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Sample records for call admission control

  1. Call Admission Control in Mobile Cellular Networks

    CERN Document Server

    Ghosh, Sanchita

    2013-01-01

    Call Admission Control (CAC) and Dynamic Channel Assignments (DCA) are important decision-making problems in mobile cellular communication systems. Current research in mobile communication considers them as two independent problems, although the former greatly depends on the resulting free channels obtained as the outcome of the latter. This book provides a solution to the CAC problem, considering DCA as an integral part of decision-making for call admission. Further, current technical resources ignore movement issues of mobile stations and fluctuation in network load (incoming calls) in the control strategy used for call admission. In addition, the present techniques on call admission offers solution globally for the entire network, instead of considering the cells independently.      CAC here has been formulated by two alternative approaches. The first approach aimed at handling the uncertainty in the CAC problem by employing fuzzy comparators.  The second approach is concerned with formulation of CAC ...

  2. Call Admission Control in Mobile Wireless

    OpenAIRE

    Goril, J.; Dobos, L.

    2002-01-01

    Some problems related to wireless network access are discussed in the article. Special attention is paid to Medium Access Control and Call Admission Control. Both have direct impact on communication link accession. While the first one dictates how to, the second one decides who can access the link. The problems with wireless medium access are mentioned and requirements on MAC protocols are named. Also need for CAC algorithms is illustrated and simple functional example is proposed. Finally, t...

  3. SIMULATION MODELS OF CALL ADMISSION CONTROL SCHEMES USING GPSS

    Directory of Open Access Journals (Sweden)

    Vassilya ABDULOVA

    2014-01-01

    Full Text Available In cellular wireless networks, a variety of channel allocation schemes have been developed for achieving high capacity with minimal interference. The choice of channel allocation scheme impacts the performance of the system, particularly as how calls are managed when a mobile user is handed off from one cell to another. Call Admission Control schemes take into account the effect of handoffs in the performance of the system, particularly call blocking probability and call dropping probability. In this study, we present simulation models and programs of some popular Call Admission Control schemes using GPSS simulation tool.

  4. An Intelligent Call Admission Control Decision Mechanism for Wireless Networks

    CERN Document Server

    S., Ramesh Babu H; S, Satyanarayana P

    2010-01-01

    The Call admission control (CAC) is one of the Radio Resource Management (RRM) techniques plays instrumental role in ensuring the desired Quality of Service (QoS) to the users working on different applications which have diversified nature of QoS requirements. This paper proposes a fuzzy neural approach for call admission control in a multi class traffic based Next Generation Wireless Networks (NGWN). The proposed Fuzzy Neural Call Admission Control (FNCAC) scheme is an integrated CAC module that combines the linguistic control capabilities of the fuzzy logic controller and the learning capabilities of the neural networks .The model is based on Recurrent Radial Basis Function Networks (RRBFN) which have better learning and adaptability that can be used to develop the intelligent system to handle the incoming traffic in the heterogeneous network environment. The proposed FNCAC can achieve reduced call blocking probability keeping the resource utilisation at an optimal level. In the proposed algorithm we have c...

  5. TCP-Call Admission Control Interaction in Multiplatform Space Architectures

    Directory of Open Access Journals (Sweden)

    Georgios Theodoridis

    2007-06-01

    Full Text Available The implementation of efficient call admission control (CAC algorithms is useful to prevent congestion and guarantee target quality of service (QoS. When TCP protocol is adopted, some inefficiencies can arise due to the peculiar evolution of the congestion window. The development of cross-layer techniques can greatly help to improve efficiency and flexibility for wireless networks. In this frame, the present paper addresses the introduction of TCP feedback into the CAC procedures in different nonterrestrial wireless architectures. CAC performance improvement is shown for different space-based architectures, including both satellites and high altitude platform (HAP systems.

  6. Power Control Technique for Efficient Call Admission Control in Advanced Wirless Networks

    Directory of Open Access Journals (Sweden)

    Ch. Sreenivasa Rao

    2012-06-01

    Full Text Available In 4G networks, call admission control techniques have been proposed to provide Quality of Service (QoS in a network by restricting the access to network resources. Power control is essential in call admission control in order to provide fair access to all users, improve battery lifetime and system performance. But the existing call admission control algorithms rarely consider the power controlling techniques in the handoff process for different traffic classes. In this paper, we propose to develop a power controlled call admission control scheme for handoff in the advanced wireless networks. The incoming call measures the initial interference on it and then the base station starts transmitting the packets to the new call. The new call is rejected when the interference reaches a threshold value.Whenever an existing call meets the power constraint, the transmit power is decremented based on thetraffic class and incoming call obtains this information by monitoring the interference received on it. Theconvergence of the power control algorithm is checked and the power levels of all incoming calls areadjusted. From our simulation results we prove that this power control technique provides efficienthandoff in the 4G networks by increasing the throughput and reducing the delay of the existing users.

  7. Mitigating Handoff Call Dropping in Wireless Cellular Networks: A Call Admission Control Technique

    Science.gov (United States)

    Ekpenyong, Moses Effiong; Udoh, Victoria Idia; Bassey, Udoma James

    2016-06-01

    Handoff management has been an important but challenging issue in the field of wireless communication. It seeks to maintain seamless connectivity of mobile users changing their points of attachment from one base station to another. This paper derives a call admission control model and establishes an optimal step-size coefficient (k) that regulates the admission probability of handoff calls. An operational CDMA network carrier was investigated through the analysis of empirical data collected over a period of 1 month, to verify the performance of the network. Our findings revealed that approximately 23 % of calls in the existing system were lost, while 40 % of the calls (on the average) were successfully admitted. A simulation of the proposed model was then carried out under ideal network conditions to study the relationship between the various network parameters and validate our claim. Simulation results showed that increasing the step-size coefficient degrades the network performance. Even at optimum step-size (k), the network could still be compromised in the presence of severe network crises, but our model was able to recover from these problems and still functions normally.

  8. Optimizing Voip Using A Cross Layer Call Admission Control Scheme

    Directory of Open Access Journals (Sweden)

    Mumtaz AL-Mukhtar

    2013-07-01

    Full Text Available Deployingwireless campus network becomes popular in many world universities for the services that areprovided.However, it suffers from different issues such as low VoIP network capacity, network congestioneffect on VoIP QoS and WLAN multi rate issue due to linkadaptation technique. In this paper a cross layercall admission control (CCAC scheme is proposed to reduce the effects of these problems on VoWLANbased on monitoring RTCPRR(RealTime Control Protocol ReceiverReportthat provides the QoS levelfor VoIP and monitoring the MAC layer for any change in the data rate. If the QoS level degrades due toone of the aforementioned reasons, a considerable change in the packet size or the codec type will be thesolution. A wireless campus network issimulatedusing OPNET 14.5 modeler and many scenarios aremodeled to improve this proposed scheme.

  9. Loss Performance Modeling for Hierarchical Heterogeneous Wireless Networks With Speed-Sensitive Call Admission Control

    DEFF Research Database (Denmark)

    Huang, Qian; Huang, Yue-Cai; Ko, King-Tim; Iversen, Villy Bæk

    2011-01-01

    A hierarchical overlay structure is an alternative solution that integrates existing and future heterogeneous wireless networks to provide subscribers with better mobile broadband services. Traffic loss performance in such integrated heterogeneous networks is necessary for an operator's network...... dimensioning and planning. This paper investigates the computationally efficient loss performance modeling for multiservice in hierarchical heterogeneous wireless networks. A speed-sensitive call admission control (CAC) scheme is considered in our model to assign overflowed calls to appropriate tiers. This...

  10. Performance of a Two-Level Call Admission Control Scheme for DS-CDMA Wireless Networks

    Directory of Open Access Journals (Sweden)

    Abraham O. Fapojuwo

    2007-11-01

    Full Text Available We propose a two-level call admission control (CAC scheme for direct sequence code division multiple access (DS-CDMA wireless networks supporting multimedia traffic and evaluate its performance. The first-level admission control assigns higher priority to real-time calls (also referred to as class 0 calls in gaining access to the system resources. The second level admits nonreal-time calls (or class 1 calls based on the resources remaining after meeting the resource needs for real-time calls. However, to ensure some minimum level of performance for nonreal-time calls, the scheme reserves some resources for such calls. The proposed two-level CAC scheme utilizes the delay-tolerant characteristic of non-real-time calls by incorporating a queue to temporarily store those that cannot be assigned resources at the time of initial access. We analyze and evaluate the call blocking, outage probability, throughput, and average queuing delay performance of the proposed two-level CAC scheme using Markov chain theory. The analytic results are validated by simulation results. The numerical results show that the proposed two-level CAC scheme provides better performance than the single-level CAC scheme. Based on these results, it is concluded that the proposed two-level CAC scheme serves as a good solution for supporting multimedia applications in DS-CDMA wireless communication systems.

  11. Performance of a Two-Level Call Admission Control Scheme for DS-CDMA Wireless Networks

    Directory of Open Access Journals (Sweden)

    Fapojuwo Abraham O

    2007-01-01

    Full Text Available We propose a two-level call admission control (CAC scheme for direct sequence code division multiple access (DS-CDMA wireless networks supporting multimedia traffic and evaluate its performance. The first-level admission control assigns higher priority to real-time calls (also referred to as class 0 calls in gaining access to the system resources. The second level admits nonreal-time calls (or class 1 calls based on the resources remaining after meeting the resource needs for real-time calls. However, to ensure some minimum level of performance for nonreal-time calls, the scheme reserves some resources for such calls. The proposed two-level CAC scheme utilizes the delay-tolerant characteristic of non-real-time calls by incorporating a queue to temporarily store those that cannot be assigned resources at the time of initial access. We analyze and evaluate the call blocking, outage probability, throughput, and average queuing delay performance of the proposed two-level CAC scheme using Markov chain theory. The analytic results are validated by simulation results. The numerical results show that the proposed two-level CAC scheme provides better performance than the single-level CAC scheme. Based on these results, it is concluded that the proposed two-level CAC scheme serves as a good solution for supporting multimedia applications in DS-CDMA wireless communication systems.

  12. UTILITY BASED SCHEDULING AND CALL ADMISSION CONTROL FOR LONG TERM EVOLUTION NETWORKS

    Directory of Open Access Journals (Sweden)

    J. Vijay Franklin

    2012-01-01

    Full Text Available In this study, we propose to design a call admission control algorithm which schedules the channels for Real time and non-real time users. In Long Term Evolution (LTE 3GPP Networks, several works were done on call admission control but these works rarely considers scheduling of resources to the real time and non-real time users.When the system meets traffic oriented performance degration, maximum resources are utilized for load balancing and to maintain the consistent quality. In order to avoid the channel degradation and improve the Quality of Service (QoS, the call requests are classified into New Call (NC request and Handoff Call (HC request and the type of services are classified as VoIP and video. Then based upon the Received Signal Strength (RSS value, the channel is estimated as good channel or bad channel. Resource allocation is made for VoIP users based on traffic density. Then non-VoIP users and the non-real time users are allocated resource blocks using the channel condition based marginal utility function. When there are no sufficient resources to allocate, it allocates the resources of bad channel users there by degrading their service. We have designed the network topology with G (n and B (n for representing the available good and bad channels. We investigate the performance degradation when the real time, Non real Time, video and VOIP environments based on RSS threshold value.Comparison is made with the VOS in terms of the paramenters like throughput,bandwidth,delay,fairness and rate. Our proposed method provides good performance and quality.From our simulation results we show that this admission control algorithm provides channel quality and prioritizes the handover calls over new calls which allocates resources to all kinds of users.

  13. Call Admission Control performance model for Beyond 3G Wireless Networks

    CERN Document Server

    Babu, H S Ramesh; Satyanarayana, P S

    2010-01-01

    The Next Generation Wireless Networks (NGWN) will be heterogeneous in nature where the different Radio Access Technologies (RATs) operate together .The mobile terminals operating in this heterogeneous environment will have different QoS requirements to be handled by the system. These QoS requirements are determined by a set of QoS parameters. The radio resource management is one of the key challenges in NGWN. Call admission control is one of the radio resource management technique plays instrumental role in ensure the desired QoS to the users working on different applications which have diversified QoS requirements from the wireless networks . The call blocking probability is one such QoS parameter for the wireless network. For better QoS it is desirable to reduce the call blocking probability. In this customary scenario it is highly desirable to obtain analytic Performance model. In this paper we propose a higher order Markov chain based performance model for call admission control in a heterogeneous wireles...

  14. Novel Stochastic Model for Call Admission Control in Broadband Wireless Multimedia Networks

    Institute of Scientific and Technical Information of China (English)

    LIUGan; ZHUGuangxi; RUANYoulin; HUZhenping; WUWeimin; WANGDesheng

    2005-01-01

    As the increasing demand of the capacity of cellular networks, the cell sizes have become smaller than ever, which increases the probability of handoff one may experience during a service. To ensure the calls, QoS and high channel utilization, an effective call admission control is needed urgently. The well-known Guard channel method (GCM) which works with static fashion cannotadapt to the changes in traffic pattern, whereas, SDCA mechanism proposed by S. Wu can overcome that shortcoming due to its dynamic nature. Unfortunately, it is only suitable for single-service. In this paper, we establish a novel stochastic model to study the actual system so as to avoid coping with the complex multiple dimensions stochastic problem. Two wonderful features of the model make it competent for this role. On one hand, it can turnthe multiple steps of state transition into single step ofstate transition, which is a necessary condition for ideal birth-death processes. On the other hand, it can providea simple method to compute the approximation of the call dropping probabilities for multiple services, which facilitate our estimation for the acceptance ratio vector subject to QoS requirement. As a result, we get a multi-services dynamic call admission scheme to adapt for multiple types of services in mobile wireless networks. Numerical results show that our scheme steadily satisfies the constraint on call dropping probability of multi-services while maintaining a high channel throughput.

  15. A framework of call admission control procedures for integrated services mobile wireless networks

    International Nuclear Information System (INIS)

    This paper presents a general framework for a wide range of call admission control (CAC) algorithms. For several CAC schemes, which are a subset of this general framework, an analytical performance evaluation is presented for a multi-traffic mobile wireless network. These CAC algorithms consider a variety of mechanisms to prioritize traffic in an attempt to support different levels of quality of service (QoS) for different types of calls. These mechanisms include dividing the handoff traffic into more than one class and using guard channels or allowing channel splitting to admit more handoff calls. Other mechanisms aimed at adding priority for handoff calls consider employing queuing of handoff calls or dynamically reducing the number lower priority calls. Furthermore our analysis relaxes the typically used assumptions of equal channel holding time and equal resource usage for voice and data calls. The main contribution of this paper is the development of an analytical model for each of the three CAC algorithms specified in this study. In addition to the call blocking and termination probabilities which are usually cited as the performance metrics, in this work we derive and evaluate other metrics that not have be considered by the previous work such as the average queue length, the average queue residency, and the time-out probability for handoff calls. We also develop a simulation tool to test and verify our results. Finally, we present numerical examples to demonstrate the performance of the proposed CAG algorithms and we show that analytical and simulation results are in total agreement. (author)

  16. Algorithms for Deterministic Call Admission Control of Pre-stored VBR Video Streams

    Directory of Open Access Journals (Sweden)

    Christos Tryfonas

    2009-08-01

    Full Text Available We examine the problem of accepting a new request for a pre-stored VBR video stream that has been smoothed using any of the smoothing algorithms found in the literature. The output of these algorithms is a piecewise constant-rate schedule for a Variable Bit-Rate (VBR stream. The schedule guarantees that the decoder buffer does not overflow or underflow. The problem addressed in this paper is the determination of the minimal time displacement of each new requested VBR stream so that it can be accommodated by the network and/or the video server without overbooking the committed traffic. We prove that this call-admission control problem for multiple requested VBR streams is NP-complete and inapproximable within a constant factor, by reducing it from the VERTEX COLOR problem. We also present a deterministic morphology-sensitive algorithm that calculates the minimal time displacement of a VBR stream request. The complexity of the proposed algorithm along with the experimental results we provide indicate that the proposed algorithm is suitable for real-time determination of the time displacement parameter during the call admission phase.

  17. A QoS Provisioning Recurrent Neural Network based Call Admission Control for beyond 3G Networks

    Directory of Open Access Journals (Sweden)

    Ramesh Babu H. S.

    2010-03-01

    Full Text Available The Call admission control (CAC is one of the Radio Resource Management (RRM techniques that plays influential role in ensuring the desired Quality of Service (QoS to the users and applications in next generation networks. This paper proposes a fuzzy neural approach for making the call admission control decision in multi class traffic based Next Generation Wireless Networks (NGWN. The proposed Fuzzy Neural call admission control (FNCAC scheme is an integrated CAC module that combines the linguistic control capabilities of the fuzzy logic controller and the learning capabilities of the neural networks. The model is based on recurrent radial basis function networks which have better learning and adaptability that can be used to develop intelligent system to handle the incoming traffic in an heterogeneous network environment. The simulation results are optimistic and indicates that the proposed FNCAC algorithm performs better than the other two methods and the call blocking probability is minimal when compared to other two methods.

  18. AN Enhanced SINR-Based Call Admission Control in 3G Networks

    Directory of Open Access Journals (Sweden)

    Moses Ekpenyong

    2011-11-01

    Full Text Available This paper presents the signal-to-interference plus noise ratio (SINR-based call admission control (CAC as an effective technique that guarantees signal quality for admitted users. We propose a CAC model that admits users as long as the SINR exceeds a threshold (th SINR . To reduce blocking, we ensure that the threshold level is maintained at a lower bound (lb thSINR −, convenient to keep the blocking probability ( Pb below a maximum value ( Pb−max. We simulate the CAC model with the Java programming language and evaluate the performance of the model. Simulation results show that our CAC scheme produce the expected performance that improves the network quality.

  19. Call Admission Control Algorithm for pre-stored VBR video streams

    CERN Document Server

    Tryfonas, Christos; Mehler, Andrew; Skiena, Steven

    2008-01-01

    We examine the problem of accepting a new request for a pre-stored VBR video stream that has been smoothed using any of the smoothing algorithms found in the literature. The output of these algorithms is a piecewise constant-rate schedule for a Variable Bit-Rate (VBR) stream. The schedule guarantees that the decoder buffer does not overflow or underflow. The problem addressed in this paper is the determination of the minimal time displacement of each new requested VBR stream so that it can be accomodated by the network and/or the video server without overbooking the committed traffic. We prove that this call-admission control problem for multiple requested VBR streams is NP-complete and inapproximable within a constant factor, by reducing it from the VERTEX COLOR problem. We also present a deterministic morphology-sensitive algorithm that calculates the minimal time displacement of a VBR stream request. The complexity of the proposed algorithm make it suitable for real-time determination of the time displacem...

  20. FUZZY-LOGIC BASED CALL ADMISSION CONTROL FOR A HETEROGENEOUS RADIO ENVIRONMENT

    DEFF Research Database (Denmark)

    Ramkumar, Venkata; Mihovska, Albena D.; Prasad, Neeli R.;

    Dette dokument foreslår et nyt opkald Admission Control (CAC) algoritme, der finder forskellige typer af applikationer med forskellige QoS parametre, som en bruger og giver de nødvendige QoS til nyankomne brugere uden en forringelse af de QoS at der allerede er optaget dem. Den foreslåede CAC er ...

  1. A connection-level call admission control using genetic algorithm for MultiClass multimedia services in wireless networks

    OpenAIRE

    Hong, X.; Xiao, Y; Ni, Q

    2006-01-01

    Call admission control in a wireless cell in a personal communication system (PCS) can be modeled as an M/M/C/C queuing system with m classes of users. Semi-Markov Decision Process (SMDP) can be used to optimize channel utilization with upper bounds on handoff blocking probabilities as Quality of Service constraints. However, this method is too time-consuming and therefore it fails when state space and action space are large. In this paper, we apply a genetic algorithm approach to address the...

  2. One-Level Buffer for Call Admission Control in Mobile Cellular Systems

    Directory of Open Access Journals (Sweden)

    Odim M

    2011-05-01

    Full Text Available Mobile wireless network supports different multimedia applications with different quality of service (QoS requirements. Meeting these demands requires an efficient allocation of channels in order to cater appropriately for each application. In this paper, we propose a multi-threshold channel allocation scheme with one buffer to care of real time and non-real-time handoff calls in a wireless mobile network with priority. The different traffics considered are, Real-time new call, Realtime handoff call, Non-real-time new call, and non-real-time handoff call. The size of each threshold is dynamically adjusted based on the in-coming traffic rate. The channels in each cell are divided into three parts: one is for real-time new call, the second is for real-time handoff, the third is for non-real-time handoff call and the last one is for non-real-time new call. In addition, a real-time handoff call can preempt non-real-time handoff call in the buffer to be allocated free channels available. The scheme is simulated under different scenarios and simulation results demonstrate that the proposed scheme is able to simultaneously provide satisfactory QoS to the different call types and maintain relatively high resource utilization in a dynamic traffic load environment.

  3. Implementation av Network Admission Control

    OpenAIRE

    Sandqvist, Mattias; Johansson, Robert

    2007-01-01

    This examination work is about implementation of Cisco Systems Network Admission Control (NAC) within a leading IT-company in region of Jönköping. NAC is a technique that is used for securing the internal network from the inside. NAC can verify that the client who connects to the network has the latest antivirus updates and latest operative system hotfixes. Clients who don’t meet the criteria can be placed in quarantine VLAN where they only have access to the update servers. There are also fu...

  4. On channel-adaptive multiple burst admission control for mobile computing based on wideband CDMA

    OpenAIRE

    Lau, VKN; Kwok, YK

    2001-01-01

    Mobile computing systems built using third generation wireless standards are mostly based on the wideband CDMA platform to support high bit rate packet data services. One important component offering packet data service in CDMA is a burst admission control algorithm. We formulate the multiple-burst admission control problem as an integer programming problem, which induces our novel jointly adaptive burst admission algorithm, called the jointly adaptive burst admission-spatial dimension algori...

  5. A lexicographic approach to constrained MDP admission control

    Science.gov (United States)

    Panfili, Martina; Pietrabissa, Antonio; Oddi, Guido; Suraci, Vincenzo

    2016-02-01

    This paper proposes a reinforcement learning-based lexicographic approach to the call admission control problem in communication networks. The admission control problem is modelled as a multi-constrained Markov decision process. To overcome the problems of the standard approaches to the solution of constrained Markov decision processes, based on the linear programming formulation or on a Lagrangian approach, a multi-constraint lexicographic approach is defined, and an online implementation based on reinforcement learning techniques is proposed. Simulations validate the proposed approach.

  6. Admission Control Techniques for UMTS System

    Directory of Open Access Journals (Sweden)

    P. Kejik

    2010-09-01

    Full Text Available Universal mobile telecommunications system (UMTS is one of the 3rd generation (3G cell phone technologies. The capacity of UMTS is interference limited. Radio resources management (RRM functions are therefore used. They are responsible for supplying optimum coverage, ensuring efficient use of physical resources, and providing the maximum planned capacity. This paper deals with admission control techniques for UMTS. An own UMTS simulation program and several versions of proposed admission control algorithms are presented in this paper. These algorithms are based on fuzzy logic and genetic algorithms. The performance of algorithms is verified via simulations.

  7. Design and evaluation of an optimization based approach to multiple burst admission control for cdma2000

    OpenAIRE

    Lau, VKN; Kwok, YK

    2001-01-01

    In our recent study, we have formulated the burst admission control problem for wideband CDMA systems as an integer programming problem. In this paper, we propose and analyze the performance of a novel burst admission technique, called the multiple-burst admission-spatial dimension algorithm (MBA-SD) to judiciously allocate the previous channels in wideband CDMA systems to burst requests. Both the forward link and the reverse link burst requests are considered and the system is simulated by d...

  8. A Policy-Based Admission Control Scheme for Voice over IP Networks

    OpenAIRE

    Sami Alwakeel; Agung Prasetijo

    2009-01-01

    Problem statement: In Voice Over IP (VOIP) network, when more calls are admitted to the network, more voice packet traffic is created. Since bandwidth is always limited, this may result network congestion and/or may affect voice quality. Thus, we needed a mechanism for improving the Quality of Service (QoS) by controlling VOIP calls admission. Approach: Given a specified bandwidth and a constant background data rate, we attempted to explore the effect of Open Window and Leaky Bucket admission...

  9. A NEW ADMISSION CONTROL APPROACH BASED ON PREDICTION

    Institute of Scientific and Technical Information of China (English)

    Lu Kaining; Jin Zhigang; Zou Jun

    2002-01-01

    Admission control plays an important role in providing QoS to network users. Motivated by the measurement-based admission control algorithm, this letter proposed a new admission control approach for integrated service packet network based on traffic prediction. In the letter, FARIMA(p, d, q) models in the admission control algorithm is deployed. A method to simplify the FARIMA model fitting procedure and hence to reduce the time of traffic modeling and prediction is suggested. The feasibility-study experiments show that FARIMA models which have less number of parameters can be used to model and predict actual traffic on quite a large time scale. Simulation results validate the promising approach.

  10. Improving Experience-Based Admission Control through Traffic Type Awareness

    OpenAIRE

    Jens Milbrandt; Michael Menth; Jan Junker

    2007-01-01

    Experience-based admission control (EBAC) is a hybrid approach combining the classical parameter-based and measurement-based admission control. EBAC calculates an appropriate overbooking factor used to overbook link capacities with resource reservations in packet-switched networks. This overbooking factor correlates with the average peak-to-mean rate ratio of all admitted traffic flows on the link. So far, a single overbooking factor is calculated for the entire traffic aggregate. In this pap...

  11. Efficient Admission Control for Next Generation Cellular Networks

    DEFF Research Database (Denmark)

    Ramkumar, Venkata; Stefan, Andrei Lucian; Nielsen, Rasmus Hjorth; Prasad, Neeli R.; Prasad, Ramjee

    This paper proposes a novel efficient admission control (AC) algorithm, which guarantees quality of service (QoS) for new users while maintaining QoS for existing users and also increases the number of users admitted in to the system. To guarantee the QoS, a Markov based modeling of the queue in...

  12. Admission control in multiservice IP networks : architectural issues and trends

    OpenAIRE

    Lima, Solange; Carvalho, Paulo; Freitas, Vasco

    2007-01-01

    The trend toward the integration of current and emerging applications and services in the Internet has launched new challenges regarding service deployment and management. Within service management, admission control (AC) has been recognized as a convenient mechanism to keep services under controlled load and assure the required QoS levels, bringing consistency to the services offered. In this context, this article discusses the role of AC in multiservice IP networks and surveys current and r...

  13. Measurement Based Admission Control Methods in IP Networks

    Directory of Open Access Journals (Sweden)

    Erik Chromy

    2013-09-01

    Full Text Available Trends in telecommunications show that customers require still more and more bandwidth. If the telecommunication operators want to be successful, they must invest a lot of money to their infrastructure and they must ensure required quality of service. The telecommunication operators would devote to development in this area. The article deals with quality of service in IP networks. Problems of quality of service can be solved through admission control methods based on measurements. These admission control methods take care of control of incoming traffic load. New flow can be accepted only if needed quality of service is ensured for it and without quality of service breach causing of already accepted flows. In the article were made description of simulations and results of simulations for Voice over IP, constant bit rate and video sources. Simulations were realized in Network simulator 2 environment. These simulations were evaluated on the base of some parameters such as: estimated bandwidth, utilization and loss rate.

  14. Admission Control of VL in AFDX Under HRT Constraints

    Institute of Scientific and Technical Information of China (English)

    ZHOU Qiang; QU Zhenliang; LIN Hengqing

    2011-01-01

    Avionics full duplex switched ethernet (AFDX) is a switched interconnection technology developed to provide reliable data exchange with strong data transmission time guarantees in internal communication of the spacecraft or aircraft. Virtual link (VL) is an important concept of AFDX to meet quality of service (QoS) requirements in terms of end-to-end message deadlines. A VL admission control algorithm in AFDX network under hard real-time (HRT) constraints is studied. Based on the scheduling principle of AFDX protocol, a packet scheduling scheme under HRT constraints is proposed, and after that an efficient VL admission control algorithm is presented. Analytical proof that the algorithm can effectively determine whether VL should be admitted is given. Finally simulative examples are presented to promote the conclusion.

  15. Cross-Layer Connection Admission Control Policies for Packetized Systems

    OpenAIRE

    SHENG, WEI; Blostein, Steven

    2010-01-01

    In summary, this chapter provides a framework for joint optimization of packet-switched multiple-antenna systems across physical, packet and connection levels. We extend the existing CAC policies in packet-switched networks to more general cases, where the SINR may vary quickly relative to the connection time, as encountered in multiple antenna base stations. Compared with the CAC policy for circuit-switched networks, the proposed connection admission control policy allows dynamical allocatio...

  16. Maximally Stabilizing Admission Control Policy for a Dynamical Queue

    CERN Document Server

    Savla, Ketan

    2009-01-01

    In this paper, we consider the following stability problem for a novel dynamical queue. Independent and identical tasks arrive for a queue at a deterministic rate. The server spends deterministic state-dependent times to service these tasks, where the server state is governed by its utilization history through a simple dynamical model. Inspired by empirical laws for human performance as a function of mental arousal, we let the service time be related to the server state by a continuous convex function. We consider an admission control architecture which regulates task entry into service. The objective in this paper is to design such admission control policies that can stabilize the dynamical queue for the maximum possible arrival rate, where the queue is said to be stable if the number of tasks awaiting service does not grow unbounded over time. First, we prove an upper bound on the maximum stabilizable arrival rate for any admission control policy by postulating a notion of one-task equilibrium for the dynam...

  17. Effective Voice Calls Admission for Authorized User in Inter VOIP Network

    Directory of Open Access Journals (Sweden)

    Subashri T

    2010-10-01

    Full Text Available IP based voice transmission technology is a flexible, simpler and a cost effective implementation of voicetransmission. It provides a real convergence of various networks. This voice transmission technology doesnot support a quality that is equivalent to digitized voice, which is available in the existing PSTN networks.In addition to this, data network vulnerabilities affect the VOIP service causing a drop in the utilization ofvoice communication. In this paper, the quality of service for voice calls is ensured with the integration ofCAC mechanism with the bandwidth link utilization which makes an estimation of the demandedbandwidth. In terms of security, prevention of ARP cache poisoning attack is achieved by use of the signedMAC address response in local area networks. It makes the network confident that the admitted user is anauthorized user and also it verifies that only the authorized users’ information is exchanged over the localarea network. Also an approach that makes it difficult for the hacker’s to hack the data exchanged over thequality channel has been proposed.

  18. Power Admission Control with Predictive Thermal Management in Smart Buildings

    DEFF Research Database (Denmark)

    Yao, Jianguo; Costanzo, Giuseppe Tommaso; Zhu, Guchuan;

    2015-01-01

    This paper presents a control scheme for thermal management in smart buildings based on predictive power admission control. This approach combines model predictive control with budget-schedulability analysis in order to reduce peak power consumption as well as ensure thermal comfort. First, the...... power budget with a given thermal comfort constraint is optimized through budget-schedulability analysis which amounts to solving a constrained linear programming problem. Second, the effective peak power demand is reduced by means of the optimal scheduling and cooperative operation of multiple thermal...... appliances. The performance of the proposed control scheme is assessed by simulation based on the thermal dynamics of a real eight-room office building located at Danish Technical University....

  19. Improving Experience-Based Admission Control through Traffic Type Awareness

    Directory of Open Access Journals (Sweden)

    Jens Milbrandt

    2007-04-01

    Full Text Available Experience-based admission control (EBAC is a hybrid approach combining the classical parameter-based and measurement-based admission control. EBAC calculates an appropriate overbooking factor used to overbook link capacities with resource reservations in packet-switched networks. This overbooking factor correlates with the average peak-to-mean rate ratio of all admitted traffic flows on the link. So far, a single overbooking factor is calculated for the entire traffic aggregate. In this paper, we propose typespecific EBAC which provides a compound overbooking factor considering different types of traffic that subsume flows with similar peak-to-mean rate ratios. The concept can be well implemented since it does not require measurements of type-specific traffic aggregates. We give a proof of concept for this extension and compare it with the conventional EBAC approach. We show that EBAC with type-specific overbooking leads to better resource utilization under normal conditions and to faster response times for changing traffic mixes.

  20. Admission Control and Interference Management in Dynamic Spectrum Access Networks

    Directory of Open Access Journals (Sweden)

    Jorge Martinez-Bauset

    2010-01-01

    Full Text Available We study two important aspects to make dynamic spectrum access work in practice: the admission policy of secondary users (SUs to achieve a certain degree of quality of service and the management of the interference caused by SUs to primary users (PUs. In order to limit the forced termination probability of SUs, we evaluate the Fractional Guard Channel reservation scheme to give priority to spectrum handovers over new arrivals. We show that, contrary to what has been proposed, the throughput of SUs cannot be maximized by configuring the reservation parameter. We also study the interference caused by SUs to PUs. We propose and evaluate different mechanisms to reduce the interference, which are based on simple spectrum access algorithms for both PUs and SUs and channel repacking algorithms for SUs. Numerical results show that the reduction can be of one order of magnitude or more with respect to the random access case. Finally, we propose an adaptive admission control scheme that is able to limit simultaneously the forced termination probability of SUs and what we define as the probability of interference. Our scheme does not require any configuration parameters beyond the probability objectives. Besides, it is simple to implement and it can operate with any arrival process and distribution of the session duration.

  1. Admission Control for Multiservices Traffic in Hierarchical Mobile IPv6 Networks by Using Fuzzy Inference System

    Directory of Open Access Journals (Sweden)

    Jung-Shyr Wu

    2012-01-01

    Full Text Available CAC (Call Admission Control plays a significant role in providing QoS (Quality of Service in mobile wireless networks. In addition to much research that focuses on modified Mobile IP to get better efficient handover performance, CAC should be introduced to Mobile IP-based network to guarantee the QoS for users. In this paper, we propose a CAC scheme which incorporates multiple traffic types and adjusts the admission threshold dynamically using fuzzy control logic to achieve better usage of resources. The method can provide QoS in Mobile IPv6 networks with few modifications on MAP (Mobility Anchor Point functionality and slight change in BU (Binding Update message formats. According to the simulation results, the proposed scheme presents good performance of voice and video traffic at the expenses of poor performance on data traffic. It is evident that these CAC schemes can reduce the probability of the handoff dropping and the cell overload and limit the probability of the new call blocking.

  2. Optimal Balanced Control for Call Centers

    OpenAIRE

    Bhulai, Sandjai; Farenhorst-Yuan, Taoying; Heidergott, Bernd; van der Laan, Dinard

    2010-01-01

    In this paper we study a challenging call center operation problem. The goal of our analysis is to identify an optimal policy for allocating tasks to agents. As a first step, we discuss promising randomized policies and use stochastic approximation for finding the optimal randomized policy when implemented via a Bernoulli scheme. As we will show in this paper, the performance of the call center can be improved if the randomized policy is implemented by a deterministic sequence satisfying some...

  3. Optimal admission control algorithms for scheduling burst data in CDMA multimedia systems

    OpenAIRE

    Kwok, YK; Lau, VKN

    2001-01-01

    3rd generation mobile systems are mostly based on the wideband CDMA platform to support high bit rate packet data services. One important component to offer packet data service in CDMA is a burst admission control algorithm. In this paper, we propose and study a novel jointly adaptive burst admission algorithm, namely the jointly adaptive burst admission-spatial dimension algorithm (JABA-SD) to effectively allocate valuable resources in wideband CDMA systems to burst requests. In the physical...

  4. Dynamic admission control for differentiated quality of video in IEEE 802.11e wireless LANs

    Science.gov (United States)

    Yoon, Hayoung; Kim, JongWon

    2004-10-01

    In this paper, we are investigating a dynamic admission control (DAC) scheme that is designed for guaranteed wireless video transmission over the IEEE 802.11e wireless LAN (WLAN) environment. To guarantee differentiated QoS services for network-adaptive video streaming, the proposed DAC is designed to utilize the video codec's layering characteristic as well as differentiation-capability of IEEE 802.11e MAC (multiple access control). Especially in order to match the time-varying hostile wireless environment, limited wireless resources for transmission opportunities are required to be dynamically reserved, coordinated, and utilized. Proposed realization of DAC is composed with three sub modules: reservation-based call admission control (CAC), dynamic service resource allocation, and on-flow service differentiation modules. To evaluate the performance of proposed DAC, we apply it to the wireless streaming of ITU-T H.263+ streams over the IEEE 802.11e WLAN, network simulator (NS-2) based simulation results show that it achieves both acceptable receiver-side video quality and efficient resource utilization in face of network loads and channel variations.

  5. Optimal balanced control for call centers

    OpenAIRE

    Bhulai, S.; Farenhorst - Yuan, T.; Heidergott, B.F.; Laan, van der, G.

    2010-01-01

    This discussion paper led to a publication in 'Annals op Operations Research' , 2012, 201(1), 39-62. In this paper we study a challenging call center operation problem. The goal of our analysis is to identify an optimal policy for allocating tasks to agents. As a first step, we discuss promising randomized policies and use stochastic approximation for finding the optimal randomized policy when implemented via a Bernoulli scheme. As we will show in this paper, the performance of the call cente...

  6. Echolocation calls and communication calls are controlled differentially in the brainstem of the bat Phyllostomus discolor

    Directory of Open Access Journals (Sweden)

    Schuller Gerd

    2005-08-01

    Full Text Available Abstract Background Echolocating bats emit vocalizations that can be classified either as echolocation calls or communication calls. Neural control of both types of calls must govern the same pool of motoneurons responsible for vocalizations. Electrical microstimulation in the periaqueductal gray matter (PAG elicits both communication and echolocation calls, whereas stimulation of the paralemniscal area (PLA induces only echolocation calls. In both the PAG and the PLA, the current thresholds for triggering natural vocalizations do not habituate to stimuli and remain low even for long stimulation periods, indicating that these structures have relative direct access to the final common pathway for vocalization. This study intended to clarify whether echolocation calls and communication calls are controlled differentially below the level of the PAG via separate vocal pathways before converging on the motoneurons used in vocalization. Results Both structures were probed simultaneously in a single experimental approach. Two stimulation electrodes were chronically implanted within the PAG in order to elicit either echolocation or communication calls. Blockade of the ipsilateral PLA site with iontophoretically application of the glutamate antagonist kynurenic acid did not impede either echolocation or communication calls elicited from the PAG. However, blockade of the contralateral PLA suppresses PAG-elicited echolocation calls but not communication calls. In both cases the blockade was reversible. Conclusion The neural control of echolocation and communication calls seems to be differentially organized below the level of the PAG. The PLA is an essential functional unit for echolocation call control before the descending pathways share again the final common pathway for vocalization.

  7. The Value of Service Rate Flexibility in an M/M/1 Queue with Admission Control

    CERN Document Server

    Dimitrakopoulos, Yiannis

    2012-01-01

    We consider a single server queueing system with admission control and the possibility to switch dynamically between a low and a high service rate, and examine the benefit of this service rate flexibility. We formulate a discounted Markov Decision Process model for the problem of joint admission and service control, and show that the optimal policy has a threshold structure for both controls. Regarding the benefit due to flexibility, we show that it is increasing in system congestion, and that its effect on the admission policy is to increase the admission threshold. We also derive a simple approximate condition between the admission reward and the relative cost of service rate increase, so that the service rate flexibility is beneficial. We finally show that the results extend to the expected average reward case.

  8. A STUDY ON PROBE-BASED MULTICAST ADMISSION CONTROL AND ENHANCEMENT

    Institute of Scientific and Technical Information of China (English)

    Le Chunhui; He Jianhua; Yang Zongkai; Liu Wei

    2006-01-01

    To provide scalable and simple Quality of Service(QoS) mechanism for multicast services,Probe-Based Multicast Admission Control (PBMAC) scheme was proposed. In this paper, PBMAC is studied and a so-called subsequent request problem is found in PBMAC, which degrades system performance significantly when the network traffic is heavily loaded. Based on the analysis on subsequent request problem, an Enhance PBMAC (EPBMAC) scheme is proposed, in which complementary probing is devised to solve the problem. Using a new metric of normalized requested equivalent link capacity, the performance of PBMAC and EPBMAC is analyzed and evaluated. Two implementations are proposed for incremental deployment. The paper finally introduces evaluation with packet-based simulations. Both analytical and simulation results show the significant improvement in performance.

  9. Adaptive control of call acceptance in WCDMA network

    Directory of Open Access Journals (Sweden)

    Milan Manojle Šunjevarić

    2013-10-01

    Full Text Available In this paper, an overview of the algorithms for access control in mobile wireless networks is presented. A review of adaptive control methods of accepting a call in WCDMA networks is discussed, based on the overview of the algorithms used for this purpose, and their comparison. Appropriate comments and conculsions in comparison with the basic characteristics of these algorithms are given. The OVSF codes are explained as well as how the allocation method influences the capacity and probability of blocking.. Introduction We are witnessing a steady increase in the number of demands placed upon modern wireless networks. New applications and an increasing number of users as well as user activities growth in recent years reinforce the need for an efficient use of the spectrum and its proper distribution among different applications and classes of services. Besides humans, the last few years saw different computers, machines, applications, and, in the future, many other devices, RFID applications, and finally networked objects, as a new kind of wireless networks "users". Because of the exceptional rise in the number of users, the demands placed upon modern wireless networks are becoming larger, and spectrum management plays an important role. For these reasons, choosing an appropriate call admission control algorithm is of great importance. Multiple access and resource management in wireless networks Radio resource management of mobile networks is a set of algorithms to manage the use of radio resources with the aim is to maximize the total capacity of wireless systems with equal distribution of resources to users. Management of radio resources in cellular networks is usually located in the base station controller, the base station and the mobile terminal, and is based on decisions made on appropriate measurement and feedback. It is often defined as the maximum volume of traffic load that the system can provide for some of the requirements for the

  10. A New Self-Adapting Admission Control Algorithm for Differential Service in Web Clusters

    Institute of Scientific and Technical Information of China (English)

    LIU An-feng; CHEN Zhi-gang; LONG Guo-ping

    2004-01-01

    A new admission control algorithm considering the network self-similar access characteristics is proposed.Taking advantage of the mathematical model of the network traffic admission control which can effectively overcome the self-similar characteristics of the network requests, through the scheduling of the differential service queue based on priority while at the same time taking into account various factors including access characteristics of requests, load information, etc, smoothness of the admission control is ensured by the algorithm proposed in this paper.We design a non-linear self-adapting control algorithm by introducing an exponential admission function, thus overcomes the negative aspects introduced by static threshold parameters.Simulation results show that the scheme proposed in this paper can effectively improve the resource utilization of the clusters, while at the same time protecting the service with high priority.Our simulation results also show that this algorithm can improve system stability and reliability too.

  11. Modular Design of Call Control Layer in Telephony Software

    OpenAIRE

    Ilija Basicevic

    2011-01-01

    An important property of a telephony system is the call control model on which it is based. It is noted that many call control models in the past, especially those in PSTN/ISDN networks follow centralized model. For such a model, typical is significant coupling of modules belonging to different services with the basic call control module which is aware of all active telephony features in the system. Although sometimes based on distributed model, VoIP call control models still manifest some of...

  12. A COMBINED ADMISSION CONTROL ALGORITHM WITH DA PROTOCOL FOR SATELLITE ATM NETWORKS

    Institute of Scientific and Technical Information of China (English)

    Lu Rong; Cao Zhigang

    2006-01-01

    Admission control is an important strategy for Quality of Service (QoS) provisioning in Asynchronous Transfer Mode (ATM) networks. Based on a control-theory model of resources on-Demand Allocation (DA) protocol, the paper studies the effect of the protocol on the statistical characteristics of network traffic,and proposes a combined connection admission control algorithm with the DA protocol to achieve full utilization of link resources in satellite communication systems. The proposed algorithm is based on the cross-layer-design approach. Theoretical analysis and system simulation results show that the proposed algorithm can admit more connections within certain admission thresholds than one that does not take into account the DA protocol. Thus, the proposed algorithm can increase admission ratio of traffic sources for satellite ATM networks and improve satellite link utilization.

  13. Integrated Proactive Admission Control Technique For both UDP And TCP Traffic Flows

    Directory of Open Access Journals (Sweden)

    Lakshmanan Senthilkumar

    2007-02-01

    Full Text Available Real time traffic adopting UDP at the transport layer needs some quality of service. It is offered through an admission control scheme. This paper adopts one such scheme which is extended for elastic traffics adopting TCP at the transport layer. The proposed scheme operates on reserving network resources on a proactive manner. It is based on the principle of telephone networks Erlang-B model. The blocking probability measured is used as a flow admission decision parameter. The effectiveness of the proposed admission control algorithm is determined here through simulation. It offers a fair admission rate to both UDP and TCP traffic flows. It also results in a better bottleneck link utilization at a comparatively lower overhead traffic.

  14. Two-Level Cross-Talked Admission Control Mechanism for QoS Guarantee in 802.11e EDCA

    Institute of Scientific and Technical Information of China (English)

    NIU Zhisheng; LIU Jing

    2008-01-01

    This paper describes a two-level cross-talked admission control mechanism that guarantees qual-ity of service (QoS) requirements for multimedia applications over wireless local area networks (WLANs). An enhanced distributed channel access analytical model is used to compute the maximum number of admitted users according to the QoS requirements and the packet arrival characters. Then, some channel resources are reserved for handoff calls based on the maximum number of admitted users and the call-level traffic model. The channel utilization ratio is also measured to reflect the current system traffic load. The maximum number of admitted users and the channel utilization ratio are used for admission control for applications with QoS requirements in the call level and for rate control of best effort applications in the packet level using the p-nonacknowledgement scheme. Thus, the QoS requirements are statistically guaranteed while the system is efficiently utilized. Simulations validate the effectiveness of this mechanism to guarantee the QoS and bandwidth utilization.

  15. Continuous non contacting control of the degree of admission of filler rods

    International Nuclear Information System (INIS)

    In laboratory tests a method was found to control continuously and non-contacting the degree of admission of filler rods. Behind the filling station the absorption of the ionizing radiation of a 90Sr beta source is measured. After successful tests with the laboratory equipment on the manufacturing machine of filler rods a prototype plant was constructed. The calibration is made by setting the measuring value of the empty filler rod equal to 0% and the measuring value of the optimum degree of admission equal to 100%. Between these two joints a scale is calculated so that to each measuring value a degree of admission can be assigned. The measuring time is 1 s. The limits of the allowable degrees of admission are freely adjustable. The construction of the plant is described. (authors)

  16. QoS awared power and admission controls based on non-cooperative game theory in wireless networks

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    In order to better accommodate heterogeneous quality of service (QoS) in wireless networks, an algorithm called QeS-aware power and admission controls (QAPAC) is proposed. The system is modeled as u non- cooperative game where the users adjust their transmit powers to maximize the utility, thus restraining the interferences. By using adaptive utility functions and tunable pricing parameters according to QoS levels, this algorithm can well meet different QoS reqniremcnts and improve system capacity compared with those that ignore the QoS differ- ences.

  17. QoS awared power and admission controls based on non-cooperative game theory in wireless networks

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    In order to better accommodate heterogeneous quality of service (QoS) in wireless networks, an algorithm called QoS-aware power and admission controls (QAPAC) is proposed. The system is modeled as a non-cooperative game where the users adjust their transmit powers to maximize the utility, thus restraining the interferences. By using adaptive utility functions and tunable pricing parameters according to QoS levels, this algorithm can well meet different QoS requirements and improve system capacity compared w...

  18. Callings control system based in the bluetooth network

    Directory of Open Access Journals (Sweden)

    María Aurora Molina Vilchis

    2011-02-01

    Full Text Available It is common interruptions or signal jamming occurs from careless use cell phones in academic, cultural or social halls, it comes a need to control reception or calling transmission, without infringe people communication laws, and due commercial calling control devices are inaccessible and expensive for these applications, because this article pretends to show an application based on Bluetooth networks.Keywords: Bluetooth, Ad hoc, Protocol, MAC, PIN.

