, but no more likely to involve condomless anal intercourse. Moreover, clients' knowledge of escorts' HIV status was not significantly associated with engaging in condomless anal intercourse with repeat encounters. PMID:24915753

  20. Socioeconomic inequality and road traffic accidents in Thailand: comparing cases treated in government hospitals inside and outside of Bangkok.

    Science.gov (United States)

    Yongchaitrakul, Teerachai; Juntakarn, Chantip; Prasartritha, Thavat

    2012-05-01

    The study aims to report annual demographic characteristics and to compare the differences of socioeconomic inequality, type of motor vehicles, and seating relating to major bone injuries among hospitals in and outside Bangkok. Six public hospitals in Bangkok and six regional hospitals in the provinces were studied over a one year period (2008-2009). There were 3,650 cases: 3,596 injured patients and 54 deaths. Patients with a lower education level accounted for the largest number of cases, both in the provinces (46.3%) and Bangkok (17.1%). Their incomes were less than THB 10,000/yearly. Total number of motorcycle cases (3,360) was higher (11.6:1) than 290 cases of motor vehicles. Pickup cars were used more commonly. Riding a motorcycle was likely to be fatal. The front seat was the most common involvement. Passengers occupying the middle and rear seat of the motorcycle were involved in 16.0% and 1.0% cases, respectively. Long bone and joints were the most common injuries. The results strongly confirmed the striking contribution of motorcycles and pickups to road traffic accidents. People with a low educational level, in conjunction with low income, and in areas outside of Bangkok were more at risk. Specific education on road safety should be delivered, preferably in primary schools. PMID:23077859

  1. Comparing policies for children of parents attending hospital emergency departments after intimate partner violence, substance abuse or suicide attempt.

    Science.gov (United States)

    Hoytema van Konijnenburg, Eva M M; Diderich, Hester M; Teeuw, Arianne H; Klein Velderman, Mariska; Oudesluys-Murphy, Anne Marie; van der Lee, Johanna H

    2016-03-01

    To improve identification of child maltreatment, a new policy ('Hague protocol') was implemented in hospitals in The Netherlands, stating that adults attending the hospital emergency department after intimate partner violence, substance abuse or a suicide attempt should be asked whether they care for children. If so, these children are referred to the Reporting Center for Child Abuse and Neglect (RCCAN), for assessment and referrals to support services. An adapted, hospital-based version of this protocol ('Amsterdam protocol') was implemented in another region. Children are identified in the same manner, but, instead of a RCCAN referral, they are referred to the pediatric outpatient department for an assessment, including a physical examination, and referrals to services. We compared results of both protocols to assess how differences between the protocols affect the outcomes on implementation, detection of child maltreatment and referrals to services. Furthermore, we assessed social validity and results of a screening physical examination. We included 212 families from the Amsterdam protocol (cohort study with reports by pediatric staff and parents) and 565 families from the Hague protocol (study of RCCAN records and telephone interviews with parents). We found that the RCCAN identified more maltreatment than pediatric staff (98% versus at least 51%), but referrals to services were similar (82% versus 80% of the total sample) and parents were positive about both interventions. Physical examination revealed signs of maltreatment in 5%. We conclude that, despite the differences, both procedures can serve as suitable methods to identify and refer children at risk for maltreatment. PMID:26718263

  2. Acinetobacter infections prevalence and frequency of the antibiotics resistance: comparative study of intensive care units versus other hospital units

    Science.gov (United States)

    Uwingabiye, Jean; Frikh, Mohammed; Lemnouer, Abdelhay; Bssaibis, Fatna; Belefquih, Bouchra; Maleb, Adil; Dahraoui, Souhail; Belyamani, Lahcen; Bait, Abdelouahed; Haimeur, Charki; Louzi, Lhoussain; Ibrahimi, Azeddine; Elouennass, Mostafa

    2016-01-01

    Introduction This study aims to determine the Acinetobacter sp clinical isolates frequency and its antibiotic susceptibility pattern by comparing results obtained from the Intensive Care Units (ICUs) to that of other units at the Mohammed V Military Teaching Hospital in Rabat. Methods This is a retrospective study over a 2-years period where we collected all clinical isolates of Acinetobacter sp obtained from samples for infection diagnosis performed on hospitalized patients between 2012 to 2014. Results During the study period, 441 clinical and non-repetitive isolates of Acinetobacter sp were collected representing 6.94% of all bacterial clinical isolates (n = 6352) and 9.6% of Gram negative rods (n = 4569). More than a half of the isolates were from the ICUs and were obtained from 293 infected patients of which 65, 2% (191 cases) were males (sex ratio = 1.9) and the median age was 56 years (interquartile range: 42-68 years). Acinetobacter clinical isolates were obtained from respiratory samples (44.67%) followed by blood cultures (14.51%). The resistance to ciprofloxacin, ceftazidime, piperacillin / tazobactam, imipenem, amikacin, tobramycin, netilmicin, rifampicin and colistin was respectively 87%, 86%, 79%, 76%; 52%, 43%, 33% 32% and 1.7%. The difference in resistance between the ICUs and the other units was statistically significant (p <0.05) except for colistin, tetracycline and rifampicin. Conclusion This paper shows that solving the problem of prevalence and high rate of multidrug resistant Acinetobacter infection which represents a therapeutic impasse, requires the control of the hospital environment and optimizing hands hygiene and antibiotics use in the hospital. PMID:27347280

  3. A comparative behavioural study of mechanical hypersensitivity in 2 pain models in rats and humans.

    Science.gov (United States)

    Reitz, Marie-Céline; Hrncic, Dragan; Treede, Rolf-Detlef; Caspani, Ombretta

    2016-06-01

    The assessment of pain sensitivity in humans has been standardized using quantitative sensory testing, whereas in animals mostly paw withdrawal thresholds to diverse stimuli are measured. This study directly compares tests used in quantitative sensory testing (pinpricks, pressure algometer) with tests used in animal studies (electronic von Frey test: evF), which we applied to the dorsal hind limbs of humans after high frequency stimulation and rats after tibial nerve transection. Both experimental models induce profound mechanical hypersensitivity. At baseline, humans and rats showed a similar sensitivity to evF with 0.2 mm diameter tips, but significant differences for other test stimuli (all P positive sensory sign after peripheral nerve injury in humans-is a novel finding in the tibial nerve transection model. By testing outside the primary zone of nerve damage (rat) or activation (humans), our methods likely involve effects of central sensitization in both species. PMID:26859819

  4. The correlation between Emotional Intelligence and Leadership Style(s) in hospitality leaders: A comparative study between Macedonia and Norway

    OpenAIRE

    Jancheva, Ana

    2011-01-01

    The aim of this mixed method study was to investigate the correlation between emotional intelligence and the leadership style(s) of the hospitality leaders both in Macedonia and in Norway. A number of five hotels were a part of this study as separate case studies (360 degrees overview was made in each one of the hotels using EI instrument and MLQ) and the results were compared to see whether there are gender, background, and social differences in the profiles of the managers. The study has “p...

  5. Percutaneous coronary intervention for acute MI does not prevent in-hospital development of cardiogenic shock compared to fibrinolysis

    DEFF Research Database (Denmark)

    Lindholm, Matias G; Boesgaard, Søren; Thune, Jens Jakob; Kelbaek, Henning; Andersen, Henning Rud; Køber, Lars Valeur

    2008-01-01

    acute MI compared to fibrinolysis. Cardiogenic shock is still the leading cause of death in patients hospitalised for acute MI. There was no difference in mortality, with regards to treatment strategy in patients developing cardiogenic shock after the initial treatment.......BACKGROUND: It has been speculated that invasive revascularization prevents development of cardiogenic shock. Data from randomised trials comparing angioplasty with fibrinolysis on the development of cardiogenic shock are lacking. AIMS: To elucidate the effect of angioplasty on in......-hospital development of cardiogenic shock compared to fibrinolysis. To evaluate whether mortality in patients who develop cardiogenic shock after treatment is dependent on revascularization strategy. METHODS AND RESULTS: DANAMI-2 randomly assigned 1572 STEMI patients to fibrinolysis (782 patients) or angioplasty (790...

  6. A comparative study of adult patient doses in film screen and computed radiography in some Sudanese hospitals

    International Nuclear Information System (INIS)

    A study was performed to compare adult patient doses in film screen (FS) and computed radiography (CR) diagnostic X-ray examinations in some hospitals in Sudan over a period of 1 y; during this period of time, the CR systems were introduced to replace FS systems. Radiation doses were estimated for 354 patients in five hospitals (two FS units and three CR units). Entrance surface air kerma (ESAK) was estimated from incident air kerma using patient exposure parameters and tube output. Dose calculations were performed using CALDOSE X 3.5 Monte Carlo-based software. In FS, third quartile of ESAK values for skull PA, skull LAT, chest PA, pelvis AP, lumbar spine AP and lumbar spine LAT were 1.5, 1.3, 0.3, 1.9, 2.8 and 5.9 mGy, respectively, while in CR, third quartile of ESAK values for the same examinations were 2.7, 1.7, 0.18, 1.7, 3.2 and 10.8 mGy, respectively. Comparable ESAK values were presented in FS and CR units. The results are important for future dose optimisation and setting national diagnostic reference levels. (authors)

  7. THE TYPES OF COPING BEHAVIOUR OF MOTHERS OF INFANTS (1-12 MONTHS OLD WITH CHD HOSPITALIZED FOR SURGICAL TREATMENT

    Directory of Open Access Journals (Sweden)

    Maria Georgievna Kiseleva

    2015-01-01

    Full Text Available The increasing role of psycho-social rehabilitation in the world and domestic medicine enhances the interest to the problems of psychological adaptation and coping with the situation of hard disease. The advanced methods of surgical treatment of congenital heart defects (CHD and improved post-operation care have reduced significantly the death-rate from CHD, but have raised the necessity to study the role of psychological factors in the perioperative period of children with CHD and adaptation of their parents to the hard situation of surgical treatment because of the death-related risk. The influence of mother’s emotional state on psychological well-being of the child is especially great during the first year of the child’s life. Many researches show that mother’s depression has a negative impact on the cognitive and emotional development of the infant. [1]. The aim of our research is to study the emotional state (level of depression and anxiety, attitude towards the CHD etc. and the types of coping behavior of mothers of hospitalized infants with CHD in the period of surgical treatment. We have shown that mother’s depression has negative impact on mother-infant interaction and aggravates the retardation in physical and mental development of infants. We have identified the main types of coping strategies of mothers of infants with CHD having surgical treatment: acceptance, planning, and active coping.

  8. Comparing the strength of behavioural plasticity and consistency across situations: animal personalities in the hermit crab Pagurus bernhardus

    OpenAIRE

    Briffa, Mark; Rundle, Simon D.; Fryer, Adam

    2008-01-01

    Many phenotypic traits show plasticity but behaviour is often considered the ‘most plastic’ aspect of phenotype as it is likely to show the quickest response to temporal changes in conditions or ‘situation’. However, it has also been noted that constraints on sensory acuity, cognitive structure and physiological capacities place limits on behavioural plasticity. Such limits to plasticity may generate consistent differences in behaviour between individuals from the same population. It has rece...

  9. Multicentre survey of the comparative in-vitro activity of piperacillin/tazobactam against bacteria from hospitalized patients in the British Isles.

    Science.gov (United States)

    Chen, H Y; Bonfiglio, G; Allen, M; Piper, D; Edwardson, T; McVey, D; Livermore, D M

    1993-08-01

    Twenty-nine British and Irish hospitals each collected up to 300 bacterial isolates from in-patients. The organisms were identified by an appropriate API system or, for staphylococci, by their Gram and coagulase reactions. Disc susceptibility tests were performed. Isolates that gave zones spp. streptococci, pneumococci and Enterococcus faecalis were susceptible to piperacillin/tazobactam (defined as giving a zone > or = 22 mm to a 75 micrograms + 10 micrograms disc), as were 86% of Acinetobacter spp. and 82% of the Citrobacter, Enterobacter, Morganella and Serratia group. Tazobactam particularly extended the activity of piperacillin against E. coli isolates (96% susceptible cf. 61% to piperacillin alone) klebsiellae (95% cf. 70%), P. mirabilis (99% cf. 86%), and Acinetobacter spp. (86% cf. 53%). Occasional (18%) resistance in Enterobacter, Serratia and Citrobacger spp. was probably caused by stable depression of Class I beta-lactamases, which are inhibited poorly by tazobactam. High resistance frequencies (> 25%) were found for Enterococcus faecium and Xanthomonas maltophilia. Tazobactam potentiated piperacillin against beta-lactamase-producing methicillin-susceptible Staphylococcus aureus, but the mode inhibition zone of piperacillin/tazobactam discs was only 26 mm, compared to 38 mm for beta-lactamase-negative isolates. Nevertheless, fewer than 5% of the enzyme producers appeared resistant to 8 + 4 mg/L piperacillin/tazobactam in MIC tests. Similar behaviour was noted for coagulase-negative staphylococci. Amongst the eleven comparator drugs, ceftazidime, gentamicin and ciprofloxacin were as active as piperacillin/tazobactam against most enterobacteria. However, Acinetobacter and Bacteroides spp. and enterococci were resistant to ceftazidime, and Bacteroides spp., enterococci, pneumococci and other streptococci were inherently resistant to ciprofloxacin and gentamicin. Cefuroxime, ampicillin and co-amoxiclav had narrower spectra. Only imipenem showed a

  10. A HOSPITAL BASED STUDY ON LIPID PROFILE IN SMOKERS AND NON SMOKERS- A COMPARATIVE STUDY

    Directory of Open Access Journals (Sweden)

    Afroz

    2012-11-01

    Full Text Available ABSTRACT: BACKGROUND: Smoking is one of the environmental factors which can alter normal lipid profile. It is one of the major risk fa ctors in the genesis of coronary atherosclerosis and development of coronary heart disease. AIMS: To evaluate and compare the lipid profile in both groups and to evaluate the existence of dose de pendent relationship and durational significance between smoking and lipid profile among smokers. SETTINGS AND DESIGN: Out of 100 apparently healthy male subjects of age group 21-4 0yrs, 50 were smokers and 50 were non smokers. All the subjects were non alcoholic, non – obese, normotensives and from same socioeconomic status. Subjects who smoke more than equal 10 cigarettes for more than 2 years were considered as smokers group. METHODS AND MATERIAL: The subjects were asked to fast overnight and early morning blood samples colle cted and analyzed for lipid profile by appropriate methods. STATISTICAL ANALYSIS USED: The student’s unpaired “t” test was used for statistical analysis. P-value of < 0.05 or P va lue <0.01 was considered statistically significant. RESULTS: In our study we found serum TC, TG, LDL and VLDL w ere higher in smokers as compared to non smokers and the serum HDL level was significantly decreased in smokers compared to non smokers showing greater risk of thes e persons to atherosclerosis and coronary heart disease. Conclusions: - We conclude our study with the obser vation that smoking causes alteration in lipid profile. Increased amount and duration of smok ing causes more dyslipidaemia .This alteration in serum lipid levels increases risk for coronary artery disease.

  11. Cost-effectiveness and cost-utility analyses of hospital-based home care compared to hospital-based care for children diagnosed with type 1 diabetes; a randomised controlled trial; results after two years’ follow-up

    OpenAIRE

    Tiberg, Irén; Lindgren, Björn; Carlsson, Annelie; Hallström, Inger

    2016-01-01

    Background Practices regarding hospitalisation of children at diagnosis of type 1 diabetes vary both within countries and internationally, and high-quality evidence of best practice is scarce. The objective of this study was to close some of the gaps in evidence by comparing two alternative regimens for children diagnosed with type 1 diabetes: hospital-based care and hospital-based home care (HBHC), referring to specialist care in a home-based setting. Methods A randomised controlled trial, i...

  12. Utilization of In-Hospital Care among Foreign-Born Compared to Native Swedes 1987–1999

    Directory of Open Access Journals (Sweden)

    Björn Albin

    2012-01-01

    Full Text Available In previous longitudinal studies of mortality and morbidity among foreign-born and native-born Swedes, increased mortality and dissimilarities in mortality pattern were found. The aim of this study is to describe, compare, and analyse the utilization of in-hospital care among deceased foreign- and Swedish-born persons during the years 1987–1999 with focus on four diagnostic categories. The study population consisted of 361,974 foreign-born persons aged 16 years and upward who were registered as living in Sweden in 1970, together with 361,974 matched Swedish controls for each person. Data from Statistics Sweden (SCB and the National Board of Health and Welfare Centre for Epidemiology, covering the period 1970–1999, was used. Persons were selected if they were admitted to hospital during 1987–1999 and the cause of death was in one of four ICD groups. The results indicate a tendency towards less health care utilization among migrants, especially men, as regards Symptoms, signs, and ill-defined conditions and Injury and poisoning. Further studies are needed to explore the possible explanations and the pattern of other diseases to see whether migrants, and especially migrant men, are a risk group with less utilization of health care.

  13. "Will they just pack up and leave?" – attitudes and intended behaviour of hospital health care workers during an influenza pandemic

    Directory of Open Access Journals (Sweden)

    Po Kieren

    2009-02-01

    Full Text Available Abstract Background There is a general consensus that another influenza pandemic is inevitable. Although health care workers (HCWs are essential to the health system response, there are few studies exploring HCW attitudes to pandemic influenza. The aim of this study was to explore HCWs knowledge, attitudes and intended behaviour towards pandemic influenza. Methods Cross-sectional investigation of a convenience sample of clinical and non-clinical HCWs from two tertiary-referral teaching hospitals in Sydney, Australia was conducted between June 4 and October 19, 2007. The self-administered questionnaire was distributed to hospital personal from 40 different wards and departments. The main outcome measures were intentions regarding work attendance and quarantine, antiviral use and perceived preparation. Results Respondents were categorized into four main groups by occupation: Nursing (47.5%, Medical (26.0%, Allied (15.3% and Ancillary (11.2%. Our study found that most HCWs perceived pandemic influenza to be very serious (80.9%, n = 873 but less than half were able to correctly define it (43.9%, n = 473. Only 24.8% of respondents believed their department to be prepared for a pandemic, but nonetheless most were willing to work during a pandemic if a patient or colleague had influenza. The main determinants of variation in our study were occupational factors, demographics and health beliefs. Non-clinical staff were significantly most likely to be unsure of their intentions (OR 1.43, p Conclusion We identified two issues that could undermine the best of pandemic plans – the first, a low level of confidence in antivirals as an effective measure; secondly, that non-clinical workers are an overlooked group whose lack of knowledge and awareness could undermine pandemic plans. Other issues included a high level of confidence in dietary measures to protect against influenza, and a belief among ancillary workers that antibiotics would be protective. All

  14. Comparative study of leaching behaviour of various leachants in ISL test on Qubul Khel uranium ore body

    International Nuclear Information System (INIS)

    This paper presents detailed information on laboratory conventional leaching and column pack leach tests using various leachants. A comparative study of uranium leaching behaviour was also made by using various alkaline lixiviants employing conventional five spot pattern. The main objective of this study was to investigate the suitable leachant and its concentration through field test which does not foul the surface lines, submersible pumps and strata. Laboratory leaching tests confirmed that U3O8 could be leached efficiently with a recovery of about 95%, 83% and 84% respectively by using (NH4)2 CO3, Na2CO3 + HCO3 and H2SO4 as lixiviants. In alkaline system ammonium carbonate, sodium carbonate-bicarbonate mixture and sodium bicarbonate solutions were found to be the most effective lixiviants. The column pack leaching tests revealed that 95%, 90% and 73% U3O8 recovery could be achieved with 25 g/l (NH4)2 CO3, 10.0 g/l Na2CO3 + 5 g/l NaHCO3 and 10 g/l NaHCO3 solutions respectively in 96, 120 and 216 hrs. leaching time. 8 refs, 17 figs, 13 tabs

  15. The cost effectiveness of an early transition from hospital to nursing home for stroke patients: design of a comparative study

    Directory of Open Access Journals (Sweden)

    Limburg Martien

    2010-05-01

    Full Text Available Abstract Background As the incidence of stroke has increased, its impact on society has increased accordingly, while it continues to have a major impact on the individual. New strategies to further improve the quality, efficiency and logistics of stroke services are necessary. Early discharge from hospital to a nursing home with an adequate rehabilitation programme could help to optimise integrated care for stroke patients. The objective is to describe the design of a non-randomised comparative study evaluating early admission to a nursing home, with multidisciplinary assessment, for stroke patients. The study is comprised of an effect evaluation, an economic evaluation and a process evaluation. Methods/design The design involves a non-randomised comparative trial for two groups. Participants are followed for 6 months from the time of stroke. The intervention consists of a redesigned care pathway for stroke patients. In this care pathway, patients are discharged from hospital to a nursing home within 5 days, in comparison with 12 days in the usual situation. In the nursing home a structured assessment takes place, aimed at planning adequate rehabilitation. People in the control group receive the usual care. The main outcome measures of the effect evaluation are quality of life and daily functioning. In addition, an economic evaluation will be performed from a societal perspective. A process evaluation will be carried out to evaluate the feasibility of the intervention as well as the experiences and opinions of patients and professionals. Discussion The results of this study will provide information about the cost effectiveness of the intervention and its effects on clinical outcomes and quality of life. Relevant strengths and weaknesses of the study are addressed in this article. Trial registration Current Controlled Trails ISRCTN58135104

  16. Do Medicare Advantage enrollees tend to be admitted to hospitals with better or worse outcomes compared with fee-for-service enrollees?

    Science.gov (United States)

    Friedman, Bernard; Jiang, H Joanna

    2010-06-01

    The hospitals selected by or for Medicare beneficiaries might depend on whether the patient is enrolled in a Medicare Advantage (MA) plan. A theoretical model of profit maximization by MA plans takes into account the tradeoffs of consumer preferences for annual premium versus outcomes of care in the hospital and other attributes of the plan. Hospital discharge databases for 13 states in 2006, maintained by the Agency for Healthcare Research and Quality, are the main source of data. Risk-adjusted mortality rates are available for all non-maternity adult patients in each of 15 clinical categories in about 1,500 hospitals. All-adult postoperative safety event rates covering 9 categories of events are calculated for surgical cases in about 900 hospitals. Instrumental variables are used to address potential endogeneity of the choice of a MA plan. The key findings are these: enrollees in MA plans tend to be treated in hospitals with lower resource cost and higher risk-adjusted mortality compared to Fee-for-Service (FFS) enrollees. The risk-adjusted mortality measure is about 1.5 percentage points higher for MA plan enrollees than the overall mean of 4%. However, the rate of safety events in surgical patients favors MA plan enrollees--the rate is 1 percentage point below the average of 3.5%. These discrepant results are noteworthy and are plausibly due to greater discretion by the health plan in approving patients for elective surgery and as well as selecting hospitals for surgical patients. Emergency patients are generally excluded for the safety outcome measures. In addition, the current mortality measures may not adequately represent all surgical patients. Such caveats should be prominently highlighted when presenting comparative data. With that proviso, the study justifies informing Medicare beneficiaries about the mortality and safety outcome measures for hospitals being used by a MA plan compared to hospitals used by FFS enrollees. PMID:20140642

  17. A Comparative Study of Deviant Workplace Behaviour of Teaching Staff of Public And Private Universities of Punjab-Pakistan

    OpenAIRE

    Muhammad Zafar Iqbal; Muhammad Irfan Arif; Shamaila Badar

    2012-01-01

    Workplace deviance is voluntary behaviour that violates significant organizational norms and in so ding, threatens the well being of the organization or its members or both. Workplace deviance can be captured with two general factors interpersonal deviance and organizational deviance. Interpersonal deviance includes those behaviours which are directly harmful to other individuals with in the organization such as sexual harassment, aggression and violence, bullying and incivility etc, while or...

  18. VA Hospital Compare

    Data.gov (United States)

    Department of Veterans Affairs — Veterans Health Administration works with many quality organizations including the Joint Commission for Accreditation of Healthcare Organizatins and the Centers for...

  19. Adoption of new HIV treatment guidelines and drug substitutions within first-line as a measure of quality of care in rural Lesotho: health centers and hospitals compared

    OpenAIRE

    Labhardt, N.D.; Sello, M.; Lejone, T.; J. Ehmer; Mokhantso, M.; Lynen, L; K. Pfeiffer

    2012-01-01

    Objective: In 2007, Lesotho launched new national antiretroviral treatment (ART) guidelines, prioritising tenofovir and zidovudine over stavudine as a backbone together with lamivudine. We compared the rate of adoption of these new guidelines and substitution of first-line drugs by health centers (HC) and hospitals in two catchment areas in rural Lesotho. Methods: Retrospective cohort analysis. Patients aged >/=16 years were stratified into a HC- and a hospital-group. Main outcome variables:...

  20. Examining Teacher Job Satisfaction and Principals' Instructional Supervision Behaviours: A Comparative Study of Turkish Private and Public School Teachers

    Science.gov (United States)

    Sungu, Hilmi; Ilgan, Abdurrahman; Parylo, Oksana; Erdem, Mustafa

    2014-01-01

    In spite of a strong body of research examining teacher job satisfaction and teachers' assessment of their principals' behaviours, most studies focus on the educational systems in the first world countries. This quantitative study focuses on a lesser-examined educational context by comparing school teachers' job satisfaction levels…

  1. A budget impact analysis comparing use of a modern fecal management system to traditional fecal management methods in two canadian hospitals.

    Science.gov (United States)

    Langill, Mike; Yan, Songkai; Kommala, Dheerendra; Michenko, Michael

    2012-12-01

    Research suggests that fecal management systems (FMS) offer advantages, including potential cost savings, over traditional methods of caring for patients with little or no bowel control and liquid or semi-liquid stool. A budget impact model accounting for material costs of managing fecal incontinence was developed, and 1 year of experiential data from two hospitals' ICUs were applied to it. Material costs were estimated for traditional methods (ie, use of absorbent briefs/pads, skin cleansers, moisturizers) and compared with material costs of using a modern FMS for both average (normal-range weight) and complex (bariatric with wounds) ICU patients at hospital 1 and any ICU patient at hospital 2. Reductions in daily material costs per ICU patient using FMS versus traditional methods were reported by hospital 1 ($93.74 versus $143.89, average patient; $150.55 versus $476.41, complex patient) and by hospital 2 ($61.15 versus $104.85 per patient). When extrapolated to the total number of patients expected to use FMS at each institution, substantial annual cost savings were projected (hospital 1: $57,216; hospital 2: $627,095). In addition, total nursing time per day for managing fecal incontinence (ie, changing, cleaning, repositioning patients, changing pads, linens, and the like) was estimated at hospital 1, showing substantial reductions with FMS (120 minutes versus 348 minutes for average patients; 240 minutes versus 760 minutes for complex). Nursing time was not included in cost calculations to keep the analysis conservative. Results of this study suggest the materials cost of using the FMS in ICU patients was substantially lower than the cost of traditional fecal incontinence management protocols of care in both hospitals. Comparative studies using patient level data, materials, and nursing time costs, as well as complication rates, are warranted. PMID:23221016

  2. Comparative analysis of current payment system for hospital services in Serbia and projected payments under diagnostic related groups system in urology

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    Babić Uroš

    2015-01-01

    Full Text Available Background/Aim. Global budget per calendar year is a traditional method of funding hospitals in Serbia. Diagnose related groups (DGR is a method of hospital payment based on classification of patients into groups with clinically similar problems and similar utilization of hospital resources. The aim of this study was to compare current methods of hospital services payment with the projected costs by DRG payment method in urology. Methods. The data were obtained from the information system used in the Clinical Hospital Center “Dr. Dragiša Mišović” - Dedinje in Belgrade, Serbia. The implemented hospital information system was the main criterion for selection of healthcare institutions. The study included 994 randomly selected patients treated surgically and conservatively in 2012. Results. Average costs under the current payment method were slightly higher than those projected by DRG, however, the variability was twice as high (54,111 ± 69,789 compared to 53,434 ± 32,509, p < 0,001 respectively. The univariate analysis showed that the highest correlation with the current payment method as well as with the projected one by DRG was observed in relation to the number of days of hospitalization (ρ = 0.842, p < 0.001, and ρ = 0.637, p < 0.001, respectively. Multivariate regression models confirmed the influence of the number of hospitalization days to costs under the current payment system (β = 0.843, p < 0.001 as well as under the projected DRG payment system (β = 0.737, p < 0.001. The same predictor was crucial for the difference in the current payment method and the projected DRG payment methods (β = 0.501, p <0.001. Conclusion. Payment under the DRG system is administratively more complex because it requires detailed and standardized coding of diagnoses and procedures, as well as the information on the average consumption of resources (costs per DRG. Given that aggregate costs of treatment under two hospital payment methods compared

  3. Protocol for the OUTREACH trial: a randomised trial comparing delivery of cancer systemic therapy in three different settings - patient's home, GP surgery and hospital day unit

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    McCrone Paul

    2011-10-01

    Full Text Available Abstract Background The national Cancer Reform Strategy recommends delivering care closer to home whenever possible. Cancer drug treatment has traditionally been administered to patients in specialist hospital-based facilities. Technological developments mean that nowadays, most treatment can be delivered in the out-patient setting. Increasing demand, care quality improvements and patient choice have stimulated interest in delivering some treatment to patients in the community, however, formal evaluation of delivering cancer treatment in different community settings is lacking. This randomised trial compares delivery of cancer treatment in the hospital with delivery in two different community settings: the patient's home and general practice (GP surgeries. Methods/design Patients due to receive a minimum 12 week course of standard intravenous cancer treatment at two hospitals in the Anglia Cancer Network are randomised on a 1:1:1 basis to receive treatment in the hospital day unit (control arm, or their own home, or their choice of one of three neighbouring GP surgeries. Overall patient care, treatment prescribing and clinical review is undertaken according to standard local practice. All treatment is dispensed by the local hospital pharmacy and treatment is delivered by the hospital chemotherapy nurses. At four time points during the 12 week study period, information is collected from patients, nursing staff, primary and secondary care teams to address the primary end point, patient-perceived benefits (using the emotional function domain of the EORTC QLQC30 patient questionnaire, as well as secondary end points: patient satisfaction, safety and health economics. Discussion The Outreach trial is the first randomised controlled trial conducted which compares delivery of out-patient based intravenous cancer treatment in two different community settings with standard hospital based treatment. Results of this study may better inform all key

  4. Retrospective Comparative Study of Obstetric complications and Maternal Mortality in Registered and Unregistered women at Tertiary Care Hospital.

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    Kruti Deliwala

    2013-01-01

    Full Text Available Background: At tertiary care hospital, many women with obstetric complications are referred not only from private clinics/hospitals, but also from nearby primary health centers and urban health centers. There are women who come for delivery, who have not taken any ante natal care (ANC. Complication can arise at any time during pregnancy, childbirth and postnatal period and in absence of intervention, there is a high feto-maternal morbidity and mortality. With every maternal death there are many life threatening complications known as ‘maternal near miss’.Objectives: 1.To analyze causes of referrals of unregistered patients coming to our institute.2.To analyze pregnancy outcomes, Obstetric complications and maternal mortality in registered and unregistered women coming to our institute. 3.To analyze near miss cases and to analyze causes of maternal mortality and reasons of delay. Methods:This retrospective comparative study was conducted after due permission from the Scientific Advisory Committee and Institutional Ethics Committee of Sheth V S Medical Research Foundation Trust and data was collected as per pre-tested structured proforma from December 2009 to February 2010. Analysis of 1171 patients was done. Results: Out of total 1171 women included in the study, 952 (81.2 % were registered and 219 (18.7% were unregistered women. Proportion of unregistered women who had less than 3 ante natal visits 109 (49.7% was significantly higher compared to registered women 95 (9.9% (x2 = 195.97; P<0.0001. Severe anaemia was found to be significantly higher in unregistered women 18 (8.2% as compared to registered women 1 (0.1% (x2 = 68.442; P<0.0001. Transfusion of blood or other blood product was significantly higher in unregistered women 44 (20% compared to registered women 31 (3.2% (x2 = 84.177; P<0.0001 . Because of multi-disciplinary team approach at our institute, many women with complications in unregistered group could be saved (maternal near

  5. Update of a comparative analysis of cost minimization following the introduction of newly available intravenous iron therapies in hospital practice

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    Bhandari S

    2011-12-01

    Full Text Available Sunil BhandariDepartment of Renal Medicine, Hull and East Yorkshire Hospitals National Health Service Trust and Hull York Medical School, Kingston upon Hull, UKBackground: The clinical need to be able to administer high doses of intravenous iron conveniently as a rapid infusion has been addressed by the recent introduction of ferric carboxymaltose and subsequently iron isomaltoside 1000. Neither requires a test dose. The maximum dose of ferric carboxymaltose is 1000 mg. The maximum dose of iron isomaltoside 1000 is based on 20 mg/kg body weight without a specified ceiling dose, thereby increasing the scope of being able to achieve total iron repletion with a single infusion. This ability to give high doses of iron is important in the context of managing iron deficiency anemia, which is associated with a number of clinical conditions where demands for iron are high. It is also an important component of the strategy as an alternative to blood transfusion. Affordability is a key issue for health services. Recent price changes affecting iron sucrose and ferric carboxymaltose, plus modifications to the manufacturers’ prescribing information, have provoked this update.Methods: This study is a comparative analysis of the costs of acquiring and administering the newly available intravenous iron formulations against standard treatments in the hospital setting. The costs include the medication, nursing costs, equipment, and patient transportation. Three dosage levels (600 mg, 1000 mg, and 1600 mg are considered.Results and conclusion: The traditional standard treatments, blood and iron sucrose, cost more than the alternative intravenous iron preparations across the dose spectrum and sensitivities. Low molecular weight iron dextran is the least expensive option at the 1600 mg dose level but has the caveat of a prolonged administration time and requirement for a test dose. At 600 mg and 1000 mg dose levels, both iron isomaltoside 1000 and ferric

  6. The comparative behavioural ecology of the Brown Hyaena Hyaena brunnea and the Spotted Hyaena Crocuta crocuta in the Southern Kalahari

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    M. G. L Mills

    1984-12-01

    Full Text Available The diet, foraging behaviour, social organisation and social behaviour of the brown hyaena Hyaena brunnea and the spotted hyaena Crocuta crocuta, and the interactions between these two species in the southern Kalahari are discussed. The brown hyaena is a scavenger of a wide variety of vertebrate remains, supplementing its diet with wild fruits and insects and is well adapted to this arid region. The spotted hyaena is a hunter-scavenger of large and medium-sized mammals and is not found in such numbers in the southern Kalahari as is the brown hyaena. These differences in diet have led to the evolution of large differences in foraging behaviour, social organisation, denning behaviour and communication patterns in the two species; spotted hyaenas having a more highly developed social system and living in far larger territories than brown hyaenas. Spotted hyaenas are dominant to brown hyaenas, but because of their low density in the southern Kalahari, have little effect on the brown hyaena population there.

  7. Factors of Online Learning Adoption: A Comparative Juxtaposition of the Theory of Planned Behaviour and the Technology Acceptance Model

    Science.gov (United States)

    Ndubisi, Nelson

    2006-01-01

    Organisational investments in information technologies have increased significantly in the past few decades. All around the globe and in Malaysia particularly, a number of educational institutions are experimenting with e-learning. Adopting the theory of planned behaviour (TPB) and the technology acceptance model (TAM) this article tries to…

  8. A comparative study of knowledge and attitudes regarding biomedical waste (BMW management with a preliminary intervention in an academic hospital

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    Violet N Pinto

    2014-01-01

    Full Text Available Aims: 1 To assess and compare the knowledge and attitudes regarding biomedical waste (BMW management in specialists, resident doctors, new medical interns, and final year nursing students. 2 To assess the effectiveness of a training program in changing the knowledge and attitudes regarding BMW management. Study Design: Stage 1-descriptive, Stage 2-quasi-experimental. Participants: Specialists, resident doctors, new medical interns, and final year nursing students. Setting: Tertiary hospital with attached medical college in Navi Mumbai. Data Collection tool: Pretested, precoded self-administered questionnaire. Intervention: Educational training program on BMW management, Period of Study: December 2010-March 2011. Statistical Analysis: Using software Statistical Package for Social Sciences (SPSS version 20, chi-square, analysis of variance (ANOVA, Tukey's post hoc, and Z tests applied. Results: There was a statistically significant difference in the knowledge scores between the groups as determined by a one-way ANOVA test (F (3,226 = 11.098, P < 0.001. A Tukey's post hoc test revealed that the specialists (20.82 ± 5.121 knowledge scores were significantly higher as compared to resident doctors (16.96 ± 5.268, medical interns (18.44 ± 4.293, and nursing group (15.33 ± 5.144. The positive attitude towards safe management of BMW was not found to be significant. After the training program in the medical interns' a statistically significant increase in their knowledge on BMW management was seen. Conclusion: The knowledge and attitudes between the groups of healthcare personnel varied and was not found to be satisfactory. Training programs with periodical sensitization sessions on BMW management are recommended, especially focusing at the junior level.

  9. Retrospective Comparative Study of Obstetric complications and Maternal Mortality in Registered and Unregistered women at Tertiary Care Hospital.

    OpenAIRE

    Kruti Deliwala; Rajal Thaker; M M Jadav

    2013-01-01

    Background: At tertiary care hospital, many women with obstetric complications are referred not only from private clinics/hospitals, but also from nearby primary health centers and urban health centers. There are women who come for delivery, who have not taken any ante natal care (ANC). Complication can arise at any time during pregnancy, childbirth and postnatal period and in absence of intervention, there is a high feto-maternal morbidity and mortality. With every maternal death there are m...

  10. Comparing the odds of postpartum haemorrhage in planned home birth against planned hospital birth: results of an observational study of over 500,000 maternities in the UK

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    Nove Andrea

    2012-11-01

    Full Text Available Abstract Background The aim of this study is to compare the odds of postpartum haemorrhage among women who opt for home birth against the odds of postpartum haemorrhage for those who plan a hospital birth. It is an observational study involving secondary analysis of maternity records, using binary logistic regression modelling. The data relate to pregnancies that received maternity care from one of fifteen hospitals in the former North West Thames Regional Health Authority Area in England, and which resulted in a live or stillbirth in the years 1988–2000 inclusive, excluding ‘high-risk’ pregnancies, unplanned home births, pre-term births, elective Caesareans and medical inductions. Results Even after adjustment for known confounders such as parity, the odds of postpartum haemorrhage (≥1000ml of blood lost are significantly higher if a hospital birth is intended than if a home birth is intended (odds ratio 2.5, 95% confidence interval 1.7 to 3.8. The ‘home birth’ group included women who were transferred to hospital during labour or shortly after birth. Conclusions Women and their partners should be advised that the risk of PPH is higher among births planned to take place in hospital compared to births planned to take place at home, but that further research is needed to understand (a whether the same pattern applies to the more life-threatening categories of PPH, and (b why hospital birth is associated with increased odds of PPH. If it is due to the way in which labour is managed in hospital, changes should be made to practices which compromise the safety of labouring women.

  11. Cigarette purchasing behaviour in Thailand and Malaysia: Comparative analysis of a semi-monopolistic and a free-market structure

    OpenAIRE

    H Ross; Driezen, P; Sirirassamee, B; Kin, F.

    2009-01-01

    A wide range of cigarette prices can undermine the impact of tobacco tax policy when smokers switch to cheaper cigarettes instead of quitting. In order to better understand this behaviour, we study socio-economic determinants of price/brand choices in two different markets: a semi-monopolistic market in Thailand and a competitive market in Malaysia. The hypothesis that the factors affecting the price/brand choice are different in these two markets is analysed by employing a 2005 survey among ...

  12. Composting as digestate post-treatment: composting behaviour and gaseous emissions of three types of digestate compared to non-digested waste

    OpenAIRE

    Trémier, A.; Buffet, J; Daumoin, M.; Corrand, V.

    2013-01-01

    International audience In the actual context of French regulation, anaerobic digestion products are still considered as waste and cannot be valorised as product unless being composted. Nevertheless digestates specificities concerning composting treatment have to be thoroughly studied. Thus the present work compared the composting behaviour of digestates with their non-digested waste. Three origins were considered: agricultural waste, source sorted organic fraction of municipal solid waste ...

  13. Comparing Academic Library Spending with Public Libraries, Public K-12 Schools, Higher Education Public Institutions, and Public Hospitals between 1998-2008

    Science.gov (United States)

    Regazzi, John J.

    2012-01-01

    This study compares the overall spending trends and patterns of growth of Academic Libraries with Public Libraries, K-12 schools, higher education institutions, and hospitals in the period of 1998 to 2008. Academic Libraries, while showing a growth of 13% over inflation for the period, far underperformed the growth of the other public institutions…

  14. Feto-maternal Outcomes in Cesarean Section Compared to Vaginal Delivery in Eclamptic Patients in a Tertiary Level Hospital

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    Arifa Akter Jahan

    2013-07-01

    Full Text Available Background: Over half-a-million women die each year from pregnancy-related causes, and 99 percent of these occur in developing countries. In Bangladesh though maternal mortality rate (MMR declined significantly around 40% in the past decade, still eclampsia accounts for 20% of maternal deaths. Eclampsia is uniquely a disease of pregnancy, and the only cure is delivery regardless of gestational age. A rational therapy for general management of hypertension and convulsion has been established in Bangladesh by the Eclampsia Working Group. But controversy still exists regarding obstetric management. Objective: To evaluate the feto-maternal outcome in cesarean section compared to vaginal delivery in eclamptic patients. Materials and Methods: This prospective cohort study was conducted in the department of Obstretics & Gynecology, Dhaka Medical College & Hospital (DMCH, from January to December 2011. A total 100 eclamptic women with term pregnancy and live fetus were purposively included in the study (Group I, 50 patients with vaginal delivery and Group II, 50 with cesarean section. Results: Out of these 100 patients 56% were aged ≤20 years, 71% were primigravida and 77% were from low socioeconomic status. Sixteen percent patients from vaginal delivery group and 18% from cesarean section group had no antenatal care. The mean gestational age was about 38 weeks in two groups. No significant difference was found between the two groups regarding blood pressure, proteinuria, consciousness level and convulsion. Recurrence of convulsion occurred in 30% patients of vaginal delivery group compared to 6% in cesarean section group. Maternal complications such as postpartum hemorrhage, cerebrovascular accident, renal failure, obstetric shock and abruptio placenta were higher among vaginal delivery group patients (46% than cesarean section patients (16%. Maternal mortality was 6% in the vaginal delivery group and none in the cesarean section group. Regarding

  15. Comparing the epidemiology of hospital-acquired methicillin-resistant Staphylococcus aureus clone groups in Alberta, Canada.

    Science.gov (United States)

    Bruzzese, S; Bush, K; Leal, J; Kim, J; Vickers, D M; Rusk, A; Fathima, S; Li, V; Chui, L; Louie, M; Henderson, E

    2016-07-01

    Patients with methicillin-resistant Staphylococcus aureus (MRSA) clones, which were traditionally seen in the community setting (USA400/CMRSA7 and USA300/CMRSA10), are often identified as hospital-acquired (HA) infections using Infection Prevention and Control (IPC) surveillance definitions. This study examined the demographics and healthcare risk factors of patients with HA-MRSA to help understand if community MRSA clones are from a source internal or external to the hospital setting. Despite USA300/CMRSA10 being the predominant clone in Alberta, hospital clones (USA100/CMRSA2) still dominated in the acute care setting. In the Alberta hospitalized population, patients with USA400/CMRSA7 and USA300/CMRSA10 clones were significantly younger, had fewer comorbidities, and a greater proportion had none or ambulatory care-only healthcare exposure. These findings suggest that there are two distinct populations of HA-MRSA patients, and the patients with USA400/CMRSA7 and USA300/CMRSA10 clones identified in hospital more greatly resemble patients affected by those clones in the community. It is possible that epidemiological assessment overidentifies HA acquisition of MRSA in patients unscreened for MRSA on admission to acute care. PMID:26947456

  16. Study of Limited Value in Exploring Irish Hospital Clinicians’ Information Behaviour and Attitudes Towards the Clinical Informationist. A Review of: Flynn, M. G., & McGuinness, C. (2011. Hospital clinicians’ information behaviour and attitudes towards the ‘Clinical Informationist’: An Irish survey. Health Information & Libraries Journal, 28(1, 23-32. doi: 10.1111/j.1471-1842.2010.00917.x

    Directory of Open Access Journals (Sweden)

    Maria C. Melssen

    2011-01-01

    clinicians in hospital settings. HCs in this study identified lack of time as their main barrier to researching clinical questions and when they do find the time to search for clinical questions, it is either during breaks in their day or after work at home. Their preferred resources are those found electronically. Though they value evidence-based resources, HCs rarely use them. These factors point to a need for information professionals to provide either remote access to electronic medical information resources from home, or provide a service that would allow hospital clinicians to quickly and easily find information during the work day. This is an area in which a CI might play a role. Though many HCs were not familiar with CIs, they were receptive to having a CI on their clinical team. The HCs provided various suggestions for where a CI could be involved as well as desired skills and qualifications of CIs. The only possible disadvantages that the clinicians could foresee was cost, the deskilling of clinicians’ own information-seeking skills, and medico-legal issues. The authors identified several limitations of this study which include the small sample size, the snowball sampling method and the possibility of bias in subject recruitment, and not including other health care professionals in this study. Further research regarding the information behaviour, seeking and skills of other health professionals is needed, as well as research on training and accreditation of CIs.

