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Sample records for children requiring admission

  1. Severe Iron Deficiency Anemia in Infants and Young Children, Requiring Hospital Admission

    Science.gov (United States)

    Lundblad, Kristin; Rosenberg, Jonathan; Mangurten, Henry; Angst, Denise B.

    2016-01-01

    Objective. This study evaluated patient characteristics, milk intake, and associated lab findings of children 6 months to 5 years old, admitted to a children’s hospital with severe iron-deficiency anemia (IDA). Methods. A chart review was conducted on patients admitted with microcytic anemia (hemoglobin concentration less than 7 g/dL), accompanied by a low serum ferritin and/or low serum iron level between January 2000 and December 2006. Results. A total of 18 children with severe IDA were evaluated. Many had parents with private insurance and jobs. Almost all children drank >24 ounces of milk daily. Hemoglobin on admission was 3.8 g/dL, and the mean of the patients’ mean corpuscular volume was 52.8 fL. Median iron levels were 4 µg/dL. Conclusions. Severe IDA is still prevalent in children, yet physicians may not perform necessary testing. The devastating long-term effects of severe IDA should prompt clinicians to screen for severe IDA in children regardless of absent risk factors. PMID:27335995

  2. Frequency of genetic diseases and health coverage of children requiring admission in a general pediatric clinic of northern Greece

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    Lialiaris Theodoros

    2010-01-01

    Full Text Available Abstract Background In order to estimate the causes of pediatric morbidity in our area, with particular emphasis on diseases with a genetic background, we retrospectively categorized the admissions of all children hospitalized in the Department of Pediatrics of the University General Hospital of Alexandroupolis, in the area of Evros, Thrace, Greece over the three year period 2005-2007. Finally, in order to guide health care administrators to improve the delivery of pediatric health care services, we estimated the percentage of hospitalized children who were uninsured and the type of health insurance of those who had medical coverage. Patients and Methods The causes of admission, as recorded in the medical records were categorized in terms of the major organ and/or system involved and/or the underlying pathology, with emphasis on diseases with a genetic background. Duplicate admissions, i.e., admissions of the same child for the same underlying disease were excluded. Additional information recorded was age, sex, and type of health insurance of all admitted children. Distribution of the causes of admission by study year was compared by chi-square. A p value Results Over the study period, there were 4,947 admissions in 2,818 boys and 2,129 girls. Respiratory diseases were the most common accounting for 30%, while infectious diseases followed with 26.4%. The frequency of chromosomal abnormalities among the hospitalized children was only 0.06%. However, if we consider diseases with an underlying genetic background, this percentage rises to 5%. Approximately 10.3% of the admitted children had no health insurance. Conclusions The percentage of children hospitalized in our area due to a disease with an underlying genetic background was 5%. This percentage pertains to a Department of Pediatrics that has no inpatient subspecialty units and which is located within a General hospital, because hospitalizations for genetic diseases are more frequent in

  3. Low hospital admission rates for respiratory diseases in children.

    NARCIS (Netherlands)

    Uijen, J.H.J.M.; Schellevis, F.G.; Bindels, P.J.E.; Willemsen, S.P.; Wouden, J.C. van der

    2010-01-01

    BACKGROUND: Population-based data on hospital admissions for children aged 0-17 years concerning all respiratory diseases are scarce. This study examined hospital admissions in relation to the preceding consultations in general practice in this age group. METHODS: Data on children aged 0-17 years wi

  4. Low hospital admission rates for respiratory diseases in children

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    Willemsen Sten P

    2010-10-01

    Full Text Available Abstract Background Population-based data on hospital admissions for children aged 0-17 years concerning all respiratory diseases are scarce. This study examined hospital admissions in relation to the preceding consultations in general practice in this age group. Methods Data on children aged 0-17 years with respiratory diseases included in the Second Dutch National Survey of General Practice (DNSGP-2 were linked to all hospital admissions in the Dutch National Medical Registration. Admission rates for respiratory diseases were calculated. Data were analysed using multivariate logistic regression. Results Of all 79,272 children within the DNSGP-2, 1.8% were admitted to hospital for any respiratory diagnosis. The highest admission rates per 1000 children were for chronic disease of tonsils and adenoids (12.9; pneumonia and influenza (0.97; and asthma (0.92. Children aged 0-4 years and boys were admitted more frequently. Of children with asthma, 2.3% were admitted for respiratory diseases. For asthma, admission rates varied by urbanisation level: 0.47/1000 children/year in cities with ≤ 30,000 inhabitants, 1.12 for cities with ≥ 50,000 inhabitants, and 1.73 for the three largest cities (p = 0.002. Multivariate logistic regression showed that within two weeks after a GP consultation, younger age (OR 0.81, 95% CI 0.76-0.88 and more severe respiratory diseases (5.55, 95% CI 2.99-8.11 predicted hospital admission. Conclusions Children in the general population with respiratory diseases (especially asthma had very low hospital admission rates. In urban regions children were more frequently admitted due to respiratory morbidity. For effectiveness studies in a primary care setting, hospital admission rates should not be used as quality end-point.

  5. Clinical Predictors of Intensive Care Unit Admission for Asthmatic Children

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    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. 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.

  7. Hospital admission among HIV-exposed uninfected children compared with HIV-unexposed children

    DEFF Research Database (Denmark)

    Moseholm, Ellen; Helleberg, Marie; Nordly, Sannie B;

    2016-01-01

    : A nationwide register-based cohort study. METHODS: All HEU children born in Denmark from 2000 to 2012 were individually matched to five HIV-unexposed controls. Outcomes were risk of hospital admission (any, because of an infectious disease, observation/nonspecific diagnosis) and use of antibiotics during......OBJECTIVE:: The main objective of this study was, on a national level, to investigate the risk of in-hospital admissions and use of antibiotics during the first 4 years of life among HIV-exposed uninfected (HEU) children compared with a matched control group of HIV-unexposed children. DESIGN...... because of observation/nonspecific diagnosis [excess incidence rate 22.6 (95% CI 18.2-27.0), IRR 6.06 (95% CI 4.84-7.61)]. CONCLUSION: HEU children had an increased risk of overall hospital admission mainly due to an increased risk of admission because of observation/nonspecific diagnosis...

  8. Admission and Graduation Requirements for Special Education Doctoral Programs at 20 Top American Universities

    Science.gov (United States)

    Walker, Gabriela

    2009-01-01

    A quantitative analysis of the admissions and graduation requirements guidelines of the special education doctoral programs at 20 top American universities was conducted. Admission requirements typically include an application fee, previous coursework GPA, previous field experience, GRE scores, TOEFL scores, professional writing sample(s), and…

  9. Stable admission rate for acute asthma in Danish children since 1977

    DEFF Research Database (Denmark)

    Sevelsted, Astrid; Pipper, Christian Bressen; Bisgaard, Hans

    2016-01-01

    Childhood asthma is consistently reported to have increased in recent decades in most westernized countries, but it is unknown if this increase is similar across severities. We aimed to study the time-trend of acute hospital admission and readmission for asthma of school-aged children in the recent...... 35 years in Denmark. We analyzed time-trends in the national incidence rate of hospitalization for acute severe asthma in children aged 5-15 in Denmark during the 35-year period 1977-2012 in the Danish national registry. Only in-patient admissions with a principal diagnosis of asthma (ICD-8: 493......** or ICD-10: J45** or J46**) were included. Among children with asthma hospitalizations, we investigated the risk of readmission beyond 1 month of first admission. Admissions were summarized as rates per thousand person years at risk. The overall time-trend is stable with a rate of one admission per year...

  10. Hospital admissions due to ambulatory care sensitive conditions among children by age group and health region

    Directory of Open Access Journals (Sweden)

    Kelly Holanda Prezotto

    2015-02-01

    Full Text Available OBJECTIVE to describe hospital admissions for ambulatory care sensitive conditions in children under five years of age in the State of Paraná, Brazil by condition type, age group and health region. METHOD a temporal ecological study was conducted using data from the Unified Health System Hospital Information System for the period 2000 to 2011. Conditions were grouped in accordance with the list of ambulatory care sensitive conditions in Brazil. RESULTS there was an increase in the rate of admissions for ambulatory care sensitive conditions in all age groups in 50% of the health regions, with a marked increase in children under the age of one. Pneumonia, gastroenteritis and asthma were the main causes of admissions. There was an increase in the proportion of overall admissions accounted for by pneumonia and gastroenteritis. CONCLUSION the increase in admissions reveals the need for actions to improve access to primary healthcare and provide effective treatment of the main ambulatory care sensitive conditions in order to prevent hospital admissions among children.

  11. Stable admission rate for acute asthma in Danish children since 1977.

    Science.gov (United States)

    Sevelsted, Astrid; Pipper, Christian Bressen; Bisgaard, Hans

    2016-03-01

    Childhood asthma is consistently reported to have increased in recent decades in most westernized countries, but it is unknown if this increase is similar across severities. We aimed to study the time-trend of acute hospital admission and readmission for asthma of school-aged children in the recent 35 years in Denmark. We analyzed time-trends in the national incidence rate of hospitalization for acute severe asthma in children aged 5-15 in Denmark during the 35-year period 1977-2012 in the Danish national registry. Only in-patient admissions with a principal diagnosis of asthma (ICD-8: 493** or ICD-10: J45** or J46**) were included. Among children with asthma hospitalizations, we investigated the risk of readmission beyond 1 month of first admission. Admissions were summarized as rates per thousand person years at risk. The overall time-trend is stable with a rate of one admission per year per thousand children at risk and a per-year incidence rate ratio 0.999 [95 % CI 0.997-1.001]. The rate of any readmission decreased from approximately 20 per thousand children in the eighties to less than 10 in the early nineties before stabilizing at around 10 per thousand children from mid-nineties and onwards. During 35 years of nation-wide follow-up, we find a highly stable incidence rate of first hospital admission for acute severe asthma in children. Moreover, rates of readmission halved during the seventies and stabilized in the last twenty years. In conclusion, our data suggest that the reported increase in childhood asthma is mainly due to less severe cases.

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

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    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.

  13. Hospital admission patterns subsequent to diagnosis of type 1 diabetes in children : a systematic review

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    Waugh Norman

    2007-12-01

    Full Text Available Abstract Background Patients with type 1 diabetes are known to have a higher hospital admission rate than the underlying population and may also be admitted for procedures that would normally be carried out on a day surgery basis for non-diabetics. Emergency admission rates have sometimes been used as indicators of quality of diabetes care. In preparation for a study of hospital admissions, a systematic review was carried out on hospital admissions for children diagnosed with type 1 diabetes, whilst under the age of 15. The main thrust of this review was to ascertain where there were gaps in the literature for studies investigating post-diagnosis hospitalisations, rather than to try to draw conclusions from the disparate data sets. Methods A systematic search of the electronic databases PubMed, Cochrane LibrarMEDLINE and EMBASE was conducted for the period 1986 to 2006, to identify publications relating to hospital admissions subsequent to the diagnosis of type 1 diabetes under the age of 15. Results Thirty-two publications met all inclusion criteria, 16 in Northern America, 11 in Europe and 5 in Australasia. Most of the studies selected were focussed on diabetic ketoacidosis (DKA or diabetes-related hospital admissions and only four studies included data on all admissions. Admission rates with DKA as primary diagnosis varied widely between 0.01 to 0.18 per patient-year as did those for other diabetes-related co-morbidity ranging from 0.05 to 0.38 per patient year, making it difficult to interpret data from different study designs. However, people with Type 1 diabetes are three times more likely to be hospitalised than the non-diabetic populations and stay in hospital twice as long. Conclusion Few studies report on all admissions to hospital in patients diagnosed with type 1 diabetes whilst under the age of 15 years. Health care costs for type 1 patients are higher than those for the general population and information on associated patterns of

  14. 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.

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    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.

  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......(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 measurement...... station in Copenhagen between 2001 and 2008 were extracted from the Danish National Patient Registry. A time-stratified case crossover design was applied and data were analysed using conditional logistic regression to estimate the effect of air pollution on asthma admissions.ResultsA significant...

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

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    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.

  17. 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

    period (01 January 1999 to 31 December 2004), we examined associations between urban background PM(10) in the presence of gaseous pollutants (CO, NO(2)) and hospital admissions due to cardiovascular and respiratory disease in the elderly (age>/=65), and asthma in children (age 5-18) in Copenhagen......, influenza epidemics, grass pollen, school holidays, and meteorology, with up to 5 days lagged air pollution exposure. We found positive associations between PM(10) and the three health outcomes, with strongest associations for asthma. The PM(10) effect remained robust in the presence of CO and NO(2). We...

  18. 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…

  19. 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.

  20. 32 CFR 242.8 - Academic, intellectual, and personal requirements for admission to the first-year class.

    Science.gov (United States)

    2010-07-01

    ... academic requirements that are requisite for admission. These are as follows: (i) College preparation. All... matriculation. (ii) Prerequisite course work. Area of specialization in college is not a limiting factor in... a requirement for all entering students. The minimum undergraduate science prerequisites...

  1. The impact of airborne particulate matter on pediatric hospital admissions for pneumonia among Jinan children: a case-crossover study.

    Science.gov (United States)

    Lv, Chenguang; Wang, Xianfeng; Pang, Na; Wang, Lanzhong; Wang, Yuping; Xu, Tengfei; Zhang, Yu; Zhou, Tianran; Li, Wei

    2016-12-14

    This study aims to examine the effect of short-term changes in the concentration of particulate matter ≤2.5 µm (PM2.5) and ≤ 10 µm (PM10) on pediatric hospital admissions for pneumonia in Jinan, China. It explored confoundings factos of weather, season, and chemical pollutants. Information on pediatric hospital admissions for pneumonia in 2014 was extracted from the database of Jinan Qilu Hospital. The relative risk of pediatric hospital admissions for pneumonia was assessed using a case-crossover approach, controlling weather variables, day of the week, and seasonality. The single-pollutant model demonstrated that increased risk of pediatric hospital admissions for pneumonia was significantly associated with elevated PM2.5 concentrations the day before hospital admission and elevated PM10 concentrations two days before hospital admission. An increment of 10 μg/m(3) in PM2.5 and PM10 were correlated with a 6% (95% CI 1.02-1.10) and 4% (95% CI 1.00-1.08) rise in number of admissions for pneumonia, respectively. In two pollutant models, PM2.5 and PM10 remained significant after inclusion of sulfur dioxide or nitrogen dioxide but not carbon monoxide. This study demonstrated short-term exposure to atmospheric particulate matter (PM2.5/PM10) may be an important determinant of pediatric hospital admissions for pneumonia in Jinan, China. This study demonstrated short-term exposure to atmospheric particulate matter (PM2.5/PM10) may be an important determinant of pediatric hospital admissions for pneumonia in Jinan, China and suggested the relevance of pollutant exposure levels and their effects. As a specific group, children are sensitive to airborne particulate matter. This study estimated the short-term effects attribute to other air pollutants to provide references for relevant studies.

  2. 8 CFR 214.1 - Requirements for admission, extension, and maintenance of status.

    Science.gov (United States)

    2010-01-01

    ... transit to and from the United Nations Headquarters District; and (C)(iii) for alien diplomats in transit... eligible alien seeking admission as a nurse may obtain a certified statement as provided in 8 CFR...

  3. 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.

  4. Diagnostic accuracy of PAT-POPS and ManChEWS for admissions of children from the emergency department

    OpenAIRE

    Cotterill, Sarah; Rowland, Andrew G; Kelly, Jacqueline; Lees, Helen; Kamara, Mohammed

    2016-01-01

    Background The Pennine Acute Trust (PAT) Paediatric Observation Priority Score (PAT-POPS) is a specific emergency department (ED) physiological and observational aggregate scoring system, with scores of 0–18. A higher score indicates greater likelihood of admission. The Manchester Children's Early Warning System (ManChEWS) assesses six physiological observations to create a trigger score, classified as Green, Amber or Red. Methods Prospectively collected data were used to calculate PAT-POPS a...

  5. Relationships between deprivation and duration of children's emergency admissions for breathing difficulty, feverish illness and diarrhoea in North West England: an analysis of hospital episode statistics

    Directory of Open Access Journals (Sweden)

    Kyle Richard G

    2012-03-01

    Full Text Available Abstract Background In the United Kingdom there has been a long term pattern of increases in children's emergency admissions and a substantial increase in short stay unplanned admissions. The emergency admission rate (EAR per thousand population for breathing difficulty, feverish illness and diarrhoea varies substantially between children living in different Primary Care Trusts (PCTs. However, there has been no examination of whether disadvantage is associated with short stay unplanned admissions at PCT-level. The aim of this study was to determine whether differences between emergency hospital admission rates for breathing difficulty, feverish illness and diarrhoea are associated with population-level measures of multiple deprivation and child well-being, and whether there is variation by length of stay and age. Methods Analysis of hospital episode statistics and secondary analysis of Index of Multiple Deprivation (IMD 2007 and Local Index of Child Well-being (CWI 2009 in ten adjacent PCTs in North West England. The outcome measure for each PCT was the emergency admission rate to hospital for breathing difficulty, feverish illness and diarrhoea. Results 23,496 children aged 0-14 were discharged following emergency admission for breathing difficulty, feverish illness and/or diarrhoea during 2006/07. The emergency admission rate ranged from 27.9 to 62.7 per thousand. There were no statistically significant relationships between shorter (0 to 3 day hospitalisations and the IMD or domains of the CWI. The rate for hospitalisations of 4 or more days was associated with the IMD (Kendall's taub = 0.64 and domains of the CWI: Environment (taub = 0.60; Crime (taub = 0.56; Material (taub = 0.51; Education (taub = 0.51; and Children in Need (taub = 0.51. This pattern was also evident in children aged under 1 year, who had the highest emergency admission rates. There were wide variations between the proportions of children discharged on the day of admission

  6. Energy requirements of children with cerebral palsy.

    Science.gov (United States)

    Hogan, S Eileen

    2004-01-01

    Energy requirements of children and adolescents with cerebral palsy appear to be disease-specific and different from the current recommendations for healthy children, varying depending upon functional capacity, degree of mobility, severity of disease, and level of altered metabolism. Feeding problems are prevalent in many of these children, and can result in inadequate energy intake. Wasting of voluntary muscles, a common symptom of cerebral palsy, contributes to reduced resting energy needs; nevertheless, the location of the central nervous system lesion may also influence energy requirements. To guarantee individualized, accurate, and optimal energy recommendations for this population, resting energy expenditure should preferentially be measured by indirect calorimetry. Equations and formulae to predict healthy people's resting energy expenditure are available, but tend to overestimate these children's energy needs. Future studies should address the role of the central nervous system in regulating energy metabolism in this population. When adequately nourished, children and adolescents with cerebral palsy appear more tranquil and require decreased feeding time, which gives caregivers time to develop the child's functional independence and character. Understanding energy requirements of this population will provide caregivers and health professionals with guidelines for providing optimal nutritional status.

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

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    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.

  8. A Retrospective Chart Review of Dietary Diversity and Feeding Behavior of Children with Autism Spectrum Disorder before and after Admission to a Day-Treatment Program

    Science.gov (United States)

    Sharp, William G.; Jaquess, David L.; Morton, Jane F.; Miles, Aida G.

    2011-01-01

    The nutritional status and mealtime performance among a group of children with autism spectrum disorders (ASD) were examined before and after admission to an intensive feeding day-treatment program. Treatment involved escape extinction, reinforcement, and stimulus fading procedures. Outcomes focused on dietary diversity and mealtime performance,…

  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 (p<0.01) decreased PRV and higher SpO2 variability compared to non-admitted children. The strongest predictors of hospitalisation were reduced PRV-power in the low frequency band (OR associated with a 0.01 unit increase, 0.93; 95% CI 0.89 to 0.98), greater time spent below an SpO2 of 98% and 94% (OR associated with 10 s increase, 1.4; 95% CI 1.3 to 1.4 and 1.5; 95% CI 1.4 to 1.6, respectively), high respiratory rate, high HR, low SpO2, young age and male sex. These variables provided a bootstrap-corrected AUC of the receiver operating characteristic

  10. Energy requirements of infants, children and adolescents

    Science.gov (United States)

    Energy requirements of infants, children and adolescents are defined as the amount of energy needed to balance total energy expenditure (TEE) at a desirable level of physical activity, and to support optimal growth and development consistent with long-term health. The latest FAO/WHO/UNU recommendati...

  11. A COMPARISON OF THE CLASS ACTION FOR DAMAGES IN THE AMERICAN JUDICIAL SYSTEM TO THE BRAZILIAN CLASS ACTION: THE REQUIREMENTS OF ADMISSIBILITY

    Directory of Open Access Journals (Sweden)

    A. P. Grinover

    2015-01-01

    Full Text Available After describing the class action for damages in the American judicial system, with the requisites of ‘prevalence’ and ‘superiority,’ the study passes to the examiner of the requirements of the admissibility of the Brazilian class action for damages, concluding on the existence of the same requisites, even in a civil law system.

  12. Size Distribution and Total Number Concentration of Ultrafine and Accumulation Mode Particles and Hospital Admissions in Children and the Elderly in Copenhagen

    DEFF Research Database (Denmark)

    Andersen, Z.J.; Wåhlin, Peter; Raaschou-Nielsen, O.;

    2008-01-01

    (15 May 2001 to 31 December 2004) and hospital admissions due to cardiovascular (CVD) and respiratory disease (RD) in the elderly (age >or=65 years), and due to asthma in children (age 5-18 years). We examined these associations in the presence of PM(10), PM(2.5) (particulate matter ... Poisson generalised additive model adjusted for overdispersion, season, day of the week, public holidays, school holidays, influenza, pollen and meteorology, with up to 5 days' lagged exposure. RESULTS AND CONCLUSIONS: The adverse health effects of particulate matter on CVD and RD hospital admissions...

  13. Immunizations in Children Requiring Warfarin Therapy.

    Science.gov (United States)

    Bauman, Mary E; Hawkes, Michael; Bruce, Aisha; Siddons, Suzanne; Massicotte, Patti

    2016-11-01

    Children with conditions requiring chronic warfarin therapy have increased. The importance of receiving immunizations in this population is magnified due to potential weakness in their immune response. There is concern about immunizing on therapeutic anticoagulation due to risk of hematomas and the influence of vaccine on warfarin metabolism. This study evaluated the influence of vaccines on warfarin effect as measured by the International Normalized Ratio and the clinically relevant hematomas or bruising postimmunization. There were no clinically relevant negative outcomes postimmunizations. This study demonstrates that immunizations may be safely administered to children receiving therapeutic warfarin therapy.

  14. The Federal Campaign for the Admission of Indian Children into Public Schools, 1890-1934.

    Science.gov (United States)

    Hendrick, Irving G.

    1981-01-01

    Traces the history of education for American Indian children from 1890-1934, focusing not only on government boarding schools, day schools, and private contract schools, but also on state-supported elementary and secondary schools. Discusses implications of the Dawes Act, Meriam Report, and Johnson-O'Malley Act.

  15. Admissions Testing & Institutional Admissions Processes

    Science.gov (United States)

    Hossler, Don; Kalsbeek, David

    2009-01-01

    The array of admissions models and the underlying, and sometimes conflicting goals people have for college admissions, create the dynamics and the tensions that define the contemporary context for enrollment management. The senior enrollment officer must ask, for example, how does an institution try to assure transparency, equality of access,…

  16. Acute gastrointestinal emergencies requiring surgery in children

    Directory of Open Access Journals (Sweden)

    Pujari Amit

    2008-01-01

    Full Text Available Background: Although abdominal pain is common in the paediatric age group, problems of misdiagnosis and serious consequences are more particular in an emergency setting. This study examined the aetiologies of acute abdominal emergencies in children. Materials and Methods: This was a retrospective study of 100 children below the age of 12 years presenting with acute abdominal emergencies (gastrointestinal requiring operative interventions. All patients were operated on an emergency basis and the intraoperative findings were correlated with the clinical findings. Results: Acute abdominal emergencies in the paediatric age group were heterogenous, with a myriad of aetiological factors. Overall, 73% of patients were greater than 3 years of age. Early neonatal period formed the second most common group (12%. Acute appendicitis was the most common cause except in the infancy period where congenital abnormalities predominated. Conclusion: The correct diagnosis of acute abdomen in children requires attention to clinical details and a high degree of suspicion. Early surgical intervention in doubtful cases may be necessary to solve diagnostic problems.

  17. 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

  18. New Study Shows Flu Vaccine Reduced Children's Risk of Intensive Care Unit Flu Admission by Three-Fourths

    Science.gov (United States)

    ... Health Image Library (PHIL) New Study Shows Flu Vaccine Reduced Children’s Risk of Intensive Care Unit Flu Admission by ... Media Relations (404) 639-3286 Getting a flu vaccine reduces a child's risk of flu-related intensive care hospitalization by ...

  19. Coagulopathy and Shock on Admission is Associated with Mortality for Children with Traumatic Injuries at Combat Support Hospitals

    Science.gov (United States)

    2012-01-01

    trauma in an austere combat envi- ronment. Crit Care Med 2008; 36:S293–S296 6. Creamer KM, Edwards MJ, Shields CH, et al: Pediatric wartime admissions...Effect of stored-blood transfusion on oxygen delivery in patients with sepsis. JAMA 1993; 269:3024–3029 32. Fitzgerald RD, Martin CM, Dietz GE, et

  20. Low near infrared spectroscopic somatic oxygen saturation at admission is associated with need for lifesaving interventions among unplanned admissions to the pediatric intensive care unit.

    Science.gov (United States)

    Balakrishnan, Binod; Dasgupta, Mahua; Gajewski, Kim; Hoffmann, Raymond G; Simpson, Pippa M; Havens, Peter L; Hanson, Sheila J

    2017-03-03

    To investigate the association between low near infrared spectroscopy (NIRS) somatic oxygen saturation (admission and the need for lifesaving interventions (LSI) in the initial 24 h of a PICU admission. Retrospective chart review of all unplanned admissions to the pediatric intensive care unit (PICU) with NIRS somatic oxygen saturation data available within 4 h of admission, excluding admissions with a cardiac diagnosis. LSI data were collected for the first 24 h after admission. Hemodynamic parameters, laboratory values, illness severity scores and diagnoses were collected. Included PICU admissions were stratified by lowest NIRS value in the first 4 h after admission: low NIRS (admissions to the PICU of which 184 (44%) patients underwent NIRS monitoring. A higher proportion of patients who underwent somatic NIRS monitoring required LSIs compared to those without NIRS monitoring (36.4 vs 5.7% respectively, p medications were the most common LSIs. Multivariable modeling showed NIRS  2SD for age to be associated with LSIs. ROC curve analysis of the combination of NIRS 2SD for age had an area under the curve of 0.79 with 78% sensitivity and 76% specificity for association with LSI. Compared to the normal NIRS group, the low NIRS group had higher mortality (10.4 vs 0.7%, p = 0.005) and longer median hospital length of stay (2.9 vs 1.6 days, p admission is associated with need for higher number of subsequent lifesaving interventions up to 24 h after admission. Noninvasive, continuous, somatic NIRS monitoring may identify children at high risk of medical instability.

  1. Nonimmigrant Admissions - Annual Report

    Data.gov (United States)

    Department of Homeland Security — Nonimmigrants are foreign nationals granted temporary admission into the United States. The major purposes for which nonimmigrant admission may be authorized include...

  2. Exploring Children's Requirements for Game-Based Learning Environments

    Directory of Open Access Journals (Sweden)

    Marja Kankaanranta

    2008-08-01

    Full Text Available End users' expertise in the development of new applications is acknowledged in user-centered and participatory design. Similarly, children's experience of what they find enjoyable and how they learn is a valuable source of inspiration for the design of products intended for them. In this paper, we explore experiences obtained from collaboration with elementary school children in the design of learning environments, based on three projects and three requirements gathering techniques. We also discuss how the children experienced the participation. The children's contribution yielded useful, both expected and unanticipated, outcomes in regard to the user interface and contents of the learning environments under development. Moreover, we present issues related to design collaboration with children, especially in terms of the children's feeling of ownership over the final outcome.

  3. Selection of first-line i.v. antibiotics for acute pyelonephritis in patients requiring emergency hospital admission.

    Science.gov (United States)

    Yasufuku, Tomihiko; Shigemura, Katsumi; Yamashita, Masuo; Arakawa, Soichi; Fujisawa, Masato

    2011-04-01

    Febrile urinary tract infections (UTIs) often require the intravenous infusion of antibiotics and/or hospitalization. Acute pyelonephritis (AP) is one of the most severe forms of UTI, and the antibiotics we should use as the first line and the risk factors for treatment failure remain controversial. The objective of this study was to investigate the efficacy of i.v. antibiotics selected for the treatment of febrile AP and to examine the risk factors for antibiotic resistance. We set risk factors for antibiotic treatment failure such as age, sex, and the presence of underlying urinary tract disease. We classified all cases into 49 cases of complicated AP and 24 cases of uncomplicated AP according to the presence of underlying urinary tract diseases, and examined the characteristics of the patients and the efficacy of the antibiotics used in this study. We investigated risk factors which relate to initial treatment failure and the duration of antibiotic treatment. Initial antibiotic treatment failure was significantly correlated to C-reactive protein in complicated AP and to positive blood culture in uncomplicated AP. We revealed a significant correlation between the duration of the given antibiotics and diabetes mellitus or positive blood culture in uncomplicated AP, and tazobactam/piperacillin was significantly related to prolongation of antibiotic treatment in complicated AP. In conclusion, in this study, a positive blood culture was the representative risk factor that related to both initial treatment failure and longer duration of the given antibiotics in uncomplicated AP.

  4. Concentrations of IL-15, IL-18, IFN-γ and activity of CD4(+), CD8(+) and NK cells at admission in children with viral bronchiolitis.

    Science.gov (United States)

    Grześk, Elżbieta; Kołtan, Sylwia; Dębski, Robert; Wysocki, Mariusz; Gruszka, Marzena; Kubicka, Małgorzata; Kołtan, Andrzej; Grześk, Grzegorz; Manysiak, Sławomir; Odrowąż-Sypniewska, Grażyna

    2010-09-01

    The pathogenesis of viral bronchiolitis is poorly understood. The aim of this study was to analyze interleukin (IL)-15, IL-18 and interferon (IFN)-γ concentrations and the activity of NK cells and CD4(+) and CD8(+) lymphocytes in 23 children not older than 30 months of age with acute viral bronchiolitis using blood samples drawn within the first 24 h of their hospital admission, in comparison to a healthy group. In children with bronchiolitis, the mean concentrations of IL-15, IL-18 and IFN-γ were 9.39±11.55, 884.03±645.44 and 17.92±27.14 pg/ml, respectively, and were significantly higher than those in the control group [2.34±0.61 pg/ml (p<0.05), 248.69±98.73 pg/ml (p<0.001) and 2.75±1.72 pg/ml (p<0.005), respectively]. In the bronchiolitis group, mean z-scores were -1.15±1.9 for CD4(+) cells and -0.9±1.23 for CD8(+) cells; these scores were significantly lower than those of the general Polish population (p<0.001 and <0.01, respectively). However, the mean z-score of the ratio of CD4(+)/CD8(+) and the NK cell count in children with bronchiolitis did not differ significantly from those of the controls. In conclusion, cytokines such as IL-15, IL-18 and IFN-γ play a role in the pathogenesis of bronchiolitis in children.

  5. Tuberculose grave com necessidade de internação em UTI Severe tuberculosis requiring ICU admission

    Directory of Open Access Journals (Sweden)

    Denise Rossato Silva

    2012-06-01

    Full Text Available A tuberculose é uma doença curável que pode evoluir para formas graves com necessidade de tratamento dos pacientes em UTI, especialmente se essa não for diagnosticada em tempo ou se afetar pacientes idosos, aqueles em diálise e aqueles com infecção pelo HIV ou outros estados de imunossupressão, assim como nos casos de doença multirresistente. O conhecimento da apresentação radiológica dos casos pode auxiliar no diagnóstico dessas formas graves, assim como a introdução de novos testes, como a detecção rápida do agente por PCR e a TC de tórax, favorecendo o início precoce do tratamento. Além disso, o uso de esquemas sem isoniazida e rifampicina, a absorção entérica incerta e as baixas concentrações séricas das drogas antituberculose podem contribuir para a diminuição da eficácia do tratamento. O prognóstico desses pacientes geralmente é ruim, com elevadas taxas de mortalidade.Tuberculosis is a curable disease that can evolve to severe forms, requiring the treatment of the patients in an ICU, especially if there is a delay in the diagnosis or if it affects elderly patients, those on dialysis, or those with HIV infection or other states of immunosuppression, as well as in cases of multidrug resistant disease. Knowledge of the radiological presentation of the cases can help diagnose these severe forms, as can the introduction of new tests, such as the early detection of the etiological agent by PCR and chest CT, which favors the early initiation of treatment. In addition, the use of regimens without isoniazid and rifampin, as well as uncertain enteral absorption and low serum concentrations of antituberculosis drugs, can reduce the efficacy of treatment. For such patients, the prognosis is generally poor and mortality rates are high.

  6. Should Young School Children be Required to Study Art

    Institute of Scientific and Technical Information of China (English)

    Dai; Jingting

    2014-01-01

    Now,more and more parents believe the theory that their children should take the lead as soon as possible at the starting line,requiring the young to study art in school.But after years,we witness the disadvantages of it.This essay states the drawbacks of this demand and exemplifies them through facts in daily life.

  7. Should Young School Children be Required to Study Art

    Institute of Scientific and Technical Information of China (English)

    Dai Jingting

    2014-01-01

    Now, more and more parents believe the theory that their children should take the lead as soon as possible at the starting line, requiring the young to study art in school. But after years, we witness the disadvantages of it. This essay states the drawbacks of this demand and exemplifies them through facts in daily life.

  8. Pediatric Type 1 Diabetes: Reducing Admission Rates for Diabetes Ketoacidosis

    Science.gov (United States)

    Choi, Steven; Rinke, Michael L.; Vandervoot, Kathy; Heptulla, Rubina A.

    2016-01-01

    Background: Diabetes ketoacidosis (DKA) is a life-threatening complication of type 1 diabetes mellitus (T1DM). Reducing DKA admissions in children with T1DM requires a coordinated, comprehensive management plan. We aimed to decrease DKA admissions, 30-day readmissions, and length of stay (LOS) for DKA admissions. Methods: A multipronged intervention was designed in 2011 to reach all patients: (1) increase insulin pump use and basal-bolus regimen versus sliding scales, (2) transform educational program, (3) increased access to medical providers, and (4) support for patients and families. A before-after study was conducted comparing performance outcomes in years 2007-2010 (preintervention) to 2012-2014 (postintervention) using administrative data and Wilcoxon rank sum and Fischer exact tests. Results: DKA admissions decreased by 44% postintervention (16.7 vs 9.3 per 100 followed patient-years; P = .006), unique patient 30-day readmissions decreased from 20% to 5% postintervention (P = .001), and median LOS significantly decreased postintervention (P < .0001). Although not an original goal of the study, median hemoglobin A1C of a subset of the population transitioned from sliding scale decreased, 10.3% to 8.9% (P < .02). Conclusions: When clinical and widespread program interventions were used, significant reductions in DKA hospitalizations, 30-day readmissions, and LOS occurred for pediatric T1DM. Continuous performance improvement efforts are needed for improving DKA outcomes. PMID:27749721

  9. Disscussion on professional requirement of English teaching for children%Disscussion on professional requirement of English teaching for children

    Institute of Scientific and Technical Information of China (English)

    杜一璐

    2011-01-01

    It has been analyzed and illustrated for this article, which discussing on professional English education for children in current so- cial situation through plenty of practical experiences and referenced books. The topic has expounded that how to eope with the career for children's English teaching under the current educational system from four aspects: the pedagogic theory, ability and quality, the creation of educational recourses, and teaching methods. It also demonstrates the children ls English teacher who is engaged in the teaching activities should think highly of their daily training on the ability, the quality, and the technique methods in the educational implementation process. After finding out several adverse factors for children~ ~dl - round devel- opment in the traditional teaching, these summarie,~ could be more practical, more headleable, and more adaptive to adapt to this career requirement so that the educational workers would read it for reference and communication.

  10. 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  

  11. Nonimmigrant Admissions: Fiscal Year 2008

    Data.gov (United States)

    Department of Homeland Security — Nonimmigrants are foreign nationals granted temporary admission into the United States. The major purposes for which nonimmigrant admission may be authorized include...

  12. Nonimmigrant Admissions: Fiscal Year 2009

    Data.gov (United States)

    Department of Homeland Security — Nonimmigrants are foreign nationals granted temporary admission into the United States. The major purposes for which nonimmigrant admission may be authorized include...

