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Sample records for children requiring admission

  1. 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.

  2. 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…

  3. 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

  4. 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

  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. 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.

  7. Analysis of factors influencing admission to intensive care following convulsive status epilepticus in children.

    LENUS (Irish Health Repository)

    Tirupathi, Sandya

    2012-02-01

    OBJECTIVES: To identify clinical features and therapeutic decisions that influence admission to the Intensive Care unit (ICU) in children presenting with convulsive status epilepticus (CSE). METHODS: We evaluated 47 admissions with status epilepticus to a tertiary paediatric hospital A&E over a three year period (2003-2006). Following initial management 23 episodes required admission to ICU and 24 were managed on a paediatric ward. We compared clinical, demographic data and compliance with our CSE protocol between the ICU and ward groups. RESULTS: Median age at presentation in the ICU group was 17 months (range 3 months-11 years) compared to 46 months in the ward group (range 3 months-10 years). Fifty per cent of patients in both groups had a previous history of seizures. Median duration of pre-hospital seizure activity was 30 min in both groups. More than two doses of benzodiazepines were given as first line medication in 62% of the ICU group and 33% of the ward group. Among children admitted to ICU with CSE, 26% had been managed according to the CSE protocol, compared to 66% of children who were admitted to a hospital ward. Febrile seizures were the most common aetiology in both groups. CONCLUSION: Younger age at presentation, administration of more than two doses of benzodiazepines and deviation from the CSE protocol appear to be factors which influence admission of children to ICU. Recognition of pre-hospital administration of benzodiazepines and adherence to therapeutic guidelines may reduce the need for ventilatory support in this group.

  8. Risk Factors for Persistent MRSA Colonization in Children with Multiple Intensive Care Unit Admissions

    OpenAIRE

    Popoola, Victor O; Tamma, Pranita; Reich, Nicholas G.; Perl, Trish M.; Milstone, Aaron

    2013-01-01

    We studied MRSA colonized children with multiple ICU admissions to assess the persistence of MRSA colonization. Our data found that children with more than one year between ICU admissions had a higher MRSA colonization prevalence than the overall ICU population, supporting empiric contact precautions for children with prior MRSA colonization.

  9. 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

  10. Impact of childhood trauma on risk of relapse requiring psychiatric hospital admission for psychosis.

    Science.gov (United States)

    Petros, N; Foglia, E; Klamerus, E; Beards, S; Murray, R M; Bhattacharyya, S

    2016-08-01

    Relapse in psychosis typically necessitates admission to hospital placing a significant financial burden on the health service. Exposure to childhood trauma is associated with an increased risk of psychosis, however, the extent to which this influences relapse is unclear. This report summarises current research investigating the influence of childhood trauma on relapse requiring psychiatric hospital admission for psychosis. Seven studies were included; two revealed a positive association between childhood trauma and relapse admission, two studies found a negative relationship and three found no significant difference. Inconsistent current evidence suggests a need for further research in this area. PMID:27151070

  11. Pathways to Care for Critically Ill or Injured Children: A Cohort Study from First Presentation to Healthcare Services through to Admission to Intensive Care or Death.

    OpenAIRE

    Peter Hodkinson; Andrew Argent; Lee Wallis; Steve Reid; Rafael Perera; Sian Harrison; Matthew Thompson; Mike English; Ian Maconochie; Alison Ward

    2016-01-01

    Purpose Critically ill or injured children require prompt identification, rapid referral and quality emergency management. We undertook a study to evaluate the care pathway of critically ill or injured children to identify preventable failures in the care provided. Methods A year-long cohort study of critically ill and injured children was performed in Cape Town, South Africa, from first presentation to healthcare services until paediatric intensive care unit (PICU) admission or emergency dep...

  12. Mold sensitization is common amongst patients with severe asthma requiring multiple hospital admissions

    Directory of Open Access Journals (Sweden)

    Hopkinson Linda C

    2005-02-01

    Full Text Available Abstract Background Multiple studies have linked fungal exposure to asthma, but the link to severe asthma is controversial. We studied the relationship between asthma severity and immediate type hypersensitivity to mold (fungal and non-mold allergens in 181 asthmatic subjects. Methods We recruited asthma patients aged 16 to 60 years at a University hospital and a nearby General Practice. Patients were categorized according to the lifetime number of hospital admissions for asthma (82 never admitted, 53 one admission, 46 multiple admissions. All subjects had allergy skin prick tests performed for 5 mold allergens (Aspergillus, Alternaria, Cladosporium, Penicillium and Candida and 4 other common inhalant allergens (D. pteronyssinus, Grass Pollen, Cat and Dog. Results Skin reactivity to all allergens was commonest in the group with multiple admissions. This trend was strongest for mold allergens and dog allergen and weakest for D. pteronyssinus. 76% of patients with multiple admissions had at least one positive mold skin test compared with 16%-19% of other asthma patients; (Chi squared p Conclusion These findings support previous suggestions that mold sensitization may be associated with severe asthma attacks requiring hospital admission.

  13. Incidence and preventability of adverse events requiring intensive care admission

    OpenAIRE

    Vlayen, Annemie; Verelst, Sandra; Bekkering, Geertruida E; Schrooten, Ward; Hellings, Johan; Claes, Neree

    2011-01-01

    Rationale, aims and objectives: Adverse events are unintended patient injuries or complications that arise from health care management resulting in death, disability or prolonged hospital stay. Adverse events that require critical care are a considerable financial burden to the health care system, but also their global impact on patients and society is probably underestimated. The objectives of this systematic review were to synthesize the best available evidence regarding the estimates of th...

  14. Patients with hematological disorders requiring admission to medical intensive care unit: Characteristics, survival and prognostic factors

    Directory of Open Access Journals (Sweden)

    Subhash H

    2003-01-01

    Full Text Available Background: This retrospective chart review assessed the characteristics and outcome of patients with hematological disorders who required admission to medical intensive care unit over a 4 year period (January 1998 to December 2001. Results: There were a total of 104 patients, 67 (64% male, 37 (36% female subjects, with a mean age of 36.3 ± 15.3 years (range 10 to 65 years. The mean duration from hospital admission to ICU transfer was 11 days. Sixty-nine (66% had malignant and 35 (34% had non-malignant conditions. Respiratory distress was the commonest reason for ICU admission 58 (56%. The other indications were hemodynamic instability 38 (36%, low sensorium 22 (21%, following cardio-pulmonary arrest 12 (11.5% and generalized tonic-clonic seizures 5 (5%. Forty-three (42% patients had absolute neutophil count (ANC less than 500, 48 (47.5% had platelet count < 20000. The mean duration of ICU stay was 4 days (range < 24 hours to 28 days. Sixty-nine (66% patients required mechanical ventilation, 61 (59% required hemodynamic support. Pneumonia or sepsis was diagnosed in 71 (68%. Twenty-five (24% survived ICU stay and 20 (19% survived to hospital discharge. ICU admission following cardio-pulmonary arrest, advanced malignancy, requirement of mechanical ventilation, vasopressor support, ANC count < 500 and platelet count < 20000 were the predictors of adverse outcome. Associated organ dysfunction further increases the mortality.

  15. Coarse and fine particles but not ultrafine particles in urban air trigger hospital admission for asthma in children

    DEFF Research Database (Denmark)

    Iskandar, Amne; Andersen, Zorana Jovanovic; Bønnelykke, Klaus;

    2012-01-01

    BackgroundShort-term exposure to air pollution can trigger hospital admissions for asthma in children, but it is not known which components of air pollution are most important. There are no available studies on the particular effect of ultrafine particles (UFPs) on paediatric admissions for asthma.......AimTo study whether short-term exposure to air pollution is associated with hospital admissions for asthma in children. It is hypothesised that (1) the association between asthma admissions and air pollution is stronger with UFPs than with coarse (PM(10)) and fine (PM(2.5)) particles, nitrogen oxides (NO......(x)) or nitrogen dioxide (NO(2)); and (2) infants are more susceptible to the effects of exposure to air pollution than older children.MethodDaily counts of admissions for asthma in children aged 0-18 years to hospitals located within a 15 km radius of the central fixed background urban air pollution...

  16. Postpartum maternal morbidity requiring hospital admission in Lusaka, Zambia – a descriptive study

    Directory of Open Access Journals (Sweden)

    Murray Susan F

    2005-02-01

    Full Text Available Abstract Background Information on the extent of postpartum maternal morbidity in developing countries is extremely limited. In many settings, data from hospital-based studies is hard to interpret because of the small proportion of women that have access to medical care. However, in those areas with good uptake of health care, the measurement of the type and incidence of complications severe enough to require hospitalisation may provide useful baseline information on the acute and severe morbidity that women experience in the early weeks following childbirth. An analysis of health services data from Lusaka, Zambia, is presented. Methods Six-month retrospective review of hospital registers and 4-week cross-sectional study with prospective identification of postpartum admissions. Results Both parts of the study identified puerperal sepsis and malaria as, respectively, the leading direct and indirect causes of postpartum morbidity requiring hospital admission. Puerperal sepsis accounted for 34.8% of 365 postpartum admissions in the 6-month period. Malaria and pneumonia together accounted for one-fifth of all postpartum admissions (14.5% & 6% respectively. At least 1.7% of the postpartum population in Lusaka will require hospital-level care for a maternal morbidity. Conclusions In developing country urban settings with high public health care usage, meticulous review of hospital registers can provide baseline information on the burden of moderate-to-severe postpartum morbidity.

  17. Pathways to Care for Critically Ill or Injured Children: A Cohort Study from First Presentation to Healthcare Services through to Admission to Intensive Care or Death.

    Directory of Open Access Journals (Sweden)

    Peter Hodkinson

    Full Text Available Critically ill or injured children require prompt identification, rapid referral and quality emergency management. We undertook a study to evaluate the care pathway of critically ill or injured children to identify preventable failures in the care provided.A year-long cohort study of critically ill and injured children was performed in Cape Town, South Africa, from first presentation to healthcare services until paediatric intensive care unit (PICU admission or emergency department death, using expert panel review of medical records and caregiver interview. Main outcomes were expert assessment of overall quality of care; avoidability of severity of illness and PICU admission or death and the identification of modifiable factors.The study enrolled 282 children, 252 emergency PICU admissions, and 30 deaths. Global quality of care was graded good in 10% of cases, with half having at least one major impact modifiable factor. Key modifiable factors related to access to care and identification of the critically ill, assessment of severity, inadequate resuscitation, and delays in decision making and referral. Children were transferred with median time from first presentation to PICU admission of 12.3 hours. There was potentially avoidable severity of illness in 185 (74% of children, and death prior to PICU admission was avoidable in 17/30 (56.7% of children.The study presents a novel methodology, examining quality of care across an entire system, and highlighting the complexity of the pathway and the modifiable events amenable to interventions, that could reduce mortality and morbidity, and optimize utilization of scarce critical care resources; as well as demonstrating the importance of continuity and quality of care.

  18. Point-of-Admission Serum Electrolyte Profile of Children less than Five Years Old with Dehydration due to Acute Diarrhoea

    OpenAIRE

    Okposio, Matthias Mariere; Onyiriuka, Alphonsus Ndidi; Abhulimhen-Iyoha, Blessing Imuetiyan

    2015-01-01

    Background/Objective: Fluid, electrolytes and acid base disturbances are responsible for most deaths due to acute diarrhoea. The aim of this study is to describe the point-of-admission serum electrolyte profile of children with dehydration due to acute diarrhoea. Methods: In this cross-sectional study, the serum electrolyte levels of 185 children with dehydration due to acute diarrhoea were assessed at the point of admission at the Diarrhoea Treatment and Training Unit of the University of Be...

  19. Children's Post-Traumatic Stress and the Role of Memory Following Admission to Intensive Care: A Review

    Science.gov (United States)

    Dow, Belinda; Kenardy, Justin; Long, Deborah; Le Brocque, Robyne

    2012-01-01

    Although our understanding of children's psychological outcomes following intensive care lags significantly behind advances in medicine, there is a growing awareness that intensive care admission impacts children beyond the boundaries of physical well-being. Intensive care presents a variety of disease-related, treatment-related, and…

  20. Did a ban on diesel-fuel reduce emergency respiratory admissions for children?

    Science.gov (United States)

    El-Zein, Abbas; Nuwayhid, Iman; El-Fadel, Mutasem; Mroueh, Salman

    2007-10-01

    This paper assesses whether a ban on diesel-powered motor vehicles in Lebanon has reduced emergency respiratory admissions for children less than 17 years of age in Beirut. Monthly admissions for total respiratory complaints, asthma, bronchitis, pneumonia, and upper respiratory tract infections, from October to February, were compared before and after the ban, using Poisson regression models and adjusting for rainfall, humidity and temperature. Analyses were repeated excluding the flu months of January and February. A test of significance of p < or = 0.05 was used. Air pollution is not systematically monitored in Lebanon and no ambient particulate concentration data were available. A significant drop in admissions for respiratory symptoms (p < or = 0.05) and upper respiratory tract infection (p < or = 0.001) from 1 year pre-ban to 1 year post-ban has been recorded. When flu months are excluded, a significant drop (p < or = 0.001) in admissions for all studied categories, except pneumonia, is observed. The effect of the ban however was negligible in the second year. When 2 year pre-ban versus 2 year post-ban are considered excluding flu months, statistically non-significant reductions are recorded for asthma and upper respiratory tract infection (p < or = 0.1). The study hence suggests an impact of the diesel ban on respiratory health only during the first year after the ban. This finding is weakened by the absence of supporting evidence from air quality monitoring and speciation of particulate matter, which are lacking in Lebanon and most developing countries. PMID:17659765

  1. Clinical audit of COPD patients requiring hospital admissions in Spain: AUDIPOC study.

    Directory of Open Access Journals (Sweden)

    Francisco Pozo-Rodríguez

    Full Text Available BACKGROUNDS: AUDIPOC is a nationwide clinical audit that describes the characteristics, interventions and outcomes of patients admitted to Spanish hospitals because of an exacerbation of chronic obstructive pulmonary disease (ECOPD, assessing the compliance of these parameters with current international guidelines. The present study describes hospital resources, hospital factors related to case recruitment variability, patients' characteristics, and adherence to guidelines. METHODOLOGY/PRINCIPAL FINDINGS: An organisational database was completed by all participant hospitals recording resources and organisation. Over an 8-week period 11,564 consecutive ECOPD admissions to 129 Spanish hospitals covering 70% of the Spanish population were prospectively identified. At hospital discharge, 5,178 patients (45% of eligible were finally included, and thus constituted the audited population. Audited patients were reassessed 90 days after admission for survival and readmission rates. A wide variability was observed in relation to most variables, hospital adherence to guidelines, and readmissions and death. Median inpatient mortality was 5% (across-hospital range 0-35%. Among discharged patients, 37% required readmission (0-62% and 6.5% died (0-35%. The overall mortality rate was 11.6% (0-50%. Hospital size and complexity and aspects related to hospital COPD awareness were significantly associated with case recruitment. Clinical management most often complied with diagnosis and treatment recommendations but rarely (<50% addressed guidance on healthy life-styles. CONCLUSIONS/SIGNIFICANCE: The AUDIPOC study highlights the large across-hospital variability in resources and organization of hospitals, patient characteristics, process of care, and outcomes. The study also identifies resources and organizational characteristics associated with the admission of COPD cases, as well as aspects of daily clinical care amenable to improvement.

  2. Increased risk of emergency hospital admissions for children with renal diseases during heatwaves in Brisbane, Australia

    Institute of Scientific and Technical Information of China (English)

    Xiao-Yu Wang; Adrian Barnett; Yu-Ming Guo; Wei-Wei Yu; Xiao-Ming Shen; Shi-Lu Tong

    2014-01-01

    Background: Heatwaves have a significant impact on population health including both morbidity and mortality. In this study we examined the association between heatwaves and emergency hospital admissions (EHAs) for renal diseases in children (aged 0-14 years) in Brisbane, Australia. Methods: Daily data on EHAs for renal diseases in children and exposure to temperature and air pollution were obtained for Brisbane city from January 1, 1996 to December 31, 2005. A time-stratified case-crossover design was used to compare the risks for renal diseases between heatwave and non-heatwave periods. Results: There were 1565 EHAs for renal diseases in children during the study period. Heatwaves exhibited a signifi cant impact on EHAs for renal diseases in children after adjusting for confounding factors (odds ratio: 3.6; 95% confidence interval: 1.4-9.5). The risk estimates differed with lags and the use of different heatwave defi nitions. Conclusions: There was a significant increase in EHAs for renal diseases in children during heatwaves in Brisbane, a subtropical city where people are well accustomed to warm weather. This finding may have significant implications for pediatric renal care, particularly in subtropical and tropical regions.

  3. Hospital admissions in children with down syndrome: experience of a population-based cohort followed from birth.

    Directory of Open Access Journals (Sweden)

    Patrick Fitzgerald

    Full Text Available OBJECTIVE: Children with Down syndrome, the most common genetic cause of intellectual disability, are prone to multiple and varied health-related problems. This study describes patterns of hospitalisations for children and young people with Down syndrome in Western Australia. METHODS: Birth records were linked to the Western Australian population-based Intellectual Disability database to identify all children born with Down syndrome in Western Australia between 1 January, 1983 and 31 December, 1999. These records were linked to the Hospital Morbidity Data System to provide information on all hospitalisations up to 31 December, 2004. Hospitalisation data, coded using ICD-9CM or ICD-10 (v0.5 were grouped into clinically relevant categories using the primary diagnosis. Rates of hospital admission for all and specific diagnoses were expressed in 1000-person-years at-risk and median age at first admission and length of stay were calculated. RESULTS: Of the 405 children, 395 had one or more hospital admissions, totalling 3786 admissions for all children and an estimated 39.5 person-years in hospital. On average, children were admitted 9.7 times, with an estimated rate of 757.2 admissions per 1000pyr (95% CI: 680, 843. A quarter of all admissions occurred in the first year of life. The average hospital length of stay was 3.8 days (95% CI: 3.7, 4.1. Upper respiratory tract conditions affected the most children (58.5% and accounted for 12.1% of all admissions. Other disorders which affected a high percentage of children were ear/hearing conditions (50.6%, disorders of the oral cavity (38.0% and lower respiratory tract conditions (37.5%. Overall, children with Down syndrome were hospitalised at a rate five times (95% CI = 4.3-6.2 that of the general population. CONCLUSION: Children with Down syndrome are at increased risk of morbidity for varied causes underlining the importance of comprehensive and targeted primary care for this group.

  4. Fraction of all hospital admissions and deaths attributable to malnutrition among children in rural Kenya2 3 5

    OpenAIRE

    Bejon, Philip; Mohammed, Shebe; Mwangi, Isaiah; Atkinson, Sarah H; Osier, Faith; Peshu, Norbert; Charles R. Newton; Maitland, Kathryn; Berkley, James A

    2008-01-01

    Background: Malnutrition is common in the developing world and associated with disease and mortality. Because malnutrition frequently occurs among children in the community as well as those with acute illness, and because anthropometric indicators of nutritional status are continuous variables that preclude a single definition of malnutrition, malnutrition-attributable fractions of admissions and deaths cannot be calculated by simply enumerating individual children. Objective: We determined t...

  5. Influenza in hospitalized children in Ireland in the pandemic period and the 2010/2011 season: risk factors for paediatric intensive-care-unit admission.

    LENUS (Irish Health Repository)

    Rebolledo, J

    2013-11-11

    SUMMARY Influenza causes significant morbidity and mortality in children. This study\\'s objectives were to describe influenza A(H1N1)pdm09 during the pandemic, to compare it with circulating influenza in 2010\\/2011, and to identify risk factors for severe influenza defined as requiring admission to a paediatric intensive care unit (PICU). Children hospitalized with influenza during the pandemic were older, and more likely to have received antiviral therapy than children hospitalized during the 2010\\/2011 season. In 2010\\/2011, only one child admitted to a PICU with underlying medical conditions had been vaccinated. The risk of severe illness in the pandemic was higher in females and those with underlying conditions. In 2010\\/2011, infection with influenza A(H1N1)pdm09 compared to other influenza viruses was a significant risk factor for severe disease. An incremental relationship was found between the number of underlying conditions and PICU admission. These findings highlight the importance of improving low vaccination uptake and increasing the use of antivirals in vulnerable children.

  6. Expiratory flow limitation relates to symptoms during COPD exacerbations requiring hospital admission

    Science.gov (United States)

    Jetmalani, Kanika; Timmins, Sophie; Brown, Nathan J; Diba, Chantale; Berend, Norbert; Salome, Cheryl M; Wen, Fu-Qiang; Chen, Peng; King, Gregory G; Farah, Claude S

    2015-01-01

    Background Expiratory flow limitation (EFL) is seen in some patients presenting with a COPD exacerbation; however, it is unclear how EFL relates to the clinical features of the exacerbation. We hypothesized that EFL when present contributes to symptoms and duration of recovery during a COPD exacerbation. Our aim was to compare changes in EFL with symptoms in subjects with and without flow-limited breathing admitted for a COPD exacerbation. Subjects and methods A total of 29 subjects with COPD were recruited within 48 hours of admission to West China Hospital for an acute exacerbation. Daily measurements of post-bronchodilator spirometry, resistance, and reactance using the forced oscillation technique and symptom (Borg) scores until discharge were made. Flow-limited breathing was defined as the difference between inspiratory and expiratory respiratory system reactance (EFL index) greater than 2.8 cmH2O·s·L−1. The physiological predictors of symptoms during recovery were determined by mixed-effect analysis. Results Nine subjects (31%) had flow-limited breathing on admission despite similar spirometry compared to subjects without flow-limited breathing. Spirometry and resistance measures did not change between enrolment and discharge. EFL index values improved in subjects with flow-limited breathing on admission, with resolution in four patients. In subjects with flow-limited breathing on admission, symptoms were related to inspiratory resistance and EFL index values. In subjects without flow-limited breathing, symptoms related to forced expiratory volume in 1 second/forced vital capacity. In the whole cohort, EFL index values at admission was related to duration of stay (Rs=0.4, P=0.03). Conclusion The presence of flow-limited breathing as well as abnormal respiratory system mechanics contribute independently to symptoms during COPD exacerbations. PMID:25999709

  7. Mold sensitization is common amongst patients with severe asthma requiring multiple hospital admissions

    OpenAIRE

    Hopkinson Linda C; O'Driscoll B Ronan; Denning David W

    2005-01-01

    Abstract Background Multiple studies have linked fungal exposure to asthma, but the link to severe asthma is controversial. We studied the relationship between asthma severity and immediate type hypersensitivity to mold (fungal) and non-mold allergens in 181 asthmatic subjects. Methods We recruited asthma patients aged 16 to 60 years at a University hospital and a nearby General Practice. Patients were categorized according to the lifetime number of hospital admissions for asthma (82 never ad...

  8. Expiratory flow limitation relates to symptoms during COPD exacerbations requiring hospital admission

    Directory of Open Access Journals (Sweden)

    Jetmalani K

    2015-05-01

    Full Text Available Kanika Jetmalani,1,2 Sophie Timmins,1,3,4 Nathan J Brown,1,4 Chantale Diba,1,4 Norbert Berend,1,4,5 Cheryl M Salome,1,2,4 Fu-Qiang Wen,6 Peng Chen,6 Gregory G King,1-4 Claude S Farah1,2,7 1Woolcock Institute of Medical Research, 2Sydney Medical School, University of Sydney, 3Department of Respiratory Medicine, Royal North Shore Hospital, 4Cooperative Research Centre for Asthma and Airways, 5Department of Respiratory Research, George Institute of Global Health, Sydney, NSW, Australia; 6Department of Medicine, West China Hospital, West China School of Medicine, Sichuan University, Chengdu, People’s Republic of China; 7Department of Respiratory Medicine, Concord Hospital, Sydney, NSW, Australia Background: Expiratory flow limitation (EFL is seen in some patients presenting with a COPD exacerbation; however, it is unclear how EFL relates to the clinical features of the exacerbation. We hypothesized that EFL when present contributes to symptoms and duration of recovery during a COPD exacerbation. Our aim was to compare changes in EFL with symptoms in subjects with and without flow-limited breathing admitted for a COPD exacerbation.Subjects and methods: A total of 29 subjects with COPD were recruited within 48 hours of admission to West China Hospital for an acute exacerbation. Daily measurements of postbronchodilator spirometry, resistance, and reactance using the forced oscillation technique and symptom (Borg scores until discharge were made. Flow-limited breathing was defined as the difference between inspiratory and expiratory respiratory system reactance (EFL index greater than 2.8 cmH2O·s·L-1. The physiological predictors of symptoms during recovery were determined by mixed-effect analysis.Results: Nine subjects (31% had flow-limited breathing on admission despite similar spirometry compared to subjects without flow-limited breathing. Spirometry and resistance measures did not change between enrolment and discharge. EFL index values improved

  9. Respiratory rate and pulse oximetry derived information as predictors of hospital admission in young children in Bangladesh: a prospective observational study

    Science.gov (United States)

    Garde, Ainara; Zhou, Guohai; Raihana, Shahreen; Dunsmuir, Dustin; Karlen, Walter; Dekhordi, Parastoo; Huda, Tanvir; Arifeen, Shams El; Larson, Charles; Kissoon, Niranjan; Dumont, Guy A; Ansermino, J Mark

    2016-01-01

    Objective Hypoxaemia is a strong predictor of mortality in children. Early detection of deteriorating condition is vital to timely intervention. We hypothesise that measures of pulse oximetry dynamics may identify children requiring hospitalisation. Our aim was to develop a predictive tool using only objective data derived from pulse oximetry and observed respiratory rate to identify children at increased risk of hospital admission. Setting Tertiary-level hospital emergency department in Bangladesh. Participants Children under 5 years (n=3374) presenting at the facility (October 2012–April 2013) without documented chronic diseases were recruited. 1-minute segments of pulse oximetry (photoplethysmogram (PPG), blood oxygen saturation (SpO2) and heart rate (HR)) and respiratory rate were collected with a mobile app. Primary outcome The need for hospitalisation based on expert physician review and follow-up. Methods Pulse rate variability (PRV) using pulse peak intervals of the PPG signal and features extracted from the SpO2 signal, all derived from pulse oximetry recordings, were studied. A univariate age-adjusted logistic regression was applied to evaluate differences between admitted and non-admitted children. A multivariate logistic regression model was developed using a stepwise selection of predictors and was internally validated using bootstrapping. Results Children admitted to hospital showed significantly (prespiratory rate, high HR, low SpO2, young age and male sex. These variables provided a bootstrap-corrected AUC of the receiver operating characteristic of 0.76. Conclusions Objective measurements, easily obtained using a mobile device in low-resource settings, can predict the need for hospitalisation. External validation will be required before clinical adoption. PMID:27534987

  10. 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…

  11. Profile of organ dysfunction and predictors of mortality in severe scrub typhus infection requiring intensive care admission

    Directory of Open Access Journals (Sweden)

    Mathew Griffith

    2014-01-01

    Full Text Available Background and Aims: Scrub typhus, a zoonotic rickettsial infection, is an important reason for intensive care unit (ICU admission in the Indian subcontinent. We describe the clinical profile, organ dysfunction, and predictors of mortality of severe scrub typhus infection. Materials and Methods: Retrospective study of patients admitted with scrub typhus infection to a tertiary care university affiliated teaching hospital in India during a 21-month period. Results: The cohort (n = 116 aged 40.0 ± 15.2 years (mean ± SD, presented 8.5 ± 4.4 days after symptom onset. Common symptoms included fever (100%, breathlessness (68.5%, and altered mental status (25.5%. Forty-seven (41.6% patients had an eschar. Admission APACHE-II score was 19.6 ± 8.2. Ninety-one (85.2% patients had dysfunction of 3 or more organ systems. Respiratory (96.6% and hematological (86.2% dysfunction were frequent. Mechanical ventilation was required in 102 (87.9% patients, of whom 14 (12.1% were solely managed with non-invasive ventilation. Thirteen patients (11.2% required dialysis. Duration of hospital stay was 10.7 ± 9.7 days. Actual hospital mortality (24.1% was less than predicted APACHE-II mortality (36%; 95% Confidence interval 32-41. APACHE-II score and duration of fever were independently associated with mortality on logistic regression analysis. Conclusions: In this cohort of severe scrub typhus infection with multi-organ dysfunction, survival was good despite high severity of illness scores. APACHE-II score and duration of fever independently predicted mortality.

  12. International adoption of Romanian children and Romania’s admission to the European Union (1990-2007

    Directory of Open Access Journals (Sweden)

    Béatrice SCUTARU

    2010-06-01

    Full Text Available The adoption of Romanian children abroad, which began under Ceauşescu and continued until the 2000s, has constituted a significant issue for Romania’s positioning in Europe. The period of negotiation of the country’s admission to the European Union constitutes a kind of paroxysm of the phenomenon. The article is a contribution to the history of representations, to the history of international relationships, and to the very recent history of Europe. Carried out from institutional, press, and oral sources, the survey demonstrates how international adoption, as a phenomenon of transnational society, has played a foreground part in anchoring Romania in Europe. Indeed, the issue crystallizes most European questions regarding Romania’s capacity to integrate in the EU in terms of public policy, stabilization of its internal functioning, and protection of the most vulnerable.

  13. 8 CFR 1214.1 - Review of requirements for admission, extension, and maintenance of status.

    Science.gov (United States)

    2010-01-01

    ... IMMIGRATION REVIEW, DEPARTMENT OF JUSTICE IMMIGRATION REGULATIONS REVIEW OF NONIMMIGRANT CLASSES § 1214.1... nonimmigrant status and departure from the United States, if required to do so by the director, immigration judge or Board of Immigration Appeals....