  17. Factors associated with initiation and exclusive breastfeeding at hospital discharge: late preterm compared to 37 week gestation mother and infant cohort

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    Ayton Jennifer

    2012-11-01

    Full Text Available Abstract Background To investigate and examine the factors associated with initiation of, and exclusive breastfeeding at hospital discharge of, late preterm (34 0/7 - 36 6/7 weeks compared to 37 week gestation (37 0/7 - 37 6/7 week mother and baby pairs. Methods A retrospective population-based cohort study using a Perinatal National Minimum Data Set and clinical medical records review, at the Royal Hobart Hospital, Tasmania, Australia in 2006. Results Late preterm and 37 week gestation infants had low rates of initiation of breastfeeding within one hour of birth, 31 (21.1% and 61 (41.5% respectively. After multiple regression analysis, late preterm infants were less likely to initiate breastfeeding within one hour of birth (OR 0.3 95% CI 0.1, 0.7 p = 0.009 and were less likely to be discharged exclusively breastfeeding from hospital (OR 0.4 95% CI 0.1, 1.0 p = 0.04 compared to 37 week gestation infants. Conclusion A late preterm birth is predictive of breastfeeding failure, with late preterm infants at greater risk of not initiating breastfeeding and/or exclusively breastfeeding at hospital discharge, compared with those infants born at 37 weeks gestation. Stratifying breastfeeding outcomes by gestational age groups may help to identify those sub-populations at greatest risk of premature cessation of breastfeeding.

  18. Experimental analysis of the dynamic structural behaviour of the Hospital of Pievepelago (Modena); Analisi sperimentale del comportamento dinamico del poliambulatorio di Pievepelago a seguito dell`intervento di miglioramento antisismico

    Energy Technology Data Exchange (ETDEWEB)

    Buffarini, Giacomo; Clemente, Paolo; Rinaldis, Dario [ENEA, Centro Ricerche Casaccia, Rome (Italy). Dipt. Ambiente

    1997-07-01

    The research work leading to this report is the result of a joint effort between the National Agency for New Technologies and the Environments and the Emilia Romagna regional council, that involved the Environmental Department of the National Agency for New Technologies and the Environments in the experimental analysis of the dynamic structural behaviour of the Hospital of Pievepelago (Modena). A strengthening design has been performed on behalf of the Pievepelago town council, and the Emilia Romagna regional council asked the National Agency for New Technologies and the Environments to study the effectiveness of the intervention by carrying out the analysis of the dynamic behaviour of the structure both before and after the works. The results of the first phase are shown in a previous report. This report is relative to the experimental study on the strengthened building.

  19. A longitudinal, multi-level comparative study of quality and safety in European hospitals: the QUASER study protocol

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    Weggelaar Anne-Marie

    2011-10-01

    Full Text Available Abstract Background although there is a wealth of information available about quality improvement tools and techniques in healthcare there is little understanding about overcoming the challenges of day-to-day implementation in complex organisations like hospitals. The 'Quality and Safety in Europe by Research' (QUASER study will investigate how hospitals implement, spread and sustain quality improvement, including the difficulties they face and how they overcome them. The overall aim of the study is to explore relationships between the organisational and cultural characteristics of hospitals and how these impact on the quality of health care; the findings will be designed to help policy makers, payers and hospital managers understand the factors and processes that enable hospitals in Europe to achieve-and sustain-high quality services for their patients. Methods/design in-depth multi-level (macro, meso and micro-system analysis of healthcare quality policies and practices in 5 European countries, including longitudinal case studies in a purposive sample of 10 hospitals. The project design has three major features: • a working definition of quality comprising three components: clinical effectiveness, patient safety and patient experience • a conceptualisation of quality as a human, social, technical and organisational accomplishment • an emphasis on translational research that is evidence-based and seeks to provide strategic and practical guidance for hospital practitioners and health care policy makers in the European Union. Throughout the study we will adopt a mixed methods approach, including qualitative (in-depth, narrative-based, ethnographic case studies using interviews, and direct non-participant observation of organisational processes and quantitative research (secondary analysis of safety and quality data, for example: adverse incident reporting; patient complaints and claims. Discussion the protocol is based on the premise that

  20. The integrated care pathway reduced the number of hospital days by half: a prospective comparative study of patients with acute hip fracture

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    Karlsson Jón

    2006-09-01

    Full Text Available Abstract Background The incidence of hip fracture is expected to increase during the coming years, demanding greater resources and improved effectiveness on this group of patients. The aim of the present study was to evaluate the effectiveness of an integrated care pathway (ICP in patients with an acute fracture of the hip. Methods A nonrandomized prospective study comparing a consecutive series of patients treated by the conventional pathway to a newer intervention. 112 independently living patients aged 65 years or older admitted to the hospital with a hip fracture were consecutively selected. Exclusion criteria were pathological fracture and severe cognitive impairment. An ICP was developed with the intention of creating a care path with rapid pre-operative attention, increased continuity and an accelerated training programme based on the individual patient's prerequisites and was used as a guidance for each patient's tailored care in the intervention group (N = 56 The main outcome measure was the length of hospital stay. Secondary outcomes were the amount of time from the emergency room to the ward, to surgery and to first ambulation, as well as in-hospital complications and 30-day readmission rate. Results The intervention group had a significantly shorter length of hospital stay (12.2 vs. 26.3 days; p Conclusion Implementing an ICP for patients with a hip fracture was found to significantly reduce the length of hospital stay and improve the quality of care.

  1. Prescribing Patterns in Outpatient Clinics of Township Hospitals in China: A Comparative Study before and after the 2009 Health System Reform

    Science.gov (United States)

    Ding, Ding; Pan, Qingxia; Shan, Linghan; Liu, Chaojie; Gao, Lijun; Hao, Yanhua; Song, Jian; Ning, Ning; Cui, Yu; Li, Ye; Qi, Xinye; Liang, Chao; Wu, Qunhong; Liu, Guoxiang

    2016-01-01

    Objective: China introduced a series of health reforms in 2009, including a national essential medicines policy and a medical insurance system for primary care institutions. This study aimed to determine the changing prescribing patterns associated with those reforms in township hospitals. Methods: A multi-stage stratified random cluster sampling method was adopted to identify 29 township hospitals from six counties in three provinces. A total of 2899 prescriptions were collected from the participating township hospitals using a systematic random sampling strategy. Seven prescribing indicators were calculated and compared between 2008 and 2013, assessing use of medicines (antibiotics and adrenal corticosteroids) and polypharmacy, administration route of medicines (injections), and affordability of medicines. Results: Significant changes in prescribing patterns were found. The average number of medicines and costs per-prescription dropped by about 50%. The percentage of prescriptions requiring antibiotics declined from 54% to 38%. The percentage of prescriptions requiring adrenal corticosteroid declined from 14% to 4%. The percentage of prescriptions requiring injections declined from 54% to 25%. Despite similar changing patterns, significant regional differences were observed. Conclusions: Significant changes in prescribing patterns are evident in township hospitals in China. Overprescription of antibiotics, injections and adrenal corticosteroids has been reduced. However, salient regional disparities still exist. Further studies are needed to determine potential shifts in the risk of the inappropriate use of medicines from primary care settings to metropolitan hospitals. PMID:27399732

  2. The skills gap in hospital management: a comparative analysis of hospital managers in the public and private sectors in South Africa.

    Science.gov (United States)

    Pillay, Rubin

    2010-02-01

    A lack of management capacity has been identified as the key stumbling block to attaining the goals of health for all in South Africa. As part of the overall management development process, this research aims to identify the skills that are important for health services management and to evaluate managers' self-assessed proficiency in each of these skills. We also examined the impact of past training on perceived competency levels. A cross-sectional survey using a self-administered questionnaire was conducted among 404 hospital managers in the South African public and private sectors. Respondents were asked to rate the level of importance that each proposed competency had in their job and to indicate their proficiency in each skill. Both public and private sector managers rated competencies related to 'people management', 'self-management' and 'task-related skills' highest followed by 'strategic planning' and 'health delivery', respectively. The largest differences between mean importance rating and mean skill rating for public sector managers were for people management skills, task-related skills and self-management skills. The largest deficits for private sector managers were for people management skills, self-management skills and health delivery skills. Informal management development programmes were found to be more valuable in improving management skills. These findings reflect the reality of the local health service environment and the need of health managers. It will be useful in the conceptualization, design and delivery of health management programmes aimed at enhancing current and future management and leadership capacity in the health sector in South Africa. PMID:20150608

  3. 我国医院的网络影响力对比分析%Hospital website influencing power in China:A comparative analysis

    Institute of Scientific and Technical Information of China (English)

    侯胜超; 邹立君; 胡鸿

    2014-01-01

    Objective To provide the reference for hospital website construction in China by analyzing and compa-ring the hospital website influencing power .Methods The performance of hospital websites on the total number of web pages and links, and external links, website influencing factors, linking efficiency, website client focus, Google PR were analyzed using linking analysis method and ranked.Results The hospital websites differed greatly in their scale, linkage, and focus, especially in Affiliated Cancer Hospital and Children's Hospital of Fudan Uni-versity, and Peking University No.1 Hospital.Conclusion Website content and SEO construction should strength-ened in hospitals , propaganda and communication should be extended , and public focus on hospitals should be im-proved.%目的:对我国医院的网络影响力进行比较分析,为医院网站建设提供参考。方法:利用链接分析方法分析医院网站在网页总数、总链接数、外部链接数、网络影响因子、链接效率、网络用户关注度和谷歌网站等级上的表现,并根据统计结果对各大医院排序。结果:医院网站在网站规模、链接情况和网络关注度等方面表现差异较大,其中复旦大学附属肿瘤医院,复旦大学附属儿科医院和北京大学第一医院综合表现较为突出。结论:医院应加强网站内容建设、SEO(搜索引擎优化)建设,并扩大宣传和交流,提高公众对医院的关注度。

  4. 喀什地区民营与公立医院经济运行现状对比分析%Comparative Analysis on Status Quo of Economic Operation in Private Hospitals and Public Hospitals in Kashi Area

    Institute of Scientific and Technical Information of China (English)

    唐月红; 姚华; 姜小明

    2014-01-01

    目的:了解喀什地区民营医院经济运行现状。方法:采用历史数据分析法,以新疆维吾尔自治区喀什地区民营医院为调查对象,根据喀什地区2009-2012年医疗机构卫生财务年报统计数据,对民营医院和公立医疗机构的卫生资源、经济运行现状等方面进行对比分析。结果:喀什地区民营医院,不管是从医院规模、人力资源、床位使用率以及工作量等方面,还是在经济运行方面,均比不上公立医院。结论:民营医院的发展应从加强自身的专业特长、走专科经营的路线,改善经营环境,加强成本控制等方面着手。%Objective: To understand the present economic operation situation of private hospitals in Kashi. Methods: The historical data analysis is adopted, the private hospitals of Kashi in Xinjiang is chose as the object of survey, according to the data of health statistical yearbooks of Kashi District from 2009 to 2012, aspects of private hospitals and public medical institutions, such as health resources and economic operation status were compared and analyzed. Results: Whether from the hospital size, human resources, utilization of beds, workload, etc., or the economic operation, the private hospitals of Kashi are not as good as public hospitals. Conclusion:Development of private hospitals should focus on enhancing professional expertise, taking specialist business line, improving business environment and strengthening cost control and other aspects.

  5. Health costs from hospitalization with H1N1 infection during the 2009–2010 influenza pandemic compared with non-H1N1 respiratory infections

    Directory of Open Access Journals (Sweden)

    Courcoutsakis N

    2012-03-01

    care hospitals during the two waves of H1N1 in 2009 and 2010. The health costs for protective equipment and pharmaceuticals and hospitalization (medications, laboratory, and diagnostic tests were compared between H1N1 positive and negative patients.Results: The objective of the study was to quantify the means of daily and total costs of inpatient care. Overall, cost was higher for H1N1 positive (€61,0117.72 than for H1N1-negative patients (€464,923.59. This was mainly due to the protection measures used and the prolonged hospitalization in intensive care units. In H1N1-negative patients, main contributors to cost included additional diagnostic tests due to concern regarding respiratory capacity and laboratory values, as well as additional radiologic and microbial culture tests. The mean duration of hospitalization was 841 days for H1N1 positive and 829 days for negative patients.Conclusion: Cost was higher in H1N1 patients, mainly due to the protection measures used and the increased duration of hospitalization in intensive care units. An automated system to monitor patients would be desirable to reduce cost in H1N1 influenza.Keywords: cost effect, H1N1, health care resource utilization, respiratory infection

  6. A comparative analysis of behaviour of PWR reactor cores in dangerous transient regimes by using the catastrophe theory

    International Nuclear Information System (INIS)

    The paper reports on the transitory regimes that occur within the core of CANDU and WWER reactor regimes which might initiate boiling possibly resulting in local structural element failures. Neutron, thermal and hydraulic phenomena intermingle each other by feedback and can get out of control. The time variation of vapour bubble size and density as a major random phenomenon affects essentially the reactor stability. The study of this phenomenon have been performed on the basis of a statistical mathematical model. The analysis has revealed that the most critical situations occur directly after the initiation of the transient regimes and consequently the critical ranges of variations should be avoided. A greater temperature gradient inside the boundary layer is required in order to ensure the vapour bubble breaking. The mathematical model developed in this paper allows the study of the system behaviour for a large range of thermohydraulic and geometrical quantities. (authors). 16 figs., 7 refs

  7. Using a theory of planned behaviour framework to explore hand hygiene beliefs at the ‘5 critical moments’ among Australian hospital-based nurses

    OpenAIRE

    White, Katherine M; Jimmieson, Nerina L; Obst, Patricia L; Graves, Nicholas; Barnett, Adrian; Cockshaw, Wendell; Gee, Phillip; Haneman, Lara; Page, Katie; Campbell, Megan; Martin, Elizabeth; Paterson, David

    2015-01-01

    Background Improving hand hygiene among health care workers (HCWs) is the single most effective intervention to reduce health care associated infections in hospitals. Understanding the cognitive determinants of hand hygiene decisions for HCWs with the greatest patient contact (nurses) is essential to improve compliance. The aim of this study was to explore hospital-based nurses’ beliefs associated with performing hand hygiene guided by the World Health Organization’s (WHO) 5 critical moments....

  8. Social representations of health and illness: A comparative study between health operators and patients hospitalized in Bucaramanga and Floridablanca

    OpenAIRE

    Leonardo Yovany Álvarez Ramírez

    2006-01-01

    The purpose of the present study is to establish the resemblances and differences in the social representations of health and illness between a group of health operators and a group of hospitalized patients of the city of Bucaramanga and Floridablanca. Every group was formed by 200 subjects. The criteria of inclusion included only those with abilities in reading comprehension and writing in the patient’s group. There were not limits in age, genre, educational level or other types of social or...

  9. A comparative review of the effectiveness of radon remediation programmes in hospitals, schools and homes in Northamptonshire, UK

    International Nuclear Information System (INIS)

    In the UK, the National Radiological Protection Board (NRPB) has designated a number of Affected Areas where 1% or more of the homes are above the Action Level of 200 Bqm-3, including Northamptonshire, with 6.3% of houses above the Action Level. Since 1993, a radon remediation programme in National Health Service properties in Northamptonshire has been undertaken (1). Radon levels both before and after remediation were studied, together with the number of occupants of affected rooms, and their pattern of occupation. The total costs were recorded, including the initial survey to find the affected rooms, and the work done to reduce radon levels, to estimate the total cost per annual dose saved. This method has been extended to domestic properties (2), and schools (3) in Northamptonshire. The results showed that the programmes could be justified when compared to the NRPB initiative to reduce patient dose from dental X-Rays. This paper reviews this work, and provides an updated comparison of the three studies. The domestic series now extends to 65 remediated homes with 156 occupants, and the analysis of the programme now includes the cost of UK Value Added Tax (VAT) at 17.5%, which is payable by the householder on the remediation work. Further, a local survey concluded that the public in county town of Northampton spent on average 72% of their time in their own home, rather than the 50% assumed previously. The remediation costs in all series were reviewed, and individual corrections made for inflation. While the NHS properties and Schools programmes were comprehensive, only 10% householders who discovered raised radon levels have so far proceeded to remediation, despite much local publicity. The collective dose saved annually in Northamptonshire was estimated to be 0.533 man-sieverts in NHS Properties, 4.0 man-sieverts in Schools, and has reached 18 man-sieverts in domestic properties. The domestic programme has the potential to save 690 man-sieverts if all houses are

  10. Health-Risk Behaviour in Deprived Neighbourhoods Compared with Non-Deprived Neighbourhoods: A Systematic Literature Review of Quantitative Observational Studies.

    Directory of Open Access Journals (Sweden)

    Maria Holst Algren

    Full Text Available There has been increasing interest in neighbourhoods' influence on individuals' health-risk behaviours, such as smoking, alcohol consumption, physical activity and diet. The aim of this review was to systematically review recent studies on health-risk behaviour among adults who live in deprived neighbourhoods compared with those who live in non-deprived neighbourhoods and to summarise what kind of operationalisations of neighbourhood deprivation that were used in the studies.PRISMA guidelines for systematic reviews were followed. Systematic searches were performed in PubMed, Embase, Web of Science and Sociological Abstracts using relevant search terms, Boolean operators, and truncation, and reference lists were scanned. Quantitative observational studies that examined health-risk behaviour in deprived neighbourhoods compared with non-deprived neighbourhoods were eligible for inclusion.The inclusion criteria were met by 22 studies. The available literature showed a positive association between smoking and physical inactivity and living in deprived neighbourhoods compared with non-deprived neighbourhoods. In regard to low fruit and vegetable consumption and alcohol consumption, the results were ambiguous, and no clear differences were found. Numerous different operationalisations of neighbourhood deprivation were used in the studies.Substantial evidence indicates that future health interventions in deprived neighbourhoods should focus on smoking and physical inactivity. We suggest that alcohol interventions should be population based rather than based on the specific needs of deprived neighbourhoods. More research is needed on fruit and vegetable consumption. In future studies, the lack of a uniform operationalisation of neighbourhood deprivation must be addressed.

  11. A Comparative Study of Circumcision and Preputioplasty in Pediatric Cases of Phimosis: A Prospective Study in a Tertiary Care Hospital, Bhavnagar, Gujarat

    OpenAIRE

    Verma Arvind Kumar; Hathila Tejas N; Bhimani Sachin; Rajan Somani; Rupani Mihir P

    2014-01-01

    "Introduction: Preputioplasty have gained a new interest now days because the retained preputial skin with mucosa after preputioplasty gives good cosmetic appearance and it can be utilized in future for urethral stricture surgery. The aim of this study was to compare the post-operative complications and post-operative hospital stay in patients operated by circumcision and preputioplasty. Methodology: This prospective study included 50 patients (age less than 4 years) having phimosis, treat...

  12. A gender based comparative analysis of laboratory investigations in scrub typhus patients at tertiary care teaching hospital of Southern Rajasthan, India

    OpenAIRE

    Syed Javed; Sanjay Paliwal; Shubhakaran Sharma; Savita Choudhary

    2016-01-01

    Background: Scrub typhus is an acute febrile infectious disease which is common in both male and female patients. This study was done to compare the laboratory tests of the scrub typhus patients with reference to sex. Methods: This retrospectively study was carried out in diagnosed scrub typhus patients who were admitted to intensive care unit of a tertiary care teaching hospital of Southern Rajasthan. Diagnosis was done by testing for specific IgM antibodies against Orientia tsutsugamushi...

  13. Cardiac Procedures among American Indians and Alaska Natives compared to Non-Hispanic Whites Hospitalized with Ischemic Heart Disease in California

    OpenAIRE

    Jolly, Stacey; Kao, Chi; Bindman, Andrew B.; Korenbrot, Carol

    2010-01-01

    Background American Indians/Alaska Natives (AIAN) experience a high burden of cardiovascular disease with rates for fatal and nonfatal heart disease approximately twofold higher than the U.S. population. Objective To determine if disparities exist in cardiac procedure rates among AIAN compared to non-Hispanic whites hospitalized in California for ischemic heart disease defined as acute myocardial infarction or unstable angina. Design Cross-sectional study. Events A total of 796 ischemic heart...

  14. Prevalence of common canine digestive problems compared with other health problems in teaching veterinary hospital, Faculty of Veterinary Medicine, Cairo University, Egypt

    OpenAIRE

    Rakha, Gamal M. H.; Abdl-Haleem, Mounir M.; Haithem A. M. Farghali; Hitham Abdel-Saeed

    2015-01-01

    Aim: The present study was conducted to ascertain the prevalence of common digestive problems compared to other health problems among dogs that were admitted to the teaching veterinary hospital, faculty of veterinary medicine, Cairo University, Egypt during 1 year period from January to December 2013. Also, study the effect of age, sex, breeds, and season on the distribution of digestive problems in dogs. Materials and Methods: A total of 3864 dogs included 1488 apparently healthy (included 8...

  15. Mortality rates at 10 years after metal-on-metal hip resurfacing compared with total hip replacement in England: retrospective cohort analysis of hospital episode statistics

    OpenAIRE

    Kendal, Adrian R.; Prieto-Alhambra, Daniel; Arden, Nigel K; Carr, Andrew; Judge, Andrew

    2013-01-01

    Objectives To compare 10 year mortality rates among patients undergoing metal-on-metal hip resurfacing and total hip replacement in England. Design Retrospective cohort study. Setting English hospital episode statistics database linked to mortality records from the Office for National Statistics. Population All adults who underwent primary elective hip replacement for osteoarthritis from April 1999 to March 2012. The exposure of interest was prosthesis type: cemented total hip replacement, un...

  16. COMPARATIVE STUDY OF LRINEC SCORE: PROCALCITONIN AND LRINEC SCORE: C-REACTIVE PROTEIN IN PREDICTING DURATION OF HOSPITAL STAY AND SEVERITY IN NECROTISING FASCIITIS

    Directory of Open Access Journals (Sweden)

    Manoj Gowda

    2016-06-01

    Full Text Available BACKGROUND Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC score is a simple laboratory tool used to distinguish between Necrotizing Soft-Tissue Infections (NSTI and other soft-tissue infections. A LRINEC score of ≥6 is considered as denoting a high risk of necrotizing fasciitis. A very high LRINEC score might also be associated with mortality and other outcomes of patients with NSTI. METHODS A review of the medical charts of patients was carried out in a tertiary academic Centre. All adult patients with necrotizing softtissue infections from 2010 to 2011 were selected and LRINEC scores were calculated for each patient. The enrolled patients had sufficient information to determine the LRINEC score. Serum Procalcitonin (PCT was used in place of serum C-Reactive Protein (CRP to improve the efficacy of LRINEC score. Serum PCT was considered positive if the value was >0.56 ng/mL. LRINEC score-PCT and LRINEC score-CRP were compared in predicting duration of hospital stay and severity. RESULTS In this study of 50 patients 64% of them were males, majority of the patients were between the age group of 40-80 years. LRINEC score PCT had better predictability for severity and duration of hospital stay when compared to LRINEC score with CRP. Pearson correlation of LRINEC score PCT vs LRINEC score, CRP was statistically significant with LRINEC score, PCT having 30% of patients with longer duration of hospital stay in comparison to LRINEC score CRP which had 12%. CONCLUSION LRINEC score: PCT had better probability in predicting severity and duration of hospital stay when compared to LRINEC score: CRP.

  17. Health costs from hospitalization with H1N1 infection during the 2009–2010 influenza pandemic compared with non-H1N1 respiratory infections

    Science.gov (United States)

    Zarogoulidis, Paul; Glaros, Dimitrios; Kontakiotis, Theodoros; Froudarakis, Marios; Kioumis, loannis; Kouroumichakis, loannis; Tsiotsios, Anastasios; Kallianos, Anastasios; Steiropoulos, Paschalis; Porpodis, Konstantinos; Nena, Evagelia; Papakosta, Despoina; Rapti, Aggeliki; Constantinidis, Theodoros C; Kerenidi, Theodora; Panopoulou, Maria; Trakada, Georgia; Courcoutsakis, Nikolaos; Fouka, Evangelia; Zarogoulidis, Konstantinos; Maltezos, Efstratios

    2012-01-01

    Background The first positive patient with influenza A (H1N1) was recorded in March 2009 and the pandemic continued with new outbreaks throughout 2010. This study’s objective was to quantify the total cost of inpatient care and identify factors associated with the increased cost of the 2009–2010 influenza A pandemic in comparison with nonviral respiratory infection. Methods In total, 133 positive and 103 negative H1N1 patients were included from three tertiary care hospitals during the two waves of H1N1 in 2009 and 2010. The health costs for protective equipment and pharmaceuticals and hospitalization (medications, laboratory, and diagnostic tests) were compared between H1N1 positive and negative patients. Results The objective of the study was to quantify the means of daily and total costs of inpatient care. Overall, cost was higher for H1N1 positive (€61,0117.72) than for H1N1-negative patients (€464,923.59). This was mainly due to the protection measures used and the prolonged hospitalization in intensive care units. In H1N1-negative patients, main contributors to cost included additional diagnostic tests due to concern regarding respiratory capacity and laboratory values, as well as additional radiologic and microbial culture tests. The mean duration of hospitalization was 841 days for H1N1 positive and 829 days for negative patients. Conclusion Cost was higher in H1N1 patients, mainly due to the protection measures used and the increased duration of hospitalization in intensive care units. An automated system to monitor patients would be desirable to reduce cost in H1N1 influenza. PMID:22419882

  18. Elimination of pharmaceutical residues in biologically pre-treated hospital wastewater using advanced UV irradiation technology: A comparative assessment

    Energy Technology Data Exchange (ETDEWEB)

    Koehler, C., E-mail: christian.koehler@tudor.lu [Public Research Centre Henri Tudor/Resource Centre for Environmental Technologies, 66 rue de Luxembourg, BP 144, L-4002 Esch-sur-Alzette (Luxembourg); Venditti, S.; Igos, E.; Klepiszewski, K.; Benetto, E.; Cornelissen, A. [Public Research Centre Henri Tudor/Resource Centre for Environmental Technologies, 66 rue de Luxembourg, BP 144, L-4002 Esch-sur-Alzette (Luxembourg)

    2012-11-15

    UV irradiation technology as a membrane bioreactor (MBR) post-treatment was investigated and assessed. Both UV low pressure (LP) and medium pressure (MP) lamps were examined. The technology was installed in a pilot plant treating hospital wastewater to provide the study with adequate field data. The effect of the UV irradiation was enhanced with varying dosages of H{sub 2}O{sub 2} to establish an advanced oxidation process (AOP). The efficiency of the pharmaceutical removal process was assessed by examining 14 micropollutants (antibiotics, analgesics, anticonvulsants, beta-blockers, cytostatics and X-ray contrast media) which are typically released by hospitals and detected with liquid chromatography coupled tandem mass spectrometry (LC-MS/MS). While the MBR treatment generally showed only a low degradation capacity for persistent pharmaceuticals, much better degradation was obtained by applying UV irradiation and H{sub 2}O{sub 2} as AOP. The 'conventional' cost-benefit analysis of the different technology options taking into account both electrical energy consumption and pharmaceutical removal efficiency, revealed clearly better performance of low pressure UV lamps as AOP. However, a holistic comparison between the different scenarios was carried out by evaluating their environmental impacts using the life cycle assessment (LCA) methodology. Decisive advantages were highlighted to include this approach in the decision making process.

  19. Social representations of health and illness: A comparative study between health operators and patients hospitalized in Bucaramanga and Floridablanca

    Directory of Open Access Journals (Sweden)

    Leonardo Yovany Álvarez Ramírez

    2006-12-01

    Full Text Available The purpose of the present study is to establish the resemblances and differences in the social representations of health and illness between a group of health operators and a group of hospitalized patients of the city of Bucaramanga and Floridablanca. Every group was formed by 200 subjects. The criteria of inclusion included only those with abilities in reading comprehension and writing in the patient’s group. There were not limits in age, genre, educational level or other types of social or demographic variables in any of the groups. The study followed a transverse correlation design. The procedure included the application of 8 scale type instruments, and the 400 subjects in eight health care centers (hospitals, clinics, EPS. The interrelations were carried out for the extraction of components in the dimensions analyzed across rotation varimax. The findings show coincidences in the variable components analyzed in both groups indicating related social representations within them in 6 of 8 study dimensions. It is concluded that both groups experiment, judge and handle health and illness with common representations, in most cases following the daily logic of common sense.

  20. Elimination of pharmaceutical residues in biologically pre-treated hospital wastewater using advanced UV irradiation technology: A comparative assessment

    International Nuclear Information System (INIS)

    UV irradiation technology as a membrane bioreactor (MBR) post-treatment was investigated and assessed. Both UV low pressure (LP) and medium pressure (MP) lamps were examined. The technology was installed in a pilot plant treating hospital wastewater to provide the study with adequate field data. The effect of the UV irradiation was enhanced with varying dosages of H2O2 to establish an advanced oxidation process (AOP). The efficiency of the pharmaceutical removal process was assessed by examining 14 micropollutants (antibiotics, analgesics, anticonvulsants, beta-blockers, cytostatics and X-ray contrast media) which are typically released by hospitals and detected with liquid chromatography coupled tandem mass spectrometry (LC–MS/MS). While the MBR treatment generally showed only a low degradation capacity for persistent pharmaceuticals, much better degradation was obtained by applying UV irradiation and H2O2 as AOP. The “conventional” cost-benefit analysis of the different technology options taking into account both electrical energy consumption and pharmaceutical removal efficiency, revealed clearly better performance of low pressure UV lamps as AOP. However, a holistic comparison between the different scenarios was carried out by evaluating their environmental impacts using the life cycle assessment (LCA) methodology. Decisive advantages were highlighted to include this approach in the decision making process.

  1. Elimination of pharmaceutical residues in biologically pre-treated hospital wastewater using advanced UV irradiation technology: a comparative assessment.

    Science.gov (United States)

    Köhler, C; Venditti, S; Igos, E; Klepiszewski, K; Benetto, E; Cornelissen, A

    2012-11-15

    UV irradiation technology as a membrane bioreactor (MBR) post-treatment was investigated and assessed. Both UV low pressure (LP) and medium pressure (MP) lamps were examined. The technology was installed in a pilot plant treating hospital wastewater to provide the study with adequate field data. The effect of the UV irradiation was enhanced with varying dosages of H2O2 to establish an advanced oxidation process (AOP). The efficiency of the pharmaceutical removal process was assessed by examining 14 micropollutants (antibiotics, analgesics, anticonvulsants, beta-blockers, cytostatics and X-ray contrast media) which are typically released by hospitals and detected with liquid chromatography coupled tandem mass spectrometry (LC-MS/MS). While the MBR treatment generally showed only a low degradation capacity for persistent pharmaceuticals, much better degradation was obtained by applying UV irradiation and H2O2 as AOP. The "conventional" cost-benefit analysis of the different technology options taking into account both electrical energy consumption and pharmaceutical removal efficiency, revealed clearly better performance of low pressure UV lamps as AOP. However, a holistic comparison between the different scenarios was carried out by evaluating their environmental impacts using the life cycle assessment (LCA) methodology. Decisive advantages were highlighted to include this approach in the decision making process. PMID:22748974

  2. A comparative study on low cycle fatigue behaviour of nano and micro Al2O3 reinforced AA2014 particulate hybrid composites

    Science.gov (United States)

    Senthilkumar, R.; Arunkumar, N.; Manzoor Hussian, M.

    Aluminium based metal matrix composites have drawn more attraction due to their improved properties in structural applications for the past two decades. The fatigue behaviour of composite materials needs to be studied for their structural applications. In this work, powder metallurgy based aluminium (AA2014) alloy reinforced with micro and nano-sized alumina particles were fabricated and consolidated with the hot extrusion process. The evaluation of mechanical properties in the extruded composite was carried out. This composite was subjected to low cycle fatigue test with a constant strain rate. Scanning Electron Microscope (SEM) and Transmission Electron Microscope (TEM) images were used to evaluate the fatigue behaviour of aluminium-nano composite samples. Enhanced mechanical properties were exhibited by the nano alumina reinforced aluminium composites, when compared to the micron sized alumina reinforced composites. The failure cycle is observed to be higher for the nano alumina reinforced composites when compared with micron sized alumina composites due to a lower order of induced plastic strain.

  3. A comparative study on low cycle fatigue behaviour of nano and micro Al2O3 reinforced AA2014 particulate hybrid composites

    Directory of Open Access Journals (Sweden)

    R. Senthilkumar

    2015-01-01

    Full Text Available Aluminium based metal matrix composites have drawn more attraction due to their improved properties in structural applications for the past two decades. The fatigue behaviour of composite materials needs to be studied for their structural applications. In this work, powder metallurgy based aluminium (AA2014 alloy reinforced with micro and nano-sized alumina particles were fabricated and consolidated with the hot extrusion process. The evaluation of mechanical properties in the extruded composite was carried out. This composite was subjected to low cycle fatigue test with a constant strain rate. Scanning Electron Microscope (SEM and Transmission Electron Microscope (TEM images were used to evaluate the fatigue behaviour of aluminium-nano composite samples. Enhanced mechanical properties were exhibited by the nano alumina reinforced aluminium composites, when compared to the micron sized alumina reinforced composites. The failure cycle is observed to be higher for the nano alumina reinforced composites when compared with micron sized alumina composites due to a lower order of induced plastic strain.

  4. Emotional facial expressions evoke faster orienting responses, but weaker emotional responses at neural and behavioural levels compared to scenes: A simultaneous EEG and facial EMG study.

    Science.gov (United States)

    Mavratzakis, Aimee; Herbert, Cornelia; Walla, Peter

    2016-01-01

    In the current study, electroencephalography (EEG) was recorded simultaneously with facial electromyography (fEMG) to determine whether emotional faces and emotional scenes are processed differently at the neural level. In addition, it was investigated whether these differences can be observed at the behavioural level via spontaneous facial muscle activity. Emotional content of the stimuli did not affect early P1 activity. Emotional faces elicited enhanced amplitudes of the face-sensitive N170 component, while its counterpart, the scene-related N100, was not sensitive to emotional content of scenes. At 220-280ms, the early posterior negativity (EPN) was enhanced only slightly for fearful as compared to neutral or happy faces. However, its amplitudes were significantly enhanced during processing of scenes with positive content, particularly over the right hemisphere. Scenes of positive content also elicited enhanced spontaneous zygomatic activity from 500-750ms onwards, while happy faces elicited no such changes. Contrastingly, both fearful faces and negative scenes elicited enhanced spontaneous corrugator activity at 500-750ms after stimulus onset. However, relative to baseline EMG changes occurred earlier for faces (250ms) than for scenes (500ms) whereas for scenes activity changes were more pronounced over the whole viewing period. Taking into account all effects, the data suggests that emotional facial expressions evoke faster attentional orienting, but weaker affective neural activity and emotional behavioural responses compared to emotional scenes. PMID:26453930

  5. [Comparative efficacy and safety of antidepressant mono- and multimodal therapy in elderly patients with depression (a clinical experience in a psychogeriatric hospital).

    Science.gov (United States)

    Kalyn, Ia B; Safarova, T P; Sheshenin, V C; Gavrilova, S I

    2014-01-01

    Objective. A comparative evaluation of the efficacy and safety of a multimodal antidepressant therapy with venlafaxine plus cerebrolysin and monotherapy with the same antidepressant for the treatment of depression in elderly patients in a psychiatric hospital. Material and methods. Two groups of patients (20 patients in each group), aged 60 years and older (60 to 79 years), were studied. The groups were matched for demographic and clinical (severity of depressive episode) characteristics. Patients of the first group were treated with venlafaxine in dose 75-150 mg twice a day. Patients of the second group received additionally 20 intravenous infusions of cerebrolysin (20.0 ml in 100 ml isotonic sodium chloride solution). Results. Therapeutic effect of antidepressant therapy (56 days) was characterized by a good balanced profile in relation to symptoms of depression, anxiety and apathy in both groups. However, the use of multimodal therapy allowed to get the more rapid response and more pronounced therapeutic effect compared to monotherapy with the same antidepressant, as well as to reduce adverse events. Conclusion. The results obtained allow to recommend multimodal antidepressant therapy with venlafaxine and cerebrolysin for using in hospital practice to achieve a more rapid therapeutic response, reduce the risk of adverse effects of antidepressants and shorten a period of hospitalization. PMID:25042499

  6. Comparative study on health care utilization and hospital outcomes of severe acute exacerbation of chronic obstructive pulmonary disease managed by pulmonologists vs internists

    Directory of Open Access Journals (Sweden)

    Pothirat C

    2015-04-01

    Full Text Available Chaicharn Pothirat, Chalerm Liwsrisakun, Chaiwat Bumroongkit, Athavudh Deesomchok, Theerakorn Theerakittikul, Atikun Limsukon Division of Pulmonary, Critical Care and Allergy, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand Background: Care for many chronic health conditions is delivered by both specialists and generalists. Differences in patients’ quality of care and management between generalists and specialists have been well documented for asthma, whereas a few studies for COPD reported no differences. Objective: The objective of this study is to compare consistency with Global initiative for chronic Obstructive Lung Disease guidelines, as well as rate, health care utilization, and hospital outcomes of severe acute exacerbation (AE of COPD patients managed by pulmonologists and internists. Materials and methods: This is a 12-month prospective, comparative observational study among 208 COPD patients who were regularly managed by pulmonologists (Group A and internists (Group B. Clinical data, health care utilization, and hospital outcomes of the two groups were statistically compared. Results: Out of 208 enrolled patients, 137 (Group A and 71 (Group B were managed by pulmonologists and internists, respectively. Pharmacological treatment corresponding to disease severity stages between the two groups was not statistically different. Group A received care consistent with guidelines in terms of annual influenza vaccination (31.4% vs 9.9%, P<0.001 and pulmonary rehabilitation (24.1% vs 0%, P<0.001 greater than Group B. Group A had reduced rates (12.4% vs 23.9%, P=0.033 and numbers of severe AE (0.20±0.63 person-years vs 0.41±0.80 person-years, P=0.029. Among patients with severe AE requiring mechanical ventilation, Group A had reduced mechanical ventilator duration (1.5 [1–7] days vs 5 [3–29] days, P=0.005, hospital length of stay (3.5 [1–20] days vs 16 [6–29] days, P=0.012, and total

  7. Comparison of Potentially Preventable Hospitalizations Related to Diabetes Among Native Hawaiian, Chinese, Filipino, and Japanese Elderly Compared with Whites, Hawai‘i, December 2006–December 2010

    Directory of Open Access Journals (Sweden)

    Tetine L. Sentell, PhD

    2013-07-01

    Full Text Available Introduction Approximately 25% of individuals aged 65 years or older in the United States have diabetes mellitus. Diabetes rates in this age group are higher for Asian American and Pacific Islanders (AA/PI than for whites. We examined racial/ethnic differences in diabetes-related potentially preventable hospitalizations (DRPH among people aged 65 years or older for Japanese, Chinese, Filipinos, Native Hawaiians, and whites. Methods Discharge data for hospitalizations in Hawai‘i for people aged 65 years or older from December 2006 through December 2010 were compared. Annual rates of DRPH by patient were calculated for each racial/ethnic group by sex. Rate ratios (RRs were calculated relative to whites. Multivariable models controlling for insurer, comorbidity, diabetes prevalence, age, and residence location provided final adjusted rates and RRs. Results A total of 1,815 DRPH were seen from 1,515 unique individuals. Unadjusted RRs for DRPH by patient were less than1 in all AA/PI study groups compared with whites, but were highest among Native Hawaiians and Filipinos. In fully adjusted models accounting for higher diabetes prevalence in AA/PI groups, Native Hawaiian (adjusted rate ratio [aRR] = 1.59, Filipino (aRR = 2.26, and Japanese (aRR = 1.86 men retained significantly higher rates of diabetes-related potentially preventable hospitalizations than whites, as did Filipino women (aRR = 1.61. Conclusion Native Hawaiian, Filipino, and Japanese men and Filipino women aged 65 years or older have a higher risk than whites for DRPH. Health care providers and public health programs for elderly patients should consider effective programs to reduce potentially preventable hospitalizations among Native Hawaiian, Filipino, and Japanese men and Filipino women aged 65 years or older.

  8. Comparison of Potentially Preventable Hospitalizations Related to Diabetes Among Native Hawaiian, Chinese, Filipino, and Japanese Elderly Compared with Whites, Hawai‘i, December 2006–December 2010

    Science.gov (United States)

    Ahn, Hyeong Jun; Juarez, Deborah T.; Tseng, Chien-Wen; Chen, John J.; Salvail, Florentina R.; Miyamura, Jill; Mau, Marjorie L.M.

    2013-01-01

    Introduction Approximately 25% of individuals aged 65 years or older in the United States have diabetes mellitus. Diabetes rates in this age group are higher for Asian American and Pacific Islanders (AA/PI) than for whites. We examined racial/ethnic differences in diabetes-related potentially preventable hospitalizations (DRPH) among people aged 65 years or older for Japanese, Chinese, Filipinos, Native Hawaiians, and whites. Methods Discharge data for hospitalizations in Hawai‘i for people aged 65 years or older from December 2006 through December 2010 were compared. Annual rates of DRPH by patient were calculated for each racial/ethnic group by sex. Rate ratios (RRs) were calculated relative to whites. Multivariable models controlling for insurer, comorbidity, diabetes prevalence, age, and residence location provided final adjusted rates and RRs. Results A total of 1,815 DRPH were seen from 1,515 unique individuals. Unadjusted RRs for DRPH by patient were less than1 in all AA/PI study groups compared with whites, but were highest among Native Hawaiians and Filipinos. In fully adjusted models accounting for higher diabetes prevalence in AA/PI groups, Native Hawaiian (adjusted rate ratio [aRR] = 1.59), Filipino (aRR = 2.26), and Japanese (aRR = 1.86) men retained significantly higher rates of diabetes-related potentially preventable hospitalizations than whites, as did Filipino women (aRR = 1.61). Conclusion Native Hawaiian, Filipino, and Japanese men and Filipino women aged 65 years or older have a higher risk than whites for DRPH. Health care providers and public health programs for elderly patients should consider effective programs to reduce potentially preventable hospitalizations among Native Hawaiian, Filipino, and Japanese men and Filipino women aged 65 years or older. PMID:23886042

  9. Mapping barriers and intervention activities to behaviour change theory for Mobilization of Vulnerable Elders in Ontario (MOVE ON), a multi-site implementation intervention in acute care hospitals

    OpenAIRE

    Moore, Julia E.; Mascarenhas, Alekhya; Marquez, Christine; Almaawiy, Ummukulthum; Chan, Wai-Hin; D’Souza, Jennifer; Liu, Barbara; Straus, Sharon E; ,

    2014-01-01

    Background As evidence-informed implementation interventions spread, they need to be tailored to address the unique needs of each setting, and this process should be well documented to facilitate replication. To facilitate the spread of the Mobilization of Vulnerable Elders in Ontario (MOVE ON) intervention, the aim of the current study is to develop a mapping guide that links identified barriers and intervention activities to behaviour change theory. Methods Focus groups were conducted with ...

  10. Study of Limited Value in Exploring Irish Hospital Clinicians’ Information Behaviour and Attitudes Towards the Clinical Informationist. A Review of: Flynn, M. G., & McGuinness, C. (2011). Hospital clinicians’ information behaviour and attitudes towards the ‘Clinical Informationist’: An Irish survey. Health Information & Libraries Journal, 28(1), 23-32. doi: 10.1111/j.1471-1842.2010.00917.x

    OpenAIRE

    Maria C. Melssen

    2011-01-01

    Objective – To determine the self-perceived information needs, information-seeking strategies, and skill levels of hospital clinicians, in addition to their opinions on the inclusion of a clinical informationist (CI) in their clinical teams.Design – Questionnaire survey.Setting – Two public, medium-sized teaching hospitals (200-250 beds) in Ireland.Subjects – Hospital clinicians.Methods – A 33-item questionnaire (pilot tested on nurses) was deployed using SurveyMonkey. Participants were recru...

  11. Bite club: comparative bite force in big biting mammals and the prediction of predatory behaviour in fossil taxa

    OpenAIRE

    Wroe, Stephen; McHenry, Colin; Thomason, Jeffrey

    2005-01-01

    We provide the first predictions of bite force (BS) in a wide sample of living and fossil mammalian predators. To compare between taxa, we calculated an estimated bite force quotient (BFQ) as the residual of BS regressed on body mass. Estimated BS adjusted for body mass was higher for marsupials than placentals and the Tasmanian devil (Sarcophilus harrisii) had the highest relative BS among extant taxa. The highest overall BS was in two extinct marsupial lions. BFQ in hyaenas were similar to ...

  12. Comparing Patients’ Opinions on the Hospital Discharge Process Collected With a Self-Reported Questionnaire Completed Via the Internet or Through a Telephone Survey: An Ancillary Study of the SENTIPAT Randomized Controlled Trial

    OpenAIRE

    Couturier, Berengere; Carrat, Fabrice; Hejblum, Gilles; ,

    2015-01-01

    Background Hospital discharge, a critical stage in the hospital-to-home transition of patient care, is a complex process with potential dysfunctions having an impact on patients’ health on their return home. No study has yet reported the feasibility and usefulness of an information system that would directly collect and transmit, via the Internet, volunteer patients’ opinions on their satisfaction concerning the organization of hospital discharge. Objective Our primary objective was to compar...

  13. Comparative study of macroscopic spray parameters and fuel atomization behaviour of SVO (Jatropha, its biodiesel and blends

    Directory of Open Access Journals (Sweden)

    Agarwal Avinash K.