  13. Nonimmigrant Admission: Fiscal Year 2007

    Data.gov (United States)

    Department of Homeland Security — Nonimmigrants are foreign nationals granted temporary admission into the United States. The major purposes for which nonimmigrant admission may be authorized include...

  14. Nonimmigrant Admissions: Fiscal Year 2005

    Data.gov (United States)

    Department of Homeland Security — Nonimmigrants are foreign nationals granted temporary admission into the United States. The major purposes for which nonimmigrant admission may be authorized include...

  15. Nonimmigrant Admissions: Fiscal Year 2006

    Data.gov (United States)

    Department of Homeland Security — Nonimmigrants are foreign nationals granted temporary admission into the United States. The major purposes for which nonimmigrant admission may be authorized include...

  16. Nonimmigrant Admissions: Fiscal Year 2012

    Data.gov (United States)

    Department of Homeland Security — Nonimmigrants are foreign nationals granted temporary admission into the United States. The major purposes for which nonimmigrant admission may be authorized include...

  17. Nonimmigrant Admissions: Fiscal Year 2011

    Data.gov (United States)

    Department of Homeland Security — Nonimmigrants are foreign nationals granted temporary admission into the United States. The major purposes for which nonimmigrant admission may be authorized include...

  18. Nonimmigrant Admissions - Fiscal Year 2013

    Data.gov (United States)

    Department of Homeland Security — Nonimmigrants are foreign nationals granted temporary admission into the United States. The major purposes for which nonimmigrant admission may be authorized include...

  19. Nonimmigrant Admissions: Fiscal Year 2010

    Data.gov (United States)

    Department of Homeland Security — Nonimmigrants are foreign nationals granted temporary admission into the United States. The major purposes for which nonimmigrant admission may be authorized include...

  20. Impact of requiring influenza vaccination for children in licensed child care or preschool programs--Connecticut, 2012-13 influenza season.

    Science.gov (United States)

    Hadler, James L; Yousey-Hindes, Kimberly; Kudish, Kathy; Kennedy, Erin D; Sacco, Vincent; Cartter, Matthew L

    2014-03-01

    Preschool-aged children are at increased risk for severe influenza-related illness and complications. Congregate child care settings facilitate influenza transmission among susceptible children. To protect against influenza transmission in these settings, in September 2010, Connecticut became the second U.S. state (after New Jersey) to implement regulations requiring that all children aged 6-59 months receive at least 1 dose of influenza vaccine each year to attend a licensed child care program. To evaluate the impact of this regulation on vaccination levels and influenza-associated hospitalizations during the 2012-13 influenza season, vaccination data from U.S. and Connecticut surveys and the Emerging Infections Program (EIP) were analyzed. After the regulation took effect, vaccination rates among Connecticut children aged 6-59 months increased from 67.8% during the 2009-10 influenza season to 84.1% during the 2012-13 season. During the 2012-13 influenza season, among all 11 EIP surveillance sites, Connecticut had the greatest percentage decrease (12%) in the influenza-associated hospitalization rate from 2007-08 among children aged ≤4 years. Additionally, the ratio of the influenza-associated hospitalization rates among children aged ≤4 years to the overall population rate (0.53) was lower than for any other EIP site. Requiring vaccination for child care admission might have helped to increase vaccination rates in Connecticut and reduced serious morbidity from influenza.

  1. 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...

  2. 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. ...

  3. Colonização orofaríngea de crianças à admissão em uma unidade de cuidados intensivos Colonización de la orofaringe de niños admitidos en una unidad de cuidados intensivos pediátricos Children's oropharyngeal colonization upon admission at a pediatric intensive care unit

    Directory of Open Access Journals (Sweden)

    Denise Miyuki Kusahara

    2007-12-01

    ón microbiológico de la colonización orofaríngea de los niños en la admisión a la UCIP, con todo se verificó que los niños portadores de microorganismos patógenos presentaron tiempo de internamiento hospitalario mayor (p=0,020 que aquellos colonizados solamente por especies de la flora normal.Objectives: This study aimed to identify the microbiological oropharyngeal colonization pattern in children admitted at a Pediatric Intensive Care Unit (PICU and to verify the influence of children's and implemented therapies' characteristics before admission at the UCIP on this pattern. Prospective study realized at a PICU of a university hospital. METHODS: Samples of oropharyngeal secretion were obtained in the first 24 hours of the children's admission. Variables related to the children's and the therapies' characteristics were investigated. RESULTS: The majority of the children had normal nutritional state, admitted in the hospital in emergencies situations, with chronic diseases and without alterations in the clinical conditions of the oral cavity. CONCLUSION: The children who were colonized by pathogenic microorganisms presented a longer hospital stay (p=0,020 than those with cultures with normal flora species. The investigated characteristics of the children did not exert any significant influence the microbiological oropharyngeal colonization pattern.

  4. The Admissions Equity Struggle

    Science.gov (United States)

    Freedman, Eric

    2012-01-01

    It has been a long, litigious road from Heman Sweatt, an African-American mail carrier who wanted to attend the prestigious, all-White law school at the University of Texas at Austin in 1946, to Abigail Fisher, a White high school student who failed to win undergraduate admission to the same university a half-century later. Depending on what the…

  5. Numeracy Competence Requirements for Admission to Undergraduate Degree Programmes: A Case Study of a Programme to Prepare Pre-Registration Nursing Student Candidates for a Numeracy Entrance Test

    Science.gov (United States)

    Dray, Beattie; Perkins, Andrew; Fritsch, Lynn Faller; Burke, Linda

    2010-01-01

    Some undergraduate programmes require evidence of baseline numeracy skills as a condition of entry. With a widened entry gate into higher education and a recognised "mathematics problem" in society, students wishing to enrol onto degree programmes that require evidence of numeracy often find it difficult to provide such evidence.…

  6. 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…

  7. Mathematics Admission Test Remarks

    Directory of Open Access Journals (Sweden)

    Ideon Erge

    2016-12-01

    Full Text Available Since 2014, there have been admission tests in mathematics for applicants to the Estonian University of Life Sciences for Geodesy, Land Management and Real Estate Planning; Civil Engineering; Hydraulic Engineering and Water Pollution Control; Engineering and Technetronics curricula. According to admission criteria, the test must be taken by students who have not passed the specific mathematics course state exam or when the score was less than 20 points. The admission test may also be taken by those who wish to improve their state exam score. In 2016, there were 126 such applicants of whom 63 took the test. In 2015, the numbers were 129 and 89 and in 2014 150 and 47 accordingly. The test was scored on scale of 100. The arithmetic average of the score was 30.6 points in 2016, 29.03 in 2015 and 18.84 in 2014. The test was considered to be passed with 1 point in 2014 and 20 points in 2015 and 2016. We analyzed test results and gave examples of problems which were solved exceptionally well or not at all.

  8. GUIDING CHILDREN WITH SPECIAL EDUCATIONAL REQUIREMENTS AT A REGULAR SCHOOL

    Directory of Open Access Journals (Sweden)

    S. N. Phanaeva

    2016-01-01

    Full Text Available The relevancy of the issues of    a social adaptation of disabled children has not only moral-ethical importance, but political and economic significance as well. The article deals with the problem of establishment of an inclusive education which quality impacts upon preparation   of   children with disabilities to an active life in society. Interaction of  disabled children with all members of an educational institutions plays   a significant role in resolving  given problem. The reasonability of collaborative learning yields an enormous  humanistic potential and it is specified by the fact that disabled children are given  an  opportunity  of  full-fledged  communication with both age-mates in good health and friends or family members. It is important to note that individual needs of students are materialized   while applying the inclusive approach which is in accordance with the principles of the modern educational policy aimed at establishing favorable conditions for a development of all children and adolescents. The described notions and principles of the inclusive education can be highly sought in the national practice of the educational integration. The results of the research can be also useful  for members of the educational system which are challenged to overcome obstacles of establishing education for disabled children in an educational institution.

  9. 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

  10. 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

  11. Urinary neutrophil gelatinase-associated lipocalin identifies critically ill young children with acute kidney injury following intensive care admission: A prospective cohort study

    NARCIS (Netherlands)

    A.J.M. Zwiers (Alexandra); S.N. de Wildt (Saskia); J.M. van Rosmalen (Joost); Y.B. de Rijke (Yolanda); E.A.B. Buijs (Erik ); D. Tibboel (Dick); K. Cransberg (Karlien)

    2015-01-01

    textabstractIntroduction: Children admitted to a pediatric intensive care unit (ICU) are at high risk of developing acute kidney injury (AKI). Although serum creatinine (SCr) levels are used in clinical practice, they are insensitive for early diagnosis of AKI. Urinary neutrophil gelatinase-associat

  12. Urinary neutrophil gelatinase-associated lipocalin identifies critically ill young children with acute kidney injury following intensive care admission: A prospective cohort study

    NARCIS (Netherlands)

    A.J.M. Zwiers (Alexandra); S.N. de Wildt (Saskia); J.M. van Rosmalen (Joost); Y.B. de Rijke (Yolanda); E.A.B. Buijs (Erik ); D. Tibboel (Dick); K. Cransberg (Karlien)

    2015-01-01

    markdownabstract#### Introduction Children admitted to a pediatric intensive care unit (ICU) are at high risk of developing acute kidney injury (AKI). Although serum creatinine (SCr) levels are used in clinical practice, they are insensitive for early diagnosis of AKI. Urinary neutrophil gelatinase

  13. 14 CFR 121.547 - Admission to flight deck.

    Science.gov (United States)

    2010-01-01

    ... REQUIREMENTS: DOMESTIC, FLAG, AND SUPPLEMENTAL OPERATIONS Flight Operations § 121.547 Admission to flight deck... holder. However, the certificate holder may not admit employees of traffic, sales, or other...

  14. 42 CFR 456.481 - Admission certification and plan of care.

    Science.gov (United States)

    2010-10-01

    ... Individuals Under Age 21: Admission and Plan of Care Requirements § 456.481 Admission certification and plan of care. If a facility provides inpatient psychiatric services to a recipient under age 21— (a) The... 42 Public Health 4 2010-10-01 2010-10-01 false Admission certification and plan of care....

  15. Optimal admission to higher education

    DEFF Research Database (Denmark)

    Albæk, Karsten

    2016-01-01

    that documents the relevance of theory and illustrates how to apply optimal admission procedures. Indirect gains from optimal admission procedures include the potential for increasing entire cohorts of students' probability of graduating with a higher education degree, thereby increasing the skill level...

  16. Optimal Admission to Higher Education

    Science.gov (United States)

    Albaek, Karsten

    2017-01-01

    This paper analyses admission decisions when students from different high school tracks apply for admission to university programmes. I derive a criterion that is optimal in the sense that it maximizes the graduation rates of the university programmes. The paper contains an empirical analysis that documents the relevance of theory and illustrates…

  17. 人性化护理在患儿人院时的应用%Applied Humane Care to Admission of Sick Children

    Institute of Scientific and Technical Information of China (English)

    谢芳

    2011-01-01

    目的 提高健康教育达标率及护理工作满意度.方法 在患儿入院时,应用人性化护理.结果 人性化护理,一方面容易被患儿及其家长接受,易于提高其对疾病的认识,能提高其对护理服务的满意度;另一方面更有利于护理人员业务水平的提高.结论 人性化护理是“以人为本,以质量为核心”的服务宗旨的体现,可应用于护理全过程.%Objective; To improve health care education compliance rate and nursing care satisfaction. Method: Applied humane care for the children admitted to hospital at the right time. Result: Humane care, on the one hand, easily accepted by children and their parents, easy - to increase their awareness of the disease, but also can improve their satisfaction for care; on the other hand, is more conducive to raising the level of nursing services. Conclusion: Humane care practiced the service purpose with " people oriented and quality as core" , which can be applied to the whole process of care.

  18. Fatores de risco para hospitalização de crianças e adolescentes asmáticos Risk factors for hospital admissions among asthmatic children and adolescents

    Directory of Open Access Journals (Sweden)

    Laura Lasmar

    2002-08-01

    prestar adequada assistência a crianças e adolescentes asmáticos, especialmente para os menores de dois anos de idade.OBJECTIVE: To assess the prevalence rate and risk factors for hospital admissions among asthma children and to evaluate care delivered to these patients. METHODS: Three-hundred and twenty-five asthmatic children attending a public outpatient reference clinic were studied. Of them, 202 were hospitalized. Care was evaluated using a questionnaire covering general aspects of hospital stay and biological, demographics, socioeconomic and asthma-related factors. Univariate and multivariate analyses were performed to measure the association between hospital admissions and selected independent variables. RESULTS: Of the total, 62.2% had already been hospitalized due to asthma, 64.9% developed asthma episodes, and 60.9% were hospitalized in their first year of life. Most (76.0% had moderate to severe asthma. Despite that, 94.2% were not on anti-inflammatory drugs and were treated only during isolated acute episodes. None of these were regularly seen in primary health care centers for a periodic control of their steroid inhalants. Most parents (97.8% referred not to know how to take care of asthma children. Symptoms onset is normally seen before the age of 12 months (OR=3.20; 95%CI 1.55-6,61 or between 12 and 24 months (OR=3.89; 95%CI 1.62-9.36. Mothers have attended school for less than 7 years (OR=3.06; 95%CI 1.62-5.76. Disease severity (OR=2.32; 95%CI 1.24-3.88, 2 or more monthly visits to emergency wards (OR=2.19; 95%CI 1.24-3.88, and referred recurrent pneumonia (OR=2.00; 95%IC 1.06-3.80 were the main risk factors for hospital admissions. CONCLUSIONS: Organizing health care services is crucial to reduce hospital admissions and provide adequate care for asthma children and adolescents, especially those less than 2 years old.

  19. Physiological and public health basis for assessing micronutrient requirements in children and adolescents. The EURRECA network

    NARCIS (Netherlands)

    Iglesia, I.; Doets, E.L.; Bel-Serrat, S.; Roman, B.; Hermoso, M.; Quintana, X.; Rosario Garcia-Luzardo, Del M.; Santana-Salguero, B.; Garcia-Santos, Y.; Vucic, V.; Frost Andersen, L.; Perez-Rodrigo, C.; Aranceta, J.; Cavelaars, A.J.E.M.; Decsi, T.; Serra-Majem, L.; Gurinovic, M.; Cetin, I.; Koletzko, B.; Moreno, L.A.

    2010-01-01

    This paper provides an overview of the current knowledge relating to the nutritional requirements and corresponding recommended nutrient intake values of children and adolescents for micronutrients and specificities related to these requirements in the course of childhood and adolescence in Europe.

  20. 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.

  1. Thromboembolism in Children

    Institute of Scientific and Technical Information of China (English)

    BAO Cheng-xin

    2006-01-01

    @@ Thromboembotic events are being increasingly diagnosed in children. The incidence of symptomatic thrombolic events is 0.07%/10 000 children , 5.3/10 000hospital admissions of children and 2.4/1 000 admissions of newborns to intensive care units in west, but the incidence of thromboembotic events in children in China is an unknow now.

  2. Impact of psychiatrists' qualifications on the rate of compulsory admissions.

    Science.gov (United States)

    Eytan, Ariel; Chatton, Anne; Safran, Edith; Khazaal, Yasser

    2013-03-01

    Despite efforts to reduce coercion in psychiatry, involuntary hospitalizations remain frequent, representing more than half of all admissions in some European regions. Since October 2006, only certified psychiatrists are authorized to require a compulsory admission to our facility, while before all physicians were, including residents. The aim of the present study is to assess the impact of this change of procedure on the proportion compulsory admissions. All medical records of patients admitted respectively 4 months before and 4 month after the implementation of the procedure were retrospectively analyzed. This search retrieved a total of 2,227 hospitalizations for 1,584 patients. The overall proportions of compulsory and voluntary admissions were 63.9 % and 36.1 % respectively. The average length of stay was 32 days (SD ± 64.4). During the study period, 25 % of patients experienced two hospitalizations or more. The most frequent patients' diagnoses were affective disorders (30 %), psychotic disorders (18.4 %) and substance abuse disorders (15.7 %). Compared with the period before October 2006, patients hospitalized from October 2006 up were less likely to be hospitalized on a compulsory basis (OR = 0.745, 95 % CI: 0.596-0.930). Factors associated with involuntary admission were young age (20 years or less), female gender, a diagnosis of psychotic disorder and being hospitalized for the first time. Our results strongly suggest that limiting the right to require compulsory admissions to fully certified psychiatrists can reduce the rate of compulsory versus voluntary admissions.

  3. Age-related postoperative morphine requirements in children following major surgery--an assessment using patient-controlled analgesia (PCA)

    DEFF Research Database (Denmark)

    Hansen, T G; Henneberg, S W; Hole, P

    1996-01-01

    To investigate if small children require less morphine for postoperative analgesia than do older children and adolescents we analysed the morphine consumption pattern of 28 consecutive children on intravenous patient-controlled analgesia (PCA) following major surgery. The median age......-specific morphine requirements between 2 comparable groups of children aged 4-8 years and 9-15 years were compared. We used the Pharmacia-Deltec pump in all children and the same settings: a bolus dose of 25 microgram/kg, an 8 minutes lockout interval and no background infusion. In addition, all children received...... paracetamol as a supplemently to the morphine. In this study children aged 4-8 years had significantly higher total postoperative morphine requirements compared to children aged 9-15 years, i.e. 11.6 microgram/kg/hour and 7.5 microgram/kg/hour respectively (p = 0.037). Hence, we conclude that children...

  4. 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...... school bag (eBag). The three-hour collaborative session provides a first-hand insight into children's practice in a fun and intriguing way. The method is proposed as a supplement to existing descriptive design methods for interaction design and children....

  5. General Practitioners and Involuntary Admission

    DEFF Research Database (Denmark)

    Jepsen, Britta; Lomborg, Kirsten; Engberg, Marianne

    2010-01-01

    in involuntary admissions. Setting: General practice, Aarhus, Denmark. Method: One focus group interview and six individual interviews were conducted with 13 Danish GPs, who had recently sectioned one of their own patients. Results: GPs experienced stress and found the admission procedure time consuming....... They felt that sectioning patients was unpleasant, and felt nervous, but experienced relief and professional satisfaction if things went well. The GPs experienced the doctor-patient relationship to be at risk, but also reported that it could be improved. GPs felt that they were not taken seriously...... by the psychiatric system. Conclusion: The unpleasant experiences and induced feelings resulting from involuntary admissions reflect an undesirable and stressful working environment....

  6. 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

  7. Halothane concentrations required to block the cardiovascular responses to incision (MAC CVR) in infants and children.

    Science.gov (United States)

    Ishizawa, Y; Dohi, S

    1993-01-01

    The purpose of this study was to determine the halothane concentration in N2O required to block the cardiovascular responses to skin incision (MAC CVR) in infants and children. We studied 64 unpremedicated ASA 1 infants and children (one month to seven years). In each infant or child, anaesthesia was induced slowly with halothane and N2O, and an endotracheal tube was placed. The MAC CVR was assessed, after a steady state end-tidal halothane concentration had been established for ten minutes, by the "up and down technique" of Dixon. Positive responses were defined as an increase in MAP or HR > 10%. The MAC CVR50 values of halothane with 60% N2O were 1.16 +/- 0.23% at 1-6 mo, 1.17 +/- 0.18% at 7-12 mo, 0.95 +/- 0.26% at 1-3 yr, and 1.12 +/- 0.16% at 4-7 yr. The value at 1-3 years children was less than those in the other age groups (P values of MAC CVR50 of halothane in infants and children are higher than those required to block motor responses (MAC). The halothane requirement to block cardiovascular responses is lowest in the children aged one to three years.

  8. Do we really know vitamin and mineral requirements for infants and children?

    Science.gov (United States)

    Bender, D A

    2003-09-01

    Infants and young children require vitamins and minerals not only to replace losses through metabolic turnover, but also to increase body reserves as they grow. For infants up to six months of age it is generally assumed that breast milk provides adequate intakes, and average breast milk composition provides the basis of reference intakes for this age group, and the basis for infant formula. It is questionable to what extent the micronutrient content of breast milk reflects the infant's requirements as opposed to the mother's nutritional status. For obvious ethical reasons there have been very few (if any) experiments to determine the micronutrient requirements of infants and children, although studies of intakes in areas where deficiency is common provide an estimate of minimum requirements in some cases. Different national and international authorities have approached the problem of estimating reference intakes for infants and young children in four main ways: linear interpolation between adequate intakes estimated from breast milk composition and the experimentally-determined requirements of young adults; extrapolation forwards from breast milk composition and backwards from the requirements of young adults on the basis of metabolic body weight (body weight0.75), corrected by growth factors; extrapolation backwards from the requirements of young adults on the basis of the energy density of the diet; and by factorial calculation. Despite this, there is considerable concordance between the figures published by different authorities as a result of rounding off to avoid spurious precision.

  9. 75 FR 33683 - Third Party Testing for Certain Children's Products; Infant Bath Seats: Requirements for...

    Science.gov (United States)

    2010-06-15

    ... From the Federal Register Online via the Government Publishing Office CONSUMER PRODUCT SAFETY COMMISSION 16 CFR Part 1215 Third Party Testing for Certain Children's Products; Infant Bath Seats: Requirements for Accreditation of Third Party Conformity Correction In rule document 2010-13080 beginning...

  10. 78 FR 41298 - Children's Products Containing Lead; Procedures and Requirements for Exclusions From Lead Limits...

    Science.gov (United States)

    2013-07-10

    ... COMMISSION 16 CFR Part 1500 Children's Products Containing Lead; Procedures and Requirements for Exclusions From Lead Limits Under Section 101(b) of the Consumer Product Safety Improvement Act AGENCY: Consumer... for exclusions from lead limits under section 101(b) of the Consumer Product Safety Improvement Act...

  11. Age-related postoperative morphine requirements in children following major surgery--an assessment using patient-controlled analgesia (PCA)

    DEFF Research Database (Denmark)

    Hansen, Tom Giedsing; Henneberg, Steen Winther; Hole, P

    1996-01-01

    To investigate if small children require less morphine for postoperative analgesia than do older children and adolescents we analysed the morphine consumption pattern of 28 consecutive children on intravenous patient-controlled analgesia (PCA) following major surgery. The median age-specific morp...

  12. 47 CFR 54.520 - Children's Internet Protection Act certifications required from recipients of discounts under the...

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 3 2010-10-01 2010-10-01 false Children's Internet Protection Act... Libraries § 54.520 Children's Internet Protection Act certifications required from recipients of discounts... “technology protection measure” as used in this section, are defined in the Children's Internet Protection...

  13. Relating Admissibility Standards for Digital Evidence to Attack Scenario Reconstruction

    Directory of Open Access Journals (Sweden)

    Changwei Liu

    2014-09-01

    Full Text Available Attackers tend to use complex techniques such as combining multi-step, multi-stage attack with anti-forensic tools to make it difficult to find incriminating evidence and reconstruct attack scenarios that can stand up to the expected level of evidence admissibility in a court of law. As a solution, we propose to integrate the legal aspects of evidence correlation into a Prolog based reasoner to address the admissibility requirements by creating most probable attack scenarios that satisfy admissibility standards for substantiating evidence. Using a prototype implementation, we show how evidence extracted by using forensic tools can be integrated with legal reasoning to reconstruct network attack scenarios. Our experiment shows this implemented reasoner can provide pre-estimate of admissibility on a digital crime towards an attacked network.

  14. Somnambulism: Emergency Department Admissions Due to Sleepwalking-Related Trauma

    Science.gov (United States)

    Sauter, Thomas C.; Veerakatty, Sajitha; Haider, Dominik G.; Geiser, Thomas; Ricklin, Meret E.; Exadaktylos, Aristomenis K.

    2016-01-01

    Introduction Somnambulism is a state of dissociated consciousness, in which the affected person is partially asleep and partially awake. There is pervasive public opinion that sleepwalkers are protected from hurting themselves. There have been few scientific reports of trauma associated with somnambulism and no published investigations on the epidemiology or trauma patterns associated with somnambulism. Methods We included all emergency department (ED) admissions to University Hospital Inselspital, Berne, Switzerland, from January 1, 2000, until August 11, 2015, when the patient had suffered a trauma associated with somnambulism. Demographic data (age, gender, nationality) and medical data (mechanism of injury, final diagnosis, hospital admission, mortality and medication on admission) were included. Results Of 620,000 screened ED admissions, 11 were associated with trauma and sleepwalking. Two patients (18.2%) had a history of known non-rapid eye movement parasomnias. The leading cause of admission was falls. Four patients required hospital admission for orthopedic injuries needing further diagnostic testing and treatment (36.4%). These included two patients with multiple injuries (18.2%). None of the admitted patients died. Conclusion Although sleepwalking seems benign in the majority of cases and most of the few injured patients did not require hospitalization, major injuries are possible. When patients present with falls of unknown origin, the possibility should be evaluated that they were caused by somnambulism. PMID:27833677

  15. Protein levels in enteral feeds: do these meet requirements in children with severe cerebral palsy?

    Science.gov (United States)

    Schoendorfer, Niikee; Tinggi, Ujang; Sharp, Nita; Boyd, Roslyn; Vitetta, Luis; Davies, Peter S W

    2012-05-01

    Children with cerebral palsy (CP) have been documented to have feeding difficulties, which increase in line with condition severity and result in lowered growth potential. Much nutrition literature surrounds energy intake and expenditure in these children, with less information available on other parameters such as protein and micronutrients, which are also important for growth and development. We examined differences in protein intake and a variety of protein metabolism indices in children with CP compared with controls. A total of twenty-four children aged 4-12 years with marked CP fed orally (O, n 15) or enterally (E, n 9) were recruited, including age-matched typically developing children (C, n 24). Fasting blood samples were analysed for levels of albumin, creatinine, urea and urate. Parents collected an exact food replica for three consecutive days of their child's actual intake, which were directly analysed for protein content. Significant differences were found in protein intakes between the groups (mean percentage minimum requirements: E = 178 (sd 47); O = 208 (sd 95); C = 311 (sd 119), P = 0·005). Despite all children consuming over recommended levels, children with CP had significantly reduced levels of the protein metabolic indices compared with controls. These include as z-scores: albumin mean C = 0·71 (sd 1·04) and CP = - 0·17 (sd 1·60), P = 0·03; creatinine C = - 2·06 (sd 0·46) and CP = - 3·11 (sd 0·98), P < 0·001; urate C = 0·18 (sd 0·62) and CP = - 0·58 (sd 0·93), P = 0·002. Post hoc analysis, the present data show potentially greater protein metabolism issues in enterally fed children, compared with the other groups. This may also support recent literature that suggests shortfalls in current recommendations.

  16. Probabilistic Anonymity and Admissible Schedulers

    CERN Document Server

    Garcia, Flavio D; Sokolova, Ana

    2007-01-01

    When studying safety properties of (formal) protocol models, it is customary to view the scheduler as an adversary: an entity trying to falsify the safety property. We show that in the context of security protocols, and in particular of anonymizing protocols, this gives the adversary too much power; for instance, the contents of encrypted messages and internal computations by the parties should be considered invisible to the adversary. We restrict the class of schedulers to a class of admissible schedulers which better model adversarial behaviour. These admissible schedulers base their decision solely on the past behaviour of the system that is visible to the adversary. Using this, we propose a definition of anonymity: for all admissible schedulers the identity of the users and the observations of the adversary are independent stochastic variables. We also develop a proof technique for typical cases that can be used to proof anonymity: a system is anonymous if it is possible to `exchange' the behaviour of two...

  17. Optimal Admission to Higher Education

    DEFF Research Database (Denmark)

    Albæk, Karsten

    This paper constructs higher education admission rules that maximise graduation rates and thus increase the skill level of the work force. An application shows that students with a low level in mathematics in secondary school ought to find it easier to be admitted to an economics programme than...... to law or psychology programmes, even though economics is the most difficult programme from which to graduate without a strong background in mathematics. Indirect gains from optimal admission include the potential of making whole cohorts of students more able to graduate with a higher education degree....

  18. Ponseti方法治疗延迟就诊的儿童先天性马蹄内翻足%Ponseti method in the management of delayed admission of congenital clubfoot in children

    Institute of Scientific and Technical Information of China (English)

    朱光辉; 梅海波; 伍江雁; 刘昆; 唐进; 赫荣国

    2015-01-01

    Objective To evaluate the outcome of Ponseti method in management of delayed admission of congenital clubfoot in children. Methods 19 cases (28 feet) of congenital clubfoot patients aged between 12 ~36 months were managed by Ponseti method, and the outcome was assessed by the Pirani score system and International Clubfoot Study Group (ICFSG) score. Results The times of cast immobilization were 4~10(6. 0 ± 1. 3). The duration of cast immobilization was 7~13 ( 9. 0 ± 1. 3 ) weeks. 26 feet ( 26/28 ) needed percutaneous tendo-achilles tenotomy. The Pirani score before surgery was 3~6(4. 9 ± 0. 9), while 3 weeks postoperation, it decreased to 0~1. 5(0. 4 ± 0. 5). According to Pirani criteria, the excellent-good rate was 22/28. 2 cases had degree Ⅰ cast pressure sore, which was cured by cast removal,dress changing and other management. None had incision infection, vessel injury or nerve injury. In the last follow-up, the ICFSG score was 1~33(13. 8 ± 11. 1), 8 cases with excellent results, 10 good, 4 fair and 6 poor. The excellent-good rate was 18/28. 6 feet(6/28) had relapse with 3 feet treated by re-cast-ing and tibialis anterior transfer, 2 feet managed by Achilles tenotomy, capsulotomy and tibialis anterior transfer, 1 foot with Achilles tenotomy, mid-tarsal osteotomy fixed by Kirschner wires. Conclusions Ponseti method has a fa-vorable outcome in management of delayed admission between 12~36 months in children with congenital clubfoot. It can avoid extensive soft tissue release. The relapse rate is higher than younger children, which is needed by further surgery.%目的:评价Ponseti方法治疗延迟就诊的儿童先天性马蹄内翻足的临床疗效。方法采用Ponseti方法治疗19例(28足)12~36月龄的先天性马蹄内翻足患儿,按 Pirani系统和国际马蹄内翻足学会评分系统(ICFSG)进行效果评价。结果石膏固定4~10(6.0±1.3)次,石膏固定总时间7~13(9.0±1.3)周。26足(26/28)的患儿

  19. 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.

  20. 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…

  1. Admissions Plan Goes beyond Numbers

    Science.gov (United States)

    Hoover, Eric

    2007-01-01

    Northeastern University's Torch Scholars Program is designed to seek out first-generation students who would not qualify under the university's regular admissions process. The scholarships go to motivated students who have shown determination in overcoming personal challenges. Northeastern believes the experiment will enhance the socioeconomic…

  2. Effect of diet composition on protein requirements of children and adults in northern Mexico.

    Science.gov (United States)

    Ballesteros, M N; Valencia, M E; Brown, D S

    1993-01-01

    The overall vegetable and animal protein combinations of the diet in Northern Mexico were determined through a dietary population survey. Vegetable sources made up 45% and animal protein was 55% (45V/55A). Further combinations of up to 100% vegetable protein dietary mixtures (100V) were studied to test the sensibility of the variations on protein requirements of pre-school, school children and adults. Diets were analyzed for amino acid composition and in vivo protein digestibility in rats to estimate true protein requirements according to FAO/WHO/UNU (1985). The effect on the pre-school group showed the widest variation with 1.46 g/kg/day in the 45V/55A to 2.63 in the 100V. For the school-aged children and adults the variations were 1.15-1.79 and 0.94-0.84 g/kg/day respectively.

  3. Admission Control Algorithm for Guaranteeing Real-Time Anycast Flow

    Institute of Scientific and Technical Information of China (English)

    Weijia Jia; Zhang Chuanlin

    2002-01-01

    In this paper, we study admission control algorithm for anycast flow with real-time constraints. With the given time requirement, when the result of this algorithm give succeed information, we find route for the anycast flow requesting. Therefore, what we need to do is testing if the corresponding path rj has enough bandwidth for coming anycast flow requirement at source S with end-to-end deadline D. This admission control is scalable in terms of the number of flows can be admitted through local information of the routes.

  4. 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

  5. Características clínicas e laboratoriais à admissão de 483 crianças e adolescentes com refluxo vésico-ureteral primário: estudo retrospectivo Baseline clinical features of 483 children and adolescents with primary vesicoureteral reflux: a retrospective study

    Directory of Open Access Journals (Sweden)

    José Maria Penido Silva

    2004-04-01

    Full Text Available OBJETIVOS: Avaliar retrospectivamente as características clínicas/radiológicas dos pacientes admitidos com refluxo vésico-ureteral primário (RVU entre 1969-1999. MÉTODOS: Pacientes com RVU primário foram submetidos a um protocolo de avaliação clínica, laboratorial e radiológica e acompanhados longitudinalmente. Na admissão, após controle da bacteriúria e do início da quimioprofilaxia, foram realizados avaliação laboratorial e estudo de imagens do trato urinário. Esta consistiu de uretrocistografia miccional, urografia excretora, cintilografia renal (DMSA e ultra-sonografia. Para o presente estudo foram utilizados os dados obtidos na admissão. RESULTADOS: Foram admitidos nesse período 483 pacientes. Houve predomínio do sexo feminino (70% e da cor branca (70%. A média de idade ao diagnóstico foi de 26 meses, sendo que 92,5% das crianças já haviam apresentado infecção urinária. Um grupo de 710 unidades renais foi analisado. A distribuição do grau de refluxo foi a seguinte: grau I (49; 7%; II (254; 36%; III (190; 26%; IV (161; 23% e V (56; 8%. Um total de 249 unidades renais apresentaram dano renal à admissão. A distribuição quanto à intensidade da lesão foi a seguinte: leve (36%, moderada (34% e grave (30%. Houve um risco significativo maior de lesão renal grave no sexo masculino (OR = 1,74, IC 95% = 1,2 - 2,5, p = 0,002. CONCLUSÃO: O RVU predominou no sexo feminino e em sua maioria apresentou-se em graus leves a moderados. Contudo, houve um alto percentual de dano renal à admissão e uma tendência de maior morbidade para o sexo masculino.OBJECTIVES: To evaluate the clinical/radiological features of patients with primary vesicoureteral reflux (VUR admitted to a single institution from 1969 to 1999. METHODS: At admission, after the institution of chemoprophylaxis, patients were investigated by CUM, DMSA, and US. The children were managed with periodical clinical and laboratory evaluations. Analyses were

  6. Intervention Effect About Inoculation Certificate in Child Care Setting and School Admission to KAP of Children's Guardians%入托入学查验预防接种证对儿童监护人知识、态度、行为干预效果

    Institute of Scientific and Technical Information of China (English)

    关旭静; 刘青恋; 黄顺和; 赵林; 王娟; 何兮; 林君

    2012-01-01

    Objective To evaluate the intervention effect of the inoculation certificate in child care setting and school admission to knowledge, attitudes and practice (KAP) of children's guardians. Methods Through the mediod of community quasi experimental study, with time series design, investigated die children's guardians before and after the intervention, to compare the KAP. Multiple linear regression was adopted to analyze the influencing factors of children's guardians' KAP. Results Through the KAP intervention program, the KAP of the children's guardians got higher than before. Compared to the KAP before the program, there are significant differences in the part of knowledge and behaviors (P <0. 05). The difference of those factors on KAP are significant ( P < 0. 05 ) , such as registered permanent residence, residence, the occupation of children's guardians and intervention or not. Conclusion The strengthening school entry requirement project is remarkably effective. It is suggested that a variety of measures should be taken to promote the program, such as selecting the key intervention target, using the appropriate intervention methods, strengthening the supervision and ensuring the implementation of the measures.%目的 评价入托入学查验预防接种证项目对儿童监护人相关知识、态度、行为(KAP)的干预效果.方法 通过社区类实验研究的方法,采用单组时间序列设计,选择项目前、后儿童监护人进行问卷调查,对比开展入托入学查验预防接种证项目地区,项目开展前、后儿童监护人相关知识、态度、行为(KAP)情况等指标.采用多元线性回归,分析儿童监护人KAP的影响因素.结果 通过项目的实施,儿童监护人知识、态度和行为的相关指标均有所提高,其中知识掌握和行为改变幅度与项目前比较差异有统计学意义(P<0.05).儿童户籍、居住地、监护人职业、项目分组对其KAP的影响差异有统计学意义(P<0.05).

  7. Why Do Students Repeat Admissions Tests?

    Science.gov (United States)

    Jones, Martha S.