  14. Incidence and preventability of adverse events requiring intensive care admission: a systematic review

    OpenAIRE

    Vlayen, Annemie; Verelst, Sandra; Bekkering, Geertruida E; Schrooten, Ward; Hellings, Johan; Claes, Neree

    2012-01-01

    Rationale, aims and objectives Adverse events are unintended patient injuries or complications that arise from health care management resulting in death, disability or prolonged hospital stay. Adverse events that require critical care are a considerable financial burden to the health care system, but also their global impact on patients and society is probably underestimated. The objectives of this systematic review were to synthesize the best available evidence regarding the estimates of the...

  15. Parental concerns in children requiring palliative care

    Directory of Open Access Journals (Sweden)

    Manjiri Dighe

    2008-01-01

    Full Text Available Children with advanced, life-limiting illness have unique needs which are different from those of adults. Pediatric palliative care is an under developed specialty. Aims : To identify concerns of parents of children with advanced, incurable cancers, and to elicit their attitudes toward revealing the diagnosis and prognosis to the sick child. Method : This study was carried out in a large tertiary cancer center in India. Parents of 20 pediatric palliative care patients attending the outpatient department were interviewed and emerging themes identified. Results : Parents showed varying degrees of anticipatory grief. Most families were financially strained. Most parents were reluctant to discuss disease and dying with the child. Siblings were rarely told or directly involved in care. There was resistance to allowing the palliative care team to communicate with the patient. Patients did not receive any formal support. Parents identified family and neighbors as the main sources of support. Conclusions : Parental attitudes hinder open communication with dying children in India. There is a need for research to explore the concerns of families of children with fatal illness. Specialist training is required for professionals working in pediatric palliative care to address this issue.

  16. Effects of short-term exposure to air pollution on hospital admissions of young children for acute lower respiratory infections in Ho Chi Minh City, Vietnam.

    Science.gov (United States)

    Le, Truong Giang; Ngo, Long; Mehta, Sumi; Do, Van Dzung; Thach, T Q; Vu, Xuan Dan; Nguyen, Dinh Tuan; Cohen, Aaron

    2012-06-01

    There is emerging evidence, largely from studies in Europe and North America, that economic deprivation increases the magnitude of morbidity and mortality related to air pollution. Two major reasons why this may be true are that the poor experience higher levels of exposure to air pollution, and they are more vulnerable to its effects--in other words, due to poorer nutrition, less access to medical care, and other factors, they experience more health impact per unit of exposure. The relations among health, air pollution, and poverty are likely to have important implications for public health and social policy, especially in areas such as the developing countries of Asia where air pollution levels are high and many live in poverty. The aims of this study were to estimate the effect of exposure to air pollution on hospital admissions of young children for acute lower respiratory infection (ALRI*) and to explore whether such effects differed between poor children and other children. ALRI, which comprises pneumonia and bronchiolitis, is the largest single cause of mortality among young children worldwide and is responsible for a substantial burden of disease among young children in developing countries. To the best of our knowledge, this is the first study of the health effects of air pollution in Ho Chi Minh City (HCMC), Vietnam. For these reasons, the results of this study have the potential to make an important contribution to the growing literature on the health effects of air pollution in Asia. The study focused on the short-term effects of daily average exposure to air pollutants on hospital admissions of children less than 5 years of age for ALRI, defined as pneumonia or bronchiolitis, in HCMC during 2003, 2004, and 2005. Admissions data were obtained from computerized records of Children's Hospital 1 and Children's Hospital 2 (CH1 and CH2) in HCMC. Nearly all children hospitalized for respiratory illnesses in the city are admitted to one of these two pediatric

  17. Impact of Market Competition on Continuity of Care and Hospital Admissions for Asthmatic Children: A Longitudinal Analysis of Nationwide Health Insurance Data 2009-2013.

    Directory of Open Access Journals (Sweden)

    Kyoung Hee Cho

    Full Text Available Ambulatory care-sensitive conditions, including asthma, can be managed with timely and effective outpatient care, thereby reducing the need for hospitalization.This study assessed the relationship between market competition, continuity of care (COC, and hospital admissions in asthmatic children according to their health care provider.A longitudinal design was employed with a 5-year follow-up period, between 2009 and 2013, under a Korean universal health insurance program. A total of 253 geographical regions were included in the analysis, according to data from the Korean Statistical Office. Data from 9,997 patients, aged ≤ 12 years, were included. We measured the COC over a 5-year period using the Usual Provider Continuity (UPC index. Random intercept models were calculated to assess the temporal and multilevel relationship between market competition, COC, and hospital admission rate.Of the 9,997 patients, 243 (2.4% were admitted to the hospital in 2009. In the multilevel regression analysis, as the Herfindahl-Hirschman Index increased by 1,000 points (denoting decreased competitiveness, UPC scores also increased (ß = 0.001; p < 0.0001. In multilevel logistic regression analysis, the adjusted odds ratio (OR for hospital admissions for individuals with lower COC scores (≥ 2 ambulatory visits and a UPC index score of < 1 was 3.61 (95% CI: 2.98-4.38 relative to the reference group (≥ 2 ambulatory visits and a UPC index score of 1.Market competition appears to reduce COC; decreased COC was associated with a higher OR for hospital admissions.

  18. Indications to Hospital Admission and Isolation of Children With Possible or Defined Tuberculosis: Systematic Review and Proposed Recommendations for Pediatric Patients Living in Developed Countries. [Corrected].

    Science.gov (United States)

    Lo Vecchio, Andrea; Bocchino, Marialuisa; Lancella, Laura; Gabiano, Clara; Garazzino, Silvia; Scotto, Riccardo; Raffaldi, Irene; Assante, Luca Rosario; Villani, Alberto; Esposito, Susanna; Guarino, Alfredo

    2015-12-01

    Tuberculosis (TB) is a re-emerging health problem in developed countries. This paper is part of large guidelines on the global management of TB in children, by a group of scientific societies. It describes the indications to hospitalization of children with suspected or diagnosed TB, the isolation measures, hospital discharge, and re-admission into the community. Using the Consensus Conference method, relevant publications in English were identified by means of a systematic review of MEDLINE and the Cochrane Database of Systematic Reviews from their inception until 31 December 2014. Available data on indications to hospitalization were mainly indirect and largely derived from observational studies. They include: (1) host-related risk factors, the main being age <12 months, immune deficiencies, and malnutrition; (2) TB-related clinical conditions that resemble those of pneumonia but also include drug-resistance; and (3) social and logistic conditions. The latter are based on opinion and depend on local conditions. Analysis of the literature showed that patients hospitalized with suspected pulmonary TB should be put in precautionary respiratory isolation regardless of their age while they await diagnosis. The general conditions for re-admission into the community are at least 14 days of effective treatment and negative microscopic tests of 3 consecutive samples in previously microscopically positive patients. This is the first paper that provides indications to hospitalization of children with TB. Most recommendations are generally applicable in all developed countries. Some might need an adaptation to local setting, epidemiological, parameters, and availability of specific health-care facilities. PMID:26683914

  19. Fluid balance of pediatric hematopoietic stem cell transplant recipients and intensive care unit admission.

    Science.gov (United States)

    Benoit, Geneviève; Phan, Véronique; Duval, Michel; Champagne, Martin; Litalien, Catherine; Merouani, Aicha

    2007-03-01

    Fluid administration is essential in patients undergoing hematopoietic stem cell transplant (HSCT). Admission to pediatric intensive care unit (PICU) is required for 11-29% of pediatric HSCT recipients and is associated with high mortality. The objective of this study was to determine if a positive fluid balance acquired during the HSCT procedure is a risk factor for PICU admission. The medical records of 87 consecutive children who underwent a first HSCT were reviewed retrospectively for the following periods: from admission for HSCT to PICU admission for the first group (PICU group), and from admission for HSCT to hospital discharge for the second group (non-PICU group). Fluid balance was determined on the basis of weight gain (WG) and fluid overload (FO). PICU group consisted of 19 patients (21.8%). Among these, 13 (68.4%) developed>or=10% WG prior to PICU admission compared with 15 (22.1%) in the non-PICU group (por=10% FO prior to PICU admission compared with 31 (45.6%) in the non-PICU group (p=0.075). Following multivariate analysis, >or=10% WG (p=0.018) and cardiac dysfunction on admission for HSCT (p=0.036) remained independent risk factors for PICU admission. Smaller children (p=0.033) and patients with a twofold increase in serum creatinine (p=0.026) were at risk of developing>or=10% WG. This study shows that WG is a risk factor for PICU admission in pediatric HSCT recipients. Further research is needed to better understand the pathophysiology of WG in these patients and to determine the impact of WG prevention on PICU admission. PMID:17123119

  20. Parental concerns in children requiring palliative care

    OpenAIRE

    Manjiri Dighe; Sunita Jadhav; Mary Ann Muckaden; Anuradha Sovani

    2008-01-01

    Children with advanced, life-limiting illness have unique needs which are different from those of adults. Pediatric palliative care is an under developed specialty. Aims : To identify concerns of parents of children with advanced, incurable cancers, and to elicit their attitudes toward revealing the diagnosis and prognosis to the sick child. Method : This study was carried out in a large tertiary cancer center in India. Parents of 20 pediatric palliative care patients attending the ou...

  1. Epidemiology of Australian Influenza-Related Paediatric Intensive Care Unit Admissions, 1997-2013.

    Directory of Open Access Journals (Sweden)

    Marlena C Kaczmarek

    Full Text Available Influenza virus predictably causes an annual epidemic resulting in a considerable burden of illness in Australia. Children are disproportionately affected and can experience severe illness and complications, which occasionally result in death.We conducted a retrospective descriptive study using data collated in the Australian and New Zealand Paediatric Intensive Care (ANZPIC Registry of influenza-related intensive care unit (ICU admissions over a 17-year period (1997-2013, inclusive in children <16 years old. National laboratory-confirmed influenza notifications were used for comparison.Between 1997 and 2013, a total of 704 influenza-related ICU admissions were recorded, at a rate of 6.2 per 1,000 all-cause ICU admissions. Age at admission ranged from 0 days and 15.9 years (median = 2.1 years, with 135 (19.2% aged <6 months. Pneumonia/pneumonitis and bronchiolitis were the most common primary diagnoses among influenza-related admissions (21.9% and 13.6%, respectively. More than half of total cases (59.2% were previously healthy (no co-morbidities recorded, and in the remainder, chronic lung disease (16.7% and asthma (12.5% were the most common co-morbidities recorded. Pathogen co-detection occurred in 24.7% of cases, most commonly with respiratory syncytial virus or a staphylococcal species. Median length of all ICU admissions was 3.2 days (range 2.0 hours- 107.4 days and 361 (51.3% admissions required invasive respiratory support for a median duration of 4.3 days (range 0.2 hours- 107.5 days. There were 27 deaths recorded, 14 (51.9% in children without a recorded co-morbidity.Influenza causes a substantial number of ICU admissions in Australian children each year with the majority occurring in previously healthy children.

  2. 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 ...

  3. Comparison of Community-Acquired Pneumonia Requiring Admission to Hospital in HIV-and Non-HIV-Infected Patients

    OpenAIRE

    Touchie, Claire; Marrie, Thomas J

    1996-01-01

    OBJECTIVE: To compare community-acquired pneumonia (CAP) in hospitalized human immunodeficiency virus (HIV)-infected patients with that in hospitalized non-HIV-infected patients by assessing presenting characteristics, etiology and outcomes.DESIGN: Retrospective chart review.SETTING: A tertiary care centre in Halifax, Nova Scotia.POPULATION STUDIED: Thirty-two HIV-infected patients requiring hospitalization for treatment of CAP were identified from September 1991 to October 1993 and compared ...

  4. 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

  5. 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.

  6. 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)

  7. Mineral Requirements in Children with Chronic Liver Disease

    Directory of Open Access Journals (Sweden)

    A Rezaeian

    2014-04-01

    Full Text Available Introduction: Decreased oral intake or impaired function / structure in the gut, such as hypertension port associated with atrophic changes in the protein nutrition - calories can lead to micronutrient deficiencies.This paper examines the status of micronutrients in chronic liver disease in children.   Materials and Methods: In this review study databases including proquest, pubmedcentral, scincedirect, ovid, medlineplus were been searched with keyword words such as” chronic liver disease"” minerals””children” between 1999 to 2014. Finally, 3 related articles have been found.   Results: In chronic liver disease changes in micronutrient metabolism lead to changes in the daily requirements, such that in certain circumstances intake increasing or decreasing  is needed. Low serum calcium and phosphate concentrations are often the reflection of malabsorption-induced bone disease that is unresponsive to vitamin D store normalization. Iron is usually deficient in children with CLD and supplementation frequently needed. The origin of iron deficiency is multifactorial and includes ongoing losses, inadequate intakes, serial blood draws and malabsorption secondary to hypertensive enteropathy. Zinc plays an important role in cognitive function, appetite and taste, immune function, wound healing, and protein metabolism. Low plasma zinc levels are frequent in children with chronic cholestasis, but unfortunately plasma concentrations are not reflective of total body zinc status. Copper and manganese, unlike other minerals, are increased in CLD, because they are normally excreted through bile. Parenteral nutrition in cholestatic patients can induce manganese intoxication and accumulation in basal ganglia.   Conclusion:  In fants with CLD are prone to multiple nutritional deficiencies. Mineral state should be evaluated, treated and reevaluated, until sufficient daily requirement achieved. Poster  Presentation, N 33  

  8. 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...

  9. Conhecimentos de pais de crianças asmáticas sobre a doença no momento da admissão a um serviço especializado Asthma related knowledge among parents of asthmatic children at the moment of admission to a specialized service

    Directory of Open Access Journals (Sweden)

    Linjie Zhang

    2005-12-01

    Full Text Available OBJETIVO: Avaliar conhecimentos de pais de crianças asmáticas sobre a doença no momento da admissão a um serviço especializado. MÉTODOS: O presente trabalho foi um estudo descritivo. Foram entrevistados os pais de 93 crianças asmáticas com idade entre 29 dias e 18 anos, no momento da admissão ao ambulatório de Pneumologia Pediátrica de um hospital universitário, por meio de um questionário para avaliar os conhecimentos deles sobre asma. As avaliações concentraram-se no entendimento da natureza, do prognóstico e do tratamento da asma. Foram analisados somente os dados obtidos em pais de 87 crianças com idade entre 29 dias e 10 anos. RESULTADOS: Na auto-avaliação, 93,1% dos pais consideraram seus conhecimentos sobre asma insuficientes; e 88,5% demonstraram interesse em adquirir mais informações. Na avaliação específica de conhecimentos sobre natureza, prognóstico e tratamento da asma, 96,6% dos pais não sabiam o papel da inflamação das vias aéreas na síntese dos sintomas da doença; e 51,7% acreditavam na cura desta doença; entre os pais cujos filhos usavam nebulizador domiciliar, 80,6% costumavam cometer erros na sua aplicação; e todos os pais cujos filhos usavam inalador pressurizado sem espaçador não conheciam a técnica inalatória correta; 65,5% dos pais não tinham consciência da importância sobre o controle do ambiente domiciliar; e a presença de fonte dos alérgenos e de fumantes foi encontrada respectivamente em 77% e 68,9% dos domicílios. CONCLUSÕES: O presente trabalho mostra a insuficiência de conhecimento sobre asma por parte dos pais de crianças asmáticas no momento da admissão a um serviço especializado, caracterizando-se pelo desconhecimento sobre natureza e prognóstico da doença, técnica inadequada no uso dos fármacos inalatórios e descuido no controle do ambiente domiciliar.OBJECTIVE: To assess asthma related knowledge among parents of asthmatic children at the moment of admission

  10. 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. ...

  11. Is the Right of Children to Free and Compulsory Education Act Really Beneficial to the Poorer Children in India? An Analysis with Special Reference to the Admission of Poorer Children in Public Unaided Schools

    Science.gov (United States)

    Cheruvalath, Reena

    2015-01-01

    It is proposed to examine whether the Right of Children to Free and Compulsory Education Act can achieve its major objective of ensuring education for all children in India. Indian parents like to enter their wards into private schools because they believe that the standard of education in the public schools is poor. The act strengthens this…

  12. 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

  13. 33 CFR 175.25 - Enforcement of State requirements for children to wear personal flotation devices.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Enforcement of State requirements for children to wear personal flotation devices. 175.25 Section 175.25 Navigation and Navigable Waters... Flotation Devices § 175.25 Enforcement of State requirements for children to wear personal flotation...

  14. 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

  15. 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…

  16. 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...

  17. Ambiente atmosférico urbano e admissão hospitalar de crianças, na cidade de São Paulo, Brasil Urban atmospheric environment and hospital admission for children in the city of Sao Paulo, Brazil Ambiente atmosférico urbano e ingresos hospitalarios de niños en la ciudad de Sâo Paulo, Brasil

    Directory of Open Access Journals (Sweden)

    Edelci Nunes da Silva

    2013-06-01

    Full Text Available As alterações climáticas constituem risco para a saúde pública. Contudo, poucos estudos têm procurado identificar como a dinâmica do clima afeta a saúde, a fim de se obter dados que alimentem modelos de previsão de riscos para a saúde. Nas cidades tropicais esses estudos são particularmente escassos. Esta pesquisa teve como objetivo verificar como as condições atmosféricas intraurbanas afetam a saúde respiratória das crianças menores de cinco anos no setor Sul/Sudeste, da cidade de São Paulo, associando as variáveis atmosféricas e o índice bioclimático PET (Physiological Equivalent Temperature com as admissões hospitalares. Analisaram-se 12.269 casos de internamento por doenças respiratórias em crianças – CID 10, Capítulo 10 - Doenças Respiratórias (J00-J32; J40-J47; J80-J99. Os dados diários de temperaturas média, mínima e máxima do ar (ºC, humidade relativa média do ar (% e velocidade média do vento (m/s foram obtidos na estação meteorológica do aeroporto de Congonhas e o índice de qualidade do ar, como controle, na CETESB/CONGONHAS. Utilizou-se a análise estatística descritiva e modelo de regressão. Os resultados apontaram associação estatística entre as variáveis atmosféricas, a poluição e os internamentos hospitalares. Não foram identificadas diferenças estatisticamente significativas para o grupo de crianças com doenças respiratórias, menores de cinco anos residentes em distritos com diferentes condições socioambientais.Climatic changes pose public health risks. However, few studies have tried to identify how climate dynamics affect health, in order to obtain evidence-based data for risk-prediction models. Moreover, such studies are particularly scarce for tropical cities. This study aimed to verify how intra-urban atmospheric conditions affect the respiratory health of children under five in the South- eastern part of Sao Paulo, Brazil, by associating atmospheric variables and the

  18. 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.

  19. Vitamin D requirements of children: "All my life's a circle"

    Science.gov (United States)

    The importance of vitamin D for ensuring the health of children has long been understood. Over time, however, dietary recommendations for vitamin D intake have varied, with some eras seeing higher levels recommended and some lower. Remarkably, the current recommendations from the Institute of Medici...

  20. Children Bicyclists: Should a Minimum Age be Required?

    Science.gov (United States)

    Santa Barbara City Dept. of Public Works, CA. Div. of Transportation.

    This paper reports on a Santa Barbara, California study to determine the need for establishing a minimum age for bicyclists using the public roadways, examining the proposition that children below a certain age are developmentally unable to perform safely in traffic. Data on the disproportionate incidence of accident involvement among young…

  1. 78 FR 41298 - Children's Products Containing Lead; Procedures and Requirements for Exclusions From Lead Limits...

    Science.gov (United States)

    2013-07-10

    ... abuse of such product, class of product, material, or component part by a child; and (C) An exception..., Hazardous substances, Imports, Infants and children, Labeling, Law enforcement, and Toys. For the reasons... COMMISSION 16 CFR Part 1500 Children's Products Containing Lead; Procedures and Requirements for...

  2. Abdominal spiral CT in children: which radiation exposure is required?

    International Nuclear Information System (INIS)

    We decided to test to what extent dose reduction is possible in abdominal spiral computed tomography (CT) in young children without loss of anatomic diagnostic information. A retrospective study was performed of 30 abdominal CT examinations of children aged 3 months to 7 years. These were divided into two groups: group A with reduced radiation exposure (tube current 50 mA, CT dose index CTDIFDA ≤0.83 mGy) and group B with standard radiation exposure (tube current ≥100 mA, CTDIFDA ≥1.66 mGy). Image quality was assessed using a four-part scale ('excellent', 'good', 'sufficient', 'poor') on visual image impression and visibility of 32 anatomical details. Five experienced radiologists read the CT scans independently who were blinded to the examination parameters. Differences in ranked data were evaluated with Wilcoxon's rank sum test. No difference between groups A and B was observed in visual image impression. Detail visibility was significantly lower in group A, but the differences were limited to right upper quadrant structures (portal vein, common bile duct, pancreatic head, adrenals) and to arterial branches. Significant differences in visibility rated as 'poor' were only found for the hepatic, splenic and renal arteries; all other structures showed no difference between groups A and B. A protocol with reduced radiation exposure (50 mA, CTDIFDA ≤0.83 mGy) allowed the demonstration of most anatomic structures in abdominal spiral CT in young children. For the precise demonstration of small details (e.g. structures of the right upper quadrant), a protocol with standard radiation exposure (≥100 mAs) was superior. (orig.)

  3. 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,…

  4. Interleukin-5, interleukin-6, interleukin-8 and tumour necrosis factor-alpha levels obtained within 24-h of admission do not predict high-risk infection in children with febrile neutropenia

    Directory of Open Access Journals (Sweden)

    R Aggarwal

    2013-01-01

    Full Text Available Purpose: Biomarkers that can predict the severity of febrile neutropenia (FN are potential tools for clinical practice. Objective: The objective of this study is to evaluate the reliability of plasma interleukin (IL levels as indicators of high-risk FN. Materials and Methods: Children with haematological malignancies and FN were enrolled prospectively. A blood sample was obtained within 24-h of admission for estimation of IL-5, IL-6, IL-8 and tumour necrosis factor-alpha (TNF-α level by the enzyme-linked immunosorbent assay. Patients were stratified into three groups. Group I (low-risk: No focus of infection; Group II: Clinical/radiological focus of infection; Group III: Microbiologically proven infection or FN related mortality. Groups II and III were analysed as high-risk. The cytokines were assessed at three different cut-off levels. Results: A total of 52 episodes of FN in 48 patients were evaluated. The mean age was 6 years (range: 2-13. Primary diagnosis included acute lymphoblastic leukaemia (82%, non-Hodgkin′s lymphoma (13% and acute myeloid leukaemia (5%. Absolute neutrophil count was < 200 cells/μl in half and 200-500 in 23%. Majority were categorised as Group I (69%, followed by Group II (16% and III (15%. The range of IL-5 was too narrow and similar in the two risk-groups to be of any relevance. The best sensitivity of TNF-α and IL-6 for high-risk group was 78% and 70%, respectively. The highest specificity observed was 35%. The negative predictive value of IL-6, IL-8 and TNF-α exceeded 80%. Conclusion: IL-5, IL-6, IL-8 and TNF-α failed as predictors of clinically localised or microbiologically documented infection in children with chemotherapy induced FN. However, IL-6, IL-8 and TNF-α could be useful in excluding the possibility of high-risk infection.

  5. 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)

  6. 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...

  7. 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

  8. 76 FR 22030 - Third Party Testing for Certain Children's Products; Toddler Beds: Requirements for Accreditation...

    Science.gov (United States)

    2011-04-20

    ... COMMISSION 16 CFR Part 1217 Third Party Testing for Certain Children's Products; Toddler Beds: Requirements... regulation relating to toddler beds. The Commission is issuing this notice of requirements pursuant to... pursuant to the safety standard for toddler beds, which appears elsewhere in this issue of the...

  9. Monitoring Child Abuse and Neglect at a Population Level: Patterns of Hospital Admissions for Maltreatment and Assault

    Science.gov (United States)

    O'Donnell, Melissa; Nassar, Natasha; Leonard, Helen; Mathews, Richard; Patterson, Yvonne; Stanley, Fiona

    2010-01-01

    Objectives: To investigate the prevalence, trends, and characteristics of maltreatment and assault related hospital admissions and deaths among children; and identify common injuries and conditions associated with these admissions using routinely collected morbidity and mortality data. Methods: A retrospective cohort study of all children aged…

  10. 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%

  11. The components required to build a therapeutic relationship with children diagnosed with Asperger Syndrome / cEdré Gerber.

    OpenAIRE

    Gerber, Edré

    2013-01-01

    The aim of this study was to explore and describe the components required to build a therapeutic relationship with children diagnosed with Asperger Syndrome. Through this study therapists and other professionals working with these children could be guided to form functioning and healthy therapeutic relationships with children diagnosed with AS. An inductive, qualitative method was used to gain insight into the components required to build a therapeutic relationship with children diagnosed...

  12. 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...

  13. 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...

  14. Implementation of a Diabetes Educator Care Model to Reduce Paediatric Admission for Diabetic Ketoacidosis

    OpenAIRE

    Asma Deeb; Hana Yousef; Layla Abdelrahman; Mary Tomy; Shaker Suliman; Salima Attia; Hana Al Suwaidi

    2016-01-01

    Introduction. Diabetic Ketoacidosis (DKA) is a serious complication that can be life-threatening. Management of DKA needs admission in a specialized center and imposes major constraints on hospital resources. Aim. We plan to study the impact of adapting a diabetes-educator care model on reducing the frequency of hospital admission of children and adolescents presenting with DKA. Method. We have proposed a model of care led by diabetes educators for children and adolescents with diabetes. The ...

  15. Mission from Mars - a method for exploring user requirements for children in a narrative space

    DEFF Research Database (Denmark)

    Dindler, Christian; Ludvigsen, Martin; Lykke-Olesen, Andreas;

    2005-01-01

    In this paper a particular design method is propagated as a supplement to existing descriptive approaches to current practice studies especially suitable for gathering requirements for the design of children's technology. The Mission from Mars method was applied during the design of an electronic...

  16. Response of first attack of inflammatory bowel disease requiring hospital admission to steroid therapy Respuesta al tratamiento esteroideo del primer brote de enfermedad inflamatoria intestinal que requiere ingreso hospitalario

    OpenAIRE

    M. Abu-Suboh Abadía; F. Casellas; Vilaseca, J; J-R. Malagelada

    2004-01-01

    Introduction: corticoid administration is the usual treatment of Crohn' disease (CD) and ulcerative colitis (UC) attacks. How-ever, information available on response rates and their predictive factors is scarce. Objective: to establish response to steroidal treatment in an homogeneous group of patients with CD or UC during their first admission to hospital. Methods: restrospective analysis of 86 patients who received systemic steroidal treatment for a severe flare-up during their first hospit...

  17. 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…

  18. 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…

  19. 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…

  20. 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

  1. 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

  2. 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

  3. Diarréia aguda: o conhecimento materno sobre a doença reduz o número de hospitalizações nos menores de dois anos? Acute diarrhea: does mother's knowledge of the disease reduce admission of children under two years of age?

    Directory of Open Access Journals (Sweden)

    Lygia Carmen de Moraes Vanderlei

    2004-09-01

    Full Text Available OBJETIVOS: Analisar o conhecimento materno sobre as causas, sinais de desidratação e manejo da diarréia aguda e a ocorrência de hospitalização, por complicações desta doença, em seus filhos menores de dois anos. MÉTODOS: Desenho de corte transversal aninhado em estudo de caso _ controle. Casos: crianças internadas por complicações da diarréia aguda no Instituto Materno Infantil de Pernambuco. Controles: crianças com doenças ambulatoriais exceto diarréia aguda. Variáveis: internamento por diarréia aguda (dependente; condições socioeconômicas; estado nutricional das crianças; tempo de aleitamento materno; conhecimento materno sobre diarréia aguda e seu manejo. Na análise foi utilizado software Epi-info 6.0. RESULTADOS: Houve associação estatística entre internamento por diarréia aguda e condições socioeconômicas precárias (p OBJECTIVES: To analyze the relationship of mother's knowledge about signs of dehydration, causes and management of acute diarrhea with admission of children under two years of age with the disease. METHODS: A nested cross-sectional and case-control study was carried out with children who were admitted at the "Instituto Materno Infantil de Pernambuco" with acute diarrhea: and control children admitted with other diseases. Variables were: patient admission having or not acute diarrhea (dependent; social-economic condition, nutritional state; duration of breastfeeding; mother's knowledge about acute diarrhea and its management (independent. The Epi-info software, 6.0 was used for analysis. RESULTS: There was statistical association between patient admission with acute diarrhea and poor social-economic conditions (p= 0.01; malnutrition (p=0.01; short time of breastfeeding (p=0.01, lack of mother's knowledge about how to avoid dehydration (p=0.05 and effectiveness of oral rehydration solutions (p=0.02. There was no statistical association with knowledge about causes, signs of dehydration or

  4. Description of total population hospital admissions for cleft lip and/or palate in Australia

    OpenAIRE

    Lo, Jonathan Y. J.; Kilpatrick, Nicky; Jacoby, Peter; Slack-Smith, Linda M.

    2015-01-01

    Background Orofacial clefts are a group of frequently observed congenital malformations often requiring multiple hospital admissions over the lifespan of affected individuals. The aim of this study was to describe the total-population hospital admissions with principal diagnosis of cleft lip and/or palate in Australia over a 10 year period. Methods Data for admissions to hospitals were obtained from the Australian Institute of Health and Welfare National Hospital Morbidity Database (July 2000...