    2013-01-01

    Full Text Available The combustion and emission characteristics of vegetable oils and derivatives are quite different from mineral diesel due to their relatively high viscosity, density and vaporisation characteristics. These properties affect the fuel spray and the interaction of the spray with air in the combustion chamber therefore it is important to analyze the spray characteristics e.g. spray tip penetration, spray cone angle, spray area and fuel atomization. Optical techniques for spray visualization and image processing are very efficient to analyse the comparative spray parameters for these fuels. Present research investigates the effect of chamber pressure on spray characteristics of Jatropha SVO (J100/ blends (J5, J20, and Jatropha biodiesel (JB100/ blends (JB5, JB20 vis-a-vis baseline data of mineral diesel. Experiments were performed for all these fuels/ blends injected in a constant volume spray visualisation chamber (cold chamber at four different chamber pressure (1, 4, 7 and 9 bar respectively. It was found that J100 and JB100 have the highest spray tip penetration, cone angle and the spray area followed by J20, J5, mineral diesel and JB20, JB5, mineral diesel respectively however J20, J5 and JB20, JB5 have better atomization characteristics as compared to J100 and JB100 respectively. Cone angle was higher for biodiesel blends as compared to SVO blends at atmospheric pressure however as the chamber pressure was increased to 9 bars, it became almost equal for both fuel types. Spray parameters are found to be excellent for mineral diesel followed by Jatropha biodiesel and Jatropha oil. It was found that atomization of fuel becomes superior with increasing chamber pressure.

  14. Comparative studies on permanent prostate brachytherapy: pre-plan and real-time transrectal ultrasound guided iodine-125 seed implants at Korle-Bu Teaching Hospital, Ghana

    International Nuclear Information System (INIS)

    This research was carried out to investigate and compare the real-time and pre-plan implant at the Radiotherapy Department of the Korle Bu Teaching Hospital, Ghana. Prowess Panther 4.5 treatment planning system and variseed 7.2 software were used for pre-plan and real-time implant respectively. The study was conducted for eighty three (83) patients treated for prostate cancer through real-time implant brachytherapy between september, 2008 to April, 2013. Thirty one patients (31) patients whose ultrasound images were available were selected for the pre-plan study. The slices of ultrasound images were re-drawn on transparent A-4 sheets and later on scanned, contoured and registered in the treatment planning system (prowess 4.5). After planning, the volume to be implanted, total number of needles, seeds and the total activity of the source were displayed. Comparison was done withe the pre-plan and real-time implant. In both cases the variation was below 5% as recommended in dosimetry. About 30% - 40% of the imported seeds were left un-used due to over-estimation of seeds ordered from the manufacturer (BARD Company-USA). Hence this work (pre-plan) aims to solve this problem. The comparison for dosimetric parameters was assessed for prostate, urethra and rectum as (V 95%, V 100%, V 150%, D90Gy, D90%), (D90Gy, D90%, D30Gy, D30% ) and (V 100%, D30Gy and D30%) respectively and the variation were within the limit of ± 5%. Comparison of dosimetric values for this work were done with other institutions, like Karolinska university hospital, Sweden, The institute of Curie/ hospital Cochin Group Paris-France and European recommendations. The values reported at Korle - Bu teaching hospital (this work) were in good agreement with the international guidelines. (au)

  15. Bite club: comparative bite force in big biting mammals and the prediction of predatory behaviour in fossil taxa.

    Science.gov (United States)

    Wroe, Stephen; McHenry, Colin; Thomason, Jeffrey

    2005-03-22

    We provide the first predictions of bite force (BS) in a wide sample of living and fossil mammalian predators. To compare between taxa, we calculated an estimated bite force quotient (BFQ) as the residual of BS regressed on body mass. Estimated BS adjusted for body mass was higher for marsupials than placentals and the Tasmanian devil (Sarcophilus harrisii) had the highest relative BS among extant taxa. The highest overall BS was in two extinct marsupial lions. BFQ in hyaenas were similar to those of related, non-osteophagous taxa challenging the common assumption that osteophagy necessitates extreme jaw muscle forces. High BFQ in living carnivores was associated with greater maximal prey size and hypercarnivory. For fossil taxa anatomically similar to living relatives, BFQ can be directly compared, and high values in the dire wolf (Canis dirus) and thylacine (Thylacinus cynocephalus) suggest that they took relatively large prey. Direct inference may not be appropriate where morphologies depart widely from biomechanical models evident in living predators and must be considered together with evidence from other morphological indicators. Relatively low BFQ values in two extinct carnivores with morphologies not represented among extant species, the sabrecat, Smilodon fatalis, and marsupial sabretooth, Thylacosmilus atrox, support arguments that their killing techniques also differed from extant species and are consistent with 'canine-shear bite' and 'stabbing' models, respectively. Extremely high BFQ in the marsupial lion, Thylacoleo carnifex, indicates that it filled a large-prey hunting niche. PMID:15817436

  16. Comparative study of the Quality Control of x-ray tubes and generators in hospital assistance and primary assistance in Galician autonomous community

    International Nuclear Information System (INIS)

    The quality guarantee in Diagnostic Radiology is defined as the organized effort of surgical staff to guarantee sufficient quality images, which provide the correct diagnostic information, as cheaply as possible and with the least exposure to radiation for the patient. In this paper a comparative study about the quality control of x-ray tube and generators in hospital assistance and primary assistance is present. In the conclusions, it is confirmed that the antiquity and poor conservation of the primary attendance x-ray equipment, have influence on the studied constants and therefore, influence the doses received by the patients. (author)

  17. Quality of Life in Patients with Substance Use Disorders Admitted to Detoxification Compared with Those Admitted to Hospitals for Medical Disorders: Follow-Up Results

    Science.gov (United States)

    Vederhus, John-Kåre; Pripp, Are Hugo; Clausen, Thomas

    2016-01-01

    Quality of life (QoL) in patients admitted to a general hospital was compared with those admitted to a detoxification unit for the treatment of substance use disorder (SUD). This study combines data from two separate data collections: a cross-sectional study in a general hospital unit (somatic sample, N = 519) and a follow-up study in a detoxification unit (SUD sample, N = 140). A total of 659 patients recruited during 2008–2013 were included in this study. All patients completed a generic QoL questionnaire at inclusion, and the SUD sample also completed it at the six-month follow-up. SUD patients experienced comparably low physical QoL and had significantly lower psychological, social, and existential QoL domain scores when compared with the somatic sample. Mental distress and having a SUD were the major factors explaining variations in QoL, with both influencing QoL negatively. In the SUD sample, QoL improved moderately at the six-month follow-up with less improvement for the domain relationship to a partner. To facilitate the recovery of SUD patients, clinicians must view their patients’ situation holistically and invest efforts into the different life domains affected by poor QoL. PMID:27226719

  18. 山东省非公立医院与公立医院运营情况对比分析%Comparative Analysis of the Operation Status of Non-public Hospitals and Public Hospitals in Shandong Province

    Institute of Scientific and Technical Information of China (English)

    李晓露; 梁志强; 尹爱田; 常璇; 孙经杰

    2015-01-01

    目的:通过对山东省非公立医院与公立医院的运营情况进行比较,了解非公立医院运营现状,分析存在的问题及原因,为其更好的运营提供建议。方法:利用2009-2011年山东省卫生统计信息中心的统计数据,对非公立医院与公立医院的经济运行、服务能力、服务效率及医疗费用等进行分析。结果:非公立医院服务能力逐年增强,2011年诊疗人次达1659.8万人次,其中,门急诊人次1564.6万,住院服务量占比稍低;总体服务效率不高,床位使用率在50%左右,病床平均每年周转20余次,与公立医院有明显差距;非公立医院住院医疗费用优势明显。结论:非公立医院在医疗服务提供中的作用逐渐增强,但是市场份额较小,服务能力及效率还有待提高,其生存压力较大,并且面临人才匮乏及诚信危机等问题。建议:政府继续完善相关配套政策,在准入、人才、税收、监管等方面给予扶持,营造公平的办医环境,同时医院应加强自身内涵建设,重视履行社会责任,提供高质量且价廉的服务,树立良好品牌形象。%Objective: To compare the operation of non-public and public hospitals in Shandong province, have a good knowledge of non-public hospitals'operation status and analyze the existing problems and reasons so as to provide suggestions for perfecting the further operation. Methods: Analyzing the economic operation, service capability and efficiency, medical fees of non-public and public hospitals, according to the data from 2009 to 2011 from Shandong Province Information Center for Health Statistics.Results:The service capability of non-public hospitals increased year by year.By the year 2011, the total visits reached 16.598 million, including 15.646 million of outpatient and emergency visits, and the proportion of hospitalization services was relatively low.Compared to public hospitals

  19. Comparative Examination of Capercaillie (Tetrao urogallus L. Behaviour Responses and Semen Quality to Two Methods of Semen Collection.

    Directory of Open Access Journals (Sweden)

    Ewa Teresa Łukaszewicz

    Full Text Available Artificial insemination (AI is very helpful in solving the reproductive and biodiversity problems observed in small, closed avian populations. The successful production of fertilized eggs using AI is dependent on the collection of good quality semen. Two methods of male sexual stimulation and semen collection from captive kept capercaillie (Tetrao urogallus L., one of the most seriously endangered grouse species in Europe, are compared in this study. Ejaculates were obtained either with the use of a dummy female or by the dorso-abdominal massage method. Differences in the individual responses of the males to the two methods of semen collection as well as in their semen quality were noted. Only sperm concentration (432.4 x 10(6 mL(-1 with dummy female and 614.5 x 10(6 mL(-1 for massage method was significantly affected by capercaillie stimulation method. Sperm motility and morphology were not affected (P ≥ 0.05. Thus, for semen collection from captive kept capercaillie both methods can be used successfully. The dummy female can be an alternative to dorso-abdominal massage method, commonly used for semen collection from domesticated bird species.

  20. Comparative photophysical behaviour of naphthalene-linked crown ethers and aza crown ethers of varying cavity dimensions

    Indian Academy of Sciences (India)

    Subhodip Samanta; Pinki Saha Sardar; Shyam Sundar Maity; Anirban Pal; Maitrayee Basu Roy; Sanjib Ghosh

    2007-03-01

    A comparative time-resolved emission studies of several naphtho-crown ethers I-V, where metal ions can be complexed in a predetermined orientation with respect to the naphthalene (Naph) - plane and naphthalene-linked aza crown ethers (L1 and L2) have been presented. In both the systems, crown ethers and aza crown ethers, naphthalene fluorescence gets quenched. In the systems I to V, the quenching is mainly due to efficient spin-orbit coupling (SOC) leading to greater population of the lowest triplet state of naphthalene. This SOC depends on the orientation of the crown ring with respect to the Naph--plane. However, in the systems L1 and L2, the quenching is due to photoinduced electron transfer (PET) from nitrogen lone pair of the aza crown ring to naphthalene moiety and consequent exciplex formation. The results have been interpreted using the time-resolved emission studies of all the compounds in various solvents, their alkali metal ion complexes, and protonated ligands.

  1. Time-dependent behaviour of radiocaesium: A new method to compare the mobility of weapons test and Chernobyl derived fallout

    International Nuclear Information System (INIS)

    Environmental radiocaesium (137Cs) originates primarily from two sources, atmospheric nuclear weapons testing, and the Chernobyl accident. It has not, to our knowledge, previously been possible statistically to compare changes in the environmental mobility of 137Cs from these two sources since the weapons test fallout varied in a complex manner over a number of years. A novel technique is presented for curve-fitting measurements with a time-dependent input function such as that for weapons test fallout. Different models were fitted to measurements of both pre- and post-Chernobyl 137Cs activity concentrations in five major Finnish rivers. It was shown that there was no significant difference in the temporal changes in 137Cs mobility from these two sources during the years after fallout. Transport parameters derived from weapons test measurements gave good predictions of the long-term contamination of these rivers by Chernobyl fallout. Changes in 137Cs activity concentrations in rivers after Chernobyl have previously been shown to decline as a result of slow sorption to clay minerals in catchment soils. It is shown that weapons test fallout also exhibited this slow decline over time. Rates of decline in 137Cs activity concentrations 10 years after fallout correspond to effective ecological half-lives (Teff) in the range 10-30 years. Removal of activity from the catchment was found to have no significant effect on the long-term decline in 137Cs activity concentrations in these rivers

  2. Comparative Study of Campylobacter spp. Isolated from Children With Gastroenteritis in Bahonar Hospital, Karaj, Using PCR and RFLP

    Directory of Open Access Journals (Sweden)

    Abdi

    2016-05-01

    Full Text Available Background Campylobacter species are responsible for the majority of cases of food-borne gastroenteritis. The sources of the disease outbreaks are often contaminated water or milk, and consumption of undercooked poultry product is the main cause of sporadic campylobacteriosis cases. Objectives The aims of this study were to determine the prevalence of Campylobacter gastroenteritis in children and to differentiate the interfering species using polymerase chain reaction (PCR and restriction fragment length polymorphism (RFLP methods at the Bahonar hospital in Karaj, Iran. Patients and Methods A total of 150 stool samples were collected from children under 10 years old during the summer of 2014. PCR was performed using genus- and species-specific primers and RFLP was done using AluI and TasI enzymes. Results The results showed the amplification of 400 and 491 bp segments and Campylobacter contamination in 30 (20% samples; 5 out of 30 Campylobacter positive samples (16.66% were identified as C. jejuni, 20 (66.66% as C. coli, 3 (10% as C. jejuni and C. coli (mixed infection, and 2 (6.66% were identified as non-jejuni, non-coli Campylobacter using the PCR method. Following the evaluation of RFLP results, 7 positive samples (23.33% showed the electrophoretic pattern of C. jejuni, 21 (70% showed the electrophoretic pattern of C. coli, and 2 (6.6% showed both of the patterns and mixed contamination with jejuni and coli species. The results of digestion with TasI did not show any C. lari or C. upsaliensis patterns. Conclusions The results of this study showed high percentage of Campylobacter contamination in the tested stool samples. The other surprising finding was the high rate of Campylobacter coli positive samples; the difference between the results of PCR using species-specific primers (hipo and asp and the RFLP method (electrophoretic patterns in some of the positive samples confirms the hypothesis of variations in nucleotide sequences of the hipo

  3. Experimental study comparing the behaviour of steel truss plates and birch plywood inserts in ridge joints on glued laminated rafters

    Directory of Open Access Journals (Sweden)

    López Gayarre, F.

    2009-08-01

    Full Text Available The present paper reports on an analysis of the mechanical performance of two flat joining systems used in roof members made of glued laminated timber.Six pairs of laminated timber rafters for a double-pitched roof with a 100x180-mm cross-section, a 6.00-m span and a height of 1.00 m were subjected to full-scale four-point bending. In three of the specimens the rafters were joined at the ridge with a birch plywood insert, while in the other three the connection was secured with a fitting consisting in a standard flat steel truss plate. The objective pursued was to evaluate the possibility of replacing the steel fittings with birch plywood inserts. The approach adopted to reach this objective was to compare the strength of the two joint pieces and the deformation generated in the overall structure during strength tests.The results proved to be highly satisfactory in terms of both the bearing capacity and the stiffness of the structures tested.El presente trabajo tiene por objeto llevar a cabo un análisis experimental del comportamiento mecánico de ciertos sistemas planos de unión para elementos estructurales de madera laminada empleados en la construcción de cubiertas.El estudio incluye los ensayos a escala real de seis din-teles a dos aguas de madera laminada, de 6 m de luz, 1 m de altura y una sección de 100 mm x 180 mm, sometidos a flexión en cuatro puntos. En tres dinteles el elemento de unión es una pieza de tablero contra-chapado de abedul, mientras que en los otros tres se ha utilizado un herraje de acero. La finalidad es valorar la posibilidad de sustituir los elementos de unión, realizados mediante herrajes, por otros constituidos por piezas de tablero contrachapado de abedul. Este objetivo se logra comparando el comportamiento resistente mostrado por ambos dispositivos de unión, y las deformaciones en cada caso de las estructuras completas.Los resultados resultaron muy satisfactorios tanto en la capacidad portante como en la

  4. Comparative study of the in-hospital case-fatality rate of leptospirosis between pediatric and adult patients of different age groups

    Directory of Open Access Journals (Sweden)

    Lopes Antonio Alberto

    2004-01-01

    Full Text Available The main objective was to compare the in-hospital case-fatality rate of leptospirosis between pediatric (19 years patients, taking into account gender, renal function, duration of symptoms and jaundice. Medical records of 1016 patients were reviewed. Comparative analysis was restricted to 840 patients (100 pediatric, 740 adults with recorded information on the variables included in the analysis. Among these patients 81.7% were male and 91.5% were icteric. The case-fatality rate of leptospirosis was 14.4%. The odds of death adjusted for gender, jaundice, duration of symptoms, serum urea and serum creatinine were almost four times higher for the adult than for the pediatric group (odds ratio (OR = 3.94; 95% confidence interval = 1.19-13.03, p = 0.029. Among adults, increased age was also significantly and independently associated with increased risk of death (p < 0.01. Older patients were also more often treated by dialysis. In conclusion, the data suggest that the in-hospital case fatality rate of leptospirosis is higher for adults than for children and adolescents, even after taking into account the effects of several potential risk factors of death. Among adults, older age was also strongly and independently associated with higher risk of death.

  5. FacilitiesHospitals_HOSPITAL

    Data.gov (United States)

    Vermont Center for Geographic Information — This datalayer contains point locations of all major community, regional, comprehensive health, and healthcare provider hospitals in the state of Vermont. The...

  6. Health insurance and quality of care: Comparing perceptions of quality between insured and uninsured patients in Ghana’s hospitals

    OpenAIRE

    Abuosi, Aaron A.; Domfeh, Kwame Ameyaw; Abor, Joshua Yindenaba; Nketiah-Amponsah, Edward

    2016-01-01

    Background The introduction of health insurance in Ghana in 2003 has resulted in a tremendous increase in utilization of health services. However, concerns are being raised about the quality of patient care. Some of the concerns include long waiting times, verbal abuse of patients by health care providers, inadequate physical examination by doctors and discrimination of insured patients. The study compares perceptions of quality of care between insured and uninsured out-patients in selected h...

  7. Comparative study of creep behaviour in three Cr Ni 15/15 steel stabilized with Ti and with different contents in W, Mn, Mo and Bor

    International Nuclear Information System (INIS)

    The main difference between the three steels which are tested at temperature range from 6500C to 7500C is due to the hardening elements pf the matrix and the Boron content: 1. 12R72HV (X10NiCrMoTiB 1515) 2% Mn 1,5% Mo 80 ppmB 2. Vaccutherm (X12CrNiWTi 1613) 3% W 2,5 ppmB 3. RGT 21 (X12CrNiWTi 1613) 3% W 50 ppm B. The investigations of all casts are carried out in two different heat treatments which are suitable for the conditions required for the operation of the reactor. Cond. I: 11500C 30 min, water quenced; 8000 32 hour, air; 10% cold work. Cond. II: 11500C 30 min, water quenched; 10% cold work. In connection with creep test the condition I irrespective of 3 steels show no remarkable difference. The observation at 7500C test temperature and also at condition II above 6500C on Boron-free Vaccutherm cast shows an unfavourable behaviour. There is no significant difference in the stress dependence of secondary creep rate and also absolute creep rate. A definite superiority is to be found for 12R72HV when considering the values for time-yield-limit-ratio and ductility compared to the W-steels. The test results shows different fracture behaviour. Transcrystalline fracture is found on cast 12R72HV, whereas RGT 21 and Vaccutherm show transition from transcrystalline to intercrystalline fracture, depending on the rupture time and test temperature. The long term rupture specimens show intercrystalline fracture. (author)

  8. Inpatient Cognitive Behaviour Therapy for Anorexia Nervosa: A Randomized Controlled Trial

    OpenAIRE

    Dalle Grave, Riccardo; Calugi, Simona; Conti, Maddalena; Doll, Helen; Fairburn, Christopher G.

    2013-01-01

    Background The aim of this study was to compare the immediate and longer-term effects of two cognitive behaviour therapy programmes for hospitalized patients with anorexia nervosa, one focused exclusively on the patients' eating disorder features and the other focused also on mood intolerance, clinical perfectionism, core low self-esteem or interpersonal difficulties. Both programmes were derived from enhanced cognitive behaviour therapy (CBT-E) for eating disorders. Methods Eighty consecutiv...

  9. A COMPARATIVE STUDY OF DOT AND SAT IN RURAL TERTIARY CARE HOSPITAL: A TWO YEARS RETROSPECTIVE STUDY

    Directory of Open Access Journals (Sweden)

    Jagadish Babu D.* and K. Jyothi

    2012-07-01

    Full Text Available Directly observed therapy (DOT of tuberculosis patients talking their drugs is supposed to improve treatment completion and outcome .we compared DOT and Self Administered therapy (SAT, in which patients on the same drug regimen are not, observed taking their pills, to assess the effect of each on the success of tuberculosis treatment. This was the two year (2010 and 2011 retrospective study of tuberculosis patients admitted to the AH and RC.A total of 308 patients cases were analyzed. The majority of the cases were within 21-40 years TB patients were 38.96% of the total. Among the all TB patients with chronic illness others were 18(58.44% more. Among 308 patients TB patients 131(42.53% TB patients undergone DOT and 177 (57.46% TB patient’s undergone SAT therapy. The comparative outcome between DOT and SAT were 110(86.61% of cure and in SAT were 90 (57.32%. Only 5(03.93% treatment failure, acquired drug resistance 01(00.78%, follow up lost were 11(08.66% in DOT as compared to SAT 23(14.64%, 06(03.82%, 23(14.64% respectively. There is no relapse and death in DOT therapy but in SAT therapy relapse were 10(06.36% and deaths were 05(03.18%. There were large and significant difference in the cure, treatment failure, relapse and death rates between TB patient who receive DOT and SAT therapy respectively.

  10. Comparative study of mild versus moderate to severe thrombocytopenia in third trimester of pregnancy in a tertiary care hospital

    Directory of Open Access Journals (Sweden)

    Rupa Vyas

    2014-01-01

    Full Text Available Aims & objectives To determine etiology, maternal complications and fetomaternal outcome in third trimester of pregnancies complicated by moderate to severe thrombocytopenia and compare it with mild thrombocytopenia. Materials & methods It was a case control cross sectional study of third trimester pregnancy with thrombocytopenia. Platelet count of 1,00,000 to 1,50,000/μL, 50,000 to 1,00,000/μL & <50,000/μL were classified as mild, moderate and severe thrombocytopenia respectively. Etiology and fetomaternal outcome of thrombocytopenia in third trimester of pregnancy were evaluated and compared. Results Among 4818 deliveries, 378 women (7.67% had thrombocytopenia. Out of them 112 (2.3% women had moderate to severe thrombocytopenia (study group and 266 had mild thrombocytopenia (control group. Major causes were gestational thrombocytopenia (GT, idiopathic thrombocytopenic purpura (ITP, preeclampsia, HELLP syndrome, malaria, dengue and other etiologies of viremia. Maternal complications due to bleeding tendencies like placental abruption, postpartum hemorrhage were evident in the study population (p< 0.001. Fetal complications were significantly higher in study group. Early neonatal thrombocytopenia depended on etiology rather than severity of maternal thrombocytopenia. Conclusions Outcome of pregnancy with moderate to severe thrombocytopenia depends mainly on the primary disease causing thrombocytopenia. Adverse outcomes are especially seen with pregnancy complicated by preeclampsia and HELLP syndrome. Fetomaternal outcome is favorable in ITP and gestational thrombocytopenia. Early detection and intervention play a key role in decreasing fetomaternal morbidities.

  11. Comparative study of interval versus postpartum Cu-T insertion in a central referral hospital of North East India

    Directory of Open Access Journals (Sweden)

    Pesona Grace Lucksom

    2015-02-01

    Full Text Available Background: Aim of current study was to compare interval and postpartum Cu-T (380A insertion in terms of safety and immediate outcome. Methods: This was a retrospective cohort study where retrospective analysis of prospectively collected data in the department of OBG, SMIMS, Gangtok, from April 2011 to April 2012 were taken for evaluation. 164 women who were inserted Cu-T after delivery and in the interval period were studied. 80 were inserted Cu-T at post-partum period (36 after vaginal delivery and 44 intra caesarean while 84 were inserted at interval period. Follow up was done at 6 weeks and 3 months. Outcome was measured by tail visibility at 6 weeks and 3 months, spontaneous expulsion rate, removal rate and perception of insertion using visual analog scale (0-5. Results: Tail visibility at 6 weeks and 3 months was less in post-partum than that of interval insertion. Spontaneous expulsion rate was nil in post-partum while 5/84 (5.95% in interval insertion. Perception of insertion for doctor and client was easiest in intra Caesarean (0 while difficult in interval (4. Removal rate was 1/80(1 % in post-partum and 9/84 (10.7% in interval. Conclusions: Study suggested that post-partum insertion is more effective than interval Cu-T insertion with low expulsion rate and complications compared to interval insertion. [Int J Reprod Contracept Obstet Gynecol 2015; 4(1.000: 47-51

  12. A COMPARATIVE STUDY OF ACE-INHIBITORS WITH OTHER ANTI-HYPERTENSIVE DRUGS IN HYPERTENSIVE DIABETIC PATIENTS IN A TERTIARY CARE HOSPITAL

    Directory of Open Access Journals (Sweden)

    Shrinivas

    2014-06-01

    Full Text Available The incidence of hypertension and diabetes mellitus is rising on an alarming rate in the developing countries; these two disorders frequently occur together in a patient. Hypertension is the most important modifiable risk factor for coronary heart disease, stroke, CHF, end stage renal disease and peripheral vascular disease. Drugs like ACE inhibitors used in the treatment of hypertension are known to have beneficial effects in reducing complications associated with diabetes mellitus. In this study an attempt is made to see the rationality among the prescriptions and also to compare the efficacy, safety and tolerability of ACE-inhibitors with other anti-hypertensive drugs among diabetic hypertensive patient and to see the rationality among the prescriptions. METHODS AND MATERIALS: This 15 month prospective study was conducted on 100 diabetic-hypertensive patients attending Basaveshwar Teaching and General Hospital, Gulbarga. CONCLUSION: We summarize the overall effectiveness of all our anti-hypertensive drugs based on the results obtained from this data. The fall in both average SBP and average DBP reflects the effectiveness of the treatment employed by the physicians in the hospital. We also observed a general decline in the blood sugar values. The results of this study indicate that by re-establishing the dominance of ACE inhibitors in the treatment of diabetic-hypertensive

  13. Comparing antiretroviral treatment outcomes between a prospective community-based and hospital-based cohort of HIV patients in rural Uganda

    Directory of Open Access Journals (Sweden)

    Alibhai Arif

    2011-11-01

    Full Text Available Abstract Background Improved availability of antiretroviral therapy in sub-Saharan Africa is intended to benefit all eligible HIV-infected patients; however in reality antiretroviral services are mainly offered in urban hospitals. Poor rural patients have difficulty accessing the drugs, making the provision of antiretroviral therapy inequitable. Initial tests of community-based treatment programs in Uganda suggest that home-based treatment of HIV/AIDS may equal hospital-based treatment; however the literature reveals limited experiences with such programs. The research This intervention study aimed to; 1 assess the effectiveness of a rural community-based ART program in a subcounty (Rwimi of Uganda; and 2 compare treatment outcomes and mortality in a rural community-based antiretroviral therapy program with a well-established hospital-based program. Ethics approvals were obtained in Canada and Uganda. Results and outcomes Successful treatment outcomes after two years in both the community and hospital cohorts were high. All-cause mortality was similar in both cohorts. However, community-based patients were more likely to achieve viral suppression and had good adherence to treatment. The community-based program was slightly more cost-effective. Per capita costs in both settings were unsustainable, representing more than Uganda’s Primary Health Care Services current expenditures per person per year for all health services. The unpaid community volunteers showed high participation and low attrition rates for the two years that this program was evaluated. Challenges and successes Key successes of this study include the demonstration that antiretroviral therapy can be provided in a rural setting, the creation of a research infrastructure and culture within Kabarole’s health system, and the establishment of a research collaboration capable of enriching the global health graduate program at the University of Alberta. Challenging questions about the

  14. Electrochemical characterization and corrosion behaviour of Ni3Al (0.1B) modified by ion beam techniques: a comparative study

    International Nuclear Information System (INIS)

    The corrosion behaviour of Ni3Al(0.1B) treated with different ion beam techniques has been characterized by multisweep cyclic voltammetry and optical microscopy. The results revealed that ion implantation, ion beam mixing and ion beam assisted deposition are very effective to reduce the corrosion and improve the passivation behaviour of specimens in a solution of 1N sulphuric acid. (orig.)

  15. Comparing hospital staff and patient perceptions of customer service: a pilot study utilizing survey and focus group data.

    Science.gov (United States)

    Fottler, Myron D; Dickson, Duncan; Ford, Robert C; Bradley, Kenneth; Johnson, Lee

    2006-02-01

    The measurement of patient satisfaction is crucial to enhancing customer service and competitive advantage in the health-care industry. While there are numerous approaches to such measurement, this paper provides a case study which compares and contrasts patient and staff perceptions of customer service using both survey and focus group data. Results indicate that there is a high degree of correlation between staff and patient perceptions of customer service based on both survey and focus group data. However, the staff and patient subgroups also provided complementary information regarding patient perceptions of their service experience. Staff members tended to have more negative perceptions of service attributes than did the patients themselves. The focus group results provide complementary information to survey results in terms of greater detail and more managerially relevant information. While these results are derived from a pilot study, they suggest that diversification of data sources beyond patient surveys may enhance the utility of customer service information. If further research can affirm these findings, they create exciting possibilities for gathering valid, reliable and cost-effective customer service information. PMID:16438787

  16. Comparative analysis of glucose-6-phosphate dehydrogenase levels in pre-term and term babies delivered at University of Ilorin Teaching Hospital, Nigeria

    Directory of Open Access Journals (Sweden)

    Temitope Olorunsola Obasa

    2012-03-01

    Full Text Available Glucose-6-phosphate (G6P is an enzyme in the hexose monophosphate shunt required for the production of reducing equivalents needed to mop up free radicals. thereby keeping hemoglobin in its free state. Deficiency of the enzyme can cause severe neonatal jaundice. The aim of this study was to compare G6PD levels in pre-term and term babies, and evaluate the extent to which G6PD deficiency determines the severity of jaundice in various gestational age groups. Samples of cord blood collected from consecutively delivered babies in the University of Ilorin Teaching Hospital, Nigeria, were assayed for G6PD levels, and the babies were observed for jaundice during the first week of life. Those who developed jaundice had serial serum bilirubin measured. Nine hundred and thirty-three babies had G6PD assayed, with 348 being G6PD deficient, giving a hospital based prevalence of 37.3%. Of the 644 who were followed up, 143 (22.2% were pre-term and 501(77.8% were term babies. Babies with gestational age (GA 27-29 weeks had the highest G6PD levels. However, there was no significant variation among the different gestational age groups (F=0.64, P=0.64. Jaundice occurred more in pre-term compared to term babies with a relative risk of 2.41 (χ2=60.95, P=0.00001. Occurrence of jaundice in pre-term babies was irrespective of G6PD status (χ2=0.2, P=0.66, RR=1.09, CI=0.83

  17. FacilitiesHospitals_HOSPITAL

    Data.gov (United States)

    Vermont Center for Geographic Information — This data layer contains point locations of all major community, regional, comprehensive health, and healthcare provider hospitals in the state of Vermont. The...

  18. Hospitals; hospitals13

    Data.gov (United States)

    University of Rhode Island Geospatial Extension Program — Hospital Facilities information was compiled from several various sources. Main source was the RI Department of Health Facilities Regulation database, License 2000....

  19. Comparative biology and reproductive behaviour of a laboratory-adapted Redco strain of Anopheles Gambiae Giles (Diptera; culicidae and wild populations of the same species

    International Nuclear Information System (INIS)

    The sterile insect technique involves mass rearing of male insects for sterility purpose. This heavily relies on male fitness and genetic compatibility of laboratory-adapted male insects and the wild to ensure successful competition with their male counterpart in the wild. Uniform environment in the laboratory as compared to the wild conditions might lead to genetic drift which might lead to reduced sexual competitiveness, fitness, morphological changes or changes in the sexual behaviour of mosquitoes. This work investigated the sexual compatibility, morphometry and sexual behaviour of laboratory-adapted strain and wild strain of Anopheles gambiae under laboratory conditions. These measurements were done by observing swarm formation, genitalia rotation, percentage insemination, fecundity, fertility, wing length, wing width, thoracic width, body length, body size index and wing size index. Morphometric studies of laboratory-adapted and wild strain of Anopheles gambiae were carried out by observing the wing length, body length and thoracic length under Lecia 4D stereoscope in order to find out variations in the body size between the two strains. The results showed significant difference between thoracic width and wing length between the laboratory-adapted strain and wild strain. Indices such as body size index and wing length index also showed significant difference between the two strains; laboratory-adapted REDCO strain (BSI 4.45 ± 0.10, p = 0.010 ; WSI 1.92 ± 0.07, p = 0.026) and wild REDCO strain ( 4.08 ± 0.10, p = 0.010 ; WSI 1.73 ± 0.04, p = 0.026 ). Body length of laboratory-adapted male mosquitoes (4.24 ± 0.05, p = 0.462) was not significantly different from its thoracic width, wing length, and wing width. The wild strain on the other hand had significant difference between its body length (4.19 ± 0.04, p = 0.462), thoracic width (0.096 ± 0.02, p = 0.002 ) and wing length (2.99 ± 0.03, p = 0.050 ). In the mating experiment, egg production in each of

  20. Tribological behaviour of ceramics at room temperature. Comparative analysis of tribological studies of thermomechanical ceramics for diesel engines. Ceramics properties, test and implementation

    Energy Technology Data Exchange (ETDEWEB)

    Taibi, M. [Institut National des Hydrocarbures et de la Chimie, Boumerdes (Algeria); Chalant, G. [Faculte de Technologie de Guyane, Cayenne (French Guiana)

    1994-12-31

    This paper presents a synthesis of theoretical and experimental results on the physical and mechanical properties and tribological behaviour as well of thermomechanical ceramics, on the basis of a critical paper revue. (authors). 40 refs., 5 figs., 2 tabs.

  1. Tribological behaviour of ceramics at high temperature. Comparative analysis of tribological studies of thermomechanical ceramics for Diesel engines. Ceramics properties, test and implementation

    Energy Technology Data Exchange (ETDEWEB)

    Taibi, M. [Institut National des Hydrocarbures et de la Chimie, Boumerdes (Algeria); Chalant, G. [Faculte de Technologie de Guyane, Cayenne (French Guiana)

    1994-12-31

    This paper presents a synthesis of theoretical and experimental results on the tribological behaviour of thermomechanical ceramics, with various experimental conditions especially at high temperature, on the basis of a critical paper revue. (authors). 40 refs., 5 figs.

  2. Temporal patterns of rat behaviour in the central platform of the elevated plus maze. Comparative analysis between male subjects of strains with different basal levels of emotionality.

    Science.gov (United States)

    Casarrubea, M; Faulisi, F; Caternicchia, F; Santangelo, A; Di Giovanni, G; Benigno, A; Magnusson, M S; Crescimanno, G

    2016-08-01

    We have analyzed the temporal patterns of behaviour of male rats of the Wistar and DA/Han strains on the central platform of the elevated plus maze. The ethogram encompassed 10 behavioural elements. Durations, frequencies and latencies showed quantitative differences as to walking and sniffing activities. Wistar rats displayed significantly lower latency and significantly higher durations and frequencies of walking activities. DA/Han rats showed a significant increase of sniffing duration. In addition, DA/Han rats showed a significantly higher amount of time spent in the central platform. Multivariate T-pattern analysis revealed differences in the temporal organization of behaviour of the two rat strains. DA/Han rats showed (a) higher behavioural complexity and variability and (b) a significantly higher mean number of T-patterns than Wistar rats. Taken together, T-pattern analysis of behaviour in the centre of the elevated plus maze can noticeably improve the detection of subtle features of anxiety related behaviour. We suggest that T-pattern analysis could be used as sensitive tool to test the action of anxiolytic and anxiogenic manipulations. PMID:26247889

  3. A study and comparative analysis of managerial and leadership effectiveness in the National Health Service: an empirical factor analytic study within an NHS Trust hospital.

    Science.gov (United States)

    Hamlin, R G

    2002-11-01

    The research described in this article was concerned primarily with identifying the criteria of managerial/leadership effectiveness applying at the middle and front line levels of management within an NHS Trust Hospital using critical incident technique and factor analysis methods. The findings suggest that the self-perceptions of managers and the perceptions of superiors and subordinates are very similar, and only differ on a limited number of criteria. This challenges the 'perspective-specific' models of managerial effectiveness advocated by some researchers. The results are compared against those from a near identical study carried out by the author within one part of the British Civil Service, and the results from a different but comparable factor analytic study carried out by other researchers elsewhere in the NHS. The results suggest the existence of generalized criteria of managerial effectiveness, which lend considerable support to the notion of the 'universally effective manager'. This challenges the 'contingent models' of managerial effectiveness advocated by various expert commentators. In addition, the research supports the new model of transformational leadership offered by Alimo-Metcalfe and Alban-Metcalfe for application within both the NHS and local government, and adds to the empirical base supporting the current drive towards evidence-based practice in management within the healthcare sector. PMID:12396550

  4. [An Autopsy Case of Abnormal Behaviour Induced by Zolpidem].

    Science.gov (United States)

    Usumoto, Yosuke; Kudo, Keiko; Sameshima, Naomi; Sato, Kazuo; Tsuji, Akiko; Ikeda, Noriaki

    2015-06-01

    Zolpidem is a widely used ultrashort-acting non-benzodiazepine in clinical practice; compared with benzodiazepines, it does not have side effects such as daytime hangover, rebound insomnia, and development of tolerance. We report an autopsy case of abnormal behaviour induced by zolpidem. A man in his 60's had suffered from postherpetic neuralgia about 2 months ago and had been prescribed zolpidem for insomnia. According to his family, he had no memory of his actions such as striking a wall, taking his futon outside, and eating 5 times a day after he took zolpidem. Because his postherpetic neuralgia did not improve, he was hospitalized and treated with an epidural block. During hospitalization, he took off his clothes, removed the epidural block catheter by himself, and slept on others' beds. He disappeared from the hospital one day; the next day, he was found dead in a narrow water storage tank 10 km away from the hospital. He was thought to have driven a car by himself to reach the place. Forensic autopsy revealed that the cause of death was drowning. Zolpidem and several other drugs were detected by toxicological analysis of his blood; the concentrations of these drugs were within therapeutic range. There are several reports about somnambulism induced by zolpidem such as sleepwalking, sleep driving, and eating. Considering the strange episodes following zolpidem administration, his behaviour on the day of his death was considered abnormal behaviour induced by zolpidem. PMID:26306385

  5. A study on the profile and sexual behaviour of patients in an ICTC Centre in a District Hospital in North India

    Directory of Open Access Journals (Sweden)

    Neerja Puri

    2014-10-01

    Full Text Available Introduction: Integrated counseling and testing (ICTC for HIV is a cost-effective intervention in preventing the spread of HIV transmission and is an integral part of HIV prevention program, which provides an opportunity to learn and accept the HIV status in a comfortable, convenient, and confidential manner. Material and Methods: A retrospective study of 3600 attendees visiting the ICTC centre from April 2010 to April 2011was undertaken. The study included 3600 attendees who came either voluntarily or referred by various department of this institute. Dominant reason for visiting ICTC was the history/presence of high risk behavior (HRB. Results: 60% indulged in heterosexual route; other HRB including men having sex with men or MSM were 5% and injecting drug users or IDU were 15%. There were more positive among males, 21-40 years of age group, those living singly, unmarried, divorcee, widow(er and separated. Similarly positives were more amongst illiterates, less educated and those engaged in unskilled and semi skilled jobs. Adolescent students (>14 years accounted for one-fifth of the total positives. Direct walk in clients were more positive compared to those referred by doctors. Overall sero positivity was 4.8%; high in males, 21-40 years age, unmarried and divorcee etc. Conclusions: Sero prevalence decreased with improvement in education and also with improvement in job nature. It was also high in those living alone compared to those staying with their family.

  6. HCAHPS - Hospital

    Data.gov (United States)

    U.S. Department of Health & Human Services — A list of hospital ratings for the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). HCAHPS is a national, standardized survey of hospital...

  7. Comparative experimental and numerical analysis of the hydraulic behaviour of free-surface flow in the water experiment of the XT-ADS windowless spallation target

    International Nuclear Information System (INIS)

    If the long-living actinides contained in nuclear waste are subjected to an intense neutron flux, nuclear reactions convert them into less toxic short living actinides. This process, called transmutation, may be accomplished by Accelerator Driven Systems (ADS). The required neutron flux is generated by bombarding a spallation target with high energy protons emerging from an accelerator. In the windowless target currently developed in the Integrated Project EUROTRANS of the European Community the target material is HLM (heavy liquid metal). The HLM flows downwards through a concentric nozzle surrounding the beam tube and forms a conical free surface which is subjected to the beam current. The thermal-hydraulics of the target must ensure that the high amount of heat deposited into the HLM can be safely removed. The current target design was developed by a close interaction of numerical and experimental studies resulting in a profound understanding of the hydraulic behavior. The water experiment built at UCL (Belgium)) has similar geometry and dimensions as the XT-ADS spallation target. The experimental results are used to validate the numerical methods that will be used in the analysis of the real HLM target. In the current paper the experimental results obtained from the water experiment are compared to numerical results obtained by applying Volume of Fluid methods in combination with cavitation models. The comparison covers the nominal flow case corresponding to a flow rate of 10 l/s and sensitivity study of free surface level to various flow rates and outlet conditions. Numerical results where obtained from the Computational Fluid Dynamics code STAR-CD. This code is selected for its capability to predict sharper free surfaces compared to other CFD codes implemented in the target study. Numerical and experimental results show good agreement, so that the numerical model is considered validated. The results demonstrate that the hydraulic behaviour of the target

  8. Norovirus - hospital

    Science.gov (United States)

    Gastroenteritis - norovirus; Colitis - norovirus; Hospital acquired infection - norovirus ... fluids ( dehydration ). Anyone can become infected with norovirus. Hospital patients who are very old, very young, or ...

  9. Detecting depressive and anxiety disorders in distressed patients in primary care; comparative diagnostic accuracy of the Four-Dimensional Symptom Questionnaire (4DSQ and the Hospital Anxiety and Depression Scale (HADS

    Directory of Open Access Journals (Sweden)

    Verhaak Peter FM

    2009-08-01

    Full Text Available Abstract Background Depressive and anxiety disorders often go unrecognized in distressed primary care patients, despite the overtly psychosocial nature of their demand for help. This is especially problematic in more severe disorders needing specific treatment (e.g. antidepressant pharmacotherapy or specialized cognitive behavioural therapy. The use of a screening tool to detect (more severe depressive and anxiety disorders may be useful not to overlook such disorders. We examined the accuracy with which the Four-Dimensional Symptom Questionnaire (4DSQ and the Hospital Anxiety and Depression Scale (HADS are able to detect (more severe depressive and anxiety disorders in distressed patients, and which cut-off points should be used. Methods Seventy general practitioners (GPs included 295 patients on sick leave due to psychological problems. They excluded patients with recognized depressive or anxiety disorders. Patients completed the 4DSQ and HADS. Standardized diagnoses of DSM-IV defined depressive and anxiety disorders were established with the Composite International Diagnostic Interview (CIDI. Receiver Operating Characteristic (ROC analyses were performed to obtain sensitivity and specificity values for a range of scores, and area under the curve (AUC values as a measure of diagnostic accuracy. Results With respect to the detection of any depressive or anxiety disorder (180 patients, 61%, the 4DSQ and HADS scales yielded comparable results with AUC values between 0.745 and 0.815. Also with respect to the detection of moderate or severe depressive disorder, the 4DSQ and HADS depression scales performed comparably (AUC 0.780 and 0.739, p 0.165. With respect to the detection of panic disorder, agoraphobia and social phobia, the 4DSQ anxiety scale performed significantly better than the HADS anxiety scale (AUC 0.852 versus 0.757, p 0.001. The recommended cut-off points of both HADS scales appeared to be too low while those of the 4DSQ anxiety

  10. Predicting People's Environmental Behaviour: Theory of Planned Behaviour and Model of Responsible Environmental Behaviour

    Science.gov (United States)

    Chao, Yu-Long

    2012-01-01

    Using different measures of self-reported and other-reported environmental behaviour (EB), two important theoretical models explaining EB--Hines, Hungerford and Tomera's model of responsible environmental behaviour (REB) and Ajzen's theory of planned behaviour (TPB)--were compared regarding the fit between model and data, predictive ability,…

  11. Why don't we change our mobility behaviours ? Acceptance and hindrance to a change: the case study of the Greater Paris Region as compared to Nagoya

    OpenAIRE

    ROCCI, A.

    2006-01-01

    We all know the harmful effects of car use, on social, environmental and urban aspects. But despite the urgency to reduce car use, in practice it seems difficult to bring about changes in mobility behaviours. My purpose is to understand why most people are not prepared to refrain from using cars in urban areas and what would make them change. I attempt to identify limiting factors to a behavioural change and the acceptability of more sustainable mobility practices. First I will analyse the mo...