  19. SERVICE-AWARE BASED FUZZY ADMISSION CONTROL SCHEME IN MULTI-SERVICE NETWORKS

    Institute of Scientific and Technical Information of China (English)

    Qiu Gongan; Zhang Shunyi; Liu Shidong

    2007-01-01

    Multi-service aggregated transmission is the direction of IP network. Providing different Quality of Service (QoS) assurance for different services has become a crucial problem in future network.Admission control is a vital function for multi-service IP network. This paper proposes a novel fuzzy admission control scheme based on coarse granularity service-aware technique. Different service has discriminative sensitivity to the same QoS characteristic parameter in general. The traffic class can be perceived by the service request parameter and the proposed QoS function. And requirements of different applications can be met by maintaining the life parameter. From simulation results, the proposed scheme shows a better QoS provisioning than those traditional fuzzy logic based methods under the same admission probability.

  20. Control, Communication, and Knowledge-Building in Asian Call Centers

    OpenAIRE

    Maria Lombard

    2015-01-01

    Communication within international call centers can be significantly complicated by breakdowns that result from multiple layers of corporate language.  This case study explores training sessions and documentation developed and delivered by an American team responsible for training international call center workers located in the Philippines.  Findings show that attempts to standardize and control workplace language can limit meaningful two-way communication, leaving workers to both question w...

  1. Reduced Admissions for Acute Myocardial Infarction Associated with a Public Smoking Ban: Matched Controlled Study

    Science.gov (United States)

    Seo, Dong-Chul; Torabi, Mohammad R.

    2007-01-01

    There has been no research linking implementation of a public smoking ban and reduced incidence of acute myocardial infarction (AMI) among nonsmoking patients. An ex post facto matched control group study was conducted to determine whether there was a change in hospital admissions for AMI among nonsmoking patients after a public smoking ban was…

  2. A service-oriented admission control strategy for class-based IP networks

    OpenAIRE

    Lima, Solange; Carvalho, Paulo; Freitas, Vasco

    2008-01-01

    The clear trend toward the integration of current and emerging applications and services in the Internet launches new demands on service deployment and management. Distributed service-oriented traffic control mechanisms, operating with minimum impact on network performance, assume a crucial role as regards controlling services quality and network resources transparently and efficiently. In this paper, we describe and specify a lightweight distributed admission control (AC) model based on ...

  3. Cognitive interference modeling with applications in power and admission control

    KAUST Repository

    Mahmood, Nurul Huda

    2012-10-01

    One of the key design challenges in a cognitive radio network is controlling the interference generated at coexisting primary receivers. In order to design efficient cognitive radio systems and to minimize their unwanted consequences, it is therefore necessary to effectively control the secondary interference at the primary receivers. In this paper, a generalized framework for the interference analysis of a cognitive radio network where the different secondary transmitters may transmit with different powers and transmission probabilities, is presented and various applications of this interference model are demonstrated. The findings of the analytical performance analyses are confirmed through selected computer-based Monte-Carlo simulations. © 2012 IEEE.

  4. Control, Communication, and Knowledge-Building in Asian Call Centers

    Directory of Open Access Journals (Sweden)

    Maria Lombard

    2015-02-01

    Full Text Available Communication within international call centers can be significantly complicated by breakdowns that result from multiple layers of corporate language.  This case study explores training sessions and documentation developed and delivered by an American team responsible for training international call center workers located in the Philippines.  Findings show that attempts to standardize and control workplace language can limit meaningful two-way communication, leaving workers to both question what they are told and invent new ways of communicating.  Recommendations are presented in this study for a workplace writing model that can overcome language differences through authentic interaction.

  5. Joint QoS Multicast Power / Admission Control and Base Station Assignment : A Geometric Programming Approach

    OpenAIRE

    Karipidis, Eleftherios; Sidiropoulos, Nicholas; Tassiulas, Leandros

    2008-01-01

    The joint power control and base station (BS) assignment problem is considered under Quality-of-Service (QoS) constraints. If a feasible solution exists, the problem can be efficiently solved using existing distributed algorithms. Infeasibility is often encountered in practice, however, which brings up the issue of optimal admission control. The joint problem is NP-hard, yet important for QoS provisioning and bandwidth-efficient operation of existing and emerging cellular and overlay/underlay...

  6. BARTER: Behavior Profile Exchange for Behavior-Based Admission and Access Control in MANETs

    Science.gov (United States)

    Frias-Martinez, Vanessa; Stolfo, Salvatore J.; Keromytis, Angelos D.

    Mobile Ad-hoc Networks (MANETs) are very dynamic networks with devices continuously entering and leaving the group. The highly dynamic nature of MANETs renders the manual creation and update of policies associated with the initial incorporation of devices to the MANET (admission control) as well as with anomaly detection during communications among members (access control) a very difficult task. In this paper, we present BARTER, a mechanism that automatically creates and updates admission and access control policies for MANETs based on behavior profiles. BARTER is an adaptation for fully distributed environments of our previously introduced BB-NAC mechanism for NAC technologies. Rather than relying on a centralized NAC enforcer, MANET members initially exchange their behavior profiles and compute individual local definitions of normal network behavior. During admission or access control, each member issues an individual decision based on its definition of normalcy. Individual decisions are then aggregated via a threshold cryptographic infrastructure that requires an agreement among a fixed amount of MANET members to change the status of the network. We present experimental results using content and volumetric behavior profiles computed from the ENRON dataset. In particular, we show that the mechanism achieves true rejection rates of 95% with false rejection rates of 9%.

  7. A Study of Equivalence of Measurement-Based Admission Control Algorithms

    Institute of Scientific and Technical Information of China (English)

    GUI Zhi-bo; ZHOU Li-chao

    2003-01-01

    Measurement-Based Admission Control (MBAC) algorithms, as opposed to the more conservative worstcase parameter-based approach, are expressly designed to achieve high levels of network utilization for the controlledload service, a real-time service with very relaxed service guarantee. Most researchers studying MBAC algorithms(MBAC's) have focused primarily on the design of the Admission Control Equations (ACE's) using a variety of principled and ad hoc motivations. In this paper, we prove theoretically that the ACE's, even though derived and motivated in quite different ways, are equivalent by tuning the adjustable parameters of MBAC's. We also use simulations to confirm our work. The simulation results show that MBAC's may have the same utilization for a given packet loss rate through tuning the relevant parameters.

  8. A LP-RR Principle-Based Admission Control for a Mobile Network

    OpenAIRE

    Kumar, Vijay BP; Venkataram, Pallapa

    2002-01-01

    In mobile networks, the traffic fluctuation is unpredictable due to mobility and varying resource requirement of multimedia applications. Hence, it is essential to maintain traffic within the network capacity to provide service guarantees to running applications. This paper proposes an admission control (AC) scheme in a mobile cellular environment supporting hand-off and new application traffic. In the case of multimedia applications, each applications has its own distinct range of acceptable...

  9. Relation between call controll and resource control in B-ISDN

    NARCIS (Netherlands)

    Hou, Xinli; Niemegeers, Ignas G.

    1994-01-01

    The functional separation of call control and the control of network resources brings about the flexibility in provision of telecommunication services. This paper addresses the relation between call control and resource control in the B-ISDN signalling. The merits and drawbacks of two complementary

  10. Estimated Bandwidth Distribution with Admission Control for Enhanced QoS Multicast Routing in MANETs

    Directory of Open Access Journals (Sweden)

    P.Revathi

    2009-09-01

    Full Text Available Wireless networks become more widely used to support advanced services. Traditional approaches to guarantee quality of service (QoS work well only with predictable channel and network access. The Multicast transmission is a more efficient mechanism when compared to uni-casting in supporting group communication applications and hence is an important aspect of future network developments. To enable high QoS for all admitted traffic, the Admission Control monitors the wireless channel and dynamically adapts admission control decisions to enable high network utilization while preventing congestion. Mobile Adhoc networks can provide multimedia users with mobility, if efficient QoS multicast strategies were developed. In load balancing QoS Multicast Routing QMR, constant available bandwidth for the link is assumed. A cross-layer framework to support QoS multicasting is extended for more effective than QMR. The extension reflects good packet delivery ratios associated with lower control overhead and lower packet delivery delay. If minimum real-time requirements are not met, these unusable packets waste scarce bandwidth and hinder other traffic, compounding the problem. Whereas the dynamically adapted mobility with control overhead monitors the high QoS for all admitted traffic, and the bandwidth for each node is enhanced to reflect the good packet delivery ratio associated with lower control overhead and lower packet delivery delay.

  11. Singular formalism and admissible control of spacecraft with rotating flexible solar array

    Directory of Open Access Journals (Sweden)

    Lu Dongning

    2014-02-01

    Full Text Available This paper is concerned with the attitude control of a three-axis-stabilized spacecraft which consists of a central rigid body and a flexible sun-tracking solar array driven by a solar array drive assembly. Based on the linearization of the dynamics of the spacecraft and the modal identities about the flexible and rigid coupling matrices, the spacecraft attitude dynamics is reduced to a formally singular system with periodically varying parameters, which is quite different from a spacecraft with fixed appendages. In the framework of the singular control theory, the regularity and impulse-freeness of the singular system is analyzed and then admissible attitude controllers are designed by Lyapunov’s method. To improve the robustness against system uncertainties, an H∞ optimal control is designed by optimizing the H∞ norm of the system transfer function matrix. Comparative numerical experiments are performed to verify the theoretical results.

  12. Admission Control to Minimize Rejections and Online Set Cover with Repetitions

    CERN Document Server

    Alon, Noga; Gutner, Shai

    2008-01-01

    We study the admission control problem in general networks. Communication requests arrive over time, and the online algorithm accepts or rejects each request while maintaining the capacity limitations of the network. The admission control problem has been usually analyzed as a benefit problem, where the goal is to devise an online algorithm that accepts the maximum number of requests possible. The problem with this objective function is that even algorithms with optimal competitive ratios may reject almost all of the requests, when it would have been possible to reject only a few. This could be inappropriate for settings in which rejections are intended to be rare events. In this paper, we consider preemptive online algorithms whose goal is to minimize the number of rejected requests. Each request arrives together with the path it should be routed on. We show an $O(\\log^2 (mc))$-competitive randomized algorithm for the weighted case, where $m$ is the number of edges in the graph and $c$ is the maximum edge ca...

  13. Control-flow analysis of function calls and returns by abstract interpretation

    DEFF Research Database (Denmark)

    Midtgaard, Jan; Jensen, Thomas P.

    We derive a control-flow analysis that approximates the interprocedural control-flow of both function calls and returns in the presence of first-class functions and tail-call optimization. In addition to an abstract environment, our analysis computes for each expression an abstract control stack,......-based control-flow analysis from abstract interpretation principles.......We derive a control-flow analysis that approximates the interprocedural control-flow of both function calls and returns in the presence of first-class functions and tail-call optimization. In addition to an abstract environment, our analysis computes for each expression an abstract control stack...

  14. Study on the Class-Based Admission Control Scheme for DiffServ in MPLS Networks

    Institute of Scientific and Technical Information of China (English)

    李震宇; 张中兆

    2003-01-01

    Differentiated services (DiffServ) and MPLS are two major building blocks for providing multi-class services over IP networks. In order to respond to the need for relatively simple, coarse methods of providing different levels of service for Internet traffic, to support various types of applications and specific business requirements, the MPLS network infrastructure and the DiffServ traffic model will work together. Meanwhile, in today's environment of multiple service networks, it is necessary for the node in the networks to perform the control mechanism to guarantee various QoS. In this paper, we propose a class-based admission control scheme that is suitable for DiffServ in MPLS networks. This scheme can achieve twofold objects: reliable QoS provisioning and high resource utilization. We evaluate the proposed scheme by numerical analysis of its performance in terms of throughput, delay, and reject probability. By performing simulation, we can ensure that the proposed scheme can work efficiently to provide strict QoS guarantees.

  15. Performance Analysis and Optimization of an Adaptive Admission Control Scheme in Cognitive Radio Networks

    Directory of Open Access Journals (Sweden)

    Shunfu Jin

    2013-01-01

    Full Text Available In cognitive radio networks, if all the secondary user (SU packets join the system without any restrictions, the average latency of the SU packets will be greater, especially when the traffic load of the system is higher. For this, we propose an adaptive admission control scheme with a system access probability for the SU packets in this paper. We suppose the system access probability is inversely proportional to the total number of packets in the system and introduce an Adaptive Factor to adjust the system access probability. Accordingly, we build a discrete-time preemptive queueing model with adjustable joining rate. In order to obtain the steady-state distribution of the queueing model exactly, we construct a two-dimensional Markov chain. Moreover, we derive the formulas for the blocking rate, the throughput, and the average latency of the SU packets. Afterwards, we provide numerical results to investigate the influence of the Adaptive Factor on different performance measures. We also give the individually optimal strategy and the socially optimal strategy from the standpoints of the SU packets. Finally, we provide a pricing mechanism to coordinate the two optimal strategies.

  16. A BATCH ARRIVAL RETRIAL QUEUE WITH STARTING FAILURES, FEEDBACK AND ADMISSION CONTROL

    Institute of Scientific and Technical Information of China (English)

    Jinting WANG; Peng-Feng ZHOU

    2010-01-01

    This paper is concerned with the analysis of a feedback M[X]/G/1 retrial queue with starting failures and general retrial times.In a batch,each individual customer is subject to a control admission policy upon arrival.If the server is idle,one of the customers admitted to the system may start its service and the rest joins the retrial group,whereas all the admitted customers go to the retrial group when the server is unavailable upon arrival.An arriving customer(primary or retrial)must turn-on the server,which takes negligible time.If the server is started successfully(with a certain probability),the customer gets service immediately.Otherwise,the repair for the server commences immediately and the customer must leave for the orbit and make a retrial at a later time.It is assumed that the customers who find the server unavailable are queued in the orbit in accordance with an FCFS discipline and only the customer at the head of the queue is allowed for access to the server.The Markov chain underlying the considered queueing system is studied and the necessary and sufficient condition for the system to be stable is presented.Explicit formulae for the stationary distribution and some performance measures of the system in steady-state are obtained.Finally,some numerical examples are presented to illustrate the influence of the parameters on several performance characteristics.

  17. Further Studies on Equivalence of Structure and Its Relevance to Performance of Measurement-Based Admission Control Algorithms

    Institute of Scientific and Technical Information of China (English)

    GUIZhibo; ZHOULichao

    2005-01-01

    The advantage of Measurement-based admission control algorithms (MBACs) is that they are able to improve network utilization for the controlled-load service. Most researchers have focused primarily on designs of the Admission control equations (ACEs) of MBACs using a variety of principled and ad hoc motivations. In this paper, six typical MBACs, namely MS, HB, TP, TO, TE and MC algorithms, are discussed. First, we have proven analytically that the ACEs of TE and MC have the same structural form as the ACEs of the other four MBACs above. Second, through formal analysis we have theoretically proven that the ACEs of TE and MC, even though they are derived and motivated in quite different ways, are equivalent to the other four MBACs by tuning the adjustable parameters of MBACs. Finally, we have used also simulations to confirm our work.

  18. Effects of a major earthquake on calls to regional poison control centers.

    OpenAIRE

    Nathan, A. R.; Olson, K R; Everson, G. W.; Kearney, T E; Blanc, P. D.

    1992-01-01

    We retrospectively evaluated the effect of the Loma Prieta earthquake on calls to 2 designated regional poison control centers (San Francisco and Santa Clara) in the area. In the immediate 12 hours after the earthquake, there was an initial drop (31%) in call volume, related to telephone system overload and other technical problems. Calls from Bay Area counties outside of San Francisco and Santa Clara decreased more dramatically than those from within the host counties where the poison contro...

  19. Time from admission to initiation of surgery for source control is a critical determinant of survival in patients with gastrointestinal perforation with associated septic shock

    OpenAIRE

    Azuhata, Takeo; Kinoshita, Kosaku; Kawano, Daisuke; Komatsu, Tomonori; Sakurai, Atsushi; Chiba, Yasutaka; Tanjho, Katsuhisa

    2014-01-01

    Introduction We developed a protocol to initiate surgical source control immediately after admission (early source control) and perform initial resuscitation using early goal-directed therapy (EGDT) for gastrointestinal (GI) perforation with associated septic shock. This study evaluated the relationship between the time from admission to initiation of surgery and the outcome of the protocol. Methods This examination is a prospective observational study and involved 154 patients of GI perforat...

  20. Admissible and Restrained Revision

    CERN Document Server

    Booth, R; 10.1613/jair.1874

    2011-01-01

    As partial justification of their framework for iterated belief revision Darwiche and Pearl convincingly argued against Boutiliers natural revision and provided a prototypical revision operator that fits into their scheme. We show that the Darwiche-Pearl arguments lead naturally to the acceptance of a smaller class of operators which we refer to as admissible. Admissible revision ensures that the penultimate input is not ignored completely, thereby eliminating natural revision, but includes the Darwiche-Pearl operator, Nayaks lexicographic revision operator, and a newly introduced operator called restrained revision. We demonstrate that restrained revision is the most conservative of admissible revision operators, effecting as few changes as possible, while lexicographic revision is the least conservative, and point out that restrained revision can also be viewed as a composite operator, consisting of natural revision preceded by an application of a "backwards revision" operator previously studied by Papini. ...

  1. Call selection for the Helicopter Emergency Medical Service: implications for ambulance control.

    OpenAIRE

    Coats, T J; Newton, A

    1994-01-01

    The increasing sophistication of pre-hospital care, with paramedics and many types of 'rapid response' units, requires the use of advanced systems of ambulance control. The introduction of call selection by a paramedic in the ambulance control room significantly improved the tasking of the Helicopter Emergency Medical Service. This paper illustrates the need for a system to grade 999 calls, so that the appropriate pre-hospital response can be directed to each patient.

  2. Induction by Coinduction and Control Operators in Call-by-Name

    Directory of Open Access Journals (Sweden)

    Yoshihiko Kakutani

    2013-09-01

    Full Text Available This paper studies emulation of induction by coinduction in a call-by-name language with control operators. Since it is known that call-by-name programming languages with control operators cannot have general initial algebras, interaction of induction and control operators is often restricted to effect-free functions. We show that some class of such restricted inductive types can be derived from full coinductive types by the power of control operators. As a typical example of our results, the type of natural numbers is represented by the type of streams. The underlying idea is a counterpart of the fact that some coinductive types can be expressed by inductive types in call-by-name pure language without side-effects.

  3. A Survey of Primary Care Offices: Triage of Poisoning Calls without a Poison Control Center

    OpenAIRE

    Travis Austin; Brooks, Daniel E.; Sharyn Welch; Frank LoVecchio

    2012-01-01

    Poison control centers hold great potential for saving health care resources particularly by preventing unnecessary medical utilization. We developed a four-question survey with three poisoning-related scenarios, based on common calls to our poison center, and one question regarding after-hours calls. We identified primary care provider offices in our poison center's region from an internet search. We contacted these offices via telephone and asked to speak to an office manager or someone res...

  4. Cost and effects of different admission screening strategies to control the spread of methicillin-resistant Staphylococcus aureus.

    Directory of Open Access Journals (Sweden)

    Tanya Gurieva

    Full Text Available Nosocomial infection rates due to antibiotic-resistant bacteriae, e.g., methicillin-resistant Staphylococcus aureus (MRSA remain high in most countries. Screening for MRSA carriage followed by barrier precautions for documented carriers (so-called screen and isolate (S&I has been successful in some, but not all settings. Moreover, different strategies have been proposed, but comparative studies determining their relative effects and costs are not available. We, therefore, used a mathematical model to evaluate the effect and costs of different S&I strategies and to identify the critical parameters for this outcome. The dynamic stochastic simulation model consists of 3 hospitals with general wards and intensive care units (ICUs and incorporates readmission of carriers of MRSA. Patient flow between ICUs and wards was based on real observations. Baseline prevalence of MRSA was set at 20% in ICUs and hospital-wide at 5%; ranges of costs and infection rates were based on published data. Four S&I strategies were compared to a do-nothing scenario: S&I of previously documented carriers ("flagged" patients; S&I of flagged patients and ICU admissions; S&I of flagged and group of "frequent" patients; S&I of all hospital admissions (universal screening. Evaluated levels of efficacy of S&I were 10%, 25%, 50% and 100%. Our model predicts that S&I of flagged and S&I of flagged and ICU patients are the most cost-saving strategies with fastest return of investment. For low isolation efficacy universal screening and S&I of flagged and "frequent" patients may never become cost-saving. Universal screening is predicted to prevent hardly more infections than S&I of flagged and "frequent" patients, albeit at higher costs. Whether an intervention becomes cost-saving within 10 years critically depends on costs per infection in ICU, costs of screening and isolation efficacy.

  5. An experimental study on load-peak shaving in smart homes by means of online admission control

    DEFF Research Database (Denmark)

    Costanzo, Giuseppe Tommaso; Kosek, Anna Magdalena; Zhu, Guchuan;

    2012-01-01

    This paper presents the design, implementation, and experimental results of an architecture for autonomous demand-side load management (ADSM) system for Smart Buildings in view of influencing the energy demand in the Smart Grid. In such an architecture, the management system has a layered structure...... and appliances' operation is modeled as a finite state machine, which enables an efficient load control using scheduling techniques borrowed from real-time computing systems. In this study the Admission Control, which is the bottom layer of the presented architecture interacting in real-time with...... physical equipments, is addressed and the real-time power consumption management in a residential dwelling is implemented and tested in a real office building. The experimental results provide a proof of concept for the proposed architecture and demonstrate the applicability of the on-line scheduling...

  6. Effects of a major earthquake on calls to regional poison control centers.

    Science.gov (United States)

    Nathan, A R; Olson, K R; Everson, G W; Kearney, T E; Blanc, P D

    1992-03-01

    We retrospectively evaluated the effect of the Loma Prieta earthquake on calls to 2 designated regional poison control centers (San Francisco and Santa Clara) in the area. In the immediate 12 hours after the earthquake, there was an initial drop (31%) in call volume, related to telephone system overload and other technical problems. Calls from Bay Area counties outside of San Francisco and Santa Clara decreased more dramatically than those from within the host counties where the poison control centers are located. In the next 2 days, each poison control center then handled a 27% increase in call volume. Requests for information regarding safety of water supplies and other environmental concerns were significantly increased. The number of cases of actual poisoning exposure decreased, particularly poison and drug ingestions in children. Most calls directly related to the earthquake included spills and leaks of hazardous materials and questions about water and food safety. Regional poison control centers play an essential role in the emergency medical response to major disasters and are critically dependent on an operational telephone system. PMID:1595244

  7. Association between birth order and emergency room visits and acute hospital admissions following pediatric vaccination: a self-controlled study.

    Directory of Open Access Journals (Sweden)

    Steven Hawken

    Full Text Available OBJECTIVE: We investigated the association between a child's birth order and emergency room (ER visits and hospital admissions following 2-,4-,6- and 12-month pediatric vaccinations. METHODS: We included all children born in Ontario between April 1(st, 2006 and March 31(st, 2009 who received a qualifying vaccination. We identified vaccinations, ER visits and admissions using health administrative data housed at the Institute for Clinical Evaluative Sciences. We used the self-controlled case series design to compare the relative incidence (RI of events among 1(st-born and later-born children using relative incidence ratios (RIR. RESULTS: For the 2-month vaccination, the RIR for 1(st-borns versus later-born children was 1.37 (95% CI: 1.19-1.57, which translates to 112 additional events/100,000 vaccinated. For the 4-month vaccination, the RIR for 1(st-borns vs. later-borns was 1.70 (95% CI: 1.45-1.99, representing 157 additional events/100,000 vaccinated. At 6 months, the RIR for 1(st vs. later-borns was 1.27 (95% CI: 1.09-1.48, or 77 excess events/100,000 vaccinated. At the 12-month vaccination, the RIR was 1.11 (95% CI: 1.02-1.21, or 249 excess events/100,000 vaccinated. CONCLUSIONS: Birth order is associated with increased incidence of ER visits and hospitalizations following vaccination in infancy. 1(st-born children had significantly higher relative incidence of events compared to later-born children.

  8. A call-by-value lambda-calculus with lists and control

    Directory of Open Access Journals (Sweden)

    Robbert Krebbers

    2012-10-01

    Full Text Available Calculi with control operators have been studied to reason about control in programming languages and to interpret the computational content of classical proofs. To make these calculi into a real programming language, one should also include data types. As a step into that direction, this paper defines a simply typed call-by-value lambda calculus with the control operators catch and throw, a data type of lists, and an operator for primitive recursion (a la Goedel's T. We prove that our system satisfies subject reduction, progress, confluence for untyped terms, and strong normalization for well-typed terms.

  9. Admissibility of Linear Systems in Banach Spaces

    Institute of Scientific and Technical Information of China (English)

    GUO Fa-ming

    2005-01-01

    In this paper, infinite-time p-admissibility of unbounded operators is introduced and the Co-semigroup characterization of the infinite-time p-admissibility of unbounded observation operators is given. Moreover, the analogous result for the infinite-time p-admissibility of unbounded control operators is presented.

  10. Multi-Stage Admission Control for Load Balancing in Next Generation Systems

    DEFF Research Database (Denmark)

    Mihovska, Albena D.; Anggorojati, Bayu; Luo, Jijun;

    2008-01-01

    user to the network, i.e., the ranking of the intermediate decisions is dynamic. The decision is controlled by passing a token between the base station (BS) and the gateway (GW), thereby considering the load status of the BS and the backhaul network. A token is assigned to the entity with the highest...

  11. Enhanced signaling scheme with admission control in the hybrid optical wireless (HOW) networks

    DEFF Research Database (Denmark)

    Yan, Ying; Yu, Hao; Wessing, Henrik;

    2009-01-01

    The hybrid optical wireless (HOW) network has been viewed as a promising solution to meet the increasing user bandwidth and mobility demands. Due to the basic differences in the optical and wireless technologies, a challenging problem lies in the Media Access Control (MAC) protocol design so that...

  12. Airport Casualties: Non-Admission and Return Risks at Times of Internalized/Externalized Border Controls

    Directory of Open Access Journals (Sweden)

    Maybritt Jill Alpes

    2015-09-01

    Full Text Available This article analyzes what can happen to forced returnees upon arrival in their country of nationality. Subjective configurations of state agents in the Global South have created return risks, which in turn transform subjectivities of post-colonial citizens. The article contributes to this Special Issue by tracing repercussions of the externalization and internalization of border controls. In the case of Cameroon, these connections have resulted in the criminalization of emigration. Aspiring migrants are prosecuted if their departure projects fail to respect the entry requirements of countries in the Global North. The article is based on research conducted in Douala, Cameroon, in the form of discussions with control agents at the international airport, investigations at a prison, a review of related case law, police registers and interviews with Cameroonians returnees (November 2013–January 2014. Border controls and connected anti-fraud programs suppress family-based forms of solidarity and allow only for subjectivities rooted in state-managed forms of national identity. The article illustrates how efforts to combat fraud fuel corruption in returnees’ social networks, whereby, instead of receiving remittances, families in emigration countries have to mobilize financial resources in order to liberate returnees from police stations or prison complexes. Migration related detention of nationals in the Global South highlights the growing significance of exit controls in migration management.

  13. Effectiveness of telemonitoring integrated into existing clinical services on hospital admission for exacerbation of chronic obstructive pulmonary disease: researcher blind, multicentre, randomised controlled trial

    OpenAIRE

    Pinnock, Hilary; Hanley, Janet; McCloughan, Lucy; Todd, Allison; Krishan, Ashma; Lewis, Stephanie; Stoddart, Andrew; van der Pol, Marjon; MacNee, William; Sheikh, Aziz; Pagliari, Claudia; McKinstry, Brian

    2013-01-01

    Objective: To test the effectiveness of telemonitoring integrated into existing clinical services such that intervention and control groups have access to the same clinical care. Design: Researcher blind, multicentre, randomised controlled trial. Setting: UK primary care (Lothian, Scotland). Participants: Adults with at least one admission for chronic obstructive pulmonary disease (COPD) in the year before randomisation. We excluded people who had other significant lung disease, who were unab...

  14. Effectiveness of telemonitoring integrated into existing clinical services on hospital admission for exacerbation of chronic obstructive pulmonary disease: researcher blind, multicentre, randomised controlled trial

    OpenAIRE

    Pinnock, Hilary; Hanley, Janet; McCloughan, Lucy; Todd, Allison; Krishan, Ashma; Lewis, Stephanie; Stoddart, Andrew; van der Pol, Marjon; MacNee, William; Sheikh, Aziz; Pagliari, Claudia; McKinstry, Brian

    2013-01-01

    Objective To test the effectiveness of telemonitoring integrated into existing clinical services such that intervention and control groups have access to the same clinical care. Design Researcher blind, multicentre, randomised controlled trial. Setting UK primary care (Lothian, Scotland). Participants Adults with at least one admission for chronic obstructive pulmonary disease (COPD) in the year before randomisation. We excluded people who had other significant lung disease, who were unable t...

  15. The effect of health-facility admission and skilled birth attendant coverage on maternal survival in India: a case-control analysis.

    Directory of Open Access Journals (Sweden)

    Ann L Montgomery

    Full Text Available BACKGROUND: Research in areas of low skilled attendant coverage found that maternal mortality is paradoxically higher in women who seek obstetric care. We estimated the effect of health-facility admission on maternal survival, and how this effect varies with skilled attendant coverage across India. METHODS/FINDINGS: Using unmatched population-based case-control analysis of national datasets, we compared the effect of health-facility admission at any time (antenatal, intrapartum, postpartum on maternal deaths (cases to women reporting pregnancies (controls. Probability of maternal death decreased with increasing skilled attendant coverage, among both women who were and were not admitted to a health-facility, however, the risk of death among women who were admitted was higher (at 50% coverage, OR = 2.32, 95% confidence interval 1.85-2.92 than among those women who were not; while at higher levels of coverage, the effect of health-facility admission was attenuated. In a secondary analysis, the probability of maternal death decreased with increasing coverage among both women admitted for delivery or delivered at home but there was no effect of admission for delivery on mortality risk (50% coverage, OR = 1.0, 0.80-1.25, suggesting that poor quality of obstetric care may have attenuated the benefits of facility-based care. Subpopulation analysis of obstetric hemorrhage cases and report of 'excessive bleeding' in controls showed that the probability of maternal death decreased with increasing skilled attendant coverage; but the effect of health-facility admission was attenuated (at 50% coverage, OR = 1.47, 0.95-1.79, suggesting that some of the effect in the main model can be explained by women arriving at facility with complications underway. Finally, highest risk associated with health-facility admission was clustered in women with education ≤ 8 years. CONCLUSIONS: The effect of health-facility admission did vary by skilled attendant coverage, and

  16. Why in 2016 are patients with hypertension not 100% controlled? A call to action.

    Science.gov (United States)

    Redon, Josep; Mourad, Jean-Jacques; Schmieder, Roland E; Volpe, Massimo; Weiss, Thomas W

    2016-08-01

    The objective is to consider the problem of high blood pressure (BP), a leading global risk factor, associated with substantial morbidity and mortality. Despite the availability of treatment guidelines and a wide range of therapies, BP control is suboptimal in many countries. Recent data indicate that only around 40% of patients manage to achieve an adequate level of BP control. A group of international experts in the field of hypertension met in 2008 to consider this problem. The resulting white paper delivered an urgent call to action and identified six key issues for improving BP control. In 2015, a working group of investigators spontaneously undertook an action with the primary aim of considering the current hypertension management situation in Europe, to discuss whether the situation had changed since 2008 and to determine what can be learnt from the projects in other continents, such as the Canadian Hypertension Education Program, which has shown that higher levels of BP control can be achieved across a general population. The working group identified the main challenges affecting the improvement of BP control today and suggests five key actions: identify the BP treatment target of less than 140/90 mmHg for the majority of patients, simplify treatment strategies and encourage pill reduction, decrease therapeutic inertia, improve patient empowerment, and involve healthcare systems and reduce the prevailing focus on drug costs in many healthcare systems. Implementing key actions identified by the working group may help to improve achievement of better BP control across Europe. PMID:27270186

  17. Analysis of Quality of Service Performances of Connection Admission Control Mechanisms in OFDMA IEEE 802.16 Network using BMAP Queuing

    CERN Document Server

    Bouchti, Abdelali El; Kafhali, Said El

    2012-01-01

    In this paper, we consider a single-cell IEEE 802.16 environment in which the base station allocates subchannels to the subscriber stations in its coverage area. The subchannels allocated to a subscriber station are shared by multiple connections at that subscriber station. To ensure the Quality of Service (QoS) performances, two Connection Admission Control (CAC) mechanisms, namely, threshold-based and queue-aware CAC mechanisms are considered at a subscriber station. A queuing analytical framework for these admission control mechanisms is presented considering Orthogonal Frequency Division Multiple Access (OFDMA) based transmission at the physical layer. Then, based on the queuing model, both the connection-level and the packet-level performances are studied and compared with their analogues in the case without CAC. The connection arrival is modeled by a Poisson process and the packet arrival for a connection by Batch Markov Arrival Process (BMAP). We determine analytically and numerically different QoS per...

  18. Reclaiming the Educational Role of Chief Admission Officers.

    Science.gov (United States)

    McDonough, Patricia; Robertson, Larry

    1995-01-01

    Describes changes that have occurred in high schools, colleges, and the entrepreneurial admission sector. Relates the evolution of the admission officer's job since the early 1960s and the profession's rapid growth. Details the hybrid role of marketer and educator for chief admissions officers, and issues a call for professional standards. (RJM)

  19. Long-term exposure to air pollution and hospital admissions for ischemic stroke. A register-based case-control study using modelled NOx as exposure proxy

    OpenAIRE

    Oudin, Anna; Stroh, Emilie; Strömberg, Ulf; Jakobsson, Kristina; Björk, Jonas

    2009-01-01

    Background Long-term exposure to air pollution is a hypothesized risk factor for ischemic stroke. In a large case-control study with a complete study base, we investigated whether hospital admissions for ischemic stroke were associated with residential concentrations of outdoor NOx, as a proxy for exposure to air pollution, in the region of Scania, Southern Sweden. Methods We used a two-phase case-control study design, including as first-phase controls all individuals born between 1923 and 19...

  20. Automated system for individual control for admission of staff in the controlled zones of the Kozloduy NPP

    International Nuclear Information System (INIS)

    The development of the system leads to the following: automated registering of the staff in the personnel database; real time reading of the personal dosimeters; real time reading of the collective dose; the control over the working people (especially external) concerning the dose limits or restrictions are performed in real time

  1. A call for policy guidance on psychometric testing in doping control in sport.

    Science.gov (United States)

    Petróczi, Andrea; Backhouse, Susan H; Barkoukis, Vassilis; Brand, Ralf; Elbe, Anne-Marie; Lazuras, Lambros; Lucidi, Fabio

    2015-11-01

    One of the fundamental challenges in anti-doping is identifying athletes who use, or are at risk of using, prohibited performance enhancing substances. The growing trend to employ a forensic approach to doping control aims to integrate information from social sciences (e.g., psychology of doping) into organised intelligence to protect clean sport. Beyond the foreseeable consequences of a positive identification as a doping user, this task is further complicated by the discrepancy between what constitutes a doping offence in the World Anti-Doping Code and operationalized in doping research. Whilst psychology plays an important role in developing our understanding of doping behaviour in order to inform intervention and prevention, its contribution to the array of doping diagnostic tools is still in its infancy. In both research and forensic settings, we must acknowledge that (1) socially desirable responding confounds self-reported psychometric test results and (2) that the cognitive complexity surrounding test performance means that the response-time based measures and the lie detector tests for revealing concealed life-events (e.g., doping use) are prone to produce false or non-interpretable outcomes in field settings. Differences in social-cognitive characteristics of doping behaviour that are tested at group level (doping users vs. non-users) cannot be extrapolated to individuals; nor these psychometric measures used for individual diagnostics. In this paper, we present a position statement calling for policy guidance on appropriate use of psychometric assessments in the pursuit of clean sport. We argue that, to date, both self-reported and response-time based psychometric tests for doping have been designed, tested and validated to explore how athletes feel and think about doping in order to develop a better understanding of doping behaviour, not to establish evidence for doping. A false 'positive' psychological profile for doping affects not only the individual

  2. Demand response based on admission control in smart grid%基于接纳控制的智能电网需求响应

    Institute of Scientific and Technical Information of China (English)

    马锴; 姚婷; 关新平

    2015-01-01

    采用效用函数刻画用户的用电满意度,将需求响应问题建模为一类凸优化问题。针对电力供应商的供电量不能满足用户最小用电需求的问题,结合分布式用电量调度和实时定价,设计两类接纳控制算法。仿真结果表明,通过接纳控制,满足了购电用户的最小用电需求,保证了用户的用电质量,能够实现电网的供需平衡。%Utility functions are used to denote the satisfaction of consumers and formulate demand response as a convex optimization problem. For the case that the power supply can not meet the minimum power consumption of the consumers, two admission control algorithms are designed, combining with distributed power consumption scheduling and real-time pricing. Simulation results show that the admission control makes the consumers meet the minimum power consumption, ensure the power quality of the consumers, and balance the supply and the demand in smart grid.

  3. Virtual house calls for Parkinson disease (Connect.Parkinson): study protocol for a randomized, controlled trial

    OpenAIRE

    Achey, Meredith A; Beck, Christopher A.; Beran, Denise B.; Boyd, Cynthia M.; Schmidt, Peter N; Allison W Willis; Riggare, Sara S.; Simone, Richard B.; Biglan, Kevin M.; Dorsey, E. Ray

    2014-01-01

    Background Interest in improving care for the growing number of individuals with chronic conditions is rising. However, access to care is limited by distance, disability, and distribution of doctors. Small-scale studies in Parkinson disease, a prototypical chronic condition, have suggested that delivering care using video house calls is feasible, offers similar clinical outcomes to in-person care, and reduces travel burden. Methods/Design We are conducting a randomized comparative effectivene...

  4. Testing Rare-Variant Association without Calling Genotypes Allows for Systematic Differences in Sequencing between Cases and Controls.

    Directory of Open Access Journals (Sweden)

    Yi-Juan Hu

    2016-05-01

    Full Text Available Next-generation sequencing of DNA provides an unprecedented opportunity to discover rare genetic variants associated with complex diseases and traits. However, the common practice of first calling underlying genotypes and then treating the called values as known is prone to false positive findings, especially when genotyping errors are systematically different between cases and controls. This happens whenever cases and controls are sequenced at different depths, on different platforms, or in different batches. In this article, we provide a likelihood-based approach to testing rare variant associations that directly models sequencing reads without calling genotypes. We consider the (weighted burden test statistic, which is the (weighted sum of the score statistic for assessing effects of individual variants on the trait of interest. Because variant locations are unknown, we develop a simple, computationally efficient screening algorithm to estimate the loci that are variants. Because our burden statistic may not have mean zero after screening, we develop a novel bootstrap procedure for assessing the significance of the burden statistic. We demonstrate through extensive simulation studies that the proposed tests are robust to a wide range of differential sequencing qualities between cases and controls, and are at least as powerful as the standard genotype calling approach when the latter controls type I error. An application to the UK10K data reveals novel rare variants in gene BTBD18 associated with childhood onset obesity. The relevant software is freely available.

  5. A Stunning Admission

    Science.gov (United States)

    Hu, Helen

    2012-01-01

    Few people set out to become admissions counselors, say people in the profession. But the field is requiring skills that are more demanding and varied than ever. And at a time when universities are looking especially hard at the bottom line, people in admissions need to constantly learn new things and make themselves indispensable. Counselors…

  6. Indeterminate EMU admissions: does repeating the admission help?

    Science.gov (United States)

    Zarkou, Srijana; Grade, Madeline; Hoerth, Matthew T; Noe, Katherine H; Sirven, Joseph I; Drazkowski, Joseph F

    2011-04-01

    Epilepsy monitoring unit (EMU) admissions during 2007-2009 at Mayo Clinic Hospital Arizona were reviewed. Of the 106 indeterminate admissions, 13 (12%) went on to have a second admission. During the second admission, 8 (62%) were diagnosed. Five patients went on to have a third or fourth admission, with none of them receiving a diagnosis. Nineteen (18%) patients had ambulatory EEG monitoring after an indeterminate admission, with only one (5%) receiving a diagnosis after ambulatory EEG monitoring. Even in patients who were initially indeterminate, medication management changed 37% of the time. Admission to the EMU was helpful for spell classification, with 80% of the patients receiving a diagnosis after the first admission. Based on this study, a second admission should be considered if no diagnosis is reached after the first admission. If no diagnosis is made after the second EMU admission, subsequent admissions are unlikely to produce a definitive diagnosis. PMID:21441070

  7. The association of tobacco control policies and the risk of acute myocardial infarction using hospital admissions data.

    Directory of Open Access Journals (Sweden)

    Carmen Jan

    Full Text Available OBJECTIVE: To evaluate the association of a nationwide comprehensive smoking ban (CSB and tobacco tax increase (TTI on the risk of acute myocardial infarctions (AMI in Panama for the period of 2006 - 2010 using hospital admissions data. METHODS: Data of AMI cases was gathered from public and private hospitals in the country for the period of January 1, 2006 to December 31, 2010. The number of AMI cases was calculated on a monthly basis. The risk of AMI was estimated for the pre-CSB period (January 2006 to April 2008 and was used as a reference point. Three post-intervention periods were examined: (1 post-CSB from May 2008 to April 2009 (12 months; (2 post-CSB from May 2009 to November 2009 (7 months; and (3 post-TTI from December 2009 to December 2010 (13 months. Relative risks (RR of AMI were estimated for each post intervention periods by using a Poisson regression model. Mortality registries for the country attributed to myocardial infarction (MI were obtained from January 2001 to December 2012. The annual percentage change (APC of the number of deaths from MI was calculated using Joinpoint regression analysis. RESULTS: A total sample size of 2191 AMI cases was selected (monthly mean number of cases 36.52 ± 8.24 SD. Using the pre-CSB as a reference point (RR = 1.00, the relative risk of AMI during the first CSB period, the second CSB period and post-TTI were 0.982, 1.049, and 0.985, respectively. The APC of deaths from MI from January 2001 to April 2008 was 0.5%. From January 2001 to June 2010 the APC trend was 0.47% and from July 2010 to December 2012 the APC was -0.3%. CONCLUSIONS: The implementation of a CSB and TTI in Panama were associated with a decrease in tobacco consumption and a reduction of the RR of AMI.

  8. MACHINE LEARNING APPROACHES IN IMPROVING SERVICE LEVEL AGREEMENT-BASED ADMISSION CONTROL FOR A SOFTWARE-AS-A-SERVICE PROVIDER IN CLOUD

    Directory of Open Access Journals (Sweden)

    R. S. Mohana

    2013-01-01

    Full Text Available Software as a Service (SaaS offers reliable access to software applications to the end users over the Internet without direct investment in infrastructure and software. SaaS providers utilize resources of internal data centres or rent resources from a public Infrastructure as a Service (IaaS provider in order to serve their customers. Internal hosting can ample cost of administration and maintenance whereas hiring from an IaaS provider can impact the service quality due to its variable performance. To surmount these drawbacks, we propose pioneering admission control and scheduling algorithms for SaaS providers to effectively utilize public Cloud resources to maximize profit by minimizing cost and improving customer satisfaction level. There is a drawback in this method is strength of the algorithms by handling errors in dynamic scenario of cloud environment, also there is a need of machine learning method to predict the strategies and produce the according resources. The admission control provided by trust model that is based on SLA uses different strategies to decide upon accepting user requests so that there is minimal performance impact, avoiding SLA penalties that are giving higher profit. Machine learning method aims at building a distributed system for cloud resource monitoring and prediction that includes learning-based methodologies for modelling and optimization of resource prediction models. The learning methods are Artificial Neural Network (ANN and Support Vector Machine (SVM are two typical machine learning strategies in the category of regression computation. These two methods can be employed for modelling resource state prediction. In addition, we conduct a widespread evaluation study to analyze which solution matches best in which scenario to maximize SaaS provider’s profit. Results obtained through our extensive simulation shows that our proposed algorithms provide significant improvement (up to 40% cost saving over

  9. CALL FOR PAPERS: Special Issue on Light Control at the Nanoscale

    Science.gov (United States)

    Kral, P.; Shapiro, M.

    2006-11-01

    Journal of Physics B: Atomic, Molecular and Optical Physics invites you to submit a paper to a forthcoming special issue on Light Control at the Nanoscale to appear in 2007. Please see pdf for details.

  10. CALL FOR PAPERS: Special issue on Dynamical Control of Entanglement and Decoherence

    Science.gov (United States)

    Akulin, V.; Kurizki, G.; Lidar, D.

    2006-11-01

    Journal of Physics B: Atomic, Molecular and Optical Physics invites you to submit a paper to a forthcoming special issue on Dynamical Control of Entanglement and Decoherence to appear in 2007. Please see pdf for details.

  11. Using Social Media "Smartly" in the Admissions Process

    Science.gov (United States)

    Parrot, Teresa Valerio; Tipton, Stacia

    2010-01-01

    Admissions officers around the country are hearing consistent calls to enhance their social media presence. Whether the pressure is from administrators, influential alumni, or peers across institutions, social media are touted as the next big thing in admissions marketing. But are social media strategies truly "strategic," or are they merely…

  12. Acoustic signalling for mate attraction in crickets: Abdominal ganglia control the timing of the calling song pattern.

    Science.gov (United States)

    Jacob, Pedro F; Hedwig, Berthold

    2016-08-01

    Decoding the neural basis of behaviour requires analysing how the nervous system is organised and how the temporal structure of motor patterns emerges from its activity. The stereotypical patterns of the calling song behaviour of male crickets, which consists of chirps and pulses, is an ideal model to study this question. We applied selective lesions to the abdominal nervous system of field crickets and performed long-term acoustic recordings of the songs. Specific lesions to connectives or ganglia abolish singing or reliably alter the temporal features of the chirps and pulses. Singing motor control appears to be organised in a modular and hierarchically fashion, where more posterior ganglia control the timing of the chirp pattern and structure and anterior ganglia the timing of the pulses. This modular organisation may provide the substrate for song variants underlying calling, courtship and rivalry behaviour and for the species-specific song patterns in extant crickets. PMID:27109338

  13. The control of rheumatic fever and rheumatic heart disease: a call to raise the awareness.

    Science.gov (United States)

    Kheir, Sirageldin M; Ali, Sulafa Khalid M

    2014-01-01

    Although the incidence of rheumatic fever (RF) and rheumatic heart disease (RHD) has declined in the developed world and many developing countries, yet it is still high in many countries including Sudan. The decline of frequency of RF in these countries is largely due to improved medical services leading to wide use of antibiotics to treat bacterial pharyngitis. In many developing countries, the incidence is decreased due to development of integrated control programs. Depending on secondary prophylaxis alone was shown to be ineffective, therefore, many countries, including Sudan initiated control programs that utilize both primary and secondary prevention together with increasing awareness and surveillance. The new program started in 2012 in Sudan in order to achieve its goal of reducing mortality of RHD by 25% in individual less than 25 years of age by year 2025. This article throws light on RF and RHD and its control program in Sudan. PMID:27493385

  14. Information retrieval and control system called Actuation Techniques of GNTh NIIAR

    International Nuclear Information System (INIS)

    A computer-aided data base on testing methods formed and applied in NIIAR when investigating reactor materials and components, as well as when controlling process parameters in nuclear reactors is discussed. The data base includes 496 testing methods. The system of classification characteristics developed, as well as the software used are described

  15. Calling all LEGO lovers! Add a mini control room to your collection

    CERN Document Server

    Katarina Anthony

    2015-01-01

    The mini LHC Lego project launched in March (see here) now has almost 6,000 supporters - well on its way to the 10,000 votes needed for it to (hopefully!) hit store shelves. This week, the project added a new feature to its line: a mini control centre! The new LEGO Control centre, featuring operators "Kerstin" and "Marco".   The mini LHC project is the brainchild of ATLAS PhD student Nathan Readioff, who designed Lego replicas of the LHC and the ALICE, ATLAS, CMS and LHCb experiments on a micro scale. Each detector model is small enough to fit in the palm of your hand but crammed with detailed internal systems revealed by cutaway walls. Every major detector component is represented by a Lego piece. Now, Nathan has created a control centre to complement the mini LHC project. This would be an add-on feature for Lego’s consideration, should they decide to develop the accelerator into a box set. “The control centre is ...