  5. Compliance with an Ordinance Requiring the Use of Personal Flotation Devices by Children in Public Waterways

    Directory of Open Access Journals (Sweden)

    Garen J. Wintemute

    2013-03-01

    Full Text Available Introduction: For children ages 1-14, 21.6% of drowning cases involve swimming, wading, orplaying in natural bodies of water, such as rivers and lakes. Personal flotation devices (PFDs arebelieved to be an effective prevention measure. We measure compliance with city and countyordinances, publicized but not actively enforced, requiring that PFDs be worn by children accessingpublic bodies of water in Sacramento County, California.Methods: During June-August 2010, volunteers conducted 79 observation sessions at threepopular local river beaches where PFDs were available for use at no cost. They recorded personalcharacteristics and PFD use for 1,727 children in or very near the water and believed to be 0-13years of age (the age covered by the ordinances. We used logistic regression to quantify differencesin use by subject characteristics and study site.Results: The prevalence of PFD use was 29.9% overall, with large and significant differencesby age: < 1, 55.6%; 1-4, 37.6%; 5-10, 29.4%; 10-13, 14.6%; P < 0.0001. Usage did not varysignificantly by sex or race/ethnicity, and was somewhat higher at one study site (33.1% than at theothers (25.9% and 27.3%, P = 0.009.Conclusion: The combination of a statutory requirement and a cost-elimination strategy wasassociated with moderate rates of PFD use that were highest among young children.

  6. 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)

  7. 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...

  8. A Health Equity Problem for Low Income Children: Diet Flexibility Requires Physician Authorization

    OpenAIRE

    Stookey, Jodi D

    2015-01-01

    USDA programs, such as the Child and Adult Care Food Program (CACFP), School Breakfast Program (SBP), and/or National School Lunch Program (NSLP), enable child care centers and schools to provide free and reduced price meals, daily, to millions of low income children. Despite intention to equalize opportunity for every child to have a healthy diet, USDA program rules may be contributing to child obesity disparities and health inequity. USDA program rules require child care centers and schools...

  9. 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...

  10. 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.

  11. 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

  12. [Public health nurse staffing requirements for health examination of infants and children in municipalities of Japan].

    Science.gov (United States)

    Hoshi, T; Nakahara, T; Takabayashi, K; Gunji, A

    1996-04-01

    In accordance with the Maternal and Child Health Service Act, public health centers and municipalities offer health education, health counseling, health examinations, and home visits for children and their mothers in their jurisdiction. On the basis of the new Maternal and Child Health Service Act, municipalities will have the responsibility to effectively promote health examination for three-year-old children beginning in 1997. To provide health examinations to infants and children, establishing a health personnel system, especially the public health nurse program, is extremely important. The purpose of this study is to determine fundamental facts concerning health manpower development among public health nurses in the municipalities, by reviewing research on health examinations for both infants and children. To determine personnel staffing requirements necessary for health examinations of infants and children in the municipalities of Japan, pertinent references were systematically reviewed. The main results are as follows; 1) The correlation coefficients between the total working hours of the public health nurse for MCH and the population per area and number of birth per year were significantly positive. 2) Total working hours for health examination of three-year-old children per 100 births per year, by the public health nurse were 143 hours, of which 79% were spent just for performing the examination itself. 3) Due to the lack of health personnel, rural towns and villages with small populations required public health nurses to be assisted by other staff, most often public health nurses from prefectural Health Centers. For example, in those areas with a population of less than 3,000, 43% of the total volume of work performed by public health nurses during the health examinations of three-year-old children required the assistance of prefectural public health nurses. 4) On the other hand, in those areas with populations more than 10,000, 88% of the total volume of

  13. Healthy eating decisions require efficient dietary self-control in children: A mouse-tracking food decision study.

    Science.gov (United States)

    Ha, Oh-Ryeong; Bruce, Amanda S; Pruitt, Stephen W; Cherry, J Bradley C; Smith, T Ryan; Burkart, Dominic; Bruce, Jared M; Lim, Seung-Lark

    2016-10-01

    Learning how to make healthy eating decisions, (i.e., resisting unhealthy foods and consuming healthy foods), enhances physical development and reduces health risks in children. Although healthy eating decisions are known to be challenging for children, the mechanisms of children's food choice processes are not fully understood. The present study recorded mouse movement trajectories while eighteen children aged 8-13 years were choosing between eating and rejecting foods. Children were inclined to choose to eat rather than to reject foods, and preferred unhealthy foods over healthy foods, implying that rejecting unhealthy foods could be a demanding choice. When children rejected unhealthy foods, mouse trajectories were characterized by large curvature toward an eating choice in the beginning, late decision shifting time toward a rejecting choice, and slowed response times. These results suggested that children exercised greater cognitive efforts with longer decision times to resist unhealthy foods, providing evidence that children require dietary self-control to make healthy eating-decisions by resisting the temptation of unhealthy foods. Developmentally, older children attempted to exercise greater cognitive efforts for consuming healthy foods than younger children, suggesting that development of dietary self-control contributes to healthy eating-decisions. The study also documents that healthy weight children with higher BMIs were more likely to choose to reject healthy foods. Overall, findings have important implications for how children make healthy eating choices and the role of dietary self-control in eating decisions. PMID:27349708

  14. Live vaccine against measles, mumps, and rubella and the risk of hospital admissions for nontargeted infections

    DEFF Research Database (Denmark)

    Sørup, Signe; Benn, Christine Stabell; Poulsen, Anja;

    2014-01-01

    , mumps, and rubella (MMR) is associated with lower rates of hospital admissions for infections among children in Denmark. DESIGN, SETTING, AND PARTICIPANTS: Population-based cohort study of Danish children born 1997-2006 and followed up from ages 11 months to 2 years (last follow-up, August 31, 2008...

  15. Parenting Stress as a Predictor of Age upon Admission to a Child Psychiatric Inpatient Facility

    Science.gov (United States)

    Fite, Paula J.; Stoppelbein, Laura; Greening, Leilani

    2008-01-01

    The current study examined child symptoms and parenting stress as predictors of children's age upon admission to a psychiatric inpatient facility. The children (N = 252) ranged from 6 to 12 years of age; most were male (71%) and over half were African American (59%). Externalizing behavior symptoms were associated with a younger age upon admission…

  16. 45 CFR 98.46 - Nondiscrimination in admissions on the basis of religion.

    Science.gov (United States)

    2010-10-01

    ... religion. 98.46 Section 98.46 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION... Requirements § 98.46 Nondiscrimination in admissions on the basis of religion. (a) Child care providers (other... contracts under the CCDF shall not discriminate in admissions against any child on the basis of religion....

  17. 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...

  18. 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

  19. 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...

  20. Deciding intensive care unit-admission for critically ill cancer patients

    Directory of Open Access Journals (Sweden)

    Thiery Guillaume

    2007-01-01

    Full Text Available Over the last 15 years, the management of critically ill cancer patients requiring intensive care unit admission has substantially changed. High mortality rates (75-85% were reported 10-20 years ago in cancer patients requiring life sustaining treatments. Because of these high mortality rates, the high costs, and the moral burden for patients and their families, ICU admission of cancer patients became controversial, or even clearly discouraged by some. As a result, the reluctance of intensivists regarding cancer patients has led to frequent refusal admission in the ICU. However, prognosis of critically ill cancer patients has been improved over the past 10 years leading to an urgent need to reappraise this reluctance. In this review, the authors sought to highlight that critical care management, including mechanical ventilation and other life sustaining therapies, may benefit to cancer patients. In addition, criteria for ICU admission are discussed, with a particular emphasis to potential benefits of early ICU-admission.

  1. 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.

  2. 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

  3. Response of first attack of inflammatory bowel disease requiring hospital admission to steroid therapy Respuesta al tratamiento esteroideo del primer brote de enfermedad inflamatoria intestinal que requiere ingreso hospitalario

    Directory of Open Access Journals (Sweden)

    M. Abu-Suboh Abadía

    2004-08-01

    Full Text Available Introduction: corticoid administration is the usual treatment of Crohn' disease (CD and ulcerative colitis (UC attacks. How-ever, information available on response rates and their predictive factors is scarce. Objective: to establish response to steroidal treatment in an homogeneous group of patients with CD or UC during their first admission to hospital. Methods: restrospective analysis of 86 patients who received systemic steroidal treatment for a severe flare-up during their first hospital admission between 1995 and 2000. Patients were treated per protocol with fluid therapy, absolute diet, IV 6-methyl-prednisolone 1 mg/kg/day, and enoxaparin at prophylactic doses. Clinical response at 30 days was considered good in case of complete remission, and poor in case of partial or absent remission. Univariate and multivariate analyses according to non-parametric statistics were performed for sociodemographic and biologic variables. Results: 45 patients with CD and 41 with UC were included. Good response rates were 64.4% for CD and 60.9% for UC. The univariate analysis showed that patients with good response have shorter evolution times and fewer previous flare-ups (p Introducción: la administración de corticoides constituye el tratamiento habitual de los brotes de enfermedad de Crohn (EC y colitis ulcerosa (CU. Sin embargo, existe poca información sobre las tasas de respuesta y los factores que puedan predecirla. Objetivo: determinar la respuesta al tratamiento esteroideo en un grupo homogéneo de pacientes de EC y CU que ingresan por primera vez en el hospital. Métodos: análisis retrospectivo de 86 pacientes que en su primer ingreso hospitalario recibieron tratamiento esteroideo sistémico por brote grave de EC o CU entre 1995 y 2000. Fueron tratados de forma protocolizada con sueroterapia, dieta absoluta, 6-metil-prednisolona 1 mg/kg/día IV y enoxaparina a dosis profilácticas. Se ha considerado la respuesta clínica a los 30 días como

  4. Inappropriate emergency management of status epilepticus in children contributes to need for intensive care

    OpenAIRE

    Chin, R; Verhulst, L; Neville, B.; Peters, M; Scott, R.

    2004-01-01

    Objectives: To characterise the clinical features, emergency pre-paediatric intensive care (PIC) treatment, and course of status epilepticus (SE) in children admitted to PIC. This may provide insight into reasons for admission to PIC and provide a framework for the development of strategies that decrease the requirement for intensive care.

  5. 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…

  6. 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…

  7. 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)

  8. 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…

  9. 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)

  10. Deciding intensive care unit-admission for critically ill cancer patients

    OpenAIRE

    Thiery Guillaume; Darmon Michael; Azoulay Elie

    2007-01-01

    Over the last 15 years, the management of critically ill cancer patients requiring intensive care unit admission has substantially changed. High mortality rates (75-85%) were reported 10-20 years ago in cancer patients requiring life sustaining treatments. Because of these high mortality rates, the high costs, and the moral burden for patients and their families, ICU admission of cancer patients became controversial, or even clearly discouraged by some. As a result, the reluctance of i...

  11. After-hours equine emergency admissions at a university referral hospital (1998 - 2007 : causes and interventions

    Directory of Open Access Journals (Sweden)

    A. Viljoen

    2009-05-01

    Full Text Available Medical records of equine after-hours admissions from 1998 to 2007 are reviewed. Data extracted from the medical records included signalment, reason for admission, pre-admission treatment, clinical presentation, procedures performed, final diagnoses, complications occurring in hospital, length of stay and outcome. Eight hundred and twenty after-hours admissions were available of which 75 % were classified as emergencies. Most horses originated from Gauteng province (82 %, with Thoroughbred, Arabian, and Warmbloods representing 46 %, 10 % and 7 % of horses. Horses had a median age of 7 years and were predominantly male (60 %. Gastrointestinal (64 % and musculoskeletal (19 % disorders were the primary reasons for admission. Anti-inflammatories, sedation and antibiotics were given in 51 %, 20 % and 15 % of cases respectively prior to referral. On admission, 23 % of horses had surgical intervention. Intravenous catheterisation (64 %, rectal examination (61 %, nasogastric intubation (56 %, abdominocentesis (33 % and ultrasonography (19 % were the procedures performed most frequently. Surgical and medical colics constituted 28 % and 27 % respectively of the overall diagnoses, while piroplasmosis was diagnosed in 5 % of horses. Post-admission complications occurred in <2 % of horses. The median length of stay was 4 days (95 % CI: 1 to 21 days. Overall survival to discharge was 74 %. This study demonstrates that the majority of after-hours equine admissions to a university referral hospital required medical intervention and were mostly due to gastrointestinal disorders. Information obtained from this study can be used in emergency referral planning.

  12. Fatores de risco para readmissão hospitalar de crianças e adolescentes asmáticos Risk factors for multiple hospital admissions among children and adolescents with asthma

    OpenAIRE

    Laura Maria de Lima Belizario Facury Lasmar; Paulo Augusto Moreira Camargos; Eugênio Marcos Andrade Goulart; Emília Sakurai

    2006-01-01

    OBJETIVO: Verificar a importância da admissão hospitalar de lactentes jovens na readmissão futura por asma. MÉTODOS: Realizou-se uma avaliação retrospectiva de prontuários de 202 pacientes, menores de quinze anos, registrados em ambulatório de Pneumologia Pediátrica, que foram reinternados uma ou mais vezes. O tempo decorrido entre a primeira hospitalização e a subseqüente readmissão foi analisado pelo método de Kaplan Meier, ao passo que a comparação entre as curvas de sobrevivência para dif...

  13. Is red meat required for the prevention of iron deficiency among children and adolescents?

    Science.gov (United States)

    Savva, Savvas C; Kafatos, Anthony

    2014-01-01

    Iron deficiency remains the most common nutritional deficiency worldwide despite the fact that global prevention is a high priority. Recent guidelines suggest intake of red meat both in infants and toddlers to prevent iron deficiency. However frequent consumption of red and processed meat may be associated with an increased risk for cancer, cardiovascular disease and diabetes. Evidence also suggests that even in vegetarian diets or diets with little consumption of white or red meat, iron status may not be adversely affected. The Eastern Orthodox Christian Church dietary recommendations which is a type of periodic vegetarian diet, has proved beneficial for the prevention of iron deficiency and avoidance of excess iron intake. This paper aims to provide examples of meals for children and adolescents that may be sufficient to meet age specific iron requirements without consumption of red meat beyond the recommended consumption which is once or twice per month. PMID:25088337

  14. 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

  15. 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.

  16. Effect of vitamin E coated dialyzers on anticoagulation requirement in hemodialyzed children

    Directory of Open Access Journals (Sweden)

    Aoun Bilal

    2010-01-01

    Full Text Available As hemodialysis (HD requires extra corporal blood flow and the need for anti-coagulation, we evaluated the effect of vitamin E coated membranes (VIE on the requirement of low molecular weight heparin (LMWH in pediatric HD patients. Patients and methods: seven children and adolescents on regular hemodialysis were started on VIE and their LMWH dose was decreased every week. In order to monitor the requirement of LMWH we used a coagulation score to evaluate coagulation in the dialyzer, air trap and blood line. Other classical parameters (hemoglobin, erythropoietin dose, inflammatory markers were monitored weekly while the pa-tients were on VIE dialyzers. LMWH dose during the 1st week was 110 IU/kg ± 18 (defined as 100%, in the 2nd week the dose was 77 IU/kg ± 12 (70%, in the 3 rd week the dose was 33 IU/kg ± 5 (30%, and in the 4 th week anticoagulation could be stopped in one patient, in the other six pa-tients further decrease was impossible given the increase of the clotting score. There was no in-crease in clotting score during week one and two. During week three (while on 30% of the initial LMWH dose six patients showed mild to moderate clotting phenomena: mild coagulation phe-nomena in three patients and moderate clotting phenomena in three others. One patient did not show any clotting phenomena in week three and LMWH was totally stopped. In conclusion, use of VIE dialyzers may help to reduce the requirement of anticoagulation in pediatric HD patients reducing bleeding problems and simplify hemostasis after HD sessions.

  17. Differentiation between small bowel intussusception in children and adults and the radiological findings which require an operation

    Energy Technology Data Exchange (ETDEWEB)

    Jeong, Myeong Ja; Lee, Ji Won; Han, Heon; Jeon, Yong Hwan; Kim, Soung Hee; Kim, Soo Hyun; Kim, Ji Young; Kim, Jae Hyung; Jun, Woo Sun [Sanggye Paik Hospital, Inje University, Seoul (Korea, Republic of)

    2008-07-15

    To assess the differences in small bowel intussusceptions between children and adults, and to interpret the radiological findings requiring a surgical procedure. A total of 62 study subjects (35 children, 27 adults) with small bowel intussusception diagnosed by US or CT and seen between January 2005 and December 2007 were included in this study. Two radiologists retrospectively reviewed both the medical records and radiological findings of each study subject. We contrasted the range of features found to be typical of small bowel intussusception for both children and adults based on cause, abdominal symptoms, diagnostic tools, and treatments. Also, we evaluated the radiological findings requiring a surgical procedure. The causes of small bowel intussusception were not identified in children; however, 4 adults were found to have tumors (a lipoma, a hemangioma, 2 metastases) ({rho} = 0.031). All of the children (100%) and 8 adults (29.6%) had abdominal symptoms ({rho} < 0.001). The primary diagnostic tool in children was the US (31 cases, 88.6%), as opposed to the CT in adults (27 cases, 100%) ({rho} < 0.001). A spontaneous reduction was confirmed in all children (100%) and supposed in 23 adults (85.2%) ({rho} = 0.031). The noteworthy radiological findings of 4 study subjects having undergone a surgical procedure are masses at the lead point and small bowel obstruction ({rho} < 0.0001). Cases of small bowel intussusception in children are different from cases observed in adults, based on cause, symptoms, and diagnostic tools. However, most cases are spontaneously reduced. Important radiological findings requiring a surgical procedure were found to be caused by masses at the lead point and at the small bowel obstruction.

  18. 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...

  19. A prospective study of the causes of febrile illness requiring hospitalization in children in Cambodia.

    OpenAIRE

    Chheng, K; Carter, MJ; Emary, K; Chanpheaktra, N; Moore, CE; Stoesser, N.; Putchhat, H.; Sona, S; Reaksmey, S; Kitsutani, P; Sar, B.; van Doorn, HR; Uyen, NH; Tan, L.; Paris, D.

    2013-01-01

    Febrile illnesses are pre-eminent contributors to morbidity and mortality among children in South-East Asia but the causes are poorly understood. We determined the causes of fever in children hospitalised in Siem Reap province, Cambodia. A one-year prospective study of febrile children admitted to Angkor Hospital for Children, Siem Reap. Demographic, clinical, laboratory and outcome data were comprehensively analysed. Between October 12(th) 2009 and October 12(th) 2010 there were 1225 e...

  20. Missed Monteggia fracture in children: Is annular ligament reconstruction always required?

    Directory of Open Access Journals (Sweden)

    Bhaskar Atul

    2009-01-01

    Full Text Available Background: Chronic (neglected radiocapitellar joint dislocation is one of the feared complications of Monteggia fractures especially when associated with subtle fracture of the ulna bone. Many treatment strategies have been described to manage chronic Monteggia fracture and the need for annular ligament reconstruction is not always clear. The purpose of this study is to highlight the management of missed Monteggia fracture with particular emphasis on utility of annular ligament reconstruction by comparing the two groups of patients. Materials and Methods: In a prospective study 12 patients with mean age of 7.4 years, who presented with neglected Monteggia fractures, were studied. All children underwent open reduction of the radiocapitellar joint. Five children (Group A were treated with angulation-distraction osteotomy of ulna and annular ligament reconstruction and six cases (Group B required only angulation-distraction osteotomy of ulna without ligament reconstruction. In one case an open reduction of the radiocapitellar joint was sufficient to reduce the radial head and this was included in Group B. The gap between injury and presentation was from 3 months to 18 months (mean 9 months. Ten patients were classified as Bado I, and one each as Bado II and III respectively. We used the Kim′s criteria to score our results. Result: The mean follow-up period was 22 months. All ulna osteotomies healed uneventfully. The mean loss of pronation was 15 degree in Group A and 10 degree in Group B. Elbow flexion improved from the preoperative range and no child complained of pain, deformity and restriction of activity. The elbow score was excellent in 10 cases, and good in two cases. Conclusion: Distraction-angulation osteotomy of the ulna suffices in most cases of missed monteggia fracture and the need for annular ligament reconstruction is based on intraoperative findings of radial head instability.

  1. Burning more than calories: treadmill friction injuries in children.

    LENUS (Irish Health Repository)

    Davidson, C C

    2012-02-01

    Treadmill injuries in young children are a serious but little documented problem. Friction burns occur when the hands come into contact with the moving belt resulting in deep burns that often require hospital admission and surgery. The aim of this study was to assess the nature and prevalence of injuries sustained and to highlight treadmill friction burns as a public health issue previously undocumented in Ireland. A retrospective chart review from January 2006 until March 2008 was performed and functional outcome was assessed by the modified Michigan Hand Outcomes Questionnaire. Eight girls and four boys from one year and seven months to seven years and five months were treated. Eight children required admission to hospital and to date three have required surgery for their injuries. This is a new and increasing problem in Ireland which must be highlighted.

  2. Meta-analysis of the relationship between particulate matter (PM10 and PM2.5)and asthma hospital admissions in children%大气颗粒物与儿童哮喘住院人数相关性的Meta分析

    Institute of Scientific and Technical Information of China (English)

    丁玲; 朱道娟; 彭东红

    2015-01-01

    目的 评价大气颗粒物(PM10、PM2.5)短期暴露对儿童哮喘发作住院人数的影响,获取大气颗粒物与儿童哮喘发作的暴露-反应关系.方法 检索PubMed、Ebsco、Ovid、中国生物医学数据库、中文科技期刊全文数据库、中国知网和万方数据库等,检索时间均为1990年1月1日至2013年12月31日,以“哮喘”“PM10”“PM25”“空气污染”“颗粒物”及“asthma”“air pollution" "air pollutants”“particulate matter”为关键词查找关于颗粒物短期暴露对儿童哮喘住院人数影响的文献.依据文献纳入和排除标准及制定的评价标准,进行文献筛选和质量评价.纳入文献后分别提取PM10、PM25的暴露-反应关系,采用Revman5.2.11软件进行Meta分析,根据异质性结果选择相应的效应模型分析.结果 大气中PM10浓度每上升10μg/m3,短期内儿童哮喘的住院人数平均上升1.75%,而PM25浓度每上升10 μg/m3,短期内儿童哮喘的住院人数平均上升3.45%;亚组分析中病例交叉研究的暴露-反应关系效应值高于时间序列分析.结论 短期内PM10、PM2.5浓度的上升会导致儿童哮喘住院人数增加,且PM2.5引起的发作风险高于PM10.%Objective To systematically review and assess the relationship between particulate matter (PM10 and PM2.5) and children's hospital admissions for asthma,using both time-series and casecrossover analyses.Method The PubMed,Ebsco,Ovid and four Chinese periodical databases were screened for studies related to short-term effects of particulate matter on pediatric asthma hospital admissions published from 1 January 1990 to 31 December 2013.Sixteen studies on PM10 and 10 studies on PM2.5 were selected finally for meta-analysis.Relative risk (RR) or odds ratio(OR) and 95% confidence intervals (CI) of asthrua hospital admissions per 10 μg/m3 increase of daily particulate matter were obtained from each study.RevMan 5.2.11 was used to test the heterogeneity of

  3. Temporal dynamics of emergency department and hospital admissions of pediatric asthmatics

    Science.gov (United States)

    Kimes, Daniel; Levine, Elissa; Timmins, Sidey; Weiss, Sheila R.; Bollinger, Mary E.; Blaisdell, Carol

    2004-01-01

    Asthma is a chronic disease that can result in exacerbations leading to urgent care in emergency departments (EDs) and hospitals. We examined seasonal and temporal trends in pediatric asthma ED (1997-1999) and hospital (1986-1999) admission data so as to identify periods of increased risk of urgent care by age group, gender, and race. All pediatric ED and hospital admission data for Maryland residents occurring within the state of Maryland were evaluated. Distinct peaks in pediatric ED and hospital asthma admissions occurred each year during the winter-spring and autumn seasons. Although the number and timing of these peaks were consistent across age and racial groups, the magnitude of the peaks differed by age and race. The same number, timing, and relative magnitude of the major peaks in asthma admissions occurred statewide, implying that the variables affecting these seasonal patterns of acute asthma exacerbations occur statewide. Similar gross seasonal trends are observed worldwide. Although several environmental, infectious, and psychosocial factors have been linked with increases in asthma exacerbations among children, thus far they have not explained these seasonal patterns of admissions. The striking temporal patterns of pediatric asthma admissions within Maryland, as described here, provide valuable information in the search for causes.

  4. 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...

  5. 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....

  6. 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 ...

  7. 34 CFR 97.408 - Requirements for permission by parents or guardians and for assent by children.

    Science.gov (United States)

    2010-07-01

    ... permission is not a reasonable requirement to protect the subjects (for example, neglected or abused children..., or for each child, as the IRB deems appropriate. If the IRB determines that the capability of some or... permission of each child's parent(s) or guardian(s). If parental permission is to be obtained, the IRB...

  8. 45 CFR 46.408 - Requirements for permission by parents or guardians and for assent by children.

    Science.gov (United States)

    2010-10-01

    ... reasonable requirement to protect the subjects (for example, neglected or abused children), it may waive the... research under a particular protocol, or for each child, as the IRB deems appropriate. If the IRB... Subpart A, that adequate provisions are made for soliciting the permission of each child's parents...

  9. 40 CFR 26.406 - Requirements for permission by parents or guardians and for assent by children.

    Science.gov (United States)

    2010-07-01

    ... (for example, neglected or abused children), it may replace the consent requirements in subpart A of... child, as the IRB deems appropriate. If the IRB determines that the capability of some or all of the... are made for soliciting the permission of each child's parents or guardian. Where parental...

  10. Incidence of Severe Osteonecrosis Requiring Total Joint Arthroplasty in Children and Young Adults Treated for Leukemia or Lymphoma

    DEFF Research Database (Denmark)

    Niinimäki, Riitta; Hansen, Lene Mølgaard; Niinimäki, Tuukka; Olsen, Jørgen; Pokka, Tytti; Sankila, Risto; Vettenranta, Kim; Hasle, Henrik; Harila-Saari, Arja

    2013-01-01

    Purpose: The population-based incidence of severe osteonecrosis (ON) necessitating total joint arthroplasty (TJA) in patients with hematological cancer is unknown. This study assessed the incidence of ON requiring primary TJA in children and young adults treated for leukemia or lymphoma. Methods...

  11. 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.

  12. 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 ...

  13. 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 ...

  14. Admission systems to dental school in Europe: a closer look at Flanders

    OpenAIRE

    Buyse, Tine; Lievens, Filip; Martens, Luc

    2010-01-01

    Dental education in Europe faces enormous challenges. One deals with the admission to dental school. Although admission procedures vary considerably across Europe, a characteristic of some systems is that the same procedure is used across students who will ultimately pursue different majors (medical or dental). This is based on the assumptions that there is no significant difference in these students' scores and that the requirements for medicine and dentistry are equal. This study examines t...

  15. 24 CFR 960.204 - Denial of admission for criminal activity or drug abuse by household members.

    Science.gov (United States)

    2010-04-01

    ... activity or drug abuse by household members. 960.204 Section 960.204 Housing and Urban Development... HOUSING Admission § 960.204 Denial of admission for criminal activity or drug abuse by household members. (a) Required denial of admission—(1) Persons evicted for drug-related criminal activity. The...

  16. 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

  17. Management of head injuries in children.

    Science.gov (United States)

    Conchie, Henry; Palmer, Sarah; Fernando, Katalin; Paul, Siba Prosad

    2016-07-01

    Head injury is the most common cause of injury-related death and permanent disability in children. Minor head trauma is common in childhood and does not require any medical treatment. Although deficits can occur even after mild to moderate head injury, they are markedly greater and become clinically evident following severe head injury. It is important that emergency department clinicians are aware of the signs and symptoms that indicate severe traumatic brain injury and triage for urgent intervention in those children who present with these signs and symptoms. Clinicians also need to know when children can be sent home with reassurance and information, and when they require admission or transfer to a neurosurgical unit. This article examines the literature on head injuries in children, describes assessment, management and treatment, and provides a simple management algorithm. PMID:27384805

  18. 45 CFR 1356.22 - Implementation requirements for children voluntarily placed in foster care.

    Science.gov (United States)

    2010-10-01

    ... voluntarily placed in foster care. 1356.22 Section 1356.22 Public Welfare Regulations Relating to Public... ADMINISTRATION ON CHILDREN, YOUTH AND FAMILIES, FOSTER CARE MAINTENANCE PAYMENTS, ADOPTION ASSISTANCE, AND CHILD... children voluntarily placed in foster care. (a) As a condition of receipt of Federal...

  19. Causes and incidence of 30 day hospital re-admissions after primary TKJR

    Science.gov (United States)

    Mortimer, John; van Dalen, John

    2016-01-01

    Objective: 30 day re-admission of patients following TKJR is estimated between 0.9-9.9%. It’s a cause of significant cost to the healthcare system and marks significant patient morbidity. Aim: The aim of this study is to describe the causes and incidence of patient re-admission to hospital within 30 days of a primary total knee joint replacement between 2009-2015 in a single centre. Methods: In a retrospective cohort study, computerized records were used to evaluated the causes and incidence of patient re-admission within 30 days of discharge following primary TKJR. Results: The total 30 day Re-admission rate was 5.0%. Medical causes for re-admission accounted for 29% of re-admissions. 34% were attributed to non-specific pain/swelling. Infection was attributed to 26%. 29% of patients presented with wound problems, either infective or non-infective. The total incidence of re-operation at 30 days was 0.77%. Conclusions: Our rate of re-admission is consistent with previous studies in the literature. Many patients were found to have no specific cause for re-admission. This suggests it may be possible to further reduce re-admission rates with improved patient education and management of common post-operative symptoms such as pain and swelling. Infection remains a common complication; fortunately the majority superficial infections are successfully treated with antibiotics and few requiring a washout operation. Medical complications account for almost a third showing the importance of good management of patient medical co-morbidities and risk factors.

  20. 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...

  1. 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...

  2. 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...

  3. 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...

  4. 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...

  5. 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...

  6. 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...

  7. 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,...

  8. 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...