  12. Possibilities of Application of Inquiry-Based Learning When Developing the Thinking of Pupils with Mild Intellectual Disability and Behaviour Disorders-Comparative Research

    Science.gov (United States)

    Dostál, Jirí; Janu, Miroslav; Bal, Belgin; Nuangchalerm, Prasart; Stebila, Ján

    2016-01-01

    The inclusion of pupils into schools of the main educational stream is emphasized at the international level. Recently, this trend is more strongly applied in post-communist countries, where the now-criticized approaches (based on the exclusion of pupils with mild intellectual disability and behaviour disorders--e.g. ADHD--and their inclusion into…

  13. Comparing Two Methods of Enteral Nutrition in Terms of their Complications and the Time Needed to Reach Goal Calorie in Children Hospitalized in ICU

    OpenAIRE

    Sedigheh Fayazi; Mohammad Adineh; Somayeh Zahraei Fard; Hoda Farokh payam; Zahra Ahmadie Batvandy

    2016-01-01

    Background Nutrition support and noticing the required goal calories in patients having critical conditions are essential aspects of medical care in preventing malnutrition in these patients. Materials and Methods This research is a clinical trial which was done on 60 children aging between 5 to 17 years old hospitalized in Intensive Care Unit (ICU) of Shiraz’s Namazee hospital, South West of Iran, during April to September 2015. Patients were separated randomly into two groups. Enteral nutri...

  14. Comparative study of survivor and nonsurvivor sepsis patients in a university hospital Estudo comparativo de pacientes sobreviventes e não sobreviventes com sepse em um hospital universitário

    OpenAIRE

    Aline Pâmela Vieira de Oliveira; Cristina Hueb Barata; Eddie Fernando Candido Murta; Beatriz Martins Tavares-Murta

    2008-01-01

    To determine parameters associated with the evolution of sepsis, a five-year retrospective study was conducted in a university hospital. One hundred and four consecutive sepsis patients were evaluated, of whom 55.8% were men. The mortality was 68.3% and was associated with older age (p

  15. Measurement of central corneal thickness by ultrasonic pachymeter and oculus pentacam in patients with well-controlled glaucoma: hospital-based comparative study

    Directory of Open Access Journals (Sweden)

    Rashid RF

    2016-03-01

    Full Text Available Riyam Faihan Rashid, Qasim K Farhood Department of Ophthalmology, College of Medicine, University of Babylon, Babylon, Iraq Background: The measurement of central corneal thickness (CCT plays an important role in the diagnosis and treatment of glaucoma and many corneal diseases.Objective of the study: To compare the measurement of CCT by ultrasonic pachymeter with that measured by oculus pentacam in both normal subjects and patients with well-controlled glaucoma.Patients and methods: In 173 eyes of both controls and patients with open-angle glaucoma (normal intraocular pressure attending Ibn Al Haitham Teaching Eye Hospital, CCT was measured by oculus pentacam and then by ultrasound pachymeter at the same morning by the same technicians.Results: The results showed no significant difference in CCT readings measured by the two devices in both glaucoma and control groups (glaucoma group: 547.29±49.32 µm with pentacam vs 547.66±45.24 µm with ultrasound pachymeter; control group: 551.02±36.28 µm with pentacam vs 541.25±34.96 µm with ultrasound pachymeter. P-values were >0.05 in both groups (statistically not significant.Conclusion and recommendation: Ultrasonic pachymeter and oculus pentacam can be used interchangeably in measuring CCT, and we recommend a nontouch method (in this study, pentacam Scheimpflug camera for measuring CCT during assessment of patients with glaucoma or any ocular disease or surgery. Keywords: CCT, open-angle glaucoma, ultrasound pachymeter, Scheimpflug camera

  16. A comparative study of epidural catheter colonization and infection in Intensive Care Unit and wards in a Tertiary Care Public Hospital.

    Science.gov (United States)

    Harde, Minal; Bhadade, Rakesh; Iyer, Hemlata; Jatale, Amol; Tiwatne, Sagar

    2016-02-01

    Infection is a potentially serious complication of epidural analgesia and with an increase in its use in wards there is a necessity to demonstrate its safety. We aimed to compare the incidence of colonization of epidural catheters retained for short duration (for 48 h) postoperative analgesia in postanesthesia care unit and wards. It was a prospective observational study done in a tertiary care teaching public hospital over a period of 2 years and included 400 patients with 200 each belonged to two groups PACU and ward. We also studied epidural tip culture pattern, skin swab culture at the entry point of the catheter, their relation to each other and whether colonization is equivalent to infection. Data were analyzed using statistical software GraphPad. Overall positive tip culture was 6% (24), of them 7% (14) were from PACU and 5% (10) were from ward (P = 0.5285). Positive skin swab culture was 38% (150), of them 20% (80) were from PACU and 18% (70) were from ward (P = 0.3526). The relation between positive tip culture and positive skin swab culture in same patients is extremely significant showing a strong linear relationship (95% confidence interval = 0.1053-0.2289). The most common microorganism isolated was Staphylococcus epidermidis. No patient had signs of local or epidural infection. There is no difference in the incidence of epidural catheter tip culture and skin swab culture of patients from the general ward and PACU. Epidural analgesia can be administered safely for 48 h in general wards without added risk of infection. The presence of positive tip culture is not a predictor of epidural space infection, and colonization is not equivalent to infection; hence, routine culture is not needed. Bacterial migration from the skin along the epidural track is the most common mode of bacterial colonization; hence, strict asepsis is necessary. PMID:27076712

  17. A comparative study of epidural catheter colonization and infection in Intensive Care Unit and wards in a Tertiary Care Public Hospital

    Directory of Open Access Journals (Sweden)

    Minal Harde

    2016-01-01

    Full Text Available Infection is a potentially serious complication of epidural analgesia and with an increase in its use in wards there is a necessity to demonstrate its safety. We aimed to compare the incidence of colonization of epidural catheters retained for short duration (for 48 h postoperative analgesia in postanesthesia care unit and wards. It was a prospective observational study done in a tertiary care teaching public hospital over a period of 2 years and included 400 patients with 200 each belonged to two groups PACU and ward. We also studied epidural tip culture pattern, skin swab culture at the entry point of the catheter, their relation to each other and whether colonization is equivalent to infection. Data were analyzed using statistical software GraphPad. Overall positive tip culture was 6% (24, of them 7% (14 were from PACU and 5% (10 were from ward (P = 0.5285. Positive skin swab culture was 38% (150, of them 20% (80 were from PACU and 18% (70 were from ward (P = 0.3526. The relation between positive tip culture and positive skin swab culture in same patients is extremely significant showing a strong linear relationship (95% confidence interval = 0.1053–0.2289. The most common microorganism isolated was Staphylococcus epidermidis. No patient had signs of local or epidural infection. There is no difference in the incidence of epidural catheter tip culture and skin swab culture of patients from the general ward and PACU. Epidural analgesia can be administered safely for 48 h in general wards without added risk of infection. The presence of positive tip culture is not a predictor of epidural space infection, and colonization is not equivalent to infection; hence, routine culture is not needed. Bacterial migration from the skin along the epidural track is the most common mode of bacterial colonization; hence, strict asepsis is necessary.

  18. Suicidal behaviour

    NARCIS (Netherlands)

    Neeleman, J

    2001-01-01

    -Prevention of suicidal behaviour remains difficult, despite increasing knowledge of its determinants. Health service efforts hardly affect suicide rates. -Recent shifts in the epidemiology of suicidal behaviour are rising rates among the young and increasing use of violent methods. these can be lin

  19. A COMPARATIVE STUDY OF SELF-ACTUALIZATION AMONG DEGREE COLLEGE TEACHERS IN TERMS OF ORGANIZATION COMMITMENT, WORK VALUES AND LEADERSHIP BEHAVIOUR

    OpenAIRE

    Vikram P. Hiremath

    2015-01-01

    Organizational Commitment emerged as one of the most important variable in the areas of management and organizational behaviour. This is because of the growing evidence that there is a relationship between certain independent variables and commitment and certain outcome variables. The definitions given by various, researchers view organizational commitment as an attitudinal phenomenon and it is the loyalty that the employees show towards the organization to attain the goal and vision of the c...

  20. An empirical study of some astrological factors in relation to dog behaviour differences by statistical analysis and compared with human characteristics

    OpenAIRE

    FUZEAU-BRAESCH, Suzel; Denis, Jean-Baptiste

    2007-01-01

    A survey of 500 pedigree dogs was carried out in the Paris region. For each dog, six behavioural traits were determined and ten of their astrological traits were retained. A statistical interpretation of the possible relationships between the two sets of traits was performed based on permutation tests. Two strong associations were detected between the angular positions of Jupiter and the Sun, and the extraversion dominant trait. There were indications of other associations. ...

  1. The impact of financial behaviour of the household sec-tor on GDP: A comparative analysis between Nordic countries from 2004 to 2012

    OpenAIRE

    Mandli, Martin

    2015-01-01

    This Bachelor’s thesis examines the relationship between changes in household financial behaviour and GDP in the Nordic countries from 2004 to 2012. Households’ financial posi-tion is one of the key determinants in household consumption and final consumption ex-penditure is said to represent around 70% of GDP in most countries. The thesis objective is to determine the main similarities and differences between Nordic countries. Additionally, the research indicates the applicability of the...

  2. Protein supplementation and dietary behaviours of resistance trained men and women attending commercial gyms: a comparative study between the city centre and the suburbs of Palermo, Italy

    OpenAIRE

    Bianco, A., Lupo C., Alesi M., Spina S., Raccuglia M., Thomas E., Paoli A.. Palma A.; Mammina, C.; Thomas, E.; BELLAFIORE, M; Battaglia, G.; Moro, T; De Paoli, A; Palma, A.(Laboratorio de Instrumentacao e Fisica Experimental de Particulas – LIP, Lisboa, Portugal)

    2014-01-01

    Background It is anecdotally recognized that commercial gym users assume supplements in order to improve performance or health. However, dietary behaviours of people and athletes attending commercial gyms have been poorly studied. The exact amount and frequency of dietary supplements consumption are still needed to be investigated. The main purpose of this study is to understand the quantity and quality of food intake, as well as dietary supplementation in people attending commercial gyms. Se...

  3. A comparative study of pregnancy complications and outcomes for the years 1999 and 2004 at a rural hospital in South Africa: Implications for antenatal care

    Directory of Open Access Journals (Sweden)

    Monjurul Hoque

    2010-03-01

    Full Text Available Background: Detection and management of high-risk pregnancies, all the way through antenatal care, have been advocated as a high-quality mean of reducing maternal and perinatal morbidity and mortality.Objectives: This study reviewed the demographic variables, pregnancy and obstetric complications and perinatal outcomes for the years 1999 and 2004 in a rural hospital in KwaZulu-Natal Province, South Africa, with the aim of evaluating trends and gaps that may enhance appropriate strategies for improvement of antenatal care.Method: A retrospective comparative study, with representative samples of pregnant women, were randomly selected for the respective years 1999 and 2004. Descriptive statistics were calculated depending on measurement scale. A Z-test was carried out to assess the significant difference (p < 0.05 in proportions between pregnancy complications and outcomes of the groups. Multivariate logistic regression analysis was undertaken to determine the significant predictors for outcome variables.Results: The numbers of pregnancies among young women (< 25 years increased significantly by 8% (p < 0.05 in the year 2004. Compared with 1999, the reduction in the numbers of pregnancies (1% among higher parity (parity 5 or more women in 2004 was remarkable. There were significant reductions of eclampsia, anaemia and post partum haemorrhage. Women with breech presentation were 3.75 times more likely to deliver preterm, and 5.45 times more likely to deliver low birth-weight babies. Similarly, women with pregnancy-induced hypertension were more likely to have preterm (OR = 3.50, 95% CI 2.83; 4.35 and low birth-weight babies (OR = 2.09, 95% CI 1.62; 2.71. Eclampsia was also a risk factor associated with preterm deliveries (OR = 6.14, 95% CI 3.74; 10.09 and low birth-weight babies (OR = 3.40, 95% CI 1.83; 6.28.Conclusion: This study suggests that further research is needed to find the causes of higher rate of teenage pregnancies and an increase in

  4. The mortality of acutely ill medical patients for up to 60 days after admission to a resource poor hospital in sub-Saharan Africa compared with patients of similar illness severity admitted to a Danish Regional Teaching Hospital

    DEFF Research Database (Denmark)

    Nabayigga, Barbara; Kellett, John; Brabrand, Mikkel; Opio, Martin Otyek

    2016-01-01

    60days mortality of 195 Ugandan and 588 Danish acutely ill medical patients that had a NEWS >6 at the time of their admission to the hospital. The association of vital sign changes, alertness and mobility at admission on subsequent outcome was explored. RESULTS: More Kitovu (34.4%) than Danish...... patients (22.1%) died within 60days of admission (OR 1.85, 95% CI 1.27-2.71, p 0.001). However, the survival of non-comatose patients admitted without severely deranged vital signs or who were able to stand without help was identical in both cohorts (Chi square 0.32, p 0.57): these patients made up 50% of...... huge selection and treatment bias found no survival difference at 60days after admission to resource rich and resource poor hospitals for patients without severely deranged vital signs or who were able to stand without help....

  5. A comparative analysis of two cross-sectional surveys of healthcare workers' hand hygiene knowledge, intentions, access and product preferences between two university hospitals, one in Norway and one in Canada

    OpenAIRE

    Mediå, Anne Kristine

    2008-01-01

    Objective: Vancouver General Hospital (VGH) and The University Hospital of Northern Norway in Tromsø (UNN-Tromsø) were compared for self-reported differences in level of knowledge and intentions to comply with the hand hygiene guidelines. Hand hygiene products were also assessed for preference of use, access, gentleness and promotion of hand hygiene compliance. Methods: A cross-sectional quality assurance staff survey was made available at UNN- Tromsø and at VGH in both print and in electr...

  6. Interpersonal behaviour in relation to burnout.

    Science.gov (United States)

    Geuens, Nina; Leemans, Annemie; Bogaerts, Annick; Van Bogaert, Peter; Franck, Erik

    2015-12-01

    Organisational and work-related challenges faced by midwives make them vulnerable to burnout, but individual factors, such as interpersonal behaviour, can also contribute. A study in eight hospitals in the Dutch-speaking part of Belgium investigated the prevalence of burnout among Flemish midwives, assessed their interpersonal behaviour, and explored the relationship between interpersonal behaviour, burnout, job satisfaction and intention to leave. This article describes the study and reports the findings. PMID:26602486

  7. IT adoption of clinical information systems in Austrian and German hospitals: results of a comparative survey with a focus on nursing

    Directory of Open Access Journals (Sweden)

    Schaubmayr Christine

    2010-02-01

    Full Text Available Abstract Background IT adoption is a process that is influenced by different external and internal factors. This study aimed 1. to identify similarities and differences in the prevalence of medical and nursing IT systems in Austrian and German hospitals, and 2. to match these findings with characteristics of the two countries, in particular their healthcare system, and with features of the hospitals. Methods In 2007, all acute care hospitals in both countries received questionnaires with identical questions. 12.4% in Germany and 34.6% in Austria responded. Results The surveys revealed a consistent higher usage of nearly all clinical IT systems, especially nursing systems, but also PACS and electronic archiving systems, in Austrian than in German hospitals. These findings correspond with a significantly wider use of standardised nursing terminologies and a higher number of PC workstations on the wards (average 2.1 PCs in Germany, 3.2 PCs in Austria. Despite these differences, Austrian and German hospitals both reported a similar IT budget of 2.6% in Austria and 2.0% in Germany (median. Conclusions Despite the many similarities of the Austrian and German healthcare system there are distinct differences which may have led to a wider use of IT systems in Austrian hospitals. In nursing, the specific legal requirement to document nursing diagnoses in Austria may have stimulated the use of standardised terminologies for nursing diagnoses and the implementation of electronic nursing documentation systems. Other factors which correspond with the wider use of clinical IT systems in Austria are: good infrastructure of medical-technical devices, rigorous organisational changes which had led to leaner processes and to a lower length of stay, and finally a more IT friendly climate. As country size is the most pronounced difference between Germany and Austria it could be that smaller countries, such as Austria, are more ready to translate innovation into

  8. Prevalence of common canine digestive problems compared with other health problems in teaching veterinary hospital, Faculty of Veterinary Medicine, Cairo University, Egypt

    Directory of Open Access Journals (Sweden)

    Gamal M. H. Rakha

    2015-03-01

    Full Text Available Aim: The present study was conducted to ascertain the prevalence of common digestive problems compared to other health problems among dogs that were admitted to the teaching veterinary hospital, faculty of veterinary medicine, Cairo University, Egypt during 1 year period from January to December 2013. Also, study the effect of age, sex, breeds, and season on the distribution of digestive problems in dogs. Materials and Methods: A total of 3864 dogs included 1488 apparently healthy (included 816 males and 672 females and 2376 diseased dogs (included 1542 males and 834 females were registered for age, sex, breed, and the main complaint from their owners. A complete history and detailed clinical examination of each case were applied to the aids of radiographic, ultrasonographic, and endoscopic examination tools. Fecal examination was applied for each admitted case. Rapid tests for parvovirus and canine distemper virus detection were also performed. Results: A five digestive problems were commonly recorded including vomiting, diarrhea, concurrent vomiting with diarrhea, anorexia, and constipation with a prevalence (% of 13.6, 19.1, 10.1, 13.1, and 0.5 respectively while that of dermatological, respiratory, urinary, neurological, cardiovascular, auditory, and ocular problems was 27.9, 10.5, 3.3, 0.84, 0.4, 0.25, and 0.17 (% respectively. This prevalence was obtained on the basis of the diseased cases. Age and breed had a significant effect on the distribution of digestive problems in dogs (p0.05 on the distribution of such problems. Conclusion: Digestive problems were the highest recorded problems among dogs, and this was the first records for such problems among dogs in Egypt. Age, gender, and breeds had a significant effect on the distribution of the digestive problems in dogs while season had a non-significant effect on the distribution of such problems. The present data enable veterinarians in Egypt to ascertain their needs for diagnostic tools

  9. Argentinean collaborative multicenter study on the in vitro comparative activity of piperacillin-tazobactam against selected bacterial isolates recovered from hospitalized patients.

    Science.gov (United States)

    Casellas, José María; Tomé, Gabriella; Bantar, Carlos; Bertolini, Pamela; Blázquez, Néstor; Borda, Noemí; Couto, Elsa; Cudmani, Norma; Guerrera, Josefina; Juárez, María Josefina; López, Teresa; Littvik, Ana; Méndez, Emilce; Notario, Rodolfo; Ponce, Graciela; Quinteros, Mirta; Salamone, Francisco; Sparo, Mónica; Sutich, Emma; Vaylet, Susana; Wolff, Lidia

    2003-11-01

    The in vitro activity of piperacillin-tazobactam and several antibacterial drugs commonly used in Argentinean hospitals for the treatment of severe infections was determined against selected but consecutively isolated strains from clinical specimens recovered from hospitalized patients at 17 different hospitals from 9 Argentinean cities from different geographic areas during the period November 2001-March 2002. Out of 418 Enterobacteriaceae included in the Study 84% were susceptible to piperacillin-tazobactam. ESBLs putative producers were isolated at an extremely high rate since among those isolates obtained from patients with hospital acquired infections 56% of Klebsiella pneumoniae, 32% of Proteus mirabilis and 25% Escherichia coli were phenotypically considered as ESBLs producers Notably P.mirabilis is not considered by for screening for ESBL producers. ESBLs producers were 100% susceptible to imipenem and 70% were susceptible to piperacillin-tazobactam whereas more than 50% were resistant to levofloxacin. The isolates considered as amp C beta lactamase putative producers showed 99% susceptibility to carbapenems while 26.7% were resistant to piperacillin-tazobactam and 38.4% to levofloxacin. Noteworthy only 4% of the Enterobacteriaceae isolates were resistant to amikacin. Piperacillin-tazobactam was the most active agent against Pseudomonas aeruginosa isolates (MIC(90): 128 microg/ml; 78% susceptibility) but showed poor activity against Acinetobacter spp (MIC(90):>256 microg/ml; 21.7% susceptibility). Only 41.7% Acinetobacter spp isolates were susceptible to ampicillin-sulbactam. Piperacillin-tazobactam inhibited 100% of Haemophilus influenzae isolates (MIC(90) ceftriaxone susceptible whereas piperacillin-tazobactam was very active (MIC(90) 4 microg/ml).Piperacillin-tazobactam is therefore a very interesting antibacterial drug to be used, preferably in combination (IE: amikacin-vancomycin) for the empiric treatment of severe infections occurring in hospitalized

  10. comparative study of the electrochemical behaviour of iron in alkaline media containing red mud and grey slurries. the effect of Al3+

    International Nuclear Information System (INIS)

    Red mud (RM) is the main by-product of the Bayer process for alumina extraction from bauxite, and grey slurries (GS) are generated during the granite rocks transformation processes. the huge volume of those wastes generated every year suppose a serious environmental problem. Recent works by our group demonstrate the efficiency of both types of muds as corrosion inhibitors for iron and steel in alkaline media containing chlorides. The elemental analysis of these slurried shows that Al3+ is the main common element. Therefore, the aim of this paper is to study the effect of the soluble Al3+ in the electrochemical behaviour of iron in alkaline media, in presence and absence of chlorides. The electrochemical study using Cyclic Voltammetry (CV) and Electrochemical Impedance Spectroscopy (EIS) together with surface analysis techniques allowed to conclude that Al3+ blocks the surface of steel in alkaline media chloride increasing the steel resistance to chlorides attack. (Author) 15 refs

  11. A COMPARATIVE STUDY OF SELF-ACTUALIZATION AMONG DEGREE COLLEGE TEACHERS IN TERMS OF ORGANIZATION COMMITMENT, WORK VALUES AND LEADERSHIP BEHAVIOUR

    Directory of Open Access Journals (Sweden)

    Vikram P. Hiremath

    2015-08-01

    Full Text Available Organizational Commitment emerged as one of the most important variable in the areas of management and organizational behaviour. This is because of the growing evidence that there is a relationship between certain independent variables and commitment and certain outcome variables. The definitions given by various, researchers view organizational commitment as an attitudinal phenomenon and it is the loyalty that the employees show towards the organization to attain the goal and vision of the company and to remain in the organization. Several empirical studies reveal that there is a strong relationship between the demographic variables and organizational commitment, such as age, sex, pay and job tenure. The research also shows that the work rewards, values, motivation, culture, organizational climate, etc., are the main determinants of organizational commitment. Further, research evidence show that the turnover, absenteeism, job satisfaction, job involvement, job tension, job role, autonomy, personality factors, worker characteristics and role conflict are related to organizational commitment.

  12. Retrospective comparative study of the male anterior urethral stricture by transurethral ultrasound, urethracystography and surgical results in the Hospital Mexico from 2002 to 2008

    International Nuclear Information System (INIS)

    A retrospective study of the period 2002-2008 has been correlated in the Hospital Mexico, to perform the surgical findings, to evaluate the sensitivity and specificity between transurethral ultrasound and the urethracystography in patients with anterior urethral stricture. 197 patient records were reviewed. Urethracystography has presented a sensitivity of 92.5% for the diagnosis of stricture and Transurethral ultrasound a sensitivity of 100% and a specificity of 98.4%. The most frequent site of stricture has been the bulbar urethra.

  13. Mild therapeutic hypothermia shortens intensive care unit stay of survivors after out-of-hospital cardiac arrest compared to historical controls

    OpenAIRE

    Storm, Christian; Steffen, Ingo; Schefold, Joerg C.; Krueger, Anne; Oppert, Michael; Jörres, Achim; Hasper, Dietrich

    2008-01-01

    Introduction Persistent coma is a common finding after cardiac arrest and has profound ethical and economic implications. Evidence suggests that therapeutic hypothermia improves neurological outcome in these patients. In this analysis, we investigate whether therapeutic hypothermia influences the length of intensive care unit (ICU) stay and ventilator time in patients surviving out-of-hospital cardiac arrest. Methods A prospective observational study with historical controls was conducted at ...

  14. Behaviour Trees for Evolutionary Robotics

    OpenAIRE

    Scheper, Kirk Y. W.; Tijmons, Sjoerd; de Visser, Coen C.; de Croon, Guido C. H. E.

    2014-01-01

    Evolutionary Robotics allows robots with limited sensors and processing to tackle complex tasks by means of sensory-motor coordination. In this paper we show the first application of the Behaviour Tree framework to a real robotic platform using the Evolutionary Robotics methodology. This framework is used to improve the intelligibility of the emergent robotic behaviour as compared to the traditional Neural Network formulation. As a result, the behaviour is easier to comprehend and manually ad...

  15. Comparación del estado nutricional, consumo alimenticio y tiempo de hospitalización de pacientes de dos hospitales, uno público y otro privado Comparative analysis of nutritional status, food intake and lenght of hospitalization considering two hospitals: public versus private

    Directory of Open Access Journals (Sweden)

    AV. A. Leandro-Merhi

    2006-02-01

    Full Text Available INTRODUCCIÓN: Conocer el estado nutricional de pacientes hospitalizados es importante para la prevención de la desnutrición hospitalaria y para la planificación de las intervenciones nutricionales. OBJETIVO: Analizarsar comparativamente el estado nutricional, el consumo energético, el proteico y el tiempo de hospitalización internación de pacientes ingresados en plantas enfermerias de un hospital público y uno privado, que atiendan a personas con diferentes perfiles sócio económicos. CASUÍSTICA Y MÉTODOS: Este estudio ha sido del tipo prospectivo con la muestra obtenida entre pacientes de dos hospitales, uno público (HPU y uno privado (HPR, que presentan respectivamente la población más pobre y la de mejor condición socioeconómica. Han sido considerados para el análisis, 51 pacientes del HPU con una edad mediana de 53,9 ± 15,6 años y 51 del HPR con 55,0 ± 13,9 años, dispuestos en parejas y agrupados de acuerdo con las sieguientes enfermedades: neoplasias (n = 25, enfermedades de aparato digestivotório (n = 11 y otras (n = 15. Para el análisis estadístico, ha sido aplicado el test T-Student para comparaciones entre las variaciones del HPU y HPR, con p INTRODUCTION: To assess the nutritional status of hospitalized patients is important for the prevention of hospital malnutrition and planning of nutritional intervention. OBJECTIVE: To comparatively analyze the nutritional status of patients admitted to two hospitals, one public and another private, caring for populations with different socioeconomic profiles. CASE STUDY AND METHODS: This was a prospective study and samples were collected from patients of two hospitals, one public (PUH and another private (PRH, which respectively represent the underprivileged and the more affluent populations. The analysis considered 51 patients from the PUH, aged between 53.9 ± 15.6 years and 51 from the PRH, aged between 55.0 ± 13.9 years, paired and grouped according to the following

  16. Evaluation of a hospital-based day-structuring exercise programme on exacerbated behavioural and psychological symptoms in dementia - the exercise carrousel: study protocol for a randomised controlled trial

    OpenAIRE

    Fleiner, Tim; Zijlstra, Wiebren; Dauth, Hannah; Haussermann, Peter

    2015-01-01

    Background Conceptual reviews and observational studies describe a link between physical inactivity and behavioural disturbances in people with dementia. Consequently, treatment of these symptoms requires physical activation and pharmacological or physical immobilization should be avoided. The few trials that have been conducted in inpatient dementia care to investigate the effects of exercise on behavioural and psychological symptoms revealed inconsistent results. Due to a lack of evidence, ...

  17. Service Robots for Hospitals

    DEFF Research Database (Denmark)

    Özkil, Ali Gürcan

    services to maintain the quality of healthcare provided. This thesis and the Industrial PhD project aim to address logistics, which is the most resource demanding service in a hospital. The scale of the transportation tasks is huge and the material flow in a hospital is comparable to that of a factory. We...... believe that these transportation tasks, to a great extent, can be and will be automated using mobile robots. This thesis consequently addresses the key technical issues of implementing service robots in hospitals. In simple terms, a robotic system for automating hospital logistics has to be reliable......, adaptable and scalable. Robots have to be semi-autonomous, and should reliably navigate in large and dynamic environments in the hospital. The complexity of the problem has to be manageable, and the solutions have to be flexible, so that the system can be applicable in real world settings. This thesis...

  18. Analysis of Niche Hospitals in Texas and the Financial Impact on General Hospitals

    OpenAIRE

    Deborah Chollet; Su Liu; Gilbert Gimm; Cheryl Fahlman; Laurie Felland; Anneliese Gerland; Michelle Banker; Allison Liebhaber

    2006-01-01

    In Texas, as in other states, the proliferation of niche hospitals has raised concern about the potential financial impact of these hospitals on full-service general hospitals. This report compares the financial status of physician-owned niche hospitals and general hospitals in Texas, analyzes the impact of niche hospitals on general hospital financial margins and levels of uncompensated care, analyzes potential bias in physician-owners' referral patterns, investigates stakeholders' perceptio...

  19. Comparative study of survivor and nonsurvivor sepsis patients in a university hospital Estudo comparativo de pacientes sobreviventes e não sobreviventes com sepse em um hospital universitário

    Directory of Open Access Journals (Sweden)

    Aline Pâmela Vieira de Oliveira

    2008-02-01

    Full Text Available To determine parameters associated with the evolution of sepsis, a five-year retrospective study was conducted in a university hospital. One hundred and four consecutive sepsis patients were evaluated, of whom 55.8% were men. The mortality was 68.3% and was associated with older age (pPara determinar parâmetros associados à evolução da sepse, foi realizado estudo retrospectivo de 5 anos em um hospital universitário. Foram avaliados 104 pacientes consecutivos com sepse, sendo 55,8% homens. A mortalidade foi de 68,3%, associada à idade elevada (p<0,05. Doenças crônicas associadas e sítio de infecção não relacionados ao prognóstico. Identificação de bactérias gram-positivos foi mais frequente em sobreviventes (p<0,05 e não detecção do germe foi associada à mortalidade (p<0,01. O uso apropriado de antibióticos (germe sensível a pelo menos uma droga administrada foi associado à sobrevida (p<0,0001 enquanto uso inapropriado (p<0,05 ou empírico (p<0,01 foi mais freqüente em não sobreviventes. No diagnóstico, leucocitose foi a principal (54,8% alteração no leucograma. Na evolução, leucograma normal foi associado à sobrevida (p<0,01 e leucocitose à mortalidade (p<0,05. Em conclusão, a mortalidade foi associada à ausência de detecção do germe, leucocitose na evolução da sepse e uso inapropriado ou empírico de antibióticos. O tratamento baseado em evidências e direcionado para fatores de risco que podem ser modificados deve melhorar o prognóstico do paciente com sepse.

  20. A comparative study of artificial neural networks and neuro-fuzzy in continuous modeling of the daily and hourly behaviour of runoff

    Science.gov (United States)

    Aqil, Muhammad; Kita, Ichiro; Yano, Akira; Nishiyama, Soichi

    2007-04-01

    SummaryModeling of rainfall-runoff dynamics is one of the most studied topics in hydrology due to its essential application to water resources management. Recently, artificial intelligence has gained much popularity for calibrating the nonlinear relationships inherent in the rainfall-runoff process. In this study, the advantages of artificial neural networks and neuro-fuzzy system in continuous modeling of the daily and hourly behaviour of runoff were examined. Three different adaptive techniques were constructed and examined namely, Levenberg-Marquardt feed forward neural network, Bayesian regularization feed forward neural network, and neuro-fuzzy. In addition, the effects of data transformation on model performance were also investigated. This was done by examining the performance of the three network architectures and training algorithms using both raw and transformed data. Through inspection of the results it was found that although the model built on transformed data outperforms the model built on raw data, no significant differences were found between the forecast accuracies of the three examined models. A detailed comparison of the overall performance indicated that the neuro-fuzzy model performed better than both the Levenberg-Marquardt-FFNN and the Bayesian regularization-FFNN. In order to enable users to process the data easily, a graphic user interface (GUI) was developed. This program allows users to process the rainfall-runoff data, to train/test the model using various input options and to visualize results.

  1. Comparative study by infrared spectrometry of the behaviour of Y-H and Y-D groups. Valencies frequency and molecular association constants

    International Nuclear Information System (INIS)

    In the first part of the report a comparison is made of the relative lowering of the frequencies determined using homologous hydrogenated and deuterated vibrators dissolved in various solvents, with the gaseous state as reference. It is confirmed that one always has (Δν/νg)YH ≥ (Δν/νg)YD. Certain results suggest the existence of interactions between vibrational and electronic states, but the different behaviours of OH and OD molecules and of NH and deuterated-N compounds show that the phenomenon is complex. In the second part of the report a quantitative examination is made of about a hundred molecular associations which are formed in solution in an inert solvent by means of hydrogen or deuterium bridges. The proton and deuton donor auto-associations are studied first of all, the association constants KH are then determined for the proton donors with various acceptors, as are the KD/KH ratios obtained after partial substitution in these donors of the hydrogen by deuterium. The results show that it is necessary to distinguish thermo-dynamic effects (which can be calculated when all frequencies of the free dynamic and complexed molecules, are known) and chemical effects connected with the nature of the donors and acceptors; among these latter, the possible formation of 'ionic pairs' has without doubt a great influence on the direction of the isotopic effect. (author)

  2. Mortality associated with gastrointestinal bleeding events: Comparing short-term clinical outcomes of patients hospitalized for upper GI bleeding and acute myocardial infarction in a US managed care setting

    Directory of Open Access Journals (Sweden)

    C Mel Wilcox

    2009-03-01

    Full Text Available C Mel Wilcox1, Byron L Cryer2, Henry J Henk3, Victoria Zarotsky3, Gergana Zlateva41University of Alabama, Birmingham, AL, USA; 2University of Texas Southwestern Medical School, Dallas, TX; 3i3 Innovus, Eden Prairie, MN, USA; 4Pfizer, Inc., New York, NY, USA Objectives: To compare the short-term mortality rates of gastrointestinal (GI bleeding to those of acute myocardial infarction (AMI by estimating the 30-, 60-, and 90-day mortality among hospitalized patients.Methods: United States national health plan claims data (1999–2003 were used to identify patients hospitalized with a GI bleeding event. Patients were propensity-matched to AMI patients with no evidence of GI bleed from the same US health plan.Results: 12,437 upper GI-bleed patients and 22,847 AMI patients were identified. Propensity score matching yielded 6,923 matched pairs. Matched cohorts were found to have a similar Charlson Comorbidity Index score and to be similar on nearly all utilization and cost measures (excepting emergency room costs. A comparison of outcomes among the matched cohorts found that AMI patients had higher rates of 30-day mortality (4.35% vs 2.54%; p < 0.0001 and rehospitalization (2.56% vs 1.79%; p = 0.002, while GI bleed patients were more likely to have a repeat procedure (72.38% vs 44.95%; p < 0.001 following their initial hospitalization. The majority of the difference in overall 30-day mortality between GI bleed and AMI patients was accounted for by mortality during the initial hospitalization (1.91% vs 3.58%.Conclusions: GI bleeding events result in significant mortality similar to that of an AMI after adjusting for the initial hospitalization.Keywords: gastrointestinal, bleeding, mortality, acute myocardial infarction, claims analysis

  3. Hospital Hints

    Science.gov (United States)

    ... and your family. They can help find homecare, rehabilitation, social services, long-term care, and support groups. Inside the Hospital Hospitals have many patient-care areas. For example, the intensive care unit (also called the ICU) has special equipment and staff to care for ...

  4. Simulating behaviour change interventions based on the theory of planned behaviour: Impacts on intention and action.

    Science.gov (United States)

    Fife-Schaw, Chris; Sheeran, Paschal; Norman, Paul

    2007-03-01

    The theory of planned behaviour (TPB; Ajzen, 1991) has been used extensively to predict social and health behaviours. However, a critical test of the TPB is whether interventions that increased scores on the theory's predictors would engender behaviour change. The present research deployed a novel technique in order to provide this test. Statistical simulations were conducted on data for 30 behaviours (N=211) that estimated the impact of interventions that generated maximum positive changes in attitudes, subjective norms and perceived behavioural control (PBC) on subsequent intentions and behaviour. Findings indicated that interventions that maximized TPB variables had a substantial impact on behavioural intentions. Although TPB maximization increased the proportion of the sample that performed respective behaviours by 28% compared with baseline, the behaviour of a substantial minority of the sample (26%) did not change. The research also identified several interactions among TPB variables in predicting simulated intention and behaviour scores and investigated the mediating role of intentions in predicting behaviour. PMID:17355718

  5. Electrochemical behaviour of Ni-BZO and Ni-BZY cermet anodes for Protonic Ceramic Fuel Cells (PCFCs) – A comparative study

    International Nuclear Information System (INIS)

    Highlights: • Cermet anodes Ni-BaZrO3 (Ni-BZO) & Ni-BaZr0.85Y0.15O3-δ (Ni-BZY) were synthesised • Resultant microstructure of both cermet anodes shown to be similar • Minimum Rp in Ni-BZY in 10%H2/N2 with matrix phase of higher proton conductivity. • Strong links shown between R2 and proton conduction in cermet matrix phase. • Magnitude of R3 lower for Ni-BZO than for Ni-BZY under similar conditions. - Abstract: The matrix phase of protonic ceramic fuel cell (PCFC) cermet anodes potentially plays a vital role in hydrogen oxidation kinetics. The present work aims to investigate such involvement by selecting ceramic-oxide matrices with widely dissimilar levels of proton conduction. The materials chosen were that of the proton conducting phase BaZr0.85Y0.15O3-δ and the nominal composition BaZrO3 of negligible proton conduction. Cermet anodes Ni-BaZrO3 and Ni-BaZr0.85Y0.15O3-δ were synthesized by the acetate-H2O2 combustion method for Ni contents of 40 vol%. The microstructure and electrochemical performance of the cermet anodes were investigated by scanning electron microscopy (SEM) and electrochemical impedance measurements (EIS) respectively. The polarisation behaviour of the two nickel cermet anodes was studied as a function of temperature, hydrogen partial pressure (pH2) and water vapor partial pressure (pH2O). The results confirm that polarisation resistance is highly sensitive to the composition of the ceramic phase of the cermet anode and that the higher frequency electrode response exhibits strong links to levels of proton transport in the ceramic-oxide matrix

  6. Cost characteristics of hospitals.

    Science.gov (United States)

    Smet, Mike

    2002-09-01

    Modern hospitals are complex multi-product organisations. The analysis of a hospital's production and/or cost structure should therefore use the appropriate techniques. Flexible functional forms based on the neo-classical theory of the firm seem to be most suitable. Using neo-classical cost functions implicitly assumes minimisation of (variable) costs given that input prices and outputs are exogenous. Local and global properties of flexible functional forms and short-run versus long-run equilibrium are further issues that require thorough investigation. In order to put the results based on econometric estimations of cost functions in the right perspective, it is important to keep these considerations in mind when using flexible functional forms. The more recent studies seem to agree that hospitals generally do not operate in their long-run equilibrium (they tend to over-invest in capital (capacity and equipment)) and that it is therefore appropriate to estimate a short-run variable cost function. However, few studies explicitly take into account the implicit assumptions and restrictions embedded in the models they use. An alternative method to explain differences in costs uses management accounting techniques to identify the cost drivers of overhead costs. Related issues such as cost-shifting and cost-adjusting behaviour of hospitals and the influence of market structure on competition, prices and costs are also discussed shortly. PMID:12220092

  7. Habit versus planned behaviour: a field experiment.

    Science.gov (United States)

    Verplanken, B; Aarts, H; van Knippenberg, A; Moonen, A

    1998-03-01

    A field experiment investigated the prediction and change in repeated behaviour in the domain of travel mode choices. Car use during seven days was predicted from habit strength (measured by self-reported frequency of past behaviour, as well as by a more covert measure based on personal scripts incorporating the behaviour), and antecedents of behaviour as conceptualized in the theory of planned behaviour (attitude, subjective norm, perceived behavioural control and behavioural intention). Both habit measures predicted behaviour in addition to intention and perceived control. Significant habit x intention interactions indicated that intentions were only significantly related to behaviour when habit was weak, whereas no intention-behaviour relation existed when habit was strong. During the seven-day registration of behaviour, half of the respondents were asked to think about the circumstances under which the behaviour was executed. Compared to control participants, the behaviour of experimental participants was more strongly related to their previously expressed intentions. However, the habit-behaviour relation was unaffected. The results demonstrate that, although external incentives may increase the enactment of intentions, habits set boundary conditions for the applicability of the theory of planned behaviour. PMID:9554090

  8. Hospital fundamentals.

    Science.gov (United States)

    Althausen, Peter L; Hill, Austin D; Mead, Lisa

    2014-07-01

    Under the current system, orthopaedic trauma surgeons must work in some form of hospital setting as our primary service involves treatment of the trauma patient. We must not forget that just as a trauma center cannot exist without our services, we cannot function without their support. As a result, a clear understanding of the balance between physicians and hospitals is paramount. Historical perspective enables physicians and hospital personnel alike to understand the evolution of hospital-physician relationship. This process should be understood upon completion of this chapter. The relationship between physicians and hospitals is becoming increasingly complex and multiple forms of integration exist such as joint ventures, gain sharing, and co-management agreements. For the surgeon to negotiate well, an understanding of hospital governance and the role of the orthopaedic traumatologist is vital to success. An understanding of the value provided by the traumatologist includes all aspects of care including efficiency, availability, cost effectiveness, and research activities. To create effective and sustainable healthcare institutions, physicians and hospitals must be aligned over a sustained period of time. Unfortunately, external forces have eroded the historical basis for the working relationship between physicians and hospitals. Increased competition and reimbursement cuts, coupled with the increasing demands for quality, efficiency, and coordination and the payment changes outlined in healthcare reform, have left many organizations wondering how to best rebuild the relationship. The principal goal for the physician when partnering with a hospital or healthcare entity is to establish a sustainable model of service line management that protects or advances the physician's ability to make impactful improvements in quality of patient care, decreases in healthcare costs, and improvements in process efficiency through evidence-based practices and protocols. PMID

  9. Video interpretations in Danish hospitals

    DEFF Research Database (Denmark)

    Søbjerg, Lene Mosegaard; Noesgaard, Susanne; Henriksen, Jan Erik;

    2013-01-01

    This article presents a study of an RCT comparing video interpretation with in-person interpretation at the Endocrinology Ward at Odense University Hospital.......This article presents a study of an RCT comparing video interpretation with in-person interpretation at the Endocrinology Ward at Odense University Hospital....

  10. Hospital Inspections

    Data.gov (United States)

    U.S. Department of Health & Human Services — Welcome to hospitalinspections.org, a website run by the Association of Health Care Journalists (AHCJ) that aims to make federal hospital inspection reports easier...

  11. Neck-specific training with a cognitive behavioural approach compared with prescribed physical activity in patients with cervical radiculopathy : a protocol of a prospective randomised clinical trial

    OpenAIRE

    Dedering, Åsa; Halvorsen, Marie; Cleland, Joshua; Svensson, Mikael; Peolsson, Anneli

    2014-01-01

    Background Patients with cervical radiculopathy often have neck- and arm pain, neurological changes, activity limitations and difficulties in returning to work. Most patients are not candidates for surgery but are often treated with different conservative approaches and may be sick-listed for long periods. The purpose of the current study is to compare the effectiveness of neck-specific training versus prescribed physical activity. Methods/Design The current protocol is a two armed interventi...

  12. Early ant trajectories: spatial behaviour before behaviourism.

    Science.gov (United States)

    Wehner, Rüdiger

    2016-04-01

    In the beginning of the twentieth century, when Jacques Loeb's and John Watson's mechanistic view of life started to dominate animal physiology and behavioural biology, several scientists with different academic backgrounds got engaged in studying the wayfinding behaviour of ants. Largely unaffected by the scientific spirit of the time, they worked independently of each other in different countries: in Algeria, Tunisia, Spain, Switzerland and the United States of America. In the current literature on spatial cognition these early ant researchers-Victor Cornetz, Felix Santschi, Charles Turner and Rudolf Brun-are barely mentioned. Moreover, it is virtually unknown that the great neuroanatomist Santiago Ramón y Cajal had also worked on spatial orientation in ants. This general neglect is certainly due to the fact that nearly all these ant researchers were scientific loners, who did their idiosyncratic investigations outside the realm of comparative physiology, neurobiology and the behavioural sciences of the time, and published their results in French, German, and Spanish at rather inaccessible places. Even though one might argue that much of their work resulted in mainly anecdotal evidence, the conceptual approaches of these early ant researchers preempt much of the present-day discussions on spatial representation in animals. PMID:26898725

  13. The prediction of the in-hospital mortality of acutely ill medical patients by electrocardiogram (ECG) dispersion mapping compared with established risk factors and predictive scores--a pilot study.

    LENUS (Irish Health Repository)

    Kellett, John

    2011-08-01

    ECG dispersion mapping (ECG-DM) is a novel technique that analyzes low amplitude ECG oscillations and reports them as the myocardial micro-alternation index (MMI). This study compared the ability of ECG-DM to predict in-hospital mortality with traditional risk factors such as age, vital signs and co-morbid diagnoses, as well as three predictive scores: the Simple Clinical Score (SCS)--based on clinical and ECG findings, and two Medical Admission Risk System scores--one based on vital signs and laboratory data (MARS), and one only on laboratory data (LD).