  16. Climate Change Implications for the Operation of Called Upon Flood Control in the Columbia River Basin

    OpenAIRE

    Yuan, Jingyao

    2014-01-01

    Negotiated over 60 years ago and ratified in 1964, the Columbia River Treaty (CRT or "the Treaty"), is often looked to as the standard for cross-jurisdictional water management. A crucial aspect of the Treaty is the governance of water flows to minimize downstream flooding. Climate change directly impacts the hydrology of the Columbia River, which has implications for activities such as power generation and flood control management. The Treaty needs to be modernized to incorporate the effe...

  17. A call for policy guidance on psychometric testing in doping control in sport

    DEFF Research Database (Denmark)

    Petróczi, Andrea; Backhouse, Susan H.; Barkoukis, Vassilis;

    2015-01-01

    One of the fundamental challenges in anti-doping is identifying athletes who use, or are at risk of using, prohibited performance enhancing substances. The growing trend to employ a forensic approach to doping control aims to integrate information from social sciences (e.g., psychology of doping...... confounds self-reported psychometric test results. Further, the cognitive complexity surrounding test performance means that the response-time based measures and the lie detector tests for revealing concealed life-events (e.g., doping use) are prone to produce false or non-interpretable outcomes in field...

  18. Growing old at home – A randomized controlled trial to investigate the effectiveness and cost-effectiveness of preventive home visits to reduce nursing home admissions: study protocol [NCT00644826

    Directory of Open Access Journals (Sweden)

    Riedel-Heller Steffi G

    2008-05-01

    Full Text Available Abstract Background Regarding demographic changes in Germany it can be assumed that the number of elderly and the resulting need for long term care is increasing in the near future. It is not only an individual's interest but also of public concern to avoid a nursing home admission. Current evidence indicates that preventive home visits can be an effective way to reduce the admission rate in this way making it possible for elderly people to stay longer at home than without home visits. As the effectiveness and cost-effectiveness of preventive home visits strongly depends on existing services in the social and health system existing international results cannot be merely transferred to Germany. Therefore it is necessary to investigate the effectiveness and cost-effectiveness of such an intervention in Germany by a randomized controlled trial. Methods The trial is designed as a prospective multi-center randomized controlled trial in the cities of Halle and Leipzig. The trial includes an intervention and a control group. The control group receives usual care. The intervention group receives three additional home visits by non-physician health professionals (1 geriatric assessment, (2 consultation, (3 booster session. The nursing home admission rate after 18 months will be defined as the primary outcome. An absolute risk reduction from a 20% in the control-group to a 7% admission rate in the intervention group including an assumed drop out rate of 30% resulted in a required sample size of N = 320 (n = 160 vs. n = 160. Parallel to the clinical outcome measurement the intervention will be evaluated economically. The economic evaluation will be performed from a society perspective. Discussion To the authors' knowledge for the first time a trial will investigate the effectiveness and cost-effectiveness of preventive home visits for people aged 80 and over in Germany using the design of a randomized controlled trial. Thus, the trial will contribute to

  19. On admissible canonical mechanics

    International Nuclear Information System (INIS)

    General solution has been derived for the functional c-number equation which determines all admissible realisations of various mechanics with associative (but not necessary realizable by operators) law of multiplication of the observables. The general solution includes the algebras of observables for the classical and for the quantum mechanics. In addition, the solution includes one new algebra which corresponds formally to purely imaginary value to the Planck constant. The mathematical difficulties of treating the new algebra are discussed

  20. EMERGENCY CALLS

    CERN Multimedia

    Medical Service

    2001-01-01

    IN URGENT NEED OF A DOCTOR GENEVA EMERGENCY SERVICES GENEVA AND VAUD 144 FIRE BRIGADE 118 POLICE 117 CERN FIREMEN 767-44-44 ANTI-POISONS CENTRE Open 24h/24h 01-251-51-51 Patient not fit to be moved, call family doctor, or: GP AT HOME, open 24h/24h 748-49-50 Association Of Geneva Doctors Emergency Doctors at home 07h-23h 322 20 20 Patient fit to be moved: HOPITAL CANTONAL CENTRAL 24 Micheli-du-Crest 372-33-11 ou 382-33-11 EMERGENCIES 382-33-11 ou 372-33-11 CHILDREN'S HOSPITAL 6 rue Willy-Donzé 372-33-11 MATERNITY 32 bvd.de la Cluse 382-68-16 ou 382-33-11 OPHTHALMOLOGY 22 Alcide Jentzer 382-33-11 ou 372-33-11 MEDICAL CENTRE CORNAVIN 1-3 rue du Jura 345 45 50 HOPITAL DE LA TOUR Meyrin EMERGENCIES 719-61-11 URGENCES PEDIATRIQUES 719-61-00 LA TOUR MEDICAL CENTRE 719-74-00 European Emergency Call 112 FRANCE EMERGENCY SERVICES 15 FIRE BRIGADE 18 POLICE 17 CERN FIREMEN AT HOME 00-41-22-767-44-44 ANTI-POISONS CENTRE Open 24h/24h 04-72-11-69-11 All doctors ...

  1. Effects of a Phone Call Intervention to Promote Adherence to Antiretroviral Therapy and Quality of Life of HIV/AIDS Patients in Baoshan, China: A Randomized Controlled Trial

    OpenAIRE

    Weibin Zheng; Virasakdi Chongsuvivatwong; Edward McNeil; Rassamee Sangthong; Dongsheng Huang; Xuemei Yang

    2013-01-01

    Background. Suboptimal adherence to antiretroviral therapy (ART) is still pervasive. The effect of using a mobile phone call intervention to improve patient adherence is currently not known. Objective. This study aims to investigate the effects of a phone call intervention on adherence to ART and quality of life (QOL) of treatment-naive and treatment-experienced patients. Methods. A randomized controlled trial was conducted in the three largest public hospitals. Adherence was measured by self...

  2. Issues in College Admissions Testing.

    Science.gov (United States)

    Noble, Julie P.; Camara, Wayne J.

    College admissions tests provide a standardized and objective measure of student achievement and generalized skills. Unlike high school grades or rank, admission tests are a common measure for comparing students who have attended different high schools, completed different courses, received different grades in courses taught by different teachers,…

  3. Measurement-Based Performance and Admission Controlin Wireless Sensor Networks

    OpenAIRE

    Orhan, Ibrahim; Lindh, Thomas

    2011-01-01

    This journal paper presents a measurement-basedperformance management system for contention-based wireless sensor networks. Its main features are admission andperformance control based on measurement data from lightweight performance meters in the endpoints. Test results showthat admission and performance control improve the predictability and level of performance. The system can also be used asa tool for dimensioning and configuration of services in wireless sensor networks. Among the rapidl...

  4. Admissibility of logical inference rules

    CERN Document Server

    Rybakov, VV

    1997-01-01

    The aim of this book is to present the fundamental theoretical results concerning inference rules in deductive formal systems. Primary attention is focused on: admissible or permissible inference rules the derivability of the admissible inference rules the structural completeness of logics the bases for admissible and valid inference rules. There is particular emphasis on propositional non-standard logics (primary, superintuitionistic and modal logics) but general logical consequence relations and classical first-order theories are also considered. The book is basically self-contained and

  5. Delay-Constrained Admission and Bandwidth Allocation for Long-Reach EPON

    Directory of Open Access Journals (Sweden)

    Burak Kantarci

    2012-05-01

    Full Text Available Next generation Passive Optical Network (PONtechnology has been evolving to consolidate the metro andaccess networks in order to offer enhanced capacity, highsplit ratio and reduced deployment cost per subscriber.However, transmission of the signals to long distances up to100km leads to increased propagation delay whereas highsplit ratio may lead to long cycle times resulting in largequeue occupancies and long packet delays. In this article, wepresent a delay-constrained admission control mechanismand adapt this scheme to our previously proposed bandwidthallocation technique, namely Periodic GATE Optimization(PGO. We call this new scheme Delay-Constrained PeriodicGATE Optimization (DC-PGO. DC-PGO is designed to runfor multiple service classes as it inherits the advantages ofPGO by periodically building and solving an ILP formulationat the OLT in order to obtain the appropriate creditvalues for the overloaded ONUs. At the ONU side, DCPGOruns an admission control scheme before pushing thearriving packets in the sub-queues. The admission controlscheme uses statistical information consisting of the localdata at the ONU and the previously received GATE messagesfrom the OLT. Through simulations, we show that DC-PGOenhances the performance of multi-threaded polling in longreachEthernet PON when packets of differentiated serviceclasses arrive with pre-specified delay requirements.

  6. Call Forecasting for Inbound Call Center

    OpenAIRE

    Peter Vinje

    2009-01-01

    In a scenario of inbound call center customer service, the ability to forecast calls is a key element and advantage. By forecasting the correct number of calls a company can predict staffing needs, meet service level requirements, improve customer satisfaction, and benefit from many other optimizations. This project will show how elementary statistics can be used to predict calls for a specific company, forecast the rate at which calls are increasing/decreasing, and determine if the calls may...

  7. CARDIOTOCOGRAPH: ADMISSION TEST AND OUTCOME

    Directory of Open Access Journals (Sweden)

    Nesam Susana

    2015-12-01

    Full Text Available The main objective of intrapartum fetal monitoring is reduction or prevention of congenital neurological deficit and other intrapartum adverse events by screening for intrapartum hypoxia/acidosis. With an aim of evaluating role of admission test in predicting the adverse fetal outcome in high risk pregnancies in Government Chengalpattu Medical College, a cross-sectional study was designed including 50 high risk patients and 50 low risk patients. All the patients were subjected to a standard clinical evaluation using a proforma and subsequently subjected to admission test for 20 mins and their readings were grouped into 1. Reactive, 2. Suspicious, 3. Ominous. Intervention is planned based on the tracings of the admission test. The data from the admission test were compiled and subjected to statistical analysis. At the end of statistical analysis, it is found that electronic fetal monitoring has high sensitivity and low specificity. Antepartum risk factors are a poor predictors of fetal outcome. A normal tracing carries a predictive value of over 95% for APGAR score of 7 or greater and an abnormal tracing carries a predictive value of about 50% for APGAR score less than 7. In high risk cases admission test is more sensitive and in low risk cases the admission test is more specific. The negative predictive value for both groups were 85.2% and 97.7%

  8. Temperature effects on hospital admissions for kidney morbidity in Taiwan

    Energy Technology Data Exchange (ETDEWEB)

    Lin, Yu-Kai [Department of Environmental Health, Harvard School of Public Health, 665 Huntington Avenue, Boston, MA 02115 (United States); Wang, Yu-Chun [Department of Bioenvironmental Engineering, College of Engineering, Chung Yuan Christian University, 200 Chung-Pei Road, Chung Li 320, Taiwan (China); Research Center for Environmental Risk Management, Chung Yuan Christian University, 200 Chung-Pei Road, Chung Li 320, Taiwan (China); Ho, Tsung-Jung [The Division of Chinese Medicine, China Medical University Beigang Hospital, Taiwan (China); School Of Chinese Medicine, College of Chinese Medicine, China Medical University, 91 Xueshi Road, Taichung City 404, Taiwan (China); Lu, Chensheng, E-mail: cslu@hsph.harvard.edu [Department of Environmental Health, Harvard School of Public Health, 665 Huntington Avenue, Boston, MA 02115 (United States)

    2013-01-15

    Objective: This study aimed to associate hospital admissions of kidney diseases with extreme temperature and prolonged heat/cold events in 7 regions of Taiwan. Methods: Age-specific (< 65 years, 65 + years and all ages) hospital admission records of nephritis, nephrotic syndrome, or nephrosis, in the form of electronic insurance reimbursement claims, were retrieved from Taiwan's National Health Insurance Research Database during the period of 2000–2008. The area–age-specific relative risk (RR) accounting for 8 days of lag for temperature on hospital admissions of kidney diseases were estimated using distributed lag non-linear models with the Poisson distribution controlling for extreme temperature events, levels of air pollutants (PM{sub 10}, O{sub 3}, and NO{sub 2}) and potential confounders. Results: We observed a V or J-shape association between daily average temperatures and the RR estimates for hospital admissions of kidney diseases in Taiwan. The lowest risk for hospital admissions of kidney diseases was found at around 25 °C, and risk increased as temperatures deviated from 25 °C. The pooled cumulative 8-day RR for all ages of population of the 7 study areas were 1.10 (95% confidence interval (CI): 1.01, 1.19) at 18 °C and 1.45 (95% CI: 1.27, 1.64) at 30 °C. High temperature has more profound influence on hospital admission of kidney diseases than low temperature. Temperature risks for hospital admissions were similar between younger (< 65 years) and elderly (65 + years) population. This study observed no significant effects of prolonged heat extremes on hospital admissions of kidney diseases. Conclusions: The heat effect for kidney morbidities leading to hospital admission was more significant than that of the cold temperature. This study did not find the age-dependent relative risks for temperature associating with hospital admissions of kidney diseases. - Highlights: ► V or J-shaped association was observed between daily temperatures and

  9. 44 CFR 68.9 - Admissible evidence.

    Science.gov (United States)

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Admissible evidence. 68.9 Section 68.9 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF... admissible. (b) Documentary and oral evidence shall be admissible. (c) Admissibility of non-expert...

  10. Call Center ist nicht gleich Call Center

    OpenAIRE

    Baumgartner, Marc; Udris, Ivars

    2005-01-01

    Untersuchungen in 14 Schweizer Call Centers erbrachten vier Call Center-Typen, die sich hinsichtlich Arbeitstätigkeiten und Kommunikationsrichtung voneinander unterscheiden: (a) Beratungs- und Beschwerdemanagement, (b) Informationsmanagement, (c) Auftragsmanagement und (d) Kunden- und Kampagnenmanagement. Dies hat auch Auswirkungen auf die Personalstruktur, -selektion und -entwicklung der Call Center. Es wird der Frage nachgegangen, welche Kompetenzanforderungen in den unterschiedlichen Call ...

  11. Admission control with batch arrivals and imperfect information in loss systems%批量到达及不完美信息条件下损失系统的准入控制

    Institute of Scientific and Technical Information of China (English)

    叶涛锋; 达庆利

    2011-01-01

    研究面向2个任务类的损失系统中的动态准入控制策略.任务有不同的服务时间要求和不同的报酬,对于到达的任务,服务提供者无法直接判断每个任务属于哪一类,但能观测到每个任务所带的信号.证明了值函数的次模性和凹性,且存在一个唯一的用于对任务进行归类的信号阈值,建立了一个4层的准入控制策略.当任务信号的信息量较少时,在一定的条件下所建立的准入策略仍然有效.最后,将所建立的4层准入控制策略应用于不完美信息条件下的库存配给问题,应用结果表明该控制策略是可行而有效的.%This paper considers the dynamic admission control policy in a two-class loss system.Each class of jobs requires different service rates and offer different rewards.The service provider cannot directly determine the identities but can observe the signals of the jobs in a batch.The submodularity and concavity properties of the value function are proved. There is a signal threshold such that the jobs with signals larger than or equal to it are classified as class 1,and those with signals smaller than it are classified as class 2.Consequently,a four-layer admission control policy is established.When the signals are less informative,the main results are also available under some certain conditions.Finally,the resulting admission control policy is applied to an inventory rationing problem with imperfect information,and the feasibility and effectiveness of such a polity is identified.

  12. Call Forecasting for Inbound Call Center

    Directory of Open Access Journals (Sweden)

    Peter Vinje

    2009-01-01

    Full Text Available In a scenario of inbound call center customer service, the ability to forecast calls is a key element and advantage. By forecasting the correct number of calls a company can predict staffing needs, meet service level requirements, improve customer satisfaction, and benefit from many other optimizations. This project will show how elementary statistics can be used to predict calls for a specific company, forecast the rate at which calls are increasing/decreasing, and determine if the calls may stop at some point.

  13. Customer Service Call Center Indoor Noise Control%客服呼叫中心室内噪声控制

    Institute of Scientific and Technical Information of China (English)

    许俊

    2014-01-01

    分析客服呼叫中心室内噪声的来源,结合工程实际情况进行模拟实验分析,提出室内噪声控制的综合解决方案。为今后投产的客服呼叫中心营造尽可能舒适、宽松的工作环境,提高客服员工的工作效率,保证客户服务的质量。%It analyzes the source of indoor noise in customer service cal center, makes simulative experiment and analysis and gets inte-grated solution on indoor noise control, to build comfortable working environment for the future customer service cal center.

  14. Efficacy and safety of insulin treatment in type 2 diabetes using a new index called glucose safety control index

    Institute of Scientific and Technical Information of China (English)

    CAI Xiao-ling; LUO Ying-ying; HAN Xue-yao; JI Li-nong

    2013-01-01

    Objective To recommend an index named glucose safety control index (GSCI) to evaluate the efficacy and safety for insulin regimens.Data sources We searched databases for primary studies published in English.The main search concepts were type 2 diabetes,insulin treatment,premixed insulin,premixed insulin analogs,basal inuslin,basal inuslin analogs,bolus insulin,bolus insulin analogs,safety and efficacy.Study selection Studies were eligible for inclusion if they met all of the following criteria:(1) type 2 diabetic patients aged >18 years were included; (2) random control studies with at least 12 weeks of follow-up; (3) different insulin regimens were evaluated.Results When long-acting basal insulin therapy compared with neutral protamine Hagedorn (NPH) insulin therapy,the proportion of GSCI%A1c ratio more than 1 was 100%,the proportion of GSCIΔA1c ratio more than 1 was 94.44%.When premixed insulin therapy compared with oral hypoglycemic agents plus basal insulin therapy,the proportion of GSCI%A1c ratio more than 1 was 45.5%,the proportion of GSCIΔA1c ratio more than 1 was 38.9%.When premixed insulin therapy compared with oral hypoglycemic agents,the proportion of GSCI%A1c ratio less than 1 was 100%,the proportion of GSCI△A1c ratio more than 1 was 50%.When premixed insulin therapy compared with basal-bolus insulin therapy,the proportion of GSCI%A1c ratio more than 1 was 37.5%,the proportion of GSCIΔA1c ratio more than 1 was 50%.Conclusion According to the GSCI ratio,long-acting basal insulin therapy tended to be superior to NPH therapy,oral hypoglycemic agents plus basal insulin therapy tended to be superior to premixed insulin therapy,noninsulin antidiabetic agents and premixed insulin therapy was comparable,and basal-bolus insulin therapy tended to be superior to premixed insulin therapy in type 2 diabetes.

  15. Knowledge, awareness, and attitude regarding infection prevention and control among medical students: a call for educational intervention

    Science.gov (United States)

    Ibrahim, Awab Ali; Elshafie, Sittana Shamseldin

    2016-01-01

    Background Medical students can be exposed to serious health care-associated infections, if they are not following infection prevention and control (IPC) measures. There is limited information regarding the knowledge, awareness, and practices of medical students regarding IPC and the educational approaches used to teach them these practices. Aim To evaluate the knowledge, awareness, and attitude of medical students toward IPC guidelines, and the learning approaches to help improve their knowledge. Methods A cross-sectional, interview-based survey included 73 medical students from Weill Cornell Medical College, Qatar. Students completed a questionnaire concerning awareness, knowledge, and attitude regarding IPC practices. Students’ knowledge was assessed by their correct answers to the survey questions. Findings A total of 48.44% of the respondents were aware of standard isolation precautions, 61.90% were satisfied with their training in IPC, 66.13% were exposed to hand hygiene training, while 85.48% had sufficient knowledge about hand hygiene and practiced it on a routine basis, but only 33.87% knew the duration of the hand hygiene procedure. Conclusion Knowledge, attitude, and awareness of IPC measures among Weill Cornell Medical Students in Qatar were found to be inadequate. Multifaceted training programs may have to target newly graduated medical practitioners or the training has to be included in the graduate medical curriculum to enable them to adopt and adhere to IPC guidelines.

  16. College Admissions: Beyond Conventional Testing

    Science.gov (United States)

    Sternberg, Robert J.

    2012-01-01

    Standardized admissions tests such as the SAT (originally stood for "Scholastic Aptitude Test") and the ACT measure only a narrow segment of the skills needed to become an active citizen and possibly a leader who makes a positive, meaningful, and enduring difference to the world. The problem with these tests is that they promised, under what have…

  17. Admission Conditions and Graduates' Employability

    Science.gov (United States)

    Alexandre, Fernando; Portela, Miguel; Sa, Carla

    2009-01-01

    In a context of increasing competition for students, admission conditions have been used as an instrument in a strategy of differentiation. Such a strategy is guided by short-run concerns, that is, the immediate need to attract more students. This article takes a longer term view, by examining graduates' employability. The authors find that…

  18. Admission to Selective Schools, Alphabetically

    Science.gov (United States)

    Jurajda, Stepan; Munich, Daniel

    2010-01-01

    One's position in an alphabetically sorted list may be important in determining access to over-subscribed public services. Motivated by anecdotal evidence, we investigate the importance of the position in the alphabet of Czech students for their admission chances into over-subscribed schools. Empirical evidence based on the population of students…

  19. Admission to selective schools, alphabetically

    Czech Academy of Sciences Publication Activity Database

    Jurajda, Štěpán; Münich, Daniel

    -, č. 5427 (2006), s. 1-28. ISSN 0265-8003 R&D Projects: GA MŠk LC542 Institutional research plan: CEZ:AV0Z70850503 Keywords : admission chances * schools * alphabet ical listing Subject RIV: AH - Economics http://www.cepr.org/pubs/new-dps/dplist.asp?dpno=5427

  20. Admission to selective schools, alphabetically

    Czech Academy of Sciences Publication Activity Database

    Jurajda, Štěpán; Münich, Daniel

    2010-01-01

    Roč. 29, č. 6 (2010), s. 1100-1109. ISSN 0272-7757 R&D Projects: GA MŠk LC542 Institutional research plan: CEZ:MSM0021620846 Keywords : admissions to school * alphabet ical order * order effects Subject RIV: AH - Economics Impact factor: 1.066, year: 2010

  1. Admission to selective schools, alphabetically

    Czech Academy of Sciences Publication Activity Database

    Jurajda, Štěpán; Münich, Daniel

    -, č. 282 (2005), s. 1-29. ISSN 1211-3298 R&D Projects: GA ČR GA403/03/0340 Institutional research plan: CEZ:AV0Z70850503 Keywords : admission chances * schools * alphabet ical listing Subject RIV: AH - Economics http://www.cerge-ei.cz/pdf/wp/Wp282.pdf

  2. Controle de plantas daninhas em arroz irrigado mediante o momento da admissão e da altura da lâmina de água Weed control in lowland rice, using water application moment and water dephts

    OpenAIRE

    Enes Furlani Junior; José Ricardo Machado; Edivaldo Domingues Velini

    1995-01-01

    Este trabalho, desenvolvido ao nível de campo, na Fazenda Experimental Edgárdia, da Faculdade de Ciências Agronômicas da UNESP, Botucatu, no ano agrícola 1990/91, objetivou avaliar os efeitos do momento de admissão da água e da altura da lâmina de água sobre o desenvolvimento das plantas daninhas e os reflexos sobre as de arroz. O delineamento experimental usado foi de blocos ao acaso com parcelas subsubdivididas. Às parcelas, corresponderam os momentos de admissão de água M1, M2 e M3, respec...

  3. Flight calls and orientation

    DEFF Research Database (Denmark)

    Larsen, Ole Næsbye; Andersen, Bent Bach; Kropp, Wibke;

    2008-01-01

      In a pilot experiment a European Robin, Erithacus rubecula, expressing migratory restlessness with a stable orientation, was video filmed in the dark with an infrared camera and its directional migratory activity was recorded. The flight overhead of migrating conspecifics uttering nocturnal...... flight calls was simulated by sequential computer controlled activation of five loudspeakers placed in a linear array perpendicular to the bird's migration course. The bird responded to this stimulation by changing its migratory course in the direction of that of the ‘flying conspecifics' but after about...... 30 minutes it drifted back to its original migration course. The results suggest that songbirds migrating alone at night can use the flight calls from conspecifics as additional cues for orientation and that they may compare this information with other cues to decide what course to keep....

  4. The Impact of a Proactive Chronic Care Management Program on Hospital Admission Rates in a German Health Insurance Society

    OpenAIRE

    Hamar, Brent; Wells, Aaron; Gandy, William; Haaf, Andreas; Coberley, Carter; Pope, James E.; Rula, Elizabeth Y.

    2010-01-01

    Hospital admissions are the source of significant health care expenses, although a large proportion of these admissions can be avoided through proper management of chronic disease. In the present study, we evaluate the impact of a proactive chronic care management program for members of a German insurance society who suffer from chronic disease. Specifically, we tested the impact of nurse-delivered care calls on hospital admission rates. Study participants were insured individuals with corona...

  5. Advising and Admission: Partners in Enrollment Management.

    Science.gov (United States)

    Devine, Joseph E.

    1987-01-01

    Focuses on marketing strategies for college admission and examines the essential interaction between admission and academic units as a means of enhancing retention and producing informed, satisfied consumers/students. (KS)

  6. 10 CFR 2.708 - Admissions.

    Science.gov (United States)

    2010-01-01

    ... admission of the genuineness and authenticity of any relevant document described in or attached to the... document for which an admission of genuineness and authenticity is requested must be delivered with...

  7. Admissible Strategies in Semimartingale Portfolio Selection

    OpenAIRE

    Biagini, S; Černý, A.

    2009-01-01

    The choice of admissible trading strategies in mathematical modelling of financial markets is a delicate issue, going back to Harrison and Kreps (1979). In the context of optimal portfolio selection with expected utility preferences this question has been a focus of considerable attention over the last twenty years. We propose a novel notion of admissibility that has many pleasant features - admissibility is characterized purely under the objective measure; each admissible strategy can be app...

  8. Admission to selective schools, alphabetically

    Czech Academy of Sciences Publication Activity Database

    Jurajda, Štěpán; Münich, Daniel

    Praha: Česká společnost ekonomická, 2006, s. 1-29. [Výroční konference České společnosti ekonomické /4./. Praha (CZ), 25.11.2006] R&D Projects: GA ČR GA403/03/0340 Institutional research plan: CEZ:AV0Z70850503 Keywords : admission chances * schools * alphabet ical listing Subject RIV: AH - Economics

  9. Risk factors for pediatric intensive care admission in children with acute asthma

    NARCIS (Netherlands)

    G.E. van den Bosch (Gerbrich); P.J.F.M. Merkus (Peter); C.M.P. Buysse (Corinne); A.L. Boehmer; A.A.P.H. Vaessen-Verberne (Anja); L. van Veen (Leoniek); W.C.J. Hop (Wim); M. de Hoog (Matthijs)

    2012-01-01

    textabstractINTRODUCTION: Severe acute asthma in children is associated with substantial morbidity and may require pediatric ICU (PICU) admission. The aim of the study was to determine risk factors for PICU admission. METHODS: The study used a retrospective multicenter case-control design. The cases

  10. Risk factors for pediatric intensive care admission in children with acute asthma.

    NARCIS (Netherlands)

    Bosch, G.E. van den; Merkus, P.J.F.M.; Buysse, C.M.; Boehmer, A.L.; Vaessen-Verberne, A.A.; Veen, L.N. van; Hop, W.C.J.; Hoog, M. de

    2012-01-01

    INTRODUCTION: Severe acute asthma in children is associated with substantial morbidity and may require pediatric ICU (PICU) admission. The aim of the study was to determine risk factors for PICU admission. METHODS: The study used a retrospective multicenter case-control design. The cases included ch

  11. Patient Admission Preferences and Perceptions

    Science.gov (United States)

    Wu, Clayton; Melnikow, Joy; Dinh, Tu; Holmes, James F.; Gaona, Samuel D.; Bottyan, Thomas; Paterniti, Debora; Nishijima, Daniel K.

    2015-01-01

    Introduction Understanding patient perceptions and preferences of hospital care is important to improve patients’ hospitalization experiences and satisfaction. The objective of this study was to investigate patient preferences and perceptions of hospital care, specifically differences between intensive care unit (ICU) and hospital floor admissions. Methods This was a cross-sectional survey of emergency department (ED) patients who were presented with a hypothetical scenario of a patient with mild traumatic brain injury (TBI). We surveyed their preferences and perceptions of hospital care related to this scenario. A closed-ended questionnaire provided quantitative data on patient preferences and perceptions of hospital care and an open-ended questionnaire evaluated factors that may not have been captured with the closed-ended questionnaire. Results Out of 302 study patients, the ability for family and friends to visit (83%), nurse availability (80%), and physician availability (79%) were the factors most commonly rated “very important,” while the cost of hospitalization (62%) and length of hospitalization (59%) were the factors least commonly rated “very important.” When asked to choose between the ICU and the floor if they were the patient in the scenario, 33 patients (10.9%) choose the ICU, 133 chose the floor (44.0%), and 136 (45.0%) had no preference. Conclusion Based on a hypothetical scenario of mild TBI, the majority of patients preferred admission to the floor or had no preference compared to admission to the ICU. Humanistic factors such as the availability of doctors and nurses and the ability to interact with family appear to have a greater priority than systematic factors of hospitalization, such as length and cost of hospitalization or length of time in the ED waiting for an in-patient bed. PMID:26587095

  12. Controle de plantas daninhas em arroz irrigado mediante o momento da admissão e da altura da lâmina de água Weed control in lowland rice, using water application moment and water dephts

    Directory of Open Access Journals (Sweden)

    Enes Furlani Junior

    1995-01-01

    Full Text Available Este trabalho, desenvolvido ao nível de campo, na Fazenda Experimental Edgárdia, da Faculdade de Ciências Agronômicas da UNESP, Botucatu, no ano agrícola 1990/91, objetivou avaliar os efeitos do momento de admissão da água e da altura da lâmina de água sobre o desenvolvimento das plantas daninhas e os reflexos sobre as de arroz. O delineamento experimental usado foi de blocos ao acaso com parcelas subsubdivididas. Às parcelas, corresponderam os momentos de admissão de água M1, M2 e M3, respectivamente, 15, 42 e 74 dias após a emergência das plantas de arroz. As subparcelas corresponderam às alturas das lâminas de água L5, L10 e L15, respectivamente, 5, 10 e 15 cm e as subsubparcelas, a dois sistemas de condução: com capina (cc e sem capina (sc. Verificou-se que o desenvolvimento das plantas daninhas foi afetado tanto pelo momento de admissão de água como pela altura da lâmina de água sendo a produção de grãos reduzida 61,5% devido à competição das plantas daninhas com a cultura.This research was carried out at the "Experimental Edgárdia Farm" - State of São Paulo University, Campus of Botucatu - Brazil, during the growing season of 1990/91. The objective was to evaluate the effect of water depths and the beginning of water application on the weed development and rice yield. Three water dephts (5, 10 and 15 cm; three water application moments (15, 42 and 74 days after crop emergence and weed management (weeded and unweeded were tested in a randomized complete block design, arranged in split-splitplots. The moments were the main plots; the water depths, the splitplots and the weed management, the split-splitplots. The weed development was affected by the water depths and water application moments. The grain yield was reduced in 61.5% by the weed competition with the rice crop.

  13. La calle de la Lona

    OpenAIRE

    Marín Reñasco, Alejandro

    2014-01-01

    Relato en el que se describe el ambiente cargado de realidad cotidiana de los habitantes de una calle, la calle de la lona. En el transcurso de la mañana de un sábado en una calle ubicado en una zona obrera de una ciudad cualquiera, el autor disecciona con un lenguaje preciso y brillante los juegos de los niños que aprovechan la mañana de libranza escolar para liberarse de la atmósfera cargada de sus casas alejándose del control familiar transgrediendo los límites de la calle…allá donde el mu...

  14. Web Call Example Application

    OpenAIRE

    Li, Shanbo

    2009-01-01

    Web Call Example Application from Ericsson Developer Connection is an application that hosted at a web server and supplies functionality of VoIP phone calls. Users can access the service from desktop browser, mobile phone browser or Java ME Client. Users can also manage their contact books. Each user can have more than one VoIP service accounts, so they can choose the cheapest on when they make phone call. The Web Call Example Application supports two kinds of VoIP phone call connection: Rela...

  15. Why and when citizens call for emergency help: an observational study of 211,193 medical emergency calls

    OpenAIRE

    Møller, Thea Palsgaard; Ersbøll, Annette Kjær; Tolstrup, Janne Schurmann; Østergaard, Doris; Viereck, Søren; Overton, Jerry; Folke, Fredrik; Lippert, Freddy

    2015-01-01

    Background A medical emergency call is citizens’ access to pre-hospital emergency care and ambulance services. Emergency medical dispatchers are gatekeepers to provision of pre-hospital resources and possibly hospital admissions. We explored causes for access, emergency priority levels, and temporal variation within seasons, weekdays, and time of day for emergency calls to the emergency medical dispatch center in Copenhagen in a two-year study period (December 1st, 2011 to November 30th, 2013...

  16. Admissibilities of linear estimator in a class of linear models with a multivariate t error variable

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    This paper discusses admissibilities of estimators in a class of linear models,which include the following common models:the univariate and multivariate linear models,the growth curve model,the extended growth curve model,the seemingly unrelated regression equations,the variance components model,and so on.It is proved that admissible estimators of functions of the regression coefficient β in the class of linear models with multivariate t error terms,called as Model II,are also ones in the case that error terms have multivariate normal distribution under a strictly convex loss function or a matrix loss function.It is also proved under Model II that the usual estimators of β are admissible for p 2 with a quadratic loss function,and are admissible for any p with a matrix loss function,where p is the dimension of β.

  17. Admission to Law School: New Measures

    Science.gov (United States)

    Shultz, Marjorie M.; Zedeck, Sheldon

    2012-01-01

    Standardized tests have been increasingly controversial over recent years in high-stakes admission decisions. Their role in operationalizing definitions of merit and qualification is especially contested, but in law schools this challenge has become particularly intense. Law schools have relied on the Law School Admission Test (LSAT) and an INDEX…

  18. Grade Inflation and Law School Admissions

    Science.gov (United States)

    Wongsurawat, Winai

    2008-01-01

    Purpose: The purpose of this paper is to evaluate the evidence on whether grade inflation has led to an increasing emphasis on standardized test scores as a criterion for law school admissions. Design/methodology/approach: Fit probabilistic models to admissions data for American law schools during the mid to late 1990s, a period during which…

  19. The Terms and Tasks of "Open Admissions"

    Science.gov (United States)

    Scott, Robert A.

    1976-01-01

    Noting the need to define the terms used for policies which are changing the role of admissions offices, the author defines "open admissions" as "universal opportunity for post-secondary schooling" and points out changes in the core tasks of recruiting, selecting, counseling, and management of student records and data. (JT)

  20. Alphabetical Order Effects in School Admissions

    Science.gov (United States)

    Jurajda, Štepán; Münich, Daniel

    2016-01-01

    If school admission committees use alphabetically sorted lists of applicants in their evaluations, one's position in the alphabet according to last name initial may be important in determining access to selective schools. Jurajda and Münich (2010) "Admission to Selective Schools, Alphabetically". "Economics of Education…

  1. Admissible Unbiased Quantizations: Distributions with Linear Components

    OpenAIRE

    Pötzelberger, Klaus

    2000-01-01

    We show that results on the characterization of admissible quantizations, which have been derived in Potzelberger [3], have to be modified in case the probability distribution has linear components. Furthermore, we provide an example, where the limit of optimal quantizations is not admissible. (author's abstract)

  2. Can advanced paramedics in the field diagnose patients and predict hospital admission?

    LENUS (Irish Health Repository)

    Cummins, Niamh Maria

    2013-02-13

    BACKGROUND: Accurate patient diagnosis in the prehospital environment is essential to initiate suitable care pathways. The advanced paramedic (AP) is a relatively recent role in Ireland, and refers to a prehospital practitioner with advanced life-support skills and training. OBJECTIVES: The objectives of this study were to compare the diagnostic decisions of APs with emergency medicine (EM) physicians, and to investigate if APs, as currently trained, can predict the requirement for hospital admission. METHODS: A prospective study was initiated, whereby each emergency ambulance call received via the statutory 999 system was recorded by the attending AP. The AP was asked to provide a clinical diagnosis for each patient, and to predict if hospital admission was required. The data was then cross-referenced with the working diagnosis of the receiving emergency physician and the hospital admission records. RESULTS: A total of 17 APs participated in the study, and 1369 emergency calls were recorded over a 6-month period. Cases where a general practitioner attended the scene were excluded from the concordance analysis. Concordance with the receiving emergency physician represents 70% (525\\/748) for all cases of AP diagnosis, and is mirrored with 70% (604\\/859) correct hospital admission predictions. CONCLUSIONS: AP diagnosis and admission prediction for emergency calls is similar to other emergency medical services systems despite the relative recency of the AP programme in Ireland. Recognition of non-concordance case types may identify priorities for AP education, and drive future AP practice in areas such as \\'treat and refer\\'.

  3. Business Intelligence Framework in Higher Education Admission Center (HEAC

    Directory of Open Access Journals (Sweden)

    Maryam Humaid Alwashahi

    2015-12-01

    Full Text Available - In recent year found that many organizations used Business Intelligence (BI in most of sectors in order to gather, consolidating, analyzing , and providing access to data to provide better decision-making to be faster than ever before by providing the right information to the right people at the right Time. This paper proposes Business Intelligence (BI framework for Higher Education Admission Centre (HEAC to simplify and integrate business critical data of a multi-schema database by using an Active database approach uses active rules, called EventCondition-Action (ECA rules. This paper explores the problem in HEAC, BI overview, BI component, BI features, BI framework, active DB.

  4. Atmospheric pollutants and hospital admissions due to pneumonia in children

    Directory of Open Access Journals (Sweden)

    Juliana Negrisoli

    2013-12-01

    Full Text Available OBJECTIVE: To analyze the relationship between exposure to air pollutants and hospitalizations due to pneumonia in children of Sorocaba, São Paulo, Brazil. METHODS: Time series ecological study, from 2007 to 2008. Daily data were obtained from the State Environmental Agency for Pollution Control for particulate matter, nitric oxide, nitrogen dioxide, ozone, besides air temperature and relative humidity. The data concerning pneumonia admissions were collected in the public health system of Sorocaba. Correlations between the variables of interest using Pearson cofficient were calculated. Models with lags from zero to five days after exposure to pollutants were performed to analyze the association between the exposure to environmental pollutants and hospital admissions. The analysis used the generalized linear model of Poisson regression, being significant p<0.05. RESULTS: There were 1,825 admissions for pneumonia, with a daily mean of 2.5±2.1. There was a strong correlation between pollutants and hospital admissions, except for ozone. Regarding the Poisson regression analysis with the multi-pollutant model, only nitrogen dioxide was statistically significant in the same day (relative risk - RR=1.016, as well as particulate matter with a lag of four days (RR=1.009 after exposure to pollutants. CONCLUSIONS: There was an acute effect of exposure to nitrogen dioxide and a later effect of exposure to particulate matter on children hospitalizations for pneumonia in Sorocaba.

  5. Callings and Organizational Behavior

    Science.gov (United States)

    Elangovan, A. R.; Pinder, Craig C.; McLean, Murdith

    2010-01-01

    Current literature on careers, social identity and meaning in work tends to understate the multiplicity, historical significance, and nuances of the concept of calling(s). In this article, we trace the evolution of the concept from its religious roots into secular realms and develop a typology of interpretations using occupation and religious…

  6. Call Center Capacity Planning

    DEFF Research Database (Denmark)

    Nielsen, Thomas Bang

    The main topics of the thesis are theoretical and applied queueing theory within a call center setting. Call centers have in recent years become the main means of communication between customers and companies, and between citizens and public institutions. The extensively computerized infrastructure...

  7. Experimental Investigation of Performance, Flow Interactions and Rotor Forcing in Axial Partial Admission Turbines

    OpenAIRE

    Fridh, Jens

    2012-01-01

    The thesis comprises a collection of four papers with preceding summary and supplementary appendices. The core investigation solely is of experimental nature although reference and comparisons with numerical models will be addressed. The first admission stage in an industrial steam turbine is referred to as the control stage if partial admission is applied. In order to achieve high part load efficiency and a high control stage output it is routinely applied in industrial steam turbines used i...

  8. Weather, season, and daily stroke admissions in Hong Kong

    Science.gov (United States)

    Goggins, William B.; Woo, Jean; Ho, Suzanne; Chan, Emily Y. Y.; Chau, P. H.

    2012-09-01

    Previous studies examining daily temperature and stroke incidence have given conflicting results. We undertook this retrospective study of all stroke admissions in those aged 35 years old and above to Hong Kong public hospitals from 1999 through 2006 in order to better understand the effects of meteorological conditions on stroke risk in a subtropical setting. We used Poisson Generalized Additive Models with daily hemorrhagic (HS) and ischemic stroke (IS) counts separately as outcomes, and daily mean temperature, humidity, solar radiation, rainfall, air pressure, pollutants, flu consultation rates, day of week, holidays, time trend and seasonality as predictors. Lagged effects of temperature, humidity and pollutants were also considered. A total of 23,457 HS and 107,505 IS admissions were analyzed. Mean daily temperature had a strong, consistent, negative linear association with HS admissions over the range (8.2-31.8°C) observed. A 1°C lower average temperature over the same day and previous 4 days (lags 0-4) being associated with a 2.7% (95% CI: 2.0-3.4%, P < .0.0001) higher admission rate after controlling for other variables. This association was stronger among older subjects and females. Higher lag 0-4 average change in air pressure from previous day was modestly associated with higher HS risk. The association between IS and temperature was weaker and apparent only below 22°C, with a 1°C lower average temperature (lags 0-13) below this threshold being associated with a 1.6% (95% CI:1.0-2.2%, P < 0.0001) higher IS admission rate. Pollutant levels were not associated with HS or IS. Future studies should examine HS and IS risk separately.

  9. Calling Dunbar's Numbers

    OpenAIRE

    MacCarron, Pádraig; Kaski, Kimmo; Dunbar, Robin

    2016-01-01

    The social brain hypothesis predicts that humans have an average of about 150 relationships at any given time. Within this 150, there are layers of friends of an ego, where the number of friends in a layer increases as the emotional closeness decreases. Here we analyse a mobile phone dataset, firstly, to ascertain whether layers of friends can be identified based on call frequency. We then apply different clustering algorithms to break the call frequency of egos into clusters and compare the ...

  10. Intervention to prevent further falls in older people who call an ambulance as a result of a fall: a protocol for the iPREFER randomised controlled trial

    Science.gov (United States)

    2013-01-01

    Background An increasing number of falls result in an emergency call and the subsequent dispatch of paramedics. In the absence of physical injury, abnormal physiological parameters or change in usual functional status, it could be argued that routine conveyance by ambulance to the Emergency Department (ED) is not the most effective or efficient use of resources. Further, it is likely that non-conveyed older fallers have the potential to benefit from timely access to fall risk assessment and intervention. The aim of this randomised controlled trial is to evaluate the effect of a timely and tailored falls assessment and management intervention on the number of subsequent falls and fall-related injuries for non-conveyed older fallers. Methods Community dwelling people aged 65 years or older who are not conveyed to the ED following a fall will be eligible to be visited at home by a research physiotherapist. Consenting participants will receive individualised intervention strategies based on risk factors identified at baseline. All pre-test measures will be assessed prior to randomisation. Post-test measures will be undertaken by a researcher blinded to group allocation 6 months post-baseline. Participants in the intervention group will receive individualised pro-active fall prevention strategies from the clinical researcher to ensure that risk factors are addressed adequately and interventions carried out. The primary outcome measure will be the number of falls recorded by a falls diary over a 12 month period. Secondary outcome measures assessed six months after baseline will include the subsequent use of medical and emergency services and uptake of recommendations. Data will be analysed using the intention-to-treat principle. Discussion As there is currently little evidence regarding the effectiveness or feasibility of alternate models of care following ambulance non-conveyance of older fallers, there is a need to explore assessment and intervention programs to

  11. 16 CFR 3.32 - Admissions.

    Science.gov (United States)

    2010-01-01

    ... ADJUDICATIVE PROCEEDINGS Discovery; Compulsory Process § 3.32 Admissions. (a) At any time after thirty (30... unless the party states that it has made reasonable inquiry and that the information known to or...

  12. Admissible Strategies in Semimartingale Portfolio Selection

    CERN Document Server

    Biagini, Sara

    2009-01-01

    The choice of admissible trading strategies in mathematical modelling of financial markets is a delicate issue, going back to Harrison and Kreps (1979). In the context of optimal portfolio selection with expected utility preferences this question has been a focus of considerable attention over the last twenty years. We propose a novel notion of admissibility that has many pleasant features -- admissibility is characterized purely under the objective measure $P$; the wealth of any admissible strategy is a supermartingale under all pricing measures; local boundedness of the price process is not required; neither strict monotonicity, strict concavity nor differentiability of the utility function are necessary; the definition encompasses both the classical mean-variance preferences and the monotone expected utility. For utility functions finite on the real line, our class represents a minimal set containing simple strategies which also contains the optimizer, under conditions that are substantially milder than th...

  13. Every seventh acute medical admission is preventable

    DEFF Research Database (Denmark)

    Jepsen, Henrik Koldborg; Hendriksen, Carsten; Nielsen, Henrik; Nybo, Birgitte; Perrild, Hans

    2013-01-01

    The majority of patients who are admitted to the departments of internal medicine are admitted acutely. The aim of this study was to evaluate the appropriateness of admissions to a community hospital in Copenhagen....

  14. Should Universities lower Admission Requirements for Celebrities?

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    In recent years, many famous universities lower admission requirements for celebrities. More and more celebrities, especially sports stars, have been admitted to famous universities even without an entry examination. This phenomenon has become a subject of widespread controversy.

  15. Scheduling start time in CDMA burst admission

    OpenAIRE

    Zhuge, L; Li, VOK

    2002-01-01

    Burst transmission protocols have been proposed in the next generation CDMA cellular systems to support short-time high-speed data communications. The existing burst admission algorithm considers only the current interference condition in the system. The burst transmission request will be rejected if the interference in the system will exceed the acceptable level with the burst admitted. In this paper we propose a new burst admission algorithm where a currently-unacceptable burst request can ...

  16. GRADE: Machine Learning Support for Graduate Admissions

    OpenAIRE

    Waters, Austin; University of Texas at Austin; Miikkulainen, Risto; University of Texas at Austin

    2014-01-01

    This article describes GRADE, a statistical machine learning system developed to support the work of the graduate admissions committee at the University of Texas at Austin Department of Computer Science (UTCS). In recent years, the number of applications to the UTCS PhD program has become too large to manage with a traditional review process. GRADE uses historical admissions data to predict how likely the committee is to admit each new applicant. It reports each prediction as a score similar ...