  9. 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,...

  10. 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...

  11. 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...

  12. 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...

  13. 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,...

  14. Air pollution and hospital admissions for respiratory conditions in Rome, Italy.

    Science.gov (United States)

    Fusco, D; Forastiere, F; Michelozzi, P; Spadea, T; Ostro, B; Arcà, M; Perucci, C A

    2001-06-01

    Most of the evidence regarding the association between particulate air pollution and emergency room visits or hospital admissions for respiratory conditions and asthma comes from the USA. European time-series analyses have suggested that gaseous air pollutants are important determinants of acute hospitalization for respiratory conditions, at least as important as particulate mass. The association between daily mean levels of suspended particles and gaseous pollutants (sulphur dioxide, nitrogen dioxide, carbon monoxide, ozone) was examined. The daily emergency hospital admissions for respiratory conditions in the metropolitan area of Rome during 1995-1997 were also recorded. Daily counts of hospital admissions for total respiratory conditions (43 admissions day(-1)), acute respiratory infections including pneumonia (18 day(-1)), chronic obstructive pulmonary disease (COPD) (13 day(-1)), and asthma (4.5 day(-1)) among residents of all ages and among children (0-14 yrs) were analysed. The generalized additive models included spline smooth functions of the day of study, mean temperature, mean humidity, influenza epidemics, and indicator variables for day of the week and holidays. Total respiratory admissions were significantly associated with same-day level of NO2 (2.5% increase per interquartile range (IQR) change, 22.3 microg x m(-3)) and CO (2.8% increase per IQR, 1.5 mg x m(-3)). No effect was found for particulate matter and SO2, whereas O3 was associated with admissions only among children (lag 1, 5.5% increase per IQR, 23.9 microg x m3). The effect of NO2 was stronger on acute respiratory infections (lag 0, 4.0% increase) and on asthma among children (lag 1, 10.7% increase). The admissions for all ages for asthma and COPD were associated only with same-day level of CO (5.5% and 4.3% increase, respectively). Multipollutant models confirmed the role of CO on all respiratory admissions, including asthma and COPD, and that of NO2 on acute respiratory infections

  15. 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…

  16. 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…

  17. 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

  18. Preoperative predictive factors for intensive care unit admission after pulmonary resection

    Directory of Open Access Journals (Sweden)

    Liana Pinheiro

    2015-02-01

    Full Text Available Objective: To determine whether the use of a set of preoperative variables can predict the need for postoperative ICU admission. Methods: This was a prospective observational cohort study of 120 patients undergoing elective pulmonary resection between July of 2009 and April of 2012. Prediction of ICU admission was based on the presence of one or more of the following preoperative characteristics: predicted pneumonectomy; severe/very severe COPD; severe restrictive lung disease; FEV1 or DLCO predicted to be < 40% postoperatively; SpO2 on room air at rest < 90%; need for cardiac monitoring as a precautionary measure; or American Society of Anesthesiologists physical status ≥ 3. The gold standard for mandatory admission to the ICU was based on the presence of one or more of the following postoperative characteristics: maintenance of mechanical ventilation or reintubation; acute respiratory failure or need for noninvasive ventilation; hemodynamic instability or shock; intraoperative or immediate postoperative complications (clinical or surgical; or a recommendation by the anesthesiologist or surgeon to continue treatment in the ICU. Results: Among the 120 patients evaluated, 24 (20.0% were predicted to require ICU admission, and ICU admission was considered mandatory in 16 (66.6% of those 24. In contrast, among the 96 patients for whom ICU admission was not predicted, it was required in 14 (14.5%. The use of the criteria for predicting ICU admission showed good accuracy (81.6%, sensitivity of 53.3%, specificity of 91%, positive predictive value of 66.6%, and negative predictive value of 85.4%. Conclusions: The use of preoperative criteria for predicting the need for ICU admission after elective pulmonary resection is feasible and can reduce the number of patients staying in the ICU only for monitoring.

  19. 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.

  20. 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.

  1. 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.

  2. 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.

  3. 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.

  4. Are Parental Welfare Work Requirements Good for Disadvantaged Children? Evidence from Age-of-Youngest-Child Exemptions

    OpenAIRE

    Chris M. Herbst

    2014-01-01

    This paper assesses the short-run impact of first-year maternal employment on low-income children's cognitive development. The identification strategy exploits an important feature of the U.S.'s welfare work requirement rules – namely, age-of-youngest-child exemptions – as a source of quasi-experimental variation in maternal employment. The 1996 welfare reform law empowered states to exempt adult recipients from the work requirements until the youngest child reaches a certain age. This led to...

  5. A retrospective population-based study of childhood hospital admissions with record linkage to a birth defects registry

    OpenAIRE

    Bower Carol; Colvin Lyn

    2009-01-01

    Abstract Background Using population-based linked records of births, deaths, birth defects and hospital admissions for children born 1980–1999 enables profiles of hospital morbidity to be created for each child. Methods This is an analysis of a state-based registry of birth defects linked to population-based hospital admission data. Transfers and readmissions within one day could be taken into account and treated as one episode of care for the purposes of analyses (N = 485,446 children; 742,8...

  6. Involuntary psychiatric holds - the structure of admissions on the example of Institute of Psychiatry and Neurology in Warsaw

    Directory of Open Access Journals (Sweden)

    Inga Markiewicz

    2016-02-01

    Involuntary psychiatric admissions are common practice not only in Poland but in the world. The structure of involuntary admissions in the Institute of Psychiatry and Neurology in 2012 did not differ from data from other European countries. However, while quantitative measures describing the phenomenon of involuntary admissions are comparable, knowledge of each country’s legal rules in relation to medical conditions is crucial for truly adequate comparisons. From the point of view of the Polish legal system it is essential for doctors, who decide on the admission of the patient against his will, to adequately evaluate the patient’s condition in relation to statutory requirements that point to the need of such an admission. Involuntary hospitalisation and treatment first and foremost serve the welfare and protection of chief values of life and human health.

  7. 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…

  8. 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 §...

  9. 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...

  10. 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.

  11. 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,...

  12. 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...

  13. Validation of the TOEFL as a Canadian University Admissions Requirement

    Science.gov (United States)

    Simner, Marvin L.; Mitchell, John B.

    2007-01-01

    The Test of English as a Foreign Language (TOEFL) is widely used to screen university applicants for whom English is not their native language. Although the cutoff scores vary, in Ontario those with scores much lower than 550 are rarely admitted to any university. Two exceptions are the University of Western Ontario and its affiliate, Brescia…

  14. 75 FR 42311 - Third Party Testing for Certain Children's Products; Vinyl Plastic Film: Requirements for...

    Science.gov (United States)

    2010-07-21

    ... section 14(a) of the CPSA in a notice published in the Federal Register on February 9, 2009 (74 FR 6396... December 28, 2009, the Commission published a notice in the Federal Register (74 FR 68588) revising the... COMMISSION 16 CFR Part 1611 Third Party Testing for Certain Children's Products; Vinyl Plastic...

  15. Vitamin D deficiency at pediatric intensive care admission

    Directory of Open Access Journals (Sweden)

    Corsino Rey

    2014-04-01

    Full Text Available OBJECTIVE: to assess whether 25hydroxivitaminD or 25(OHvitD deficiency has a high prevalence at pediatric intensive care unit (PICU admission, and whether it is associated with increased prediction of mortality risk scores. METHOD: prospective observational study comparing 25(OHvitD levels measured in 156 patients during the 12 hours after critical care admission with the 25(OHvitD levels of 289 healthy children. 25(OHvitD levels were also compared between PICU patients with pediatric risk of mortality III (PRISM III or pediatric index of mortality 2 (PIM 2 > p75 [(group A; n = 33 vs. the others (group B; n = 123]. Vitamin D deficiency was defined as < 20 ng/mL levels. RESULTS: median (p25-p75 25(OHvitD level was 26.0 ng/mL (19.2-35.8 in PICU patients vs. 30.5 ng/mL (23.2-38.6 in healthy children (p = 0.007. The prevalence of 25(OHvitD < 20 ng/mL was 29.5% (95% CI: 22.0-37.0 vs. 15.6% (95% CI: 12.2-20.0 (p = 0.01. Pediatric intensive care patients presented an odds ratio (OR for hypovitaminosis D of 2.26 (CI 95%: 1.41-3.61. 25(OHvitD levels were 25.4 ng/mL (CI 95%: 15.5-36.0 in group A vs. 26.6 ng/mL (CI 95%: 19.3-35.5 in group B (p = 0.800. CONCLUSIONS: hypovitaminosis D incidence was high in PICU patients. Hypovitaminosis D was not associated with higher prediction of risk mortality scores.

  16. 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.

  17. Oral Polio Vaccination and Hospital Admissions With Non-Polio Infections in Denmark: Nationwide Retrospective Cohort Study.

    Science.gov (United States)

    Sørup, Signe; Stensballe, Lone G; Krause, Tyra G; Aaby, Peter; Benn, Christine S; Ravn, Henrik

    2016-01-01

    Background.  Live vaccines may have nonspecific beneficial effects on morbidity and mortality. This study examines whether children who had the live-attenuated oral polio vaccine (OPV) as the most recent vaccine had a different rate of admissions for infectious diseases than children with inactivated diphtheria-tetanus-pertussis-polio-Haemophilus influenzae type b vaccine (DTaP-IPV-Hib) or live measles-mumps-rubella vaccine (MMR) as their most recent vaccine. Methods.  A nationwide, register-based, retrospective cohort study of 137 403 Danish children born 1997-1999, who had received 3 doses of DTaP-IPV-Hib, were observed from 24 months (first OPV dose) to 36 months of age. Results.  Oral polio vaccine was associated with a lower rate of admissions with any type of non-polio infection compared with DTaP-IPV-Hib as most recent vaccine (adjusted incidence rate ratio [IRR], 0.85; 95% confidence interval [CI], .77-.95). The association was separately significant for admissions with lower respiratory infections (adjusted IRR, 0.73; 95% CI, .61-.87). The admission rates did not differ for OPV versus MMR. Conclusions.  Like MMR, OPV was associated with fewer admissions for lower respiratory infections than having DTaP-IPV-Hib as the most recent vaccination. Because OPV is now being phased-out globally, further studies of the potential beneficial nonspecific effects of OPV are warranted. PMID:26885538

  18. 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. ...

  19. Estimating the oligoelement requirements of children subject to exclusively parenteral nutrition by means of neutron activation analysis

    International Nuclear Information System (INIS)

    Because of the rich and varied food he eats, deficiencies in oligoelements of dietary origin are very rarely found in man. However, several cases of zinc and copper deficiency have been reported in adults and children subject to prolonged entirely parenteral nutrition. In the present case ten children (eight infants of less than 18 months and two children aged between 2 and 8 years) fed exclusively by intracardiac catheter on a reconstituted diet were studied. The serum concentrations of copper, manganese, selenium and zinc in the children fed on this artificial diet were measured by neutron activation and gamma spectrometry, both with and without chemical separation. The values obtained in the young patients and in controls of the same age were compared. The result of these comparisons and a study of the kinetics of serum concentrations in the patients (one analysis every 20 days for 90 days) enabled us to determine that there was a balanced intake of copper, an excess of manganese and a considerable deficiency in zinc and selenium. In view of these observations, the diet was modified and it was established that the serum oligoelement content followed changes in oligoelement intake. Thus the serum concentrations of selenium and zinc were restored in a few weeks - completely in the case of selenium with an intake three times higher (3 μg/kg/24 h) and incompletely in the case of zinc with the intake doubled (50 μg/kg/24 h). On the basis of these results and kinetic data on the mineral metabolism, we have been able to estimate the copper, manganese, selenium and zinc requirements of children undergoing parenteral nutrition. (author)

  20. The Content of Elements in Infant Formulas and Drinks Against Mineral Requirements of Children

    OpenAIRE

    Molska, A.; Gutowska, I.; Baranowska-Bosiacka, I.; Noceń, I.; Chlubek, D.

    2014-01-01

    The present study aimed at analysing the content of fluorine (F), calcium (Ca), magnesium (Mg), iron (Fe) and zinc (Zn) in the drinks for children and infant formulas, a popular supplement or substitute for breast milk produced from cow milk on an industrial scale. Ca, Mg, Zn and Fe concentrations were determined using atomic absorption spectrophotometer, while F levels using a potentiometric method. F levels in the examined formula samples increased with the intended age range, until the int...

  1. 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 ...

  2. 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...

  3. 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...

  4. 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...

  5. 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\\'.

  6. Admissions to acute adolescent psychiatric units: a prospective study of clinical severity and outcome

    OpenAIRE

    Jensen Gunnar; Hatling Trond; Heyerdahl Sonja; Hanssen-Bauer Ketil; Olstad Pål; Stangeland Tormod; Tinderholt Tarje

    2011-01-01

    Abstract Background Several countries have established or are planning acute psychiatric in-patient services that accept around-the-clock emergency admission of adolescents. Our aim was to investigate the characteristics and clinical outcomes of a cohort of patients at four Norwegian units. Methods We used a prospective pre-post observational design. Four units implemented a clinician-rated outcome measure, the Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA), which ...

  7. 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…

  8. 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...

  9. 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...

  10. 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....

  11. 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...

  12. 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...

  13. 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…

  14. 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)

  15. 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...

  16. 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...

  17. 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...

  18. 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...

  19. 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...

  20. 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...

  1. 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...

  2. 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

  3. 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 ...

  4. 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.

  5. 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.

  6. 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.

  7. 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.

  8. 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.

  9. Admission Patterns and Outcomes of Paediatric Patients Admitted at the Diarrhea Unit of Muhimbili National Hospital (MNH )

    OpenAIRE

    Sanyiwa, John; Penza, Nuru

    2008-01-01

    To determine patterns of admissions due to diarrhea and their outcomes of paediatric patients at uhimbili National Hospital (MNH). A hospital-based prospective study including all children admitted to the Diarrhea Unit during the study period. Data was collected using content analysis checklists. Ethical clearance was sought from MNH and confidentiality in handling the information was observed. Data was analyzed using Epi-info 2002 statistical software. A total of 50 children were admitted d...

  10. Redundancy, Discrimination and Corruption in the Multibillion-Dollar Business of College Admissions Testing

    Science.gov (United States)

    Rizzo, Monica Ellen

    2012-01-01

    Most American colleges and universities require standardized entrance exams when making admissions decisions. Scores on these exams help determine if, when and where students will be allowed to pursue higher education. These scores are also used to determine eligibility for merit based financial aid. This testing persists even though half of the…

  11. Assessing the Accuracy of Psychology Undergraduates' Perceptions of Graduate Admission Criteria.

    Science.gov (United States)

    Nauta, Margaret M.

    2000-01-01

    Assesses how accurately psychology undergraduates perceive: (1) the importance of various graduate admission criteria, including minimum grade point averages needed for consideration by graduate programs; (2) the length of time required to complete graduate degrees; and (3) starting salaries at various educational levels. Presents and discusses…

  12. Test-Optional Admission at a Liberal Arts College: A Founding Mission Affirmed

    Science.gov (United States)

    Shanley, Brian J.

    2007-01-01

    In this essay, Father Brian J. Shanley discusses Providence College's pilot program to eliminate standardized test scores from the required components of an admission application. Building on the college's ninety-year history of opening the doors of higher education to underrepresented populations, Providence College's test-optional policy is…

  13. A tale of two cities: effects of air pollution on hospital admissions in Hong Kong and London compared.

    OpenAIRE

    Wong, Chit-Ming; Atkinson, Richard W; Anderson, H Ross; Hedley, Anthony Johnson; Ma, Stefan; Chau, Patsy Yuen-Kwan; Lam, Tai-Hing

    2002-01-01

    The causal interpretation of reported associations between daily air pollution and daily admissions requires consideration of residual confounding, correlation between pollutants, and effect modification. If results obtained in Hong Kong and London--which differ in climate, lifestyle, and many other respects--were similar, a causal association would be supported. We used identical statistical methods for the analysis in each city. Associations between daily admissions and pollutant levels wer...

  14. A study of the impact of long-term tobacco smoking on postoperative intensive care admission

    DEFF Research Database (Denmark)

    Møller, A M; Pedersen, T; Villebro, N;

    2003-01-01

    Smoking is a risk factor for intra-operative pulmonary complications and a wide range of postoperative pulmonary, cardiovascular, infection and wound-related complications. These may all lead to unplanned postoperative intensive care admission. We tested the hypothesis that smokers have an increa......Smoking is a risk factor for intra-operative pulmonary complications and a wide range of postoperative pulmonary, cardiovascular, infection and wound-related complications. These may all lead to unplanned postoperative intensive care admission. We tested the hypothesis that smokers have...... an increased incidence of postoperative intensive care admission and more postoperative complications than nonsmokers in a general and orthopaedic surgical population. The following information was assessed in 6026 surgical patients: age, sex and smoking status (pack-years), history of heart and lung disease......, American Society of Anesthesiologists (ASA) physical classification, intensive care admission and postoperative complications. Two thousand five hundred and twenty-six (46%) were smokers but for 620 patients (10.3%) smoking status was not confirmed. Postoperative intensive care admission was required...

  15. Implementing competency based admissions at the Albert Einstein College of Medicine

    Directory of Open Access Journals (Sweden)

    Noreen Kerrigan

    2016-02-01

    Full Text Available The Albert Einstein College of Medicine (Einstein was founded in 1955 during an era of limited access to medical school for women, racial minorities, and many religious and ethnic groups. Located in the Bronx, NY, Einstein seeks to educate physicians in an environment of state-of-the-art scientific inquiry while simultaneously fulfilling a deep commitment to serve its community by providing the highest quality clinical care. A founding principle of Einstein, the basis upon which Professor Einstein agreed to allow the use of his name, was that admission to the student body would be based entirely on merit. To accomplish this, Einstein has long used a ‘holistic’ approach to the evaluation of its applicants, actively seeking a diverse student body. More recently, in order to improve its ability to identify students with the potential to be outstanding physicians, who will both advance medical knowledge and serve the pressing health needs of a diverse community, the Committee on Admissions reexamined and restructured the requirements for admission. These have now been categorized as four ‘Admissions Competencies’ that an applicant must demonstrate. They include: 1 cocurricular activities and relevant experiences; 2 communication skills; 3 personal and professional development; and 4 knowledge. The purpose of this article is to describe the process that resulted in the introduction and implementation of this competency based approach to the admission process.

  16. Implementing competency based admissions at the Albert Einstein College of Medicine.

    Science.gov (United States)

    Kerrigan, Noreen; Akabas, Myles H; Betzler, Thomas F; Castaldi, Maria; Kelly, Mary S; Levy, Adam S; Reichgott, Michael J; Ruberman, Louise; Dolan, Siobhan M

    2016-01-01

    The Albert Einstein College of Medicine (Einstein) was founded in 1955 during an era of limited access to medical school for women, racial minorities, and many religious and ethnic groups. Located in the Bronx, NY, Einstein seeks to educate physicians in an environment of state-of-the-art scientific inquiry while simultaneously fulfilling a deep commitment to serve its community by providing the highest quality clinical care. A founding principle of Einstein, the basis upon which Professor Einstein agreed to allow the use of his name, was that admission to the student body would be based entirely on merit. To accomplish this, Einstein has long used a 'holistic' approach to the evaluation of its applicants, actively seeking a diverse student body. More recently, in order to improve its ability to identify students with the potential to be outstanding physicians, who will both advance medical knowledge and serve the pressing health needs of a diverse community, the Committee on Admissions reexamined and restructured the requirements for admission. These have now been categorized as four 'Admissions Competencies' that an applicant must demonstrate. They include: 1) cocurricular activities and relevant experiences; 2) communication skills; 3) personal and professional development; and 4) knowledge. The purpose of this article is to describe the process that resulted in the introduction and implementation of this competency based approach to the admission process. PMID:26847852

  17. Malocclusion and early orthodontic treatment requirements in the mixed dentitions of a population of Nigerian children

    Science.gov (United States)

    daCosta, Oluranti Olatokunbo; Aikins, Elfleda Angelina; Isiekwe, Gerald Ikenna; Adediran, Virginia Efunyemi

    2016-01-01

    Introduction: The aims of this study were to establish the prevalence of dental features that indicate a need for early intervention and to ascertain the prevalence of different methods of early treatment among a population of Nigerian children in mixed dentition. Methods: Occlusal relationships were evaluated in 101 children in mixed dentition between the ages of 6 and 12 years who presented at the Orthodontic Unit, Department of Child Dental Health, Lagos University Teaching Hospital over a 2 years period. The need for different modes of early orthodontic treatment was also recorded. Results: Anterior tooth rotations (61.4%) and increased overjet (44.6%) were the most prevalent occlusal anomalies. Others included deep bite (31.7%), reverse overjet (13.9%), and anterior open bite (14.8%). Severe maxillary spacing and crowding were exhibited in 12.0% and 5.0%, respectively. About a third (35.7%) of the subjects presented with crossbite while lip incompetence was observed in 43.6% of the subjects. About 44% of the subjects also presented with various oral habits with digit (15.8%) and lip sucking (9.9%) being the most prevalent. Subjects were recommended for treatment with 2 by 4 fixed orthodontic appliances (22.3%), habit breakers (20.7%), removable orthodontic appliances (16.5%), and extractions (15.7%). Conclusions: Increased overjet and anterior tooth rotation were the majority of occlusal anomalies seen, which are not only esthetically displeasing but may also cause an increased susceptibility to trauma to these teeth. Treatment options varied from extractions only to the use of appliance therapy.

  18. 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.

  19. Oral Ondansetron Administration in Emergency Departments to Children with Gastroenteritis: An Economic Analysis

    OpenAIRE

    Freedman, Stephen B.; Steiner, Michael J.; Chan, Kevin J.

    2010-01-01

    Editors' Summary Background Although many episodes of gastroenteritis in children are mild and can be managed with oral fluids, including oral rehydration therapy (ORT), some cases are severe enough to require hospital admission for intravenous fluids. Administration of an antiemetic (a drug that reduces nausea and sickness) can be clinically effective, especially ondansetron, (a drug that belongs to a class of drugs known as selective serotonin receptor antagonists), which is safer than othe...

  20. 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...

  1. Development and evaluation of a community respiratory physiotherapy service for children with severe neurodisability.

    Science.gov (United States)

    Wolff, Antonia; Griffin, Hayley; Flanigan, Moira; Everest, Sarah; Thomas, David; Whitehouse, William

    2015-01-01

    Children with severe disability often have difficulties with secretion clearance leading to recurrent lower respiratory tract infections and prolonged hospital admissions. A community respiratory physiotherapy service was developed for this client group, including a rapid response for acute respiratory illness, and an evaluation was undertaken, comparing admissions and bed-days in hospital for respiratory tract infections, emergency admissions to hospital for any cause, and admission costs for each child for the 12 months before to the 12 months with the service. Thirty-four children aged 1 to 19 years (median 5) were eligible for the "before and after" evaluation at 28 months; most had severe cerebral palsy 22 (65%), and there were also eight (23%) children with neurodegenerative and four (12%) with neuromuscular conditions. Admissions for respiratory tract infection fell from 43 to 25 (prespiratory physiotherapy service can reduce hospital admissions and bed days for disabled children. The admissions cost savings have enabled the service to "pay for itself". PMID:26734442

  2. Reliability of admission cardiotocography for intrapartum monitoring in low resource setting

    Directory of Open Access Journals (Sweden)

    Hafizur Rahman

    2012-01-01

    Full Text Available Background To evaluate the role of admission cardiotocography in intrapartum patients in detecting fetal hypoxia already present and to correlate the results of admission cardiotocography with perinatal outcome. Materials and Methods: It was a cross-sectional study conducted in the Labor and Maternity ward during the period 2007-2009. The study included 176 pregnant women (both high risk and low risk, admitted to the emergency department or through the outpatient department with period of gestation ≥36 weeks, in first stage of labor with fetus in cephalic presentation. All of them were subjected to an admission test, a 20 min recording of fetal heart rate and uterine contractions on cardiotocograph machine at the time of admission. Results: The results of the admission test were ′reactive′ in 82.38%, ′equivocal′ in 10.22%, and ′ominous′ in 7.38% women. Women with the reactive admission test had low risk of intrapartum fetal distress (6.9% as compared to 39.9% in the equivocal and 84.6% in the ominous group (P<0.001. Incidence of moderate to thick meconium stained liqor were more in ominous (61.5% and equivocal group (33.3% in compared to reactive group (4.8% (P<0.001. Incidence of NICU admission was also significantly high (62% in babies delivered from mother with ominous test group compared to those with equivocal (28% and reactive test (3.45% group babies. Neonatal mortality was also seen in babies born to mothers with equivocal (5.5% and ominous (7.6% admission test groups. Operative delivery for fetal distress was required in only 5.5% (8 of 145 woman of the reactive group, in 27.8% (5 of 18 woman of the equivocal group and in 84.6% (11 of 13 women of the ominous group. Conclusion: The admission cardiotocography is a simple non-invasive test that can serve as screening tool to detect fetal distress already present or likely to develop and prevent unnecessary delay in intervention. The test has high specificity and can help in

  3. Outdoor particulate matter and childhood asthma admissions in Athens, Greece: a time-series study

    Directory of Open Access Journals (Sweden)

    Roma Eleftheria S

    2010-07-01

    Full Text Available Abstract Background Particulate matter with diameter less than 10 micrometers (PM10 that originates from anthropogenic activities and natural sources may settle in the bronchi and cause adverse effects possibly via oxidative stress in susceptible individuals, such as asthmatic children. This study aimed to investigate the effect of outdoor PM10 concentrations on childhood asthma admissions (CAA in Athens, Greece. Methods Daily counts of CAA from the three Children's Hospitals within the greater Athens' area were obtained from the hospital records during a four-year period (2001-2004, n = 3602 children. Mean daily PM10 concentrations recorded by the air pollution-monitoring network of the greater Athens area were also collected. The relationship between CAA and PM10 concentrations was investigated using the Generalized Linear Models with Poisson distribution and logistic analysis. Results There was a statistically significant (95% CL relationship between CAA and mean daily PM10 concentrations on the day of exposure (+3.8% for 10 μg/m3 increase in PM10 concentrations, while a 1-day lag (+3.4% for 10 μg/m3 increase in PM10 concentrations and a 4-day lag (+4.3% for 10 μg/m3 increase in PM10 concentrations were observed for older asthmatic children (5-14 year-old. High mean daily PM10 concentration (the highest 10%; >65.69 μg/m3 doubled the risk of asthma exacerbations even in younger asthmatic children (0-4 year-old. Conclusions Our results provide evidence of the adverse effect of PM10 on the rates of paediatric asthma exacerbations and hospital admissions. A four-day lag effect between PM10 peak exposure and asthma admissions was also observed in the older age group.

  4. Are Physical Education-Related State Policies and Schools' Physical Education Requirement Related to Children's Physical Activity and Obesity?

    Science.gov (United States)

    Kim, Jinsook

    2012-01-01

    Background: This study examines whether the extent of states' physical education (PE) requirement policies and the prevalence of schools requiring PE are associated with children's physical activity (PA) and obesity. Methods: Two cycles (2002-2003 and 2006-2007) of cross-sectional data with individual- and state-level information were…

  5. 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...

  6. 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...

  7. Asthma is a risk factor for acute chest syndrome and cerebral vascular accidents in children with sickle cell disease

    Directory of Open Access Journals (Sweden)

    Scott Paul J

    2005-01-01

    Full Text Available Abstract Background Asthma and sickle cell disease are common conditions that both may result in pulmonary complications. We hypothesized that children with sickle cell disease with concomitant asthma have an increased incidence of vaso-occlusive crises that are complicated by episodes of acute chest syndrome. Methods A 5-year retrospective chart analysis was performed investigating 48 children ages 3–18 years with asthma and sickle cell disease and 48 children with sickle cell disease alone. Children were matched for age, gender, and type of sickle cell defect. Hospital admissions were recorded for acute chest syndrome, cerebral vascular accident, vaso-occlusive pain crises, and blood transfusions (total, exchange and chronic. Mann-Whitney test and Chi square analysis were used to assess differences between the groups. Results Children with sickle cell disease and asthma had significantly more episodes of acute chest syndrome (p = 0.03 and cerebral vascular accidents (p = 0.05 compared to children with sickle cell disease without asthma. As expected, these children received more total blood transfusions (p = 0.01 and chronic transfusions (p = 0.04. Admissions for vasoocclusive pain crises and exchange transfusions were not statistically different between cases and controls. SS disease is more severe than SC disease. Conclusions Children with concomitant asthma and sickle cell disease have increased episodes of acute chest syndrome, cerebral vascular accidents and the need for blood transfusions. Whether aggressive asthma therapy can reduce these complications in this subset of children is unknown and requires further studies.

  8. 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…

  9. 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

  10. 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

  11. 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.

  12. A comparison of inpatient admissions in 2012 from two European countries

    Directory of Open Access Journals (Sweden)

    Victoria Tittle

    2014-11-01

    has been reported [1] and route of transmission in Italy is shifting towards MSM [2], therefore it is important to learn how HIV is developing and managed in a global context to help plan future for services. The UK cohort demonstrates a wider range of conditions necessitating admission, and with an ageing HIV population, this is expected to increase in the future, requiring general and specialist HIV physicians to work closely together. The HIV-RNA threshold is 400 copies/mL to account for blips according to British HIV Association (BHIVA Guidelines 2012 [3].

  13. Seeing Their Children in Pain: Symptoms of Posttraumatic Stress Disorder in Mothers of Children with an Anomaly Requiring Surgery at Birth.