    Attitudes and beliefs about the admissions process, especially the role of standardized testing in admissions, were examined for students who took a standardized admissions test more than once. Their attitudes were compared with those of students who did not repeat the test. About 200 preveterinary students who had taken the Veterinary Aptitude…

  8. Toward a Sociology of Law School Admissions.

    Science.gov (United States)

    Erlanger, Howard S.

    1984-01-01

    The law school admission process plays a major role in determining the social class origins and ethnic composition of the bar, and perhaps also the nonlegal skills lawyers will have. Research is incomplete; consideration of admission criteria, the composition and processes of admissions committees, and applicant self-selection is advisable. (MSE)

  9. Seasonal variations in hospital admissions for mania

    DEFF Research Database (Denmark)

    Medici, Clara Reece; Vestergaard, Claus Høstrup; Hadzi-Pavlovic, Dusan;

    2016-01-01

    Central Research Register. The Danish Meteorological Institute provided the meteorological variables. The association between weather and admissions was tested using linear regression. RESULTS: Our database comprised 24,313 admissions with mania. There was a seasonal pattern with admission rates peaking...

  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. 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.

  12. Serum phosphate and magnesium in children recovering from severe acute undernutrition in Ethiopia

    DEFF Research Database (Denmark)

    Hother, Anne-Louise; Girma, Tsinuel; Rytter, Maren Johanne Heilskov

    2016-01-01

    BACKGROUND: Children with severe acute malnutrition (SAM) have increased requirements for phosphorus and magnesium during recovery. If requirements are not met, the children may develop refeeding hypophosphatemia and hypomagnesemia. However, little is known about the effect of current therapeutic...... diets (F-75 and F-100) on serum phosphate (S-phosphate) and magnesium (S-magnesium) in children with SAM. METHODS: Prospective observational study, with measurements of S-phosphate and S-magnesium at admission, prior to rehabilitation phase and at discharge in children aged 6-59 months admitted with SAM...... to Jimma Hospital, Ethiopia. Due to shortage of F-75, 25 (35 %) children were stabilized with diluted F-100 (75 kcal/100 ml). RESULTS: Of 72 children enrolled, the mean age was 32 ± 14 months, and edema was present in 50 (69 %). At admission, mean S-phosphate was 0.92 ± 0.34 mmol/L, which was low compared...

  13. 75 FR 52616 - Third Party Testing for Certain Children's Products; Youth All-Terrain Vehicles: Requirements for...

    Science.gov (United States)

    2010-08-27

    ...+ ATV is intended primarily for children age 12 or younger, which would necessitate the third party... COMMISSION 16 CFR Part 1420 Third Party Testing for Certain Children's Products; Youth All- Terrain Vehicles: Requirements for Accreditation of Third Party Conformity Assessment Bodies AGENCY: Consumer Product...

  14. Confronting the Categories: Equitable Admissions without Apartheid Race Classification

    Science.gov (United States)

    Erasmus, Z.

    2010-01-01

    South Africa's government requires information on apartheid race classification to implement and monitor racial redress. This has sparked resistance to race classification as a criterion for redress in higher education admissions. I argue that (1) jettisoning apartheid race categories now in favour of either class or "merit" would set back the few…

  15. 24 CFR 5.856 - When must I prohibit admission of sex offenders?

    Science.gov (United States)

    2010-04-01

    ... sex offenders? 5.856 Section 5.856 Housing and Urban Development Office of the Secretary, Department... Denying Admissions § 5.856 When must I prohibit admission of sex offenders? You must establish standards... lifetime registration requirement under a State sex offender registration program. In the screening...

  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. Namibia's exceptional admission to the ILO.

    Science.gov (United States)

    Fromont, M

    1998-01-01

    Namibia officially became the 136th ¿member state¿ of the International Labour Office (ILO) on October 3, 1978. At that time Namibia was politically dependent on South Africa and lived under apartheid. This stood in contradiction to international law, given that since October 1966 the UN General Assembly had terminated the Republic of South Africa's mandate over the territory. In 1967 it had entrusted its official administration to the UN Council for Namibia, which requested Namibia's admission to the ILO as a full member. Namibia met all the criteria required of a state: an established population and territory, a stable and internationally recognized legal structure, together with the capacity to enter into relations with other states. Namibia was recognized by the Conference as the de-facto authentic government through an election in which 368 voted in favor of Namibia with no oppositions and 50 abstentions.

  20. Allocation and Admission Policies for Service Streams

    CERN Document Server

    Mazzucco, Michele; Fisher, Mike; McKee, Paul

    2011-01-01

    A service provisioning system is examined, where a number of servers are used to offer different types of services to paying customers. A customer is charged for the execution of a stream of jobs; the number of jobs in the stream and the rate of their submission is specified. On the other hand, the provider promises a certain quality of service (QoS), measured by the average waiting time of the jobs in the stream. A penalty is paid if the agreed QoS requirement is not met. The objective is to maximize the total average revenue per unit time. Dynamic policies for making server allocation and stream admission decisions are introduced and evaluated. The results of several simulations are described.

  1. 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.

  2. Admission Criteria for MBA Programs

    Directory of Open Access Journals (Sweden)

    Silvana Dakduk

    2016-11-01

    Full Text Available This paper reports a review of studies on admission criteria for MBA programs. The method consisted in a literary review based on a systematic search in international databases (Emerald, ABI/INFORM Global, ProQuest Education Journals, ProQuest European Business, ProQuest Science Journal, ProQuest Research Library, ProQuest Psychology Journals, ProQuest Social Science Journals and Business Source Complete of studies published from January 1990 to December 2013, which explore the academic performance of students or graduates of MBA programs. A quantitative review was performed. Results show that most researchers studied relations between GMAT (Graduate Management Admission Test and UGPA (Undergraduate Grade Point Average as predictors of GGPA (Graduate Grade Point Average. On the other hand, work experience and personal traits (such as personality, motivation, learning strategies, self-efficacy beliefs and achievement expectations and their relation with GGPA had been less studied, and results are not consistent enough to consider them valid predictors of student performance at this time.

  3. L-carnitine supplementation and EPO requirement in children on chronic hemodialysis.

    Science.gov (United States)

    Aoun, Bilal; Bérard, Etienne; Vitkevic, Renata; Dehée, Axelle; Bensman, Albert; Ulinski, Tim

    2010-03-01

    L-carnitine supplementation has been the subject of heated discussion in the context of the treatment of pediatric hemodialysis patients. The aim of this study was to analyze the effect of intravenous L-carnitine supplementation on the erythropoetin (EPO) requirement in six pediatric hemodialysis patients. All patients were on intravenous L-carnitine (2.5 g per session for patients >30 kg and 1 g for those carnitine supplementation, the EPO requirement was 1.15 +/- 0.22 (range 0.37-1.75) microg/kg darbepoetin alpha. Free carnitine (FC) levels were measured before (40.4 +/- 4.9 micromol/l), immediately after the 9-month L-carnitine supplementation period (378.5 +/- 77.3 micromol/l), and 4 months after withdrawal of L-carnitine (95.6 +/- 4.0 micromol/l). After 9 months, the EPO dose was 0.47 +/- 0.10 microg/kg (p carnitine supplementation, FC levels were higher and persisted longer than expected. This rise was associated with increased Hb levels and decreased EPO requirement. Since controls were missing for this study, prospective long-term multi-center studies on a large number of patients are required to provide solid answers to the controversial question of L-carnitine supplementation in hemodialyzed children.

  4. Burns ITU admissions: length of stay in specific levels of care for adult and paediatric patients.

    Science.gov (United States)

    Maan, Zeshaan N; Frew, Quentin; Din, Asmat H; Unluer, Zeynep; Smailes, Sarah; Philp, Bruce; El-Muttardi, Naguib; Dziewulski, Peter

    2014-12-01

    Prediction of total length of stay (LOS) for burns patients based on the total burn surface area (TBSA) is well accepted. Total LOS is a poor measure of resource consumption. Our aim was to determine the LOS in specific levels of care to better inform resource allocation. We performed a retrospective review of LOS in intensive treatment unit (ITU), burns high dependency unit (HDU) and burns low dependency unit (LDU) for all patients requiring ITU admission in a regional burns service from 2003 to 2011. During this period, our unit has admitted 1312 paediatric and 1445 adult patients to our Burns ITU. In both groups, ITU comprised 20% of the total LOS (mean 0.23±0.02 [adult] and 0.22±0.02 [paediatric] days per %burn). In adults, 33% of LOS was in HDU (0.52±0.06 days per %burn) and 48% (0.68±0.06 days per %burn) in LDU, while in children, 15% of LOS was in HDU (0.19±0.03 days per %burn) and 65% in LDU (0.70±0.06 days per %burn). When considering Burns ITU admissions, resource allocation ought to be planned according to expected LOS in specific levels of care rather than total LOS. The largest proportion of stay is in low dependency, likely due to social issues.

  5. 40 CFR 26.406 - Requirements for permission by parents or guardians and for assent by children.

    Science.gov (United States)

    2010-07-01

    ... Requirements for permission by parents or guardians and for assent by children. (a) In addition to the... are made for soliciting the permission of each child's parents or guardian. Where parental permission... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Requirements for permission by...

  6. 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

  7. Characteristics and outcomes of children with primary oxalosis requiring renal replacement therapy

    DEFF Research Database (Denmark)

    Harambat, Jérôme; van Stralen, Karlijn J; Espinosa, Laura;

    2012-01-01

    Primary hyperoxaluria (PH) as a cause of ESRD in children is believed to have poor outcomes. Data on management and outcomes of these children remain scarce.......Primary hyperoxaluria (PH) as a cause of ESRD in children is believed to have poor outcomes. Data on management and outcomes of these children remain scarce....

  8. 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

    to 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....

  9. 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.

  10. TRANSFUSION REQUIREMENT AND COMPLICATION IN CHILDREN ADMITTED IN A TERTIARY HOSPITAL

    Directory of Open Access Journals (Sweden)

    Booma

    2016-05-01

    Full Text Available BACKGROUND Indications for transfusion include symptomatic anaemia, haemolytic anaemia, haematological malignancy, acute sickle cell crisis, and acute blood loss of more than 30 percent of blood volume, sepsis, etc. Fresh frozen plasma infusion can be used for reversal of anticoagulant effects. Platelet transfusion is indicated to prevent haemorrhage in patients with thrombocytopenia or platelet function defects. Cryoprecipitate is used in cases of hyperfibrinogenaemia, which most often occurs in the setting of massive haemorrhage or consumptive coagulopathy, factor VIII deficiency and Von Willebrand disease as an alternate to specific component therapy. Transfusion-related infections are less common than non-infectious complications. All non-infectious complications of transfusion are classified as non-infectious serious hazards of transfusion. Acute complications occur within minutes to 24 hours of the transfusion, whereas delayed complications may develop days, months or even years later. Blood transfusion can be a lifesaving procedure, but it has risks, including infectious and non-infectious complications. There is debate in the medical literature concerning the appropriate use of blood and blood products. Clinical trials investigating their use suggest that waiting to transfuse at lower haemoglobin levels is beneficial. This study will consider the indications for transfusion of blood and blood products, and will discuss common non-infectious complications associated with transfusion. Requirement of blood and blood component transfusions in children admitted in a tertiary care hospital and its related complications. OBJECTIVE To evaluate the pattern of transfusion requirement in children admitted in a tertiary care hospital and the frequency of transfusion related complications. METHODS Children of various age groups presenting with clinical profile like symptomatic anaemia, haemolytic anaemia, haematological malignancy, acute sickle cell

  11. Impact of Hospital Admission Care At a Pediatric Unit: A Qualitative Study.

    Science.gov (United States)

    Macías, Marta; Zornoza, Carmen; Rodriguez, Elena; García, José A; Fernández, José A; Luque, Rafaela; Collado, Rosa

    2015-01-01

    The time of admission to a hospital, especially when unplanned, has been reported as the most stressful moment of hospitalization for both parents and children (Odievre, 2001). This qualitative study explored parents and hospital staff's perceptions and experiences related to the process of admission to a pediatric unit. Focus groups, two with parents (total n = 12) and one with health care professionals (n = 6), were conducted, and content analysis inspired by Graneheim and Lundman (2004) was performed. Parents identified four categories of perceptions: 1) management of an uncertain situation at the time of admission, 2) feelings related to the child's illness, 3) parent perception of professional's performance, and 4) parent experience of their role. Health care professionals identified two categories: 1) hospital admission as a continuous care process, and 2) undertaking improvements in the admission process. A common theme emerged about the importance of parents' trust in professionals in order to build a therapeutic relationship. Findings underscore the need for strategies to improve the hospital pediatric admission process based on a parent-professional relationship of trust and confidence through continuous quality communication and support. These strategies would include providing a nurse in charge of the admission process to assure continuity of care throughout the child's hospitalization.

  12. Job Admission and Resource Allocation in Distributed Streaming Systems

    Science.gov (United States)

    Wolf, Joel; Bansal, Nikhil; Hildrum, Kirsten; Parekh, Sujay; Rajan, Deepak; Wagle, Rohit; Wu, Kun-Lung

    This paper describes a new and novel scheme for job admission and resource allocation employed by the SODA scheduler in System S. Capable of processing enormous quantities of streaming data, System S is a large-scale, distributed stream processing system designed to handle complex applications. The problem of scheduling in distributed, stream-based systems is quite unlike that in more traditional systems. And the requirements for System S, in particular, are more stringent than one might expect even in a “standard” stream-based design. For example, in System S, the offered load is expected to vastly exceed system capacity. So a careful job admission scheme is essential. The jobs in System S are essentially directed graphs, with software “processing elements” (PEs) as vertices and data streams as edges connecting the PEs. The jobs themselves are often heavily interconnected. Thus resource allocation of individual PEs must be done carefully in order to balance the flow. We describe the design of the SODA scheduler, with particular emphasis on the component, known as macroQ, which performs the job admission and resource allocation tasks. We demonstrate by experiments the natural trade-offs between job admission and resource allocation.

  13. Unethical Admissions: Academic Integrity in Question.

    Science.gov (United States)

    Ansah, Richard Hannis; Aikhuele, Daniel O; Yao, Liu

    2016-11-28

    The increasing unethical practices of graduates' admissions have heightened concerns about the integrity of the academy. This article informs this important subject that affects the students, admission systems, and the entire scientific community, thus, representing an approach against scholarly black market activities including falsified documents and unethical practices by consultants and students' recruitment agencies.

  14. 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…

  15. Admission to acute care hospitals for adolescent substance abuse: a national descriptive analysis

    Directory of Open Access Journals (Sweden)

    Chisolm Deena J

    2006-07-01

    Full Text Available Abstract Background Use of alcohol and illicit drugs by adolescents remains a problem in the U.S. Case identification and early treatment can occur within a broad variety of healthcare and non-healthcare settings, including acute care hospitals. The objective of this study is to describe the extent and nature of adolescent admissions to the acute inpatient setting for substance abuse (SA. We use the Agency for Healthcare Research and Quality (AHRQ 2000 Healthcare Cost and Utilization Project Kids Inpatient Database (HCUP-KID which includes over 2.5 million admissions for youth age 20 and under to 2,784 hospitals in 27 states in the year 2000. Specifically, this analysis estimates national number of admissions, mean total charges, and mean lengths of stay for adolescents between the ages of 12 and 17 admitted to an acute care hospital for the following diagnostic categories from the AHRQ's Clinical Classifications Software categories: "alcohol-related mental disorders" and "substance-related mental disorders". Frequency and percentage of total admissions were calculated for demographic variables of age, gender and income and for hospital characteristic variables of urban/rural designation and children's hospital designation. Results SA admissions represented 1.25 percent of adolescent admissions to acute care hospitals. Nearly 90 percent of the admission occurred in non-Children's hospitals. Most were for drug dependence (38% or non-dependent use of alcohol or drugs (35%. Costs were highest for drug dependence admissions. Nearly half of admissions had comorbid mental health diagnoses. Higher rates of admission were seen in boys, in older adolescents, and in "self-pay" patients. Alcohol and drug rehabilitation/detoxification, alone or in combination with psychological and psychiatric evaluation and therapy, was documented for 38 percent of admissions. Over 50 percent of cases had no documentation of treatment specific to substance use behavior

  16. 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.

  17. A Logical Characterization of Iterated Admissibility

    CERN Document Server

    Halpern, Joseph Y

    2009-01-01

    Brandenburger, Friedenberg, and Keisler provide an epistemic characterization of iterated admissibility (i.e., iterated deletion of weakly dominated strategies) where uncertainty is represented using LPSs (lexicographic probability sequences). Their characterization holds in a rich structure called a complete structure, where all types are possible. Here, a logical charaacterization of iterated admisibility is given that involves only standard probability and holds in all structures, not just complete structures. A stronger notion of strong admissibility is then defined. Roughly speaking, strong admissibility is meant to capture the intuition that "all the agent knows" is that the other agents satisfy the appropriate rationality assumptions. Strong admissibility makes it possible to relate admissibility, canonical structures (as typically considered in completeness proofs in modal logic), complete structures, and the notion of ``all I know''.

  18. A Novel Admission Control Algorithm Based on Negotiation and Price

    Institute of Scientific and Technical Information of China (English)

    ZHANG Deng-yin; ZHANG Li; TANG Zhi-yun

    2005-01-01

    Admission control algorithm is a key component of a media server which supports Quality of Service(QoS).In this paper we present an admission control algorithm that exploits the elastic properties of the user requirements and the changing properties of system conditions.The characteristic of the algorithm can be expounded from these aspects:First,it provides multiple services to satisfy the different users' requirements regarding QoS and price.Second,it uses a worth function to select from media services with different QoS characteristics in the negotiation process.Finally,it employs a novel price policy to compute the charge for the service,which has a great effect on restricting the greediness of the users and therefore increase the overall user benefit.In the end of the paper,we compare the user benefit attained by our algorithm with that of other method.

  19. Trends in admissions, morbidity and outcomes at Red Cross War Memorial Children’s Hospital, Cape Town, 2004 - 2013

    Directory of Open Access Journals (Sweden)

    Y Isaacs-Long

    2017-03-01

    Full Text Available Background. Routinely collected patient information has the potential to yield valuable information about health systems and population health, but there have been few comprehensive analyses of paediatric admissions at South African (SA hospitals. Objectives. To investigate trends in hospitalisation and outcomes at Red Cross War Memorial Children’s Hospital (RCWMCH, a major referral hospital for children in the Western Cape and SA. Methods. Using routinely collected observational health data from the hospital informatics system, we investigated admissions between 2004 and 2013. Clinical classification software was used to group International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10 codes to rank causes during 2008 - 2013, when ICD-10 codes were widely available. Analyses examined trends in medical and surgical admissions over time. Results. There were 215 536 admissions over 10 years of 129 733 patients. Admissions increased by 9.3%, with increases in the general medical wards (5%, medical specialty wards (74%, the burns unit (73%, and the intensive care unit (16%. In contrast, admissions decreased in the trauma unit (21% and short-stay medical wards (1%. In-hospital mortality decreased by 54% (p-trend <0.001 over 10 years. Diarrhoea and lower-respiratory tract illness were the most common causes for medical admissions, although admissions and deaths due to these conditions decreased between 2008 and 2013, which coincided with the national introduction of related vaccines. Similarly, tuberculosis admissions and deaths decreased over this period. These trends could be owing to a concurrent decrease in HIV comorbidity (p-trend <0.001. Trauma was the most common reason for surgical admission. Conclusion. Paediatric in-hospital mortality decreased consistently over a decade, despite an overall increase in admissions. Pneumonia and diarrhoea admissions decreased markedly over a 6-year period, but

  20. 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;

    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...

  1. 21 CFR 50.55 - Requirements for permission by parents or guardians and for assent by children.

    Science.gov (United States)

    2010-04-01

    ... Children in Clinical Investigations § 50.55 Requirements for permission by parents or guardians and for... determine that the permission of each child's parents or guardian is granted. (1) Where parental permission... reasonably available, or when only one parent has legal responsibility for the care and custody of the...

  2. 34 CFR 97.408 - Requirements for permission by parents or guardians and for assent by children.

    Science.gov (United States)

    2010-07-01

    ... § 97.408 Requirements for permission by parents or guardians and for assent by children. (a) In... permission of each child's parent(s) or guardian(s). If parental permission is to be obtained, the IRB may... reasonably available, or if only one parent has legal responsibility for the care and custody of the...

  3. 22 CFR 99.2 - Reporting requirements for adoption cases involving children emigrating from the United States.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Reporting requirements for adoption cases involving children emigrating from the United States. 99.2 Section 99.2 Foreign Relations DEPARTMENT OF... Convention case, or in a non-Convention case, the reporting provider is the agency, person, public...

  4. 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.

  5. Decreasing avoidable hospital admissions with the implementation of an emergency department case management program.

    Science.gov (United States)

    Sharieff, Ghazala Q; Cantonis, Matt; Tressler, Michelle; Whitehead, Mary; Russe, Jamie; Lovell, Eric

    2014-01-01

    With the passage of the Affordable Care Act, increased emphasis has been placed on optimizing quality and reducing expenditures. The use of an emergency department case manager (EDCM) is reemerging as an important initiative in the quest to provide high-quality care and decrease unnecessary hospital admissions. A pilot study of the use of EDCMs was conducted in one of the authors' EDs during a 6-month trial period. By using evidence-based criteria, the EDCM helped in real time to verify admission criteria, assisted with inpatient versus outpatient designation, found community alternatives to hospital admission, and initiated discharge planning for patients who required admission and were at high risk for readmission. EDCMs also worked with pharmacists to assist with medication management for patients who required assistance with obtaining prescriptions. Because of the pilot study's success, the authors' health care system will be implementing EDCMs throughout the organization.

  6. 76 FR 46598 - Third Party Testing for Certain Children's Products; Toys: Requirements for Accreditation of...

    Science.gov (United States)

    2011-08-03

    ... a dedicated toy safety standard webpage: http://www.cpsc.gov/toysafety . SUPPLEMENTARY INFORMATION... defines ``children's product,'' to mean, inter alia, ``a consumer product designed or intended...

  7. Children with Developmental Coordination Disorder are deficient in a visuo-manual tracking task requiring predictive control.

    Science.gov (United States)

    Ferguson, G D; Duysens, J; Smits-Engelsman, B C M

    2015-02-12

    The aim of this study was to examine how feedback, or its absence, affects children with Developmental Coordination Disorder (DCD) during a visuo-manual tracking task. This cross-sectional study included 40 children with DCD and 40 typically developing (TD) children between 6 and 10 years old. Participants were required to track a target moving along a circular path presented on a monitor by moving an electronic pen on a digitizing tablet. The task was performed under two visibility conditions (target visible throughout the trajectory and target intermittently occluded) and at two different target velocities (30° and 60° per second). Variables reflecting tracking success and tracking behavior within the target were compared between groups. Results showed that children with DCD were less proficient in tracking a moving target than TD children. Their performance deteriorated even more when the target was occluded and when the target speed increased. The mean tracking speed of the DCD group exceeded the speed at which the target rotated which was attributed to accelerations and decelerations made during tracking. This suggests that children with DCD have significant difficulties in visuo-manual tracking especially when visual feedback is reduced. It appears that their impaired ability to predict together with impairments in fine-tuning arm movements may be responsible for poor performance in the intermittently occluded visuo-manual tracking task.

  8. Every seventh acute medical admission is preventable

    DEFF Research Database (Denmark)

    Jepsen, Henrik Koldborg; Hendriksen, Carsten; Nielsen, Henrik;

    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....

  9. The Parent Role in College Admission.

    Science.gov (United States)

    Krugman, Mary K.

    1990-01-01

    Discusses techniques secondary school counselors can use to help parents understand and negotiate the college admissions process, including encouraging parental self-assessment; assisting parents to assess student; giving parents special tips; and maintaining open and ethical communication. (ABL)

  10. 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 ...

  11. A structural comparison of measurement-based admission control algorithms

    Institute of Scientific and Technical Information of China (English)

    GU Yi-ran; WANG Suo-ping; WU Hai-ya

    2006-01-01

    Measurement-based admission control (MBAC)algorithm is designed for the relaxed real-time service. In contrast to traditional connection admission control mechanisms,the most attractive feature of MBAC algorithm is that it does not require a prior traffic model and that is very difficult for the user to come up with a tight traffic model before establishing a flow.Other advantages of MBAC include that it can achieve higher network utilization and offer quality service to users. In this article, the study of the equations in the MBAC shows that they can all be expressed in the same form. Based on the same form,some MBAC algorithms can achieve same performance only if they satisfy some conditions.

  12. 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.

  13. A Proposal to Eliminate the SAT in Berkeley Admissions. Research & Occasional Paper Series: CSHE.4.16

    Science.gov (United States)

    Geiser, Saul

    2016-01-01

    The SAT is used for two purposes at the University of California. First is "eligibility": Determining whether applicants meet the minimum requirements for admission to the UC system. Second is "admissions selection": At high-demand campuses such as Berkeley, with many more eligible applicants than places available, test scores…

  14. 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...

  15. Every seventh acute medical admission is preventable

    DEFF Research Database (Denmark)

    Jepsen, Henrik Koldborg; Hendriksen, Carsten; Nielsen, Henrik;

    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.......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....

  16. 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…

  17. Characteristics and outcomes of children with primary oxalosis requiring renal replacement therapy.

    NARCIS (Netherlands)

    Harambat, J.; Stralen, K.J. van; Espinosa, L.; Groothoff, J.W.; Hulton, S.A.; Cerkauskiene, R.; Schaefer, F.; Verrina, E.; Jager, K.J.; Cochat, P.; Hoitsma, A.J.; Hemke, A.C.

    2012-01-01

    BACKGROUND AND OBJECTIVES: Primary hyperoxaluria (PH) as a cause of ESRD in children is believed to have poor outcomes. Data on management and outcomes of these children remain scarce. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: This study included patients aged <19 years who started renal rep

  18. Predictors of preoperative anxiety in children.

    Science.gov (United States)

    Wollin, S R; Plummer, J L; Owen, H; Hawkins, R M F; Materazzo, F

    2003-02-01

    This study aimed to identify factors contributing to anxiety at induction of anaesthesia in children. One hundred and twenty children aged five to twelve years and scheduled for surgery requiring general anaesthesia were included. Children were interviewed and assessed prior to surgery. Parents completed anxiety measures prior to surgery and were interviewed after the induction of anaesthesia. The level of children's anxiety was determined at the time of induction of anaesthesia by the modified Yale Preoperative Anxiety Scale. Factors associated with increased levels of anxiety in the children included increased number of people in the room at induction of anaesthesia; longer waiting time between admission at the hospital and induction of anaesthesia; negative memories of previous hospital experiences; and having a mother who does not practise a religion. Suggestions for implementation of the findings and for future research are provided.

  19. Analysis of the medication reconciliation process conducted at hospital admission

    Directory of Open Access Journals (Sweden)

    María Beatriz Contreras Rey

    2016-07-01

    Full Text Available Objective: To analyze the outcomes of a medication reconciliation process at admission in the hospital setting. To assess the role of the Pharmacist in detecting reconciliation errors and preventing any adverse events entailed. Method: A retrospective study was conducted to analyze the medication reconciliation activity during the previous six months. The study included those patients for whom an apparently not justified discrepancy was detected at admission, after comparing the hospital medication prescribed with the home treatment stated in their clinical hospital records. Those patients for whom the physician ordered the introduction of home medication without any specification were also considered. In order to conduct the reconciliation process, the Pharmacist prepared the best pharmacotherapeutical history possible, reviewing all available information about the medication the patient could be taking before admission, and completing the process with a clinical interview. The discrepancies requiring clarification were reported to the physician. It was considered that the reconciliation proposal had been accepted if the relevant modification was made in the next visit of the physician, or within 24-48 hours maximum; this case was then labeled as a reconciliation error. For the descriptive analysis, the Statistics® SPSS program, version 17.0, was used. Outcomes: 494 medications were reconciled in 220 patients, with a mean of 2.25 medications per patient. More than half of patients (59.5% had some discrepancy that required clarification; the most frequent was the omission of a medication that the patient was taking before admission (86.2%, followed by an unjustified modification in dosing or way of administration (5.9%. In total, 312 discrepancies required clarification; out of these, 93 (29.8% were accepted and considered as reconciliation errors, 126 (40% were not accepted, and in 93 cases (29,8% acceptance was not relevant due to a change in

  20. The "Admissions" Side of BCCAT: An Update. Special Report

    Science.gov (United States)

    British Columbia Council on Admissions and Transfer, 2008

    2008-01-01

    To spearhead increased emphasis on admissions, the British Columbia Council on Admissions and Transfer (BCCAT) formed an Admissions Committee in Fall 2003. The committee recognized the importance of institutional autonomy in determining admissions policies and processes at each institution. Following initiation of the Student Transitions Project…

  1. Admission control with long-range dependence traffic input

    Institute of Scientific and Technical Information of China (English)

    RAO Yun-hua; ZOU Xue-cheng

    2005-01-01

    The admission control scheme is investigated for a FIFO self-similar queuing system with Quality of Service (QoS) performance guarantees. Since the self-similar queuing system performance analysis is often carried out under the condition of infinite buffer, it is difficult to deduce the upper boundary of buffer overflow probability. To overcome this shortcoming, a simple overflow condition is proposed, which defines a buffer overflow occurrence whenever the arrival rate exceeds the service rate. The analytic formula for the buffer overflow probability upper boundary is easily obtained under this condition. The required bandwidth upper boundary with long-range dependence input and determined overflow probability is then derived from this formula. Based on the above analytic formulas, the upper boundaries of the admission control regions for homogeneous and heterogeneous long-range dependence traffic sources are separately obtained. Finally, an effective admission control scheme for long-range dependence input is proposed. Simulation studies with real traffic have confirmed the validity of these results.

  2. 76 FR 54218 - Third Party Testing for Certain Children's Products; Toys: Requirements for Accreditation of...

    Science.gov (United States)

    2011-08-31

    ... materials for stakeholders will be available at a dedicated toy safety standard webpage: http://www.cpsc.gov... consumer product designed or intended primarily for children 12 years of age or younger.'' To the...

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

    DEFF Research Database (Denmark)

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

    2008-01-01

    This paper describes a load-dependent multi-stage admission control suitable for next generation systems. The concept uses decision polling in entities located at different levels of the architecture hierarchy and based on the load to activate a sequence of actions related to the admission...... of a user to the network, i.e., the ranking of the intermediate decisions is dynamic. The decision is controlled by passing a token between the base station (BS) and the gateway (GW), thereby considering the load status of the BS and the backhaul network. A token is assigned to the entity with the highest...... load. Each admission request will issue a flag whose colour will reflect the load level in this entity and will determine the correct sequence of the required admission control actions....

  4. [Consequences of obesity in children and teenagers: a problem that requires attention].

    Science.gov (United States)

    Liria, Reyna

    2012-01-01

    Obesity is a worldwide pandemic and children are a vulnerable group. In America, it was estimated that in 2010, 15.2% of 18 year-old children could suffer from this. Obesity in children and teenagers has a negative impact on health and on the load of diseases at this stage of life, and later on in adulthood, having a negative impact on the economy of a country due to the rise of risks of chronic diseases, health expenses and indirect costs as a result of the disease. Peru is going through an epidemiological transition, with unsolved malnutrition problems and high child obesity rates (10% of children under five), thus being one of the countries with a higher increase of child obesity in recent years in Latin America. Childhood and adolescence are considered critical periods because eating habits and physical activity start at this point; and because most obese children and teenagers will maintain those habits until they reach adulthood. For this reason, it is essential to seek strategies and interventions that prevent overweight and obesity among children and teenagers in order to improve the health conditions of a country.

  5. 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 aim of this study was to evaluate the predictive validity of a two-step admissions procedure that included a cognitive ability test followed by multiple mini-interviews (MMI) used to assess non-cognitive skills compared to a grade-based admissions relative to subsequent drop-out rates and aca...

  6. 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…

  7. Oral Polio Vaccination and Hospital Admissions With Non-Polio Infections in Denmark

    DEFF Research Database (Denmark)

    Sørup, Signe; Stensballe, Lone G; Krause, Tyra Grove;

    2015-01-01

    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 inactiv......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...

  8. The methodical approach to determining the heterogeneity of cognitive function in preschool children requiring correction of speech impediments

    Directory of Open Access Journals (Sweden)

    Petrenko N.B.

    2016-02-01

    Full Text Available Introduction. It has been confirmed that children who suffer from speech impediments may experience difficulties in their cognitive activity, limitations in communication, asociality and sense detachment. It is also clear that these children require not only logopedic treatment, but also assistance in developing functions of their cognitive and mental activities. Aims. To identify the case of uniformity lack of cognitive and somatomental functions of 5-6 year old children with speech impediments in a group; to evaluate the method used for this research. Methods. Use estimates of major mental and cognitive activities by means of tests increases the difficulty. Scores from 1 to 10 were given. Such factors as movement coordination, musicality and body plasticity were taken into consideration too. StatSoft STATISTICA10.0. programme was used to run the statistical analysis. Results. The changes of the group with uniformity of physical, cognitive, somatomental and dance abilities were analysed and estimated at the beginning and at the end of the academic year. The results of the claster analysis have shown that the children managed to develop their cognitive and somatomental abilities. Also it was estimated that the level of uniformity has increased in the group. Conclusions. Having done the research we can state that with the help of cluster analysis children with speech impediments can be grouped according to their physical, cognitive, somatomental and dance abilities. With the help of the results of the claster analysis that notifies that the children managed to develop their cognitive and somatomental abilities, we can observe the positivie effects of the suggested dance-cognitive teaching elements in an educational programme.

  9. 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.

  10. Affirmative action policy in medical school admissions.

    Science.gov (United States)

    Frazer, Ricardo A

    2005-02-01

    Legal challenges to affirmative action are growing, a trend suggesting that a proactive stance is needed to maintain a policy that still has viability, legitimacy, and utility. Medical schools admissions offices in the United States emphasize the Medical College Admissions Test (MCAT), even though many studies have found that grade point averages are better single predictors of future academic achievement, regardless of the student's socioeconomic or racial category. The current essay suggests there is an overreliance on the MCAT in medical school admissions. Medical colleges should encourage the development of additional applicant selection criteria, while continuing to use affirmative action programs, in part to address the need for increased community-oriented health care.

  11. Modeling admissible behavior using event signals.

    Science.gov (United States)

    Pinzon, Luz; Jafari, Mohsen A; Hanisch, Hans-Michael; Zhao, Peng

    2004-06-01

    We describe here how to obtain a model for the admissible behavior of a discrete event system that is represented by a safe Petri net (PN) model. The transitions of this PN model may be controllable or uncontrollable. Also given is a sequential specification which is modeled with a special state machine. Then, using the condition and event arcs of net condition/event systems, a combined model of plant and specification is obtained. We use only the structure of this combined model to develop a method which gives the admissible behavior of the system. Thus, we avoid the complexity of a complete state enumeration.

  12. Entropy Production and Admissibility of Shocks

    Institute of Scientific and Technical Information of China (English)

    Tai-Ping Liu; Tommaso Ruggeri

    2003-01-01

    In shock wave theory there are two considerations in selecting the physically relevant shock waves.There is the admissibility criterion for the well-posedness of hyperbolic conservation laws. Another consideration concerns the entropy production across the shocks. The latter is natural from the physical point of view, but is not sufficient in its straightforward formulation, if the system is not genuinely nonlinear. In this paper we propose the principles of increasing entropy production and that of the superposition of shocks. These principles are shown to be equivalent to the admissibility criterion.

  13. Bernoulli measure of complex admissible kneading sequences

    CERN Document Server

    Bruin, Henk

    2012-01-01

    Iterated quadratic polynomials give rise to a rich collection of different dynamical systems that are parametrized by a simple complex parameter $c$. The different dynamical features are encoded by the \\emph{kneading sequence} which is an infinite sequence over $\\{0,\\1\\}$. Not every such sequence actually occurs in complex dynamics. The set of admissible kneading sequences was described by Milnor and Thurston for real quadratic polynomials, and by the authors in the complex case. We prove that the set of admissible kneading sequences has positive Bernoulli measure within the set of sequences over $\\{0,\\1\\}$.

  14. 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…

  15. Prospective payments to hospitals: should emergency admissions have higher rates?

    Science.gov (United States)

    Melnick, G A; Serrato, C A; Mann, J M

    1989-01-01

    Systematic variation in patient resource use can be a significant problem for a system based on diagnosis-related groups (DRG's) if this variation is not evenly distributed across hospitals. If certain hospitals routinely treat patients who require more services than average under DRG's, the long-run financial viability of these hospitals will be threatened. In this study, the authors examine whether patients who are admitted on an emergency or urgent basis represent an identifiable group of patients whose costs are systematically higher than those of electively admitted patients, controlling for DRG. Alternative approaches for incorporating admission status into a DRG payment system are developed and tested.