  17. Immigration, moving house and psychiatric admissions.

    Science.gov (United States)

    Johansson, L M; Sundquist, J; Johansson, S E; Bergman, B

    1998-08-01

    This study was designed to elucidate psychiatric admission rates for native Swedes and foreign-born individuals during the period 1991-1994, when Sweden had a great influx of refugees. During the same period, and even earlier, psychiatric in-patient care had been reduced. Tests of differences between Swedes and foreign-born individuals in first psychiatric admission rates were performed using Poisson regressions, and the risk of a readmission was assessed using a proportional hazard model. Foreign-born individuals and native Swedes, both males and females, showed a similar admission pattern with regard to the number of admissions. Foreign-born males under 55 years of age and foreign-born females under 35 years of age had significantly higher admission rates than native Swedes. In total, native Swedes, both males and females, were hospitalized for a significantly longer period than the foreign-born subjects. About 43% of the patients were readmitted. The risk of a readmission was significantly increased among those with a high rate of internal migration. The high admission rates for young foreign-born individuals might be explained by a high incidence of mental illness owing to the trauma of being violently forced to migrate, acculturation difficulties, or unsatisfactory social circumstances such as high unemployment. The shorter hospitalization time could be due to undertreatment or less serious mental illness. PMID:9718235

  18. Transitant per Calle Mayor

    OpenAIRE

    Mestre Pérez, Rosanna

    2000-01-01

    RESUM Aquest treball és una lectura crítica de la pel.lícula Calle Mayor, dirigida per Juan Antonio Bardem en 1956, on pretenem analitzar de quina manera el film construeix un agosarat discurs de crítica social. Malgrat les dures limitacions extradiscursives en què la pel.lícula va veure la llum (censura oficial, empresonament del director durant el rodage...), Calle Mayor va aconseguir tractar allò del que no shi podia parlar (crítica sociopolítica) a través dun argument de...

  19. Too close to call

    DEFF Research Database (Denmark)

    Kurrild-Klitgaard, Peter

    2012-01-01

    The note briefly outlines a new model for the explanation of US presidential elections, founded on (a) recent economic growth and (b) a measure of what may be called “’the cost of ruling”. The former is based in changes in real disposable income for the period following a mid-term election, while...... a number of other frequent explanations and is found to be quite robust. When augmented with approval ratings for incumbent presidents, the explanatory power increases to 83 pct. and only incorrectly calls one of the last 15 US presidential elections. Applied to the 2012 election as a forecasting...

  20. A call for surveys

    DEFF Research Database (Denmark)

    Bernstein, Philip A.; Jensen, Christian S.; Tan, Kian-Lee

    2012-01-01

    The database field is experiencing an increasing need for survey papers. We call on more researchers to set aside time for this important writing activity. The database field is growing in population, scope of topics covered, and the number of papers published. Each year, thousands of new papers ...

  1. CALLING AQUARIUM LOVERS...

    CERN Multimedia

    2002-01-01

    CERN's anemones will soon be orphans. We are looking for someone willing to look after the aquarium in the main building, for one year. If you are interested, or if you would like more information, please call 73830. (The anemones living in the aquarium thank you in anticipation.)

  2. Artificial Intelligence and CALL.

    Science.gov (United States)

    Underwood, John H.

    The potential application of artificial intelligence (AI) to computer-assisted language learning (CALL) is explored. Two areas of AI that hold particular interest to those who deal with language meaning--knowledge representation and expert systems, and natural-language processing--are described and examples of each are presented. AI contribution…

  3. 45 CFR 84.42 - Admissions and recruitment.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Admissions and recruitment. 84.42 Section 84.42... Education § 84.42 Admissions and recruitment. (a) General. Qualified handicapped persons may not, on the basis of handicap, be denied admission or be subjected to discrimination in admission or recruitment...

  4. 22 CFR 217.42 - Admissions and recruitment.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Admissions and recruitment. 217.42 Section 217... Admissions and recruitment. (a) General. Qualified handicapped persons may not, on the basis of handicap, be denied admission or be subjected to discrimination in admission or recruitment by a recipient to...

  5. 15 CFR 8b.20 - Admission and recruitment.

    Science.gov (United States)

    2010-01-01

    ... 15 Commerce and Foreign Trade 1 2010-01-01 2010-01-01 false Admission and recruitment. 8b.20... Secondary Education § 8b.20 Admission and recruitment. (a) General. Qualified handicapped may not, on the basis of handicap, be denied admission or be subjected to discrimination in admission or recruitment...

  6. 34 CFR 104.42 - Admissions and recruitment.

    Science.gov (United States)

    2010-07-01

    ... 34 Education 1 2010-07-01 2010-07-01 false Admissions and recruitment. 104.42 Section 104.42... ASSISTANCE Postsecondary Education § 104.42 Admissions and recruitment. (a) General. Qualified handicapped... admission or recruitment by a recipient to which this subpart applies. (b) Admissions. In administering...

  7. 43 CFR 41.305 - Preference in admission.

    Science.gov (United States)

    2010-10-01

    ... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false Preference in admission. 41.305 Section 41... Basis of Sex in Admission and Recruitment Prohibited § 41.305 Preference in admission. A recipient to which §§ 41.300 through 41.310 apply shall not give preference to applicants for admission, on the...

  8. 28 CFR 54.305 - Preference in admission.

    Science.gov (United States)

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Preference in admission. 54.305 Section... Basis of Sex in Admission and Recruitment Prohibited § 54.305 Preference in admission. A recipient to which §§ 54.300 through 54.310 apply shall not give preference to applicants for admission, on the...

  9. 22 CFR 229.305 - Preference in admission.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Preference in admission. 229.305 Section 229... in Admission and Recruitment Prohibited § 229.305 Preference in admission. A recipient to which §§ 229.300 through 229.310 apply shall not give preference to applicants for admission, on the basis...

  10. 15 CFR 8a.305 - Preference in admission.

    Science.gov (United States)

    2010-01-01

    ... 15 Commerce and Foreign Trade 1 2010-01-01 2010-01-01 false Preference in admission. 8a.305... on the Basis of Sex in Admission and Recruitment Prohibited § 8a.305 Preference in admission. A recipient to which §§ 8a.300 through 8a.310 apply shall not give preference to applicants for admission,...

  11. 22 CFR 146.305 - Preference in admission.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Preference in admission. 146.305 Section 146... in Admission and Recruitment Prohibited § 146.305 Preference in admission. A recipient to which §§ 146.300 through 146.310 apply shall not give preference to applicants for admission, on the basis...

  12. 31 CFR 28.305 - Preference in admission.

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 1 2010-07-01 2010-07-01 false Preference in admission. 28.305... Discrimination on the Basis of Sex in Admission and Recruitment Prohibited § 28.305 Preference in admission. A recipient to which §§ 28.300 through 28.310 apply shall not give preference to applicants for admission,...

  13. 49 CFR 25.305 - Preference in admission.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 1 2010-10-01 2010-10-01 false Preference in admission. 25.305 Section 25.305... Admission and Recruitment Prohibited § 25.305 Preference in admission. A recipient to which §§ 25.300 through 25.310 apply shall not give preference to applicants for admission, on the basis of attendance...

  14. 45 CFR 86.22 - Preference in admission.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Preference in admission. 86.22 Section 86.22... on the Basis of Sex in Admission and Recruitment Prohibited § 86.22 Preference in admission. A recipient to which this subpart applies shall not give preference to applicants for admission, on the...

  15. 6 CFR 17.305 - Preference in admission.

    Science.gov (United States)

    2010-01-01

    ... 6 Domestic Security 1 2010-01-01 2010-01-01 false Preference in admission. 17.305 Section 17.305... the Basis of Sex in Admission and Recruitment Prohibited § 17.305 Preference in admission. A recipient to which §§ 17.300 through 17.310 apply shall not give preference to applicants for admission, on...

  16. 40 CFR 5.305 - Preference in admission.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Preference in admission. 5.305 Section... on the Basis of Sex in Admission and Recruitment Prohibited § 5.305 Preference in admission. A recipient to which §§ 5.300 through 5.310 apply shall not give preference to applicants for admission,...

  17. Major Research Efforts of the Law School Admission Council. Law School Admission Research.

    Science.gov (United States)

    Hart, Frederick M.; Evans, Franklin R.

    Research conducted by the Law School Admission Council since the development of the Law School Admission Test (LSAT) in 1948 is described. An overview of the research topics is provided, and relevant published reports are cited in 61 footnotes. The following topics of study are discussed: (1) use and validity of traditional predictors of law…

  18. Assessing Practical Intelligence in Business School Admissions: A Supplement to the Graduate Management Admissions Test

    Science.gov (United States)

    Hedlund, Jennifer; Wilt, Jeanne M.; Nebel, Kristina L.; Ashford, Susan J.; Sternberg, Robert J.

    2006-01-01

    The Graduate Management Admission Test (GMAT) is the most widely used measure of managerial potential in MBA admissions. GMAT scores, although predictive of grades in business school, leave much of the variance in graduate school performance unexplained. The GMAT also produces disparities in test scores between groups, generating the potential for…

  19. The relationship between asthma admission rates, routes of admission, and socioeconomic deprivation.

    Science.gov (United States)

    Watson, J P; Cowen, P; Lewis, R A

    1996-10-01

    This study aimed to explore the relationship between hospital admissions for asthma and socioeconomic deprivation. A retrospective study examined one year of hospital admissions for asthma in the West Midlands region of England (n = 10,044), and in one of the region's wealthier districts, Worcester (n = 251). Age standardized admission ratios (SARs) for asthma, and the routes of hospital admission, were compared with the Towns- end Deprivation Index for the place of residence. Asthma SAR was strongly associated with deprivation as measured by the Towns end Index for the district of residence (Spearman rank correlation coefficient rho = 0.65; p = 0.004). Asthma admission rates for all age groups, except those aged over 65 yrs, were higher in poorer districts. A significantly greater proportion of emergency admissions in poorer districts came via Accident and Emergency departments, rather than general practitioner referrals (rho = 0.76; p Townsend Index for the ward of residence (rho = 0.39; p < 0.001). This remained significant after excluding repeat admissions (rho = 0.45; p < 0.001). We conclude that asthma admissions are strongly associated with deprivation in the community. Differences in the health care received during acute exacerbations by asthma patients from different economic backgrounds is likely to be an important factor in this relationship. PMID:8902471

  20. Calling Dunbar's Numbers

    CERN Document Server

    MacCarron, Pádraig; Dunbar, Robin

    2016-01-01

    The social brain hypothesis predicts that humans have an average of about 150 relationships at any given time. Within this 150, there are layers of friends of an ego, where the number of friends in a layer increases as the emotional closeness decreases. Here we analyse a mobile phone dataset, firstly, to ascertain whether layers of friends can be identified based on call frequency. We then apply different clustering algorithms to break the call frequency of egos into clusters and compare the number of alters in each cluster with the layer size predicted by the social brain hypothesis. In this dataset we find strong evidence for the existence of a layered structure. The clustering yields results that match well with previous studies for the innermost and outermost layers, but for layers in between we observe large variability.

  1. A Call for Justice

    OpenAIRE

    Marques-Silva, Joao; Brahmachari, Debahuti; Sakallah, Karem; Lynce, Ines

    2015-01-01

    Abstract A new development can be identified within the civil society in Malaysia. A development that has resulted in a general call for justice, voiced through coalition groups that cut across categories of affiliation. This development is triggered by an increasing inculcation of Islamic values into the political system, which has interfered with the understanding of Malaysia as a country that can provide a framework for coexistence within a multicultural society. This thesis seeks ...

  2. Multimodality and CALL

    OpenAIRE

    Guichon, Nicolas; Cohen, Cathy

    2016-01-01

    This chapter explores the issues pertaining to multimodality, which has always been considered as a defining characteristic of CALL (Chapelle 2009). The chapter begins by critically examining the various definitions of multimodality, especially in the field of second language acquisition and cognitive psychology and explores the distinction between mode, modality and channel. With reference to specific studies conducted in the field, we then investigate the potential of multimodality for seco...

  3. Increasing malaria hospital admissions in Uganda between 1999 and 2009

    Directory of Open Access Journals (Sweden)

    Alegana Victor A

    2011-04-01

    Full Text Available Abstract Background Some areas of Africa are witnessing a malaria transition, in part due to escalated international donor support and intervention coverage. Areas where declining malaria rates have been observed are largely characterized by relatively low baseline transmission intensity and rapid scaling of interventions. Less well described are changing patterns of malaria burden in areas of high parasite transmission and slower increases in control and treatment access. Methods Uganda is a country predominantly characterized by intense, perennial malaria transmission. Monthly pediatric admission data from five Ugandan hospitals and their catchments have been assembled retrospectively across 11 years from January 1999 to December 2009. Malaria admission rates adjusted for changes in population density within defined catchment areas were computed across three time periods that correspond to periods where intervention coverage data exist and different treatment and prevention policies were operational. Time series models were developed adjusting for variations in rainfall and hospital use to examine changes in malaria hospitalization over 132 months. The temporal changes in factors that might explain changes in disease incidence were qualitatively examined sequentially for each hospital setting and compared between hospital settings Results In four out of five sites there was a significant increase in malaria admission rates. Results from time series models indicate a significant month-to-month increase in the mean malaria admission rates at four hospitals (trend P Conclusions The declining malaria disease burden in some parts of Africa is not a universal phenomena across the continent. Despite moderate increases in the coverage of measures to reduce infection and disease without significant coincidental increasing access to effective medicines to treat disease may not lead to severe disease burden reductions in high transmission areas of Africa

  4. The therapeutic relationship after psychiatric admission.

    LENUS (Irish Health Repository)

    Roche, Eric

    2014-03-01

    The therapeutic relationship is one of the most central and important factors in the treatment of mental health disorders. A better therapeutic relationship is associated with service engagement, medication adherence, and satisfaction with services. This study aimed to compare the demographic and clinical factors associated with the therapeutic relationship in voluntarily and involuntarily admitted psychiatric service users. We found that individuals who had been admitted involuntarily, who had a diagnosis of a psychotic disorder, and who reported higher levels of perceived pressures on admission were more likely to have a poorer therapeutic relationship with their consultant psychiatrist. Greater levels of insight and treatment satisfaction, together with higher levels of procedural justice experienced on admission, were associated with a better therapeutic relationship. We found that the level of perceived coercion on admission was not related to the therapeutic relationship. Targeted interventions to improve the therapeutic relationship, particularly for involuntarily admitted service users, are discussed.

  5. A call for a moratorium on the .health generic top-level domain: preventing the commercialization and exclusive control of online health information.

    Science.gov (United States)

    Mackey, Tim K; Eysenbach, Gunther; Liang, Bryan A; Kohler, Jillian C; Geissbuhler, Antoine; Attaran, Amir

    2014-01-01

    In just a few weeks, the Internet could be expanded to include a new .health generic top-level domain name run by a for-profit company with virtually no public health credentials - unless the international community intervenes immediately. This matters to the future of global public health as the "Health Internet" has begun to emerge as the predominant source of health information for consumers and patients. Despite this increasing use and reliance on online health information that may have inadequate quality or reliability, the Internet Corporation for Assigned Names and Numbers (ICANN) recently announced it intends to move forward with an auction to award the exclusive, 10 year rights to the .health generic top-level domain name. This decision is being made over the protests of the World Medical Association, World Health Organization, and other stakeholders, who have called for a suspension or delay until key questions can be resolved. However, rather than engage in constructive dialogue with the public health community over its concerns, ICANN chose the International Chamber of Commerce-a business lobbying group for industries to adjudicate the .health concerns. This has resulted in a rejection of challenges filed by ICANN's own independent watchdog and others, such that ICANN's Board decided in June 2014 that there are "no noted objections to move forward" in auctioning the .health generic top-level domain name to the highest bidder before the end of the year. This follows ICANN's award of several other health-related generic top-level domain names that have been unsuccessfully contested. In response, we call for an immediate moratorium/suspension of the ICANN award/auction process in order to provide the international public health community time to ensure the proper management and governance of health information online. PMID:25283176

  6. Applying Pedagogical Principles to CALL Courseware Development.

    Science.gov (United States)

    Wyatt, David H.

    This paper on the application of principles to computer-assisted language learning (CALL) first clarifies the the relationships between the capabilities of the computer (and computer-controlled technology) and the main approaches to second language learning. Fourteen common types of CALL programs are briefly reviewed. A "relational" classification…

  7. MEDICAL SERVICE - URGENT CALLS

    CERN Multimedia

    Service Médical

    2000-01-01

    IN URGENT NEED OF A DOCTOR GENEVA: EMERGENCY SERVICES GENEVA AND VAUD 144 FIRE BRIGADE 118 POLICE 117 CERN FIREMEN 767-44-44 ANTI-POISONS CENTRE Open 24h/24h 01-251-51-51 Patient not fit to be moved, call family doctor, or: GP AT HOME: Open 24h/24h 748-49-50 AMG- Association Of Geneva Doctors: Emergency Doctors at home 07h-23h 322 20 20 Patient fit to be moved: HOPITAL CANTONAL CENTRAL 24 Micheli-du-Crest 372-33-11 ou 382-33-11 EMERGENCIES 382-33-11 ou 372-33-11 CHILDREN'S HOSPITAL 6 rue Willy-Donzé 372-33-11 MATERNITY 32 bvd.de la Cluse 382-68-16 ou 382-33-11 OPHTHALMOLOGY 22 Alcide Jentzer 382-33-11 ou 372-33-11 MEDICAL CENTRE CORNAVIN 1-3 rue du Jura 345 45 50 HOPITAL DE LA TOUR Meyrin 719-61-11 EMERGENCIES 719-61-11 CHILDREN'S EMERGENCIES 719-61-00 LA TOUR MEDICAL CENTRE 719-74-00 European Emergency Call 112   FRANCE: EMERGENCY SERVICES 15 FIRE BRIGADE 18 POLICE 17 CERN FIREMEN AT HOME 00-41-22-767-44-44 ...

  8. An Island Called Cuba

    Directory of Open Access Journals (Sweden)

    Jean Stubbs

    2011-06-01

    Full Text Available Review of: An Island Called Home: Returning to Jewish Cuba. Ruth Behar, photographs by Humberto Mayol. New Brunswick NJ: Rutgers University Press, 2007. xiii + 297 pp. (Cloth US$ 29.95 Fidel Castro: My Life: A Spoken Autobiography. Fidel Castro & Ignacio Ramonet. New York: Scribner/Simon & Schuster, 2008. vii + 724 pp. (Paper US$ 22.00, e-book US$ 14.99 Cuba: What Everyone Needs to Know. Julia E. Sweig. New York: Oxford University Press, 2009. xiv + 279 pp. (Paper US$ 16.95 [First paragraph] These three ostensibly very different books tell a compelling story of each author’s approach, as much as the subject matter itself. Fidel Castro: My Life: A Spoken Autobiography is based on a series of long interviews granted by the then-president of Cuba, Fidel Castro, to Spanish-Franco journalist Ignacio Ramonet. Cuba: What Everyone Needs to Know, by U.S. political analyst Julia Sweig, is one of a set country series, and, like Ramonet’s, presented in question/answer format. An Island Called Home: Returning to Jewish Cuba, with a narrative by Cuban-American anthropologist Ruth Behar and photographs by Cuban photographer Humberto Mayol, is a retrospective/introspective account of the Jewish presence in Cuba. While from Ramonet and Sweig we learn much about the revolutionary project, Behar and Mayol convey the lived experience of the small Jewish community against that backdrop.

  9. Call for volunteers

    CERN Multimedia

    2008-01-01

    CERN is calling for volunteers from all members of the Laboratory for organizing the two exceptional Open days.CERN is calling for volunteers from all members of the Laboratory’s personnel to help with the organisation of these two exceptional Open Days, for the visits of CERN personnel and their families on the Saturday and above all for the major public Open Day on the Sunday. As for the 50th anniversary in 2004, the success of the Open Days will depend on a large number of volunteers. All those working for CERN as well as retired members of the personnel can contribute to making this event a success. Many guides will be needed at the LHC points, for the activities at the surface and to man the reception and information points. The aim of these major Open Days is to give the local populations the opportunity to discover the fruits of almost 20 years of work carried out at CERN. We are hoping for some 2000 volunteers for the two Open Days, on the Saturday from 9 a.m. to ...

  10. IMPROVEMENT OF ORGANIZATIONAL STRUCTURES AND CONTROLLING OF PERSONNEL IN COMPANIES OF THE TYPE CALLED "RESEARCH INSTITUTE" IN THE ROCKET AND THE SPACE INDUSTRY

    OpenAIRE

    Mukhin V. V.; Orlov A. I.

    2015-01-01

    Improvement of the organizational structures can increase the efficiency of enterprises. Controlling of personnel in companies such as "Research Institute" is a tool to support personnel decisions; it contributes to the strategic goals and tactical objectives. This article describes the main types of organizational structures, their properties, sociometric research as a tool for management, the stages of implementation of model of controlling of personnel in human resource management system f...

  11. Why and when citizens call for emergency help

    DEFF Research Database (Denmark)

    Møller, Thea Palsgaard; Ersbøll, Annette Kjær; Tolstrup, Janne Schurmann;

    2015-01-01

    BACKGROUND: A medical emergency call is citizens' access to pre-hospital emergency care and ambulance services. Emergency medical dispatchers are gatekeepers to provision of pre-hospital resources and possibly hospital admissions. We explored causes for access, emergency priority levels......, and temporal variation within seasons, weekdays, and time of day for emergency calls to the emergency medical dispatch center in Copenhagen in a two-year study period (December 1(st), 2011 to November 30(th), 2013). METHODS: Descriptive analysis was performed for causes for access and emergency priority levels....... A Poisson regression model was used to calculate adjusted ratio estimates for the association between seasons, weekdays, and time of day overall and stratified by emergency priority levels. RESULTS: We analyzed 211,193 emergency calls for temporal variation. Of those, 167,635 calls were eligible...

  12. What Should University Admissions Tests Predict?

    Science.gov (United States)

    Stemler, Steven E.

    2012-01-01

    University admissions tests should predict an applicant's ability to succeed in college, but how should this success be defined and measured? The status quo has been to use 1st-year grade point average (FYGPA) as the key indicator of college success, but a review of documents such as university mission statements reveals that universities expect…

  13. 49 CFR 1114.1 - Admissibility.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 8 2010-10-01 2010-10-01 false Admissibility. 1114.1 Section 1114.1 Transportation Other Regulations Relating to Transportation (Continued) SURFACE TRANSPORTATION BOARD, DEPARTMENT OF TRANSPORTATION RULES OF PRACTICE EVIDENCE; DISCOVERY General Rules of Evidence §...

  14. 45 CFR 86.21 - Admission.

    Science.gov (United States)

    2010-10-01

    ... disabilities related to pregnancy, childbirth, termination of pregnancy, or recovery therefrom in the same manner and under the same policies as any other temporary disability or physical condition; and (4) Shall... 45 Public Welfare 1 2010-10-01 2010-10-01 false Admission. 86.21 Section 86.21 Public...

  15. Virginia Tech's Undergraduate Admissions Director Resigns

    OpenAIRE

    Cox, Clara B.

    2003-01-01

    Karen E. Torgersen, director of undergraduate admissions at Virginia Tech since 1997, has submitted her resignation from the university effective Dec. 31 to become associate executive director of U21pedagogica Limited (Pedagogica), a new international educational enterprise in Charlottesville, Va.

  16. 18 CFR 1317.300 - Admission.

    Science.gov (United States)

    2010-04-01

    ... 18 Conservation of Power and Water Resources 2 2010-04-01 2010-04-01 false Admission. 1317.300 Section 1317.300 Conservation of Power and Water Resources TENNESSEE VALLEY AUTHORITY NONDISCRIMINATION ON... person on the basis of pregnancy, childbirth, termination of pregnancy, or recovery therefrom,...

  17. 44 CFR 19.300 - Admission.

    Science.gov (United States)

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Admission. 19.300 Section 19.300 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND... against or exclude any person on the basis of pregnancy, childbirth, termination of pregnancy, or...

  18. Coarse Particulate Air Pollution Associated with Increased Risk of Hospital Admissions for Respiratory Diseases in a Tropical City, Kaohsiung, Taiwan.

    Science.gov (United States)

    Cheng, Meng-Hsuan; Chiu, Hui-Fen; Yang, Chun-Yuh

    2015-10-01

    This study was undertaken to determine whether there was an association between coarse particles (PM₂.₅-₁₀) levels and frequency of hospital admissions for respiratory diseases (RD) in Kaohsiung, Taiwan. Hospital admissions for RD including chronic obstructive pulmonary disease (COPD), asthma, and pneumonia, and ambient air pollution data levels for Kaohsiung were obtained for the period from 2006 to 2010. The relative risk of hospital admissions for RD was estimated using a case-crossover approach, controlling for weather variables, day of the week, seasonality, and long-term time trends. For the single pollutant model (without adjustment for other pollutants), increased rate of admissions for RD were significantly associated with higher coarse PM levels only on cool days (carbon monoxide, or ozone on cool days. This study provides evidence that higher levels of PM₂.₅-₁₀ enhance the risk of hospital admissions for RD on cool days. PMID:26501308

  19. The so-called concepts of law as a means of steering and control in the mutual relationship between legislation, administration and judiciary

    International Nuclear Information System (INIS)

    Erichsen discusses the problems which arise using indefinite concepts of law. After presenting the state of science and technology, especially in the light of the decision of the Federal Court of Administration, he focusses on the problem whether the administration has a prerogative of decision limiting judicial control. Finally he examines the question whether legislation is required to issue more precise laws. (IS)

  20. EFFICACY OF ADMISSION CARDIOTOCOGRAPHY (ADMISSION T EST TO PREDICT OBSTETRIC OUTCOME

    Directory of Open Access Journals (Sweden)

    Dwarakanath

    2013-01-01

    Full Text Available ABSTRACT: OBJECTIVE: To determine the efficacy of admission test on perin atal outcome and levels of obstetric interventions. METHODS: Prospective study on 200 pregnant women at admission by cardiotocography and assess th e perinatal outcome and obstetric interventions. RESULTS: Incidence of reactive trace was 69%, suspicious 24% and ominous 7%. Out of 200 cases 159(80% had vaginal delivery, 28( 14% had LSCS and 13(6% had instrumental delivery. There was increased incidenc e of operative delivery and NICU admissions in suspicious and ominous tracings. This study has a sensitivity of 76% and positive predictive value(PPV of 96%, specificity of 77% and negative predictive value(NPV of 33% for a reactive test. CONCLUSION: Admission test is an effective predictive technique to detect pre- existing fetal distress and plan early intervention to prevent adverse perinatal outcome.

  1. Coarse Particulate Air Pollution Associated with Increased Risk of Hospital Admissions for Respiratory Diseases in a Tropical City, Kaohsiung, Taiwan

    Directory of Open Access Journals (Sweden)

    Meng-Hsuan Cheng

    2015-10-01

    Full Text Available This study was undertaken to determine whether there was an association between coarse particles (PM2.5–10 levels and frequency of hospital admissions for respiratory diseases (RD in Kaohsiung, Taiwan. Hospital admissions for RD including chronic obstructive pulmonary disease (COPD, asthma, and pneumonia, and ambient air pollution data levels for Kaohsiung were obtained for the period from 2006 to 2010. The relative risk of hospital admissions for RD was estimated using a case-crossover approach, controlling for weather variables, day of the week, seasonality, and long-term time trends. For the single pollutant model (without adjustment for other pollutants, increased rate of admissions for RD were significantly associated with higher coarse PM levels only on cool days (<25 °C, with a 10 µg/m3 elevation in PM2.5–10 concentrations associated with a 3% (95% CI = 1%–5% rise in COPD admissions, 4% (95% CI = 1%–7% increase in asthma admissions, and 3% (95% CI = 2%–4% rise in pneumonia admissions. No significant associations were found between coarse particle levels and the number of hospital admissions for RD on warm days. In the two-pollutant models, PM2.5–10 levels remained significantly correlated with higher rate of RD admissions even controlling for sulfur dioxide, nitrogen dioxide, carbon monoxide, or ozone on cool days. This study provides evidence that higher levels of PM2.5–10 enhance the risk of hospital admissions for RD on cool days.

  2. EFFICACY OF ADMISSION CARDIOTOCOGRAPHY (ADMISSION T EST) TO PREDICT OBSTETRIC OUTCOME

    OpenAIRE

    Dwarakanath; Lakshmikantha; Chaitra

    2013-01-01

    ABSTRACT: OBJECTIVE: To determine the efficacy of admission test on perin atal outcome and levels of obstetric interventions. METHODS: Prospective study on 200 pregnant women at admission by cardiotocography and assess th e perinatal outcome and obstetric interventions. RESULTS: Incidence of reactive trace was 69%, suspicious 24% and ominous 7%. Out of 200 cases 159(80%) had vaginal delivery, 28( 14%) had LSCS and 13(6%) had instrumental delivery. ...

  3. To be called upon

    DEFF Research Database (Denmark)

    Kublitz, Anja

    2015-01-01

    When Danish Muslims explain what made them decide to travel to the Middle East and take up arms in the wake of the Arab Spring, they say that they were called upon. Displayed on videos on social media, women and sometimes children begged them to come to their rescue. In light of some of the...... responses to the Arab spring among Danish Muslims, this paper will offer some preliminary reflections on how we can understand ‘the mass’ and an ‘intimacy of the mass’ when the mass is no longer a crowd. According to Marx the mass grows quantitatively from the local to the global, but what happens to the...... mass if it is no longer a causal phenomenon that expands from small to big, but rather a simultaneous multitude of one to one relations that are neither local nor global? How are the one and the many related in this specific setting? Furthermore, many of the videos display dead bodies. How can we...

  4. The Design of Session Control Flow for Call Center Seat Based on SIP%基于SIP的呼叫中心坐席会话控制流程设计

    Institute of Scientific and Technical Information of China (English)

    邱成杰; 景春峰; 李志强; 吉利锋; 姜元建; 李平

    2011-01-01

    The development trend of call center for power customer service is to integrative multimedia call center which has three features: unified management, data set and distributed seats. This paper introduces the SIP protocol which is used widely in the VOIP system for signaling control, and then discusses the architecture of call center based on VIOP technical architecture. At last it gives the designment for session control flow based on SIP.%电力客户服务呼叫中心的发展趋势是管理集中、数据集中、坐席分布的“一体化多媒体呼叫中心”。文章介绍了当前VOIP系统中最重要的信令协议SIP,基于VOIP技术架构的呼叫中心体系结构,并对SIP坐席主要的会话控制流程进行了分析设计。

  5. Hospital Admissions from Nursing Homes: Rates and Reasons

    OpenAIRE

    Geir Egil Eide; Kristian Jansen; Anders Grimsmo; Kjell Krüger; Jonn Terje Geitung

    2011-01-01

    Hospital admissions from nursing homes have not previously been investigated in Norway. During 12 months all hospital admissions (acute and elective) from 32 nursing homes in Bergen were recorded via the Norwegian ambulance register. The principal diagnosis made during the stay, length of stay, and the ward were sourced from the hospital's data register and data were merged. Altogether 1,311 hospital admissions were recorded during the 12 months. Admissions from nursing homes made up 6.1% of ...

  6. Making school admissions fairer? 'Quasi-regulation' under New Labour

    OpenAIRE

    West, Anne; Ingram, Dabney

    2001-01-01

    This paper examines reforms to secondary school admissions in England since 1997. In particular, it focuses on the new ‘quasi-regulation’ that has been introduced to make the process of admissions fairer and more transparent. Our analysis reveals that the quasi-regulation has had some impact on the process of admissions to secondary schools. In a number of authorities with highly developed secondary school quasi-markets, the policy changes have resulted in some inequitable admissions criteria...

  7. Identifying patients at risk of emergency admission for colorectal cancer

    OpenAIRE

    Wallace, D.; Walker, K.; Kuryba, A; Finan, P; Scott, N.; Van Der Meulen, J.

    2014-01-01

    Background: Patients whose colorectal cancer is treated after an emergency admission tend to have late-stage cancer and a poor prognosis. We identified risk factors for an emergency admission by linking data from the National Bowel Cancer Audit (NBCA) and the English Hospital Episode Statistics (HES), an administrative database of all admissions to English National Health Service hospitals, which includes data on mode of admission. Methods: We identified all adults included in the NBCA with a...

  8. Influence of ICU-bed availability on ICU admission decisions

    OpenAIRE

    Robert, René; Coudroy, Rémi; Ragot, Stéphanie; Lesieur, Olivier; Runge, Isabelle; Souday, Vincent; Desachy, Arnaud; Gouello, Jean-Paul; Hira, Michel; Hamrouni, Mouldi; Reignier, Jean

    2015-01-01

    Background The potential influence of bed availability on triage to intensive care unit (ICU) admission is among the factors that may influence the ideal ratio of ICU beds to population: thus, high bed availability (HBA) may result in the admission of patients too well or too sick to benefit, whereas bed scarcity may result in refusal of patients likely to benefit from ICU admission. Methods Characteristics and outcomes of patient admitted in four ICUs with usual HBA, defined by admission ref...

  9. Adaptive Slot Allocation And Bandwidth Sharing For Prioritized Handoff Calls In Mobile Netwoks

    CERN Document Server

    Malathy, S; Murugan, K; Lokesh, S

    2010-01-01

    Mobility management and bandwidth management are two major research issues in a cellular mobile network. Mobility management consists of two basic components: location management and handoff management. To Provide QoS to the users Handoff is a key element in wireless cellular networks. It is often initiated either by crossing a cell boundary or by deterioration in the quality of signal in the current channel. In this paper, a new admission control policy for cellular mobile network is being proposed. Two important QoS parameter in cellular networks are Call Dropping Probability (CDP) and Handoff Dropping Probability (HDP). CDP represents the probability that a call is dropped due to a handoff failure. HDP represents the probability of a handoff failure due to insufficient available resources in the target cell. Most of the algorithms try to limit the HDP to some target maximum but not CDP. In this paper, we show that when HDP is controlled, the CDP is also controlled to a minimum extent while maintaining lowe...

  10. Pursuing Equity in and through Teacher Education Program Admissions

    Science.gov (United States)

    Childs, Ruth A.; Broad, Kathryn; Gallagher-Mackay, Kelly; Sher, Yael; Escayg, Kerry-Ann; McGrath, Christopher

    2011-01-01

    This case study investigated equity in teacher education admissions. Through document analysis and structured interviews with ten past or current members of the admissions committee in a large initial teacher education program in Ontario, we developed an understanding of equity in teacher education admissions as encompassing two foci: equity in…

  11. 22 CFR 142.42 - Admissions and recruitment.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Admissions and recruitment. 142.42 Section 142... and recruitment. (a) General. Qualified handicapped persons may not, on the basis of handicap, be denied admission or be subjected to discrimination in admission or recruitment by a recipient to...

  12. 7 CFR 15b.30 - Admissions and recruitment.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 1 2010-01-01 2010-01-01 false Admissions and recruitment. 15b.30 Section 15b.30... ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Postsecondary Education § 15b.30 Admissions and recruitment... be subjected to discrimination in admission or recruitment by a recipient to which this...

  13. 45 CFR 1170.42 - Admissions and recruitment.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 3 2010-10-01 2010-10-01 false Admissions and recruitment. 1170.42 Section 1170... FEDERALLY ASSISTED PROGRAMS OR ACTIVITIES Postsecondary Education § 1170.42 Admissions and recruitment. (a... subjected to discrimination in admission or recruitment by a recipient to which this subpart applies....

  14. 45 CFR 605.42 - Admissions and recruitment.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 3 2010-10-01 2010-10-01 false Admissions and recruitment. 605.42 Section 605.42... Postsecondary Education § 605.42 Admissions and recruitment. (a) General. Qualified handicapped persons may not... recruitment by a recipient to which this subpart applies. (b) Admissions. In administering its...

  15. 38 CFR 18.442 - Admissions and recruitment.

    Science.gov (United States)

    2010-07-01

    ... recruitment. 18.442 Section 18.442 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS... Postsecondary Education § 18.442 Admissions and recruitment. (a) General. Qualified handicapped persons may not... recruitment by a recipient. (b) Admission. In administering its admission policies, a recipient; (1) May...

  16. Criteria Use and Importance in Independent Secondary School Admissions

    Science.gov (United States)

    Schuster, Shannan Boyle

    2009-01-01

    The purpose of this study was threefold: first, to determine the use of specified admission criteria in the independent school admission process; second, to determine admission directors' perceptions of the importance of selected criteria; and third, to determine the nature of the relationship between selected independent measures and the use of…

  17. 7 CFR 15a.22 - Preference in admission.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 1 2010-01-01 2010-01-01 false Preference in admission. 15a.22 Section 15a.22... Prohibited § 15a.22 Preference in admission. A recipient to which the subpart applies shall not give preference to applicants for admission, on the basis of attendance at any educational institution or...

  18. 10 CFR 5.305 - Preference in admission.

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 1 2010-01-01 2010-01-01 false Preference in admission. 5.305 Section 5.305 Energy... Prohibited § 5.305 Preference in admission. A recipient to which §§ 5.300 through 5.310 apply shall not give preference to applicants for admission, on the basis of attendance at any educational institution or...

  19. 14 CFR 1253.305 - Preference in admission.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 5 2010-01-01 2010-01-01 false Preference in admission. 1253.305 Section... on the Basis of Sex in Admission and Recruitment Prohibited § 1253.305 Preference in admission. A recipient to which §§ 1253.300 through 1253.310 apply shall not give preference to applicants for...

  20. 45 CFR 618.305 - Preference in admission.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 3 2010-10-01 2010-10-01 false Preference in admission. 618.305 Section 618.305... Discrimination on the Basis of Sex in Admission and Recruitment Prohibited § 618.305 Preference in admission. A recipient to which §§ 618.300 through 618.310 apply shall not give preference to applicants for...

  1. 29 CFR 36.305 - Preference in admission.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 1 2010-07-01 2010-07-01 true Preference in admission. 36.305 Section 36.305 Labor Office... Prohibited § 36.305 Preference in admission. A recipient to which §§ 36.300 through 36.310 apply shall not give preference to applicants for admission, on the basis of attendance at any educational...

  2. 13 CFR 113.305 - Preference in admission.

    Science.gov (United States)

    2010-01-01

    ... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Preference in admission. 113.305... Discrimination on the Basis of Sex in Admission and Recruitment Prohibited § 113.305 Preference in admission. A recipient to which §§ 113.300 through 113.310 apply shall not give preference to applicants for...

  3. 44 CFR 19.305 - Preference in admission.

    Science.gov (United States)

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Preference in admission. 19... Recruitment Prohibited § 19.305 Preference in admission. A recipient to which §§ 19.300 through 19.310 apply shall not give preference to applicants for admission, on the basis of attendance at any...

  4. Assisted living nursing practice: admission assessment.

    Science.gov (United States)

    Mitty, Ethel; Flores, Sandi

    2007-01-01

    Admission assessment, generally conducted by a registered nurse, is autonomous, without opportunity for dialogue with colleagues and other health care professionals and bounded by the nurse's knowledge and skills, state regulations, facility practices, and marketing. The fact that some states permit admission and retention of nursing home level-of-care residents and provision of end-of-life care means that the assessment has to be able to predict the resident's likely trajectory of well-being as well as chronic illness exacerbation. The nurse must have a clear perspective on staff competencies and judge whether additional education or training will be necessary. This article reviews assessment standards of practice as put forth by the American Assisted Living Nurses Association as part of its application for recognition of assisted living nursing as specialty nursing practice by the American Nurses Association. The role of the Licensed Practical Nurse/Licensed Vocational Nurse in resident assessment is also discussed. PMID:17292794

  5. Per-flow Admission Control with Adaptive Reservation of Bandwidth and Multiple QoS Support in EDCA of IEEE 802.11e Based on Cross-layer Design%基于跨层的自适应预留带宽和多重QoS保证的EDCA流接纳控制

    Institute of Scientific and Technical Information of China (English)

    曾菊玲; 蒋砺思

    2012-01-01

    提出了基于跨层的自适应带宽预留和多重QoS保证的802.11eEDCA分布式流接纳控制.首先自适应分配各站点OFDM子载波比特以最大化信道容量,并将比特率跨层传送到MAC层.基于此,提出了基于分布式测量的动态带宽预留机制,使预留带宽自适应各用户信道特点和业务特征;提出了半模式化的中心控制的剩余因子估计方法,从而克服了直接测量的不准确性和分布式估计的局部性,并降低了计算复杂度;提出了基于协议模型的带宽和碰撞率双重接纳标准,使多重QoS参数同时得到保证.通过这些措施得到自上至下的自适应接纳控制.仿真表明,提出的接纳控制机制能较大地提高资源利用率,更好地保证业务质量.%A novel dynamic distributed admission control with adaptive reservation of bandwidth and multiple QoS support of EDCA(enhanced distributed channel access) in IEEE802. lie based on cross-layer was presented. In this mechanism, the bits of the subcarrier of OFDM in the station are allocated to obtain the maximum channel capacity subjected to the maximum power at first and the bit rate is transmitted to the medium access control layer at the same time. By means of that,a dynamic reservation of the bandwidth was presented based on the distributed measurement, which a-dapts tb the characteristics of the channel and the service. And an estimation of the surplus factor by center control half-based on model was presented, which overcomes the un-accuracy resulted by directed measuring and locality resulted by distributed estimation. The relationship between the service's parameters and the collision probability was obtained and the double admission criteria of the bandwidth and the collision probability was suggested to support the multiple QoS such as bandwidth and delay as well as error ratio of the frame. All above suggestions structure an adaptive admission control from the upper layer to the lower layer

  6. Nursing Home Admission: When, Why, Where?

    OpenAIRE

    Bergman, H; Clarfield, A M

    1985-01-01

    The decision to institutionalize older patients puts stress on both them and their families. This option should be carefully considered and alternatives explored before a final decision is made. The physician must seek and treat reversible diseases, and try to optimize the patient's functional status. Once the decision to institutionalize is made, careful preparation and follow-up of both family and patient must occur in the pre-, peri-, and post-admission periods. In this way, the physician ...

  7. THE OBJECT OF THE ADMISSION OF GUILT

    Directory of Open Access Journals (Sweden)

    Constantin NEDELCU

    2015-07-01

    Full Text Available This paper aims at studying how elements of negotiated justice specific to common law systems entered into the Romanian criminal procedural law system. It particularly deals with the admission of guilt and about one of its most controversial aspects – the object of recognition. The research concludes that what is recognized within this simplified procedure it is the deed and not its legal classification given by the criminal prosecution bodies.

  8. Perceived coercion in voluntary hospital admission.

    LENUS (Irish Health Repository)

    O'Donoghue, Brian

    2014-01-30

    The legal status of service users admitted to psychiatric wards is not synonymous with the level of coercion that they can perceive during the admission. This study aimed to identify and describe the proportion of individuals who were admitted voluntarily but experienced levels of perceived coercion comparable to those admitted involuntarily. Individuals admitted voluntarily and involuntarily to three psychiatric hospitals were interviewed using the MacArthur Admission Experience Interview and the Structured Clinical Interview for DSM-IV diagnoses. One hundered sixty-one individuals were interviewed and 22% of the voluntarily admitted service users had levels of perceived coercion similar to that of the majority of involuntarily admitted service users. Voluntarily admitted service users who experienced high levels of perceived coercion were more likely to have more severe psychotic symptoms, have experienced more negative pressures and less procedural justices on admission. Individuals brought to hospital under mental health legislation but who subsequently agreed to be admitted voluntarily and those treated on a secure ward also reported higher levels of perceived coercion. It needs to be ensured that if any service user, whether voluntary or involuntary, experiences treatment pressures or coercion that there is sufficient oversight of the practice, to ensure that individual\\'s rights are respected.

  9. Effects of Coarse Particulate Matter on Emergency Hospital Admissions for Respiratory Diseases: A Time-Series Analysis in Hong Kong

    OpenAIRE

    Qiu, Hong; Yu, Ignatius Tak-sun; Tian, Linwei; Wang, Xiaorong; Tse, Lap Ah; Tam, Wilson; Wong, Tze Wai

    2012-01-01

    Background: Many epidemiological studies have linked daily counts of hospital admissions to particulate matter (PM) with an aerodynamic diameter ≤ 10 μm (PM 10) and ≤ 2.5 μm (PM 2.5), but relatively few have investigated the relationship of hospital admissions with coarse PM (PM c; 2.5-10 μm aerodynamic diameter). Objectives: We conducted this study to estimate the health effects of PM c on emergency hospital admissions for respiratory diseases in Hong Kong after controlling for PM 2.5 and ga...

  10. Glycated hemoglobin A: A predictor of outcome in trauma admissions to intensive care unit

    Directory of Open Access Journals (Sweden)

    Karen Ruby Lionel

    2014-01-01

    Full Text Available Background and Aim: Although large studies have demonstrated the association between hyperglycemia and adverse intensive care unit (ICU outcomes, it is yet unclear which subset of patients benefit from tight sugar control in ICU. Recent evidence suggests that stress induced hyperglycemia (SIH and co-incidentally detected diabetes mellitus are different phenomena with different prognoses. Differentiating SIH from diabetic hyperglycemia is challenging in ICU settings. We followed a cohort of trauma patients admitted to a surgical intensive care unit (SICU to evaluate if initial glycated hemoglobin A (HbA 1 c level predicts the outcome of admission. Materials and Methods: A cohort of 120 consecutive admissions to SICU following trauma were recruited and admission blood sugar and HbA 1 c were measured. Outcomes were prospectively measured by blinded ICU doctors. A logistic regression model was developed to assess if HbA 1 c predicts poor outcomes in these settings. Results: Nearly 24% of the participants had HbA 1 c ≥ 6. Those with HbA 1 c ≥ 6 had 3.14 times greater risk of poor outcome at the end of hospital stay when compared to those with HbA 1 c < 6 and this risk increased to an odds ratio of 4.57 on adjusting for other significant predictors: Acute Physiology and Chronic Health Evaluation II, injury severity score, admission blood sugar and age at admission. Conclusions: Substantial proportion of trauma admissions has underlying diabetes. HbA 1 c, a measure of pre admission glycaemic status is an important predictor of ICU outcome in trauma patients.

  11. Your Wake-Up Call

    Science.gov (United States)

    ... Home Current Issue Past Issues Your Wake-Up Call Past Issues / Summer 2007 Table of Contents For ... infant younger than one year old. Some people call SIDS "crib death" because many babies who die ...

  12. Dynamic allocation and admission policies for QoS-aware provisioning systems

    DEFF Research Database (Denmark)

    Mazzucco, M.; Mazzara, M.; Dragoni, Nicola

    2013-01-01

    such that the service provider is liable to compensate his/her customers if the level of performance is not satisfactory. The system is driven by a utility function which tries to optimise the average earned revenue per unit time. The middleware collects demand and performance statistics, and estimates...... traffic parameters in order to make dynamic decisions concerning server allocation and admission control. We empirically evaluate the effects of admission policies, resource allocation and service differentiation schemes on the achieved revenues, and we find that our system is robust enough to...

  13. The Predictive Validity of using Admissions Testing and Multiple Mini-interviews in Undergraduate University Admissions

    DEFF Research Database (Denmark)

    Makransky, Guido; Havmose, Philip; Vang, Maria Louison;

    2016-01-01

    the grade-based admissions procedure. Finally, students admitted through the MMI scored significantly higher on academic learning self-efficacy and critical thinking compared to students selected by grades. The implications for higher education admissions are discussed....... academic achievement after one and two years of study. The participants consisted of the entire population of 422 psychology students who were admitted to the University of Southern Denmark between 2010 and 2013. The results showed significantly lower drop-out rates after the first year of study, and non...

  14. 40 CFR 85.1512 - Admission of catalyst and O2 sensor-equipped vehicles.

    Science.gov (United States)

    2010-07-01

    ... system and/or O2 sensor; (iii) Is labeled in accordance with 40 CFR part 86, subpart A or subpart S, or... CFR 12.73 unless it is included in a catalyst and O2 sensor control program approved by the... 40 Protection of Environment 18 2010-07-01 2010-07-01 false Admission of catalyst and O2...

  15. Admission criteria and diversity in medical school

    DEFF Research Database (Denmark)

    O'Neill, Lotte; Vonsild, Maria; Wallstedt, Birgitta;

    2013-01-01

    students admitted via the two tracks between the years 2002-2007. Method: This prospective cohort study included 1074 medical students admitted between the years 2002-2007 to the University of Southern Denmark (USD) medical school. Of these, 454 were admitted by grade-based selection and 620 were selected...... (grade-based or attribute-based) had no statistically significant effect on the social diversity of medical students admitted to USD. Discussion: It may be a myth that attribute-based admission widens access and increases social diversity. To the contrary, there is evidence that combining grade...