    Science.gov (United States)

    Aite, Lucia; Bevilacqua, Francesca; Zaccara, Antonio; La Sala, Edoardo; Gentile, Simonetta; Bagolan, Pietro

    2016-07-01

    Objective Assess the presence of posttraumatic stress disorder (PTSD) symptoms in mothers of newborns requiring early surgery. Study Design Mothers of newborns operated on for a congenital anomaly underwent a semi-structured interview on their experience 6 months postpartum. Interviews were audiotaped, transcribed verbatim, and analyzed for symptoms of the three major criteria of PTSD: re-experiencing, avoidance, and heightened arousal. Results A total of 120 mothers took part in the study; their children were affected by one of the following congenital anomaly: esophageal atresia (n = 29); congenital diaphragmatic hernia (n = 38); midgut malformations (n = 38); and abdominal wall defects (n = 15). Two mothers did not show any symptoms; 12 mothers (10%) had one posttraumatic symptom, 77 (64.2%) had two, and 29 (24.2%) had three. Overall, 106 mothers (88.4%) presented at least two symptoms. Conclusion PTSD can be considered a useful model to describe and comprehend mothers' reactions in this specific population. Preventive interventions and dedicated follow-up program should be offered to these families. PMID:26890434

  14. Systemic meningococcal disease in children: survival analysis, Arkhangelsk region, Northwest Russia, 1991–2011

    Directory of Open Access Journals (Sweden)

    O. V. Samodova

    2014-09-01

    Full Text Available Systemic meningococcal infection requires prompt and adequate medical care. It is considered as unpredictable disease due to extreme severity of a patient’s condition and high risk for fatal outcome. Survival of the children with systemic meningococcal infection was studied. Retrospective cohort includes all cases of systemic meningococcal disease in children arose in Arkhangelsk region in 1991–2011. Rate of fatal outcomes was high (41%. All death cases occurred during first three days of illness. Survival of the patient with correct pre-admission diagnosis was higher in comparison with initially undiagnosed cases. Survival functions were influenced by form of the disease and presence of septic shock. The usage of intramuscular injection of glucocorticoids on pre-admission stage according to the common recommendations did not improve the outcome.

  15. 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.

  16. 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

  17. Development and evaluation of a community respiratory physiotherapy service for children with severe neurodisability

    OpenAIRE

    Wolff, Antonia; Griffin, Hayley; Flanigan, Moira; Everest, Sarah; Thomas, David; Whitehouse, William

    2015-01-01

    Children with severe disability often have difficulties with secretion clearance leading to recurrent lower respiratory tract infections and prolonged hospital admissions. A community respiratory physiotherapy service was developed for this client group, including a rapid response for acute respiratory illness, and an evaluation was undertaken, comparing admissions and bed-days in hospital for respiratory tract infections, emergency admissions to hospital for any cause, and admission costs fo...

  18. A tale of two cities: effects of air pollution on hospital admissions in Hong Kong and London compared.

    Science.gov (United States)

    Wong, Chit-Ming; Atkinson, Richard W; Anderson, H Ross; Hedley, Anthony Johnson; Ma, Stefan; Chau, Patsy Yuen-Kwan; Lam, Tai-Hing

    2002-01-01

    The causal interpretation of reported associations between daily air pollution and daily admissions requires consideration of residual confounding, correlation between pollutants, and effect modification. If results obtained in Hong Kong and London--which differ in climate, lifestyle, and many other respects--were similar, a causal association would be supported. We used identical statistical methods for the analysis in each city. Associations between daily admissions and pollutant levels were estimated using Poisson regression. Nonparametric smoothing methods were used to model seasonality and the nonlinear dependence of admissions on temperature, humidity, and influenza admissions. For respiratory admissions (> or = 65 years of age), significant positive associations were observed with particulate matter ozone in both cities. These associations tended to be stronger at shorter lags in Hong Kong and at longer lags in London. Associations were stronger in the cool season in Hong Kong and in the warm season in London, periods during which levels of humidity are at their lowest in each city. For cardiac admissions (all ages) in both cities, significant positive associations were observed for PM(10), NO(2), and SO(2) with similar lag patterns. Associations tended to be stronger in the cool season. The associations with NO(2) and SO(2) were the most robust in two-pollutant models. Patterns of association for pollutants with ischemic heart disease were similar in the two cities. The associations between O(3) and cardiac admissions were negative in London but positive in Hong Kong. We conclude that air pollution has remarkably similar associations with daily cardiorespiratory admissions in both cities, in spite of considerable differences between cities in social, lifestyle, and environmental factors. The results strengthen the argument that air pollution causes detrimental short-term health effects. PMID:11781167

  19. 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.

  20. 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…

  1. 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...

  2. 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...

  3. 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.

  4. 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)

  5. 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…

  6. 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…

  7. 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…

  8. 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…

  9. 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....

  10. 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...

  11. 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...

  12. 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...

  13. 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...

  14. 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...

  15. 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...

  16. 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…

  17. 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...

  18. 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...

  19. 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...

  20. Perfil de internações hospitalares por doenças respiratórias em crianças e adolescentes da cidade de São Paulo, 2000-2004 Perfil de internaciones hospitalares por enfermedades respiratorias en niños y adolescentes de la ciudad de São Paulo, 2000-2004 Hospital admissions due to respiratory diseases in children and adolescents of São Paulo city, 2000-2004

    Directory of Open Access Journals (Sweden)

    Renata Martins de T Natali

    2011-12-01

    digo Internacional de Enfermedades 10ª Revisión J00-J99 en hospitales conveniados al Sistema Único de Salud, ubicados en la ciudad de São Paulo, entre 2000 y 2004. Se describieron las principales características de distribución temporal, por franja de edad y por causa de morbilidad respiratoria en la niñez y adolescencia. RESULTADOS: Las neumonías y bronconeumonías (51%, el asma (18% y las enfermedades agudas y crónicas de las vías aéreas superiores (10% contestan por la mayor parte de las internaciones. Los niños de hasta cinco años son los más internados, independiente de la causa específica. Entre los adolescentes, se observó que las principales causas de internaciones fueron las enfermedades respiratorias que afectan el intersticio pulmonar (0,1% y las afecciones necróticas y supurativas de las vías aéreas inferiores (0,2%. En la franja de edad de los 6 a los 10 años, predominan las internaciones por enfermedades agudas y crónicas de las vías aéreas superiores (10%. Hubo una tendencia de aumento de las internaciones por enfermedades respiratorias a lo largo del periodo analizado, además de la constatación de que el pico de morbilidad se da en el comienzo del otoño. CONCLUSIONES: Las internaciones por enfermedades respiratorias de niños y adolescentes presentan estándar de distribución dependiente de la franja de edad y de la estacionalidad. Cuanto menor sea la franja de edad, mayor será el número de internaciones.OBJECTIVE: To analyze the profile of children and adolescents' hospital admissions due to respiratory diseases in São Paulo (SP, Brazil. METHODS: This is an ecological time series study. Data was obtained on hospital admissions for respiratory diseases (International Classification of Diseases, 10th Revision: J00-J99 in hospitals under the Brazilian Unified Health System located in São Paulo between 2000 and 2004. Main characteristics of the temporal distribution of respiratory morbidity in childhood and adolescence by age and cause are

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

    OpenAIRE

    S.C.L. Farhat; R.L.P. Paulo; T.M. Shimoda; G.M.S. Conceição; Lin, C. A.; A.L.F. Braga; M.P.N. Warth; Saldiva, P H N

    2005-01-01

    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 to...

  2. 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...

  3. Paediatric head injuries treated in a children's emergency department from Cluj-Napoca, Romania.

    Science.gov (United States)

    Rus, Diana; Chereches, Razvan Mircea; Peek-Asa, Corinne; Marton-Vasarhely, Emanuela Oana; Oprescu, Florin; Brinzaniuc, Alexandra; Mocean, Floarea

    2016-06-01

    The aim of the study was to describe paediatric head injuries and identify factors that led to advanced care. Incident cases of head injuries that sought care from December 2008 to October 2010 at Children's Emergency Hospital Cluj-Napoca were evaluated. The main outcome was transfer or admission to advanced care. From a total of 3053 children treated for an injury, 1541 (50.4%) presented with head injury. A total of 960 (62.3%) of the children with a head injury required advanced care treatment. Young children were more likely to suffer a head injury than older children, but a higher proportion of older children required advanced care (70.3%). Children who suffered a head injury as a consequence of road traffic were almost five times more likely to require advanced care (OR: 4.97; 3.09-8.06) than being released. Our results suggest that data on injuries provide evidence-based information on the nature of injuries children are prone to, and what activity, type, and mechanism of injury impact Romanian children. PMID:24479864

  4. 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

  5. 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...

  6. Isolated traumatic head injury in children: Analysis of 276 observations

    Directory of Open Access Journals (Sweden)

    Bahloul Mabrouk

    2011-01-01

    Full Text Available Background : To determine predictive factors of mortality among children after isolated traumatic brain injury. Materials and Methods : In this retrospective study, we included all consecutive children with isolated traumatic brain injury admitted to the 22-bed intensive care unit (ICU of Habib Bourguiba University Hospital (Sfax, Tunisia. Basic demographic, clinical, biochemical, and radiological data were recorded on admission and during ICU stay. Results : There were 276 patients with 196 boys (71% and 80 girls, with a mean age of 6.7 ± 3.8 years. The main cause of trauma was road traffic accident (58.3%. Mean Glasgow Coma Scale score was 8 ± 2, Mean Injury Severity Score (ISS was 23.3 ± 5.9, Mean Pediatric Trauma Score (PTS was 4.8 ± 2.3, and Mean Pediatric Risk of Mortality (PRISM was 10.8 ± 8. A total of 259 children required mechanical ventilation. Forty-eight children (17.4% died. Multivariate analysis showed that factors associated with a poor prognosis were PRISM > 24 (OR: 10.98, neurovegetative disorder (OR: 7.1, meningeal hemorrhage (OR: 2.74, and lesion type VI according to Marshall tomographic grading (OR: 13.26. Conclusion : In Tunisia, head injury is a frequent cause of hospital admission and is most often due to road traffic injuries. Short-term prognosis is influenced by demographic, clinical, radiological, and biochemical factors. The need to put preventive measures in place is underscored.

  7. 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.

  8. Children's and Adolescents' Thoughts on Pollution: Cognitive Abilities Required to Understand Environmental Systems

    Science.gov (United States)

    Rodríguez, Manuel; Kohen, Raquel; Delval, Juan

    2015-01-01

    Pollution phenomena are complex systems in which different parts are integrated by means of causal and temporal relationships. To understand pollution, children must develop some cognitive abilities related to system thinking and temporal and causal inferential reasoning. These cognitive abilities constrain and guide how children understand…

  9. Educating Children without Housing: A Primer on Legal Requirements and Implementation Strategies for Educators, Advocates and Policymakers.

    Science.gov (United States)

    Duffield, Barbara; Heybach, Laurene M.; Julianelle, Patricia F.

    The McKinney-Vento Homeless Assistance Act was enacted in 1987 as the first federal legislation intended to comprehensively combat homelessness. Title VII-B of the Act created the Education for Homeless Children and Youth Program, which authorizes the appropriation of federal funds to ensure that children and youth experiencing homelessness…

  10. Application of 15N-glycine to study the protein requirements of young Filipino children consuming local diets

    International Nuclear Information System (INIS)

    This report presents the results obtained from nitrogen balance studies and protein turnover rate measurements on a total of 7 children who served as subjects in this study which aims to evaluate the adequacy of the current Recommended Dietary Allowance for dietary protein for 2-4 y old children at or around the safe level of energy intake. (author). 1 fig., 5 tabs

  11. 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 ...

  12. Acute stress-related psychological impact in children following devastating natural disaster, the Sikkim earthquake (2011, India

    Directory of Open Access Journals (Sweden)

    Rakesh Mondal

    2013-01-01

    Full Text Available Background: Psychological stress following natural disaster is common. Despite several earthquakes in India, data on evaluation of acute stress among the child victims in the early postdisaster period is scarce. Immediately following a devastating earthquake (6.9 Richter at Sikkim on September, 18 2011, many children attended North Bengal Medical College, the nearest government tertiary care institution, with unusual stress symptoms. Objective: Evaluation of acute stress symptoms in children in the immediate postearthquake period. Materials and Methods: This was a cross-sectional study done over 4 weeks and includes all the children from 1 to 12 years presenting with unusual physical or behavioral symptoms. Those with major injuries requiring admission were excluded. They were divided into two age groups. For older children (8-12 years the 8-item Children Impact of Event Scale (CIES was used for screening of stress. Unusual symptoms were recorded in younger children (1-8 years as CIES is not validated < 8 years. Result: A total of 84 children (2.66% out of 3154 had stress symptoms. Maximum attendance was noted in first 3 days (65.47% and declined gradually. In children ≥ 8 years, 48.78% had psychological stress, which was statistically significant on CIES scores without any gender predilection. Static posturing (41.86%, sleeplessness (32.55%, anorexia (9.30%, recurrent vomiting (13.95%, excessive crying (13.95%, or night-awakenings (4.65% were found in younger children ( n = 43 and three required admission. Conclusion: This study represent the first Indian data showing statistically significant psychological impact in older children (8-12 years and various forms of physical stress symptoms in young children (1-8 years following earthquake.

  13. 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...

  14. A prospective randomised trial comparing nasogastric with intravenous hydration in children with bronchiolitis (protocol) The comparative rehydration in bronchiolitis study (CRIB)

    OpenAIRE

    Borland Meredith; Acworth Jason; Babl Franz E; Oakley Ed; Kreiser David; Neutze Jocelyn; Theophilos Theane; Donath Susan; South Mike; Davidson Andrew

    2010-01-01

    Abstract Background Bronchiolitis is the most common reason for admission of infants to hospital in developed countries. Fluid replacement therapy is required in about 30% of children admitted with bronchiolitis. There are currently two techniques of fluid replacement therapy that are used with the same frequency-intravenous (IV) or nasogastric (NG). The evidence to determine the optimum route of hydration therapy for infants with bronchiolitis is inadequate. This randomised trial will be the...

  15. Hospital admissions from birth to early adolescence and early-life risk factors: the 11-year follow-up of the 1993 Pelotas (Brazil) birth cohort study

    Science.gov (United States)

    Menezes, Ana M. B.; Noal, Ricardo B.; Cesar, Juraci A.; Hallal, Pedro C.; Araújo, Cora Luiza; Dumith, Samuel C.; Barros, Fernando C.; Victora, Cesar G.

    2013-01-01

    The aim of this prospective analysis was to describe the cumulative incidence of hospital admissions in the first year of life and between 1 and 11 years of age and to explore associated factors. Hospital admissions were collected through regular monitoring in the first year of life, and through maternal report on admissions between 1 and 11 years. Analyses were stratified by sex and adjusted for confounding factors. 18.1% of children were hospitalized in the first year of life, and 30.7% between ages 1 and 11 years. Among boys, hospital admission in the first year was associated with low family income, paternal smoking during pregnancy, preterm delivery, and low birthweight. Among girls, in addition to the variables described for boys, black/mixed skin color was also a risk factor for hospital admission. For admissions between 1 and 11 years of age, low family income and gestational age ≥ 37 weeks were found to be significant risk factors. PMID:20963296

  16. 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.

  17. 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...

  18. 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...

  19. 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.

  20. 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...

  1. Surgical management of colonic volvulus during same hospital admission

    International Nuclear Information System (INIS)

    Objective was to study the local patient profile, diagnostic methods and treatment outcome in patients with large bowel volvulus to recommend a management plan. A retrospective study of patient's record with a final diagnosis of large bowel volvulus treated at King Saud Medical Complex, Riyadh, Saudi Arabia between January 2000 and December 2007 were performed for patient demography, clinical presentations, co-morbidity, diagnostic methods, anatomical types, management and outcome. Forty-two patients with large bowel volvulus were reviewed. They presented 8.5% of all intestinal obstructions treated. Most had sigmoid volvulus (83%), were less than 60 years of age and were male. Recognized risk factors were present in 12 (29%) patients. Diagnosis was suspected on plain abdominal x-ray in 28 patients (69%), although the characteristic signs of omega and coffee bean were seen only in 16 patients. Eight patients required emergency surgery. Endoscopic decompression was successful in 34 patients, followed by a definitive surgery in 24 patients. Seven patients refused surgery; 3 of them were readmitted with recurrence and were operated. Three patients were unfit for surgery. There were 3 deaths. Large bowel volvulus is uncommon in this area. Abdominal distension with pain, constipation and characteristic gas pattern in plain x-ray can help diagnose most cases. Decompression can be achieved in most patients with sigmoid volvulus, followed by surgery during the same hospital admission. Transverse colon and cecal volvulus usually need emergency surgery. (author)

  2. A Randomized Trial of a Standard Dose of Edmonston-Zagreb Measles Vaccine Given at 4.5 Months of Age: Effect on Total Hospital Admissions

    OpenAIRE

    Martins, Cesario L.; Benn, Christine S.; Andersen, Andreas; Balé, Carlito; Schaltz-Buchholzer, Frederik; Do, Vu An; Rodrigues, Amabelia; Aaby, Peter; Ravn, Henrik; Whittle, Hilton; Garly, May-Lill

    2014-01-01

    Observational studies and trials from low-income countries indicate that measles vaccine has beneficial nonspecific effects, protecting against non–measles-related mortality. It is not known whether measles vaccine protects against hospital admissions. Between 2003 and 2007, 6417 children who had received the third dose of diphtheria, tetanus, and pertussis vaccine were randomly assigned to receive measles vaccine at 4.5 months or no measles vaccine; all children were offered measles vaccine ...

  3. 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...

  4. 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...

  5. 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 ...

  6. 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...

  7. 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).

  8. 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...

  9. [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

  10. 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...

  11. 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...

  12. 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.

  13. Empyema Thoracis in Children: Clinical Presentation, Management and Complications

    International Nuclear Information System (INIS)

    Objective: To determine the etiology, clinical manifestation, management (medical and surgical) and complications of children with empyema thoracis in a tertiary care hospital from Karachi, Pakistan. Study Design: Descriptive, analytical study. Place and Duration of Study: Department of Surgery, The Aga Khan University Hospital, Karachi, from January 1996 to December 2010. Methodology: Medical records of admitted children aged > a month to 15 years with discharge diagnosis of empyema thoracis and data was collected on demographic features, clinical manifestation, management and complications. Children managed medically were compared with those managed surgically by using interquartile range and median comparison. Mann-Whitney U test was used to compare age in months, weight (kg) and length of stay in days and presenting complaint, duration of illness; chi-square test was used to compare thrombocytosis in between groups and p-value was calculated. Results: Among the 112 patients, 59 (53%) were younger than 5 years of age. Males (n=83, 74%) were predominant. Fifty (45%) children were admitted in winter. Thirty (27%) children found unvaccinated and one fourth (n=27; 24%) were severely malnourished. Fever, cough, and dyspnea were the major presenting symptoms. Sixty-six (59%) were on some antibiotics prior to admission. Staphylococcus aureus (n=13) and Streptococcus pneumoniae (n=5) were the commonest organism isolated from blood and pleural fluid cultures. Majority of the children required some surgical intervention (n=86). Surgically managed children were younger (p=0.01); had less weight (p=0.01) and prolonged fever (p=0.02); and stayed longer in hospital (p < 0.001) as compared to medically managed children. Requiring readmission (n=8), subcutaneous emphysema (n=5) and recollection of pus (n=5) were the major complications. Conclusion: Staphylococcus aureus was the major organism associated with paediatric empyema thoracis. Early identification and empiric

  14. 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.

  15. 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%.

  16. 46 CFR 310.6 - Entrance requirements.

    Science.gov (United States)

    2010-10-01

    ... requirements, will be acceptable to the Administration. (5) Possess a secondary school education or equivalent... qualities of leadership. (b) Enrollment on or after April 1, 1982. A candidate for admission to a school...

  17. Severe Sepsis in Severely Malnourished Young Bangladeshi Children with Pneumonia: A Retrospective Case Control Study.

    Directory of Open Access Journals (Sweden)

    Mohammod Jobayer Chisti

    Full Text Available In developing countries, there is no published report on predicting factors of severe sepsis in severely acute malnourished (SAM children having pneumonia and impact of fluid resuscitation in such children. Thus, we aimed to identify predicting factors for severe sepsis and assess the outcome of fluid resuscitation of such children.In this retrospective case-control study SAM children aged 0-59 months, admitted to the Intensive Care Unit (ICU of the Dhaka Hospital of the International Centre for Diarrhoeal Disease Research, Bangladesh from April 2011 through July 2012 with history of cough or difficult breathing and radiologic pneumonia, who were assessed for severe sepsis at admission constituted the study population. We compared the pneumonic SAM children with severe sepsis (cases = 50 with those without severe sepsis (controls = 354. Severe sepsis was defined with objective clinical criteria and managed with fluid resuscitation, in addition to antibiotic and other supportive therapy, following the standard hospital guideline, which is very similar to the WHO guideline.The case-fatality-rate was significantly higher among the cases than the controls (40% vs. 4%; p<0.001. In logistic regression analysis after adjusting for potential confounders, lack of BCG vaccination, drowsiness, abdominal distension, acute kidney injury, and metabolic acidosis at admission remained as independent predicting factors for severe sepsis in pneumonic SAM children (p<0.05 for all comparisons.We noted a much higher case fatality among under-five SAM children with pneumonia and severe sepsis who required fluid resuscitation in addition to standard antibiotic and other supportive therapy compared to those without severe sepsis. Independent risk factors and outcome of the management of severe sepsis in our study children highlight the importance for defining optimal fluid resuscitation therapy aiming at reducing the case fatality in such children.

  18. 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...

  19. 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

  20. 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.

  1. 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.

  2. On the separation anxiety of new admission childhood%新入园幼儿分离焦虑再探

    Institute of Scientific and Technical Information of China (English)

    姚艳杰; 尹红雨

    2013-01-01

      分离焦虑是孩子心理发展的一个重要方面,也是孩子入园过程中一种常见的不安情绪和行为。每个孩子都会不同程度的表现出来。本文从实际出发,从生活环境、生活规律变化、幼儿与成人关系改变、幼儿个性、家长焦虑等几个因素着手,对幼儿入园时产生分离焦虑的原因进行分析,提出缓解幼儿新入园分离焦虑的措施。%Separation anxiety is one of the important aspects of the psychological development of children, is the common restless mood and the behavior in the child admission process. Each child will perform varying degrees. This article embarks from the reality, from the living environment, life rule changes, change of children and adult relationships, children's personality, parental anxiety and so on several factors, to analyze the causes of separation anxiety on child admission, and put forward some new measures to children's separation anxiety.

  3. 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

  4. 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...

  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. 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.

  7. 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.

  8. A prospective randomised trial comparing nasogastric with intravenous hydration in children with bronchiolitis (protocol The comparative rehydration in bronchiolitis study (CRIB

    Directory of Open Access Journals (Sweden)

    Borland Meredith

    2010-06-01

    Full Text Available Abstract Background Bronchiolitis is the most common reason for admission of infants to hospital in developed countries. Fluid replacement therapy is required in about 30% of children admitted with bronchiolitis. There are currently two techniques of fluid replacement therapy that are used with the same frequency-intravenous (IV or nasogastric (NG. The evidence to determine the optimum route of hydration therapy for infants with bronchiolitis is inadequate. This randomised trial will be the first to provide good quality evidence of whether nasogastric rehydration (NGR offers benefits over intravenous rehydration (IVR using the clinically relevant continuous outcome measure of duration of hospital admission. Methods/Design A prospective randomised multi-centre trial in Australia and New Zealand where children between 2 and 12 months of age with bronchiolitis, needing non oral fluid replacement, are randomised to receive either intravenous (IV or nasogastric (NG rehydration. 750 patients admitted to participating hospitals will be recruited, and will be followed daily during the admission and by telephone 1 week after discharge. Patients with chronic respiratory, cardiac, or neurological disease; choanal atresia; needing IV fluid resuscitation; needing an IV for other reasons, and those requiring CPAP or ventilation are excluded. The primary endpoint is duration of hospital admission. Secondary outcomes are complications, need for ICU admission, parental satisfaction, and an economic evaluation. Results will be analysed using t-test for continuous data, and chi squared for categorical data. Non parametric data will be log transformed. Discussion This trial will define the role of NGR and IVR in bronchiolitis Trail registration The trial is registered with the Australian and New Zealand Clinical Trials Registry - ACTRN12605000033640

  9. Changing trends in blood transfusion in children and neonates admitted in Kilifi District Hospital, Kenya

    Directory of Open Access Journals (Sweden)

    Akech Samuel

    2010-10-01

    Full Text Available Abstract Background Severe anaemia is a common cause for hospitalization in children in sub-Saharan Africa. Malaria plays an important aetiological role, resulting in a substantial burden of paediatric transfusion in hospitals. A decline in malaria and paediatric admissions to the Kilifi District Hospital has been reported recently. This study aimed to investigate whether this trend affected clinical burden, clinical severity of anaemia and requirements for paediatric transfusion. Methods Eight-year retrospective review of paediatric admissions to Kilifi District Hospital, Kenya describing the frequency of moderate and severe anaemia, blood transfusion and case fatality over time. Definitions for severe anaemia were Hb Results Of the 35,139 admissions 13,037 (37% had moderate anaemia and 2,265 (6% had severe anaemia; respiratory distress complicated 35% of cases with Hb 2 for trend = 134, P Conclusion The impact of reduced malaria transmission on child morbidity has positive public benefits on the demand and use of blood for paediatric transfusion. Despite an overall reduction in paediatric transfusion requirement, case fatality of severe anaemia remained unchanged over this decade. Further research is required to improve outcome from severe anaemia, particularly in the high-risk group with life threatening features.

  10. Admission avoidance using intramuscular antibiotics for the treatment of borderline foot infections in people with diabetes in a tertiary care foot clinic.

    Science.gov (United States)

    Dhatariya, Ketan

    2013-01-01

    Several international guidelines exist to help decision making for the infected 'diabetic foot'. However, none consider admissions avoidance. We wanted to develop an antibiotic foot formulary for the empirical treatment of diabetes related foot infections presenting to our service and subsequently to asses the costs associated with the introduction of our protocol. We rationalised our antibiotic protocol. The introduction of our formulary changed the average antibiotic prescribing costs for a 3 week course of treatment from £17.12 to £16.42. In addition, we adapted the Infectious Disease Society of America (IDSA) guideline by introducing a category of 'moderate infection - borderline admission' to our classification. This enabled the administration of outpatient intramuscular antibiotics. Over 22 months of follow up, 26 episodes were eligible for treatment with intramuscular antibiotics. Over the same time period, 121 people were admitted directly from the foot clinic. The costs saved as a result of avoided or delayed admission for those 26 episodes was over £76,000. For 12 people who required subsequent admission, their length of hospital stay was significantly shorter than those admitted directly (9.25 days [range 2-25] vs. 16.11 [2-64] p=0.045). In summary, by modifying the IDSA classification and adopting a protocol to administer outpatient oral and intramuscular antibiotics we have led to substantial cost savings, shorter hospital admissions and also have developed a successful admissions avoidance strategy. PMID:26734186

  11. Admissions to acute adolescent psychiatric units: a prospective study of clinical severity and outcome

    Directory of Open Access Journals (Sweden)

    Jensen Gunnar

    2011-01-01

    Full Text Available Abstract Background Several countries have established or are planning acute psychiatric in-patient services that accept around-the-clock emergency admission of adolescents. Our aim was to investigate the characteristics and clinical outcomes of a cohort of patients at four Norwegian units. Methods We used a prospective pre-post observational design. Four units implemented a clinician-rated outcome measure, the Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA, which measures mental health problems and their severity. We collected also data about the diagnoses, suicidal problems, family situations, and the involvement of the Child Protection Service. Predictions of outcome (change in HoNOSCA total score were analysed with a regression model. Results The sample comprised 192 adolescents admitted during one year (response rate 87%. Mean age was 15.7 years (range 10-18 and 70% were girls. Fifty-eight per cent had suicidal problems at intake and the mean intake HoNOSCA total score was 18.5 (SD 6.4. The largest groups of main diagnostic conditions were affective (28% and externalizing (26% disorders. Diagnoses and other patient characteristics at intake did not differ between units. Clinical psychiatric disorders and developmental disorders were associated with severity (on HoNOSCA at intake but not with outcome. Of adolescents ≥ 16 years, 33% were compulsorily admitted. Median length of stay was 8.5 days and 75% of patients stayed less than a month. Compulsory admissions and length of stay varied between units. Mean change (improvement in the HoNOSCA total score was 5.1 (SD 6.2, with considerable variation between units. Mean discharge score was close to the often-reported outpatient level, and self-injury and emotional symptoms were the most reduced symptoms during the stay. In a regression model, unit, high HoNOSCA total score at intake, or involvement of the Child Protection Service predicted improvement during admission

  12. Clinical features of influenza disease in admitted children during the first postpandemic season and risk factors for hospitalization: a multicentre Spanish experience.

    Science.gov (United States)

    Launes, C; García-García, J J; Martínez-Planas, A; Moraga, F; Soldevila, N; Astigarraga, I; Arístegui, J; Korta, J; Quintana, J M; Torner, N; Domínguez, A

    2013-03-01

    The main objectives of this study were to describe the characteristics of children with influenza infection during the postpandemic outbreak, and to compare sociodemographic and clinical data between patients who required hospitalization and those managed on an outpatient basis with a matched case-control study design. This is a multicentre paediatric study in Spain that included patients aged 6 month to 18 years in whom influenza infection was confirmed by real-time reverse transcription-polymerase chain reaction between December 2010 and March 2011. Among the 143 admitted patients, the main reason for admission was respiratory failure (123/143). In 55 there was some previously known disease. The median age was lower in patients without comorbidity (1.8 years: interquartile range 1.0-3.0 versus 5.3 years: interquartile range 1.3-10.7); p lag time from onset of symptoms to starting antiviral treatment was correlated with the length of hospital stay (Rho Spearman = + 0.32; p 0.01). Twenty patients required admission to the paediatric intensive care units, all due to respiratory failure. Children with chest X-ray opacities in more than one quadrant more frequently required admission to intensive care. Having a neurological disease conferred the highest risk of requiring hospitalization (OR 17.18) in a multivariate analysis. This study concludes that influenza in the paediatric population requiring hospitalization during the postpandemic season affected mainly children with neurological or pulmonary comorbidities and children of parents with a lower educational level. Most of the influenza infections caused respiratory symptoms, although neurological manifestations were also observed. Early initiation of oseltamivir was associated with a shorter length of hospital stay. PMID:23305123

  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. 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

  15. 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…

  16. 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…

  17. 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...