  16. A national survey of admissions criteria and processes in selected allied health professions.

    Science.gov (United States)

    Scott, A H; Chase, L M; Lefkowitz, R; Morton-Rias, D; Chambers, C; Joe, J; Holmes, G; Bloomberg, S

    1995-01-01

    A national survey of admissions criteria and procedures was conducted for allied health programs in diagnostic medical imaging, health information management, nurse-midwifery, occupational therapy, physical therapy, and physician assistant education. From a sample of 462, 63.2% responded. The survey canvassed general program information, prerequisites, admissions procedures, and demographic trends. Respondents were primarily from public institutions with faculty actively involved in admissions. The most common prerequisites were anatomy/physiology, physics, biology, chemistry, and psychology; and the most frequently required admissions criteria were GPA, references, interviews, science GPA, and writing sample. Standardized tests were rarely utilized. The following were the major prerequisite characteristics and skills considered: academic skills, communication skills, problem-solving abilities, maturity/confidence, motivation, and work/study habits. Changing demographics were reported, including an increase in second-career, older, and ethnically diverse applicants. Also discussed were nontraditional and minority applicant admissions issues. Future research suggestions include use of noncognitive variables, and academic and clinical outcome studies. The utility of this information for validation/revision of admissions criteria are presented.

  17. 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.

  18. 32 CFR 242.5 - Admission procedures.

    Science.gov (United States)

    2010-07-01

    ..., Attn: Assistant Dean for Academic Support. The School of Medicine shall not process a military person's...) MISCELLANEOUS ADMISSION POLICIES AND PROCEDURES FOR THE SCHOOL OF MEDICINE, UNIFORMED SERVICES UNIVERSITY OF THE... to the School of Medicine shall make direct application following instructions published in...

  19. False confessions, expert testimony, and admissibility.

    Science.gov (United States)

    Watson, Clarence; Weiss, Kenneth J; Pouncey, Claire

    2010-01-01

    The confession of a criminal defendant serves as a prosecutor's most compelling piece of evidence during trial. Courts must preserve a defendant's constitutional right to a fair trial while upholding the judicial interests of presenting competent and reliable evidence to the jury. When a defendant seeks to challenge the validity of that confession through expert testimony, the prosecution often contests the admissibility of the expert's opinion. Depending on the content and methodology of the expert's opinion, testimony addressing the phenomenon of false confessions may or may not be admissible. This article outlines the scientific and epistemological bases of expert testimony on false confession, notes the obstacles facing its admissibility, and provides guidance to the expert in formulating opinions that will reach the judge or jury. We review the 2006 New Jersey Superior Court decision in State of New Jersey v. George King to illustrate what is involved in the admissibility of false-confession testimony and use the case as a starting point in developing a best-practice approach to working in this area.

  20. Differential Prediction Generalization in College Admissions Testing

    Science.gov (United States)

    Aguinis, Herman; Culpepper, Steven A.; Pierce, Charles A.

    2016-01-01

    We introduce the concept of "differential prediction generalization" in the context of college admissions testing. Specifically, we assess the extent to which predicted first-year college grade point average (GPA) based on high-school grade point average (HSGPA) and SAT scores depends on a student's ethnicity and gender and whether this…

  1. The National Center Test for University Admissions

    Science.gov (United States)

    Watanabe, Yoshinori

    2013-01-01

    This article describes the National Center Test for University Admissions, a unified national test in Japan, which is taken by 500,000 students every year. It states that implementation of the Center Test began in 1990, with the English component consisting only of the written section until 2005, when the listening section was first implemented…

  2. Hospital admissions before and after shipyard closure.

    Science.gov (United States)

    Bartley, M; Fagin, L

    1990-03-01

    "To determine the effect of job loss on health an investigation was made of admissions to hospitals in 887 men five years before and three years after the closure of a Danish shipyard. The control group comprised 441 men from another shipyard. The information on hospital admissions was obtained from the Danish national register of patients. The relative risk of admission in the control group dropped significantly in terms of the number of men admitted from the study group from 1.29 four to five years before closure to 0.74 in the three years after closure. This was especially true of admissions due to accidents (1.33 to 0.46) and diseases of the digestive system (4.53 to 1.03). For diseases of the circulatory system, particularly cardiovascular diseases, the relative risk increased from 0.8 to 1.60, and from 1.0 to 2.6 respectively. These changes in risk of illness after redundancy are probably a consequence of a change from the effects of a high risk work environment to the effects of psychosocial stresses such as job insecurity and unemployment."

  3. Reporting Subscores from College Admission Tests

    Science.gov (United States)

    Lyren, Per-Erik

    2009-01-01

    The added value of reporting subscores on a college admission test (SweSAT) was examined in this study. Using a CTT-derived objective method for determining the value of reporting subscores, it was concluded that there is added value in reporting section scores (Verbal/Quantitative) as well as subtest scores. These results differ from a study of…

  4. 7 CFR 15a.16 - Admission.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 1 2010-01-01 2010-01-01 false Admission. 15a.16 Section 15a.16 Agriculture Office of the Secretary of Agriculture EDUCATION PROGRAMS OR ACTIVITIES RECEIVING OR BENEFITTING FROM FEDERAL... institutions, subpart C applies only to institutions of vocational education, professional education,...

  5. Association between antipsychotic/antidepressant drug treatments and hospital admissions in schizophrenia assessed using a mental health case register

    Science.gov (United States)

    Cardinal, Rudolf N; Savulich, George; Mann, Louisa M; Fernández-Egea, Emilio

    2015-01-01

    Background: The impact of psychotropic drug choice upon admissions for schizophrenia is not well understood. Aims: To examine the association between antipsychotic/antidepressant use and time in hospital for patients with schizophrenia. Methods: We conducted an observational study, using 8 years’ admission records and electronically generated drug histories from an institution providing secondary mental health care in Cambridgeshire, UK, covering the period 2005–2012 inclusive. Patients with a coded ICD-10 diagnosis of schizophrenia were selected. The primary outcome measure was the time spent as an inpatient in a psychiatric unit. Antipsychotic and antidepressant drugs used by at least 5% of patients overall were examined for associations with admissions. Periods before and after drug commencement were compared for patients having pre-drug admissions, in mirror-image analyses correcting for overall admission rates. Drug use in one 6-month calendar period was used to predict admissions in the next period, across all patients, in a regression analysis accounting for the effects of all other drugs studied and for time. Results: In mirror-image analyses, sulpiride, aripiprazole, clozapine, and olanzapine were associated with fewer subsequent admission days. In regression analyses, sulpiride, mirtazapine, venlafaxine, and clozapine–aripiprazole and clozapine–amisulpride combinations were associated with fewer subsequent admission days. Conclusions: Use of these drugs was associated with fewer days in hospital. Causation is not implied and these findings require confirmation by randomized controlled trials. PMID:27336041

  6. Dietary Protein Intake in Young Children in Selected Low-Income Countries Is Generally Adequate in Relation to Estimated Requirements for Healthy Children, Except When Complementary Food Intake Is Low.

    Science.gov (United States)

    Arsenault, Joanne E; Brown, Kenneth H

    2017-02-15

    Background: Previous research indicates that young children in low-income countries (LICs) generally consume greater amounts of protein than published estimates of protein requirements, but this research did not account for protein quality based on the mix of amino acids and the digestibility of ingested protein.Objective: Our objective was to estimate the prevalence of inadequate protein and amino acid intake by young children in LICs, accounting for protein quality.Methods: Seven data sets with information on dietary intake for children (6-35 mo of age) from 6 LICs (Peru, Guatemala, Ecuador, Bangladesh, Uganda, and Zambia) were reanalyzed to estimate protein and amino acid intake and assess adequacy. The protein digestibility-corrected amino acid score of each child's diet was calculated and multiplied by the original (crude) protein intake to obtain an estimate of available protein intake. Distributions of usual intake were obtained to estimate the prevalence of inadequate protein and amino acid intake for each cohort according to Estimated Average Requirements.Results: The prevalence of inadequate protein intake was highest in breastfeeding children aged 6-8 mo: 24% of Bangladeshi and 16% of Peruvian children. With the exception of Bangladesh, the prevalence of inadequate available protein intake decreased by age 9-12 mo and was very low in all sites (0-2%) after 12 mo of age. Inadequate protein intake in children low energy intake from complementary foods, not inadequate protein density.Conclusions: Overall, most children consumed protein amounts greater than requirements, except for the younger breastfeeding children, who were consuming low amounts of complementary foods. These findings reinforce previous evidence that dietary protein is not generally limiting for children in LICs compared with estimated requirements for healthy children, even after accounting for protein quality. However, unmeasured effects of infection and intestinal dysfunction on the

  7. 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.

  8. Performance of the PEdiatric Logistic Organ Dysfunction-2 score in critically ill children requiring plasma transfusions

    OpenAIRE

    Karam, Oliver; Duhamel, Alain; Stanworth, Simon J; Leteurtre,Stéphane; ,; Butt, Warwick; Delzoppo, Carmel; Bain, Kym; Erickson, Simon; Smalley, Nathan; Dorofaeff, Tavey; Long, Debbie; Wiseman, Greg; Clénent de Cléty, Stéphan; Berghe, Caroline

    2016-01-01

    Background Organ dysfunction scores, based on physiological parameters, have been created to describe organ failure. In a general pediatric intensive care unit (PICU) population, the PEdiatric Logistic Organ Dysfunction-2 score (PELOD-2) score had both a good discrimination and calibration, allowing to describe the clinical outcome of critically ill children throughout their stay. This score is increasingly used in clinical trials in specific subpopulation. Our objective was to assess the per...

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

    DEFF Research Database (Denmark)

    Makransky, Guido; Havmose, Philip S.; Vang, Maria

    2016-01-01

    The aim of this study was to evaluate the predictive validity of a two-step admissions procedure that included a cognitive ability test followed by multiple mini-interviews (MMI) used to assess non-cognitive skills compared to a grade-based admissions relative to subsequent drop-out rates...... and 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......-significant lower drop-out rates after the second year of study for the admission procedure that included the assessment of non-cognitive skills though the MMI. Furthermore, this admission procedure resulted in a significant lower risk of failing the final exam after the first and second year of study, compared...

  10. A randomized trial of a standard dose of Edmonston-Zagreb measles vaccine given at 4.5 months of age: effect on total hospital admissions.

    Science.gov (United States)

    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

    2014-06-01

    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 at 9 months of age. Using hospital admission data from the national pediatric ward in Bissau, Guinea-Bissau, we compared admission rates between enrollment and the 9-month vaccination in Cox models, providing admission hazard rate ratios (HRRs) for measles vaccine versus no measles vaccine. All analyses were conducted stratified by sex and reception of neonatal vitamin A supplementation (NVAS). Before enrollment the 2 groups had similar admission rates. Following enrollment, the measles vaccine group had an admission HRR of 0.70 (95% confidence interval [CI], .52-.95), with a ratio of 0.53 (95% CI, .32-.86) for girls and 0.86 (95% CI, .58-1.26) for boys. For children who had not received NVAS, the admission HRR was 0.53 (95% CI, .34-.84), with an effect of 0.30 (95% CI, .13-.70) for girls and 0.73 (95% CI, .42-1.28) for boys (P = .08, interaction test). The reduction in admissions was separately significant for measles infection (admission HRR, 0 [95% CI, 0-.24]) and respiratory infections (admission HRR, 0.37 [95% CI, .16-.89]). Early measles vaccine may have major benefits for infant morbidity patterns and healthcare costs. Clinical trials registration NCT00168558.

  11. Treatment Episode Data Set: Admissions (TEDS-A-1995)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  12. Treatment Episode Data Set: Admissions (TEDS-A-2001)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  13. Treatment Episode Data Set: Admissions (TEDS-A-2002)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  14. Treatment Episode Data Set: Admissions (TEDS-A-2000)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  15. Treatment Episode Data Set: Admissions (TEDS-A-1992)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  16. Treatment Episode Data Set: Admissions (TEDS-A-1999)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  17. Treatment Episode Data Set: Admissions (TEDS-A-2005)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  18. Treatment Episode Data Set: Admissions (TEDS-A-1994)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  19. Treatment Episode Data Set: Admissions (TEDS-A-1998)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  20. Treatment Episode Data Set: Admissions (TEDS-A-2012)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  1. Treatment Episode Data Set: Admissions (TEDS-A-1997)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  2. Treatment Episode Data Set: Admissions (TEDS-A-1996)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  3. Treatment Episode Data Set: Admissions (TEDS-A-1993)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  4. Treatment Episode Data Set: Admissions (TEDS-A-2004)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  5. Treatment Episode Data Set: Admissions (TEDS-A-2006)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  6. Treatment Episode Data Set: Admissions (TEDS-A-2013)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  7. Treatment Episode Data Set: Admissions (TEDS-A-2010)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  8. Treatment Episode Data Set: Admissions (TEDS-A-2008)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  9. Treatment Episode Data Set: Admissions (TEDS-A-2011)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  10. Treatment Episode Data Set: Admissions (TEDS-A-2003)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  11. Treatment Episode Data Set: Admissions (TEDS-A-2007)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  12. Treatment Episode Data Set: Admissions (TEDS-A-2009)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  13. 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\\'.

  14. Identification of risk factors for hospital admission using multiple-failure survival models: a toolkit for researchers

    Directory of Open Access Journals (Sweden)

    Leo D. Westbury

    2016-04-01

    Full Text Available Abstract Background The UK population is ageing; improved understanding of risk factors for hospital admission is required. Linkage of the Hertfordshire Cohort Study (HCS with Hospital Episode Statistics (HES data has created a multiple-failure survival dataset detailing the characteristics of 2,997 individuals at baseline (1998–2004, average age 66 years and their hospital admissions (regarded as ‘failure events’ over a 10 year follow-up. Analysis of risk factors using logistic regression or time to first event Cox modelling wastes information as an individual’s admissions after their first are disregarded. Sophisticated analysis techniques are established to examine risk factors for admission in such datasets but are not commonly implemented. Methods We review analysis techniques for multiple-failure survival datasets (logistic regression; time to first event Cox modelling; and the Andersen and Gill [AG] and Prentice, Williams and Peterson Total Time [PWP-TT] multiple-failure models, outline their implementation in Stata, and compare their results in an analysis of housing tenure (a marker of socioeconomic position as a risk factor for different types of hospital admission (any; emergency; elective; >7 days. The AG and PWP-TT models include full admissions histories in the analysis of risk factors for admission and account for within-subject correlation of failure times. The PWP-TT model is also stratified on the number of previous failure events, allowing an individual’s baseline risk of admission to increase with their number of previous admissions. Results All models yielded broadly similar results: not owner-occupying one’s home was associated with increased risk of hospital admission. Estimated effect sizes were smaller from the PWP-TT model in comparison with other models owing to it having accounted for an increase in risk of admission with number of previous admissions. For example, hazard ratios [HR] from time to first

  15. Equity of Access. New Approaches to Minority Admissions

    Science.gov (United States)

    Bingham, Rebecca Saady

    1978-01-01

    One new approach to the admission of minorities to medical schools is that of the Simulated Minority Admission Exercises (SMAE). It sensitizes admission committee members to the different backgrounds of minority applicants and teaches them to evaluate them more effectively. (Author/AM)

  16. 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)

  17. 22 CFR 142.42 - Admissions and recruitment.

    Science.gov (United States)

    2010-04-01

    ... who has a handicap that impairs sensory, manual, or speaking skills, the test results accurately... denied admission or be subjected to discrimination in admission or recruitment by a recipient to which... persons who may be admitted; (2) May not make use of any test or criterion for admission that has...

  18. 22 CFR 217.42 - Admissions and recruitment.

    Science.gov (United States)

    2010-04-01

    ... applicant who has a handicap that impairs sensory, manual, or speaking skills, the test results accurately... denied admission or be subjected to discrimination in admission or recruitment by a recipient to which... who may be admitted; (2) May not make use of any test or criterion for admission that has...

  19. Early Admissions at Selective Colleges. NBER Working Paper No. 14844

    Science.gov (United States)

    Avery, Christopher; Levin, Jonathan D.

    2009-01-01

    Early admissions is widely used by selective colleges and universities. We identify some basic facts about early admissions policies, including the admissions advantage enjoyed by early applicants and patterns in application behavior, and propose a game-theoretic model that matches these facts. The key feature of the model is that colleges want to…

  20. Admission criteria and diversity in medical school

    DEFF Research Database (Denmark)

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

    2013-01-01

    of 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......Introduction: The underrepresentation of students from lower socioeconomic backgrounds in medical education is an important social issue. There is currently little evidence about whether changes in admission strategy could increase the diversity of medical students. Denmark introduced an “attribute......-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-based with attribute...

  1. 75 FR 35282 - Third Party Testing for Certain Children's Products; Infant Walkers: Requirements for...

    Science.gov (United States)

    2010-06-21

    .../Courier (for paper, disk, or CD-ROM submissions) preferably in five copies, to: Office of the Secretary...)/International Electrotechnical Commission (IEC) Standard 17025:2005, ``General Requirements for the...

  2. 75 FR 51016 - Third Party Testing for Certain Children's Products; Clothing Textiles: Requirements for...

    Science.gov (United States)

    2010-08-18

    ...: Mail/Hand delivery/Courier (for paper, disk, or CD-ROM submissions) preferably in five copies, to...)/International Electrotechnical Commission (IEC) Standard 17025:2005, ``General Requirements for the...

  3. 75 FR 31688 - Third Party Testing for Certain Children's Products; Infant Bath Seats: Requirements for...

    Science.gov (United States)

    2010-06-04

    ...: Mail/Hand delivery/Courier (for paper, disk, or CD-ROM submissions) preferably in five copies, to...)/International Electrotechnical Commission (IEC) Standard 17025:2005, ``General Requirements for the...

  4. 75 FR 42311 - Third Party Testing for Certain Children's Products; Vinyl Plastic Film: Requirements for...

    Science.gov (United States)

    2010-07-21

    ... following way: Mail/Hand delivery/Courier (for paper, disk, or CD-ROM submissions) preferably in five copies...)/International Electrotechnical Commission (IEC) Standard 17025:2005, ``General Requirements for the...

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

    DEFF Research Database (Denmark)

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

    2015-01-01

    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...... exacerbations (ie, treated with antibiotics/corticosteroid, but not requiring hospital admission; Pcare did...

  6. Lie Admissible Non-Associative Algebras

    Institute of Scientific and Technical Information of China (English)

    H.Mohammad Ahmadi; Ki-Bong Nam; Jonathan Pakinathan

    2005-01-01

    A non-associative ring which contains a well-known associative ring or Lie ring is interesting. In this paper, a method to construct a Lie admissible non-associative ring is given; a class of simple non-associative algebras is obtained; all the derivations of the non-associative simple N0,0,1 algebra defined in this paper are determined; and finally, a solid algebra is defined.

  7. THE OBJECT OF THE ADMISSION OF GUILT

    Directory of Open Access Journals (Sweden)

    Constantin NEDELCU

    2015-07-01

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

  8. Management of hepatobiliary and pancreatic ascariasis in children of an endemic area.

    Science.gov (United States)

    Malik, Arshad Hussain; Saima, B D; Wani, M Y

    2006-02-01

    Ascariasis is the most common parasitic infestation in endemic areas and accounts for 50-60% of pediatric admissions in the surgical emergency department. Hepatobiliary and pancreatic ascariasis accounts for about 10% of such admissions. The present study was undertaken to evaluate the clinical features, investigations, and management of hepatobiliary and pancreatic ascariasis. The study was conducted in the endemic areas of Kashmir in northern India over a period of 3 years. During the study period (May 2001 to April 2004), 214 children with hepatobiliary and pancreatic ascariasis were admitted in the department. These children underwent complete clinical evaluation, investigation including ultrasound, and ERCP when required. Surgical intervention was done in patients who failed to settle with medical treatment. Ninety percent of our admissions were from rural areas and 86% of the children presented with pain in the right hypochondrium. Twenty-two percent of patients presented with cholangitis, whereas 39% of the children had mild icterus at presentation. Thirty-eight percent of the children had vomited worms during the episode of illness. Ultrasound was the diagnostic method of choice, which revealed the worms in the CBD in 80% of the patients, and in gall bladder in 16% of the children. Eight patients had worms in the main pancreatic duct while seven (4%) had multiple small liver abscesses. Serum alkaline phosphatase was raised in majority of children (80%). Twenty (9%) children were referred for ERCP. Medical treatment including endoscopic management was successful in 97% of the children. Seven (4%) children had to be operated upon due to complications of the disease. We conclude that the majority of the children with hepatobiliary and pancreatic ascariasis respond to conservative treatment, and surgical treatment is rarely needed.

  9. Characteristics of delayed admission to stroke unit.

    Science.gov (United States)

    Silvestrelli, Giorgio; Parnetti, Lucilla; Tambasco, Nicola; Corea, Francesco; Capocchi, Giuseppe

    2006-01-01

    Early admission to stroke unit (SU) and factors that may cause admission delay represent relevant issues to obtain an optimal management of acute stroke. This study was aimed at recording timing from clinical onset to admission to our SU and to identify the reasons for delay. We prospectively examined acute stroke patients consecutively admitted to the Perugia SU. Baseline characteristics of stroke patients, stroke type and etiology, time from symptom onset to arrival in the SU were obtained from the Hospital-Based Perugia Stroke Registry. 60.8% of 2,213 consecutive stroke patients admitted to the SU arrived within 6 hrs and 39.2% after 6 hrs. Underestimation of symptoms was the cause of delay in 48.7% of cases. Younger age, especially for females, ischemic stroke, mild and/or unspecific symptoms and the underestimation of symptoms seem to be the main reasons for delayed arrival in the SU. To increase the proportion of stroke patients arriving in the SU within 3 hr of symptom onset, it is necessary to improve public and general practitioner awareness of stroke through educational programs.

  10. 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.

  11. Climate Change and Children's Health

    Science.gov (United States)

    In 2007, sixteen percent of children lived in counties exceeding the annual fine particulate matter standard. Exposure to higher levels of ambient particulate matter and ozone may increase school absences and hospital admissions due to respiratory illness.

  12. Diagnosis and management of upper gastrointestinal bleeding in children.

    Science.gov (United States)

    Owensby, Susan; Taylor, Kellee; Wilkins, Thad

    2015-01-01

    Upper gastrointestinal bleeding is an uncommon but potentially serious, life-threatening condition in children. Rapid assessment, stabilization, and resuscitation should precede all diagnostic modalities in unstable children. The diagnostic approach includes history, examination, laboratory evaluation, endoscopic procedures, and imaging studies. The clinician needs to determine carefully whether any blood or possible blood reported by a child or adult represents true upper gastrointestinal bleeding because most children with true upper gastrointestinal bleeding require admission to a pediatric intensive care unit. After the diagnosis is established, the physician should start a proton pump inhibitor or histamine 2 receptor antagonist in children with upper gastrointestinal bleeding. Consideration should also be given to the initiation of vasoactive drugs in all children in whom variceal bleeding is suspected. An endoscopy should be performed once the child is hemodynamically stable.

  13. Of special humanitarian concern: U.S. refugee admissions since passage of the Refugee Act.

    Science.gov (United States)

    Gallagher, D; Forbes, S; Fagan, P W

    1986-01-01

    The Refugee Act of 1980 is the 1st comprehensive legislation on the admission of refugees to the US; in the 5+ years since its enactment, over 500,000 refugees from more than 25 countries have been admitted to the US. This report assesses the effectiveness of the law in achieving its objectives in making and implementing decisions about the admission of refugees. The objectives of the Act include 1) a desire for a humanitarian response to refugee emergencies and a desire for control over that response, 2) a concern that ideological and geographic restrictions on refugee admissions be removed, and 3) a desire to balance international concerns and domestic impacts in making decisions on refugee admissions. The authors conclude that the refugee program does not serve the broad humanitarian purposes of previous parole programs, due to its stringent review requirements. The formal Congressional Consultations on refugee numbers should be rescheduled to allow regular Congressional input. The program needs a contingency budget for changing situations. The program needs more input from nongovernmental agencies and information sources. Recommendations on refugee admission numbers and allocations have not been well substantiated. Determinations as to which refugees are of "special humanitarian concern" are made solely on the basis of nationality; these decisions should also incorporate other factors. Admissions priorities are generally based on ties to this country, but this makes the refugee program a surrogate immigration program. Although the application of the refugee definition is difficult in practice, it forms the essence of the admission process. US staff must be trained to make these decisions; indecisiveness must not be allowed to jeopardize refugees.

  14. [Anophthalmia and microphthalmia requires multidisciplinary care. Many of the children also have other medical problems].

    Science.gov (United States)

    Jugård, Ylva; Odersjö, Marie; Topa, Alexandra; Lindgren, Gun; Andersson Grönlund, Marita

    2015-07-13

    Anophthalmia/microphthalmia (A/M) are rare congenital eye malformations. Early intervention with ocular prosthesis can stimulate orbital growth and prevent facial asymmetry. We reviewed medical records from 18 individuals with A/M (0.8-31 years) treated with ocular prosthesis at Sahlgrenska University Hospital between 2000 and 2012. A majority had other ocular findings. Seven had subnormal visual acuity in the fellow eye, one third were in contact with vision support services and half of the group wore glasses. Eleven individuals had extra-ocular findings such as cardiac defect, hearing impairment and neuropsychiatric disorders, possibly indicating syndromic conditions. We suggest that investigation of A/M children should include ultrasound of the eye, optionally visual evoked potential and magnetic resonance imaging of the CNS. The ophthalmologist should initiate treatment with prosthesis, pediatric assessment, hearing tests and genetic counseling, but should also monitor visual development of the fellow eye.

  15. 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. PMID:27556019

  16. 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…

  17. Factors Associated with ICU Admission following Blunt Chest Trauma

    Directory of Open Access Journals (Sweden)

    Andrea Bellone

    2016-01-01

    Full Text Available Background. Blunt chest wall trauma accounts for over 10% of all trauma patients presenting to emergency departments worldwide. When the injury is not as severe, deciding which blunt chest wall trauma patients require a higher level of clinical input can be difficult. We hypothesized that patient factors, injury patterns, analgesia, postural condition, and positive airway pressure influence outcomes. Methods. The study population consisted of patients hospitalized with at least 3 rib fractures (RF and at least one pulmonary contusion and/or at least one pneumothorax lower than 2 cm. Results. A total of 140 patients were retrospectively analyzed. Ten patients (7.1% were admitted to intensive care unit (ICU within the first 72 hours, because of deterioration of the clinical conditions and gas exchange with worsening of chest X-ray/thoracic ultrasound/chest computed tomography. On univariable analysis and multivariable analysis, obliged orthopnea (p=0.0018 and the severity of trauma score (p<0.0002 were associated with admission to ICU. Conclusions. Obliged orthopnea was an independent predictor of ICU admission among patients incurring non-life-threatening blunt chest wall trauma. The main therapeutic approach associated with improved outcome is the prevention of pulmonary infections due to reduced tidal volume, namely, upright postural condition and positive airway pressure.

  18. 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.

  19. Psychometric Study of the admission examination 2008-1 to the Universidad Nacional Mayor de San Marcos

    OpenAIRE

    Ponce D., Carlos; Facultad de Psicología, Universidad Nacional Mayor de San Marcos, Lima, Perú; Escurra M., Miguel; Facultad de Psicología, Universidad Nacional Mayor de San Marcos, Lima, Perú

    2014-01-01

    In the subsequent exploratory descriptive study, we formulated the following investigation question: Does the 2008-I admission exam of the Major National University of San Marcos, cover all the psychometric requirements demanded by an evaluation of that kind of nature? The General Objective of the investigation is to: Identify the basic psychometric characteristics which the 2008-I admission exam of the Major National University of San Marcos has presented, consisting in the reliability of th...

  20. 24 CFR 903.2 - With respect to admissions, what must a PHA do to deconcentrate poverty in its developments and...

    Science.gov (United States)

    2010-04-01

    ... must a PHA do to deconcentrate poverty in its developments and comply with fair housing requirements... URBAN DEVELOPMENT PUBLIC HOUSING AGENCY PLANS Deconcentration of Poverty and Fair Housing in Program Admissions § 903.2 With respect to admissions, what must a PHA do to deconcentrate poverty in...

  1. 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.

  2. 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.

  3. An Integrative Literature Review of Organisational Factors Associated with Admission and Discharge Delays in Critical Care

    Directory of Open Access Journals (Sweden)

    Laura-Maria Peltonen

    2015-01-01

    Full Text Available The literature shows that delayed admission to the intensive care unit (ICU and discharge delays from the ICU are associated with increased adverse events and higher costs. Identifying factors related to delays will provide information to practice improvements, which contribute to better patient outcomes. The aim of this integrative review was to explore the incidence of patients’ admission and discharge delays in critical care and to identify organisational factors associated with these delays. Seven studies were included. The major findings are as follows: (1 explanatory research about discharge delays is scarce and one study on admission delays was found, (2 delays are a common problem mostly due to organisational factors, occurring in 38% of admissions and 22–67% of discharges, and (3 redesigning care processes by improving information management and coordination between units and interdisciplinary teams could reduce discharge delays. In conclusion, patient outcomes can be improved through efficient and safe care processes. More exploratory research is needed to identify factors that contribute to admission and discharge delays to provide evidence for clinical practice improvements. Shortening delays requires an interdisciplinary and multifaceted approach to the whole patient flow process. Conclusions should be made with caution due to the limited number of articles included in this review.

  4. Crianças hospitalizadas com Fibrose Cística: percepções sobre as múltiplas hospitalizações Niños con Fribrosis Quistica: percepciones sobre las multiples hospitalizaciones Children with Cystic Fibrosis: perceptions about multiple hospital admissions

    Directory of Open Access Journals (Sweden)

    Ruth Irmgard Bärtschi Gabatz

    2007-02-01

    Full Text Available As crianças com fibrose cística (FC geralmente são hospitalizadas inúmeras vezes ao longo de suas vidas. Este estudo objetiva conhecer as percepções destas crianças em relação às múltiplas hospitalizações, bem como identificar o que percebem sobre o tratamento e os cuidados recebidos. Trata-se de um estudo descritivo com abordagem qualitativa. Os sujeitos são sete crianças portadoras de FC, entre 6 e 11 anos. Os dados são coletados em uma unidade pediátrica de um hospital geral, através de uma entrevista focalizada, pouco estruturada, e analisados pelo método da análise compreensiva. Os resultados deste estudo demonstram que as crianças prezam muito sua liberdade, que durante a hospitalização fica restringida, o que pode ser amenizado através da nossa escuta, compreensão e atenção.Los niños con fibrosis quística generalmente son hospitalizados innumerables veces a lo largo de sus vidas. Este estudio objetiva conocer las percepciones de estos niños con relación a las múltiplas hospitalizaciones, así como reconocer lo que se dan cuenta sobre el tratamiento y los cuidados recibidos. Se trata de un estudio descriptivo con abordaje cualitativa. Los sometidos son siete niños portadores de fibrosis quística, entre 6 y 11 anos. Los datos son colectados en una unidad pediátrica de un hospital general, por medio de una entrevista enfocada, poco estructurada y examinados por el método de la análisis comprensiva. Los resultados de este estudio enseñan que los niños estiman mucho su libertad, donde durante la internación se pone restriñida, lo que puede ser amenizado por medio de nuestra escucha, comprensión y atención.Children with cystic fibrosis are usually admitted to the hospital many times through their lives. This study aims to know the perceptions of these children towards the multiple hospital admissions, as well to identify what they realize about the treatment and the care they get. This is a descriptive

  5. 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.

  6. [Estimates of trace elements requirements of children receiving total parenteral nutrition].

    Science.gov (United States)

    Ricour, C; Duhamel, J F; Gros, J; Mazière, B; Comar, D

    1977-01-01

    Ten children on total parenteral nutrition were studied. Plasma copper, zinc, manganese and selenium levels were determined by neutron activation and gamma spectrometry, every 10 days. With a copper intake of 20 microgram/kg/24 h, the average level 120 microgram% (94-144) was normal (N: 118 microgram +/- 11%). With a manganese intake of 40 microgram/kg/24 h, the level increased to 2.6 microgram% (1.3-4.5) (N: 1.1 microgram +/- 0.2%). With a zinc intake of 30 microgram/kg/24 h, the level decreased to 45.9 microgram % (20-63) (N: 83 microgram +/- 28%); with an intake of 50 microgram/kg/24 h the level remained under normal. With a selenium intake of 1 microgram/kg/24 h, the level decreased to 10.6 ng/ml (3.6-21.6) (N: 38.2 ng/ml +/- 11.9), but was normalized with an intake of 3 microgram/kg/24 h. From these results, with all reserves that estimation implies, the authors suggest that the disorders due to deficit or excess of trace elements could be avoided by daily intakes per kg of body weight: copper 20 microgram, zinc 100 microgram, manganese 10 microgram and selenium 3 microgram, with supplementation of iron, iodine and fluoride.

  7. The Prolonged Neonatal Admission: Implications for our National Children's Hospital

    LENUS (Irish Health Repository)

    McGlacken-Byrne, SM

    2016-06-01

    A significant number of neonates are admitted to tertiary paediatric units for prolonged stays annually, despite limited availability of neonatal beds. As the three Dublin paediatric hospitals merge, this pressure will be transferred to our new National Children’s Hospital.\\r\

  8. 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.

  9. 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…

  10. Admission Hyperglycemia in Head Injured Patients

    Directory of Open Access Journals (Sweden)

    Yousefzadeh Chabok Sh

    2009-04-01

    Full Text Available Hyperglycemia, in trauma patient, is commonly associated with a hyper metabolic stress response. Our objective is to determine the effects of hyperglycemia on the overall outcome of head trauma patients. In this descriptive study data were collected from head trauma patients' admitted to Intensive Care Unit (ICU of Poursina University Hospital in a one-year period (Jan 2004-Jan 2005, retrospectively. All patients had stayed in the ICU for more than 48 hours post-injuries. They were divided into two groups according to their serum glucose levels at the time of admission (<200mg/dl or >200mg/dl, age, gender and Injury Severity Score (ISS. Patients with diabetes mellitus were excluded .We determined the outcome according to duration of hospitalization and ICU stay as well as mortality rates. Variables were analyzed with t-test and chi square test. Out of 115 patients, 89.6% were men. About 36 % of patients had serum glucose levels ≥ 200 mg/dl over the study period and this group had significantly greater mortality rate but without necessarily longer ICU or hospital stay. In this study we have shown that admission hyperglycemia has significant effect on patient's mortality but it is still unclear whether it can be a cause for longer ICU/hospital stay."n© 2009 Tehran University of Medical Sciences. All rights reserved.

  11. Loneliness and nursing home admission among rural older adults.

    Science.gov (United States)

    Russell, D W; Cutrona, C E; de la Mora, A; Wallace, R B

    1997-12-01

    In this study, the authors tested the relation between loneliness and subsequent admission to a nursing home over a 4-year time period in a sample of approximately 3,000 rural older Iowans. Higher levels of loneliness were found to increase the likelihood of nursing home admission and to decrease the time until nursing home admission. The influence of extremely high loneliness on nursing home admission remained statistically significant after controlling for other variables, such as age, education, income, mental status, physical health, morale, and social contact, that were also predictive of nursing home admission. Several mechanisms are proposed to explain the link between extreme loneliness and nursing home admission. These include loneliness as a precipitant of declines in mental and physical health and nursing home placement as a strategy to gain social contact with others. Implications for preventative interventions are discussed.

  12. Increased rates of intensive care unit admission in patients with Mycoplasma pneumoniae: a retrospective study.

    Science.gov (United States)

    Khoury, T; Sviri, S; Rmeileh, A A; Nubani, A; Abutbul, A; Hoss, S; van Heerden, P V; Bayya, A E; Hidalgo-Grass, C; Moses, A E; Nir-Paz, R

    2016-08-01

    Mycoplasma pneumoniae is a leading cause of respiratory disease. In the Intensive Care Unit (ICU) setting M. pneumoniae is not considered a common pathogen. In 2010-13 an epidemic of M. pneumoniae-associated infections was reported and we observed an increase of M. pneumoniae patients admitted to ICU. We analysed the cohort of all M. pneumoniae-positive patients' admissions during 2007 to 2012 at the Hadassah-Hebrew University Medical Centre (a 1100-bed tertiary medical centre). Mycoplasma pneumoniae diagnosis was made routinely using PCR on throat swabs and other respiratory samples. Clinical parameters were retrospectively extracted. We identified 416 M. pneumoniae-infected patients; of which 68 (16.3%) were admitted to ICU. Of these, 48% (173/416) were paediatric patients with ICU admission rate of 4.6% (8/173). In the 19- to 65-year age group ICU admission rate rose to 18% (32/171), and to 38.8% (28/72) for patients older than 65 years. The mean APACHE II score on ICU admission was 20, with a median ICU stay of 7 days, and median hospital stay of 11.5 days. Of the ICU-admitted patients, 54.4% (37/68) were mechanically ventilated upon ICU admission. In 38.2% (26/68), additional pathogens were identified mostly later as secondary pathogens. A concomitant cardiac manifestation occurred in up to 36.8% (25/68) of patients. The in-hospital mortality was 29.4% (20/68) and correlated with APACHE II score. Contrary to previous reports, a substantial proportion (16.3%) of our M. pneumoniae-infected patients required ICU admission, especially in the adult population, with significant morbidity and mortality.