  16. Admissible submonoids of Artin-Tits monoids

    OpenAIRE

    Castella, Anatole

    2008-01-01

    We show the analogue of Muhlherr's [Coxeter groups in Coxeter groups, Finite Geom. and Combinatorics, Cambridge Univ. Press (1993), 277-287] for Artin-Tits monoids, and for Artin-Tits groups of spherical type. That is, the submonoid (resp. subgroup) of an Artin-Tits monoid (resp. group of spherical type) induced by an admissible partition of the Coxeter graph is an Artin-Tits monoid (resp. group). This generalizes and unifies the situation of the submonoid (resp. subgroup) of fixed elements o...

  17. Bar Admission--Default on Student Loan Warrants Denial of Admission to Minnesota Bar.

    Science.gov (United States)

    William Mitchell Law Review, 1980

    1980-01-01

    The Minnesota Supreme Court upheld a decision that student loan default, and subsequent dismissal through bankruptcy, is sufficient reason to deny a law student's bar admission. The bar's requirement of good moral character was interpreted as financial integrity in the Gahan case. (MSE)

  18. Students Selection for University Course Admission at the Joint Admissions Board (Kenya) Using Trained Neural Networks

    Science.gov (United States)

    Wabwoba, Franklin; Mwakondo, Fullgence M.

    2011-01-01

    Every year, the Joint Admission Board (JAB) is tasked to determine those students who are expected to join various Kenyan public universities under the government sponsorship scheme. This exercise is usually extensive because of the large number of qualified students compared to the very limited number of slots at various institutions and the…

  19. Six-year outcomes in first admission adolescent inpatients: clinical and cognitive characteristics at admission as predictors.

    Science.gov (United States)

    Pogge, David L; Insalaco, Brie; Bertisch, Hilary; Bilginer, Lale; Stokes, John; Cornblatt, Barbara A; Harvey, Philip D

    2008-07-15

    Persistent functional disability is common after even a single psychiatric admission in people with schizophrenia or bipolar disorder, but less is known about other conditions and about adolescent onset patients. This study examined clinical symptoms and cognitive performance at the time of the first admission for the prediction of 6-year outcomes. First admission adolescent patients with a variety of psychiatric diagnoses were assessed with comprehensive clinical ratings of psychopathology, a neuropsychological assessment, and received clinical diagnoses while experiencing their first psychiatric admission. They were contacted 6 years after discharge and examined with a structured assessment of psychiatric symptoms and functioning. Despite the low levels of overall impairment at follow-up, at least 20% of the variance in depression, psychosis, poor peer relationships and poor school attendance 6 years after the hospital admission were predicted by information collected during the hospitalization. Attentional deficits during admission predicted the presence of psychosis at follow-up more substantially than psychotic symptoms during admission, as well as predicting risk for relapse. Attentional deficits during a first psychiatric admission predicted risk for manifesting psychosis at 6-year follow-up to a more substantial degree than either a psychosis diagnosis or psychotic symptoms at admission. In contrast to psychosis, depression at follow-up was predicted by admission symptomatology, but not by cognitive deficits. PMID:18534688

  20. Re-admission after gastro-intestinal surgery.

    Science.gov (United States)

    Gauduchon, L; Sabbagh, C; Regimbeau, J M

    2015-12-01

    Re-admission is a new concept in France, born with the advent of day-case surgery, and defined as any re-admission occurring within 30 days after surgery. The re-admission rate has increasingly come to be considered a criterion of the quality of medical care, by both the medical profession and by insurance companies. This report outlines the generalities and definitions related to re-admission after gastro-intestinal surgery, describes the current situation, rationalizes the value of re-admission rates as a measure of quality of care, details the risk factors for re-admission according to the type of intervention, exposes the possible means of prevention and what to do when a patient comes to the emergency room within 30 days after an operation. PMID:26527260

  1. Effect of tele health care on exacerbations and hospital admissions in patients with chronic obstructive pulmonary disease

    DEFF Research Database (Denmark)

    Ringbæk, Thomas; Green, Allan; Laursen, Lars Christian;

    2015-01-01

    BACKGROUND AND OBJECTIVE: Tele monitoring (TM) of patients with chronic obstructive pulmonary disease (COPD) has gained much interest, but studies have produced conflicting results. Our aim was to investigate the effect of TM with the option of video consultations on exacerbations and hospital...... during the study period. RESULTS: Most of the enrolled patients had severe COPD (forced expiratory volume in 1 second <50%pred in 86% and ≥hospital admission for COPD in the year prior to enrollment in 45%, respectively, of the patients). No difference in drop-out rate and mortality was found between the...... groups. With regard to the primary outcome, no significant difference was found in hospital admissions for COPD between the groups (P=0.74), and likewise, no difference was found in time to first admission or all-cause hospital admissions. Compared with the control group, TM group patients had more...

  2. Point-of-care testing of HbA1c in diabetes care and preventable hospital admissions

    DEFF Research Database (Denmark)

    Kristensen, Troels; Rose Olsen, Kim

    Background: Point-of-care testing (POCT) of HbA1c may result in improved diabetic control, better patient outcomes and enhanced clinical efficiency with fewer patient visits and subsequent reductions in hospitalizations and costs. In 2008, the Danish regulators agreed to create a new tariff...... for the remuneration of POCT of HbA1c in primary care. Aim: The aim of this study is to assess whether there is an association between the use of POCT of HbA1c and preventable hospital admissions among diabetes patients in general practice. Method: We apply logistic regression analyses to examine whether...... there is a link between preventable hospital admissions and POCT of HbA1c in general practice. Preventable hospital admissions were assessed through the ambulatory care sensitive conditions (ACSCs) classification of hospital admissions. We include independent variables such as gender, age, ethnicity...

  3. Nosocomial infection in adult admissions with hematological malignancies originating from different lineages: a prospective observational study.

    Directory of Open Access Journals (Sweden)

    Hui Liu

    Full Text Available Nosocomial infection (NI causes prolonged hospital stays, increased healthcare costs, and higher mortality among patients with hematological malignancies (HM. However, few studies have compared the incidence of NI according to the HM lineage.To compare the incidence of NI according to the type of HM lineage, and identify the risk factors for NI.This prospective observational study monitored adult patients with HM admitted for >48 hours to the General Hospital of the People's Liberation Army during 2010-2013. Attack rates and incidences of NI were compared, and multivariable logistic regression was used to control for confounding effects.This study included 6,613 admissions from 1,922 patients. During these admissions, 1,023 acquired 1,136 NI episodes, with an attack rate of 15.47% and incidence of 9.6‰ (95% CI: 9.1-10.2. Higher rates and densities of NIs were observed among myeloid neoplasm (MN admissions, compared to lymphoid neoplasm (LN admissions (28.42% vs. 11.00%, P<0.001 and 11.4% vs. 8.4‰, P<0.001. NI attack rates in acute myeloid leukemia (AML and myelodysplastic/myeloproliferative neoplasm (MDS/MPN were higher than those in MDS (30.69% vs. 20.19%, P<0.001; 38.89% vs. 20.19%, P = 0.003. Attack rates in T/NK-cell neoplasm and B-cell neoplasm were higher than those in Hodgkin lymphoma (15.04% vs. 3.65%; 10.94% vs. 3.65%, P<0.001. Multivariable regression analysis indicated prolonged hospitalization, presence of central venous catheterization, neutropenia, current stem cell transplant, infection on admission, and old age were independently associated with higher NI incidence. After adjusting for these factors, MN admissions still had a higher risk of infection (odds ratio 1.34, 95% CI: 1.13-1.59, P<0.001.Different NI attack rates were observed for HM from different lineages, with MN lineages having a higher attack rate and incidence than LN lineages. Special attention should be paid to MN admissions, especially AML and MDS

  4. The complexity of admissible rules of {\\L}ukasiewicz logic

    CERN Document Server

    Jeřábek, Emil

    2011-01-01

    We investigate the computational complexity of admissibility of inference rules in infinite-valued {\\L}ukasiewicz propositional logic (\\L). It was shown in [13] that admissibility in {\\L} is checkable in PSPACE. We establish that this result is optimal, i.e., admissible rules of {\\L} are PSPACE-complete. In contrast, derivable rules of {\\L} are known to be coNP-complete.

  5. Effect of air pollution on pediatric respiratory emergency room visits and hospital admissions

    Directory of Open Access Journals (Sweden)

    S.C.L. Farhat

    2005-02-01

    Full Text Available In order to assess the effect of air pollution on pediatric respiratory morbidity, we carried out a time series study using daily levels of PM10, SO2, NO2, ozone, and CO and daily numbers of pediatric respiratory emergency room visits and hospital admissions at the Children's Institute of the University of São Paulo Medical School, from August 1996 to August 1997. In this period there were 43,635 hospital emergency room visits, 4534 of which were due to lower respiratory tract disease. The total number of hospital admissions was 6785, 1021 of which were due to lower respiratory tract infectious and/or obstructive diseases. The three health end-points under investigation were the daily number of emergency room visits due to lower respiratory tract diseases, hospital admissions due to pneumonia, and hospital admissions due to asthma or bronchiolitis. Generalized additive Poisson regression models were fitted, controlling for smooth functions of time, temperature and humidity, and an indicator of weekdays. NO2 was positively associated with all outcomes. Interquartile range increases (65.04 µg/m³ in NO2 moving averages were associated with an 18.4% increase (95% confidence interval, 95% CI = 12.5-24.3 in emergency room visits due to lower respiratory tract diseases (4-day moving average, a 17.6% increase (95% CI = 3.3-32.7 in hospital admissions due to pneumonia or bronchopneumonia (3-day moving average, and a 31.4% increase (95% CI = 7.2-55.7 in hospital admissions due to asthma or bronchiolitis (2-day moving average. The study showed that air pollution considerably affects children's respiratory morbidity, deserving attention from the health authorities.

  6. Application of Affect to CALL

    Institute of Scientific and Technical Information of China (English)

    李露

    2006-01-01

    This essay mainly attempts to discuss some affective factors in CALL, with focus on affective influence on English (foreign language) learning and thus concludes that in the process of CALL related affect should be activated and made good use of to better foreign language teaching and learning.

  7. When to Call Your Pediatrician

    Science.gov (United States)

    ... in Action Medical Editor & Editorial Advisory Board Sponsors Sponsorship Opporunities Spread the Word Shop AAP Find a ... to Call Your Pediatrician Page Content Article Body Is it OK to call my child's pediatrician even if I'm not sure my ...

  8. Call-by-name, call-by-value, call-by-need and the linear lambda calculus

    OpenAIRE

    Maraist, J.; Odersky, M.; Turner, D.N.; Wadler, P.

    1999-01-01

    Girard described two translations of intuitionistic logic into linear logic, one where A→B maps to (!A⊸B) and another where it maps to !(A⊸B). We detail the action of these translations on terms and show that the first corresponds to a call-by-name calculus, while the second corresponds to call-by-value. We further show that if the target of the translation is taken to be an affine calculus, where! controls contraction but weakening is allowed everywhere, then the second translation correspon...

  9. Call-by-name, Call-by-value, Call-by-need, and the Linear Lambda Calculus

    OpenAIRE

    Maraist, John; Odersky, Martin; Turner, David N.; Wadler, Philip

    1995-01-01

    Girard described two translations of intuitionistic logic into linear logic, one where A -> B maps to (!A) -o B, and another where it maps to !(A -o B). We detail the action of these translations on terms, and show that the first corresponds to a call-by-name calculus, while the second corresponds to call-by-value. We further show that if the target of the translation is taken to be an affine calculus, where ! controls contraction but weakening is allowed everywhere, then the second transl...

  10. Preventing compulsory admission to psychiatric inpatient care through psycho-education and crisis focused monitoring

    Directory of Open Access Journals (Sweden)

    Lay Barbara

    2012-09-01

    Full Text Available Abstract Background The high number of involuntary placements of people with mental disorders in Switzerland and other European countries constitutes a major public health issue. In view of the ethical and personal relevance of compulsory admission for the patients concerned and given the far-reaching effects in terms of health care costs, innovative interventions to improve the current situation are much needed. A number of promising approaches to prevent involuntary placements have been proposed that target continuity of care by increasing self-management skills of patients. However, the effectiveness of such interventions in terms of more robust criteria (e.g., admission rates has not been sufficiently analysed in larger study samples. The current study aims to evaluate an intervention programme for patients at high risk of compulsory admission to psychiatric hospitals. Effectiveness will be assessed in terms of a reduced number of psychiatric hospitalisations and days of inpatient care in connection with involuntary psychiatric admissions as well as in terms of cost-containment in inpatient mental health care. The intervention furthermore intends to reduce the degree of patients’ perceived coercion and to increase patient satisfaction, their quality of life and empowerment. Methods/Design This paper describes the design of a randomised controlled intervention study conducted currently at four psychiatric hospitals in the Canton of Zurich. The intervention programme consists of individualised psycho-education focusing on behaviours prior to and during illness-related crisis, the distribution of a crisis card and, after inpatient admission, a 24-month preventive monitoring of individual risk factors for compulsory re-admission to hospital. All measures are provided by a mental health care worker who maintains permanent contact to the patient over the course of the study. In order to prove its effectiveness the intervention programme will be

  11. 46 CFR 169.750 - Radio call sign.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false Radio call sign. 169.750 Section 169.750 Shipping COAST... Control, Miscellaneous Systems, and Equipment Markings § 169.750 Radio call sign. Each vessel certificated for exposed or partially protected water service must have its radio call sign permanently...

  12. Superconformal minimal models and admissible Jack polynomials

    CERN Document Server

    Blondeau-Fournier, Olivier; Ridout, David; Wood, Simon

    2016-01-01

    We give new proofs of the rationality of the N=1 superconformal minimal model vertex operator superalgebras and of the classification of their modules in both the Neveu-Schwarz and Ramond sectors. For this, we combine the standard free field realisation with the theory of Jack symmetric functions. A key role is played by Jack symmetric polynomials with a certain negative parameter that are labelled by admissible partitions. These polynomials are shown to describe free fermion correlators, suitably dressed by a symmetrising factor. The classification proofs concentrate on explicitly identifying Zhu's algebra and its twisted analogue. Interestingly, these identifications do not use an explicit expression for the non-trivial vacuum singular vector. While the latter is known to be expressible in terms of an Uglov symmetric polynomial or a linear combination of Jack superpolynomials, it turns out that standard Jack polynomials (and functions) suffice to prove the classification.

  13. Temperature effects on hospital admissions for kidney morbidity in Taiwan

    International Nuclear Information System (INIS)

    Objective: This study aimed to associate hospital admissions of kidney diseases with extreme temperature and prolonged heat/cold events in 7 regions of Taiwan. Methods: Age-specific (10, O3, and NO2) and potential confounders. Results: We observed a V or J-shape association between daily average temperatures and the RR estimates for hospital admissions of kidney diseases in Taiwan. The lowest risk for hospital admissions of kidney diseases was found at around 25 °C, and risk increased as temperatures deviated from 25 °C. The pooled cumulative 8-day RR for all ages of population of the 7 study areas were 1.10 (95% confidence interval (CI): 1.01, 1.19) at 18 °C and 1.45 (95% CI: 1.27, 1.64) at 30 °C. High temperature has more profound influence on hospital admission of kidney diseases than low temperature. Temperature risks for hospital admissions were similar between younger (< 65 years) and elderly (65 + years) population. This study observed no significant effects of prolonged heat extremes on hospital admissions of kidney diseases. Conclusions: The heat effect for kidney morbidities leading to hospital admission was more significant than that of the cold temperature. This study did not find the age-dependent relative risks for temperature associating with hospital admissions of kidney diseases. - Highlights: ► V or J-shaped association was observed between daily temperatures and hospital admissions for renal diseases in Taiwan. ► The pooled relative risks accounting for 8 days of lag for the 7 study areas were 1.1 at 18 °C and 1.46 at 30 °C. ► There is no difference of the relative risk estimates for hospital admissions between younger and elderly population. ► We found significant protective effects of hospital admissions for prolonged cold extremes, but not for heat extremes

  14. Assisted admissions? A national survey of general practitioner experience of involuntary admissions.

    LENUS (Irish Health Repository)

    Kelly, M

    2011-10-01

    The 2001 Mental Health Act introduced in 2006, changed how a patient is admitted involuntarily to a psychiatric unit. This paper reports on a national survey of general practitioners\\' experience implementing the Act. Five hundred and sixty eight (568) GPs completed the survey. Twenty five percent (25%) of respondants had not used it. When used, twenty four percent (24%) report that it takes seven hours or more to complete an admission. Fifty percent (50%) of respondents are confident to complete the necessary paperwork. Overall GPs are dissatisfied with arrangements for transport of patients (mean Likert score 3.5), primarily due to the time delay. GPs believe this places risk on the patient, family and GP. Only thirty-three percent (33%) of respondents feel that the Mental Health Act has improved the patient, GP and family experience of involuntary admission.

  15. Dynamic bandwidth allocation algorithm according to controlling call-blocking probabilities proportion%按比例控制呼叫阻塞率的动态带宽分配算法

    Institute of Scientific and Technical Information of China (English)

    赵海军; 李敏; 崔梦天; 李明东

    2012-01-01

    For achieving more effectively dynamic resource allocation, a dynamic bandwidth allocation algorithm is proposed using complete partitioning (CP) technology in a single communication link by analysing dynamic bandwidth allocation in a common link. On the basis of forecasting the influence of call-blocking probabilities on the transient response, the algorithm proposed in this paper controlls call-blocking probabilities proportion between different Classes-of-Service (CoSs) of non-stationary traffic with variable size bandwidth requests, consequently achieving optimal utilization of the bandwidth. Simulation shows that the capacities can be dynamically allocated in a nonstationary traffic environment by adopting the proposed algorithm. And it can also allocate the bandwidth much more effectively, while enhancing greatly the utilization ratio of the bandwidth, reducing the average polling time.%提出了一种在单链路中采用完全划分技术的动态带宽分配算法,该算法在预测呼叫阻塞率对过渡反应影响的基础上,对链路中具有可变带宽需求的非固定流量的不同服务级间的呼叫阻塞率的比例进行控制,从而实现带宽的最佳利用.仿真表明,所提出的算法能够有效地将容量动态地分配到非固定流量环境中,提高了带宽利用率,缩短了平均轮询时间.

  16. Effect of Text Message, Phone Call, and In-Person Appointment Reminders on Uptake of Repeat HIV Testing among Outpatients Screened for Acute HIV Infection in Kenya: A Randomized Controlled Trial

    Science.gov (United States)

    Wahome, Elizabeth W.; Gichuru, Evanson N.; Mwashigadi, Grace M.; Thiong’o, Alexander N.; Prins, Henrieke A. B.; Rinke de Wit, Tobias F.; Graham, Susan M.; Sanders, Eduard J.

    2016-01-01

    Background Following HIV-1 acquisition, many individuals develop an acute retroviral syndrome and a majority seek care. Available antibody testing cannot detect an acute HIV infection, but repeat testing after 2–4 weeks may detect seroconversion. We assessed the effect of appointment reminders on attendance for repeat HIV testing. Methods We enrolled, in a randomized controlled trial, 18–29 year old patients evaluated for acute HIV infection at five sites in Coastal Kenya (ClinicalTrials.gov NCT01876199). Participants were allocated 1:1 to either standard appointment (a dated appointment card) or enhanced appointment (a dated appointment card plus SMS and phone call reminders, or in-person reminders for participants without a phone). The primary outcome was visit attendance, i.e., the proportion of participants attending the repeat test visit. Factors associated with attendance were examined by bivariable and multivariable logistic regression. Principal Findings Between April and July 2013, 410 participants were randomized. Attendance was 41% (85/207) for the standard group and 59% (117/199) for the enhanced group, for a relative risk of 1.4 [95% Confidence Interval, CI, 1.2–1.7].Higher attendance was independently associated with older age, study site, and report of transactional sex in past month. Lower attendance was associated with reporting multiple partners in the past two months. Conclusions Appointment reminders through SMS, phone calls and in-person reminders increased the uptake of repeat HIV test by forty percent. This low-cost intervention could facilitate detection of acute HIV infections and uptake of recommended repeat testing. Trial Registration Clinicaltrials.gov NCT01876199 PMID:27077745

  17. The Use of Criminal History Information in College Admissions Decisions

    Science.gov (United States)

    Pierce, Matthew W.; Runyan, Carol W.; Bangdiwala, Shrikant I.

    2014-01-01

    To understand the potential public health and social justice implications of criminal background screening on college admissions, we examined postsecondary institutions' reasons for collecting or not collecting applicants' criminal justice information. We invited heads of admissions from 300 randomly sampled postsecondary institutions to…

  18. 49 CFR 1114.27 - Request for admission.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 8 2010-10-01 2010-10-01 false Request for admission. 1114.27 Section 1114.27... OF TRANSPORTATION RULES OF PRACTICE EVIDENCE; DISCOVERY Discovery § 1114.27 Request for admission. (a) Availability; procedures for use. Subject to the provisions of § 1114.21(b)(2), a party may serve upon...

  19. 49 CFR 1114.3 - Admissibility of business records.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 8 2010-10-01 2010-10-01 false Admissibility of business records. 1114.3 Section 1114.3 Transportation Other Regulations Relating to Transportation (Continued) SURFACE TRANSPORTATION... § 1114.3 Admissibility of business records. Any writing or record, whether in the form of an entry in...

  20. University of California Adopts Sweeping Changes in Admissions Policy

    Science.gov (United States)

    Keller, Josh; Hoover, Eric

    2009-01-01

    The University of California has adopted changes to its undergraduate admissions policy that will enlarge its applicant pool and drop the requirement that students take the SAT Subject Tests. The policy is the most significant change in the university's admissions practices in at least a decade. It will increase the number of California…

  1. Early Admission to Elementary School: Barriers versus Benefits.

    Science.gov (United States)

    Proctor, Theron B.; And Others

    1988-01-01

    This article analyzes why schools fail to provide for early admission of intellectually advanced children. Reasons cited include misinterpretation of research findings, bias of school personnel, expense of screening, convenience of administering a uniform entrance age procedure, etc. Benefits accruing from early admission are discussed. (JDD)

  2. Admissions Handbook, Third level full time courses : 1988

    OpenAIRE

    City of Dublin Vocational Education Committee

    1988-01-01

    Issued by the Admissions Office, DIT, 14 Upr. Mount St., Dublin 2. Booklet includes application form for admission to third level whole-time courses 1988/89, external examinations form,submission of portfolios form, payment form and application acknowledgement postcard.

  3. Problems in Admissions in U.S. Dental Schools

    Science.gov (United States)

    Mendel, Robert W.; Tabb, W. Gary

    1977-01-01

    Dental school admission policy must direct significant attention to the number of selectees who might enter each of the dental career fields and to those who might eventually serve population segments that currently receive little dental care. Specific suggestions for improving the admissions situation are offered. (LBH)

  4. Primary and Secondary Selection Tools in an Optometry Admission Process.

    Science.gov (United States)

    Spafford, Marlee M.

    2000-01-01

    A five-year evaluation of the admissions decision process at the University of Waterloo (Ontario) School of Optometry found that when primary tools (i.e., university grades, Optometry Admission Test scores) did not differentiate candidates, there was an increased emphasis on secondary tools (i.e., interview, autobiographic sketch, prerequisite…

  5. A Revised Admissions Standard for One Community College Nursing Program

    Science.gov (United States)

    Lown, Maris A.

    2010-01-01

    Predicting success on the NCLEX-RN is of paramount importance to nursing programs as they are held accountable for this outcome by accrediting agencies and by boards of nursing. This action research study examined the relationship between the NET admission test, anatomy and physiology grades, grade point average (GPA) on admission to the program…

  6. Communications Is from Mars, Admissions Is from Venus

    Science.gov (United States)

    Scully, Maura King

    2010-01-01

    Marketing communications and admissions often have very different needs, priorities, and ways of conducting business, but the two units work toward the same end goal. Brad Ward of BlueFuego, a marketing company that specializes in social Web tools for educational institutions, explains that admissions doesn't necessarily need to [talk] to…

  7. Hospital admission interviews are time-consuming with several interruptions

    DEFF Research Database (Denmark)

    Ghazanfar, Misbah N; Honoré, Per Gustaf Hartvig; Nielsen, Trine R H;

    2012-01-01

    The admission interview is an important procedure to reduce medication errors. Studies indicate that physicians do not spend much time on the interview and that the major obstacles are lack of time and heavy workload. The aim of this study was to measure the time physicians spend on admission...... interviews and to describe factors that affect time consumption....

  8. 14 CFR 125.315 - Admission to flight deck.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Admission to flight deck. 125.315 Section...,000 POUNDS OR MORE; AND RULES GOVERNING PERSONS ON BOARD SUCH AIRCRAFT Flight Operations § 125.315 Admission to flight deck. (a) No person may admit any person to the flight deck of an airplane unless...

  9. 14 CFR 121.547 - Admission to flight deck.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Admission to flight deck. 121.547 Section... REQUIREMENTS: DOMESTIC, FLAG, AND SUPPLEMENTAL OPERATIONS Flight Operations § 121.547 Admission to flight deck. (a) No person may admit any person to the flight deck of an aircraft unless the person being...

  10. 36 CFR 1211.305 - Preference in admission.

    Science.gov (United States)

    2010-07-01

    ... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false Preference in admission. 1211... Preference in admission. A recipient to which §§ 1211.300 through 1211.310 apply shall not give preference to... that admits as students only or predominantly members of one sex, if the giving of such preference...

  11. 38 CFR 23.305 - Preference in admission.

    Science.gov (United States)

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Preference in admission... Preference in admission. A recipient to which §§ 23.300 through 23.310 apply shall not give preference to... that admits as students only or predominantly members of one sex, if the giving of such preference...

  12. 32 CFR 196.305 - Preference in admission.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 2 2010-07-01 2010-07-01 false Preference in admission. 196.305 Section 196.305... Preference in admission. A recipient to which §§ 196.300 through 196.310 apply shall not give preference to... that admits as students only or predominantly members of one sex, if the giving of such preference...

  13. 34 CFR 106.22 - Preference in admission.

    Science.gov (United States)

    2010-07-01

    ... 34 Education 1 2010-07-01 2010-07-01 false Preference in admission. 106.22 Section 106.22... Preference in admission. A recipient to which this subpart applies shall not give preference to applicants... which admits as students only or predominantly members of one sex, if the giving of such preference...

  14. 24 CFR 3.305 - Preference in admission.

    Science.gov (United States)

    2010-04-01

    ... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Preference in admission. 3.305... Preference in admission. A recipient to which §§ 3.300 through 3.310 apply shall not give preference to... that admits as students only or predominantly members of one sex, if the giving of such preference...

  15. The Use of Tests in Admissions to Higher Education.

    Science.gov (United States)

    Fruen, Mary

    1978-01-01

    There are both strengths and weaknesses of using standardized test scores as a criterion for admission to institutions of higher education. The relative importance of scores is dependent on the institution's degree of selectivity. In general, decision processes and admissions criteria are not well defined. Advantages of test scores include: use of…

  16. 24 CFR 1720.425 - Presentation and admission of evidence.

    Science.gov (United States)

    2010-04-01

    ... PRACTICE Adjudicatory Proceedings Discovery and Evidence § 1720.425 Presentation and admission of evidence... 24 Housing and Urban Development 5 2010-04-01 2010-04-01 false Presentation and admission of evidence. 1720.425 Section 1720.425 Housing and Urban Development Regulations Relating to Housing and...

  17. Malware Detection Through Call Graphs

    OpenAIRE

    Kinable, Joris

    2010-01-01

    Each day, anti-virus companies receive large quantities of potentially harmful executables. Many of the malicious samples among these executables are variations of earlier encountered malware, created by their authors to evade pattern-based detection. Consequently, robust detection approaches are required, capable of recognizing similar samples automatically.In this thesis, malware detection through call graphs is studied. In a call graph, the functions of a binary executable are represented ...

  18. Medicare Home Visit Program Associated With Fewer Hospital And Nursing Home Admissions, Increased Office Visits.

    Science.gov (United States)

    Mattke, Soeren; Han, Dan; Wilks, Asa; Sloss, Elizabeth

    2015-12-01

    Clinical home visit programs for Medicare beneficiaries are a promising approach to supporting aging in place and avoiding high-cost institutional care. Such programs combine a comprehensive geriatric assessment by a clinician during a home visit with referrals to community providers and health plan resources to address uncovered issues. We evaluated UnitedHealth Group's HouseCalls program, which has been offered to Medicare Advantage plan members in Arkansas, Georgia, Missouri, South Carolina, and Texas since January 2008. We found that, compared to non-HouseCalls Medicare Advantage plan members and fee-for-service beneficiaries, HouseCalls participants had reductions in admissions to hospitals (1 percent and 14 percent, respectively) and lower risk of nursing home admission (0.67 percent and 1.3 percent, respectively). In addition, participants' numbers of office visits--chiefly to specialists--increased 2-6 percent (depending on the comparison group). The program's effects on emergency department use were mixed. These results indicate that a thorough home-based clinical assessment of a member's health and home environment combined with referral services can support aging in place, promote physician office visits, and preempt costly institutional care. PMID:26643635

  19. Synergistic modeling of call center operations

    Directory of Open Access Journals (Sweden)

    Jon G. Vaver

    2006-05-01

    Full Text Available We synergistically apply queueing theory, integer programming, and stochastic simulation to determine an optimal staffing policy for a repair call handling center. A stationary Markovian queueing model is employed to determine minimal staffing levels for a sequence of time intervals with varying call volumes and mean handling times. These staffing requirements populate an integer program model for determining the mix of call agent shifts that will achieve service quality standards at minimum cost. Since the analytical modeling requires simplifying assumptions, expected performance of the optimal staffing policy is evaluated using stochastic simulation. Computational efficiency of the simulation is improved dramatically by employing the queueing model to generate an analytic control variate.

  20. Frequent hospital admission of older people with chronic disease: a cross-sectional survey with telephone follow-up and data linkage

    Directory of Open Access Journals (Sweden)

    Longman Jo M

    2012-10-01

    Full Text Available Abstract Background The continued increase in hospital admissions is a significant and complex issue facing health services. There is little research exploring patient perspectives or examining individual admissions among patients with frequent admissions for chronic ambulatory care sensitive (ACS conditions. This paper aims to describe characteristics of older, rural patients frequently admitted with ACS conditions and identify factors associated with their admissions from the patient perspective. Methods Patients aged 65+ resident in North Coast NSW with three or more admissions for selected ACS chronic conditions within a 12 month period, were invited to participate in a postal survey and follow up telephone call. Survey and telephone data were linked to admission and health service program data. Descriptive statistics were generated for survey respondents; logistic regression models developed to compare characteristics of patients with 3 or with 4+ admissions; and comparisons made between survey respondents and non-respondents. Results Survey respondents (n=102 had a mean age of 77.1 years (range 66–95 years, and a mean of 4.1 admissions within 12 months; 49% had at least three chronic conditions; the majority had low socioeconomic status; one in five (22% reported some difficulty affording their medication; and 35% lived alone. The majority reported psychological distress with 31% having moderate or severe psychological distress. While all had a GP, only 38% reported having a written GP care plan. 22% of those who needed regular help with daily tasks did not have a close friend or relative who regularly cared for them. Factors independently associated with more frequent (n=4+ relative to less frequent (n=3 admissions included having congestive heart failure (p=0.003, higher social isolation scores (p=0.040 and higher Charlson Comorbidity Index scores (p=0.049. Most respondents (61% felt there was nothing that could have avoided their most

  1. Transformation of admission interview to documentation for nursing practice

    DEFF Research Database (Denmark)

    Højskov, Ida E; Glasdam, Stinne

    2014-01-01

    Ricoeur was conducted and consisted of five taped admission interviews, along with the written patient documentation subsequently worked out by the nurse. The findings were presented in four constructed themes: Admission interviews are the nurse's room rather than the patient's; Information on a surgical......The admission interview is usually the first structured meeting between patient and nurse. The interview serves as the basis for personalised nursing and care planning and is the starting point for the clinic's documentation of the patient and his course of treatment. In this way, admission...... interviews constitute a basis for reporting by each nurse on the patient to nursing colleagues. This study examined how, by means of the admission interview, nurses constructed written documentation of the patient and his course of treatment for use by fellow nurses. A qualitative case study inspired by...

  2. Factors related to monitoring during admission of acute patients

    DEFF Research Database (Denmark)

    Schmidt, Thomas; Bech, Camilla Louise Nørgaard; Brabrand, Mikkel;

    2016-01-01

    Understanding the use of patient monitoring systems in emergency and acute facilities may help to identify reasons for failure to identify risk patients in these settings. Hence, we investigate factors related to the utilization of automated monitoring for patients admitted to an acute admission...... one measurement were analyzed using quantile regression by looking at the impact of distance from nursing office, number of concurrent patients, wing type (medical/surgical), age, sex, comorbidities, and severity conditioned on how much patients were monitored during their admissions. We registered 11......,848 admissions, of which we were able to link patient monitor readings to 3149 (26.6 %) with 50 % being monitored <1.4 % of total admission time. Distance from nursing office had little influence on patients monitored <10 % of their admission time. But for other patients, being positioned further away from the...

  3. Federal Constitutional Court affirms admissibility of decision in the matter of the Fast Breeder Kalkar

    International Nuclear Information System (INIS)

    In the case of the examination of the constituionality of section 7 Atomic Energy Act, in as far as this article enables the licensing of nuclear power plants of the type called Fast Breeder, the Second Senate of the Federal Constitutional Court has answered the OVG Muenster's motion to stay proceedings dated Aug 18th, 1977, with the following 'interim decision' - 2 B v L 8/77 - dated Jan 31st, 1978: 'The action is admissible'. The verdict was unanimous. The main grounds upon which the interim judgment is based are given in full. (orig./HP)

  4. Call-Routing Schemes for Call-Center Outsourcing

    OpenAIRE

    Noah Gans; Yong-Pin Zhou

    2007-01-01

    Companies may choose to outsource parts, but not all, of their call-center operations. In some cases, they classify customers as high or low value, serving the former with their in-house operations and routing the latter to an outsourcer. Typically, they impose service-level constraints on the time each type of customer waits on hold. This paper considers four schemes for routing low-value calls between the client company and the outsourcer. These schemes vary in the complexity of their routi...

  5. Contingencies of Value: Devices and Conventions at a Design School Admission Test

    Directory of Open Access Journals (Sweden)

    Sara Malou Strandvad

    2014-12-01

    Full Text Available Based on a study of the admission test at a design school, this paper investigates the contingencies of aesthetic values as these become visible in assessment practices. Theoretically, the paper takes its starting point in Herrnstein Smith's notion of 'contingencies of values' and outlines a pragmatist ground where cultural sociology and economic sociology meet. Informed by the literature on cultural intermediaries, the paper discusses the role of evaluators and the devices which accompany them. Whereas studies of cultural intermediaries traditionally apply a Bourdieusian perspective, recent developments within this field of literature draws inspiration from the so-called "new new economic sociology," which this paper adds to. While the admission test is easily described as a matter of overcoming "subjective" aesthetic evaluations by means of "objective" and standardized assessment criteria, the paper does not accept this storyline. As an alternative, the paper outlines the contingencies of values which are at play at the admission test, composed of official assessment criteria and scoring devices together with conventions within the world of design, and set in motion by interactions with the objects that applicants submit.

  6. H-Optimal Control in Coefficients for Dirichlet Parabolic Problems

    Directory of Open Access Journals (Sweden)

    I. G. Balanenko

    2010-01-01

    Full Text Available In the paper the Dirichlet optimal control problem associated with a linear parabolic equation the coefficients of which we take as controls in L1(Ω has been studied. Since equations of this type can exhibit the Lavrentieff phenomenon and non-uniqueness of weak solutions, it is shown that the optimal control problem in the coefficients can be stated in different settings depending on the choice of the class of admissible solutions. Using the direct method in the Calculus of Variations, the solvability of the above optimal control problems in the so-called class of inadmissible solutions has been discussed.

  7. Optimizing Programs Using Call Graphs

    Directory of Open Access Journals (Sweden)

    Pravin Kandala

    2014-02-01

    Full Text Available When working with complex software, visualization improves understanding considerably. Thus enhancing the ability of programmers to picture the relationships between components in a complex program not only saves time but becomes progressively mission- critical with increasing software complexity. Call Graph Generation Tool is a visualization tool which provides programmers different metrics to assess the software code. The different metrics include total n umber of lines in the function, total number of executable lines, number of unreachable lines, and cyclomatic complexity of the program. It provides a graphical representation of the function calls in a tree like structure. The tool accepts a „C‟ program and generates a funct ions call graph along with the functional metrics. The call graph generation tool provides both static and dynamic view. The whole programming is done using java technology. Thus, this tool helps the developer to know the program flow and thereby decide the optimality of the program. In situations where in, a single program is to be selected from available programs, this tool helps to figure out it. This paper depicts usage of call graph Generator to assess the reachability and exactness of the programs.

  8. OPTIMIZING PROGRAMS USING CALL GRAPHS

    Directory of Open Access Journals (Sweden)

    Pravin Kandala

    2015-11-01

    Full Text Available When working with complex software, visualization improves understanding considerably. Thus enhancing the ability of programmers to picture the relationships between components in a complex program not only saves time but becomes progressively mission- critical with increasing software complexity. Call Graph Generation Tool is a visualization tool which provides programmers different metrics to assess the software code. The different metrics include total number of lines in the function, total number of executable lines, number of unreachable lines, and cyclomatic complexity of the program. It provides a graphical representation of the function calls in a tree like structure. The tool accepts a „C‟ program and generates a functions call graph along with the functional metrics. The call graph generation tool provides both static and dynamic view. The whole programming is done using java technology. Thus, this tool helps the developer to know the program flow and thereby decide the optimality of the program. In situations where in, a single program is to be selected from available programs, this tool helps to figure out it. This paper depicts usage of call graph Generator to assess the reachability and exactness of the programs.

  9. Distributed medium access control in wireless networks

    CERN Document Server

    Wang, Ping

    2013-01-01

    This brief investigates distributed medium access control (MAC) with QoS provisioning for both single- and multi-hop wireless networks including wireless local area networks (WLANs), wireless ad hoc networks, and wireless mesh networks. For WLANs, an efficient MAC scheme and a call admission control algorithm are presented to provide guaranteed QoS for voice traffic and, at the same time, increase the voice capacity significantly compared with the current WLAN standard. In addition, a novel token-based scheduling scheme is proposed to provide great flexibility and facility to the network servi

  10. The Wireless Nursing Call System

    DEFF Research Database (Denmark)

    Jensen, Casper Bruun

    2006-01-01

    This paper discusses a research project in which social scientists were involved both as analysts and supporters during a pilot with a new wireless nursing call system. The case thus exemplifies an attempt to participate in developing dependable health care systems and offers insight into the cha......This paper discusses a research project in which social scientists were involved both as analysts and supporters during a pilot with a new wireless nursing call system. The case thus exemplifies an attempt to participate in developing dependable health care systems and offers insight...

  11. Daily weather variables and affective disorder admissions to psychiatric hospitals

    Science.gov (United States)

    McWilliams, Stephen; Kinsella, Anthony; O'Callaghan, Eadbhard

    2014-12-01

    Numerous studies have reported that admission rates in patients with affective disorders are subject to seasonal variation. Notwithstanding, there has been limited evaluation of the degree to which changeable daily meteorological patterns influence affective disorder admission rates. A handful of small studies have alluded to a potential link between psychiatric admission rates and meteorological variables such as environmental temperature (heat waves in particular), wind direction and sunshine. We used the Kruskal-Wallis test, ARIMA and time-series regression analyses to examine whether daily meteorological variables—namely wind speed and direction, barometric pressure, rainfall, hours of sunshine, sunlight radiation and temperature—influence admission rates for mania and depression across 12 regions in Ireland over a 31-year period. Although we found some very weak but interesting trends for barometric pressure in relation to mania admissions, daily meteorological patterns did not appear to affect hospital admissions overall for mania or depression. Our results do not support the small number of papers to date that suggest a link between daily meteorological variables and affective disorder admissions. Further study is needed.

  12. First Class Call Stacks: Exploring Head Reduction

    OpenAIRE

    Johnson-Freyd, Philip; Downen, Paul; Ariola, Zena M.

    2016-01-01

    Weak-head normalization is inconsistent with functional extensionality in the call-by-name $\\lambda$-calculus. We explore this problem from a new angle via the conflict between extensionality and effects. Leveraging ideas from work on the $\\lambda$-calculus with control, we derive and justify alternative operational semantics and a sequence of abstract machines for performing head reduction. Head reduction avoids the problems with weak-head reduction and extensionality, while our operational ...

  13. Parental alarm calls suppress nestling vocalization.

    OpenAIRE

    Platzen, Dirk; Magrath, Robert D.

    2004-01-01

    Evolutionary models suggest that the cost of a signal can ensure its honesty. Empirical studies of nestling begging imply that predator attraction can impose such a cost. However, parents might reduce or abolish this cost by warning young of the presence of danger. We tested, in a controlled field playback experiment, whether alarm calls cause 5-, 8- and 11-day-old nestlings of the white-browed scrubwren, Sericornis frontalis, to suppress vocalization. In this species, nestlings vocalize when...

  14. Fine particulate air pollution and its components in association with cause-specific emergency admissions

    Directory of Open Access Journals (Sweden)

    Koutrakis Petros

    2009-12-01

    Full Text Available Abstract Background Although the association between exposure to particulate matter and health is well established, there remains uncertainty as to whether certain chemical components are more harmful than others. We explored whether the association between cause-specific hospital admissions and PM2.5 was modified by PM2.5 chemical composition. Methods We estimated the association between daily PM2.5 and emergency hospital admissions for cardiac causes (CVD, myocardial infarction (MI, congestive heart failure (CHF, respiratory disease, and diabetes in 26 US communities, for the years 2000-2003. Using meta-regression, we examined how this association was modified by season- and community-specific PM2.5 composition, controlling for seasonal temperature as a surrogate for ventilation. Results For a 10 μg/m3 increase in 2-day averaged PM2.5 concentration we found an increase of 1.89% (95% CI: 1.34- 2.45 in CVD, 2.25% (95% CI: 1.10- 3.42 in MI, 1.85% (95% CI: 1.19- 2.51 in CHF, 2.74% (95% CI: 1.30- 4.2 in diabetes, and 2.07% (95% CI: 1.20- 2.95 in respiratory admissions. The association between PM2.5 and CVD admissions was significantly modified when the mass was high in Br, Cr, Ni, and Na+, while mass high in As, Cr, Mn, OC, Ni, and Na+ modified MI, and mass high in As, OC, and SO42- modified diabetes admissions. For these species, an interquartile range increase in their relative proportion was associated with a 1-2% additional increase in daily admissions per 10 μg/m3 increase in mass. Conclusions We found that PM2.5 mass higher in Ni, As, and Cr, as well as Br and OC significantly increased its effect on hospital admissions. This result suggests that particles from industrial combustion sources and traffic may, on average, have greater toxicity.

  15. Variance in practice emergency medical admission rates: can it be explained?

    OpenAIRE

    Duffy, Rebecca; Neville, Ron; Staines, Harry

    2002-01-01

    BACKGROUND: Emergency admission rates have been rising steadily in recent years, with the majority of the increase owing to emergency medical admissions. Possible causative factors include changing demography, incidence of disease, admission thresholds, multiple admissions, and appropriateness of admission. AIM: To investigate the impact of patient and practice factors on variance in general practices' emergency medical admissions rates. DESIGN OF STUDY: Multiple regression analysis relating ...

  16. Intelligent Data Rate Control in Cognitive Mobile Heterogeneous Networks

    Science.gov (United States)

    Mar, Jeich; Nien, Hsiao-Chen; Cheng, Jen-Chia

    An adaptive rate controller (ARC) based on an adaptive neural fuzzy inference system (ANFIS) is designed to autonomously adjust the data rate of a mobile heterogeneous network to adapt to the changing traffic load and the user speed for multimedia call services. The effect of user speed on the handoff rate is considered. Through simulations, it has been demonstrated that the ANFIS-ARC is able to maintain new call blocking probability and handoff failure probability of the mobile heterogeneous network below a prescribed low level over different user speeds and new call origination rates while optimizing the average throughput. It has also been shown that the mobile cognitive wireless network with the proposed CS-ANFIS-ARC protocol can support more traffic load than neural fuzzy call-admission and rate controller (NFCRC) protocol.

  17. Unplanned admissions following ambulatory plastic surgery--a retrospective study.

    OpenAIRE

    A. Mandal; Imran, D.; McKinnell, T.; G. S. Rao

    2005-01-01

    INTRODUCTION: Admission for overnight or longer hospital stay from a day-case unit is an unwelcome event. This audit was designed to identify the incidence of unplanned admissions and also to detect the potential factors for such overstays. PATIENTS AND METHODS: Details of plastic surgical day-case patients were obtained from the hospital records for a period of 6 months (February 2002 to July 2002). RESULTS: The total number of unplanned admissions was 28 (3.55%). High rates were recorded in...

  18. Nursing care as a calling.

    Science.gov (United States)

    Raatikainen, R

    1997-06-01

    A calling is a deep desire to devote oneself to serving people according to the high values of the task or profession. The aim of this study is to clarify the relationship between a calling experience and professional knowledge, nursing action and motivation. The data were collected from all the registered nurses (n = 179) at five hospitals. The response was 70%. The nurses who were committed to their profession and experienced their job as a calling, had a good knowledge about the ill feeling and maladjustment of their patients and were also good sources of support for their patients. They understood the importance of family ties and offered support to their patients' families. They were aware of the needs of dying patients and their concern with spiritual questions, and satisfied these needs well. It was characteristic for them to collaborate closely within a team, to experience the content of their work as enriching and to possess proficient professional abilities. They were therefore excellent in supporting both the individual patient and his or her family. They had a deep understanding of the whole process of patient care. According to these results the calling experience is not in conflict with professional principles. PMID:9181405

  19. Differentiability of the Pritchard-Salamon systems with admissible state-feedback

    Institute of Scientific and Technical Information of China (English)

    YU Xin

    2005-01-01

    Many papers on a wide range of control problems for Pritchard-Salamon systems have appeared and many of its important mathematical and system theoretical properties have been revealed. This paper deals with the differentiability of the Pritchard-Salamon system with admissible state-feedback. Spectrum analysis showed that under definite condition, the unbounded perturbation semigroup of the Pritchard-Salamon system is eventually differentiable.