  14. Evaluation of a Medical and Mental Health Unit compared with standard care for older people whose emergency admission to an acute general hospital is complicated by concurrent 'confusion': a controlled clinical trial. Acronym: TEAM: Trial of an Elderly Acute care Medical and mental health unit

    Directory of Open Access Journals (Sweden)

    Gladman John RF

    2011-05-01

    Full Text Available Abstract Background Patients with delirium and dementia admitted to general hospitals have poor outcomes, and their carers report poor experiences. We developed an acute geriatric medical ward into a specialist Medical and Mental Health Unit over an eighteen month period. Additional specialist mental health staff were employed, other staff were trained in the 'person-centred' dementia care approach, a programme of meaningful activity was devised, the environment adapted to the needs of people with cognitive impairment, and attention given to communication with family carers. We hypothesise that patients managed on this ward will have better outcomes than those receiving standard care, and that such care will be cost-effective. Methods/design We will perform a controlled clinical trial comparing in-patient management on a specialist Medical and Mental Health Unit with standard care. Study participants are patients over the age of 65, admitted as an emergency to a single general hospital, and identified on the Acute Medical Admissions Unit as being 'confused'. Sample size is 300 per group. The evaluation design has been adapted to accommodate pressures on bed management and patient flows. If beds are available on the specialist Unit, the clinical service allocates patients at random between the Unit and standard care on general or geriatric medical wards. Once admitted, randomised patients and their carers are invited to take part in a follow up study, and baseline data are collected. Quality of care and patient experience are assessed in a non-participant observer study. Outcomes are ascertained at a follow up home visit 90 days after randomisation, by a researcher blind to allocation. The primary outcome is days spent at home (for those admitted from home, or days spent in the same care home (if admitted from a care home. Secondary outcomes include mortality, institutionalisation, resource use, and scaled outcome measures, including quality of

  15. COMPARATIVE STUDY OF SPECIFIC EBV ANTIBODIES BETWEEN CHILDREN MANIFEST CLASSIC TRIAD OF MONONUCLEOSIS WIT UNAFFECTED CHILDREN IN HAZRAT RASOOL AKRAM HOSPITAL (1998-2000

    Directory of Open Access Journals (Sweden)

    Samile Noorbakhsh

    2003-06-01

    Full Text Available Epstein barr virus (EBV is one of seven known herpes virus pathogenic for humans.Since it is ubiquitous, it infects nearly 95% of individuals worldwide by adulthood .EBV is the etiologic agent of infectious mononucleosis(IMand is implicated in burkitt lymphoma,nasopharyngeal carcinoma and x-linked lymphoproliferative syndrome.Diagnosis of IM based upon clinical manifesta¬tions in conjunction with hematologic evidence for lymphocytosis;and serologi¬cal changes such as heterophil antibody and or antibodies to EBV specific pro¬teins.The purpose of this study was to determine the frequency of acute and chronic infections by examining the levels of antibodies against viral capsid ( VCA-IgG and VCA-IgM and Epstein Barr nuclear antibody (EBNA-IgG in the serum of children with IM syndrome (patient group and the serum of unaffected children (control group. This longitudinal case-control study was performed on thirty one children between 1 to 14 years old who were admitted to the pediatric ward of Rasool Akram hospital; based on diagnostic parameters for IM within two years( 1998-2000. Fortheen patients were eliminated due to other diagnosis .The average age of remaining 17 patients was 6.9+3.3, male/female ratio= 9/8.The results of this study showed a significant difference (p 0.038between the amount of EBNA-IgG but no significant difference in the amount of VCA-IgG,VCA-IgM between case and control groups. .There is no difference between case and con¬trol groups in negative values for VCA- IgM ,VCA -IgG and EBNA-IgG.

  16. Medulloblastoma in childhood-King Edward Memorial hospital surgical experience and review: Comparative analysis of the case series of 365 patients

    Directory of Open Access Journals (Sweden)

    Dattatraya Muzumdar

    2011-01-01

    Full Text Available Aim: Medulloblastoma is one of the most common posterior fossa tumors in childhood. The treatment-related side effects as well as predictive outcome still remain as a major challenge. The improved understanding of the disease and advances in molecular biology is changing the treatment paradigms from Chang′s staging system to molecular risk stratification. However, surgery still remains as an important mainstay of therapy and is formidable. The role of radical surgery has always been a crucial factor in the outcome of these patients, the best survival being reported in patients who had total excision of the tumor and with no metastasis. Patient and Methods: An analysis of 365 patients (age<18 years of medulloblastoma who underwent treatment at the Seth G.S. Medical College and King Edward VII Memorial hospital (KEM, Mumbai over a 25- year period (1985-2000 and 2001-2010 is presented. The clinical profile, radiological features, pathology and surgical nuances are discussed. Results: The most common age group affected was between 3 and 12 years. 75.3% presented with headaches, vomiting and 63.2% with papilledema. Sitting position was used in majority of cases. A total of 8 patients underwent shunting; all of them were in the postoperative period (5.19%. 92.2% (142 cases had classical medulloblastoma, 5.1% (8 cases had desmoplastic variant, 1.9% (3 cases had anaplastic changes and 0.6% (1 case had glial differentiation. The 5-year and 10-year progression free survival rate was 73 and 41% for average risk disease while for high risk disease rate it was 34%. The mortality rate was 2%. The quality of life was enhanced in patients who survived 5-10 years after treatment. Conclusion: Surgery for medulloblastoma is formidable. The option of sitting position for medulloblastoma surgery is still viable. A vigilant neuroanesthesiologist and a safe surgery are necessary to achieve a good postoperative result. Radiological characteristics are helpful

  17. A Comparative Study of Financial Data Sources for Critical Access Hospitals: Audited Financial Statements, the Medicare Cost Report, and the Internal Revenue Service Form 990

    Science.gov (United States)

    Ozmeral, Alisha Bhadelia; Reiter, Kristin L.; Holmes, George M.; Pink, George H.

    2012-01-01

    Purpose: Medicare Cost Reports (MCR), Internal Revenue Service Form 990s (IRS 990), and Audited Financial Statements (AFS) vary in their content, detail, purpose, timeliness, and certification. The purpose of this study was to compare selected financial data elements and characterize the extent of differences in financial data and ratios across…

  18. Oxytocin versus methyl ergometrine in the management of third stage of labor: a comparative study from a South Indian tertiary care hospital

    Directory of Open Access Journals (Sweden)

    Deepa Rajendran

    2016-05-01

    Conclusions: Intramuscular oxytocin is equally effective but has a better safety profile compared to methyl ergometrine and hence is a more preferable prophylactic uterotonic management of the third stage of labor. [Int J Reprod Contracept Obstet Gynecol 2016; 5(5.000: 1327-1330

  19. Retrospective Cohort Study Comparing Neonatal Outcomes of Women Treated with Glyburide or Insulin in Gestational Diabetes: A 5-Year Experience in a South Indian Teaching Hospital

    Directory of Open Access Journals (Sweden)

    Jiji Elizabeth Mathews

    2011-01-01

    Full Text Available Objective: To assess the effectiveness of glyburide in preventing complications of gestational diabetes in neonates as compared to insulin. Materials and Methods: Information from birth register, maternal and neonatal records were obtained. Five hundred and seventy-seven gestational diabetics with moderate hyperglycemia i.e., with highest fasting plasma glucose value of ≤130 mg/dl and/or highest post-prandial value of ≤250 mg/dl treated with insulin or glyburide were included from a cohort of 769 women needing additional therapy to initial diet therapy during a 5-year period. Thus neonatal outcomes of 303 women treated with insulin and 274 women treated with glyburide were compared. Results: Baseline plasma glucose levels in the group treated with insulin were higher. The mean birth weight (SD of the neonates in women treated with insulin was 3021.3 g (604.19 as compared to 3104.6 g (499.35, P = 0.07 in the group treated with glyburide. Neonatal outcomes such as hypoglycemia (4.9%, 3.6%, P = 0.44, hypocalcemia (1.3%, 0.7%, P = 0.48, polycythemia (1.7%, 0.7%, P = 0.31, macrosomia (11.6%, 8.7%, P = 0.26, congenital anomalies (2.1%, 2.3%, P = 0.87, birth trauma (1.4%, 1.2%, P = 0.79 were similar in both groups. Neonates of women treated with insulin were more likely to have hyperbilirubinemia (11.5%, 6.5%, P = 0.03. Conclusion: Neonatal outcomes of women treated with glyburide were comparable to those in women treated with insulin. More number of neonates of mothers treated with insulin had hyperbilirubinemia compared to neonates of mothers treated with glyburide (11.5%, 6.5% P = 0.03.

  20. Visual Analysis of Behaviour

    CERN Document Server

    Gong, Shaogang

    2011-01-01

    This book presents a comprehensive treatment of visual analysis of behaviour from computational-modelling and algorithm-design perspectives. This title: covers learning-group activity models, unsupervised behaviour profiling, hierarchical behaviour discovery, learning behavioural context, modelling rare behaviours, and 'man-in-the-loop' active learning; examines multi-camera behaviour correlation, person re-identification, and 'connecting-the-dots' for abnormal behaviour detection; discusses Bayesian information criterion, Bayesian networks, 'bag-of-words' representation, canonical correlation

  1. A comparative study on patient safety with reference to methods of detection of adverse events in a tertiary care hospital in North India

    OpenAIRE

    Moonis Mirza; Farooq A. Jan; Fayaz Ahmad Sofi; Rauf Ahmad Wani

    2016-01-01

    Background: Considerable investments have been made to devise methods to detect actual and potential adverse events in health care in order to address risk and improve patient safety. Objective of the study was to compare the methods of detection of number of adverse events taking place in admitted patients. Method: A prospective study for a period of one year. Three adverse events detection modules were studied, i.e. current record review, Incident reporting and cases discussed in Mortal...

  2. A comparative study on pharmacist job satisfaction in the private and public hospitals of the North–West Province / by Marine Vorster

    OpenAIRE

    Vorster, Martine

    2010-01-01

    Pharmacists experience high levels of stress at work, especially from factors intrinsic to their jobs and management roles. In South Africa, the public sector is confronted with situational difficulties such as a shortage of staff and poor working conditions Accordingly, a comparative survey was conducted using a self–constructed questionnaire to obtain individual responses from the pharmacists in the public, as well as the private sector. The focus population was the pharmacis...

  3. Comparative analysis of primary repair vs resection and anastomosis, with laparostomy, in management of typhoid intestinal perforation: results of a rural hospital in northwestern Benin

    OpenAIRE

    Caronna, Roberto; Boukari, Alassan Kadiri; Zaongo, Dieudonnè; Hessou, Thierry; Gayito, Rènè Castro; Ahononga, Cesar; Adeniran, Sosten; Priuli, Giambattista

    2013-01-01

    Background The objective is to compare primary repair vs intestinal resection in cases of intestinal typhoid perforations. In addition, we hypothesised the usefulness of laparostomy for the early diagnosis and treatment of complications. Methods 111 patients with acute peritonitis underwent emergency laparotomy: number of perforations, distance of perforations from the ileocaecal valve, and type of surgery performed were recorded. A laparostomy was then created and explored every 48 to 72 hou...

  4. A comparative hospital-based observational study of mono- and co-infections of malaria, dengue virus and scrub typhus causing acute undifferentiated fever.

    Science.gov (United States)

    Ahmad, S; Dhar, M; Mittal, G; Bhat, N K; Shirazi, N; Kalra, V; Sati, H C; Gupta, V

    2016-04-01

    Positive serology for dengue and/or scrub typhus infection with/without positive malarial smear (designated as mixed or co-infection) is being increasingly observed during epidemics of acute undifferentiated febrile illnesses (AUFIs). We planned to study the clinical and biochemical spectrum of co-infections with Plasmodium sp., dengue virus and scrub typhus and compare these with mono-infection by the same organisms. During the period from December 2012 to December 2013, all cases presenting with AUFIs to a single medical unit of a referral centre in Garhwal region of the north Indian state of Uttarakhand were retrospectively selected and categorised aetiologically as co-infections, malaria, dengue or scrub typhus. The groups thus created were compared in terms of demographic, clinical, biochemical and outcome parameters. The co-infection group (n = 49) was associated with milder clinical manifestations, fewer, milder and non-progressive organ dysfunction, and lesser need for intensive care, mechanical ventilation and dialysis as compared to mono-infections. When co-infections were sub-grouped and compared with the relevant mono-infections, there were differences in certain haematological and biochemical parameters; however, this difference did not translate into differential outcomes. Scrub typhus mono-infection was associated with severe disease in terms of both morbidity and mortality. Malaria, dengue and scrub typhus should be routinely tested in all patients with AUFIs. Co-infections, whether true or due to serological cross-reactivity, appear to be a separate entity so far as presentation and morbidity is concerned. Further insight is needed into the mechanism and identification of the protective infection. PMID:26851948

  5. Measurement of central corneal thickness by ultrasonic pachymeter and oculus pentacam in patients with well-controlled glaucoma: hospital-based comparative study

    OpenAIRE

    Rashid RF; Farhood QK

    2016-01-01

    Riyam Faihan Rashid, Qasim K Farhood Department of Ophthalmology, College of Medicine, University of Babylon, Babylon, Iraq Background: The measurement of central corneal thickness (CCT) plays an important role in the diagnosis and treatment of glaucoma and many corneal diseases.Objective of the study: To compare the measurement of CCT by ultrasonic pachymeter with that measured by oculus pentacam in both normal subjects and patients with well-controlled glaucoma.Patients and methods: In 17...

  6. Oxytocin versus methyl ergometrine in the management of third stage of labor: a comparative study from a South Indian tertiary care hospital

    OpenAIRE

    Deepa Rajendran; Mamatha Shivanagappa; Anjali Siddesh; Surakshith Gowda

    2016-01-01

    Background: Methyl ergometrine is the conventionally used oxytocic. A few studies have shown that oxytocin is also effective in with fewer adverse effects. This study was carried out to compare the efficacy of oxytocin and methergine in the management of third stage of labor. Methods: 100 pregnant women with gestational age more than 37 weeks were taken up. Excluded were those with polyhydramnios, fibroid complicating pregnancy, intrauterine hemorrhage, antepartum hemorrhage, previous hist...

  7. Comparative outcomes of manual small incision cataract surgery and phacoemulsification performed by ophthalmology trainees in a tertiary eye care hospital in India: a retrospective cohort design

    OpenAIRE

    Khanna, Rohit C; Kaza, Srivalli; Palamaner Subash Shantha, Ghanshyam; Virender S Sangwan

    2012-01-01

    Objective To compare the outcomes of manual small incision cataract surgery (MSICS) and phacoemulsification performed by ophthalmology trainees. Design Retrospective cohort design. Setting Tertiary eye care centre. Participants A total of 1029 subjects underwent cataract surgeries with MSICS technique or phacoemulsification by trainees during one quarter (July–September 2007). Only 484 (47%) subjects were males. Surgeries which were primarily large incision extracapsular or intracapsular cata...

  8. Academic Hospitality

    Science.gov (United States)

    Phipps, Alison; Barnett, Ronald

    2007-01-01

    Academic hospitality is a feature of academic life. It takes many forms. It takes material form in the hosting of academics giving papers. It takes epistemological form in the welcome of new ideas. It takes linguistic form in the translation of academic work into other languages, and it takes touristic form through the welcome and generosity with…

  9. Hospital Malnutrition

    OpenAIRE

    Asumadu-Sarkodie, Samuel

    2012-01-01

    Malnutrition seen in hospitals usually occurs as some form of protein-energy malnutrition (PEM). Primary PEM results from an acute or chronic deficiency of both protein and calories. Secondary PEM, or cachexia, results from a disease or medical condition such as cancer or gastrointestinal disease that alters requirements or impairs utilization of nutrients.

  10. Rate and time to develop first central line-associated bloodstream infections when comparing open and closed infusion containers in a Brazilian Hospital

    Directory of Open Access Journals (Sweden)

    Margarete Vilins

    2009-10-01

    Full Text Available The objective of the study was to determine the effect of switching from an open (glass or semi-rigid plastic infusion container to a closed, fully collapsible plastic infusion container (Viaflex® on rate and time to onset of central lineassociated bloodstream infections (CLABSI. An open-label, prospective cohort, active healthcare-associated infection surveillance, sequential study was conducted in three intensive care units in Brazil. The CLABSI rate using open infusion containers was compared to the rate using a closed infusion container. Probability of acquiring CLABSI was assessed over time and compared between open and closed infusion container periods; three-day intervals were examined. A total of 1125 adult ICU patients were enrolled. CLABSI rate was significantly higher during the open compared with the closed infusion container period (6.5 versus 3.2 CLABSI/1000 CL days; RR=0.49, 95%CI=0.26- 0.95, p=0.031. During the closed infusion container period, the probability of acquiring a CLABSI remained relatively constant along the time of central line use (0.8% Days 2-4 to 0.7% Days 11-13 but increased in the open infusion container period (1.5% Days 2-4 to 2.3% Days 11-13. Combined across all time intervals, the chance of a patient acquiring a CLABSI was significantly lower (55% in the closed infusion container period (Cox proportional hazard ratio 0.45, p= 0.019. CLABSIs can be reduced with the use of full barrier precautions, education, and performance feedback. Our results show that switching from an open to a closed infusion container may further reduce CLABSI rate as well as delay the onset of CLABSIs. Closed infusion containers significantly reduced CLABSI rate and the probability of acquiring CLABSI.

  11. A comparative study of the serum calcium level in normal pregnant and pre-eclamptic women attending Gauhati Medical College and Hospital.

    OpenAIRE

    Baruah, Karabi; Choudhury (Dutta), Biju; Borgohain, Manas Krishna; Choudhury, Nazlin Hyder

    2015-01-01

    Introduction: Pre-eclampsia is one of the major causes of maternal and foetal morbidity and mortality. Though several factors have been implicated, the exact aetiology is still unknown. Recent studies have implicated that low serum calcium level may have a role in pre-eclampsia.Aim and Objective: The objective of this study was to find out the relation between serum calcium level and pre-eclampsia by comparing the serum calcium levels in pre-eclampsia with that of normal pregnancy.Materials a...

  12. Hospitality and hostility in hospitals

    DEFF Research Database (Denmark)

    Jensen, Tina Blegind; Aanestad, Margunn

    2007-01-01

    The purpose of this paper is to discuss the adoption of healthcare information systems (HIS) from a user perspective. Our case study concerns how a group of orthopaedic surgeons experienced and reacted to the adoption and mandatory use of an Electronic Patient Record system in a Danish hospital. We...... propose to use the concepts of hospitality and hostility to turn our attention to the interaction between the host (the surgeons) and the guest (the information system) and consider how the boundaries between them evolved in the everyday work practices. As an alternative to previous studies on technology...

  13. Health-related quality of life of people living with HIV followed up in hospitals in France: comparing trends and correlates between 2003 and 2011 (ANRS-VESPA and VESPA2 national surveys).

    Science.gov (United States)

    Douab, Taoufiq; Marcellin, Fabienne; Vilotitch, Antoine; Protopopescu, Camelia; Préau, Marie; Suzan-Monti, Marie; Sagaon-Teyssier, Luis; Lert, France; Carrieri, Maria Patrizia; Dray-Spira, Rosemary; Spire, Bruno

    2014-01-01

    In recent years, France has witnessed both structural changes in the population of people living with HIV and a relative improvement in the social representation of HIV infection. However, potential changes in people's day-to-day experience with HIV have not been documented. We used data from the national surveys ANRS-VESPA (2003) and VESPA2 (2011) to compare the levels and patterns of correlates of health-related quality of life (HRQL) in adult HIV-infected patients followed up in French hospitals over a period of eight years. Mean physical and mental SF-12 scores were compared (VESPA, n = 2072; and VESPA2, n = 2267) using analysis of variance (ANOVA) F tests. Heckman regression models were then used to identify independent correlates of physical and mental quality of life in the two surveys, while accounting for possible bias due to missing score values. A common set of potential socio-demographic, clinical, behavioral, and psychosocial correlates was tested. Individuals reported a decrease in physical quality of life in VESPA2 compared with VESPA (mean score (standard error): 47.5 (0.2) versus 49.6 (0.2), p unemployment were independently associated with impaired physical quality of life. Immigrants from Sub-Saharan Africa reported better mental quality of life. Findings show that quality of life levels in adult HIV-infected patients followed up at hospital in France has significantly, yet modestly, changed in recent years. However, the pattern of quality of life correlates has remained relatively stable. The impact of patient-provider relationships on self-reported outcomes is confirmed. Further research is needed to identify potential differences in quality of life correlates in specific subgroups of patients, such as men who have sex with men, women, immigrants, and injecting drug users. PMID:24731158

  14. Comparative study of Smear Microscopy, Rapid Slide Culture, and Lowenstein - Jensen culture in cases of pulmonary tuberculosis in a tertiary care hospital

    Directory of Open Access Journals (Sweden)

    Ravish Kumar Muddaiah

    2013-01-01

    Full Text Available Background: Tuberculosis (TB, a dreadful disease known to mankind continues to be a problem in a developing country like India. The incidence of people getting infected with TB is on the rise due to compounding factors like coinfection with the human immunodefiency virus and multidrug-resistant strains. There is a definitive need for early diagnosis and treatment of TB to curb transmission of the infection. Direct smear microscopy, though cheap and rapid, lacks sensitivity. Isolation of Mycobacterium tuberculosis in culture requires a long time, because of which there is a need for a rapid method which has good sensitivity and specificity for the detection of M. tuberculosis. The present study was undertaken to determine the test which diagnoses TB rapidly and to compare the sensitivity of smear microscopy, concentration method, rapid slide culture, and Lowenstein - Jensen (LJ culture. Materials and Methods: Sputum samples of 200 patients were subjected to direct smear and concentration by modified Petroff′s method. The concentrated sputum was also taken for slide culture using human blood medium and inoculated on LJ media. Results: LJ culture was positive in 47 (23.5% cases, of which three were nontubercular mycobacteria. Using LJ culture as the standard method, the sensitivity of direct smear, concentration method, and rapid slide culture method was 68, 83, and 89%, respectively, and specificity was 100% in all the three tests. Conclusion: Rapid slide culture showed good sensitivity which was comparable to and next in efficacy to LJ culture and this technique can be adopted in the Revised National Tuberculosis Control Program (RNTCP as it is a rapid, cheap, sensitive, and specific method.

  15. Adverse birth outcome: a comparative analysis between cesarean section and vaginal delivery at Felegehiwot Referral Hospital, Northwest Ethiopia: a retrospective record review

    Directory of Open Access Journals (Sweden)

    Abebe Eyowas F

    2016-07-01

    Full Text Available Fantu Abebe Eyowas,1 Ashebir Kidane Negasi,1 Gizachew Eyassu Aynalem,1 Abebaw Gebeyehu Worku2 1International NGO, Strengthening Human Resource for Health, Bahir Dar, 2Institute of Public Health, University of Gondar, Gondar, Ethiopia Introduction: Some studies favor elective cesarean delivery, and other surveys benefit vaginal delivery, while others emphasize that the quality of care during labor, birth, and immediate postpartum period plays a great role than the route of delivery. However, little information is locally available regarding the incidences of adverse birth outcome with respect to the route of delivery. Methods: This study was a retrospective analysis of eligible patient records that included 3,003 pregnant women who had undergone either cesarean or vaginal delivery from July 1, 2012, to June 31, 2013. Pretested questionnaire was used to collect the data. The completeness and consistency of the data were checked, cleaned, and double entered to EPI-INFO 3.5.2 and analyzed with SPSS V20. Independent sample t-test and chi-square test were conducted to compare the outcome of vaginal delivery and cesarean section (CS using index variables. Significance was taken at P<0.05. Results: Among the enrolled women, 760 mothers had CS delivery and the remaining 2,243 mothers delivered vaginally. Children born through CS (mean =6.83, standard deviation =1.31 had a significantly lower first-minute Apgar score than those in the vaginal delivery group (mean =7.19, standard deviation =1.18, P=0.001. Similarly, the observed respiratory distress syndrome (c2=0.09, P=0.793 and neonatal transfer rate to neonatal intensive care unit (c2=0.086, P=0.766 were more in neonates delivered by CS than those in the vaginally delivered group. Besides, the observed neonatal death (c2=0.675, P=0.411 and maternal death (c2= 8.878, P=0.003 were higher among CS deliveries compared with vaginal deliveries. Conclusion: Neonatal and maternal morbidity and mortality appear

  16. Rural Hospitals Often Safer, Cheaper for Common Surgeries

    Science.gov (United States)

    ... https://medlineplus.gov/news/fullstory_158884.html Rural Hospitals Often Safer, Cheaper for Common Surgeries: Study Major ... may be safer when done in a rural hospital compared to a suburban or city hospital, a ...

  17. Rural and Urban Hospitals' Role in Providing Inpatient Care, 2010

    Science.gov (United States)

    ... National Technical Information Service NCHS Rural and Urban Hospitals' Role in Providing Inpatient Care, 2010 Recommend on ... Survey, inpatient hospital utilization What share of inpatient hospital care was delivered in rural compared with urban ...

  18. Do general practitioner hospitals reduce the utilisation of general hospital beds? Evidence from Finnmark county in north Norway

    OpenAIRE

    Aaraas, I.; Forde, O. H.; Kristiansen, I S; Melbye, H.

    1998-01-01

    STUDY OBJECTIVE: To assess whether populations with access to general practitioner hospitals (GP hospitals) utilise general hospitals less than populations without such access. DESIGN: Observational study comparing the total rates of admissions and of occupied bed days in general hospitals between populations with and without access to GP hospitals. Comparisons were also made separately for diagnoses commonly encountered in GP hospitals. SETTING: Two general hospitals serving the popula...

  19. The comparative study of Yaz and Ovocept-ld on patients with simple ovarian cysts referring to Iran-Isfahan Shariati Hospital

    Directory of Open Access Journals (Sweden)

    Soheyla Riahinejad

    2014-01-01

    Full Text Available Background: Functional ovarian cysts include follicular, corpus luteum, and theca lutein cysts are the most common adnexal masses (about 50% in women of reproductive age. Treatment with the combined monophasic oral contraceptives reduces functional ovarian cysts. Yaz (drospirenone/ethinyl estradiol is a low-dose combined oral contraceptive pill containing 20 μg ethinyl estradiol and 3 mg drospirenone. In addition to contraceptive effects, Yaz has anti-mineralocorticoid and anti-adrenergic effects. Ovocept- low-dose LD is also a low-dose combined oral contraceptive drug containing 30 μg ethinyl estradiol and 3 mg norgestrol. Ovocept-LD has some side-effects such as weight gain, spotting, breast tenderness, nausea, and headache. Materials and Methods: Being a clinical study, the present research was carried out on 42 patients with the simple ovarian cysts from 2010 to 2012. 84 Patients were assigned to A and B groups. Group A received Yaz once a day for a period of 28 days and group B received Ovocept-LD once a day for a period of 21 days. After treating by Yaz and Ovocept-LD, Cysts were evaluated by ultrasound. Results were analyzed by the SPSS software. A P < 0.05 was considered the significance threshold. Results : Obtained results indicated that both Yaz and Ovocept-LD had an effect on the simple ovarian cysts. Statistical tests, however, has shown that the effect of Yaz has been significantly more than that of Ovocept-LD. Conclusion: Given the faster and better recovery effect, and the lesser side effects of Yaz as compared to Ovocept-LD, it is recommended to use Yaz for the simple ovarian cysts.

  20. Rapid Immuno-Chromatographic Assay for the Detection of Antibodies to HIV Compare with Elisa among Voluntary and Replacement Blood Donor of Mymensingh Medical College Hospital.

    Science.gov (United States)

    Chakrabarty, P; Rudra, S; Hossain, M A; Begum, S A; Mirza, T T; Rudra, M

    2015-04-01

    Suitable algorithms based on a combination of two or more simple rapid HIV assays have been shown to have a diagnostic accuracy comparable to double enzyme-linked immunosorbent assay (ELISA) or double ELISA with Western Blot strategies. The aims of this study were to evaluate the performance of five simple rapid HIV assays using whole blood samples from voluntary and replacement blood donors & HIV-infected patients (positive samples from BSMMU, Dhaka). Five rapid HIV assays: Determine™ HIV-1/2 (Inverness Medical), SD Bioline HIV 1/2 3.0 (Standard Diagnostics Inc.), First Response HIV Card 1-2.0 (PMC Medical India Pvt Ltd.), HIV1/2 Stat-Pak Dipstick (Chembio Diagnostic System, Inc) and Uni-Gold™ HIV-1/2 (Biotech) were evaluated between 1st February to 30th June, 2013 using 400 whole blood samples from voluntary and replacement blood donors. All samples that were reactive on all or any of the five rapid assays and 10% of non-reactive samples were tested on a confirmatory Inno-Lia HIV I/II immunoblot assay (Immunogenetics). Only 01 sample including ten positive samples from BSMMU were confirmed HIV-1 antibody positive, while 399 were HIV negative. The sensitivity at initial testing of Determine, SD Bioline and Uni-Gold™ was 100% (95% CI; 99.1-100) while First Response and Stat-Pak had sensitivity of 99.5% (95% CI; 98.2-99.9) and 97.7% (95% CI; 95.7-98.9) respectively, which increased to 100% (95% CI; 99.1-100) on repeat testing. The initial specificity of the Uni-Gold™ assay was 100% (95% CI; 99.6-100) while specificities were 99.6% (95% CI; 99-99.9), 99.4% (95% CI; 98.8-99.7), 99.6% (95% CI; 99-99.9) and 99.8% (95% CI; 99.3-99.9) for Determine, SD Bioline, First Response and Stat-Pak assays, respectively. There was no any sample which was concordantly false positive in Uni-Gold™, Determine and SD Bioline assays. An alternative confirmatory HIV testing strategy based on initial testing on either SD Bioline or Determine assays followed by testing of reactive

  1. Comparing percutaneous coronary intervention and thrombolysis in patients with return of spontaneous circulation after out-of-hospital cardiac arrest%介入与溶栓疗法救治院外心脏骤停的比较

    Institute of Scientific and Technical Information of China (English)

    李颖庆; 柳娜; 胡春林; 魏红艳; 李慧; 李欣; 廖晓星

    2013-01-01

    coronary intervention (PCI) or thrombolysis,in patients with return of spontaneous circulation (ROSC) after out-of-hospital cardiac arrest (OHCA),in the presence of ST-elevation myocardial infarction (STEMI).We demonstrated the benefits of the two therapies on ROSC patients in hospital discharge and neurological recovery,and clarified the importance of ROSC,so as to guide the treatments for OHCA in the presence of STEMI.Methods It was performed a meta-analysis of clinical studies located in PUBMED and MEDLINE databases from January 1995 to October 2011.OHCA patients with ROSC were as our study objects,the hospital discharge and neurological recovery rates,of patients with and without PCI or thrombolysis,were assessed in patients with ROSC after OHCA in the presence of STEMI.In the same Cohort Study,between received and rejected PCI,or between received and rejected thrombolysis in OHCA patients with ROSC as treated group and control group,using Review Manager 5.1 software to analyze,respectively.Furthermore,we also compared the differences in hospital discharge and neurological recovery rates between patient groups who received PCI or thrombolysis by Pearson x2 analysis.Results The meta-analysis showed that the rate of hospital discharge improved with both PCI (odds ratio [OR],1.65 ; 95% confidence interval [CI],1.05-2.59,P < 0.01)and thrombolysis (OR,2.03 ; 95% CI,1.24-3.34,P < 0.01) in patients with ROSC after OHCA,in the presence of STEMI.We also found that there were not significant differences between with PCI and with thrombolysis in the rate of hospital discharge (63.00% vs.65.19%,P =0.548) and neurological recovery (88.62% vs.91.25%,P =0.351) for the patients with ROSC after OHCA (P >0.05).Conclusions In patients with ROSC after OHCA in the presence of STEMI,both PCI and thrombolysis improved hospital discharge rates.Furthermore,there were similar efficacy in hospital discharge and neurological recovery rates between with PCI and with thrombolysis.

  2. The influence of leadership behaviour on organisational citizenship behaviour in self-managed work teams in Malaysia

    Directory of Open Access Journals (Sweden)

    Zoharah Omar

    2009-04-01

    Full Text Available This study examined the influence of transformational-transactional leadership behaviour on organisational citizenship behaviour in self-managed work teams and the augmenting effect of transformational-transactional leadership behaviour. This cross-sectional correlation study was conducted on 93 self-managed work teams in a multinational manufacturing company. Data were collected through group face-to-face administration by the researcher and statistically analysed through Pearson correlation, partial correlation and multiple regressions. Results showed that both transactional and transformational leadership behaviour have a positive influence on organisational citizenship behaviour among team members. Transformational leadership behaviour, however, has a greater influence on organisational citizenship behaviour compared to transactional leadership behaviour. The results also conf rmed the augmenting effect of transformational leadership behaviour on the relationship between transactional leadership behaviour and organisational citizenship behaviour.

  3. Discrimination reversal learning reveals greater female behavioural flexibility in guppies

    OpenAIRE

    Lucon-Xiccato, Tyrone; Bisazza, Angelo

    2014-01-01

    Behavioural flexibility allows an animal to adapt its behaviour in response to changes in the environment. Research conducted in primates, rodents and domestic fowl suggests greater behavioural persistence and reduced behavioural flexibility in males. We investigated sex differences in behavioural flexibility in fish by comparing male and female guppies (Poecilia reticulata) in a reversal learning task. Fish were first trained on a colour discrimination, which was learned equally rapidly by m...

  4. Mobile Robots for Hospital Logistics

    DEFF Research Database (Denmark)

    Özkil, Ali Gürcan

    services to maintain the quality of healthcare provided. Logistics is the most resource demanding service in a hospital. The scale of the transportation tasks is huge and the material flow in a hospital is comparable to that of a factory. We believe that these transportation tasks, to a great extent, can...... be and will be automated using mobile robots. This talk consequently addresses the key technical issues of implementing service robots in hospitals. In simple terms, a robotic system for automating hospital logistics has to be reliable, adaptable and scalable. Robots have to be semi-autonomous, and...... a redundant layer for localization. The system features automatic annotation, which significantly reduces manual work and offer many advantages beyond robotics. A case study on logistics solutions is finally presented. A robotic solution is tested in a hospital to handle the transportation of blood...

  5. Practices regarding hospital waste management at public and private sector hospitals of Lahore

    International Nuclear Information System (INIS)

    Health care (Biomedical) waste is a term used for all waste arising from health care establishments. In most of health care centers of Pakistan, including Lahore, hospital wastes are simply mixed with the municipal waste in collecting bins at road-sides and disposed off similarly. Proper Management of biomedical waste, especially the hazardous one, being produced in hospital settings is important in terms of their ability to cause harm to the related per-sons and the environment as well. To Observe and compare the practices regarding Hospital Waste management of the public sector hospital with private sector hospital. Descriptive, Cross sectional. Methodology: Standardized checklist was used to assess the practices of nursing and sanitary staff. Practices regarding waste segregation were same at both hospitals. While practices regarding waste collection and transportation were better at The Children's Hospital. Public sector hospital has, paradoxically, better practices regarding hospital waste management in comparison to private sector hospital. (author)

  6. Hospitals for sale.

    Science.gov (United States)

    Costello, Michael M; West, Daniel J; Ramirez, Bernardo

    2011-01-01

    The pace of hospital merger and acquisition activity reflects the economic theory of supply and demand: Publicly traded hospital companies, private equity funds, and large nonprofit hospital systems are investing capital to purchase and operate freestanding community hospitals at a time when many of those hospitals find themselves short of capital reserves and certain forms of management expertise. But the sale of those community hospitals also raises questions about the impact of absentee ownership on the communities which those hospitals serve. PMID:21864058

  7. Impact of a hospital improvement initiative in Bangladesh on patient experiences and satisfaction with services: two cross-sectional studies

    Directory of Open Access Journals (Sweden)

    Omer Khalid

    2011-12-01

    Full Text Available Abstract Background The Bangladesh government implemented a pilot Hospital Improvement Initiative (HII in five hospitals in Sylhet division between 1998 and 2003. This included management and behaviour change training for staff, waste disposal and procurement, and referral arrangements. Two linked cross-sectional surveys in 2000 and 2003 assessed the impact of the HII, assessing both patients' experience and satisfaction and public views and use of the hospitals. Methods In each survey we asked 300 consecutive outpatients and a stratified random sample of 300 inpatients in the five hospitals about waiting and consultation time, use of an agent for admission, and satisfaction with privacy, cleanliness, and staff behaviour. The field teams observed cleanliness and privacy arrangements, and visited a sample of households in communities near the hospitals to ask about their opinions and use of the hospital services. Analysis examined changes over time in patients' experience and views. Multivariate analysis took account of other variables potentially associated with the outcomes. Survey managers discussed the survey findings with gender stratified focus groups in each sample community. Results Compared with 2000, an outpatient in three of the hospitals in 2003 was more likely to be seen within 10 minutes and for at least five minutes by the doctor, but outpatients were less likely to report receiving all the prescribed medicines from the hospital. In 2003, inpatients were more likely to have secured admission without using an agent. Although patients’ satisfaction with several aspects of care improved, most changes were not statistically significant. Households in 2003 were significantly more likely to rate the hospitals as good than in 2000. Use of the hospitals did not change, except that more households used the medical college hospital for inpatient care in 2003. Focus groups confirmed criticisms of services and suggested improvements

  8. Identifying Russian and Finnish Adolescents' Problem Behaviours

    Science.gov (United States)

    Kemppainen, Ulla; Tossavainen, Kerttu; Vartiainen, Erkki; Puska, Pekka; Jokela, Veikko; Pantelejev, Vladimir; Uhanov, Mihail

    2007-01-01

    Purpose: The purpose of the paper is to show that a syndrome of problem behaviours, i.e. early substance abuse, school and family problems and sexual promiscuity impairs normal development in adolescence. This comparative study looked for differences in the problem behaviour profiles of 15-year-old adolescents in the Pitkaranta district in Russia…

  9. Prognosis after Hospitalization for Erythroderma

    DEFF Research Database (Denmark)

    Egeberg, Alexander; Thyssen, Jacob P; Gislason, Gunnar H;

    2016-01-01

    Erythrodermic psoriasis (EP) and erythroderma exfoliativa (EE) are acute and potentially life-threatening inflammatory reactions. We estimated hazard ratios (HRs) of 3-year mortality following hospitalization for EP or EE compared with general population controls, patients hospitalized for...... psoriasis vulgaris, and toxic epidermal necrolysis (TEN), respectively. We identified 26 and 48 patients with a first-time hospitalization (1997-2010) for EP and EE, respectively (10 matched population-controls for each patient), 1,998 patients with psoriasis vulgaris, and 60 patients with TEN. During...

  10. Breeding for behavioural change in farm animals

    DEFF Research Database (Denmark)

    D'Eath, R.B.; Conington, J.; Lawrence, A.B.;

    2010-01-01

    In farm animal breeding, behavioural traits are rarely included in selection programmes despite their potential to improve animal production and welfare. Breeding goals have been broadened beyond production traits in most farm animal species to include health and functional traits......, and opportunities exist to increase the inclusion of behaviour in breeding indices. On a technical level, breeding for behaviour presents a number of particular challenges compared to physical traits. It is much more difficult and time-consuming to directly measure behaviour in a consistent and reliable manner...... in order to evaluate the large numbers of animals necessary for a breeding programme. For this reason, the development and validation of proxy measures of key behavioural traits is often required. Despite these difficulties, behavioural traits have been introduced by certain breeders. For example, ease...

  11. Psychiatric referrals in two general hospitals.

    Directory of Open Access Journals (Sweden)

    Doongaji D

    1989-07-01

    Full Text Available A prospective study was undertaken to compare the patterns of psychiatric referrals in two general hospitals in Bombay viz. the King Edward Memorial Hospital (64 cases and the Jaslok Hospital and Research Centre (62 cases. It was observed that depressive symptoms were the most common presenting symptoms in these patients attending either of the hospitals. Similarly, the commonest diagnoses were depression and organic mental disorder. Attempted suicide with organophosphorous compounds was the commonest reason for hospitalization at K.E.M. Hospital (p less than 0.001. A significant number of these patients were females (p less than 0.05. The psychiatric referrals at Jaslok had been hospitalized mainly for suspected medical or neurological illness (p less than 0.001. These patients belonged to higher economic strata and hence had a better paying capacity compared to patients at KEM hospital, a significant number of whom were unemployed (p less than 0.001. The duration of pre-referred illness of patients and their stay at Jaslok hospital were longer as compared to those at KEM Hospital (p less than 0.01. The number of non-relevant special investigations carried out on patients in Jaslok was more (p less than 0.01. Further analysis of diagnoses revealed that a significant number of patients at KEM Hospital were admitted as primary psychiatric illness (p less than 0.05.

  12. Changing Information Retrieval Behaviours

    DEFF Research Database (Denmark)

    Constantiou, Ioanna D.; Lehrer, Christiane; Hess, Thomas

    2014-01-01

    on the continuance of LBS use and indicate changes in individuals' information retrieval behaviours in everyday life. In particular, the distinct value dimension of LBS in specific contexts of use changes individuals' behaviours towards accessing location-related information....

  13. Organizational Behaviour in Construction

    DEFF Research Database (Denmark)

    Kreiner, Kristian

    2013-01-01

    Review of: Organizational Behaviour in Construction / Anthony Walker (Wiley-Blackwell,2011 336 pp)......Review of: Organizational Behaviour in Construction / Anthony Walker (Wiley-Blackwell,2011 336 pp)...

  14. Aspectos relacionados à escolha do tipo de parto: um estudo comparativo entre uma maternidade pública e outra privada, em São Luís, Maranhão, Brasil Aspects related to choice of type of delivery: a comparative study of two maternity hospitals in São Luís, State of Maranhão, Brazil

    Directory of Open Access Journals (Sweden)

    Natália Ribeiro Mandarino

    2009-07-01

    Full Text Available Esta pesquisa objetivou analisar aspectos relacionados à escolha do tipo de parto em uma maternidade do serviço público e outra do serviço privado, em São Luís, Maranhão, Brasil. Trata-se de um estudo transversal abordando comparativamente 163 primíparas de uma maternidade pública e 89 de maternidade privada, com médias de idade de 21,63 ± 5,24 e 28,8 ± 5,41 anos, respectivamente. Preferiam o parto vaginal 79,1% das gestantes da maternidade pública, e a cesariana 67,4% das da maternidade privada (p This study aimed to analyze aspects related to choice of type of delivery in two maternity hospitals, one public and the other private, in São Luís, Maranhão State, Brazil. This cross-sectional study compared 163 primiparous women in a public maternity hospital and 89 in a private hospital, with mean ages of 21.63 ± 5.24 and 28.8 ± 5.41 years, respectively. In the public hospital, 79.1% of the women reported preferring vaginal deliveries, while in the private hospital 67.4% of the women preferred cesareans (p < 0.0001. Cesareans were performed in 46% of the women in the public maternity hospital and 97.8% of those in the private hospital (p < 0.0001. Patient satisfaction was high for both modes of delivery, but the desire to repeat the same mode was reported more frequently by women with vaginal deliveries (71.6% vs. 41.3% in the public maternity hospital and 100% vs. 65.5% in the private. In the public maternity hospital, the cesarean subgroup included more white and higher-income women. The cesarean rate was thus high in both maternity hospitals and was significantly higher in the private hospital; the study also showed a preference for vaginal delivery in the public hospital and cesareans in the private.

  15. Hospital Outpatient PPS Partial Hospitalization Program LDS

    Data.gov (United States)

    U.S. Department of Health & Human Services — Hospital Outpatient Prospective Payment System (OPPS) Partial Hospitalization Program LDS This file contains select claim level data and is derived from 2010 claims...

  16. Can hospitals compete on quality? Hospital competition.

    Science.gov (United States)

    Sadat, Somayeh; Abouee-Mehrizi, Hossein; Carter, Michael W

    2015-09-01

    In this paper, we consider two hospitals with different perceived quality of care competing to capture a fraction of the total market demand. Patients select the hospital that provides the highest utility, which is a function of price and the patient's perceived quality of life during their life expectancy. We consider a market with a single class of patients and show that depending on the market demand and perceived quality of care of the hospitals, patients may enjoy a positive utility. Moreover, hospitals share the market demand based on their perceived quality of care and capacity. We also show that in a monopoly market (a market with a single hospital) the optimal demand captured by the hospital is independent of the perceived quality of care. We investigate the effects of different parameters including the market demand, hospitals' capacities, and perceived quality of care on the fraction of the demand that each hospital captures using some numerical examples. PMID:25711185

  17. Fundamentals of soil behaviour

    OpenAIRE

    Gens Solé, Antonio

    2009-01-01

    The paper reviews in summary form the generalised behaviour of soils under nonisothermal and chemically varying conditions. This generalised soil behaviour underlies the performance of a number of ground improvement techniques. The behaviour of frozen soil is examined first showing that some concepts of unsaturated soil mechanics appear to be readily applicable. Afterwards, the observation that volumetric behaviour of saturated and unsaturated soils at high temperature is similar, leads to th...

  18. Hospitals as health educators

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000862.htm Hospitals as health educators To use the sharing features ... health education, look no further than your local hospital. From health videos to yoga classes, many hospitals ...

  19. Patient survey (HCAHPS) - Hospital

    Data.gov (United States)

    U.S. Department of Health & Human Services — A list of hospital ratings for the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). HCAHPS is a national, standardized survey of hospital...

  20. Structural Measures - Hospital

    Data.gov (United States)

    U.S. Department of Health & Human Services — A list of hospitals and the availability of structural measures at that hospital. A structural measure reflects the environment in which hospitals care for...

  1. Critical Access Hospitals (CAH)

    Science.gov (United States)

    ... will not. Each hospital must perform its own financial analysis to determine if being a Prospective Payment System (PPS) hospital or a CAH would result in a better financial return. For financially distressed hospitals, even if CAH ...