  13. Indications and outcome for obstetric patients' admission to intensive care unit: a 7-year review.

    Science.gov (United States)

    Lataifeh, I; Amarin, Z; Zayed, F; Al-Mehaisen, L; Alchalabi, H; Khader, Y

    2010-05-01

    The objective of this retrospective study was to investigate the indications, interventions and clinical outcome of pregnant and newly delivered women admitted to the multidisciplinary intensive care unit at the King Abdullah University Hospital in Jordan over a 7-year period from January 2002 to December 2008. The collected data included demographic characteristics of the patients, mode of delivery, pre-existing medical conditions, reason for admission, specific intervention, length of stay and maternal outcome. A total of 43 women required admission to the intensive care unit (ICU), which represented 0.37% of all deliveries. The majority (95.3%) of patients were admitted to the ICU postpartum. The most common reasons for admissions were (pre)eclampsia (48.8%) and obstetric haemorrhage (37.2). The remainder included adult respiratory distress syndrome (6.9%), pulmonary embolism (2.3%) and neurological disorders (4.6%). Mechanical ventilation was required to support 18.6% of patients and transfusion of red blood cells was needed for 48.8% of patients. There were three maternal deaths (6.9%). A multidisciplinary team approach is essential to improve the management of hypertensive disorders and postpartum haemorrhage to achieve significant improvements in maternal outcome. A large, prospective study to know which women are at high risk of admission to the intensive care units and to prevent serious maternal morbidity and mortality is warranted.

  14. 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.

  15. Student incentives and preferential treatment in college admissions

    OpenAIRE

    2012-01-01

    We consider a framework in which the optimal admissions policy of a purely academicquality oriented college implements preferential treatment in favor of the student from the deprived socioeconomic background which maximizes the competition between candidates. We find that the exact form of the preferential treatment admissions policy matters for student incentives and hence for student-body diversity in equilibrium. Preferential treatment policy in college admissions often tak...

  16. Accuracy of the CoaguChek XS for point-of-care international normalized ratio (INR) measurement in children requiring warfarin.

    Science.gov (United States)

    Bauman, Mary E; Black, Karina L; Massicotte, Mary P; Bauman, Michelle L; Kuhle, Stefan; Howlett-Clyne, Susan; Cembrowski, George S; Bajzar, Laszlo

    2008-06-01

    Point-of-care INR (POC INR) meters can provide a safe and effective method for monitoring oral vitamin K antagonists (VKAs) in children. Stollery Children's Hospital has a large POC INR meter loan program for children requiring oral VKAs. Our protocol requires that POC INR results be compared to the standard laboratory INR for each child on several consecutive tests to ensure accuracy of CoaguChek XS (Roche Diagnostics, Basel Switzerland) meter. It was the objective of the study to determine the accuracy of the CoaguChek XS by comparing whole blood INR results from the CoaguChek XS to plasma INR results from the standard laboratory in children. POC INR meter validations were performed on plasma samples from two time points from 62 children receiving warfarin by drawing a venous blood sample for laboratory prothrombin (PT)-INR measurements and simultaneous INR determinations using the POC-INR meter. Agreement between CoaguChek XS INR and laboratory INR was assessed using Bland-Altman plots. Bland-Altman's 95% limits of agreement were 0.11 (-0.20; 0.42) and 0.13 (-0.22; 0.48) at the two time points, respectively. In conclusion, the CoaguChek XS meter appraisal generates an accurate and precise INR measure in children when compared to laboratory INR test results.

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

    Directory of Open Access Journals (Sweden)

    Cheung Kam-Lau

    2010-07-01

    Full Text Available Abstract Objective To report the outcome of children with life-threatening asthma (LTA admitted to a university Pediatric Intensive Care Unit (PICU. Methods Retrospective study between October 2002 and May 2010 was carried out. Every child with LTA and bronchospasm was included. Results 30 admissions of 28 patients (13 M, 17 F were identified which accounted for 3% of total PICU admissions (n = 1033 over the study period. The majority of patients were toddlers (median age 3.1 years. Few had past history of prematurity, lung diseases, or neuro-developmental conditions. Approximately half had previous admissions for asthma and one-forth with history of non-compliance to recommended treatment for asthma. One patient had parainfluenza virus and one had rhinovirus isolated. None of these factors were associated with need for mechanical ventilation (n = 6 admissions. Comparing with patients who did not receive mechanical ventilation, ventilated children had significantly higher PIM2 score (1.65 versus 0.4, p 2 levels (9.3 kPa versus 5.1 kPa, p = 0.01 and longer PICU stay (median 2.5 days versus 2 days, p = 0.03 The majority of patients received systemic corticosteroids, intravenous or inhaled bronchodilators. There was one pneumothorax but no death in this series. Conclusions LTA accounted for a small percentage of PICU admissions. Previous hospital admissions for asthma and history of non-compliance were common. Approximately one quarters required ventilatory supports. Regardless of the need for mechanical ventilation, all patients survived with prompt treatment.

  18. 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].

  19. [Triage in acute medical admission units.

    DEFF Research Database (Denmark)

    Brabrand, Mikkel; Folkestad, Lars; Hallas, Peter

    2010-01-01

    . At 87% of the MAUs, a doctor was contacted by the admitting physician, while the contact was the responsibility of a nurse in 13% of MAUs. None of the contacted MAUs used a validated triage tool and 95% answered that they triaged on the basis of individual clinical assessment of patients. However, 22......INTRODUCTION: Many emergency departments use validated triage tools. It is currently undocumented if such a practice is common in Danish medical admission units (MAU). The current study was conducted in order to clarify this. MATERIAL AND METHODS: Questionnaire survey with data collected from......% answered that selected groups of patients were routinely assessed by a senior physician. CONCLUSION: None of the Danish MAUs uses a validated triage tool to prioritize acutely admitted medical patients. Udgivelsesdato: 2010-May-31...

  20. 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.

  1. The Relationship between Scores on the Graduate Management Admission Test and the Test of English as a Foreign Language.

    Science.gov (United States)

    Powers, Donald E.

    In addition to scores on the Graduate Management Admission Test (GMAT), which are required of applicants to a substantial number of graduate management schools, foreign candidates may also be required to submit scores on the Test of English as a Foreign Language (TOEFL) as an indication of English language proficiency. The present study provides…

  2. Small subdural hemorrhages: is routine intensive care unit admission necessary?

    Science.gov (United States)

    Albertine, Paul; Borofsky, Samuel; Brown, Derek; Patel, Smita; Lee, Woojin; Caputy, Anthony; Taheri, M Reza

    2016-03-01

    With advancing technology, the sensitivity of computed tomography (CT) for the detection of subdural hematoma (SDH) continues to improve. In some cases, the finding is limited to one or 2 images of the CT examination. At our institution, all patients with an SDH require intensive care unit (ICU) admission, regardless of size. In this report, we tested the hypothesis that patients with a small traumatic SDH on their presenting CT examination do not require the intensive monitoring offered in the ICU and can instead be managed on a hospital unit with a lower level of monitoring. This is a retrospective study of patients evaluated and treated at a level I trauma center for acute traumatic intracranial hemorrhage between 2011 and 2014. The clinical and imaging profile of 87 patients with traumatic SDH were studied. Patients with small isolated traumatic subdural hemorrhage (tSDH) (medical stability during hospitalization, and did not require any neurosurgical intervention. It is our recommendation that patients with isolated tSDH (medical decline (4%) and neurologic decline (4%) but may still benefit from ICU observation. Patients with tSDH greater than 10 cm(3) overall demonstrated poor clinical courses and outcome and would benefit ICU monitoring.

  3. 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.

  4. Differential Effects of Temperature Extremes on Hospital Admission Rates for Respiratory Disease between Indigenous and Non-Indigenous Australians in the Northern Territory.

    Science.gov (United States)

    Green, Donna; Bambrick, Hilary; Tait, Peter; Goldie, James; Schultz, Rosalie; Webb, Leanne; Alexander, Lisa; Pitman, Andrew

    2015-12-03

    The health gap between Indigenous and non-Indigenous Australians may be exacerbated by climate change if temperature extremes have disproportionate adverse effects on Indigenous people. To explore this issue, we analysed the effect of temperature extremes on hospital admissions for respiratory diseases, stratified by age, Indigenous status and sex, for people living in two different climates zones in the Northern Territory during the period 1993-2011. We examined admissions for both acute and chronic respiratory diagnoses, controlling for day of the week and seasonality variables. Our analysis showed that: (1) overall, Indigenous hospital admission rates far exceeded non-Indigenous admission rates for acute and chronic diagnoses, and Top End climate zone admission rates exceeded Central Australia climate zone admission rates; (2) extreme cold and hot temperatures were associated with inconsistent changes in admission rates for acute respiratory disease in Indigenous and non-Indigenous children and older adults; and (3) no response to cold or hot temperature extremes was found for chronic respiratory diagnoses. These findings support our two hypotheses, that extreme hot and cold temperatures have a different effect on hospitalisations for respiratory disease between Indigenous and non-Indigenous people, and that these health risks vary between the different climate zones. We did not, however, find that there were differing responses to temperature extremes in the two populations, suggesting that any increased vulnerability to climate change in the Indigenous population of the Northern Territory arises from an increased underlying risk to respiratory disease and an already greater existing health burden.

  5. Analysis of Criteria for Admission to the Polytechnic “Nikola Tesla” in Gospić

    Directory of Open Access Journals (Sweden)

    Kristina Devčić

    2013-07-01

    Full Text Available Much like in the rest of the world, higher education institutions in the Republic of Croatia are working in a turbulent environment. Croatian polytechnics must recognize and understand the changes in their environment in order to be able to properly respond to them. The Polytechnic “Nikola Tesla” in Gospić is one of the polytechnics facing a growing competition, but also the problem of decreasing enrolment. To solve these problems, it is necessary to apply marketing methods and techniques for understanding the process of deciding on applying for admission to the Polytechnic. In order to better understand this process and how it can be influenced, the authors examined the criteria that students use when making this decision. It was established during the research that some of the criteria had a greater impact on the decision to apply for admission (the location of the Polytechnic, professional orientation, reasonable admission requirements and applicability of professional knowledge in practice and employment prospects as the key decision factor, while others had a much smaller impact. In addition, the research has shown that there is no significant difference between male and female respondents with regard to the importance they attach to different criteria. Using factor analysis, the criteria for admission to the Polytechnic were grouped as follows: the quality of education, studying conditions, image of the institution, the cost of education, and the influence of friends and family.

  6. No effect of lunar cycle on psychiatric admissions or emergency evaluations.

    Science.gov (United States)

    McLay, Robert N; Daylo, Amado A; Hammer, Paul S

    2006-12-01

    It is a popularly held belief that psychiatric behavior worsens during a full moon. Research in this area has yielded mixed results. Records from Naval Medical Center San Diego for 1993-2001 were examined to see whether there were higher rates of psychiatric admission associated with particular phases of the moon. Records from 8,473 admissions revealed that there were no more admission on days with a full moon, a new moon, any quarter of the moon, a waxing moon, or a waning moon. This held true for psychiatric patients as a whole, as well as for individuals with particular diagnoses, such as those with a mood disorder or psychotic disorder. Records from 1,909 emergency psychiatric evaluations that occurred between 2002 and 2003 were also examined to see whether a higher percentage of patients might present, but not require hospitalization, during a particular phase of the moon. Once again, no significant effect was found. In summary, lunar phase was not associated in any significant way with psychiatric admissions or emergency presentation.

  7. Strategic Enrollment Management's Ambassadors: The Changing Role of Admissions Counselors

    Science.gov (United States)

    Mathis, Daniel

    2010-01-01

    Road runner. File jockey. Advisor. Public speaker. Recruiter. At any given time, an admissions counselor fits one, some, or all of these descriptors. While all of these descriptors indicate an important function within a college or university, none reflects the increasingly complex nature of the role of an admissions counselor in strategic…

  8. Environmental Scan of BC Post-Secondary Admissions: 2009

    Science.gov (United States)

    Heath, Nick

    2009-01-01

    In 2008, British Columbia Council on Admissions and Transfer (BCCAT) commissioned an environmental scan on the possible need for system-wide work on institutional admissions processes and practices. This scan is intended to seek system input and to provide guidance on the choice of research projects and other related work in the coming year. This…

  9. Evaluating Admission Criteria Effects for Under-Represented Groups

    Science.gov (United States)

    Childs, Ruth A.; Ferguson, Amanda K.; Herbert, Monique B.; Broad, Kathryn; Zhang, Jingshun

    2016-01-01

    The effects that admission criteria may have for under-represented groups are an important concern for programs seeking to improve access to post-secondary education. Using data from a large preservice teacher education program in the Canadian province of Ontario, we demonstrate two approaches to evaluating the effects of admission criteria. The…

  10. 24 CFR 1720.425 - Presentation and admission of evidence.

    Science.gov (United States)

    2010-04-01

    ... 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 Urban... PRACTICE Adjudicatory Proceedings Discovery and Evidence § 1720.425 Presentation and admission of...

  11. 28 CFR 541.47 - Admission to control unit.

    Science.gov (United States)

    2010-07-01

    ... the inmate's confinement in a control unit; (b) Notice of the type of personal property which is... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Admission to control unit. 541.47 Section... INMATE DISCIPLINE AND SPECIAL HOUSING UNITS Control Unit Programs § 541.47 Admission to control...

  12. 45 CFR 1170.42 - Admissions and recruitment.

    Science.gov (United States)

    2010-10-01

    ... impairs sensory, manual, or speaking skills, the test results accurately reflect the applicant's aptitude... subjected to discrimination in admission or recruitment by a recipient to which this subpart applies. (b... make use of any test or criterion for admission that has a disproportionate, adverse effect...

  13. 7 CFR 15b.30 - Admissions and recruitment.

    Science.gov (United States)

    2010-01-01

    ... handicap that impairs sensory, manual, or speaking skills, the test results accurately reflect the... be subjected to discrimination in admission or recruitment by a recipient to which this subpart... admitted; (2) May not make use of any test or criterion for admission that has a disproportionate,...

  14. 45 CFR 605.42 - Admissions and recruitment.

    Science.gov (United States)

    2010-10-01

    ... administered to an applicant who has a handicap that impairs sensory, manual, or speaking skills, the test..., on the basis of handicap, be denied admission or be subjected to discrimination in admission or... proportion of handicapped persons who may be admitted; (2) May not make use of any test or criterion...

  15. 45 CFR 84.42 - Admissions and recruitment.

    Science.gov (United States)

    2010-10-01

    ... administered to an applicant who has a handicap that impairs sensory, manual, or speaking skills, the test... basis of handicap, be denied admission or be subjected to discrimination in admission or recruitment by... proportion of handicapped persons who may be admitted; (2) May not make use of any test or criterion...

  16. 42 CFR 418.25 - Admission to hospice care.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Admission to hospice care. 418.25 Section 418.25... (CONTINUED) MEDICARE PROGRAM HOSPICE CARE Eligibility, Election and Duration of Benefits § 418.25 Admission to hospice care. (a) The hospice admits a patient only on the recommendation of the medical...

  17. Affirmative Action in College and University Admissions: Yes.

    Science.gov (United States)

    Michaelson, Martin

    1999-01-01

    Argues in support of affirmative action in college and university admissions, noting the actual, relatively small effect of affirmative action on white admission and opportunity, and suggesting other possible reasons for the heated debate. Notes two related Supreme Court decisions made a century apart and reviews statistical studies in support of…

  18. 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…

  19. UCT's Admissions Policies: Is the Playing Field Level?

    Science.gov (United States)

    Favish, J.; Hendry, J.

    2010-01-01

    The article outlines how UCT's commitment to redress and diversity has officially guided the university's approach to admissions planning. In 2009 the Senate requested the Vice Chancellor to conduct a review of the admissions policy particularly to determine whether race continued to be an adequate proxy for disadvantage. This article analyses…

  20. 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…

  1. 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...

  2. 29 CFR 458.71 - Procedure upon admission of facts.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 2 2010-07-01 2010-07-01 false Procedure upon admission of facts. 458.71 Section 458.71... facts. The admission of all the material allegations of fact in the complaint shall constitute a waiver... his recommended decision and order in which he shall adopt as his proposed findings of fact...

  3. 10 CFR 590.308 - Admissions of facts.

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Admissions of facts. 590.308 Section 590.308 Energy... WITH RESPECT TO THE IMPORT AND EXPORT OF NATURAL GAS Procedures § 590.308 Admissions of facts. (a) At... proceeding that relate to statements or opinions of fact or of the application of law to fact. (b) A...

  4. 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…

  5. Evaluating the Predictive Validity of Graduate Management Admission Test Scores

    Science.gov (United States)

    Sireci, Stephen G.; Talento-Miller, Eileen

    2006-01-01

    Admissions data and first-year grade point average (GPA) data from 11 graduate management schools were analyzed to evaluate the predictive validity of Graduate Management Admission Test[R] (GMAT[R]) scores and the extent to which predictive validity held across sex and race/ethnicity. The results indicated GMAT verbal and quantitative scores had…

  6. SOFTWARE OPTIMIZATION OF BUSINESS PROCESS “UNIVERSITY ADMISSION CAMPAIGN”

    Directory of Open Access Journals (Sweden)

    Victor V. Babenko

    2015-01-01

    Full Text Available Admission campaign is an important part of the main business processes system of the university. Admission campaign is analyzed on the base of different modeling tools. The conceptual basis of CRM-system as information support of the process is proposed. It should be significant optimizing resource of business process. 

  7. Psychiatric Inpatient Admissions of Adults with Intellectual Disabilities: Predictive Factors

    Science.gov (United States)

    Cowley, Amy; Newton, Jonathan; Sturmey, Peter; Bouras, Nick; Holt, Geraldine

    2005-01-01

    Information on admission to psychiatric inpatient units is lacking from the literature on contemporary services for people with intellectual disability and mental health needs. Here we report on predictors of admission for a cohort of 752 adults from this population living in community settings; 83 were admitted. We also report on two subsamples…

  8. Transformation of admission interview to documentation for nursing practice

    DEFF Research Database (Denmark)

    Højskov, Ida E; Glasdam, Stinne

    2014-01-01

    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 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...

  9. The Coagulative Profile of Cyanotic Children Undergoing Cardiac Surgery: The Role of Whole Blood Preoperative Thromboelastometry on Postoperative Transfusion Requirement.

    Science.gov (United States)

    Vida, Vladimiro L; Spiezia, Luca; Bortolussi, Giacomo; Marchetti, Marta E; Campello, Elena; Pittarello, Demetrio; Gregori, Dario; Stellin, Giovanni; Simioni, Paolo

    2016-07-01

    The objective of this study is to evaluate the preoperative coagulation pattern and its association to postoperative blood products transfusion in children with congenital heart disease (CHD), focusing on cyanotic patients (oxygen saturation, SATO 2  < 85%). From January to August 2014, preoperative standard coagulation tests and rotational thromboelastometry assays were performed on 81 pediatric patients (<16 years old) who underwent surgery for CHD with the aid of cardiopulmonary bypass. Sixty patients (74%) were acyanotic and 21 (26%) cyanotic. Mean age at time of surgery was 7.9 months (interquartile range 2.9-43.6 months). Cyanotic patients had a significantly higher hematocrit (P < 0.001), a reduced prothrombin activity (PT) (P = 0.01) level, and a lower platelet count (P = 0.02) than acyanotic patients. An inverse linear association was found between patient's SATO2 and clot formation time (CFT) (INTEM, P = 0.001, and EXTEM, P < 0.0001). A direct linear association was found between patient's SATO2 and maximum clot firmness (MCF) (INTEM, P = 0.04, and EXTEM, P = 0.05). Preoperative cyanosis was also associated with a lower median MCF in FIBTEM (P = 0.02). Cyanotic patients required more frequent postoperative transfusions of fibrinogen (7/21 patients, 33% vs. 4/60 patients, 6.7%, P = 0.01) and fresh frozen plasma (14/21, 67% vs. 25/60, 42%, P = 0.08). Patients with a lower presurgery PT and platelet count subsequently required more fibrinogen transfusion P = 0.02 and P = 0.003, respectively); the same goes for patients with a longer CFT (INTEM, P = 0.01 and EXTEM, P = 0.03) and a reduced MCF (INTEM, P = 0.02 and FIBTEM, P = 0.01) as well. Cyanotic patients showed significant preoperative coagulation anomalies and required a higher postoperative fibrinogen supplementation. The preoperative MCF FIBTEM has become an important factor in our postoperative thromboelastometry-guided transfusion

  10. The Student Admission to Medicine (SAM) Program: First Steps toward the Paperless Processing of Medical School Admissions.

    Science.gov (United States)

    Harasym, P. H.; And Others

    1995-01-01

    The University of Calgary (Canada) medical school admissions process has been streamlined with the Student Admission to Medicine computer program, largely paperless, that creates a database from student applications. The database then converts grades to the university's standards and assists with administrative details, statistical analyses, and…

  11. 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

  12. 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…

  13. Impact of a measles immunisation campaign on measles admissions to a Natal hospital.

    Science.gov (United States)

    Abdool Karim, S S; Abdool Karim, Q; Chamane, M

    1991-12-07

    During May and June 1990, a national mass measles immunisation campaign was undertaken in South Africa. This study is an assessment of the impact of the campaign on measles admissions to a provincial referral hospital that has specifically designated wards for children with communicable diseases. Data from the measles ward admissions book for the 18 months before the campaign (1 January 1989-30 June 1990) and 6 months after the campaign (1 July 1990-31 December 1990) were compared. Since the campaign, the average number of measles admissions has declined by 64.4% from 87 to 31 per month (P less than 0.01). Before the campaign, 21.3% of measles patients admitted were aged 7-9 months compared with 27.6% after the campaign, highlighting the urgent need to improve the measles vaccination coverage in this age group. An analysis of the geographical source of patients showed that measles continued to occur after the campaign in most of the areas where it existed before the campaign. It is concluded that important gains have been achieved by the campaign. These will be rapidly eroded and epidemics of measles may occur if measles vaccination efforts wane and slump back to pre-campaign levels. It is important to capitalise on the momentum generated through the campaign by continuing to support efforts of existing health care services to improve and maintain high levels of measles immunisation coverage.

  14. Associations between environmental factors and hospital admissions for sickle cell disease.

    Science.gov (United States)

    Piel, Frédéric B; Tewari, Sanjay; Brousse, Valentine; Analitis, Antonis; Font, Anna; Menzel, Stephan; Chakravorty, Subarna; Thein, Swee Lay; Inusa, Baba; Telfer, Paul; de Montalembert, Mariane; Fuller, Gary W; Katsouyanni, Klea; Rees, David C

    2017-04-01

    Sickle cell disease is an increasing global health burden. This inherited disease is characterized by a remarkable phenotypic heterogeneity, which can only partly be explained by genetic factors. Environmental factors are likely to play an important role but studies of their impact on disease severity are limited and their results are often inconsistent. This study investigated associations between a range of environmental factors and hospital admissions of young patients with sickle cell disease in London and in Paris between 2008 and 2012. Specific analyses were conducted for subgroups of patients with different genotypes and for the main reasons for admissions. Generalized additive models and distributed lag non-linear models were used to assess the magnitude of the associations and to calculate relative risks. Some environmental factors significantly influence the numbers of hospital admissions of children with sickle cell disease, although the associations identified are complicated. Our study suggests that meteorological factors are more likely to be associated with hospital admissions for sickle cell disease than air pollutants. It confirms previous reports of risks associated with wind speed (risk ratio: 1.06/standard deviation; 95% confidence interval: 1.00-1.12) and also with rainfall (1.06/standard deviation; 95% confidence interval: 1.01-1.12). Maximum atmospheric pressure was found to be a protective factor (0.93/standard deviation; 95% confidence interval: 0.88-0.99). Weak or no associations were found with temperature. Divergent associations were identified for different genotypes or reasons for admissions, which could partly explain the lack of consistency in earlier studies. Advice to patients with sickle cell disease usually includes avoiding a range of environmental conditions that are believed to trigger acute complications, including extreme temperatures and high altitudes. Scientific evidence to support such advice is limited and sometimes

  15. Methicillin-resistant Staphylococcus aureus in Saarland, Germany: a statewide admission prevalence screening study.

    Directory of Open Access Journals (Sweden)

    Mathias Herrmann

    Full Text Available BACKGROUND: The screening of hospital admission patients for methicillin resistant Staphylococcus aureus (MRSA is of undisputed value in controlling and reducing the overall MRSA burden; yet, a concerted parallel universal screening intervention throughout all hospitals of an entire German Federal State has not yet been performed. METHODOLOGY/PRINCIPAL FINDINGS: During a four-week period, all 24 acute care hospitals of the State of Saarland participated in admission prevalence screening. Overall, 436/20,027 screened patients revealed MRSA carrier status (prevalence, 2.2/100 patients with geriatrics and intensive care departments associated with highest prevalence (7.6/100 and 6.3/100, respectively. Risk factor analysis among 17,975 admission patients yielded MRSA history (OR, 4.3; CI₉₅ 2.7-6.8, a skin condition (OR, 3.2; CI₉₅ 2.1-5.0, and/or an indwelling catheter (OR, 2.2; CI₉₅ 1.4-3.5 among the leading risks. Hierarchical risk factor ascertainment of the six risk factors associated with highest odd's ratios would require 31% of patients to be laboratory screened to allow for detection of 67% of all MRSA positive admission patients in the State. CONCLUSIONS/SIGNIFICANCE: State-wide admission prevalence screening in conjunction with risk factor ascertainment yields important information on the distribution of the MRSA burden for hospitals, and allows for data-based decisions on local or institutional MRSA screening policies considering risk factor prevalence and expected MRSA identification rates.

  16. Involuntary admission: the case of anorexia nervosa.

    Science.gov (United States)

    Douzenis, Athanasios; Michopoulos, Ioannis

    2015-01-01

    Involuntary treatment of psychiatric disorders has always been controversial; this is especially true for eating disorders. Patients with anorexia nervosa of life threatening severity frequently refuse psychiatric hospitalization. Ambivalence toward treatment is characteristic of eating disorders and patients are often admitted to inpatient programs under pressure from family and doctors. In this article, we report research on the positive or negative impact of involuntary admission in the treatment of eating disorders, its application and effectiveness as well as the adverse consequences of coercive treatment in eating disorders. A literature review was done. From a total of 134 publications which were retrieved from the literature search, 50 studies were directly relevant to the scope of this review and fulfilled all inclusion criteria. There are trends and arguments for both sides; for and against involuntary treatment in anorexia nervosa. The scientific literature so far is inconclusive, although in the short term, involuntary hospitalization has benefits. This review has also shown that involuntary hospitalization can have adverse long-term consequences for the patient-therapist allegiance. We conclude that in some cases, involuntary treatment can save lives of young patients with anorexia nervosa; however, in other cases, it can break the psychotherapeutic relationship and make the patient abandon treatment. It is the clinician who has to decide for whom and when to approve involuntary treatment or not.

  17. Admissibility, stable units and connected components

    CERN Document Server

    Xarez, J J

    2011-01-01

    Consider a reflection from a finitely-complete category $\\mathbb{C}$ into its full subcategory $\\mathbb{M}$, with unit $\\eta :1_\\mathbb{C}\\rightarrow HI$. Suppose there is a left-exact functor $U$ into the category of sets, such that $UH$ reflects isomorphisms and $U(\\eta_C)$ is a surjection, for every $C\\in\\mathbb{C}$. If, in addition, all the maps $\\mathbb{M}(T,M)\\rightarrow \\mathbf{Set}(1,U(M))$ induced by the functor $UH$ are surjections, where $T$ and 1 are respectively terminal objects in $\\mathbb{C}$ and $\\mathbf{Set}$, for every object $M$ in the full subcategory $\\mathbb{M}$, then it is true that: the reflection $H\\vdash I$ is semi-left-exact (admissible in the sense of categorical Galois theory) if and only if its connected components are "connected"; it has stable units if and only if any finite product of connected components is "connected". Where the meaning of "connected" is the usual in categorical Galois theory, and the definition of connected component with respect to the ground structure wil...

  18. Admissions for personality disorders in Italy from 1988 to 1998

    Directory of Open Access Journals (Sweden)

    Barbui Corrado

    2006-08-01

    Full Text Available Abstract Background Personality disorders affect a substantial proportion of the population. It is unclear, however, whether the burden of personality disorders on modern mental health services has been increasing. To fill this gap, we analyzed trends in admissions for personality disorders in Italy from 1988 to 1998. Methods We used the yearly data from the Italian Central Institute of Statistics to analyse trends in the total number of admissions for personality disorders and in the total number of first admissions for personality disorders. Results The absolute number of admissions for personality disorders almost trebled from 1988 to 1998, as well as the proportion of all psychiatric admissions that were for personality disorders. Whilst there has been a marked increase in the absolute number of first admissions, the proportion of all first psychiatric admissions that were for personality disorders showed a steady but modest increase, from 5.7% to 7.6%. Conclusion In Italy, the burden of personality disorders on modern mental health services has been increasing. In terms of public health, these findings highlight the urgent need of developing policies to tackle the increasing demand of care of this difficult-to-treat patient population.

  19. 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.

  20. Discovery of Association Rules from University Admission System Data

    Directory of Open Access Journals (Sweden)

    Abdul Fattah Mashat

    2013-05-01

    Full Text Available 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 algorithm for association rule mining. Detailed analysis and interpretation of the experimental results is presented with respect to admission office perspective.

  1. A scalable admission control scheme based on time label

    Institute of Scientific and Technical Information of China (English)

    杨松岸; 杨华; 杨宇航

    2004-01-01

    Resource reservation protocols allow communicating hosts to reserve resources such as bandwidth to offer guaranteed service. However, current resource reservation architectures do not scale well for a large number of flows. In this paper, we present a simple reservation protocol and a scalable admission control algorithm, which can provide QoS guarantees to individual flows without per-flow management in the network core. By mapping each flow to a definite time, this scheme addresses the problems that limit the effectiveness of current endpoint admission control schemes. The overall admission control process is described. Analysis is used to explain the reasonability of our scheme and simulation validates its performance.

  2. EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies), 2013. Scientific Opinion on nutrient requirements and dietary intakes of infants and young children in the European Union

    DEFF Research Database (Denmark)

    Tetens, Inge

    Following a request from the European Commission, the EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA) was asked to deliver a Scientific Opinion on the nutrient requirements and dietary intakes of infants and young children in the European Union. This Opinion describes the dietary...... requirements of infants and young children, compares dietary intakes and requirements in infants and young children in Europe and, based on these findings, concludes on the potential role of young-child formulae in the diets of infants and young children, including whether they have any nutritional benefits...... when compared with other foods that may be included in the normal diet of infants and young children. The Panel concluded on the levels of nutrient and energy intakes that are considered adequate for the majority of infants and young children, and evaluated the risk of inadequate nutrient intakes...

  3. 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.

  4. 24 CFR 882.518 - Denial of admission and termination of assistance for criminals and alcohol abusers.

    Science.gov (United States)

    2010-04-01

    ... supervised drug rehabilitation program, or (B) The circumstances leading to the termination of tenancy no... MODERATE REHABILITATION PROGRAMS Special Procedures for Moderate Rehabilitation-Program Development and...) Requirement to deny admission—(1) Prohibiting admission of drug criminals. (i) The PHA must prohibit...

  5. Changes in admission rates for spreading odontogenic infection resulting from changes in government policy about the dental schedule and remunerations.

    Science.gov (United States)

    Burnham, Richard; Bhandari, Rishi; Bridle, Chris

    2011-01-01

    The government changed the system of payment to general dental practitioners on 1 April 2005 from a fee/item to a banding system. The figures collected have shown that there has been a 62% increase in the number of patients who require admission for surgical treatment of spreading odontogenic infections compared with the 3-year period before this date.

  6. 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...

  7. 49 CFR 1114.27 - Request for admission.

    Science.gov (United States)

    2010-10-01

    ... OF TRANSPORTATION RULES OF PRACTICE EVIDENCE; DISCOVERY Discovery § 1114.27 Request for admission. (a... of information or knowledge as a reason for failure to admit or deny unless he states that he...

  8. 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... and qualify or deny the remainder. An answering party may not give lack of information or knowledge...

  9. A NEW ADMISSION CONTROL APPROACH BASED ON PREDICTION

    Institute of Scientific and Technical Information of China (English)

    Lu Kaining; Jin Zhigang; Zou Jun

    2002-01-01

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

  10. Spatial variation in nitrogen dioxide concentrations and cardiopulmonary hospital admissions

    NARCIS (Netherlands)

    Dijkema, Marieke B A; van Strien, Robert T; van der Zee, Saskia C; Mallant, Sanne F; Fischer, Paul; Hoek, Gerard; Brunekreef, Bert; Gehring, Ulrike

    2016-01-01

    BACKGROUND: Air pollution episodes are associated with increased cardiopulmonary hospital admissions. Cohort studies showed associations of spatial variation in traffic-related air pollution with respiratory and cardiovascular mortality. Much less is known in particular about associations with cardi

  11. A Supply and Demand Model of the College Admissions Problem

    OpenAIRE

    2009-01-01

    We develop the first Bayesian model of decentralized college admissions, with heterogeneous students, costly portfolio applications, and noisy college evaluations. Students face a nontrivial portfolio choice, and colleges choose admissions standards that act like market-clearing prices. We derive the two college model equilibrium, deriving a “law of demand”. Surprisingly, the worse college might impose higher standards, and weaker students sometimes apply more aggressively. The lesser coll...

  12. 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).

  13. Mental disorders in childhood and young adulthood among children born to women with fertility problems

    DEFF Research Database (Denmark)

    Svahn, M.F.; Hargreave, M.; Nielsen, T.S.S.;

    2015-01-01

    STUDY QUESTION: Is the risk of hospital admission or outpatient contact for mental disorders increased in children born to women with fertility problems compared with children born to women without fertility problems? SUMMARY ANSWER: We found an increased risk of hospital admission or outpatient ...

  14. Towards an understanding of graduate admissions practices in physics

    Science.gov (United States)

    Potvin, Geoff; Chari, Deepa

    2017-01-01

    The APS bridge program works to improve the participation of students from traditionally under-represented groups in graduate physics. Related to this, we have undertaken research to improve our understanding of graduate admissions practices from the point of view of both students and faculty. Previously, we collected data on admission practices from over 75% of PhD-granting physics departments in the U.S., which highlighted the role of various criteria (including the GRE) in the admissions decisions faculty make, and identified the efforts (or lack thereof) made to recruit students from traditionally under-represented backgrounds. Currently, we are conducting a parallel study of upper division undergraduate physics majors to investigate their post-graduation career intentions, their perceptions of graduate admissions and perceived barriers to admissions, and to understand how undergraduate experiences influence students' career interests. Lastly, we are also studying, in depth, students who have been connected to physics bridge programs, to understand post-admission experiences and the enculturation process in physics departments. In this talk, we report on the collective results of these research efforts to date. NSF Award # 1143070.

  15. 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.

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

    Directory of Open Access Journals (Sweden)

    Eric Gass

    2008-06-01

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

  17. [Supervision of junior doctors and allocation of work tasks regarding admissions and further treatment of acute admitted patients.

    DEFF Research Database (Denmark)

    Folkestad, Lars; Brabrand, Mikkel; Hallas, Peter

    2010-01-01

    -up of patients with clinical deterioration at the wards. RESULTS: A total of 88 interns with an average of 2.8 months of experience were included in the survey. Sixty percent of the interns answered that they initially dealt with acute admissions. During the day, patients with clinical deterioration......INTRODUCTION: It is being debated whether medical staff working at the emergency departments with acute admission services dealing with medical patients have the required professional competence level. It has not previously been documented which doctors see the acute admissions initially...... are the responsibility of the physicians doing their rounds at the ward. During evening and night hours, 80% of interns say that patients with clinical deterioration are their responsibility. Fifty four percent of participants care for medical patients as they initially arrive at the emergency room. The interns consult...