  20. Air pollution from biomass burning and asthma hospital admissions in a sugar cane plantation area in Brazil

    Science.gov (United States)

    Arbex, Marcos Abdo; Martins, Lourdes Conceição; de Oliveira, Regiani Carvalho; Pereira, Luiz Alberto Amador; Arbex, Flávio Ferlin; Cançado, José Eduardo Delfini; Saldiva, Paulo Hilário Nascimento; Braga, Alfésio Luís Ferreira

    2007-01-01

    Objective To evaluate the association between the total suspended particles (TSPs) generated from preharvest sugar cane burning and hospital admission due to asthma (asthma hospital admissions) in the city of Araraquara. Design An ecological time‐series study. Total daily records of asthma hospital admissions (ICD 10th J15) were obtained from one of the main hospitals in Araraquara, São Paulo State, Brazil, from 23 March 2003 to 27 July 2004. The daily concentration of TSP (μg/m3) was obtained using Handi‐vol equipment (Energética, Brazil) placed in downtown Araraquara. The local airport provided the daily mean figures of temperature and humidity. The daily number of asthma hospital admissions was considered as the dependent variable in Poisson's regression models and the daily concentration of TSP was considered the independent variable. The generalised linear model with natural cubic spline was adopted to control for long‐time trend. Linear terms were used for weather variables. Results TSP had an acute effect on asthma admissions, starting 1 day after TSP concentrations increased and remaining almost unchanged for the next four days. A 10 μg/m3 increase in the 5‐day moving average (lag1–5) of TSP concentrations was associated with an increase of 11.6% (95% CI 5.4 to 17.7) in asthma hospital admissions. Conclusion Increases in TSP concentrations were definitely associated with asthma hospital admissions in Araraquara and, despite using sugar cane alcohol to reduce air pollution from automotive sources in large Brazilian urban centres, the cities where sugar cane is harvested pay a high toll in terms of public health. PMID:17435205

  1. The effect of solar-geomagnetic activity during and after admission on survival in patients with acute coronary syndromes

    Science.gov (United States)

    Vencloviene, Jone; Babarskiene, Ruta; Milvidaite, Irena; Kubilius, Raimondas; Stasionyte, Jolanta

    2014-08-01

    A number of studies have established the effects of solar-geomagnetic activity on the human cardio-vascular system. It is plausible that the heliophysical conditions existing during and after hospital admission may affect survival in patients with acute coronary syndromes (ACS). We analyzed data from 1,413 ACS patients who were admitted to the Hospital of Kaunas University of Medicine, Lithuania, and who survived for more than 4 days. We evaluated the associations between active-stormy geomagnetic activity (GMA), solar proton events (SPE), and solar flares (SF) that occurred 0-3 days before and after admission, and 2-year survival, based on Cox's proportional-hazards model, controlling for clinical data. After adjustment for clinical variables, active-stormy GMA on the 2nd day after admission was associated with an increased (by 1.58 times) hazard ratio (HR) of cardiovascular death (HR = 1.58, 95 % CI 1.07-2.32). For women, geomagnetic storm (GS) 2 days after SPE occurred 1 day after admission increased the HR by 3.91 times (HR = 3.91, 95 % CI 1.31-11.7); active-stormy GMA during the 2nd-3rd day after admission increased the HR by over 2.5 times (HR = 2.66, 95 % CI 1.40-5.03). In patients aged over 70 years, GS occurring 1 day before or 2 days after admission, increased the HR by 2.5 times, compared to quiet days; GS in conjunction with SF on the previous day, nearly tripled the HR (HR = 3.08, 95 % CI 1.32-7.20). These findings suggest that the heliophysical conditions before or after the admission affect the hazard ratio of lethal outcome; adjusting for clinical variables, these effects were stronger for women and older patients.

  2. 16 CFR 1025.34 - Requests for admission.

    Science.gov (United States)

    2010-01-01

    ... PROCEEDINGS Discovery, Compulsory Process § 1025.34 Requests for admission. (a) Procedure for request. A party... inquiry and that the information known or readily available to him/her is insufficient to enable...

  3. 19 CFR 210.31 - Requests for admission.

    Science.gov (United States)

    2010-04-01

    ... TRADE ADJUDICATION AND ENFORCEMENT Discovery and Compulsory Process § 210.31 Requests for admission. (a... or deny unless he states that he has made reasonable inquiry and that the information known to...

  4. Admission to a psychiatric unit and changes in tobacco smoking

    Directory of Open Access Journals (Sweden)

    Owens David

    2008-05-01

    Full Text Available Abstract Smoking and withdrawal from smoking complicates the assessment and treatment of mental illness. We aimed to establish whether psychiatric inpatients smoke different amounts after admission than beforehand and, if so, to find out why. Forty-three inpatients on a working age adult psychiatry ward completed self-report questionnaires about smoking habits. Those who smoked a different amount after admission had a follow-up interview to find out why they thought this had occurred. The interview incorporated qualitative and quantitative aspects which were analysed accordingly. Fifty-six percent of participants were smokers before admission, rising to 70% afterwards. Of the smokers, 17% smoked less after admission, and 63% smoked more. The average number of cigarettes smoked per person per day increased from five to thirteen. The main reasons for smoking more were boredom, stress and the wish to socialise.

  5. 49 CFR 386.44 - Request for admissions.

    Science.gov (United States)

    2010-10-01

    ... serve upon any other party a request for admission of any relevant matter or the authenticity of any... other proceeding. (c) If a party refuses to admit a matter or the authenticity of a document which...

  6. AMPLE Using BGP Based Traffic Engineering with Admission Control Algorithm

    OpenAIRE

    Dr.V. Palanisamy#1 , K. Gowri

    2013-01-01

    Traffic engineering is an important mechanism for Internet network providers seeking to optimize network performance and traffic delivery. Routing optimization plays a key role in traffic engineering, finding efficient routes so as to achieve the desired network performance. BGP is the de facto protocol used for inter-autonomous system routing in the Internet. BGP has been proven to be secure, efficient, scalable, and robust. In proposed introduced AMPLE – an efficient traffic engineering and...

  7. A fuzzy approach to cloud admission control for safe overbooking

    OpenAIRE

    Vázquez, Carlos; Tomas, Luis; Moreno, Ginés; Tordsson, Johan

    2013-01-01

    Cloud computing enables elasticity - rapid provisioning and deprovisioning of computational resources.Elasticity allows cloud users to quickly adapt resource allocation to meet changes in their workloads.For cloud providers, elasticity complicates capacity management as the amount ofresources that can be requested by users is unknown and can vary significantly over time. Overbooking techniques allowproviders to increase utilization of their data centers. For safe overbooking, cloud providersn...

  8. RELATIONSHIP OF SUCCESS IN UNIVERSITY STUDY AND ADMISSION EXAM RESULTS

    OpenAIRE

    Poláčková, Julie

    2013-01-01

    The admission examinations represent a first important moment in academic education. If the admission proceedings really are expected to satisfy the intention to select those most capable and fittest candidates for study, proper attention has to be paid to them. Besides checking and confirming satisfactory levels of the results of secondary school studies they also should predict with sufficient reliability the academic success of study in the given branch. The paper brings research results c...

  9. Discovery of Association Rules from University Admission System Data

    OpenAIRE

    Abdul Fattah Mashat; Mohammed M. Fouad; Yu, Philip S.; Tarek F. Gharib

    2013-01-01

    Association rules discovery is one of the vital data mining techniques. Currently there is an increasing interest in data mining and educational systems, making educational data mining (EDM) as a new growing research community. In this paper, we present a model for association rules discovery from King Abdulaziz University (KAU) admission system data. The main objective is to extract the rules and relations between admission system attributes for better analysis. The model utilizes an apriori...

  10. Inequitable achievement : different admissions criteria, same predictors of degree attainment?

    OpenAIRE

    Avery, Cynthia M.

    2007-01-01

    San Diego State University (SDSU) admits freshman under two different admissions criteria. This study examined the intra-institutional gaps in 6-year degree attainment of students admitted under the two different admissions groups. The research focused on the graduation of White, Hispanic and African American students. Specifically, this study examined the predictors of degree attainment for the fall 2001 freshmen cohort. Theoretical models of retention guided this study. The research design ...

  11. Prediction of mortality 1 year after hospital admission.

    LENUS (Irish Health Repository)

    Kellett, J

    2012-09-01

    Hospital admission, especially for the elderly, can be a seminal event as many patients die within a year. This study reports the prediction of death within a year of admission to hospital of the Simple Clinical Score (SCS) and ECG dispersion mapping (ECG-DM). ECG-DM is a novel technique that analyzes low-amplitude ECG oscillations and reports them as the myocardial micro-alternation index (MMI).

  12. Grading standards, student ability and errors in college admission

    OpenAIRE

    Møen, Jarle; Tjelta, Martin

    2010-01-01

    Grades are important for admission of students in most higher education programmes. Analysing admission and student performance data at a major Norwegian business school, we find that the grading practice of teachers at regional colleges sending students to the school is affected by the average performance of the students being graded. Teachers at colleges recruiting good students from upper secondary school tend to be strict in their grading practice, while teachers at colleges r...

  13. [Compulsory admission to hospital in Tunisia: a necessary evolution].

    Science.gov (United States)

    Ellouze, Faten; Lahmar, Aymen; Beji, Rami; Dridi, Anis; Fadhel M'rad, Mohamed

    2015-01-01

    The evolution of the legislation governing compulsory admission to hospital in Tunisia is interesting for two reasons. The country's 2011 revolution notably brought about major changes to the legislative framework, from constitutional through to ordinary laws. At the same time, the current trend for globalisation is also affecting legislation: international laws, treaties and UN charters are imposed on the laws of individual countries. This article looks at how Tunisian law governing compulsory admission to hospital has had to evolve. PMID:26143219

  14. Quality of life before admission to the intensive care unit

    OpenAIRE

    Tereran, Nathalia Perazzo; Zanei, Suely Sueko Viski; Whitaker, Iveth Yamaguchi

    2012-01-01

    Objective To examine the reliability of the SF-36 general health questionnaire when used to evaluate the health status of critically ill patients before admission to intensive care and to measure their health-related quality of life prior to admission and its relation to severity of illness and length of stay in the intensive care unit. Methods Prospective cohort study conducted in the intensive care unit of a public teaching hospital. Over three months, communicative and oriented patients we...

  15. Ultrasound call detection in capybara

    Directory of Open Access Journals (Sweden)

    Selene S.C. Nogueira

    2012-07-01

    Full Text Available The vocal repertoire of some animal species has been considered a non-invasive tool to predict distress reactivity. In rats ultrasound emissions were reported as distress indicator. Capybaras[ vocal repertoire was reported recently and seems to have ultrasound calls, but this has not yet been confirmed. Thus, in order to check if a poor state of welfare was linked to ultrasound calls in the capybara vocal repertoire, the aim of this study was to track the presence of ultrasound emissions in 11 animals under three conditions: 1 unrestrained; 2 intermediately restrained, and 3 highly restrained. The ultrasound track identified frequencies in the range of 31.8±3.5 kHz in adults and 33.2±8.5 kHz in juveniles. These ultrasound frequencies occurred only when animals were highly restrained, physically restrained or injured during handling. We concluded that these calls with ultrasound components are related to pain and restraint because they did not occur when animals were free of restraint. Thus we suggest that this vocalization may be used as an additional tool to assess capybaras[ welfare.

  16. Hospital admissions: An examination of race and health insurance

    Directory of Open Access Journals (Sweden)

    Eric Gass

    2008-06-01

    Full Text Available This study examined the effects of racial differences and differences in insurance status on source of hospital admissions. The data source was the 2001 National Hospital Discharge Survey and included a sub-sample of 104,185 patients. 58.3% of patients were admitted through the emergency room, 75.0% of patients were White, 19.7% were Black, and 61.5% were on government insurance or uninsured. Black patients were found to have significantly higher levels of emergency room admissions (69.1%=p < .0001, regardless of insurance status (gov’t/self-pay, 73.7%=p < .0001, private insurance, 59.5%=p < .0001. Patients on government insurance or self-payment had significantly higher levels of emergency room admissions (65.8%=p < .0001. Regression analysis showed that both race and insurance type are significant predictors (p < .0001 of Source of Admission to the hospital. Percent probabilities confirmed this finding. Thus, it was concluded that racial differences witnessed in source of admission were not mediated by insurance type and that race and insurance type are significant, independent predictors of hospital admission source.

  17. Decreasing the Call Blocking Probability of Broadband IPTV Services in Stationary and Peak-hour Scenarios

    Directory of Open Access Journals (Sweden)

    Junyu Lai

    2012-11-01

    Full Text Available In the provisioning of broadband Internet Protocol TV (IPTV services, call blocking probability (CBP denotes the ratio of failed user requests, which is one of the most important metrics on IPTV quality of experience (QoE. This paper aims to evaluate and further to decrease the end-to-end (E2E CBP of IPTV services in both stationary and peak-hour scenarios. At first, we analyze a currently typical xDSL based IPTV delivery network architecture and its simplification. Then, a recently developed IPTV user behavior model is briefly presented. Next, a state-vector-based simulation model is proposed to evaluate the E2E CBP in an entire IPTV delivery network with tree topology. The simulation model is then applied to both stationary and peak-hour scenarios, and thereafter, a comparative simulation study demonstrates significant differences between the E2E CBPs evaluated in the two different scenarios. After that, we elaborate an extended TV channel admission control (TCAC scheme to be applied in an entire IPTV delivery network. Simulation experiments illustrate the potential of our TCAC scheme to enhance the IPTV QoE by relatively decreasing the E2E CBP significantly (up to 25%, in both stationary and peak-hour scenarios. 

  18. Daily diurnal variation in admissions for ruptured abdominal aortic aneurysms.

    LENUS (Irish Health Repository)

    Killeen, Shane

    2012-02-03

    BACKGROUND: Many vascular events, such as myocardial infarction and cerebrovascular accident, demonstrate a circadian pattern of presentation. Blood pressure is intimately related to these pathologies and is the one physiological variable consistently associated with abdominal aortic aneurysm rupture. It also demonstrates a diurnal variation. The purpose of this study was to determine if rupture of an abdominal aortic aneurysm (RAAA) exhibits a diurnal variation. METHODS: A retrospective cohort-based study was performed to determine the timing of presentation of RAAA to the vascular unit of Cork University Hospital over a 15-year period. Time of admission, symptom onset, and co-morbidities such as hypertension were noted. Fournier\\'s analysis and chi-squared analysis were performed. To ameliorate possible confounding factors, patients admitted with perforated peptic ulcers were examined in the same manner. RESULTS: A total of 148 cases of RAAA were identified, with a male preponderance (71.7% [124] male versus 29.3% [44] female patients) and a mean age of 74.4 +\\/- 7.2 years at presentation. 70.9% (105) were known to have hypertension, 52.2% (77) were current smokers, and 46.8% (69) were being treated for chronic obstructive airway disease (COAD). Time of symptom onset was recorded in 88.5% (131) of patients. There was a marked early morning peak in RAAA admissions, with the highest number of RAAA being admitted between 08.00 and 09.59. A second, smaller peak was observed at 14.00-15.59. These findings were suggestive of diurnal variation. [chi(2) =16.75, p < 0.003]. Some 40% (59) of patients were admitted between 00.00 and 06.00, an incidence significantly higher than for other time periods (06.00-12.00, 12.00-18.00, and 18.00-24.00) [chi(2) = 18.72; df = 3; p < 0.0003]. A significantly higher number of patients admitted between 00.00 and 06.00 were known hypertensives (chi(2) = 7.94; p < 0.05). CONCLUSIONS: The findings of this study suggest a distinct

  19. A distributed admission approach based on marking mechanism over Bluetooth best-effort network

    DEFF Research Database (Denmark)

    Son, L.T.; Schiøler, Henrik; Madsen, Ole Brun

    2002-01-01

    The end-to-end Quality of Service delivered in Bluetooth networks depends on a large number of parameters at different levels, e.g. link capacity, packet delays, etc, which are requested in certain patterns and controlled by various algorithms. In this paper, a method of adaptive distributed...... admission with end-to-end Quality of Service (QoS) provisions based marking information for real time and non real time traffics in Bluetooth networks is highlighted, its mathematical background is analyzed and a simulation with bursty traffic sources, Interrupted Bernoulli Process (IBP), is carried out....... The simulation results show that the performance of Bluetooth network is improved when applying the distributed admission method....

  20. Weekend Admission in Patients with Acute Ischemic Stroke Is Not Associated with Poor Functional Outcome than Weekday Admission

    OpenAIRE

    Kim, Sang-Chul; Hong, Keun-Sik; Hwang, Seon-Il; KIM, Ji-Eun; Kim, Ah-Ro; Cho, Joong-Yang; Park, Hee Kyung; Park, Ji-Hyun; Koo, Ja-Seong; Park, Jong-Moo; Bae, Hee-Joon; Han, Moon-Ku; Kang, Dong-Wha; Oh, Mi-Sun; Yu, Kyung-Ho

    2012-01-01

    Background and Purpose Stroke requires consistent care, but there is concern over the "weekend effect", whereby a weekend admission results in a poor outcome. Our aim was to determine the impact of weekend admission on clinical outcomes in patients with acute ischemic stroke in Korea. Methods The outcomes of patients admitted on weekdays and weekends were compared by analyzing data from a prospective outcome registry enrolling 1247 consecutive patients with acute ischemic stroke admitted to f...

  1. Predicting carriage with extended-spectrum beta-lactamase-producing bacteria at hospital admission : A cross-sectional study

    NARCIS (Netherlands)

    Platteel, T. N.; Leverstein-van Hall, M. A.; Cohen Stuart, J. W.; Thijsen, S. F T; Mascini, E. M.; van Hees, B. C.; Scharringa, J.; Fluit, A. C.; Bonten, M. J M

    2015-01-01

    The prevalence of patients colonized with extended-spectrum beta-lactamase (ESBL)-producing bacteria increases, especially in long-term-care facilities (LTCFs). Identification of ESBL carriers at hospital admission is relevant for infection control measures and antibiotic therapy for nosocomial infe

  2. Advanced Call Center Supporting WAP Access

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    Traditional call centers can be accessed via speech only, and the call center based on web provides both data and speech access, but it needs a powerful terminal-computer. By analyzing traditional call centers and call centers based on web, this paper presents the framework of an advanced call center supporting WAP access. A typical service is also described in detail.

  3. How can I help you? User instructions in telephone calls

    NARCIS (Netherlands)

    Steehouder, Michael; Hartman, Daniel

    2003-01-01

    We a small corpus of instructions given in phone calls to customers who need support for programming their universal remote control, to make it suitable for their particular TV set VCR, Audio, etc. Typically, in these calls the operator or 'agent' coaches the client while the client is performing ac

  4. Results from Organizational Development Interventions in a Technology Call Center.

    Science.gov (United States)

    Workman, Michael

    2003-01-01

    Call center staff answered calls in 4 treatments: alignment job design (n=35), autonomous work teams (n=35), high-involvement work processes (n=43), and controls (n=36). Job satisfaction improved in alignment job design and high-involvement treatments, most significantly in the latter. Skill level and attitude toward autonomous work might have…

  5. Paediatric admissions and outcome in a general intensive care unit

    Directory of Open Access Journals (Sweden)

    Embu Henry

    2011-01-01

    Full Text Available Background: It is believed that intensive care greatly improves the prognosis for critically ill children and that critically ill children admitted to a dedicated Paediatric Intensive Care Unit (PICU do better than those admitted to a general intensive care unit (ICU. Methods: A retrospective study of all paediatric (< 16 years admissions to our general ICU from January 1994 to December 2007. Results: Out of a total of 1364 admissions, 302 (22.1% were in the paediatric age group. Their age ranged from a few hours old to 15 years with a mean of 4.9 ± 2.5 years. The male: female ratio was 1.5:1. Postoperative admissions made up 51.7% of the admissions while trauma and burn made up 31.6% of admissions. Medical cases on the other hand constituted 11.6% of admissions. Of the 302 children admitted to the ICU, 193 were transferred from the ICU to other wards or in some cases other hospitals while 109 patients died giving a mortality rate of 36.1%. Mortality was significantly high in post-surgical paediatric patients and in patients with burn and tetanus. The length of stay (LOS in the ICU ranged from less than one day to 56 days with a mean of 5.5 days. Conclusion: We found an increasing rate of paediatric admissions to our general ICU over the years. We also found a high mortality rate among paediatric patients admitted to our ICU. The poor outcome in paediatric patients managed in our ICU appears to be a reflection of the inadequacy of facilities. Better equipping our ICUs and improved man-power development would improve the outcome for our critically ill children. Hospitals in our region should also begin to look into the feasibility of establishing PICUs in order to further improve the standard of critical care for our children.

  6. Emergency team calls for critically ill non-trauma patients in the emergency department

    DEFF Research Database (Denmark)

    Jensen, Søren Marker; Do, Hien Quoc; Rasmussen, Søren W.;

    2015-01-01

    BACKGROUND: Handling critically ill patients is a complex task for Emergency Department (ED) personnel. Initial treatment is of major importance and requires adequately experienced ED doctors to initiate and decide for the right medical or surgical treatment. Our aim was, with regard to clinical...... presentation, management and mortality to describe adult non-trauma patients that upon ED arrival elicited emergency team calls. METHODS: An observational study of adult patients (≥ 18 years) admitted to a regional ED with conditions that elicited acute team activation and additional emergency team...... consultation calls for non-ED specialist physicians. Emergency team calls were two-tiered with 'orange' and 'red' calls. Additionally, intensive care unit (ICU) admission charts were reviewed to identify the total number of adult non-trauma and non-cardiac arrest patients admitted to the ICU from the ED during...

  7. Admission to psychiatric hospital in the early and late postpartum periods: Scottish national linkage study

    OpenAIRE

    Langan-Martin, Julie; McLean, Gary; Cantwell, Roch; Smith, Daniel J.

    2016-01-01

    Objective: To describe weekly admission rates for affective and non-affective psychosis, major depression and other psychiatric disorders in the early and late postpartum periods. To assess the impact of socioeconomic status, age and parity on admission rates. Methods: Scottish maternity records were linked to psychiatric hospital admissions. 3290 pregnancy-related psychiatric admissions were assessed. Weekly admission rates were calculated for the pregnancy period, early postpartum perio...

  8. Reciprocity of mobile phone calls

    CERN Document Server

    Kovanen, Lauri; Kaski, Kimmo

    2010-01-01

    We present a study of the reciprocity of human behaviour based on mobile phone usage records. The underlying question is whether human relationships are mutual, in the sense that both are equally active in keeping up the relationship, or is it on the contrary typical that relationships are lopsided, with one party being significantly more active than the other. We study this question with the help of a mobile phone data set consisting of all mobile phone calls between 5.3 million customers of a single mobile phone operator. It turns out that lopsided relations are indeed quite common, to the extent that the variation cannot be explained by simple random deviations or by variations in personal activity. We also show that there is no non-trivial correlation between reciprocity and local network density.

  9. The structure of call-by-value

    OpenAIRE

    Führmann, Carsten

    2000-01-01

    Understanding procedure calls is crucial in computer science and everyday programming. Among the most common strategies for passing procedure arguments ('evaluation strategies') are 'call-by-name', 'call-by-need', and 'call-by-value', where the latter is the most commonly used. While reasoning about procedure calls is simple for call-by-name, problems arise for call-by-need and call-by-value, because it matters how often and in which order the arguments of a procedure are evaluated. We s...

  10. Caregivers' perceptions of coercion in psychiatric hospital admission.

    Science.gov (United States)

    Ranieri, Veronica; Madigan, Kevin; Roche, Eric; Bainbridge, Emma; McGuinness, David; Tierney, Kevin; Feeney, Larkin; Hallahan, Brian; McDonald, Colm; O'Donoghue, Brian

    2015-08-30

    While knowledge on service users' perspective on their admissions to psychiatric wards has improved substantially in the last decade, there is a paucity of knowledge of the perspectives of caregivers. This study aimed to determine caregiver's perception of the levels of perceived coercion, perceived pressures and procedural justice experienced by service users during their admission to acute psychiatric in-patient units. The perspective of caregivers were then compared to the perspectives of their related service users, who had been admitted to five psychiatric units in Ireland. Caregivers were interviewed using an adapted version of the MacArthur admission experience interview. Sixty-six caregivers participated in this study and the majority were parents. Seventy one percent of service users were admitted involuntarily and nearly half had a diagnosis of schizophrenia or schizoaffective disorder. Caregivers of involuntarily admitted individuals perceived the service users' admission as less coercive than reported by the service users. Caregivers also perceived a higher level of procedural justice in comparison to the level reported by service users. Reducing the disparity of perceptions between caregivers and service users could result in caregivers having a greater understanding of the admission process and why some service users may be reluctant to be admitted. PMID:26163727

  11. Does mental health service integration affect compulsory admissions?

    Directory of Open Access Journals (Sweden)

    André I. Wierdsma

    2009-09-01

    Full Text Available Background: Over recent years, the number of compulsory admissions in many countries has increased, probably as a result of the shift from inpatient to outpatient mental health care. This might be mitigated by formal or collaborative relationships between services. Methods: In a retrospective record linkage study, we compared two neighboring districts, varying in level of service integration. Two periods were combined: 1991–1993 and 2001–2003. We included patients aged 18–60, who had a first emergency compulsory admission (n=830. Their psychiatric history was assessed, and service-use after admission was monitored over a 12-month follow-up. Results: Over a 10-year period, compulsory admission rates increased by 47%. Difference in relative increase between the integrated and non-integrated services was 14%. Patient characteristics showed different profiles in the two districts. Length of stay was >10 days shorter in the integrated district, where the proportion of involuntary readmissions decreased more, and where aftercare was swift and provided to about 10% more patients than in the non-integrated district. Conclusions: Services outcomes showed better results where mental healthcare was more integrated. However, limited effects were found and other factors than integration of services may be more important in preventing compulsory admissions.

  12. Potential Utility of Non-Cognitive Constructs in Graduate Admissions

    Science.gov (United States)

    Miller, Casey

    2015-03-01

    It is becoming clear that the methods employed by many graduate admissions committees need updating. Regarding outcomes, we cannot select students that will actually graduate much better than would a coin toss. Further, the GRE is often misused. For example, the most recent GRE general test data (2006-2007) shows that for US citizens in the physical sciences, a cut-off score of ~64th percentile (700/155 on old/new test) would eliminate from eligibility: 63% of women vs 42% of men; 76% of all under-represented minorities vs 38% of Asian and 47% of White applicants. Fortunately, Organizational Psychologists have identified and validated several ``non-cognitive constructs'' for admissions: aspects of personality (conscientiousness); and self-management factors. Some intriguing facts about these parameters: they are measurable with the help of social scientists; they do not show race/ethnicity/gender performance differences; they are orthogonal to cognitive metrics measured by GPA and tests scores. These are proven to enhance both validity and diversity in admissions. My goals for this talk are to overview the non-cognitive constructs with the most potential for being used in physics graduate admissions, and to suggest example admissions protocols. Supported by the National Science Foundation.

  13. Researching Applicants Online in the Veterinary Program Admissions Process: Perceptions, Practices, and Implications for Curricular Change.

    Science.gov (United States)

    Kogan, Lori R; Hellyer, Peter W; Stewart, Sherry M; Hendrickson, Dean A; Dowers, Kristy L; Schoenfeld-Tacher, Regina

    2015-01-01

    As the use of social media websites continues to grow among adults 18-34 years old, it is necessary to examine the consequences of online disclosure to the veterinary admissions processes and to consider the effects on the professional integrity of veterinary schools and on the e-professionalism of DVM graduates. Prior research has shown that employers, across all fields, routinely use information from social media sites to make hiring decisions. In veterinary medicine, a little over one-third of private practitioners reported using online information in the selection of new associates. However, professional academic programs appear to use online information less frequently in the selection processes. The current study examines the behaviors and attitudes of veterinary medical admissions committees toward the use of applicants' online information and profiles in their recruitment and selection process. An online survey was distributed to Associate Deans for Academic Affairs at all AAVMC-affiliated schools of veterinary medicine. A total of 21 schools completed the survey. The results showed that most veterinary schools do not currently use online research in their admissions process; however, most admissions committee members feel that using online social networking information to investigate applicants is an acceptable use of technology. Previous research has suggested that the majority of veterinary student applicants view this as an invasion of their privacy. Given this discordance, future educational efforts should focus on helping veterinary students determine what type of information is appropriate for posting online and how to use privacy settings to control their sharing behaviors. PMID:26291414

  14. PM[sub 10] ozone, and hospital admissions for the elderly in Minneapolis-St. Paul, Minnesota

    Energy Technology Data Exchange (ETDEWEB)

    Schwartz, J. (Harvard School of Public Health, Boston, MA (United States))

    Several recent studies have reported associations between airborne particles and/or ozone and hospital admissions for respiratory disease. PM[sub 10] has rarely been used as the particle exposure measure, however. This study examined whether such an association could be seen in Minneapolis-St. Paul, Minnesota, which has daily monitoring data for PM[sub 10]. Data on hospital admissions in persons aged 65 y and older were obtained from Medicare records for the years 1986 through 1989. Daily counts of admissions, by admit date, were computed for pneumonia (ICD9 480-487) and chronic obstructive pulmonary disease (COPD) (ICD9 490-496). Classification was by discharge diagnosis. Daily air pollution data from all monitoring stations for ozone and PM[sub 10] in Minneapolis-St. Paul were obtained, and the daily average for each pollutant was computed. An average of approximately six pneumonia admissions and two admissions for chronic obstructive pulmonary disease occurred each day. Poisson regression analysis was used to control for time trends, seasonal fluctuations, and weather. PM[sub 10] was a risk factor for pneumonia admissions (relative risk [RR] = 1.17, 95% confidence interval [CI] = 1.33-1.02) and COPD admissions (RR = 1.57, 95% CI = 2.06-1.20). Ozone was also associated with pneumonia admissions (RR = 1.15, 95% CI = 1.36-0.97). The relative risks are for an increase of 100 [mu]g/m[sup 3] in daily PM[sub 10] and 50 ppb in daily ozone concentration. Several alternative methods for controlling for seasonal patterns and weather were used, including nonparametric regression techniques. The results were not sensitive to the methods. When days exceeding the National Ambient Air Quality Standard for either pollutant were excluded, the association remained for both pneumonia (RR = 1.18, 95% CI = 1.34-1.03 for PM[sub 10] and RR = 1.18, 95% CI = 1.41-0.99 for ozone) and COPD (RR = 1.54, 95% CI = 2.06-1.16 for PM[sub 10]). 48 refs., 6 figs., 5 tabs.

  15. Delayed intensive care unit admission is associated with increased mortality in patients with cancer with acute respiratory failure.

    Science.gov (United States)

    Mokart, Djamel; Lambert, Jérôme; Schnell, David; Fouché, Louis; Rabbat, Antoine; Kouatchet, Achille; Lemiale, Virginie; Vincent, François; Lengliné, Etienne; Bruneel, Fabrice; Pene, Frederic; Chevret, Sylvie; Azoulay, Elie

    2013-08-01

    Acute respiratory failure (ARF) is the leading reason for intensive care unit (ICU) admission in patients with cancer. The aim of this study was to identify early predictors of death in patients with cancer admitted to the ICU for ARF who were not intubated at admission. We conducted analysis of a prospective randomized controlled trial including 219 patients with cancer with ARF in which day-28 mortality was a secondary endpoint. Mortality at day 28 was 31.1%. By multivariate analysis, independent predictors of day-28 mortality were: age (odds ratio [OR] 1.30/10 years, 95% confidence interval [CI] [1.01-1.68], p = 0.04), more than one line of chemotherapy (OR 2.14, 95% CI [1.08-4.21], p = 0.03), time between respiratory symptoms onset and ICU admission > 2 days (OR 2.50, 95% CI [1.25-5.02], p = 0.01), oxygen flow at admission (OR 1.07/L, 95% CI [1.00-1.14], p = 0.04) and extra-respiratory symptoms (OR 2.84, 95%CI [1.30-6.21], p = 0.01). After adjustment for the logistic organ dysfunction (LOD) score at admission, only time between respiratory symptoms onset and ICU admission > 2 days and LOD score were independently associated with day-28 mortality. Determinants of death include both factors non-amenable to change, and delay in ARF management. These results suggest that early intensive care management of patients with cancer with ARF may translate to better survival. PMID:23185988

  16. Predicting Inpatient Readmission and Outpatient Admission in Elderly

    Science.gov (United States)

    Lin, Kun-Pei; Chen, Pei-Chun; Huang, Ling-Ya; Mao, Hsiu-Chen; Chan, Ding-Cheng (Derrick)

    2016-01-01

    Abstract Recognizing potentially avoidable hospital readmission and admissions are important health care quality issues. We develop prediction models for inpatient readmission and outpatient admission to hospitals for older adults In the retrospective cohort study with 2 million sampling file of the National Health Insurance Research Database in Taiwan, older adults (aged ≥65 y/o) with a first admission in 2008 were enrolled in the inpatient cohort (N = 39,156). The outpatient cohort included subjects who had ≥1 outpatient visit in 2008 (N = 178,286). Each cohort was split into derivation (3/4) and validation (1/4) data set. Primary outcome of the inpatient cohort: 30-day readmission from the date of discharge. The outpatient cohort included hospital admissions within the 1-year follow-up period. Candidate risk factors include demographics, comorbidities, and previous health care utilizations. Series of logistic regression models were applied with area under the receiver operating curves (AUCs) to identify the best model. Roughly 1 of 7 (14.6%) of the inpatients was readmitted within 30 days, and 1 of 5 (19.1%) of the outpatient cohort was admitted within 1 year. Age, education, use of home health care, and selected comorbidities (e.g., cancer with metastasis) were included in the final model. The AUC of the inpatient readmission model was 0.655 (95% confidence interval [CI] 0.646–0.664) and outpatient admission model was 0.642 (95% CI 0.639–0.646). Predictive performance was maintained in both validation data sets. The goodness-to-fit model demonstrated good calibration in both groups. We developed and validated practical clinical prediction models for inpatient readmission and outpatient admissions for general older adults with indicators easily obtained from an administrative data set. PMID:27100455

  17. Variability of intensive care admission decisions for the very elderly.

    Directory of Open Access Journals (Sweden)

    Ariane Boumendil

    Full Text Available UNLABELLED: Although increasing numbers of very elderly patients are requiring intensive care, few large sample studies have investigated ICU admission of very elderly patients. Data on pre triage by physicians from other specialities is limited. This observational cohort study aims at examining inter-hospital variability of ICU admission rates and its association with patients' outcomes. All patients over 80 years possibly qualifying for ICU admission who presented to the emergency departments (ED of 15 hospitals in the Paris (France area during a one-year period were prospectively included in the study. Main outcome measures were ICU eligibility, as assessed by the ED and ICU physicians; in-hospital mortality; and vital and functional status 6 months after the ED visit. 2646 patients (median age 86; interquartile range 83-91 were included in the study. 94% of participants completed follow-up (n = 2495. 12.4% (n = 329 of participants were deemed eligible for ICU admission by ED physicians and intensivists. The overall in-hospital and 6-month mortality rates were respectively 27.2% (n = 717 and 50.7% (n = 1264. At six months, 57.5% (n = 1433 of patients had died or had a functional deterioration. Rates of patients deemed eligible for ICU admission ranged from 5.6% to 38.8% across the participating centers, and this variability persisted after adjustment for patients' characteristics. Despite this variability, we found no association between level of ICU eligibility and either in-hospital death or six-month death or functional deterioration. In France, the likelihood that a very elderly person will be admitted to an ICU varies widely from one hospital to another. Influence of intensive care admission on patients' outcome remains unclear. TRIAL REGISTRATION: ClinicalTrials.gov NCT00912600.

  18. 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

  19. Air pollutants and hospital admissions due to stroke

    Directory of Open Access Journals (Sweden)

    Samara Gavinier

    2014-07-01

    Full Text Available International studies have demonstrated associations between exposure to air pollutants and deaths and hospitalizations due to stroke. However, the profile of these associations is not known in Brazil. This study aims to estimate the association between exposure to air pollutants and hospital admissions due to stroke in individuals who live in a medium-sized city, Sorocaba, Sao Paulo, Brazil. This was ecological time-series study using hospitalization data relating to the diagnosis of stroke (ICD-10 I.60-I.64 in persons 50 years of age or older who resided in the city of Sorocaba between January 1, 2007 to December 31, 2011. The pollutants studied were particulate matter, ozone, nitrogen dioxide and nitrogen oxide, controlled by apparent temperature. The generalized additive model using Poisson regression for the day of hospitalization and for up to five days of lag was used for the analysis. It was not possible to estimate the association between exposure to daily levels of particulate matter, ozone and nitrogen oxide and hospitalizations for strokes, but it was possible to identify an association between exposure to nitrogen dioxide and hospitalization for stroke (RR = 1.004, 95% CI 1.000-1.008 for the third one-day lag. An increase of 10 g m - ³ in concentrations of this pollutant represented an increase of 4 percentage points in the risk of hospitalization. Thus, it was established that the nitrogen dioxide is associated with hospitalization for stroke in a medium-sized city, i.e., Sorocaba.

  20. Adherence to inhaled therapy, mortality and hospital admission in COPD

    DEFF Research Database (Denmark)

    Vestbo, J; Anderson, J A; Calverley, P M A;

    2009-01-01

    between adherence and mortality remained unchanged and statistically significant after adjusting for other factors related to prognosis (hazard ratio 0.40 (95% CI 0.35 to 0.46), p... adherence and hospital admission remained unchanged and significant in a multivariate analysis (rate ratio 0.58 (95% CI 0.44 to 0.73, p... was more pronounced in patients with good adherence than in those with poor adherence. CONCLUSION: Adherence to inhaled medication is significantly associated with reduced risk of death and admission to hospital due to exacerbations in COPD. Further research is needed to understand these strong...

  1. Admissible consensus for heterogeneous descriptor multi-agent systems

    Science.gov (United States)

    Yang, Xin-Rong; Liu, Guo-Ping

    2016-09-01

    This paper focuses on the admissible consensus problem for heterogeneous descriptor multi-agent systems. Based on algebra, graph and descriptor system theory, the necessary and sufficient conditions are proposed for heterogeneous descriptor multi-agent systems achieving admissible consensus. The provided conditions depend on not only the structure properties of each agent dynamics but also the topologies within the descriptor multi-agent systems. Moreover, an algorithm is given to design the novel consensus protocol. A numerical example demonstrates the effectiveness of the proposed design approach.

  2. Lie-admissible structure of Hamilton's original equations with external terms

    International Nuclear Information System (INIS)

    As a necessary additional step in preparation of our operator studies of closed nonhamiltonian systems, in this note we consider the algebraic structure of the original equations proposed by Lagrange and Hamilton, those with external terms representing precisely the contact nonpotential forces of the interior dynamical problem. We show that the brackets of the theory violate the conditions to characterize any algebra. Nevertheless, when properly written, they characterize a covering of the Lie-isotopic algebras called Lie-admissible algebras. It is indicated that a similar occurrence exists for conventional operator treatments, e.g. for nonconservative nuclear cases characterized by nonhermitean Hamiltonians. This occurrence then prevents a rigorous treatment of basic notions, such as that of angular momentum and spin spin, which are centrally dependent on the existence of a consistent algebraic structure. The emergence of the Lie-admissible algebras is therefore expected to be unavoidable for any rigorous operator treatment of open systems with nonlinear, nonlocal and nonhamiltonian external forces. (author). 14 refs, 1 fig

  3. Advanced Call Center Supporting WAP Access

    Institute of Scientific and Technical Information of China (English)

    YUANXiao-hua; CHENJun-liang

    2001-01-01

    Traditional call centers can be accessed via speech only, and the call center based on web provides both da-ta and speech access,but it needs a powerful terminal-computer.By analyzing traditional call centers and call cen-ters based on web, this paper presents the framework of an advanced call center supporting WAP access.A typical service is also described in detail.

  4. The Influence of Judgment Calls on Meta-Analytic Findings.

    Science.gov (United States)

    Tarrahi, Farid; Eisend, Martin

    2016-01-01

    Previous research has suggested that judgment calls (i.e., methodological choices made in the process of conducting a meta-analysis) have a strong influence on meta-analytic findings and question their robustness. However, prior research applies case study comparison or reanalysis of a few meta-analyses with a focus on a few selected judgment calls. These studies neglect the fact that different judgment calls are related to each other and simultaneously influence the outcomes of a meta-analysis, and that meta-analytic findings can vary due to non-judgment call differences between meta-analyses (e.g., variations of effects over time). The current study analyzes the influence of 13 judgment calls in 176 meta-analyses in marketing research by applying a multivariate, multilevel meta-meta-analysis. The analysis considers simultaneous influences from different judgment calls on meta-analytic effect sizes and controls for alternative explanations based on non-judgment call differences between meta-analyses. The findings suggest that judgment calls have only a minor influence on meta-analytic findings, whereas non-judgment call differences between meta-analyses are more likely to explain differences in meta-analytic findings. The findings support the robustness of meta-analytic results and conclusions. PMID:27055205

  5. Hand Hygiene Saves Lives: Patient Admission Video

    Centers for Disease Control (CDC) Podcasts

    2008-05-01

    This podcast is for hospital patients and visitors. It emphasizes two key points to help prevent infections: the importance of practicing hand hygiene while in the hospital, and that it's appropriate to ask or remind healthcare providers to practice hand hygiene.  Created: 5/1/2008 by National Center for Preparedness, Detection, and Control of Infectious Diseases (NCPDCID).   Date Released: 6/19/2008.

  6. Effect of admission hypertriglyceridemia on the episodes of severe acute pancreatitis

    Institute of Scientific and Technical Information of China (English)

    Li-Hui Deng; Ping Xue; Qing Xia; Xiao-Nan Yang; Mei-Hua Wan

    2008-01-01

    AIM: To investigate the effect of admission hypertriglyceridemia (HTG) on the episodes of severe acute pancreatitis (SAP).METHODS: One hundred and seventy-six patients with SAP were divided into HTG group (n = 45) and control group (n = 131) according to admission triglyceride (TG) ≥ 5.65 mmol/L and < 5.65 mmol/L,respectively. Demographics, etiology, underlying diseases, biochemical parameters, Ranson's score,acute physiology and chronic heath evaluation Ⅱ(APACHE Ⅱ) score, Balthazar's computed tomography (CT) score, complications and mortality were compared. Correlation between admission TG and 24-h APACHE Ⅱ score was analyzed.RESULTS: SAP patients with HTG were younger (40.8±9.3 years vs 52.6 ± 13.4 years, P < 0.05) with higher etiology rate of overeating, high-fat diet (40.0% vs 14.5%, P < 0.05) and alcohol abuse (46.7%vs 23.7%, P < 0.01), incidence rate of hypocalcemia (86.7% vs 63.4%, P < 0.01) and hypoalbuminemia (84.4% vs 60.3%, P < 0.01), 24-h APACHE 1/ score (13.6±5.7 vs 10.7 ± 4.6, P < 0.01) and admission serum glucose (17.7 ± 7.7 vs 13.4 ± 6.1, P < 0.01),complication rate of renal failure (51.1% vs 16.8%, P <0.01), shock (37.9% vs 14.5%, P < 0.01) and infection (37.4% vs 18.3%, P < 0.01) and mortality (13.1% vs9.1%, P < 0.01). Logistic regression analysis showed a positive correlation between admission TG and 24-h APACHE Ⅱ score (r = 0.509, P = 0.004).CONCLUSION: The clinical features of SAP patients with HTG are largely consistent with previous studies.HTG aggravates the episodes of SAR.

  7. Relation between admission blood glucose levels and in-hospital and one year mortality in non-diabetic acute myocardial infarction patients

    Directory of Open Access Journals (Sweden)

    A Andishmand

    2006-01-01

    Full Text Available Introduction: Several studies have evaluated the association of admission blood glucose levels and short and long term mortality after myocardial infarction and have had different results. The aim of this study was evaluation of association between admission blood glucose levels and in-hospital and one year mortality in non-diabetic patients with AMI. Methods: In this study, demographic, clinical and Para clinical data of 120 non-diabetic patients with AMI on admission was collected and analyzed. The patients were followed for one year. Blood glucose level ≥ 140 mg/dl was defined as hyperglycemia. Results: 78% of patients were men. The mean age and admission blood glucose level was 63+13 years and 146+76mg/dl, respectively. Death due to cardio vascular causes was seen in 20% of patients in hospital and 9.8% during the one year follow up. The mean admission blood glucose level in patients who died in hospital was significantly more than live patients and also had an influence on the in-hospital outcome. Every 100mg/dl increase in blood glucose level was associated with 11% increase in in-hospital mortality risk in non-diabetic patients. Conclusion: Our results demonstrate that admission blood glucose level is a good marker for diagnosing patients with worse prognosis after AMI. We suggest that later studies should focus on optimal control of hyperglycemia with insulin in patients with AMI.

  8. The Effects of Air Pollution on Ischemic Stroke Admission Rate.

    Science.gov (United States)

    Alimohammadi, Hossein; Fakhri, Sara; Derakhshanfar, Hojjat; Hosseini-Zijoud, Seyed-Mostafa; Safari, Saeed; Hatamabadi, Hamid Reza

    2016-01-01

    The present study aimed to determine the relationship between the level of air pollutants and the rate of ischemic stroke (IS) admissions to hospitals. In this retrospective cross-sectional study, stroke admissions (January-March 2012 and 2013) to an emergency department and air pollution and meteorological data were gathered. The relationship between air pollutant levels and hospital admission rates were evaluated using the generalize additive model. In all 379 patients with IS were referred to the hospital (52.5% male; mean age 68.2±13.3 years). Both transient (p<0.001) and long-term (p<0.001) rises in CO level increases the risk of IS. Increased weekly (p<0.001) and monthly (p<0.001) average O3 levels amplifies this risk, while a transient increase in NO2 (p<0.001) and SO2 (p<0.001) levels has the same effect. Long-term changes in PM10 (p<0.001) and PM2.5 (p<0.001) also increase the risk of IS. The findings showed that the level of air pollutants directly correlates with the number of stroke admissions to the emergency department. PMID:26866000

  9. Procedures for Facilitating the Admission of Blacks to Law School.

    Science.gov (United States)

    Uhl, Norman P.; Pratt, Linda K.

    The Law School at North Carolina Central University faced the dual problem of improving student performance on the bar examination while maintaining a large percentage of black students. The Law School Admission Test (LSAT) was found to be the single best predictor of student performance on the bar examination. However, if only the students…

  10. The Effects of Extrinsic Rewards on Admissions Counselors' Performance

    Science.gov (United States)

    Gardner-Engel, Miriam

    2010-01-01

    This study examines the best ways to motivate college admissions counselors. A review of literature revealed multiple perspectives on intrinsic and extrinsic as well as tangible and intangible rewards. Primary research was designed to examine the impact of tangible rewards and verbal reinforcements with a convenience sample of nine college…

  11. 8 CFR 235.11 - Admission of conditional permanent residents.

    Science.gov (United States)

    2010-01-01

    ... alien entrepreneur (as defined in section 216A(f)(1) of the Act) or the spouse or unmarried minor child of an alien entrepreneur shall be admitted conditionally for a period of 2 years. At the time of admission, the alien shall be notified that the principal alien (entrepreneur) must file a Form...

  12. 8 CFR 1235.11 - Admission of conditional permanent residents.

    Science.gov (United States)

    2010-01-01

    ... immigrant visa as an alien entrepreneur (as defined in section 216A(f)(1) of the Act) or the spouse or unmarried minor child of an alien entrepreneur shall be admitted conditionally for a period of 2 years. At the time of admission, the alien shall be notified that the principal alien (entrepreneur) must file...

  13. Increased Guillain-Barre Syndrome Admissions in Shiraz, Southern Iran

    Directory of Open Access Journals (Sweden)

    Seyed Taghi Heydari

    2013-01-01

    Full Text Available Background: Guillain-Barre syndrome (GBS is an acute immune-mediated peripheral neuropathy usually after an incident. This study was performed to investigate the basic epidemiologic features of GBS in south of Iran.Methods: We studied consecutive patients with GBS in Namazi Hospital of Shiraz, southern Iran. Demographic characteristics of the subjects, i.e. age, sex, and length of hospital stay were extracted. Information regarding yearly admissions for the entire hospital was also gathered. The prevalence of GBS per 10,000 hospital admissions was calculated and stratified by sex and year. Yearly prevalence was compared using the odds ratio (OR and 95% confidence intervals (CI.Results: From January 2000 to December 2009, 389 (232 males and 157 females patients with GBS were admitted in our center. The mean age of patients was 29.8 ± 23.0 years and their mean length of hospital stay was 12.9 ± 11.6 days. The overall mortality rate was 6%. The ratio of admissions due to GBS to the total admissions was significantly higher in 2009, the year of an influenza A (H1N1 virus pandemic.Conclusion: There appears to be an increase in the incidence of GBS in Shiraz. This is in parallel with the increasing trend of some other autoimmune diseases.

  14. 8 CFR 101.1 - Presumption of lawful admission.

    Science.gov (United States)

    2010-01-01

    ..., expressly or impliedly, of the 4th or 9th provisos to section 3 of that act. (j) Erroneous admission as... section 4(a) 1924 Act nonquota immigration visa issued in accordance with State Department regulations... as a United States citizen pursuant to a State Department or Service determination based upon a...