  18. 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...

  19. 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.

  20. 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...

  1. 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…

  2. 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...

  3. 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...

  4. 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...

  5. 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...

  6. 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

  7. 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...

  8. 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.

  9. 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…

  10. 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…

  11. 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.

  12. 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....

  13. 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…

  14. 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)....

  15. 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…

  16. 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,…

  17. 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)

  18. HIV/AIDS and admission to intensive care units: A comparison of India, Brazil and South Africa

    Directory of Open Access Journals (Sweden)

    Kantharuben Naidoo

    2013-03-01

    Full Text Available In resource-constrained settings and in the context of HIV-infected patients requiring intensive care, value-laden decisions by critical care specialists are often made in the absence of explicit policies and guidelines. These are often based on individual practitioners’ knowledge and experience, which may be subject to bias. We reviewed published information on legislation and practices related to intensive care unit (ICU admission in India, Brazil and South Africa, to assess access to critical care services in the context of HIV. Each of these countries has legal instruments in place to provide their citizens with health services, but they differ in their provision of ICU care for HIV-infected persons. In Brazil, some ICUs have no admission criteria, and this decision vests solely on the ‘availability, and the knowledge and the experience’ of the most experienced ICU specialist at the institution. India has few regulatory mechanisms to ensure ICU care for critically ill patients including HIV-infected persons. SA has made concerted efforts towards non-discriminatory criteria for ICU admissions and, despite the shortage of ICU beds, HIV-infected patients have relatively greater access to this level of care than in other developing countries in Africa, such as Botswana. Policymakers and clinicians should devise explicit policy frameworks to govern ICU admissions in the context of HIV status. S Afr J HIV Med 2013;14(1:15-16. DOI:10.7196/SAJHIVMED.887

  19. Admissions for drug-related problems at the Emergency Department of a University Hospital in the Kingdom of Saudi Arabia

    Directory of Open Access Journals (Sweden)

    Mastour S Alghamdy

    2015-01-01

    Full Text Available Background and Aim: Medication Errors can result in drug-related problems (DRPs. Insight into the frequency, type, and severity of DRPs could help reduce their incidence. The aim of the present study was to estimate the prevalence of admissions as a result of DRPs at the Emergency Department (ED of a university hospital in the Kingdom of Saudi Arabia. Materials and Methods: Files of suspected cases of DRPs reporting to ED in the year 2012 were scrutinized. Suspicion arose from the hospital record system based on Diagnosis Code Numbers (ICD-9-CM, Professional 2010 and from triggers, such as some drugs, laboratory tests, and signs and symptoms pointing to DRPs. Results: Of 5574 admissions, 253 (4.5% were DRPs and were categorized as: Overdose toxicity and side effects of drugs 50 (19.8%, drug-interactions 29 (11.5%, accidental and suicidal drug ingestions 26 (10.3%, drug abuse 18 (7.1%, drug allergy 10 (4%, super-infections 8 (3.2%, and noncompliance to treatment 112 (44.3%. About 70% of DRPs were preventable; 67 (26.5% required hospital admission for 7-102 days and 10 (4% died. Conclusions: Noncompliance to treatment, overdose toxicity, drug interactions, and drug abuse are important causes of hospital admissions as a result of DRPs. Awareness of prescribers to the problem and their education would help to prevent them and improve patient care.

  20. Pediatric hospital admissions from influenza A (H1N1) in Brazil: effects of the 2010 vaccination campaign.

    Science.gov (United States)

    Marcos, Ana Carolina Cavalcanti; Pelissoni, Fernanda D'Angelo Monteiro; Cunegundes, Kelly Simone Almeida; Abramczyk, Marcelo Luiz; Bellei, Nancy Cristina Junqueira; Sanches, Nivea Aparecida Pissaia; Moraes-Pinto, Maria Isabel de

    2012-10-01

    lIn 2009, the influenza A (H1N1) virus spread rapidly around the world, causing the first pandemic of the 21st Century. In 2010, there was a vaccination campaign against this new virus subtype to reduce the morbidity and mortality of the disease in some countries, including Brazil. Herein, we describe the clinical and epidemiological characteristics of patients under 19 years of age who were hospitalized with confirmed influenza A (H1N1) infection in 2009 and 2010. We retrospectively reviewed files from the pediatric patients who were admitted to a university hospital with real-time polymerase chain reaction (RT-PCR) confirmed influenza A (H1N1) infection in 2009 and 2010. There were 37 hospitalized patients with influenza A (H1N1) in 2009 and 2 in 2010. In 2009, many of the hospitalized children had an underlying chronic disease and a lower median age than those not hospitalized. Of the hospitalized patients, 78% had a chronic disease, primarily pneumopathy (48%). The main signs and symptoms of influenza were fever (97%), cough (76%), and dyspnea (59%). Complications occurred in 81% of the patients. The median length of hospitalization was five days; 27% of the patients required intensive care, and two died. In 2010, two patients were hospitalized with influenza A (H1N1): one infant with adenovirus co-infection who had received one previous H1N1 vaccine dose and presented with respiratory sequelae and a 2-month-old infant who had a hospital-acquired infection. An impressive reduction in hospital admissions was observed in 2010 when the vaccination campaign took place in Brazil. PMID:23070350

  1. Pediatric hospital admissions from influenza A (H1N1 in Brazil: effects of the 2010 vaccination campaign

    Directory of Open Access Journals (Sweden)

    Ana Carolina Cavalcanti Marcos

    2012-10-01

    Full Text Available lIn 2009, the influenza A (H1N1 virus spread rapidly around the world, causing the first pandemic of the 21st Century. In 2010, there was a vaccination campaign against this new virus subtype to reduce the morbidity and mortality of the disease in some countries, including Brazil. Herein, we describe the clinical and epidemiological characteristics of patients under 19 years of age who were hospitalized with confirmed influenza A (H1N1 infection in 2009 and 2010. We retrospectively reviewed files from the pediatric patients who were admitted to a university hospital with real-time polymerase chain reaction (RT-PCR confirmed influenza A (H1N1 infection in 2009 and 2010. There were 37 hospitalized patients with influenza A (H1N1 in 2009 and 2 in 2010. In 2009, many of the hospitalized children had an underlying chronic disease and a lower median age than those not hospitalized. Of the hospitalized patients, 78% had a chronic disease, primarily pneumopathy (48%. The main signs and symptoms of influenza were fever (97%, cough (76%, and dyspnea (59%. Complications occurred in 81% of the patients. The median length of hospitalization was five days; 27% of the patients required intensive care, and two died. In 2010, two patients were hospitalized with influenza A (H1N1: one infant with adenovirus co-infection who had received one previous H1N1 vaccine dose and presented with respiratory sequelae and a 2-month-old infant who had a hospital-acquired infection. An impressive reduction in hospital admissions was observed in 2010 when the vaccination campaign took place in Brazil.

  2. Compact storage at Ohu is legally admissible

    International Nuclear Information System (INIS)

    The official headnotes of the Bavarian higher administrative court's decision state the following: (1) Spent fuel elements which are reprocessable in accordance with the criteria given in section 9 a, sub-section (1) of the Atomic Energy Act do not fall into the category of radioactive waste, - despite the current gap in the FRG in waste disposal technology and possibilities -, but into the category of radioactive residues. (2) The interim storage of such spent fuel elements hence is not subject to the legal provisions of sections 9 a and the following of the Atomic Energy Act, but to sections 5 and the following of said act. (3) Installation and operation of a compact storage facility in the fuel storage pool of an operating nuclear power plant for the purpose of interim storage of the plant's spent fuel requires a licence in accordance with section 7, sub-section (1) of the Atomic Energy Act. (orig./HSCH)

  3. 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.

  4. 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.

  5. Accelerometer data requirements for reliable estimation of habitual physical activity and sedentary time of children during the early years - a worked example following a stepped approach.

    Science.gov (United States)

    Bingham, Daniel D; Costa, Silvia; Clemes, Stacy A; Routen, Ash C; Moore, Helen J; Barber, Sally E

    2016-10-01

    This study presents a worked example of a stepped process to reliably estimate the habitual physical activity and sedentary time of a sample of young children. A total of 299 children (2.9 ± 0.6 years) were recruited. Outcome variables were daily minutes of total physical activity, sedentary time, moderate to vigorous physical activity and proportional values of each variable. In total, 282 (94%) provided 3 h of accelerometer data on ≥1 day and were included in a 6-step process: Step-1: determine minimum wear-time; Step-2: process 7-day-data; Step-3: determine the inclusion of a weekend day; Step-4: examine day-to-day variability; Step-5: calculate single day intraclass correlation (ICC) (2,1); Step-6: calculate number of days required to reach reliability. Following the process the results were, Step-1: 6 h was estimated as minimum wear-time of a standard day. Step-2: 98 (32%) children had ≥6 h wear on 7 days. Step-3: no differences were found between weekdays and weekend days (P ≥ 0.05). Step-4: no differences were found between day-to-day variability (P ≥ 0.05). Step-5: single day ICC's (2,1) ranged from 0.48 (total physical activity and sedentary time) to 0.53 (proportion of moderate to vigorous physical activity). Step-6: to reach reliability (ICC = 0.7), 3 days were required for all outcomes. In conclusion following a 7 day wear protocol, ≥6 h on any 3 days was found to have acceptable reliability. The stepped-process offers researchers a method to derive sample-specific wear-time criterion. PMID:26920123

  6. 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...

  7. The impact of ice-skating injuries on orthopaedic admissions in a regional hospital.

    LENUS (Irish Health Repository)

    Dillon, J P

    2012-02-03

    Since the opening of a temporary ice-rink in our hospital\\'s catchment area, we have observed an increase in patients requiring in-patient treatment for orthopaedic intervention. The authors performed a prospective analysis of all patients admitted to our unit over a one-month period. Epidemiological data, wearing of protective gear and skater experience were collected. Fracture type, treatment required, average length of hospital stay and number of days missed from work was also recorded. Ice-skating injuries accounted for 7.7% of our total admissions over the study period. There was a significant variation noted in the types of fracture sustained ranging from comminuted fractures of the radial head to spiral fractures of the tibia. The average length of hospital stay was 2.6 days and average time missed from work was 6.1 weeks. This paper highlights the potential serious injuries that can occur in ice-skating and their impact on admissions to our orthopaedic unit.

  8. 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

  9. 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...

  10. 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...

  11. 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

  12. 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

  13. Management of respiratory tract infections in children

    Directory of Open Access Journals (Sweden)

    Paul SP

    2014-12-01

    Full Text Available Siba Prosad Paul,1 Rachel Wilkinson,2 Christine Routley3 1Southmead Hospital, Bristol, 2St Richard's Hospital, Chichester, 3Paediatric Services, Yeovil District Hospital, Yeovil, UK Abstract: Respiratory tract infections (RTIs in children are one of the most common reasons for parents consulting health professionals. Most RTIs are self-limiting viral illnesses that will resolve with time and supportive management. However, it is important for the health professional to identify any RTI that may have more serious implications for the child and require medical intervention. Diagnosis can usually be made from the history and presenting symptoms such as cough, wheeze, tachypnea, fever, or stridor. Exclusion of "red flag" symptoms will enable health professionals to appropriately reassure parents and advise symptomatic management with antipyretics and adequate fluid administration. With the expanding role of nurses in ambulatory settings, many children are now being seen by health professionals other than doctors, (eg, advanced nurse practitioners, some of whom are trained in pediatrics while others have limited knowledge of nursing sick children. It is therefore vital that these professionals remain aware of any risk factors and that they can recognize "red flags" in a sick child rapidly and escalate further management appropriately. Some children will require admission to hospital for respiratory support and other therapies, such as intravenous antibiotics and fluids. With advancement of the "non-medical prescriber" within the nursing profession, awareness of when to give or not give antibiotic therapy needs careful consideration, especially in light of the problems that may arise from overuse of antibiotic treatment. Nurses have a vital role, not only in administering medications and supporting other medical interventions, but also in supporting the child and family over the period of illness. The education of the parents and the child, in some

  14. Glutathione metabolism in Bangladeshi children with increased small bowel permeability and impaired growth

    International Nuclear Information System (INIS)

    Objectives: To determine whether intestinal permeability during diarrhoea is associated with increased requirement of Sulphur Containing Amino Acid (SCAA); Changes in SCAA metabolism are associated with decreased urinary sulphate and increased excretion of proline from collagen; Rates of turnover SCAA would change as intestinal permeability improves during different dietary levels of SCAA in nutritional regimes. Hypothesis: Supplementation of a standard diet with sulphur containing amino acids is necessary to meet requirements for sulphur under conditions of growth faltering, diarrhoea and increased intestinal permeability. Subjects: Children with persistent diarrhoea aged between 4 months to 18 months and height for age less than 95%. Study site: International Centre for Diarrhoeal Disease Research Bangladesh. Methods: At the baseline, children will be classified into low and normal ISE (Inorganic Sulphar excretion) then each group will be divided into two subgroups. A total of 40 children will be studied (20 in each group). One group will receive a dietary supplement of SCAA and another group will receive an isonitrogenous standard diet for six weeks. Children will be assessed for intestinal permeability at baseline and after two weeks of admission. Before and at six weeks of admission the children will receive a regular drink containing 15N Glyceine at the rate of 2ml/kg/hr. Blood and urine samples will be collected at baseline and at the end of the supplementation i.e. at 6 weeks. Incorporation of 15N Glyceine, plasma and red cell glutathione will be assessed by isotope rationing. Urine will be assessed for 15N enrichment of urea and ammonia, which will used as an assessment of body protein turnover Folate status of these patients will be determined before and after supplementation with SCAA. Benefit of the study: The results of the study will provide specific information on the requirement of Sulphur containing amino acid during malnutrition and persistent

  15. 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…

  16. 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…

  17. 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.…

  18. 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...

  19. 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…

  20. 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…

  1. 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…

  2. 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)).

  3. 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.

  4. 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.

  5. Immunocompromised Children with Severe Adenoviral Respiratory Infection

    Directory of Open Access Journals (Sweden)

    Joanna C. Tylka

    2016-01-01

    Full Text Available Purpose. To investigate the impact of severe respiratory adenoviral infection on morbidity and case fatality in immunocompromised children. Methods. Combined retrospective-prospective cohort study of patients admitted to the intensive care unit (ICU in four children’s hospitals with severe adenoviral respiratory infection and an immunocompromised state between August 2009 and October 2013. We performed a secondary case control analysis, matching our cohort 1 : 1 by age and severity of illness score with immunocompetent patients also with severe respiratory adenoviral infection. Results. Nineteen immunocompromised patients were included in our analysis. Eleven patients (58% did not survive to hospital discharge. Case fatality was associated with cause of immunocompromised state (p=0.015, multiple organ dysfunction syndrome (p=0.001, requirement of renal replacement therapy (p=0.01, ICU admission severity of illness score (p=0.011, and treatment with cidofovir (p=0.005. Immunocompromised patients were more likely than matched controls to have multiple organ dysfunction syndrome (p=0.01, require renal replacement therapy (p=0.02, and not survive to hospital discharge (p=0.004. One year after infection, 43% of immunocompromised survivors required chronic mechanical ventilator support. Conclusions. There is substantial case fatality as well as short- and long-term morbidity associated with severe adenoviral respiratory infection in immunocompromised children.

  6. 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.

  7. 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...

  8. [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

  9. [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

  10. 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...

  11. 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...

  12. 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

  13. 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...

  14. 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...

  15. 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 ...

  16. 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...

  17. 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.

  18. 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...

  19. Indicators of the need for ICU admission following suicide bombing attacks

    Directory of Open Access Journals (Sweden)

    Bala Miklosh

    2012-03-01

    Full Text Available Abstract Introduction Critical hospital resources, especially the demand for ICU beds, are usually limited following mass casualty incidents such as suicide bombing attacks (SBA. Our primary objective was to identify easily diagnosed external signs of injury that will serve as indicators of the need for ICU admission. Our secondary objective was to analyze under- and over-triage following suicidal bombing attacks. Methods A database was collected prospectively from patients who were admitted to Hadassah University Hospital Level I Trauma Centre, Jerusalem, Israel from August 2001-August 2005 following a SBA. One hundred and sixty four victims of 17 suicide bombing attacks were divided into two groups according to ICU and non-ICU admission. Results There were 86 patients in the ICU group (52.4% and 78 patients in the non-ICU group (47.6%. Patients in the ICU group required significantly more operating room time compared with patients in the non-ICU group (59.3% vs. 25.6%, respectively, p = 0.0003. For the ICU group, median ICU stay was 4 days (IQR 2 to 8.25 days. On multivariable analysis only the presence of facial fractures (p = 0.014, peripheral vascular injury (p = 0.015, injury ≥ 4 body areas (p = 0.002 and skull fractures (p = 0.017 were found to be independent predictors of the need for ICU admission. Sixteen survivors (19.5% in the ICU group were admitted to the ICU for one day only (ICU-LOS = 1 and were defined as over-triaged. Median ISS for this group was significantly lower compared with patients who were admitted to the ICU for > 1 day (ICU-LOS > 1. This group of over-triaged patients could not be distinguished from the other ICU patients based on external signs of trauma. None of the patients in the non-ICU group were subsequently transferred to the ICU. Conclusions Our results show that following SBA, injury to ≥ 4 areas, and certain types of injuries such as facial and skull fractures, and peripheral vascular injury, can serve

  20. 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.

  1. 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.

  2. 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.

  3. 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.

  4. 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...

  5. Tonsilar haemorrhage and re-admission: a questionnaire based study.

    Science.gov (United States)

    Sarny, Stephanie; Habermann, Walter; Ossimitz, Guenther; Schmid, Christoph; Stammberger, Heinz

    2011-12-01

    The aim of our study was to investigate the accuracy of haemorrhage rate in the community (i.e., actual rate versus hospital recorded rate) for tonsil operations. Bleeding episodes were investigated for 695 consecutive patients undergoing tonsillectomy, adenotonsillectomy and tonsillotomy at the Department of ORL, H&NS, MU of Graz, Austria, between January 1 2007 and June 30 2008 by questionnaire. Main purposes of our study were the evaluation of the incidence of postoperative haemorrhage, need for revision surgery, medical care of patients experiencing postoperative bleeding and multiple bleeding episodes. Haemorrhage was defined as any bleeding, be it minimal or significant, after extubation. The study group comprised 407 patients who answered the questionnaire: 61.7% adults, 22.1% school children between 6 and 15 years and 16.2% children aged less than 6 years. Exactly 100 patients (24.6% of 407) showed some kind of postoperative bleeding, but only 79 of them (19.4% of 407) were recorded at hospital. A return to theatre due to haemorrhage was required in 4.7% of all 407 cases. Combining hospital records and data from the questionnaire allowed us to estimate an overall haemorrhage rate of 21.4% for all 695 patients. Every fifth patient experiencing postoperative haemorrhage did not return to the hospital he or she was operated in. We would have missed 21.0% of all bleeding episodes by assessing re-admitting patients suffering postoperative bleeding only. We conclude that haemorrhage rate is considerably higher than assumed by investigating hospital records only and strongly related to the definition of postoperative bleeding and to the study design. PMID:21373896

  6. 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

  7. 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

  8. 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

  9. 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 ...

  10. 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.

  11. 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.

  12. 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...

  13. 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

  14. Child's Voice, Child's Right: Is Philosophy for Children in Africa the Answer?

    Science.gov (United States)

    Ndofirepi, Amasa; Cross, Michael

    2015-01-01

    In this concept paper, we explore the notion of the child's right to be heard, starting in the classroom. The idea that children have unique needs has paved the way for the admission that children have a similar spectrum of rights as adults do. The notion that children are valued as citizens, and have significant contributions to make now and in…

  15. 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

  16. Delay in admission for elective coronary-artery bypass grafting is associated with increased in-hospital mortality

    Directory of Open Access Journals (Sweden)

    Levy Adrian R

    2008-09-01

    Full Text Available Abstract Background Many health care systems now use priority wait lists for scheduling elective coronary artery bypass grafting (CABG surgery, but there have not yet been any direct estimates of reductions in in-hospital mortality rate afforded by ensuring that the operation is performed within recommended time periods. Methods We used a population-based registry to identify patients with established coronary artery disease who underwent isolated CABG in British Columbia, Canada. We studied whether postoperative survival during hospital admission for CABG differed significantly among patients who waited for surgery longer than the recommended time, 6 weeks for patients needing semi-urgent surgery and 12 weeks for those needing non-urgent surgery. Results Among 7316 patients who underwent CABG, 97 died during the same hospital admission, for a province-wide death rate at discharge of 1.3%. The observed proportion of patients who died during the same admission was 1.0% (27 deaths among 2675 patients for patients treated within the recommended time and 1.5% (70 among 4641 for whom CABG was delayed. After adjustment for age, sex, anatomy, comorbidity, calendar period, hospital, and mode of admission, patients with early CABG were only 2/3 as likely as those for whom CABG was delayed to experience in-hospital death (odds ratio 0.61; 95% confidence interval [CI] 0.39 to 0.96. There was a linear trend of 5% increase in the odds of in-hospital death for every additional month of delay before surgery, adjusted OR = 1.05 (95% CI 1.00 to 1.11. Conclusion We found a significant survival benefit from performing surgical revascularization within the time deemed acceptable to consultant surgeons for patients requiring the treatment on a semi-urgent or non-urgent basis.

  17. Analyzing the influence of admissions criteria and cultural norms on success in an international dental studies program.

    Science.gov (United States)

    Itaya, Lisa E; Chambers, David W; King, Patricia A

    2008-03-01

    This study determines the extent to which admissions criteria and cultural norms predict the success of a foreign-trained dentist in a United States dental educational program. Correlation and regression tests were applied to an eleven-year period from 1994 to 2004 of retrospective admissions data for 144 International Dental Studies Program students. Five cultural norms were derived from the collective cultural dimensions of a scholarly work of validated multinational surveys by Geert Hofstede. These five cultural norms are Power Distance (degree of inequality between "haves" and "have-nots" in a culture); Individualism (support for independent or group behavior); Long-Term View (deferred gratification versus quick results/rewards); Masculinity (emphasis on performance/outcomes versus socialization); and Uncertainty Avoidance (ability to cope with an uncertain future). Hofstede's calculated country scores on these cultural dimensions applied to the students' countries of education and their influence on students' academic performance were assessed by correlation and regression analyses. Results showed that the TOEFL and National Board Part I examinations and the cultural norm of Long-Term View were the most positive predictors of grade point averages. The other four cultural norms studied were not predictors of success. Those who applied to the program more than once before being accepted did less well in the program, yet "less well" might have meant that they graduated with a 3.0 instead of a 3.5 GPA. Generally speaking, the more recent the graduated class, the higher the ending GPA has been. Admissions committees should determine if they want to invest the resources required to implement a multitude of admissions predictors to find the best of the qualified applicants. PMID:18316536

  18. 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...

  19. [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

  20. 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

  1. 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...

  2. The role of rhinovirus in children hospitalized for acute respiratory disease, Santa Fe, Argentina.

    Science.gov (United States)

    Rudi, Juan Manuel; Molina, Fabiana; Díaz, Rocío; Bonet, Virginia; Ortellao, Lucila; Cantarutti, Diego; Gómez, Alejandra; Pierini, Judith; Cociglio, Raquel; Kusznierz, Gabriela

    2015-12-01

    Human rhinoviruses (HRVs) were historically considered upper airway pathogens. However, they have recently been proven to cause infections in the lower respiratory tract, resulting in hospitalization of children with pneumonia, bronchiolitis, and chronic pulmonary obstruction. In this report, HRV frequency and seasonality are described together with patient clinical-epidemiological aspects. From a total of 452 surveyed samples, the HRV nucleic acids was detected in 172 (38.1%) and found in every month of the study year. 60% of inpatients with acute respiratory infection (ARI) associated with HRV were under 6 months of age and 31% had a clinical history, being preterm birth and recurrent wheezing the prevailing conditions. The most frequent discharge diagnoses were pneumonia (35.2%), bronchiolitis (32.4%), and bronchitis (12.4%). Fifteen point nine percent of patients required admission into intensive care units. The results obtained in this study demonstrated the association between HRV and children hospitalizations caused by ARI. PMID:25983014

  3. Qualitative critical incident study of patients’ experiences leading to emergency hospital admission with advanced respiratory illness

    OpenAIRE

    Karasouli, Eleni; Munday, Daniel; Bailey, Cara; Staniszewska, Sophie; Hewison, Alistair; Griffiths, Frances

    2016-01-01

    Objectives The high volume of emergency admissions to hospital is a challenge for health systems internationally. Patients with lung cancer and chronic obstructive pulmonary disease (COPD) are frequently admitted to hospital as emergency cases. While the frequency of emergency admission has been investigated, few studies report patient experiences, particularly in relation to the decision-making process prior to emergency admission. We sought to explore patient and carer experiences and those...

  4. The admissible portfolio selection problem with transaction costs and an improved PSO algorithm

    Science.gov (United States)

    Chen, Wei; Zhang, Wei-Guo

    2010-05-01

    In this paper, we discuss the portfolio selection problem with transaction costs under the assumption that there exist admissible errors on expected returns and risks of assets. We propose a new admissible efficient portfolio selection model and design an improved particle swarm optimization (PSO) algorithm because traditional optimization algorithms fail to work efficiently for our proposed problem. Finally, we offer a numerical example to illustrate the proposed effective approaches and compare the admissible portfolio efficient frontiers under different constraints.

  5. Admission hyperuricemia increases the risk of acute kidney injury in hospitalized patients *

    OpenAIRE

    Cheungpasitporn, Wisit; Thongprayoon, Charat; Harrison, Andrew M.; Erickson, Stephen B.

    2015-01-01

    Background The association between elevated admission serum uric acid (SUA) and risk of in-hospital acute kidney injury (AKI) is limited. The aim of this study was to assess the risk of developing AKI in all hospitalized patients with various admission SUA levels. Methods This is a single-center retrospective study conducted at a tertiary referral hospital. All hospitalized adult patients who had admission SUA available from January 2011 through December 2013 were analyzed in this study. Admi...

  6. Recent trends in treatment admissions for prescription opioid abuse during pregnancy

    OpenAIRE

    Martin, Caitlin E.; Longinaker, Nyaradzo; Terplan, Mishka

    2014-01-01

    Prescription opioid abuse is a significant and costly public health problem among pregnant women in the United States. We investigated recent trends in substance abuse treatment admissions for prescription opioids during pregnancy using the Treatment Episodes Data Set. From 1992 to 2012 the overall proportion of pregnant admissions remained stable at 4%, however admissions of pregnant women reporting prescription opioid abuse increased substantially from 2% to 28% especially in the South. Dem...

  7. The influence of life events on first and recurrent admissions in bipolar disorder

    OpenAIRE

    Kemner, Sanne M; van Haren, Neeltje E. M.; Bootsman, Florian; Eijkemans, Marinus J C; Vonk, Ronald; van der Schot, Astrid C.; Willem A Nolen; Hillegers, Manon H J

    2015-01-01

    Methods: We collected information about life events and admissions across the life span in 51 bipolar patients. We constructed four models to explore the decay of life event effects on admissions. To test their interaction, we used the Andersen-Gill model. Background: Life events play an important role in the onset and course of bipolar disorder. We will test the influence of life events on first and recurrent admissions in bipolar disorder and their interaction to test the kindling hypothesi...

  8. Characteristics associated with involuntary versus voluntary legal status at admission and discharge among psychiatric inpatients

    OpenAIRE

    Craw, Jason; Compton, Michael T.

    2006-01-01

    Background The objective of this analysis was to determine the ways in which patients’ legal statuses at hospital admission and discharge are associated with select sociodemographic and clinical variables. This study specifically investigated differences between patients who were voluntary during both admission and discharge, patients who were involuntary on admission but voluntary on discharge (having converted to voluntary status during hospitalization), and patients who were involuntary du...

  9. 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...

  10. 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...

  11. Using Admission Tests to Predict Success in College — Evidence from the University of Puerto Rico

    OpenAIRE

    James F. Ragan; Dong Li; Horacio Matos-Díaz

    2011-01-01

    In making admission decisions, many colleges have de-emphasized standardized test scores. Using data for seven cohorts of applicants to the University of Puerto Rico, we assess the ability of test scores and other proxies of academic potential to predict student GPA. We study sample selection and address a dilemma facing admissions offices: college grades of non-matriculants are unknowable. We find that decreasing the weight on admission tests benefits females and students from public high sc...

  12. A medical admission unit reduces duration of hospital stay and number of readmissions

    DEFF Research Database (Denmark)

    Vork, Jan C; Brabrand, Mikkel; Folkestad, Lars;

    2011-01-01

    Political initiatives promoting a more efficient emergency admission process have triggered a reorganisation of the Danish health system with a view to creating fewer and larger admission units counting more experienced physicians. At our hospital, a medical admission unit (MAU) was established. ...... present the effect of this on the length of hospital stay, mortality rates and the number of readmissions for the last year with the previous structure and the first year of the new MAU structure....

  13. The entropy rate admissibility criterion for solution of hyperbolic conservation laws

    Science.gov (United States)

    Dafermos, C. M.