  18. Routine perineal shaving on admission in labour.

    Science.gov (United States)

    Basevi, Vittorio; Lavender, Tina

    2014-01-01

    outcome. There were no differences in maternal satisfaction between groups in the larger trial reporting this outcome (mean difference (MD) 0.00, 95% CI -0.13 to 0.13). No trial reported on perineal trauma. One trial reported on side-effectsand these included irritation, redness, burning and itching.The overall quality of evidence ranged from very low (for the outcomes postpartum maternal febrile morbidity and neonatal infection)to low (for the outcome maternal satisfaction and wound infection).Authors’ conclusionsThere is insufficient evidence to recommend perineal shaving for women on admission in labour.

  19. Population Pharmacokinetics and Pharmacodynamics of Praziquantel in Ugandan Children with Intestinal Schistosomiasis: Higher Dosages Are Required for Maximal Efficacy

    Directory of Open Access Journals (Sweden)

    Amaya L. Bustinduy

    2016-08-01

    Full Text Available Each year, millions of African children receive praziquantel (PZQ by mass drug administration (MDA to treat schistosomiasis at a standard single dose of 40 mg/kg of body weight, a direct extrapolation from studies of adults. A higher dose of 60 mg/kg is also acceptable for refractory cases. We conducted the first PZQ pharmacokinetic (PK and pharmacodynamic (PD study in young children comparing dosing. Sixty Ugandan children aged 3 to 8 years old with egg patent Schistosoma mansoni received PZQ at either 40 mg/kg or 60 mg/kg. PK parameters of PZQ racemate and enantiomers (R and S were quantified. PD outcomes were assessed by standard fecal egg counts and novel schistosome-specific serum (circulating anodic antigen [CAA] and urine (circulating cathodic antigen [CCA] antigen assays. Population PK and PD analyses were performed to estimate drug exposure in individual children, and the relationship between drug exposure and parasitological cure was estimated using logistic regression. Monte Carlo simulations were performed to identify better, future dosing regimens. There was marked PK variability between children, but the area under the concentration-time curve (AUC of PZQ was strongly predictive of the parasitological cure rate (CR. Although no child achieved antigenic cure, which is suggestive of an important residual adult worm burden, higher AUC was associated with greater CAA antigenic decline at 24 days. To optimize the performance of PZQ, analysis of our simulations suggest that higher doses (>60 mg/kg are needed, particularly in smaller children.

  20. Population Pharmacokinetics and Pharmacodynamics of Praziquantel in Ugandan Children with Intestinal Schistosomiasis: Higher Dosages Are Required for Maximal Efficacy

    Science.gov (United States)

    Waterhouse, David; de Sousa-Figueiredo, Jose C.; Roberts, Stephen A.; Atuhaire, Aaron; Van Dam, Govert J.; Corstjens, Paul L. A. M.; Scott, Janet T.; Stanton, Michelle C.; Kabatereine, Narcis B.; Ward, Stephen; Hope, William W.; Stothard, J. Russell

    2016-01-01

    ABSTRACT Each year, millions of African children receive praziquantel (PZQ) by mass drug administration (MDA) to treat schistosomiasis at a standard single dose of 40 mg/kg of body weight, a direct extrapolation from studies of adults. A higher dose of 60 mg/kg is also acceptable for refractory cases. We conducted the first PZQ pharmacokinetic (PK) and pharmacodynamic (PD) study in young children comparing dosing. Sixty Ugandan children aged 3 to 8 years old with egg patent Schistosoma mansoni received PZQ at either 40 mg/kg or 60 mg/kg. PK parameters of PZQ racemate and enantiomers (R and S) were quantified. PD outcomes were assessed by standard fecal egg counts and novel schistosome-specific serum (circulating anodic antigen [CAA]) and urine (circulating cathodic antigen [CCA]) antigen assays. Population PK and PD analyses were performed to estimate drug exposure in individual children, and the relationship between drug exposure and parasitological cure was estimated using logistic regression. Monte Carlo simulations were performed to identify better, future dosing regimens. There was marked PK variability between children, but the area under the concentration-time curve (AUC) of PZQ was strongly predictive of the parasitological cure rate (CR). Although no child achieved antigenic cure, which is suggestive of an important residual adult worm burden, higher AUC was associated with greater CAA antigenic decline at 24 days. To optimize the performance of PZQ, analysis of our simulations suggest that higher doses (>60 mg/kg) are needed, particularly in smaller children. PMID:27507822

  1. Handbook for the College Admissions Profession. The Greenwood Educators' Reference Collection.

    Science.gov (United States)

    Swann, Claire C., Ed.; Henderson, Stanley E., Ed.

    The 19 chapters of this book on college admissions are divided into six sections on: (1) perspectives and history, (2) the admissions officer, (3) understanding enrollment management, (4) admissions tools, (5) admissions programs, and (6) perspectives on the twenty-first century. The papers are: "Perspectives on Educational Reform" (Donald…

  2. Paediatric Blunt Torso Trauma; Injury mechanisms, patterns and outcomes among children requiring hospitalisation at the Sultan Qaboos University Hospital, Oman

    Directory of Open Access Journals (Sweden)

    Khalid M. Bhatti

    2016-05-01

    Full Text Available Objectives: Trauma is the greatest cause of morbidity and mortality in paediatric/adolescent populations worldwide. This study aimed to describe trauma mechanisms, patterns and outcomes among children with blunt torso trauma admitted to the Sultan Qaboos University Hospital (SQUH in Muscat, Oman. Methods: This retrospective single-centre study involved all children ≤12 years old with blunt torso trauma admitted for paediatric surgical care at SQUH between January 2009 and December 2013. Medical records were analysed to collect demographic and clinical data. Results: A total of 70 children were admitted with blunt torso trauma during the study period, including 39 (55.7% male patients. The mean age was 5.19 ± 2.66 years. Of the cohort, 35 children (50.0% received their injuries after having been hit by cars as pedestrians, while 19 (27.1% were injured by falls, 12 (17.1% during car accidents as passengers and four (5.7% by falling heavy objects. According to computed tomography scans, thoracic injuries were most common (65.7%, followed by abdominal injuries (42.9%. The most commonly involved solid organs were the liver (15.7% and spleen (11.4%. The majority of the patients were managed conservatively (92.9% with a good outcome (74.3%. The mortality rate was 7.1%. Most deaths were due to multisystem involvement. Conclusion: Among children with blunt torso trauma admitted to SQUH, the main mechanism of injury was motor vehicle accidents. As a result, parental education and enforcement of infant car seat/child seat belt laws are recommended. Conservative management was the most successful approach.

  3. 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%.

  4. Routing and admission control in general topology networks with poisson arrivals

    Energy Technology Data Exchange (ETDEWEB)

    Kamath, A.; Palmon, O.; Plotkin, S. [Stanford Univ., CA (United States)

    1996-12-31

    Emerging high speed networks will carry traffic for services such as video-on-demand and video teleconferencing - that require resource reservation along the path on which the traffic is sent. High bandwidth-delay product of these networks prevents circuit rerouting, i.e. once it is routed on a certain path, the bandwidth a circuit taken by this circuit remains unavailable for the duration (holding time) of this circuit. As a result, such networks will need effective routing and admission control strategies. Recently developed online routing and admission control strategies have logarithmic competitive ratios with respect to the admission ratio (the fraction of admitted circuits). Such guarantees on performance are rather weak in the most interesting case where the rejection ratio of the optimum algorithm is very small or even 0. Unfortunately, these guarantees can not be improved in the context of the considered models, making it impossible to use these models to identify algorithms that are going to perform well in practice.

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

    Directory of Open Access Journals (Sweden)

    Burak Kantarci

    2012-05-01

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

  6. Hospital-based inter-professional strategy to reduce in-patient admissions and emergency department visits for pediatric asthma.

    Science.gov (United States)

    Fleming, Karen; Kuzik, Brian; Chen, Chee

    2011-01-01

    Pediatric asthma is a common reason for emergency department (ED) visits and in-patient hospital admissions. Evidence demonstrates that asthma management initiated in the ED has limited benefit unless followed by ongoing coordinated inter-professional care (IPC). The Royal Victoria Hospital (RVH) of Barrie, Ontario, has developed a best practice model of care for pediatric asthma. Primary care providers and ED physicians are actively encouraged to refer children with any recurrent respiratory problems consistent with asthma to the Paediatric Asthma Clinic (PAC). Quarterly PAC visits with a certified asthma educator and a pediatrician include lung function measurement, written action plans and primary care provider communication. Ongoing outcome monitoring of patients receiving IPC has revealed that, compared with 12 months prior to enrolment in the PAC, patients show a two-thirds decrease in asthma-related ED visits and an 85% decrease in admissions. The PAC has contributed to an ongoing decline in the rates of pediatric asthma-related ED visits and admissions at RVH, which are currently less than half the rates seen at our peer hospitals. IPC for chronic diseases is best practice, and our model of care for pediatric asthma continues to provide critical data demonstrating and supporting the advantages of IPC in chronic disease management. RVH modifies practice and policy to meet best practices, optimizing the care provided to children with pediatric asthma.

  7. Utility of admission physiology in the surgical triage of isolated ballistic battlefield torso trauma

    Directory of Open Access Journals (Sweden)

    Jonathan J Morrison

    2012-01-01

    Full Text Available Background: An assessment of hemodynamic stability is central to surgical decision-making in the management of battlefield ballistic torso trauma (BBTT. Aims: To analyse the utility of admission physiological parameters in characterising hemodynamic stability. Settings and Design: A retrospective analysis of consecutive admissions, with BBTT, to forward surgical facility in Afghanistan. Materials and Methods: The cohorts′ admission physiology, need for operative intervention, and mortality data were collected retrospectively. The cohort was divided into patients requiring surgery for Life-Threatening Torso Hemorrhage (LTTH and those not requiring immediate surgery (non-LTTH. Statistical Analysis: Parameters were compared using two sample t tests, Mann-Whitney, Fisher′s exact, and Chi-square tests. Receiver operator characteristic curves were used to identify significant parameters and determine optimum cut-off values. Results: A total of 103 patients with isolated BBTT were identified: 44 in the LTTH group and 59 in the non-LTTH group. The mean New Injury Severity Score ± Standard Deviation (NISS±SD was 28±14 and 13±12, respectively. The heart rate, systolic blood pressure (SBP, pulse pressure, shock index (SI=heart rate/SBP and base excess were analysed. SI correlated best with the need for surgical torso hemorrhage control, P<0.05. An optimal cut-off of 0.9 was identified, producing a positive and negative predictive value of 81% and 82%, respectively. Conclusions: Shock index (SI is a useful parameter for helping military surgeons triage BBTT, identifying patients requiring operative torso hemorrhage control. SI performance requires a normal physiological response to hypovolemia, and thus should always be considered in clinical context.

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

    Directory of Open Access Journals (Sweden)

    Ramesh Babu H.S

    2009-12-01

    Full Text Available 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 wireless network environment. In the proposed algorithm we have considered three classes of traffic having different QoS requirements and we have considered the heterogeneous network environment which includes the RATs that can effectively handle applications like voice calls, Web browsing and file transfer applications which are with varied QoS parameters. The paper presents the call blocking probabilities for all the three types of traffic both for fixed and varied traffic scenario.Keywords: Radio Access Technologies; Call admission control; Call blocking probability; Markov model; Heterogeneous wireless Networks.

  9. 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.

  10. 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.

  11. 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.

  12. Immunocompromised Children with Severe Adenoviral Respiratory Infection.

    Science.gov (United States)

    Tylka, Joanna C; McCrory, Michael C; Gertz, Shira J; Custer, Jason W; Spaeder, Michael C

    2016-01-01

    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.

  13. Simultaneous vaccination with MMR and DTaP-IPV-Hib and rate of hospital admissions with any infections

    DEFF Research Database (Denmark)

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

    2016-01-01

    and inactivated vaccines may increase child mortality compared with the live vaccine alone. We examined the hypothesis that simultaneous administration of MMR and the inactivated DTaP-IPV-Hib vaccine compared with MMR alone is associated with higher incidence of infectious disease admissions. METHODS: Nationwide......, 4965 children had simultaneous MMR and DTaP-IPV-Hib as their most recent vaccination. Compared with MMR alone, simultaneous administration was associated with a higher rate of lower respiratory tract infections (adjusted incidence rate ratio (IRR), 1.27; 95% confidence interval (CI), 1......BACKGROUND: In Denmark, live measles, mumps, and rubella vaccine (MMR) is associated with a reduced risk of infectious disease admissions, particularly for lower respiratory tract infections. In low-income countries, simultaneous vaccination (i.e. vaccination at the same visit) with live...

  14. 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.

  15. Asymptotic admissibility of priors and elliptic differential equations

    CERN Document Server

    Hartigan, J A

    2010-01-01

    We evaluate priors by the second order asymptotic behavior of the corresponding estimators.Under certain regularity conditions, the risk differences between efficient estimators of parameters taking values in a domain D, an open connected subset of R^d, are asymptotically expressed as elliptic differential forms depending on the asymptotic covariance matrix V. Each efficient estimator has the same asymptotic risk as a 'local Bayes' estimate corresponding to a prior density p. The asymptotic decision theory of the estimators identifies the smooth prior densities as admissible or inadmissible, according to the existence of solutions to certain elliptic differential equations. The prior p is admissible if the quantity pV is sufficiently small near the boundary of D. We exhibit the unique admissible invariant prior for V=I,D=R^d-{0). A detailed example is given for a normal mixture model.

  16. Advanced Fuzzy Logic Based Admission Control for UMTS System

    Directory of Open Access Journals (Sweden)

    P. Kejik

    2010-12-01

    Full Text Available The capacity of CDMA (Code Division Multiple Access systems is interference limited. Therefore radio resources management (RRM functions are 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 (Universal Mobile Telecommunication System. A UMTS system model and four fuzzy logic based admission control algorithms are presented in this paper. Two new versions of fuzzy logic based admission control algorithms are presented there. All algorithms are mutually compared via simulations. Simulations show that the novel advanced fuzzy algorithm outperforms the other simulated algorithms (in terms of blocking probability, dropping probability and the number of active UEs in cell.

  17. A scalable admission control scheme based on time label

    Institute of Scientific and Technical Information of China (English)

    杨松岸; 杨华; 杨宇航

    2004-01-01

    Resource reservation protocols allow communicating hosts to reserve resources such as bandwidth to offer guaranteed service. However,current resource reservation architectures do not scale well for a large number of flows. In this paper,we present a simple reservation protocol and a scalable admission control algorithm,which can provide QoS guarantees to individual flows without per-flow management in the network core. By mapping each flow to a definite time,this scheme addresses the problems that limit the effectiveness of current endpoint admission control schemes. The overall admission control process is described. Analysis is used to explain the reasonability of our scheme and simulation validates its performance.

  18. Drug-related hospital admissions in a generic pharmaceutical system.

    Science.gov (United States)

    Zargarzadeh, A H; Emami, M H; Hosseini, F

    2007-01-01

    1. Generically based pharmaceutical systems exist in a few countries of the world, such as Iran. Most developed countries have free market pharmaceutical systems. Drug-related problems (DRP) have been reported mostly in the Western world but few data are available for generic systems. In this study, we tried to measure the prevalence of drug-related problems leading to hospital admissions in Isfahan, Iran. 2. One thousand consecutive hospital admissions in three major teaching hospitals were studied for a period of 6 months for the presence of DRP as a cause of hospital admissions. Two subcategories of DRP were considered: (i) drug therapy failure; and (ii) adverse drug reactions. Preventability and outcome measures were also assessed. Medications responsible for DRP were classified according to the Anatomic Therapeutic Chemical (ATC) classification of the World Health Organization. 3. Of the 1000 admissions studied, 115 (11.5%) were owing to DRP, 81% as a result of drug therapy failure and 19% as adverse drug reactions. A total of 106 out of the 115 DRP cases (92%) were either preventable or probably preventable, most of which had to do with either prescriber or patient error. An overview of DRP showed that 58.3% resulted in complete recovery, 33.9% in relative recovery and 7.8% in death. Close to 1% of hospital admissions resulted in DRP-related deaths. 4. The overall prevalence of hospital admissions caused by DRP is similar to that in free market pharmaceutical systems. The high preventability rate of these problems should alert clinicians and policy makers to design strategies to curtail this. Also, reasons for differences in subtypes of DRP between the results of this study and those of the literature from free market systems needs to be investigated further.

  19. Admissibility of false-confession testimony: know thy standard.

    Science.gov (United States)

    Quintieri, Peter; Weiss, Kenneth J

    2005-01-01

    The reliability of confessions is subject to a variety of factors, some of which give rise to expert testimony. To the degree that prosecutors construe the determination of reliability as an objective standard, they may attempt to bar testimony. Moreover, when the testimony is theoretical rather than clinical, there are additional challenges. Depending on jurisdiction, the admissibility of expert testimony on whether a confession was knowing, intelligent, and voluntary is subject to a legal threshold such as the Frye or Daubert standard. The authors review a 2002 New Jersey Superior Court ruling that illustrates the forces that shape the admissibility of confessions.

  20. 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.

  1. 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 s......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...

  2. Admission Control Scheme for Multi-class Services in QoS-based Mobile Cellular Networks

    Institute of Scientific and Technical Information of China (English)

    YINZhiming; XIEJianying

    2004-01-01

    Call admission control (CAC) is one of the key schemes to guarantee Quality of service (QoS) in mobile cellular networks. In this paper, we propose an optimal CAC scheme based on Semi-Markov decision processes (SMDP) theory to support multi-class services for QoS wireless networks. Linear programming formulation is used to find the optimal solution, which maximizes the channel utilization while meeting the requirements of QoS constraints. The numerical results show that the performance of our scheme outperforms DCAC scheme.

  3. Factors impacting influenza vaccination of urban low-income Latino children under nine years requiring two doses in the 2010–2011 season

    Science.gov (United States)

    Hofstetter, Annika M.; Barrett, Angela; Stockwell, Melissa S.

    2015-01-01

    Background The Advisory Committee on Immunization Practices (ACIP) recommends that certain children under nine years of age receive two influenza vaccine doses in a season for optimal protection. Recent data indicate that many of these children fail to receive one or both of these needed doses. Contributing factors to under-vaccination of this population remain unclear. Methods Caregivers of children aged 6 months-8 years requiring two influenza vaccine doses in the 2010–2011 season were identified from households enrolled in four urban Head Start programs. Recruitment and survey administration were conducted between March and June 2011. The impact of caregiver, provider, and practice-based factors on influenza vaccine receipt (0, 1, or 2 doses) was assessed using bivariate and multivariable logistic regression analyses. Results Caregivers (n=128) were predominantly mothers, Latina, Spanish-speaking, and non-U.S. born. Few children received one (31%) or both (7%) influenza vaccine doses. Caregivers who discussed influenza vaccination with providers were more likely to know their child needed two doses (55% vs. 36%, p<0.05) and have a fully vaccinated child (11% vs. 0%, p<0.05). Among caregivers whose child received the first dose, those who reported being told when to return for the second dose were also more likely to have a fully vaccinated child (35% vs. 0%, p=0.05). Belief in influenza vaccine effectiveness was positively associated with vaccination (p<0.001), while safety concerns were negatively associated (p<0.05). Discussion This study highlights the importance of provider-family communication about the two-dose regimen as well as influenza vaccine effectiveness and safety. PMID:25082482

  4. 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...

  5. 38 CFR 18.442 - Admissions and recruitment.

    Science.gov (United States)

    2010-07-01

    ..., manual, or speaking skills, the test results accurately reflect the applicant's aptitude or achievement... use any test or criterion for admission that has a disproportionate, adverse effect on handicapped persons or any class of handicapped persons unless: (i) The test or criterion, as used by the...

  6. 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…

  7. 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…

  8. Hyponatraemia at hospital admission is a predictor of overall mortality

    DEFF Research Database (Denmark)

    Balling, L; Gustafsson, F; Goetze, J P;

    2015-01-01

    BACKGROUND: Hyponatraemia is a prognostic marker of increased mortality and morbidity in selected groups of hospitalised patients. The aim of the present study was to examine the prevalence and prognostic significance of hyponatraemia at hospital admission in an unselected population with a broad...

  9. Investigating the Reliability of the Medical School Admissions Interview

    Science.gov (United States)

    Kreiter, Clarence D.; Yin, Ping; Solow, Catherine; Brennan, Robert L.

    2004-01-01

    Purpose: Determining the valid and fair use of the interview for medical school admissions is contingent upon a demonstration of the reproducibility of interview scores. This study seeks to establish the generalizability of interview scores, first assessing the existing research evidence, and then analyzing data from a non-experimental independent…

  10. Objectivity in needs assessment practice : admission to a residential home

    NARCIS (Netherlands)

    Jörg, F; Boeije, H R; Huijsman, R; de Weert, G H; Schrijvers, A J P; Jorg, Frederike

    2002-01-01

    In 1997, the Dutch government installed independent agencies to assess the long-term care needs of individual clients and to give advice on the allocation of appropriate services. Needs assessors assess, among other things, the eligibility of clients requesting admission to a residential home. Accor

  11. 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...

  12. Relationship Between Standardized Admissions Variables and Certain Interpersonal Skills

    Science.gov (United States)

    Hurst, Michael W.; Shatkin, Stephen D.

    1974-01-01

    An admissions model was developed that included standardized intellective and nonintellective variables. It was found that linear combinations of grade point average, quality of undergraduate college, major area of study, and recommendations and work experience were generally unrelated to pre- or post-training ratings of empathy, respect, and…

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

    Directory of Open Access Journals (Sweden)

    Seyed Taghi Heydari

    2013-01-01

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

  14. 38 CFR 51.80 - Admission, transfer and discharge rights.

    Science.gov (United States)

    2010-07-01

    ... (CONTINUED) PER DIEM FOR NURSING HOME CARE OF VETERANS IN STATE HOMES Standards § 51.80 Admission, transfer... resident and, if known, a family member or legal representative of the resident of the transfer or..., address and telephone number of the State long term care ombudsman. (7) Orientation for transfer...

  15. 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…

  16. Institutional Admissions Policies in Higher Education: A Widening Participation Perspective

    Science.gov (United States)

    Greenbank, Paul

    2006-01-01

    Purpose: This article analyses how higher education institutions (HEIs) have responded to government policy to increase the participation rates of students from lower social classes through their admissions policies. Design/methodology/approach: The article uses documentary evidence and interviews with institutional policy makers to examine HEI…

  17. LGBT Applicants and Challenges for Admission: Five Cases

    Science.gov (United States)

    Baum, Benjamin S.

    2012-01-01

    Few professional processes are more personally intrusive than the college application. It demands information about your family, your finances, your interests, and your desires. For lesbian, gay, bisexual, and transgender (LGBT) applicants in their teenage years who may not be comfortable with their sexuality, admission officers need be sensitive…

  18. 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...

  19. The effects of Montessori education: evidence from admission lotteries

    NARCIS (Netherlands)

    Ruijs, N.

    2014-01-01

    Little is known about the effects of Montessori education, even though many students in many countries are educated in Montessori classrooms. This study investigates the causal effects of Montessori secondary education by exploiting admission lotteries in Dutch Montessori schools. The results indica

  20. Student Attitudes toward Affirmative Action in College Admissions.

    Science.gov (United States)

    Arredondo, Marisol; Sax, Linda J.

    1999-01-01

    A national survey of 277,850 college freshmen examined attitudes toward affirmative action in college admissions for four racial/ethnic groups: Whites, African-Americans, Asian-Americans, and Mexican-Americans. The study analyzed the extent to which student opposition to affirmative action is driven by factors such as self-interest, political…

  1. The Demise of Affirmative Action in College Admission.

    Science.gov (United States)

    Arredondo, David G.

    2002-01-01

    The legal activity in federal courts related to affirmative action indicates a strong possibility the Supreme Court will abolish affirmative action in college admission. Such a decision would inevitably alter the landscape of higher education. Campus diversity will have to be achieved without using race or ethnicity to offer preference to some at…

  2. The Declining Significance of Race in College Admissions Decisions

    Science.gov (United States)

    Grodsky, Eric; Kalogrides, Demetra

    2008-01-01

    Using 18 years of data from more than 1,300 four-year colleges and universities in the United States, we investigate the extent to which institutional characteristics and contextual factors influence the propensity of colleges to indicate that they engage in affirmative action in their admissions decisions. Consideration of race/ethnicity in…

  3. Practices of Whiteness: Racialization in College Admissions Viewbooks

    Science.gov (United States)

    Osei-Kofi, Nana; Torres, Lisette E.; Lui, Joyce

    2013-01-01

    US colleges and universities today intensively market themselves in order to compete for prospective students. One of the most widespread marketing tools used to attract students are admissions viewbooks, which are designed to provide potential students with favorable impressions of the many institutions to which they may apply. In this study, we…

  4. Admissibility and Refutation : Some Characterisations of Intermediate Logics

    NARCIS (Netherlands)

    Goudsmit, J.P.

    2014-01-01

    Refutation systems are formal systems for inferring the falsity of formulae. These systems can, in particular, be used to syntactically characterise logics. In this paper, we explore the close connection between refutation systems and admissible rules. We develop technical machinery to construct ref

  5. 8 CFR 1101.1 - Presumption of lawful admission.

    Science.gov (United States)

    2010-01-01

    ... Section 1101.1 Aliens and Nationality EXECUTIVE OFFICE FOR IMMIGRATION REVIEW, DEPARTMENT OF JUSTICE... the United States prior to July 1, 1924, provided that a record of his admission exists. (e) Chinese and Japanese aliens—(1) Prior to July 1, 1924. A Chinese alien for whom there exists a record of...

  6. Hospital mortality is associated with ICU admission time

    NARCIS (Netherlands)

    Kuijsten, H.A.J.M.; Brinkman, S.; Meynaar, I.A.; Spronk, P.E.; van der Spoel, J.I.; Bosman, R.J.; de Keizer, N.F.; Abu-Hanna, A.; de Lange, D.W.

    2010-01-01

    Previous studies have shown that patients admitted to the intensive care unit (ICU) after "office hours" are more likely to die. However these results have been challenged by numerous other studies. We therefore analysed this possible relationship between ICU admission time and in-hospital mortality

  7. 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…

  8. 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)....

  9. Should Universities Be Permitted to Set Their Own Admission Criteria?

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    For high school students in Shanghai, this year's college admission process is a bit different from that in previous years. Locally based Fudan University and Shanghai Jiaotong University (Jiaoda) have been allowed to make some changes in their enrollment procedures. In addition to taking an independently designed entrance exam

  10. Predicting MBA Student Success and Streamlining the Admissions Process

    Science.gov (United States)

    Pratt, William R.

    2015-01-01

    Within this study the author examines factors commonly employed as master of business administration applicant evaluation criteria to see if these criteria are important in determining an applicant's potential for success. The findings indicate that the Graduate Management Admissions Test (GMAT) is not a significant predictor of student success…

  11. Differential Item Functioning on the Graduate Management Admission Test.

    Science.gov (United States)

    O'Neill, Kathleen A.; And Others

    The purpose of this study was to identify differentially functioning items on operational administrations of the Graduate Management Admission Test (GMAT) through the use of the Mantel-Haenszel statistic. Retrospective analyses of data collected over 3 years are reported for black/white and female/male comparisons for the Verbal and Quantitative…

  12. 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...

  13. 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...

  14. Modeling the effect of short stay units on patient admissions

    NARCIS (Netherlands)

    Zonderland, Maartje E.; Boucherie, Richard J.; Carter, Michael W.; Stanford, David A.

    2015-01-01

    Two purposes of Short Stay Units (SSU) are the reduction of Emergency Department crowding and increased urgent patient admissions. At an SSU urgent patients are temporarily held until they either can go home or transferred to an inpatient ward. In this paper we present an overflow model to evaluate

  15. 28 CFR 549.41 - Voluntary admission and psychotropic medication.

    Science.gov (United States)

    2010-07-01

    ... medication. 549.41 Section 549.41 Judicial Administration BUREAU OF PRISONS, DEPARTMENT OF JUSTICE INSTITUTIONAL MANAGEMENT MEDICAL SERVICES Administrative Safeguards for Psychiatric Treatment and Medication § 549.41 Voluntary admission and psychotropic medication. (a) A sentenced inmate may be...

  16. Predictors of Specialized Inpatient Admissions for Adults with Intellectual Disability

    Science.gov (United States)

    Modi, Miti; McMorris, Carly; Palucka, Anna; Raina, Poonam; Lunsky, Yona

    2015-01-01

    Individuals with intellectual disability (ID) have complex mental health needs and may seek specialized ID psychiatric services. This study reports on predictors of specialized inpatient admissions for 234 individuals with ID who received outpatient services at a psychiatric hospital. Overall, from 2007-2012, 55 of the 234 outpatients were triaged…

  17. Impact of North Carolina's motorcycle helmet law on hospital admissions and charges for care of traumatic brain injuries.

    Science.gov (United States)

    Naumann, Rebecca B; Marshall, Stephen W; Proescholdbell, Scott K; Austin, Anna; Creppage, Kathleen

    2015-04-01

    BACKGROUND North Carolina requires motorcyclists of all ages to wear federally approved safety helmets. The purpose of this article is to estimate the impact of this state law in terms of hospital admissions for traumatic brain injury (TBI) and associated hospital charges. METHODS Hospital admissions of North Carolina motorcyclists with TBIs and associated hospital charges in 2011 were extracted from the North Carolina Hospital Discharge Data system. We estimated hospital admissions and charges for the same year under the counterfactual condition of North Carolina without a universal motorcycle helmet law by using various substitutes (Florida, Pennsylvania, and South Carolina residents treated in North Carolina). RESULTS North Carolina's universal helmet law prevented an estimated 190 to 226 hospital admissions of North Carolina motorcyclists with TBI in 2011. Averted hospital charges to taxpayer-funded sources (ie, government and public charges) were estimated to be between $9.5 million and $11.6 million for 2011, and total averted hospital charges for 2011 were estimated to be between $25.3 million and $31.0 million. LIMITATIONS Cost estimates are limited to inpatients during the initial period of hospital care. This study was unable to capture long-term health care costs and productivity losses incurred by North Carolina's TBI patients and their caregivers. CONCLUSIONS North Carolina's universal motorcycle helmet law generates health and economic benefits for the state and its taxpayers.

  18. Making a case for college: A genre-based college admission essay intervention for underserved high school students

    Directory of Open Access Journals (Sweden)

    De Costa, M.

    2011-01-01

    Full Text Available A significant percentage of students who attend secondary schools in the United States do not acquire the basic writing skills required to gain admission to four-year colleges and universities. In the present study, participants were 41 low-income, multi-ethnic 12th-grade students, 19 of whom received instruction on specific genre features for writing college admission essays. The other 22 12th-grade students formed the comparison group and received instruction as usual in their regular English class (mostly on literary analysis. The students who received instruction on genre features of the college admission essay scored higher on a rubric-based rating of the pre and post test essay writing and on writing self-efficacy surveys associated with the genre. Findings yielded from this study point to the merit of using a features-based genre instructional approach to teaching college admission essays to low-income, multi-ethnic high school students.

  19. 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

  20. The effects of direct instruction on the single-word reading skills of children who require augmentative and alternative communication.

    Science.gov (United States)

    Fallon, Karen A; Light, Janice; McNaughton, David; Drager, Kathryn; Hammer, Carol

    2004-12-01

    Current literature suggests a lack of empirically validated strategies for teaching reading skills to children who use augmentative and alternative communication (AAC). The current study implemented a single-subject, multiple-probe-across-subjects design to investigate the effects of direct instruction in single-word reading on the performance of students who use AAC. The instructional program targeted the reading skills of 5 participants who had severe speech impairments and ranged in age from 9 to 14 years old. All 5 participants reached criterion for matching targeted written words to corresponding pictures. Three of the 5 participants demonstrated generalization of reading skills to novel-word reading, and 4 of the 5 generalized reading skills to book contexts. Implications and directions for future research are discussed.

  1. Inpatient dermatology: Characteristics of patients and admissions in a tertiary level hospital in Eastern India

    Directory of Open Access Journals (Sweden)

    Arpita Sen

    2016-01-01

    Full Text Available Introduction: Dermatology is primarily a non-acute, outpatient-centered clinical specialty, but substantial number of patients need indoor admission for adequate management. Over the years, the need for inpatient facilities in Dermatology has grown manifold; however, these facilities are available only in some tertiary centers. Aims and Objectives: To analyze the characteristics of the diseases and outcomes of patients admitted in the dermatology inpatient Department of a tertiary care facility in eastern India. Materials and Methods: We undertook a retrospective analysis of the admission and discharge records of all patients, collected from the medical records department, admitted to our indoor facility from 2011 to 2014. The data thus obtained was statistically analyzed with special emphasis on the patient's demographic profile, clinical diagnosis, final outcome, and duration of stay. Results and Analysis: A total of 375 patients were admitted to our indoor facility during the period. Males outnumbered females, with the median age in the 5th decade. Immunobullous disorders (91 patients, 24.27% were the most frequent reason for admissions, followed by various causes of erythroderma (80 patients, 21.33% and infective disorders (73 patients, 19.47%. Other notable causes included cutaneous adverse drug reactions, psoriasis, vasculitis, and connective tissue diseases. The mean duration of hospital stay was 22.2±15.7 days; ranging from 1 to 164 days. Majority of patients (312, 83.2% improved after hospitalization; while 29 (7.73% patients died from their illness. About 133 patients (35.64% required referral services during their stay, while 8 patients (2.13% were transferred to other departments for suitable management. Conclusion: Many dermatoses require inpatient care for their optimum management. Dermatology inpatient services should be expanded in India to cater for the large number of cases with potentially highly severe dermatoses.

  2. 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.

  3. Admission glycaemia and outcome in patients with acute coronary syndrome.

    Science.gov (United States)

    Müdespacher, Damaris; Radovanovic, Dragana; Camenzind, Edoardo; Essig, Manfred; Bertel, Osmund; Erne, Paul; Eberli, Franz Robert; Gutzwiller, Felix

    2007-12-01

    Some studies of patients with acute myocardial infarction have reported that hyperglycaemia at admission may be associated with a worse outcome. This study sought to evaluate the association of blood glucose at admission with the outcome of unselected patients with acute coronary syndrome (ACS). Using the Acute Myocardial Infarction and unstable angina in Switzerland (AMIS Plus) registry, ACS patients were stratified according to their blood glucose on admission: group 1: 2.80-6.99 mmol/L, group 2: 7.00-11.09 mmol/L and group 3: > 11.10 mmol/L. Odds ratios for in-hospital mortality were calculated using logistic regression models. Of 2,786 patients, 73% were male and 21% were known to have diabetes. In-hospital mortality increased from 3% in group 1 to 7% in group 2 and to 15% in group 3. Higher glucose levels were associated with larger enzymatic infarct sizes (p<0.001) and had a weak negative correlation with angiographic or echographic left ventricular ejection fraction. High admission glycaemia in ACS patients remains a significant independent predictor of in-hospital mortality (adjusted OR 1.08; 95% confidence intervals [CI] 1.05-1.14, p<0.001) per mmol/L. The OR for in-hospital mortality was 1.04 (95% CI 0.99-1.1; p=0.140) per mmol/L for patients with diabetes but 1.21 (95% CI 112-1.30; p<0.001) per mmol/L for non-diabetic patients. In conclusion, elevated glucose level in ACS patients on admission is a significant independent predictor of in-hospital mortality and is even more important for patients who do not have known diabetes.

  4. Wide Variability in Emergency Physician Admission Rates: A Target to Reduce Costs Without Compromising Quality

    Directory of Open Access Journals (Sweden)

    Jeffrey J. Guterman

    2016-09-01

    Full Text Available 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. We sought to determine the impact of variability in admission decisions on cost and quality. Methods: We performed a retrospective observational study of patients presenting to a university-affiliated, urban ED from October 1, 2007, through September 30, 2008. The main outcome measures were admission rate, fiscal indicators (Medicaid-denied payment days, and quality indicators (15- and 30-day ED returns; delayed hospital admissions. We asked each Attending to estimate their inpatient admission rate and correlated their personal assessment with actual admission rates. Results: Admission rates, even after adjusting for known confounders, were highly variable (15.2%-32.0% and correlated with Medicaid denied-payment day rates (p=0.038. There was no correlation with quality outcome measures (30-day ED return or delayed hospital admission. There was no significant correlation between actual and self-described admission rate; the range of mis-estimation was 0% to 117%. Conclusion: Emergency medicine attending admission rates at this institution are highly variable, unexplained by known confounding variables, and unrelated to quality of care, as measured by 30-day ED return or delayed hospital admission. Admission optimization represents an important untapped potential for cost reduction through avoidable hospitalizations, with no apparent adverse effects on quality.