  15. Employee Turnover in Christian College/University Admissions

    Science.gov (United States)

    Dougherty, Kevin D.; Andrews, Megan

    2007-01-01

    Few campus offices bear the weight of organizational health and vitality more directly than college and university admissions offices. This is particularly true for Christian colleges and universities where annual operating budgets depend largely on student tuition dollars. The purpose of the research reported in this paper was to explore rates…

  16. 78 FR 62415 - Refugee Admissions for Fiscal Year 2014

    Science.gov (United States)

    2013-10-21

    ... in the Federal Register. (Presidential Sig.) THE WHITE HOUSE, Washington, October 2, 2013 [FR Doc... Documents#0;#0; ] Presidential Determination No. 2014-01 of October 2, 2013 Refugee Admissions for Fiscal... up to 70,000 refugees to the United States during fiscal year (FY) 2014 is justified by...

  17. Happily Homeschooling Teens: High School Requirements & College Admissions.

    Science.gov (United States)

    Cohen, Cafi

    This booklet is the fifth in a series designed to assist parents who are home-schooling their adolescent children and deals with high school requirements and college admissions. The articles in this booklet are: (1) "'How Do We Know When We're Done?'," concerning criteria for high school graduation, college recommendations, and evaluating…

  18. 50 CFR 25.55 - Refuge admission permits.

    Science.gov (United States)

    2010-10-01

    ... 50 Wildlife and Fisheries 6 2010-10-01 2010-10-01 false Refuge admission permits. 25.55 Section 25... (CONTINUED) THE NATIONAL WILDLIFE REFUGE SYSTEM ADMINISTRATIVE PROVISIONS Fees and Charges § 25.55 Refuge... onto an Entrance Fee Area will be available for issue or purchase at such area and, except for...

  19. Continuous admission to primary school and mental health problems

    NARCIS (Netherlands)

    Reijneveld, S.A.; Wiefferink, C.H.; Brugman, E.; Verhulst, F.C.; Verloove-Vanhorick, S.P.; Paulussen, T.G.W.

    2006-01-01

    Background: Younger children in a school class have higher rates of mental health problems if admission to primary school occurs once a year. This study examines whether this relative age effect also occurs if children are admitted to school continuously throughout the year. Methods: We assessed men

  20. 28 CFR 551.103 - Procedure for admission.

    Science.gov (United States)

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Procedure for admission. 551.103 Section 551.103 Judicial Administration BUREAU OF PRISONS, DEPARTMENT OF JUSTICE INSTITUTIONAL MANAGEMENT...; and (3) Opportunity for shower and hair care; (h) Orientation; (i) Opportunity for waiver of right...

  1. Does mental health service integration affect compulsory admissions?

    NARCIS (Netherlands)

    A.I. Wierdsma (André); C.L. Mulder (Niels)

    2009-01-01

    textabstractAbstract. BACKGROUND: Over recent years, the number of compulsory admissions in many countries has increased, probably as a result of the shift from inpatient to outpatient mental health care. This might be mitigated by formal or collaborative relationships between services. METHODS: In

  2. Topological vector spaces admissible in economic equilibrium theory

    DEFF Research Database (Denmark)

    Keiding, Hans

    2009-01-01

    In models of economic equilibrium in markets with infinitely many commodities, the commodity space is an ordered topological vector space endowed with additional structure. In the present paper, we consider ordered topological vector spaces which are admissible (for equilibrium analysis) in the...

  3. Minish Named Interim Head of Admissions at Virginia Tech

    OpenAIRE

    Virginia Tech News

    2004-01-01

    Roberta M.Minish, of Blacksburg, Va., associate dean emeritus of Virginia Tech's former College of Human Sciences and Education, has been named interim director of undergraduate admissions at the university, effective Jan. 19. She fills the position left vacant in December with the resignation of Karen Torgersen.

  4. Reflections on a Century of College Admissions Tests

    Science.gov (United States)

    Atkinson, Richard C.; Geiser, Saul

    2009-01-01

    The College Boards started as achievement tests designed to measure students' mastery of college preparatory subjects. Admissions testing has significantly changed since then with the introduction of the Scholastic Aptitude Test, Lindquist's creation of the ACT, renewed interest in subject-specific assessments, and current efforts to adapt K-12…

  5. A Normative Code of Conduct for Admissions Officers

    Science.gov (United States)

    Hodum, Robert L.

    2012-01-01

    The increasing competition for the desired quantity and quality of college students, along with the rise of for-profit institutions, has amplified the scrutiny of behavior and ethics among college admissions professionals and has increased the need for meaningful ethical guidelines and codes of conduct. Many other areas of responsibility within…

  6. A Content Analysis of Medical School Admissions Interviews

    Directory of Open Access Journals (Sweden)

    Elizabeth M. Altmaier

    2003-04-01

    Full Text Available Introduction. Prospective medical school applicants use Internet websites to gain information about medical school interviews as well as to offer their experience in such interviews. This study examined applicants’ reported experiences of interviews and compared them to the purposes of the interview as purported by medical schools. Method. Content analysis of student feedback regarding medical school interviews at 161 medical schools was conducted for entries of over 4600 students applying to medical school who anonymously and voluntarily completed an online questionnaire. Results. Across all medical schools, nearly one half of all cited interview questions addressed non-cognitive characteristics of the applicants. Top ranked medical schools were reported to ask significantly more interpersonal and illegal questions and fewer academic/general knowledge questions than other medical schools. Lower ranked schools did not differ significantly in the types of questions reportedly asked applicants compared to other medical schools. Discussion. Medical school interviews are generally gathering types of information about applicants that admissions personnel identify as important in the admission decision. In addition to measuring interpersonal characteristics, medical school admissions interviews are assessing cognitive abilities and ethical decision-making. Sources on the Internet provide actual medical school interview questions to prospective students. This practice can help them gain an undue advantage in interviewing. Admissions committees and faculty who interview students may want to consider how best to obtain accurate and valid responses from applicants.

  7. 42 CFR 32.86 - Admissions to Service facilities.

    Science.gov (United States)

    2010-10-01

    ... EXAMINATIONS MEDICAL CARE FOR PERSONS WITH HANSEN'S DISEASE AND OTHER PERSONS IN EMERGENCIES Persons with Hansen's Disease § 32.86 Admissions to Service facilities. Any person with Hansen's disease who presents... suitable for the accommodation of persons with Hansen's disease....

  8. Obstetric admissions to ICUs in Finland: A multicentre study.

    Science.gov (United States)

    Seppänen, Pia; Sund, Reijo; Roos, Mervi; Unkila, Riitta; Meriläinen, Merja; Helminen, Mika; Ala-Kokko, Tero; Suominen, Tarja

    2016-08-01

    In this study, the objective was to describe and analyse reasons for obstetric admissions to the ICU, severity of illness, level and types of interventions, adverse events and patient outcomes. In a retrospective database study, we identified 291 obstetric patients during pregnancy and puerperium from four Finnish university hospitals. Most were admitted in the post-partum period and hypertensive disorders were the main indications for admissions, followed by obstetric haemorrhage. The median length of stay was 21hours. The most common intervention was blood transfusion and mechanical ventilation was required in nearly one fifth of the patients. Three patients had a prolonged stay and nine had re-admissions. One maternal death was recorded. This study found that severity of illness and organ failure scores describe the obstetric patient as having a good probability of recovery and a short length of stay. However, the obstetric patients reason for admission and their type of delivery were associated with both the severity of illness scores and level of intervention required. Those admitted for non-obstetric reasons and having had a vaginal delivery demonstrated higher severity of illness scores, organ failure scores, and levels of intervention when compared to those admitted for obstetric reasons or those who had delivered by caesarean section. In conclusion, care of these patients can be improved by understanding the severity of illness scores, common ICU interventions and patient outcomes. PMID:27209560

  9. Using Technology in Undergraduate Admission: A Student Perspective

    Science.gov (United States)

    Lindbeck, Robin; Fodrey, Brian

    2010-01-01

    The relationship that currently exists between undergraduate admission, technology and the Millennial generation continues to be an area of constant change. As technology trends come-and-go and resources continue to be limited, what are colleges and universities doing to ensure they are being as effective and efficient as possible when it comes to…

  10. Rising rates of hospital admissions for atrial fibrillation

    DEFF Research Database (Denmark)

    Friberg, Jens; Buch, Nina Pernille Gardshodn; Scharling, Henrik;

    2003-01-01

    Atrial fibrillation is a common arrhythmia associated with excess morbidity and mortality. We studied temporal changes in hospital admission rates for atrial fibrillation using data from a prospective population-based cohort study spanning 2 decades (the Copenhagen City Heart Study)....

  11. Theory-Based University Admissions Testing for a New Millennium

    Science.gov (United States)

    Sternberg, Robert J.

    2004-01-01

    This article describes two projects based on Robert J. Sternberg's theory of successful intelligence and designed to provide theory-based testing for university admissions. The first, Rainbow Project, provided a supplementary test of analytical, practical, and creative skills to augment the SAT in predicting college performance. The Rainbow…

  12. For Admissions Deans, Waiting-List Roulette Gets Trickier

    Science.gov (United States)

    Hoover, Eric

    2008-01-01

    This article reports that with a weak economy and a record number of applications at many campuses, admissions deans have deliberately undershot their targets and lengthened their waiting lists. For months a four-digit number has hovered over Douglas L. Christiansen. It's there when he falls asleep and there when he wakes up. The number is 1,550,…

  13. Admissions Roulette: Predictive Factors for Success in Practice

    Science.gov (United States)

    Pfouts, Jane H.; Henley, H. Carl, Jr.

    1977-01-01

    A multivariate predictive index of student field performance to be used as an admissions tool in graduate schools of social work is described. It measures the effect on field performance of (1) a measure of the student's intellectual ability, (2) undergraduate school quality, (3) prior work experience, and (4) student sex. (Author/LBH)

  14. Does mixing acute medical admissions with burn patients increase infective complications from paediatric thermal injuries?

    OpenAIRE

    Shaban, Fadlo; Stewart, Ken; Kalima, Pota

    2010-01-01

    In the winter of 2005–2006, the management at our children's hospital elected to admit ‘overspill’ acute medical admissions to the ward used for plastic surgery and burns for logistical reasons. This study was conducted to assess the effects of that change on the incidence of infective complications in thermally-injured patients. Seventy-three patients were studied, 23 in the sample winter and 50 in the two preceding control winters. The data gathered included days on IV fluids and antibiotic...

  15. On an Optimal -Control Problem in Coefficients for Linear Elliptic Variational Inequality

    Directory of Open Access Journals (Sweden)

    Olha P. Kupenko

    2013-01-01

    Full Text Available We consider optimal control problems for linear degenerate elliptic variational inequalities with homogeneous Dirichlet boundary conditions. We take the matrix-valued coefficients in the main part of the elliptic operator as controls in . Since the eigenvalues of such matrices may vanish and be unbounded in , it leads to the “noncoercivity trouble.” Using the concept of convergence in variable spaces and following the direct method in the calculus of variations, we establish the solvability of the optimal control problem in the class of the so-called -admissible solutions.

  16. Telephony Over IP: A QoS Measurement-Based End to End Control Algorithm

    Directory of Open Access Journals (Sweden)

    Luigi Alcuri

    2004-12-01

    Full Text Available This paper presents a method for admitting voice calls in Telephony over IP (ToIP scenarios. This method, called QoS-Weighted CAC, aims to guarantee Quality of Service to telephony applications. We use a measurement-based call admission control algorithm, which detects network congested links through a feedback on overall link utilization. This feedback is based on the measures of packet delivery latencies related to voice over IP connections at the edges of the transport network. In this way we introduce a close loop control method, which is able to auto-adapt the quality margin on the basis of network load and specific service level requirements. Moreover we evaluate the difference in performance achieved by different Queue management configurations to guarantee Quality of Service to telephony applications, in which our goal was to evaluate the weight of edge router queue configuration in complex and real-like telephony over IP scenario. We want to compare many well-know queue scheduling algorithms, such as SFQ, WRR, RR, WIRR, and Priority. This comparison aims to locate queue schedulers in a more general control scheme context where different elements such as DiffServ marking and Admission control algorithms contribute to the overall Quality of Service required by real-time voice conversations. By means of software simulations we want to compare this solution with other call admission methods already described in scientific literature in order to locate this proposed method in a more general control scheme context. On the basis of the results we try to evidence the possible advantages of this QoS-Weighted solution in comparison with other similar CAC solutions ( in particular Measured Sum, Bandwidth Equivalent with Hoeffding Bounds, and Simple Measure CAC, on the planes of complexity, stability, management, tune-ability to service level requirements, and compatibility with actual network implementation.

  17. Specialty-specific admission: a cost-effective intervention?

    LENUS (Irish Health Repository)

    Slattery, E

    2012-02-01

    INTRODUCTION: Cost effectiveness of healthcare has become an important component in its delivery. Current practices need to be assessed and measured for variations that may lead to financial savings. Speciality specific admission is known not only to lead improved clinical outcomes but also to lead important cost reductions. METHODS: All patients admitted to an Irish teaching hospital via the emergency department over a 2-year period with a gastroenterology (GI) related illness were included in this analysis.GI illness was classified using the Disease related grouping (DRG) system. Mean length of stay (LOS) and patient level costing (PLC) were calculated. Differences between DRGs with respect to speciality (i.e. specialist vs. non-specialist) were calculated for the five commonest DRGs. RESULTS: Significant variations in LOS and PLC were demonstrated in the DRGs. Mean LOS varied with increasing complexity, from 3.2 days for non-complex GI haemorrhage to 14.4 days for complex alcohol related cirrhosis as expected. A substantial difference in LOS within DRG groups was demonstrated by large standard deviations in the mean (up to 8.1 days in some groups) and was independent of complexity of cases. PLC also varied widely in both complex and non-complex cases with standard deviations of up to 17,342 noted. Specialty-specific admission was associated with shorter LOS for most GI admissions. CONCLUSION: Significant disparity exists for both LOS and PLC for most GI diagnoses. Specialty-specific admissions are associated with reduced LOS. Specialty-specific admission would appear to be cost-effective which may also lead to improved clinical outcomes.

  18. Effectiveness of a Multimodal Therapy for Patients with Chronic Low Back Pain Regarding Pre-Admission Healthcare Utilization.

    Directory of Open Access Journals (Sweden)

    Constanze Borys

    Full Text Available The aim of the study was to examine the effectiveness of an intensive inpatient three-week multimodal therapy. We focused especially on the impact on the multimodal therapy outcome of the pre-admission number of treatment types patients had received and of medical specialist groups patients had consulted.155 patients with chronic low back pain and indication for multimodal therapy were evaluated with respect to pain intensity, depression, anxiety, well-being, and pre-admission health care utilization. In our controlled clinical trial we compared N = 66 patients on the waiting list with N = 89 patients who received immediate treatment. The waiting list patients likewise attended multimodal therapy after the waiting period. Longitudinal post-treatment data for both were collected at three- and twelve-month follow-ups. The impact of pre-admission health care utilization on multimodal therapy outcome (post was analysed by structural equation model.Compared to the control group, multimodal therapy patients' pain intensity and psychological variables were significantly reduced. Longitudinal effects with respect to pre-measures were significant at three-month follow-up for pain intensity (ES = -0.48, well-being (ES = 0.78, anxiety (ES = -0.33, and depression (ES = -0.30. Effect sizes at twelve-month follow-up were small for anxiety (ES = -0.22, and moderate for general well-being (ES = 0.61. Structural equation model revealed that a higher number of pre-admission treatment types was associated with poorer post-treatment outcomes in pain intensity, well-being, and depression.Multimodal therapy proved to be effective with regard to improvements in pain intensity, depression, anxiety, and well-being. The association between treatment effect and number of pre-admission pain treatment types suggests that patients would benefit more from attending multimodal therapy in an earlier stage of health care.

  19. Well Being and Job Satisfaction Among Call Centre Agents

    DEFF Research Database (Denmark)

    Wiegman, Inger Marie; Mathiesen, Karen; Møller, Niels

    2004-01-01

    A survey among 774 agents in four large Danish companies in house call centres shows that working in a call center is stressfull. Lack of control and autonomy, lack of potentiality and challenges, conflict between qualitative and quantitative demands and monitoring all have an adverse effect on job...... satisfaction. The survey reveals a need for improving working conditions and for development of the work as such in call centres. The survey suggests that the agents both want to participate in the process of development and that they can contribute to the process in a competent way. In the project as part of...

  20. The function of migratory bird calls

    DEFF Research Database (Denmark)

    Reichl, Thomas; Andersen, Bent Bach; Larsen, Ole Næsbye;

    The function of migratory bird calls: do they influence orientation and navigation?   Thomas Reichl1, Bent Bach Andersen2, Ole Naesbye Larsen2, Henrik Mouritsen1   1Institute of Biology, University of Oldenburg, Oldenburg, D-26111 Oldenburg, Germany 2Institute of Biology, University of Southern...... Denmark, Odense, DK-5230 Odense M, Denmark   Many migrating passerines emit special calls during nocturnal flight, the so-called flight calls. Several functions of the calls have been suggested but largely remain speculative. Flight calls have been hypothesized to maintain groups during nocturnal...... migration and to stimulate migratory restlessness in conspecifics. We wished to test if conspecific flight calls influence the flight direction of a nocturnal migrant, the European Robin (Erithacus rubecula), i.e. if flight calls help migrants keeping course. Wild caught birds showing migratory restlessness...

  1. Nest predation and the evolution of nestling begging calls

    OpenAIRE

    Briskie, J. V.; Martin, P R; Martin, T E

    1999-01-01

    Begging by nestling birds can be conspicuous and loud. Such displays are thought to function in signalling nestling condition and securing parental care, but they also may inadvertently attract the attention of predators. We compared the structure of nestling begging calls to the risk of predation among 24 species of birds breeding in a forest community in central Arizona. After controlling for body size and phylogeny, we found that species subject to greater nest predation had calls with hig...

  2. Call packing bounds for overflow queues

    OpenAIRE

    van Dijk; Sluis, van der, B.

    2004-01-01

    Finite queueing loss systems are studied with overflow. For these systems there is no simple analytic expression for the loss probability or throughput. This paper aims to prove and promote easily computable bounds as based upon the so-called call packing principle. Under call packing a standard product form expression is available. It is proven that call packing leads to a guaranteed upper bound for the loss probability. In addition, an analytic error bound for the accuracy is derived which ...

  3. Analysis of a hospital call center

    OpenAIRE

    Budak, Ezel Ezgi

    2012-01-01

    Ankara : The Department of Industrial Engineering and the Graduate School of Engineering and Science of Bilkent University, 2012. Thesis (Master's) -- Bilkent University, 2012. Includes bibliographical refences. In this thesis, we study the call center operations of a particular hospital located in Ankara, namely Güven Hospital. The hospital call center takes role as a medical consulting and appointment center and also domestic call traffic flows over the call center. These ...

  4. Hospital admission of high risk infants for respiratory syncytial virus infection: implications for palivizumab prophylaxis

    OpenAIRE

    Heikkinen, T.; Valkonen, H; Lehtonen, L; Vainionpaa, R; Ruuskanen, O.

    2005-01-01

    Objectives: To determine the rates of hospital admission for respiratory syncytial virus (RSV) infection among children born at different gestational ages. To assess the theoretical impact of palivizumab prophylaxis on admissions for RSV infection.

  5. The impact of virtual admission on self-efficacy in patients with chronic obstructive pulmonary disease

    DEFF Research Database (Denmark)

    Emme, Christina; Mortensen, Erik L; Rydahl-Hansen, Susan;

    2014-01-01

    AIMS AND OBJECTIVES: To investigate how virtual admission during acute exacerbation influences self-efficacy in patients with chronic obstructive pulmonary disease, compared with conventional hospital admission. BACKGROUND: Telemedicine solutions have been highlighted as a possible way to increas...

  6. Call packing bound for overflow loss systems

    NARCIS (Netherlands)

    N.M. van Dijk; E. van der Sluis

    2009-01-01

    Finite loss queues with overflow naturally arise in a variety of communications structures. For these systems, there is no simple analytic expression for the loss probability. This paper proves and promotes easily computable bounds based on the so-called call packing principle. Under call packing, a

  7. Call packing bounds for overflow queues

    NARCIS (Netherlands)

    N.M. van Dijk; E. van der Sluis

    2004-01-01

    Finite queueing loss systems are studied with overflow. For these systems there is no simple analytic expression for the loss probability or throughput. This paper aims to prove and promote easily computable bounds as based upon the so-called call packing principle. Under call packing a standard pro

  8. HOW TO CALL THE CERN FIRE BRIGADE

    CERN Multimedia

    2001-01-01

    The telephone numbers of the CERN Fire Brigade are: 74444 for emergency calls 74848 for other calls Note The number 112 will stay in use for emergency calls from 'wired' telephones, however, from mobile phones it leads to non-CERN emergency services.

  9. HOW TO CALL THE CERN FIRE BRIGADE

    CERN Multimedia

    2002-01-01

    The telephone numbers of the CERN Fire Brigade are: 74444 for emergency calls 74848 for other calls Note The number 112 will stay in use for emergency calls from 'wired' telephones, however, from mobile phones it leads to non-CERN emergency services.  

  10. HOW TO CALL THE CERN FIRE BRIGADE

    CERN Multimedia

    2001-01-01

    The telephone numbers of the CERN Fire Brigade are: 74444 for emergency calls 74848 for other calls Note: the number 112 will stay in use for emergency calls from 'wired' telephones, however, from mobile phones it leads to non-CERN emergency services.

  11. How to call the Fire Brigade

    CERN Multimedia

    2003-01-01

    The telephone numbers for the CERN Fire Brigade are: 74444 for emergency calls 74848 for other calls Note The number 112 will stay in use for emergency calls from "wired" telephones, however, from mobile phones it leads to non-CERN emergency services.

  12. HOW TO CALL THE CERN FIRE BRIGADE

    CERN Multimedia

    2002-01-01

    The telephone numbers of the CERN Fire Brigade are: 74444 for emergency calls 74848 for other calls Note The number 112 will stay in use for emergency calls from 'wired' telephones, however, from mobile phones it leads to non-CERN emergency services.

  13. 47 CFR 2.302 - Call signs.

    Science.gov (United States)

    2010-10-01

    ... citations affecting § 2.302, see the List of CFR Sections Affected in the Finding Aids section of this... 47 Telecommunication 1 2010-10-01 2010-10-01 false Call signs. 2.302 Section 2.302... RULES AND REGULATIONS Call Signs and Other Forms of Identifying Radio Transmissions § 2.302 Call...

  14. When to Call the Baby's Doctor

    Science.gov (United States)

    ... g n a n c y When to Call the Baby’s Doctor P rint - and -G o ... for new moms is figuring out when to call the doctor. As a general rule of thumb, ... suspect something is not right, you should always call the doctor. Even small changes in eating, sleeping, ...

  15. Perceiving a Calling, Living a Calling, and Job Satisfaction: Testing a Moderated, Multiple Mediator Model

    Science.gov (United States)

    Duffy, Ryan D.; Bott, Elizabeth M.; Allan, Blake A.; Torrey, Carrie L.; Dik, Bryan J.

    2012-01-01

    The current study examined the relation between perceiving a calling, living a calling, and job satisfaction among a diverse group of employed adults who completed an online survey (N = 201). Perceiving a calling and living a calling were positively correlated with career commitment, work meaning, and job satisfaction. Living a calling moderated…

  16. A system-wide approach to explaining variation in potentially avoidable emergency admissions: national ecological study

    OpenAIRE

    O'Cathain, Alicia; Knowles, Emma; Maheswaran, Ravi; Pearson, Tim; Turner, Janette; Hirst, Enid; Goodacre, Steve; Nicholl, Jon

    2013-01-01

    Background Some emergency admissions can be avoided if acute exacerbations of health problems are managed by the range of health services providing emergency and urgent care. Aim To identify system-wide factors explaining variation in age sex adjusted admission rates for conditions rich in avoidable admissions. Design National ecological study. Setting 152 emergency and urgent care systems in England. Methods Hospital Episode Statistics data on emergency admissions were used to calculate an a...

  17. The association between weather conditions and stroke admissions in Turkey

    Science.gov (United States)

    Çevik, Yunsur; Doğan, Nurettin Özgür; Daş, Murat; Ahmedali, Asliddin; Kul, Seval; Bayram, Hasan

    2015-07-01

    Although several factors such as cigarette smoking, blood pressure, diabetes, obesity, hypercholesterolemia, physical inactivity and dietary factors have been well documented to increase the risk for stroke, there are conflicting data about the role of meteorological variables in the etiology of stroke. We conducted a retrospective study to investigate the association between weather patterns, including daily temperature, humidity, wind speed, and air pressure, and stroke admissions to the Emergency Department of Atatürk Training and Research Hospital in Ankara, Turkey, between January 2009 and April 2010. Generalized additive models with logistic link function were used to investigate the relationship between predictors and days with and without stroke admission at lags 0-4. A total of 373 stroke patients were admitted to the emergency department (ED) between January 2009 and April 2010. Of patients, 297 had ischemic stroke (IS), 34 hemorrhagic stroke (HS), and 42 subarachnoidal hemorrhage (SAH). Although we did not find any association between overall admissions due to stroke and meteorological parameters, univariable analysis indicated that there were significantly more SAH cases on days with lower daily mean temperatures of 8.79 ± 8.75 °C as compared to relatively mild days with higher temperatures (mean temperature = 11.89 ± 7.94 °C, p = 0.021). The multivariable analysis demonstrated that admissions due to SAH increased on days with lower daily mean temperatures for the same day (lag 0; odds ratio (OR) [95 % confidence interval (95 % CI)] = 0.93 [0.89-0.98], p = 0.004) and lag 1 (OR [95 % CI] =0.76 [0.67-0.86], p = 0.001). Furthermore, the wind speed at both lag 1 (OR [95 % CI] = 1.63 [1.27-2.09], p = 0.001) and lag 3 (OR [95 % CI] = 1.43 [1.12-1.81], p = 0.004) increased admissions due to HS, respectively. In conclusion, our study demonstrated that there was an association between ED admissions due to SAH and HS and weather conditions suggesting that

  18. A Framework for the Utilization of Information Technology in Higher Education Admission Department

    Science.gov (United States)

    McClea, Michael; Yen, David C.

    2005-01-01

    Purpose: Through an examination of the admission department at Miami University of Ohio and their use of information technology, a generalized framework for the use of information technology in university admissions is proposed. Design/methodology/approach: The paper was developed to start an introduction to the admission process and the role of…

  19. Reports of LSAC Sponsored Research: Volume III, 1975-1977. Law School Admission Research.

    Science.gov (United States)

    Law School Admission Council, Princeton, NJ.

    Nineteen research reports and summaries of projects studying law school admission and the Law School Admission Test (LSAT) are presented. These research projects were supported by the Law School Admission Council between 1975 and 1977. A subject and an author index, covering this and the previous two volumes (including research conducted from 1949…

  20. Reports of LSAC Sponsored Research: Volume II, 1970-1974. Law School Admission Research.

    Science.gov (United States)

    Law School Admission Council, Princeton, NJ.

    Thirty-four research reports and summaries of projects studying law school admission and the Law School Admission Test (LSAT) are presented. These research projects were supported by the Law School Admission Council between 1970 and 1974. A subject index and an author index for volume I, covering 1949-1969, and for this volume are also provided.…

  1. 78 FR 17281 - Notice of Public Meeting on FY 2014 U.S. Refugee Admissions Program

    Science.gov (United States)

    2013-03-20

    ... of Public Meeting on FY 2014 U.S. Refugee Admissions Program There will be a meeting on the President's FY 2014 U.S. Refugee Admissions Program on Wednesday, May 15, 2013 from 2 p.m. to 4 p.m. The... on the appropriate size and scope of the FY 2014 U.S. Refugee Admissions Program. Persons wishing...

  2. Gatekeepers or Marketers: Reclaiming the Educational Role of Chief Admission Officers

    Science.gov (United States)

    McDonough, Patricia; Robertson, Larry

    2012-01-01

    The U.S. college admission environment has changed enormously over the last three decades. What have those changes meant for the profession of college admission officers? In this paper, the authors will describe the enormous changes that have taken place in high schools, colleges, and the entrepreneurial admission sector. They will describe how…

  3. Investigating Postgraduate College Admission Interviews: Generalizability Theory Reliability and Incremental Predictive Validity

    Science.gov (United States)

    Arce-Ferrer, Alvaro J.; Castillo, Irene Borges

    2007-01-01

    The use of face-to-face interviews is controversial for college admissions decisions in light of the lack of availability of validity and reliability evidence for most college admission processes. This study investigated reliability and incremental predictive validity of a face-to-face postgraduate college admission interview with a sample of…

  4. Admission Officers' Impressions of Homeschooled Applicants in Evangelical and Nonevangelical Colleges and Universities

    Science.gov (United States)

    McCulloch, Donald S.; Savage, Alexandra; Schmal, Liz

    2013-01-01

    Impressions of admission officers toward homeschooled applicants were examined. Specifically, this study sought to ascertain whether the perceptions of admission officers adhered to the common stereotype that homeschoolers are brighter and yet socially less well-adjusted than average. The responses of 121 admission officers were analyzed across…

  5. Association between air pollution and asthma admission among children in Hong Kong

    OpenAIRE

    Lee, S L; Wong, W. H. S.; Lau, Y L

    2006-01-01

    Objective: To examine the association of air pollutants with hospital admission for childhood asthma in Hong Kong. Methods: Data on hospital admissions for asthma, influenza and total hospital admissions in children aged ≤18 years at all Hospital Authority hospitals during 1997-2002 were obtained. Data on daily mean concentrations of particles with aerodynamic diameter

  6. Quaternion-valued admissible wavelets and orthogonal decomposition of L2(IG(2),(H))

    Institute of Scientific and Technical Information of China (English)

    ZHAO Jiman; PENG Lizhong

    2007-01-01

    A series of admissible wavelets is fixed, which forms an ortho- normal basis for the Hilbert space of all the quaternion-valued admissible wavelets. It turns out that their corresponding admissible wavelet transforms give an orthogonal decomposition of L2 (IG(2), (H)).

  7. Acute pulmonary admissions following implementation of a national workplace smoking ban.

    LENUS (Irish Health Repository)

    Kent, Brian D

    2012-09-01

    The implementation of workplace smoking bans has contributed to a significant reduction in the incidence of acute coronary syndrome admissions, but their influence on adult acute pulmonary disease admissions is unclear. We sought to assess the impact of a national smoking ban on nationwide admissions of individuals of working age with acute pulmonary illness.

  8. Bonobos extract meaning from call sequences.

    Directory of Open Access Journals (Sweden)

    Zanna Clay

    Full Text Available Studies on language-trained bonobos have revealed their remarkable abilities in representational and communication tasks. Surprisingly, however, corresponding research into their natural communication has largely been neglected. We address this issue with a first playback study on the natural vocal behaviour of bonobos. Bonobos produce five acoustically distinct call types when finding food, which they regularly mix together into longer call sequences. We found that individual call types were relatively poor indicators of food quality, while context specificity was much greater at the call sequence level. We therefore investigated whether receivers could extract meaning about the quality of food encountered by the caller by integrating across different call sequences. We first trained four captive individuals to find two types of foods, kiwi (preferred and apples (less preferred at two different locations. We then conducted naturalistic playback experiments during which we broadcasted sequences of four calls, originally produced by a familiar individual responding to either kiwi or apples. All sequences contained the same number of calls but varied in the composition of call types. Following playbacks, we found that subjects devoted significantly more search effort to the field indicated by the call sequence. Rather than attending to individual calls, bonobos attended to the entire sequences to make inferences about the food encountered by a caller. These results provide the first empirical evidence that bonobos are able to extract information about external events by attending to vocal sequences of other individuals and highlight the importance of call combinations in their natural communication system.

  9. Common causes of morbidity and mortality amongst diabetic admissions at the university of Benin teaching hospital, Benin city, Nigeria

    International Nuclear Information System (INIS)

    Diabetes mellitus is associated with significant morbidity and mortality worldwide and Nigeria is no exception. To determine the morbidity and mortality in patients admitted with Diabetes Mellitus in a tertiary teaching hospital of Nigeria, through retrospective analysis of admission and death records. Admission and death certificate records from the medical wards of the University of Benin Teaching Hospital, Benin City, Nigeria, were retrospectively analysed from 1, August 2003 to 31, July 2004. Data included age, gender, total numbers of admissions and those due to Diabetes Mellitus, the indications for admissions, presenting symptoms and method of diagnoses in diabetic patients, mortality rates and causes of death. Data obtained were analysed using chi square. Out of 1567 medical admissions, 852(54.4%) were males and 715(45.6%) females. Diabetes was detected in 145(9.3%) patients [81(55.9%) males, 64(44.1%) females]. The mean age of diabetic patients was 53.6+16.1 years (range 18 - 94 years). Poor glycaemic control (29%) and diabetic foot syndrome (23.4%) were the most common reasons for admission in diabetic cases. The overall mortality rate among medical admissions was 21.8%, with diabetes accounting for 6.7% deaths. Within the cohort of diabetic cases, mortality was 15.9%, with significantly higher mortality in those aged > 65 years (p < 0.05). The most common causes of death in diabetic cases were Cerebrovascular disease and complications associated with the foot syndrome, accounting for 26.1% and 21.7% of deaths respectively; the least common causes of death in diabetic patients were Malaria, Hepatic Encephalopathy, and Carcinoma of the Cervix, accounting for 4.4% of deaths. Cerebrovascular disease was the most frequent cause of mortality among admitted diabetic patients with diabetic foot syndrome (a preventable complication) as the second most frequent cause of mortality. Increased screening for diabetes mellitus morbidities in the clinic and community

  10. Association between air pollution and daily mortality and hospital admission due to ischaemic heart diseases in Hong Kong

    Science.gov (United States)

    Tam, Wilson Wai San; Wong, Tze Wai; Wong, Andromeda H. S.

    2015-11-01

    Ischaemic heart disease (IHD) is one of the leading causes of death worldwide. The effects of air pollution on IHD mortalities have been widely reported. Fewer studies focus on IHD morbidities and PM2.5, especially in Asia. To explore the associations between short-term exposure to air pollution and morbidities and mortalities from IHD, we conducted a time series study using a generalized additive model that regressed the daily numbers of IHD mortalities and hospital admissions on daily mean concentrations of the following air pollutants: nitrogen dioxide (NO2), particulate matter with an aerodynamic diameter less than 10 μm (PM10), particulate matter with an aerodynamic diameter less than 2.5 μm (PM2.5), ozone (O3), and sulfur dioxide (SO2). The relative risks (RR) of IHD deaths and hospital admissions per 10 μg/m3 increase in the concentration of each air pollutant were derived in single pollutant models. Multipollutant models were also constructed to estimate their RRs controlling for other pollutants. Significant RRs were observed for all five air pollutants, ranging from 1.008 to 1.032 per 10 μg/m3 increase in air pollutant concentrations for IHD mortality and from 1.006 to 1.021 per 10 μg/m3 for hospital admissions for IHD. In the multipollutant model, only NO2 remained significant for IHD mortality while SO2 and PM2.5 was significantly associated with hospital admissions. This study provides additional evidence that mortalities and hospital admissions for IHD are significantly associated with air pollution. However, we cannot attribute these health effects to a specific air pollutant, owing to high collinearity between some air pollutants.

  11. Statewide ban on recreational fires resulted in a significant decrease in campfire-related summer burn center admissions.

    Science.gov (United States)

    Hoang, David Manh; Reid, Dixie; Lentz, Christopher William

    2013-01-01

    Every summer, there is an increase in the number of burn injuries caused by accidents around campfires. Because of the prevalence of drought, high winds, and uncontrolled wild fires, a statewide ban on recreational fires was instituted in New Mexico from June to July 2011. We hypothesized that this legislation would have a significant impact on burn admissions caused by campfire-related injuries. A retrospective review of summer admissions to a state burn center was conducted to assess the effect of this ban on recreational fire injuries, and these data were compared with that of the previous summer when no ban was in effect. All burn admissions to a state burn center were reviewed from Memorial Day to Labor Day in 2010 and 2011. Data collected included cause, % TBSA, age, days of hospitalization, intensive care unit days, and total surface area grafted. Nonparametric statistical analysis was performed with Fisher exact test for dichotomous data and Mann-Whitney test for continuous data with significance at P fires during the study period (n = 14 [17%] in 2010 and 4 [5%] in 2011; P = .02). This resulted in a decrease in the number of patient-days from 91 in 2010 to 25 in 2011. Half of the camp fire admissions required skin grafts to definitively close the wounds (6/14 in 2010 and 2/4 in 2011). Recreational fire bans targeted at controlling wildfires during conditions favoring rapid spread were associated with a 3- to 4-fold decrease in campfire-related burn admissions. Compared with a summer when no fire ban was in effect, the number of patient-days decreased from 91 to 25. PMID:23292575

  12. Certain Aspects concerning Trial under Admission of Guilt

    Directory of Open Access Journals (Sweden)

    Mihai OLARIU

    2014-03-01

    Full Text Available The trial under admission of guilt is an abbreviated procedure relying on a guilty plea, and it may be applied if the conditions stipulated in the New Criminal Procedure Code are fulfilled. One of these conditions is for the defendant to fully admit of the deeds presented by the prosecutor in the indictment (he must not, however, admit the same upon the legal classification of offences. Pursuant to the simplified procedure, in the case of conviction or postponement of the application of the sanction, the punishment limits stipulated under the law are reduced by one third for imprisonment, and by one fourth for fine sanctions. The present article is a a continuation of the author’s own research and it represents a clear comment regarding trial under admission of guilt according to the New Criminal Procedure Code, in the purpose of understanding the legislator’s intention and how the new regulations will apply.

  13. Relating admissions criteria to dental hygiene student retention.

    Science.gov (United States)

    Sanderson, Tammy R

    2014-01-01

    PURPOSE. The purpose of this study was to identify preadmission variables that relate to dental hygiene student retention. METHODS. An online survey was sent by email to 309 dental hygiene chairs/program directors. The survey comprised 18 questions to collect program demographic information, program admissions requirements, and program student retention rates. RESULTS. There were 139 respondents who participated in the survey for a 45% return rate. The mean for program retention of participating accredited dental hygiene programs was 91%. Stepwise regression analysis discovered three independent variables (aE=0.15) that relate to dental hygiene program retention rates. These independent variables include interviews (p=0.054), overall college GPA (p=0.029), and overall high school GPA (p=0.141). CONCLUSION. Preadmission requirements that include overall high school GPA, overall college GPA, and interviews can be used by admissions committees to predict dental hygiene student retention. PMID:25433188

  14. Socioeconomic status, lung function and admission to hospital for COPD

    DEFF Research Database (Denmark)

    Prescott, E; Lange, P; Vestbo, J

    1999-01-01

    This study analysed the effect of education and income on development of chronic obstructive pulmonary disease (COPD) assessing lung function and hospital admission. The study population consisted of 14,223 subjects, aged 20-90 yrs, randomly sampled from the population of Copenhagen in 1976...... duration of smoking and inhalation, the difference was 220+/-31 mL and 363+/-39 mL in females and males, respectively. Results for FVC were of the same magnitude. Using a socioeconomic index which combined information on education and household income the association with lung function did not differ by...... age. A total of 219 females and 265 males were admitted to hospital for COPD during follow-up. Education and income were significantly associated with admission to hospital. After detailed adjustment for smoking the relative risks (95% confidence intervals) for medium and high versus low socioeconomic...

  15. [The appropriateness of hospital admissions: reflections for a global approach].

    Science.gov (United States)

    Pasini, E; Scherillo, M; Ramponi, C

    2000-05-01

    In accordance with a recent definition, appropriateness of medical care is a diagnostic-therapeutic intervention with a correct use of resources and competency, and a procedure that satisfies the request of patients. This definition considers not only the risk/benefit relationship but also the interaction between costs and benefits. In this light, the concept of appropriateness needs a global approach. The identification of the Mission and Vision of the structure, the use of medical guidelines, the distribution of documents which inform patients on the procedures carried out in the hospital and the modalities of access to the structure, the implementation of procedures which define hospital admission and finally the random check of medical records could represent important steps to implement a quality system aimed at guaranteeing the appropriateness of hospital admissions in accordance with the international standards for total quality management ISO 9000. PMID:10834130

  16. [Big data, Roemer's law and avoidable hospital admissions].

    Science.gov (United States)

    van der Horst, H E

    2016-01-01

    From an analysis of data from 23 European countries to determine the impact of primary care on avoidable hospital admissions for uncontrolled diabetes it appeared that, contrary to expectation, countries with strong primary care did not have a lower rate of avoidable hospital admission. It is clear that Roemer's law, 'a bed built is a bed filled,' still applies. However, the validity of this sort of analysis can be questioned, as these data are highly aggregated, and registration quality differs between countries. It is also questionable if these datasets can be considered as 'big data' as there are relatively small numbers per country. Big data analyses are useful for discerning patterns and formulating hypotheses, but not for proving causality. An unwanted side effect of this kind of analysis might be that policymakers use these not so valid results to underpin their policy to their advantage. PMID:27484429

  17. Prediction of the severity of acute pancreatitis on admission by urinary trypsinogen activation peptide: A meta-analysis

    OpenAIRE

    Wei Huang; Kiran Altaf; Tao Jin; Jun-Jie Xiong; Li Wen; Javed, Muhammad A; Marianne Johnstone; Ping Xue; Halloran, Christopher M; Qing Xia

    2013-01-01

    AIM: To undertake a meta-analysis on the value of urinary trypsinogen activation peptide (uTAP) in predicting severity of acute pancreatitis on admission. METHODS: Major databases including Medline, Embase, Science Citation Index Expanded and the Cochrane Central Register of Controlled Trials in the Cochrane Library were searched to identify all relevant studies from January 1990 to January 2013. Pooled sensitivity, specificity and the diagnostic odds ratios (DORs) with 95%CI were calculated ...

  18. Causes Of Microbial Carriers During Admission To Intensive Care Unit

    OpenAIRE

    Panagiotopoulou, Efthymia; Nteves, Ioannis; Kadda, Olga; Kapadohos, Theodore; Vasilopoulos, Georgios; Marvaki, Christina

    2016-01-01

    Introduction: The recording of microbial agent upon patients admission in the Intensive Care Unit (ICU) can be useful for the prevention and reduction of dispersion, forecasting new colonization or infection respectively bacteria and guide empirical antimicrobial therapy. Aim: The aim of the present study was to investigate the factors associated with microbial colonization of patients admitting to ICU. Material and Method: The studied sample consisted of 72 patients admitted to the I...

  19. Objective standards for the emergency services: emergency admission to hospital.

    OpenAIRE

    West, R.

    2001-01-01

    The primary objectives of the emergency services are to minimize early mortality and complications, although longer-term morbidity, quality of life and late mortality may also be influenced by early actions. Evaluation of the emergency services and demonstration of quality need to reflect these objectives by appropriate choice of outcome measures. This brief review of leading measures of quality in emergency admissions discusses population-based 30-day mortality, after examining some limitati...

  20. On the Political Economy of University Admission Standards

    OpenAIRE

    Philippe De Donder; Francisco Martinez-Mora

    2015-01-01

    We study the political determination of the proportion of students attending university when access to higher education is rationed by admission tests. Parents differ in income and in the ability of their unique child. They vote over the minimum ability level required to attend public universities, which are tuition-free and financed by proportional income taxation. University graduates become high skilled, while the other children attend vocational school and become low skilled. Even though ...

  1. Differential Weighting of Items to Improve University Admission Test Validity

    OpenAIRE

    Eduardo Backhoff Escudero; Felipe Tirado Segura; Norma Larrazolo Reyna

    2001-01-01

    This paper gives an evaluation of different ways to increase university admission test criterion-related validity, by differentially weighting test items. We compared four methods of weighting multiple-choice items of the Basic Skills and Knowledge Examination (EXHCOBA): (1) punishing incorrect responses by a constant factor, (2) weighting incorrect responses, considering the levels of error, (3) weighting correct responses, considering the item’s difficulty, based on the Classic Measur...

  2. Relation between parasuicide, suicide, psychiatric admissions, and socioeconomic deprivation.

    OpenAIRE

    Gunnell, D. J.; Peters, T. J.; Kammerling, R M; Brooks, J.

    1995-01-01

    OBJECTIVE--To examine the relations between parasuicide, suicide, psychiatric inpatient admissions, and socioeconomic deprivation. DESIGN--Ecological analysis with data from routine information systems and the 1991 census. SETTING--24 localities in the area covered by the Bristol and District Health Authority (population 817,000), consisting of aggregations of neighbouring wards, with an average population of 34,000. SUBJECTS--6089 subjects aged over 10 years admitted to hospital after parasu...

  3. A request for hospice admission from hospital to withdraw ventilation

    OpenAIRE

    Gannon, C.

    2005-01-01

    A request to admit a hospital inpatient with motor neurone disease to the hospice generated unusual unease. Significantly, withdrawal of ventilation had already been planned. The presumption that ventilation would be withdrawn after transfer presented a dilemma. Should the hospice accept the admission? If so, should the hospice staff stop the ventilation, and then when and how? Debate centred on the continuity of best interests and the logistics of withdrawing ventilation. The factors making ...

  4. Aggressive behavior during the first 24 hours of psychiatric admission

    Directory of Open Access Journals (Sweden)

    Vitor Crestani Calegaro

    2014-09-01

    Full Text Available OBJECTIVE: To investigate the association between aggression in the first 24 hours after admission and severity of psychopathology in psychiatric inpatients.METHODS: This cross-sectional study included psychiatric patients admitted to Hospital Universitário de Santa Maria, in Santa Maria, southern Brazil, from August 2012 to January 2013. At their arrival at the hospital, patients were interviewed to fill in the Brief Psychiatric Rating Scale (BPRS form, and any aggressive episodes in the first 24 hours after admission were recorded using the Overt Aggression Scale (OAS. The Mann-Whitney U test was used to compare patients according to aggressiveness: aggressive versus non-aggressive, hostile versus violent, and aggressive against others only versus self-aggressive.RESULTS: The sample was composed of 110 patients. Aggressive patients in general had higher BPRS total scores (p = 0.002 and individual component scores, and their results showed more activation (p < 0.001 and thinking disorders (p = 0.009, but less anxious-depression (p = 0.008. Violent patients had more severe psychomotor agitation (p = 0.027, hallucinations (p = 0.017 and unusual thought content (p = 0.020. Additionally, self-aggressive patients had more disorientation (p = 0.011 and conceptual disorganization (p = 0.007.CONCLUSIONS: Aggression in psychiatric patients in the first 24 hours after admission is associated with severity of psychopathology, and severity increases with severity of patient psychosis and agitation.

  5. Synergistic modeling of call center operations

    OpenAIRE

    2006-01-01

    We synergistically apply queueing theory, integer programming, and stochastic simulation to determine an optimal staffing policy for a repair call handling center. A stationary Markovian queueing model is employed to determine minimal staffing levels for a sequence of time intervals with varying call volumes and mean handling times. These staffing requirements populate an integer program model for determining the mix of call agent shifts that will achieve service quality standards at minimum ...

  6. Bonobos extract meaning from call sequences

    OpenAIRE

    Clay, Zanna; Zuberbuehler, Klaus

    2011-01-01

    Studies on language-trained bonobos have revealed their remarkable abilities in representational and communication tasks. Surprisingly, however, corresponding research into their natural communication has largely been neglected. We address this issue with a first playback study on the natural vocal behaviour of bonobos. Bonobos produce five acoustically distinct call types when finding food, which they regularly mix together into longer call sequences. We found that individual call types were...

  7. Long-distance calls in Neotropical primates

    OpenAIRE

    Oliveira Dilmar A.G.; Ades César

    2004-01-01

    Long-distance calls are widespread among primates. Several studies concentrate on such calls in just one or in few species, while few studies have treated more general trends within the order. The common features that usually characterize these vocalizations are related to long-distance propagation of sounds. The proposed functions of primate long-distance calls can be divided into extragroup and intragroup ones. Extragroup functions relate to mate defense, mate attraction or resource defense...