  2. Surgery, Hospitals, and Medications

    Science.gov (United States)

    ... OTC products that are not commonly stocked in hospital pharmacies. Examples include: Salagen ® , Evoxac ® , and Restasis ® Eye drops, ... of your medication will be sent to the hospital pharmacy for verification. Depending on hospital policy, you may ...

  3. Detection accuracy of three glucose meters estimated by capillary blood glucose measurements compared with venous blood evaluated by the diabetes unit of the Hospital Evangélico de Curitiba, Brazil

    Directory of Open Access Journals (Sweden)

    Camacho SL

    2012-05-01

    Full Text Available Mirnaluci Paulino Ribeiro Gama, Camile Fiorese Cruzeta, Ana Carolina Ossowski, Marina Rech Bay, Mariella Muller Michaelis, Stênio Lujan CamachoEndocrinology and Diabetes Service, Hospital Universitário Evangélico de Curitiba, BrazilObjective: To compare capillary blood glucose measurements between three different glucose meters and with the serum glucose values of inpatients at the diabetes unit of Hospital Universitário Evangélico de Curitiba, Brazil.Materials and methods: A total of 132 non-intensive care unit patients admitted for medical and surgical pathologies were evaluated. All patients reported a previous diagnosis of diabetes mellitus, were under 60 years of age, had no hematocrit alterations, remained hemodynamically stable during the time of data collection, and were given no ascorbic acid, acetaminophen, dopamine, or mannitol during follow-up. Capillary and serum blood glucose samples were collected simultaneously by finger-stick and venipuncture 2 hours after lunch, by the same observer, who was blinded to the serum glucose results. First, between July and November 2009, capillary glucose levels were measured using the blood glucose meters OneTouch SureStep® and MediSense Optium®. Between November 2009 and February 2010, capillary blood glucose levels were measured on the glucose meters OneTouch SureStep and Optium Xceed®. The capillary glucose readings were analyzed between meters and also in relation to the serum blood glucose values by the t-test for paired samples and the Mood two-sample test.Results: The patients’ mean age was 50.45 years. The blood glucose means obtained using the meters OneTouch SureStep, MediSense Optium, and Optium Xceed were, respectively, 183.87 mg/dL, 178.49 mg/dL, and 192.73 mg/dL, and the mean for the serum glucose values was 174.58 mg/dL. A significant difference was found between the capillary measurements taken by the glucose meters and the serum glucose measurements (P < 0.05, and no

  4. A nationwide Hospital Survey on Patient Safety Culture in Belgian Hospitals: Analysis and Benchmarking

    OpenAIRE

    Vlayen, Annemie; Hellings, Johan; Claes, Neree; Schrooten, Ward

    2010-01-01

    Objective To measure patient safety culture in Belgian hospitals and to examine the homogeneous grouping of underlying safety culture dimensions. Methods The Hospital Survey on Patient Safety Culture was distributed organisation-wide in 180 Belgian hospitals participating in the federal program on quality and safety between 2007 and 2009. Participating hospitals were invited to submit their data to a comparative database. Homogeneous groups of underlying safety culture dimensions were sou...

  5. Measuring cost efficiency in the Nordic hospitals--a cross-sectional comparison of public hospitals in 2002

    DEFF Research Database (Denmark)

    Linna, Miika; Häkkinen, Unto; Peltola, Mikko;

    2010-01-01

    The aim of this study was to compare the performance of hospital care in four Nordic countries: Norway, Finland, Sweden and Denmark. Using national discharge registries and cost data from hospitals, cost efficiency in the production of somatic hospital care was calculated for public hospitals. Data...

  6. The Magpie Trial follow up study: outcome after discharge from hospital for women and children recruited to a trial comparing magnesium sulphate with placebo for pre-eclampsia [ISRCTN86938761

    Directory of Open Access Journals (Sweden)

    2004-03-01

    Full Text Available Abstract Background The Magpie Trial compared magnesium sulphate with placebo for women with pre-eclampsia. 10,141 women were recruited, 8804 before delivery. Overall, 9024 children were included in the analysis of outcome at discharge from hospital. Magnesium sulphate more than halved the risk of eclampsia, and probably reduced the risk of maternal death. There did not appear to be any substantive harmful effects on the baby, in the short term. It is now important to assess whether these benefits persist, and to provide adequate reassurance about longer term safety. The main objective of the Magpie Trial Follow Up Study is to assess whether in utero exposure to magnesium sulphate has a clinically important effect on the child's chance of surviving without major neurosensory disability. Other objectives are to assess long term outcome for the mother, and to develop and assess appropriate strategies for following up large numbers of children in perinatal trials. Study design Follow up is only feasible in selected centres. We therefore anticipate contacting 2800–3350 families, for 2435–2915 of whom the woman was randomised before delivery. A further 280–335 children would have been eligible for follow up if they had survived. The total sample size for the children is therefore 3080–3685, 2680–3210 of whom will have been born to women randomised before delivery. Families eligible for the follow up will be contacted, and surviving children screened using the Ages and Stages Questionnaires. Children who screen positive, and a sample of those who screen negative, will whenever possible have a paediatric and neurodevelopmental assessment. When women are contacted to ask how their child is, they will also be asked about their own health. The primary outcome is a composite measure of death or neurosensory disability for the child at 18 months. Discussion The Follow Up Study began in 2002, and now involves collaborators in 19 countries. Data

  7. The Upstream Hospital Leader: Taking Action to Improve Population Health.

    Science.gov (United States)

    Graham, Ross; Meili, Ryan

    2016-01-01

    Canadian hospital leaders face numerous barriers when they seek to work upstream in an effort to improve population health. A noted challenge is lack of role clarity. We introduce the concept of an "upstream hospital leader" in an attempt to address this challenge, and suggest behaviours for how this role can advance population health at the individual, organizational and health system levels. These suggestions aim to contribute to the ongoing conversation and growing interest in the role of hospitals in population health improvement. We invite feedback on these suggestions and encourage leaders to explore opportunities where greater upstream action by their hospital and health system can improve population health. PMID:27009704

  8. Effectiveness and Safety of Low Dose Vaginal Misoprostol Compared to Trans Cervical Foley Catheter for Cervical Ripening and Induction of Labor in Post Term Pregnant Women Admitted to Gandi Memorial Hospital, Addis Ababa and Felege Hiwot Referral Hospital, Bahir Dar, Ethiopia

    Directory of Open Access Journals (Sweden)

    Hailemariam Segni

    2015-12-01

    Full Text Available Background: Post term pregnancy is one of the common indications of induction of labor in contemporary obstetric practice. However, the majority of women with post term pregnancy have unfavorable cervices. Therefore, it is mandatory to achieve cervical ripening in this group of women before proceeding to labor induction. These cervical ripening methods often result in onset of labor which makes them also labor inducing agents. There is paucity of studies comparing the effectiveness and safety of the aforementioned methods. Thus, this study compared the effectiveness and safety of low dose vaginal misoprostol with trans cervical Foley catheter for cervical ripening and induction of labor in post term pregnant women. Method: The study was conducted from January to December 2014 at Gandi Memorial Hospital and Felege Hiwot Referral Hospital. Quasi-experimental study design was employed and 111 post term pregnant women were enrolled to each group of cervical ripening methods. Foley catheter, number 18 gauge, was inserted trans cervically and inflated with 50 ml of normal saline in women of group I at FHRH. Women in group II received 25 μg of misoprostol vaginally every 6 hrs for a maximum of 2 doses at GMH. Oxytocin infusion began when an indication comes to picture. Results were tabulated and statistically analyzed. Results: Baseline obstetric variables such as gestational age and parity were not statistically different in both groups. Maternal age was found to be statistically significant (28.40 vs. 26.02 yrs; P=0.000. Change in Bishop score is marginally significant in favour of the Foley catheter group even after controlling for maternal age (5.67 vs. 5.33; P=0.040. Vaginal delivery within 24 hours and ripening to delivery intervals were not statistically different in both groups. Rate of vaginal delivery was found to be marginally significant being higher in the Foley catheter group (84.7% vs. 72.2%; P=0.013. When stratified for parity, the

  9. Dokumentation af hjertestop på hospital

    DEFF Research Database (Denmark)

    Stagelund, Søren; Lippert, Freddy Knudsen

    2008-01-01

    INTRODUCTION: Documentation of and staff compliance with guidelines during in-hospital cardiac arrest are very important. The purpose of the study is to clarify to what extent treatment of cardiac arrest was documented and whether the staff followed the hospital's protocol for cardiac arrest...... treatment in 2005. MATERIALS AND METHOD: Medical records for 50 consecutive in-hospital cardiac arrests in 2005 were analysed and compared to 50 consecutive cardiac arrests in 2001. The hospital is a tertiary referral hospital with 1100 beds and all medical specialities available. INCLUSION CRITERIA: All in-hospital...... cardiac arrest calls. Essential data for the in-hospital Utstein-style was used as the golden standard for documentation when reviewing medical records. RESULTS: Results are expressed for 2005 (2001), Test: chi2 (Fisher). Treatment documented: Fully: 32 (22). (P=0.0704). Treatment complying with...

  10. Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013

    DEFF Research Database (Denmark)

    Moesgaard Iburg, Kim

    2015-01-01

    minimum risk exposure level (TMREL). Risks are organised into a hierarchy with blocks of behavioural, environmental and occupational, and metabolic risks at the fi rst level of the hierarchy. The next level in the hierarchy includes nine clusters of related risks and two individual risks, with more detail...... and 134·0 million DALYs. Risk factor patterns vary across regions and countries and with time. In sub-Saharan Africa, the leading risk factors are child and maternal malnutrition, unsafe sex, and unsafe water, sanitation, and handwashing. In women, in nearly all countries in the Americas, north Africa......-income countries, in north Africa and the Middle East, Europe, and Asia. For men and women, unsafe sex is the leading risk in a corridor from Kenya to South Africa. Interpretation Behavioural, environmental and occupational, and metabolic risks can explain half of global mortality and more than one-third of global...

  11. Randomized clinical trial comparing sodium picosulfate with mannitol on the preparation FOR colonoscopy in hospitalized patients Ensaio clínico randomizado comparando picosulfato de sódio com manitol no preparo para colonoscopia em pacientes hospitalizados

    Directory of Open Access Journals (Sweden)

    Suzana Müller

    2007-09-01

    Full Text Available BACKGROUND: The cleansing of the colon for a colonoscopy exam must be complete so as to allow the visualization and inspection of the intestinal lumen. The ideal cleansing agent should be easily administered, have a low cost, and minimum collateral effects. Sodium picosulfate together with the magnesium citrate is a cathartic stimulant and mannitol is an osmotic laxative, both usually used for this purpose. AIMS: Assess the colon cleanliness comparing the use of mannitol and sodium picosulfate as well as evaluate the level of patient satisfaction, the presence of foam, pain, and abdominal distension in hospitalized patients undergoing colonoscopy. METHODS: A prospective, randomized, single-blind study with 80 patients that compared two groups: mannitol (40 and sodium picosulfate (40. Both groups received the same dietary orientation. The study was approved by the hospital’s Ethics and Research Committee. The endoscopist was blind to the type of preparation. Outcomes evaluated: level of the colon’s cleanliness, patient’s satisfaction, the presence of foam, abdominal pain and distension, and the duration of the exam. The data was analyzed by means of the chi-squared test for proportions and Mann-Whitney for independent samples. RESULTS: There were no statistically significant differences between the groups in relation to the level of the colon’s cleanliness, patient’s satisfaction, the presence of foam, abdominal pain, and the duration of the exam. Fifteen percent of the exams of the mannitol group were interrupted while from the sodium picosulfate group it was 5%. The presence of foam was similar for both groups. The average duration for carrying out the exam was 28.44 minutes for the mannitol group and 35.59 minutes for the sodium picosulfate group. Abdominal distension was more frequent in the mannitol group. If they would have to do the same exam, the answer was that 80% said yes from the mannitol group and 92.5% from the sodium

  12. Hospital marketing revisited.

    Science.gov (United States)

    Costello, M M

    1987-05-01

    With more hospitals embracing the marketing function in their organizational management over the past decade, hospital marketing can no longer be considered a fad. However, a review of hospital marketing efforts as reported in the professional literature indicates that hospitals must pay greater attention to the marketing mix elements of service, price and distribution channels as their programs mature. PMID:10283019

  13. Time perspective and attitude-behaviour consistency in future-oriented behaviours

    NARCIS (Netherlands)

    Rabinovich, Anna; Morton, Thomas; Postmes, Tom

    2010-01-01

    The authors propose that the salience of a distant-future time perspective, compared to a near-future time perspective, should increase attitude-behaviour and attitude-intention consistency for future-oriented behaviours. To test this prediction, time perspective was experimentally manipulated in th

  14. Management of adipsia by a behavioural modification technique.

    OpenAIRE

    Johnston, S.; Burgess, J; McMillan, T.; Greenwood, R

    1991-01-01

    Adipsia combined with diabetes insipidus after hypothalamic damage may produce major difficulties in clinical management. If there is an associated memory impairment it may be impossible to teach self-regulation of fluid balance, necessitating long-term hospital supervision. The successful use of a behaviour modification technique to achieve independent drinking and allow discharge from hospital into the community is described in a patient with adipsia, diabetes insipidus and memory impairmen...

  15. Hypoglycemia in the hospital

    OpenAIRE

    Shomali, Mansur

    2011-01-01

    Hypoglycemia is a common adverse event affecting hospitalized patients with diabetes. This paper reviews the data regarding optimization of glucose in hospitalized patients, discusses the scope and significance of hypoglycemia in the hospital, and makes recommendations on how to reduce the risk of this serious adverse event. Keywords: hypoglycemia; hospital; diabetes; insulin(Published: 18 July 2011)Citation: Journal of Community Hospital Internal Medicine Perspectives 2011, 1: 7217 - DOI: 10...

  16. Random output and hospital performance.

    Science.gov (United States)

    Barros, Pedro Pita

    2003-11-01

    Many countries are under pressure to reform health care financing and delivery. Hospital care is one part of the health system that is under scrutiny. Private management initiatives are a possible way to increase efficiency in health care delivery. This motivates the interest in developing methodologies to assess hospital performance, recognizing hospitals as a different sort of firm. We present a simple way to describe hospital production: hospital output as a change in the distribution of survival probabilities. This output definition allows us to separate hospital production from patients' characteristics. The notion of "better performance" has a precise meaning: (first-order) stochastic dominance of a distribution of survival probabilities over another distribution. As an illustration, we compare, for an important DRG, private and public management and find that private management performs better, mainly in the range of high-survival probabilities. The measured performance difference cannot be attributed to input prices or to economies of scale and/or scope. It reflects pure technological and organisational differences. PMID:14686628

  17. Rethinking retailer buying behaviour

    DEFF Research Database (Denmark)

    Esbjerg, Lars

    2001-01-01

    Research of retailer buying behaviour has previously focused on the buying decision. In this paper a new approach to studying retailer buying behaviour is suggested, one which focuses on the sensemaking processes leading up to a decision being made. A research project taking a sensemaking perspec...... perspective is outlined and the implications and expected contribution of studying retailer buying behaviour from a sensemaking perspective are discussed....

  18. Nutrition, neurotoxicants & aggressive behaviour

    OpenAIRE

    Zaalberg, A.

    2015-01-01

    Nutrition, neurotoxicants and aggressive behaviour Antisocial behaviour, such as violence, is explained not only by the social environment, as was long believed. Also nutrients and neurotoxicants might play a role. Whether this is the case was studied in this thesis. In two empirical studies possible relations between nutrients and behaviour were investigated. In the first study, levels of nutrients in blood samples of forensic psychiatric patients were measured. Low levels of omega-3 fatty a...

  19. Comparative avoidance behaviour of the earthworm Eisenia fetida towards chloride, nitrate and sulphate salts of Cd, Cu and Zn using filter paper and extruded water agar gels as exposure media.

    Science.gov (United States)

    Demuynck, Sylvain; Lebel, Aurélie; Grumiaux, Fabien; Pernin, Céline; Leprêtre, Alain; Lemière, Sébastien

    2016-07-01

    We studied the avoidance behaviour of the earthworm Eisenia fetida towards Cd, Cu, and Zn, trace elements (TEs) tested as chloride, nitrate and sulphate salts. Sub adults were exposed individually using dual-cell chambers at 20+2°C in the dark. Recordings were realised at different dates from 2h to 32h. We used filter paper and extruded water agar gel as exposure media to evaluate the contribution of the dermal and the digestive exposure routes on the avoidance reactions. Exposures to Cu or Cd (10mgmetal ionL(-1)) resulted in highly significant avoidance reactions through the exposure duration. Worms avoided Zn poorly and reactions towards Zn salts varied along the exposure. Worm sensitivity towards TEs differed between salts and this could result from differential toxicity or accessibility of these TE salts to earthworms. The anion in itself was not the determinant of the avoidance reactions since exposures to similar concentrations of these anions using calcium salts did not result in significant avoidance worm behaviour. Avoidance responses towards TEs were higher in the case of water agar exposures than in filter paper exposures. Thus, dermal contacts with TE solutions would elicit worm avoidance but signals from receptors located inside the digestive tract could reinforce this behaviour. The use of extruded water agar gels as the substrate allows checking the real sensitivity of earthworm species towards TEs since the TE concentrations leading to significant avoidance reactions were below those reported in the literature when using TE-spiked soils. PMID:26995062

  20. Pediatric Inpatient Hospital Resource Use for Congenital Heart Defects

    Science.gov (United States)

    Simeone, Regina M.; Oster, Matthew E.; Cassell, Cynthia H.; Armour, Brian S.; Gray, Darryl T.; Honein, Margaret A.

    2015-01-01

    Background Congenital heart defects (CHDs) occur in approximately 8 per 1000 live births. Improvements in detection and treatment have increased survival. Few national estimates of the healthcare costs for infants, children and adolescents with CHDs are available. Methods We estimated hospital costs for hospitalizations using pediatric (0–20 years) hospital discharge data from the 2009 Healthcare Cost and Utilization Project Kids’ Inpatient Database (KID) for hospitalizations with CHD diagnoses. Estimates were up-weighted to be nationally representative. Mean costs were compared by demographic factors and presence of critical CHDs (CCHDs). Results Up-weighting of the KID generated an estimated 4,461,615 pediatric hospitalizations nationwide, excluding normal newborn births. The 163,980 (3.7%) pediatric hospitalizations with CHDs accounted for approximately $5.6 billion in hospital costs, representing 15.1% of costs for all pediatric hospitalizations in 2009. Approximately 17% of CHD hospitalizations had a CCHD, but it varied by age: approximately 14% of hospitalizations of infants, 30% of hospitalizations of patients aged 1 to 10 years, and 25% of hospitalizations of patients aged 11 to 20 years. Mean costs of CHD hospitalizations were higher in infancy ($36,601) than at older ages and were higher for hospitalizations with a CCHD diagnosis ($52,899). Hospitalizations with CCHDs accounted for 26.7% of all costs for CHD hospitalizations, with hypoplastic left heart syndrome, coarctation of the aorta, and tetralogy of Fallot having the highest total costs. Conclusion Hospitalizations for children with CHDs have disproportionately high hospital costs compared with other pediatric hospitalizations, and the 17% of hospitalizations with CCHD diagnoses accounted for 27% of CHD hospital costs. PMID:24975483

  1. Hospital demand for physicians.

    Science.gov (United States)

    Morrisey, M A; Jensen, G A

    1990-01-01

    This article develops a derived demand for physicians that is general enough to encompass physician control, simple profit maximization and hospital utility maximization models of the hospital. The analysis focuses on three special aspects of physician affiliations: the price of adding a physician to the staff is unobserved; the physician holds appointments at multiple hospitals, and physicians are not homogeneous. Using 1983 American Hospital Association data, a system of specialty-specific demand equations is estimated. The results are consistent with the model and suggest that physicians should be concerned about reduced access to hospitals, particularly as the stock of hospitals declines. PMID:10104050

  2. Hospitable Classrooms: Biblical Hospitality and Inclusive Education

    Science.gov (United States)

    Anderson, David W.

    2011-01-01

    This paper contributes to a Christian hermeneutic of special education by suggesting the biblical concept of hospitality as a necessary characteristic of classroom and school environments in which students with disabilities and other marginalized students can be effectively incorporated into the body of the classroom. Christian hospitality, seen…

  3. The Market for Hospital Medicine in Denmark

    DEFF Research Database (Denmark)

    Hostenkamp, Gisela

    2012-01-01

    increases and use summary statistics to compare market performance in both sectors. The market for hospital medicine is more concentrated than the pharmaceutical retail sector and the share of generics and parallel imported products is significantly lower. Between 2005 and 2009 expenditures for hospital...

  4. Phototherapy: the hospital as risk factor.

    OpenAIRE

    Van Enk, A; Leeuw, R.

    1987-01-01

    In a retrospective study over six years the incidence of phototherapy was examined in two groups of healthy neonates who were born spontaneously and at term in hospital. They were comparable in all respects except that one group was cared for at home and the other group was cared for in hospital. It appeared that the infants in hospital received phototherapy seven times more often than those at home, and surveillance at home was not inferior to that in hospital. There is no reason to assume t...

  5. Nutrition, neurotoxicants & aggressive behaviour

    NARCIS (Netherlands)

    Zaalberg, A.

    2015-01-01

    Nutrition, neurotoxicants and aggressive behaviour Antisocial behaviour, such as violence, is explained not only by the social environment, as was long believed. Also nutrients and neurotoxicants might play a role. Whether this is the case was studied in this thesis. In two empirical studies possibl

  6. ASSO : Behavioural specialization modelling

    OpenAIRE

    Andolina, Rosanna; Locuratolo, Elvira

    1996-01-01

    An approach of behavioural modelling based on the specialization concept is proposed within ASSO, a formal database design methodology which combines features from database design with formal methods. This approach preserves the semantics of the current behavioural modelling while producing benefits on the phases of the methodology.

  7. Critical fatigue behaviour in brittle glasses

    Indian Academy of Sciences (India)

    Rajat Banerjee; Bikas K Chakrabarti

    2001-04-01

    The dynamic fatigue fracture behaviour in different glasses under various sub-threshold loading conditions are analysed here employing an anomalous diffusion model. Critical dynamical behaviour in the time-to-fracture and the growth of the micro-crack sizes, similar to that observed in such materials in the case of quasi-static (``instantaneous”) failures for above-threshold conditions, are predicted and compared with some of the experimental observations in different glasses.

  8. The application of hospitality elements in hospitals.

    Science.gov (United States)

    Wu, Ziqi; Robson, Stephani; Hollis, Brooke

    2013-01-01

    In the last decade, many hospital designs have taken inspiration from hotels, spurred by factors such as increased patient and family expectations and regulatory or financial incentives. Increasingly, research evidence suggests the value of enhancing the physical environment to foster healing and drive consumer decisions and perceptions of service quality. Although interest is increasing in the broader applicability of numerous hospitality concepts to the healthcare field, the focus of this article is design innovations, and the services that such innovations support, from the hospitality industry. To identify physical hotel design elements and associated operational features that have been used in the healthcare arena, a series of interviews with hospital and hotel design experts were conducted. Current examples and suggestions for future hospitality elements were also sought from the experts, academic journals, and news articles. Hospitality elements applied in existing hospitals that are addressed in this article include hotel-like rooms and decor; actual hotels incorporated into medical centers; hotel-quality food, room service, and dining facilities for families; welcoming lobbies and common spaces; hospitality-oriented customer service training; enhanced service offerings, including concierges; spas or therapy centers; hotel-style signage and way-finding tools; and entertainment features. Selected elements that have potential for future incorporation include executive lounges and/or communal lobbies with complimentary wireless Internet and refreshments, centralized controls for patients, and flexible furniture. Although the findings from this study underscore the need for more hospitality-like environments in hospitals, the investment decisions made by healthcare executives must be balanced with cost-effectiveness and the assurance that clinical excellence remains the top priority. PMID:23424818

  9. Colour Consideration for Waiting areas in hospitals

    Science.gov (United States)

    Zraati, Parisa

    2012-08-01

    Colour is one the most important factors in the nature that can have some affects on human behaviour. Many years ago, it was proven that using colour in public place can have some affect on the users. Depend of the darkness and lightness; it can be vary from positive to negative. The research will mainly focus on the colour and psychological influences and physical factors. The statement of problem in this research is what is impact of colour usually applied to waiting area? The overall aim of the study is to explore the visual environment of hospitals and to manage the colour psychological effect of the hospital users in the waiting area by creating a comfortable, pleasant and cozy environment for users while spend their time in waiting areas. The analysisconcentrate on satisfaction and their interesting regarding applied colour in two private hospital waiting area in Malaysia.

  10. 精神分裂症患者住院期间自杀自伤行为研究%Comparative study of schizophrenic patients who committed suicide or self - injurious behaviors during hospitalization

    Institute of Scientific and Technical Information of China (English)

    杨孔军; 肖水源; 李学武; 廖春平; 戴静

    2015-01-01

    Objective To investigate the detection rate and characteristics of suicide or self - injurious behaviors in schizophren-ic inpatientsin order to predict and prevent thosein schizophrenic patients during hospitalization. Methods 197 consecutive inpatients with schizophrenia were investigated with self - made inventory,the Brief Psychiatric Rating Scale(BPRS),Hamilton Depression Scale- 17 item(HAMD - 17),Clinical Global Impression(CGIS),which were divided into two groups according to with or without suicide or self - injurious behaviors. Results ①The detection rate of suicide or self - injurious behaviors of schizophrenic inpatients was 19. 80% . ②Compared with non - suicide or self - injurious behaviors group during hospitalization,the prevalent of the incidence of no career(25. 6% ),poor economic conditions(25. 6% ),poor social support(56. 4% ),positive family history(48. 7% ),history of at-tempted suicide(79. 5% ),having obvious stress events two weeks before admission(46. 2% ),comorbiding with substance abuse (25. 6% ),with hallucinations or delusions(89. 7% ),paranoid type(53. 8% )in suicide or self - injurious behaviors group were sig-nificantly higher(P < 0. 05 or 0. 01). Logistic regression analysis showed that poor economic conditions,obvious stress events two weeks before admission,history of suicide attempts were the risk factors for suicide or self - injurious behaviors. ③Total scores of BPRS、HAMD - 17 in suicide or self - injurious behaviors group were significantly higher than those in non - suicide or self - injurious behaviors group at the time of admission and the 2nd ,4th weekend(P < 0. 01). The score of CGI in suicide or self - injurious behaviors group were significantly higher than those in non - suicide or self - injurious behaviors group in the second weekend(P < 0. 01). Con-clusion The detection rate of suicide or self - injurious behaviors of schizophrenic inpatients is high. We should attach great impor-tance to suicide or self

  11. Consumer behaviour analysis and the behavioural perspective model.

    OpenAIRE

    Foxall, G.R.; Oliveira-Castro, J.M.; James, V.K.; Schrezenmaier, T.C.

    2011-01-01

    This is the FIRST of TWO linked articles on consumer behavioural analysis. Cognitive theories have dominated the field of consumer behaviour for the last few decades, however, an observed lack of consistency between attitudes and behaviour has suggested the need to investigate more thoroughly situational and behavioural variables. Consumer behaviour analysis can be viewed as an alternative theoretical approach that emphasizes situational variables and measures of behaviour. Within consumer be...

  12. Hospital-acquired pneumonia

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/000146.htm Hospital-acquired pneumonia To use the sharing features on this page, please enable JavaScript. Hospital-acquired pneumonia is an infection of the lungs ...

  13. Staph infections - hospital

    Science.gov (United States)

    ... or skin cysts. Anyone can get a staph infection. Hospital patients can get staph infections of the skin: ... for and promptly reporting any sign of wound infections Many hospitals encourage patients to ask their providers if they ...

  14. HCAHPS Hospital Survey

    Data.gov (United States)

    U.S. Department of Health & Human Services — Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Hospital Survey The intent of the HCAHPS initiative is to provide a standardized survey...

  15. Te Ira Tangata: A Zelen randomised controlled trial of a treatment package including problem solving therapy compared to treatment as usual in Maori who present to hospital after self harm

    Directory of Open Access Journals (Sweden)

    Wikiriwhi Karen

    2011-05-01

    Full Text Available Abstract Background Maori, the indigenous people of New Zealand, who present to hospital after intentionally harming themselves, do so at a higher rate than non-Maori. There have been no previous treatment trials in Maori who self harm and previous reviews of interventions in other populations have been inconclusive as existing trials have been under powered and done on unrepresentative populations. These reviews have however indicated that problem solving therapy and sending regular postcards after the self harm attempt may be an effective treatment. There is also a small literature on sense of belonging in self harm and the importance of culture. This protocol describes a pragmatic trial of a package of measures which include problem solving therapy, postcards, patient support, cultural assessment, improved access to primary care and a risk management strategy in Maori who present to hospital after self harm using a novel design. Methods We propose to use a double consent Zelen design where participants are randomised prior to giving consent to enrol a representative cohort of patients. The main outcome will be the number of Maori scoring below nine on the Beck Hopelessness Scale. Secondary outcomes will be hospital repetition at one year; self reported self harm; anxiety; depression; quality of life; social function; and hospital use at three months and one year. Discussion A strength of the study is that it is a pragmatic trial which aims to recruit Maori using a Maori clinical team and protocol. It does not exclude people if English is not their first language. A potential limitation is the analysis of the results which is complex and may underestimate any effect if a large number of people refuse their consent in the group randomised to problem solving therapy as they will effectively cross over to the treatment as usual group. This study is the first randomised control trial to explicitly use cultural assessment and management. Trial

  16. Problematic Sexual Behaviour in a Secure Psychiatric Setting: Challenges and Developing Solutions

    Science.gov (United States)

    Hughes, Gareth V.; Hebb, Jo

    2005-01-01

    Sexually abusive behaviours are common in a forensic psychiatric population, both before admission and while hospitalized. A survey of our medium security facility found that 41% of patients had a history of sexually abusive behaviours, ranging from convictions for sexual assault through to current episodes of sexual harassment. Most forensic…

  17. Interruptions: Derrida and Hospitality

    OpenAIRE

    Mark W. Westmoreland

    2008-01-01

    Come in. Welcome. Be my guest and I will be yours. Shall we ask, in accordance with the Derridean question, "Is not hospitality an interruption of the self?" What is the relationship between the interruption and the moment one enters the host's home? Derrida calls us toward a new understanding of hospitality - as an interruption. This paper will illuminate the history of hospitality in the West as well as trace Derrida's discussions of hospitality throughout many of works. The overall goal of...

  18. Estudo comparativo da prevalência de Staphylococcus aureus importado para as unidades de terapia intensiva de hospital universitário, Pernambuco, Brasil Comparative study on the prevalence of Staphylococcus aureus imported to intensive care units of a university hospital, Pernambuco, Brazil

    Directory of Open Access Journals (Sweden)

    Silvana Maria de Morais Cavalcanti

    2006-12-01

    Full Text Available O Staphylococcus aureus é um dos principais patógenos que coloniza indivíduos saudáveis na comunidade e responde por infecções em pacientes hospitalizados. Um estudo transversal foi realizado para determinar a prevalência de S. aureus meticilina-resistente e sensível entre 231 pacientes, internados entre janeiro e abril de 2003, nas unidades de terapia intensiva (UTIs do Hospital Universitário Oswaldo Cruz, assim como os possíveis fatores associados à colonização. Foram coletadas secreções de narinas, axilas, região perineal e dermatoses com soluções de continuidade, de todos os pacientes, nas primeiras 48 horas de internamento nas UTIs. O material foi semeado em meios de cultura adequados. A prevalência de S. aureus igualou-se a 37,7% (87/231, sendo 13% (30/231 meticilina-resistente e 24,8% (57/231 meticilina-sensível. Idade, sexo, uso de antibioticoterapia, corticoterapia, motivo e local do internamento não se associaram à presença do S. aureus ou do meticilina-resistente. Houve associação significante entre procedência hospitalar e colonização por S. aureus, independente da cepa, e entre internamento anterior e presença do S. aureus meticilina-resistente. As narinas foram o sítio de colonização mais significante, por S. aureus meticilina-resistente (47/57=82,4% e sensível (23/30=76,7%. Foi alta a prevalência do S. aureus (meticilina resistente ou sensível, assim como do meticilina-resistente entre os pacientes das UTIs deste hospital. Estudos futuros poderão comprovar se os resultados aqui descritos e medidas de rastreamento para S. aureus poderiam ser adotadas, de forma prospectiva, para se avaliar o risco, assim como a magnitude do efeito, no controle de infecções hospitalares provocadas por estes patógenos.Staphylococcus aureus is the most important pathogen that colonizes healthy individuals in the community and is responsible for infections in hospitalized patients. A cross-sectional study was

  19. OCCUPATIONAL ROLE AFTER PSYCHIATRIC HOSPITALIZATION

    Directory of Open Access Journals (Sweden)

    GH.R GHASSEMI

    2003-03-01

    Full Text Available Introduction: Severe Psychiatricillness is accompanied by gross disturbances in patient's occupational role. This study presents a comparative picture of work performance before and after psychiatric hospitalization. Method: Subjects comprised 440 psychiatric admitters from Noor Medical center - Isfahan - Iran, who were followed from November 1999 to November 2000. Their work adjustment was measured by means of Weiss man's index. Data were computer analyzed using SPSS by running paired t- student and ANOVA. Results: Majority of the patients (53 % were without permanent sources of income before psychiatric hospitalization, about 12 percent of those who were working prior to hospitalization lost their job after being discharged from hospital. Better work adjustment before hospitalization was positively correlated with better work adjustment after discharge for working patients (r =0/66. Working ability of the patients after discharge was lesser than before the attack f9r patients with regular and irregular job (P < 001. Discussion: Job loss or poor working ability after psychiatric admission reported by several researchers and has bean confirmed in this study as well. These observatoins have been discussed in view of the current socio economic problems in the society and nature of psychiatric disturbances.

  20. High mortality despite good care-seeking behaviour

    DEFF Research Database (Denmark)

    Sodemann, Morten; Jakobsen, M S; Mølbak, Kare;

    1997-01-01

    The care-seeking behaviour of mothers of 125 children deceased aged 1-30 months was investigated by verbal autopsy in an urban area of Guinea-Bissau. A total of 93% of the children were seen at a health centre or hospital during the 2 weeks before death. In a previous survey covering the period...... hospital beds resulted in 15 mothers being refused hospitalization for their child. Of hospitalized children, 42% were discharged as improved or recovered during the 30 days preceding death. These results reveal a need for improved hospital admission criteria, improved recognition of the symptoms of...... 1987-90 we found that 78% of the children who died had presented for consultation (8); despite this increase in care seeking, infant mortality had not decreased. Comparison of elapsed time from disease onset to first consultation between children who died and matched surviving controls indicated that...

  1. Behavioural Analysis of Criminal Law: A Survey

    Directory of Open Access Journals (Sweden)

    Alon Harel

    2014-05-01

    Full Text Available This article is a survey of behavioural analysis of criminal law. Behavioural analysis of criminal law exploits social science methodologies (behavioural economics, psychology and even sociology to explore the effects of criminal law norms and enforcement policy on criminals, judges, juries, lawyers and other decision-makers, to determine the optimal type and size of criminal sanctions, to identify the optimal design of the enforcement system and the rules of evidence. Unlike traditional economic analysis, the behavioural perspective is eclectic rather than unitary; it is composed of various psychological and sociological findings including cognitive biases and their effects, prospect theory, the effects of social norms, findings concerning the ways preferences and beliefs are being shaped and even studies concerning happiness. Behavioural theorists call for the understanding and at times exploitation of various cognitive misperceptions, biases and heuristics to increase the deterrent effect of criminal law prohibitions and sanctions and/or increase their effectiveness. This survey compares this approach to traditional retributive approach and to economic analysis of law. It also provides several examples in which behavioural insights were used and, last it evaluates the prospects that the behavioural approach will influence policy and legislation.

  2. Behavioural therapy of suicidality.

    Science.gov (United States)

    Schneider, Barbara

    2012-11-01

    Suicidal behaviour is a serious public health issue. Suicidal behaviour includes completed suicide, suicide attempts, suicidal intent and/or plans and suicide ideation. Two prominent mechanisms, behavioural deficits, in particular poor problem-solving skills, and a certain cognitive style with overgeneralization, distortion and lack of positive expectations, have been identified in suicidal patients so far. Besides general therapy strategies, including the diagnostic process and a collaborative, confident relationship and strengthening of protective factors, specific behavioural strategies should aim at the modification of the behavioural repertoire and of cognitive strategies. The modification of the behavioural repertoire includes the direct modification of the behaviour, acquiring techniques for stress reduction and learning problem-solving strategies. Applied cognitive techniques comprise such as thought-stopping, examining options and alternatives, fantasizing consequences, externalizing inner voices, and reattribution. Psychotherapy with suicidal patients has a specific feature: It requires high activity of the therapist in terms of motivation and guidance of the patient. Regular assessment of the suicide risk at every session is a must. Nevertheless, the therapist should always be aware that it is impossible to prevent all suicidal acts. PMID:22926057

  3. Sedentary behaviour in youth.

    Science.gov (United States)

    Pate, Russell R; Mitchell, Jonathan A; Byun, Wonwoo; Dowda, Marsha

    2011-09-01

    The purpose of this review is to describe the amount of time children spend in sedentary behaviour and to determine if there are specific factors that associate with sedentary behaviour in children. The following search terms were used to identify relevant articles: sedentary behaviour, inactivity, television, computer, video games, small screen, sitting, prevalence, patterns, correlates, factors and determinants. The databases used to conduct the search included PubMed, PsycINFO, ERIC (Education Resources Information Center) and Academic Search Premier. The studies reviewed were limited to those that sampled children (2-18 years), were written in English and used a measure of sedentary behaviour as the dependent variable. Several studies reported the time spent watching television or the proportion of children at or above a threshold for television viewing (eg, ≥3 h/day). Among the accelerometer studies included, the National Health and Nutrition Examination Survey is the largest and reported ∼6.1, 7.5 and 8.0 h/day mean sedentary time in children 6-11, 12-15 and 16-19 years old, respectively. Taken together, the existing literature across the world indicates a slightly higher level of sedentary behaviour in older children. Higher levels of sedentary behaviour were also reported in non-white children, children from lower socioeconomic status background and children from households with more access to televisions/computers. Lower levels of sedentary behaviour were reported in children whose parents have rules/limitations on screen time. PMID:21836174

  4. Cognitive science and behaviourism.

    Science.gov (United States)

    Skinner, B F

    1985-08-01

    In this paper it is argued that cognitive scientists, claiming the support of brain science and computer simulation, have revived a traditional view that behaviour is initiated by an internal, autonomous mind. In doing so, they have misused the metaphor of storage and retrieval, given neurology a misleading assignment, frequently replaced controlled experimental conditions with mere descriptions of conditions and the assessment of behaviour with statements of expectations and intentions, given feelings and states of mind the status of causes of behaviour rather than the products of the causes, and failed to define many key terms in dimensions acceptable to science. PMID:4041702

  5. Suicide and suicidal behaviour.

    Science.gov (United States)

    Turecki, Gustavo; Brent, David A

    2016-03-19

    Suicide is a complex public health problem of global importance. Suicidal behaviour differs between sexes, age groups, geographic regions, and sociopolitical settings, and variably associates with different risk factors, suggesting aetiological heterogeneity. Although there is no effective algorithm to predict suicide in clinical practice, improved recognition and understanding of clinical, psychological, sociological, and biological factors might help the detection of high-risk individuals and assist in treatment selection. Psychotherapeutic, pharmacological, or neuromodulatory treatments of mental disorders can often prevent suicidal behaviour; additionally, regular follow-up of people who attempt suicide by mental health services is key to prevent future suicidal behaviour. PMID:26385066

  6. Hospital networks and the dispersal of hospital-acquired pathogens by patient transfer.

    Directory of Open Access Journals (Sweden)

    Tjibbe Donker

    Full Text Available Hospital-acquired infections (HAI are often seen as preventable incidents that result from unsafe practices or poor hospital hygiene. This however ignores the fact that transmissibility is not only a property of the causative organisms but also of the hosts who can translocate bacteria when moving between hospitals. In an epidemiological sense, hospitals become connected through the patients they share. We here postulate that the degree of hospital connectedness crucially influences the rates of infections caused by hospital-acquired bacteria. To test this hypothesis, we mapped the movement of patients based on the UK-NHS Hospital Episode Statistics and observed that the proportion of patients admitted to a hospital after a recent episode in another hospital correlates with the hospital-specific incidence rate of MRSA bacteraemia as recorded by mandatory reporting. We observed a positive correlation between hospital connectedness and MRSA bacteraemia incidence rate that is significant for all financial years since 2001 except for 2008-09. All years combined, this correlation is positive and significantly different from zero (partial correlation coefficient r = 0.33 (0.28 to 0.38. When comparing the referral pattern for English hospitals with referral patterns observed in the Netherlands, we predict that English hospitals more likely see a swifter and more sustained spread of HAIs. Our results indicate that hospitals cannot be viewed as individual units but rather should be viewed as connected elements of larger modular networks. Our findings stress the importance of cooperative effects that will have a bearing on the planning of health care systems, patient management and hospital infection control.

  7. Interruptions: Derrida and Hospitality

    Directory of Open Access Journals (Sweden)

    Mark W. Westmoreland

    2008-06-01

    Full Text Available Come in. Welcome. Be my guest and I will be yours. Shall we ask, in accordance with the Derridean question, "Is not hospitality an interruption of the self?" What is the relationship between the interruption and the moment one enters the host's home? Derrida calls us toward a new understanding of hospitality - as an interruption. This paper will illuminate the history of hospitality in the West as well as trace Derrida's discussions of hospitality throughout many of works. The overall goal of this project is to provide readers of Derrida with a sort of reference guide for his discussions on and deconstructive approach to hospitality.

  8. Medicare Hospital Spending Per Patient - Hospital

    Data.gov (United States)

    U.S. Department of Health & Human Services — The "Medicare hospital spending per patient (Medicare Spending per Beneficiary)" measure shows whether Medicare spends more, less or about the same per Medicare...

  9. Attempted suicide in Denmark. III. Assessment of repeated suicidal behaviour

    DEFF Research Database (Denmark)

    Wang, A G; Bille-Brahe, U; Hansen, W;

    1985-01-01

    Ninety-nine patients, randomly chosen among hospital admitted suicide attempters, were initially interviewed at the Department of Psychiatry, Odense University Hospital, Denmark, and then followed up for a period of about 3 years. Half of the patients repeated the attempt in the follow-up period......, mostly in the first year. Ten patients committed suicide, half of them in the first 3 months after the interview, shortly after discharge from hospital. The majority of the repeaters were living alone, while those that committed suicide were mostly married women aged 50-60 years. Other characteristic...... features for the repeaters were previous suicidal behaviour and suicidal behaviour among relatives. Many had a psychiatric record and expressed chronic somatic complaints. Around the time of the attempt, many expressed hopelessness, isolation and suicidal ideation. Pierce's Suicide Intent Scale performed...

  10. Can the theory of planned behaviour predict maintenance of a frequently repeated behaviour?

    Science.gov (United States)

    Shankar, A; Conner, M; Bodansky, H J

    2007-03-01

    The present study used the theory of planned behaviour to predict self-monitoring of blood glucose in patients with type 1 diabetes. Sixty-four adult patients with type 1 diabetes completed a questionnaire assessing the variables of the TPB in addition to demographic variables and a measure of conscientiousness. Self-report measures of daily self-monitoring behaviour were obtained for a two-week period. The extended model predicted 46% of the variance in behavioural intention and 57% of variance in self-monitoring behaviour, suggesting that the TPB is able to predict useful levels of variance, comparable to initiation, even in familiar and frequently repeated maintenance behaviours. Implications of these results are discussed. PMID:17365901

  11. Rumination-focused cognitive behaviour therapy vs. cognitive behaviour therapy for depression

    DEFF Research Database (Denmark)

    Hvenegaard, Morten; Watkins, Ed R; Poulsen, Stig;

    2015-01-01

    BACKGROUND: Cognitive behavioural therapy is an effective treatment for depression. However, one third of the patients do not respond satisfactorily, and relapse rates of around 30 % within the first post-treatment year were reported in a recent meta-analysis. In total, 30-50 % of remitted patients...... future depression. Rumination-focused cognitive behavioural therapy is a psychotherapeutic treatment targeting rumination. Because rumination plays a major role in the initiation and maintenance of depression, targeting rumination with rumination-focused cognitive behavioural therapy may be more...... effective in treating depression and reducing relapse than standard cognitive behavioural therapy. METHOD/DESIGN: This study is a two-arm pragmatic randomised controlled superiority trial comparing the effectiveness of group-based rumination-focused cognitive behaviour therapy with the effectiveness of...

  12. Periodic activations of behaviours and emotional adaptation in behaviour-based robotics

    Science.gov (United States)

    Burattini, Ernesto; Rossi, Silvia

    2010-09-01

    The possible modulatory influence of motivations and emotions is of great interest in designing robotic adaptive systems. In this paper, an attempt is made to connect the concept of periodic behaviour activations to emotional modulation, in order to link the variability of behaviours to the circumstances in which they are activated. The impact of emotion is studied, described as timed controlled structures, on simple but conflicting reactive behaviours. Through this approach it is shown that the introduction of such asynchronies in the robot control system may lead to an adaptation in the emergent behaviour without having an explicit action selection mechanism. The emergent behaviours of a simple robot designed with both a parallel and a hierarchical architecture are evaluated and compared.