  5. 45 CFR 46.408 - Requirements for permission by parents or guardians and for assent by children.

    Science.gov (United States)

    2010-10-01

    ... Subpart A, that adequate provisions are made for soliciting the permission of each child's parents or... parent has legal responsibility for the care and custody of the child. (c) In addition to the provisions... 45 Public Welfare 1 2010-10-01 2010-10-01 false Requirements for permission by parents...

  6. Impact of Copayment Requirements on Therapy Utilization for Children with Developmental Disabilities in Israeli Jewish and Arab Bedouin Populations

    Science.gov (United States)

    Lubetzky, Hasia; Shvarts, Shifra; Galil, Aharon; Tesler, Hedva; Vardi, Gideon; Merrick, Joav

    2004-01-01

    Under Israeli law, national health insurance covers basic health care for all of the nation's residents, but health services users have to copay for medications and therapy. This study examined whether the requirement to copay for therapy services among certain subpopulations influences their compliance with meeting rehabilitation therapy…

  7. Economic Affirmative Action in College Admissions: A Progressive Alternative to Racial Preferences and Class Rank Admissions Plans. Issue Brief Series.

    Science.gov (United States)

    Kahlenberg, Richard

    This brief explores the pros and cons of three alternative approaches to college admissions policies: race-based preferences, which are backed by most Democrats; class-rank plans (admitting the top students in each high school), which is backed by the Bush administration; and economic affirmative action for the disadvantaged of all races, which…

  8. Clinical description of human bocavirus viremia in children with LRTI, Eastern Province, Saudi Arabia

    Directory of Open Access Journals (Sweden)

    Dalal K Bubshait

    2015-01-01

    Full Text Available Human bocavirus (HBoV is a major etiology of lower respiratory tract infection (LRTI in young children. We tested 149 patients admitted to King Fahd Hospital of the University with diagnosis of LRTI. Viremia caused by the different studied viruses was detected in 31.5% of the total cases by Real-time Polymerase chain reaction. We report five patients who were positive for HBoV in serum samples. Clinical presentation ranged from mild to severe disease as one of them required admission to intensive care unit. Wheezing was a striking feature in most of our patients, but fever was not a consistent finding.

  9. More than just clowns--Clown doctor rounds and their impact for children, families and staff.

    Science.gov (United States)

    Ford, Karen; Courtney-Pratt, Helen; Tesch, Leigh; Johnson, Caddi

    2014-09-01

    Admission to hospital is recognised as a difficult time for children and families. This study explored clown doctor activities in an acute paediatric setting and the impact their activities have on children, their families, other health professionals and clown doctors themselves. We used observation, semi-structured interviews and focus groups with children and parents and staff and clown doctors and results provide a rich description of the work of clown doctors. The major themes were 'the encounter - in the moment' of the interaction of the child and the clown doctor and 'beyond the encounter'. The findings show that the impact of clown doctor visits is experienced beyond the immediate interaction, and this has not been clearly articulated in previous studies. This study highlights the multifaceted and complex nature of the work of the clown doctors and the high level of skill required as they modify and interpret play, activities and environment based on individual need and response.

  10. What physicians reason about during admission case review.

    Science.gov (United States)

    Juma, Salina; Goldszmidt, Mark

    2016-07-28

    Research suggests that physicians perform multiple reasoning tasks beyond diagnosis during patient review. However, these remain largely theoretical. The purpose of this study was to explore reasoning tasks in clinical practice during patient admission review. The authors used a constant comparative approach-an iterative and inductive process of coding and recoding-to analyze transcripts from 38 audio-recorded case reviews between junior trainees and their senior residents or attendings. Using a previous list of reasoning tasks, analysis focused on what tasks were performed, when they occurred, and how they related to the other tasks. All 24 tasks were observed in at least one review with a mean of 17.9 (Min = 15, Max = 22) distinct tasks per review. Two new tasks-assess illness severity and patient decision-making capacity-were identified, thus 26 tasks were examined. Three overarching tasks were identified-assess priorities, determine and refine the most likely diagnosis and establish and refine management plans-that occurred throughout all stages of the case review starting from patient identification and continuing through to assessment and plan. A fourth possible overarching task-reflection-was also identified but only observed in four instances across three cases. The other 22 tasks appeared to be context dependent serving to support, expand, and refine one or more overarching tasks. Tasks were non-sequential and the same supporting task could serve more than one overarching task. The authors conclude that these findings provide insight into the 'what' and 'when' of physician reasoning during case review that can be used to support professional development, clinical training and patient care. In particular, they draw attention to the iterative way in which each task is addressed during a case review and how this finding may challenge conventional ways of teaching and assessing clinical communication and reasoning. They also suggest that further research

  11. Short children with a low midupper arm circumference respond to food supplementation

    DEFF Research Database (Denmark)

    Fabiansen, Christian; Phelan, Kevin P Q; Cichon, Bernardette

    2016-01-01

    BACKGROUND: The management of children with moderate acute malnutrition (MAM) is based on food supplementation in outpatient programs. When midupper arm circumference (MUAC) is used as the sole admission criterion, it is common practice to exclude children with lengths ... rate between children supplements. Children aged 6-23 mo were included...

  12. Drug related hospital admissions in subspecialities of internal medicine.

    Science.gov (United States)

    Hallas, J

    1996-04-01

    It is well established in the literature that adverse drug reactions (ADRs) and drug non-compliance contribute substantially to the admissions at medical wards. Some important questions, however, remain unanswered. The purpose of this thesis was to characterise the drug-related hospital admissions (DRH) and to assess the magnitude of the problem seen in relation to the demographic parameters and drug use of the background population. In addition, an attempt was made to reduce the DRH incidence by an intervention program. The scope of the study program was adverse drug reactions, intended self-poisoning, non-compliance, underdosing and interactions. The material included 1999 admissions to six departments of internal medicine at Odense University Hospital. The patients were reviewed prospectively, while they were still in the wards, but use of standardised criteria fOR assessment of drug-ADR causality. With inclusion of a definite, probable and possible causal relationship, ADRs and toxic reactions were found as an important factor in 8.4% of all admissions. The incidense of ADR related admissions was 400 per 100,000 per year for the background population as a whole, but showing a strong increase with age. The drug-specific ADR incidences were generally small compared to the drug sales figures. Non-compliance contributed to 2.0% of admissions with diuretics and anti-asthmatics as the drugs most frequently involved. Two departments were re-investigated after an intervention program, primarily targetting general practitioners. The over-all incidence of DRHs was unaffected by the intervention, but the subset classified as avoidable DRHs showed a significant decline. The case material was subject to a blinded evaluation by an external peer group using the same criteria as the investigators. There was no indication that the observed decline in avoidable DRHs should be explained by a shift in the investigators' assessment of cases. It was concluded that the intervention

  13. The effect of system intervention on the cognitive control of preschool children.

    Science.gov (United States)

    Modarressi, T

    1975-06-01

    In response to the high rate of learning problems among socially deprived children, the Baltimore Early School Admission Project set up a system intervention model engaging three points of entry: parents, educators, and mental health workers. The emphasis was on: a) the redefinition of the roles of all participants; b) the school as a self-reliant system, discouraging referrals to outside agencies; c) the development of the children's functioning and adaptive potentials, based on their individual cognitive styles. The program included five public schools. Ninety-one children between the ages of 4 and 5 years were involved. All of these were selected from a hard core socioeconomically deprived population. Eighty-three percent were black and 17 per cent white. Fifteen children were identified as "vulnerable" according to specific criteria provided to the teachers and the parents. Of the vulnerable group, nine children's learning problems were related primarily to emotional and environmental factors, five had perceptual, sensory-motor dysfunction mixed with emotional factors, and one suffered primarily from brain damage. Results indicated that only one of the vulnerable children required referral outside of that provided in the above design. Eleven vulnerable children performed as well as the nonvulnerable group, and three showed a moderate improvement. Furthermore, five children with serious learning problems responded to the systemic intervention as well as they might have with specialized professional help.

  14. 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.

  15. 77 FR 19408 - Notice of Public Meeting on FY 2013 U.S. Refugee Admissions Program

    Science.gov (United States)

    2012-03-30

    ... Delicia Spruell, PRM/Admissions Program Officer at (202) 453-9257. Information about the U.S. Refugee Admissions Program may be found at http://www.state.gov/g/prm/ . Dated: March 22, 2012. David...

  16. 76 FR 19176 - Notice of Public Meeting on FY 2012 Refugee Admissions Program

    Science.gov (United States)

    2011-04-06

    ... contact Delicia Spruell, PRM/Admissions Program Officer at (202) 453-9257. Information about the U.S. Refugee Admissions Program may be found at http://www.state.gov/g/prm/ . Dated: March 30, 2011....

  17. 75 FR 20031 - Notice of Public Meeting on FY 2011 Refugee Admissions Program

    Science.gov (United States)

    2010-04-16

    ... contact Delicia Spruell, PRM/Admissions Program Officer at (202) 663-1006. Information about the Refugee Admissions Program may be found at http://www.state.gov/g/prm/ . Dated: April 12, 2010. David...

  18. [Acute asthmatic crisis in children].

    Science.gov (United States)

    Dubus, J C; Bodiou, A C; Buttin, C; Jouglet, T; Stremler, N; Mély, L

    2000-03-01

    Acute asthma attack in children is an attack responsible for life-threatening acute respiratory distress with partial or no response to bronchodilator drugs. The severity of the episode needs to be quickly evaluated. This presupposes a perfect knowledge of the clinical signs of severity. Treatment is urgent and first based on the administration of high doses of inhaled short-acting beta 2-agonists. In the more obstructed children, anti-cholinergic drugs can be added to nebulized beta 2-agonists. Because of their delayed effect, systemic steroids require an early prescription. Symptomatic treatments are: urgent hospitalization, oxygen if needed, proper hydratation. Continuous nebulization or intravenous perfusion of beta 2-agonists are prescribed with cardiac monitoring when no objective improvement is noted. Admission into the pediatric intensive care unit when bronchial obstruction continues will permit the association of bronchodilator drugs and the proposal of mechanical ventilation if needed. When the episode is resolved, a prophylactic treatment using inhaled corticosteroids must be prescribed. Clinical and spirometric follow-up has to be organized, and the patient and his/her family have to be educated.

  19. Robust Admissible Analyse of Uncertain Singular Systems via Delta Operator Method

    Institute of Scientific and Technical Information of China (English)

    WANG Wen; WANG Hui

    2016-01-01

    This paper investigates the problem of robust admissible analysis for uncertain singular delta operator systems(SDOSs). Firstly, we introduce the definition of generalized quadratic admissibility to ensure robust admissibility. Then, by means of LMI, a necessary and sufficient condition is given to prove a uncertain SDOS is generalized quadratic admissible. Finally, a numerical example is provided to demonstrate the effectiveness of the results in this paper.

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

    OpenAIRE

    Viljoen, A; M.N. Saulez; C.M. Donnellan; Bester, L; B. Gummow

    2009-01-01

    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, ...

  1. Household tobacco smoke and admission weight predict severe bronchiolitis in infants independent of deprivation: prospective cohort study.

    Directory of Open Access Journals (Sweden)

    Malcolm G Semple

    Full Text Available OBJECTIVES: To examine demographic, environmental and clinical factors associated with severe bronchiolitis in infants admitted to hospital and quantify the independent effects of these factors. DESIGN: Prospective cohort study. SETTING: Alder Hey Children's Hospital, Liverpool, United Kingdom. PARTICIPANTS: 378 infants admitted to hospital with a diagnosis of bronchiolitis, of whom 299 (79% were antigen positive to respiratory syncytial virus (RSV. OUTCOME: Severity of disease during admission, defined as "no need for supplemental oxygen" (reference group, "any need for supplemental oxygen" and "any need for mechanical ventilation". RESULTS: Univariate analysis found male sex (p = 0.035 and tobacco smoking by a household member (p<0.001 were associated with need for both supplemental oxygen and mechanical ventilation. Premature birth, low gestation, low birth weight, low admission weight and low corrected age on admission were also associated with need for mechanical ventilation (all p≤0.002. Deprivation scores (IMD 2004 were significantly higher in households where a member smoked compared to non-smoking households (p<0.001. The odds of smoking predicted by deprivation were 7 times higher (95%CI (3.59, 14.03, when comparing the least and most deprived quintiles of the study population. Family history of atopic disease and deprivation score were not associated with severe disease. Multivariate multinomial logistic regression which initially included all covariates, found household tobacco smoking (adjusted OR = 2.45, 95%CI (1.60, 3.74 predicted need for oxygen supplementation. Household tobacco smoking (adjusted OR = 5.49, (2.78, 10.83 and weight (kg on admission (adjusted OR = 0.51, (0.40, 0.65 were both significant predictors in the final model for mechanical ventilation. The same associations and similar size of effects were found when only children with proven RSV infection were included in analysis. CONCLUSIONS: Low

  2. Longitudinal Study of Children in Somerset County Who Were Permitted to Enter School Early under Act 312 of the 1949 Pennsylvania General Assembly.

    Science.gov (United States)

    Klein, James J.; Breniman, Emery R.

    The academic careers of three groups of children were followed from grade 1 to grade 12 to determine the effectiveness of early school admission criteria. Children with chronological ages of less than 5 years, 7 months could qualify for early admission into first grade if they achieved a mental age of six years on the Stanford Binet, Form L. Group…

  3. Audit of acute admissions of COPD: standards of care and management in the hospital setting.

    Science.gov (United States)

    Roberts, C M; Ryland, I; Lowe, D; Kelly, Y; Bucknall, C E; Pearson, M G

    2001-03-01

    Despite publication of several management guidelines for COPD, relatively little is known about standards of care in clinical practice. Data were collected on the management of 1400 cases of acute admission with Chronic Obstructive Pulmonary Disease in 38 UK hospitals to compare clinical practice against the recommended British Thoracic Society standards. Variation in the process of care between the different centres was analysed and a comparison of the management by respiratory specialists and nonrespiratory specialists made. There were large variations between centres for many of the variables studied. A forced expiratory volume in one second measurement was found in only 53% of cases. Of the investigations recommended in the acute management arterial blood gases were performed in 79% (interhospital range 40-100%) of admissions and oxygen was formally prescribed in only 64% (range 9-94%). Of those cases with acidosis and hypercapnia 35% had no further blood gas analysis and only 13% received ventilatory support. Long-term management was also deficient with 246 cases known to be severely hypoxic on admission yet two-thirds had no confirmation that oxygen levels had returned to levels above the requirements for long-term oxygen therapy. Only 30% of current smokers had cessation advice documented. To conclude, the median standards of care observed fell below those recommended by the guidelines. The lowest levels of performance were for patients not under the respiratory specialists, but specialists also have room for improvement. The substantial variation in the process of care between hospitals is strong evidence that it is possible for other centres with poorer performance to improve their levels of care.

  4. British Columbia Council on Admissions & Transfer Annual Report, 2008-09

    Science.gov (United States)

    British Columbia Council on Admissions and Transfer, 2009

    2009-01-01

    The role of the British Columbia Council on Admissions and Transfer (BCCAT) is to facilitate admission, articulation, and transfer arrangements in the BC post-secondary system. BCCAT carries out this work in various ways; for example, engaging in research on admissions and student transitions, evaluating the effectiveness of the transfer system…

  5. Contribution of Renal Impairment to Potentially Preventable Medication-Related Hospital Admissions

    NARCIS (Netherlands)

    Leendertse, Anne J.; van Dijk, Elisabeth A.; De Smet, Peter A. G. M.; Egberts, Toine C. G.; van den Bemt, Patricia M. L. A.

    2012-01-01

    BACKGROUND: Medication errors and renal impairment contribute to severe adverse drug events, which may lead to hospital admission. OBJECTIVE: To determine whether medication errors and renal impairment contribute to hospital admission and examine these errors for strategies to prevent admissions. ME

  6. 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.

  7. Why Preferences in College Admissions May Yield a More-Able Student Body

    Science.gov (United States)

    Li, Dong; Weisman, Dennis L.

    2011-01-01

    Critics of affirmative action policies contend that the elimination of racial preferences in college admissions would lead to a "more-able" student body. We develop a simple model comprised of three classes of college admissions--merit, race and legacy--to show that it is possible that a change in admissions policy that reduces racial preferences…

  8. 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…

  9. 43 CFR 4.116 - Interrogatories to parties; inspection of documents; admission of facts.

    Science.gov (United States)

    2010-10-01

    ... documents; admission of facts. 4.116 Section 4.116 Public Lands: Interior Office of the Secretary of the...; admission of facts. Under appropriate circumstances, but not as a matter of course, the Board will entertain... serve upon the opposing party a request for the admission of specified facts. Such applications shall...

  10. The Medical School Admissions Process: A Review of the Literature 1955-1976. Special Report.

    Science.gov (United States)

    Cuca, Janet Melei; And Others

    This document reviews the research on the medical school admissions process that has been completed during the past twenty years. The process is put into perspective by a historical overview chapter that traces trends in medical school admissions and highlights, where possible, relationships between the admissions process and institutional and…

  11. An Admissions Model for Monitoring Applicant Quality. AIR Forum 1981 Paper.

    Science.gov (United States)

    Rosenthal, Daniel J. A.; Tantillo, Charles

    A college admissions system model is described that can be used to monitor applicants at each stage of the admissions process and to assist in planning and student recruitment. Examples are provided that demonstrate the model's broad applicability for the development of specialized admissions programs that can be targeted to accomplish…

  12. Factors related to monitoring during admission of acute patients

    DEFF Research Database (Denmark)

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

    2017-01-01

    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 nursing office had little influence on patients monitored ... the office reduced the level of monitoring. Higher levels of severity were related to higher degrees of monitoring, but being admitted to the surgical wing reduce how much patients were monitored, and periods with many concurrent patients lead to a small increase in monitoring. We found a significant...

  13. NURSING ASSISTANCE FOR PATIENTS IN SURGICAL CENTER ADMISSION

    Directory of Open Access Journals (Sweden)

    Zulene Maria de Vasconcelos Varela

    2002-06-01

    Full Text Available We objectified in this study with qualitative handling, to analyze the nurse's care in the people'sadmission in Surgical Center, starting from this professional's assistematic observation, accomplishing thisprocedure. In the chosen institution, the space for admission is common to all the elements of the team, to thepeople's flow and customers, that stay close one of the other ones, generating erroneous interpretations in thecommunication, hindering of that the efective care. The nurse's concern, in developing the admission, as ownprerogative and humanização was evident. The continuity of that procedure, it is hindered by the surgical team,for the patient's liberation, what is leaving out the care alternatives and generating dissatisfaction in theprofessionals.

  14. [Psychogeriatric emergency admissions in the area Eindhoven and the Kempen].

    Science.gov (United States)

    Schrijver, T L

    1992-02-01

    In the Netherlands a special arrangement between the Regional Institute for Outpatient Mental Health Care (RIAGG) and nursing homes exists in region Eindhoven to deal with emergency admissions of psychogeriatric patients. Such an arrangement is necessary, because of long waiting lists for psychogeriatric nursing homes. This article describes the circumstances of 47 patients, who were admitted by this special arrangement. The group which had not been known before the crisis by RIAGG or nursing home (n = 21) is compared to those who had already been waiting some time for admission (n = 26). It appears that in the latter group the burden on the care taker becomes too heavy due to behavioural disturbances of the patient, while in the first group the coping abilities of the system decline due to acute illness or death of the care taker.

  15. 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.

  16. Increasing the admission rate to upper secondary school

    DEFF Research Database (Denmark)

    Hoest, A.; Jensen, V.M.; Nielsen, L.P.

    2013-01-01

    Although several studies investigate the effects of school resources on student performance, these studies tend to focus more on intervention effect sizes than on their cost-effectiveness. Exploiting policy-induced variation in Denmark and using high-quality administrative data, we investigate...... the effects of a school intervention that introduces structured student career guidance in lower secondary school on upper secondary school admission. Disregarding the sunk-cost of implementation, the reform was cost-neutral. In a difference-in-difference framework, we find that the reform increases admission...... to upper secondary school between 4.0 and 6.3 percentage points for immigrants, but shows at best small improvements for the native students....

  17. Graduate admissions in clinical neuropsychology: the importance of undergraduate training.

    Science.gov (United States)

    Karazsia, Bryan T; Stavnezer, Amy Jo; Reeves, Jonathan W

    2013-11-01

    Discussions of and recommendations for the training of clinical neuropsychologists exist at the doctoral, internship, and post-doctoral level. With few exceptions, the literature on undergraduate preparations in clinical neuropsychology is sparse and lacks empirical evidence. In the present study, graduate-level faculty and current trainees completed surveys about graduate school preparations. Faculty expectations of minimum and ideal undergraduate training were highest for research methods, statistics, and assessment. Preferences for "goodness of fit" also emerged as important admissions factors. These results offer evidence for desirable undergraduate preparations for advanced study in clinical neuropsychology. Although undergraduate training in psychology is intentionally broad, results from this study suggest that students who desire advanced study in clinical neuropsychology need to tailor their experiences to be competitive in the application process. The findings have implications for prospective graduate students, faculty who train and mentor undergraduates, and faculty who serve on admissions committees.

  18. NURSING ASSISTANCE FOR PATIENTS IN SURGICAL CENTER ADMISSION

    OpenAIRE

    Zulene Maria de Vasconcelos Varela; Enêde Andrade da Cruz

    2002-01-01

    We objectified in this study with qualitative handling, to analyze the nurse's care in the people'sadmission in Surgical Center, starting from this professional's assistematic observation, accomplishing thisprocedure. In the chosen institution, the space for admission is common to all the elements of the team, to thepeople's flow and customers, that stay close one of the other ones, generating erroneous interpretations in thecommunication, hindering of that the efective care. The nurse's conc...

  19. 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...

  20. Interviewing strategically to elicit admissions from guilty suspects

    OpenAIRE

    Tekin, Serra; Granhag, Pär Anders; Strömwall, Leif; Giolla, Erik Mac; Vrij, Aldert; Hartwig, Maria

    2015-01-01

    In this article we introduce a novel interviewing tactic to elicit admissions from guilty suspects. By influencing the suspects’ perception of the amount of evidence the interviewer holds against them, we aimed to shift the suspects’ counterinterrogation strategies from less to more forthcoming. The proposed tactic (SUE-Confrontation) is a development of the Strategic Use of Evidence (SUE) framework and aims to affect the suspects’ perception by confronting them with statement-evidence incons...

  1. Intelligent Joint Admission Control for Next Generation Wireless Networks

    OpenAIRE

    Mohsen, Abdulqader M.; Al-Akwaa, Fadhl M.; Mohammed M. Alkhawlani

    2012-01-01

    The Heterogeneous Wireless Network (HWN) integrates different wireless networks into one common network. The integrated networks often overlap coverage in the same wireless service areas, leading to the availability of a great variety of innovative services based on user demands in a cost-efficient manner. Joint Admission Control (JAC) handles all new or handoff service requests in the HWN. It checks whether the incoming service request to the selected Radio Access Network (RAN) by the initia...

  2. Probabilistic Tracklet Characterization and Prioritization Using Admissible Regions

    Science.gov (United States)

    2014-09-01

    of deter- mining the potential threat of the object and obtaining further measurements. The solution to this problem is confounded in scenarios with...association and track initiation tasks. Well before their use in data association for asteroids and SOs, admissible regions have been used in stochastic...logic resource management.14 Milani et al.15 first proposed using ARs to assist in the optical detection and discrimination of asteroids . This work is

  3. 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

  4. 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.

  5. 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.

  6. The full moon and admission to emergency rooms

    Directory of Open Access Journals (Sweden)

    Zargar Moosa

    2004-05-01

    Full Text Available OBJECTIVE: The purpose of this study was to investigate an ancient hypothesis; the moon effect might increase incidence of injuries and hence admission of patients with trauma to Emergency Rooms (ERs on full moon days. METHODS: During thirteen months, 58000 trauma patients admitted in three hospitals that had the highest load of trauma patients in Tehran were studied. Due to lack of complete data, 3543 patients (6.1% were excluded from the study, leaving 54457 cases for further analysis. We selected lunar calendar for our study, so dates of patients′ admissions were converted to lunar months and three day- periods with 15th as middle day were defined as full moon days. RESULTS: In our study the number of trauma patients was not increased during the full moon days against other days of lunar month. Statistical analyses of data didn′t exhibit a positive relation between full moon days and increasing of trauma patient admission to ERs. An association between assault and attempted suicide was not observed around the full moon days either. The results did not show significant reduction of GCS score of patients on full moon days and there was not any increase in severity of traumatic injury sustained during full moon days. CONCLUSIONS: It seems necessary to conduct studies regarding the probability of moon effect through on different database, geographic areas and for appropriate periods in order to reach a conclusive result.

  7. Hospital admissions for lower respiratory tract infections among infants in the Canadian Arctic: a cohort study

    Science.gov (United States)

    Banerji, Anna; Panzov, Val; Young, Michael; Robinson, Joan; Lee, Bonita; Moraes, Theo; Mamdani, Muhammad; Giles, B. Louise; Jiang, Depeng; Bisson, Danny; Dennis, Marguerite; Morel, Johanne; Hall, Judith; Hui, Charles; Paes, Bosco; Mahony, James B.

    2016-01-01

    Background: It is unknown whether this burden of disease of lower respiratory tract infections is comparable across the Canadian Arctic. The objectives of this surveillance study were to compare the rates of hospital admission for lower respiratory tract infection and the severity of infection across Arctic Canada, and to describe the responsible viruses. Methods: We performed a prospective multicentre surveillance study of infants less than 1 year of age admitted in 2009 with lower respiratory tract infection to all hospitals (5 regional, 4 tertiary) in the Northwest Territories, Nunavut and Nunavik to assess for regional differences. Nasopharyngeal aspirates were processed by means of a polymerase chain reaction respiratory viral panel, testing for 20 respiratory viruses and influenza A (H1N1). The role of coinfection was assessed by means of regression analysis for length of stay (short: 14 d). Outcomes compared included rates of lower respiratory tract infection, respiratory syncytial virus infection, transfer to tertiary hospital and severe lower respiratory tract infection (respiratory failure, intubation and mechanical ventilation, and/or cardiopulmonary resuscitation). Results: There were 348 admissions for lower respiratory tract infection in the population of interest in 2009. Rates of admission per 1000 live births varied significantly, from 39 in the Northwest Territories to 456 in Nunavik (p < 0.001). The rates of tertiary admissions and severe lower respiratory tract infection per 1000 live births in the Northwest Territories were 5.6 and 1.4, respectively, compared to 55.9 and 17.1, respectively, in Nunavut and 52.0 and 20.0, respectively, in Nunavik (p ≤ 0.001). Respiratory syncytial virus was the most common virus identified (124 cases [41.6% of those tested]), and coinfection was detected in 51 cases (41.1%) of infection with this virus. Longer length of stay was associated with coinfection (odds ratio [OR] 2.64) and underlying risk factors (OR

  8. 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

  9. 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.

  10. Strategic level proton therapy patient admission planning: a Markov decision process modeling approach.

    Science.gov (United States)

    Gedik, Ridvan; Zhang, Shengfan; Rainwater, Chase

    2016-01-25

    A relatively new consideration in proton therapy planning is the requirement that the mix of patients treated from different categories satisfy desired mix percentages. Deviations from these percentages and their impacts on operational capabilities are of particular interest to healthcare planners. In this study, we investigate intelligent ways of admitting patients to a proton therapy facility that maximize the total expected number of treatment sessions (fractions) delivered to patients in a planning period with stochastic patient arrivals and penalize the deviation from the patient mix restrictions. We propose a Markov Decision Process (MDP) model that provides very useful insights in determining the best patient admission policies in the case of an unexpected opening in the facility (i.e., no-shows, appointment cancellations, etc.). In order to overcome the curse of dimensionality for larger and more realistic instances, we propose an aggregate MDP model that is able to approximate optimal patient admission policies using the worded weight aggregation technique. Our models are applicable to healthcare treatment facilities throughout the United States, but are motivated by collaboration with the University of Florida Proton Therapy Institute (UFPTI).

  11. 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 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...

  12. HYPOPHOSPHATAEMIA IN CRITICALLY ILL CHILDREN

    Directory of Open Access Journals (Sweden)

    Poornima Shankar

    2016-07-01

    Full Text Available BACKGROUND To estimate the prevalence of hypophosphataemia and outcome associated with this disturbance in children admitted to PICU. METHOD In this prospective cohort study, 102 children admitted consecutively to a paediatric intensive care unit (PICU were monitored regarding their phosphorus serum levels during the first 7 days of admission. Age, gender, diagnosis at admission, malnutrition, starvation period, length of stay, and outcome were analysed as independent variables for hypophosphataemia. RESULTS Most of our patients (56% developed hypophosphataemia during their PICU stay. The number of starvation days, days on mechanical ventilation, and survival to discharge were significantly associated with hypophosphataemia. The worst outcomes correlated well with this abnormality. CONCLUSION Hypophosphataemia was commonly observed in our PICU and was associated with the presence of respiratory diseases, infections, and increased starvation days and ventilation days. These factors might be considered as risk factors for hypophosphataemia in critically ill children

  13. Maximal admissible faces and asymptotic bounds for the normal surface solution space

    CERN Document Server

    Burton, Benjamin A

    2010-01-01

    The enumeration of normal surfaces is a key bottleneck in computational three-dimensional topology. The underlying procedure is the enumeration of admissible vertices of a high-dimensional polytope, where admissibility is a powerful but non-linear and non-convex constraint. The main results of this paper are significant improvements upon the best known asymptotic bounds on the number of admissible vertices, using polytopes in both the standard normal surface coordinate system and the streamlined quadrilateral coordinate system. To achieve these results we examine the layout of admissible points within these polytopes. We show that these points correspond to well-behaved substructures of the face lattice, and we study properties of the corresponding "admissible faces". Key lemmata include upper bounds on the number of maximal admissible faces of each dimension, and a bijection between the maximal admissible faces in the two coordinate systems mentioned above.

  14. Medical school dropout - testing at admission versus selection by highest grades as predictors

    DEFF Research Database (Denmark)

    O'Neill, Lotte Dyhrberg; Hartvigsen, Jan; Wallstedt, Birgitta;

    2011-01-01

    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......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...... years after admission. Multivariate logistic regression analysis was used to model dropout. Results  Strategy 2 (admission test) students had a lower relative risk for dropping out of medical school within 2 years of admission (odds ratio 0.56, 95% confidence interval 0.39-0.80). Only the admission...

  15. Viral bronchiolitis in children: a common condition with few therapeutic options.

    Science.gov (United States)

    Nicolai, A; Ferrara, M; Schiavariello, C; Gentile, F; Grande, M E; Alessandroni, C; Midulla, F

    2013-10-01

    Even though bronchiolitis is a disease that has been recognized for many years, there are still few therapeutic strategies beyond supportive therapies. Bronchiolitis is the most frequent cause of hospital admission in children less than 1 year of age. The incidence is estimated to be about 150° million cases a year worldwide, and 2-3% of these cases require hospitalization. It is acknowledged that viruses cause bronchiolitis, but most of the studies focus on RSV. The RSV causes a more severe form of bronchiolitis in children with risk factors including prematurity, cardiovascular disease and immunodeficiency. Other viruses involved in causing bronchiolitis include RV, hMPV, hBoV and co-infections. The RV seems to be associated with a less severe acute disease, but there is a correlation between the early infection and subsequent wheezing bronchitis and asthma in later childhood and adulthood. The supportive therapies used are intravenous fluids and oxygen supplement administered by nasal cannula or CPAP in most complicated patients. Additional pharmacological therapies include epinephrine, 3% hypertonic saline and corticosteroids. The Epinephrine seems to have the greatest short-term benefits and reduces the need of hospital admission, whereas hypertonic saline and corticosteroids seem to reduce the length of hospital stay. As bronchiolitis is such a prevalent disease in children and RV seems to play an important role, perhaps more studies should center around the RV's contribution to the initial disease and following pathology.

  16. [Reconsideration of the admission and discharge criteria of tuberculosis patients in Japan].

    Science.gov (United States)

    Masuyama, Hidenori; Igari, Hidetoshi

    2013-03-01

    Japanese Ministry of Health, Labour and Welfare issued new criteria for admission and discharge of tuberculosis patients in 2007. The criteria for admission are extended for the patients of the risk of Mycobacterium tuberculosis transmission and of the possible risk of treatment failure. The criteria for discharge are consisted of the 3 factors, (1) symptoms (cough, fever, etc.) are free after the standard chemotherapy of more than 2 weeks, (2) three different sputum smears are negative for acid-fast bacilli after the standard chemotherapy of more than 2 weeks, (3) patients are estimated to adhere to the chemotherapy after discharge and understand the infection control of M. tuberculosis. Although the criteria were simple, the goal was to treat tuberculosis patients successfully and improve treatment outcomes. For the effective operation of these criteria, the network of primary care facilities for early diagnosis and treatment after discharge, tuberculosis treatment facilities for hospitalization and local government including health care center is important. Four speakers proposed the problems and revealed their own resolutions. Three speakers from tuberculosis treatment facilities were positive for the shortening of hospitalization length by modifying the discharging criteria, however 1 speaker from the Tokyo Metropolitan Government emphasized that the regional medical system should be established for the treatment of discharged tuberculosis patient. 1. Reconsideration of admission and discharge criteria for tuberculosis patients: Kazunari TSUYUGUCHI (Department of Infectious Diseases, Clinical Research Center, National Hospital Organization Kinki-chuo Chest Medical Center) According to the present guideline in Japan, three consecutive negative sputum results for smear or culture are required for discharge of tuberculosis (TB) patients, making their duration of hospitalization extremely long. On the other hand, most of the TB ward in Japan consists of big rooms

  17. Gastrointestinal infections in children.

    Science.gov (United States)

    Mönkemüller, K E; Wilcox, C M

    2001-01-01

    Gastrointestinal infections in children are a major cause of morbidity and mortality worldwide. Children living in developing countries are particularly susceptible to infectious diarrhea because of poor standards of hygiene and sanitation. Although the magnitude of diarrheal illnesses in developed countries is less, costly hospital admissions are still frequent. The causal agent of infectious diarrhea is most frequently related to age, geographical location, lifestyle habits, use of antibiotics, associated medical conditions, social circumstances, and degree of immune competence. In this article we present some of the most important articles published in the field during the last year. The role of Helicobacter pylori in the pathogenesis of gastritis and peptic ulcer disease has been shown in adults and children. Information about the natural history of H. pylori, symptomatology, and diagnostic therapeutic approaches for children are being generated constantly; we discuss some of the most relevant information in this review.

  18. Student characteristics, professional preferences, and admission to medical school

    Directory of Open Access Journals (Sweden)

    Kesternich, Iris

    2017-02-01

    Full Text Available Objectives: A potential new avenue to address the shortage of country doctors is to change the rules for admission to medical school. We therefore study the link between high-school grade point average and prospective physicians’ choice to work in rural areas. To further inform the discussion about rules for admission, we also study the effects of other predictors: a measure of students’ attitudes towards risk; whether they waited for their place of study (; whether their parents worked as medical doctors; and whether they have some practical experience in the medical sector.Methods: We conducted two internet surveys in 2012 and 2014. In the first survey, the sample comprised 701 students and in the second, 474 students. In both surveys, we asked students for their regional preferences; in the 2014 survey, we additionally asked students for their first, second, and third preferences among a comprehensive set of specializations, including becoming a general practitioner. In both surveys, we asked students for basic demographic information (age and gender, their parents’ occupation, a measure of subjective income expectations, a measure of risk attitudes, and their high-school grade point average (, and First National Boards Examination grade (. In 2014, we additionally asked for waiting periods ( as well as for prior professional experience in the health-care sector.Results: We find that three factors increase the probability of having a preference for working in a rural area significantly, holding constant all other influences: Moreover, we find that those willing to work in the countryside have significantly more experience in the medical sector before admission to medical school.Discussion: Our results suggest that a change in the selection process for medical school may increase the supply of country doctors. Instead of focusing on the high-school grade point average, universities could even more intensely screen for study motivation

  19. Accidental dapsone poisoning in children.

    Science.gov (United States)

    Nair, P M; Philip, E

    1984-12-01

    Accidental poisoning in children shows a trend towards poisoning with various newer drugs and chemicals used in the household. Sixty-one cases of accidental poisoning in children were seen in Sree Avittam Thirunal Hospital, (S.A.T.H.), Trivandrum, South India during the year 1982, constituting 0.61% of the total pediatric admissions. Dapsone poisoning constituted 9.8% of the total accidental poisonings, emphasising the need for safe storage of drugs out of the reach of young children. Dapsone poisoning with resultant methaemoglobinaemia responded well to intravenous ascorbic acid and other supportive measures.