  8. CALL for endangered languages: Challenges and rewards

    OpenAIRE

    Ward, Monica; Van Genabith, Josef

    2003-01-01

    The interaction between CALL and Endangered Languages (EL) is an under-researched and under-exploited field. It is perhaps no surprise that this should be the case as CALL in the EL context has to address additional requirements and deal with extra constraints over and above those that prevail in mainstream CALL. This article introduces the topic of Endangered Languages and lists two classifications for Endangered Languages (Terralingua, 2000; Unesco, 1993). It outlines why a language becomes...

  9. Performance Indicators for Call Centers with Impatience

    OpenAIRE

    Jouini, Oualid; Koole, Ger; Roubos, Alex

    2013-01-01

    International audience An important feature of call center modeling is the presence of impatient customers. In this paper, we consider single-skill call centers including customer abandonments. We study a number of different service level definitions, including all those used in practice, and show how to explicitly compute their performance measures. Based on data from different call centers, new models are defined that extend the common Erlang A model. We show that the new models fit real...

  10. Through-flow analysis of steam turbines operating under partial admission

    International Nuclear Information System (INIS)

    In order to produce electric energy with improved efficiency, Electricite de France has to check the performances of equipment proposed by manufacturers. In the specific field of steam turbines, one of the main tools of analysis is the quasi 3D through flow computer code CAPTUR, which enables the calculation of all the aerothermodynamic parameters in a steam turbine. The last development that has been performed on CAPTUR is the extension to a calculation of a flow within a turbine operating under partial admission. For such turbines, it is now possible to calculate an internal flow field, and determine the efficiency, in a much more accurate way than with previous methods, which consist in an arbitrary efficiency correction on an averaged 1D flow calculation. From the aerodynamic point of view, partial admission involves specific losses in the first stage, then expansion and turbulent mixing just downstream of the first stage. Losses in the first stage are of very different types: windage, pumping and expansion at the ends of an admission sector. Their values have been estimated, with help of experimental results, and then expressed as a slow down coefficient applied to the relative velocity at the blade outlet. As for the flow downstream the first stage, a computational analysis has been made with specific 2D and 3D codes. It has led to define the numerical treatment established in the CAPTUR code. Some problems had to be solved to make compatible a quasi 3D formulation, making an average in the azimutal direction and using a streamline curvature method, with an absolute 3D phenomenon. Certain limitations of the working conditions were first adopted, but a generalization is on hand. The calculation of a nuclear HP steam turbine operating under partial admission has been performed. Calculation results are in good accordance with tests results, especially as regards the expansion line along the stages. The code CAPTUR will be particularly useful for the calculation

  11. Call Duration Characteristics based on Customers Location

    Directory of Open Access Journals (Sweden)

    Žvinys Karolis

    2014-05-01

    Full Text Available Nowadays a lot of different researches are performed based on call duration distributions (CDD analysis. However, the majority of studies are linked with social relationships between the people. Therefore the scarcity of information, how the call duration is associated with a user's location, is appreciable. The goal of this paper is to reveal the ties between user's voice call duration and the location of call. For this reason we analyzed more than 5 million calls from real mobile network, which were made over the base stations located in rural areas, roads, small towns, business and entertainment centers, residential districts. According to these site types CDD’s and characteristic features for call durations are given and discussed. Submitted analysis presents the users habits and behavior as a group (not an individual. The research showed that CDD’s of customers being them in different locations are not equal. It has been found that users at entertainment, business centers are tend to talk much shortly, than people being at home. Even more CDD can be distorted strongly, when machinery calls are evaluated. Hence to apply a common CDD for a whole network it is not recommended. The study also deals with specific parameters of call duration for distinguished user groups, the influence of network technology for call duration is considered.

  12. Multidimensional views on mobile call network

    Institute of Scientific and Technical Information of China (English)

    Shengqi YANG; Bin WU; Bai WANG

    2009-01-01

    Recent studies on social network have spurred significant interests in human behaviors. Nowadays, various kinds of interpersonal human interactions, from mobile calls to emalls, provide particular avenues to explore the inher-ent properties of communication patterns. In this article, we present a comprehensive study on a massive anonymous call records obtained from a major mobile service operator. The important difference laid in our work and previous mainly topological analyses is that we report on multiple aspects of the dataset. By investigating the calls of the users, we find out that most calls tend to last within one minute. Call du-ration between two females is much longer than that of two males. But calls of males generally involve more stations than that of female, indicating a larger mobile range of the males. We also observed that people tend to communicate more with each other when they share similar characters. Besides, the network is well-connected and robust to random attack. We also demonstrate that the close-knit sub-groups with little discrepancy in the characteristics of its involved users usually evoke more calls. Another interesting discov-ery is that call behaviors among people between workdays and weekends is obviously distinct. Generally speaking, the goal that we research on call network through multidimen-sional analyses is to uncover the intricate patterns of human communications and put up reasonable insights into future service intelligence.

  13. The Relationship between Admission Criteria and Fieldwork Performance in a Masters-Level OT Program: Implications for Admissions

    Directory of Open Access Journals (Sweden)

    Molly Bathje MS, OTR/L

    2014-07-01

    Full Text Available Occupational therapy (OT graduate programs strive to produce an effective OT workforce with competent and engaged OT practitioners. Admission into OT graduate programs is an increasingly competitive process, with most programs having more applicants than spaces available. Programs need to select applicants that will be the most successful in meeting graduation requirements, including both academic and clinical components. This pilot study was designed to examine the relationship between admission criteria and fieldwork (FW performance. The study utilized a retrospective analysis with a convenience sample of 108 students with complete data from a private university in the Midwest. Independent variables of Graduate Record Examination (GRE subscale scores (GRE-verbal, GRE-quantitative, and GRE-written and undergraduate Cumulative Grade Point Average (CGPA were included. The dependent variable was level II FW performance, as measured by the AOTA Fieldwork Performance Evaluation (FWPE. Results of this study found a significant correlation between CGPA and FWPE scores for level IIA FW experiences, and a significant correlation between GRE-written and FWPE scores for level IIB FW experiences. Regression models for FW IIB indicated that GRE-written was a significant predictor of FWPE scores for the FW IIB experience. This pilot study provides information that may be utilized during OT admission processes.

  14. Medical school dropout - testing at admission versus selection by highest grades as predictors

    DEFF Research Database (Denmark)

    O'Neill, Lotte; Hartvigsen, Jan; Wallstedt, Birgitta;

    2011-01-01

    Medical Education 2011: 45: 1111-1120 Context  Very few studies have reported on the effect of admission tests on medical school dropout. The main aim of this study was to evaluate the predictive validity of non-grade-based admission testing versus grade-based admission relative to subsequent...... dropout. Methods  This prospective cohort study followed six cohorts of medical students admitted to the medical school at the University of Southern Denmark during 2002-2007 (n = 1544). Half of the students were admitted based on their prior achievement of highest grades (Strategy 1) and the other half...... years after admission. Multivariate logistic regression analysis was used to model dropout. Results  Strategy 2 (admission test) students had a lower relative risk for dropping out of medical school within 2 years of admission (odds ratio 0.56, 95% confidence interval 0.39-0.80). Only the admission...

  15. When They Talk about CALL: Discourse in a Required CALL Class

    Science.gov (United States)

    Kessler, Greg

    2010-01-01

    This study investigates preservice teachers' discourse about CALL in a required CALL class which combines theory and practice. Thirty-three students in a Linguistics MA program CALL course were observed over a 10-week quarter. For all of these students, it was their first formal exposure to CALL as a discipline. Communication in the class…

  16. Effect of tele health care on exacerbations and hospital admissions in patients with chronic obstructive pulmonary disease: a randomized clinical trial

    Directory of Open Access Journals (Sweden)

    Ringbæk T

    2015-09-01

    Full Text Available Thomas Ringbæk,1,2 Allan Green,1 Lars Christian Laursen,2,3 Ejvind Frausing,1 Eva Brøndum,1 Charlotte Suppli Ulrik1,2 1Department of Pulmonary Medicine, Hvidovre Hospital, Hvidovre, Denmark; 2Institute of Clinical Medicine, University of Copenhagen; 3Pulmonary Unit, Department of Internal Medicine, Herlev Hospital, Herlev, Denmark Background and objective: Tele monitoring (TM of patients with chronic obstructive pulmonary disease (COPD has gained much interest, but studies have produced conflicting results. Our aim was to investigate the effect of TM with the option of video consultations on exacerbations and hospital admissions in patients with severe COPD.Materials and methods: Patients with severe COPD at high risk of exacerbations were eligible for the study. Of 560 eligible patients identified, 279 (50% declined to participate. The remaining patients were equally randomized to either TM (n=141 or usual care (n=140 for the 6-month study period. TM comprised recording of symptoms, saturation, spirometry, and weekly video consultations. Algorithms generated alerts if readings breached thresholds. Both groups received standard care. The primary outcome was number of hospital admissions for exacerbation of COPD during the study period.Results: Most of the enrolled patients had severe COPD (forced expiratory volume in 1 second <50%pred in 86% and ≥hospital admission for COPD in the year prior to enrollment in 45%, respectively, of the patients. No difference in drop-out rate and mortality was found between the groups. With regard to the primary outcome, no significant difference was found in hospital admissions for COPD between the groups (P=0.74, and likewise, no difference was found in time to first admission or all-cause hospital admissions. Compared with the control group, TM group patients had more moderate exacerbations (ie, treated with antibiotics/corticosteroid, but not requiring hospital admission; P<0.001, whereas the control group

  17. Asma e Gravidez: Tratamento Hospitalar Asthma and Pregnancy: Hospital Admission

    Directory of Open Access Journals (Sweden)

    Francisco Mauad Filho

    2001-09-01

    pregnant patients who required hospital admission to control acute exacerbations. Patients and Method: retrospective study of 12 pregnant asthmatic patients admitted at the Hospital das Clínicas, Department of Obstetrics and Gynecology, FMRP-USP, during the period between 1992 and 1996. The analyzed data included: maternal age, prenatal care, length of hospitalization, gestational age at delivery, type of delivery, neonatal weight and Apgar score. Results: among the 12 asthmatic pregnant patients 7 did not have prenatal care for acute exacerbation treatment before hospitalization. Three of 12 developed preeclampsia (one with premature rupture of membranes and infection of the amniotic cavity and one with premature separation of the placenta; 2 of 12 were diagnosed with premature placental aging (one with premature labor and twin-to-twin transfusion syndrome and one with oligohydramnios; 1 of 12 was diagnosed with oligohydramnios and fetal death and had pneumonia, and 1 of 12 was diagnosed with polyhydramnios. Among the infants, 3 were small for gestational age. Conclusions: perinatal complications were more frequent in asthmatic pregnant patients who required hospital care for the acute exacerbations. Chronic asthmatic patients in reproductive age should be advised before pregnancy about the prophylactic measures to reduce the incidence of acute crises and exacerbations during pregnancy should be treated promptly.

  18. Performance evaluation of Call-center with call redirection: Ocena performanc klicnega centra s preusmerjanjem klicev:

    OpenAIRE

    Efimushkin, Vladimir; Žepič, Drago

    2007-01-01

    The object of investigation is an analytical model for a Call-center functioning with a traffic distribution (call redirection) mechanism. Call-center functioning is described by the Markov process. A solution for stationary distribution is found and expressions for the main performance characteristics for the Call-center functioning are given. The proposed analytical model enables an investigation in different call traffic management schemes for the cases of agents overload and underload. ...

  19. Effect of gender and call duration on customer satisfaction in call center big data

    OpenAIRE

    Quim Llimona; Jordi Luque; Xabier Anguera; Zoraida Hidalgo; Souneil Park; Nuria Oliver

    2015-01-01

    Customer center call data is typically collected by organizations and corporations in order to improve customer experience through the analysis of such call data. In this paper, we report our findings when analysing more than 26 thousand calls to the call centers of a large corporation in a Latin American country. We focus on the impact of gender and call duration on selfreported customer satisfaction. Speech-based gender detection technology is employed to automatically detect the gender...

  20. Core Competencies Of A Call Centre AgentCore Competencies Of A Call Centre Agent

    OpenAIRE

    Christine White; Vera Roos

    2005-01-01

    Call centre agents are becoming increasingly important in the call centre context. They act as a contact point between the customer and the company. Call centre agents should have certain competencies to perform their duties sufficiently. Identifying competencies, required to be effective agents, will ease the task of training and recruitment. Due to the interrelatedness of the call centre agent, the management of a call centre and customers, all relevant role players’ perceptions were taken ...

  1. Analysis of the Spatial Variation of Hospitalization Admissions for Hypertension Disease in Shenzhen, China

    Directory of Open Access Journals (Sweden)

    Zhensheng Wang

    2014-01-01

    Full Text Available In China, awareness about hypertension, the treatment rate and the control rate are low compared to developed countries, even though China’s aging population has grown, especially in those areas with a high degree of urbanization. However, limited epidemiological studies have attempted to describe the spatial variation of the geo-referenced data on hypertension disease over an urban area of China. In this study, we applied hierarchical Bayesian models to explore the spatial heterogeneity of the relative risk for hypertension admissions throughout Shenzhen in 2011. The final model specification includes an intercept and spatial components (structured and unstructured. Although the road density could be used as a covariate in modeling, it is an indirect factor on the relative risk. In addition, spatial scan statistics and spatial analysis were utilized to identify the spatial pattern and to map the clusters. The results showed that the relative risk for hospital admission for hypertension has high-value clusters in the south and southeastern Shenzhen. This study aimed to identify some specific regions with high relative risk, and this information is useful for the health administrators. Further research should address more-detailed data collection and an explanation of the spatial patterns.

  2. Topology optimization of 3D compliant actuators by a sequential element rejection and admission method

    Science.gov (United States)

    Ansola, R.; Veguería, E.; Alonso, C.; Querin, O. M.

    2016-03-01

    This work presents a sequential element rejection and admission (SERA) method for optimum topology design of three dimensional compliant actuators. The proposed procedure has been successfully applied to several topology optimization problems, but most investigations for compliant devices design have been focused on planar systems. This investigation aims to progress on this line, where a generalization of the method for three dimensional topology optimization is explored. The methodology described in this work is useful for the synthesis of high performance flexure based micro and nano manipulation applications demanding for both sensing and control of motion and force trajectories. In this case the goal of the topology optimization problem is to design an actuator that transfers work from the input point to the output port in a structurally efficient way. Here we will use the classical formulation where the displacement performed on a work piece modelled by a spring is maximized. The technique implemented works with two separate criteria for the rejection and admission of elements to efficiently achieve the optimum design and overcomes problems encountered by other evolutionary methods when dealing with compliant mechanisms design. The use of the algorithm is demonstrated through several numerical examples.

  3. Obstetric conditions and risk of first admission with schizophrenia: A Danish national register based study

    DEFF Research Database (Denmark)

    Byrne, Majella; Agerbo, Esben; Bennedsen, Birgit;

    2007-01-01

    -control study based on Danish longitudinal registers was conducted to investigate the risk of schizophrenia associated with exposure to a range of obstetric events. The sample included 1039 first admissions to, or contacts with Danish psychiatric services with an ICD-8 or ICD-10 diagnosis of schizophrenia and......A range of complications of pregnancy, abnormal fetal growth and development, and complications of delivery have been associated with increased risk of schizophrenia. Few studies have been able to adjust for a broad range of potential confounding factors. A national population nested case...... 24, 826 individually matched controls. Adjusting for the other obstetric factors, family psychiatric history, and socio-economic and demographic factors, risk of schizophrenia was associated with maternal non-attendance at antenatal appointments (Incidence Rate Ratio (IRR) 2.08, 95% CI: 1.0, 4...

  4. How Different Medical School Selection Processes Call upon Different Personality Characteristics.

    Directory of Open Access Journals (Sweden)

    Nienke R Schripsema

    Full Text Available Research indicates that certain personality traits relate to performance in the medical profession. Yet, personality testing during selection seems ineffective. In this study, we examine the extent to which different medical school selection processes call upon desirable personality characteristics in applicants.1019 of all 1055 students who entered the Dutch Bachelor of Medicine at University of Groningen, the Netherlands in 2009, 2010 and 2011 were included in this study. Students were admitted based on either top pre-university grades (n = 139, acceptance in a voluntary multifaceted selection process (n = 286, or lottery weighted for pre-university GPA. Within the lottery group, we distinguished between students who had not participated (n = 284 and students who were initially rejected (n = 310 in the voluntary selection process. Two months after admission, personality was assessed with the NEO-FFI, a measure of the five factor model of personality. We performed ANCOVA modelling with gender as a covariate to examine personality differences between the four groups.The multifaceted selection group scored higher on extraversion than all other groups(p<0.01, higher on conscientiousness than both lottery-admitted groups(p<0.01, and lower on neuroticism than the lottery-admitted group that had not participated in the voluntary selection process. The latter group scored lower on conscientiousness than all other groups(p<0.05 and lower on agreeableness than the multifaceted selection group and the top pre-university group(p<0.01.Differences between the four admission groups, though statistically significant, were relatively small. Personality scores in the group admitted through the voluntary multifaceted selection process seemed most fit for the medical profession. Personality scores in the lottery-admitted group that had not participated in this process seemed least fit for the medical profession. It seems that in order to select applicants with

  5. Inpatient admissions and outpatient visits in persons with and without HIV infection in Denmark, 1995-2007

    DEFF Research Database (Denmark)

    Engsig, Frederik Neess; Hansen, Ann-Brit Eg; Gerstoft, Jan;

    2010-01-01

    HIV patients and a cohort of population controls matched on sex and date of birth. The study period was 1995-2007. We calculated inpatient admission rates and outpatient visit rates stratified by medical speciality and International Classification of Diseases-10 diagnose categories. Relative risks...... and a small increase in relative risk due to cardiovascular disease. CONCLUSION: After the introduction of HAART, the inpatient treatment of HIV-infected patients has decreased, especially at departments of infectious disease. In contrast, this population's use of outpatient facilities has increased....... The risk ratio (95% CI) fell from 6.2 (6.0-6.5) to 3.1 (3.1-3.2) predominantly due to reduced inpatient admission rates to departments of infectious diseases. The overall outpatient visit rates (95% CI) for the HIV-infected patients increased from 744 (737-751) to 877 (872-882)/100 person-years, mainly due...

  6. Admission Cell Free DNA as a Prognostic Factor in Burns: Quantification by Use of a Direct Rapid Fluorometric Technique

    Directory of Open Access Journals (Sweden)

    Yaron Shoham

    2014-01-01

    Full Text Available Background. Despite great advances in the treatment of burn patients, useful prognostic markers are sparse. During the past years there has been increasing interest in circulating plasma cell free DNA as a potential marker for tissue injury. We have developed a rapid direct fluorescent assay for cell free DNA quantification that allows obtaining accurate, fast, and inexpensive measurements. Objective. To use this technique for measuring plasma cell free DNA levels in burn patients and to further explore the use of cell free DNA as a potential marker of patient outcome in burns. Methods. Cell free DNA levels obtained from 14 burn victims within 6 hours of injury and 14 healthy controls were quantified by a direct rapid fluorometric assay. Results. Patient admission cell free DNA levels were significantly elevated compared with that of controls (1797 ± 1523 ng/mL versus 374 ± 245 ng/mL, P=0.004. There are statistically significant correlations between cell free DNA admission levels and burn degree (Spearman’s correlation = 0.78, P=0.001, total body surface area (Spearman’s correlation = 0.61, P=0.02, and total burn volume (Spearman’s correlation = 0.64, P=0.014. Conclusions. Admission cell free DNA levels can serve as a prognostic factor in burns and future routine use can be made possible by use of our direct rapid fluorometric assay.

  7. Coaching "Callings" throughout the Adult Life Cycle.

    Science.gov (United States)

    Hudson, Frederic M.

    2001-01-01

    The process of "callings" continues throughout life. Coaching can connect the present to the future in a meaningful way. Callings represent a value shift requiring revision of the nature and scope of one's central purpose in life and meaningful activities. (JOW)

  8. 78 FR 21891 - Rural Call Completion

    Science.gov (United States)

    2013-04-12

    ... in Rulemaking Proceedings, 63 FR 24121 (1998). Electronic Filers: Comments may be filed..., we propose to apply these obligations to the first facilities-based provider in the call- delivery... call. In cases where the first facilities-based provider serves multiple non-facilities-...

  9. 78 FR 76218 - Rural Call Completion

    Science.gov (United States)

    2013-12-17

    ... choice. If that reseller making the initial long-distance call path choice uses VoIP technology, in the..., interexchange carriers (IXCs), commercial mobile radio service (CMRS) providers, and VoIP service providers... the prohibition on call blocking; made clear that carriers' blocking of VoIP-PSTN traffic...

  10. Call-Center – Rationalisierung im Dilemma

    OpenAIRE

    Holtgrewe, Ursula; Gundtoft, Lars

    2001-01-01

    Die Verfasser untersuchen Funktionen, Lösungen und Probleme der Organisationsform Call-Center. Aus organisationssoziologischer Sicht werden grundlegende Funktionen und Dilemmata organisationeller Grenzstellen beleuchtet und mit Informationen über Organisations- und Beschäftigtenstruktur, Arbeitsweisen und Kundenbeziehungen der verschiedenen Typen von Call-Centern abgeglichen. Die Untersuchung ist auf drei Ebenen angelegt: Aus systematisch-struktureller Sicht werden Organisationsdilemmata an d...

  11. A CALL for Improved School Leadership

    Science.gov (United States)

    Halverson, Richard; Kelley, Carolyn; Shaw, James

    2014-01-01

    The Comprehensive Assessment of Leadership for Learning (CALL) is a formative assessment that provides feedback to schools on the research-based leadership practices necessary to improve teaching and learning. Instead of focusing on an individual leader, CALL measures leadership practices in tasks carried out by actors across the school and…

  12. Responses of squirrel monkeys to their experimentally modified mobbing calls

    Science.gov (United States)

    Fichtel, Claudia; Hammerschmidt, Kurt

    2003-05-01

    Previous acoustic analyses suggested emotion-correlated changes in the acoustic structure of squirrel monkey (Saimiri sciureus) vocalizations. Specifically, calls given in aversive contexts were characterized by an upward shift in frequencies, often accompanied by an increase in amplitude. In order to test whether changes in frequencies or amplitude are indeed relevant for conspecific listeners, playback experiments were conducted in which either frequencies or amplitude of mobbing calls were modified. Latency and first orienting response were measured in playback experiments with six adult squirrel monkeys. After broadcasting yaps with increased frequencies or amplitude, squirrel monkeys showed a longer orienting response towards the speaker than after the corresponding control stimuli. Furthermore, after broadcasting yaps with decreased frequencies or amplitude, squirrel monkeys showed a shorter orienting response towards the speaker than after the corresponding manipulated calls with higher frequencies or amplitude. These results suggest that changes in frequencies or amplitude were perceived by squirrel monkeys, indicating that the relationship between call structure and the underlying affective state of the caller agreed with the listener's assessment of the calls. However, a simultaneous increase in frequencies and amplitude did not lead to an enhanced response, compared to each single parameter. Thus, from the receiver's perspective, both call parameters may mutually replace each other.

  13. Communication cliques in mobile phone calling networks

    CERN Document Server

    Li, Ming-Xia; Jiang, Zhi-Qiang; Zhou, Wei-Xing

    2015-01-01

    People in modern societies form different social networks through numerous means of communication. These communication networks reflect different aspects of human's societal structure. The billing records of calls among mobile phone users enable us to construct a directed calling network (DCN) and its Bonferroni network (SVDCN) in which the preferential communications are statistically validated. Here we perform a comparative investigation of the cliques of the original DCN and its SVDCN constructed from the calling records of more than nine million individuals in Shanghai over a period of 110 days. We find that the statistical properties of the cliques of the two calling networks are qualitatively similar and the clique members in the DCN and the SVDCN exhibit idiosyncratic behaviors quantitatively. Members in large cliques are found to be spatially close to each other. Based on the clique degree profile of each mobile phone user, the most active users in the two calling networks can be classified in to seve...

  14. Call cultures in orang-utans?

    Directory of Open Access Journals (Sweden)

    Serge A Wich

    Full Text Available BACKGROUND: Several studies suggested great ape cultures, arguing that human cumulative culture presumably evolved from such a foundation. These focused on conspicuous behaviours, and showed rich geographic variation, which could not be attributed to known ecological or genetic differences. Although geographic variation within call types (accents has previously been reported for orang-utans and other primate species, we examine geographic variation in the presence/absence of discrete call types (dialects. Because orang-utans have been shown to have geographic variation that is not completely explicable by genetic or ecological factors we hypothesized that this will be similar in the call domain and predict that discrete call type variation between populations will be found. METHODOLOGY/PRINCIPAL FINDINGS: We examined long-term behavioural data from five orang-utan populations and collected fecal samples for genetic analyses. We show that there is geographic variation in the presence of discrete types of calls. In exactly the same behavioural context (nest building and infant retrieval, individuals in different wild populations customarily emit either qualitatively different calls or calls in some but not in others. By comparing patterns in call-type and genetic similarity, we suggest that the observed variation is not likely to be explained by genetic or ecological differences. CONCLUSION/SIGNIFICANCE: These results are consistent with the potential presence of 'call cultures' and suggest that wild orang-utans possess the ability to invent arbitrary calls, which spread through social learning. These findings differ substantially from those that have been reported for primates before. First, the results reported here are on dialect and not on accent. Second, this study presents cases of production learning whereas most primate studies on vocal learning were cases of contextual learning. We conclude with speculating on how these findings might

  15. 77 FR 70211 - Agency Information Collection Activities (Call Center Satisfaction Survey) Under OMB Review

    Science.gov (United States)

    2012-11-23

    ... AFFAIRS Agency Information Collection Activities (Call Center Satisfaction Survey) Under OMB Review AGENCY....'' SUPPLEMENTARY INFORMATION: Title: VBA Call Center Satisfaction Survey. OMB Control Number: 2900-0744. Type of... Veterans; (2) determine what to do to improve the call center experience; and (3) serve to guide...

  16. Healthcare professionals under pressure in involuntary admission processes.

    Science.gov (United States)

    van den Hooff, Susanne; Leget, Carlo; Goossensen, Anne

    2015-10-01

    The main objective of this paper is to describe how quality of care may be improved during an involuntary admission process of patients suffering from Korsakoff's syndrome. It presents an empirically grounded analysis with different perspectives on 'doing good' during this process. Family carers', healthcare professionals' and legal professionals' ways of understanding and ordering this problematic situation appear very different. This could prevent patients from getting the proper care they need, with risk of more suffering and quality of life below the minimum acceptable. All this possibly lead to immoral dehumanizing situations. Firstly, the background of our empirical study is sketched. Secondly, the different perspectives on 'doing good' are summarized and compared. Thirdly, the tensions arising from the different conceptualizations of autonomy and different types of responsibilities of the actors are clarified. A common 'doing good' during involuntary admission necessitates removal of any tensions within the relational network by weighing and balancing the different perspectives on autonomy and the resulting responsibilities. With this in mind, we propose a renewed time/action table for involuntary admission, which tends to address all patients' needs at the right time. The solution presented might help healthcare professionals, who are squeezed in between patients, family carers, legal professionals and overall rules, to create practices in which patients suffering from Korsakoff's syndrome can maintain their dignity and receive the care they need. Earlier interventions, timely and adequate diagnosis, and diminishment of tensions between the different actors by fine-tuning their paradigmatic frameworks are suggested to be part of a solution. PMID:26058413

  17. Frailty score on admission predicts outcomes in elderly burn injury.

    Science.gov (United States)

    Romanowski, Kathleen S; Barsun, Alura; Pamlieri, Tina L; Greenhalgh, David G; Sen, Soman

    2015-01-01

    With longer life expectancy, the number of burn injuries in the elderly continues to increase. Prediction of outcomes for the elderly is complicated by preinjury physical fitness and comorbid illness. The authors hypothesize that admission frailty assessment would be predictive of outcomes in the elderly burn population. Our primary aim was to determine if higher frailty scores were associated with higher risk of mortality for elderly burn patients. The secondary aims were to assess if higher frailty scores were associated with increased length of stay, increased needs for mechanical ventilation and poor discharge disposition. A 2-year retrospective chart review was performed of all admitted acute burn patients 65 years or older. Data collected included: age, gender, %TBSA of burn injury, presence of inhalation injury, in hospital mortality, hospital length of stay, ventilator days, ICU length of stay, surgical procedures, insurance status, and discharge disposition. Frailty scores were assessed from admission data and calculated using the Canadian Study of Health and Aging clinical frailty scale. A total of 89 patients met entry criteria. Mean age was 75.3 ± 8.1 years and consisted of 62 men and 27 women. Mean %TBSA was 9.6 ± 9.1% and mean frailty score (FS) was 4.5 ± 1.2. Eighty patients survived to discharge and nine died. Nonsurvivors had significantly higher FS compared to survivors (5.2 ± 1.2 vs 4.4 ± 1.2). FS were also significantly higher in patients discharged to skilled nursing facilities (SNF) (5.34 ± 0.9) compared to those who were discharged home (4.1 ± 1.2) or to physical rehabilitation facilities (4 ± 1.5). Multivariate linear regression analysis revealed that age (B = 0.04) and discharge to SNF (B = 1.2) are independently associated with higher FS. However, survivors were independently associated with a significantly lower FS (B = -1.3). Multivariate logistic regression analysis revealed high admission FS independently increased the risk of

  18. Reflections on a Century of College Admissions Tests

    OpenAIRE

    Richard C. Atkinson and Saul Geiser

    2009-01-01

    Standardized testing for college admissions has grown exponentially since the first administration of the old “College Boards†in 1901. This paper surveys major developments since then: the introduction of the “Scholastic Aptitude Test†in 1926, designed to tap students’ general analytic ability; E.F. Lindquist’s creation of the ACT in 1959 as a competitor to the SAT, intended as a measure of achievement rather than ability; the renewed interest on the part of some leading colleges ...

  19. Off-hours admission and quality of hip fracture care

    DEFF Research Database (Denmark)

    Kristiansen, Nina Sahlertz; Kristensen, Pia Kjær; Nørgård, Bente Mertz; Mainz, Jan; Johnsen, Søren Paaske

    2016-01-01

    OBJECTIVE: Higher risks of adverse outcomes have been reported for patients admitted acutely during off-hours. However, in relation to hip fracture, the evidence is inconsistent. We examined whether time of admission influenced compliance with performance measures, surgical delay and 30-day...... = 25 305). EXPOSURE: Off-hours: weekday evenings and nights, and weekends. MAIN OUTCOME MEASURES: Meeting specific performance measures, surgical delay and mortality. RESULTS: No differences were found in patient characteristics or in meeting performance measures (RRs from 0.99 [95% CI: 0.98-1.01] to 1...

  20. Delay in hospital admission of patients with cerebral vein and dural sinus thrombosis.

    Science.gov (United States)

    Ferro, José M; Lopes, M G; Rosas, M J; Fontes, J

    2005-01-01

    Factors influencing early hospital admission have been described for several stroke types but not for cerebral vein and dural sinus thrombosis (CVT). CVT is more difficult to diagnose than arterial stroke; delay in hospital admission may postpone CVT treatment. The purposes of this study were: (1) to describe the delay between the onset of symptoms and hospital admission of patients with CVT, and (2) to identify the variables that influence that delay. We registered the interval (days) between the onset of symptoms and hospital admission in 91 consecutive patients admitted to 20 Portuguese hospitals between June 1995 and June 1998. We also studied the impact of admission delay on treatments (prescription of anticoagulants and the number of days elapsed between the onset of symptoms and start of anticoagulation and admission). Median admission delay was 4 days. Twenty-two (25%) patients were admitted within 24 h. Two thirds of the patients were admitted within 7 days and 75% within 13 days. In multiple logistic regression analysis, admission within 24 h was positively associated with mental status disorder (delirium or abulia; OR = 4.59; 95% CI = 1.41-14.89) and negatively associated with headache (OR = 0.03; 95% CI = 0.00-0.32). Presentation as isolated intracranial hypertension was associated with admission delay of more than 4 days (OR = 2.63; 95% CI = 0.97-7.14). Papilloedema was associated with an admission delay of more than 13 days (OR = 4.69; 95% CI = 1.61-13.61). There was no association between admission delay and the proportion of anticoagulated patients. The interval between onset of symptoms and start of anticoagulation was shorter in patients admitted earlier (p = 0.0001, for either admission within 24 h, 4 or 13 days). There is a considerable delay until the clinical picture associated with CVT is recognised as justifying hospital admission, especially when patients present with symptoms identical to isolated intracranial hypertension syndrome. PMID

  1. External GSM phone calls now made simpler

    CERN Multimedia

    2007-01-01

    On 2 July, the IT/CS Telecom Service introduced a new service making external calls from CERN GSM phones easier. A specific prefix is no longer needed for calls outside CERN. External calls from CERN GSM phones are to be simplified. It is no longer necessary to use a special prefix to call an external number from the CERN GSM network.The Telecom Section of the IT/CS Group is introducing a new system that will make life easier for GSM users. It is no longer necessary to use a special prefix (333) to call an external number from the CERN GSM network. Simply dial the number directly like any other Swiss GSM customer. CERN currently has its own private GSM network with the Swiss mobile operator, Sunrise, covering the whole of Switzerland. This network was initially intended exclusively for calls between CERN numbers (replacing the old beeper system). A special system was later introduced for external calls, allowing them to pass thr...

  2. Performance of Call to Order - photographs

    OpenAIRE

    Ritter, Kathleen; Maxwell, James; PARRC

    2012-01-01

    Call to Order is the translation—into musical sound—of the meeting minutes of the organizations behind Institutions by Artists: The Convention (PAARC, Fillip, and ARCA). Call to Order uses a prosaic form of administration as material for creative production. Musical scores were created from the meeting minutes of each organization by mapping Robert’s Rules of Order onto the implied rules of Piston’s Harmony and using both texts as comparative guides. Call to Order is the musical sound of a...

  3. Predicting outcome on admission and post-admission for acetaminophen-induced acute liver failure using classification and regression tree models.

    Directory of Open Access Journals (Sweden)

    Jaime Lynn Speiser

    Full Text Available Assessing prognosis for acetaminophen-induced acute liver failure (APAP-ALF patients often presents significant challenges. King's College (KCC has been validated on hospital admission, but little has been published on later phases of illness. We aimed to improve determinations of prognosis both at the time of and following admission for APAP-ALF using Classification and Regression Tree (CART models.CART models were applied to US ALFSG registry data to predict 21-day death or liver transplant early (on admission and post-admission (days 3-7 for 803 APAP-ALF patients enrolled 01/1998-09/2013. Accuracy in prediction of outcome (AC, sensitivity (SN, specificity (SP, and area under receiver-operating curve (AUROC were compared between 3 models: KCC (INR, creatinine, coma grade, pH, CART analysis using only KCC variables (KCC-CART and a CART model using new variables (NEW-CART.Traditional KCC yielded 69% AC, 90% SP, 27% SN, and 0.58 AUROC on admission, with similar performance post-admission. KCC-CART at admission offered predictive 66% AC, 65% SP, 67% SN, and 0.74 AUROC. Post-admission, KCC-CART had predictive 82% AC, 86% SP, 46% SN and 0.81 AUROC. NEW-CART models using MELD (Model for end stage liver disease, lactate and mechanical ventilation on admission yielded predictive 72% AC, 71% SP, 77% SN and AUROC 0.79. For later stages, NEW-CART (MELD, lactate, coma grade offered predictive AC 86%, SP 91%, SN 46%, AUROC 0.73.CARTs offer simple prognostic models for APAP-ALF patients, which have higher AUROC and SN than KCC, with similar AC and negligibly worse SP. Admission and post-admission predictions were developed.• Prognostication in acetaminophen-induced acute liver failure (APAP-ALF is challenging beyond admission • Little has been published regarding the use of King's College Criteria (KCC beyond admission and KCC has shown limited sensitivity in subsequent studies • Classification and Regression Tree (CART methodology allows the

  4. Development of a Medical School Admissions Interview Phase 2: Predictive Validity of Cognitive and Non-Cognitive Attributes

    OpenAIRE

    Streyffeler, Lisa; Altmaier, Elizabeth M.; Kuperman, Samuel; Patrick, Luke E.

    2009-01-01

    Background: Interest in improving medical school admissions processes led to the development of a structured admissions interview to eliminate potential bias and provide valid information for selection. This article reports on the degree to which this interview, along with other admissions variables, predicted later student performance during medical school. Methods: All applicants considered for admission participated in the new interview. Interview scores and regular admissions data were co...

  5. Clinical Predictors of Intensive Care Unit Admission for Asthmatic Children

    Directory of Open Access Journals (Sweden)

    Mohammad Hasan Kargar Maher

    2015-07-01

    Full Text Available IntroductionChildren with severe asthma attack are a challenging group of patients who could be difficult to treat and leading to significant morbidity and mortality. Asthma attack severity is qualitatively estimated as mild, moderate and severe attacks and respiratory failure based on conditions such as respiration status, feeling of dyspnea, and the degree of unconsciousness. part of which are subjective rather than objective. We investigated clinical findings as predictors of severe attack and probable requirement for Pediatric Intensive Care Unit (PICU admission.Materials and MethodsIn a cross sectional and analytical study 120 patients with asthma attack were enrolled from April 2010 to April 2014 (80 admitted in the ward and 40 in pediatric intensive care unit. Predictors of PICU admission were investigated regarding to initial heart rate(HR, respiratory rate (RR, Arterial Oxygen Saturation(SaO2 and PaCo2 and clinically evident cyanosis.ResultsInitial heart rate(p-value=0.02, respiratory rate (p-value=0.03, Arterial Oxygen Saturation(p-value=0.02 and PaCo2(p-value=0.03 and clinically evident cyanosis were significantly different in two groups(Ward admitted and PICU admittedConclusion There was a significant correlation between initial vital sign and blood gas analysis suggesting usefulness of these factors as predictors of severe asthma attack and subsequent clinical course.

  6. [Quality of medical information on admission to a nursing home].

    Science.gov (United States)

    Kuhlmey, J; Lautsch, E; Hesse, G

    1986-01-01

    In this paper one aspect of social relation in health and social service is investigated by means of documentation analysis: the quality of medical information on admission to a nursing home. In 6% of all cases (n = 120) the nursing home received detailed data on the diagnosis and therapy, the status praesens and on the clinical symptoms, on the social and psychological situation of the aged person in need of care and his/her clinical parameters. With 6% the basic data (name, date of birth, diagnosis) were incomplete. With 66.7% the data were available on the day of admission. There was no dependence on age, sex and stage of care of the person in need of care. The data were less extensive if the person in need of care was referred to from an out-patient department and inquiries could not be made with him/her or his/her relatives/acquaintances. An improvement of this situation is possible if the cooperation between hitherto attending doctor, the care institution of the municipal district for aged people and the nursing home is coordinated better. PMID:3485329

  7. Effectiveness of student admission essays in identifying attrition.

    Science.gov (United States)

    Sadler, Judith

    2003-11-01

    Nursing school admission selection processes exist to select the "best and brightest" applicants assuming that those selected will be successful. However, attrition occurs. Effectiveness of grade point averages (GPAs) and test scores have been reported, while the effectiveness of essays in predicting attrition in undergraduate nursing education has not been reported in the literature. For the purposes of this study, attrition was defined as students enrolled in courses following acceptance into the program who did not complete the program. Data from a retrospective longitudinal sample including 236 students from one baccalaureate nursing program were analyzed for differences between students who completed the program ("completers", n=193) and those who dropped out ("non-completers", n=43). t-tests between the group mean essay scores revealed a statistical difference (t=2.092, p=0.043), while there was no statistical difference (t=0.22, p=ns) between the mean admission GPAs of the groups. Content analysis revealed thematic differences in the essays. Non-completers tended to write about nursing as external to themselves, in contrast to the completers who described an internalization of the role. Answers to questions of motivation for entering nursing and personal experience with a nurse may provide helpful information in selecting those students most likely to complete the program. PMID:14554116

  8. ENVIRONMENTAL HAZARDS AS A CAUSE OF PEDIATRIC INTENSIVE CARE ADMISSION

    Directory of Open Access Journals (Sweden)

    Nasser Ali Haidar

    2014-12-01

    Full Text Available Background: Children are exposed to several environmental hazards with variable effects from mild to severe manifestations leading to death. The aim of this study is to study the pattern of Pediatric Intensive Care Unit (PICU admission due to environmental hazards and its mortality rate. Methods: This is a hospital-based study conducted during a 5 years period in Al-Madinah Al-Munwarah, Saudi Arabia. Results: Out of total PICU admissions, 9% were due to environmental hazards. Bronchial asthma which is triggered mostly by environmental factors, was the most common (35.3% followed by: trauma (27%, poisoning (15.3% and submersion injuries (9.7%. Males were significantly more exposed to environmental hazard than females (χ2= 13, p = 0.021. Statistical analysis showed a significant difference in the frequency of environmental hazards between summer and winter (χ2= 12, p = 0.033. Trauma, poisoning, submersion injuries, stings and bites were more in summer compared to winter. However, bronchial asthma had higher frequency in winter. The Median length of PICU stay ranges from 1.6 – 12.5 days depending on the type of hazard. Overall mortality rate was 8.8% with the highest rate among trauma followed by submersion injury patients with no fatality in drug ingestion or food poisoning. Conclusion: Environmental hazards represent a preventable major health problem with significant mortality and burden in health economics by long PICU stay and its sequel.

  9. A New Experience in Medical Student Admission in Iran

    Directory of Open Access Journals (Sweden)

    R Majdzadeh

    2009-03-01

    Full Text Available "nMedical education in Iran has witnessed important reforms within the last three decades. Among them was the formation of the Ministry of Health and Medical Education and a sudden rise in medical student admissions. This reform took place in a specific time period and was aimed to meet the country's requirement of training more physicians. Other reforms have aimed to improve the quality and outcomes of physician training. This is possible through two measures: a change in medi­cal education procedures, or a change in the ‘input' of medical education (i.e. students or both. Graduate admission to medical schools is a step toward changing the ‘input'. In 2008, twenty one bachelor students were admitted in Tehran Uni­versity of Medical Sciences through a series of prerequisites, tough scientific exams and structured interviews. This move had three objectives: strengthening the links between basic and clinical sciences, selecting the students on the basis of a wider range of criteria (instead of strictly academic ones, and providing a chance for applicants to make a more informed choice of medicine (considering that the graduate applicants are older and have previous academic experience. Further ar­eas of education reform are also being followed: a change in medical students' educational content and procedures, and con­siderations and development of joint degrees such as MD-MPH and MD-PhD.

  10. Mourning Dove Call-count Survey

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The Mourning Dove (Zenaida macroura) Call-Count Survey was developed to provide an index to population size and to detect annual changes in mourning dove breeding...

  11. Engineers call for US nuclear safety fix

    Science.gov (United States)

    Gwynne, Peter

    2016-04-01

    Seven Nuclear Regulatory Commission (NRC) engineers have called on the commission to force the owners of US nuclear reactors to repair a design flaw that could affect the safe operation of emergency core cooling systems.

  12. 17 CFR 31.18 - Margin calls.

    Science.gov (United States)

    2010-04-01

    ... after contact is effected in which to respond to a margin call. Twenty-four hours, excluding Saturdays... contract for a period of 5 business days at the then prevailing bid price in the case of a long...

  13. 76 FR 4896 - Call for Candidates

    Science.gov (United States)

    2011-01-27

    ... accepted accounting principles for federal government entities. Generally, non-federal Board members are... From the Federal Register Online via the Government Publishing Office FEDERAL ACCOUNTING STANDARDS ADVISORY BOARD Call for Candidates AGENCY: Federal Accounting Standards Advisory Board. ACTION:...

  14. 76 FR 36130 - Call for Candidates

    Science.gov (United States)

    2011-06-21

    ... establish generally accepted accounting principles for federal government entities. Generally, non- federal... From the Federal Register Online via the Government Publishing Office FEDERAL ACCOUNTING STANDARDS ADVISORY BOARD Call for Candidates AGENCY: Federal Accounting Standards Advisory Board. ACTION: Request...

  15. Influence of smoking and alcohol consumption on admissions and duration of hospitalization

    DEFF Research Database (Denmark)

    Hvidtfeldt, Ulla A; Rasmussen, Søren; Grønbaek, Morten;

    2010-01-01

    BACKGROUND: Previous studies have linked smoking and alcohol consumption to a considerable disease burden and large healthcare expenditures. However, findings from studies based on individual level data are sparse and inconclusive. Our objective was to assess the association between alcohol.......80-8.26) in women were observed among smokers of >20 g/day compared to never-smokers. For any admission (excl. smoking-related causes), corresponding ORs were 1.32 (95% CI 1.15-1.51) and 1.80 (95% CI 1.58-2.06), respectively. In men, a U-shaped association between alcohol consumption and risk of admission was...... found, both regarding any admission and admissions due to alcohol-related diseases. Alcohol was associated with alcohol-related admissions in women but not with duration of hospitalization. CONCLUSIONS: Smoking was associated with increased risk of hospital admission and duration of hospitalization. A U...

  16. Calling patterns in human communication dynamics

    OpenAIRE

    Jiang, Zhi-Qiang; Xie, Wen-Jie; Li, Ming-Xia; Podobnik, Boris; Zhou, Wei-Xing; Stanley, H. Eugene

    2013-01-01

    Modern technologies not only provide a variety of communication modes, e.g., texting, cellphone conversation, and online instant messaging, but they also provide detailed electronic traces of these communications between individuals. These electronic traces indicate that the interactions occur in temporal bursts. Here, we study the inter-call durations of the 100,000 most-active cellphone users of a Chinese mobile phone operator. We confirm that the inter-call durations follow a power-law dis...

  17. Malware Classification based on Call Graph Clustering

    OpenAIRE

    Kinable, Joris; Kostakis, Orestis

    2010-01-01

    Each day, anti-virus companies receive tens of thousands samples of potentially harmful executables. Many of the malicious samples are variations of previously encountered malware, created by their authors to evade pattern-based detection. Dealing with these large amounts of data requires robust, automatic detection approaches. This paper studies malware classification based on call graph clustering. By representing malware samples as call graphs, it is possible to abstract certain variations...

  18. Application for call center data analysis

    OpenAIRE

    KLEMENČIČ, DAMJAN

    2015-01-01

    Graduation thesis describes the planning and design of desktop application CTI Server that is used in call and dispatch centers, where they have communication server (PBX) Siemens. Application collects data that is sent from communication server and stores them in data base for subsequent processing. It also displays current status of agents and telephony connections, call history and agent logs for a certain period of time. With the data obtained from communication server the application ...

  19. Towards Building an Intelligent Call Routing System

    OpenAIRE

    Thien Khai Tran; Dung Minh Pham; Binh Van Huynh

    2016-01-01

    This paper presents EduICR - an Intelligent Call Routing system. This system can route calls to the most appropriate agent using routing rules built by the text classifier. EduICR includes the following main components: telephone communication network; Vietnamese speech recognition; Text classifier/ Natural language processor and Vietnamese speech synthesis. To our best knowledge, this is one of the first systems in Vietnam to implement the integration mechanism of text processing and speech ...

  20. Identifying users profiles from mobile calls habits

    OpenAIRE

    Furletti, Barbara; Gabrielli, Lorenzo; Rinzivillo, Salvatore; Renso, Chiara

    2012-01-01

    The huge quantity of positioning data registered by our mobile phones stimulates several research questions, mainly originating from the combination of this huge quantity of data with the extreme heterogeneity of the tracked user and the low granularity of the data. We propose a methodology to partition the users tracked by GSM phone calls into profiles like resident, commuters, in transit and tourists. The methodology analyses the phone calls with a combination of top-down and bottom up tech...