    1972-01-01

    The entropy rate admissibility criterion for solutions of hyperbolic conservation laws is numerically analyzed. The following admissibility criterion for solutions of hyperbolic conservation laws is proposed: a weak solution is admissible if the total entropy decays with the highest possible rate. The equivalence of this criterion and viscosity criterion is established for the single equation and the system of equations of one dimensional nonlinear elasticity.

  14. The effects of the 2009 dust storm on emergency admissions to a hospital in Brisbane, Australia

    Science.gov (United States)

    Barnett, Adrian G.; Fraser, John F.; Munck, Lynette

    2012-07-01

    In September 2009 an enormous dust storm swept across eastern Australia. Dust is potentially hazardous to health as it interferes with breathing, and previous dust storms have been linked to increased risks of asthma and even death. We examined whether the 2009 Australian dust storm changed the volume or characteristics of emergency admissions to hospital. We used an observational study design, using time series analyses to examine changes in the number of admissions, and case-only analyses to examine changes in the characteristics of admissions. The admission data were from the Prince Charles Hospital, Brisbane, between 1 January 2009 and 31 October 2009. There was a 39% increase in emergency admissions associated with the storm (95% confidence interval: 5, 81%), which lasted for just 1 day. The health effects of the storm could not be detected using particulate matter levels. We found no significant change in the characteristics of admissions during the storm; specifically, there was no increase in respiratory admissions. The dust storm had a short-lived impact on emergency hospital admissions. This may be because the public took effective avoidance measures, or because the dust was simply not toxic, being composed mainly of soil. Emergency departments should be prepared for a short-term increase in admissions during dust storms.

  15. Prediction of re-admissions for critical health conditions : A Machine Learning Approach

    OpenAIRE

    Nizampuram, Pranay

    2015-01-01

    Context. Re-admission is the return hospitalization within 30 days from the date of original admission or discharge from hospital. Thecosts of the unplanned re-admissions were estimated to $25 billion per year alone in the U.S. Re-admission rate also has a huge impact onquality of care provided to the patients, cost of health care, and utilization of hospital resources and the image of the care provider. Studies indicate huge potential of savings that can be achieved with incremental performa...

  16. The epidemiology of acute viral gastroenteritis in hospitalized children in Cordoba city, Argentina: an insight of disease burden

    Directory of Open Access Journals (Sweden)

    GIORDANO Miguel O.

    2001-01-01

    Full Text Available Information concerning the disease burden of viral gastroenteritis has important implications for the use and monitoring the impact of public health policies. The present study, carried out in Córdoba city, Argentina, documents the epidemiology of severe viral diarrhea as well as the burden of viral gastrointestinal disease in the hospital children admission. A total of 133 stools were collected from hospitalized children (Town Childhood Hospital suffering from acute diarrhea and studied for the presence of Group A rotavirus, astrovirus and adenovirus 40/41 by enzyme-immuno assay, between November 1997 and October 1998. Enteric viruses accounted for 42.1% of the total diarrheal cases analyzed. Group A rotaviruses, astroviruses, adenoviruses 40/41 and mixed infections were found in 35.3, 4.5, 1.5, and 0.8% studied specimens respectively. We estimated that 1 in 27 children in the 0-35 month-old cohort/range would be annually hospitalized for a viral gastroenteritis illness. The major impact on viral diarrhea lies on rotaviral infection, accouting for 84.0% of the viral diarrheal cases analyzed and for approximately one third of severe diarrheas requiring hospital admission in Córdoba City, Argentina.

  17. 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.

  18. Entrance Requirements and Program Characteristics as Predictors of the Success of Licensed Practical Nurses in Associate Degree Nursing Programs.

    Science.gov (United States)

    Grzegorczyk, Phyllis Bonk

    1995-01-01

    Describes a study of 230 licensed practical nurses in associate degree nursing programs in 5 states to determine the extent that admission requirements and program characteristics predicted student success. Finds that none of the admissions requirements predicted student success, while the only program characteristic related to student success was…

  19. Do Pre-Entry Tests Predict Competencies Required to Excel Academically in Law School?: An Empirical Investigation

    Science.gov (United States)

    Wamala, Robert

    2016-01-01

    Purpose: Prospective students of law are required to demonstrate competence in certain disciplines to attain admission to law school. The grounding in the disciplines is expected to demonstrate competencies required to excel academically in law school. The purpose of this study is to investigate the relevance of the law school admission test to…

  20. 8 CFR 214.2 - Special requirements for admission, extension, and maintenance of status.

    Science.gov (United States)

    2010-01-01

    ...; (iii) Unmarried sons or daughters under the age of 23 who are in full-time attendance as students at... in full-time attendance as students at post-secondary educational institutions if a formal bilateral... the student's attendance. (ii) Disposition of Form I-20 A-B/I-20 ID. Form I-20 A-B/I-20 ID...

  1. Neuropsychologist experts and neurolaw: cases, controversies, and admissibility challenges.

    Science.gov (United States)

    Kaufmann, Paul M

    2013-01-01

    Clinical neuropsychologists engage increasingly in forensic consulting activities because such expert opinions are generally relevant, reliable and helpful in resolving certain legal claims, especially those related to traumatic brain injury. Consequently, practitioners of law, medicine and psychology would benefit from understanding the nature of neuropsychological evidence, the standards for its admissibility, and its expanding role in neurolaw. This article reviews important evidentiary rules regulating relevance, preliminary questions, and expert testimony, while tracing federal key court decisions and progeny. Civil and criminal cases are detailed to illustrate the application of these rules and case law to neuropsychological evidence, with suggestions for overcoming motions to exclude such evidence. Expert neuropsychologists have a role in forensic consultation on brain trauma cases, even as the interdisciplinary dialog and understanding among law, medicine, and psychology continues to expand. PMID:24115139

  2. An Antitrust Analysis of College Early Admission Programs

    Directory of Open Access Journals (Sweden)

    Adam L. Henry

    2005-04-01

    Full Text Available College admissions at the level of elite colleges and universities would seem, to the uninitiated, to offer a model of the competitive market that antitrust law endeavors to promote and maintain. Notwithstanding the significant branding power of a handful of truly elite colleges, the college market exhibits many of the paradigmatic competitive market’s hallmark features, including substantial numbers of both producers and consumers of the educational product, and seemingly unhindered information on the parts of both parties. Indeed, there can be little doubt that the system promotes sometimes-fierce competition: not only among applicants for elite colleges, but also among colleges for elite applicants. Such competition drives colleges to make themselves more attractive in two ways: by reducing prices through scholarships, grants, research stipends, and the like, and by improving their product through inducements like honors designations and programs. In either form, this competition redounds to the economic benefit of admitted students.

  3. Homecare Nurses' Decision-Making During Admission Care Planning.

    Science.gov (United States)

    Sockolow, Paulina; Bass, Ellen J; Eberle, Carl L; Bowles, Kathryn H

    2016-01-01

    The re-hospitalization rate of homecare patients within 60 days of hospital discharge is 30%. Enhanced care planning based on better information may reduce this rate. However, very little is known about the homecare admission and care planning processes. The research team collected data during observations of three nursing visits to admit homecare patients in Camden NJ, and conducted thematic content analysis on these data. Human factors methods helped to identify nurse decision-making related to selection of the plan of care problems, non-nursing resources, and the nursing visit pattern. They identified how the electronic health record (EHR) assisted the nurse in visit pattern frequency decisions. Major themes that emerged included reduced efficiency due to use of redundant intra-team communication methods to augment EHR documentation, redundant documentation, and workarounds and reorganization of clinical workflow. PMID:27332156

  4. 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....

  5. 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.

  6. Off-Hours Admission and Acute Stroke Care Quality

    DEFF Research Database (Denmark)

    Kristiansen, Nina Sahlertz; Mainz, Jan; Nørgård, Bente Mertz; Bartels, Paul D; Andersen, Grethe; Johnsen, Søren Paaske

    2014-01-01

    Background and Purpose-Studies have reported higher risks of death and other adverse outcomes in acute stroke patients admitted off-hours; however, little is known about the underlying mechanisms. According to time of admission, our aim was to examine compliance with performance measures for acute...... 975). Off-hours were weekends and evening and nighttime shifts on weekdays. Compliance with performance measures was compared using general linear modeling, and odds ratios for 30 days case-fatality were obtained using multivariable logistic regression. Results-Patients admitted off-hours had a lower...... chance of compliance with 8 out of 10 performance measures; however, these differences diminished over time. Unadjusted odds ratio for 30 days case-fatality, for patients admitted off-hours compared with patients admitted on-hours, was 1.15 (95% confidence interval, 1.09-1.21). Adjusting for patient...

  7. 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...

  8. Aligning Competencies with Success: What Does It Take to Be an Effective Admissions Counselor?

    Science.gov (United States)

    Gansemer-Topf, Ann M.; Von Haden, Kasie; Peggar, Elyse

    2015-01-01

    The admissions counselor position is a common entry-level professional position in higher education. However, little is known about the competencies needed to be successful in this position. Through interviews with entry-level admissions counselors, this study sought to better understand these competencies and their alignment with the recently…

  9. 77 FR 19408 - Notice of Public Meeting on FY 2013 U.S. Refugee Admissions Program

    Science.gov (United States)

    2012-03-30

    ... of Public Meeting on FY 2013 U.S. Refugee Admissions Program There will be a meeting on the President's FY 2013 U.S. Refugee Admissions Program on Tuesday, May 1, 2012 from 2 p.m. to 4 p.m. The meeting will be held at the Refugee Processing Center, 1401 Wilson Boulevard, Suite 1100, Arlington,...

  10. 76 FR 19176 - Notice of Public Meeting on FY 2012 Refugee Admissions Program

    Science.gov (United States)

    2011-04-06

    ... of Public Meeting on FY 2012 Refugee Admissions Program There will be a meeting on the President's FY 2012 U.S. Refugee Admissions Program on Thursday, May 12, 2011 from 2 p.m. to 4 p.m. The meeting will be held at the Refugee Processing Center, 1401 Wilson Boulevard, Suite 700, Arlington, Virginia....

  11. 75 FR 20031 - Notice of Public Meeting on FY 2011 Refugee Admissions Program

    Science.gov (United States)

    2010-04-16

    ... of Public Meeting on FY 2011 Refugee Admissions Program There will be a meeting on the President's FY 2011 Refugee Admissions Program on Tuesday, May 4, 2010 from 2 p.m. to 4 p.m. The meeting will be held at the Refugee Processing Center, 1401 Wilson Boulevard, Suite 700, Arlington, Virginia. The...

  12. The influence of life events on first and recurrent admissions in bipolar disorder

    NARCIS (Netherlands)

    Kemner, Sanne M.; van Haren, Neeltje E M; Bootsman, Florian; Eijkemans, Marinus J C; Vonk, Ronald; van der Schot, Astrid C.; Nolen, Willem A.; Hillegers, Manon H J

    2015-01-01

    Methods: We collected information about life events and admissions across the life span in 51 bipolar patients. We constructed four models to explore the decay of life event effects on admissions. To test their interaction, we used the Andersen-Gill model. Background: Life events play an important r

  13. Experiences of patients with borderline personality disorder with the brief admission intervention: a phenomenological study.

    Science.gov (United States)

    Helleman, Marjolein; Goossens, Peter J J; Kaasenbrood, Ad; van Achterberg, Theo

    2014-10-01

    Brief admission is a crisis intervention for patients with borderline personality disorder (BPD), and refers to a clinical admission at a psychiatric hospital for a period of 1-5 nights. Patients formulate a treatment plan together with their community mental health nurse about the maximum frequency allowed for these brief admissions. The purpose of the study was to describe the lived experiences of patients with BPD with use of the brief admission intervention. The study used a phenomenological approach. Inclusion criteria were a diagnosis of BPD, according to the Diagnostic and Statistical Manual of Mental Disorders-IV criteria; experience with brief admission, and sufficient understanding of the Dutch language. A total of 16 female patients and one male patient participated in the study. Thematic analysis of the transcripts of the interviews revealed four major meaning units: (i) organization of the brief admission; (ii) contact with a nurse; (iii) time out from daily life; and (iv) experienced value for the patient. Patients highlighted the quality of the contact with a nurse as the most important aspect of the brief admission. Nurses should be aware of the importance of connecting with patients who have BPD during a brief admission, particularly in light of the interpersonal hypersensitivity that characterizes these patients. PMID:24890615

  14. Experiences of patients with borderline personality disorder with the brief admission intervention: A phenomenological study

    NARCIS (Netherlands)

    Helleman, M.; Goossens, P.J.J.; Kaasenbrood, A.; Achterberg, T. van

    2014-01-01

    Brief admission is a crisis intervention for patients with borderline personality disorder (BPD), and refers to a clinical admission at a psychiatric hospital for a period of 1-5 nights. Patients formulate a treatment plan together with their community mental health nurse about the maximum frequency

  15. Assessment of Communications-related Admissions Criteria in a Three-year Pharmacy Program

    OpenAIRE

    Parmar, Jayesh R.; Tejada, Frederick R.; Lang, Lynn A.; Purnell, Miriam; Acedera, Lisa; Ngonga, Ferdinand

    2015-01-01

    Objective. To determine if there is a correlation between TOEFL and other admissions criteria that assess communications skills (ie, PCAT variables: verbal, reading, essay, and composite), interview, and observational scores and to evaluate TOEFL and these admissions criteria as predictors of academic performance.

  16. Admission Rhetoric and Academic Self-Efficacy: The Importance of First Communications for Conditionally Admitted Students

    Science.gov (United States)

    Stewart, Joyce; Heaney, April

    2013-01-01

    This article advocates for increased attention on the college admission letter to strengthen conditionally admitted students' academic self-efficacy as they begin the college experience. Although first communications are often considered perfunctory, the language of admission materials has strong potential to help at-risk students begin…

  17. Admissions Policies as a Mechanism for Social Engineering: The Case of the Bulgarian Communist Regime

    Science.gov (United States)

    Boyadjieva, Pepka Alexandrova

    2013-01-01

    This article discusses admissions policies to higher education during the Communist regime in Bulgaria (1946-89). It argues that under the conditions of the Bulgarian Communist regime, admissions policies were not only a component of the higher education system--viewed as an institution--but part and parcel of the process through which power was…

  18. When Race Disappears: College Admissions Policy Discourse in the State of Texas

    Science.gov (United States)

    Winkle-Wagner, Rachelle; Sulè, V. Thandi; Maramba, Dina C.

    2014-01-01

    What happens to race in public discussions about "race-neutral" college admissions policies? This article shows how race disappeared from elite political debate during hearings on Texas Senate Bill 175 (2009), the Top Ten Percent Plan (the Plan), which guaranteed college admissions to high school graduates from the top 10% of their…

  19. 22 CFR 40.61 - Aliens present without admission or parole.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Aliens present without admission or parole. 40.61 Section 40.61 Foreign Relations DEPARTMENT OF STATE VISAS REGULATIONS PERTAINING TO BOTH... Immigration Violators § 40.61 Aliens present without admission or parole. INA 212(a)(6)(A)(i) does not...

  20. ADMISSIBILITY OF LINEAR ESTIMATORS IN A GROWTH CURVE MODEL SUBJECT TO AN INCOMPLETE ELLIPSOIDAL RESTRICTION

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    This article considers the admissibility of the linear estimators for the regression coefficients in the growth curve model subject to an incomplete ellipsoidal restriction.The necessary and sufficient conditions for linear estimators to be admissible in classes of the homogeneous and non-homogeneous linear estimators, respectively, are obtained under the quadratic loss function. They are generalizations of some existing results in literature.

  1. 42 CFR 442.118 - Denial of payments for new admissions to an ICF/MR.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Denial of payments for new admissions to an ICF/MR... AND INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED Certification of ICFs/MR § 442.118 Denial of payments for new admissions to an ICF/MR. (a) Basis for denial of payments. The Medicaid...

  2. A Model for Diversity in Admissions: A Review of Issues and Methods and an Experimental Approach.

    Science.gov (United States)

    Kreiter, Clarence D.; Stansfield, Brent; James, Paul A.; Solow, Catherine

    2003-01-01

    Presents a new model for attaining diversity goals in medical school admissions and meeting standards related to validity and legality. Analyzes one year's admissions data for applicants to a large Midwestern medical college, and discusses the impact of the selection techniques on both majority and underrepresented minority applicants. (EV)

  3. Validity of the Optometry Admission Test in Predicting Performance in Schools and Colleges of Optometry.

    Science.gov (United States)

    Kramer, Gene A.; Johnston, JoElle

    1997-01-01

    A study examined the relationship between Optometry Admission Test scores and pre-optometry or undergraduate grade point average (GPA) with first and second year performance in optometry schools. The test's predictive validity was limited but significant, and comparable to those reported for other admission tests. In addition, the scores…

  4. Using the MDRD value as an outcome predictor in emergency medical admissions.

    LENUS (Irish Health Repository)

    Chin, Jun Liong

    2011-10-01

    Both physiological- and laboratory-derived variables, alone or in combination, have been used to predict mortality among acute medical admissions. Using the Modification of Diet in Renal Disease (MDRD) not as an estimate of glomerular filtration rate but as an outcome predictor for hospital mortality, we examined the relationship between the MDRD value and in-hospital death during an emergency medical admission.

  5. BSW Program Admission Policies: Is There Empirical Support for What We Do?

    Science.gov (United States)

    Coyle, James P.; Carter, Irene M.; Leslie, Donald R.

    2011-01-01

    Social work admission criteria are used to ensure student academic competence, identify personal characteristics associated with success in social work education and practice, predict success in class and field work, and promote diversity of the student body. However, evidence that supports the effectiveness of these admission policies is…

  6. Perceptions of the Benefits to Using a Secondary Admissions Process in Professional Bachelor's Athletic Training Programs

    Science.gov (United States)

    Bowman, Thomas G.; Mazerolle, Stephanie M.; Dodge, Thomas M.

    2016-01-01

    Context: Some athletic training program (ATP) directors use direct admit, where students are admitted into the ATP directly out of high school. Other ATP directors admit students into the program after a set time period on campus through a secondary admissions process. It remains unknown why ATP directors use various admissions practices.…

  7. Service users' perceptions about their hospital admission elicited by service user-researchers or by clinicians.

    LENUS (Irish Health Repository)

    O'Donoghue, Brian

    2013-05-01

    OBJECTIVE Service users may express positive, ambivalent, or negative views of their hospital admission. The objective of this study was to determine whether the background of the interviewer-service user-researcher or clinician-influences the information elicited. The primary outcome was the level of perceived coercion on admission, and secondary outcomes were perceived pressures on admission, procedural justice, perceived necessity for admission, satisfaction with services, and willingness to consent to participate in the study. METHODS Participants voluntarily and involuntarily admitted to three hospitals in Ireland were randomly allocated to be interviewed at hospital discharge by either a service user-researcher or a clinician. Interviewers used the MacArthur Admission Experience Survey and the Client Satisfaction Questionnaire. RESULTS A total of 161 participants were interviewed. No differences by interviewer status or by admission status (involuntary or voluntary) were found in levels of perceived coercion, perceived pressures, procedural justice, perceived necessity, or satisfaction with services. Service users were more likely to decline to participate if their consent was sought by a service user-researcher (24% versus 8%, p=.003). CONCLUSIONS Most interviewees gave positive accounts of their admission regardless of interviewer status. The findings indicate that clinicians and researchers can be more confident that service users\\' positive accounts of admissions are not attributable to a response bias. Researchers can also feel more confident in directly comparing the results of studies undertaken by clinicians and by service user-researchers.

  8. Admissible Estimation for Finite Population When the Parameter Space is Restricted

    Institute of Scientific and Technical Information of China (English)

    ZOU Guo Hua

    2002-01-01

    This paper considers the admissibility of the estimators for finite population when theparameter space is restricted. We obtain all admissible linear estimators of an arbitrary linear functionof characteristic values of a finite population in the class of linear estimators under the criterion of theexpectation of mean squared error.

  9. QUADRATIC ADMISSIBLE ESTIMATE OF COVARIANCE IN PSEUDO-ELLIPTICAL CONTOURED DISTRIBUTION

    Institute of Scientific and Technical Information of China (English)

    Hengjian CUI; Xiuhong GAO

    2006-01-01

    This article mainly discusses the admissibility of quadratic estimate of covariance in pseudoelliptical distribution. Under the quadratic loss function, the necessary and sufficient conditions that a quadratic estimator is an admissible estimator of covariance in the class of quadratic estimators are obtained. A complete class of the quadratic estimator class is also given.

  10. Chilling Admissions: The Affirmative Action Crisis and the Search for Alternatives.

    Science.gov (United States)

    Orfield, Gary, Ed.; Miller, Edward, Ed.

    This book, produced by the Harvard Civil Rights Project, focuses on the consequences for student body diversity of eliminating race and ethnicity as factors in university admissions. The more specific focus is on what would happen if college admissions relied entirely on traditional quantitative measures of academic achievement and promise, such…

  11. Deliberate self-harm before psychiatric admission and risk of suicide

    DEFF Research Database (Denmark)

    Madsen, Trine; Agerbo, Esben; Mortensen, Preben B;

    2013-01-01

    Psychiatric illness and deliberate self-harm (DSH) are major risk factors of suicide. In largely 15 % of psychiatric admissions in Denmark, the patient had an episode of DSH within the last year before admission. This study examined the survival and predictors of suicide in a suicidal high...

  12. 14 CFR 135.76 - DOD Commercial Air Carrier Evaluator's Credentials: Admission to pilots compartment: Forward...

    Science.gov (United States)

    2010-01-01

    ... Credentials: Admission to pilots compartment: Forward observer's seat. 135.76 Section 135.76 Aeronautics and... Commercial Air Carrier Evaluator's Credentials: Admission to pilots compartment: Forward observer's seat. (a.... (b) A forward observer's seat on the flight deck or forward passenger seat with headset or...

  13. Developing and Implementing a Marketing Strategy for College Recruiting and Admissions.

    Science.gov (United States)

    Johnson, Mark D.; Gilmour, Joseph E.

    Analyzed is the development of marketing strategies at two major universities that have been successful in reversing enrollment declines that they experienced in the early 1970's. First, the organizational context of recruiting and admissions is examined, and the major phases of the admissions calendar are reviewed. Then the application of…

  14. Beyond Correlations: Usefulness of High School GPA and Test Scores in Making College Admissions Decisions

    Science.gov (United States)

    Sawyer, Richard

    2013-01-01

    Correlational evidence suggests that high school GPA is better than admission test scores in predicting first-year college GPA, although test scores have incremental predictive validity. The usefulness of a selection variable in making admission decisions depends in part on its predictive validity, but also on institutions' selectivity and…

  15. AN AUTOMATED IMPLEMENTATION OF INDIAN UNIVERSITY ADMISSION SYSTEM USING ARTIFICIAL NEURAL NETWORKS

    Directory of Open Access Journals (Sweden)

    B. Sankarasubramanian

    2014-04-01

    Full Text Available Indian University Admission is a complex phenomenon encompassing various factors both tangible and intangible. Apart from Merit - Caste, Community and Religion play a crucial role in getting admission to various courses offered by Universities. The Single Window Admission System followed by almost all Government Universities (for example: Anna University, Chennai is, so far, the best practice to offer Admission sought by student community. But, still, in Private Universities, the Admission process is done manually since number of students seeking a course is smaller in size. This manual process is fraught with some drawbacks: such as slower in time, cumbersome and costlier, bias by the Admission Officer, manual errors while processing, due to influence exercised by powerful people qualified students not getting their course of choice and unqualified students getting into their course of willingness and etc. This paper addresses these problems via neural network architecture based Admission system which will eliminate all the pitfalls and drawbacks inherent in the current system and offers a smooth, clearer, easier and cost effective way of student admission system implementation in Indian Universities.

  16. Admission medical records made at night time have the same quality as day and evening time

    DEFF Research Database (Denmark)

    Amirian, Ilda; Mortensen, Jacob F; Rosenberg, Jacob;

    2014-01-01

    INTRODUCTION: A thorough and accurate admission medical record is an important tool in ensuring patient safety during the hospital stay. Surgeons' performance might be affected during night shifts due to sleep deprivation. The aim of the study was to assess the quality of admission medical records...... deterioration was not seen in the quality of the medical records....

  17. 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.

  18. The effects of daily weather variables on psychosis admissions to psychiatric hospitals.

    LENUS (Irish Health Repository)

    McWilliams, Stephen

    2012-08-02

    Several studies have noted seasonal variations in admission rates of patients with psychotic illnesses. However, the changeable daily meteorological patterns within seasons have never been examined in any great depth in the context of admission rates. A handful of small studies have posed interesting questions regarding a potential link between psychiatric admission rates and meteorological variables such as environmental temperature (especially heat waves) and sunshine. In this study, we used simple non-parametric testing and more complex ARIMA and time-series regression analysis to examine whether daily meteorological patterns (wind speed and direction, barometric pressure, rainfall, sunshine, sunlight and temperature) exert an influence on admission rates for psychotic disorders across 12 regions in Ireland. Although there were some weak but interesting trends for temperature, barometric pressure and sunshine, the meteorological patterns ultimately did not exert a clinically significant influence over admissions for psychosis. Further analysis is needed.

  19. Self-Regulation Behaviors in Underprepared (Developmental) and Regular Admission College Students

    Science.gov (United States)

    Ley; Young

    1998-01-01

    Although there is evidence that self-regulated learning processes, such as self-efficacy and goal setting, are significantly related to academic success most studies have not included participants from the one third of the entering college students who must take remedial college courses. The purpose of our research was to examine the differences between the self regulation reported by regular admission students and by underprepared students. We hypothesized that self regulating behaviors could predict developmental, that is underprepared, status or regular admission status among postsecondary students. Self regulation processes in randomly selected developmental and regular admission college students were identified using a structured interview. A discriminant function analysis tested the predictive ability of three measures of self regulating behavior. Developmental and regular admission students differed significantly in their self regulatory strategy deployment. The results suggest that self regulation may be a distinguishing characteristic between some developmental and regular admission students. Copyright 1998 Academic Press. PMID:9514688

  20. Processor and method for developing a set of admissible fixture designs for a workpiece

    Science.gov (United States)

    Brost, Randolph C.; Goldberg, Kenneth Y.; Wallack, Aaron S.; Canny, John

    1996-01-01

    A fixture process and method is provided for developing a complete set of all admissible fixture designs for a workpiece which prevents the workpiece from translating or rotating. The fixture processor generates the set of all admissible designs based on geometric access constraints and expected applied forces on the workpiece. For instance, the fixture processor may generate a set of admissible fixture designs for first, second and third locators placed in an array of holes on a fixture plate and a translating clamp attached to the fixture plate for contacting the workpiece. In another instance, a fixture vice is used in which first, second, third and fourth locators are used and first and second fixture jaws are tightened to secure the workpiece. The fixture process also ranks the set of admissible fixture designs according to a predetermined quality metric so that the optimal fixture design for the desired purpose may be identified from the set of all admissible fixture designs.

  1. Optimal screening of children with acute malnutrition requires a change in current WHO guidelines as MUAC and WHZ identify different patient groups

    DEFF Research Database (Denmark)

    Laillou, Arnaud; Prak, Sophonneary; de Groot, Richard;

    2014-01-01

    BACKGROUND: Timely treatment of acute malnutrition in children <5 years of age could prevent >500,000 deaths annually. Screening at community level is essential to identify children with malnutrition. Current WHO guidelines for community screening for malnutrition recommend a Mid Upper Arm...... Circumference (MUAC) of <115 mm to identify severe acute malnutrition (SAM). However, it is currently unclear how MUAC relates to the other indicator used to define acute malnutrition: weight-for-height Z-score (WHZ). METHODS: Secondary data from >11,000 Cambodian children, obtained by different surveys between...... 2010 and 2012, was used to calculate sensitivity and ROC curves for MUAC and WHZ. FINDINGS: The secondary analysis showed that using the current WHO cut-off of 115 mm for screening for severe acute malnutrition over 90% of children with a weight-for-height z-score (WHZ) <-3 would have been missed...

  2. Development of a validation algorithm for 'present on admission' flagging

    Directory of Open Access Journals (Sweden)

    Cheng Diana

    2009-12-01

    Full Text Available Abstract Background The use of routine hospital data for understanding patterns of adverse outcomes has been limited in the past by the fact that pre-existing and post-admission conditions have been indistinguishable. The use of a 'Present on Admission' (or POA indicator to distinguish pre-existing or co-morbid conditions from those arising during the episode of care has been advocated in the US for many years as a tool to support quality assurance activities and improve the accuracy of risk adjustment methodologies. The USA, Australia and Canada now all assign a flag to indicate the timing of onset of diagnoses. For quality improvement purposes, it is the 'not-POA' diagnoses (that is, those acquired in hospital that are of interest. Methods Our objective was to develop an algorithm for assessing the validity of assignment of 'not-POA' flags. We undertook expert review of the International Classification of Diseases, 10th Revision, Australian Modification (ICD-10-AM to identify conditions that could not be plausibly hospital-acquired. The resulting computer algorithm was tested against all diagnoses flagged as complications in the Victorian (Australia Admitted Episodes Dataset, 2005/06. Measures reported include rates of appropriate assignment of the new Australian 'Condition Onset' flag by ICD chapter, and patterns of invalid flagging. Results Of 18,418 diagnosis codes reviewed, 93.4% (n = 17,195 reflected agreement on status for flagging by at least 2 of 3 reviewers (including 64.4% unanimous agreement; Fleiss' Kappa: 0.61. In tests of the new algorithm, 96.14% of all hospital-acquired diagnosis codes flagged were found to be valid in the Victorian records analysed. A lower proportion of individual codes was judged to be acceptably flagged (76.2%, but this reflected a high proportion of codes used Conclusion An indicator variable about the timing of occurrence of diagnoses can greatly expand the use of routinely coded data for hospital quality

  3. 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

  4. 32 CFR 903.2 - Eligibility requirements.