  20. Off-hours admission and quality of hip fracture care

    DEFF Research Database (Denmark)

    Kristiansen, Nina Sahlertz; Kristensen, Pia Kjær; Nørgård, Bente Mertz;

    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 morta...... the excess 30-day mortality. CONCLUSIONS: Patients admitted off-hours and on-hours received similar quality of care. The risk of surgical delay and 30 days mortality was higher among patients admitted during weekends; explanations need to be clarified....

  1. 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.

  2. Unemployment and Causes of Hospital Admission Considering Different Analytical Approaches

    DEFF Research Database (Denmark)

    Berg-Beckhoff, Gabriele; Gulis, Gabriel; Kronborg Bak, Carsten

    2016-01-01

    and circulatory disease. Register-based data was analysed for the period of 2006 to 2009. In the cross-sectional analysis, a multiple logistic regression model was conducted based on the year 2006 and cohort information from the same year onward up to 2009 was available for a cox regression model. Social welfare...... to the disease. Given the significant results in the cross-sectional analysis for hospital admission due to cancer, the unfound cohort effect might indicate a reverse causation suggesting that the disease caused joblessness and finally, social welfare compensated unemployment and not vice versa. Comparing...

  3. New degradation call admission control for increasing WCDMA system capacity

    Institute of Scientific and Technical Information of China (English)

    Liu Ningqing; Lu Zhi; Gu Xuemai

    2006-01-01

    Propose a new degradation call admission control(DCAC)scheme, which can be used in wideband code division multiple access communication system. So-called degradation is that non-real time call has the characteristic of variable bit rate, so decreasing its bit rate can reduce the load of the system, consequently the system can admit new call which should be blocked when the system is close to full load, therefore new call's access probability increases. This paper brings forward design project and does system simulation, simulation proves that DCAC can effectively decrease calls' blocking probability and increase the total number of the on-line users.

  4. 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.

  5. Unemployment and Causes of Hospital Admission Considering Different Analytical Approaches

    DEFF Research Database (Denmark)

    Berg-Beckhoff, Gabriele; Gulis, Gabriel; Bak, Carsten Kronborg;

    2016-01-01

    and circulatory disease. Register-based data were analysed for the period of 2006–2009. In the cross-sectional analysis, a multiple logistic regression model was conducted based on the year 2006, and cohort information from the same year onward up to 2009 was available for a Cox regression model. Social welfare...... to the disease. Given the significant results in the cross-sectional analysis for hospital admission due to cancer, the unfound cohort effect might indicate a reverse causation suggesting that the disease caused joblessness, and finally social welfare compensated unemployment and not vice versa. Comparing...

  6. The Ambiguous Effect of GP Competition: The Case of Hospital Admissions.

    Science.gov (United States)

    Islam, M Kamrul; Kjerstad, Egil

    2016-10-14

    In the theoretical literature on general practitioner (GP) behaviour, one prediction is that intensified competition induces GPs to provide more services resulting in fewer hospital admissions. This potential substitution effect has drawn political attention in countries looking for measures to reduce the growth in demand for hospital care. However, intensified competition may induce GPs to secure hospital admissions a signal to attract new patients and to keep the already enlisted ones satisfied, resulting in higher admission rates at hospitals. Using both static and dynamic panel data models, we aim to enhance the understanding of whether such relations are causal. Results based on ordinary least square (OLS) models indicate that aggregate inpatient admissions are negatively associated with intensified competition both in the full sample and for the sub-sample patients aged 45 to 69, while outpatient admissions are positively associated. Fixed-effect estimations do not confirm these results though. However, estimations of dynamic models show significant negative (positive) effects of GP competition on aggregate inpatient (outpatient) admissions in the full sample and negative effects on aggregate inpatient admissions and emergency admissions for the sub-sample. Thus, intensified GP competition may reduce inpatient hospital admissions by inducing GPs to provide more services, whereas, the alternative hypothesis seems valid for outpatient admissions. © 2016 The Authors. Health Economics Published by John Wiley & Sons, Ltd.

  7. Preventing seclusion in psychiatry: a care ethics perspective on the first five minutes at admission.

    Science.gov (United States)

    Voskes, Yolande; Kemper, Martijn; Landeweer, Elleke G M; Widdershoven, Guy A M

    2014-11-01

    In this article, an intervention aimed at improving quality of care to prevent seclusion in psychiatry by focusing on the first five minutes at admission is analyzed from a care ethics perspective. Two cases are presented from an evaluation study in a psychiatric hospital. In both cases, the nurses follow the intervention protocol, but the outcome is different. In the first case, the patient ends up in the seclusion room. In the second case, this does not happen. Analyzing the cases from a care ethics perspective, we conclude that applying the intervention in the right way implies more than following the steps laid down in the protocol. It requires a new way of thinking and acting, resulting in new relationships between nurses and patients. Care ethics theory can help clarify what good care is actually about and keep in mind what is needed to apply the intervention. Thus, care ethics theory can be highly practical and helpful in changing and improving healthcare practice.

  8. Call Admission Control with Bandwidth Reallocation for Adaptive Multimedia in High-Rate Short-Range Wireless Networks

    Institute of Scientific and Technical Information of China (English)

    ZHAIXuping; BIGuangguo; XUPingping

    2005-01-01

    In high-rate short-range wireless networks,CAC (Call admission control) scheme plays an important role in quality of service provisioning for adaptive multimedia services. Three functions, namely bandwidth satisfaction function, revenue rate function and bandwidth reallocation cost function, are firstly introduced. Based on these functions, an efficient CAC scheme, the Rev-RT-BRA (Reservation-based and Revenue test with Bandwidth reallocation) CAC scheme is proposed. The main idea is that it reserves some bandwidth for service classes with higher admission priority. The performance of the Rev-RT-BRA CAC scheme is analyzed by solving a multidimension Markov process. Both the numerical and simulation results are given. The advantages of the proposedRev-RT-BRA CAC scheme are as follows. (1) It maximizes the overall bandwidth satisfaction function at any system state. (2) It solves the unfairness problem in admitting multiple classes of services with different bandwidth requirenlents. (3) The required admission priority level can be guaranteed for various classes of services.

  9. 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

  10. 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.

  11. 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.

  12. Endocarditis - children

    Science.gov (United States)

    Valve infection - children; Staphylococcus aureus - endocarditis - children; Enterococcus - endocarditis- children; Streptococcus viridians - endocarditis - children; Candida - endocarditis - children; Bacterial endocarditis - children; Infective ...

  13. Interviewing strategically to elicit admissions from guilty suspects.

    Science.gov (United States)

    Tekin, Serra; Granhag, Pär Anders; Strömwall, Leif; Giolla, Erik Mac; Vrij, Aldert; Hartwig, Maria

    2015-06-01

    In this article we introduce a novel interviewing tactic to elicit admissions from guilty suspects. By influencing the suspects' perception of the amount of evidence the interviewer holds against them, we aimed to shift the suspects' counterinterrogation strategies from less to more forthcoming. The proposed tactic (SUE-Confrontation) is a development of the Strategic Use of Evidence (SUE) framework and aims to affect the suspects' perception by confronting them with statement-evidence inconsistencies. Participants (N = 90) were asked to perform several mock criminal tasks before being interviewed using 1 of 3 interview techniques: (a) SUE-Confrontation, (b) Early Disclosure of Evidence, or (c) No Disclosure of Evidence. As predicted, the SUE-Confrontation interview generated more statement-evidence inconsistencies from suspects than the Early Disclosure interview. Importantly, suspects in the SUE-Confrontation condition (vs. Early and No disclosure conditions) admitted more self-incriminating information and also perceived the interviewer to have had more information about the critical phase of the crime (the phase where the interviewer lacked evidence). The findings show the adaptability of the SUE-technique and how it may be used as a tool for eliciting admissions.

  14. 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 increase...... self-efficacy in patients with chronic diseases, such as chronic obstructive pulmonary disease. However, little is known about how telemedicine-based virtual admission as a replacement of hospital admission during acute exacerbation affects chronic obstructive pulmonary disease patients' self-efficacy......: Participants were consecutively randomised to virtual admission or conventional hospital admission. Data from 50 patients were analysed. Self-efficacy was assessed at baseline, three days after discharge, and also six weeks and three months after discharge, using the Danish version of 'The chronic obstructive...

  15. Angioedema Related to Angiotensin-Converting Enzyme Inhibitors: Attack Severity, Treatment, and Hospital Admission in a Prospective Multicenter Study.

    Science.gov (United States)

    Javaud, Nicolas; Achamlal, Jallal; Reuter, Paul-George; Lapostolle, Frédéric; Lekouara, Akim; Youssef, Mustapha; Hamza, Lilia; Karami, Ahmed; Adnet, Frédéric; Fain, Olivier

    2015-11-01

    The number of cases of acquired angioedema related to angiotensin converting enzyme inhibitors induced (ACEI-AAE) is on the increase, with a potential concomitant increase in life-threatening attacks of laryngeal edema. Our objective was to determine the main characteristics of ACEI-AAE attacks and, in doing so, the factors associated with likelihood of hospital admission from the emergency department (ED) after a visit for an attack.A prospective, multicenter, observational study (April 2012-December 2014) was conducted in EDs of 4 French hospitals in collaboration with emergency services (SAMU 93) and a reference center for bradykinin-mediated angioedema. For each patient presenting with an attack, emergency physicians collected demographic and clinical presentation data, treatments, and clinical course. They recorded time intervals from symptom onset to ED arrival and to treatment decision, from ED arrival to specific treatment with plasma-derived C1-inhibitor (C1-INH) or icatibant, and from specific treatment to onset of symptom relief. Attacks requiring hospital admission were compared with those not requiring admission.Sixty-two eligible patients with ACEI-AAE (56% men, median age 63 years) were included. Symptom relief occurred significantly earlier in patients receiving specific treatment than in untreated patients (0.5 [0.5-1.0] versus 3.9 [2.5-7.0] hours; P < 0.0001). Even though icatibant was injected more promptly than plasma-derived C1-INH, there, however, was no significant difference in median time to onset of symptom relief between the 2 drugs (0.5 [0.5-1.3] versus 0.5 [0.4-1.0] hours for C1-INH and icatibant, respectively, P = 0.49). Of the 62 patients, 27 (44%) were admitted to hospital from the ED. In multivariate analysis, laryngeal involvement and progressive swelling at ED arrival were independently associated with admission (Odds ratio [95% confidence interval] = 6.2 [1.3-28.2] and 5.9 [1.3-26.5], respectively). A favorable course

  16. Community based service providers' perspectives on frequent and/or avoidable admission of older people with chronic disease in rural NSW: a qualitative study

    Directory of Open Access Journals (Sweden)

    Ewald Dan P

    2011-10-01

    Full Text Available Abstract Background Frequent and potentially avoidable hospital admission amongst older patients with ambulatory care sensitive (ACS chronic conditions is a major topic for research internationally, driven by the imperative to understand and therefore reduce hospital admissions. Research to date has mostly focused on analysis of routine data using ACS as a proxy for 'potentially avoidable'. There has been less research on the antecedents of frequent and/or avoidable admission from the perspectives of patients or those offering community based care and support for these patients. This study aimed to explore community based service providers' perspectives on the factors contributing to admission among older patients with chronic disease and a history of frequent and potentially avoidable admission. Methods 15 semi-structured interviews with community based providers of health care and other services, and an emergency department physician were conducted. Summary documents were produced and thematic analysis undertaken. Results A range of complex barriers which limit or inhibit access to services were reported. We classified these as external and internal barriers. Important external barriers included: complexity of provision of services, patients' limited awareness of different services and their inexperience in accessing services, patients needing a higher level or longer length of service than they currently have access to, or an actual lack of available services, patient poverty, rurality, and transport. Important internal barriers included: fear (of change for example, a 'stoic' attitude to life, and for some, the difficulty of accepting their changed health status. Conclusions The factors underlying frequent and/or potentially avoidable admission are numerous and complex. Identifying strategies to improve services or interventions for this group requires understanding patient, carer and service providers' perspectives. Improving accessibility

  17. The Impact of Delirium Screening on Admission to General Hospital Using Stanford Proxy Test for Delirium SPTD [1]® , A Quality Improvement Project

    Directory of Open Access Journals (Sweden)

    Adel Zaraa

    2016-09-01

    Full Text Available In this Quality Improvement Project QIP, we hypothesized that implementing screening tool for detecting delirium at admission to general hospital will term a higher yield; thus early recognition and diagnosis will eventually lead to an early intervention and prevention. Method: We set to screen every patient admitted to a community general hospital. Exclusion criteria: Any congenital neurological malformation, a history of pervasive developmental disorder, or documented brain injury. For this purpose we used The Stanford Proxy Test for Delirium (S-PTD which is the first diagnostic test for delirium that combines criteria from the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5 and the International Classification of Diseases, 10th revision (ICD-10 2015. This test was generated in Stanford University 2015 by Jose R. Maldonado, MD et al. and discussed in the APM conference in November 2015, in New Orleans then in the APA meeting, 2016 Atlanta, USA. The test assesses the patient’s twelve different parameters. When set the positive cutoff score at 4 or more, the S-PTD had a sensitivity of 79%, specificity of 91%, positive predictive value of 70%, and negative predictive value of 94%. One of the big advantages of this tool is required 2 minutes to complete. Also, the nursing staff can easily administer it to their patient during their shift, which means measuring patients cognitive function in different times through the day [1]. Results: 19.55% of all admission suffered from delirium on admission, while the admitting officer clinically recognized 5.3% of all admission. Conclusion: using the SPTD [1] on admission yield 400% more positive result. It’s highly recommended to use screening tool as part of admission process.

  18. 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…

  19. Quetiapine-induced Priapism Requiring Frequent Emergency Admissions: A Case Report

    Directory of Open Access Journals (Sweden)

    Jon C. Jackson

    2015-01-01

    Full Text Available Priapism, a rare but well-known adverse reaction of first and second generation anti-psychotics, has been hypothesized to be associated with blockade of alpha 1 receptors. However, genetic abnormalities or heritability of affected cytochrome P450 alleles has not been ruled out as a causal mechanism. A case is presented with three episodes of priapism within 17 days while taking standard FDA (Food and Drug Administration approved doses of quetiapine. Cytochrome P450 3A4 genotype testing was performed and resulted with normal enzymatic activity. This case further eliminates enzymatic metabolism as a possible cause of priapism, thus strengthening the alpha one receptor blockade hypothesis.

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

    Science.gov (United States)

    2010-01-01

    ... forth in Appendix 1603.A.1 to Annex 1603 of the NAFTA—(A) Research and design. Technical scientific and statistical researchers conducting independent research or research for an enterprise located in the territory... transactions for an enterprise located in the territory of another Party. (C) Marketing. (1) Market...

  1. Non-uniqueness of Admissible Weak Solutions to Compressible Euler Systems with Source Terms

    OpenAIRE

    Luo, Tianwen; Xie, Chunjing; Xin, Zhouping

    2015-01-01

    We consider admissible weak solutions to the compressible Euler system with source terms, which include rotating shallow water system and the Euler system with damping as special examples. In the case of anti-symmetric sources such as rotations, for general piecewise Lipschitz initial densities and some suitably constructed initial momentum, we obtain infinitely many global admissible weak solutions. Furthermore, we construct a class of finite-states admissible weak solutions to the Euler sys...

  2. Admission Hypothermia in Very Preterm Infants and Neonatal Mortality and Morbidity

    DEFF Research Database (Denmark)

    Wilson, Emilija; Maier, Rolf F; Norman, Mikael

    2016-01-01

    OBJECTIVE: To investigate the association between body temperature at admission to neonatal intensive care and in-hospital mortality in very preterm infants, stratified by postnatal age of death. Moreover, we assessed the association between admission temperature and neonatal morbidity. STUDY...... DESIGN: In this cohort study from 19 regions in 11 European countries, we measured body temperature at admission for infants admitted for neonatal care after very preterm birth (

  3. Salford alcohol assertive outreach team: a new model for reducing alcohol-related admissions

    OpenAIRE

    Hughes, Neill R; Houghton, Natalie; Nadeem, Haitham; Bell, Jackie; McDonald, Suzanne; Glynn, Noel; Scarfe, Christopher; Mackay, Bev; Rogers, Anthony; Walters, Melanie; Smith, Martin; McDonald, Andrew; Dalton, David

    2013-01-01

    Objective Alcohol-related admissions are increasing. A significant number of these admissions are attributable to a small number of complex patients with other comorbidities who do not engage well with mainstream services. Assertive outreach teams have been used in the field of psychiatry to engage patients who are poorly compliant. This study examines whether an alcohol assertive outreach team (AAOT) can engage with this group and reduce hospital admissions. Design The AAOT is a multidiscipl...

  4. Does Emotional Intelligence at Medical School Admission Predict Future Academic Performance?

    OpenAIRE

    Humphrey-Murto, Susan; Leddy, John J.; Wood, Timothy J.; Puddester, Derek; Moineau, Geneviève

    2014-01-01

    Purpose Medical school admissions committees are increasingly considering noncognitive measures like emotional intelligence (EI) in evaluating potential applicants. This study explored whether scores on an EI abilities test at admissions predicted future academic performance in medical school to determine whether EI could be used in making admissions decisions. Method The authors invited all University of Ottawa medical school applicants offered an interview in 2006 and 2007 to complete the M...

  5. Causes of Raptor Admissions to a Wildlife Rehabilitation Center in Tenerife (Canary Islands)full access

    OpenAIRE

    2010-01-01

    We studied the causes of raptor admissions to the only wildlife rehabilitation center on the largest island of the Canarian Archipelago (Tenerife) over ten years (1998–2007). A total of 2611 birds of prey, belonging to nine falconiform diurnal raptor and four strigiform species, were admitted. The Eurasian Kestrel (Falco tinnunculus) and the Long-eared Owl (Asio otus) were the species most commonly admitted and jointly made up 85.6% of admissions. The most frequent causes of admission to the ...

  6. 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.

  7. Prospective randomized comparison of cefepime and cefotaxime for treatment of bacterial meningitis in infants and children.

    Science.gov (United States)

    Sáez-Llorens, X; Castaño, E; García, R; Báez, C; Pérez, M; Tejeira, F; McCracken, G H

    1995-04-01

    Ninety infants and children were prospectively randomized to receive cefepime (n = 43) or cefotaxime (n = 47) for therapy of bacterial meningitis. The two treatment groups were comparable in terms of age, duration of illness before enrollment, history of seizures, clinical status on admission, and etiology. Six (7%) patients died--two treated with cefepime and four treated with cefotaxime. Clinical response, cerebrospinal fluid sterilization, development of complications, antibiotic toxicity, and hospital stay were similar for the two treatment regimens. Concentrations of cefepime in cerebrospinal fluid varied from 55 to 95 times greater than the maximal MIC required by the causative pathogens. Audiologic and/or neurologic sequelae were found in 16% of the cefepime-treated patients and 15% of the cefotaxime-treated patients examined 2 to 6 months after discharge. We conclude that cefepime is safe and therapeutically equivalent to cefotaxime for management of bacterial meningitis in infants and children.

  8. 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.

  9. Outcome of mechanically ventilated patients initially denied admission to an intensive care unit and subsequently admitted.

    Science.gov (United States)

    Naser, Wasim; Schwartz, Naama; Finkelstein, Richard; Bisharat, Naiel

    2016-11-01

    The outcome of mechanically ventilated patients initially denied admission to an intensive care unit (ICU) and subsequently admitted is unclear. We compared outcomes of patients denied ICU admission and subsequently admitted, to those of patients admitted to the ICU and to patients refused ICU admission. The medical records of all the patients who were subjected to mechanical ventilation for at least 24h over a 4year period (2010-2014) were reviewed. Of 707 patients (757 admissions), 124 (18%) were initially denied ICU admission and subsequently admitted. Multivariate stepwise logistic regression analysis showed significant association with death of: age, length of stay, nursing home residency, duration of mechanical ventilation, previous admission with mechanical ventilation, cause for mechanical ventilation, rate of failed extubations, associated morbidity (previous cerebrovascular accident, dementia, chronic renal failure), and occurrence of nosocomial bacteremia. The odds for death among patients denied ICU admission and subsequently transferred to the ICU compared to patients admitted directly to the ICU was 3.6 (95% CI: 1.9-6.7) (Padmission compared to those who were initially denied and subsequently admitted were not statistically significant (OR=1.7, 95% CI: 0.8-3.8). In conclusion, patients denied ICU admission and subsequently admitted face a considerable risk of morbidity and mortality. Their odds of death are nearly three times those admitted directly to the ICU. Late admission to the ICU does not appear to provide benefit compared to patients who remain in general medicine wards.

  10. Early nutritional depletion in critically ill children.

    Science.gov (United States)

    Pollack, M M; Wiley, J S; Holbrook, P R

    1981-08-01

    Nutritional status was evaluated in 50 medical admissions to a pediatric ICU. All patients were evaluated within 48 h of admission; none had chronic organ failure or malignancies. Nutritional assessment included weight/50th percentile weight for length, length/50th percentile length for age, triceps skinfold thickness, and midarm muscle circumference. Acute protein-energy malnutrition (PEM) occurred in 16% of all children. Chronic PEM also occurred in 16%. The nutrient stores of fat and somatic protein were deficient in 18 and 20% of all children. Acute PEM and deficient somatic protein stores were more frequent in children less than 2 years (p less than 0.05). These findings indicate that malnutrition and nutrient store deficiencies are common early in the course of critical illnesses in children, especially in those less than 2 years of age. However, the findings do not indicate if the severity of illness was the cause or effect of poor nutritional status.

  11. Capturing religious identity during hospital admission: a valid practice in our increasingly secular society?

    Science.gov (United States)

    Glenister, David; Prewer, Martin

    2016-10-21

    Objective Most major Victorian hospitals include religious identity in routine admission demographic questions. However, approximately 20% of admissions do not have their religious identity recorded. At the Royal Melbourne Hospital this missing 20% was surveyed throughout 2014-15 for two reasons: (1) to enable patient care; and (2) to provide an insight into the significance of religious identity for patients. There is scarce literature on this subject, so the present mixed-methods study, including a qualitative component, will start to bridge the gap.Methods Mixed methods, cross-sectional survey.Results The quantitative component of the study found that religious identity was important for a significant proportion of our diverse population and that, in general, demographics were congruent with Australian Bureau of Statistics (ABS) census figures. The qualitative component also revealed significant complexity behind religious identity labels, which the census is unable to capture, providing an insight into the requirements of our growing multicultural population.Conclusions This study illustrates that religious identity is important for a majority of Royal Melbourne's culturally diverse inpatients. This data would seem to give the practice of collecting religious identity data on admission new credence, especially as our culturally and linguistically diverse populations increase. In order to understand these nuances and provide appropriate care, skilled spiritual screening and assessment would appear to be not optional, but rather necessary in our increasingly complex healthcare future.What is known about the topic? A search of the literature using related terms (religious, religion, spiritual identity, care) revealed that there is scarce literature on the subject of religious identity and its importance and meaning to patients.What does this paper add? This mixed methods study approaches the issue of the importance of religious identity from the patient

  12. Off-Hours Admission and Acute Stroke Care Quality

    DEFF Research Database (Denmark)

    Kristiansen, Nina Sahlertz; Mainz, Jan; Nørgård, Bente Mertz;

    2014-01-01

    stroke care processes, including the effect of a systematic quality improvement program, and to examine 30 days case-fatality. Methods-A population-based historical cohort study, including patients admitted to Danish hospitals with a first ever acute stroke (January 1, 2003, to December 31, 2011; N=64...... characteristics (in particular, stroke severity) decreased the odds ratio to 1.03 (95% confidence interval, 0.97-1.10). Additional adjustment for hospital characteristics and compliance with performance measures had no effect on the odds ratio. Conclusion-Patients admitted off-hours received a poorer quality...... of care. However, the admission time-related differences in care were substantially reduced over time, and the differences in 30 days case-fatality appeared primarily to be explained by differences in stroke severity....

  13. 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.

  14. Differential Weighting of Items to Improve University Admission Test Validity

    Directory of Open Access Journals (Sweden)

    Eduardo Backhoff Escudero

    2001-05-01

    Full Text Available 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 Measurement Theory, and (4 weighting correct responses, considering the item’s difficulty, based on the Item Response Theory. Results show that none of these methods increased the instrument’s predictive validity, although they did improve its concurrent validity. It was concluded that it is appropriate to score the test by simply adding up correct responses.

  15. 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.

  16. [Meningococcal disease admissions in a paediatric intensive care unit].

    Science.gov (United States)

    Mação, Patrícia; Januário, Gustavo; Ferreira, Sofia; Dias, Andrea; Dionísio, Teresa; Pinto, Carla; Carvalho, Leonor

    2014-01-01

    Introdução: A infecção meningocócica tem uma elevada mortalidade e morbilidade em crianças. O tratamento agressivo do choque, a referenciação precoce, o transporte secundário especializado e a vacinação são factores com impacto potencial na redução da mortalidade. Foram objectivos caracterizar as crianças com doença invasiva meningocócica admitidas em cuidados intensivos, avaliar parâmetros de gravidade e mortalidade. Material e Métodos: Estudo observacional, cujo método de colheita de dados foi retrospectivo. Foram constituídos dois períodos, de seis anos cada, de acordo com o ano de admissão (A: 2000-2005 e B: 2006-2011) e nestes compararam-se índices de gravidade, disfunção orgânica e mortalidade. Resultados: Foram admitidas 70 crianças com doença invasiva meningocócica. Quando comparadas com as outras causas verificouse uma redução nas admissões por doença invasiva meningocócica (período A: 3,4%; período B: 1,5%; p = 0,001). A ocorrência de meningite foi de 41% no período A e de 29% no período B (p = 0,461). Tiveram púrpura rapidamente progressiva 78% no período A e 50% no período B (p = 0,0032). As crianças do período A tiveram disfunção multi-órgão (80%), coagulação intravascular disseminada (76%) e coma (22%) mais frequentemente que as crianças do período B (29%, 29%, 0%; p < 0,05). A mortalidade foi 26% no período A e 0% no período B (p = 0,006) e a mortalidade estandardizada pelo PRISM foi 1,3 e 0 no período A e B respectivamente. Discussão: A redução do número de admissões por doença menigocócica invasiva pode ser explicada pela introdução da vacina anti-meningocócica C em 2006. Pensa-se que a redução da mortalidade observada, possa ser atribuível à melhoria da estabilização inicial e ao transporte secundário. Conclusão: Nos últimos anos houve uma redução significativa no número de admissões e na mortalidade por doença invasiva meningocócica.

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

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

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

  18. Transtrochanteric fractures: evaluation of data between hospital admission and discharge,

    Directory of Open Access Journals (Sweden)

    Christiano Saliba Uliana

    2014-04-01

    Full Text Available OBJECTIVE: to evaluate the data obtained from patients with transtrochanteric fractures who were attended at a tertiary-level trauma referral hospital, between admission and discharge, gathered prospectively by means of the SINPE(c software.METHODS: 109 consecutive patients who were admitted between April 2011 and January 2012 were evaluated using an electronic storage and analysis database in SINPE(c . The data were gathered prospectively, including evaluations on personal information about the patients, history-taking, fracture classification (Evans-Jensen, AO/OTA and Tronzo, treatment and discharge.RESULTS: the sample was composed of 43 men and 66 women. Their ages ranged from 20 to 105 years, with a mean of 69 years. Falling was the trauma mechanism for 92 patients and traffic accidents for 17. The most prevalent chronic diseases were systemic arterial hypertension and diabetes mellitus. According to the AO/OTA classification, the commonest fracture type was 31 A1. According to the Tronzo classification, type III was commonest. The fracture was fixed by means of a cephalomedullary nail in 64 cases and a sliding screw-plate in 44 cases. One fracture was fixed with a 95◦ screw-plate. Seven patients presented some form of clinical complication and three died during the hospital stay. All the patients who were discharged were instructed to only partially bear weight on the repair.CONCLUSION: through SINPE(c , it was possible to evaluate the personal information, history-taking, classification, treatment and discharge of patients with transtrochanteric fractures, from hospital admission to discharge.

  19. [Beta 2 microglobulin in children with neuroinfections].

    Science.gov (United States)

    Murawska, E; Szychowska, Z; Jarno, A

    1997-01-01

    CSF and plasma beta2 microglobulin (B2M) concentrations were determined by an enzyme linked fluorescent assay (ELFA) (Vidas-bioMerieux) in children with bacterial (B2M), viral (mumps and enteroviral) meningitis and in the controls. CSF B2M concentrations in children with B2M at admission, at 24-48 hrs of treatment and at recovery (day 10), in children with viral meningitis at admission and at recovery were significantly higher in comparison with the control group of children with non-pleiocytic CSF. The levels of CSF B2M at 24-48 hrs of treatment of B2M cases were significantly higher than those at the beginning of both mumps and enteroviral meningitis cases which may be helpful in differential diagnosis of meningitis, especially in cases of retarded diagnosis or partially treated B2M. Plasma levels of B2M during bacterial and mumps meningitis did not differ from those in healthy children but in children with enteroviral meningitis were significantly higher. There was a positive correlation between CSF B2M at the beginning of B2M and some laboratory findings of inflammatory response (CRP, ERS). The CSF B2M levels were significantly higher than its plasma levels in patients with B2M at 24-48 hours (second stage) of disease, mumps meningitis on admission and recovery which may suggest intrathecal production of B2M during central nervous system infection.

  20. Comparison of severe pneumonia caused by Human metapneumovirus and respiratory syncytial virus in hospitalized children

    Directory of Open Access Journals (Sweden)

    Yuqing Wang

    2014-01-01

    Full Text Available Objectives: The objective of this study is to compare the incidence and clinical characteristics of severe pneumonia caused by Human metapneumovirus (hMPV to respiratory syncytial virus (RSV infection in children. Patients and Methods: A total of 151 children hospitalized with severe pneumonia, were tested for hMPV using reverse-transcription polymerase chain reaction. At the same time, samples were tested for RSV and other common respiratory viruses. Medical records, including clinical, laboratory data, and chest radiography findings, were reviewed for all children. Results: Of the 151 samples, 88 (58.3% were positive for respiratory viruses. Of the 88 positive, there were 6 (4.0% with hMPV, 66 (43.7% with RSV, 13 (8.6% with influenza A, 2 (1.3% with parainfluenza virus III, 1 (0.7% with parainfluenza virus I, 1 (0.7% with adenovirus and 1 (0.7% with influenza B. hMPV-infected patients were significantly older than RSV-infected patients (P < 0.001. Children with hMPV pneumonia had fever more frequently (P = 0.03. Two hMPV-positive patients (33.3% required admission to an intensive care unit, and two patients (33.3% required mechanical ventilation. The duration of illness was 18.33 ± 7.09 days. These characteristics of hMPV infections were similar to patients with RSV infections. Conclusion: Human metapneumovirus is an infrequent viral pathogen causing severe pneumonia in children. Children with hMPV were older than those with RSV. The disease caused by hMPV was similar in presentation and severity to RSV, with a minority of children requiring additional respiratory support.

  1. Overseas Assignment of Sponsors who have Children with Disabilities Who Are Space-Required Students in the Department of Defense Dependents Schools (DoDDS)

    Science.gov (United States)

    1992-03-01

    PO Staff are available to evaluate and provide services for children who have a diagnosis of autism , pervasive developmental delay, or similar severe...training (i.e., cane or guide dog ). c. Staff and Eguipment Available for Orthonedicallv Impaired Students (1) 01 Classrooms and building are fitted so as...are available to serve children with a diagnosis of autism , pervasive developmental delay, or with many behavioral features of autism . Class size is

  2. Combined Admission Control and Scheduling for QoS Differentiation in LTE Uplink

    DEFF Research Database (Denmark)

    Anas, Mohmmad; Rosa, Claudio; Calabrese, Francesco Davide

    2008-01-01

    Long term evolution (LTE) architecture shall support end-to-end quality of service (QoS). For the QoS support and service differentiation it is important that the admission control and packet scheduling functionalities are QoS-aware. In this paper a combined admission control and a decoupled time...

  3. 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.

  4. 40 CFR 85.1512 - Admission of catalyst and O2 sensor-equipped vehicles.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 18 2010-07-01 2010-07-01 false Admission of catalyst and O2 sensor... Vehicles and Motor Vehicle Engines § 85.1512 Admission of catalyst and O2 sensor-equipped vehicles. (a)(1... system and/or O2 sensor; (iii) Is labeled in accordance with 40 CFR part 86, subpart A or subpart S,...

  5. 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.

  6. 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…

  7. 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

  8. A Survey of PCN-Based Admission Control and Flow Termination

    NARCIS (Netherlands)

    Menth, Michael; Lehrieder, Frank; Briscoe, Bob; Eardley, Philip; Moncaster, Tony; Babiarz, Jozef; Charny, Anna; Zhang, Xinyang (Joy); Taylor, Tom; Chan, Kwok-Ho; Satoh, Daisuke; Geib, Ruediger; Karagiannis, Georgios

    2010-01-01

    Pre-congestion notification (PCN) provides feedback about load conditions in a network to its boundary nodes. The PCN working group of the IETF discusses the use of PCN to implement admission control (AC) and flow termination (FT) for prioritized realtime traffic in a DiffServ domain. Admission cont

  9. 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...

  10. What To Look for in ESL Admission Tests: Cambridge Certificate Exams, IELTS, and TOEFL.

    Science.gov (United States)

    Chalhoub-Deville, Micheline; Turner, Carolyn E.

    2000-01-01

    Familiarizes test users with issues to consider when employing assessments for screening and admission purposes. Examines the purpose, content, and scoring methods of three English-as-a-Second-Language admissions tests--the Cambridge certificate exams, International English Language Teaching System, and Test of English as a Foreign…

  11. m Components-Admissible Solutions of Systems of Higher-Order Partial Differential Equations on Cm

    Institute of Scientific and Technical Information of China (English)

    Ling-yun Gao

    2008-01-01

    Using value distribution theory and techniques in severed complex variables,we investigate the problem of existence of m components-admissible solutions of a class of systems of higher-order partied differential equations in several complex variables and estimate the number of admissible components of solutions.Some related results will also be obtained.

  12. Supreme Court Hearing in Texas Admissions Case Exposes Gaps in Affirmative-Action Law

    Science.gov (United States)

    Schmidt, Peter

    2012-01-01

    The author reports on the U.S. Supreme Court hearing regarding the Texas admissions case that exposes gaps in the affirmative-action law. As the Supreme Court heard oral arguments in a lawsuit challenging race-conscious admissions at the University of Texas at Austin, it became evident that the court's past rulings on such policies have failed to…

  13. Contextual Admissions and Affirmative Action: Developments in Higher Education Policy in England

    Science.gov (United States)

    Lane, Laura; Birds, Rachel

    2013-01-01

    This paper explores the value of explaining contextual admissions policy directives through the conceptual lenses of meritocracy and social reproduction. It is suggested that examining these concepts can assist in highlighting some of the ideological and practical complexities associated with contextual admissions whilst providing opportunities to…

  14. 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.

  15. Aspiring to the Baccalaureate: Attitudes of Community College Students Toward Affirmative Action in College Admissions.

    Science.gov (United States)

    Zamani, Eboni Mie'l

    This dissertation, written in April 2000, focuses on African American, Hispanic, and White community college students' attitudes toward affirmative action in college admissions. Specifically, the study examines the association between attitudes toward affirmative action in college admissions, student background characteristics, educational…

  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...

  17. Local Authority Approaches to the School Admissions Process. LG Group Research Report

    Science.gov (United States)

    Rudd, Peter; Gardiner, Clare; Marson-Smith, Helen

    2010-01-01

    What are the challenges, barriers and facilitating factors connected to the various school admissions approaches used by local authorities? This report gathers the views of local authority admissions officers on the strengths and weaknesses of different approaches, as well as the issues and challenges they face in this important area. It covers:…

  18. 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...

  19. Obstetric intensive care unit admission: a 2-year nationwide population-based cohort study

    NARCIS (Netherlands)

    Zwart, J.J.; Dupuis, J.R.O.; Richters, A.; Öry, F.; Roosmalen, J. van

    2010-01-01

    Purpose: As part of a larger nationwide enquiry into severe maternal morbidity, our aim was to assess the incidence and possible risk factors of obstetric intensive care unit (ICU) admission in the Netherlands. Methods: In a 2-year nationwide prospective population-based cohort study, all ICU admiss

  20. 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.