  13. Modelling Reactive and Proactive Behaviour in Simulation

    CERN Document Server

    Majid, Mazlina Abdul; Aickelin, Uwe

    2010-01-01

    This research investigated the simulation model behaviour of a traditional and combined discrete event as well as agent based simulation models when modelling human reactive and proactive behaviour in human centric complex systems. A departmental store was chosen as human centric complex case study where the operation system of a fitting room in WomensWear department was investigated. We have looked at ways to determine the efficiency of new management policies for the fitting room operation through simulating the reactive and proactive behaviour of staff towards customers. Once development of the simulation models and their verification had been done, we carried out a validation experiment in the form of a sensitivity analysis. Subsequently, we executed a statistical analysis where the mixed reactive and proactive behaviour experimental results were compared with some reactive experimental results from previously published works. Generally, this case study discovered that simple proactive individual behaviou...

  14. Cognitive deficits in hospitalized and never hospitalized remitted unipolar depressive patients

    Directory of Open Access Journals (Sweden)

    Marek Preiss

    2010-09-01

    Full Text Available Background and Objectives: Little is known about the differences between patients managing depression on an outpatient basis as compared with hospitalized ones. This study investigated the performance of attention, executive function and verbal memory during remission from unipolar depressive episodes and compare patients with and without history of hospitalization. Methods: The sample of participants who had undergone one or more hospitalizations (hospitalized, N = 46 as well as in a sample without hospitalization (never hospitalized, N = 46 and controls (N = 92 were used. The Auditory Verbal Learning Test (AVLT and the Trail Making Test (TMT were administrated to test this hypothesis. Results and conclusion: The hospitalized sample had similar results in all four neuropsychological variables in comparison with the never hospitalized group, and both groups had some lower results in comparison with controls. In comparison with the controls, hospitalized sample had mean cognitive deficits of 34% (28-41%, the never hospitalized group had a mean of 20% (21-35%. Contrary to previous reports we have found no meaningful differences between the two patient groups.

  15. Reducing Risky Security Behaviours: Utilising Affective Feedback to Educate Users

    Directory of Open Access Journals (Sweden)

    Lynsay A. Shepherd

    2014-11-01

    Full Text Available Despite the number of tools created to help end-users reduce risky security behaviours, users are still falling victim to online attacks. This paper proposes a browser extension utilising affective feedback to provide warnings on detection of risky behaviour. The paper provides an overview of behaviour considered to be risky, explaining potential threats users may face online. Existing tools developed to reduce risky security behaviours in end-users have been compared, discussing the success rates of various methodologies. Ongoing research is described which attempts to educate users regarding the risks and consequences of poor security behaviour by providing the appropriate feedback on the automatic recognition of risky behaviour. The paper concludes that a solution utilising a browser extension is a suitable method of monitoring potentially risky security behaviour. Ultimately, future work seeks to implement an affective feedback mechanism within the browser extension with the aim of improving security awareness.

  16. Elementarity and quantum behaviour

    International Nuclear Information System (INIS)

    The notion of elementarity is considered as a concept on which a motivation of quantum behaviour may be founded. The definition of velocity of an elementary body, in particular, is examined in comparison with the classical situation. (author)

  17. Behavioural Biometrics in Biomedicine

    Czech Academy of Sciences Publication Activity Database

    Schlenker, Anna; Šárek, M.

    Prague, 2013, nestr. [EFMI 2013 Special Topic Conference. Prague (CZ), 17.04.2013-19.04.2013] Institutional support: RVO:67985807 Keywords : biometrics * behavioural biometrics * keystroke dynamics * mouse dynamics Subject RIV: IN - Informatics, Computer Science

  18. Psychology: Inducing green behaviour

    Science.gov (United States)

    Thøgersen, John

    2013-02-01

    Economic arguments, such as saving money, are often used to promote pro-environmental actions -- for example, reducing energy use. However, research shows that people's environmental motives are sometimes better drivers of behavioural change.

  19. Recycling as moral behaviour

    DEFF Research Database (Denmark)

    Thøgersen, John

    It is argued in this paper that in the affluent, industrial societies, environmental behaviours like recycling are typically classified within ""the domain of morality"" in people's minds. Intentions regarding these types of behaviours are not ba a thorough - conscious or unconscious - calculation...... of the balance of costs and benefits. Rather, they are a function of the person's moral beliefs, i.e., beliefs in what is the right or wrong thing to do. The paper gives a brief review of the literature with the intention of uncovering problems and shortcomings in the framework of the SEU-model and...... the Theory of Reasoned Action (TRA) with regard to understanding recycling behaviour. Further, examples of misleading policy conclusions are discussed suggested that within the framework of cognitive psychology, Schwartz's model of altruistic behaviour offers a more satisfying starting point for...

  20. Changing doctor prescribing behaviour

    DEFF Research Database (Denmark)

    Gill, P.S.; Mäkelä, M.; Vermeulen, K.M.;

    1999-01-01

    The aim of this overview was to identify interventions that change doctor prescribing behaviour and to derive conclusions for practice and further research. Relevant studies (indicating prescribing as a behaviour change) were located from a database of studies maintained by the Cochrane Collabora......The aim of this overview was to identify interventions that change doctor prescribing behaviour and to derive conclusions for practice and further research. Relevant studies (indicating prescribing as a behaviour change) were located from a database of studies maintained by the Cochrane...... Collaboration on Effective Professional Practice. This register is kept up to date by searching the following databases for reports of relevant research: DHSS-DATA; EMBASE; MEDLINE; SIGLE; Resource Database in Continuing Medical Education (1975-1994), along with bibliographies of related topics, hand searching...

  1. Behaviour of Anastrepha fraterculus

    International Nuclear Information System (INIS)

    A number of experiments and observations on the behaviour, host associations, attractants for adults and pupation of the South American fruit fly Anastrepha fraterculus (Wiedemann), conducted under field or semi-natural conditions are presented here. (author)

  2. Pre-hospital thrombolysis.

    Science.gov (United States)

    Vaishnav, Aditi; Vaishnav, Avani; Khandekar, Santosh; Vaishnav, Sudhir

    2011-12-01

    Coronary heart disease (CHD) is a major cause of mortality in India. Patients in India, who have acute coronary syndromes, have a higher rate of STEMI than do patients in developed countries. Since most of these patients are poor, they are less likely to get evidence-based treatments, and have a greater 30-day mortality. Reduction of delays in access to hospital and provision of affordable treatments could reduce this. Treatment regimes for AMI should aim to open the artery as soon as possible and as wide as possible. In patients suitable for thrombolytic treatment, time is critical and reperfusion should be initiated as soon as possible. Some adjunctive therapies are also beneficial, in particular, the antiplatelet agent aspirin, which should be given in the prehospital setting when a diagnosis of AMI is suspected. Despite availability of good treatment, mortality from AMI is showing no further reduction due to the prehospital phase and in-hospital delays. Thrombolysis is almost always delivered to patients after arriving in hospital, losing valuable time (and hence heart muscle). Newer drugs combined with recognition of improved outcomes have prompted attempts to decrease the time from symptom onset to treatment delivery via Pre Hospital Thrombolysis (PHT). However, PHT is significantly superior to in-hospital thrombolysis (IHT). This is especially important in regions where PCI is not available. In the RIKS-HIA and NRMI, PHT had better outcomes than IHT, but patients who received PPCI had lower mortality and re-infarction rates. They concluded that within 2 h of symptom onset, patients should receive PHT only if PPCI is not available within 4 h. In CAPTIM, which compared PPCI and PHT followed by PCI if thrombolysis failed and in GRACIA-1 trial, which tested the role of systematic PCI within 24 h of thrombolysis, the policy of systematic PCI following thrombolysis yielded better results than conservative management. The American Heart Association (AHA) and the

  3. Sex differences in clinical characteristics, hospital management practices, and in-hospital outcomes in patients hospitalized in a Vietnamese hospital with a first acute myocardial infarction.

    Directory of Open Access Journals (Sweden)

    Hoa L Nguyen

    Full Text Available BACKGROUND: Cardiovascular disease is one of the leading causes of morbidity and mortality in Vietnam. We conducted a pilot study of Hanoi residents hospitalized with acute myocardial infarction (AMI at the Vietnam National Heart Institute in Hanoi. The objectives of this observational study were to examine sex differences in clinical characteristics, hospital management, in-hospital clinical complications, and mortality in patients hospitalized with an initial AMI. METHODS: The study population consisted of 302 Hanoi residents hospitalized with a first AMI at the largest tertiary care medical center in Hanoi in 2010. RESULTS: The average age of study patients was 66 years and one third were women. Women were older (70 vs. 64 years and were more likely than men to have had hyperlipidemia previously diagnosed (10% vs. 2%. During hospitalization, women were less likely to have undergone percutaneous coronary intervention (PCI compared with men (57% vs. 74%, and women were more likely to have developed heart failure compared with men (19% vs. 10%. Women experienced higher in-hospital case-fatality rates (CFRs than men (13% vs. 4% and these differences were attenuated after adjustment for age and history of hyperlipidemia (OR: 2.64; 95% CI: 1.01, 6.89, and receipt of PCI during hospitalization (OR: 2.09; 95% CI: 0.77, 5.09. CONCLUSIONS: Our pilot data suggest that among patients hospitalized with a first AMI in Hanoi, women experienced higher in-hospital CFRs than men. Full-scale surveillance of all Hanoi residents hospitalized with AMI at all Hanoi medical centers is needed to confirm these findings. More targeted and timely educational and treatment approaches for women appear warranted.

  4. Investigating garment drape behaviour

    OpenAIRE

    Sanad,, R; Cassidy, T.

    2015-01-01

    Drapeability is one of the most important visual properties affecting garment appearance. Even though there are many studies concerned with fabric drape, understanding about the drape behaviour of garments is very limited. This study analyzes the key properties affecting the drape behaviour of garments to provide prediction equations. Results are statistically analyzed. From multiple regression analysis, drape rank scores obtained from subjective analyses are predicted using weight, bending m...

  5. Velocity dependant splash behaviour

    Science.gov (United States)

    Hamlett, C. A. E.; Shirtcliffe, N. J.; McHale, G.; Ahn, S.; Doerr, S. H.; Bryant, R.; Newton, M. I.

    2012-04-01

    Extreme soil water repellency can occur in nature via condensation of volatile organic compounds released during wildfires and can lead to increased erosion rate. Such extreme water repellent soil can be classified as superhydrophobic and shares similar chemical and topographical features to specifically designed superhydrophobic surfaces. Previous studies using high speed videography to investigate single droplet impact behaviour on artificial superhydrophobic have revealed three distinct modes of splash behaviour (rebound, pinned and fragmentation) which are dependent on the impact velocity of the droplet. In our studies, using high-speed videography, we show that such splash behaviour can be replicated on fixed 'model' water repellent soils (hydrophobic glass beads/particles). We show that the type of splash behaviour is dependent on both the size and chemical nature of the fixed particles. The particle shape also influences the splash behaviour as shown by drop impact experiments on fixed sand samples. We have also studied soil samples, as collected from the field, which shows that the type of droplet splash behaviour can lead to enhanced soil particle transport.

  6. Collection overlap in hospital health sciences libraries: a case study.

    OpenAIRE

    Stroyan, S

    1985-01-01

    Given similar demographics (age, size, and user population), to what extent do community hospital libraries differ in collection content? It is sometimes assumed that hospital libraries are relatively homogeneous and therefore subject to standardized procedures and collection development guides. This study compares the holdings of two community hospital libraries in Illinois to determine similarities and differences.

  7. Patient Safety Outcomes in Small Urban and Small Rural Hospitals

    Science.gov (United States)

    Vartak, Smruti; Ward, Marcia M.; Vaughn, Thomas E.

    2010-01-01

    Purpose: To assess patient safety outcomes in small urban and small rural hospitals and to examine the relationship of hospital and patient factors to patient safety outcomes. Methods: The Nationwide Inpatient Sample and American Hospital Association annual survey data were used for analyses. To increase comparability, the study sample was…

  8. New energy value chain through pyrolysis of hospital plastic waste

    International Nuclear Information System (INIS)

    In this paper, the evolution in thermochemical behaviours of hospital plastic wastes and changes in chemical composition and characteristics of pyrolysis liquid products have been investigated by using different fixed bed reactor scales. The main objective is to identify the critical technical parameters enabling thermochemical process adaptation in function of raw materials chemical structure, with the aim of maximising the yield of condensable fraction and optimising its energetic properties related to internal combustion engines. It is a step-by-step procedure using three reactor capacity levels, which allows various aspects approach of thermochemical process development from the evaluation of global reaction kinetic parameters to the measurement of physicochemical properties of the final pyrolysis products. In order to reduce the gas and solid fractions with corresponding increasing of condensable products, the transposition of thermal and kinetic information provided by thermogravimetric analysis (TGA) to larger reactors is used to control of process parameters. In this experimental work the mass of samples increases from 0.05 g in the thermogravimetric analyser to 600 g in the bench scale reactor. Gas-chromatography techniques have been used to identify the chemical composition of gases (GC/TCD) and liquids (GC/FID-MS). It was established that changing the reactor scale does not result in significant differences in pyrolysis product distribution, neither in gas composition. On the other hand, the aspect and the quality of condensable fraction display a high variability. Also, the energy contained in the final valuable pyrolysis product was compared with the energy demand during the thermochemical transformation in order to evaluate the energy efficiency of the process. - Highlights: • The thermal decompositions of hospital plastic waste. • Controlled pyrolysis can be applied to produced valuable molecules or hydrocarbon-based fuels from hospital plastic

  9. Comparing breast feeding practices in baby friendly and non-accredited hospitals in Salvador, Bahia Comparação das práticas de amamentação em hospitais IHAC e não credenciados em Salvador, Bahia

    Directory of Open Access Journals (Sweden)

    Priscilla Nunes Ortiz

    2011-12-01

    Full Text Available OBJECTIVES: to compare compliance with Steps 4 to 10 of "The Steps to Successful Breastfeeding" in two hospitals accredited by the Baby-Friendly Hospital Initiative (BFHI group with two not yet accredited hospitals in Salvador. METHODS: a cross-sectional study was conducted with 100 women in BFHI-accredited hospitals and 103 women in non-BFHI-accredited hospitals by collecting data on their obstetric history, any breast feeding counseling received during antenatal care, and data on delivery and hospitalization. Data were obtained by applying questionnaires and reviewing patients' medical charts. The chi-square test was used for bivariate variables and Student's t test for continuous variables. RESULTS: statistically significant differences (pOBJETIVOS: comparar o cumprimento dos Passos de 4 a 10 dos "Dez Passos para o Sucesso do Aleitamento Materno" nos hospitais credenciados pela Iniciativa Hospital Amigo da Criança (grupo IHAC em relação a hospitais não credenciados em Salvador. MÉTODOS: um estudo de corte transversal foi conduzido com 100 mulheres no grupo IHAC e 103 mulheres no grupo não-IHAC através de entrevista abordando história obstétrica, orientações sobre aleitamento materno durante o pré-natal, informações sobre o parto e internamento. A coleta de dados foi realizada através da aplicação de questionários e pesquisa de prontuários. O teste do quiquadrado foi realizado para variáveis dicotômicas e o t de Student para variáveis contínuas. RESULTADOS: diferença estatisticamente significante (p<0,05 foi encontrada entre os grupos IHAC e não-IHAC na avaliação dos passos 5 (77% vs 35,9%, 6 (81% vs 31%, 8 (77% vs 52,4%, e 9 (100% vs 94,2%. Não houve diferença entre os dois grupos na avaliação dos passos 4, 7 ou 10. O cumprimento satisfatório nos hospitais do grupo IHAC foi encontrado na avaliação dos Passos 6, 7 e 9. CONCLUSÕES: os resultados evidenciam os benefícios do credenciamento na IHAC, mas enfatiza

  10. Hospital diversification strategy.

    Science.gov (United States)

    Eastaugh, Steven R

    2014-01-01

    To determine the impact of health system restructuring on the levels of hospital diversification and operating ratio this article analyzed 94 teaching hospitals and 94 community hospitals during the period 2008-2013. The 47 teaching hospitals are matched with 47 other teaching hospitals experiencing the same financial market position in 2008, but with different levels of preference for risk and diversification in their strategic plan. Covariates in the analysis included levels of hospital competition and the degree of local government planning (for example, highly regulated in New York, in contrast to Texas). Moreover, 47 nonteaching community hospitals are matched with 47 other community hospitals in 2008, having varying manager preferences for service-line diversification and risk. Diversification and operating ratio are modeled in a two-stage least squares (TSLS) framework as jointly dependent. Institutional diversification is found to yield better financial position, and the better operating profits provide the firm the wherewithal to diversify. Some services are in a growth phase, like bariatric weight-loss surgery and sleep disorder clinics. Hospital managers' preferences for risk/return potential were considered. An institution life cycle hypothesis is advanced to explain hospital behavior: boom and bust, diversification, and divestiture, occasionally leading to closure or merger. PMID:25223156

  11. Education in geriatric medicine for community hospital staff.

    LENUS (Irish Health Repository)

    O'Hanlon, Shane

    2010-12-01

    Community hospitals provide many services for older people. They are mainly managed by nursing staff, with some specialist input. Little is known about education provided in these facilities. Most education in geriatric medicine is provided in hospitals, despite most elderly care being provided in the community. The authors surveyed senior nursing staff in Irish community hospitals to examine this area in more detail. Staff in all 18hospitals in the Health Service Executive (South) area were invited to participate. The response rate was 100%. Sixteen of the 18 respondents (89%) felt staff did not have enough education in geriatric medicine. Just over half of hospitals had regular staff education sessions in the area, with a minority of sessions led by a geriatrician, and none by GPs. Geriatrician visits were valued, but were requested only every 1-3 months. Staff identified challenging behaviour and dementia care as the areas that posed most difficulty.

  12. Rewards for safe road behaviour.

    NARCIS (Netherlands)

    2011-01-01

    It is known from psychology that behaviour can be changed more quickly and long lasting by rewarding desirable behaviour than by penalizing undesirable behaviour. Rewarding road safety behaviour can also be effective, as shown by research into, for instance, the use of seatbelts and driving speeds.

  13. Moderating role of attitudinal ambivalence within the theory of planned behaviour.

    Science.gov (United States)

    Conner, Mark; Povey, Rachel; Sparks, Paul; James, Rhiannon; Shepherd, Richard

    2003-03-01

    The present study examined the moderating role of attitudinal ambivalence within the theory of planned behaviour (TPB). Attitude, subjective norm, perceived behavioural control (PBC), behavioural intentions and self-reported behaviour were assessed in relation to 20 healthy eating behaviours in a prospective questionnaire design in 232 members of the general public in the UK. Between-participants univariate and multivariate analyses indicated attitude-behaviour and PBC-behaviour relationships to be weaker in higher ambivalence compared to lower ambivalence respondents. These effects were confirmed in within-participants analyses. The findings are discussed in terms of the role of ambivalence in furthering our understanding of relationships in the TPB. PMID:12713757

  14. Out of Pocket Expenditure for Hospitalization among Below Poverty Line Households in District Solan, Himachal Pradesh, India, 2013

    Science.gov (United States)

    Gupt, Anadi; Kaur, Prabhdeep; Kamraj, P.; Murthy, B. N.

    2016-01-01

    Introduction Health insurance schemes, like Rashtriya Swasthya Bima Yojana (RSBY), should provide financial protection against catastrophic health costs by reducing out of pocket expenditure (OOPE) for hospitalizations. We estimated and compared the proportion and extent of OOPE among below poverty line (BPL) families beneficiaries and not beneficiaries by RSBY during hospitalizations in district Solan, H.P., India, 2013. Methods We conducted a cross sectional survey among hospitalized BPL families in the beneficiaries and non-beneficiaries groups. We compared proportion incurring OOPE and its extent during hospitalization, pre/post-hospitalization periods in different domains. Results Overall, proportion of non-beneficiaries who incurred OOPE was higher than the beneficiaries but it was not statistically significant (87.2% vs. 80.9%). The median overall OOPE was $39 (Rs 2567) in the non-beneficiaries group as compared to $ 11 (Rs 713) in the beneficiaries group (p<0.01). Median expenditure on in house and out house drugs and consumables was $ 23 (Rs 1500) in the non beneficiaries group as compared to nil in the beneficiaries group (p<0.01). Non-beneficiary status was significantly associated [OR: 2.4 (1.3–4.3)] with OOPE above median independently and also after adjusting for various covariates. Conclusion RSBY has decreased the extent of OOPE among the beneficiaries; however OOPE was incurred mainly due to purchase of drugs from outside the health facility. The treatment seeking behaviour in beneficiaries group has improved among comparatively older group with chronic conditions. RSBY has enabled beneficiaries to get more facilities such as drugs, consumables and diagnostics from the health facility. PMID:26895419

  15. Out of Pocket Expenditure for Hospitalization among Below Poverty Line Households in District Solan, Himachal Pradesh, India, 2013.

    Directory of Open Access Journals (Sweden)

    Anadi Gupt

    Full Text Available Health insurance schemes, like Rashtriya Swasthya Bima Yojana (RSBY, should provide financial protection against catastrophic health costs by reducing out of pocket expenditure (OOPE for hospitalizations. We estimated and compared the proportion and extent of OOPE among below poverty line (BPL families beneficiaries and not beneficiaries by RSBY during hospitalizations in district Solan, H.P., India, 2013.We conducted a cross sectional survey among hospitalized BPL families in the beneficiaries and non-beneficiaries groups. We compared proportion incurring OOPE and its extent during hospitalization, pre/post-hospitalization periods in different domains.Overall, proportion of non-beneficiaries who incurred OOPE was higher than the beneficiaries but it was not statistically significant (87.2% vs. 80.9%. The median overall OOPE was $39 (Rs 2567 in the non-beneficiaries group as compared to $11 (Rs 713 in the beneficiaries group (p<0.01. Median expenditure on in house and out house drugs and consumables was $23 (Rs 1500 in the non beneficiaries group as compared to nil in the beneficiaries group (p<0.01. Non-beneficiary status was significantly associated [OR: 2.4 (1.3-4.3] with OOPE above median independently and also after adjusting for various covariates.RSBY has decreased the extent of OOPE among the beneficiaries; however OOPE was incurred mainly due to purchase of drugs from outside the health facility. The treatment seeking behaviour in beneficiaries group has improved among comparatively older group with chronic conditions. RSBY has enabled beneficiaries to get more facilities such as drugs, consumables and diagnostics from the health facility.

  16. Information behaviour: models and concepts

    Directory of Open Access Journals (Sweden)

    Polona Vilar

    2005-01-01

    Full Text Available The article presents an overview of the research area of information behaviour. Information behaviour is defined as the behaviour of individuals in relation to information sources and channels, which results as a consequence of their information need, and encompasses passive and active searching of information, and its use. Theoretical foundations are presented, as well as some fundamental conceptual models of information behaviour and related concepts: information searching behaviour, which occurrs in active, purposeful searching for information, regardless of the information source used; and information seeking behaviour, which represents a micro-level of information searching behaviour, and is expressed by those individuals who interact with information retrieval systems.

  17. Towards the collaborative hospital

    DEFF Research Database (Denmark)

    Prætorius, Thim; Hasle, Peter; Edwards, Kasper;

    2015-01-01

    Hospitals are increasingly faced with conflicting demands as they have to respond to increasing patient demands as well as financial, clinical and quality challenges. To handle these demands the hospital need to reconfigure its organization, and we propose to build on a concept for the...... collaborative hospital as new organizational form which is better equipped to respond to the challenges facing modern hospitals. The collaborative hospital is an ambidextrous organization that opens for pursuing both exploration and exploitation within the same organizational structure. The basic principles of...... the collaborative hospital concern the creation of an appropriate balance between standardization and local autonomy, shared purpose centred around providing the best possible care, and use of enabling structures that sustain the new ways of collaborative work. The chapter builds on the theoretical...

  18. Social responsibility: a new paradigm of hospital governance?

    Science.gov (United States)

    Brandão, Cristina; Rego, Guilhermina; Duarte, Ivone; Nunes, Rui

    2013-12-01

    Changes in modern societies originate the perception that ethical behaviour is essential in organization's practices especially in the way they deal with aspects such as human rights. These issues are usually under the umbrella of the concept of social responsibility. Recently the Report of the International Bioethics Committee of UNESCO on Social Responsibility and Health has addressed this concept of social responsibility in the context of health care delivery suggesting a new paradigm in hospital governance. The objective of this paper is to address the issue of corporate social responsibility in health care, namely in the hospital setting, emphasising the special governance arrangements of such complex organisations and to evaluate if new models of hospital management (entrepreneurism) will need robust mechanisms of corporate governance to fulfil its social responsiveness. The scope of this responsible behaviour requires hospitals to fulfil its social and market objectives, in accordance to the law and general ethical standards. Social responsibility includes aspects like abstention of harm to the environment or the protection of the interests of all the stakeholders enrolled in the deliverance of health care. In conclusion, adequate corporate governance and corporate strategy are the gold standard of social responsibility. In a competitive market hospital governance will be optimised if the organization culture is reframed to meet stakeholders' demands for unequivocal assurances on ethical behaviour. Health care organizations should abide to this new governance approach that is to create organisation value through performance, conformance and responsibility. PMID:22481565

  19. Thymoma: a clinicopathologic association of world health organization histologic subtype and invasive behaviour

    International Nuclear Information System (INIS)

    To re-classify thymic epithelial neoplasms reported at Aga Khan University Hospital during the past seven years according to the revised WHO classification, to assess the ease of application and determine association between WHO histological subtype and invasive behaviour. All cases of thymic epithelial neoplasms reported in the past seven years were retrieved using SNOMED coding system. Small biopsies where the tissue was insufficient for definite classification were not included. All cases were reviewed and reclassified according to WHO classification into types A, AB, B1, B2 and B3. Capsular invasion as well as extension into neighboring structures such as perithymic fat, pleura, pericardium, lung etc. was noted on morphology. A total of 62 cases were diagnosed as Thymic Epithelial Tumors (TET). Out of these, there were 5 type A (6 %), 17 type AB (21%), 7 type B1 (8.6%), 26 type B2 (32%) and 7 type B3 (8.6%) thymomas. Age range was from 22-78 years with a median age of 46 years. Male to female ratio was 6:1. History of associated myasthenia gravis was present in 21% of cases. A significant association was observed between WHO histologic subtype and invasive behaviour where types A, AB and B1 have lesser number of invasive cases as compared to non-invasive, whereas in types B2 and B3, more cases have shown invasion as compared to non-invasive cases (c2 = 14.093, df =1, p-value<0.001 ). The WHO classification is simple and easy to apply and has significant association with aggressive behavior. To some extent, it reflects the clinical behaviour of thymomas along with stage and status of resection. However, morphologically benign looking thymomas can behave aggressively. Hence, tumour stage, extent of resection and histology should be combined to predict the clinical behaviour of thymomas. (author)

  20. Attitudes, risk of infection and behaviours in the operating room (the ARIBO Project): a prospective, cross-sectional study

    Science.gov (United States)

    Birgand, Gabriel; Azevedo, Christine; Toupet, Gaelle; Pissard-Gibollet, Roger; Grandbastien, Bruno; Fleury, Eric; Lucet, Jean-Christophe

    2014-01-01

    Introduction Inappropriate staff behaviours can lead to environmental contamination in the operating room (OR) and subsequent surgical site infection (SSI). This study will focus on the continued assessment of OR staff behaviours using a motion tracking system and their impact on the SSI risk during surgical procedures. Methods and analysis This multicentre prospective cross-sectional study will include 10 ORs of cardiac and orthopaedic surgery in 12 healthcare facilities (HCFs). The staff behaviour will be assessed by an objective, continued and prolonged quantification of movements within the OR. A motion tracking system including eight optical cameras (VICON-Bonita) will record the movements of reflective markers placed on the surgical caps/hoods of each person entering the room. Different configurations of markers positioning will be used to distinguish between the staff category. Doors opening will be observed by means of wireless inertial sensors fixed on the doors and synchronised with the motion tracking system. We will collect information on the OR staff, surgical procedures and surgical environment characteristics. The behavioural data obtained will be compared (1) to the ‘best behaviour rules’ in the OR, pre-established using a Delphi method and (2) to surrogates of the infectious risk represented by microbiological air counts, particle counts, and a bacteriological sample of the wound at closing. Statistics will be performed using univariate and multivariate analysis to adjust on the aerolic and architectural characteristics of the OR. A multilevel model will allow including surgical specialty and HCFs effects. Through this study, we will develop an original approach using high technology tools associated to data processing techniques to evaluate ‘automatically’ the behavioural dynamics of the OR staff and their impact on the SSI risk. Ethics and dissemination Approbation of the Institutional Review Board of Paris North Hospitals, Paris 7

  1. Factors influencing Household Recycling Behaviour A study of Japanese consumer behaviour

    OpenAIRE

    Takiyama, Saori

    2008-01-01

    Waste production has been a major social and environmental issue across nations. Recycling has increasingly concerned as one of the effective ways to deal with the issue. Although there has been official recycling system in Japan, recycling rate in households has not been improved, comparing that in industrial sector. This study examines factors influencing recycling behaviour with evidence from Japanese consumers. Several factors have been identified as the predictor of recycling behaviour w...

  2. Depression as a Predictor of Length of Hospital Stay in Elderly Patients Admitted to Ain Shams University Hospitals

    OpenAIRE

    Sherine M. Elbanouby, Sarah A.Hamza,Samia A. Abdel Rahman and Ahmed Kamel Mortagy

    2013-01-01

    Background: Depression among the physically ill is common and frequently under-diagnosed. Elderly patients with depressive symptoms are at higher risk of hospital admission for non psychiatric conditions and are more likely to have longer hospital stays and worse hospital outcomes, compared with non depressed patients. Objectives: The aim of this study was to find out if depression can be considered a predictor of prolonged hospital stay in elderly patients. Design: A prospective cohor...

  3. Assault and abuse of health care workers in a large teaching hospital.

    OpenAIRE

    Yassi, A.

    1994-01-01

    OBJECTIVES: To determine the nature, extent and costs of injuries to health care workers caused by physical abuse. DESIGN: Retrospective study. SETTING: Large acute and tertiary care teaching hospital in Winnipeg. PARTICIPANTS: All health care workers at the hospital who filed reports of abuse-related injuries and of verbal abuse and threatening behaviour from Apr. 1, 1991, to Mar. 31, 1993. OUTCOME MEASURES: Frequency of physical and verbal abuse of hospital personnel according to job catego...

  4. The market for hospital medicine in Denmark

    Directory of Open Access Journals (Sweden)

    Gisela Hostenkamp

    2011-11-01

    Full Text Available Pharmaceutical expenditure growth has outpaced GDP and healthcare expenditure growth rates in Denmark as in most OECD countries for the last decade. A major part of this increase was due to high growth rates in specialist areas that are typically located in hospital settings. Yet the market for hospital medicines and their procurement are still poorly understood. The present paper characterises the market for hospital medicines in Denmark in terms of its organisation and developments between 2005 and 2009. In Denmark hospital medicines are publicly financed and procurement is centrally organised. 98% of all medicines administered at Danish public hospitals are purchased through a public procurement agency by means of public tenders. Using data on actual contract prices we decompose pharmaceutical expenditure growth into the contributions from newly introduced medicines, price and volume increases and use summary statistics to compare market performance in both sectors. The market for hospital medicine is more concentrated than the pharmaceutical retail sector and the share of generics and parallel imported products is significantly lower. Between 2005 and 2009 expenditures for hospital medicines more than doubled -accounting for almost 40% of the total Danish pharmaceutical market in 2009. Price increases however - although positive and higher than in the pharmaceutical retail sector - were only moderate. The majority of the expenditure growth was due to an increase in utilisation and the introduction of new medicines in the hospital sector. Centralised tendering may therefore have important implications for competition and industry structure in the long run.

  5. Preschoolers’ Physical Activity Behaviours

    Science.gov (United States)

    Irwin, Jennifer D.; He, Meizi; Bouck, L. Michelle Sangster; Tucker, Patricia; Pollett, Graham L.

    2016-01-01

    Objectives To understand parents’ perspectives of their preschoolers’ physical activity behaviours. Methods A maximum variation sample of 71 parents explored their preschoolers’ physical activity behaviours through 10 semi-structured focus group discussions. Results Parents perceived Canada’s Physical Activity Guidelines for Children as inadequate; that their preschoolers get and need more than 30–90 minutes of activity daily; and that physical activity habits must be established during the preschool years. Nine barriers against and facilitators toward adequate physical activity were proposed: child’s age, weather, daycare, siblings, finances, time, society and safety, parents’ impact, and child’s activity preferences. Discussion The need for education and interventions that address current barriers are essential for establishing physical activity as a lifestyle behaviour during early childhood and, consequently, helping to prevent both childhood and adulthood obesity. PMID:16625802

  6. Tax Compliance Behaviour

    OpenAIRE

    ªtefura Gabriela

    2011-01-01

    To every state it is essential to ensure that the public budget copes with the public expenditure, in other words, to make sure that it collects sufficient revenues in order to have a stable economy. These revenues come especially from the collecting of taxes and fees. In order to have a functional fiscal system, it is important to understand both the fiscal component and the behaviour of its contributors. That is why the taxpayer behaviour has grown as a subject of research, in many fields b...

  7. Values and behaviour model

    International Nuclear Information System (INIS)

    Occupational injuries, accidents, trips of equipment, emergencies, and idle times represent a loss from each megawatt hour which we could have supplied to the network, or other costs related to settlement or compensation for damages. All of it can be caused by short lack of attention while doing a routine job, ignoring safety indicators, and rules. Such behaviour would not be a characteristic of a professional. People working at the nuclear power plants are the first ones to learn about the Values and Behaviour Model. (author)

  8. Information behaviour and practice

    CERN Document Server

    Rafferty, Pauline; Baker, David

    2015-01-01

    This special issue explores information behaviour and practice in general, and specifically focuses on the implications for library and information services. Information seeking behaviour and information practice remain areas of importance in information science and librarianship, perhaps even more so in the digital age. This special issue is an opportunity to share ideas and scholarship and to explore models and methods. The papers chosen for inclusion cover a range of topics and approach them from a number of different epistemological and methodological positions demonstrating the liveliness

  9. The comparative analysis of board of directors mode and council mode in the separation reform of management affairs and operation affaires in public hospital%公立医院管办分离改革理事会模式与董事会模式对比分析

    Institute of Scientific and Technical Information of China (English)

    余正; 张健; 杨婵婵

    2014-01-01

    本文首先对公立医院管办分离改革中的理事会模式和董事会模式进行分析,之后将两种模式的优劣势进行对比,得出理事会模式适合公立医院管办分离改革过渡阶段,并逐渐向董事会模式发展的结论,最后提出改革建议。%This article analysis board of directors mode and council mode in the seperation reform of management affairs and operation affairs in public hospital at first.Then it compares the advantages and disadvantages of the two models, in the next, it gets the conclusion that during the transition phase of separation reform in public hospital, council mode is more suitable.Gradually, the reform mode of public hospital can change to the board mode.At last the article makes some recommendations accordingly.

  10. ROLE OF HOSPITAL ADMINISTRATION

    OpenAIRE

    UDAYSINH R. MANEPATIL

    2013-01-01

    Hospital administration is the management of the hospital as a business. The administration is made up of medical and health services managers (sometimes called health care executives and health care administrators) and assistant administrators. Administrations range in size and the duties of the administrator depends on the size of the administration.

  11. Mental hospitals in India.

    Science.gov (United States)

    Krishnamurthy, K; Venugopal, D; Alimchandani, A K

    2000-04-01

    This review traces the history of the mental hospital movement, initially on the world stage, and later in India, in relation to advances in psychiatric care. Mental hospitals have played a significant role in the evolution of psychiatry to its present statusThe earliest hospital in India were established during the British colonial rule. They served as a means to isolate mentally ill persons from the societal mainstream and provide treatments that were in vogue at the time. Following India's independence, there has been a trend towards establishing general hospital psychiatry units and deinstitutionalization, while at the same time improving conditions in the existing mental hospitals.Since 1947, a series of workshops of superintendents was conducted to review the prevailing situations in mental hospitals and to propose recommendations to improve the same. Implementation of the Mental Health Act, 1987, and grovernmental focus upon mental hospital reform have paved way for a more specific and futuristic role for mental hospitals in planning psychiatric services for the new millenium, especially for severe mental illnesses. PMID:21407925

  12. Hospitality, Tourism, and Recreation.

    Science.gov (United States)

    Novachek, James

    The Northern Arizona Hospitality Education Program is an exemplary three-year project designed to help students, mainly Indian, obtain job skills and attitudes necessary for successful employment in the hospitality industry. Nine high schools from Apache, Coconino, and Navajo Counties participated in the project. Objectives included providing an…

  13. Hospitality Services. Curriculum Guide.

    Science.gov (United States)

    Texas Tech Univ., Lubbock. Home Economics Curriculum Center.

    This guide, which was developed as part of Texas' home economics education program, is intended to assist teachers of a hospitality services course focusing on the food and lodging segments of the hospitality and tourism industry. The first 40% of the approximately 600-page guide consists of strategies for teaching each of 29 essential…

  14. A managerial accounting analysis of hospital costs.

    Science.gov (United States)

    Frank, W G

    1976-01-01

    Variance analysis, an accounting technique, is applied to an eight-component model of hospital costs to determine the contribution each component makes to cost increases. The method is illustrated by application to data on total costs from 1950 to 1973 for all U.S. nongovernmental not-for-profit short-term general hospitals. The costs of a single hospital are analyzed and compared to the group costs. The potential uses and limitations of the method as a planning and research tool are discussed. PMID:965233

  15. GERIATRIC PATIENTS ATTENDING TERTIARY CARE PSYCHIATRIC HOSPITAL

    OpenAIRE

    Silva Pereira, Yvonne Da; Estibeiro, Ajoy; Dhume, Rajesh; Fernandes, John

    2002-01-01

    This retrospective study aimed to explore the Socio-demographic characteristics and clinical profile of patients aged 60 years and above, attending psychiatric services for the first time at the Institute of Psychiatry and Human Behaviour, Goa during 1993-1998. Hospital case files of six hundred and ninety-eight patients formed the study sample. Preliminary analysis revealed that 70% of the sample was between 60-69 years. Mean age was 65.8 years (Sd ±6.11). Sex ratio male to female was 38:62....

  16. Patient life in hospital

    DEFF Research Database (Denmark)

    Ludvigsen, Mette Spliid

    Patient life in hospital.A qualitative study of informal relationships between hospitalised patients Introduction Within a patientology framework, this PhD dissertation is about an empirical study on patient life that provides insight into the nature of informal relationships between patients in...... hospitals today. Purpose The purpose was to explore how informal relationships between patients affect their hospital experiences in the hospital. The assumption is that, on the one hand, the impacts on patients' suffering affect the way they act and experience encounters with fellow patients for good or....... Methods The study is designed within a phenomenological-hermeneutical philosophic frame of reference and is based on ethnographic fieldwork among hospitalised patients in a Danish university hospital. Data for the study were collected through participant observations over a period of 18 months. Nine males...

  17. In-hospital delay to primary angioplasty for patients with ST-elevated myocardial infarction between cardiac specialized hospitals and non-specialized hospitals in Beijing, China

    Institute of Scientific and Technical Information of China (English)

    XUN Yi-wen; YANG Jin-gang; SONG Li; SUN Yi-hong; LU Chang-lin; YANG Yue-jin; HU Da-yi

    2010-01-01

    Background Evidence indicates that early reperfusion therapy in patients with ST-elevation myocardial infarction (STEMI) reduces complications. This study was undertaken to compare the in-hospital delay to primary percutaneous coronary intervention (PPCI) for patients with STEMI between specialized hospitals and non-specialized hospitals in Beijing, China. Methods Two specialized hospitals and fifteen non-specialized hospitals capable of performing PPCI were selected to participate in this study. A total of 308 patients, within 12 hours of the onset of symptoms and undergoing PPCI between November 1, 2005 and December 31, 2006 were enrolled. Data were collected by structured interview and review of medical records.Results The median in-hospital delay was 98 (interquartile range 105 to 180) minutes, and 16.9% of the patients were treated within 90 minutes. Total in-hospital delay and ECG-to-treatment decision-making time were longer in the non-specialized hospitals than in the cardiac specialized hospitals (147 minutes vs. 120 minutes, P<0.001; 55 minutes vs. 45 minutes, P=0.035). After controlling the confounding factors, the non-specialized hospitals were independently associated with an increased risk of being in the upper median of in-hospital delays.Conclusions There were substantial in-hospital delays between arrival at the hospital and the administration of PPCI for patients with STEMI in Beijing. Patients admitted to the cardiac specialized hospitals had a shorter in-hospital delay than those to the non-specialized hospitals because of a shorter time of ECG-to-treatment decision-making.

  18. The molecular evolution of the vertebrate behavioural repertoire.

    Science.gov (United States)

    Grant, Seth G N

    2016-01-01

    How the sophisticated vertebrate behavioural repertoire evolved remains a major question in biology. The behavioural repertoire encompasses the set of individual behavioural components that an organism uses when adapting and responding to changes in its external world. Although unicellular organisms, invertebrates and vertebrates share simple reflex responses, the fundamental mechanisms that resulted in the complexity and sophistication that is characteristic of vertebrate behaviours have only recently been examined. A series of behavioural genetic experiments in mice and humans support a theory that posited the importance of synapse proteome expansion in generating complexity in the behavioural repertoire. Genome duplication events, approximately 550 Ma, produced expansion in the synapse proteome that resulted in increased complexity in synapse signalling mechanisms that regulate components of the behavioural repertoire. The experiments demonstrate the importance to behaviour of the gene duplication events, the diversification of paralogues and sequence constraint. They also confirm the significance of comparative proteomic and genomic studies that identified the molecular origins of synapses in unicellular eukaryotes and the vertebrate expansion in proteome complexity. These molecular mechanisms have general importance for understanding the repertoire of behaviours in different species and for human behavioural disorders arising from synapse gene mutations. PMID:26598730

  19. Female Pubertal Timing and Problem Behaviour: The Role of Culture

    Science.gov (United States)

    Skoog, Therese; Stattin, Hakan; Ruiselova, Zdena; Ozdemir, Metin

    2013-01-01

    We tested the peer-socialization/contextual-amplification explanation for the link between early female puberty and problem behaviour. We propose that in cultures with high tolerance for adolescent heterosexual involvement, early puberty should be linked with problem behaviour--not in other cultures. We compared girls in two cultures (Slovakia and…

  20. On the cyclic behaviour of stone dry masonry joints

    OpenAIRE

    Lourenço, Paulo B.; Ramos, Luís F.; Vasconcelos, Graça

    2004-01-01

    Dry masonry mechanics received little attention from research community, when compared with resources invested in traditional (mortared joint) masonry. Therefore, this work focuses on the characterization of Coulomb failure criterion and the loaddisplacement behaviour of dry masonry joints under cyclic loading, including aspects as surface roughness, dilatancy, inelastic behaviour, different stones and moisture contents. A displacement controlled test set-up using masonry coupl...

  1. Alternative Hospital Gift Bags and Breastfeeding Exclusivity

    OpenAIRE

    Bai, Yeon; Wunderlich, Shahla M.; Kashdan, Rickie

    2013-01-01

    The type of gift bags given to new mothers at the time of discharge from the hospital can influence their confidence in breastfeeding. Most hospitals in the US continue to distribute commercial gift bags containing formula samples despite the reported negative influence of commercial bags on the duration of breastfeeding. This study compared breastfeeding outcomes in women receiving three different kinds of gift bags at discharge. A prospective intervention study was conducted during 2009-201...

  2. Behavioural Finance: Theory and Survey

    Directory of Open Access Journals (Sweden)

    Daiva Jurevičienė

    2013-04-01

    Full Text Available The paper analyses the importance of behavioural finance theories in household decision-making process. Behavioural finance theories investigate emotional characteristics to explain subjective factors and irrational anomalies in financial markets. In this regard, behavioural theories and behavioural anomalies in the decision-making process are examined; the application opportunities in the financial market are described. The aim of investigation is to determine the basic features and slopes of behavioural finance in concordance with financial decisions of a household. The survey method was applied to ascertain financial behaviour of literate households.

  3. Comparative studies on the extraction behaviour of U(VI), Am(III) and Nd(III) by OΦCMPO loaded Amberlite XAD-4 and XAD-7 resins

    International Nuclear Information System (INIS)

    This paper provides a comparison of the kinetics for the extraction of U(VI) and Am(III) from 3M HNO3 by Amberlite XAD-4 and XAD-7 resins loaded with octyl (phenyl)-N,N-diisobutyl carbamoyl methyl phosphine oxide (OΦCMPO). The breakthrough capacities for the recovery of Nd(III) from 3M HNO3 by extraction chromatography using these CMPO loaded resins are also compared. (author)

  4. Sexual risk taking behaviour

    DEFF Research Database (Denmark)

    Buttmann, Nina; Nielsen, Ann; Munk, Christian;

    2011-01-01

    Sexual habits and risky sexual behaviour strongly affect public health. Available data indicate that sexually transmitted infections are increasing in many EU countries. Changes in the epidemiology of sexually transmitted diseases across Europe are among other factors suggested to be driven by ch...