    Science.gov (United States)

    2010-07-01

    ... SCHOOLS AIR FORCE ACADEMY PREPARATORY SCHOOL § 903.2 Eligibility requirements. (a) For admission to the HQ... have no dependents. (4) Of high moral character. Applicants must have no record of Uniform Code of... Preparatory School. The Headquarters USAFA Registrar's Office (HQ USAFA/RR) determines an applicant's...

  5. Brain tumor - children

    Science.gov (United States)

    Glioblastoma multiforme - children; Ependymoma - children; Glioma - children; Astrocytoma - children; Medulloblastoma - children; Neuroglioma - children; Oligodendroglioma - children; Meningioma - children; Cancer - brain tumor (children)

  6. Children's Online Privacy.

    Science.gov (United States)

    Aidman, Amy

    2000-01-01

    The first federal Internet privacy law (the Children's Online Privacy Protection Act) provides safeguards for children by regulating collection of their personal information. Unfortunately, teens are not protected. Legislation is pending to protect children from online marketers such as ZapMe! Interactive technologies require constant vigilance.…

  7. Impact of admission screening for methicillin-resistant Staphylococcus aureus on the length of stay in an emergency department.

    LENUS (Irish Health Repository)

    Gilligan, P

    2010-06-01

    Preventing and controlling methicillin-resistant Staphylococcus aureus (MRSA) includes early detection and isolation. In the emergency department (ED), such measures have to be balanced with the requirement to treat patients urgently and transfer quickly to an acute hospital bed. We assessed, in a busy and overcrowded ED, the contribution made to a patient\\'s stay by previous MRSA risk group identification and by selective rescreening of those patients who were previously documented in the research hospital as being MRSA positive. Patients with a previous diagnosis of MRSA colonisation were flagged automatically as \\'risk group\\' (RG) on their arrival in the ED and were compared with \\'non-risk group\\' (NRG), i.e. not previously demonstrated in the research hospital to be infected or colonised with MRSA. Over an 18 month period, there were 16 456 admissions via the ED, of which 985 (6%) were RG patients. The expected median times to be admitted following a request for a ward bed for NRG and RG patients were 10.4 and 12.9h, respectively. Female sex, age >65 years, and RG status all independently predicted a statistically significantly longer stay in the ED following a request for a hospital bed. We consider that national and local policies for MRSA need to balance the welfare of patients in the ED with the need to comply with best practice, when there are inadequate ED and inpatient isolation facilities. Patients with MRSA requiring emergency admission must have a bed available for them.

  8. Banding and ballots: secondary school admisssions in England: admissions in 2012/13 and the impact of growth of academies

    OpenAIRE

    Noden, Philip; West, Anne; Hind, Audrey

    2014-01-01

    This report provides key findings from a two part research project funded by the Sutton Trust and the LSE focusing on secondary school admissions in England. The research analyses secondary schools’ admissions criteria and practices in England in 2012/13 and illustrative examples of how some local authorities and schools use pupil banding as part of the Year 7 admissions process. The report provides a brief overview of the historical and policy context relating to secondary school admissions,...

  9. Involuntary psychiatric holds - the structure of admissions on the example of Institute of Psychiatry and Neurology in Warsaw

    OpenAIRE

    Inga Markiewicz; Janusz Heitzman; Ewa Gardyńska - Ziemba

    2016-01-01

    Objectives The aim of the study was to analyse the structure of involuntary psychiatric holds in Institute of Psychiatry and Neurology in Warsaw, throughout the year. Our research interests included socio-demographic profiles of the patients, time of admissions (time of a day/night/ season), type of diagnoses at admission and suicide attempts preceding the admission. We also analysed the normative aspect of involuntary admissions, i.e. which Articles of the Polish Mental Health Act cons...

  10. [Selection criteria for patient admission to cardiac rehabilitation centers].

    Science.gov (United States)

    Greco, Cesare; Cacciatore, Giuseppe; Gulizia, Michele; Martinelli, Luigi; Oliva, Fabrizio; Olivari, Zoran; Seccareccia, Fulvia; Temporelli, Pier Luigi; Urbinati, Stefano

    2011-03-01

    Current guidelines state that cardiac rehabilitation is indicated after the acute phase of major cardiovascular diseases and interventions; on the other hand implementation of these indications is difficult because of several barriers, i.e. the number of patients per year with an indication exceeds by far the accommodation offer of cardiac rehabilitation centers; the demand for access to cardiac rehabilitation from acute cardiac care hospitals is low because the attention is focused on the acute phase of cardiac diseases. The present Consensus Document describes the changes in clinical epidemiology of the main cardiovascular diseases, showing that complications are increasingly more frequent in the post-acute phase, especially in the setting of myocardial infarction. The Joint ANMCO/IACPR-GICR Committee defines priority criteria based on clinical risk for admission to cardiac rehabilitation centers as inpatients. This Consensus Document represents, therefore, an important step forward in the search for continuity of care in high-risk patients during the post-acute phase. PMID:21560480

  11. ADMISSION MATURITY OF YOUNG LIPIZZANER BREED YEARLING MARES

    Directory of Open Access Journals (Sweden)

    Tomo Rastija

    2005-06-01

    Full Text Available Investigations of the admission maturity in young Lipizzaner breed yearling mares were conducted on 59 heads from the stud breeding. The investigations referred to age determination of the first fertilization, first foaling and first pregnancy duration. It was determined that young Lipizzaner breed yearling mares were fertilized at the age of 1157 days or 3.17 years. First foaling took place when they aged 1489 days or 4.08 years. First pregnancy duration of the investigated yearling mares was 332.28 days. Results of the conducted investigations indicate earlier first fertilization thereby earlier foaling compared to the investigation values obtained by Rastija et al. (1988, 1989,1996, 1998 and 2000, Baban Mirjana et al. (1998 and 2005, Rimanić et al. (1990 and Telalbašić et al (1987. The first pregnancy lasted for 332.28 days and is mainly in accordance with values from the quoted literature (± 1 – 2 days.

  12. The new Medical College Admission Test: Implications for teaching psychology.

    Science.gov (United States)

    Mitchell, Karen; Lewis, Richard S; Satterfield, Jason; Hong, Barry A

    2016-01-01

    This year's applicants to medical school took a newly revised version of the Medical College Admission Test. Unlike applicants in the past, they were asked to demonstrate their knowledge and use of concepts commonly taught in introductory psychology courses. The new Psychological, Social, and Biological Foundations of Behavior Test asked applicants to demonstrate the ways in which psychological, social, and biological factors influence perceptions and reactions to the world; behavior and behavior change; what people think about themselves and others; the cultural and social differences that influence well-being; and the relationships among social stratification, access to resources, and well-being. Building from the classic biopsychosocial model, this article provides the rationale for testing psychology concepts in application to medical school. It describes the concepts and skills that the new exam tests and shows how they lay the foundation for learning in medical school about the behavioral and sociocultural determinants of health. This article discusses the implications of these changes for undergraduate psychology faculty and psychology curricula as well as their importance to the profession of psychology at large. PMID:26866988

  13. Clinical Presentation of Novel Influenza A (H1N1 in Hospitalized Children

    Directory of Open Access Journals (Sweden)

    Marzieh Akbarpour

    2011-06-01

    Full Text Available Objective:Human pandemic influenza H1N1 virus as the cause of febrile respiratory infection ranging from self-limited to severe illness has spread globally during 2009. Signs and symptoms of upper and lower respiratory tract involvement, fever, sore throat, rhinitis, myalgia, malaise, headache, chills and fatigue are common. In this article we report the clinical presentation of Influenza A (H1N1 in our hospitalized children. Methods:Between September and October 2009, all children requiring hospitalization for suspected H1N1 infection were transferred to Pediatric Infectious Diseases ward. For all patients the throat swab was taken for PCR testing to confirm or exclude the diagnosis of H1N1 Influenza A. Case patients consisted of H1N1-positive patients. Age, sex, symptoms, signs, laboratory data, CXR changes, details of therapy, duration of admission and patient outcome were documented. Findings:Twenty patients were H1N1 positive. Mean age of the patients was 65.50±9.8 months. Fever and coughs were with 55% the most commonly reported symptoms. Other presentations included vomiting (55%, abdominal pain (25%, cyanosis and dyspnea (5%, body ache (40%, rhinorrhea (80%, sore throat (35%, head stiffness (5% and loss of conciousness (5%. The median temperature of the patients was 38.5ºC. Chest X-Ray changes were noted in 13 out of 20 patients (65%. Mean leukocyte and platelet was 6475 and 169000 respectively. Seventeen (85% patients were treated with Oseltamivir, 3 patients received adjuvant antibiotics. The mean duration of admission was 3 days. Three patients required intensive care support and all of them expired due to superinfection. Conclusion:Our data confirm that the presentation of influenza in children is variable and 2009 H1N1 influenza may cause leucopenia and thrombocytopenia.

  14. Problems and Solutions of Children's Art Education--Based on"3-6 Year-old Children Learning and Development Guide"Spiritual Requirements%儿童艺术教育存在的问题及解决对策--基于《3-6岁儿童学习与发展指南》的精神要求

    Institute of Scientific and Technical Information of China (English)

    邓琳

    2014-01-01

    As people deeply recognize the value of arts education for children, children's art education has increasingly be-come the focus of attention. But in practice, there have been children's art education utilitarian education goals, content speci-alization, simplification evaluation issues. This article is based on"3-6 year-old children learning and development guide"(hereinafter referred to as the"Guidelines") in the spirit of the requirements that the children's art education should be to cul-tivate children's aesthetic pleasure as a goal, return to the lives of children educational content to promote children's devel-opment for the purpose of evaluation.%随着人们对儿童艺术教育价值认识的不断深入,儿童艺术教育日益成为人们关注的焦点。但实践中的儿童艺术教育也出现了教育目标功利化,内容专业化、评价单一化等问题。本文基于对《3-6岁儿童学习与发展指南》(以下简称《指南》)的精神要求,认为儿童艺术教育应该以培养儿童审美愉悦为目标,坚持回归儿童生活的教育内容,以促进儿童发展为评价目的。

  15. Nutritional status and clinical outcome of children on continuous renal replacement therapy: a prospective observational study

    Directory of Open Access Journals (Sweden)

    Castillo Ana

    2012-09-01

    Full Text Available Abstract Background No studies on continuous renal replacement therapy (CRRT have analyzed nutritional status in children. The objective of this study was to assess the association between mortality and nutritional status of children receiving CRRT. Methods Prospective observational study to analyze the nutritional status of children receiving CRRT and its association with mortality. The variables recorded were age, weight, sex, diagnosis, albumin, creatinine, urea, uric acid, severity of illness scores, CRRT-related complications, duration of admission to the pediatric intensive care unit, and mortality. Results The sample comprised 174 critically ill children on CRRT. The median weight of the patients was 10 kg, 35% were under percentile (P 3, and 56% had a weight/P50 ratio of less than 0.85. Only two patients were above P95. The mean age for patients under P3 was significantly lower than that of the other patients (p = 0.03. The incidence of weight under P3 was greater in younger children (p = 0.007 and in cardiac patients and in those who had previous chronic renal insufficiency (p = 0.047. The mortality analysis did not include patients with pre-existing renal disease. Mortality was 38.9%. Mortality for patients with weight P3 (51% vs 33%; p = 0.037. In the univariate and multivariate logistic regression analyses, the only factor associated with mortality was protein-energy wasting (malnutrition (OR, 2.11; 95% CI, 1.067-4.173; p = 0.032. Conclusions The frequency of protein-energy wasting in children who require CRRT is high, and the frequency of obesity is low. Protein-energy wasting is more frequent in children with previous end-stage renal disease and heart disease. Underweight children present a higher mortality rate than patients with normal body weight.

  16. RACECADOTRIL IN ACUTE WATERY DIARRHEA IN CHILDREN

    Directory of Open Access Journals (Sweden)

    Maha

    2016-01-01

    Full Text Available BACKGROUND Hypersecretory state of gut epithelium induced by toxins secreted by microorganisms is the main mechanism of fluid loss in diarrheal illness. Enkephalins (Endogenous Opioids secreted by gut epithelium have marked pro-absorptive activity and are inactivated by enzyme enkephalinase. Racecadotril, the study drug act by augmenting the levels of enkephalins by inactivating enzyme enkephalinase thus leading to increased intestinal absorption. AIMS AND OBJECTIVES To study the efficacy of racecadotril in acute watery diarrhea in children. PARTICIPANTS Total of 100 patients who met inclusion criteria in the age group of 6 months to 5 years admitted with acute watery diarrhea and some dehydration were enrolment in the study. Cases were randomly divided into racecadotril and placebo group study outcomes in form of number of stools during first 48 hours of admission, mean daily stool number, total duration of diarrheal illness and recovery time, weight on discharge, volume of oral rehydration solution intake during hospital stay and requirement for unscheduled intravenous infusion were observed. RESULTS There was a significant decrease (43.9% in mean number of stools passed per day in racecadotril group when compared to placebo group. Secondary outcome variables, i.e. mean daily stool number, duration of diarrhea and recovery time, total volume of oral rehydration solution during study period, requirement for unscheduled intravenous infusion also showed a statically significant difference in two groups. Complications rates were not different in the two groups. CONCLUSION Racecadotril can be used as an adjunctive therapy in acute watery diarrhea

  17. Wide Variability in Emergency Physician Admission Rates: A New Target To Reduce Healthcare Costs Without Adversely Affecting Quality of Care

    OpenAIRE

    Richman, Mark; Guterman, Jeffrey James; Lundberg, Scott Ryan; Talan, David Andrew; Gross-Schulman, Sandra Geri; Wang, Chien-Ju; Scheib, Geoffrey Paul

    2016-01-01

    INTRODUCTION Attending physician judgment is the traditional standard of care for Emergency Department (ED) admission decisions. The extent to which variability in admission decisions affect cost and quality is not well understood. METHODS We sought to determine the impact of variability in admission decisions on cost and quality. We performed a retrospective observational study of patients presenting to a u...

  18. Psychological violence against children

    OpenAIRE

    Jurkovič, Sabina

    2012-01-01

    The topic of my thesis is a study of how parents and primary school teachers perceive and identify psychological abuse of children. Psychological abuse is an especially sensitive area because children do not perceive interpersonal relations and activities in their environment in the same way as adults. Children also do not possess the physical or psychological power required to withstand or defend themselves against different forms of violence, abuse and harassment. Children who are the victi...

  19. Longevity and admission to nursing home according to age after isolated coronary artery bypass surgery

    DEFF Research Database (Denmark)

    Thorsteinsson, Kristinn; Andreasen, Jan Jesper; Torp-Pedersen, Christian;

    2015-01-01

    O5 Longevity and admission to nursing home according to age after isolated coronary artery bypass surgery: A nationwide cohort study Kristinn Thorsteinsson, Jan Jesper Andreasen, Christian Torp Pedersen, Kirsten Fonager, Rikke Nørmark Mortensen, Kristian Kragholm, Gunnar Gislason, Lars Køber....... Aalborg, Denmark Background: Data on nursing home admission in patients >80 years of age after isolated coronary artery bypass grafting (CABG) are scarce. Aim: The purpose of this study was to evaluate longevity and subsequent admission to nursing home stratified by age in a nationwide CABG cohort...

  20. Length of stay of COPD hospital admissions between 2006 and 2010: a retrospective longitudinal study

    Directory of Open Access Journals (Sweden)

    Harries TH

    2015-03-01

    Full Text Available Timothy H Harries,1 Hannah V Thornton,2 Siobhan Crichton,1 Peter Schofield,1 Alexander Gilkes,1 Patrick T White1 1King’s College London, King’s Health Partners, Division of Health and Social Care Research, London, UK; 2University of Bristol, Centre for Academic Primary Care, NIHR School for Primary Care Research, School of Social and Community Medicine, Canynge Hall, Bristol, UK Background: Hospitalizations for COPD are associated with poor patient prognosis. Length of stay (LOS of COPD admissions in a large urban area and patient and hospital factors associated with it are described. Methods: Retrospective longitudinal study. All COPD patients registered with London general practitioners and admitted as an emergency with COPD (2006–2010, not having been admitted with COPD in the preceding 12 months were included. Association of patient and hospital characteristics with mean LOS of COPD admissions was assessed. Association between hospital and LOS was determined by negative binomial regression. Results: The total number of admissions was 38,504, from 22,462 patients. The mean LOS for first admissions fell by 0.8 days (95% confidence interval [CI]: 0.7–1.5 from 8.2 to 7.0 days between 2006 and 2010. Seventy-nine percent of first admissions were ≤10 days, with a mean LOS of 3.7 days (2009–2010. The mean LOS of successive COPD admissions of the same patients was the same or less throughout the study period. The interval between successive admissions fell from a mean of 357 days between the first and second admission to a mean of 19 days after eight admissions. Age accounted for 2.3% of the variance in LOS. Socioeconomic deprivation did not predict LOS. Fewer discharges happened at the weekend (1,893/day than on weekdays (5,218/day. The mean LOS varied between hospitals, from 4.9 days (95% CI: 3.8–5.9 to 9.5 days (95% CI: 8.6–10.3 when adjusting for clustering, age, sex, and socioeconomic deprivation.Conclusion: The fall in LOS of

  1. Characteristics of Pregnant Teen Substance Abuse Treatment Admissions

    Science.gov (United States)

    ... 6 and long-term effects of maternal prenatal drug use have been observed in children at 6 years of age. 7 These problems can be amplified by other factors associated with teenage mothers, including poverty, homelessness, exposure to violence and crime, poor health, and ...

  2. Ambient particle source apportionment and daily hospital admissions among children and elderly in Copenhagen

    DEFF Research Database (Denmark)

    Andersen, Zorana Jovanovic; Wahlin, P.; Raaschou-Nielsen, Ole;

    2007-01-01

    An association between particulate air pollution and morbidity and mortality is well established. However, little is known about which sources of particulate matter contribute most to the adverse health effects. Identification of responsible sources would merit more efficient control. For a 6-yea...

  3. Towards a Diversified Legal Profession: An Inquiry into the Law School Admission Test, Grade Inflation, and Current Admissions Policies. [with] A Statement from the National Institute of Education "An Investigation into the Validity and Cultural Bias of the Law School Admission Test."

    Science.gov (United States)

    White, David M., Ed.

    This is the final report and critique which investigated the law school admissions process, and especially the role of the Law School Admission Test (LSAT) within that process, for possible bias against minority applicants. The study involved the reanalysis of existing data. Results show that current admission policies unfairly limit the…

  4. Non-Polio Enteroviruses Aseptic Meningitis:Embaba Fever Hospital Admissions 2010-2011

    Directory of Open Access Journals (Sweden)

    Raafat A. Abdel-Twab¹, Kouka S. Abdel-Wahab2. Ahmed O. El-Kafrawi3, Moustafa A. Aly3, Laila A. EL-Bassiony4, May EL-Maamoun4, Caroline Fayez5

    2013-07-01

    Full Text Available Human enteroviruses (EV cause a wide spectrum of both common and uncommon illnesses among all age groups. Enterically transmitted. The objective of this study was to identify non-poliovirus EV as a cause of viral aseptic meningitis (VAM by two methods (cell culture and Real time PCR. From October 2010 to August 2011 cerebrospinal fluid (CSF samples were collected from 85 patients Embaba fever hospital admitted with symptoms of aseptic meningitis of any age and both sexes. The 85 CSF samples were inoculated into RD (human rhabdomyosarcoma cell line in three blind passages to amplify isolates producing EV-like CPE. A total of 14 (16.5% out of 85 CSF samples showed EV-like CPE. By Real time PCR 11 out of the 14 culture positive samples and 5 out of the 14 source of virus isolation original CSF were non polio EV positive. The frequency of non-polio EV meningitis hospital admissions was in the summer season (50%, spring (25%, late autumn (16.6% and least frequency in winter (8.4%. non-polio EV meningitis was detected in 6 out of 41 male patients (14.5% and in 6 out of 44 female patients (13.5%. Also non-polio EV meningitis was detected in all ages with marked increase of incidence in young children (41.6% and old age (50% and less in adult (8.4%. . In conclusionOur data showed that the non-polioviruses EV was associated with the majority of VAM during 2010 – 2011 at the Embaba fever hospital which serves Embaba, Shoubra Elkheema, Qualyba and neighbors localities in Egypt. Rapid detection of non-polio EV meningitis is essential for making decisions about patient management and treatment

  5. 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.

  6. Factors that associated with TB patient admission rate and TB inpatient service cost: a cross-sectional study in China

    Institute of Scientific and Technical Information of China (English)

    Hongyan Hu; Jiaying Chen; Kaori D.Sato; Yang Zhou; Hui Jiang; Pingbo Wu; Hong Wang

    2016-01-01

    Background:China has recently adopted the "TB designated hospital model" to improve the quality of tuberculosis (TB) treatment and patient management.Considering that inpatient service often results in high patient financial burden,and therefore influences patient adherence to treatment,it is critical to better understand the TB patient admission rate and TB inpatient service cost,as well as their influential factors in this new model.Methods:Quantitative and qualitative studies were conducted in two cities,Hanzhong in Shaanxi Province and Zhenjiang in Jiangsu Province,in China.Quantitative data were obtained from a sample survey of 533 TB patients and TB inpatient records from 2010-2012 in six county designated hospitals.Qualitative information was obtained through interviews with key stakeholders (40 key informant interviews,14 focus group discussions) and reviews of health policy documents in study areas.Both univariate and multivariate statistical analyses were applied for the quantitative analysis,and the thematic framework approach was applied for the qualitative analysis.Results:The TB patient admission rates in Zhenjiang and Hanzhong were 54.8 and 55.9 %,respectively.Qualitative analyses revealed that financial incentives,misunderstanding of infectious disease control and failure of health insurance regulations were the key factors associated with the admission rates and medical costs.Quantitative analyses found differences in hospitalization rate existed among patients with different health insurance and patients from different counties.Average medical costs for TB inpatients in Jurong and Zhenba were 7,215 CNY and 4,644 CNY,which was higher than the 5,500 CNY and 3,800 CNY limits set by the New Rural Cooperative Medical System.No differences in medical cost or length of stay were found between patients with and without comorbidities in county-level hospitals.Conclusions:TB patient admission rates and inpatient service costs were relatively high

  7. General medications utilization and cost patterns in hospitalized children

    Directory of Open Access Journals (Sweden)

    Kassis I

    2009-03-01

    Full Text Available Drug utilization in the in-patient setting can provide mechanisms to assess drug prescribing trends, efficiency and cost-effectiveness of hospital formularies and examine sub-populations such as children for which prescribing habits are different from adults. Objectives: The aim of this descriptive study was to analyze general medication utilization patterns and costs excluding antimicrobials prescriptions and to compare two pediatric admission units in a tertiary care university hospital. Methods: The total number of admitted children was 1,521 and 1,467 for the A and B admission units, respectively. The electronic data from 252 and 253 hospitalized children in the A and B admission unit were prospectively screened for general medication prescriptions, children on antimicrobials were excluded from the analysis. Their electronic charts were viewed once weekly from October 15, 2007 up to April 7, 2008 using the prescription-point prevalence method. One medication was considered to be one prescription. Results: The general medications prescription number was 790 for 94 children (8.4 prescription/patient in A and 959 for 88 children (10.9 prescription/patient in B (p=0.02. The general medications defined daily dose (DDD and drug utilization 90% (DU90% index were 2,509.63, 2,259 for A; and 6,110.35, 5,499 for B, respectively. The DU90% index placed salbutamol inhalation with 835 DDD and sodium heparin with 2,102 DDD in the first place for the A and B admission units, respectively. A net increment in medication cost was registered according to the calculated cost from the depicted DU90% when the A (20,263 NIS and B (6,269 NIS admission units were compared (p=0.04. Conclusions: A significant difference in the prescription utilization of general medications was shown between the A and B admission units. The A admission unit had lower prescriptions measured by the DU90% index with higher medication cost. Potential drug-drug interactions were depicted in

  8. Do Prior Studies Matter?: Predicting Proficiencies Required to Excel Academically in Law School at Makerere University, Uganda

    Science.gov (United States)

    Nalukenge, Betty; Wamala, Robert; Ocaya, Bruno

    2016-01-01

    Purpose: Introduction of law school admission examinations has increased the debate regarding the relevance of prior studies for the enrollees in the program. The key issues of contention are whether prior studies reliably predict academic achievement of enrollees, and demonstrate proficiencies required for admission in the program. The purpose of…

  9. Admission time to hospital: a varying standard for a critical definition for admissions to an intensive care unit from the emergency department.

    Science.gov (United States)

    Nanayakkara, Shane; Weiss, Heike; Bailey, Michael; van Lint, Allison; Cameron, Peter; Pilcher, David

    2014-11-01

    Objective Time spent in the emergency department (ED) before admission to hospital is often considered an important key performance indicator (KPI). Throughout Australia and New Zealand, there is no standard definition of 'time of admission' for patients admitted through the ED. By using data submitted to the Australian and New Zealand Intensive Care Society Adult Patient Database, the aim was to determine the differing methods used to define hospital admission time and assess how these impact on the calculation of time spent in the ED before admission to an intensive care unit (ICU). Methods Between March and December of 2010, 61 hospitals were contacted directly. Decision methods for determining time of admission to the ED were matched to 67787 patient records. Univariate and multivariate analyses were conducted to assess the relationship between decision method and the reported time spent in the ED. Results Four mechanisms of recording time of admission were identified, with time of triage being the most common (28/61 hospitals). Reported median time spent in the ED varied from 2.5 (IQR 0.83-5.35) to 5.1h (2.82-8.68), depending on the decision method. After adjusting for illness severity, hospital type and location, decision method remained a significant factor in determining measurement of ED length of stay. Conclusions Different methods are used in Australia and New Zealand to define admission time to hospital. Professional bodies, hospitals and jurisdictions should ensure standardisation of definitions for appropriate interpretation of KPIs as well as for the interpretation of studies assessing the impact of admission time to ICU from the ED. What is known about the topic? There are standards for the maximum time spent in the ED internationally, but these standards vary greatly across Australia. The definition of such a standard is critically important not only to patient care, but also in the assessment of hospital outcomes. Key performance indicators rely

  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. Decreasing Psychiatric Admission Wait Time in the Emergency Department by Facilitating Psychiatric Discharges.

    Science.gov (United States)

    Stover, Pamela R; Harpin, Scott

    2015-12-01

    Limited capacity in a psychiatric unit contributes to long emergency department (ED) admission wait times. Regulatory and accrediting agencies urge hospitals nationally to improve patient flow for better access to care for all types of patients. The purpose of the current study was to decrease psychiatric admission wait time from 10.5 to 8 hours and increase the proportion of patients discharged by 11 a.m. from 20% to 50%. The current study compared pre- and post-intervention data. Plan-Do-Study-Act cycles aimed to improve discharge processes and timeliness through initiation of new practices. Admission wait time improved to an average of 5.1 hours (t = 3.87, p = 0.006). The proportion of discharges occurring by 11 a.m. increased to 46% (odds ratio = 3.42, p planning processes and timeliness in a psychiatric unit significantly decreased admission wait time from the ED, improving access to psychiatric care. PMID:26505524

  12. Sources of pre-admission medication information: observational study of accuracy and availability.

    LENUS (Irish Health Repository)

    Fitzsimons, Michelle

    2011-12-01

    To identify the accessibility of sources of pre-admission medication (PAM) information, to quantify agreement between the PAM list and the \\'gold-standard\\' PAM list (GS-PAML) and to categorise disagreements.

  13. How virtual admission affects coping – telemedicine for patients with chronic obstructive pulmonary disease

    DEFF Research Database (Denmark)

    Emme, Christina; Rydahl-Hansen, Susan; Østergaard, Birte;

    2014-01-01

    To describe what characterises chronic obstructive pulmonary disease patients' coping of physical, emotional and social problems before, during and after virtual admission, in interaction with health professionals and relatives....

  14. 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.

  15. Utilizing Inmates as Group Leaders in the Admissions Phase of Incarceration

    Science.gov (United States)

    Hirschorn, Stephen I.; Burck, Harman D.

    1977-01-01

    This article examines whether inmate group leaders can be successful in reducing state anxiety, promoting a positive attitude toward their admissions program and future psychotherapy, and assisting in the group member's learning of the institution's rules, regulations, and policies. (Author)

  16. 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)

  17. 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.

  18. 1992 through 2010 Treatment Episode Data Set - Admissions (TEDS-A)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set (TEDS) is an administrative data system providing descriptive information about the national flow of admissions to providers of...

  19. 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.

  20. Multiobjective Simulated Annealing for Collision Avoidance in ATM Accounting for Three Admissible Maneuvers

    Directory of Open Access Journals (Sweden)

    A. Mateos

    2016-01-01

    Full Text Available Technological advances are required to accommodate air traffic control systems for the future growth of air traffic. Particularly, detection and resolution of conflicts between aircrafts is a problem that has attracted much attention in the last decade becoming vital to improve the safety standards in free flight unstructured environments. We propose using the archive simulated annealing-based multiobjective optimization algorithm to deal with such a problem, accounting for three admissible maneuvers (velocity, turn, and altitude changes in a multiobjective context. The minimization of the maneuver number and magnitude, time delays, or deviations in the leaving points are considered for analysis. The optimal values for the algorithm parameter set are identified in the more complex instance in which all aircrafts have conflicts between each other accounting for 5, 10, and 20 aircrafts. Moreover, the performance of the proposed approach is analyzed by means of a comparison with the Pareto front, computed using brute force for 5 aircrafts and the algorithm is also illustrated with a random instance with 20 aircrafts.