  5. Measuring innovative work behaviour

    NARCIS (Netherlands)

    J. de Jong; D. den Hartog

    2010-01-01

    Both scientists and practitioners emphasize the importance of innovative work behaviour (IWB) of individual employees for organizational success, but the measurement of IWB is still at an evolutionary stage. This article is concerned with developed a measure of IWB with four potential dimensions: th

  6. Observing behaviour categorically

    DEFF Research Database (Denmark)

    Nielsen, Mogens; Cheng, Allan

    1995-01-01

    In an attempt to understand the relationships and differences between the extensive amount of research within the field of bisimulation equivalences, Joyal, Nielsen, and Winskel recently proposed an abstract category-theoretic definition of bisimulation. They identify spans of morphisms satisfyin......, in fact, captures not only bisimulations but many other behavioural equivalences. We also briefly present presheaf models as an abstract model of computation....

  7. PSYCHOBIOLOGY OF SUICIDE BEHAVIOUR*

    OpenAIRE

    Rao, A. Venkoba; Devi, S. Parvathi

    1987-01-01

    SUMMARY Evidence from genetic research, monoamine studies and psychopharmacological trials points towards a possible biological predisposition and precipitant for suicidal behaviour. The implications for early detection and management based on a biological model have been discussed. The limitations of the model have been discussed.

  8. Modelling cellular behaviour

    Science.gov (United States)

    Endy, Drew; Brent, Roger

    2001-01-01

    Representations of cellular processes that can be used to compute their future behaviour would be of general scientific and practical value. But past attempts to construct such representations have been disappointing. This is now changing. Increases in biological understanding combined with advances in computational methods and in computer power make it possible to foresee construction of useful and predictive simulations of cellular processes.

  9. Managing Behaviour in Classrooms

    Institute of Scientific and Technical Information of China (English)

    邹柯

    2008-01-01

    Managing the class is a fussy but indispensable job for the class teacher. The relationship between teachers and students is a subtle one, which is different with each group. So it is a duty to manage their behaviour, meanwhile the teachers'skills of management appears more important.

  10. Locomotion and postural behaviour

    Science.gov (United States)

    Schmidt, M.

    2010-05-01

    The purpose of this article is to provide a survey of the diversity of primate locomotor behaviour for people who are involved in research using laboratory primates. The main locomotor modes displayed by primates are introduced with reference to some general morphological adaptations. The relationships between locomotor behaviour and body size, habitat structure and behavioural context will be illustrated because these factors are important determinants of the evolutionary diversity of primate locomotor activities. They also induce the high individual plasticity of the locomotor behaviour for which primates are well known. The article also provides a short overview of the preferred locomotor activities in the various primate families. A more detailed description of locomotor preferences for some of the most common laboratory primates is included which also contains information about substrate preferences and daily locomotor activities which might useful for laboratory practice. Finally, practical implications for primate husbandry and cage design are provided emphasizing the positive impact of physical activity on health and psychological well-being of primates in captivity.

  11. Behaviour Genetics of Pigs

    Directory of Open Access Journals (Sweden)

    Kristina Budimir

    2013-09-01

    Full Text Available The behavior of pigs can be divided into several categories, which include maternal behavior, aggressive behavior, sexual behavior, feeding behavior, and various other forms of emotional behavior. Domestication has caused many changes in the original behaviour of boar, such as in reproductive and sexual behaviour, and has lead to a general increase in social tolerance between animals. Further modifications in behaviour are also possible, as suggested by the optimization of environmental factors which affect maternal behavior. The behaviour of a sow after farrowing appeared as a consequence of natural selection for protection of piglets from predators in the wild boar population, and affects the survival of piglets and the longevity of the sow in breeding. The behavior of the sows which includes the protection of the piglets from predators appears as a consequence of natural selection in the wild boar population. Familiarity with the molecular mechanisms which determine the patterns of behavior enables understanding of behavioral problems such as aggressiveness and helps the improvement of the well-being of pigs. Research conducted on pigs has determined that there are regions on chromosomes 2, 6, 10, 14, and 15, and chromosome X which can explain the genetic aspect of appearance of some behavioral patterns in sows. The goal of this paper is to illustrate the behavioral patterns appeared in the populations of domestic breeds of pigs and their genetic aspects, which knowledge may provide some help in improving the production qualities and creating higher economic gain during production.

  12. ‘Nudging’ behaviours in healthcare: insights from behavioural economics

    OpenAIRE

    Benjamin G. Voyer

    2015-01-01

    Since the creation of the Behavioural Insight Team in 2010, the word ‘nudge’ has become a popular one in social and public policy. According to policymakers and managers, applications of behavioural economics to public sector management results in increased policy efficiency and savings. This article offers a critical perspective on the topic, and discusses how the application of behavioural economics can foster innovative healthcare management. It first reviews behavioural economics principl...

  13. A cognitive human behaviour model for pedestrian behaviour simulation

    OpenAIRE

    Hollmann, Claudia

    2015-01-01

    Pedestrian behaviour simulation models are being developed with the intention to simulate human behaviour in various environments in both non-emergency and emergency situations. These models are applied with the objective to understand the underlying causes and dynamics of pedestrian behaviour and how the environment or the environment’s intrinsic procedures can be adjusted in order to provide an improvement of human comfort and safety. In order to realistically model pedestrian behaviour...

  14. Behavioural lateralisation in reindeer

    Directory of Open Access Journals (Sweden)

    Yngve Espmark

    2002-06-01

    Full Text Available Reindeer (Rangifer tarandus kept in corrals or otherwise forced to clump typically start milling in response to stressing events. This behaviour is generally considered to have an antipredator effect. An inquiry on herd behaviour, to which 35 Norwegian reindeer husbandry districts responded, showed that 32 experienced that corralled rein¬deer consistently circled leftwards, whereas the remaining three reported consistently rightward circling. Regular monitoring of a reindeer herd in central Norway over a two-year period (1993-94, and experimental studies on a fraction of the same herd, revealed the following traits. Free-ranging reindeer showed no right- or left-turning preference during grazing or browsing, but when the reindeer were driven into corrals or forced to clump in the open they invariably rotated leftwards. The circling of corralled reindeer was triggered at an average group size of 20 to 25 animals, apparently independently of the age and sex of the animals. When they dug craters in the snow to reach food, the reindeer used their left foreleg significantly more often than their right. In 23 out of 35 reindeer, the right hemisphere of the brain was heavier than the left. However, in the sample as a whole, the weights of the left and right hemispheres did not differ significantly. Lateralised behaviour in reindeer is thought to be determined by natural and stress induced asymmetries in brain structure and hormonal activity. In addition, learning is probably important for passing on the behaviour between herd members and generations. Differences in lateralised behaviour between nearby herds are thought to be related primarily to different exposure to stress and learning, whereas genetical and environmental fac¬tors (e.g. diet, age structure and sex ratio are probably more important for explaining differences between distant pop¬ulations.

  15. Development of hospital formulary for a tertiary care teaching hospital in south India

    Directory of Open Access Journals (Sweden)

    D′Almeida R

    2007-01-01

    Full Text Available Formulary is a continually revised compilation of pharmaceuticals (plus important ancillary information that reflects the current clinical judgment of medical staff. Kasturba Hospital is a 1400 bedded tertiary care teaching hospital with different specialties, having more than 3000 brands and ancillary products in use. The hospital does not have a formulary of any kind. Present study involved development of a formulary for the hospital and comparing it with WHO Model Formulary. Monographs of the drugs were prepared as per the recommendation of Pharmacy and Therapeutic Committee of the hospital. Prepared hospital formulary consisted of 476 generic drugs of various categories and 95 fixed dose combinations. Availability of brands varied from single to many. About 75 medicines recommended by the essential medicine list were not present in the prepared hospital formulary. The drugs to be avoided or used with caution in renal failure, hepatic failure and in pregnancy were categorized and included in the formulary as additional information. The prepared hospital formulary was recommended for implementation in the hospital, which could thereby help as a tool to promote rational drug use.

  16. Comparative analysis of narcotic drug use in a hospital before and after intervention%医院麻醉药品合理使用情况干预前后对照分析

    Institute of Scientific and Technical Information of China (English)

    赵晓杰; 袁瑞萍; 刘庆彩; 李见雨

    2016-01-01

    Objective Summarize the use of narcotic drugs in our hospital,and provide the basis of standardized treatment of cancer pain with rational use of these drugs. Methods Through a retrospective investigation according to the"Clinical application of the Guiding Principles on Narcotic Drugs"issued by State Planning Commission Guardian,the use of narcotic drugs in our hospital was analyzed before intervention(June 2013 to May 2014)and after intervention (June 2014 to May 2015). Results Before the intervention,the top three were prescription injections. Among them,pethidine hydrochloride injection was used at the highest proportion. After the intervention,defined daily doses(DDDs)decreased significantly with bucinnazine hydrochloride injection,pethidine hydrochloride injection and morphine hydrochloride injection. The consumption and sales amount of pethidine hydrochloride injection decreased the most obviously. The frequency and DDDs of prescription on oral drugs increased significantly. Oral analgesics took up the top three,with oral morphine sulfate sustained-release tablets increased the most obviously. Conclusion By establishing the intervention mechanism,the concept in rational use of narcotic drugs was effectively promoted among medical professionals as well as patients suffering from cancer pain.%目的:了解某院麻醉药品的应用情况,为麻醉药品的合理应用及临床规范化治疗癌性疼痛提供依据。方法利用回顾性调查法,根据国家卫计委《麻醉药品临床应用指导原则》,对干预前(2013年6月~2014年5)和干预后(2014年6月~2015年5月)麻醉药品合理使用情况进行分析。结果干预前,处方排在前三位均为注射剂,其中盐酸布桂嗪注射液占32.8%,盐酸哌替啶注射液占22.8%;干预后,盐酸布桂嗪注射液、盐酸哌替啶注射液和盐酸吗啡注射液用药频度(DDDs)明显下降;盐酸哌替啶注射液消耗量及销售金额下降最为明

  17. 三甲医院中不同个体特征护士职业紧张的比较研究%Comparative survey on the occupational stress for individual characteristic nurses in top three hospitals

    Institute of Scientific and Technical Information of China (English)

    吕蒙; 关素珍; 刘继文

    2015-01-01

    目的:探讨不同个体特征护士的职业紧张情况,为制定有效的职业紧张干预措施提供科学依据。方法采用分层整群抽样的方法,抽取新疆5家三甲医院各科室护土1800名,进行一般人口学和职业紧张量表(OSI-R)的调查。结果本次调查有效回收问卷共1585份。1585名护士中,低、中、高度职业紧张分别占6.1%、47.1%、46.8%;不同民族、科室护士职业任务和个体紧张反应得分差异均有统计学意义(P <0.05);多元分析发现:民族、婚姻状况、科室、业务紧张、娱乐休闲是护士职业紧张的主要影响因素。结论新疆三甲医院护士的职业紧张水平较高,护理管理者应在个人应对、组织应对及家庭和社会支持3个方面进行一定干预,降低职业紧张水平。%Objective To investigate the status of occupational stress for the different individual characteris-ticto provide scientific evidence for formulating the effective interventions against occupational stress for nursing staffs.Methods Using cluster sampling method to select 1 800 nurses from departments of 5 top three hospitals in Xinjiang to fill the general demographic questionnaire and occupational stress scale (OSI-R)survey.Results 1 585 returning questionnaires were effective.Among them,low,medium and high degree of occupational stress accounted for 6.1%,47.1% and 46.8% respectively;the differences in occu-pational tasks and the individual stress response scores for nurses from different ethnic groups and depart-ments were statistically significant (P <0.05);and by multivariate analysis showing:ethnic,marital sta-tus,departments,workload and entertainment were the main factors affecting nurses occupational stress. Conclusion The occupational stress of nurses in top three hospitals in Xinjiang were high,thus the nurs-ing administrators should conduct intervenes by all means in aspects of individual and organization respon

  18. Cognitive behaviour therapy plus aerobic exercise training to increase activity in patients with myotonic dystrophy type 1 (DM1) compared to usual care (OPTIMISTIC): study protocol for randomised controlled trial

    OpenAIRE

    van Engelen, B. G.; Groot, Perry

    2015-01-01

    BACKGROUND: Myotonic dystrophy type 1 (DM1) is a rare, inherited chronic progressive disease as well as an autosomal dominant multi-systemic disorder. It is probably one of the most common adult forms of muscular dystrophy, with a prevalence of approximately 10 per 100,000 people affected. With 733 million people in Europe, we estimate that 75,000 people in Europe are affected with DM1. METHODS/DESIGN: OPTIMISTIC is a multi-centre, randomised trial designed to compare an intervention comprisi...

  19. The art of rejection: Comparative analysis between Computed Radiography (CR) and Digital Radiography (DR) workstations in the Accident & Emergency and General radiology departments at a district general hospital using customised and standardised reject criteria over a three year period

    International Nuclear Information System (INIS)

    Aims: Reject analysis continues to play an integral part of a Quality Assurance (QA) program. This study aims to show how Computed Radiography (CR) and Digital Radiography (DR) reject analysis data can be customised by the user to aid in the interpretation of exported data and identify trends and issues relating to technique and training. Materials and methods: Reject analysis was reviewed for the period of 2011–2014 using exported data from CR and DR systems in the Accident and Emergency (A&E) and General radiology departments at a district general hospital. Reject criteria was customised to departmental needs and standardised across all workstation's with monthly data collection for amalgamation onto a central spreadsheet. Results: Analysis by workstation and department was performed with regards to total number of exposure events, rejects and reject ratios (%) and reasons for film rejection (positional and exposure) were reviewed. Annual overall reject ratios (%) were shown to be on average within levels acceptable by the World Health Organisation (WHO)1 with some variability on monthly basis according to workloads experienced. Conclusions: A number of improvements have been suggested to improve data reliability for future analysis and the continuation of a review of the physical rejected image is recommended as this can highlight problematic areas and help to reveal trends which pure data cannot show. - Highlights: • Retrospective analysis of three years CR/DR rejects using customised QA program. • Reviewed data by individual workstations and departments. • Highlighted trends between workstations and departments. • Overall annual reject rates shown to be within WHO recommendations. • Recommendations for future improvements for reject analysis within department and continued review of JPEG images

  20. Pelagic behaviour of reservoir fishes: sinusoidal swimming and associated behaviour

    OpenAIRE

    JAROLÍM, Oldřich

    2009-01-01

    Annotation Long-term fixed-location hydroacoustic study with uplooking transducer was performed during 2005 in Římov reservoir, Czech Republic. It dealt mainly with fish behaviour in the open water of reservoir, especially with sinusoidal swimming behaviour. The dependence of pelagic fish behaviour on environmental conditions was also studied.

  1. Association of Hospital Prices for Coronary Artery Bypass Grafting With Hospital Quality and Reimbursement.

    Science.gov (United States)

    Giacomino, Bria D; Cram, Peter; Vaughan-Sarrazin, Mary; Zhou, Yunshu; Girotra, Saket

    2016-04-01

    Although prices for medical services are known to vary markedly between hospitals, it remains unknown whether variation in hospital prices is explained by differences in hospital quality or reimbursement from major insurers. We obtained "out-of-pocket" price estimates for coronary artery bypass grafting (CABG) from a random sample of US hospitals for a hypothetical patient without medical insurance. We compared hospital CABG price to (1) "fair price" estimate from Healthcare Bluebook data using each hospital's zip code and (2) Society of Thoracic Surgeons composite CABG quality score and risk-adjusted mortality rate. Of 101 study hospitals, 53 (52.5%) were able to provide a complete price estimate for CABG. The mean price for CABG was $151,271 and ranged from $44,824 to $448,038. Except for geographic census region, which was weakly associated with price, hospital CABG price was not associated with other structural characteristics or CABG volume (p >0.10 for all). Likewise, there was no association between a hospital's price for CABG with average reimbursement from major insurers within the same zip code (ρ = 0.07, p value = 0.6), Society of Thoracic Surgeoncomposite quality score (ρ = 0.08, p value = 0.71), or risk-adjusted CABG mortality (ρ = -0.03 p value = 0.89). In conclusion, the price of CABG varied more than 10-fold across US hospitals. There was no correlation between price information obtained from hospitals and the average reimbursement from major insurers in the same market. We also found no evidence to suggest that hospitals that charge higher prices provide better quality of care. PMID:26993975

  2. 建立院前急救数据库的4种数据录入软件的对照研究%Comparative study of four kinds of data entry software for establishing pre-hospital first aid database

    Institute of Scientific and Technical Information of China (English)

    徐平; 章成

    2011-01-01

    Objective To choose a software which can perform data entry simply and quickly to establish a pre-hospital first aid database.Methods 20 medical records of pre-hospital first aid in Zigong emergency medical center in 2009 were selected, and 20 participants entered the same 20 medical records into computers by means of SPSS13.0, Microsoft Access 2003, Microsoft Excel 2003 and pre-hospital first aid electronic medical record software of our own design in different time. Entry time,entry accuracy and degrees of customer satisfaction were recorded and compared.Results Comparison of average entry time using pre-hospital first aid electronic medical record software with that using SPSS13.0 showed no statistically difference(P>0.05) , but they were both less than that by means of Microsoft Access 2003 and Microsoft Excel 2003 (P<0.05) ; Comparison of average entry error rates using pre-hospital first aid electronic medical record software with that using Microsoft Access 2003 showed no significantly difference(P>0.05) , but they were both lower than that by means of SPSS13.O and Microsoft Excel 2003(P<0.05) ; Pre-hospital first aid electronic medical record software possessed the highest satisfaction score among the 4 kinds of software while Microsoft Excel 2003scores,the lowest.Conclusion The pre-hospital first aid electronic medical record software is a simple and practical tool for establishing pre-hospital first aid database with features of quick entry and high accuracy.%目的 选择简便、快捷的数据录入软件以构建院前急救数据库.方法 抽取2009年自贡市急救中心院前急救病历20份,20名数据录入人员在不同时间用SPSS13.0、Microsoft Access 2003、Microsoft Excel 2003及自行设计的院前急救电子病历软件录入相同的20份病历数据,记录并比较这4种软件的录入时间、录入准确率及用户满意度.结果 院前急救电子病历软件与SPSS13.0软件平均录入时间比

  3. Hospital Staff and Patient Recognition Toward Opening of Medical Services Market, and Factors in Selecting a Foreign Hospital

    OpenAIRE

    Ryu, Hyang Jin; Park, Eun Cheol; Sohn, Tae Yong; Yu, Seung Hum

    2007-01-01

    Purpose The objectives of this study are to compare the hospital employees' and patients' recognition and attitudes toward the opening of the medical services market, to analyze the differences between hospital employees and patients on the factors in selecting a foreign hospital. Materials and Methods This study collected and analyzed data using systematic questionnaires that were self-administered by employees and outpatients to compare their recognition of the opening of the medical servic...

  4. Nonverbal expressive behaviour in schizophrenia and social phobia.

    Science.gov (United States)

    Del-Monte, Jonathan; Raffard, Stéphane; Salesse, Robin N; Marin, Ludovic; Schmidt, Richard C; Varlet, Manuel; Bardy, Benoît G; Philippe Boulenger, Jean; Christine Gély-Nargeot, Marie; Capdevielle, Delphine

    2013-11-30

    Expressive behaviour plays a crucial role in the success of social interactions. Abnormality of expressive behaviour has been reported in interpersonal interactions of patients suffering from schizophrenia and social phobia, two debilitating mental disorders with important social deficits. However, no study has compared the expressive behaviour in these two disorders. Thirty schizophrenia patients, 21 social phobia patients and 30 healthy controls were evaluated and compared on expressive, cognitive and clinical dimensions. Expressive behaviour was assessed using the Motor Affective subscale of the Motor-Affective-Social-Scale (MASS). Covariables include the Positive and Negative Syndrome Scale (PANSS), the anxiety level Liebowitz-Social-Anxiety-Scale (LSAS) and cognitive tasks. After controlling for depression, schizophrenia and social phobia patients both exhibited significantly fewer expressive behaviours compared to healthy controls. Moreover, our results showed specific signatures: schizophrenia patients performed fewer spontaneous gestures (hand gestures and smiles) whereas social phobia patients had an impaired ability to produce voluntary smiles in comparison to healthy controls. Interestingly, poor social functioning was significantly correlated with a decrease of expressive behaviour for schizophrenia patients. Expressive behaviour is impaired in different ways in social phobia and schizophrenia and is associated in schizophrenia with poorer social functioning. The Motor Affective subscale of the MASS is an interesting tool for assessing the dysfunction of interpersonal expressive behaviour in mental disorders. PMID:23845416

  5. The Main Drivers of Environmentally Responsible Behaviour in Lithuanian Households

    Directory of Open Access Journals (Sweden)

    Dalia Streimikiene

    2015-08-01

    Full Text Available Preserving environmental and natural resources is one of the most important challenges for ensuring the sustainability of well-being over time. One can notice that measuring of environmental indicators related to environmentally responsible behaviour is complicated and demanding task. It is also important to define the main drivers of environmentally responsible development. The objective of this paper is to provide comparatives analysis of indicators of environmentally responsible behaviour in the Baltic States by comparing and assessing them in terms of the EU-28 average and to present the main drivers of environmentally responsible behaviour in Lithuania. Environmentally responsible behaviour is related to resource and energy savings, use of renewable energy sources, waste sorting and recycling, wastewater disposal etc. Comparative assessment of environmentally responsible behaviour indicators in the Baltic States indicated that all these indicators are bellow the EU-average, except the use of renewable energy sources. The main drivers of consumption behaviour in Lithuania were assessed by applying households surveys in order to define the major issues of concern and to develop relevant policies targeting these issues. Age, gender, education, and income of Lithuanian residents do not have impact on environmentally responsible behaviour in Lithuanian households (energy saving, buying energy efficient electric appliances, willingness to pay electricity from renewable energy sources use of biofuels. Only environmental awareness has impact on energy saving behaviour at home and use of biofuels in cars and waste recycle.

  6. [The real firing wound of type of skull perforation and head penetration compared with the mathematical model of behaviour of FMJ pistol projectile of calibre of 6.35 mm Browning (25 Auto)].

    Science.gov (United States)

    Jurícek, L; Moravanský, N; Sova, M

    2011-10-01

    Searching for the answer whether the bullet cal. 6.35 mm Browning (25 Auto) could entrance the human skull and stay inside without resting the head against the solid barrier inside the vehicle, forensic experts in the field of ammunition and wound ballistics used mathematical model of the monoogival pistol bullet's velocity decrease through the penetration of the several type of human tissue due to physical and mechanical properties. The result of the expert's terminal ballistics task was the mathematical prediction of wound track length at the moment of bullet's stop in the tissue. The results has been compared with the cases where the similar weapon system with the resembling energetic output has been used. PMID:22145206

  7. Factors Influencing Drivers' Speeding Behaviour

    OpenAIRE

    Wallén Warner, Henriette

    2006-01-01

    Every year many people all over the world are killed and severely injured in road traffic accidents. Even though driving too fast is a behaviour well known to contribute to both the number and the outcome of these accidents, drivers are still speeding. The general aim of this thesis, and its five empirical studies, is therefore to further the knowledge about drivers speeding behaviour by using the theory of planned behaviour and the model underpinning the driver behaviour questionnaire as fra...

  8. A randomised comparison of cognitive behavioural therapy

    OpenAIRE

    De Roos, Carlijn; Greenwald, Ricky; Hollander-Gijsman, Margien den; Noorthoorn, Eric; van Buuren, Stef; Jongh, Ad De

    2011-01-01

    Background: Building on previous research with disaster-exposed children and adolescents, a randomised clinical trial was performed in the treatment of trauma-related symptoms. In the current study two active treatments were compared among children in a broad age range and from a wide diversity of ethnic populations. Objective: The primary aim was to compare the effectiveness and efficiency of Cognitive Behavioural Therapy (CBT) and Eye Movement Desensitisation and Reprocessing (EMDR). Design...

  9. The unbooked maternity patient in an academic hospital in Durban

    Directory of Open Access Journals (Sweden)

    R. Gcaba

    1992-09-01

    Full Text Available This paper examines the unbooked maternity patient in an academic hospital in Durban, Natal; This hospital is the biggest hospital serving the underprivileged population of this area. Of the 16000 annual deliveries in this hospital, about 12% are unbooked patients. The health belief model of Rosenstock, as interpreted by Mikhail and Cox’s interaction model of client health behaviour were used as a theoretical framework for this research. A qualitative case study methodology was undertaken and semi-structured interviews were conducted with unbooked mothers who had utilized appropriate health services in a previous pregnancy. The aim of such interviews was to explore reasons given by mothers for non-use of facilities in the current pregnancy. The basic trends reflected in the findings regarding non-utilization of health services were client instability, health service failure and socio-cultural constraints, The study is innovative and addresses the problem from a social-cultural and midwifery perspective.

  10. The evolution of behaviour therapy and cognitive behaviour therapy.

    Science.gov (United States)

    Rachman, S

    2015-01-01

    The historical background of the development of behaviour therapy is described. It was based on the prevailing behaviourist psychology and constituted a fundamentally different approach to the causes and treatment of psychological disorders. It had a cold reception and the idea of treating the behaviour of neurotic and other patients was regarded as absurd. The opposition of the medical profession and psychoanalysts is explained. Parallel but different forms of behaviour therapy developed in the US and UK. The infusion of cognitive concepts and procedures generated a merger of behaviour therapy and cognitive therapy, cognitive behaviour therapy (CBT). The strengths and limitations of the early and current approaches are evaluated. PMID:25462876

  11. A síndrome de burnout e os valores organizacionais: um estudo comparativo em hospitais universitários Burnout and organizational values: a comparative study in university hospitals

    Directory of Open Access Journals (Sweden)

    Livia Oliveira Borges

    2002-01-01

    Full Text Available O presente estudo analisa o relacionamento entre os valores organizacionais e os níveis da síndrome de burnout, em três hospitais universitários do Rio Grande do Norte. Foi desenvolvido com uma amostra de 205 profissionais de saúde, através da aplicação de questionários estruturados. Os dados foram submetidos a análises quantitativas (por exemplo, análises das distribuições de freqüência, de variância e de regressão. Os resultados apontam convergência dos escores nos fatores dos valores ideais por organização participante e divergências no que se refere tanto aos escores dos fatores dos valores reais quanto às descompensações axiológicas (diferenças entre ideal e real. Os participantes diferem quanto ao avanço do processo de desenvolvimento da síndrome de burnout por organizações. Constatou-se o papel de mediação das organizações no relacionamento entre valores organizacionais e a síndrome de burnout, de modo que os pólos axiológicos efetivamente relacionados à referida síndrome e/ou aos seus fatores dependem da configuração geral da cultura organizacional de cada uma e dos conflitos que lhe são inerentes.The present study analyzes the relationship between the organizational values and the levels of the burnout syndrome in three universitarian hospitals. It was developed with the sample of 205 health professionals, though to an application of structured questionnaires. The data were submitted quantitative analysis (for example, analysis of frequency distributions, analyses of variance and regression analyses. The results show a convergence among scores of ideal values for organizations and divergences among the scores of real values and the differences from ideal and real values. The participants differ in the advance of the burnout syndrome process for organizations. The results evidences the mediation role of the organizations in the relationship between organizational values and the burnout syndrome

  12. Estudo comparativo sobre a prevalência de sintomas depressivos em idosos hospitalizados, institucionalizados e residentes na comunidade Comparative study on depression symptoms in hospitalized, day-care and in-home elderly

    Directory of Open Access Journals (Sweden)

    Fabiano Luiz Vallim

    2002-04-01

    Full Text Available A depressão no idoso e suas conseqüências vêm atraindo crescente atenção científica e clínica a medida que a população mundial envelhece. Com o objetivo de investigar características quantitativas e qualitativas dos sintomas depressivos em diferentes populações de idosos, entrevistamos idosos hospitalizados, institucionalizados e residentes na comunidade, representados por amostras de trinta idosos com 60 anos ou mais. O instrumento escolhido para a investigação dos sintomas depressivos foi a Escala de Hamilton para Avaliação de Depressão - versão adaptada por Blacker (HAM-D. Os idosos asilados apresentaram escores mais altos na HAM-D, condizentes com depressão grave e muito grave. A menor prevalência de sintomas depressivos foi encontrada entre os idosos residentes em domicílio. As mulheres apresentaram uma maior porcentagem de sintomas depressivos muito graves. Os resultados do presente trabalho apontam para a importância de se dedicar a atenção adequada à saúde mental do idoso objetivando o diagnóstico e o tratamento desta enfermidade tão freqüenteDepression in elderly and its consequences have been attracting scientific and clinical attention as the world population is getting older. In order to investigate depressive symptoms, we interviewed a sample of 30 elderly people, over 60 years old, in hospitals, asylums and in the community. They were evaluated by the Hamilton Rating Scale for Depression (HAM-D. The elderly people living in asylums showed the highest scores of HAM-D, demonstrating severe depressive symptoms. The smallest rate of depressive symptoms was found in those people who lived in the community. The women presented a greater amount of severe depressive symptoms. Results show the importance of depression as a frequent mental disease in elderly people, which requires adequate diagnosis and treatment

  13. A comparative study of the C-reactive protein and the ST-score (ECG as prognostic indicators in acute myocardial infarction in a rural resource-constrained hospital setting in central India: A cross-sectional study

    Directory of Open Access Journals (Sweden)

    Jyoti Jain

    2013-01-01

    Statistical analysis used: We used Student′s t test to compare means, Chi-square test to compare proportions and Mann Whitney test to compare medians. P value <0.05 will be considered significant. Crude odds ratios were computed to assess the strength of association between risk factors and independent variable along with 95% confidence intervals. Results: STS was significantly higher in patients with poor outcome, when compared with good outcome (20.27mm vs.12.47mm, P = 0.002. On multivariate regression model STS was significant predictor of composite outcome events (OR = 2.74; 95% [CI], 1.46 to 5.17; P = 0.002. The area under the ROC curve was 0.70, with sensitivity of 73.5%, specificity of 58.7%; PPV of 68.3% and NPV of 64.2%. hs-CRP in patients with poor outcome vs. good outcome (6mg/L vs. 3.74mg/L, P = 0.003 and (P = 0.06, 0.85 and 0.12 respectively. Conclusions: STS on admission is independent predictor while hs- CRP is not in resource constrained settings.

  14. Outpatient Imaging Efficiency - Hospital

    Data.gov (United States)

    U.S. Department of Health & Human Services — Use of medical imaging - provider data. These measures give you information about hospitals' use of medical imaging tests for outpatients. Examples of medical...

  15. Hospital Outpatient PPS

    Data.gov (United States)

    U.S. Department of Health & Human Services — Section 4523 of the Balanced Budget Act of 1997 (BBA) provides authority for CMS to implement a prospective payment system (PPS) under Medicare for hospital...

  16. Physician-Owned Hospitals

    Data.gov (United States)

    U.S. Department of Health & Human Services — Section 6001 of the Affordable Care Act of 2010 amended section 1877 of the Social Security Act to impose additional requirements for physician-owned hospitals to...

  17. Premier Hospital Historical Data

    Data.gov (United States)

    U.S. Department of Health & Human Services — To provide a historical overview of the participating hospitals, before the first project report, Premier Healthcare Informatics has used data already available for...

  18. On spaces of hospitality

    DEFF Research Database (Denmark)

    Greve, Anni

    the guest and the host. This has provided a much-needed rethinking of how to understand hospitality as a way of relating, as an ethics and as a politics. Within this work, there have often appeared discussions of ‘spaces of hospitality’, but these spaces have remained largely abstract. This is where...... this paper comes in: It will re open discussions of spaces of hospitality with an introduction into an on-going research project that studies the performative, structural and social dynamics of cultural encounters focusing on forms of hospitality that are related to particular sites in the city, namely...... the market place, the religious sanctuary and places for the performing arts and cultural heritage. For the modern city they are the tightly woven fabric of social reality, and their configuration can make certain cities more hospitable than others, is the leading idea....

  19. American Hospital Association

    Science.gov (United States)

    ... 2017 (Members Only) Special Bulletin: CMS Releases Hospital Star Ratings (Members Only) Special Bulletin: CMS Proposes New ... Term Care & Rehabilitation Psychiatric & Substance Abuse Services Maternal & Child Health Key Relationships AHA-Related Organizations Partnerships & Strategic ...

  20. Hospital Readmission Reduction

    Data.gov (United States)

    U.S. Department of Health & Human Services — In October 2012, CMS began reducing Medicare payments for Inpatient Prospective Payment System hospitals with excess readmissions. Excess readmissions are measured...

  1. Hospital Readmissions Reduction Program

    Data.gov (United States)

    U.S. Department of Health & Human Services — In October 2012, CMS began reducing Medicare payments for Inpatient Prospective Payment System hospitals with excess readmissions. Excess readmissions are measured...

  2. Trends in Clinically Significant Pain Prevalence Among Hospitalized Cancer Patients at an Academic Hospital in Taiwan

    Science.gov (United States)

    Wang, Wei-Yun; Ho, Shung-Tai; Wu, Shang-Liang; Chu, Chi-Ming; Sung, Chun-Sung; Wang, Kwua-Yun; Liang, Chun-Yu

    2016-01-01

    Abstract Clinically significant pain (CSP) is one of the most common complaints among cancer patients during repeated hospitalizations, and the prevalence ranges from 24% to 86%. This study aimed to characterize the trends in CSP among cancer patients and examine the differences in the prevalence of CSP across repeated hospitalizations. A hospital-based, retrospective cohort study was conducted at an academic hospital. Patient-reported pain intensity was assessed and recorded in a nursing information system. We examined the differences in the prevalence of worst pain intensity (WPI) and last evaluated pain intensity (LPI) of ≥4 or ≥7 points among cancer inpatients from the 1st to the 18th hospitalization. Linear mixed models were used to determine the significant difference in the WPI and LPI (≥4 or ≥7 points) at each hospitalization. We examined 88,133 pain scores from the 1st to the 18th hospitalization among cancer patients. The prevalence of the 4 CSP types showed a trend toward a reduction from the 1st to the 18th hospitalization. There was a robust reduction in the CSP prevalence from the 1st to the 5th hospitalization, except in the case of LPI ≥ 7 points. The prevalence of a WPI ≥ 4 points was significantly higher (0.240-fold increase) during the 1st hospitalization than during the 5th hospitalization. For the 2nd, 3rd, and 4th hospitalizations, there was a significantly higher prevalence of a WPI ≥ 4 points compared with the 5th hospitalization. We also observed significant reductions in the prevalence of a WPI ≥ 7 points during the 1st to the 4th hospitalizations, an LPI ≥ 4 points during the 1st to the 3rd hospitalizations, and an LPI ≥ 7 points during the 1st to the 2nd hospitalization. Although the prevalence of the 4 CSP types decreased gradually, it is impossible to state the causative factors on the basis of this observational and descriptive study. The next step will examine the factors that determine the CSP prevalence among

  3. Nutrition support in hospitals

    DEFF Research Database (Denmark)

    Kondrup, Jens

    2005-01-01

    Nutrition support in hospitals is becoming an area of focus because of the evidence showing improved clinical outcome with nutrition support, its status as a human rights issue and its integration into quality assurance.......Nutrition support in hospitals is becoming an area of focus because of the evidence showing improved clinical outcome with nutrition support, its status as a human rights issue and its integration into quality assurance....

  4. Trick questions: cosmopolitan hospitality

    OpenAIRE

    Eleanor Byrne

    2013-01-01

    Byrne’s paper consists of two parallel texts. The first explores the limits of cosmopolitanism in practice, taking as its subject the Life in the UK Citizenship Test, inaugurated under the Labour Government in 2005. It argues that the test exemplifies the predicament of all attempts at cosmopolitan hospitality as unconditional welcoming, through a discussion of the relation between questioning and welcoming the stranger. Establishing the relationship between cosmopolitanism and hospitality a...

  5. Toward a network hospitality

    OpenAIRE

    Germann Molz, Jennie

    2014-01-01

    The growing popularity of online hospitality exchange networks like Couchsurfing and Airbnb point toward a new paradigm of sociality for a mobile and networked society as hospitable encounters among friends and strangers become entangled with social media and networking technologies. Inspired by Andreas Wittel’s notion of ‘network sociality’, this paper introduces the concept of ‘network hospitality’ to describe the kind of sociality that emerges around these new mobile, peer–to–peer, and onl...

  6. Grove - Stobhill Hospital

    OpenAIRE

    Urquhart, Donald

    2009-01-01

    Grove - Stobhill Hospital; A series of permanent artworks installed within the new build Stobhill Hospital in Glasgow, with the artists Ken Dingwall, Olwen Shone and Andreas Karl Shulze made in response to text works by Thomas A Clark. Project managed by Reiach and Hall Architects & Chris Fremantle. Commissioned by NHS Greater Glasgow & Clyde. Applying a conceptual approach to landscape representation the works examine the therapeutic aspect of contemporary art within an architectural...

  7. Healthcare seeking behaviour for Buruli ulcer in Benin : a model to capture therapy choice of patients and healthy community members

    NARCIS (Netherlands)

    Mulder, Annelies A.; Boerma, Roelien P.; Barogui, Yves; Zinsou, Claude; Johnson, R. Christian; Gbovi, Jules; van der Werf, Tjip S.; Stienstra, Ymkje

    2008-01-01

    Buruli ulcer is a devastating condition emerging in West Africa. We investigated why patients often report late to the hospital. Health seeking behaviour determinants and stigma were studied by in-depth interviews in patients treated in hospital (n = 107), patients treated traditionally (n = 46) of

  8. Occupants' window opening behaviour

    DEFF Research Database (Denmark)

    Fabi, Valentina; Andersen, Rune Korsholm; Corgnati, Stefano;

    2012-01-01

    and office buildings. The analysis of the literature highlights how a shared approach on identifying the driving forces for occupants' window opening and closing behaviour has not yet been reached. However, the reporting of variables found not to be drivers may reveal contradictions in the obtained...... systems is proposed, based on studies presented in literature and a general process leading to the effects on energy consumptions is identified.Existing studies on the topic of window opening behaviour are highlighted and a theoretical framework to deal with occupants' interactions with building controls......, aimed at improving or maintaining the preferred indoor environmental conditions, is elaborated. This approach is used to look into the drivers for the actions taken by the occupants (windows opening and closing) and to investigate the existing models in literature of these actions for both residential...

  9. Corporate Social Behaviour

    DEFF Research Database (Denmark)

    Neergaard, Peter; Rahbek Pedersen, Esben

    2003-01-01

    Over the last decades, the industrialised countries have experienced a shift from the Keynesian state intervention paradigm towards a more market-regulated economy. Firms have found themselves in a new era, where they are expected to self-regulate their behaviour in terms of working conditions......, human rights and environmental protection. Without a common point of reference in national regulation, managers in multinational enterprises now have to develop their own codes of corporate social behaviour. This has created a growing market for private standards within the field of environmental...... management systems, social accountability, corporate citizenship, occupational health and safety and so forth. However, both the idea of government regulation and the literature acclaiming corporate self-regulation should be met with some scepticism. This paper offers a short assessment of the potentials and...

  10. Cognitive Behavioural Therapy & Training

    DEFF Research Database (Denmark)

    Spaten, Ole Michael; Hansen, Tia G. B.; Gulbrandsen, Knut Arild;

    coaching module in the graduate curriculum for students of psychology is a rewarding introduction to cognitive behavioural approaches, since it allows combination of traditional lectures with “action-reflection-learning” workshops, during which students train cognitive behavioural techniques in their own......Coaching is an expanding area of professional work, and recent years have brought forward the notion of cognitive coaching (Costa, 2006; Oestrich, 2005) which adapts theory and techniques from cognitive therapy to serve self-enhancement in non-clinical populations. We suggest that a cognitive...... repertoire. The skills needed for cognitive coaching reflect all therapeutic techniques but at a less advanced psychotherapeutic level, and still prepare for future clinical work and development. In the poster, we summarise a cognitive coaching course syllabus as well as results from data collected to...

  11. Measuring Workplace Travel Behaviour: Validity and Reliability of Survey Questions

    OpenAIRE

    Petrunoff, Nicholas A.; Huilan Xu; Chris Rissel; Li Ming Wen; van der Ploeg, Hidde P

    2013-01-01

    Background. The purpose of this study was to assess the (previously untested) reliability and validity of survey questions commonly used to assess travel mode and travel time. Methods. Sixty-five respondents from a staff survey of travel behaviour conducted in a south-western Sydney hospital agreed to complete a travel diary for a week, wear an accelerometer over the same period, and twice complete an online travel survey an average of 21 days apart. The agreement in travel modes between the ...

  12. Noise Level of Hospital Environment

    Directory of Open Access Journals (Sweden)

    Suphi Vehid

    2011-08-01

    Full Text Available Aim: Noise pollution is one of the important problems among the environmental pollution. In this present study we tried to show that the problem of noise at hospital is still exceeding and investigate the sources of noise that annoyed the patients mostly. We measured the sound levels randomly selected in wards and asked the patients the causes of the noise annoying the patients mostly. Material and Methods:Noise level were measured during August 2009 by Testo 816 Sound Lever Meter in Cerrahpasa Medical Faculty. Total of the readings were taken in the day time between 09.00 am and 15.00 pm with three minutes intervals Results: Daily sound level is differing between 45 dBA and 61 dBA. Measured sound level at the beginning time was significantly lower in Neurology and Otorhinolaryngology wards compare to others. During the day time maximum Leq was observed in Physical Therapy and Rehabilitation ward (61 dBA. Telephone bells and conversations, Talking in corridors and water running from faucet declared as a most frequent of noise source by the patients. Conclusion: Activities of medical and non-medical staff are the common source of noise which suggests the noise pollution is mostly “manmade”. In order to solve the noise problem at hospitals there is great need to staff education, administrative rules and may be first of all national guidelines for hospital noise. [TAF Prev Med Bull 2011; 10(4.000: 409-414

  13. Essays on Economic Behaviour

    OpenAIRE

    Hudík, Marek

    2009-01-01

    The main thesis of these essays is that social phenomena are different from psychological phenomena and thus social sciences do not belong to behavioural sciences. Chapter 1 introduces the fundamental problem of the rational choice theory ("Macaulay's problem"): either the theory is empirical and false or it is without empirical content and true. Various suggested solutions to this problem are reviewed and criticized. It is argued that the problem is evaded once it is admitted that rational c...

  14. e-Consumer Behaviour

    OpenAIRE

    Dennis, C.; Merrilees, B; Jayawardhena, C; Wright, L T

    2009-01-01

    Purpose – The primary purpose of this article is to bring together apparently disparate and yet interconnected strands of research and present an integrated model of e-consumer behaviour. It has a secondary objective of stimulating more research in areas identified as still being underexplored. Design/methodology/approach – The paper is discursive, based on analysis and synthesis of econsumer literature. Findings – Despite a broad spectrum of disciplines that investigate e-cons...

  15. Modelling of soil behaviour

    Czech Academy of Sciences Publication Activity Database

    Feda, Jaroslav

    Lisse: Balkema, 2003 - (Natau, O.; Fecker, E.; Pimentel, E.), s. 457-460 ISBN 90-5809-603-3. [Geotechnical measurements and modelling. Karlsruhe (DE), 23.09.2003-25.09.2003] R&D Projects: GA AV ČR IAA2111301 Institutional research plan: CEZ:AV0Z2071913 Keywords : standard and nonstandard behaviour * silica gel * lime and mixture Subject RIV: JM - Building Engineering

  16. Suicidal ideation and behaviour

    OpenAIRE

    Korczak, Daphne J

    2015-01-01

    Suicide is a leading cause of death among Canadian adolescents. The present practice point provides paediatricians and child health professionals with a framework for assessing the adolescent with suicidal thoughts and/or behaviours. The epidemiological context, general considerations and practical suggestions for how to approach the suicidal adolescent are reviewed. Paediatricians can and should screen youth for mental illness and significant psychosocial stressors. Early identification and ...

  17. Web seminar: Behaviour change

    OpenAIRE

    Curtis, V

    2012-01-01

    The IDEAS project runs web seminars as part of its Technical Resource Centre. The IDEAS web seminar series aims to share learning, knowledge and experience in maternal and newborn health. Seminar description: On 7 November 2012, join the IDEAS team for a varied presentation and discussion on behaviour change.This web seminar is part of a series IDEAS is running to share learning, knowledge and experience in maternal and newborn health. There will be an opportunity for questions and comme...

  18. Internet user behaviour

    OpenAIRE

    Radbâță, A.

    2011-01-01

    Internet is a useful tool for everybody in a technologically advanced world. As Internet appears and develops, it creates a totally new network environment. The development of commerce on the Internet based on virtual communities has become one of the most successful business models in the world. After analyzing the concept of internet, the e-commerce market and its marketing mix and the benefits and limitations of the Internet, we have presented a few studies on Internet user behaviour. Furt...

  19. Consumer choice behaviour

    DEFF Research Database (Denmark)

    Hansen, Flemming; Percy, Larry; Hallum Hansen, Morten

    2004-01-01

    The paper is concerned with the measurement of emotions and the study of the role ofemotions in consumer choice. Contemporary neurological findings suggest that emotionsmay play a role in its own right, quite different from the way in which they have beenconsidered in traditional consumer choice ...... behaviour theory. A large-scale study including800 respondents, covering 64 brands, provide findings on emotional response tendenciesfor the brands, and relate these to involvement, type of need gratification, purchasingbehaviour, etc....

  20. Essays on Behavioural Economics

    OpenAIRE

    Manna, Ester

    2014-01-01

    Traditional economic theory assumes that individuals are self-interested. They only care about their own well-being and disregard the impact of their actions on the others. However, the assumption of selfish individuals is unable to explain a number of important phenomena and puzzles. Individuals frequently engage in actions that are costly to themselves with noapparent reward. Behavioural economics provides plausible explanations for these actions.Individuals can be “boundedly rational" (Sim...